Journal of Korean Academy of Nursing

Yang Heui Ahn

9 Articles

Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea: Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park; J Korean Acad Nurs 2012;42(7):928-935. Published online December 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.7.928

Abstract Purpose

The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling.

Methods

Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis.

Results

Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization.

Conclusion

The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/ or promotion of community awareness.

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Factors Affecting Emotional · Behavioral Problems in Early Adolescence: A Multilevel Model Study
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Journal of Korean Academy of Community Health Nursing.2017; 28(4): 482. CrossRef
Equity of access under Korean national long-term care insurance: implications for long-term care reform
Ju Moon Park
International Journal for Equity in Health.2015;[Epub] CrossRef
Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
Won Ju Hwang, Yunhee Park
Journal of Korean Academy of Nursing.2015; 45(6): 857. CrossRef
Prevalence and Predictors of Polypharmacy among Korean Elderly
Hong-Ah Kim, Ju-Young Shin, Mi-Hee Kim, Byung-Joo Park, Terence J. Quinn
PLoS ONE.2014; 9(6): e98043. CrossRef

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Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries: Yang Heui Ahn, Eui Sook Kim, Ok Kyung Ham, Soo Hyun Kim, Soon Ok Kim, Myung Kyung Song; J Korean Acad Nurs 2012;42(4):549-558. Published online August 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.4.549

Abstract PDF

Purpose

The purpose of this study was to validate the Needs Assessment Tool for Case Management (NATCM) for use with Korean medical aid beneficiaries.

Methods

Psychometric testing was performed with a sample of 645 Korean medical aid beneficiaries, which included 41 beneficiaries who were selected using proportional sampling method, to examine intraclass correlation coefficients (ICC). Data were evaluated using item analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha, and ICC.

Results

Through psychometric testing the final version of NATCM was found to consist of two subscales: 1) Appropriateness of Health Care Utilization (5 items) and 2) Self Care Ability (6 items). The two subscale model was validated by CFA (RMSEA=.08, GFI=.97, and CFI=.93). Internal consistency measured by Cronbach's alpha was .82, and subscale reliability ranged from .79 to .84. The ICC of the NATCM between case managers was .73 and between case managers and health care professionals. .82.

Conclusion

This study suggests that the final version of NATCM is a brief, reliable, and valid instrument to measure needs of Korean medical aid beneficiaries. Therefore, the NATCM can be effectively utilized as an important needs assessment as well as outcome evaluation tool for case management programs in Korea.

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Trends of Research on the Case Management of Medicaid Beneficiaries in Korea
Soon Ock Kim, Jeonghyun Cho
Journal of Korean Public Health Nursing.2015; 29(3): 412. CrossRef
Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases
Yang Heui Ahn, Yeonok Suh, Ok Kyung Ham, Hee Kyung Kim
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 98. CrossRef

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A Comparison of Stress Levels of Elementary Students by Geographical Regions: Chung Yul Lee, Gyu Young Lee, Yang Heui Ahn, Hyeon Kyeong Lee; Journal of Korean Academy of Nursing 2007;37(6):986-993. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.6.986

Abstract PDF: Purpose
The purpose of this study was to compare stress levels of elementary students according to three regional levels: a large city, a medium-sized city, and a rural area.
Methods
This was a descriptive comparative survey using a convenience sample of 1,161 5th-and 6th-grade students. The stress level was measured by a stress scale that consisted of 65 items regarding personal characteristics, family, school, and peer factors. The data were analyzed by χ²-test, t-test, ANOVA and multiple regression using the SPSS 10.0 statistical program.
Results
Overall, the mean stress scores reported by the participants were near the middle of a 5-point scale and the level of familyrelated stress was highest, followed by peer, school, and individual-related stress. Sixth-graders and female students showed higher stress levels than 5th-graders and male students, respectively. The participants reporting unsatisfaction with their lives and those living in large cities tended to have significantly higher stress levels.
Conclusion
Grade, gender, life satisfaction, and regional levels were all significant factors associated with high stress levels among elementary students. Development of stress management programs for this specific population, especially targeting students who are female and living in large cities, is needed.

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Development of Standards and Criteria for Accreditation of a Baccalaureate Nursing Education Program: Reflections on the Unique Characteristics of the Nursing Profession: Cho Ja Kim, Yang Heui Ahn, Mi Won Kim, Yeon Ok Jeong, Ju Hee Lee; Journal of Korean Academy of Nursing 2006;36(6):1002-1011. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.6.1002

Abstract PDF

Purpose

The purpose of this study was to determine characteristics of nursing science and identify expected outcomes from baccalaureate graduates, and to develop accreditation standards and criteria reflecting the characteristics of the nursing profession.

Methods

A methodological research design was utilized in this study. Related literature reviews and the nursing education program goals and objectives of the 99 nursing schools in Korea were analyzed. A cross-sectional survey research design was utilized to test the validity of the developed characteristics of the nursing profession and their accreditation criteria and standards. The face validity was from the advisory committee and public committee hearing.

Results

The characteristics of nursing science were defined with five concepts including humanity, scientific knowledge, professionalism, therapeutic relationship, and facilitating well-being. The expected outcomes from graduates were identified as providing holistic nursing, critical thinking, establishing professionalism and leadership, construction of a therapeutic relationship, and skilled nursing practice. Finally6 standards and 14 criteria reflecting the unique characteristics of the nursing profession were developed for accreditation. These proposed accreditation standards and criteria are a challenge to promote the quality of nursing science.

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Educational goals and objectives of nursing education programs: Topic modeling
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Differences between Perceived Readiness for Interprofessional Learning in Nursing and Other Health-related Students
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The needs and effects of convergence-based simulation practice for obstetrical nursing
Hyun-Ju Chae
Journal of Digital Convergence.2015; 13(9): 377. CrossRef
Reliability and Validity of the Clinical Judgment Rubric on Simulation Practice with a Post-operative Rehabilitation Case
Hye Kyung Oh
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 145. CrossRef
Effects of Simulation based Training using a Post-operating Rehabilitation Case on Learning Outcomes
Hye Kyung Oh, Eun Young Jeon
The Korean Journal of Rehabilitation Nursing.2014; 17(2): 90. CrossRef
Nursing students' critical thinking disposition according to academic level and satisfaction with nursing
Dong Hee Kim, Seongmi Moon, Eun Jung Kim, Young-Ju Kim, Sunhee Lee
Nurse Education Today.2014; 34(1): 78. CrossRef
Evaluation of an Integrated Simulation Courseware in a Pediatric Nursing Practicum
Hyunsook Shin, Mi Ja Kim
Journal of Nursing Education.2014; 53(10): 589. CrossRef
The Recognition of Achievement and Importance of Nursing Program Outcome among Nursing Students
Su Hyun Bae, Jeong Sook Park
The Journal of Korean Academic Society of Nursing Education.2013; 19(2): 203. CrossRef
Impact of Critical Thinking Disposition, General Self-Efficacy, and Leadership on Clinical Competence in Nursing Students
Jee Won Park, Chun-Ja Kim, Yong Soon Kim, Moon Sook Yoo, Hyera Yoo, Sun-Mi Chae, Jeong-Ah Ahn
Korean Journal of Medical Education.2012; 24(3): 223. CrossRef
Study of Abilities Required to Develop for Student in Nursing Education
Jeong Hye Park
Journal of Korean Academy of Nursing Administration.2011; 17(1): 74. CrossRef
A study on Korean nursing students' educational outcomes
Kasil Oh, Yang Heui Ahn, Hyang-Yeon Lee, Sook-Ja Lee, In-Ja Kim, Kyung-Sook Choi, Myung-Sook Ko
Journal of Educational Evaluation for Health Professions.2011; 8: 3. CrossRef
An international comparison of Korean and Chinese nursing students with nursing curricula and educational outcomes
Hyang-Yeon Lee, YoonHee Kim, HyunSook Kang, Xiuzhen Fan, Min Ling, Qiuhuan Yuan, Jia Lee
Nurse Education Today.2011; 31(5): 450. CrossRef

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Development and Testing of a Sexually Transmitted Diseases Prevention Program in At-Risk Prostitutes: Yang Heui Ahn, Gi Nam Jin; Journal of Korean Academy of Nursing 2005;35(5):868-878. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.5.868

Abstract PDF: Purpose
The purpose of the study was to test the effectiveness of an 8 session intervention program to prevent sexually transmitted diseases (STDs) among at-risk prostitutes.
Methods
An experimental research design was employed. Subjects were 59 prostitutes (29 in the control group and 30 in the experimental group) who agreed to participate in this study. An STD Prevention Framework derived from Cox's Interaction Model of Client Health Behavior guided the overall intervention and the components. The intervention had 8 sessions with STD-prevention strategies and was led by Public Health Nurses. Analysis included change scores, χ²-test, and t-test.
Results
The results revealed significant increase in feelings and skills of condom use, peer belief on condom use, condom use practice, and satisfaction with service at public health centers (PHC) on STDs knowledge and skills in the experimental group. However, newly contracted STDs were not significant statistically between groups.
Conclusion
The 8 session STDs prevention program showed a effect on emotions, skills and behaviors of condom use even withthe limitation of methodological rigors because of subject-specific conditions. In the future, a capacity-building model based on collaborating networks among community-based organizations will be needed to develop in effective STDs prevention.

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Content Analysis of the Experience of Preceptors in Clinical Education for Senior Student Nurses: Hea Kung Hur, Sang Soon Choi, Yang Heui Ahn, Young Mi Lim, Yun Hee Shin, So Mi Park, Gi Yon Kim, Hee Young Song; Journal of Korean Academy of Nursing 2004;34(5):859-868. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.859

Abstract PDF

Purpose

The purpose of this study was to identify experiences of nurses who served as preceptors in clinical education for senior student nurses in a college of medicine in Wonju city.

Method

Data was collected from 20 preceptors instructing senior student nurses in 2001 using a self-completion questionnaire. To analyze data, content analysis was done using an analysis scheme developed by the investigators.

Result

The analysis scheme consisted of 7 categories and 25 subcategories. 135 significant statements were analyzed and categorized. Preceptors indicated that they were role models, socialization facilitators and educators while instructing students in the clinical practicum. In performing the preceptors' role, preceptors reported that their most important change was self-enhancement,and positive experience was a constructive work atmosphere. The most important factor facilitating the preceptors' role performance was support from head nurses, and the most discouraging factor was work loads.

Conclusion

This study suggests that interventions for encouragement and socialization of preceptors should be developed to promote clinical education for senior student nurses.

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Journal of Professional Nursing.2007; 23(1): 5. CrossRef

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Clinical Nurses' lived Experience of Interpersonal Relations in the Ward Setting of the hospital: Yang Heui Ahn, Dae Ran Kim, Bok Nam Seo, Kyoung Eui Lee, Eun Ha Lee, Eun Shil Yim; Journal of Korean Academy of Nursing 2002;32(3):295-304. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.3.295

Abstract PDF

PURPOSE: The purpose of the study was to describe the essential structure of the lived experience of clinical nurses' interpersonal relations among nurses, patients, and others in the ward setting of the hospital. METHOD: Six nurses who have experienced from 4 to 7 years on the same ward setting, were interviewed. The data were collected from September, 2000 to May, 2001 and analyzed using Colaizzi's (1978) method of phenomenology. RESULT: In this study, 7 themes were extracted: difficulty of interpersonal relations after being familiar with work, developing good relations with doctors, patients, and their significant others as experience increased, generation gap among individual nurses, evaluating other nursing colleagues on their past experience in ward settings, avoiding nurses with whom one was in conflict, sometimes, resolving conflict through getting together with colleagues informally, having a limited interpersonal network, experiencing becoming mature through struggling with the difficulty of interpersonal relations. CONCLUSION: Nurse managers need to provide resources, opportunities, and information to clinical nurses through fully understanding the characteristics of nurses' interpersonal relations. In addition, they should minimize the factors which intervene with good interpersonal relations among clinical nurses.

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The Trends of Nursing Research in the Journals of Seven Branches of the Korean Academy of Nursing: Soya Ja Kim, Kwuy Bun Kim, Myung Sun Yi, Kwang Ja Lee, Yang Heui Ahn, Hee Soon Kim, Young Joo Park, Myung Suk Koh, Kyeong Yae Sohng; Journal of Korean Academy of Nursing 2002;32(1):114-130. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.1.114

Abstract PDF

This study was designed to analyze the research methodology and the key concepts used in articles published in each nursing journal of seven branches of the Korean Academy of Nursing. The purpose of this study was for reflecting the trends of nursing research and suggesting the direction of future nursing research in Korea. One thousand three hundred seventy two articles published in seven nursing journals from the beginning year of 2000 were analyzed. The prevailing research designs for these journals were the non-experimental design ranging from 54.3% to 75.7%, the experimental design ranging from 6.2% to 30.4%, and qualitative research design ranging from 3.7% to 10.6%. Research subjects were 10.0% to 46.0% for clients with health problems, 2.1% to 42.4% for generally healthy persons, 1.4% to 43.9% for primary care-givers, 7.0% to 53.5% for nurses or nursing students, and 3.1% to 7.3% for health organizations or nursing organizations. The data collection method used most often self-report questionnaires using psychosocial measures. Interviewing methods and physiologic measures were used relatively few times. The domains of the key concepts that prevailed was personal domain and health domain. This study has the limitation of focusing on only the superficial structural analysis rather than in-depth content analysis of each article. However, this study is the first study for reflecting the trends of nursing research based on each journal of seven branches of the Korean Academy of Nursing.

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Journal of Korean Academy of Nursing Administration.2010; 16(4): 517. CrossRef

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A Study of the Standard Evaluation of Baccalaureate Nursing Education: Kyung Rim Shin, Yang Heui Ahn, Kyung Sook Park, Yeon Ok Suh; Journal of Korean Academy of Nursing 2001;31(6):1109-1118. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.6.1109

Abstract PDF

The purpose of this study was to analyze the appraising frame and the accreditation system of universities in both Korea and the United Sates, as well as developing a standard plan to appraise 4 year nursing education institutions in Korea. Research design of this study was descriptive comparative research. The results of the research can be divided into six fields, educational purposes, educational courses, students, faculty, facility equipments and administration finance in Korea. Then the results were further categorized into seven fields : mission and governance, faculty, students, curriculum and instruction, resources, educational effectiveness and integrity. Thus Korean appraising frames were suggested to have eight fields of standard. The fields are philosophy and purposes of educational institution, educational courses and instruction, students, faculty, facility equipments, adminstration finance, educational effectiveness and integrity.

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