• Journal of Korean Academy of Nursing Administration
• /
• v.10 no.4
• /
• pp.473-484
• /
• 2004

Purpose: This study was performed to investigate the perception gap about the factor of nursing service quality and the hospital revisiting intend between consumers and providers. Method: The questionnaire was developed and distributed to 300 patients and 210 nurses at the three general hospitals in three provincial city, Korea. For data analysis, SPSS/PC program was used. Result: the 20 attributes of nursing service are perceived as satisfaction factors by consumers and the 14 attributes are by providers. No attributes is perceived as hygiene factor by consumers and providers. The gender of consumers' demographic characteristics has a significant difference and don't have affection for hospital revisiting intent, and the position and education level of providers' demographic characteristics have a significant difference and explain 4.5% of hospital revisiting intent. The 12 attributes of nursing service by consumers and 3 attributes by providers correlate to hospital revisiting intent, and the only 'nurse's sincerely attitude' attribute in consumers and the only 'credible nursing service' attribute in providers explain of hospital revisiting intent. Conclusion: there are definitely perception gap between consumers and providers. So nursing organization have to recognize and try to overcome these perception gaps.

• The Korean Nurse
• /
• v.33 no.2
• /
• pp.59-72
• /
• 1994

This study was conducted to identify an initial clinical experience of nursing students, so to better understanding to students' experience in clinical setting. The study subjects were 39 nursing students working in C department of nursing in C city. This study was approached by phenomenological method, collected data were analyzed by Colaizzi's method. The results were followed. From the protocol, 236 significant statements were organized into 56 formulated meanings. From formulated meanig, 27 themes were identified, organized into 13 theme clusters, and then into 6 categories. Theose nursing students experienced $\mathbb{\ulcorner}$tension$\mathbb{\lrcorner}$ in adjusting themselves to new clinical settings, $\mathbb{\ulcorner}$fear and anxiety$\mathbb{\lrcorner}$ in using unskillful nursing skills. They also went through $\mathbb{\ulcorner}$stress> by difficulties in applying their knowledge and skill to nursing practice, in lack of nursing knowledge and skill, in dealing with making interpersonal relationship with clinical staffs, in insufficiency of clinical instructions and in role ambiguity among nursing students. Physical $\mathbb{\ulcorner}$fatigue$\mathbb{\lrcorner}$ and $\mathbb{\ulcorner}$disappointment and doubt$\mathbb{\lrcorner}$ by the difference between reality and expectation caused by clinical experience. However, clinical experience enabled nursing students to enhance their understanding of human beings, learning, their satisfaction. to nursing practice, to identify the confirmation of nursing identity, so to gain $\mathbb{\ulcorner}$sense of accomplishment$\mathbb{\lrcorner}$. The results of this study are to use as basic data for students attending clinical experience for the first time.

• Women's Health Nursing
• /
• v.6 no.1
• /
• pp.46-53
• /
• 2000

The purpose of this study was to explore the structure of nursing needs during labor pain as perceived by women who have given birth. The phenomenological perspective of qualitative research theory guided the approach to the study. The sample consisted of 20 women who had undergone normal labor and had delivered a healthy baby at term. Collection of data was by means of in-depth interviews conducted 1-2 days after delivery in the admission room from March to may 1998. On average, the interviews lasted for about 30 minutes. Interviews were taken with the consent of the subjects. Data were analyzed by means of Giorgi's method and categorized according to the similarities of their contents. The investigator read the data repeatedly to identify themes and categories. Four categories were : 1) a sense of security 2) self esteem 3) willingness to learn 4) a sense of comfort. Under these categories there were twelve themes. I. A sense of security : (a) presence (b) conversation (c) touching II. Self esteem : (a) praise (b) encouragement (c) treating the women with respect (d) caregiver with good character III. Willingness to learn : (a) teaching (b) information IV. A sense of comfort : (a) self controlled pain relief (b) artificially controlled pain relief (c) skillfulness of caregiver The findings should sensitize nurses to the various needs of women in labor who are under their care. Further research should focus on developing instruments to assess the nursing needs of parturients. Researchers also need to identify ways to assess women's satisfaction with nursing needs.

• Child Health Nursing Research
• /
• v.25 no.4
• /
• pp.528-540
• /
• 2019

Purpose: This study was conducted to design services for improving the quality of care of hospitalized children with acute diseases. Methods: The service design process had four phases: discovery, definition, development, and delivery. The participants were 23 mothers of hospitalized children with an acute disease, and seven nurses and three doctors working at a pediatric hospital. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results: The participants reported needs for explanations about the treatment, skillful nursing, and environmental improvements. The concept of the services was familiarity and enjoyment, aimed at solving the problems of unfamiliarity and boredom. A six-guideline was presented for improving the quality of care of hospitalized children with acute diseases: improvement of awareness, development of educational materials, improvement of skills, environmental improvements, play activities, and evaluations of user satisfaction. Conclusion: These findings indicate that nursing services should deliver familiarity and enjoyment to hospitalized children and their families. The findings of this study emphasize that the service design methodology can be used to improve the quality of care of hospitalized children with acute diseases.

• Journal of Korean Clinical Nursing Research
• /
• v.17 no.2
• /
• pp.163-175
• /
• 2011

Purpose: This study was to analyze the characteristics and effect size of intervention studies applied to cancer-related fatigue in Korea. Methods: For meta-analysis, a total of 963 studies were retrieved from search engines. And 19 studies with a total of 721 participants published from 1990 to 2010 were selected upon their satisfaction with the inclusion criteria. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data was analyzed by the RevMan 5.0 program of Cochrane library. Results: Intervention studies included 4 studies on foot-reflexo-massage (21.1%), comprehensive program (21.1%), and exercise (21.1%), respectively, 3 for hand-reflexo-massage (15.8%), and 4 for others. The effect size of the intervention studies shown higher effect size in order of exercise (d=-1.80), and foot & hand-reflexo-massage (d=-0.55). Conclusion: This study suggest that exercise can reduce the intensity of cancer-related fatigue, even though the number of intervention studies and randomized controlled trials were very few. There is limited evidence that reflexo-massage is effective in reducing cancer-related fatigue.

• Journal of Korean Critical Care Nursing
• /
• v.12 no.2
• /
• pp.61-72
• /
• 2019

Purpose : The aim of this study was to explore the attributes, antecedents, and consequences of patient-centered care (PCC) for older adults with multimorbidity in acute care hospitals. Methods : The concept analysis performed by Walker and Avant was used to analyze PCC. Fifteen studies from the literature related to PCC appear in systematic literature reviews in the fields of theology, medicine, psychology, and nursing. Results : PCC in acute care hospitals was defined according to the five attributes of 'maintaining patient autonomy', 'empowering self-care', 'individualized and relationship-based care', 'shared decision-making', and 'creating a homelike environment'. Antecedents of PCC were found to be a respect for patients' preferences, qualifications of the nursing staff, care coordination and integration, and organizational support. Consequences of effective PCC were a functional status; health-related quality of life; satisfaction with care, mortality, and medical costs from the perspective of the patient and family; and quality of care and therapeutic relationships from nurses' viewpoints. Conclusion : PCC as defined by the results of this study will contribute to the foundation of institutionalization and the creation of a safe and healthy acute care hospital culture focused on patients' preferences and values.

• Journal of Home Health Care Nursing
• /
• v.29 no.1
• /
• pp.70-81
• /
• 2022

Purpose: This study was performed to explore the trend of nursing research in the Korean long-term care system. Methods: Articles published between 2008 and 2021 were searched using the terms "long-term care system" and "nursing." Ninety-one articles were analyzed and classified into five categories according to research methods. Data were extracted through a systematic review process and underwent descriptive statistics and content analyses. Results: The most analyzed variable in the survey studies was job satisfaction. Many variables were classified into input and output factors using Donabedian's model. The content analysis showed that most suggestions were about improving the political regulation system. Conclusion: It is necessary to establish a research foundation to provide research funding and support to cultivate future nursing research in long-term care. Systematic improvement of research in nursing should be continuously pursued to revitalize nursing services, expand nursing service interventions, and improve management competency programs in nursing institutions.

• Journal of East-West Nursing Research
• /
• v.15 no.1
• /
• pp.1-8
• /
• 2009

Purpose: This study was conducted to investigate the effects of auriculotherapy on sleep disorders in the elderly. Methods: The study was a quasi-experimental design with a non-equivalent control group pre-post post-test. The participants were 43 elderly, members of community senior centers, experimental group were 23 elderly, and control group were 20 elderly. For the experimental group, small seeds (semen vaccaria) were applied to five locations of both auricular skin surfaces: shen men, heart, anterior lobe, occiput, and spleen of posterior surface. The seeds were applied every week, and remained in surfaces for 5 days. The procedure were repeated 4 times. The control group was not treated. The collected data were statistically processed using SPSS 12.0 version and the data was analyzed for descriptive statistics and t-test. Results: The experimental group had a greater improvement in sleep scale score (t=-4.717, p<.001) and sleep satisfaction score (t=-6.095, p<.001) as compared to the control group. Conclusions: Auriculotherapy by small seeds (semen vaccaria) is effective in allaying sleep disorders in the elderly. The results may be useful to community health nurses.

• Journal of Korean Clinical Nursing Research
• /
• v.15 no.3
• /
• pp.49-59
• /
• 2009

Purpose: Examination was done of the effects on unplanned extubation, oral mucosa, and facial skin integrity in patients with oral intubation secured with a new method using Multifix Endo II. Methods: A prospective quasai-experimental design was used. Data were collected during a 3-week EICU admission period between Jun. 1 and Nov. 30. Two hundreds seventeen (conventional taping group: 105, Multifix Endo II group: 112) orally intubated adults were enrolled in the study at the EICU of the C University Hospital. Results: The incidence of unplanned extubation (${\chi}^2=11.580$, p=0.03) and scores for the facial skin integrity impairment of the Mutifix Endo II group (t=5.28, p=.000) were significantly lower than those of the conventional taping group even though the scores for oral mucosa impairment were not different. The nurse's evaluation of the clinical effectiveness of the two methods including convenience, comfort, safety, and satisfaction were also higher for the new securement method compared to the conventional taping group. Conclusion: The securement method using Mutifix Endo II was more effective than the conventional method in the prevention of unplanned extubation and maintenance facial skin integrity.

• Journal of Korean Clinical Nursing Research
• /
• v.15 no.2
• /
• pp.47-56
• /
• 2009

Purpose: The purpose of this study was to identify the impacts of professional socialization perceived by nursing students on role conflict and professional self-concept. Methods: Using a structured questionnaire, data were collected from 683 nursing students. For data analysis, descriptive statistics, Pearson correlation coefficient, stepwise multiple regression were conducted using SAS program. Results: The mean score of total professional socialization was 3.74 followed by the scores of 'independence', 3.98, 'commitment', 3.80, 'decision making', 3.60, and 'maturity', 3.53. The mean score of total role conflict was 3.72, and professional self-concept was 2.75. Total professional socialization, commitment, and independence perceived by nursing students were positively related to role conflict. Also total professional socialization and total subcategories of professional socialization were positively related to professional self-concept. As a result of stepwise multiple regression analysis, the key determinants of role conflict were found to be 'independence', 'motivation with admission', 'sex', 'desire with working', 'grade' and 'decision making'. The key determinants of professional self-concept were 'decision making', 'commitment', 'satisfaction about nursing', and 'interpersonal relationship'. Conclusion: Through this results, it is necessary to improve professional socialization in order to increase professional self-concept among nursing students.