Journal Detail Information

1

Cite

Share

Nurses’ Intentions for COVID-19 Vaccination in South Korea in 2022

Byung Yun SONG ; Sun Hee CHOI ; Dong Yeon KIM

Journal of Korean Academy of Fundamental Nursing.2023;30(1):125-135. doi:10.7739/jkafn.2023.30.1.125

Purpose: This study was to identify nurses’ intentions for COVID-19 vaccination in 2022. Methods: A questionnaire survey was conducted among 222 nurses in Korea. The collected data were analyzed using the independent t-test, one-way analysis of variance, the Wilcoxon rank sum test, Pearson’s correlation coefficients, and multiple regression analysis. Results: The score for intention to be vaccinated against COVID-19 in 2022 was 2.70 points on a 5-point scale, significantly lower than in 2020 (3.02 points on a 5-point scale). The average score for knowledge related to COVID-19 was 7.22 out of 10 points. Positive correlations were found between the intention for COVID-19 vaccination in 2022 and preventive health behavior, as well as between nurses’ intentions for COVID-19 vaccination in 2022 and 2020. The factors affecting nurses’ intentions for COVID-19 vaccination in 2022 were preventive health behavior (β=.11, p=.045) and nurses’ intentions for COVID-19 vaccination in 2020 (β=.65, p<.001). This model showed a significant explanatory power of approximately 45% (F=36.88, p<.001) for the COVID-19 vaccination intention in 2022. Conclusion This result points to the importance of managing nurses’ preventive health behaviors to promote COVID-19 vaccination uptake. Nurses’ vaccination intentions are an important issue for the safety of both nurses and patients. A safe vaccination environment and national policy should be prepared to reduce nurses' hesitations about COVID-19 vaccination.

2

Cite

Share

Factors Influencing Senior Nursing Students’ COVID-19 Psychological Distress: A Cross-sectional Study

Kang Sun LEE ; Hye Young KIM

Journal of Korean Academy of Fundamental Nursing.2023;30(1):115-124. doi:10.7739/jkafn.2023.30.1.115

Purpose: The purpose of this study was to examine the relationship between coronavirus disease 2019 (COVID-19)-related knowledge, preventive behaviors, risk perception, nursing professional values, and COVID-19 psychological distress among nursing students, and to identify factors associated with senior nursing students’ COVID-19 psychological distress. Methods: This descriptive cross-sectional study included fourth-year nursing students (n=183). Data were collected using a structured questionnaire between May and June 2022. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, the Scheffé test, Pearson’s correlation coefficients, and multiple linear regression analysis, using SPSS version 27.0 for Windows. Results: COVID-19 risk perception (β=.39, p<.001) had the strongest association with COVID-19-related psychological distress, followed by COVID-19 knowledge (β=.37, p<.001), major satisfaction (β=-.19, p=.004), and COVID-19 preventive behavior (β=-.16, p=.023). These variables accounted for approximately 27% of the variance in COVID-19-related psychological distress. Conclusion Nursing educators should work to develop interventions to reduce nursing students’ COVID-19-related psychological distress and should consider COVID-19 knowledge, COVID-19 risk perception, and COVID-19 preventive behavior. Furthermore, plans should be developed to enhance students’ satisfaction with the nursing major by improving the clinical practicum suited to their needs.

3

Cite

Share

Effects of an Interactive Smoking Cessation Coaching Program on Smoking in Female College Students

Youn-Suk KWON ; Eun-Suk CHOI

Journal of Korean Academy of Fundamental Nursing.2023;30(1):102-114. doi:10.7739/jkafn.2023.30.1.102

Purpose: This study aimed to examine the effects of an interactive smoking cessation coaching program on smoking cessation motivation, smoking knowledge, smoking shame, urine cotinine levels, tobacco craving and smoking abstinence self-efficacy. The conceptual framework of the study applied Cox’s interaction model of client health behavior for female college students who smoked. Methods: This was a before-and-after experimental design study with a non-equivalent control group. The participants were smoking female college students, who were assigned either to an experimental group (n=22) or a control group (n=24). The interaction model of client health behavior was the theoretical basis. The core tactic of smart management and strategy for health was applied as a coaching technique. The experimental group attended 11 sessions of an interactive smoking cessation coaching program, (60 to 120 minutes per session) for 6 weeks, and the control group received education regarding smoking cessation after the program finished. The data collection period was from January 23, 2019 to March 7, 2019. Results: This study showed differences in smoking cessation motivation (F=71.09, p<.001), smoking knowledge (F=20.77, p<.001), smoking shame (t=5.11, p<.001), urine cotinine levels (t=-9.58, p<.001) and smoking abstinence self-efficacy (t=11.68, p<.001). However, no difference in tobacco cravings (t=-1.57, p=.127) was found. Conclusion As a result of the interactive smoking cessation coaching program, statistically significant differences were found in smoking cessation motivation, smoking knowledge, smoking shame, urine cotinine levels and smoking abstinence self-efficacy. However, further research is needed because there was no statistically significant difference in tobacco cravings.

4

Cite

Share

Validation of the PAINAD-K Scale for Nonverbal Pain Assessment in the Post Anesthesia Care Unit

Hyemin KANG ; Ju-Yeon UHM

Journal of Korean Academy of Fundamental Nursing.2023;30(1):90-101. doi:10.7739/jkafn.2023.30.1.90

Purpose: This study aimed to verify the reliability and validity of the Pain Assessment in Advanced Dementia Scale-Korean version (PAINAD-K) for assessing pain in patients unable to communicate in the post-anesthesia care unit (PACU). Methods: The study included 205 patients, aged >65 years, admitted to the PACU following general surgery. Reliability was assessed using Cronbach’s ⍺, test-retest, intraclass correlation coefficient (ICC), and kappa coefficients. Criterion validity was evaluated with concurrent validity, and receiver operating characteristic (ROC) analysis assessed sensitivity and specificity. Convergent and discriminant validity were analyzed to verify the construct of the scale. Results: The Cronbach’s ⍺, ICC, and test-retest correlation values were .78, .95~.98, and .56~.74, respectively, indicating good reliability. At baseline, the correlation coefficient was .93 with the Algoplus scale in the non-communicative group and .82 with the numeric rating scale in the communicative group. Further establishing criterion validity in the nonverbal group, the area under the ROC curve was 0.995 (sensitivity=98.4%, specificity=97.5%) at baseline and .95 (sensitivity=96.4%, specificity=93.2%) at the 30-minute follow-up. The correlation coefficient with the Critical-Care Pain Observation Tool was .69~.96, showing convergent validity, and there was a significant interaction effect between time and group, indicating discriminant validity. Conclusion The study findings suggest that the PAINAD-K is a psychometrically valid scale for assessing pain in PACU patients aged >65 years who are unable to communicate.

5

Cite

Share

The Validity and Reliability of Nursing Assessment Communication-Competence Scale for Clinical Nurses

Hyojin KIM ; Heeyoung OH

Journal of Korean Academy of Fundamental Nursing.2023;30(1):78-89. doi:10.7739/jkafn.2023.30.1.78

Purpose: The aim of this study was to evaluate the validity and reliability of the short-version for clinical nurses on a communication competence scale developed to measure the communication competence of clinical nurses. Methods: Data were collected from 396 clinical nurses who work at general hospitals in Korea. The original version of the Communication Ability Scale was shorted and content, construct, item-convergent/discriminant, convergent validity and also internal consistency and test-retest reliability were evaluated. Data were analyzed using exploratory and confirmatory factor analyses, Pearsons's correlation coefficient and Cronbach’s ⍺. Results: As a result of item analysis and exploratory factor analysis, 5 subscales and a total of 20 items were derived. The confirmatory factor analysis showed adequate model fit indices (Normed x2=1.88, RMR=.04, RMSEA=.07, GFI=.87, CFI=.90, TLI=.87, IFI=.89). The items convergence and discrimination validity were verified using the Average Variance Extracted (.50~.56), composite reliability (.76~.86) and Φ±2SE (.42~.99). Convergent validity was demonstrated using Korean Version of Self-Efficacy Questionnaire (r=.59, p<.001). Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach’s ⍺ of .65~.79 and an intra-class correlation coefficient of .82~.90. The validity and reliability of the scale were verified. Conclusion The NACCS is a valid and reliable instrument for measuring communication competence for clinical nurses in Korea.

6

Cite

Share

The Association between the Low-density Lipoprotein-Cholesterol to High-density Lipoprotein-Cholesterol Ratio and the Incidence of Type 2 Diabetes Mellitus in Korean Adults: A Secondary Data Analysis Using a Community-based Cohort Study in Korea

Bo-Kyoung CHA

Journal of Korean Academy of Fundamental Nursing.2023;30(1):66-77. doi:10.7739/jkafn.2023.30.1.66

Purpose: This study investigated the association between the low-density lipoprotein-cholesterol/high-density lipoprotein-cholesterol (LDL-C/HDL-C) ratio and the incidence of diabetes in a Korean community-based cohort. Methods: The participants were 7,653 adults aged 40-69 years without diabetes at baseline from Korean Genome and Epidemiology Study who were followed up for 16 years biennially. These participants were categorized into four groups (Q1-Q4) according to quartiles of LDL-C/HDL-C ratio at baseline. Significant differences in the probability of diabetes-free survival curve were identified using the log-rank test in Kaplan-Meier analysis. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated using Cox proportional hazards regression analysis. Results: In total, 1,833 (24.0%) participants newly developed diabetes. The overall incidence of diabetes was 20.37 per 1,000 person-years (14.94, 17.12, 22.0, and 22.08 per 1,000 person-years for Q1, Q2, Q3, and Q4, respectively). The probability of diabetes-free survival was significantly different among the four groups (log-rank, x2=117.88, p<.001). Covariates included age, sex, triglyceride, fasting plasma glucose, homeostatic model assessment for insulin resistance index, hypertension, body mass index, family history of diabetes mellitus, smoking status, and alcohol use. Multivariate Cox proportional hazards regression showed that people with the highest quartile of the LDL-C/HDL-C ratio had a 1.17 times higher (HR=1.17, 95% CI: 1.01~1.35, p=.038) risk of diabetes development than those in the lowest quartile after adjusting for covariates. Conclusion The LDL-C/HDL-C ratio is an independent risk factor for diabetes development. Measuring and managing the LDL-C/HDL-C ratio is necessary for detecting individuals at high risk for developing diabetes.

7

Cite

Share

Mediating Effects of Job Satisfaction between Nurses’ Perceptions of Patient Safety Culture and Their Safety Nursing Activities

I Jung HAN ; Young Ran HAN

Journal of Korean Academy of Fundamental Nursing.2023;30(1):46-55. doi:10.7739/jkafn.2023.30.1.46

Purpose: This study was conducted to identify the mediating effects of job satisfaction in the relationship between nurses’ perceptions of patient safety culture and safety nursing activities. Methods: Data for this study were collected using a structured questionnaire from 219 nurses recruited through convenience sampling among nurses at the general wards of four small and medium-sized hospitals with fewer than 300 beds. The data collection period was between September 11 and 28, 2018. Data were analyzed using multiple regression and the Sobel test in SPSS 25.0 for Windows. Results: The mean score was 3.14 out of 5 points for patient safety culture, 3.21 out of 5 points for job satisfaction, and 4.10 out of 5 points for safety nursing activities. Patient safety culture was significantly correlated with job satisfaction (r=.55, p<.001) and safety nursing activities (r=.48, p<.001). Job satisfaction was significantly correlated with safety nursing activities (r=.55, p<.001). Nurses' perceptions of patient safety culture (β=.48, p<.001) and job satisfaction (β=.42, p<.001) were identified as significant predictors of safety nursing activities. Job satisfaction had a partial mediating effect in the relationship between nurses’ perceptions of patient safety culture and safety nursing activities. These variables explained 35% of the variance in safety nursing activities. Conclusion Improving nurses’ perceptions of patient safety culture and job satisfaction, which had a partial mediating effect, can promote safety nursing activities.

8

Cite

Share

Influence of Fall-related Perception on Behavioral Intention of Fall Prevention among Hospitalized Older Patients

Young Ju KIM ; Su Hyun KIM

Journal of Korean Academy of Fundamental Nursing.2023;30(1):24-34. doi:10.7739/jkafn.2023.30.1.24

Purpose: This study aimed 1) to identify hospitalized older patients' fall-related perceptions (including subjective fall risk assessment, confidence in performing fall risk behavior, fear of falling, and recognition of fall consequences) and behavioral intention for fall prevention, and 2) to investigate the influence of fall-related perceptions on the behavioral intention for fall prevention. Methods: A cross-sectional survey was conducted among 150 hospitalized older patients admitted to a large general hospital. A structured questionnaire was administered from October 1, 2020 to January 31, 2021. Cohen's kappa and multiple linear regression analysis were utilized to analyze the data. Results: The average scores were 1.43±0.65 for the subjective fall risk assessment, 4.08±0.44 for confidence in performing fall risk behavior, and 2.04±0.61 for the behavioral intention for fall prevention, on a 1~5 scale, with higher scores indicating higher levels of the attributes. They had an average of 1.48±0.56 for fear of falling and 2.43±0.35 for the recognition of fall consequences, on a 1~4 scale. Low agreement was found between the subjective fall risk assessment by hospitalized elderly patients and the objective fall risk assessment by nurses using the Morse Fall Scale. The hospitalized elderly patients' subjective fall risk assessment, confidence in performing fall risk behavior, and fear of falling were significant factors influencing behavioral intention for fall prevention. Conclusion The approach to preventing falls among hospitalized older patients should include assessing fall-related perceptions and providing education to correct inappropriate perceptions about falls.

9

Cite

Share

The Influence of Leader-Member Exchange Relationship, Perceived Organizational Support, and Work-Life Balance on Tertiary Hospital Nurses’ Retention Intention

Ji Hoe YOON ; Hyojung PARK

Journal of Korean Academy of Fundamental Nursing.2023;30(1):13-23. doi:10.7739/jkafn.2023.30.1.13

Purpose: This descriptive survey-based study was conducted to understand the influence of leader-member exchange, perceived organizational support, and work-life balance on retention intention, with the ultimate aim of increasing retention intention among nurses. Methods: Data were collected from 150 nurses with more than 6 months of experience at a tertiary general hospital with 700 beds in Seoul, Korea. The collected data were analyzed using SPSS version 28.0. Hierarchical multiple regression analysis was performed to identify factors influencing retention intention. Results: Job satisfaction (β=.28, p<.001) and the work and growth factor (β=.39, p<.001) had significant influences on the intention to stay. These factors accounted for approximately 49% of the variance in retention intention. Conclusion In this study, variables that can affect the retention intention of hospital nurses were identified, and the work and growth factor, which is a component of work-life balance, was found to affect retention intention. It is necessary to develop a competency development program that can foster the development of professional nurses and a system that can apply the program in practice.

10

Cite

Share

Factors Affecting Quality of Life in Hemodialysis Patients

Kyung Hee LIM ; Geum Soon KWON

Journal of Korean Academy of Fundamental Nursing.2023;30(1):1-12. doi:10.7739/jkafn.2023.30.1.1

Purpose: The purpose of this study was to investigate factors affecting quality of life in hemodialysis patients. Methods: In this descriptive study, the subjects were 127 hemodialysis patients at four dialysis clinics in Pusan and Daegu metropolitan cities. Data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficients, and stepwise multiple regression analysis using SPSS/WIN version 26.0. Results: The average scores for social support, symptom experience, physical function, self-care compliance, and quality of life were 3.97±0.66, 38.50±27.94, 2.24±0.60, 3.43±0.49, and 3.02±0.57, respectively. Fifty-five (43.3%) subjects had a type D personality. Quality of life showed significant differences according to educational background (F=6.44, p<.001), job (t=2.52, p=.013), and type D personality (t=4.39, p<.001). Social support (r=.32, p<.001), physical function (r=.45, p<.001), self-care compliance (r=.24, p=.005), albumin (r=.09, p=.027), and phosphorous (r=.27, p=.002) were positively correlated with quality of life. Symptom experience (r=-.40, p<.001) was negatively correlated with quality of life. The factors affecting quality of life were social support (β=.31, p<.001), physical function (β=.30, p<.001), educational background (β=.20, p=.007), type D personality (β=-.19, p<.001), and symptom experience (β=-.18, p=.019), with a total explanatory power of approximately 43%. Conclusion Quality of life in hemodialysis patients was affected by social support, physical function, educational background, type D personality, and symptom experience. These factors should be considered in nursing interventions to improve quality of life of hemodialysis patients.

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share