Journal of Korean Academy of Nursing

Volume 50(6); December 2020

Editorial

From Bioethics to Data Sharing for Transparency in Nursing Research: Kim, Jeung-Im; J Korean Acad Nurs 2020;50(6):737-739. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.50503

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Review Papers

Characteristics of Aerobic Exercise as Determinants of Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-Analysis: Lee, Sun Hee , Chae, Young Ran; J Korean Acad Nurs 2020;50(6):740-756. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20169

Abstract PDF

Purpose
The purpose of this study was to evaluate the effect on blood pressure (BP) and heart rate (HR) according to aerobic exercise characteristics in adults with hypertension using a systematic review and meta-analysis.
Methods
The related researches were selected from PubMed, EMBASE, Cochrane library, CINAHL, PsycINFO, SPORTDiscus and 5 domestic databases up to September 4, 2019. To estimate the effect size, random effect models were used to derive weighted mean differences (WMD) and their 95% confidence intervals (CI) of aerobic exercise on BP and HR.
Results
A total of 37 RCTs with 1,813 samples were included. Aerobic exercise was found to significantly reduce systolic BP (WMD, - 8.29 mmHg; 95% CI, - 10.12 to - 6.46), diastolic BP (WMD, - 5.19 mmHg; 95% CI, - 6.24 to - 4.14) and HR (WMD, - 4.22 beats/min; 95% CI, - 5.36 to –3.09). In detail, systolic BP and diastolic BP were significantly decreased in all groups of exercise types, frequency and duration. Systolic BP and diastolic BP were significantly decreased in the moderate and vigorous-intensity group. Exercise characteristics with the most dramatical change in systolic BP were water-based training, moderate-intensity, 3 times a week and 8 to 11 weeks of duration. In diastolic BP, the greatest effect size was over 24 weeks of exercise.
Conclusion
Moderate aerobic exercise, especially water-based exercise can be an important part of lifestyle modification for hypertensive patients. Also, it can be recommended in a variety of clinical settings for lowering BP and HR. However, there is insufficient evidence that low-intensity exercise is effective in lowering BP.

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Effect of exercise based on ACSM recommendations on blood pressure and heart rate in hypertensive patients: A systematic review and meta-analysis of randomized controlled trials
Jiu Chen, Wenlai Cui, Jun Xie, Ratko Peric
PLOS Global Public Health.2024; 4(12): e0003743. CrossRef
Physical Activity Intensity and Risk of Dementia
Angelique G. Brellenthin, Duck-chul Lee, Elizabeth C. Lefferts, Wesley K. Lefferts, Ryan J. Dougherty, Youngwon Kim
American Journal of Preventive Medicine.2024; 66(6): 948. CrossRef
Effects of aerobic exercise on blood pressure in patients with hypertension: a systematic review and dose-response meta-analysis of randomized trials
Bahareh Jabbarzadeh Ganjeh, Sheida Zeraattalab-Motlagh, Ahmad Jayedi, Mojtaba Daneshvar, Zahra Gohari, Reyhane Norouziasl, Shadi Ghaemi, Maryam Selk-Ghaffari, Navid Moghadam, Ramin Kordi, Sakineh Shab-Bidar
Hypertension Research.2024; 47(2): 385. CrossRef
The Western and Chinese exercise training for blood pressure reduction among hypertensive patients: An overview of systematic reviews
Kelvin Tsoi, Amy Lam, Joshua Tran, Ziyu Hao, Karen Yiu, Yook‐Chin Chia, Yuda Turana, Saulat Siddique, Yuqing Zhang, Hao‐Min Cheng, Ji‐Guang Wang, Kazuomi Kario
The Journal of Clinical Hypertension.2024; 26(12): 1327. CrossRef
Does regular exercise help significantly reduce blood pressure in adults diagnosed with hypertension within the general population?
Jesse Schmidt, Nikhil Vatti, Nicole Tenegra
Evidence-Based Practice.2023; 26(3): 25. CrossRef
Physical Activity and Hypertension
Peter Hayes, Alexandra Ferrara, Aoife Keating, Kathryn McKnight, Andrew O'Regan
Reviews in Cardiovascular Medicine.2022;[Epub] CrossRef

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A Meta-Analytic Path Analysis on the Outcome Variables of Nursing Unit Managers’ Transformational Leadership: Systemic Review and Meta-Analysis: Kim, Sunmi , Seok Hee, Jeong; J Korean Acad Nurs 2020;50(6):757-777. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20205

Abstract PDF

Purpose
The purpose of this study was to identify the outcome variables of nursing unit managers’ transformational leadership and to test a hypothetical model using meta-analytic path analysis.
Methods
A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines. Data analysis, conducted using R version 3.6.2 software, included 49 studies for the meta-analysis and 119 studies for meta-analytic path analysis.
Results
In the meta-analysis, four out of 32 outcome variables were selected. These four variables were empowerment, nursing performance, job satisfaction, and organizational commitment, which showed larger effect sizes than the median and more than five k. The hypothetical model for the meta-analytic path analysis was established by using these four variables and transformational leadership. A total of 22 hypothetical paths including nine direct effects and 13 indirect effects were set and tested. The meta-analytic path analysis showed that transformational leadership had direct effects on the four variables. Finally, eight direct effects, 12 indirect effects, and six mediating effects were statistically significant, and the hypothetical model was verified.
Conclusion
Nursing unit managers can use the transformational leadership to improve empowerment, nursing performance, job satisfaction, and organizational commitment of nurses. This study empirically showed the importance of transformational leadership of nursing managers. This finding will be used as evidence to develop strategies for enhancing transformational leadership, empowerment, nursing performance, job satisfaction, and organizational commitment in nursing science and practice.

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Transformational Leadership, Psychological Empowerment, and Organizational Citizenship Behaviors among Nursing Workforce: A Single Mediation Analysis
Ibrahim Abdullatif Ibrahim, Ahmed Hashem El-Monshed, Marwan Altheeb, Mohamed Gamal El-Sehrawy, Abdulqadir J. Nashwan
Journal of Nursing Management.2024; 2024: 1. CrossRef
Personal and organisational attributes that support transformational leadership in acute healthcare: scoping review
Julie Considine, Jenny Dempster, Nga Man Wendy Wong, Noelleen Kiprillis, Leanne Boyd
Australian Health Review.2024; 48(3): 274. CrossRef
Leadership styles and transformational leadership skills among nurse leaders in Qatar, a cross‐sectional study
Amer Al‐Thawabiya, Kalpana Singh, Badriya Abdulla Al‐Lenjawi, Albara Alomari
Nursing Open.2023; 10(6): 3440. CrossRef
Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis
Yunjeong Cho, Seok Hee Jeong, Hee Sun Kim, Young Man Kim
Journal of Korean Academy of Nursing.2022; 52(5): 479. CrossRef
Patient Safety Management Activities of Korean Nurses: A Meta-Analytic Path Analysis
Seohee Jeong, Seok Hee Jeong
Journal of Korean Academy of Nursing.2022; 52(4): 363. CrossRef
Nurses' ethical leadership and related outcome variables: Systematic review and meta‐analysis
Sunmi Kim, Seok Hee Jeong, Myoung Hee Seo
Journal of Nursing Management.2022; 30(7): 2308. CrossRef

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Research Papers

Motives for Empathy among Clinical Nurses in China: A Qualitative Study: Zhu, Yu , He, Ming-Mei , Zhu, Ji-Min , Huang, Li , Li, Bai-Kun; J Korean Acad Nurs 2020;50(6):778-786. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20123

Abstract PDF

Purpose
This study aimed to explore the motives of clinical nurses for experiencing empathy with patients and their families based on a self-determination theory framework.
Methods
Semi-structured face-to-face interviews with twenty-one nurses at four tertiary hospitals in Anhui, China, were conducted, recorded and transcribed. A content analysis with a directed approach was performed.
Results
An analysis of the interview transcripts revealed three categories of empathy motivation: autonomous motivation, controlled motivation and a lack of empathy motivation. Autonomous motivation included personal interests, enjoyment and a sense of value, pure altruism, assimilation, and recognition of the importance of empathy. Controlled motivation highlighted pressures from oneself and others, the possibility of tangible or intangible rewards, and avoidance of adverse effects. Finally, a lack of empathy motivation referred to a lack of intention for empathy and denial of the value of empathy.
Conclusion
This study provides a deep understanding of the motives underlying empathy in nurses. The results reveal the reasons for empathy and may support the development of effective strategies to foster and promote empathy in nurses.

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Reframing Burnout: Measuring “Altruistic Execution” to Understand Nurse Burnout
Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L. Johnson
Western Journal of Nursing Research.2024; 46(11): 941. CrossRef
Perception and experience of altruism in graduate nursing students
Xinyu Gu, Yanxia Yang, Hao Gong, Luojing Zhou
Nursing Ethics.2023; 30(7-8): 1125. CrossRef

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Cut-Off Values of the Post-Intensive Care Syndrome Questionnaire for the Screening of Unplanned Hospital Readmission within One Year: Kang, Jiyeon , Jeong, Yeon Jin , Hong, Jiwon; J Korean Acad Nurs 2020;50(6):787-798. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20233

Abstract PDF

Purpose
This study aimed to assign weights for subscales and items of the Post-Intensive Care Syndrome questionnaire and suggest optimal cut-off values for screening unplanned hospital readmissions of critical care survivors.
Methods
Seventeen experts participated in an analytic hierarchy process for weight assignment. Participants for cut-off analysis were 240 survivors who had been admitted to intensive care units for more than 48 hours in three cities in Korea. We assessed participants using the 18-item Post-Intensive Care Syndrome questionnaire, generated receiver operating characteristic curves, and analysed cut-off values for unplanned readmission based on sensitivity, specificity, and positive likelihood ratios.
Results
Cognitive, physical, and mental subscale weights were 1.13, 0.95, and 0.92, respectively. Incidence of unplanned readmission was 25.4%. Optimal cut-off values were 23.00 for raw scores and 23.73 for weighted scores (total score 54.00), with an area of under the curve (AUC) of .933 and .929, respectively. There was no significant difference in accuracy for original and weighted scores.
Conclusion
The optimal cut-off value accuracy is excellent for screening of unplanned readmissions. We recommend that nurses use the Post-Intensive Care Syndrome Questionnaire to screen for readmission risk or evaluating relevant interventions for critical care survivors.

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Post intensive care syndrome: A review of clinical symptoms, evaluation, intervention
Xiaofang He, Yuwei Song, Yuchun Cao, Liying Miao, Bin Zhu
Heliyon.2024; 10(10): e31278. CrossRef
Screening tools for post–intensive care syndrome and post-traumatic symptoms in intensive care unit survivors: A scoping review
Usha Pant, Krooti Vyas, Shaista Meghani, Tanya Park, Colleen M. Norris, Elizabeth Papathanassoglou
Australian Critical Care.2023; 36(5): 863. CrossRef

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Predictive Model for Quality of Life of the Older Men Living Alone: Kim, Su Jin , Jeon, Gyeong-Suk; J Korean Acad Nurs 2020;50(6):799-812. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20087

Abstract PDF

Purpose
This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone.
Methods
A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.
Results
The final model with 14 of the 8 analysed paths showed a good fit to the empiri cal data: χ²= 173.26(p < .001, df = 53),normed χ²= 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects.The variables included in the eight significant paths explained 83.7% of variance in the prediction model.
Conclusion
Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.

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Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study
Hana Ko, Belong Cho, Kyung-Choon Lim, Soong-Nang Jang, Sun Ju Chang, Yu Mi Yi, Hye Ryung Cho, So Im Ryu, Eun-Young Noh, Yeon-Hwan Park
Frontiers in Public Health.2023;[Epub] CrossRef
Influencing factors on self-care of older adults living alone in a community during COVID-19: A cross-sectional study
Heeyoung Woo, Minkyung Gu
Journal of Korean Gerontological Nursing.2023; 25(1): 1. CrossRef
A novel nomogram to stratify quality of life among advanced cancer patients with spinal metastatic disease after examining demographics, dietary habits, therapeutic interventions, and mental health status
Yue Li, Ze Long, Xiuju Wang, Mingxing Lei, Chunzi Liu, Xiaolin Shi, Yaosheng Liu
BMC Cancer.2022;[Epub] CrossRef
Associated Factors with Health-related Quality of Life among Older Adults with Diabetes in Korea
Eun-Kyung Lee, Sun-Young Jung
The Korean Journal of Rehabilitation Nursing.2022; 25(2): 61. CrossRef

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Actor and Partner Effects of Couple’s Daily Stress and Dyadic Coping on Marital Satisfaction: Won, Su Kyung , Seol, Kyoung Ok; J Korean Acad Nurs 2020;50(6):813-821. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20162

Abstract PDF

Purpose
This study aimed to identify the actor and partner effects of daily stress and dyadic coping on marital satisfaction using the Actor-Partner Interdependence Mediational Model (APIeM).
Methods
Participants were 314 couples who met the study’s eligibility criteria. Data were collected from March to April 2016 through apartment and cooperative company communities in Seoul. Two APIeMs of positive and negative dyadic coping were analyzed using SPSS 20.0 and Mplus 7.4. All measures were self-administered.
Results
Daily stress and positive and negative dyadic coping in both spouses had direct actor effects on their marital satisfaction. Daily stress in both spouses had an indirect actor effect on marital satisfaction through their positive and negative dyadic coping. The husband’s daily stress had an indirect partner effect on the wife’s marital satisfaction through his positive dyadic coping, while the wife’s positive dyadic coping had a direct partner effect on the husband’s marital satisfaction. The husband’s daily stress had an indirect partner effect on the wife’s marital satisfaction through his negative dyadic coping, while the wife’s negative dyadic coping had a direct partner effect on the husband’s marital satisfaction.
Conclusion
Dyadic coping is an effective way to deal with couple’s daily hassles as it increase their satisfaction in marriage.

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Analysis of risk factors for co-morbid anxiety and depression in pregnant women
Wei Zhang, Ling Li, Xiabidan Tuxunjiang, Bahedana Sailike, Xiaoting Wang, Weicui Meng, Sufeila Shalayiding, Ting Jiang
Psychiatry Research.2025; 344: 116323. CrossRef
Pregnant Women’s Dyadic Coping and Associated Factors: A Cross-Sectional Study Utilizing Latent Profile Analysis
Shiqiong Yan, Wenzhuo Fan, Yonghong Ma, Sijia Xie, Rong Li, Yao Lan, Linli Xie, Jie Jing
International Journal of Women's Health.2024; Volume 16: 1009. CrossRef
Spouse Burnout and Marriage Satisfaction in Married Individuals: The Mediating Role of Psychologıcal Well-being
Bülent Şen, Nergüz Bulut Serin, Kadriye Karagülmez
Batı Anadolu Eğitim Bilimleri Dergisi.2024; 15(2): 1266. CrossRef
Dyadic coping and associated factors in women with high-risk pregnancy and their spouses: Do they interact?
Mengjie Liu, Yu Fang, Mengshi Liu, Min Wu, Jingshuo Zhang, Tianchen Niu, Xiaoman Zhang
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중년부부의 문제해결 유형과 결혼만족도의 관계
수산나 주, 미선 강, 인혜 정, 서진 조
Journal of Family Relations.2023; 28(1): 33. CrossRef
Relationship between Chinese middle-aged and old couples' Confucian coping thinking and marital quality
Zhiguang Fan, Hanwei Wu, Min Tao, Lei Chen
Frontiers in Public Health.2022;[Epub] CrossRef
The impact of avoidant attachment on marital satisfaction of Chinese married people: Multiple mediating effect of spousal support and coping tendency
Lian Xiong, Caihua Zhou, Liangshi Yan, Pan Zhao, Mengting Deng, Yan Hu
Acta Psychologica.2022; 228: 103640. CrossRef
Interrelation of Attachment and Coping Behavior In Adults
E.V. Kuftyak
Counseling Psychology and Psychotherapy.2021; 29(1): 28. CrossRef

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Identifying Trajectories of Behavioral Problems in Children with Allergic Diseases: Secondary Data Analysis of the 5th to 7th Panel Study of Korean Children: Son, Miseon , Ji, Eunsun; J Korean Acad Nurs 2020;50(6):822-836. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20177

Abstract PDF: Purpose
This study aimed to identify latent classes of behavioral problem trajectories in children with allergic diseases and investigate their predictors.
Methods
This study used data from the 5th to 7th Panel Study of Korean Children. The participants included 840 children aged 4~6 years with allergic diseases. Statistical analyses were conducted using latent class growth analysis and multinomial logistic regression.
Results
The trajectories of both internalizing and externalizing behavioral problems in children with allergic diseases were classified into five groups, that is deteriorative, recovering, changing 1 (decreasing-increasing), changing 2 (increasing-decreasing), and low state persistent group. For the internalizing behavioral problems, predictors were temperament, father’s education, family interaction, and disconnection in peer interaction. For the externalizing behavioral problems, predictors child’s gender, temperament, marital conflict, parenting stress, family interaction, and parenting environment.
Conclusion
Deteriorative group has high-risk behavioral problems in children with allergic diseases. We suggest to provide interventions considering latent problem trajectories based on ecological environments for allergic children.

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Effects of Hospital Characteristics on Employment Rate, Working Period and Retirement of Ward Nurses in Korea: A Retrospective Cohort Study Based on HIRAS Data: Seo, Hee-Jung , Kim, Gi Yon , Chang, Sei-Jin; J Korean Acad Nurs 2020;50(6):837-847. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20190

Abstract PDF

Purpose
The purpose of this study was to investigate the effects of hospital characteristics on employment rate, working period, and retirement of ward nurses in Korea through a retrospective cohort study based on HIRAS data.
Methods
Data were obtained from a report on medical care institutions of Health Insurance Review & Assessment Service (HIRAS). Data from 259,941 nurses who were working for a day or more from January 1, 2012, to December 31, 2016, at 2,942 medical care institutions were analyzed. Life table method analysis, Kaplan-Meier analysis, and Cox proportional hazard regression analysis were conducted.
Results
The employment rates of 5 yeas and 10 years for the total sample were 38% and 28%, respectively. The estimated mean value of the working period was 3,642.7 days (SE: 17.4 days). Cox proportional hazard regression analyses revealed that nurses who were working at the general hospital/hospital, clinic, and nursing hospital were more likely to leave the hospital compared to those who were working at the 3rd general hospital. Nurses who were working at the medical institutions which were located in cities and countries, established by the private foundation, rated lower levels of nursing, and owned an insufficient number of beds, nurses and doctors were more likely to leave their workplace compared to those of the counterparts.
Conclusion
This study indicates that hospital characteristics may play a significant role in retirement and working period of ward nurses in Korea. The improvement of hospital conditions to reduce ward nurses’ retirement are needed.

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Yunmi Kim, Hyun-Young Kim
Policy, Politics, & Nursing Practice.2024; 25(2): 83. CrossRef
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Maria Choi, Hye Young Cho
Journal of Korean Academy of Nursing Administration.2024; 30(3): 224. CrossRef
Impact of Retirement Expectation and Retirement Readiness on Retirement Anxiety among Middle-aged Nurses
Eun-Young Kim, Se-Young Jung
Journal of Korean Academy of Nursing Administration.2023; 29(2): 130. CrossRef
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Jeongha Lee, Haejung Lee
Journal of Korean Academy of Nursing Administration.2023; 29(3): 203. CrossRef
Mediating effects of fatigue on the relationship between sleep quality and the quality of life of shift-working nurses
Jeongwon Yeom, Insun Yeom
Chronobiology International.2023; 40(4): 450. CrossRef
Impact of Nursing Organizational Culture and Nursing Practice Environment on Generational Conflict in Organization among Hospital Nurses
Jieun Kwon, Eun-Young Kim
Journal of Korean Academy of Nursing Administration.2023; 29(1): 45. CrossRef
Factors Influencing Occupational Retention of Nurses in Their 20s and 30s
Eunmi Lee, Yujeong Kim, Haeyoung Lee
Sage Open.2023;[Epub] CrossRef
Effect of an Age-Stratified Working Environment and Hospital Characteristics on Nurse Turnover
Yoseb Lee, Jeong Lim Kim, So Hee Kim, Jungmi Chae
Health Insurance Review & Assessment Service Research.2022; 2(1): 106. CrossRef
Retention Rates and the Associated Risk Factors of Turnover among Newly Hired Nurses at South Korean Hospitals: A Retrospective Cohort Study
Yunmi Kim, Hyun-Young Kim
International Journal of Environmental Research and Public Health.2021; 18(19): 10013. CrossRef

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Development and Validation of the Nurse Needs Satisfaction Scale Based on Maslow’s Hierarchy of Needs Theory: Kim, Hwa Jin , Shin, Sun Hwa; J Korean Acad Nurs 2020;50(6):848-862. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20195

Abstract PDF

Purpose
The purpose of this study was to develop an instrument to evaluate the needs satisfaction of nurses and examine its validity and reliability.
Methods
The initial items for the instrument were developed through a literature review and interviews, using the conceptual framework of Maslow’s hierarchy of needs theory. The initial items were evaluated for content validity by 14 experts. Four hundred and eighty-six clinical nurses participated in this study through offline and online surveys to test the reliability and validity of the instrument. The first evaluation (n = 256) was used for item analysis and exploratory factor analysis, and the second evaluation (n = 230) was used to conduct a confirmatory factor analysis and to assess the criterion-related validity and internal consistency of the instrument. Test-retest reliability was analyzed using data from 30 nurses.
Results
The final instrument consisted of 30 items with two sub-factors for five needs that were identified through the confirmatory factor analysis. The criterion-related validity was established using the five need satisfaction measures (r = .56). Cronbach’s a for total items was .90, and test-retest reliability was .89.
Conclusion
The findings from this study indicate that this instrument has sufficient validity and reliability. This instrument can be used for the development of nursing interventions to improve the needs satisfaction of clinical nurses.

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Ke Liu, Shuyi Wang, Zeen Li, Yuting Xia, Qirong Chen
Pediatric Allergy and Immunology.2024;[Epub] CrossRef
Effects of Nursing Work Environment, Need Satisfaction, and Depression on Turnover Intention in Korea
Sun-Hwa Shin, On-Jeon Baek, Eun-Hye Lee
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Analysis of influencing factors of job demands of healthcare workers working in mobile cabin hospitals in China
Hongmei Yi, Sha Wei, Jingyan Song, Mingzhao Xiao, Huanhuan Huang, Di Luo, Qinghua Zhao
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Jing Mei, Yifan Wu, Jie Hu, Min Li, Mohammad Farukh Hashmi
Contrast Media & Molecular Imaging.2022;[Epub] CrossRef
Effect of nursing intervention based on Maslow's hierarchy of needs in patients with coronary heart disease interventional surgery
Ji-Xue Xu, Lin-Xue Wu, Wei Jiang, Gui-Hong Fan
World Journal of Clinical Cases.2021; 9(33): 10189. CrossRef

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Development and Effectiveness of Practice Application Program of Intravenous Infusion EvidenceBased Nursing Practice Guideline - for Small and Medium Sized Hospitals: Hong, Inhwa , Eun, Young; J Korean Acad Nurs 2020;50(6):863-875. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20196

Abstract PDF

Purpose
This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals.
Methods
A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses’ EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital’s medical records. Data were analyzed using t-test, χ² -test, and Shapiro-Wilk test, with qualitative content analysis used for interview data.
Results
Following the intervention, nurses’ EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group.
Conclusion
This program is effective to improve nurse’s perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

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Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study
Suhyun Kim, Hye Won Jeong
BMC Nursing.2024;[Epub] CrossRef
Effects of nurse’s knowledge and self-efficacy on nursing performance in pediatric intravenous fluid management in South Korea: a descriptive study
Se-Won Kim, Mi-Young Choi
Child Health Nursing Research.2024; 30(4): 288. CrossRef
Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
Soomi Kim, Chul-Gyu Kim
Journal of Korean Academy of Nursing.2023; 53(3): 275. CrossRef

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