• Title/Summary/Keyword: Nursing theory development

Search Result 275, Processing Time 0.029 seconds

Development and Effects of a Children's Sex Education Program for the Parents of Lower Elementary Grade Students (초등학교 저학년 부모를 위한 자녀성교육프로그램의 개발 및 효과)

  • Lee, Eun Mi;Kim, Hyunlye
    • Journal of Korean Academy of Nursing
    • /
    • v.47 no.2
    • /
    • pp.222-232
    • /
    • 2017
  • Purpose: This study was done to develop a children's sex education program for the parents of lower elementary grade students and to evaluate its effects on sexual knowledge, gender role attitude, parent efficacy for child's sex education, and marital consistency. Methods: A quasi-experimental with a non-equivalent control group pretest-posttest design was used. The participants were 29 couples (58 parents, experimental group=28, control group=30) from G city. The 5-week (5-session) program was developed based on 'A theory of protection: parents as sex educators' and used the case-based small group learning method. Data were collected during July and August 2015. The characteristics of the program developed in the present study were a theoretical-based, client-centered, multi-method. Results: After the intervention, the experimental group showed a significant improvement in sexual knowledge, gender role attitudes, parent efficacy for child's sex education, and marital consistency, compared to the control group. The effect sizes of the program were .64 (knowledge), .65 (gender role attitudes), and .68 (parent efficacy). Conclusion: The results of this study provided implications for the parents as effective sex educator and the role expansion of school health nurses.

Social Support Mediated by Cognitive and Behavioral Determinants as Predictors of Body Mass Index among Korean Adolescents: A Structural Equation Model

  • Kim, Dong-Hee;Kim, Young-Ae;Kang, In-Soon
    • Child Health Nursing Research
    • /
    • v.13 no.1
    • /
    • pp.13-20
    • /
    • 2007
  • Purpose: This investigation examined a model to predict body mass index in order to prevent later development of obesity among adolescents. The hypothesized model was developed based on the principle of Social Cognitive Theory that social influences predict perceptions of cognition as well as behavior. Method: The 5,770 adolescents, aged 14-18 who participated in this study came from 11 separate school districts in Busan and Kyungnam province of South Korea. The adolescent surveys were administered in a group setting at the participating school. Of the 5770 surveys, adolescents with more than 10 percent missing data in the entire survey were excluded. The final sample contained 4,527 cases. The adolescents were included 2,250 (49.7%) males and 2,277 (50.3%) females. Data was analyzed Pearson correlation coefficients using SPSS 12 program and structural equation model (SEM) using Maximum Likelihood estimation was employed using Amos 5.0. Results: Social support directly affects cognitive determinants. Cognitive determinants directly affect behavior determinants which directly affect BMI. Cognitive and behavioral factors mediated the relationship between social support and BMI (GFI= 0.984, CFI= 0.974, RMSEA=0.031). Conclusion: Social levels should be supportive to help adolescents have healthier behaviors. This support can be accomplished by providing frequent support to establish positive cognitive factors as the foundation of the solution to prevent overweight and obesity.

  • PDF

Development of a Questionnaire to Measure Resilience in Children with Chronic Diseases (만성질환아의 극복력(Resilience) 측정도구 개발)

  • Kim, Dong-Hee;Yoo, Il-Young
    • Journal of Korean Academy of Nursing
    • /
    • v.40 no.2
    • /
    • pp.236-246
    • /
    • 2010
  • Purpose: The purpose of this study was to develop and evaluate a Korean questionnaire to measure resilience in children with chronic illness. Methods: Item construction was drawn from an extensive review of the literature, existing questionnaires and interviews with parents. Content validity was tested by experts. To further refine the questionnaire and test its reliability and validity, data were collected from the 202 children with asthma, diabetes mellitus or nephrotic syndrome. Corrected items were used to total correlation coefficient and test-retest reliability. Questionnaire testing was conducted using factor analysis, Cronbach's $\alpha$, and correlation coefficients. Validity of the questionnaire was tested using internal consistency, construct validity, and criterion-related validity. Results: Components of the questionnaire were in three domains; interpersonal characteristics, characteristics of coping, and intrapersonal characteristics. Factor analysis is showed five factors; positive self-understanding, self-reliance, resourcefulness, perception of positive family relationships, and intimacy. The questionnaire showed a high internal consistency. A significant positive correlation with the Numerical Rating Score and negative correlation with the Child Depression Inventory support the validity of the questionnaire. Conclusion: This instrument demonstrated high reliability and validity. Therefore, this instrument can contribute to the evaluation of resilience of chronically ill children and to any subsequent intervention as well as to develop a theory for resilience.

Development and Evaluation of a Safety Education Program for Injury Prevention in Elementary School Students (학령기 아동의 사고예방을 위한 안전교육 프로그램 개발 및 평가)

  • Kim, Shin-Jeong
    • Child Health Nursing Research
    • /
    • v.16 no.1
    • /
    • pp.20-29
    • /
    • 2010
  • Purpose: The purpose of this study was to develop and evaluate the effects of a safety education injury prevention program in elementary school students. Methods: To develop the safety education program, Dick & Carey's teaching model and Keller's ARCS theory were applied. A safety education programs was developed for lower grade students (1st-3rd) and for higher grade students (4th-6th). To evaluate the effect of the safety education program, a pre-post test questionnaire was used with experimental and control groups. The participants were 238 (119 in the experimental group, 119 in the control group) lower (3th) grade and 296 (148 in the experimental group, 148 in the control group) higher (5th) grade elementary school students. For students in each experimental group, safety education was provided for 40 min once a week for 10 weeks. Results: There were significant differences in the level of injury prevention knowledge, attitude, and practice between the experimental group and control group in both the lower and higher grade elementary students. Conclusion: The findings of this study indicate that safety education is an effective nursing intervention to improve injury prevention knowledge, attitude, and practice in elementary school students.

Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia (치매대상자를 돌보는 간호사의 의사소통행위 측정도구 개발 및 평가)

  • Lee, Jihye;Gang, Moonhee
    • Journal of Korean Academy of Nursing
    • /
    • v.49 no.1
    • /
    • pp.1-13
    • /
    • 2019
  • Purpose: The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D). Methods: Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency. Results: The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p<.001). Cronbach's alpha for the total scale was .88. Conclusion: The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

An Evolutionary Concept Analysis of Pediatric Hospice and Palliative Care

  • Jung Hwa Lee;Soon Young Lee;Kyung Mi Cha
    • Journal of Hospice and Palliative Care
    • /
    • v.27 no.2
    • /
    • pp.51-63
    • /
    • 2024
  • Purpose: This study aimed to clarify the concept of pediatric hospice and palliative care through conceptual analysis. It also sought to identify the differences between related concepts such as pediatric death care and pediatric spiritual care, in order to provide foundational data for the development of nursing theory and knowledge. Methods: A conceptual analysis of pediatric hospice and palliative care was conducted using Rodgers' evolutionary method. Out of 5,013 papers identified, 28 were selected for detailed reading and analysis. Results: Pediatric hospice and palliative care encompasses physical, psychological, social, mental, spiritual, and family care for children with acute and chronic diseases with uncertain prognoses ahead of death, as well as their families. Effective pediatric hospice and palliative care will require multidisciplinary team nursing, effective communication, and supportive policies. Conclusion: The findings of this study suggest that providing pediatric hospice and palliative care will lead to improvements in pain relief for children and families, the efficiency of responses to death in children, and the quality of life for children and families. The significance of this study is that it clearly clarifies the concept by analyzing pediatric hospice and palliative care using an evolutionary method.

Analysis of Nursing Area Concept Analysis Research Trends over the Last 10 Years (2009-2018): Using Integrated Literature Review (통합적 문헌고찰에 의한 최근 10년(2009∼2018)동안의 국내 간호분야 개념분석 연구 동향 분석)

  • Ahn, Ju-hyun;Jang, Ok-ju;Hyun, Hye-jin;Kim, Joo Hyun;Kim, Young-eun;Lee, Yong-mi;Kim, Myoung-suk
    • Journal of the Korean Applied Science and Technology
    • /
    • v.37 no.4
    • /
    • pp.944-957
    • /
    • 2020
  • This study is an integrated literature review of concept analysis research published in the Journal of the Korean Nursing Society and the journal of branch science for the last 10 years from 2009 to 2018. A total of 30 papers were analyzed, including the metaparadigm of nursing, the type of concept, the method of concept analysis, the degree of utilization, etc. As a result, the metaparadgim of nursing was the most common human being, with 23 human beings, 5 nursing, 1 health, and 1 environment, and all kinds of concepts were identified as abstract concepts. As for concept analysis methods, Walker & Avent had the most number of workers and events with 13 workers, 10 hybrids, and 7 evolutionary methods, but all of them were hybrid methods after 2018. The progress toward tool development has not been confirmed. The diversity of nursing paradigm based on research results and the development of tools based on it are also necessary.

A Review Study on the Strategies for Concept Analysis (개념분석 전략에 관한 문헌고찰 연구)

  • Yi Myung-Sun;Lee So-Woo;Kim Kum-Ja;Kim Myo-Gyeong;Kim Ji-Hyun;Lee Kyung-Hee;Lee In-Ok;Lee Jung-Sook;Hong Jeong-Hee
    • Journal of Korean Academy of Nursing
    • /
    • v.36 no.3
    • /
    • pp.493-502
    • /
    • 2006
  • Purpose: Concept analysis is an essential part of theory development in nursing. Thus, many strategies or methods of concept analysis have been suggested in nursing literature. However, in Korea, only limited strategies were utilized, without much consideration on a wide range of strategies in choosing a method that coincides with the characteristics of each concept to analyze The purpose of this article was to propose various strategies for concept analysis. Method: A literature review method was used. Result: Ten methods of concept analysis were identified in the literature, and they were evaluated for advantages and limitations, In addition to the method by Walker and Avant and a hybrid model, more advanced strategies, such as triangulation method, critical analysis and the feminist approach were introduced and described in detail. The examples used in each concept analysis method were presented in table to provide the extent of utilization of each method. Conclusion: This article provides a wide range of strategies in identifying, clarifying, or elaborating a concept. It might help in choosing a method that best fits the concept to analyze, thus enhancing quality of concept analysis research.

The Effects of Group Imago Psychotherapy on Comfort and Depression of Patients with Hemodialysis (집단심상치료가 혈액투석환자의 안위와 우울에 미치는 효과)

  • 최귀윤
    • Journal of Korean Academy of Nursing
    • /
    • v.30 no.3
    • /
    • pp.791-798
    • /
    • 2000
  • The hemodialysis patients with chronic renal disease have experienced negative emotions, especially depression among with physical, social, and psychological changes. Based upon a stress-coping theory, group imago psychotherapy which can induce effective coping through self awareness and positive emotional responses is implemented to the hemodialysis patients. The effects of the imago psychotherapy in regards to comfort and depression are studied here. Group imago psychotherapy was performed on forty-three subjects(twenty subjects in the experimental group and twenty-three subjects in the control group). The results of the study were as follows. After being given group imago psychotherapy, the comfort scores of the experimental group were significantly higher than those of the control group (F=15.33, p= .003). Moreover, after being given treatment, the depression scores of the experimental group were significantly lower than those of the control group (F=9.14. p=.0044). Specifically, the scores on comfort in the experimental group under emotion-focused coping style were significantly higher than those of the control group (F=18.59, p= .0002). The mean difference on comfort scores in the experimental group under problem - focused coping style was higher than that of the control group. But their scores were not significant (F=0.19, p= .6729). The scores on depression in the experimental group under emotion-focused coping style were significantly lower than those of the control group (F=14.62, p= .0006). The mean difference on depression scores in the experimental group under problem - focused coping style was much lower than that of the control group. But their scores were not significant (F=0.31, p=.5947). There was a significant positive correlation between comfort and depression variables. After group imago psychotherapy the hemodialysis patients recognized positive changes in emotional reponses, self awareness, self control, ease of mind, and felt overall more relaxed. Imago psychotherapy is a nursing intervention which as this study has shown can improve to comfort. The results of this study can be applied to general nursing practices. In the view of holistic nursing, the development of the nursing practice combined with imago psychotherapy will contribute to the enlargement of the nursing field with conventional nursing practices.

  • PDF

Development of a Family Pattern Appraisal to Guide a Rogerian Nursing Practice (Rogers 이론에 근거한 가족양상 사정지침개발)

  • 이광옥;한영란;김희정
    • Journal of Korean Academy of Nursing
    • /
    • v.25 no.4
    • /
    • pp.751-773
    • /
    • 1995
  • We, clinical nurse specialists practising and guiding student practice in a Community health nursing clinic, wanted to develop a family pattern appraisal consistent with Rogers' conceptual system, the nursing model guiding our practice. We use Rogers' model because it is harmonious with the traditional Korean view of the one human, natural and cosmic world. The purpose of our research was to contribute to science - based nursing practice, not only, one helpful model, but also a model of how to use, in guiding practice, a conceptual system which reflects nurse practitioners' philosophy of nursing, is intellectually satisfying, and enriches meaning in daily nursing life. The research objectives were to review the literature on Rogers' model and analyse it according to Kim's five - level analytical framework, to explore Rogers' definition of family, to review appraisals based on Rogers' model, and to develop a family appraisal which is culturally appropriate for use in our community. This work including the use of the appraisal and its refinement with families in our practice which was done during 1994 and 1995, in Seoul, in the Capital of the Republic of Korea. At the highest level of analysis, Rogers conceptual system emphasizes acausality and multidimentional meaning ; the world view is characterized by process, movement and wholeness. The epistemology Is one of holism and the knowledge base includes all forms of experience, from sensory to mystical, objective, and subjective. At the metaparadigm level, nursing focuses on the unitary human being and the environment. At the level of nursing philosophy, the model identifies human being, nursing, nurse, and illness and health. At the paradigm level the model assumes the irriducibility of the human to parts, noncausality and continual change. Rogers' practice methodology consists of pattern manifestation appraisal and deliberative mutual patterning. Under-standing patterns and patterning of people is the key to helping them achieve their potential. At the theory level, the basic assumptions, key concepts, and homeodynamic principles were identified. Rogers states the family energy field is an undividable, four-dimensional negentropic energy field which is in a larger envircinmental field show-ing such characteristics as cannot be predicted by knowledge of individual family members. Based on the word of Rogers scholars, we chose Rogers' correlates of patterning to understand the family unit as a whole-frequency, rhythms, motion, time perception, sleeping-waking beyond waking, pragmatic -imaginative-visionary to develop the appraisal. We, also used some of Barrel's (1988) criteria including interpersonal network and professional health care access and use, and Cordon's (1982) criteria including self perception - self concept modified to fit the family. Our family Pattern appraisal included 1. Influencirg data, 2. Professional health care access and use, 3. Family self perception-self concept, 4. Family interpersonal network, 5. Sleep-wake-be-yond waking, 6. Pragmatic-imaginary-visionary, 7. Family frequency and rhythm, 8. Family motion, 9. Family time perception. The appraisal was used with four families and modified to eliminate overlap and to make it possible for the family member to express themselves more easily. We plan to gain more experience with the appraisal toward further development of the tool.

  • PDF