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Research Papers
- Factors Affecting the Intention to Use Smartmonitor-Based Mobile Health in Middle-Aged in Patients Applying the Technology Acceptance Model II
- Ol Eum Joo, Yi Kyung Ha
- J Korean Acad Nurs 2024;54(4):620-632. Published online November 13, 2024
- DOI: https://doi.org/10.4040/jkan.24091
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Abstract
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ePub Purpose This study aimed to identify factors that influence the intention to use smart monitor-based mobile health (SBM) technology among middle-aged inpatients, based on the technology acceptance model II (TAM II).
Methods A total of 222 participants were surveyed. Data were analyzed using SPSS Statistics 23.0 and IBM SPSS Amos 23. Seven exogenous variables–social influence (SI), personal self-efficacy, (PSE), environmental self-efficacy (ESE), health literacy, health concerns, resistance to innovative technology (RIT), accessibility (AC)– and three endogenous variables–perceived ease of use (PEOU), perceived usability (PU), and intention to use (ITU)–were investigated.
Results The hypothesized path model demonstrated a good fit for the data. SI (β = .13,
p = .042), PU (β = .46,p < .001), and PEOU (β = .16,p = .008) had significant direct effects on the ITU, which explained 39.5% of the variance. Additionally, SI (β = .27,p < .001), ESE (β = .16,p = .010), RIT (β = - .12,p = .026), AC (β = .28,p < .001), and PEOU (β = .20,p = .001) indirectly affected ITU through PU, which explained 50.7% of the variance. Furthermore, PSE (β = .38,p < .001) indirectly influenced ITU via PEOU, which explained 38.4% of the variance.Conclusion This study demonstrates that the TAM II can be used to effectively predict ITU in SBMs among middle-aged inpatients. To expand the intention to use SBMs, it is necessary to develop SBMs that include content and programs that promote PU, SI, and PEOU.
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- 27 Download
- The Effects of a Self-Efficacy Theory-Based Exercise Program for Patients Undergoing with Total Knee Arthroplasty
- Kyung-Hye Park, Hee-Young Kang
- J Korean Acad Nurs 2024;54(4):547-562. Published online October 22, 2024
- DOI: https://doi.org/10.4040/jkan.24027
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Supplementary MaterialePub Purpose This study was performed to develop a self-efficacy theory-based exercise program for total knee arthroplasty (TKA) and to test the program’s efficacy in ameliorating knee pain and restoring function as measured by lower extremity muscle strength, 3 meter walking time, Korean Western Ontario McMaster Index (WOMAC), exercise self-efficacy, and length of hospital stay for TKA patients.
Methods This quasi-experimental study incorporating a non-equivalent control group and pretest-posttest non-synchronized design non-synchronous design was applied to assess self-efficacy reinforcement strategies based on self-efficacy theory. The exercise program consisted of the following steps: TKA, education to prevent postoperative complications, and muscle strength exercises. Respective exercise and control groups included 29 and 27 participants. The experimental group received eight sessions of the program from three weeks before TKA to four weeks after TKA. Collected data were analyzed using the chi-square test, Mann–Whitney U test, and ranked ANCOVA and t-tests using IBM SPSS Statistics 23.
Results Experimental group showed significant improvement in lower extremity muscle strength (F = 8.63,
p = .005), 3 meter walking time (z = - 5.02,p < .001), WOMAC index (z = - 2.22,p = .027), self-efficacy for exercise (z = - 3.29,p = .001), and length of hospital stay (t = - 2.11,p = .040) compared to the control group. No significant differences in knee pain and range of motion were observed.Conclusion These findings indicate that a self-efficacy theory-based exercise program can be an effective exercise strategy that patients undergoing TKA can easily follow at home without assistance. It is thus recommended as an exercise intervention for TKA patients.
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Original Articles
- Path Analysis for Delirium on Patient Prognosis in Intensive Care Units
- Sunhee Lee, Sun-Mi Lee
- J Korean Acad Nurs 2019;49(6):724-735. Published online December 30, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.6.724
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Abstract
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Purpose This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model.
Methods This study utilized a path analysis design. We extracted data from the electronic medical records containing delirium screening data. Each five hundred data in a delirium and a non-delirium group were randomly selected from electronic medical records of medical and surgical intensive care patients. Data were analyzed using SPSS 20 and AMOS 24.
Results In the final model, admission via emergency department (B=.06,
p =.019), age over 65 years (B=.11,p =.001), unconsciousness (B=.18,p =.001), dependent activities (B=.12,p =.001), abnormal vital signs (B=.12,p =.001), pressure ulcer risk (B=.12,p =.001), enteral nutrition (B=.12,p =.001), and use of restraint (B=.30,p =.001) directly affecting delirium accounted for 56.0% of delirium cases. Delirium had a direct effect on hospital mortality (B=.06,p =.038), hospital length of stay (B=5.06,p =.010), and discharge to another facility (not home) (B=.12,p =.001), also risk factors on delirium indirectly affected patient prognosis through delirium.Conclusion The use of interventions to reduce delirium may improve patient prognosis. To improve the dependency activities and risk of pressure ulcers that directly affect delirium, early ambulation is encouraged, and treatment and nursing interventions to remove the ventilator and drainage tube quickly must be provided to minimize the application of restraint. Further, delirium can be prevented and patient prognosis improved through continuous intervention to stimulate cognitive awareness and monitoring of the onset of delirium. This study also discussed the effects of delirium intervention on the prognosis of patients with delirium and future research in this area.
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Citations
Citations to this article as recorded by
- Does ICU admission dysphagia independently contribute to delirium risk in ischemic stroke patients? Results from a cohort study
Hongtao Cheng, Simeng Song, Yonglan Tang, Shiqi Yuan, Xiaxuan Huang, Yitong Ling, Zichen Wang, Xiaoying Tian, Jun Lyu
BMC Psychiatry.2024;[Epub] CrossRef - Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
Yul Ha Lee, Hye-Ja Park
Journal of Health Informatics and Statistics.2023; 48(3): 267. CrossRef - Delirium Experience of the Intensive Care Unit Patients
Jaeyeon Jung, Sujin Jang, Seonmi Jo, Sunhee Lee
Journal of Korean Academy of Nursing.2022; 52(2): 134. CrossRef - The training needs of Korean intensive care unit nurses regarding delirium
Young Sook Roh
Intensive and Critical Care Nursing.2021; 62: 102954. CrossRef - Effect on Quality of Care of a Delirium Prevention Campaign for Surgical Intensive Care Nurses
Heejeong Kim, Sun-Mi Lee
Journal of Nursing Care Quality.2021; 36(4): 361. CrossRef - A Systematic Review and Meta-analysis on the Effect of Delirium Prevention Intervention in Korean Intensive Care Units
Jiyeon Kang, Min Jeong Choi
Journal of Korean Critical Care Nursing.2021; 14(3): 141. CrossRef
- Does ICU admission dysphagia independently contribute to delirium risk in ischemic stroke patients? Results from a cohort study
- 646 View
- 12 Download
- 4 Web of Science
- 6 Crossref
- A Predictive Model on Patient-Centered Care of Hospital Nurses in Korea
- Hyun Jeong, Myonghwa Park
- J Korean Acad Nurs 2019;49(2):191-202. Published online April 30, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.2.191
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Purpose Patient-centered care is a widely utilized concept in nursing and health care. However, the key components of patient-centered nursing have not yet been reported. Moreover, previous studies on patient-centered care have mostly focused on components of nursing rather than organizational factors. Therefore, a comprehensive understanding of influential factors of patient-centered care is required.
Methods The purpose of this study was to develop a theoretical model based on person-centered care theory, and the relevant literature and to test the developed model with covariance structure analysis in order to determine the causal paths among the variables.
Results The model fit indices for the hypothetical model were suitable for the recommended level (goodness of fit index=.87, standardized root mean residual=.01, root mean square error of approximation=.06, Tucker-Lewis index=.90, comparative fit index=.92, parsimonious normed fit index=.75). In this study, five of the six paths established in the initial hypothetical model were supported. The variables of teamwork, self-leadership, and empathy accounted for 56.4% of hospital nurses' patient-centered care. Among these, empathy was the strongest predictor of patient-centered care.
Conclusion These results suggest that it is necessary to use strategies to improve self-leadership and empathy. In addition to enhancing the personal factors of nurses, nursing organizations should strive for effective multidisciplinary cooperation with active support for patient-centered care and openness to change.
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Citations
Citations to this article as recorded by- Influence of Clinical Nursing Competency and Nursing Working Environment of Psychiatric Nurses on Person-Centered Care
Pan Heui Kim
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 229. CrossRef - Factors Influencing Person-Centered Care Among Psychiatric Nurses in Hospitals
Ji Su Lee, Mi Heui Jang, Min Jung Sun
Healthcare.2024; 12(22): 2269. CrossRef - Factors Associated With Changes in Patient-Centered Care in Undergraduate Nursing Students
Seongkum Heo, Brandy Haley, Patricia Wright, Claudia P. Barone, Michael Anders, Tara Bertulfo, Patricia Troyan
Nursing Education Perspectives.2023; 44(2): 82. CrossRef - Factors associated with the person-centered care competence of nursing students
Ju Young Park, Chung Hee Woo
The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48. CrossRef - Listening to patients' voices: Applying the design‐thinking method for teaching person‐centered care to nursing students
Myonghwa Park, Thi‐Thanh‐Tinh Giap, Insook Jang, Miri Jeong, Jahyeon Kim
Nursing Forum.2022; 57(1): 9. CrossRef - Factors influencing mental health nurses in providing person-centered care
Suyoun Ahn, Yeojin Yi
Nursing Ethics.2022; 29(6): 1491. CrossRef - Validity and Reliability of Korean Version of the Schwartz Center Compassionate Care Scale*
Seong Eun KIM, Jeong Suk KIM
Korean Journal of Medical Ethics.2022; 25(2): 137. CrossRef - A Meta-Synthesis Study of Person-Centered Care Experience from the Perspective of Nursing Home Residents
Eun-Young Kim, Sung-Ok Chang
International Journal of Environmental Research and Public Health.2022; 19(14): 8576. CrossRef - Effects of health literacy competencies on patient-centered care among nurses
Yaki Yang
BMC Health Services Research.2022;[Epub] CrossRef - Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
Eun Young Kim, Sung Ok Chang
Journal of Korean Gerontological Nursing.2022; 24(1): 33. CrossRef - Nurse Spiritual Care Therapeutics Scale
Kyung-Ah Kang, Elizabeth Johnston Taylor, Jiyoung Chun
Journal of Hospice & Palliative Nursing.2022; 24(6): E250. CrossRef - Factors Associated with Person-Centered Care among Hospice Nurses
Sinyoung Kwon, Kyoung Hee Kim
The Korean Journal of Hospice and Palliative Care.2022; 25(2): 66. CrossRef - Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in Long-Term Care Hospitals
Jeong Ok Lim, Mee Ock Gu
Journal of Korean Academy of Nursing.2022; 52(3): 341. CrossRef - Role of self‐efficacy in nursing organizational climate: A way to develop nurses' humanistic practice ability
Mengru Bu, Haiqi Ma, Huimin Zhai, Yue Ma, Ningjun Xu
Journal of Nursing Management.2022; 30(7): 2107. CrossRef - Effects of Compassionate Competence, Communication Skills, and Nursing Work Environment on Person-centered Care in General Hospital Nurses who Care for Cancer Patients
Mi Jin Han, Seonho Kim
The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11. CrossRef - Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
Hyun-Joung Yun, Jaehee Jeon
Korean Journal of Adult Nursing.2022; 34(4): 413. CrossRef - Hospital Culture and Healthcare Workers' Provision of Patient-Centered Care: A Moderated Mediation Analysis
Xianhong Huang, Yuan Gao, Hanlin Chen, Hao Zhang, Xiaoting Zhang
Frontiers in Public Health.2022;[Epub] CrossRef - Influencing Factors on Performance of Person-Centered Care among Intensive Care Unit Nurses: An Ecological Perspective
Yein Lee, Yunhee Kim
Korean Journal of Adult Nursing.2021; 33(5): 522. CrossRef - Factors Associated with Person-Centered Care among Care Workers at Long-term Care Facilities
Geun-Young Kim, Hye-Young Jang
Journal of Korean Gerontological Nursing.2021; 23(1): 13. CrossRef - A predictive model of the perceptions of patient-centered care among nurses in long-term care hospitals: A cross-sectional study
Myonghwa Park, Hyun Jeong, Thi-Thanh-Tinh Giap
Geriatric Nursing.2021; 42(3): 687. CrossRef - Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
Sohyun Kim, Sunghee H Tak
Journal of Korean Academy of Nursing.2021; 51(3): 363. CrossRef - Hospital Nurses’ Experience of Patient-Centered Nursing
Soojin Chung, Jee-In Hwang
Quality Improvement in Health Care.2021; 27(1): 26. CrossRef - Inducing a sense of worthiness in patients: the basis of patient-centered palliative care for cancer patients in Iran
Mir Hossein Aghaei, Zohreh Vanaki, Eesa Mohammadi
BMC Palliative Care.2021;[Epub] CrossRef - The Effects of the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses
Sun-Ui Shin, Hyun-E Yeom
The Korean Journal of Hospice and Palliative Care.2021; 24(3): 174. CrossRef - The influence of health literacy competencies on patient-centered care among clinical nurses
Minyeon Kim, Jieun Cha
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 132. CrossRef - “Walking in the patient’s shoes”: An innovative training method using storytelling to promote knowledge transfer of patient-centered care in hospital: A quasi-experimental study
Myonghwa Park, Insook Jang, Thi-Thanh-Tinh Giap
Nurse Education in Practice.2021; 56: 103199. CrossRef - Factors affecting to the Person-Centered Care among Critical Care Nurses
Seunghye Choi
Journal of Korean Critical Care Nursing.2020; 13(2): 36. CrossRef - A Concept Analysis on Patient-Centered Care in Hospitalized Older Adults with Multimorbidity
Youn-Jung Son, Heun-Keung Yoon
Journal of Korean Critical Care Nursing.2019; 12(2): 61. CrossRef - The Relationship between Person-Centered Nursing and Family Satisfaction in ICUs
Jiyeon Kang, Eun-Ja Shin
Journal of Korean Critical Care Nursing.2019; 12(3): 1. CrossRef - The Influence of Lateral Violence on Burnout and Empathy with Patients among Nurses: The Moderating Effect of Communication
Soohyun Nam, Boyoung Hwang
Stress.2019; 27(3): 224. CrossRef
- Influence of Clinical Nursing Competency and Nursing Working Environment of Psychiatric Nurses on Person-Centered Care
- 853 View
- 56 Download
- 17 Web of Science
- 30 Crossref
- Development of the Patient Caring Communication Scale
- Myoung Lyun Heo, Sook Bin Im
- J Korean Acad Nurs 2019;49(1):80-91. Published online February 28, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.1.80
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Purpose This study attempted to develop a scale that measures the level of patients' recognition of the nurses' care, based on Watson's caring theory, and confirmed its reliability and validity.
Methods The items were developed through a literature review and an expert content validity test. The questionnaires were administered to 285 inpatients of internal medicine and surgical units at two general hospitals. Construct validity was tested using exploratory and confirmatory factor analysis, and reliability was tested using Cronbach's alpha.
Results This process resulted in a preliminary scale composed of 34 items; We used item analysis and five exploratory factor analyses, and consequently selected 14 items composed of three factors (respect, genuineness, and relationality). The confirmatory factor analysis verified the model fit and convergent and discriminant validity of the final items; criterion validity was confirmed with the positive correlation with the measurement scale of the patient-perceived quality of nursing . The overall scale reliability had a Cronbach's alpha of .92, which indicated internal consistency and reliability.
Conclusion The developed scale showed content, construct, and criterion validity, and reliability, as well as convergent validity for each item and discriminant validity between the factors. This makes it suitable for use in a diverse range of future studies on nurse communication using structural equation models.
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Citations
Citations to this article as recorded by- Development and Validation of the Therapeutic Communication Scale in Nursing Students
Soolgi Han, Jinhee Yoo, Kyonghwa Kang
Healthcare.2024; 12(3): 394. CrossRef - A structural model of nursing students’ performing communication skills
Cho Rong Gil, Kyung Mi Sung
The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 148. CrossRef - Nurse’s Evaluation on Health Education in Portuguese Pediatric Hospitals and Primary Care for Children/Young and Parents
Anabela Fonseca Pereira, Joaquim Escola, Vitor Rodrigues, Carlos Almeida
Children.2022; 9(4): 486. CrossRef - Psychometric properties of the Korean version of ComOn coaching for oncology nurses
Myoung Soo Kim, Eun-Jung Bae, Ju-Yeon Uhm
Asia-Pacific Journal of Oncology Nursing.2022; 9(4): 210. CrossRef - Validity and Reliability of Korean Version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale
Sook-Nam Kim, Hyun-Ju Lee, So-Young Kim, Nayoon Lee
Journal of Korean Academy of Nursing.2021; 51(5): 617. CrossRef - Development of the Nursing Start-up Attitude Scale for Student Nurses
Ji Young Lim, Geun Myun Kim, Eun Joo Kim
Journal of Korean Academy of Nursing Administration.2020; 26(4): 388. CrossRef - Validity and Reliability of the Korean Version of the Watson Caritas Patient Score
SookBin IM, MiKyoung CHO, MyoungLyun HEO
Journal of Nursing Research.2020; 28(2): e80. CrossRef
- Development and Validation of the Therapeutic Communication Scale in Nursing Students
- 555 View
- 39 Download
- 6 Web of Science
- 7 Crossref
- Chronically Ill Patients' Perception of Hospital Nurses
- Byoung-Sook Lee, Mi-Aie Lee, Yong-Sook Eo
- J Korean Acad Nurs 2018;48(3):311-322. Published online June 30, 2018
- DOI: https://doi.org/10.4040/jkan.2018.48.3.311
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Abstract
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Purpose The purpose of this qualitative research was to investigate chronically ill patients' perception of hospital nurses.
Methods Individual in-depth interviews and qualitative content analysis were used for data collection and analysis respectively. Participants were 13 chronically ill hospitalized patients or outpatients in three universities hospitals. All interviews were recorded and transcribed verbatim. Data were analyzed using the qualitative content analysis suggested by Graneheim and Lundman (2004).
Results Three themes emerged from the 10 sub-themes, which were categorized from the 21 condensed meaning units by interpreting the underlying meanings. The three themes were “person giving comfort and support by caring”, “person facilitating the process of healing”, and “person taking the initiative in power relations”. Two themes involved positive experiences of patients and the other included negative ones.
Conclusion The results showed that the participants perceived the hospital nurses as devoted to caring for patients and facilitating treatments, but authoritative in performing their duty. Based on these results, it is recommended that hospital nurses improve their nursing knowledge, skills and humanistic attitude.
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Citations
Citations to this article as recorded by- Significado de la cronicidad para el cuidador y la persona cuidada: una revisión integrativa
Claudia Andrea Ramírez-Perdomo, Claudia Patricia Cantillo-Medina, Alix Yaneth Perdomo-Romero , María Elena Rodríguez-Vélez, Lili Andrea Buitrago Malaver, Ana Ligia Escobar Tobón
Avances en Enfermería.2023;[Epub] CrossRef - Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
Eun Young Kim, Sung Ok Chang
Journal of Korean Gerontological Nursing.2022; 24(1): 33. CrossRef - The Effect of Nursing Competence on Patient-Centered Care among Nurses Caring for Patients with Chronic Disease: The Mediating Effect of Burnout and the Moderating Effect of Nursing Work Environment
Jin-Yeong Ahn, Young Eun
Korean Journal of Adult Nursing.2021; 33(2): 134. CrossRef - Perceptions Related to Nursing and Nursing Staff in Long-Term Care Settings during the COVID-19 Pandemic Era: Using Social Networking Service
Juhhyun Shin, Sunok Jung, Hyeonyoung Park, Yaena Lee, Yukyeong Son
International Journal of Environmental Research and Public Health.2021; 18(14): 7398. CrossRef
- Significado de la cronicidad para el cuidador y la persona cuidada: una revisión integrativa
- 334 View
- 3 Download
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