Journal of Korean Academy of Nursing

Eun Ok Choi

4 Articles

Hospital Nurses' Experience of Do-Not-Resuscitate in Korea: Myungsun Yi, Sang Eun Oh, Eun Ok Choi, In Gak Kwon, Sungbok Kwon, Kyung-mi Cho, Youngah Kang, Jeonghui Ok; Journal of Korean Academy of Nursing 2008;38(2):298-309. Published online April 30, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.2.298

Purpose

The purpose of the study was to describe the experiences of do-not-resuscitate (DNR) among nurses.

Methods

Data were collected by in-depth interviews with 8 nurses in 8 different hospitals. Conventional qualitative content analysis was used to analyze the data.

Results

Eight major themes emerged from the analysis: DNR decision-making bypassing the patient, inefficiency in the decision-making process of DNR, negative connotation of DNR, predominance of verbal DNR over written DNR, doubts and confusion about DNR, least amount of intervention in the decision for DNR change of focus in the care of the patient after a DNR order, and care burden of patients with DNR. Decision-making of DNR occurred between physicians and family members, not the patients themselves. Often high medical expenses were involved in choosing DNR, thus if choosing DNR it was implied the family members and health professionals as well did not try their best to help the patient. Verbal DNR permission was more popular in clinical settings. Most nurses felt guilty and depressed about the dying/death of patients with DNR.

Conclusion

Clearer guidelines on DNR, which reflect a family-oriented culture, need to be established to reduce confusion and to promote involvement in the decision-making process of DNR among nurses.

Citations

Citations to this article as recorded by

Reliability and Validity of an Instrument Assessing Advance Directives for Nurse
Hojung Cheon, Eunha Kim
The Korean Journal of Hospice and Palliative Care.2019; 22(3): 134. CrossRef
Intensive Care Nurses’ Experiences of Death of Patients with DNR Orders
Ji Yun Lee, Yong Mi Lee, Jae In Jang
The Korean Journal of Hospice and Palliative Care.2017; 20(2): 122. CrossRef
Attitudes and Type Analysis of Cardiopulmonary Resuscitation among Hospital Nurses in Emergency Room and Intensive Care Units
Eun-Ho Ha, Kyoung-Soon Hyun
Korean Journal of Adult Nursing.2017; 29(5): 484. CrossRef
Attitude, Role Perception and Nursing Stress on Life Sustaining Treatment among Intensive Care Unit Nurses
Su Jeong Lee, Hye Young Kim
Korean Journal of Adult Nursing.2017; 29(2): 131. CrossRef
Withdrawal of Life-Sustaining Treatment from Children: Experiences of Nurses Caring for the Children
So Yeon Park, Hyeon Ok Ju, Ga Eon Lee
Child Health Nursing Research.2017; 23(3): 364. CrossRef
Changes of Nursing Activities on Patients with DNR Orders
Ji Yun Lee, Jae In Jang
The Korean Journal of Hospice and Palliative Care.2017; 20(1): 46. CrossRef
Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach
Su Jeong Lee, Hye Young Kim
Journal of Korean Academy of Fundamentals of Nursing.2016; 23(2): 172. CrossRef
Comparison of attitudes towards death and perceptions of do‐not‐resuscitate orders between older Korean adults residing in a facility and at home
Soon Young Park, Ok Sun Kim, Nam Hyun Cha, Sohyune R Sok
International Journal of Nursing Practice.2015; 21(5): 660. CrossRef
Application of Animation Mobile Electronic Informed Consent in Inpatient of Long-term Care Hospital: Focused on DNR Informed Consent
Ji-Kyeong Park, Ji-On Kim
Journal of Digital Convergence.2015; 13(11): 187. CrossRef
Ethical Attitudes, Perceptions of DNR and Advance Directives of General Population
Kyung Ja Kang, Se Jin Ju
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(2): 113. CrossRef
Nurses' Experiences of Do-Not-Resuscitate (DNR) by the Narrative Inquiry
Mi Kyung Woo, Miyoung Kim
Korean Journal of Adult Nursing.2013; 25(3): 322. CrossRef
Nurses’ Emotional Responses and Ethical Attitudes towards Elderly Patients’ DNR Decision
Junghee Mun, Sumi Kim
The Korean Journal of Hospice and Palliative Care.2013; 16(4): 216. CrossRef
Comparing the Preference for Terminal Care in Nurses and Patients
Dong Soon Kim, AeYoung So, Kyung-Sook Lee, Jung Sook Choi
Journal of muscle and joint health.2013; 20(3): 214. CrossRef
Family factors affecting on withdrawal of life‐sustaining treatment in Korea
Kae‐Hwa Jo, Gyeong‐Ju An, Kyung Su Han
International Journal of Nursing Practice.2012; 18(6): 552. CrossRef
Development of Implementation Strategies for u-Health Services Based on the Healthcare Professionals' Experiences
Jeongeun Kim, Sukwha Kim, Heechan Kim, Kyungwhan Kim, Sukchul Yang, Yoonju Shin
Telemedicine and e-Health.2011; 17(2): 80. CrossRef

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Illness Experience of People with Chronic Hepatitis B in Korea: Myungsun Yi, Eun Ok Choi, Seung Woon Paik, Keum Soon Kim, Sangman Kwak, Hwa Jin Lee; Journal of Korean Academy of Nursing 2007;37(5):665-675. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.665

Abstract PDF

Purpose

The purpose of this study was to explore the experiences of people with chronic hepatitis B (CHB) in Korea. The specific aim was to identify major problems that people with CHB face and strategies that they are dealing with.

Methods

A grounded theory method was utilized. The data were collected by individual in-depth interviews from 12 CHB patients from one of the major hospitals in Korea.

Results

After constant comparative analysis, a core category emerged as “illness management with self-reliance and will.” Seven major strategies that were identified in dealing with the illness were maintaining receptive and positive attitudes; restraining excessive work and greed; searching for information; controlling illness information; adhering to practices for not spreading the viral disease; abstaining from alcohol and smoking and maintaining healthy eating habits; nd using alternative therapies. The outcomes that result from employing these strategies were identified as burden, depression and helplessness, stress for maintaining compliance, and dispirited interpersonal relationships.

Conclusion

The results of this study suggest that most people with CHB in Korea have problems in psychosocial area. Thus health professionals need to provide not only informational support but also emotional one to improve quality of life of the people with CHB.

Citations

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Hepatitis B Virus Infection
Yeonsoo Jang, Sunjoo Boo, Hyera Yoo
Gastroenterology Nursing.2018; 41(5): 388. CrossRef
Illness Experience of Patients with Chronic Hepatitis C Participating in Clinical Trials
Hoo-Jeung Cho, Euna Park
Osong Public Health and Research Perspectives.2016; 7(6): 394. CrossRef
Prevalence and severity of depression in chronic viral hepatitis in Iran
Mojgan Mirabdolhagh Hazaveh, Taraneh Dormohammadi Toosi, Mohsen Nasiri Toosi, Amir Tavakoli, Fatemeh Shahbazi
Gastroenterology Report.2015; 3(3): 234. CrossRef
A study of Fatigue, Depression and Sleep Disorders in Patients with Chronic Liver Disease
Ji-Suk Kim, Hae-Sook Hong, Yeon-Kyung Na
Journal of Korean Biological Nursing Science.2012; 14(1): 1. CrossRef
Complexity and Uncertainty of Living with an Invisible Virus of Hepatitis B in Korea
Haeok Lee, Jin Hyang Yang, Myung Ok Cho, Jacqueline Fawcett
Journal of Cancer Education.2010; 25(3): 337. CrossRef
The Meaning of Illness among Korean Americans with Chronic Hepatitis B
Jin-Hyang Yang, Hae-Ok Lee, Myung-Ok Cho
Journal of Korean Academy of Nursing.2010; 40(5): 662. CrossRef
Qualitative Research Investigating Patterns of Health Care Behavior among Korean Patients with Chronic Hepatitis B
Jin-Hyang Yang, Myung-Ok Cho, Hae-Ok Lee
Journal of Korean Academy of Nursing.2009; 39(6): 805. CrossRef

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Developing a Computerized Reminder System and Evaluating the Effects on the Improvemtent of Cancer Screening: Ihn Sook Jeong, Dong Hwan Chen, Eun Sook Bae, Il Kim, Eun Ok Choi; Journal of Korean Academy of Nursing 2004;34(3):400-411. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.3.400

Abstract PDF

Purpose

This study was aimed to develop a computerized reminder system and evaluate it's effect in terms of percent age change of screening, and satisfaction.

Method

It was conducted through 6 phases : Analyzing the job and defining the basic input data, developing the information system, collecting and inputting data, testing the system, working with the system, and evaluating it's effect. Participants were 787 people (female 30-69 years, and males 40-49 years) in 2 dong of Suyoung gu, Busan, who haven't had cancer screening for the stomach, breast, or cervix since Dec. 2000. There were three experimental groups: a letter; calling and calling after the letter reminder, and a non-equivalent control group. To determine whether services were obtained, a telephone survey was done after two months of follow-up.

Result

A cancer screening information system with five DB modules was develped. Overall compliance with screening was not statistically significantly changedbefore and after applying computerized reminders for all three screening sites. Only 16% were satisfied with the reminder.

Conclusion

This data didn't show that a reminder effort was effective of screening. However, because the evaluation interval was too short to find a difference in screening rate, we recommend additional longer prospective follow up studies.

Citations

Citations to this article as recorded by

Implications of Systematic Review for Breast Cancer Prediction
Sun-Mi Lee, Jin-Hee Park, Han-Jong Park
Cancer Nursing.2008; 31(5): E40. CrossRef

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Resourcefulness: A Concept Analysis: Soon Rim Suh, Young Im Park, Sung Jae Kim, In Ja Kim, Mee Ock Gu, Young Hee Yang, Eun Nam Lee, Song Ja Park, Eun Ok Choi, Dong Suk Lee, In Sook Lee, Eun Ok Lee; Journal of Nurses Academic Society 1997;27(2):329-340. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.2.329

Abstract PDF

Resourcefulness was analyzed by Walker and Avant's method to make a theoretical framework for nursing. Also, the appropriate Korean terminology was identified. "Resourcefulness" means the ability to use internal and external resources to eliminate or to control stress. 'Resourcefulness' is chosen to be the most appropriate term to reflect the concept of resourcefulness. Upon the concept analysis availability, controllability, confidence, and self-instruction were identified as the defining characteristics of resourcefulness. Contrary to other work, "availability" means the ability to use the social resources as well as the internal cognitive-behavioral resources. "Controllability" means the ability to delay or control immediate gratification of one's needs or to divert one's own mood in order to solve problem. "Confidence" is the self-efficacy belief in one's control ability. "Self-instruction" is the cognitive ability to instruct oneself positively. Resourcefulness is learned by active experience, vicarious experience, and formal or informal instruction or a need for change. As a result of the use of resourcefulness, the target behavior performed immediately and ultimately improve the quality of life or adaptation. Therefore, it is necessary to develop the instrument including the defining attributes identified in this study. Also, it is necessary to simultaneously analyze the related concepts of self-efficacy, self-control, and self-regulation for appropriate use.

Citations

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Concept analysis of end-of-life care competency of long-term-care-hospital nurses: Using a hybrid model
Sookyeon Son, Mi-Kyeong Jeon
Journal of Korean Gerontological Nursing.2024; 26(1): 19. CrossRef

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