• Title/Summary/Keyword: Nurse Area

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Effect of Nursing Case-Focused Creative Thinking Training for Registered Nurses (간호사의 간호사례 중심 창의적 사고훈련 효과)

  • Kang, So-Young;Kim, Hyun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2898-2907
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    • 2013
  • The purpose of this study was to develop the creative thinking training program(CTTP) focused on a nursing case for registered nurses(RN) working at hospital, and to examine the CTTP's effects on nurses' creative thinking ability and disposition. This quasi-experimental study was conducted on the basis of pre and post-test design with a comparison group for nurses enrolled in registered nurse bachelor science degree program in a University located in Southern area of Korea. The 5 hour-CTTP, including 7 creative activity tasks related to a nursing case, was implemented on 35 RNs of the experimental group from November 21, throughout November 28, 2011. The 39 RNs were participated in this study as a control group. Pre-and post-tests were done with the questionnaire items of the Integrated Creativity Instrument for creative ability and creative disposition. There were significant differences in creative thinking ability(t=3.62, p=001) and creative disposition(t=2.91, p=.01) between the experimental and the control group. The CTTP, developed in this research would contribute to increasing creativity competency for registered nurses.

A Research on the Actual Condition of the Prehospital Emergency Care and Education in 119 Emergency Medical Services (119구급대의 병원 전 응급처치 실태 및 교육 현황 분석)

  • Rho, Sang-Gyun;Lee, Jae-Gook;Kim, Jee-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2117-2124
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    • 2012
  • This is the study of actual condition and improvement on emergency medical treatment by 119 emergency medical service personnel. The subjects in this study were 299 emergency medical service personnel. Data were collected from May 1 to August 31 of 2010, and analyzed by SPSS 12.0 program. The major area of study of them were study of emergency medical services 41.5%, study of nursing 10.0%, fire fighting related studies 15.4%, health related studies 1.0%, and others 32.1%. The certificate of them were 1st class emergency medical technician(EMT) 38.1%, 2nd class EMT 33.8%, nurse 9.4%, first aid education 14.0%, and others 4.7%. Frequency of Prehospital emergency care, oxygen supply(274), splint apply(229), spinal immobilization(229), external bleeding control(223), medication(7), intravenous(4). Professionally trained EMT makes possible to secure high quality emergency medical treatment in the prehospital phase. Therefore, it is essential for the quality improvement of prehospital emergency care that well trained EMT ride on the ambulance together and take the responsibility for the treatment and transferring of emergency patients. In order to improve the proficiency of 119 emergency medical services personnel, it is also necessary to provide continuous job training programs for the prehospital emergency medical treatment.

Development of a CD Program Applied Logotherapy for Psycho.Spiritual Care of Late Adolescents with Terminal Cancer (청소년 후기 말기 암 환자의 정서적.영적 돌봄을 위한 의미요법 CD 프로그램 개발)

  • Kang, Kyung-Ah;Kim, Shin-Jeong;Song, Mi-Kyung
    • Journal of Hospice and Palliative Care
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    • v.12 no.2
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    • pp.61-71
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    • 2009
  • Purpose: The purpose of this study was to develop a CD program of applied logotherapy for psycho spiritual care of late adolescents with terminal cancer. Methods: Keller & Song's ARCS theory and a model for developing learning materials was applied to develop this program composed four distinct phases: planning, designing, developing, and evaluation stages. Results: This program was entitled 'Finding meaning in my life' and consisted of 5 sessions and its educational contents were made up as follows: "First Secret" is 'learning three natures of the human mind', "Second Secret" is 'learning creative values first method to find meaning of life', "Third Secret" is 'learning experiential value as second method to find meaning of life', "Fourth Secret" is 'learning attitudinal value as third method to find meaning of life', and "Fifth Secret" is 'Becoming the master of my life'. The sub-menu was made up of 'Beginning', 'Opening mind', 'Learning'. 'Laughing Song', 'Experiencing'. Conclusion: This CD program applied logotherapy with flash animation technique as an emotional and spiritual nursing intervention program for easier and more scientific application in pediatric oncology and hospice care area.

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A Study of Nurses' Knowledge, Attitude on the Nurses' Law and Nurses' Perception on the Causes, Coping Patterns with the Nursing Accidents (간호사의 간호관련법에 대한 지식$\cdot$태도 및 간호사고에 대한 원인$\cdot$대처양상에 관한 연구)

  • Mun Heui Ja;Lee Mi Aie
    • Journal of Korean Public Health Nursing
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    • v.13 no.1
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    • pp.41-62
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    • 1999
  • Recently the request of the patients to participate in the medical courses has been expanding due to elevated sense of right on the people's health. merchandised medical treatment by mass supply, human right declaration of the patients, generalized medical informations by the mass media and the change of human relation between the medical personnels and the patients. Under these phenomena the accident by the nurses have been increasing by the area of the nurses having been expanded and their independent roles having been increased. Such nursing accidents are the important subject which the professional occupation of the nurses has been facing but legal protective capability of the nurses has been very weak. Therefore this study has examined the degree of the experience of the nursing accident that happens in the clinical nursing scenes in the general hospital to provide the basic materials for the protection and the counter measures of the nursing accidents. The following is the conclusion based by the above examination. 1) The general characters of the subjects of this study is that they are mostly single in their twenties and graduate from nursing college. Their total clinical career is above 5 years$(44.8\%)$ and their current clinical parts' career is between 1-3 years$(40.1\%)$. So these facts suggest that most hospitals has taken the working rotation policy on nurses. 2) The level of nurses' knowledge on the nursing law is accurate partially but isn't it patially. So it is suggested that nurses need the accurate information and education about the nursing law. But the nurses' attitude is very approved of the establishment of a unilateral nursing law. 3) The relation between the demographic characters of the subjects and their attitudes on the nursing law shows that there is no significant differences except the relation between the attitude 6(the sufficient level of education on nursing law in formal education course) and age. total clinical career. 4) The perception of the nurses shows that the cause of the nursing accident has been due to the heavy work$(78.2\%)$. short of professional knowledge and skill$(60.2\%)$, discordance with Doctors. patients and patients' families. They report the accident to the head nurse first$(81.8\%)$ and within 30 minute$(75.1\%)$. The hour of nursing accident frequently happened is regardless of service hour with $49.4\%$ in response rate. the highest rate. and the nursing accident happens in the night more than the daytime. Even though most nurses think that they are themselves responsible for nursing accident. it is found that the chief cause of the nursing accident is due to the nurses' heavy work$(78.2\%)$. So the causes of nursing accidents is analysed. it may be suggested that the endeavor of hospital and nursing organizations to decrease nursing accidents is very important. 5) The coping patterns of patients with nursing accidents are mostly active attitude such as a violent words$(69\%)$. sue or accusation$(36.4\%)$, monetary compensation $(35.6\%)$ except a understanding cases$(38.7\%)$. But the coping patterns of hospitals with nursing accidents are mostly to investigate the accurate cause.

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Love : A Concept Analysis for Nursing Theory Development (간호이론 개발을 위한 개념분석 : 사랑)

  • 이옥자
    • Journal of Korean Academy of Nursing
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    • v.23 no.3
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    • pp.369-376
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    • 1993
  • Since nursing has come of age both as a profession and as a scholarly discipline, there has been increasing concern with delineating its theory base. In 1978 Chinn and Jacobs asserted that “the development of theory is the most crucial task facing nursing today.” The basic building blocks of theories are concepts. Concept formation begins in infancy, for concepts help us to categorize and organize our environmental stimuli. Concepts help us to identify how our experiences are similar or equivalent by categorizing all the things that are alike about them. concepts can be primitive, concrete, or abstract. Concept Analysis is a strategy that examines the attributes or characteristics of a concept. It is a formal, linguistic exercise to determine those defining attributes. It encourages communication. Its basic purpose is to distinguish between the defining and irrelevant attributes of a concept similarities. It is a process of determining the differences between concepts and it is useful for several reasons. It is an excellent way to begin examining information in preparation for research or theory construction and results in an operational definition and a list of defining attributes and antecedents. It provides the scientist with an excellent beginning for a new tool, is an excellent way of evaluating an old one and is useful in evaluating existing instruments. The steps of concept analysis are : 1. Select a concept, 2. Determine the aims or purposes of the analysis, 3. Identify all uses of the concept that you can discover, 4. Determine the defining attributes, 5. Construct a model case, 6. Construct borderline, re-lated, contrary, invented, and illegitimate cases, 7. Identify antecedents and consequences, 8. Define empirical referents. In this paper, the concept selected for analysis was Love. The concept of love is of great interest to nursing because loving care is considered vital to the nursing care of patients. The aims of the concept analysis of love were to clarify the meaning of love, to develop an operational definition for it and to contribute to existing nursing theory. Love influences the quality of life which is the goal of nursing according to Parse in her Human Becoming Theory. Lived experiences are the entities for study in Parse's Research Methodology. Human caring, human understanding, and human becoming are the most important issues in lived experiences. In this research, dictionaries and literature from nursing philosophy and other human disciplines were used to identify the concept of love. As many different instances of the concept as could be found were examinned. The model case was a real life example of the use of the concept. Next borderline, related, invented, and contrary cases were constructed for the purpose of providing examples of “not the concept” and for promoting further understanding of the concept being discussed. The defining attributes of the concept of love were concern, responsibility, respect, understanding and dedication. Love was defined as showing concern and understanding. relating with mutual respect and dedicating oneself responsibly to others. Concept analysis is a highly creative activity and may add significant new information to a given area of interest. It is a strategy for developing a concept based on observation or other forms of empirical evidence. The purpose of concept analysis is to generate new ideas. It provides a method of examining data for new insights that contribute to theoretical development. This concept analysis suggests that a nurse’s love for patients is shown in the process of giving oneself in mutual relationships of responsibility and respect and in continuously providing understanding and quality human care for them.

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A Survey of the Effect of Nursing Students on Community Health Knowledge (간호학생 실습이 지역주민의 보건지식 및 태도에 미치는 영향 -연세대학교 간호대학 보건간호학 실습을 중심으로-)

  • 조원정;김의숙;이정숙
    • Journal of Korean Academy of Nursing
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    • v.3 no.2
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    • pp.111-119
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    • 1973
  • The purpose of this study was to determine whether or not the delivery of health services effects the health knowledge of the recipients of that service. 10 was hypothesized that the practical application of theory, though health services rendered by public health nursing students during their field experiences. would have a positive relationship with the quantity and quality of health knowledge of the female population of a given community. In April 1970, ninety five women(between an age 15-49) from Koyang-Gun were interviewed regarding their knowledge and attitudes in four areas of health: maternal health, child health. family planning and tuberculosis prevention. After 11 years(Nov. l971), during which time the women received home visits by student nurses, the women were again interviewed using the original questionnaire. Additionally, they were asked where they had received information about each question. During the 1$\frac{1}{2}$ year period the visits were made by a total of 112 students. They visited the community twice a week. The result were as follows: Maternal health There was marked improvement in the knowledge of specific aspects of maternal health such as the proper instruments needed for cutting the cord and nutritional precaution of pregnancy (p<0.05). In each case 42.0 percent of more of this knowledge was attributed to information gained from the nursing students. However even after the nursing students'visits, the knowledge of other general areas of maternal remained poor. Child health There were increases in the knowledge of the respondents for the time to supplement breast feeding and for time to wean infants (p<0.05). In each case 35.0 percent or more of this information was attributed to the student. The increase in knowledge regarding types of immunization was more often attributed to the clinic nurse than to the nursing students. Knowledge of the necessity of booster immunization was poor both before and after the visits by the nursing students. Family planing There were significant increases in correct information regarding the time of I.U.D. insertion (P<0.05) and method of taking the oral pill (P<0.05). More than 42.0 percent of the increase was attributed to the nursing students'visits. However there was a slight decrease in correct information about concept of family planning. Tuberculosis There was a general lack of improvement in all areas concerned with tuberculosis. Two thirds of the respondents felt tuberculosis was hereditary and did not know what B.C.G. was. From this study, it could be concluded that in specific area the health knowledge of the female population studied was positively effected by the visits of the nursing students. The study also, suggests, however, that there was a marked unevenness in the overall increase in health knowledge. This raises serious questions which require further research. Suggested areas for further research are (1) Adequacy of the course content preparing nurses for the field experience. (2) A public health nursing manual for student reference. (3) Where and when specific aspects of health can be taught most effectively.

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A STUDY OP THE CURRICULUM IMPROVEMENT OP NURSING EDUCATION (간호교육과정의 개선을 위한 일 조사연구)

  • 이연순
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.67-77
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    • 1974
  • Introduction This study is concerned with improving the nursing education curriculum. The purpose of the study was to 1. Review the basic principles of curriculum development. 2. Determine opinion about current nursing curriculums from recent nursing school graduates. Methods of the study A questionnaire was distributed to 250 nurses, in f general hospitals in Seoul. The nurses were graduated from nursing schools in 1973, but represented all types of nursing programs. The Questionnaire was designed to illicit responses about nursing school curriculums in 5 areas: 1. Establishment of objectives 2. Selection of learning experience 3. Organization of learning experience 4. Instruction 5. Evaluation Summary of the major findings 1. Establishment of objectives Thirty nine point three percent of the nurses said that the first objective of the general nursing education was stated "to educate a nurse as a human being with humanity:" Ninety point eight percent of the total respondents said that thor knew the objectives of the curriculum of their nursing schools, but more half of them (58.3%) understood the objectives vaguely at the time they attended nursing school. 2. Selection of learning experience Thirty nine point eight percent of the respondents said their curriculum contained "only a few" liberal arts courses. 3. Organization of learning experience forty seven point six percent. of the respondents were reported that the number of course hours was "insufficient" in liberal arts courses. Fifty seven point three percent of the nurses felt there was an overemphasis on any special topic in liberal arts courses. 4. Instruction Methods of instruction were as follows: Liberal arts courses-a. lecture which centered on explanation (61.1%), b. lecture which centered on writing (43.7%) Supporting nursing courses-a. lecture which centered on explanation (34.0%). b. laboratory Practice (37.8%) Clinical nursing courses-a. lecture which centered on writing (33.0%), b. clinical practice (38.4%) The percentage of respondents replying that various equipment for the learning activities were "insufficient"were as follows: Liberal arts courses-51.0% Supporting nursing courses-28.6% Clinical nursing courses-37.9% 5. Evaluation In the liberal arts courses, 30.6% o( the respondents answered that the evaluation of records was in their opinion "poor, " and 28.2% of the respondents reported that the method of evaluation was "unfair and discouraging. " "Development of a systematic theory of nursing" was thought to be essential for curriculum improvement. The respondents felt that the junior year was the hardest because 1. Number of subjects was too great (28.1%) 2. Lack of a systematic theory of nursing (14.5%) 3. Conflict due to the difference between nursing theory and nursing practice (21.4%) Recommendations 1. Since this study was limited to nurses who had graduated in 1973, a larger study involving professors, graduate students, and nurses from a wider area is suggested in order to establish the reliability and validity of the present findings. 2. Nursing research should be carried out more actively in order to develope nursing science. 3. A permanent organization for research into ways to improve the curriculum should be established in each nursing school.

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The Relationship Between Friendship Level by Hierarchy and Occupation and Job Satisfaction, Organizational Commitment and Job Stress (수직적 계층 및 직종별 프렌드십 수준과 직무만족, 조직몰입, 직무스트레스의 관계)

  • Oh, Su-Jin;Kim, Young-Hoon;Kim, Han-Sung;Choi, Young-Jin
    • Korea Journal of Hospital Management
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    • v.19 no.1
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    • pp.1-20
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    • 2014
  • In this study, we investigated the relationship between friendship level within a hospital organization and job satisfaction, organizational commitment and job stress. Focusing on the hierarchy and occupation of a hospital, different from previous introductory studies. As a study tool, structured questionnaire were devised and used. The subjects were nurses, administrators and medical technicians who worked at 17 tertiary hospitals in Seoul and Kyongin area. To analyze the data, we conducted frequency analysis, t-test, one-way ANOVA, two-way ANOVA and multiple regression analysis.The main results of our study can be summarized as followings:Firstly, seen from the viewpoint of social demographic characteristics, on the whole friendship level with fellows is the highest, and then that with subordinates and that with bosses the lowest. Secondly, the friendship level with bosses, subordinates and fellows had a significant relationship with job satisfaction, organizational commitment and job stress, though there were some differences among them. In case of junior managers, the friendship level with fellows had a significant relationship with job satisfaction and organizational commitment; in case of middle managers, the friendship level with fellows had significant relationship with job satisfaction. We found that the friendship level with the bosses had a deeper relationship with job satisfaction, organizational commitment and job stress as we went down the hierarchy. Thirdly, analyzing the differences between occupation, administrators and medical technicians had relatively higher significant relationship with the friendship level with bosses than nurses in job satisfaction, organizational commitment and job stress. High friendship level with the bosses influenced job satisfaction significantly for the nurse; yet, in case of administrators and medical technicians, the friendship level with bosses influenced all of job satisfaction, organizational commitment and job stress. Based on our study, we recommend facilitating friendly relationship between the bosses and the subordinates in order to enhance job satisfaction, organizational commitment and job related stress reduction.

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Social Support and Quality of Life for the Elderly in Rural Areas (일 농촌지역 노인의 사회적 지지와 삶의 질)

  • Kang, Kyung-Sook
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.375-384
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    • 2003
  • The purpose of this study is to identify the amount of social support and quality of life perceived by elderly people in rural areas and to examine the relationship between social support and quality of life in an effort to provide the basic data for effective nursing intervention to enhance quality of life among elderly people. Data were collected from a sample of 220 elderly people aged over 60 from a stratified probability method from one rural area in South Jeolla province from Aug. 15 to Sep. 15, 2002. For data collection, pre-educated researchers visited the participants' homes and surveyed them face-to-face. The statistical analysis was performed using the SAS program along with t-test, ANOVA, and Pearson Correlation. The findings were as follows: 1. The most socially supportive people they answered were Spouses (57.28%), followed by children, friends/neighbors, in descending order. In terms of satisfaction about social support, the subjects felt the most satisfaction from spouses, followed by friends/neighbors, children, in descending order. 2. The participants' perceived social support was 26.0 and the highest score was 108.0 out of 125. Also, the average score and average grade point was 81.7 and 3.35, respectively. A comparison of the average grade points per items within sub-areas of social support revealed financial aid(3.56), informative support(3.34), emotional support (3.27), and evaluation support(3.22). 3. Their perceived social support had statistically significant differences in terms of how much they earned (F=18.56, p= .00001) and whether they had family members living together (F=2.68, p= .0512), quality of life had statistically significant differences in terms of how much they earned (F=35.34, p= 0.00001). 4. The quality of life they perceived was the lowest score 47.0, the highest score 196.0, average score 145.7, and average grade points 3.28. A comparison of the average grade points per items within sub-areas of quality of life revealed neighbor relationships(3.97), self-esteem(3.49), family relationships(3.35), economic conditions 3.12), physical health (2.98), and psychological health(2.74). 5. The relationship between the amount of the subjects' social support and quality of life was significantly correlated (r=.696, p< .001). The findings revealed that social support for elderly people in rural areas was a greatly effective factor on their quality, of life. Also, it was shown that the larger the social support for the elderly, the greater the quality of life for them. Therefore, it is necessary to foster geriatric nurse specialists and develop nursing intervention programs connected with health care and social wellbeing in order to enhance the quality of life of elderly people in rural areas. Also, it is necessary to develop effective models for community and its applications, which will playa leading role for elderly people.

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An Analysis of Master's and Doctoral Thesis in Nursing - Centered on a Nursing, an Education, and a Public Health Graduate College - (간호학 석.박사 학위논문의 분석)

  • Chon, S.J.;Hong, K.P.;Yang, W.Y.;Lee, J.J.;Lee, B.S.;Hur, H.K.;Kim, J.I.;Yim, J.Y.;In, J.Y.
    • The Korean Nurse
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    • v.33 no.2
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    • pp.45-58
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    • 1994
  • This study was conducted for the purpose of identifying the trends of nursing research and to suggest the direction of future research in the graduate levels of the study. The data was collected from 469 abstracts of master's and doctoral rapers from three graduate schools, one in Nursing, another in Education, and the other in Public Health Graduate College. The results of the study are as follows: The number of research was increased from 102 to 286 between the 1970 s and 1980's. The most frequently employed research design was descriptive studies in the master's level, but there was some balance between descriptive and experimental studies along with some qualitative approaches in the doctoral thesis. Patients were the most often studied sample group reaching 42% of the cases, though it Was noted that there was steady shift: toward the non-ratient population. With this shifting of the study sample, the places of the study also have showed some changes moving toward community. The most widely studied area was in clinical practice. Chronic illness, preventive, and health promoting areas of studies also increased in numbers. However, most of them were at the descriptive level of phenomena and only a few were concerned with cost/effective measures of nursing intervention. The number of variables studied repeatedly more than five times was 43. They were not only physical but also psychosocial aspects which imply the efforts to incorporate the whole person in nursing discipline. However, most researches with repeated studies showed little relation to previous studies, and thus little accumulation in knowledge. There was also little evidence of linkage to nursing theory in most studies of master's level. For the doctoral rapers, 17 out of 51 rapers showed specific theories related to the researches. Based on the above findings, the following suggestions were made. Various research design should be employed including case studies, historical studies, as well as qualitative approaches. There should be more effort to establish linkage between theory and research. The areas needing more attention are Korean Nursing History, Ethics in our Culture, Cost/Effective Measures of Nursing Intervention, Concept and Thory Development, and the Strategies for the Implication of the Research Results in clinical practice.

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