• Journal of Korean Academy of Nursing
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• v.39 no.3
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• pp.366-375
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• 2009

Purpose: To evaluate the effects of case management using Resident Assessment Instrument-Home Care(RAI-HC) in home health service for older people. Methods: All elders were assessed at baseline and 3 months later using RAI-HC. The change of function in the intervention group was compared with that of a conventional intervention group. Function was measured with Activities of Daily Living(ADL), Instrumental Activities of Daily Living(IADL), Cognitive Performance Scale(CPS), Depression Rating Scale(DRS), Pain and the number of Clinical Assessment Protocols(CAP). Results: Among ninety two elders participated in the program, 59 were allocated to the case management group and 33 to the conventional group. The intervention, home health service by a nurse over a 3 month period, consisted of comprehensive assessment, case conference for care plan, direct care, education and referral, and outcome evaluation. The percent of elders whose function improved in the intervention group was greater than the conventional group for depression(odds ratio [OR]: 10.941, confidence interval [CI]: 2.338-51.206), IADL(OR: 4.423, CI: 1.151-16.999) and the number of CAP(OR: 11.443, CI: 3.805-34.410). Conclusion: Case management was effective for older people in the community. The effect might have resulted from individual, systematic intervention, however, standards of service including eligibility criteria for case management and collaboration of multi-disciplines is required for more effective home health service programs.

• Journal of Korean Public Health Nursing
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• v.28 no.3
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• pp.565-573
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• 2014

Purpose: Health Insurance Review & Assessment Service (HIRA) launched an Acute Myocardial Infarction(AMI) assessment for the Payment For Performance(Quality Incentives) Pilot Project from July 2007. Assessment measures of AMI were composed of five process measures and one outcome measure, and each measure was incorporated into one composite quality score to Pay for Performance. Method: For calculation of composite quality score, we considered weighting for the measures using the Delphi method. The questionnaire was composed of three measure groups, 'Reperfusion rate'(Fibrolytic therapy received within 60 minutes of hospital arrival, Primary Percutaneous Coronary Intervention within 120 minutes of hospital arrival), 'Medication prescription rate'(Aspirin at arrival, Aspirin prescribed at discharge, Beta-blocker prescribed at discharge) and 'Survival Index'(30-day mortality rate). Result: A panel composed of 18 and completed a questionnaire by allocation of 10 scores to the three above mentioned measure groups. The Delphi was carried out until three rounds of surveys. In conclusion, each measure group was weighted differently and the 10 scores were allocated as 4.5 to 'Reperfusion rate', 2.5 to 'Medication prescription rate', and 3.0 to 'Survival Index'. Conclusion: The results of this study proposed the calculation method for weighting of Acute Myocardial Infarction quality indicators.

• Research in Community and Public Health Nursing
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• v.31 no.3
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• pp.322-336
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• 2020

Purpose: This study aimed to investigate the current state and trends of health literacy research considering migrants living in South Korea. Methods: A review of the literature was conducted using electronic data base and citation tracking. A total of 82 articles were identified, of which 16 articles that met the inclusion criteria were selected for review. Two authors reviewed the articles independently using a matrix table and then examined four aspects of the studies jointly: research method, immigrant characteristics, health literacy assessment, and main findings. Results: Most of the articles (n=13) were descriptive studies and three were methodology studies for instrument development. Of the 13 studies, eight involved female immigrants, four of health literacy involved migrant workers, and four concerned North Korean Refugees. A total of eight types of health literacy assessment tools were used. Sufficient samples and sampling methods were lacking at the population level. Conclusion: The results of the review generally showed that the health literacy of immigrants was lower than that of native South Koreans, and that there was a difference between nationality and gender among immigrants; however, further research is needed to review a larger sample with a validated instrument.

• Korean Journal of Adult Nursing
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• v.28 no.1
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• pp.95-105
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• 2016

Purpose: This study was conducted to test whether Health Communication Assessment Tool (HCAT) developed by Campbell et al. in 2013 can be applied to assess Korean nursing students' communication skills in simulation education. Methods: The content validity of the Korean version of HCAT (K-HCAT) was evaluated through expert's assessment and a principal component analysis was conducted for testing construct validity. The convergent validity was tested by measuring relationship between the K-HCAT and those of existing communication assessment tool for standardized patient instruction. The evaluation was done by surveying 154 senior students from four different nursing colleges. Results: The K-HCAT was condensed into 15 items from the original 22 HCAT items. Four factors were extracted from the principal component analysis; factor loadings ranged from .50 to .83; cumulative explained variance was 62.65%. Four factors were entitled as 'relationship building', 'empowering', 'empathy/response', and 'education/feedback'. Cronbach's ${\alpha}$ for sub-dimensions ranged from .73 to .84. An evaluation of convergent validity showed that the scores of the K-HCAT were moderately correlated with those of an assessment tool for standardized patient instruction. Conclusion: The K-HCAT can be used as an effective tool for assessing nursing students' communication skills in various kinds of simulation educations Further research is needed to test the consistency of the K-HCAT.

• Women's Health Nursing
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• v.14 no.2
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• pp.83-92
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• 2008

Purpose: This study aimed to analyze the trends in nursing research on sexuality in Korea and to provide guidance to the future research in sexual health. Method: Total 163 published articles in Korea from 2000 to 2007 year were reviewed using a structured analysis form which consists of the domains of nursing journal, research designs, research purpose, research subjects, and the key words. Result: Of those articles, 25.8% was published in J. of Korean Academy of Women Health Nursing and 13.5% in J. of Korean Academy of Community Health Nursing. In terms of the research design, quantitative research methods were commonly used in 88.4% of them which only 6.1% used qualitative methods. The nursing process on purpose were classified assessment(86.3%), nursing intervention(11.3%), and nursing evaluation(2.5%); Most of subjects were early adults(35.3%), adolescents(27.9%), and adults(25.6%); The most frequently reported key words were classified into socio-psychological domain(33.5%), cognitive domain(25.6%), clinical domain(12.6%). Conclusion: Research on sexuality in nursing have been continued. The major key words were founded in socio-psychological and cognitive domains. It is recommended that more various subjects, research methodology, and various key words be investigated.

• Research in Community and Public Health Nursing
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• v.19 no.4
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• pp.575-586
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• 2008

Purpose: The purpose of this study is to identify factors affecting the constipation of the elderly at nursing homes. Method: A total of 184 elders at 7 nursing homes in P City participated. Information about constipation status (Constipation Assessment Scale). functional status (Katz' Activities of Daily Living). nutritional status (Mini-Nutritional Assessment). and depressive symptoms (Geriatric Depression Scale Short Form Korea version) were collected through interviews. Descriptive statistics. Chi-square test. and t-test were used to describe and compare the non constipation group and the constipation group. Multiple logistic regression analysis was used to determine factors affecting constipation status. Results: The prevalence of constipation was 47.5% (Men 37%. women 51%). Elders suffering from a disease (P=.021) and having low sleep satisfaction (P= .000) were more likely to be constipated than those who did not. The factors affecting the constipation of the elderly at nursing homes were gender (OR=3.558), sleep satisfaction (OR=.580), and depressive symptoms (OR=1.132). Conclusion: According to the result, to reduce the constipation rate of old women at nursing homes, we have to develop guidelines that can solve problems related to constipation cause by sleep-satisfaction and depressive symptoms.

• The Journal of Korean Academic Society of Nursing Education
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• v.5 no.1
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• pp.106-117
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• 1999

A study was conducted to identify the perceptions about health education competence and satisfaction of nursing profession, and the relationship between health education competency and satisfaction of nursing profession in nursing students. The subjects were 118 nursing students who were third year at a diploma course. The results of this study are as follows : 1) In domain of health education process, the highest level of competency was the need assessment of the individual health education(mean : 3.62) and the lowest level of competency was the evaluation of heath education program(mean : 2.93. 2) In domain of health education method, the level of competency was estimated ordered as counselling and interview (mean : 3.53), health campaign(mean : 3.42), demonstration(mean : 3.30), role play (mean : 3.28), group discussion (mean : 3.25), lecture(mean : 3.10). 3) In domain of health education place, the level of competency was estimated ordered as of patient education while giving individually care(mean : 3.68), at home(mean : 3.67), in the classrom(mean : 3.67), in the community(mean : 3.35), while teaching with group patients at hosital(mean : 3.30). 4) In domain of activities of health educator, the level of competency was ordered as collaborator(mean : 3.59), coordinator(mean : 3.31), material developer(mean 3.14), program evaluator(mean : 3.13), program designer(mean 3.10). 5) Health education competency was found to be significantly related to satisfaction of professional nursing.

• Journal of Home Health Care Nursing
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• v.30 no.3
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• pp.287-297
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• 2023

Purpose: This study aimed to investigate the impact of the 3S-Smart, Simple & Speed Business Intelligence Systems(3S-BIS) program on various aspects including simulation design assessment, simulation education assessment, satisfaction among education participants, academic self-efficacy, entrepreneurship, and entrepreneurial competency for nurses. Method: This research was a non-equivalent control trial design study using two groups. 23 participants in experimental group, and 22 in the control group. Data were collected three intervals: before program, immediately after the program, four weeks later. Results: The experimental group showed significantly higher values across parameters, including simulation design assessment, simulation education assessment, satisfaction among education participants, academic self-efficacy, entrepreneurship, and entrepreneurial competency. Conclusion: The 3S-BIS program has shown a positive impact on improving nursing start-up competency. Applying 3S-BIS can be effectively used across all ranges of nurses and is recommended.

• Women's Health Nursing
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• v.29 no.3
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• pp.219-228
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• 2023

Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: A pre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and repeated-measures analysis of variance. Results: The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion: The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated.

• Child Health Nursing Research
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• v.8 no.1
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• pp.44-54
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• 2002

The main purpose of this methodological study was to develop an assessment tool and intervention protocol for child and family with childhood cancer at early diagnosis stage. The assessment tool and intervention protocol was developed by extensive literature review and consultation with experts. Review of nine domestic and sixty-six international journal articles were done to identify stress, interventions, coping strategies and adjustment of children with cancer and their family. Results were as follows; First, assessment at the early diagnosis stage need to include information on patient, family, and patient/family attitude toward diagnosis and treatment. Second, intervention protocol for children with cancer includes control physical symptoms, manage the side effects of chemotherapy and diagnostic or therapeutic procedures, control emotional responses, provide support and information, assist decision-making and adjust to environment. Third, intervention protocol for family includes controlling emotional responses, provision of informations, inducing family support to patient, improving family cohesion, supporting siblings and supporting spiritual growth. In conclusion, the early diagnosis stage in cancer treatment is important for child and family since this stage greatly affects the overall adjustment of child and family to live with cancer. Therefore, pediatric nurses need to be sensitive to the need of patient/family and systematically manage their needs at this stage.