Purpose: The purpose of this study was to clarify longitudinally the professional socialization (PS), self-esteem (SE1), and self-efficacy (SE2) over time in nursing students. Methods: Using a structured questionnaire, data were collected from the same nursing students in 2008, 2009, and 2010 years. Descriptive statistics and one-way ANOVA test with the SAS package were used for the data analysis. Results: The differences in the PS, SE1, and SE2 over time were not significant in nursing students. However, the differences in decision making over time were significant in nursing students. Conclusion: These results suggest that SE1 and SE2 continuously affected professional socialization over time. Therefore, it is necessary to devise a continuing and long-term strategy, which strengthens SE1 and SE2 in order to improve professional socialization.

Purpose: This study examined the effects of simulation-based education on knowledge about and self-confidence in maternity nursing care in senior students. Methods: One group, pre-post design, was utilized with 28 students. The simulation-based maternity nursing education that consisted of two sessions each 2 hours long for intrapartum and postpartum care was provided to 4 small groups. An expert panel of 3 maternity clinical instructors developed the module with a high-fidelity maternal simulator. Core items of knowledge about and self-confidence in maternity nursing care were measured with 13 items before and after the sessions. Results: The knowledge score did not increase significantly (z=-1.95, p=.05); however, self-confidence in maternity nursing care showed a significant change in the posttest (z=-2.82, p<.001). The subjective evaluation of the students indicated that the simulation-based education was helpful in preparing for clinical practicum as far as interaction with clients, psychological readiness to practice, and learning efficiencies. Conclusion: The simulation-based nursing education was useful in improving self-confidence in clinical performance for childbirth and postpartum care in nursing students. Along with the application of diverse scenarios in simulations, modules with standard patients and role-plays are also recommended for maternity nursing practicum to empower the competency of the students.

Purpose: This study seeks to assess the educational needs pertaining to staff competency for alcohol prevention services in the workplace. Methods: The subjects were staff in charge of alcohol prevention services in four organizations. A questionnaire was modified pursuant to the IC & RC (International Certification & Reciprocity Consortium) Certified Prevention Specialist role delineation. The questionnaire consisted of five domains with 27 items. Data were collected via the self-administered questionnaire from October to November of 2009. 400 questionnaires were mailed and 144(36.0%) were returned. The collected data were analyzed using the Borich's needs assessment model and with SPSS/WIN 15.0. Results: Overall mean scores for the importance levels of competency ratings were 3.79, while the performance levels of the competency were 2.13 and Borich's need results were 6.32. Public Health and Mental Health Center showed the highest degree of educational needs in terms of education & program development (p=.022). Conclusion: The perceived importance levels pertaining to staff competency for alcohol prevention services in the workplace were higher than those of the current performance levels. Staff working for alcohol prevention services in the workplace showed a different level of educational need as regards these competency levels according to service providers. To promote the effectiveness of alcohol prevention services in the workplace, the development of an educational program to meet the needs of the service providers is necessary.

Purpose: The purpose of this study was to identify the predictors of job stress in hospital nurses. The predictors of job stress were the subject's general characteristics, communication style, critical thinking disposition and job satisfaction. Methods: 294 nurses who had worked in a hospital participated in this study. The data were analysed with descriptive analysis methods including a t-test, ANOVA, Scheffe test, Pearson correlation coefficient and multiple regression analysis. Results: The job stress score for nurses was 111.6. There was a statistically significant difference between job stress and marriage status (p<.001), education (p<.001), clinical career (p<.001), position (p<.001), communication style (p<.001), critical thinking disposition (p<.001), and job satisfaction (p<.001). Critical thinking disposition, job satisfaction and clinical career together accounted for 36.88% of the total variation in job stress. Conclusion: Based on the findings of this study, the development of a nursing intervention program that can lead to an improvement in critical thinking disposition is suggested.

Purpose: The aim of this study was to develop and validate Detailed Clinical Models (DCMs) for pain assessment in nursing. Methods: First, we identified the entities of pain assessment from ICNP. We identified the attributes and values of the attributes to describe the entities in more detail by reviewing the literature. Data types and optionalities of the attributes were defined. Second, we modeled the DCMs by linking an entity and its corresponding attributes with values and by specifying the data types and optionalities of the attributes. Finally, the DCMs were validated by a group of domain experts using a content validity index. Results: In total, 19 DCMs with 11 attributes for pain assessment were developed. The experts' evaluations showed that the DCMs were valid enough to represent pain related information of nursing assessment. Conclusion: The DCMs developed in this study can be used in electronic nursing records. The DCMs for pain can ensure the semantic interoperability of pain related information in electronic nursing records.

Sensitive issues are both common and problematic for health care providers because sensitive issues may interfere with the future provider-client relationship and effective care. Most current training for providers focuses on a particular issue, but this is inadequate because many issues may be sensitive, and which issues will be sensitive is unpredictable. We argue that issues become sensitive when they activate one or more of three common triggers, fear, stigma, and taboo. A cycle of negative internal and interpersonal responses to the sensitive issue often leads to unresolved health issues for clients and stress and feelings of inadequacy for providers. We recommend integrated pre-service and in-service skill building to help individual health care providers respond appropriately to a wide variety of sensitive issues. We also identify specific policies and procedures to strengthen organizational support for caregivers so that providers can address these sensitive issues effectively with their clients.

Purpose: The purpose of this study was to identify the current status of evidence-based research, education, and practice, and to suggest a directions for the future development of evidence-based nursing. Methods: To examine the current status of evidence-based nursing research, experimental research among studies published in the Journal of Korean Academy of Nursing from 2008 to 2010 were analyzed. We suggested a direction for the future development of evidence-based research based on the analysis and literature reviews. We also suggested a direction for the future development of evidence-based education and practice based on literature reviews. Results: The results showed that designs and methods of studies were insufficient to use evidences derived from the studies in terms of evidence-based research, and experimental studies consistent with themes were found to be deficient. In the future, the methods and rationale for the design of experimental studies need to be clearer In addition, a test for intervention effects through repetitive studies and a connection between the intervention effects and a protocol for clinical practice will be required. In terms of evidence-based education, curriculum revision and development of teaching methods including contents related to evidence-based practice and research methodology in undergraduate and graduate programs will be required. Evidence-based practice in Korea was less actively done than with that of foreign countries. Some large hospitals have recently attempted systemic activities to promote evidence-based nursing practice in clinical settings. To activate evidence-based practice, the perception of nurses for evidence-based practice needs to be changed and support for education and administration of the program is required. Also, evidence-based practice guidelines, protocols, and assessment tools need to be developed. Conclusion: Evidence-based nursing in Korea is in the process of evolving. To realize evidence-based nursing, we need to develop nursing science based on evidences of closer communication and cooperation in terms of nursing research, education, and practice.

Purpose: An integrative literature review was done to identify the best interventions for older adults with dyslipidemia in an effort to promote nursing involvement in the prevention of statin-induced symptoms (SIS). Such awareness could increase the capacity of interventions by geriatric nurses using evidence-based practices in the reassessment of statin therapy. Methods: CINAHL, Pubmed, and ProQuest were searched using these terms: dyslipidemia in, elderly, statins, adverse effects, and quality of life. Eleven articles fitting the inclusion criteria were identified and analyzed. Results: The findings indicate no evidence for the benefit of statin therapy for morbidity/mortality in a high-risk primary prevention set-up, specifically in the elderly population. Although SIS prevails among older adults, there are limited data that confidently support this observation along with nursing interventions specifically for the geriatric nursing community. Conclusion: Future research is necessary to shift nursing intervention with statin users (specifically in older adults) from an illness-based intervention to a preventive care plan to provide optimal care based on evidence. It is essential to involve self-reporting, cooperation, and communication with health care professionals, specifically with geriatric nurses. Additional studies are needed to further direct practice interventions in elderly statin users.

Purpose: The aims of this study were to (1) summarize the HF self-management interventions and (2) identify gaps and priorities for further investigation. Methods: A computer search of the literature over the past decade yielded 9 HF self-management studies. Six studies used non-experimental design; only 3 (33%) studies used quasi-experimental design which were included in this review. Results: The three pivotal HF self-management interventions studies were important because they highlight the positive effects of self-management compliance and other quality of life outcomes as well as discussing various issues. The informational booklet and telephone follow-up were the most common modalities in these interventions. The periodic telephone counseling offered in 2 studies effectively facilitated patient self-management compliance. There were some methodological flaws such as small sample sizes (range 8~21 in each group) and lack of experimental designs, long-term follow-up, and random group assignment. Additionally, the use of valid, reliable outcome measures is necessary to compare the effects of the interventions worldwide. Conclusion: More clinical evidence on HF self-management is needed using a larger sample size and the efficacy needs to be tested for various outcomes, including morbidity, mortality, and health care cost.

Purpose: The purpose of this study was to understand the process of exercise adherence in middle aged women. Methods: The qualitative theme analysis method was used. The participants were 11 middle-aged women who had exercised over 6 months. Data were collected through in-depth interviews and recorded by and transcribed immediately. The data were coded with similar meaning and analysis themes with the constant comparative method. Results: The core theme was Stepping Stones Across the Stream (SSAS). The Stone means the adherence factors in exercise. The stream means the interrupting factors in exercise adherence. The subcategories were 1) feeling of developmental crisis, 2) searching for exit (from the developmental crisis), 3) finding a surprising new world (full of fun), 4) confronting the situation of dropout, and 5) adherence to exercise by SSAS. Conclusion: The predisposition of fun in middle aged women for the adherence of exercise should be explored along with more adherent factors.