• Title/Summary/Keyword: Nursing theories

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Investigation of Espoused Theories in Nursing Practice (간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구)

  • Suh, Moon Ja;Kim, Hae Sook;Lee, Eun Hee;Park, Young Sook;Cho, Kyung Sook;Kang, Hyun Sook;Im, Nan Young;Kim, Joo Hyun;Lee, So Woo;Cho, Bok Hee;Lee, Myung Hwa;Chi, Sung Ai;Hah, Yang Sook;Son, Young Hee;Kwon, Sung Bok;Kim, Hee Jin;Choo, Jin A
    • Korean Journal of Adult Nursing
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    • v.13 no.1
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    • pp.53-69
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    • 2001
  • As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.

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Evolving Nursing Theories in Gerontological Nursing (노인간호 분야에서 개발되고 있는 간호이론)

  • Song, Mi-Soon
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.1-15
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    • 2006
  • With accumulated nursing research results from older adults, refined middle range nursing theories are evolving in gerontological nursing area. Three middle range nursing theories and framework were reviewed and described. Life transition framework for older adults were developed through research related to relocation and other transitions taken place in later life. Self-efficacy exercise model was developed by extensive research related to rehabilitation of older adults based on self efficacy expectations and outcome expectations concept from social cognition theory. Need-Driven dementia-compromised Behavior (NDB) model was developed by a group of nursing scholars studying dysfunctional behaviors of demented older adults. All of these theories are approaching to practice theory by developing interventions and nursing therapeutics. There are more needs to develop theories for specific gerontological nursing phenomena such as delirium, end of life and self integrity.

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Trend Analysis of Research in the Korean Journal of Adult Nursing for 5 Years (2010~2014): Focused on Usage of Nursing Theories (성인간호학회지(2010~2014)에 게재된 논문의 연구동향 분석: 간호이론 활용을 중심으로)

  • Han, Nam Kyung;Kim, Sanghee;Kim, Myoung Shin;Kim, Jong Gun;Kim, Chang Hwan;Choi, Seung Hye
    • Korean Journal of Adult Nursing
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    • v.27 no.5
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    • pp.527-536
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    • 2015
  • Purpose: The purpose of this study was to analyze the trend of nursing theories by Korean Journal of Adult Nursing (KJAN) for the last five years and to provide future directions for improvement. Methods: The study analyzed data collected from 323 research papers published in KJAN between 2010~2014. Descriptive analysis was conducted with a focus on frequency and percentage for the quantitative analysis. Qualitative analysis was performed for the analysis of nursing theories. Results: As for research topics, the analysis results based on the meta-paradigm of nursing show that the most frequent factors of analysis were adult patients in the area of human beings, hospitals in the area of environment, depression, anxiety, and suicide in the area of health, and all the influential factors in the area of nursing. The analysis results of uses of nursing theories in the papers reveal that only 4(1.2%) out of total 323 papers used the nursing theories, which indicates that the linkage and utilization of nursing theories in the published papers for the last five years were poor. Conclusion: We needs to make efforts at the society level to activate nursing theory utilization in research which is beloved to connect nursing practice, education, and research.

Theoretical Models of Causative Factors in Depression : A Review of the Literature for Nursing (우울 발생요인에 관한 이론적 고찰)

  • 김수지;고성희
    • Journal of Korean Academy of Nursing
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    • v.19 no.2
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    • pp.173-190
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    • 1989
  • This literature review was undertaken to explore theoretical models of depression for their potential usefulness in nursing research and practice. Depression has bean accounted for by numerous theories or models of causation ; 11 theories selected from psychology, medicine and psychoanalysis and supported by empirical or experimental research were reviewed. These theories identify a variety of precipitating and predisposing factors that may affect the individual's depression. Aggression - turned - inward theory, object loss theory, ego functioning theory, personality organization theory, behavioral theory, learned helplessness theory, cognitive theory, genetic factors, and biological theories conceptualize predisposing factors. Only life stressors theory identifies precipitating facotrs. Each of these theories contributes to an understanding of depression, but many of them use overlapping and interrelated factors. It is also evident from recent. research that there are multiple causes for depression involving an interactive effect among predisposing and precipitating factors that are both biological and psychological in origin. That is, a single theory is not useful, but perhaps a unified theory could be developed that would be helpful to nursing. This review points to the need for continuing development and testing of theories that would integrate the multiple conceptualizations of depression.

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A Direction for Nursing Research (간호연구의 방황)

  • 김수지
    • Journal of Korean Academy of Nursing
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    • v.18 no.2
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    • pp.128-134
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    • 1988
  • This paper argues that nursing theories ideosyncratic to situations should be developed through research, if nursing practice is to be effective in achieving the objective of promoting, maintaining, or restoring health of clients / patients. After reviewing (1) the interactive relationship between the theory and research, (2) the type and sequence of research for theory- building, (3) the hierarchy of theories, and (4) congruence between the type of theory and research approach, it suggests (1) that more exploratory studies (research) should be undertaken as a way to develop descriptive theories that may lead to new hypotheses, (2) that more empirical studies should also be undertaken to test if new hypotheses generated from exploratory studies may be useful in the setting of nuring practice, (3) that more studies should be undertaken to develop useful measures of nursing concepts, and (4) that more replicated studies should be undertaken in order to give rise to the external validity of new theories. It also discusses the ethical considerations of nursing research in the future.

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Nurse Characteristics related to Level of Use of Essential Oriental Nursing Terms in Oriental Medicine Hospitals (한방병원 간호사들의 한방간호 필수용어 활용도와 관련된 특성)

  • Hwang, Jee-In;Kim, Won-Ock;Wang, Myoung-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.2
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    • pp.209-215
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    • 2011
  • Purpose: This study was done to examine the level of use of essential oriental nursing terms and related characteristics among nurses in oriental medicine (OM) hospitals. Method: A cross-sectional survey design with convenience sampling was employed. Questionnaires were used to collect data from 315 nurses in seven university-affiliated OM hospitals. The questionnaire included 174 oriental nursing terms about actions, tests, drugs, and theories. Multiple regression analysis was performed to determine factors associated with the level of use. Results: The response rate was 98.1% (n=309). Overall mean score for use of essential oriental nursing terms was 2.7(${\pm}\;0.7$) on a five-point Likert scale. Significant factors associated with the level of use were workplace and knowledge of oriental nursing theory terms. Nurses who worked in nursing care wards and those who had a higher level of knowledge of oriental nursing theories had a higher level of use. Conclusions: These findings indicate that level of use of essential oriental nursing terms were below average. Educational programs to enhance knowledge of oriental nursing theories need to be implemented for nurses in OM hospitals, considering their workplace, in order to facilitate nursing data sharing and communication among healthcare providers.

Behavior Change Theories in Diabetes Self-management: A Conceptual Review (당뇨 자기관리를 위한 행위변화 이론: 개념적 고찰)

  • Choi, Su-Young;Song, Mi-Soon
    • Perspectives in Nursing Science
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    • v.7 no.1
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    • pp.1-9
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    • 2010
  • Purpose: The purpose of this study was to review behavior change theories in terms of important variables, concept definitions, and applicability to diabetes self-management behavior. Methods: Six behavior change theories (the Transtheoretical Model, the Health Belief Model, the Theory of Reasoned Action, the Theory of Planned Behavior, Social cognitive theory, and Information-Motivation-Behavioral skills Model) were reviewed which were applied in diabetes self-management interventions. Results: The five key concepts from the five non-stage behavior change theories were delineated. Based on the key concepts, a theoretical framework was formulated as the explanatory model of diabetes self-management behaviors. The four major concepts in Information-Motivation- Behavioral skills Model were included. The cognitive arm of the proposed theoretical framework included constructs related to diabetes knowledge, motivation (beliefs, attitude, social norm), self-efficacy, and intention. Conclusion: The theoretical framework described here includes the key factors of successful diabetes self- management intervention. However, the concept of motivation needs further exploration and clarification for operationalization.

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Exploring Theory Synthesis through an Analysis of Situation-specific Theories in Korea (상황특이적 이론 합성을 통한 한국적 간호이론 개념 개발)

  • Suh, Eun-Young
    • Perspectives in Nursing Science
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    • v.8 no.1
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    • pp.10-19
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    • 2011
  • Purpose: This article was proposed to describe and summarize the following 1) the structural hierarchy of nursing knowledge and 2) the four different methods of concept analysis and concept development, which are used most frequently in nursing literature, and 3) to demonstrate a qualitative data synthesis of situation-specific theories in Korea in order to provide an venue for developing Korean-contextualized nursing theory. Methods: A literature review and a meta-synthesis were used. An interpretive integration method for the meta-synthesis was used to incorporate incorporating the results of ten qualitative studies in Korea. Results: The normative and extended concept of the self was one of the three foremost concepts. The experiences of being detached from a group and of being unlike others were perceived with distress to Korean participants. Lastly, as a coping method, complying with a higher flow or power was used. Conclusion: Based on the three concepts elicited in this article, a substantive theory which withholds Korean nursing concepts and essences is hoped to be developed in future.

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The Application of Organization Theories to Nursing Research: A Critical Review and Implications (간호 연구와 조직 이론의 통합적 접근: 동향과 함의)

  • You, Myoung-Soon
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.346-354
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    • 2009
  • This article explores the potentials of the application of organization theories to nursing research on health care organizations in Korea. The critical review of the literature reveals that the important topics on organizations in health services research have been also dealt with by nursing researchers. Notwithstanding this theoretical closeness between the two fields, some issues remain: the paucity of attention to 'level issue', which requires to increase the attempts at 'meso-' or 'macro-' analysis on nurses' behavior in organizations; the need for theoretical frameworks specifying organizational factors relating to nursing processes; the necessity of interdisciplinary approaches to bridge the recent developments of organizational study and nursing research. This article finishes with a few of research agendas for future research to fill these gaps.

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Using Text Network Analysis for Analyzing Academic Papers in Nursing (간호학 학술논문의 주제 분석을 위한 텍스트네크워크분석방법 활용)

  • Park, Chan Sook
    • Perspectives in Nursing Science
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    • v.16 no.1
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    • pp.12-24
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    • 2019
  • Purpose: This study examined the suitability of using text network analysis (TNA) methodology for topic analysis of academic papers related to nursing. Methods: TNA background theories, software programs, and research processes have been described in this paper. Additionally, the research methodology that applied TNA to the topic analysis of the academic nursing papers was analyzed. Results: As background theories for the study, we explained information theory, word co-occurrence analysis, graph theory, network theory, and social network analysis. The TNA procedure was described as follows: 1) collection of academic articles, 2) text extraction, 3) preprocessing, 4) generation of word co-occurrence matrices, 5) social network analysis, and 6) interpretation and discussion. Conclusion: TNA using author-keywords has several advantages. It can utilize recognized terms such as MeSH headings or terms chosen by professionals, and it saves time and effort. Additionally, the study emphasizes the necessity of developing a sophisticated research design that explores nursing research trends in a multidimensional method by applying TNA methodology.