• The Korean Journal of Rehabilitation Nursing
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• v.14 no.2
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• pp.145-152
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• 2011

Purpose: The study was to identify the influences of stress, social support and impulsiveness on the internet addiction of adolescents. Methods: A cross-sectional study was conducted with 243 male middle and high school students in D city. Data were collected from March to April in 2009 using self-report questionnaires such as internet addiction test, perceived stress, social support appraisal scale and Barratt impulsiveness scale. Data were analyzed using frequency, mean, Pearson's corelation coefficient, & hierarchial multiple regression. Results: The results showed that adolescents who had poor social support or higher stress and impulsiveness were more likely to have higher levels of internet addiction. The internet addiction was positively related to the stress and impulsiveness and negatively related to the social support. And education, record at school, stress, social support and impulsiveness had influence on the depression. Conclusion: Based on the findings, school nurses need to screen the risk of the internet addiction for adolescents who are in serious stress and have poor social support and impulsiveness. It is necessary to develop some preventive programs for those in high risk of internet addiction.

• Journal of Korean Clinical Nursing Research
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• v.17 no.3
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• pp.421-432
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• 2011

Purpose: The purpose of this study was to investigate the sleep patterns and the factors related to sleep disturbance in mechanically ventilated patients in intensive care units (ICUs). Sleep patterns in this study included both quality and quantity of sleep. Methods: Forty-four subjects were recruited in ICUs at a tertiary university hospital in D city. Data were collected using questionnaires, observation, and medical record from June, 2008 to May, 2009. Results: The total mean of sleep quality was $1.99{\pm}1.68$. The mean of total sleep time per 24-hour period was $3.75{\pm}1.94$hour (range 1-7.25) in mechanically ventilated ICU patients. The main sleep disturbance factors were listed as frequent nursing activities, attachment of medical appliances, and noise. All these factors were also significantly related to the sleep quality. Conclusion: These results indicated that mechanically ventilated patients were both qualitatively and quantitatively deprived of sleep far more than other ICU patients. In summary, a deeper understanding of sleep characteristics in mechanically ventilated ICU patients could help nurses to improve sleep derangements and patient outcome.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.1
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• pp.97-108
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• 2000

The purpose of this study was to assess the present status of the course content of Fundamental Nursing in accordance with the study objectives which were developed for the National Qualifying Examination by the first Faculty-Workshop in January, 1999 and the study objectives as related to other Nursing courses. The study sample included all schools of nursing and the members of the faculty for Fundamental Nursing of seventy schools(66.7%), out of the target population of 105, responded to a questionnaire which was developed by the research team. The collected data were analyzed by frequencies, percentages, means, and standard deviation using the SAS(Statistical Analysis System). The results are as follows : 1) According to this survey the course content of Fundamental Nursing as described in the study objectives for the National Examination, 223(86.77%) study objectives were included in the course of Fundamental Nursing by more than 70% of the schools of nursing, But twenty-three of the study objectives are not included by $30{\sim}50%$ of the schools of nursing. They consider this content to be taught in other courses. The study objectives, which less than 50% of the schools reported as being included in their course in Fundamental Nursing were, all study objectives for 'nursing assessment(communication)', 'nursing assessment (physical examination)', 'record and report', 'sex', and 'use of computer program for nursing diagnosis' and 'use of computerized nursing planning program' 2) Items that were not included in the study objectives for Fundamental Nursing but were included in course content for over 50% of the schools included, 'health of individual, family, community', 'change of nursing practice'. 'professionality of nursing' and all of the study objectives belonging to 'loss and grief' and 'nursing during all stages of surgical operations'. We hope that these results will be helpful in modifying the study objectives for the National Examination as developed by the first Faculty-Workshop and recommend the need for continuous survey research to produce content that is in accordance with study objectives and a National Examination that reflects the content of Fundamental Nursing.

• Journal of Korean Public Health Nursing
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• v.6 no.2
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• pp.58-69
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• 1992

The purposes of this study were 1) to assess the currunt documentation system 2) to identify the problems in communication regarding to documentation 3) to develop new documentation system 4) to suggest effective communication channel using new documentation system Research was conducted by direct observation, chart review, staffs interview and servey. Results were as follows: 1) nursing care plans were not used in ongoing care 2) documentation format was primarily narrative and charting was time consuming 3) documentation did not reflect the nursing process 4) patient records were not used as effective communication tool between case manager and part time nurse 5) difficult access to patient record for nurse manager created inefficiency in coordinating 6) documentation of patient education did not describe the precise contents of education, and the responses of the patients and evaluation To solve these problems, new documentation format was developed. With new formats nurses : 1) use standardized care plan which contains nursing diagnosis, ecpected outcome, time frame for evaluation, flow sheet for updating the plans 2) leave one copy of care plan at patient home for mutual agreement with patent and communication among nursing staffs 3) carry one copy of care plan for updating 4) document and evaluate the patient education using education check list keeping in patient's home 5) document nursing process in focus charting visit report 6) carry one copy of visit report 7) have one copy of visit report which was deligated to part time nurses 8) use documentation in direct communication with part time nurse 9) use beeper and memo to promote communication

• The Journal of Korean Society for School & Community Health Education
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• v.15 no.2
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• pp.63-76
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• 2014

Objectives: The purpose of this study was to explore the effects of 'affirmative language' experiment upon freshmen nursing students' negative affect, self-efficacy and stress coping style. Methods: A nonequivalent control quasi-experiment was conducted on the subjects of 55 freshmen nursing students for 26(experimental group) and 29(control group). Data were analyzed using x2-test and t-test for participants' homogeneity test and conducted content analysis of process diary record and personal impressions. Results: As for negative affect, in case of the experimental group, depression(t=-2.384, p=.022) and anxiety(t=-2.243, p=.025) were significantly low with no difference for the control group. As for self-efficacy, both experimental and control groups showed significance and as for stress coping style, the control group used sub-categorized strategies better than the experimental group. There were 4 topics and subsequent 15 topics derived from the content analysis. 'Affirmative language' experiment showed alleviation of depression and anxiety helpful for study participants in self-reporting measurement, and helpful for stress self-management competence. Conclusion: It is necessary to connect the curriculum operation with interest of competence and practice of students stress self-management through the participating experiment experience.

• Journal of Korean Academy of Nursing
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• v.37 no.5
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• pp.790-800
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• 2007

Purpose: This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area. Methods: A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record. Results: Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up. Conclusion: Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.

• Journal of Korean Academy of Nursing
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• v.8 no.2
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• pp.39-49
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• 1978

The present research set out to further validate the results that Stromborg (1976) obtained in which a correlation (r= .22, p < .001) was found between the femininity of woman nursing students and their image of nursing. In addition the experimenter set out to elucidate any possible differences in the image of nursing according to (a) religion, (b) the motivation for choosing nursing as well as, (c) the particular area in which the students hoped to work after graduating. The research was conducted by presenting questionnaire type scales including a femininity scale and a nursing image scale, to 301 graduating students attending 4 Three-year nursing schools located within Seoul from November 21st, 1978 to November 30th. The results: 1. There was clearly no relation between femininity and the image of nursing as such (r= .01, p > .43). But upon analyzing the results along five subdimensions of the nursing image variable it was discovered that : (a) if femininity is low, the nursing student tend to view the educational preparation for becoming a nurse in a more positive light (r= -.10, p < .05), and (b) if femininity is high, the students tend to perceive their social role with a positive frame of mind (r= .15, p < .005). 2. There was a significant difference found in the image of nursing as related to the religion of the nursing students, The means ranked as follows (high scores indicate a positive image of the nursing profession). Catholic > Protestant > no religion > Buddhist 3, The difference in the nursing image according to motivation for sellecting the profession emerged as quite significant (F=6.92, p < .001). The rank of the means when the subject group is divided along the dimension of motive is as follows (ranking begins with the most positive nursing image): (a) The profession itself seemed good; (b) after marriage one can do a social type of activity; (c) significant others’advice: (d) the profession matches their high school grade record; (e) it matches the economic situation of the student; (f）no particular reason for their choice: (g) it's easy to get a nursing job after graduation. 4. The particular area of nursing one intended to go into after graduation varied significantly in terms of the image of nursing (F=3.03, p < .005). The means when ranked starting with those having the most positive image of the profession: (a) nurses helping deliveries; (b) hospital nurses: (c) nursing education; (d) school nurses: (e) government nurse supervisors: (f）public health nurses: (g) (students not going into any profession); (h) (students not going into the nursing profession but into some other area).

• Journal of Korean Academy of Nursing
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• v.25 no.1
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• pp.88-98
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• 1995

The Fluid and electrolytes balance in the body is of critical importance in maintaining good health. When the fluid and electrolyte imbalance is present, patients are in great danger. They must be assessed immediately by a nurse so that appropriate treatment can be started as soon as possible. Patients' fluid intake and output records contain highly important information for the diagnosis and treatment of fluid imbalance, but, these records are often inaccurate and the method of recording the fluid intake is not universal for every hospital. Be-cause they are few quantitative measurements of a patient's hydration, the need to improve the accuracy of fluid intake records is very important. However, very few studies have been done to investigate the accuracy of measurements of patients' fluid intake and output. The purpose of this study was to investigate the methods used for calculation of fluid intake which is most similar to fluid output in normal adults and hospitalized patients. This study focused on three different calculation methods for fluid intake and compared these to fluid output and developed suggestions as to the ideal way to record fluid in-take. Data for 43 hospitalized patients and 37 normal adults were analyzed. The findings of this study are as follows ; 1) In normal adults, the daily intake of water which enteres by the oral route was 2415m1 (the first method of calculation). The daily intake of water in the form of pure water or some other beverage was 1365m1 (the third method of calculation) The daily intake of water including fresh fruits and vegetables, rice, porridges, and Me m which have water content more than 80% were 2186m1 (the second method of calculation). 2) The urine output of the normal adults was 1350m1. This apprroximates the amount of fluid an adult takes in the form of pure water. 3) In patient group, the total intake of water was 2550m1 (the first method of calculation). The in-take of water in the form of pure water or as some other beverage and IV fluid was 1661m1 (the third method of calculation). The daily in-take of water including foods which have high water content was 2356m1 (the second method of calculation). 4) The urine output of the patient's group was 1728m1. This approximates the amount of fluid an adult takes in the form of pure water. 5) Investigation of the method of calculation of the patient fluid intake showed that among the 31 hospitals studied, only eight use the third method of calculation which reflects the most close value to urine output. From the results obtained in this study, it was indicated that the amount of fluid taken in the form of pure water reflects the most close value to urine output. Therefore, it can be suggested that the third method of calculation which includes water in-take only in the form of pure water or beverage should be used as patients' fluid intake record.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.12
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• pp.6257-6264
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• 2013

The aim of this study was to identify the influencing factors and the relationships between the learning ability and stress according to the character type in nursing college students. A total of 209 subjects were selected by convenient sampling. The data was collected using a self-reported questionnaire from November 2 to 20, 2012. The differences in the character type, learning ability and stress according to the general characteristics were as follows. The character type was significantly different according to grade (F=6.551, p<.036). In addition, the learning ability was significantly different according to the grade (F=7.059, p<.001), religion (F=4.651, p<.001), school record (F=7.667, p<.001), economic status (F=7.700, p<.000) and methods of reducing stress (F=2.531, p<.030). Stress was significantly different according to the grade (F=7.414, p<.001), school record (F=4.776, p<.009) and cohabitation (F=9.989, p<.000). A negative correlation was observed between the character type and learning ability, and between learning ability and stress. 8.4% of the variance was observed in character type A, which was explained by the learning ability and stress. These findings may be useful for understanding the learning ability of nursing college students and developing more specific programs regarding personality and stress control.

• Journal of Korean Academy of Nursing Administration
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• v.5 no.3
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• pp.513-524
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• 1999

The shortage of nursing personnel was become one of the most serious problems in operating pediatric oncology nursing unit which was the first pediatric oncology nursing unit in Korea. The purpose of this study was to estimate the optimal number of nursing personnel by calculating nursing care hours. The subjects were 13 staff nurses and inpatients of pediatric oncology nursing unit at Seoul National University Hospital during the period of May 20, 1996, to June 2, 1996. The number of nurses' duty was 132, the number of patients treated was 1288 for these 2 weeks. The tools used for this study were pediatric patient classification indexes and direct & indirect care indexes. Each nurse measured the time that they spent for their activities by self record under the supervision of their nurse manager. The method used to calculate the number of nursing personnel was multiplication of the average number of nursing care hours per patient per day with the number of patients. Percentage, average, t-test, F-test were used for data analysis. The results of this study were as follows : 1) The distribution of patient class : Class I & II none, Class III 86.8%. Class IV 12.9% 2) Direct nursing care hours for a patient per shift according to patient classification: Class III : 27.64 minutes, Class IV : 54.64 minutes The average direct nursing service hours for a patient per shift(3 shift) was 31.54 minutes(94.62 m/day). The average indirect nursing service hours for each patient per duty(3 shift) is 21.3 minutes (63. 91 m/day). 3) The average nursing hours for a patient per duty was 52.80 minutes(2.64h/day). 4) The group of administering medications in direct care activities showed the highest percentage (38.9%). Checking vital signs among observation took the most time am.ong each direct care activity (6.88 minutes for a patient per duty). 5) Charting took the most time of each indirect care activity(52.53 minutes/ duty/nurse). 6) The average personal time per duty is 29.40 minutes, which 'was below 30 minutes of this hospital regulations. 7) The average nursing hours that a nurse provided for a duty was 8.60 hours, which meant that a nurse worked 1.10 hours overtime. 8) Standardizing to a 33 bed to a unit, 17 nurses were needed at the present nursing level.