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Development of Nursing Practice Guidelines for Non-humidified Low Flow Oxygen Therapy by Nasal Cannula.

Ae Ri Na NAM ; Woo Hyun BAE ; Mi Mi PARK ; Eun Jeong KO ; Byung Nam PARK ; Jeong Ok PARK ; Ji Yeoung YIM

Journal of Korean Academy of Nursing Administration.2013;19(1):87-94. doi:10.11111/jkana.2013.19.1.87

PURPOSE: The purpose of this study was to provide a basis for non-humidified low flow oxygen by nasal cannula and to provide a guide for consistent care in nursing practice. METHODS: A methodological study on the development of guidelines with experts' opinions on collected items, framing PICO questions, evaluating and synthesizing texts which were searched with the key words (low flow oxygen, nasal cannula, humidification of oxygen, guideline) from web search engines. RESULTS: Of the 45 researched texts on the web, 9 texts relevant to the theme were synthesized and evaluated. All patients with humidified or non-humidified oxygen therapy reported that they had no discomfort. CONCLUSION: The results indicate that there are no tangible grounds for patients' perceived differences between the humidified and non-humidified oxygen under 4L/min supplied by nasal cannula. with oxygen. Therefore, non-humidification oxygen therapy is strongly advised when suppling under 4L/min oxygen by nasal cannula (recommended grade A).
Catheters ; Humans ; Oxygen

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The Effects of Cancer-related Information Search From Media as Communication Cues on Health Behavior.

Seokmin HONG

Journal of Korean Academy of Nursing Administration.2013;19(1):76-86. doi:10.11111/jkana.2013.19.1.76

PURPOSE: This study was done to examine the effects of information searches from media as communication cues for health behavior, specifically smoking, drinking liquor, cancer examinations, and regular exercise. METHODS: Data were collected through a web survey with a sample size of 600 and analyzed using SPSS 18.0. RESULTS: The results show that the newspaper as a communication cue has an effect on health behavior such as regular exercise and smoking, whereas television only affects regular exercise. CONCLUSION: The results indicate that there are differences between media as communication cues to improve health behavior and that messages related to health information should be exposed with cautious consideration to media choice so as to increase the effects of message. Managerial implications of the study results are suggested.
Cues ; Drinking ; Health Behavior ; Periodicals ; Sample Size ; Smoke ; Smoking ; Television

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Problems and Prospects of Nursing Research on Job Stress in Korea.

Wonsup CHO ; Myoungsoon YOU

Journal of Korean Academy of Nursing Administration.2013;19(1):63-75. doi:10.11111/jkana.2013.19.1.63

PURPOSE: The goal of this study was to identify the current status of research on job stress conducted in Korea and to suggest directions for future nursing research. METHODS: A total of 395 articles (76 nursing science, 100 health science, 219 social science) selected from 'Korean Research Foundation Registered Journals' were reviewed. The papers were classified by criteria, focusing on research frameworks, topics and methodologies. RESULTS: There has been a rapid increase in the number of articles since the 1990s. However, the following issues were discovered: lack of theoretical frameworks about factors related to job stress, a paucity of attention to sophisticated methodologies including the development of strong measurement tools, and incoherence among the level of theory, level of measurement, and/or level of statistical analysis. CONCLUSION: Based on the key findings of this study the following are proposed: increased efforts to develop theoretical framework to guide empirical investigations, improvements in methodological rigor, research conduct with various job groups with different approaches such as qualitative or experimental research, and encouragement for interdisciplinary approaches to the study on job stress.
Korea ; Nursing Research ; Occupations ; Stress, Psychological

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Review of Self-Administered Instruments to Measure Cultural Competence of Nurses-Focused on IAPCC & CCA.

Duck Hee CHAE ; Kyeong Hwa KANG

Journal of Korean Academy of Nursing Administration.2013;19(1):48-62. doi:10.11111/jkana.2013.19.1.48

PURPOSE: As Korean society has rapidly become multicultural in the last few decades, it is essential for nurses to become culturally competent to provide effective care for ethnically and culturally diverse populations. Considering the advantages of standardized instrument, there is a need to evaluate current cultural competence instruments to assess adaptability to Korean nurses. METHODS: Using Macdowell's instrument evaluation guideline, a review and evaluation was done of the Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals (IAPCC) and Cultural Competence Assessment (CCA), which were both developed based on cultural competence theoretical models and have been commonly used in nursing research. Two other Korean instruments were also evaluated. RESULTS: The instruments reviewed have limitations in reliability and validity, as well as cultural background and development process, for measurement of cultural competence in Korean nurses. CONCLUSION: The results of this study indicate that it is necessary to discuss and agree on a definition of what cultural competence is and to develop instruments to measure cultural competence in Korean nurses.
Cultural Competency ; Delivery of Health Care ; Models, Theoretical ; Nursing Research ; Reproducibility of Results

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Implementation of Evidence Based Nursing Education into Nursing Management Clinical Practicum: Outcome Evaluation and Diffusion Strategies.

Myonghwa PARK

Journal of Korean Academy of Nursing Administration.2013;19(1):39-47. doi:10.11111/jkana.2013.19.1.39

PURPOSE: This practice study was done to describe the process and outcomes of application of Evidence Based Nursing (EBN) Education to nursing management clinical practicum and suggest strategies to diffuse EBN into nursing management education. METHODS: Education on the evidence based nursing management process was provided to 65 senior nursing students from a university. Nursing management clinical practicum integrated with EBN. The setting was a five full day-clinical practicum. Group and individual training on EBN process with lectures, small group discussions, conferences, and educational prescription were provided. Outcomes were analyzed using paired t test for 65 participants. RESULTS: Evidence based nursing competency increased significantly showing improvement in understanding EBN, formulating clinical question, searching & classifying the evidence, recognizing level of evidence, considering patient preference, and evaluating outcomes. Nursing students' access and use of evidence based information resource also improved. CONCLUSION: The results of this study indicate that the application of EBN to nursing management clinical practicum is effective to improve EBN competency in undergraduate students and should be further applied in nursing education using the systematic strategies.
Congresses as Topic ; Diffusion ; Education, Nursing ; Evidence-Based Nursing ; Humans ; Lectures ; Patient Preference ; Prescriptions ; Students, Nursing

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DICS Behavior Pattern and Medication Errors by Nurses.

Eun Kyung KIM ; Soon Young LEE ; Mi Ran EOM

Journal of Korean Academy of Nursing Administration.2013;19(1):28-38. doi:10.11111/jkana.2013.19.1.28

PURPOSE: Human factor is one of the major causes of medication errors. The purpose of this study was to identify nurses' perception and experience of medication errors, examine the relationship of Dominance, Influence, Steadiness, Conscientiousness (DISC) behavior patterns and medication errors by nurses. METHODS: A descriptive survey design with a convenience sampling was used. Data collection was done using self-report questionnaires answered by 308 nurses from one university hospital and two general hospitals. RESULTS: The most frequent DISC behavioral style of nurses was influence style (41.9%), followed by steadiness style (23.7%), conscientiousness style (20.4%), and dominance style (14.0%). Differences in the perception and experience level of medication errors by nurses' behavioral pattern were not statistically significant. However, nurses with conscientiousness style had the lowest scores for in experience of medication errors and the highest scores for perception of medication errors. CONCLUSION: The results of this study show that identification of the behavior pattern of nurses and application of this education program can prevent medication errors by nurses in hospitals.
2-Pyridinylmethylsulfinylbenzimidazoles ; Dacarbazine ; Data Collection ; Fibrinogen ; Humans ; Medication Errors ; Surveys and Questionnaires

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Nurses' Work-family Boundary Management.

Miyoung KIM

Journal of Korean Academy of Nursing Administration.2013;19(1):17-27. doi:10.11111/jkana.2013.19.1.17

PURPOSE: This study was done to explore how nurses manage the boundary for work-family balance. METHODS: Data were collected through in-depth interviews from February 1 to May 28, 2012. Participants were 13 married nurses with children. The constant comparative method was adapted for data analysis. RESULTS: In this study, nurses' work-family boundary management had characteristics of integration, maintenance and control, but it was adjusted and modified over time as the order of priorities was rearranged according to changes in internal cognition and family support. Nurses strategically persuaded their families to understand their work and share housework in an effort to integrate work and family, while controlling them by managing working hours and time for themselves. CONCLUSION: The results of the study indicate that nurses' work has an impact on family life due to heavy workload and insufficient time, however the work-family balance can be successfully maintained with the effective separation of the two areas.
Child ; Cognition ; Housekeeping ; Humans ; Qualitative Research

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Financial Ratio Analysis for Developing Nursing Management Strategies in University Hospitals.

Ji Young LIM ; Wonjung NOH ; Seung Eun OH ; Ok Gum KIM

Journal of Korean Academy of Nursing Administration.2013;19(1):7-16. doi:10.11111/jkana.2013.19.1.7

PURPOSE: The purpose of this study was to analysis the financial statements of university hospitals and to apply the results to build nursing management strategies. METHODS: Data on the financial statements of university hospitals were collected each hospital's homepage or internet search from February to June, 2010. Financial statements of 11 hospitals were analyzed using the 4 categories of financial ratio analysis method: liquidity, performant, growth and turnover. RESULTS: Overall results showed that the financial status the university hospitals were unstable, and many financial indicators did not meet financial standard ratios. Only 8 financial indicators of total 19 indicators satisfied financial standard ratios. CONCLUSION: The results of financial statements analysis suggest that nurse managers should develop the blue ocean strategy for diversification of nursing services to improve financial ratios of liquidity, performance, and growth. Using a unit-based just-in-time system for effective supply management would help to increase profits and to decrease costs of hospital by improving financial ratios of turnover.
Financial Management ; Hospitals, University ; Humans ; Internet ; Nurse Administrators ; Nursing Services

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A Study on the Job Satisfaction and Organizational Commitment among Perioperative Nurses.

Kesook YOON

Journal of Korean Academy of Nursing Administration.2010;16(1):86-100. doi:10.11111/jkana.2010.16.1.86

PURPOSE: This study was done to examine the relationship of job satisfaction and organizational commitment of perioperative nurses. METHOD: The subjects of this study were 500 perioperative nurses from 11 hospitals. The data were collected by self-reporting questionnaires from Sep. 19 to Sep. 27, 2009. RESULTS: There was statistically significant relationship among the five variables. The analyses of covariance of these five variables revealed overall significant (p<.05). Stepwise linear multiple regression analyses were used to examine the influence of these five variables. Results indicated that the variables for verbal abuse (p<.01), workplace climate (p<.01), internal marketing (p<.001), and job transfer (p<.001) contributed significantly to the job satisfaction (adjusted R square=.426), while the verbal abuse (p<.01), internal marketing (p<.01), leadership style (p<.001) and workplace climate (p<.001) did to the organizational commitment (adjusted R square=.351). Canonical correlation analyses revealed that internal marketing and workplace climate contributed most significantly both to job satisfaction and organizational commitment. CONCLUSION: This study found that all these five nursing managerial factors were important influential on both job satisfaction and organizational commitment of perioperative nurses. Addressing these factors with further research will surely improve the commitment of these nurses and ultimately lead to better perioperative nursing care.
Climate ; Job Satisfaction ; Leadership ; Marketing ; Perioperative Nursing ; Surveys and Questionnaires

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Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System.

Myung Ja KIM

Journal of Korean Academy of Nursing Administration.2010;16(1):73-85. doi:10.11111/jkana.2010.16.1.73

PURPOSE: This study was to construct a useful nursing language system on military nursing field. METHOD: Military hospital nursing records were analyzed using NANDA(North American Nursing Diagnosis Association), NIC(Nursing Interventions Classification), and NOC(Nursing Outcomes Classification) systems. All kinds of nursing statements from 80 sets of orthopedics inpatient's records were deduced. All nursing statements were mapped to 167 NANDA diagnoses, 433 NIC interventions, and 260 NOC outcomes. RESULT: 14,744 nursing statements were extracted. Among the extracted nursing statements, 11.75% were linked with NANDA diagnosis, 83.62% were connected with NIC intervention, and 0.96% was tied to NOC outcome. 3.66% of nursing statements were not linked with NANDA-NIC-NOC system. In the nursing statements, 18 diagnoses of NANDA, 63 interventions of NIC, 8 outcomes of NOC were used. CONCLUSIONS: The majority of those nursing statements focused on nursing intervention of the nursing process; few nursing plans or goals were found in nursing records. Therefore, it's difficult to make the nursing process network with the nursing statements. Documenting nursing records using a nursing process will contribute to strengthen nursing practice in patient care and to develop nursing as science. Continuous further researches related to nursing records are needed to provide basic data for developing nursing language system and nursing record system.
Hospitals, Military ; Humans ; Military Nursing ; Military Personnel ; Nursing Diagnosis ; Nursing Informatics ; Nursing Process ; Nursing Records ; Orthopedics ; Patient Care

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