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Adaptation Experience of Nurses who were Transferred to a Long Term Care Hospital from an Acute Hospital

Hyoung Sook PARK ; Yun Jeong LEE ; Mi Jeong JI ; Mi Suk HONG

Journal of Korean Academy of Fundamental Nursing.2019;26(4):301-311. doi:10.7739/jkafn.2019.26.4.301

PURPOSE: The purpose of this study was to explore how supervisory nurses who were transferred to a long-term care hospital from an acute hospital adapted to the new work environment. METHODS: Colaizzi's phenomenological method was applied. Participants were nine nurses working in long-term care hospitals and data were collected through in-depth individual interviews over 1 month. Approval was obtained from the Institutional Review Board (IRB). RESULTS: From this study 12 theme clusters and 5 categories were classified. The 5 categories were; â€˜Unacceptable workloadâ€™, â€˜Unclear job descriptionâ€™, â€˜Unreasonable management system of the hospitalâ€™, â€˜Understanding the characteristic of the long-term care hospitalâ€™ and â€˜Challenge and self-developmentâ€™. CONCLUSION Participants experienced conflict, identity confusion and ambivalence through the relationship with nursing assistants, long-term care workers, administrative staff and the patientsâ€™ caregivers. However, they finally understood the characteristics of the long-term care hospital and were positioned as long-term care nurses.

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Critical Review I to Standardize the Textbooks of Fundamentals of Nursing: Vital Sign Assessment, Body Temperature Regulation, Oxygenation

YunHee SHIN ; Seung Kyo CHAUNG ; Hyun Ju KIM

Journal of Korean Academy of Fundamental Nursing.2019;26(4):282-300. doi:10.7739/jkafn.2019.26.4.282

PURPOSE: Fundamental nursing is a major course in which student nurses learn core and basic theories and nursing skills needed to solve patients' nursing problems before students starts clinical practicum. METHODS: The 10 textbooks under review were selected as the most recent textbooks since 2013. As the first in a series of textbook review studies, we reviewed textbooks and procedure books on vital signs, body temperature regulation, and oxygenation, with a focus on differences in numbers, range, etc. RESULTS: The most significant difference in vital signs assessment was the normal range for body temperature, which could be different according to age group, measurement sites and measuring devices. For topics on body temperature regulation, there were variations in describing stages of fever, definition, and patterns across 10 textbooks. For the topic on the oxygenation, the normal oxygen saturation level, FiO2 and L/min compatibility across various oxygen supply devices, and unit compatibility of French vs milimeter for the selection of size of the suction catheter were not clear. CONCLUSION Textbooks can be more effective nursing education guidelines when they provide standardized information as to figures and terms for nursing skills.

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The Effects of Venous Thromboembolism Prevention Education for Elderly Patients with Total Knee Arthroplasty

Mi Hee LEE ; Mee Ock GU

Journal of Korean Academy of Fundamental Nursing.2019;26(4):269-281. doi:10.7739/jkafn.2019.26.4.269

PURPOSE: This study was conducted to develop and test the effects of venous thromboembolism prevention education for elderly patients with total knee arthroplasty. METHODS: A non-equivalent control group posttest only non-synchronized design was used. The participants were 43 older adults (experimental group: 21, control group: 20) who had experienced total knee arthroplasty surgery at *university hospital located in *city. Venous thromboembolism prevention education consisted of a 20 minute intervention on the evening before the operation and a 5 minute intervention on the operation day including education and strategies for enhancing health belief. Data were collected from October 20, 2017 to March 10, 2018. Data were analyzed using independent t-test and Mann-Whitney U test with SPSS/WIN 24.0. RESULTS: The experimental group showed significantly higher levels of knowledge, self-reported preventive behaviors, and number of ankle movements compared to the control group. CONCLUSION The study findings indicate that venous thromboembolism prevention education can be recommended as an effective nursing intervention for preventing venous thromboembolism of elderly patients with total knee arthroplasty.

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Sujin SHIN ; Inyoung LEE ; Jeonghyun KIM ; Sung Heui BAE

Journal of Korean Academy of Fundamental Nursing.2019;26(4):260-268. doi:10.7739/jkafn.2019.26.4.260

PURPOSE: The purpose of this study was to examine the sleep quality of nurses in the comprehensive nursing care units of small-medium sized hospitals, and general and work-related characteristics associated with sleep quality of nurses. METHODS: Participants were 312 nurses in comprehensive nursing care units of eight small and medium hospitals. The data were collected between June and August, 2018. A survey questionnaire including, sleep quality, general, and work-related characteristics of nurses was used. The data were analyzed using SPSS/WIN 23.0 program with descriptive statistics, independent t-test, and Ï‡Â² test. Logistic regression analyses were used to identify factors associated with sleep quality. RESULTS: The average score for sleep quality was 8.58Â±3.18 (0~21). Using a cut-off point of 8.5, 51.9% were poor sleepers. Sleep quality was associated with age (Odds Ratio [OR]=0.93, 95% Confidence Interval [CI]=0.88~0.99). CONCLUSION Age was identified as a factor associated with sleep quality among nurses in the comprehensive nursing care units at small and medium sized hospitals. Researchers and nurse administrators need to develop and provide strategies to improve young nurses' sleep quality.

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Effects of Non-pharmacological Interventions for Preoperative Anxiety in Surgical Patient: A Systematic Review and Meta-analysis

Hyeon Young KIM ; Myung Nam LEE

Journal of Korean Academy of Fundamental Nursing.2019;26(4):248-259. doi:10.7739/jkafn.2019.26.4.248

PURPOSE: The purpose of this study was to examine the effects of non-pharmacological interventions for preoperative anxiety in surgical patient. METHODS: The search included the following: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, CINAHL EMBASE, and Korean electronic databases (2000 to November 2018). Risk of bias in randomized studies was assessed using the Cochrane's Risk of Bias (RoB) tool for randomized studies and for non-randomized studies, the Risk of Bias Assessment tool for Non-randomized studies (RoBANS) was used. To estimate the effect size, meta-analysis of the studies was performed using the R program (version 3.5.1). RESULTS: Nineteen trials were included (1,685 participants). The non-pharmacological interventions for preoperative anxiety in surgical patient were music intervention, aromatherapy, and patient education. Specifically, the twelve studies showing the effect of music intervention on anxiety were heterogeneous (Ï‡Â²=23.42, p=.05, IÂ²=40%). The effect size was âˆ’0.77 (95% CI:âˆ’0.93, âˆ’0.60). The four studies showing the effect of aromatherapy on anxiety were heterogeneous (Ï‡Â²=8.95, p=.03, IÂ²=66%). The effect size was âˆ’0.83 (95% CI: âˆ’1.30, âˆ’0.36). The three studies measuring the effect of patient education on anxiety identified as homogeneous (Ï‡Â²=1.95, p=.38, IÂ²=0%). The effect size was âˆ’2.85 (95% CI: âˆ’5.00, âˆ’0.71). CONCLUSION This meta-analysis indicates that non-pharmacological interventions including music intervention, aromatherapy and patient education may have a beneficial effect on preoperative anxiety. Therefore, the findings of this study provide evidence to incorporate various non-pharmacological interventions into nursing practice to reduce preoperative anxiety.

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Effects of a Spirituality Promotion Program on Spirituality, Empathy and Stress in Nursing Students

Seok Jung KANG ; Jinsun YONG

Journal of Korean Academy of Fundamental Nursing.2019;26(4):240-247. doi:10.7739/jkafn.2019.26.4.240

PURPOSE: The purpose of this study was to examine the effects of a spirituality promotion program on spirituality, empathy and stress in nursing students. METHODS: This study used one-group pretest-posttest design. Participants were 162 nursing students who participated in the spirituality program at C University in Seoul between 2014 and 2016. The effects of this study were measured using the Spirituality Assessment Scale, Toronto Empathy Questionnaire and Perceived Stress Scale-10. Data were analyzed using paired t-test and Wilcoxon signed rank test. RESULTS: Spirituality increased significantly (Z=âˆ’8.06, p<.001), empathy also increased significantly (Z=âˆ’2.05, p=.040) and perceived stress decreased significantly (t=5.59, p<.001) after the spirituality promotion program. CONCLUSION Results show that the spirituality promotion program is an effective intervention to improve spirituality and empathy and reduce stress for nursing students. Therefore, this study proposes utilization of this spirituality promotion program with nursing students so that they can take care of themselves and develop the ability to perform holistic nursing care for patients.

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Review of Diabetic Foot Complication Assessment Tools Developed from 2007 to 2016

Yoonhee LEE ; Youngshin SONG

Journal of Korean Academy of Fundamental Nursing.2019;26(4):231-239. doi:10.7739/jkafn.2019.26.4.231

PURPOSE: The purpose of this study was to analyze the attributes and psychometric properties of newly developed diabetic foot complication assessment tools. The attributes of diabetic foot complication assessment tools were evaluated using a systematic review. METHODS: The search terms: â€œdiabetes mellitusâ€ and â€œfoot ulcerâ€ were retrieved using Boolean operators of â€œandâ€, â€œorâ€, and â€œnotâ€. The search was limited to articles published between 2007 and 2016. The literature was analyzed by division of methodological characteristics, instrumental characteristics, and item and stratified outcome characteristics. RESULTS: Six assessment tools were found for diabetic foot complications. Only three of the six tools presented the evidence in terms of validity and reliability. In all six tools, â€œulcerâ€ was the measured item with the highest frequency, but the contents of items varied. The six identified tools focused on assessing current physical symptoms, but not on predicting diabetic foot complications. CONCLUSION Preventive foot self-care should be used to predict diabetic foot complications before symptoms appear. Moreover, the reliability and validity of existing tools should be verified in terms of discrimination, prediction, and evaluation.

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Factors Influencing the Occurrence of Diarrhea in Patients Admitted to Intensive Care Units

Hanna LEE ; Rhayun SONG

Journal of Korean Academy of Fundamental Nursing.2019;26(4):221-230. doi:10.7739/jkafn.2019.26.4.221

PURPOSE: This study was done to examine incidence of diarrhea and explore factors influencing occurrence of diarrhea in patients admitted to intensive care units (ICU). METHODS: For this retrospective research, data based on inclusion criteria were collected from the electronic medical records for 142 patients admitted to a university hospital ICU from September 2014 to August 2015. Statistical analysis was conducted using SPSS/WIN 22.0 program. RESULTS: Incidence of diarrhea was 53.5% during the 12-month study period. Diarrhea occurred at 4.54 days and continued for 1.79 days on average. Average total frequency of diarrhea was 5.56 times. Increased ICU stay, enteral nutrition, and infection state were significant predictors of the occurrence of diarrhea. Infection increased risk of diarrhea 3.4 times and enteral nutrition increased risk of diarrhea to 2.2 times greater than patients not receivng enteral nutrition. CONCLUSION Diarrhea in ICU patients is associated with multiple factors that should be considered to implement preventive strategies. Infection control should be emphasized, and close monitoring of diarrhea should be provided for those with enteral nutrition. Further studies are warranted to determine standardized clinical definition of diarrhea and diarrhea risk factors in ICU patients with different levels of severity and comorbidity.

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Risk Factors affecting Dyslipidemia according to Age Group in Women:Data from the Korea National Health and Nutrition Examination Survey, 2014~2017

Bo-Kyoung CHA

Journal of Korean Academy of Fundamental Nursing.2020;27(3):310-322. doi:10.7739/jkafn.2020.27.3.310

Purpose: The purpose of this study was to investigate the risk factors affecting dyslipidemia in women according to age group. Methods: This secondary analysis study used data from the Korea National Health and Nutrition Examination Survey (KNHNES), 2014~2017. The participants were 10,573 women aged 30 years and older. Data were analysed using descriptive data, x2 statistic, and complex sample multiple logistic regression analysis. Results: Prevalence of hyper-LDL cholesterolemia was estimated at 10.8% (30~49 years old), 42.3% (50~64 years old) and 62.0% (over 65 years old). Prevalence of hypertriglyceridemia was estimated at 6.8% (30~49 years old), 13.1% (50~64 years old) and 14.7% (over 65 years old). Risk factors of hyper-LDL cholesterolemia were hypertension, menopause, body mass index, smoking, drinking status in women aged 30~49 years old. Risk factors of hyper-LDL cholesterolemia were hypertension, menopause, body mass index, waist circumference, smoking, drinking status in women aged 50~64 years old, and hypertension in women over 65 years old. Risk factors of hypertriglyceridemia were hypertension, menopause, body mass index, waist circumference, smoking in women aged 30~49 years old. Risk factors of hypertriglyceridemia were hypertension, body mass index, waist circumference, smoking, energy percent from fat in women aged 50~64 years old, and smoking in women over 65 years old. Conclusion The results of this study revealed the important role of hypertension, menopause, body mass index, waist circumference, smoking, drinking status and energy percent from fat on dyslipidemia according to age group in women. Based on these results, different approaches considering women's age group should be prepared in order to prevent and manage dyslipidemia.

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Unmet Needs for Job Maintenance of Breast Cancer Survivors

Su Jeong HAN ; Hye Won KIM ; Mi Ran KIM

Journal of Korean Academy of Fundamental Nursing.2020;27(3):298-309. doi:10.7739/jkafn.2020.27.3.298

Purpose: To develop and apply an integrative model for breast cancer survivors’ return to work, survivors’unsatisfied demands for job maintenance were identified. Methods: This study was a qualitative research that used a focus group to investigate breast cancer survivors’ unsatisfied demands for job maintenance. Data collection was conducted four times from February to October 2019 with six participants. Results: The study showed that the six participants identified the following unsatisfied demands for breast cancer survivors who returned to work: the individual’s physical and psychological condition, attitudes and support from family, work-related characteristics, the healthcare system, and social (political) issues. Thirteen sub-topics were identified. Conclusion This study provided necessary data to prepare a strategy for breast cancer survivors to return to work and proposed to develop an integrative model and a professional training program in further research.

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