• Journal of Korean Academy of Nursing
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• v.49 no.3
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• pp.274-285
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• 2019

Purpose: This study aimed to examine the effects of a mobile navigation program on uncertainty, resilience, and growth through uncertainty in colorectal cancer patients. Methods: To verify the effectiveness of the mobile navigation program, 61 participants diagnosed with colorectal cancer undergoing surgery were selected. A nonequivalent control group nonsynchronized design was used to evaluate the program. Uncertainty was measured using the Korean version of the Uncertainty in Illness Scale, resilience was measured using the Korean version of the Connor-Davidson Resilience Scale, and growth through uncertainty was measured using the Growth through Uncertainty Scale. Results: Compared with the control group, patients in the mobile navigation program group showed significant differences in scores for uncertainty (F=7.22, p=.009) and resilience (F=4.31, p=.042), but not for growth through uncertainty (F=2.76, p=.102). Conclusion: These results suggest that the mobile navigation program has positive effects on decreasing uncertainty and increasing resilience among colorectal cancer patients. The mobile navigation program could play a significant role in assisting colorectal cancer patients in regard to the continuity and usability of the program.

• Journal of Korean Academy of Nursing
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• v.50 no.6
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• pp.848-862
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• 2020

Purpose: The purpose of this study was to develop an instrument to evaluate the needs satisfaction of nurses and examine its validity and reliability. Methods: The initial items for the instrument were developed through a literature review and interviews, using the conceptual framework of Maslow's hierarchy of needs theory. The initial items were evaluated for content validity by 14 experts. Four hundred and eighty-six clinical nurses participated in this study through offline and online surveys to test the reliability and validity of the instrument. The first evaluation (n = 256) was used for item analysis and exploratory factor analysis, and the second evaluation (n = 230) was used to conduct a confirmatory factor analysis and to assess the criterion-related validity and internal consistency of the instrument. Test-retest reliability was analyzed using data from 30 nurses. Results: The final instrument consisted of 30 items with two sub-factors for five needs that were identified through the confirmatory factor analysis. The criterion-related validity was established using the five need satisfaction measures (r = .56). Cronbach's α for total items was .90, and test-retest reliability was .89. Conclusion: The findings from this study indicate that this instrument has sufficient validity and reliability. This instrument can be used for the development of nursing interventions to improve the needs satisfaction of clinical nurses.

• Journal of Korean Academy of Nursing
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• v.52 no.2
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• pp.144-156
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• 2022

Purpose: This study aimed to investigate the influence of social capital on the depression of older adults living in rural areas. Methods: Data sets were obtained from the 2019 Korea Community Health Survey. The participants were 39,390 older adults over 65 years old living in rural areas. Indicators of social capital included trust, reciprocity, network, and social participation. Depression-the dependent variable-was measured using the Patient Health Questionnaire-9 (PHQ-9). Hierarchical ordinal logistic regression was conducted to identify factors associated with depression after adjusting the data numbers to 102,601 by applying the Synthetic Minority Oversampling Technique (SMOTE). Results: The independent variables-indicators of social capital-exhibited significant association with the depression of older adults. The odds ratios of depression were higher in groups without social capital variables. Conclusion: To reduce depression, we recommend increasing social capital. Factors identified in this study need to be considered in older adult depression intervention programs and policies.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.175-186
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• 2010

Purpose: Delirium can be a highly prevalent symptom in intensive care units but it may still be under-recognized despite its relation with inclined morbidity, mortality, cost, and readmission. Therefore, this study aimed to develop a protocol that covers risk factors and non-pharmacological interventions to prevent delirium in ICU patients. Methods: This study was conducted using methodological design, and it followed the Scottish Intercollegiate Guideline Network (SIGN) guideline development steps: 1) the scope of protocol was decided (population, intervention, comparison, and outcomes); 2) guidelines, systematic reviews, and protocols were reviewed and checked using methodology checklist; 3) the level of evidence and recommendation grades was assigned; 4) the appropriateness of recommendations was scored by experts; 5) the final protocol & algorithm was modified and complemented. Results: The evidence-based delirium prevention protocol was completed that includes predisposing factors, precipitating factors and recommendations with evidenced grades. Conclusion: This protocol can be used as a guide nurses in screening patients with high risk factors of delirium as well as in intervening the patients non-pharmacologically to prevent delirium.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.39-50
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• 2010

Purpose: The study was done to examine the development and effects of horticulture therapy on quality of sleep and immune function in patients in hospice units. Methods: The participants in this study were hospice patients in D hospital in D city. Thirty hospice patients were assigned to the experimental group, thirty to the control group. Data were collected from April 29 to July 26, 2009. The horticulture therapy program consisted of indoor and outdoor horticultural activities. The horticulture therapy was conducted for 30 minutes, 6 times a week for 3 weeks (a total 18 times). Measures were quality of sleep, and immune function by serum T-cell, NK-cell count. Data were analyzed using descriptive statistics, chi-square test and t-test with SPSS/WIN 13.0 version. Results: Patients in the experimental group receiving horticulture therapy had a significant difference in changes in the quality of sleep compared to the control group. There were also a significant difference in changes in the immune function (serum T cell and serum NK cell) between the experimental group and control group. Conclusion: The study results indicate that horticulture therapy developed for hospice patients is an effective, palliative intervention program to improve the quality of sleep and immune function of hospice patients.

• Journal of the Korean Applied Science and Technology
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• v.39 no.6
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• pp.883-891
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• 2022

This study is a descriptive survey research attempted to verify the effects of strengths knowledge and self leadership on career preparation behavior in nursing students. The subjects of this study were students enrolled in Department of Nursing in G city. Descriptive statistics, t-test, ANOVA, Pearson's correlation analysis and controlled regression analysis were used for data analysis. The results of the study are as follows. Strengths knowledge(𝛽=.464, p<.001), self leadership(𝛽=.512, p<.001) showed a positive effect on career preparation behavior. The study model accounted for 34.1% of career preparation behavior. These findings suggest that measures to increase strengths knowledge and self leadership are needed to promote career preparation behavior of nursing students.

• Journal of Hospice and Palliative Care
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• v.21 no.2
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• pp.65-74
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• 2018

Purpose: The aim of this study is to examine the relationships among hospice-palliative care (HPC) nurses' knowledge of delirium, self-efficacy and nursing performance. Methods: This study was participated by 174 nurses working in the HPC unit. The nurses were asked to fill out a questionnaire that was structured to measure their knowledge of delirium, a self-efficacy in clinical performance scale (SECPS) and nursing performance. Results: The mean score for knowledge was 32.83 out of 45, with correction rate of 73%. The mean score for self-efficacy was 7.08 out of 10. The mean score of nursing performance was 2.95 out of 4. Significant correlation was observed among the variables of knowledge (r=0.28, P<0.001), self-efficacy (r=0.51, P<0.001) and nursing performance. Conclusion: Nurses with high level of knowledge of delirium showed high level of self-efficacy, and consequently better HPC nursing performance. It is necessary to develop a training program on delirium considering nurses' needs of knowledge of the condition. The effectiveness of the training program should be also examined in future.

• Journal of Korean Clinical Nursing Research
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• v.15 no.1
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• pp.107-122
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• 2009

Purpose: The purpose of this study was to identify nursing interventions frequently used with cancer patients. Nursing records from 5 general hospitals for patients with stomach, liver, lung or colon cancer were analyzed. Method: A descriptive study methodology was used and nursing records for 15 patients in each disease category at each hospital, who were admitted and discharged during June 2007 were analyzed. Results: Five domains of NIC were found and the physiological(basic) domain was most frequent (31.52%). Twenty two classes of NIC were identified with risk management for safety being most frequent (22.49%). For the 119 nursing interventions identified, the most frequent was pain management with 7,827 (12.31%), followed by prevention of falls (11.76%), surveillance (6.79%) and wound care (5.12%). Nursing activities of pain management and prevention of falls were comparable to activities listed in literature on guidelines for evidence based and best practices in nursing care. Eight of the 17 nursing activities for pain management, and 9 of 14 for fall prevention were consistent with these guidelines. Conclusion: In this study, nursing interventions were found to be focused on physical care, monitoring patients' condition and education. We have to develop diverse nursing interventions and a convenient recording process.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.1
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• pp.555-565
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• 2018

This study was conducted to investigate factors influencing career maturity in nursing students. A convenience sample of 230 nursing student was selected from S city, between 20 October and 10 November 2017. Data were collected using a structured questionnaire and analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multiple regression analysis with the SPSS/WIN 21.0 program. Factors that influenced career maturity included gender(t=2.117, p=.035), age(t=-2.572, p=.011), grade(F=4.716, p=.010), education at the time of admission(t=-2.695, p=.008) and perceived academic achievement(F=11.127, p<.001). Career maturity showed a positive correlation with career decision-making self-efficacy(r=.585, p<.001) and problem solving ability(r=.407, p <.001), but a negative correlation with job-seeking stress(r=-.424, p<.001). Regression analysis revealed that significant factors influencing career maturity were career decision-making self-efficacy, problem solving ability and job-seeking stress. This regression model explained 42.8% of the variance in the career maturity. Based on these findings, it is necessary to develop and test programs to ensure an improvement in career decision-making self-efficacy, problem solving ability and job-seeking stress among nursing students to increase their career maturity.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.4
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• pp.410-418
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• 2020

This study examined the correlations between investigating human rights sensitivity, interpersonal caring behavior, and biomedical ethics in nursing students who have clinical practice experience. The data were collected using structured questionnaires for 3rd and 4th grade nursing students who were attending three universities in Gyeonggi-do and Chungcheong-do. As a result of this study, nursing college students' human rights sensitivity, interpersonal caring behavior, and biomedical ethics were scored as 112.23, 3.95, and 2.03 points, respectively. There were significant differences in human rights sensitivity according to major satisfaction (t=3.320. p=.001), clinical practice satisfaction (t=2.557, p=.012), and clinical peer relationship (t=4.234, p<.001), interpersonal care behavior according to major satisfaction (t=3.423. p=.001), clinical practice satisfaction (t=4.364, p<.001), and clinical peer relationship (t=3.708, p=.001), and biomedical ethics according to major satisfaction (t=-2.404, p=.018). Human rights sensitivity showed positive correlations with biomedical ethics (r=.27, p<.01), and interpersonal caring behavior showed a positive correlation with biomedical ethics (r=.17, p<.05). Based on these findings, it is necessary to develop systematic nursing education programs to strengthen interpersonal caring behavior, biomedical ethics, and human rights sensitivity.