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Research Paper
The Influence of Family Function on Occupational Attitude of Chinese Nursing Students in the Probation Period: The Moderation Effect of Social Support
J Korean Acad Nurs 2021;51(6):746-757.   Published online December 31, 2021
DOI: https://doi.org/10.4040/jkan.21103
AbstractAbstract PDF
Purpose
The purpose of this study was to explore the factors influencing the occupational attitudes of nursing students in the probation period.
Methods
Nursing students in the probation period from five hospitals completed an anonymous survey. The instruments included the nursing occupational attitude scale, family adaptability, partnership, growth, affection, and resolve index, and perceived social support scale. The study examined the moderation model between family function, perceived social support, and occupational attitudes using PROCESS 3.2.
Results
For nursing students, when social support was low, family function had a significant positive impact on occupational attitudes and intentions, and the effect was much higher than that of perceived social support.
Conclusion
Family function has a significant positive explanatory effect on attitude and intention (β = .13, p < .001 and β = .12, p < .001); the interaction term between family function and perceived social support are significant (β = .01, p < .001 and β = .01, p < .001). Perceived social support has a significant moderating effect on the relationship between family function and occupational attitudes of nursing students in the probation period. Family function has a significant difference in the occupational attitudes and intentions of nursing students with low perceived social support. Nursing students perceive social support in the probation period has a significant moderation effect in the relationship between their family function and occupational attitudes. Interns with low family function should be given more social support to improve their occupational attitudes.
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Original Articles
Factors Influencing Health Behavior Related to Particulate Matter in Older Adults
Park, Min Kyung , Kim, Gwang Suk
J Korean Acad Nurs 2020;50(3):431-443.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19201
AbstractAbstract PDF
Purpose
This study aimed to investigate health behavior related to particulate matter (PM) in older adults and examine the factors affectingit.
Methods
A cross-sectional survey design was used. Data were collected from 150 voluntary older adult participants from Songpa-gu inSeoul. The survey questions measured service perception and experience related to PM, risk perception related to PM, attitude toward riskof PM, and health behavior related to PM.
Results
The average score for health behavior related to PM was 79.37, ranging from 51 to 115.There was a significant positive correlation between health behavior related to PM and risk perception related to PM (r=.58, p <.001) as wellas between health behavior related to PM and attitude toward risk of PM (r=.70, p<.001). Multiple linear regression revealed that healthbehavior related to PM was predicted by levels of the existence of disease related to PM (β=.14, p=.019), service experience related to PM(b=.20, p=.021), risk perception related to PM (b=.20, p=.019), and attitude toward risk of PM (b=.44, p<.001). The model including thesevariables accounted for 47.0% of health behavior related to PM.
Conclusion
Korean older adults have the low level of health behaviorrelated to PM. The findings of this study emphasize that risk perception and attitude toward risk of PM should be evaluated, and theunderlying diseases related to PM and their service experience should be considered in developing intervention to improve health behaviorrelated to PM.
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Prediction Model for Nursing Work Outcome of Nurses - Focused on Positive Psychological Capital
Soon Neum Lee, Jung A Kim
J Korean Acad Nurs 2020;50(1):1-13.   Published online January 31, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.1.1
AbstractAbstract PDF
Abstract Purpose:

The purpose of this study was to construct and test a structural equation model on nursing work outcomes based on Youssef and Luthans’ positive psychological capital and integrated conceptual framework of work performance.

Methods:

This study used a structured questionnaire administered to 340 nurses. Data were analyzed using structural equation modeling.

Results:

Positive psychological capital showed indirect and direct effects on job satisfaction, retention intention, organizational citizenship behavior, and nursing performance. While, the nursing work environment had direct and indirect effects on job satisfaction and nursing performance, it only had indirect effects on intention to work and organizational citizenship behavior. Additionally, a mediating effect on retention intention and organizational citizenship behavior was found between job satisfaction and nursing performance variables.

Conclusion:

The nursing organization needs to build a supportive work environment and reinforce positive psychological capital to improve nursing performance. Additionally, it needs to actively manage the necessary parameters involved in the stages of job satisfaction, retention intention, nursing performance, and organizational citizenship behavior of nurses. The findings propose the continuous management of nursing personnel based on nurses’ attitude outcome, behavioral intention, behavioral outcome, and stage of role performance.

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Effects of Parenting Stress and Controlling Parenting Attitudes on Problem Behaviors of Preschool Children: Latent Growth Model Analysis
Jeong Won Han, Hanna Lee
J Korean Acad Nurs 2018;48(1):109-121.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.109
AbstractAbstract PDF
Abstract Purpose

This study was conducted to examine the longitudinal effects of parenting stress and parental control attitudes on problem behaviors in preschool children, using a latent growth model.

Methods

Participants were 1,724 pairs of parents and 1,724 preschool children who had completed the panel survey on Korean children (5th~7th survey panels).

Results

An analysis of the multivariate latent growth model of parenting stress, parental control attitudes, and children's problem behaviors suggested that the parents’ intercepts for parenting stress influenced their intercepts for parental control attitudes (father: b=.21, p<.001; mother: b=.55, p<.001). In addition, the slopes for fathers’ parenting stress was the only aspect that affected the slopes for mothers’ parental control attitudes (b=.77, p<.001). Moreover, both the intercepts and slopes of parenting stress and parental control attitudes significantly affected the children's problem behaviors.

Conclusion

This study is significant as it provides longitudinal evidence of the impact of parenting stress and parental control attitudes on children's problem behaviors. The findings suggest that accurately assessing changes in parenting stress and parental control attitudes and developing intervention programs to reduce them will be effective in reducing problem behaviors in children.

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Development and Effects of a Children's Sex Education Program for the Parents of Lower Elementary Grade Students
Eun Mi Lee, Hyunlye Kim
J Korean Acad Nurs 2017;47(2):222-232.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.222
AbstractAbstract PDF
Purpose

This study was done to develop a children's sex education program for the parents of lower elementary grade students and to evaluate its effects on sexual knowledge, gender role attitude, parent efficacy for child's sex education, and marital consistency.

Methods

A quasi-experimental with a non-equivalent control group pretest-posttest design was used. The participants were 29 couples (58 parents, experimental group=28, control group=30) from G city. The 5-week (5-session) program was developed based on ‘A theory of protection: parents as sex educators’ and used the case-based small group learning method. Data were collected during July and August 2015. The characteristics of the program developed in the present study were a theoretical-based, client-centered, multi-method.

Results

After the intervention, the experimental group showed a significant improvement in sexual knowledge, gender role attitudes, parent efficacy for child's sex education, and marital consistency, compared to the control group. The effect sizes of the program were .64 (knowledge), .65 (gender role attitudes), and .68 (parent efficacy).

Conclusion

The results of this study provided implications for the parents as effective sex educator and the role expansion of school health nurses.

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Attitudes, Subjective Norms, and Beliefs of Korean Nursing Students as Predictors of Intentions to care for HIV Disease Patients: a Test of Theory of Reasoned Action
Hye Ra Yoo
Journal of Nurses Academic Society 1997;27(3):660-672.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.660
AbstractAbstract PDF

No abstract available.

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A Study of the Relationship between the Intention of Pregnancy and the Child-Rearing Attitudes of Mothers with Infants
Jung Ha Sim
Journal of Nurses Academic Society 1997;27(2):454-464.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.454
AbstractAbstract PDF

The purpose of this study was to identify the correlation between the intention of pregnancy and the child rearing attitudes of mothers with infants. The data was collected from 138 mothers by means of an interview and questionnaire in a period from April 1 to April 30, 1997, when they came to have their infants vaccinated at one hospital and one health care center. The collected data was analyzed by means of the SPSS Program using percentage, means and standard deviation in each area and the ANOVA and Pearson correlation Coefficient. The results of this study were as follows : 1. It showed that the mother's degree of intention of pregnancy was 3.90(+/-1.19) among the possible score of 0~5 and the score of child rearing attitudes was 70.1 among the possible score of 20~100. The mean score of the items was 3.50(+/-.36) among the possible score of 0~5. 2. There was a significant relation between the intention of pregnancy and child rearing attitudes. It was mildly positive but was significant(r=.21, p<0.05). 3. There was a significant relation between the period from marriage to the time of pregnancy and the intention of pregnancy(F=.57, p<0.05). Also, it was found out that the group of mothers who became pregnant later than 12 months after marriage wanted after pregnancy more than the group of women who were pregnant within 12 months after marriage(F=11.30, p<0.01). 4. There was a significant relation between the period from marriage to the time of pregnancy and child rearing attitudes(F=4.14, p<0.05). It showed that the child rearing attitudes of the group of women who became pregnant later than 12 months after marriage was positive(F=11.42, p<0.01). Also, in case tat the both the husband and wife decided on the pregnancy, the child rearing attitudes were more positive(F=7.15, p<0.05). In conclusion, when the intention of pregnancy was stronger, the subjects' child rearing attitudes were more positive. Also when both the husband and wife decided on the pregnancy, the attitudes were more positive. So it seems that both husband and wife should discuss and agree upon pregnancy, having a sufficient period during which both the spouses prepare for the intention of pregnancy. Additionally, it is suggested that when the husband and wife are doing family planning, it would be beneficial to use a program of 'Woman's Intention on Pregnancy' during this process.

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A Study of Professional Attitudes and Mental Health of Clinical Nurses
Kung Soon Han, Soon Ku Yum, Ju Yeon Cho, Youn Kang Chung
Journal of Nurses Academic Society 1997;27(2):364-376.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.364
AbstractAbstract PDF

This study was made to analyse the nursing professional attitudes and mental health of clinical nurses in order to promote good mental health and positive attitudes. The 150 subjects obtained from 3 hospitals in Seoul completed a self-report questionnaire. Demographic data was collected in addition to data about nursing professional attitudes and mental health. The data was analyzed by SAS, t-test, scheffe's test, pearson's correlation and the GLM procedures. The results of the data analysis as follows : 1) Nursing professional attitudes were positive(MS=3.76). 2) Mental health was shown to be satisfactory (MS=0.65). 3) The relationship between nursing professional attitudes and mental health of the subjects were shown to be significant according to the professional education(r=-0.19, p=0.03*), anxiety(r=-0.23, p=0.01**), hostility(r=-0.09, p=0.03*), phobicanxiety(r=-0.18, p=0.04*), but there was a significant difference according to the purist of social profit with anxiety(r=-0.17, p=0.03*). There was a significant difference according to autonomy with somatization(r=-0.23, p=0.01**), obsessive-compulsive(r=-0.22, p=0.01**), depression(r=-0.20, p=0.02*), anxiety((r=-0.17, p=0.05*). Finally, There was a significant difference according to ethics with hostility(r=-0.17, p=0.05*). 4) According to nursing professional attitudes and demographic factors there was a significant difference in the professional position(t=2.01, p=0.05*), work location(f=4.99, p=0.01**), length of employment(r=3.66, p=0.03*). 5) The nursing professional attitudes and occupational factors showed a positive correlation with the anticipation of length of employment(t=2.00, p=0.05*). 6) According to Mental health and dmographic factors there was a significant correlation with the professional position(t=-2.21, p=0.03*). 7) According to mental health and occupational factors there was a significant difference correlation. Based on the study results, the following recommendation are made : 1) Nursing education curriculum should be developed for the continuous promotion of mental of professional nurses. 2) Follow up study of identification of the variables which positively influence professional nurses attitudes.

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College Students' Knowledge and Attitudes Toward AIDS in Pusan and Ulsan Areas
Yeong Hee Shin, Yong Hae Hong
Journal of Nurses Academic Society 1996;26(1):33-42.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.1.33
AbstractAbstract PDF

Given the global impact of the AIDS pandemic, it is necessary to take every measure to prevent an epidemic of this disease in Korea. The only available strategy is prevention. Considering college students as a potential risk group, this study examined their knowledge of, and attitudes toward AIDS. In this study, 399 students from three colleges in Pusan and Uoolsan were examined for their attitudes to, and knowledge of AIDS. Findings indicate that the majority of the students(90%) had basic knowledge on the transmission and the prevention of the disease. However, most of them, including nursing students, lacked knowledge as to the etiological agent, major symptoms and available diagnostic techniques. To the questions designed to examine social attitude towards AIDS patients, the students showed a tendency to view AIDS patients as responsible for their own illness. Interestingly, they showed sympathy to their imaginary friends and relatives suffering from AIDS. The study findings suggest a need for the development of AIDS educational programs for college students.

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Patient-Nurse Collaboration in Nursing Practice: A Korean Study
Dal Sook Kim, Young Eun, Hesook Suzie Kim
Journal of Korean Academy of Nursing 2002;32(7):1054-1062.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.7.1054
AbstractAbstract PDF

INTRODUCTION: Consumerism is prevailing value in Korean society, while there has been little concern about it especially in Korean nursing society even though there has been an increasing emphasis on patients' participation in decisions concerning health care and nursing as an ideal in the literature. OBJECTIVES AND METHODS: The study with survey method was carried out to examine the nature of collaboration between patient and nurse in nursing practice in Korea through a replication of the studies carried out in US, Norway, Finland, an Japan (Kim et al., 1993) and to revise and test Kim's explanatory model of collaborative decision making in nursing practice from the Korean perspectives. RESULTS & CONCLUSIONS: Both patients and nurses as groups exhibited pro-consumerist attitudes regarding collaboration in health care, while there were significant differences in attitudes and perceptions of patients and nurses. These findings are similar to those of Kim et al.' s study carried out in US, Norway, Finland, and Japan. Nurses as a group compared to patients held stronger health-care consumerist attitudes and beliefs in general. However, the Korean nurses seem to hold a weaker attitude for challenging professional authority. And the Korean patients compared to the nurses seem to hold stronger belief in the patient's right to information, as found in US, Finland, and Japan. Regarding the nurse patient collaborative attitude in decision making, it revealed that one third or more of the patients as a group believe in the patients' right to be informed of decisions that nurses make for their patients, while another one third or more of them believe in the patients' right for advisory role and joint role in nursing care decision making. This result for the patients is very similar as those found in US, Norway, Finland, and Japan. However, the attitude for the nurses held stronger agreement with patients' to be informed of decision making that nurses make than the patients' right for advisory and joint role. The nurses have weaker belief in patients' self determination on their care than the patients. The results of path analyses confirmed the explanatory models that tested two explanatory models examining the factors contributing to the differences in the attitudes of patients and nurses. The path model for nurses identified nurses' lengths of experience as the important factor explaining attitudes regarding challenging professional authority and the patient's rights for information. The path model for patients identified the level of education as the most significant factor that explains patients' attitudes regarding the rejection of general authority, challenging professional authority, and the patient's right for participation in decision making.

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The Relationship between Bathing and Health Status
Hee Jung Choi, Eun Ok Lee
Journal of Korean Academy of Nursing 2002;32(4):519-528.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.519
AbstractAbstract PDF

PURPOSE: The purpose of this study was to test the relationship between health status and bathing. METHOD: The population of this study consisted of females, above age 20 in urban areas in order to control the effects of extraneous variables, resident areas, gender, and age. Four hundred and twenty-eight (428) women were interviewed with a structured questionnaire. Medical Outcomes Study Short Form (SF)-36 Health Survey assessed individual health status. Bathing behavior and attitudes toward bath have been measured with questionnaires designed by the authors. RESULT: The most popular bathing type was shower (46.8%). The preferred type of bath was related to health status. A common purpose of the tub-bath was relieving fatigue and hygiene, but the other purposes were different on the subjects health status. Persons with low health status took frequently tub-baths for health. Attitudes toward bath were related to health status. Women with low scores in physical health recognized more physical effects of bath than psychological effects or hygenic effects. CONCLUSION: Bathing included physical and psychological dimensions and was related to health status.

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Attitudinal Type on Delivery for College Women
Jung Hee Yeo
Journal of Korean Academy of Nursing 2001;31(6):1088-1097.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.6.1088
AbstractAbstract PDF

PURPOSE: This study was formed to propose a theoretical background trying to create a positive delivery experience by understanding college women's subjective accounts (their view and attitude) on delivery.
METHOD
Q- methodology was used to appreciate the highly abstract concept in an objective manner, since delivery can be assessed differently with each experience.
RESULT
There were three types of opinions about the delivery in college women. The first type (matured type) understood delivery to be a precious experience that enables women to gain the value of life through labor pain, and granted then more appreciation to their own mothers. The second type (will type) recognizes delivery as an option rather than an obligation for women. They think women chooses whether or not to experience the process, especially since delivery requires a great deal of responsibility. The third type (positive type) takes delivery as a valuable, worthwhile, and marvelous process that they wish to experience. They are not even afraid of giving birth multiple times.
CONCLUSION
The study explains and allows us to understand college women's overall opinion and attitudes about delivery. Thus this study aids the seizure of an opportunity to build a theoretical base for delivery management.

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Literature Review of HIV-Positive Patient Care Studies which used Concepts from Theory of Reasoned Action
Hyera Yoo
Journal of Korean Academy of Nursing 2000;30(7):1645-1657.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1645
AbstractAbstract PDF

Twenty-three research studies regarding nurses or nursing students intention to care for HIV disease patients were reviewed. Studies on this issue were sporadic and not systematic. A majority of the studies were limited to one institution at one point in time. Convenience sampling was prevalent. Only 5 studies used random sampling (Jemmott III et al., 1992; Kelly et al., 1988; Planter & Foster, 1993; Scherer et al., 1989; Van Servellen et al., 1988). Consequently the findings of most studies can not be generalized to the population at large. In addition, between 1985 and 1994, the emphasis on descriptive studies continued even though correlational and experimental studies were being conducted. The development of the body of knowledge on this issue is still in a primitive stage. Correlational or comparative studies reviewed rarely had a theoretical basis for the study questions. Only two studies were found that cited a theoretical basis (Laschinger & Goldenberg, 1993; Goldenberg & Laschinger, 1991). A variety of attitude instruments were developed by investigators and used in their own studies. The constructs of the instruments were quite varied. For example, some studies identified fear as the attitude to be measured, while others measured opinion or intention as the attitude. None of the studies reviewed reported content, construct or convergent validity of the instruments. Reliability data for most instruments used in the studies were either not reported or low. Such a lack of information limits the interpretation of the findings. Study findings were inconclusive. Some descriptive studies indicated that nurses or nursing students were willing to care for HIV disease patients, while others revealed they were not willing to do so. Three correlational studies examining the relationship between attitude and intention obtained inconsistent findings. Findings from one study (Jemmott et al., 1992) indicated a positive relationship, while others found no relationship between them (Cole & Slocumb, 1994; Jemmott et al., 1992). Descriptive studies identified that families or friends stigmatization were the important factors. Only two correlational studies on this issue were found, but study findings were inconsistent (Laschinger & Goldenberg, 1993; Glodenberg & Laschinger, 1991). Studies focusing on nursing students intentions or attitude were limited. Only 7 of the 23 research reviewed were conducted using nursing students (Lawrence & Lawrence, 1989; Lester & Beard, 1988; Mueller et al., 1992; Oerman & Gignac, 1991; Jemmott et al., 1992; Jemmott III et al., 1992; Wiely et al., 1988). This review leads to the conclusion that there is a need for study of this issue with nursing students as the target population. Studies with questions based upon a theoretical framework provide a basis for linking findings. In addition, reliable instruments and sophisticated statistical analysis are also needed when studying this topic.

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A Study of the Effects on the Korean Adolescents' Sexual Role Identity and Attitude by the Audio-Visual Program for Sexual Education
Young Hae Kim
Journal of Korean Academy of Nursing 2000;30(6):1556-1568.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.6.1556
AbstractAbstract PDF

The aims of this study were to identify the effects on sexual role identity and sexual attitude of the A-V programed sexual education on Oct. 1. 1997 through Sep. 30, 2000. The program was focused on the formation of the desirable sexual activity, attitude and androgyny sexual role identity of the Korean adolescents, and that was the 25 minute VTR media "Our sexuality is healthful". This study was non equivalent post-test only quasi-experimental design, and the subjects were 530 middle school boys in Busan, Korea. After the manipulation, the change of sexual role identity and sexual attitude was analysed. Outcome measures were middle school boys' sexual role identity toward KSRI on a seven-point Likert scale and sexual attitudes toward SAS on a five-point Likert scale. The data was analysed by SPSS WIN. The results were summarized as follows: 1) The experimental group who was exposed to the A-V media produced by the author showed the higher score of androgyny sexual role identity than the control group who didn't watch the A-V program. 2) The experimental group showed the higher rate of the androgyny than the control group, On the other hand, their rate of the masculinity turned out to be lower than the latter group. 3) The experimental group didn't show the difference of SAS score from the control group. In conclusion, "Our sexuality is Healthful" A-V program for sexual education brought about the significant change of sexual role identity of the middle school boys, but didn't affect their attitude toward sexual activity.

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Pregnant Women's Attitude and Satisfaction for Sexuality
Young Pyo Lee, Shin Jeong Kim, Geum Hee Jeong
Journal of Korean Academy of Nursing 2000;30(5):1292-1302.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1292
AbstractAbstract PDF

The relationship between the attitude and satisfaction for sexuality of pregnant women was observed to provide rationales of nursing intervention to help promote healthy sexual lifestyles. Questionnaires were collected from 211 obstetric outpatients of H university hospital in C city, Korea from February to May 1999. The research tools were D.S.F.I (Derogatis Sexual Function Inventory in Korean, Chronbach's alpha= 0.710) and Sexuality Satisfaction Method (Kim, 1997, Chronbach's alpha =0.864). Data was analyzed for frequency, mean, standard deviation, Pearson correlation, t-test and ANOVA by Windows SAS. The results of this study were as follows: Mean age of the subjects were 29.8; the average score of attitude to sex was moderate (27.60), and that of satisfaction sex was high (54.11); the positive relationship was shown between attitude and satisfaction for sexuality (r=0.51, p=.000); the higher educational and income levels of pregnant women and their husbands, were the better the attitude and satisfaction for was; professional women had better attitude than housewives. According to the results, it is suggested that the study is necessary to develop an effective nursing intervention related with the sexuality of pregnant women.

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An Inquiry into Subjectivity of Fundamental Nursing Practice Attitude
Kyoung Soon Han, Eun Hee Park, Ju Yeon Cho
Journal of Korean Academy of Nursing 2000;30(3):682-693.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.682
AbstractAbstract PDF

The study was designed to identify the attitude of nursing students to fundamental nursing practice through Q-methodology. A Q sample was developed through a review of the literature and interviews. Forty statements made up the finalized Q-sample. The P sample consisted of 25 nursing students in S College. Q statements were written on separate cards and were given to the 25 subjects to sort according to degree of agreement or disagreement. The Q-sort by each subject was coded and analyzed with QUANL PC Program. The analysis discovered three major attitudes, namely "type 1: passive demand", "type 2: active self-confidence", "type 3: practical application". The correlation was .213 between type 1 and 2, .409 between type 1 and 3, .379 between t ype 2 and 3. The results revealed three different types of fundamental nursing practice attitude; 1) Passive demand type: they were not satisfied with fundamental nursing practice time, the number of persons, practice machines. They presented anxiety and worry through fundamental nursing practice. Therefore, they will presenta passive attitude of clinical practice experience. 2) Active self-confidence type: they experienced pride as a nursing student and fascination as a nurse was an acquired recognition. 3) Practical application type: they practiced that fundamental nursing skill was applied their family and oneself. Therefore they had tension through initial fundamental nursing practice but they gained self-confidence and interest through practical study. In conclusion, the researchers suggest that the education program would be more effective if it was planned considering to each types of attitude of nursing students for fundamental nursing practice.

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The Attitudes of Community Leaders Toward Mental Illness
Choon Hee Noh
Journal of Korean Academy of Nursing 1998;28(4):881-892.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.881
AbstractAbstract PDF

This study attempts to identify attitudes of community leaders toward mental illness in order to obtain useful information concerning the planning of community mental health services. The community sample consists of 50 community leaders including, civil servants, doctors, herb doctors, school nurses, counselors, village leaders, pharmacists, and pastors. Individuals were asked to give demographic data, their personal attitudes toward mental illness' etymology and prognosis, and toward neighbors who are psychiatric patients. The interview with open questions was used to collect data. According to the study community leaders 82% believed than mental illness could be treated, 66% believed that mental illness was caused by genetic factors and environmental stress, and 76% had negative impressions about mentally ill people such as fear, seclusion, asylum, also crime. Only 28% of mentally ill people were accepted as neighbors in community. 52% of community leaders rejected opening of mental hospital, and thought that the Chunchon community needed facilities such as group homes, or day care centers(30%), however, 34% of the leaders they didn't recognize community mental health. These findings suggest that mental health professionals need to pay special attention to change the attitude of Chunchon community leaders and mental health institutions need to a develop mental health education program for community leaders.

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Transcultural Differences on Perimenstrual Discomforts, Menstrual Attitudes and Sex Role Acceptance between Korean and American college Students
Kyung Ja Hong, Young Sook Park, Jung Eun Kim, Hae Won Kim
Journal of Korean Academy of Nursing 1998;28(2):233-243.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.2.233
AbstractAbstract PDF

This study was performed to compare the transcultural differences on perimenstrual discomforts, menstrual attitudes and sex role acceptance between Korean and American college students. The subjects, 2557 nursing students were selected from 13 universities all around Korea, and 4 universities in the eastern, western, and middle areas of the United States. The data were collected using the MDQ(Menstrual Distress Questionnaire by Moos), the MAQ(Menstrual Attitude Questionnaire) and the Sex Role Acceptance Scale, the subjects answered the MDQ for three points(premenstrual, menstrual, intermenstrual based on their recollections) between July, 1996 and April, 1997. The findings are as follows : 1. There were significant differences in the age of menarche, duration of menstruation, and menstrual cycle between the Koreans and the Americans. 2. As for sex role acceptance, Americans more frequently denied the traditional female role than did Koreans. 3. There were significant differences between the two groups on five categories of menstrual attitude(menstruation is a phenomena that weakens women physically and psychologically, menstruation is a bothersome phenomena. menstruation is a natural phenomena, and menstruation is a phenomena that does not influence women's behaviors non is expected to). 4, For the menstrual discomfort scores, there were significant differences between the two groups on all six categories of the MDQ(pain, attention deficit, behavioral changes, ANS response, water retention, and negative emotion) for the three points(premenstrual, menstrual, intermenstrual period). 5. The most common complaints for the Korean women were pain during the perimenstrual period and fatigue during the intermenstrual period. In contrast, for the Americans the most common complaint was negative emotions during the perimenstrual period, but less pain than the Koreans, and a similarity to Koreans during the intermenstrual period. 6. Regularity of the menstrual cycle was positively correlated with age of menarche, menstrual cycle, and duration of menstruation. 7. For the interrelationship between of Perimenstrual discomforts, menstrual attitudes, and sex role acceptance, there were significant correlations for both group as follows : First, the MA category "menstruation is a bothering phenomena" was negatively correlated with sex role acceptance, second, the MA category "menstruation is a phenomena that weakens the women physically and psychologically" was positively correlated with the MA category "menstruation onset is a predictable phenomena." For the further research, it is recommended that efficient nursing intervention programs for perimenstrual discomforts, be developed and qualitative re search to demonstrate the cultural differences as the feminism view point be done.

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Types of Nurse's Attitudes Toward the Aging Process: A Q-Methodological Approach
Kae Hwa Jo, Gyeong Ju An
Journal of Korean Academy of Nursing 2007;37(6):823-834.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.823
AbstractAbstract PDF

PURPOSE: The purpose of this study was to analyze types of nurse's attitudes toward the aging process. METHODS: A Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty-four selected Q-statements from each of 38 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program. RESULTS: Five types of attitudes towards the aging process from research subjects in Korean nurses were identified. Type I is a positive acceptance type, Type II is a negative acceptance type, Type III is a passive coping type, Type IV is an active coping type, and Type V is an ambiguous acceptance type. CONCLUSION: The results of the study indicate that different approaches of educational programs for elderly care are recommended based on the five types of nurse's attitude toward the aging process.

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Development and Evaluation of Online Aging and Health Management Education for Undergraduate Students
Myonghwa Park
Journal of Korean Academy of Nursing 2007;37(4):540-548.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.540
AbstractAbstract PDF
Purpose

The purpose of this study was to develop online aging and health management education for undergraduate students and to evaluate its effects analyzing the differences in knowledge and attitude toward aging and the elderly.

Method

An Online aging and health management education program was established through analysis, planning, content framing and production, program application, and evaluation stages. The study sample consisted of 98 undergraduate students in one university in D city. The instruments used were FAQ I for knowledge of aging and a 20 item semantic differential scale for attitude toward aging and the elderly.

Results

The results of this study were as follows. First, undergraduate students' knowledge level was low and attitudes were negative at the baseline. Second, after the class, knowledge scores improved significantly from 14.44 to 20.12. In addition, the attitudes toward elderly and aging changed from negative to a more positive way showing a 23.57 point difference.

Conclusion

This study shows that the online aging and health management education program was an effective educational method to improve knowledge and attitude of aging for the young generation such as college students.

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Development and Application of Online Education on Death
Kae Hwa Jo, Hyun Ji Lee, Yun Ju Lee
Journal of Korean Academy of Nursing 2007;37(4):442-452.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.442
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an online education on death, ‘successful life, and beautiful death’ for university students and to evaluate students' changes regarding perception of self and death.

Method

A quasi-experimental design was used with one experimental group pre-post test. Subjects were 154 students who enrolled for online education about death for 16 weeks. SPSS/WIN 12 was used for analyzing data.

Result

The results of the study clearly indicated this class had positive effects on students' perception of death-related concepts, attitudes toward death, and self-concept, showing statistically significant higher scores in post-tests than in pre-tests. In addition, the result of class evaluations showed a positive response,

Conclusion

Findings suggested that this online education about death was effective to change students' perceptions of death related knowledge, attitude toward death, and self-concept. Recommendations for further studies were provided.

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A Study on Knowledge and Attitudes Regarding Sexuality of Elderly People in Korea
Kyung Ja Lee, Myoung Sook Kwon, Mi Ja Kim, Seong Mi Moon
Journal of Korean Academy of Nursing 2007;37(2):179-184.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.2.179
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the level of knowledge and the attitudes of Korean adults toward sexuality of elderly people.

Methods

This was a descriptive study using a convenience sample of 241 adults. The questionnaire had 34 items for knowledge and 26 items for attitudes.

Results

The result showed that, related to sexuality of elderly people, the level of knowledge was average and attitudes were conservative. The level of knowledge was significantly higher in groups that were highly educated and of low economic status (p<.05). Attitudes toward sexuality of elderly people were significantly more conservative in female, older, less educated, and high economic status group.

Conclusion

The findings suggest a need for more education for Korean adults regarding sexuality in elderly people.

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Attitudes of Elderly Koreans toward Suicide: a Q-Methodological Approach
Kae Hwa Jo, Hyun Ji Lee
Journal of Korean Academy of Nursing 2006;36(6):905-916.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.905
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze the types of suicide attitudes among the Korean elderly.

Method

The Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty-four selected Q-statements from 38 subjects were classified into a shape of normal distributionusing a 9 point scale. The collected data was analyzed using a QUANL PC program.

Result

Three types of suicide attitudes for research subjects in Korean elderly were identified. Type I is understanding suicide-self conquest and labor type, Type II is opposing suicide-family band foundation type, and Type III is sympathizing with suicide-painful situation escaping type.

Conclusion

The results of the study indicate that different approaches of suicide prevention programs are recommended based on the three types of suicide attitudes among Korean elderly.

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Effects of Gerontological Nursing Practicum on Attitudes toward Elders with Dementia and General Elders among Korean Nursing Students
Jung Hee Kim
Journal of Korean Academy of Nursing 2006;36(4):645-651.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.4.645
AbstractAbstract PDF
Purpose

This study investigated changes in attitudes toward elders in general and elders with dementia after students finished a gerontological nursing practicum.

Methods

Questionnaires developed for Asian cultures were administered pre practicum, immediately post practicum, and at 8-months follow up to 31 senior students in a baccalaureate nursing program. The 1-week practicum occurred at two adult day care centers: a center for elders with dementia and a center for elders with stroke. Repeated measures ANOVA and Bonferroni correction procedures were used to analyze data.

Results

Students' evaluation of elder vitality and flexibility increased significantly at post practicum, however this increase was not sustained at follow up. Score of generosity of elders, the only positively evaluated dimension for elders in general, improved partly at post practicum. Students evaluated flexibility and generosity of elders with dementia more negatively than general elders. All of the decreased attitudes at follow up were not significantly different from those at pre practicum.

Conclusions

Students had more negative attitudes toward elders with dementia. Attitudes of students in direct contact with elders with dementia were improved through the practicum regarding generosity and flexibility. However the sustainability of the immediate effect was not observed at follow up.

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Types of Students' Death Attitudes Majoring in Human Service Area: Q-Methodological Approach
Kae Hwa Jo, Hyun Ji Lee, Yun Ju Lee
Journal of Korean Academy of Nursing 2005;35(5):829-841.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.5.829
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze death attitudes of students majoring in the human service area, such as nursing science, education, and social welfare.

Method

The Q-methodology which provides a method of analyzing the subjectivity of each item was used. The 38 selected Q-statements from each of 42 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program.

Result

Four types of death attitudes for research subjects in nursing, education, and social welfare areas were identified. Type I is fatalistic admission, Type II is pursuit of existential life, Type III is uncertainty of life after death, and Type IV is separation-connection between life and death.

Conclusion

The results of the study indicate that different approaches of death educational programs are recommended based on the four types of death attitudes.

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Effects of a Drug Misuse and Abuse Prevention Program on Knowledge, Attitude, and Preventive Behaviors Related to Drug Misuse and Abuse, and Depression in Low-income Elderly Women
Kyung Rim Shin, Jeong Sun Kim, Jin Young Kim, Hye Ryeon Yi
Journal of Korean Academy of Nursing 2005;35(5):763-773.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.5.763
AbstractAbstract PDF
Purpose

This study was conducted to determine the effects of a drug misuse and abuse prevention programon knowledge, attitude, and preventive behaviorsrelated to drug misuse and abuse, and depression in low-income elderly women in the urban area.

Method

The design of this study was a nonequivalent control group pretest-posttest design. The subjects consisted of 26 in the experimental group and 23 in the control group. The program was performed for about 1hour, once a week for 5 weeks. Data was analyzed by the SAS(ver.8.02) computer program, and it included descriptive statistics, Fisher's exact test, Mann-Whitney U test, Wilcoxon signed ranks test, and ANCOVA.

Result

There were statistically significant differences in knowledge, attitude, and preventive behaviors related to drug misuse and abuse, and depression between the experimental group and the control group.

Conclusion

This study showed that this prevention program of drug misuse and abuse is appropriate for low-income elderly women, Therefore this program is recommended as a nursing intervention strategy for the elderly.

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Study on Nursing College Students' Subjectivity in Their Attitude Toward Jobs
Yoon Sook Kim, Boon Han Kim
Journal of Korean Academy of Nursing 2005;35(4):680-685.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.4.680
AbstractAbstract
Purpose

The purpose of the study was to categorize nursing students' subjectivity in their attitude toward their jobs, and thereby understand the differences among these attitude types.

Methods

The study used a Q-method to measure nursing students' attitude toward jobs identity types. In-depth and objective interviews and literature review formed Q sample. The P sample consisted of 25 nursing students.

Results

The results of the study show that nursing students can be categorized into three types, depending on their attitudes toward their jobs. The firs type, “interest-oriented” students, strongly disagree to the following: giving priority to job over marriage, standing unfair treatment in the workplace, the importance of promotion opportunity, irresponsibility, and uncertainty. The “reward-oriented” students, on the other hand, strongly disagree to the following: indifference to career prospects, employment-related relocation of residence, irresponsibility, standing difficulties, and compromises with others. The third type of nursing students is the possession-oriented students, who strongly disapprove of irresponsibility, refusal to compromise with reality, standing unfair job allocation or promotion and career uncertainty.

Conclusions

The study on nursing college students' attitude toward their jobs is meaningful in the following aspects: First, the study clarifies nursing college students' attitudes toward their job by categorizing it. Second, the study confirms the changing attitudes of nursing students toward jobs with the change of times and calls for proper educational programs to foster healthy career attitudes. Third, proper decision-making as regards jobs and job allocation for nurses, or their career attitudes, is beneficial to individuals, the medical industry, and society.

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Barriers and Attitudes to Research Among Nurses in One Hospital in Korea
Hee Sun Kang, Mi Jong Kim
Journal of Korean Academy of Nursing 2005;35(4):656-663.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.4.656
AbstractAbstract
Purpose

Nursing research is recognized as an essential basis for the continuous development of the scientific nursing knowledge and practice. An understanding of the barriers and attitudes to research among nurses is important to improve clinical nursing research activities.

Method

Data were collected from nurses at a general hospital, located in D city, using a self-reported questionnaire, from March 15th to April 4th, 2003, and 133 questionnaires were used for the analyses. A 5 pointscale instrument was used to measure barriers and attitudes towards nursing research, with a Cronbach's alpha of .85 and .89, respectively.

Results

Nurses had limited experience in research and were not well prepared to conduct it. Lack of experience, training and time were the major barriers for conducting research. However, the nurses had positive attitudes toward research. There was a difference in barriers (t=2.68, p=.02) and research attitudes (t=-2.74, p=.00) according to the nurses' position. Also, the nurses' research experience influenced research attitudes (t=-3.27, p=.00). The degree of research preparation (F=6.98, p=.00) had an effect on the attitudes toward nursing research but not on the barriers.

Conclusion

There is an urgent need to promote both the ability and environment for clinical nurses to actively participate in research. As the majority of nurses had little experience and low confidence in research and perceived many barriers, this promotion can be accomplished by enhancing their confidence in research through continuing education and by gradually eliminating the barriers to research.

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A Study on Health-related Quality of Life, Smoking Knowledge, Smoking Attitude, and Smoking Cessation Intention in Male Smokers
Myoung Sook Kim
Journal of Korean Academy of Nursing 2005;35(2):344-352.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.2.344
AbstractAbstract PDF
Purpose

This study was conducted to examine the relationship among health-related quality of life, smoking knowledge, smoking attitude, and smoking cessation intention in male smokers.

Method

The subjects were 259 male smokers in J city. The data was collected using structured questionnaires from Nov. to Dec. of 2003. The data was analyzed by the SPSS (ver.10.0)computer program, and it included descriptive statistics, t-test, ANOVA, the Pearson correlation coefficient, and Stepwise Multiple Regression.

Result

The smoking cessation intention had a significant positive correlation among health-related quality of life (r=.159), smoking knowledge (r=.161), and smoking attitude (r=.127). These variables account for 26.8% of smoking cessation intention.

Conclusion

These results suggested that the smoking cessation program to enhance the health-related quality of life, smoking knowledge, and smoking cessation intention and to increase a negative influence on smoking attitude need to be developed. Therefore, these findings give useful information for constructing a smoking cessation program in male smokers.

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Attitudes toward the Elderly among Nursing Students in Korea
Jung Hee Kim, Gwi Ryung Son, Donna L. Algase
Journal of Korean Academy of Nursing 2004;34(8):1499-1508.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.8.1499
AbstractAbstract PDF
Purpose

The primary purpose of this study was to reexamine underlying dimensions of attitudes toward the elderly held by undergraduate nursing students. A secondary purpose was to investigate characteristics of nursing students associated with attitudes toward elders.

Methods

A survey was performed using self-report questionnaire completed by nursing students from a total of 10 nursing schools or departments each selected randomly from one province of Korea. Students' responses (N=366) were analyzed using factor analysis, correlation coefficients, t-test, and ANOVA.

Results

Three attitudinal dimensions explaining 35.29% of the variance were extracted: vitality, generosity and flexibility. From a neutral point of 4.0 in the range of 1 to 7, only generosity (4.47) was evaluated positively, whereas vitality (3.31) and flexibility (2.91) were evaluated negatively. The mean scores of the vitality and generosity dimensions were significantly different by students' level of communication with the elderly, experience living with the elderly, and interest in elders or in issues related to elders. Interest in elders/elder issues was the only characteristic affecting significant mean score difference in flexibility.

Conclusion

Educational process should increase students' exposure to healthy elderly to modify negative attitudes toward the elderly among nursing students.

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