• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.2
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• pp.234-243
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• 2003

Purpose: The purpose of this study was to analyze the factors influencing nursing needs of mothers caring for children suffering from acute diseases and being treated in hospital. Method: The data were collected, using a nursing needs, social support, burden, and stress questionnaire. Data collection was done from July 10, to October 20, 2001 in the pediatric department of a general hospital. The data were analyzed by using descriptive statistics. Result: The results of this study are as follows. There were statistically significant differences in nursing needs according to differences in age, education level, marital status, religion, family income and relationship with spouse. The relationship between the nursing needs of the mother and anxiety (r=.758, p <.01), social support (r=-.659, p<.01), stress (r=.324, p <.01) were the most significant variables. The stepwise multiple regression analysis showed that anxiety, social support and stress define nursing needs at 57.5%, 4.3% and 1.1% respectively. Conclusion: Consideration needs to be given to anxiety, social support and stress when developing nursing intervention programs for mothers whose children are hospitalized with acute diseases.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.2
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• pp.138-144
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• 2003

Purpose: The purpose of this study was to identify the change processes for exercise behaviors in each stage. Method: Participants for this study were randomly selected from adults between the ages of 20-44. Data were collected using questionnaires over a 2 week period at the end of May, 2003. The instrument, Stages of exercise behavior change developed by Marcus et al. (1992b), and the instrument, Changing phases of exercise behaviors developed by Nigg et al. (1999) and translated by Kwon (2002) were used to investigate the behaviors. Result: 1. Related to stage of exercise behavior change of participants, it was found that 55.2% of participants exercised regularly. 2. Among the change processes according to stage of change showed that dramatic relief was the most frequently used process for all stages. Environmental reevaluation and social liberation were used most in the contemplation stage, while environmental reevaluation and stimulus control were used most in the preparation stage. In addition, scores for stimulus control and environmental reevaluation were high in the action stage. In the maintenance stage, social liberation and counter-conditioning were used most frequently. 3. The process of exercise behavior change which differentiates the stages of exercise behavior change were shown to be counter-conditioning, which was an influential factor that differentiates the contemplation stage and maintenance stage. Conclusion: The results suggest that change process management should be the focus to enhance the stage of change for exercise in this group.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.2
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• pp.154-162
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• 2003

Purpose: The purpose of this study was to investigate factors which can delay hospital arrival for patients with acute stroke. Method: The participants for this study were 102 patients who were admitted to the Department of Neurology in a hospital in Chungnam province. Data were collected from Oct, 2002 to June, 2003. The data were analyzed with frequencies, percentages, and $x^2$ test using the SPSS PC program. Result: The results of this study were as follows: 1. Only 33.8 % of participants arrived at the hospital within 3 hours. 2. Educational level, economic status, people living in same residence, and place of residence were factors which significantly affected prehospital delay time. Also there were significant differences in prehospital delay time according to family history of stroke, day of the week when symptoms began, perception of seriousness of symptoms, type of hospital first used, and transportation. Conclusion: Therefore, to reduce prehospital delay time, educational programs which focus on the above factors need to be developed. Also, a public campaign for utilizing emergency service to reduce transportation time for acute stroke patients need to be facilitated.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.2
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• pp.126-135
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• 2016

Purpose: This study was done to identify the influence of clinical learning environment and attitude toward physician-nurse collaboration on professionalism in nursing students. Method: The sample consisted of 317 nursing students. Data were collected from October 10 to December 20, 2014 and were analyzed using t-test, ANOVA, Pearson correlation and multiple linear regression with IBM SPSS statistics version 19. Results: The mean score for clinical learning environment was 3.15 out of 5. The mean score on the Jefferson scale attitude toward physician-nurse collaboration (JSAPNC) was 3.31 out of 4. The mean score for professionalism was 3.70 out of 5. The predictors of professionalism were major satisfaction, 'care vs cure' for the JSAPNC and 'patient relationship', 'student satisfaction' for clinical learning environment. Conclusions: Based on these results, educational programs to improve attitude toward physician-nurse collaboration and clinical learning environment should be developed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.2
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• pp.115-125
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• 2016

Purpose: The purpose of this study was to use meta-analysis to evaluate factors and variables related to the emotional labor of hospital nurses. Method: The study included variables obtained from 66 recently published studies, doctoral dissertations, and master's theses. Results: The related variables were categorized into five factor groups: internal character factor, nursing care related factor, environmental factor, emotional response, and job response. For the defensive variable, job related response (effect size [ES]=-.17), environment (ES=-.14), internal character (ES=-.08), nursing care (ES=-.06), and emotional response (ES=-.06) showed significant effect size among the five categorized variable groups. For the risk variable, internal character (ES=.44), emotional response (ES=.46), environment (ES=.27), job related response (ES=.27), and nursing care (ES=.19) showed significant effect size among the five categorized variable groups. Conclusion: The results of this study identified defensive and risk variables related to emotional labor of hospital nurses. Self-efficacy, social support, leaders' care, and communication are important factors for managing emotional labor of hospital nurses.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.2
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• pp.136-148
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• 2016

Purpose: This study was done to investigate the level of nursing students' awareness, attitude, safety climate, and performance of infection control, and to identify factors influencing performance. Methods: The sample consisted of 239 nursing students from 5 nursing schools. Data were collected from November 15 to December 11, 2013 and analyzed by frequency, t-test, ANOVA, Pearson correlation coefficients, and multiple stepwise regression with SPSS/WIN 21.0. Results: Of the participants, 216 (90.4%) had experienced contact with infectious diseases. The performance of personal hygiene was scored the highest followed by standard precautions, transmission precautions, and vaccination. There were significant correlations between awareness, attitude, safety-climate and performance. Awareness, safety-climate, attitude, contents of infection control education, and direct exposure to infectious disease collectively explained 30% of the variance in performance, and awareness was the most influential factor. Conclusion: The results indicate that performance of infection control by nursing students can be increased if awareness, safety climate, attitude, and contents of infection control education are improved, and exposure to infectious disease is decreased. These findings can be utilized to improve performance by developing education programs for infection control.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.2
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• pp.149-160
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• 2016

Purpose: The purpose of this study was to identify factors influencing performance of MultiDrug-Resistant Organisms (MDROs) infection control by nurses in general hospitals. Methods: The research design was a descriptive survey design using convenience sampling. Data were collected from 130 nurses working in 6 general hospitals. Collected data were analyzed using SPSS/WIN 21.0 program for descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression analysis. Results: General hospital nurses' MDROs infection control performance was influenced by their awareness of environmental safety, recognition of MDROs infection control, number of beds in the hospital, whether nurses had nursing experience with infection control and guidelines for MDROs infection control. The most important predictors of MDROs infection control performance were awareness of environmental safety and recognition of MDROs infection control. Conclusion: Findings indicate that it is necessary to include content related to awareness of environmental safety and recognition of infection control in developing MDROs infection control education programs for general hospital nurses.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.2
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• pp.172-183
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• 2016

Purpose: The purpose of this study was to explore the subjective experience of life-sustaining treatment care among nurses in intensive care units. Method: A phenomenology was used for the study. Data were collected from October to December, 2015 using open-ended questions during in-depth interviews. Participants were nurses working in intensive care units and were contacted through purposive techniques. Eight nurses participated in this study. Results: Four categories emerged from the analysis using Colaizzi's method: (a) difficulties due to life-sustaining treatment care, (b) dilemma of extension or cessation of life-sustaining treatment, (c) repressed feelings and emotional exhaustion, and (d) forming values for life-sustaining treatment from nursing experience. Conclusion: Provision of clearer guidelines on life-sustaining treatment which reflect a family-oriented culture is important for nurses in ICU and will promote nurses involvement in the decision-making process of life-sustaining treatment of patients.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.2
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• pp.161-171
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• 2016

Purpose: This study was conducted to investigate factors influencing influenza infection control compliance in nurses, including knowledge about, and awareness of infection control. Methods: The study participants were 168 nurses who worked at a hospital in J Province. Data were collected by self-reported questionnaires in April 2015. Collected data were analyzed using SPSS/WIN 20.0 program. Results: Mean score for knowledge about droplet precaution was 12.16 out of 16.00. Mean score for awareness about droplet precautions was 3.49 out of 4.00, and mean score for droplet precaution compliance was 3.33 out of 4.00. There was a positive correlation among knowledge, awareness and compliance (p<.001). Awareness, knowledge and experience of seasonal influenza education were the significant factors affecting the level of compliance (37.8%). Conclusion: Study results indicate that an educational program focusing on strategies to change nurses' awareness would be effective in improving infection control of respiratory virus and droplet precaution compliance in hospitals.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.1
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• pp.74-86
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• 2012

Purpose: The purpose of this study was to develop a comprehensive self-management program promoting self efficacy for Type 2 diabetic patients. Methods: The study was a methodological research design in which previous related research was reviewed to develop the comprehensive self-management program promoting self efficacy using self efficacy theory. Results: Comprehensive self-management programs promoting self efficacy included the whole range of eight self-management domains: diet, exercise, medication, self-testing of blood glucose, complication or foot, stress, time, and general health, and consisted of four sources of self efficacy: enactive mastery experience, vicarious experience, verbal persuasion, and physiological and affective states, as strategies to promote self efficacy. Developmental methods included, in addition to large and small group education, individual education or counseling, and telephone counseling. Conclusion: Further studies are needed in community health centers or hospitals to establish the effects on self-management compliance and glycemic control of the comprehensive self-management program promoting self efficacy.