• Title/Summary/Keyword: Adult Nursing

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A Study on the Subjectivity of the Meaning of Life for Middle-Aged Women (중년 여성의 삶의 의미에 대한 주관성 연구)

  • Kim, Boon-Han;Kim, Yoon-Sook;Choi, Jee-Eun;Jeon, Hye-Won;Jung, Yun
    • Korean Journal of Adult Nursing
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    • v.17 no.2
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    • pp.177-187
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    • 2005
  • Purpose: The purpose of the study was to investigate the meaning of the life of middle-aged women. Method: The research method employed Q-methodology. Thirty-one participants rated 30 selected Q-statements on a scale of 1~7. The collected data were analyzed using PC-QUNAL software. Result: Principal component analysis identified 4 types of the meaning of the life of middle-aged women. The categories were labeled 'May I help you?', 'Alone', 'Who am I ?', 'No regret'. Conclusion: We have found meaning of life of middle-aged women through this research. The study result could be data to perform effective nursing intervention for positive life of middle-aged women.

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A Study of Factors Predicting Burnout in Hospital Staff Nurses (병원 일반간호사의 소진에 대한 영향요인 분석)

  • Kim, Young-Ock
    • Korean Journal of Adult Nursing
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    • v.14 no.4
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    • pp.591-601
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    • 2002
  • Purpose: This study was conducted to investigate the relationship of hardiness, job stress, and burnout in nurses, and to identify predictors of burnout. Method: Empirical data were collected from 154 staff nurses at one university hospital in Gwangju city. Self- reported questionnaires were composed of the Personal Views Survey(PVS), job stress scale, Tedium scale, and 7 items asking nurse's general characteristics. Data analysis was done with a SAS package. Result: In correlation analysis, hardiness, job stress, and nursing satisfaction had significant correlation with burnout. In stepwise multiple regression, 28.7% of the variance in burnout was accounted for by nursing satisfaction (19.9%), job stress (6.0%), and hardiness (2.8%). Among subscales of hardiness, only commitment was a significant predictor, so nursing satisfaction, job stress, and commitment explained 28.9% of variance in burnout. Conclusion: Based on the findings of this study, the development of program for nurses to increase nursing satisfaction is needed, and more studies to examine causal relationship between nursing satisfaction and burnout is also highly recommended.

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Identification of Major Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions (NNN) Linkage for Cancer Patients Undergoing Chemotherapy (항암화학요법 환자에게 적용된 주요 간호진단, 간호결과 및 간호중재의 연계성 확인)

  • Song, Su Mi;So, Hyangsook;An, Minjeong
    • Korean Journal of Adult Nursing
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    • v.26 no.4
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    • pp.413-423
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    • 2014
  • Purpose: This study was aimed to identify NANDA-NOC-NIC linkage in cancer patients receiving chemotherapy. Methods: This study was a descriptive study conducted in three steps. First, nursing diagnoses were identified from the electronic nursing records. Second, content validity of nursing diagnoses and outcomes were evaluated. Third, major nursing interventions associated with expected nursing outcomes were collected from 97 nurses who worked in the oncology unit. Data were analyzed using descriptive statistics. Results: Four major nursing diagnoses were identified: acute pain, knowledge deficit, health seeking behaviors, and ineffective protection. Associated with each respective diagnosis, 3 major outcomes (pain level, pain control, and comfort state) for acute pain, 8 major nursing outcomes (diet, disease process, treatment regimen, illness, ostomy care, prescribed activity, health behavior, and infection management) for knowledge deficit, 4 major outcomes (health promoting behavior, health promotion, health belief, and knowledge: health resource) for health seeking behaviors, and 3 major outcomes (fatigue level, immune status, and nutritional status) for ineffective protection were identified. In addition, nursing interventions frequently used in clinical practice for each major nursing outcome were identified. Conclusion: The identified NANDA-NOC-NIC linkage can contribute to improving the applications of nursing process and care plans.

A Study on the Relationships between Unhealthy Dietary Habit, Optimistic Bias about Gastric Cancer Occurrence and Self-efficacy in Korean Adult Men (한국인 성인 남성의 불건강한 식습관과 위암발병에 대한 낙관적 편견 및 자기효능감 간의 관계 연구)

  • Lee, Dong-Suk
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.2
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    • pp.117-126
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    • 2003
  • The purpose of this study was to identify the relationships of optimistic bias about gastric cancer, self-efficacy of healthy dietary behavior and unhealthy dietary habit in Korean adult men. The subjects were 394 men aged from 20 to 64 who lived in Seoul, Kyonggi Do, Kwang-Ju, Jeonnam Do. Data was collected by questionnaire surveys using convenient sampling. The instruments used for this study were extracted and modified from Lee's(2003). The collected data was analyzed using descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression with SPSS/PC 10.0 version. Unhealthy dietary habit in adult men indicated a significantly negative correlation to optimistic bias about gastric cancer(r=-.159, p=.002) and self-efficacy of healthy dietary behavior(r=-.470, P=.000). The most significant predictors influencing unhealthy dietary habit in adult men were age and self-efficacy of healthy dietary behavior. The variance explained was about 24%. These results suggested that men of young age and lack of self-efficacy of healthy dietary behavior are likely to have unhealthy dietary behavior. Therefore, considering age and facilitating self-efficacy are needed in nursing education and intervention for dietary habit change.

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The Perceived Importance and Performance Frequency of Nursing Interventions in the Oncology Units in a Tertiary Hospital (종양내과병동에서의 간호중재 중요도 및 수행 빈도에 관한 연구 - 일 종합요양 전문기관을 중심으로 -)

  • Kwon, In Gak;Cho, Myung Sook;Shin, Hee Yeon
    • Korean Journal of Adult Nursing
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    • v.19 no.2
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    • pp.260-273
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    • 2007
  • Purpose: This study was performed to understand the perceived importance and performance frequencies of nursing interventions and identify the core and major interventions in oncology units. Methods: Questionnaires using 151 nursing interventions were given to 45 nurses. The performance frequency was measured through the database of the nursing process recording system for 1 year. Results: The perceived importance of the nursing interventions averaged out to be 3.5 among 4 and on average 36.5 times of nursing interventions were performed on each patient. Fifteen core nursing interventions including 'pain management' were identified and they made up 82.7% of the entire performance frequency rate. And 26 interventions including 'drug administration: Amphotericin-B' were identified as major nursing interventions and occupied 10.6% of the entire performance frequency rate. Conclusion: Since the core and the major nursing interventions were identified and these occupied 93.3% of the all nursing interventions, these results can be utilized as baseline data for establishing the guidelines and standards of nursing interventions and providing systematic education for oncology nurses in Korea.

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Comparison of Importance and Performance of Nursing Interventions linked to Nursing Diagnoses in Cerebrovascular Disorder Patients (뇌혈관질환 환자의 간호진단과 연계된 간호중재의 중요도와 수행도 분석)

  • Kim, Young-Ae;Park, Sang-Youn;Lee, Eun-Joo
    • 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.

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Factors influencing health-related quality of life in older adult women with sarcopenia: analysis of the Korean National Health and Nutrition Examination Survey 2019

  • Sol Hyun Lee;Ju-Hee Nho;Hye Young Kim;Eun Jee Lee
    • Women's Health Nursing
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    • v.29 no.4
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    • pp.328-336
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    • 2023
  • Purpose: This study aimed to identify factors influencing the health-related quality of life (HRQoL) of older adult women with sarcopenia. Methods: The study was secondary data analysis using data from the 2019 Korea National Health and Nutrition Examination Survey. The final sample consisted of 142 women aged 60 years and older with sarcopenia and were selected from 8,110 women. The participants was analyzed using complex descriptive statistics, independent t-test, and regression. Results: In terms of HRQoL, three general characteristics were found to be influential, with an explanatory power of 56.0%: difficulty climbing stairs, difficulty working, and perceived health status. Having no or mild difficulty when climbing stairs (B=.20, p=.001; B=.21, p<.001) and no or mild difficulty when working (B=.25, p=. 002; B=.208, p=.013) had a significant effect on HRQoL compared to severe difficulty. Having good or ordinary perceived health status had a significant effect on the HRQoL (B=.11, p<.001; B=.09, p<.001). Conclusion: Based on study findings that the HRQoL of older adult women with sarcopenia were influenced by difficulty climbing stairs and working, as well as good perceived health status, healthcare providers should assist elderly women to maintain physical activities in their daily lives.

Subjectivity of Korean Nursing Students' Experiences of Geriatric Hospital Practices (노인 간호 실습경험에 대한 주관성 연구)

  • Shin, Dong Soo;Suh, Sum Rim;Lee, Eun Joo
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.622-631
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    • 2006
  • Purpose: This study elicited Korean students' experiences of nursing practice at geriatric hospitals. Method: A purposive sample of 26 Korean nursing students was recruited from K College of Nursing located in Daegu, Korea. Inclusion criteria were nursing students who: 1) finished nursing practice at geriatric hospitals, 2) were oriented and communicable, and 3) understood research purpose and agreed to participate in this study. Individuals were interviewed using Q-methodology. Results: The majority of the participants had experience of living with the elderly and volunteering related to elder care. Data analysis showed that participants' experiences of nursing practices were consisted of three types: skill acquiring-oriented, relationship-oriented, and practice system-oriented. Conclusion: Nursing practices at geriatric hospitals provided opportunities of having positive attitude toward the elderly for nursing students. Nursing students' experiences were divided into at least three different types. Nursing educators need to develop curriculum for gerontological nursing practice tailoring to theses differences.

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Meaning in Life of a Resident Community of Normal Adults (일부지역 성인의 생의 의미)

  • Choi, Soon-Ock;Kim, Sook-Nam;Shin, Kyung-Il;Lee, Jong-Ji
    • Korean Journal of Adult Nursing
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    • v.14 no.3
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    • pp.359-367
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    • 2002
  • Purpose: The purpose of this study was to measure meaning in life for a normal adult and to offer basic data for developing nursing strategies for improving the meaning in life of adults. Method: There were 351 subjects, from 20 to 60 years old, staying in Busan and KyungNam Province. The data was collected from August to October 2000. The instrument was designed by researchers. The data were analyzed with frequency, mean(${\pm}SD$), t test & ANOVA. Result: 1. The mean MIL for adult was 187.7(${\pm}18.1$). 2. The mean MIL of basic premise phase for discovery of meaning was 30.5, method phase for discovery of meaning was 111.1, and result phase for discovery of meaning was 46.4. 3. The levels of MIL, 56.4% of the subjects were in pursuit of meaning in life, 23.3% felt a loss of meaning in life. 4. There were significant differences in MIL according to the level of education(P=0.00), marital status(P=0.01) and monthly income (P=0.00). Conclusion: On the viewpoint of the above results, 23.3% of the subjects were in a level of existential vaccum which required keens Logotherapy. Therefore, it shows that developing nursing-logotherapy to improve the meaning in life for adults is demanded.

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The Effect of Supportive Nursing Intervention on the Anxiety and Nursing Satisfaction of Mothers with Children Undergoing Open-Heart Surgery (지지적 간호중재가 개심술 환아 어머니의 불안 및 간호만족도에 미치는 효과)

  • Kim, Yun Kyung;Jun, Eun Mi
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.459-469
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    • 2007
  • Purpose: The purpose of this study was to identify the effect of supportive nursing intervention on the anxiety and nursing satisfaction of mothers with children undergoing open-heart surgery. Methods: The research design involved a non-equivalent control group pretest-posttest non synchronized design. The subjects consisted of 43 mothers of children who were expected to undergo open heart surgery, and were divided into two groups; an experimental group of 22 and a control group of 21. The experiment was administered to the experimental group a total of four times, following supportive nursing intervention protocols. The research tools used were Spielberger's State Anxiety Inventory for anxiety and Park Jung-Eun's nursing satisfaction. The data were analyzed using the $x^2$-test, and t-test with SPSS/WIN 12.0 program. Results: Hypothes 1, 'The experimental group who are given supportive nursing intervention will have a lower anxiety score than the control group' was supported(t=5.658, p=.000). Hypothesis 2, 'The experimental group who are given supportive nursing intervention will have a higher nursing satisfaction score than the control gropu wasl supported(t=-9.549, p=.000). Conclusion: The supportive nursing intervention protocol was effective in reducing anxiety and increasing the nursing satisfaction of mothers with children undergoing open-heart surgery.

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