Effects of a Simulation Practicum using Standardized Patients on Communication Skills, Critical Thinking Disposition and Clinical Competency in Nursing Students: Diabetic Care 표준화 환자를 활용한 당뇨병 간호 시뮬레이션 실습교육이 간호대학생의 의사소통능력, 비판적 사고성향 및 임상수행능력에 미치는 효과
Effects of a Simulation Practicum using Standardized Patients on Communication Skills, Critical Thinking Disposition and Clinical Competency in Nursing Students: Diabetic Care 표준화 환자를 활용한 당뇨병 간호 시뮬레이션 실습교육이 간호대학생의 의사소통능력, 비판적 사고성향 및 임상수행능력에 미치는 효과
김보영 Bo Young Kim , 이은숙 Eun Sook Lee
DOI:10.14370/jewnr.2018.24.2.91
Abstract
Purpose: This study was conducted to identify the effects of a simulation practicum using standardized patients on nursing student’s communication skills, critical thinking disposition and clinical competency. Methods: A one group pretest-posttest design was used. The participants consisted of 45 fourth year nursing students at G university. This study developed 2 scenarios for patients with diabetes mellitus and the simulation was conducted for an average of approximately 14 hours. Data were analyzed with descriptive analysis, t-tests and Cronbach’s α using SPSS 21.0 program. Results: Communication skills, clinical competency and self-confidence for diabetic care were statistically improved; however, critical thinking disposition was not improved compared to that of pretest. Conclusion: Simulation practicum using standardized patients may be effective in enhancing communication skills, clinical competency and selfconfidence for diabetic care among nursing students. In addition, standardized patients simulation program to promote the critical thinking needs to be developed and further research related to standardized patients simulation is in need.
A Structural Model of Health Behavior Compliance in Patients with Percutaneous Coronary Intervention based on Self-Determination Theory 자기결정성이론 기반 관상동맥중재술 환자의 건강행위 이행 구조모형
A Structural Model of Health Behavior Compliance in Patients with Percutaneous Coronary Intervention based on Self-Determination Theory 자기결정성이론 기반 관상동맥중재술 환자의 건강행위 이행 구조모형
박애란 Ae Ran Park
DOI:10.14370/jewnr.2018.24.2.101
Abstract
Purpose: The purpose of this study was to construct and test a structural equation model of health behavior compliance among patients with percutaneous coronary intervention based on self-determination theory. Methods: A total of 227 participants who received follow-up care after percutaneous coronary intervention were recruited. A structured questionnaire was used to assess health providers’autonomous support, basic psychological needs, autonomous motivation, controlled motivation, type D personality, and health behavior compliance. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 program. Results: The final hypothetical model showed a good fitness with data: GFI=.94, RMSEA=.07, CFI=.96, NFI=.92, TLI=.94. The results revealed that autonomous support of health care providers, basic psychological needs, and autonomous motivation, and D-type personality accounted for 51.8% of health behavior compliance. Conclusion: The findings of this study indicate that enhanced autonomous support of health care providers is essential to promote patients’basic psychological needs and autonomous motivation. This leads to maximized compliance to the health behaviors among patients who underwent percutaneous coronary intervention. We recommend that health care institutions establish various measures to foster the special environments in which health care providers can actively provide and utilize autonomous support for their patients.
Key Words
Health Behavior, Compliance, Percutaneous Coronary Intervention, Structural Model, Self-Determination
Reminiscence Reflecting Cultural Background in Korean Older Adults with Dementia: A Concept Analysis 한국치매노인의 문화를 반영하는 회상: 개념분석
정기정 Gi-jung Jung , 박종민 Jong-min Park , 이국근 Guk-geun Lee , 정미경 Mi-kyong Chong , 심혜빈 Hye-been Sim , 이지아 Jia Lee , 한희영 Heeyoung Han
Reminiscence Reflecting Cultural Background in Korean Older Adults with Dementia: A Concept Analysis 한국치매노인의 문화를 반영하는 회상: 개념분석
정기정 Gi-jung Jung , 박종민 Jong-min Park , 이국근 Guk-geun Lee , 정미경 Mi-kyong Chong , 심혜빈 Hye-been Sim , 이지아 Jia Lee , 한희영 Heeyoung Han
DOI:10.14370/jewnr.2018.24.2.110
Abstract
Purpose: Reminiscence therapy is a widely used intervention for older adults and those with dementia. However, the attributes of the concept of reminiscence is not clearly proposed. The aim of this study was to clarify the concept of reminiscence in Korean older adults with dementia. Methods: The study applied the concept analysis method of Walker and Avant. The literature review included the previous studies of reminiscence from philosophy, literature, art, neuroscience, medicine, psychology, sociology, and nursing. Results: A total of 43 Korean or international papers were analyzed in this study. Attributes of reminiscence in Korean older adults with dementia were regeneration of memories, internal and external communications, expression of suppressed emotions, and recognition of ego identity. The suppressed emotions and ego identity may result from Korean cultural characteristics based on the suppressed environments of many wars and dictatorships in the past. The consequences of reminiscence in Korean older adults with dementia are cognitive enhancement, relief of depression, and improvements of social interactions, ego integrity, and quality of life. Conclusion: The results of this study suggest that the historical and cultural characteristics should be considered to develop effective nursing interventions including reminiscence for Korean older adults with dementia.
Key Words
Dementia, Mental Recall, Older Adults, Analysis
The Effect of Providing Information Using a Mobile Internet Terminal on Anxiety, Discomfort and Satisfaction with Education among Patients Undergoing a Coronary Angiogram 모바일인터넷 단말기를 이용한 정보제공이 관상동맥 조영술 대상자의 불안, 불편감 및 교육만족도에 미치는 효과
The Effect of Providing Information Using a Mobile Internet Terminal on Anxiety, Discomfort and Satisfaction with Education among Patients Undergoing a Coronary Angiogram 모바일인터넷 단말기를 이용한 정보제공이 관상동맥 조영술 대상자의 불안, 불편감 및 교육만족도에 미치는 효과
김은향 Eun Hyang Kim , 신성희 Sung Hee Shin
DOI:10.14370/jewnr.2018.24.2.119
Abstract
Purpose: The aim of this study was to examine the effect of providing information using a mobile internet terminal on anxiety, discomfort and satisfaction with education among patients undergoing a coronary angiogram. Methods: Data were collected from July 27, 2016 to February 23, 2017. A total of 64 participants (34 for the experiment group and 30 for the control group) admitted to a department of cardiology internal medicine for coronary angiography were recruited. Data were analyzed by SPSS Window 22.0 Program. Results: Information provided through mobile internet terminal did not affect anxiety and objective and subjective discomfort of the participants for coronary angiography, it was effective in satisfaction with education. Conclusion: Based on the results, it is indicated that video education using a mobile internet terminal could be an effective method to improve nurses’ work efficiency and quality and to raise satisfaction with education.
Key Words
Mobile Applications, Coronary Angiographies, Anxiety, Patient Satisfaction
The Effectiveness of Hand Acupressure in Relieving Constipation among Patients with Paraplegia 수지요법이 하반신마비 환자의 변비완화에 미치는 효과
The Effectiveness of Hand Acupressure in Relieving Constipation among Patients with Paraplegia 수지요법이 하반신마비 환자의 변비완화에 미치는 효과
김연옥 Yeoun-ok Kim , 최순옥 Soon-ock Choi
DOI:10.14370/jewnr.2018.24.2.130
Abstract
Purpose: The purpose of this study was to determine the effectiveness of hand acupressure in relieving constipation among patients with paraplegia. Methods: Data were collected from a total of 52 participants with paraplegia from a spinal cord injury. Data were analyzed by chi-square test and t-test using SPSS/WIN 21.0. Results: The numbers of bowel movements per week increased in the experimental group who have received hand acupressure increased as compared with the control. Satisfaction with defecation of the experimental group improved as compared with the control. The level of constipation in the experimental group decreased compared to the control. Conclusion: We found that hand acupressure is effective in relieving constipation among patients with paraplegia from a spinal cord injury.
Factors Influencing on Life Stress among Nursing Students 간호대학생의 생활스트레스에 영향을 미치는 요인
송영아 Young A Song , 하영옥 Young Ok Ha
DOI:10.14370/jewnr.2018.24.2.139
Abstract
Purpose: This study aimed to investigate influencing factors on life stress among nursing college students. Methods: A descriptive research design was used with a convenience sample of 392 nursing students. Data were collected from May 23 to June 3, 2016 using self-reported questionnaires and analyzed by descriptive statistics, t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression analysis using the SPSS/WIN 21.0 program. Results: The mean scores of life stress, depression, self-esteem, and self-control were 1.72 out of 4, 1.58 out of 4, 3.60 out of 5, and 3.36 out of 5. Life stress was negatively correlated with self-esteem (r=-.56), self-control (r=-.30) and economic status (r=-.22) and was positively correlated with depression (r=.53). Factors influencing on life stress were economic status, depression and self-esteem, which explained 38% of the variance. Conclusion: Based on the finding of this study, it is necessary to develop education and intervention programs in order to decrease the life stress for nursing students.
Key Words
Stress, Nursing, Students
Related Factors of Severity Rated by Korean Triage and Acuity Scale (KTAS) among Older Adults at the Emergency Departments 일개 지역 응급의료센터 방문 노인의 중증도 영향 요인
Related Factors of Severity Rated by Korean Triage and Acuity Scale (KTAS) among Older Adults at the Emergency Departments 일개 지역 응급의료센터 방문 노인의 중증도 영향 요인
신동수 Dong-soo Shin , 김미숙 Mi Sook Kim
DOI:10.14370/jewnr.2018.24.2.146
Abstract
Purpose: This study aimed to identify characteristics and severity assessed by Korean Triage and Acuity Scale (KTAS) among 2,496 older adults aged 65 and over who visited an emergency department (ED) located in Chuncheon city. Methods: Data were collected via electronic medical records from two hospitals from January to December of 2016. Chi square test and logistic regression were applied using SPSS 22.0. Results: 53.5% of the participants were women and 17.6% of visits were done by aged 85 and older. ED visits by ambulance were 33.9%. More than two-third of older adults’ ED visits were emergent status. Severity of the ED visits of older adults were rated by KTAS. Commonly reported chief complaints of the ED visits were dizziness, dyspnea, chest pain, abdominal pain, and hypoalbuminemia. Among them, dizziness, chest pain, dyspnea, and hypoalbuminemia were related factors for being-emergent condition. Conclusion: Strategies for older adults’ chief complaints are needed in order to reduce unexpected ED visits.
Key Words
Emergency Medical Services, Triage, Aged
The Relationships between the Perception of Biomedical Ethics and Nursing Ethics in Nursing Students 간호대학생의 생명의료윤리와 간호윤리의 관계
The Relationships between the Perception of Biomedical Ethics and Nursing Ethics in Nursing Students 간호대학생의 생명의료윤리와 간호윤리의 관계
차남현 Namhyun Cha
DOI:10.14370/jewnr.2018.24.2.154
Abstract
Purpose: This study identifies the relationships between the perception of nursing ethics and biomedical ethics in Korean nursing students. Methods: A total of 311 participants with a mean of 20.93 years were recruited using a convenient sampling method. Data were collected using a self-reported questionnaire from May 2 to May 16, 2016. Results: Biomedical ethics were significantly different according to education of ethics. Nursing ethics among nursing students were significantly different according to gender and a view of the occupation. Positive correlations were found between the perception of biomedical ethics and nursing ethics. The perception of biomedical ethics was a significant predictor of nursing ethics with an explanatory power of 16.0% of the variance. Conclusion: The findings of this study may provide a basic data to understand the biomedical ethics among Korean nursing students.
Key Words
Students, Ethics, Nursing, Bioethics, Perception
The Influences of Type D Personality, Burnout and Work Environment on Nurses’ Intention to Stay in the Hospitals 병원간호사의 type D 성격, 소진, 간호근무환경이 재직의도에 미치는 영향
The Influences of Type D Personality, Burnout and Work Environment on Nurses’ Intention to Stay in the Hospitals 병원간호사의 type D 성격, 소진, 간호근무환경이 재직의도에 미치는 영향
김숙영 Sook Young Kim , 서연옥 Yeonok Suh
DOI:10.14370/jewnr.2018.24.2.163
Abstract
Purpose: The purpose of this study was to identify the influences of type D personality, burnout and work environment on nurses’ intention to stay at the hospitals among nurses. Methods: A cross-sectional descriptive design was used. Participants were 135 nurses working at general hospitals. Data were collected using self-report questionnaires. Data were analyzed using the SPSS/WIN 23.0 program for descriptive statistics, independent t-test, ANOVA, Scheffe test, Pearson’s correlation, and hierarchical multiple regression. Results: The score of nurses’ intention to stay was 4.78. 39.3% of participants were classified as type D personality group. The scores of burnout and work environment were 2.92 and 2.39, respectively. Intention to stay was negatively correlated with burnout and positively correlated with nurse participation in hospital affairs, nursing foundations for quality of care, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy. Burnout and manager ability, leadership, and support for nurses explained 46.0% of variance of nurses’ intention to stay in the hospitals. Conclusion: The results of the study indicate that nursing intervention programs for increasing intention to stay for nurses should include strategies for decreasing the burnout and increasing manager ability, leadership, and support for nurses.
Key Words
Type D Personality, Burnout, Environment, Intention, Nurses
A Structural Model of Self-Concept among Children and Adolescents from Multicultural Families Based on the Ecological Systems Model 다문화가정 아동·청소년 자아개념의 구조모형: 생태체계모형을 기반으로
A Structural Model of Self-Concept among Children and Adolescents from Multicultural Families Based on the Ecological Systems Model 다문화가정 아동·청소년 자아개념의 구조모형: 생태체계모형을 기반으로
오은진 Eun Jin Oh , 성경미 Kyung Mi Sung
DOI:10.14370/jewnr.2018.24.2.171
Abstract
Purpose: The study aimed to validate a structural model of self-concept among children and adolescents from multicultural families. Methods: Data were collected from 325 mothers of multicultural families and their 417 children. Confirmatory factor analysis, path analysis and multiple mediation analysis with a phantom variable approach were used to assess construct validity and relations between model variables. Results: Goodness of fit indices of the modified theoretical model, the standardized χ2 (2.75), RMR (.02), RMSEA (.07), NFI (.90), TLI (.92), CFI (.94), GFI (.89), and AGFI (.87), met criteria. Social support and mental health problem had significant direct effects on self-concept, whereas residential environment and school adjustment had significant indirect effects, accounting in combination for 53% of the variance in self-concept. Conclusion: Based on the results, mental health problem mediated the relationships of self-concept and parenting stress.
Key Words
Cultural Diversity, Child, Adolescent, Self-Concept, Mental Health
