• Journal of Korean Clinical Nursing Research
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• v.30 no.2
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• pp.157-165
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• 2024

Purpose: This study aimed to identify the effect of food craving, patient activation, and family support on dietary self-care performance in hemodialysis patients. The study will provide baseline data for developing nursing interventions to improve hemodialysis patients' dietary self-care. Methods: The data was collected from 132 patients who regularly underwent outpatient hemodialysis between October 26 and November 12, 2022. Frequency and percentage, mean and standard deviation, independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression analysis were used to analyze the data, and all analyses were performed using SPSS 27.0. Results: The average scores of the main variables were 39.55±7.42 for food craving, 77.37±10.50 for patient activation, 63.62±11.72 for family support, and 38.21±5.54 for dietary self-care. The factors affecting the dietary self-care were age (β=.36, p<.001), family support (β=.36, p<.001), and patient activation (β=.20 p=.007). The total explanatory power of all variables was 34.0% (F=18.20, p<.001). Conclusion: Based on these results, it is necessary to consider the characteristics of age and improve the level of family support and patient activation when developing programs to improve dietary self-care in hemodialysis patients.

• Journal of Korean Academy of Nursing Administration
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• v.5 no.3
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• pp.425-444
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• 1999

The purpose of this study is to survey evaluation of the nurse on the current Performance Appraisal System. the need for future performance of the nurse and the opinions about the job rotation, and suggest the direction of improvement by obtaining basic data to improve personnel management of the nurse in a hosipial, the subject of the investigation. The study was conducted self-reporting questionniare survey of 330 nurses working at C hospital located in Chonbuk Province and the data was collected from May 4. 1999 through May 14. The research used measuring instrument developed by researcher for evalution about the present performance appraisal. the need for the future performanc appraisal system and the opinion of job rotaion. The analysis of the collected data was computerized using SPSS/PC+ program, calculated frequency, percentage, the mean and standard deviation and used Pearson, s Correlation Coefficients, t-test, chi- square test. Major findings are as follows. 1) As for the purpose of the current performanc appraisal, the appraiser recognized it as a security of promotion standard, while the employee saw it as a means for control as guidance and supervison of work. 2) With regard to use the result of the present performance appraisal, appraiser picked ambiguous appraisal standard, employees recognized unilateral evaluation of superior eliminated the participation of them as the highest priority. 3) In relation to the current criteria for promotion of the nurse, both appraisers and employees placed more weight on the length of clinical than performance appraisal score. 4) There is much possibility of the appraiser making an error to evaluate considering the length of performance appraisal. 5) Both appraisers and employees indicated that prospective result of performance appraisal should be used for the ability development & motivation of the individual. 6) Concerning employee's participation for performance appraisal both sides wanted by far more participation. 7) Regarding the most ideal appraisal method, both parties favored most the way added up the evaluation of the head nurse and peer review and followed by the manner the revaluation of the head nurse by considering self-evaluation. 8) As to the individual interview after the appraisal, more than 60% of appraisers responded it's not necessary, while above 88.5% of employees answered it is essential so that it is showed significantly difference between the appraisers and the employees. 9) As far as open of the evaluation result is concerned. 75% of the appraiser were against it but 80% of the employee were for it so that it showed significantly between them. The most principal reason that the employee want is that it motivates the individual's ability development and the fairness of the appraisal increases. 10) Whether the periodical rotation is necessary or not, 80% of appraisers and employees answered it's necessary, however, over 70% of them did not want the rotation. 11) Work-group Cohesiveness level within the nursing unit was attentive different from desire of the rotation, that is, the work group cohesiveness level of nurses wanting rotation was significantly lower than that of the group not desiring it.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.24 no.2
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• pp.118-127
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• 2017

Purpose: The purpose of this study was to identify effects of self-evaluation using smartphone recording on competency in nursing skills, satisfaction and learning motivations in nursing students'. The setting was the open laboratory hours. Methods: A quasi-experimental pre/post-test design was conducted in September 2015. The participants were 82 sophomore nursing students from one University. The experimental group did self-evaluation by watching recorded video clips of their performance. The control group did not have any self-evaluation. The primary outcomes were scores from the foley catheterization checklist, scores from a student satisfaction tool, and scores from a learning motivation tool. Data were analyzed using ${\chi}^2$ test, Fisher's exact test, independent t-test, and paired t-test. Results: There was a significant higher mean score in levels of satisfaction by students in the experimental group compared to the control group (t=2.26, p=.027). In addition, improvement in communication skills by the experimental group was significantly higher than improvement in the control group (t=3.96, p<.001). Conclusion: Findings show that self-evaluation using smartphone recordings has positive effects on increasing both communication skills and satisfaction with practice during open laboratory hours. These results indicate that, self-evaluation using smartphone recording is useful as a supplement to traditional open laboratory education.

• Korean Journal of Adult Nursing
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• v.26 no.6
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• pp.630-641
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• 2014

Purpose: The purpose of current study was to explore the positive outcomes of advanced practice nurse who have experienced the roles in their clinical settings. Methods: This study adopted a qualitative research design based on conventional content analysis. Participants were 16 nurse practitioners have been worked at hospitals or community centers. Data were collected via focus group interviews and analyzed using thematic analysis method. Results: Patients' aspect outcomes were "client-centered care in providing continuity", "providing trust based on expertise", "promoting skilled intervention in patient recovering", "blocking the negative consequences", "quality improvement: nursing becoming tighter", "providing total care for cases that require intensive care", "improving patients outcomes by total management", "increasing confidence in evidence-based professional nursing", "rising the satisfaction by cost-effective services", "providing skilled professional practice", and "providing comprehensive care related to covering various aspects". Other themes elicited also included "promoting efficacy by inter-related health professions supervising", "the expansion of specialized practice areas increase business efficiency", "formation of outside customers due to increasing the satisfaction with skilled nursing care", "filling in the emptying spaces of doctors by practicing reliable role to bridge", "attracting external customers through successful management of subjects", "increasing staff's satisfaction on the role to make a bridge between inside and outside doctors", "24 hours medical expertise of professional staff ready secured", and "low cost, same results, that is, cost-effective" in reference to health care resources aspect. Conclusion: These findings suggested that advanced practice nurses perceived various positive outcomes and provided basic data for outcome indicators of advanced practice nurses' role.

• Journal of Korean Clinical Nursing Research
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• v.18 no.2
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• pp.264-274
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• 2012

Purpose: This study was conducted to identify the quality of life (QOL) of adolescents who have inflammatory bowel disease. Methods: This was a descriptive comparative study, and participants were 58 adolescents with inflammatory bowel disease and 55 healthy adolescents. The Korean version of $PedsQL^{TM}$ 4.0 scale was used. Ten adolescents with inflammatory bowel disease were also interviewed. Data were analyzed with SPSS Win. Results: Average score on QOL for these adolescents was statistically lower (p<.001) than healthy adolescents, especially for physical and school functioning. QOL of the adolescents who had the disease for more than 4 years, and were taking 3 or more medications was lower QOL than other adolescents with this disease. In interviews, adolescents complained of physical malfunctioning. In emotional functioning, they worried about the reoccurrence of bloody diarrhea, and mood changes. As for social functioning, dietary restrictions, gastrointestinal symptoms, and poor peer relationships were primary concerns. Lastly, in school functioning, frequent absences and lower academic performance were problems. Conclusion: Considering these results, adolescents with inflammatory bowel disease felt anxious because of the uncertain origin of their disease and unpredictable course of the illness. Interventions should include diaries on food, along with education and counseling as nursing interventions.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.1
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• pp.223-231
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• 2020

The aim of this study was to develop and apply a nursing process simulation scenario for cerebral infarction patients using HPS for nursing students. The effects of this simulation were evaluated and compared with the effects of traditional teaching methods. This study was conducted on 3rd grade students at the College of Nursing from December 7 to December 26, 2018. This study examined 38 subjects in the experimental group and 39 in the control group. This research went through the analysis phase, design phase, and development phase for the development and application of the scenario. The confidence, knowledge, and performance before and after the intervention in the experimental and control groups were analyzed using a t-test. This study developed a simulation scenario based on a nursing process for cerebral infarct patients and was designed to infer three nursing diagnoses. Both groups showed significant pre-post scores except for the clinical performance. The experimental group had higher post-score scores and greater difference between the post-test and pre-test. This study is meaningful in that a standardized scenario of nursing process of infarct patients was developed. In addition, the developed scenario shows the possibility of developing teaching and learning methods that can integrate theoretical learning and practice.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.2
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• pp.1264-1272
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• 2015

This study was performed to compare the perceived importance and performance frequency of the core nursing skills between general and special department. Subjects were 182 nurses who work on the hospital. Data was collected using items made by Korean accreditation board of nursing education and analyzed by frequency, mean and t-test. There were differences of importance and frequencies about nursing core skill between general and special wards. Core nursing skills of general wards were higher importance on intradermal injection(p=.011), transfusion(p=.028), simple catheterization(p=.047), cleansing enema(p=<.001), preoperative and postoperative care(p=.035), management administration(p=.027) and oxygenation with cannular(p=.002) than special wards. Actual performance frequency core nursing skills of general wards were higher similar on transfusion(p=.002), intermittent tube feeding(p=.032), simple catheterization(p=<.001), cleansing enema(p=<.001), preoperative care(p=.001), postoperative care(p=<.001), management administration(p=.001), protection equipment for quarantine room and waste disposal(p=.021), oxygenation with cannular(p=<.001) than special wards. It is needed to develop efficient and sequential program to learning the nursing core skills for nursing students.

• The Journal of the Korea Contents Association
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• v.15 no.4
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• pp.316-329
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• 2015

The purpose of this study was to investigate the actual situation of nursing students' exposure to blood and body fluids, and their knowledge, awareness and performance of standard precautions in an attempt to offer basic data for education of nursing students concerning infection control. The participants of this study were 309 juniors and seniors enrolled in the nursing colleges in J province. Of the participants, 71.5% turned out to have experienced exposure to the blood and body fluids of patients. The mean score of the knowledge about standard precautions was $20.59{\pm}2.05$, whereas grade, infection control education were statistically significant. The average awareness of standard precautions scored $4.67{\pm}.36$, and age, no follow-up measures were statistically significant. The mean sore for the performance of standard precautions was $4.25{\pm}.70$, while exposure to blood and body fluids was found to be statistically significant. There was positive correlation between the participants' knowledge, awareness and performance. The awareness(${\beta}=.274$) of standard precautions only stood out significantly among the factors affecting the performance of standard precautions, accounting for 8.6% in the performance variance of standard precautions. The study found it necessary to develop the infection control program in diverse ways by complementing especially the areas which used to show low awareness and performance of standard precautions. It is thus suggested to intensify education for students about infection control prior to starting clinical training.

• The Journal of the Korea Contents Association
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• v.18 no.4
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• pp.480-494
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• 2018

The purpose of this study is to develop a nursing activity cost calculation program based on Lee's doctoral dissertation using TD-ABC. The developed program has been supplemented with data storage, print out, and graph conversion functions to expand the application possibility. The development of the program consisted of three steps: program requirements analysis, program design and development, and program validation. This program was designed not only to do the cost calculation, but also to compare the cost-effectiveness and cost consumption trends. Consequently, this program is meaningful in that the nursing manager can obtain the cost information necessary for nursing unit management and extend the utilization so that the cost management strategy can be established based on the cost information. Therefore, we propose that the cost-management capacity of clinical nurses should be strengthened and the nursing performance measurement research should be expanded by applying it to various actual clinical nursing management settings. It is suggested that this program should be used as a training medium to strengthen nurse cost management capacity by combining nursing management curriculum at undergraduate level.

• Journal of Korean Clinical Nursing Research
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• v.18 no.1
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• pp.1-12
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• 2012

Purpose: This study was done to examine changes towards positive ethics in registered nurses working in hospitals who took part in performing 'theatre of situations' in terms of issues of nursing ethics. Methods: This research was conducted with one-group pretest-posttest design. The sample, 232 registered nurses, voluntarily participated in a contest of 'Theatre of Situations' with themes of nursing ethics hosted by Hospital Nurses Association of Korea on September 8, 2011. For this contest, eight nursing situational scenario regarding ethical issues or dilemma were created. The theatre of situation was performed by volunteer nurses over a period of 160 minutes. Data were collected before and after the performance using 10 items to measure Positive Ethics. Item internal consistency had a Cronbach's alpha in this study of .716. Results: Before the theatre of situations was performed, the mean (${\pm}$standard deviation) level of positive ethics was 2.34 (${\pm}.37$). For the nurses who participated, there was a significant increase in the degree of positive ethics after the theatre of situations ($2.62{\pm}.36$, p<.001). Conclusion: This result implies that indirect experiences such as 'theatre of situations' in terms of ethical issues, created as well as performed, is effective for registered nurses in changing their ethical perspective positively and in realizing ethical ideals.