• Research in Community and Public Health Nursing
• /
• v.13 no.3
• /
• pp.523-531
• /
• 2002

Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of six sensitive nursing outcomes selected from the Nursing Outcomes Classification. The outcomes in this study were Self-Care: Activities of Daily Living, Self-Care: Instrumental Activities of Daily Living, Treatment Behavior: Illness or Injury, Knowledge: Health Promotion, Caregiver Performance: Direct Care, and Caregiver Physical Health. Method: Data were collected from 97 visiting nurses working in public health centers located in a province and a capital city. The Fehring method was used to estimate outcomes and indicators for content validity. Simultaneous multiple regression and stepwise regression were used to evaluate relationships between each outcome and its indicators. Results: Results confirmed the importance and nursing sensitivity of the outcomes and their indicators. Multiple regression revealed key indicators of each outcome. Self-Care: Instrumental Activity of Daily Living needed to be revised. Neither all of the indicators nor the indicators showing the highest importance and contribution ratio were selected as independent variables for the stepwise regression model. The R2 of the regression models ranged from 29 to 56% in importance by selected indicators and from 56 to 83% in contribution. Conclusion: Further research is needed for the revision of outcomes and their indicators.

• Korea Journal of Hospital Management
• /
• v.27 no.3
• /
• pp.15-25
• /
• 2022

Purposes: This study aimed to identify the relationships among personal and organizational communication skills, occupational stress, and patient safety activity levels of two nursing workforce groups (nurses and nursing assistants) who provide integrated nursing care services. Methodology: The study design is a cross-sectional study. Seventy-one nurses and forty-three nursing assistants working in the integrated nursing care service wards participated in this study. The data were collected using a self-reported questionnaire from June to July 2021. The relationships among the variables were analyzed using the Pearson correlation coefficient. Findings: Nurses' personal communication skills (r=.294, p=.013), organizational communication skills (r=.408, p<.001), and occupational stress (r=.243, p=.041) were associated with their patient safety activities. However, nursing assistants' personal communication skills, organizational communication, and occupational stress were not correlated with their patient safety activities. Practical Implication: Patient safety activities of nurses were related to their communication skills and occupational stress, but nurse assistants were not. Therefore, nurses should encourage nursing assistants to responsibly engage in patient safety activities and supervise their works appropriately to achieve high-quality care.

• Korean Journal of Adult Nursing
• /
• v.19 no.3
• /
• pp.483-494
• /
• 2007

Purpose: The objective of the study is to describe the experience of health care activities of the menopausal women through phenomenological methodology. Methods: Seven menopausal women participated in the study. Open in-depth interviews were used to collect data, and data were analyzed by the phenomenological methods suggested by Colaizzi. Results: The data were separated into 4 categories of uncomfortable life due to physical and emotional change, building consistency in daily life through regulating a routine rhythm, recovering normality, recovering stability, and 8 clusters of themes; securing regularity in daily life, securing availability in daily life, regulating through elimination and diminishment, regulating through supplementation, being patient and control self, expressing self, review the context and exchanging views, expending a world through one's faith. Conclusion: Participants accepted menopause not as a disease but as a natural course of life and realized that menopausal health problems could be naturally settled in general health care activities in daily life.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.16 no.2
• /
• pp.144-152
• /
• 2009

Purpose: The purpose of this study was to predict the risk factors for vascular complications among patients with type 2 diabetes. Method: The data were collected from August to September, 2007 using clinical examination and questionnaires. Patients (N=101) were recruited from the endocrinology department of P University hospital in D city. Descriptive statistics, Pearson correlation coefficients and multiple linear regression were used to analyze the data. Results: The cardiovascular risk of patients with diabetes was significantly related to self care behavior, family history, and smoking status. The risk of peripheral vascular complications was not related to predictors included in the study. With multivariate analyses, significant predictors of cardiovascular risk for these patients were self care behavior, family history, and smoking status ($R^2=.40$, p<.0001). Conclusion: The findings of this study indicate that smoking cessation and improving self-care behavior are essential to reduce the risk of cardiovascular complications among patients with diabetes. To enhance self-care practices for the patients with diabetes, nursing interventions, such as telephone counseling, problem focused nursing counseling, and peer group activities should be considered.

• Journal of Family Resource Management and Policy Review
• /
• v.12 no.2
• /
• pp.173-190
• /
• 2008

The purpose of this study is to develop and evaluate the effectiveness of the pre-parent education program and its application to adolescents in residential care. The following research question will be used in the evaluation of the program's effectiveness: a change in self-esteem of the adolescents in residential care and a change in defining an ideal family. With these research questions, a survey of the requirements for its contents and previous studies were researched, and adolescents in residential care participated in the program in 12 sessions of 4 stages. The research showed a meaningful change of p>.001 for self-esteem and the ideal family in pre, post-test to the experimental group and control group. That proved the effectiveness of the pre-parent education program. Observing the experimental group's change process, the researcher proved the following results. At the beginning of the program experimental group showed hopelessness and disliked participating in the program. At the end of this, they had active attitudes, confidence and challenge to the vision. This study contains theory and various practical family activities. This study made a contribution to help adolescents in residential care enhance self-esteem and define the future ideal family.

• Journal of Home Health Care Nursing
• /
• v.23 no.2
• /
• pp.243-252
• /
• 2016

Purpose: This study aims to classify multiple forms of home care services from a service user's perspective. By comparing the German system to the Korean one, this study seeks to find better ways of enhancing client-centered care. Methods: The data of 121 home care users were collected from six home care centers that had under the management of nursing managers for more than five years. The researcher used a German instrument to estimate the level of care. Results: High correlation was found between German and Korean assessment criteria (r=0.81, p<.001). However, compared to their German counterparts, Korean home care providers allocated more time towards provision of domestic help per daily visit. German home care providers allocated more time towards services relating to provision of support for physical activities, including personal hygiene. It was confirmed that the level of care in Korea does not correlate with either the categories of home care services and duration. Conclusion: Therefore, care services should be offered according to long-term care needs. This study suggests a need for systematic care aimed at strengthening the client's autonomy which should be properly planned, implemented, and managed.

• Korean Journal of Childcare and Education
• /
• v.12 no.2
• /
• pp.89-112
• /
• 2016

The present study examined effects of human rights education activities using bullying fairy tales on young children's human rights attitudes and self-esteem. The subjects of the study were a total of 40 five years old. children. Twenty of children were assigned to an experimental group and the other 20 children were assigned to a control group. The experimental group participated in human rights education activities using bullying fairy tales 21 times, 3 times a week for 7 weeks and the control group participated in Nurui curriculum activities during the same periods.. The study results indicated that the experimental group showed more improvement in their human rights attitudes and self-esteem than the control group. Therefore human rights education activities using the bullying fairy tales used in this study might be an effective educational mothod to enhence young children's human rights attitudes and self-esteem.

• Journal of East-West Nursing Research
• /
• v.20 no.2
• /
• pp.145-153
• /
• 2014

Purpose: The purposes of this study were to evaluate the degree of social support, self-esteem, and motivation for rehabilitation in stroke patients and examine correlations between activities of daily living and study variables. Furthermore, this study explored factors that influence on activities of daily living. Methods: The study population was 192 stroke patients admitted in two general hospitals and two rehabilitation hospitals in M city. We collected the data using the structured questionnaires from July 11 to September 30, 2013. Results: The higher degree of social support, self-esteem, motivation for rehabilitation, the higher performance level for activities of daily living. Influencing factors of activities of daily living in the participants were motivation for rehabilitation(${\beta}$=.32, p<.001) and social support(${\beta}$=.31, p<.001). The model explained 45.9% of the variance. Conclusion: This study shows that intrinsic motivation of change in stroke patients themselves, a strong will to return to society and social supports are important factors on activities of daily living. Therefore, it is needed to develop a systemic nursing intervention improving activities of daily living in stroke patients through positive social support from patients' family members and health care providers.

• Journal of muscle and joint health
• /
• v.27 no.2
• /
• pp.81-93
• /
• 2020

Purpose: We developed and tested the effects of a care program for dementia patients among community- dwelling older adult men. Methods: This study used a non-equivalent control group pre-and post-test design. To verify the effectiveness of the care program for dementia patients, 26 community dwelling older adult men participated in this study. We used multiple intervention strategies including improving understanding of dementia through education, activities for dementia prevention, and promoting psychological change. In particular, based on the current understanding of the care of the men older adults, we used strategies to promote motivation and reinforce strengths. Results: After completing the 6-week intervention program, when compared with the control group, older adult men in the care program intervention group showed significant differences in scores for the following: cognitive functions (p=.035), attitude toward dementia (p=.026), preventive behavior (p=.007), geriatric depression (p=.013), caring confidence (p=.018), and self-esteem (p=.013). Conclusion: These results indicate that the care program for dementia patients has positive effects on increasing their cognitive function, attitude toward dementia, preventive behavior, caring confidence, self-efficacy, and on decreasing depression rates in this population. Based on this, we can recommend this program to men caregivers for the improved care of dementia in community centers.

• Journal of Korean Academy of Nursing
• /
• v.26 no.3
• /
• pp.544-555
• /
• 1996

The Study of the Development of Efficacy Expectation Promoting Program and it's Effect for Cervical Spinal Cord Injury Patients. This study was conducted to develop on Efficacy Expectation Promoting Program (EEPP) based on the Self-Efficacy Theory of Bandura for Cervical Spinal Cord Injury Patient(CSCIP), and invesgated it's effects. The research process of this study was done in three phases. The first phase was an analysis of the patient's life experience. The second phase was to develop an Efficacy Expectation Promoting VTR Tape Program(EEPP) that reflected the life experience of the CSCIPS. EEPP was composed Performance Accomplishment and Vicarious Experience with a home visitation program based on Verbal Persuation, which are all induction modes of efficacy expectation of Bandura. The third phase was an experimental stage. The experimental design was an AB Single Experimental Design. Research subjects were three CSCIPs (cervical area 5-7). The data was collected from 24th June to 22th Oct, 1995. The result of the experimentation showed great increase self-efficacy score, subject self-care score, all competence of daily living score, and social activities. In conclusion, it was found that an EEPP is an effective home nursing intervention technique for rehabilitation of CSCIPs.