• Korean Journal of Adult Nursing
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• v.20 no.6
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• pp.960-972
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• 2008

Purpose: The purpose of this study was to validate the nursing intervention standards of home care to home care setting for a guide in giving quality care to home hospice patients. Methods: The developed nursing standards were applied to 79 home hospice patients at K hospital, C university. Data were collected through the developed nursing intervention standards of home care with 19 selected nursing interventions and 418 associated nursing activities from January to June in 2006. Results: The performance frequency was 509 times for total nursing interventions and 7,815 times for total associated nursing activities. The most frequently used nursing activity was 722 times(9.24%) on teaching prescribed medication, followed by surveillance(718 times, 9.18%), and vital signs & neurologic monitoring nursing intervention(701 times, 8.97%). The highest mean nursing activity performance rate showed on Intravenous therapy(82%), followed by dying care(81%), and vital signs & neurologic monitoring (80%). Among 418 nursing activities, there were three classifications: 168 as core activities, 165 as major, and 85 as accessory activities. Conclusion: The final validated nursing intervention standards can guide home care nurses to perform quality care and contribute to computerized nursing services and request of nursing fees.

• Korean Journal of Adult Nursing
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• v.20 no.2
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• pp.296-310
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• 2008

Purpose: The purpose of this study was to compare the importance and performance of nursing interventions linked to five nursing diagnoses in CVA patients. Methods: First, total 37 nursing diagnoses were identified from the analysis of 78 nursing records of CVA patients, and then top 5 diagnoses were mapped with nursing interventions. Second, each intervention was compared in terms of importance and performance by 80 nurses working at neurosurgical units from 5 general hospitals. Data were analyzed using mean, SD, and t-test using the SPSS program. Results: Selected the top five nursing diagnoses were Acute Pain, Risk for Disuse Syndrome, Decreased Intracranial Adaptive Capacity, Ineffective Cerebral Tissue Perfusion and Acute Confusion. In general, most of the interventions were scored higher in importance than performance and most of independent interventions were not performed as frequently as it perceived in importance. The interventions which scored high in performance were the interventions ordered by physician or interventions related to medication behavior. Conclusion: We identified which nursing interventions should be performed more frequently and more critically important to nursing diagnoses. We recommend further research that enhances the performance of nursing interventions to provide better quality of nursing services to the patients in practice.

• Korean Journal of Adult Nursing
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• v.22 no.6
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• pp.606-614
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• 2010

Purpose: The purpose of this study was to identify the predictors of Organizational Citizenship Behavior (OCB) among hospital nurses. Methods: Participants in this study were 231 nurses from two hospitals. The self-reported questionnaire was used to assess the level of self-efficacy, social support and OCB. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, t-test, ANOVA and multiple regression. Results: The mean score of OCB was 4.82, self-efficacy was 4.65, and social support was 4.56. The OCB was statistically significant according to position (t=-1.97, p=.049). The OCB was positively correlated with self-efficacy (r=.558, p<.001) and social support (r=.245, p<.001). The self-efficacy and social support explained 33.0% of the variance for OCB. Conclusion: The findings suggest that developing programs to improve self-efficacy and social support might be useful. Furthermore, more studies are needed to explore variables that influence nurses' Organizational Citizenship Behavior.

• Korean Journal of Adult Nursing
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• v.25 no.5
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• pp.559-566
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• 2013

Purpose: This study examines the relationships between academic self-efficacy, major satisfaction, and career attitude maturity among nursing students. The study further explored the mediating effect of major satisfaction on the relationship between academic self-efficacy and career attitude maturity. Methods: Data were collected via questionnaires from 239 nursing students in D city and P city from March 1 to March 30, 2012. Pearson's correlation and multiple regression analyses were used to assess the relationships between the variables. Results: 1. The mean scores for academic self-efficacy, career attitude maturity, and major satisfaction were 3.81, 3.67, and 3.89, respectively. 2. Academic self-efficacy was positively correlated with major satisfaction and career attitude maturity. 3. Major satisfaction had a mediating effect on the relationship between academic self-efficacy and career attitude maturity. Conclusion: Academic self-efficacy is expected to serve as a foundation for the promotion of career attitude maturity.

• Korean Journal of Adult Nursing
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• v.22 no.5
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• pp.488-498
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• 2010

Purpose: The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. Methods: Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. Results: Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. Conclusion: The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.

• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.495-507
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• 2007

Purpose: This critical ethnography was performed to explore the experiences of nurses who are working with patients in an industrial disaster hospital. During the research process, I focused on the experiences of conflict in caring patients. Methods: Data for the study came from 13 informants with their corresponding patients through interview and observation from March 2002 to February 2004. The data was examined line by line; then compared and contrasted based on a critical discourse analysis. Results: Nurses' conflicts came from discrepancies of the world views from that of the patients. Such conflicts arose because of various issues as follows: Worker as an individual vs patients, nurse as young women vs the medical profession, hospital as an extended home vs health care setting, and hospitalization as a means to enhance work capacity vs a means of treatment. Conclusion: We need more study on the development of adaptive strategy for the nurses to overcome conflicts during their nursing career. Developing a nurses' and patient role intervention program is needed.

• Korean Journal of Adult Nursing
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• v.23 no.4
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• pp.397-402
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• 2011

Purpose: This study was designed to explore the relationship of depression with stress, anxiety and mindfulness in nursing students in 2010. Methods: A cross-sectional design was used and data was collected through structured questionnaires. Depression, stress, anxiety, and mindfulness were measured by using the Depression, Anxiety and Stress Scale (DASS) and the Mindfulness Attention Awareness Scale (MAAS). The data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: A total of 131 nursing students participated in this study. Depression was positively associated with stress (r=.81, p<.001) and anxiety (r=.76, p<.001), and negatively associated with mindfulness (r=-.73, p<.001). Multiple regression analyses showed that in different type of residence, anxiety and mindfulness were statistically significant predictors of depression with explanatory power of 67%. Conclusion: When nurse instructors manage depression among nursing students, the strategies need to address stress, anxiety, and mindfulness. This study may help nursing students to better manage their depression.

• Korean Journal of Adult Nursing
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• v.19 no.4
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• pp.527-534
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• 2007

Purpose: The purpose of this study was to identify the effect of a simulated disability program on attitude and stereotyping by nursing students toward people with disabilities. Methods: A total of 107 undergraduate nursing students attended and completed pre-and post-questionnaires on attitude and stereotyping. The experimental group participated in a simulation exercise program which was composed of wheel-chair mobility and vision modification in Nam-won Rehabilitation Center. The data were analyzed by the SPSS 12.0 program including frequency, percentage, ${\chi}^2$ test and t-test. Results: There was no significant difference in attitude toward people with disabilities between the two groups (t=-.743, p=.459). But there was a significant difference in stereotyping between the experimental and the control group(t=-4.097, p=.000). Conclusion: As the result of this study, we can conclude that the program was effective to improve stereotyping toward people with disabilities.

• Korean Journal of Adult Nursing
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• v.16 no.1
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• pp.27-36
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• 2004

Purpose: The purpose of this study was to identify patterns and trends of hardiness studies and to suggest the direction of further research. Method : Forty-seven hardiness studies were collected through internet searching and were reviewed by some criteria. Result : The results showed that hardiness studies have increased rapidly since 1990's. Eighteen studies were thesis' for degrees and others were for non-degree research studies. All studies employed the non-experimental design, particularly correlational studies. In the sampling method, all studies used non-probability sampling. Most commonly used instrument for hardiness measurement was Pollock(1986)'s HRHS. In the majority of research, hardiness was treated both as a composite measure and 3 subscales. Hardiness-related concepts were 27 and classified into 5 categories such as health behavior, stress, adaptation, support, and others. Most common statistical technique was Pearson's correlation coefficient, followed by regression, ANOVA, path analysis. Conclusion : To be utilized as practical nursing knowledge, hardiness studies should be done with more empirical analysis such as experimental research, and Meta-analysis is needed to compare the effect size and significance of composit and 3 subscales of hardiness construct.

• Korean Journal of Adult Nursing
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• v.25 no.3
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• pp.322-331
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• 2013

Purpose: This study was conducted to understand the meaning of the DNR experiences of nurses. Methods: The data were collected through in-depth interviews, observation, and field records with five nurses from November 2009 to February 2011. The data were analyzed using narrative inquiry methodology. Results: Three fundamental themes were derived from data analysis as following: 'faithfulness to care for comfort,' 'helping for peaceful farewells between the patient and the family,' 'reflecting one's lives with a collision of feeling toward the death.' Conclusion: The results indicate that nurses take a role of an advocate in caring for DNR patients and being concerned about their families' conflict and anguish. In addition, this study indicates the importance of education on living will, advanced directives and preparation for the death tailored to the public including healthcare professionals.