• Journal of Korean Clinical Nursing Research
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• v.30 no.1
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• pp.1-10
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• 2024

Purpose: This study aimed to investigate the competency in evidence-based practice, critical thinking disposition, digital literacy, and nursing informatics competence, and to identify the factors influencing the competency in evidence-based practice among nurses. Methods: The participants in this study were 196 nurses from a university hospital in J-city. Data were collected from December 1 to December 30, 2023. The collected data were analyzed with the SPSS 26.0 program using descriptive statistics, independent t-test, one-way analysis of variance, Scheffé test, Pearson's correlation coefficients, and multiple regression analysis. Results: The results showed that the factors influencing the competency in evidence-based practice included nursing informatics competence, critical thinking disposition, digital literacy, and having a master's degree. The participants with a master's degree demonstrated higher competency in evidence-based practice compared to those with a three-year degree or a four-year degree, and a total explanatory power was 53.1%. Conclusion: In this study, critical thinking disposition, digital literacy, and nursing informatics competence were influential factors in competency of evidence-based practice. Therefore, a variety of intervention programs should be developed to enhance the impact of these factors on nurses' competency in evidence-based practice.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.1
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• pp.119-128
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• 2015

Purpose: This study was conducted to evaluate the effectiveness of an evidence-based nursing (EBN) course using action learning-based team learning in undergraduate nursing students. Methods: A quasi-experimental pretest-posttest control group design was employed. The participants who consented were 45 second-year nursing students (22 in the experimental, 23 in the control group) from a university in G-city, Korea. The intervention included lectures, practicals, team activities and reflection on overviewing EBN, formulating clinical questions, searching the evidence, and criticizing the research articles. At the beginning and the end of the 7-week EBN course, the participants completed self-reported questionnaires. Frequencies, $x^2$-test, t-test, and ANCOVA with the SPSS program 18.0, were used to analyze the data. Results: The experimental group showed significantly higher scores on EBN competency (F=25.80, p<001), information literacy (F=13.75, p=.001), and proactivity in problem solving (F=5.32, p=.026) than the control group. Conclusion: This study provides evidence that an EBN course improves undergraduate nursing students' EBN competencies, information literacy, and proactivity in problem solving. Team learning in EBN education can be an effective teaching strategy.

• Journal of Home Health Care Nursing
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• v.29 no.1
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• pp.31-39
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• 2022

Purpose: This study investigated the effects of evidence-based practice competency, self-leadership, and organizational commitment on professional self-concept of nurses in regional trauma centers. Methods: The 98 research participants were nurses with clinical experience of a year or more. Descriptive statistics, t-tests, Mann-Whitney U test, ANOVA, and Pearson's correlation coefficients were computed, and multiple regression analysis was conducted. Results: Professional self-concept showed statistically significant differences according to marital status, religion, and educational background, and was positively correlated with and affected by evidence-based practice competency, self-leadership, and organizational commitment. Conclusion: Trauma nursing education programs should include evidence-based practice competency and self-leadership and organizational support should be provided to improve the professional self-concept of nurses in regional trauma centers.

• Journal of Korean Clinical Nursing Research
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• v.17 no.3
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• pp.307-318
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• 2011

Purpose: This study was to identify topics for evidence-based clinical nursing practice guidelines in Korea. Methods: Data were collected from 330 staff nurses from 10 general hospitals and 53 nurses in charge of nursing education in 110 hospitals with over 500 beds. Using open questions, the nurses identified activities which could not be verified, which lacked consistency among nurses, clinical units and/or hospitals, which were not based on the up-to-date knowledge and which needed reform. The data were analysed by content analysis using a qualitative methodology. Results: Collected data consisted of 1882 clinical topics, which were classified into 50 topics, 207 mid-categories, and 456 sub-categories. The most frequent topics in order of frequency were medications, central line management, intravenous injections, urinary catheterization, perioperative nursing care, skin tests, pressure ulcer care, blood transfusions, laboratory examination-culture, respiratory care which were performed routinely in clinical setting by staff nurses. Conclusion: The research findings indicate the urgent need to develop evidence-based clinical nursing practice guidelines related to these research findings. Further research is needed to identify topics related to health promotion, and symptom/management of health problem.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.2
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• pp.268-279
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• 2020

This study was undertaken to identify nursing professionalism perceptions among nursing students who had completed a semester of simulation-based education, and to provide the basis for presenting direction of the simulation curriculum that helps in the emergence of a positive nursing professional in future. Data obtained from focus group interviews of study participants determined 17 semantic categories and 6 themes through the process of identifying, comparing, and categorizing meaningful concepts. The perception of nursing students regarding the profession after simulation-based education include 'realization of professionalism', 'ethics and emotions as professional human subjects', 'cultivation of communication skills', 'integrative thinking for problem solving', and 'foundation', and also the importance of a 'foundational knowledge body' and 'reflection of self-capacity'. The results of this study reflect on 5 intuitional areas of a nursing professional: professional self-concept, social awareness, nursing expertise, nursing room role, and independence of nursing. The results of this study indicate that in order to enable nursing students to experience nursing professional intuition through simulation-based hands-on training, it is necessary to actively revise and apply courses for the development of a positive nursing professional intuition through simulation education.

• Journal of Korean Clinical Nursing Research
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• v.24 no.3
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• pp.263-272
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• 2018

Purpose: This study was done to develop an evidence-based nursing clinical practice guideline for Moisture associated skin damage (MASD) prevention and management for patients in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by the Korean Hospital Nurses Association. It consists of three main phases and 9 modules including a total of 24 steps. Results: The adapted MASD clinical practice guideline consisted of 4 sections, 8 domains and 28 recommendations. The number of recommendations in each section was: 7 on MASD assessment, 14 on MASD prevention and management, 4 on education, and 3 on organizational policy. Of the recommendations, 3.6% were marked as A grade, 28.6% as B grade, and 67.8% as C grade. Conclusion: This MASD clinical practice guideline is the first to be developed in Korea. The developed guideline will contribute to standardized and consistent MASD prevention and management. The guideline can be recommended for dissemination and utilization by nurses nationwide to improve the quality of MASD prevention and management. Regular revision is recommended.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.3
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• pp.264-274
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• 2016

Purpose: This study was done to compare heat applications by nurses in accordance to belief in evidence-based practice and behavior intention related to research. Methods: A cross-section survey design was used. Participants were 228 nurses from 5 institutions who completed the research questionnaire. Data were collected during July and August 2015. Results: The nurses reported that duration of heat applications was 2.5 minutes to 90 minutes. Frequently used heat application devices, in order of frequency, were rubber bag, gel pack and red clay pack. Most of the nurses (78%) responded that advice from colleagues was the most frequently used basic evidence for heat application. There was a statistically significant difference for the necessity of heat application practice guidelines between the high evidence-based practice belief cluster and the low cluster ($x^2$=15.39, p<.001). Conclusion: There were difficulties in providing consistent nursing interventions because of practical differences and absence of evidence-based guidelines for heat application. The researchers recommend that basic studies with various instruments be conducted and proper practice guidelines developed for heat application.

• Journal of Korean Academy of Rural Health Nursing
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• v.12 no.2
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• pp.29-44
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• 2017

Purpose: The purpose of this study was to identify community health practitioners' (CHP) perception of barriers to research utilization, current status and competence in evidence-based practice (EBP). Methods: From all over the country, 126 CHP completed an e-mail survey. Results: The items with the highest barrier scores were that it is difficult to understand articles written in English and physicians will not cooperate with implementation. There were statistically significant differences in the scores for attitude toward EBP and knowledge in EBP by education level and nursing academic society membership status. When faced with a problem, the nurses usually use related regulations or asked a colleague for advice. Conclusion: Results indicate an awareness of the necessity of applying EBP, need to improve readiness to use EBP voluntarily and actively, and need to search for various factors that are barriers to research utilization. There is a need to develop and apply EBP training/education programs to find new evidence that might actually support previous practice for which nurses lack confidence. Guidelines that consider CHP task characteristics and barrier factors to research utilization should be developed.

• Journal of Korean Clinical Nursing Research
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• v.26 no.2
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• pp.154-163
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• 2020

Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

• The Journal of the Korea Contents Association
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• v.21 no.7
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• pp.575-586
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• 2021

The purpose of this study is to contribute to evidence-based nursing care for patients with chronic conditions by understanding the attributes of the health motivation concept for their health-related behaviors. Fourteen academic journals and research papers on the health-related motivation of chronically ill patients were selected according to the conceptual analysis stages of Walker and Avant, and the concept was analyzed through additional literature review. The following three factors were extracted as the attributes of health motivation of chronically ill patients: first, psychological needs for healthy behavior; second, the multidimensional state considering personal characteristics; and third, emotional strengths that can change and induce behavioral changes. Given the antecedents, attributes, and outcomes analyzed in this study, it is anticipated that the evidence-based systematic management of chronically ill patients will be possible through the application of a nursing intervention program that increases health motivation