• Journal of Korean Academy of Nursing
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• v.24 no.3
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• pp.327-344
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• 1994

It is needed that nursing scholars in Korea should understand the philosophy and perspectives of oriental medicine, and then explore the possiblities of theory building which can be a Korean’s unique nursing theory. With the assumption of this kind of work can be achieved by cooperation of oriental medicine and nursing areas, this study measures the subjectivity -opinions, attitudes, and values-of professional from these two areas. Identifing the schemata(structure of subjectivity) would be a basic step for the strategies and construction of oriental nursing theory. The Q-sorts of 57 professionals were combined into five distinctive factors, namely, Q-types. The five factors were named as follows : Type I, Fundamentalist, consistently insists that the understanding of oriental medicine should be a basic step for the development of oriental nursing model, because ororiental medicine's theories and practices in curing are very unique and different from the western. Type Ⅱ, Pessimist, denies the uniqueness of oriental nursing field and its independency, because of lack of scientific evidences and professionalism. Type Ⅲ, Harmonist, believes the basic concepts in two different medic관 spheres are identical, but, at the same time, accept the uniqueness of the two. They try to propose Korean Nursing Model which accomodates local culture and conventions, and the way of Nurturing Life(Yang-sang), based on the traditional western nursing. Type W. Needy Follower, merely expects the Korean Nursing Model which considers the characteristics of Koreas culture and physical constitution and, thus, is more suitable to them. Some-times, they experience the discontent and conflict when they need more qualitative and culture-oriented nursing interventions. Type V, Alternative Giver, actully clarifies the concept of Oriental Nursing, and provides specific program as a alternative of universal western nursing. Various ways of Nurturing Life (mental, life, and diet Yang-sang) were introduced as a guideline for the specification of the nursing area and its con-tent. Throughout the study, the five different Q-factors were identified, and the concept of Oriental Nursing and aspects of its theory construetion were discussed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.2 no.1
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• pp.55-66
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• 1995

The goals of nursing education, and the bases for evaluating them depend on the goals of nursing practice. In order to prepare for the coming twenty first century and the meet changing societal demands and health needs, it is necessary to develop a new conceptual framework for future nursing education. While hospitals will still be in significant components of the health care system, will no longer be central focus or dominant influence. Health care services will be more usually delivered at community base. The nursing education required by that new approach must provide for reconsidered about a concept of caring as nursing curriculum. The changes in health care delivery that have occured, now being proposed, for nursing education undergoing its own changes. So the philosophy and objectives of education meed to reconsidering about the caring concept and general nursing. Nurse educators must prepare students to practic in condition of constant change. At the same time nurse educators must emphasize preparation about that. The practice of science of caring in nursing draws on a basic knowledge of the behavioral knowledge, biophysical processes, pathological processes, nursing skills and procedures and various treatment regimes and problem solving to help decision making in nursing situations. The concept of care is probably one of the least understood ideas used by professional and nonprofessional people, yet it is probably one of the most improtant concepts to be understood by nursing. Human caring and human relationships are closely interrelated. Humn caring remains an essential dimension of professional work and the science of caring as essental to the discipline of nursing. It is expected that the objectives of nursing education will be accomplished when the course and content of the curriculum are based on this conceptual framework. One recurrent education goal with some consistency is that of equipping the student with the necessary skills to live effectively and productivly in the world of tomorrow. In the new vision we are developing, professional education must also include exposure to liberal arts, encouragement of critical thinking, and a moral context for advanced professional education that is based upon a contextual health policy and caring science educational model.

• Research in Community and Public Health Nursing
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• v.28 no.4
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• pp.397-409
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• 2017

Purpose: Competency is a key foundation of the nursing education curriculum and a baseline element of nursing practice. The purpose of this study was to explore the competencies of community health nurses in a maternal early childhood sustained home-visiting program based on nurses' field experiences. Methods: The participants were 21 nurses who had more than 1 year of experience in this program. Reflective interviews were performed; lasting 1 hour per nurse, on August 18, 2016, and the collected data were analyzed using qualitative directed content analysis. Results: Twenty-four themes were extracted for 9 competencies. The major themes included implementing a long-term relationship-based approach, providing client-led service rather than expert-led service, helping mothers with psychosocial difficulties, and applying skills in a practical manner in the home environment. Conclusion: In order to develop a home-visiting program as part of maternal-early childhood nursing practice, nurses should develop competencies that help them make significant and positive interventions. Results indicate that the curriculum for community health nurses should be changed to improve competencies in building relationships with clients and to focus on the application of skills in specific cases and in clinical practice.

• Journal of Korean Academy of Nursing
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• v.43 no.5
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• pp.669-680
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• 2013

Purpose: This study was done to explore the process of accepting CATs among nurses who experienced CATs in Korea. Methods: Grounded theory methodology was utilized. Data were collected from 10 nurses during individual in-depth interviews. Theoretical sampling was used until the data reached saturation. Data were analyzed using the constant comparative analysis method. Results: The core category emerged as "resolving the doubt and integrating" explaining the process of accepting CATs. The nurses engaged in three stages: need awareness, look for solution and integration. Causal conditions were interest as a nursing intervention and orthodox medical limitations. Context was lack of basis for application and increase in social interest. Strategies were new knowledge acquisition, having a strong will, combined with existing knowledge, and individualized intervention. Intervening conditions were others' eye, exhaustion for nurses and physical environment. Consequences were expanding of the nursing role and improved nurse satisfaction. Conclusion: The results of the study should facilitate application of CATs in nursing practice. To help nurses who are interested in CATs, there is a need for education programs, and further research on CATs.

• Journal of muscle and joint health
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• v.19 no.2
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• pp.173-183
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• 2012

Purpose: The purpose of this study was to analyze nursing records for pain management in intensive care unit (ICU) patients. Methods: Nursing process for pain management were analyzed retrospectively by 180 ICU patients' nursing records. Instruments consisted of 3 questionnaires (pain assessment, intervention, and evaluation). Results: For assessment, there was different pain intensity between cancer patients (7.95) and non-cancer patients (7.20). Also pain intensity was lower in PCA group (5.08) than in PCA with PRN group (8.27). Common pain site was surgical areas, along with 17 kinds of words expressed for pain, and mean of pain intensity was 7.47 by numeric rating scales (NRS). For intervention, the patients received pharmacologic interventions (99.4%) such as narcotic analgesics (38.3%) intermittently (70.5%) without side effects (94.4%). For evaluation, mean of pain intensity was decreased to 3.14, but a few patients (12.8%) experienced pain over 5 points despite the intervention. Nurses evaluated the degree of pain relief after the intervention in 87.2% of patients. Conclusion: Nurses do assess patients' pain by using objective tool, intervene, and evaluate for effective pain management. Nurses should make an individual approach and record all nursing activities for pain management.

• The Journal of Korean Academic Society of Nursing Education
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• v.26 no.2
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• pp.132-145
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• 2020

Purpose: The purpose of this study was to examine the effects of a care promotion program based on nursing students' self-understanding. Methods: A quasi-experimental approach using a randomized clinical trial pre- and posttest design was used. Participants were assigned to an experiment group (n=29) or control group (n=30). Data were collected from June 23 to September 8, 2017. The experiment group participated in a care promotion program based on self-understanding for 24 hours through eight sessions covering eight different topics. The data were analyzed using t-test and repeated-measures ANOVA using SPSS/WIN 21.0. Results: Compared to the control group, the experiment group reported significant positive changes for college life adjustment (F=28.74, p<.001), emotional intelligence (F=15.66, p<.001), and interpersonal caring behavior (F=9.37, p=.003). Conclusion: Findings from this study indicate that care promotion based on a self-understanding improvement program with the application of group enneagram education is a useful intervention strategy to promote the care promotion program based on nursing students' self-understanding. Care promotion based on self-understanding will be utilized as an intervention program to form positive values of care and interpersonal relationship through care awareness, self-change, understanding of others and care experience in the group.

• Journal of Korean Academy of Nursing Administration
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• v.14 no.3
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• pp.219-228
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• 2008

Purpose: The purpose of this study was to develop a measurement scale of nursing competence for nurses working in general wards, and to test the validity and reliability of the scale. Method: A methodological study design was used, consisting of 3 steps as conceptual framework decision, measurement items development, and testing of validity and reliability. In order to verify content validity, 16 experts reviewed the concept of each competences and measurement items. The developed measurement items were tested from 301 nurses in one hospital. Factor analysis and item analysis were applied to establish the scale's construct validity and reliability. Result: The final scale consists of nine dimensions with 70 items. The overall scale reliability had a Cronbach's alpha of 0.98, and the demensions Cronbach's alpha ranged from 0.88 to 0.95. The factor loading of construct validity was from 0.40 to 0.83. The explained variance from the 9 extracted factors was 70.93% of the total variance, and final factors were labeled as critical thinking, resources management and professional development, ability of ward management, application of nursing process, ethical accountability, respectful consideration, patient centered approach, crisis management, and leadership. Conclusion: This measurement scale can be utilized to evaluate nursing competence for nurses working in general wards.

• Korean Journal of Adult Nursing
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• v.27 no.6
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• pp.644-655
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• 2015

Purpose: This study was aimed to clarify the concept of ego-resiliency in the context of nursing and to propose a definition of ego-resiliency. Methods: Rodgers' evolutionary approach to concept analysis was used to identify common attributes, antecedents, and consequences of the term ego-resiliency. A literature search of the RISS, NDSL, NAL, CINAHL, PubMed, MEDLINE, PsycINFO, and Scopus databases from 1980 to 2014 was conducted, using the key words of ego-resiliency, ego-resilience, and ego-resilient. Thirty-four relevant articles and one book were finally selected and throughly reviewed. Results: The results of the concept analysis concluded that ego-resiliency was a individualized, integrated, and coping resource and capacity leading personal adaptive capacity including physical, psychological, social well being in various adversity and challenge of life. Conclusion: The findings of this study warranted nursing research on a development of nursing intervention related with ego-resiliency as a pivotal personal characteristic. By doing so, better understanding of human and health within the context of nursing could be achieved.

• Women's Health Nursing
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• v.11 no.4
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• pp.288-295
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• 2005

Purpose: The purpose of this study was to identify an attitude toward menstruation, perimenstrual symptoms, and coping used by female college students. Methods: A convenience sample of 151 students was obtained from two nursing colleges in Mokpo and Gwangju. Data were collected through questionnaires from June 15 to June 28, 2005. Three instruments were used in this study, the menstrual symptoms, menstrual attitude, and menstrual coping. Data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson correlation using SPSS 10.0 program. Results: The results showed that most 3rd and 4th year students complained about discomfort during their perimenstrual period, had a negative attitude toward menstruation due to the discomfort, but coped well during the period even with a lot of discomfort. With this results, there is a need for a nursing mediator to provide relief for discomfort during perimenstrual period so college female students have a positive attitude toward menstruation. There is a need for further research to determine the relationship between other variables and discomfort during the perimenstrual period. It is also needed to investigate if there are differences in these variables studied according to ages and occupations in women. Conclusion: From these findings, problem solving strategies for menstrual symptoms, positive attitudes, and coping should be a comprehensive approach to a nursing intervention to help women.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.3
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• pp.330-339
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• 2015

Purpose: The purpose of this study was to develop an interpersonal relationship harmony program and to investigate the effect of interpersonal relationship harmony program on interpersonal relations, conflict resolution methods, interpersonal anxiety, salivary cortisol level for nursing students. Methods: The 8-week interpersonal relationship harmony program was developed based on interpersonal relationship harmony theory. The effectiveness of the program was evaluated using a quasi-experimental design. The participants were 58 third-year nursing students, 29 in the experimental group and 29 in the control group. Data were collected from July 5, 2014 to August 25, 2014 and analyzed through t-test. Results: The experimental group showed significantly higher post-test scores in interpersonal relationship harmony, interpersonal relationship ability, active conflict mitigation and significantly lower post-test scores in active conflict intensification, interpersonal relationship anxiety than those of the control group. Conclusion: The interpersonal relationship harmony program improved nursing students' interpersonal skills and conflict resolution methods and reduced interpersonal relationship anxiety through an integrated approach that covered the cognitive, emotional, behavioral, and physical aspects of harmony.