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Nurses' Compliance with Safety Guidelines for the Use of Antineoplastic Agents, Observable Symptoms, and Stress from Occupational Exposure.

Seon Ja PARK ; Hyun Ju KIM

Journal of Korean Academy of Fundamental Nursing.2018;25(4):293-300. doi:10.7739/jkafn.2018.25.4.293

PURPOSE: This study was done to identify the relationship between nurses' compliance with safety guidelines for the use of antineoplastic agents, observable symptoms, and stress from occupational exposure. METHODS: The participants were 172 nurses from six general hospitals in a metropolitan area. They had administered antineoplastic agents at least three months prior to the study. Data were collected using self-report questionnaires, and then analyzed using SPSS/WIN 23.0 for descriptive statistics, t-test, one-way ANOVA, Scheffé method, and Pearson correlation coefficient. RESULTS: The average score on the guideline for safety compliance was 87.75 points out of a total of 100. The average score for observable symptoms of exposure to antineoplastic agents was 30.12 (28~56) points, and that for mean stress was 33.52 (15~60) points. Observable symptoms and stress from occupational exposure showed a statistically significant positive correlation (r=0.34, p < .001). CONCLUSION: To increase the degree of compliance with safety guidelines for antineoplastic agents, hospitals should lower the chance of exposure to antineoplastic agents, as well as minimize the observable symptoms and stress from occupational exposure. Periodic education and policy support are needed to improve compliance with safety guidelines for antineoplastic agent use.
Antineoplastic Agents* ; Compliance* ; Education ; Hospitals, General ; Methods ; Occupational Exposure*

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Prevalence and Factors related to Irritable Bowel Syndrome in University Students.

Ji Young SEO ; Jin Hee PARK ; Young Mi JUNG ; Hye Jin LEE

Journal of Korean Academy of Fundamental Nursing.2018;25(4):282-292. doi:10.7739/jkafn.2018.25.4.282

PURPOSE: The purpose of this study was to identify the prevalence of irritable bowel syndrome and factors related to irritable bowel syndrome (IBS) in university students. METHODS: A cross-sectional, descriptive study was conducted using a self-report structured questionnaire with 420 university students. Data collection was done during May and June, 2017. The data were analyzed using descriptive statistics, a t-test, χ² test, and binary logistic regression analysis with IBM SPSS/WIN 22.0 program. RESULTS: The prevalence for IBS was 24% among Korean university students. Family history of IBS (OR=2.98, 95% CI=1.32~6.70), history of stomach and intestinal disease (OR=2.24, 95% CI=1.36~3.77), sleep quality (OR=2.01, 95% CI=1.16~3.48), mild anxiety (OR=2.75, 95% CI= 1.19~6.33) and more than moderate anxiety (OR=2.02, 95% CI=1.02~4.00) were found to be factors related to IBS. CONCLUSION: The prevalence of IBS was high among university students, and sleep quality and anxiety significantly influenced prevalence of IBS in these students. Therefore, interventions to decrease symptom of IBS must focus on management of sleep quality and anxiety.
Anxiety ; Data Collection ; Humans ; Intestinal Diseases ; Irritable Bowel Syndrome* ; Logistic Models ; Prevalence* ; Stomach

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Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals.

Ji Hyun PARK ; Jung Tae SON

Journal of Korean Academy of Fundamental Nursing.2018;25(4):269-281. doi:10.7739/jkafn.2018.25.4.269

PURPOSE: The purpose of this study was to build a model to predict the fall prevention behavior of nurses in small and medium sized hospitals. METHODS: Participants were 382 nurses from 13 hospitals who responded to the structured self-reported questionnaire. The research model was based on previous study of fall prevention, theory of planned behavior, and the health belief model. RESULTS: The modified model generally showed higher levels than recommended level of model fit indices and acceptable explanation. Of 17 hypothetical paths, 14 were supported. Predicting variables explained 51.6% of fall prevention behavior. The fall prevention behavior of nurses showed a direct influence of fall prevention expectations, fall prevent threats, perceived behavioral control for fall prevention, and intention to prevent falls and an indirect of influence of patient safety culture, attitude toward fall prevention, and the subjective norm. CONCLUSION: Findings show a need to identify a range of barrier factors to increase the benefits of fall prevention behavior and enhance the perceived control of fall prevention so that nurses will be able to promote fall prevention behavior in hospitals. Also, it is critical to increase awareness of patient safety culture among nurses.
Accident Prevention ; Accidental Falls ; Health Behavior ; Humans ; Intention ; Nurses* ; Patient Safety ; Safety Management

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Effects of Action Learning Based Health Assessment Class on Nursing Students' Self-confidence and Knowledge of Health Assessment, Critical Thinking Ability, and Class Satisfaction.

Myo Gyeong KIM

Journal of Korean Academy of Fundamental Nursing.2018;25(4):259-268. doi:10.7739/jkafn.2018.25.4.259

PURPOSE: The purpose of this study was to identify the effects of the action learning approach on the self-confidence and knowledge of health assessment, critical thinking ability and class satisfaction in students taking health assessment courses. METHODS: This non-equivalent control group pretest-posttest study enrolled 127 nursing students as participants, with 64 and 63 in the experimental and control group, respectively. These two groups attended 33 hours (2 or 4 hours per week for 11 weeks) of action learning and traditional classes, respectively. Differences in the dependent variables between the two groups were compared before and after the intervention using independent t-test. RESULTS: The action learning group reported significantly greater self-confidence in health assessment (t=5.10, p < .001) and critical thinking ability (t=2.23, p=.027) than the control group. There was no significant difference in knowledge of health assessment or class satisfaction between two groups (p>.05). CONCLUSION: These findings indicate that action learning is an effective intervention for enhancing self-confidence and critical thinking ability in nursing education.
Education, Nursing ; Humans ; Learning* ; Nursing* ; Students, Nursing ; Thinking*

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Assessment of the Influence of Application Time of Lidocaine Patch on Pain Intensity after Venipuncture.

In Sun NO ; Se Young KIM

Journal of Korean Academy of Fundamental Nursing.2018;25(4):250-258. doi:10.7739/jkafn.2018.25.4.250

PURPOSE: This study was done to assess the influence of application time of Lidocaine patch on pain intensity following venipuncture in hospital. METHODS: The participants were 31 adult patients admitted to J hospital in G city. Patients' anxiety, blood pressure and pulse were measured when no patch was applied and when a patch was applied. To evaluate the pain intensity and physiological index caused by venipuncture, blood pressure, pulse and pain intensity were checked for patients in the no patch group, and for a 5 minutes of application and 30 minutes application patch. Pain was evaluated using a visual analogue scale, anxiety using the Profile of Mood states developed McNair et al. and modified by Lee. Data were analyzed using one-way repeated measures ANOVA with the SPSS 21.0 program. RESULTS: Anxiety and pain were significantly reduced when a lidocaine patch was applied following venipuncture. There was no significant difference in pain intensity whether the lidocaine patch application is for 30 minutes or application for 5 minutes. CONCLUSION: Results of this study show that application of lidocaine patch can be used as a nursing intervention for pain reduction by showing that there is no need to wait a long time for pain to be reduced.
Adult ; Anxiety ; Blood Pressure ; Humans ; Lidocaine* ; Nursing ; Phlebotomy*

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Influence of Duration of Prophylactic Antibiotics Therapy on Uncertainty of Recovery in Elective Laparoscopic Uterine Myomectomy Patients.

Mi Young JUNG ; Kyung Yeon PARK

Journal of Korean Academy of Fundamental Nursing.2018;25(4):240-249. doi:10.7739/jkafn.2018.25.4.240

PURPOSE: The study was done to explore whether the duration of perioperative prophylactic antibiotics therapy influenced uncertainty of recovery in patients with elective laparoscopic uterine myomectomy. METHODS: A prospective study was conducted using self-report questionnaires and electrical medical records for patients with uterine myomectomy. According to the length of the perioperative prophylactic antibiotics therapy, the patients were divided into three groups: single-dose antibiotic treatment group, short-term antibiotic treatment group, and long-term antibiotic treatment group. Data were collected from December 20, 2016 to July 31, 2017 from 161 patients who underwent laparoscopic myomectomy at a metropolitan city general hospital. RESULTS: Level of uncertainty of recovery was 2.98±0.22. The uncertainty was highest in the long-term antibiotic treatment group, followed by the short-term antibiotic treatment group and the single-dose antibiotic treatment group (F=89.40, p < .001). In the regression analysis, factors influencing uncertainty of recovery among uterine myomectomy patients were duration of perioperative prophylactic antibiotic therapy (β=.70, p < .001) and duration of NPO (β=−.11, p=.047) which explained 51.5% of the variance (F=83.75, p < .001). CONCLUSION: Based on these results, information including the administration of antibiotics before surgery should be provided to the patients to help reduce the uncertainty of postoperative recovery.
Anti-Bacterial Agents* ; Hospitals, General ; Humans ; Medical Records ; Prospective Studies ; Uncertainty* ; Uterine Myomectomy*

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Exposure to Needlestick and Sharp Injuries, Anxiety during Injection Practice and Experience of Injecting Human Beings in Fundamental Injection Practice.

Min Jung CHOI ; Seung Kyo CHAUNG ; Jin Hee PARK ; Soo Jung CHANG ; Kyeong Yae SOHNG

Journal of Korean Academy of Fundamental Nursing.2018;25(4):231-239. doi:10.7739/jkafn.2018.25.4.231

PURPOSE: This study was done to understand nursing students' exposure of needlestick and sharp injuries (NSSI), level of anxiety as well as experience of practicing injection with human beings during Fundamentals of Nursing (FN) practice. METHODS: Data consisted of self-report questionnaires completed by 571 nursing students who had completed an injection practice in FN. The questionnaire included questions on general characteristics, exposure to NSSI, experience of practicing injections with human beings, level of anxiety and other experiences. Data were analyzed using descriptive statistics and content analysis. RESULTS: Of the students, 17.5% experienced NSSI and 83.2% performed invasive injection procedures in the FN practice. The level of anxiety was 4.62–6.46/10 points when injecting a classmate and 1.27–1.93/10 points when using manikins. The feeling most often reported was worried about making a mistake that could hurt my classmate (57.2%). CONCLUSION: Nursing students are exposed to NSSI and experience a high degree of anxiety in invasive injection practice. These results indicate that it is necessary to develop and implement standardized NSSI prevention and anxiety reduction programs in FN.
Anxiety* ; Humans* ; Manikins ; Needlestick Injuries* ; Nursing ; Students, Nursing

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Respite Care for Family Caregivers of Elders with Dementia: Concept Clarification.

Sung Ok CHANG ; Mi Ryeong SONG ; Gye Soon KONG ; Suk Hee CHOEN

Journal of Korean Academy of Fundamental Nursing.2012;19(1):23-34.

PURPOSE: Respite care is not a discrete intervention, but encompasses a range of services. This research was conducted to clarify the phenomenon of respite care for family caregivers of elders with dementia from a nursing perspective. METHODS: The Hybrid Model of concept development was applied to clarify the concept of respite care for family caregivers of elders with dementia. The study was conducted in the following three steps, theoretical phase, fieldwork phase, and final analytic phase. RESULTS: The definition of respite care for family caregivers of elders with dementia was delineated through integration of data analyses in theoretical and fieldwork phase, and has three dimensions; tailored supports for caregivers, tailored supports based on physical and cognitive function of elders with dementia and community interventions related to family care function. CONCLUSION: Through this study, the concept of respite care for family caregivers of elders with dementia is clarified and reformulated as nursing practice phenomena in the Korean context, which indicates ways to develop caring practice forms for a family living with an elder with dementia in a community setting.
Caregivers ; Chimera ; Dementia ; Humans ; Respite Care ; Statistics as Topic

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A Study on Physical Fitness in Student Nurses.

Hyang Dong KIM ; Jeong Suk PARK ; Young Sook KWON

Journal of Korean Academy of Fundamental Nursing.2003;10(3):399-407.

PURPOSE: This study was done to identify levels of physical fitness in student nurses and to ascertain the relationship among the different aspects of physical fitness of strength, power, muscle endurance, agility, balance and flexibility. METHOD: The participants were 266 students selected from one college of nursing. From May 1 to July 31 in 2003, physical constitution, muscle strength (grip strength, back strength), power (standing long jump), muscle endurance (sit-ups), agility (whole body reaction time-light, sound), balance (close-eyes foot-balance), and flexibility (sitting trunk flexion) were measured. RESULT: The mean(standard deviation) for grip strength was 22.59(3.93) kg., for back strength, 48.52(12.85) kg., for standing long jump, 135.29(20.54) m., for sit-up's, 23.66(9.35) per minute, whole body reaction time (light), 0.43(0.11) sec, whole body reaction time (sound), 0.50(0.16) sec, close-eyes foot-balance, 33.35(38.67) sec, and sitting trunk flexion 34.72(9.37) cm. CONCLUSION: This study showed that the physical fitness of student nurses is very low compared to the results in a report from the Korea Sports Science Institute. It is necessary to include exercise programs for student nurses in order to improve their physical fitness.
Constitution and Bylaws ; Hand Strength ; Humans ; Korea ; Muscle Strength ; Nursing ; Physical Fitness* ; Pliability ; Reaction Time ; Sports ; Students, Nursing

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Development of Standard of Educational Equipment for Fundamental Nursing Practice in BSN Programs.

Jong Im KIM ; Nan Young LIM ; Keum Sun KIM

Journal of Korean Academy of Fundamental Nursing.2003;10(3):415-426.

PURPOSE: This study was done to develop standards for educational equipment in fundamental nursing practice courses in BSN programs. METHOD: The participants in this study were 30 professors who taught fundamental nursing in colleges or departments of nursing. The data were gathered between December 2002 and May 2003 using a questionnaire on the present state of fundamental nursing practice and the educational equipment list for fundamental nursing practice. RESULT: There was variety in the content of the courses of fundamental nursing practice in BSN programs, and the environment for fundamental nursing practice was in diverse setting. A standard for educational equipment was developed consisting of 93 pieces of equipment for fundamental nursing practice. CONCLUSION: The standard for educational equipment for fundamental nursing practice in BSN programs provides the basics for fundamental nursing practice. Of these 72 were selected and the authors suggests establishing an educational committee of fundamental nursing practice and holding a workshop on educational equipment for fundamental nursing practice in BSN programs every 5 years.
Education ; Nursing* ; Questionnaires

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