Journal of Korean Academy of Nursing

Prediction Model of Exercise Behavior in Patients with Rheumatoid Arthritis: Eun Ok Lee, In Ja Kim, Jong Im Kim, Hyun Sook Kang, Sang Cheol Bae; Journal of Korean Academy of Nursing 2001;31(4):681-691. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.4.681

Abstract PDF: PURPOSE: The exercise status in patients with rheumatoid arthritis, associations between exercise behavior and personal factors, and associations between exercise behavior and exercise-specific cognitions and their effects were assessed. METHOD: Four hundred thirty nine outpatients with rheumatoid arthritis were studied. The exercise status was measured by a single item. The intensity was multiplied by the frequency and duration of each exercise. The product of these intensity values for all exercises was defined as exercise behavior. Based on the Pender's revised health promotion model, exercise benefit, barrier, self-efficacy, enjoyment and social support were chosen as exercise specific cognitions and affect variables. Path analysis was used to identify the predictors of exercise behavior. Results: Compared to the duration before being diagnosed, the number of subjects who exercised regularly increased after being diagnosed. However over half of the subjects refrain from any sort of exercise and the type of exercise is very limited. Among the variables, exercise barrier, self-efficacy, and social support were found to be significant predictors of exercise behavior, and only previous exercise experience was found to be significant predictors of all behavior specific cognitions and affect variables. CONCLUSION: These findings suggest that studies should explore exercise behaviors and strategies to emphasize the cognitive-motivational messages to promote exercise behaviors.

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Nurses' Perception of Barriers to Research Utilization: Eun Hyun Lee, Hae Suk Kim; Journal of Korean Academy of Nursing 2000;30(5):1347-1356. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.5.1347

The present study is a descriptive study to investigate nurses'perception of barriers to research utilization. A total of 274 participants in this study consisted of registered nurses working in a large, urban and academic medical center. A questionnaire packet containing the Barriers Scale, and a demographic profile was distributed to nurses and they were asked to return the packet to a return-box in the Nursing Office after completion. The greatest barrier was insufficient time on the job to implement new ideas. Next was `implications for practice are not made clear'. Also the item of the English language in research articles was considered to be the ninth barrier. The greatest mean score of each of the sub-scales was the communication factor. The were followed by the organization, research, and nurse factors. Compared with the means from other studies, the mean scores of the communication and research factors were higher in this study. Nurses who had not taken a class of research methods found the communication and research factors as a higher barrier than those who did. Also, nurses who did not participate in a conference last year perceived the research factor as higher than those who did. It is recommended that English and research classes should be strengthened in educational nursing programs. The researchers should also describe the section of implication for practice as more detail and clearer for the understanding of nurses; Lastly journals in a libraries or online journal systems should be easily accessible.

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Perceived Exercise Self-Efficacy and Exercise Benefits/Barriers of Korean Adults with Chronic Diseases: Yun Hee Shin, Hee Jung Jang; Journal of Korean Academy of Nursing 2000;30(4):869-879. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.4.869

Abstract PDF

The purpose of this study was to assess the perceived exercise self-efficacy and exercise benefits/barriers of Korean adults with chronic diseases, and the relationship between the two variables. For the study, 249 Korean adults with chronic diseases with ages ranging from 18 to 79 years were recruited from hospitals or health centers in five Korean cities and surrounding rural areas. The research instruments were the scales that researchers psychometrically verified the Exercise Self-Efficacy Scale, developed by Bandura (1997), and the Exercise Benefits/ Barriers Scale, developed by Sechrist, Walker, and Pender(1987). Results of descriptive analysis showed that Korean adults with chronic diseases perceived relatively low exercise self-efficacy and relatively high exercise benefits/ barriers. Exercise self-efficacy was significantly correlated with gender, education, regular exercise, and exercise benefits/barriers was significantly correlated with gender, regular exercise. Pearson correlation coefficient showed the significant relationship between the two variables. Further researches, which are a study to evaluate a causal structure for Pender's Health Promotion Model and an intervention study to increase physical activity of chronic patients, are recommended.

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Namok Jeong, Myung Ha Lee
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Hyun Kyung Kim, Mi Ja Kim, Chang Gi Park, Hyeon Ok Kim
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Health Locus of Control, Exercise Self-efficacy, and Exercise Benefits/Barriers of Female College Students
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Eun-Hee Hwang, Yeo-Sook Chung
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Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis
Yun Hee Shin, Hea Kung Hur, Nola J. Pender, Hee Jung Jang, Moon-Sil Kim
International Journal of Nursing Studies.2006; 43(1): 3. CrossRef
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Research in Nursing & Health.2005; 28(2): 117. CrossRef

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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

Abstract: 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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Clinical Work Experience of Korean Immigrant Nurses in U.S. Hospitals: Kumsook Seo, Miyoung Kim; J Korean Acad Nurs 2016;46(2):238-248. Published online April 29, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.2.238

Abstract PDF

Purpose

The purpose of this qualitative study was to explore the meaning of the experience of Korean immigrant nurses working in US hospitals.

Methods

Purposive sampling yielded 15 Korean immigrant nurses who had more than one year of clinical experience in US hospitals. Data were collected from March to August 2012 through in-depth interviews and thematic analysis was conducted using van Manen's hermeneutic phenomenological approach.

Results

The findings were classified into eight themes: 'struggling from staff at workplace being territorial to outsiders', 'feeling oppressed due to language barrier', 'accepting rational and horizontal relationships at work', 'staying alert in the environment where lawsuits are rife', 'feeling a sense of stability from the social system that values human dignity', 'maintaining self-confidence from prominent nursing practices and senior Korean nurses' professional reputation', 'performing essential comprehensive nursing care', 'promoting self-development to be equipped with professionalism.'

Conclusion

The findings indicate that the Korean immigrant nurses were able to excel in their workplace when their clinical experience at US hospitals was combined with the lived space in US politics and environment, lived time of patience, lived body to be alert, and lived others with multi cultural characteristics.

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Organizational Commitment of Korean American Nurses: A Cross-Sectional Study
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Barriers to Health Behaviors in Male and Female Elderly People in Korea: Young Eun, Mee Soon Song, Mee Ock Gu; Journal of Korean Academy of Nursing 2008;38(2):332-343. Published online April 30, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.2.332

Abstract PDF

Purpose

This study was done to investigate the practice level of 14 health behaviors between male (N=139) and female (N=175) elderly and to identify the barriers to each health behavior of elderly people in Korea.

Methods

Data were collected from 314 elderly people (65 yr and older) living in metropolitan, urban, and rural areas. Descriptive statistics, χ²-test and ordinal logistic regression were used in data analysis using the SPSS Win 15 version.

Results

1) The performances were different in some health behaviors between male and female elderly people. Male elderly showed better performances in balanced diet, regular exercise, and more than 30 min of exercise, while female elderly showed better performances in restriction of fat and cholesterol, restriction on alcohol, and smoking. There were no differences in stress management and health prevention behaviors between the two groups. 2) The common significant barriers in health behaviors of the elderly in Korea were the lack of habit and physical discomfort. However, the lack of perceived benefit was a significant barrier in male elderly. Lack of time and lack of family support were significant barriers in female elderly people in Korea.

Conclusion

These results suggest that tailored strategies should be developed considering the gender difference to reduce the main barriers of each health behavior in order to improve the health status of elderly people.

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A Conversation Analysis of Communication between Patients with Dementia and Their Professional Nurses: Myungsun Yi, Bong Sook Yih; Journal of Korean Academy of Nursing 2006;36(7):1253-1264. Published online December 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.7.1253

Abstract PDF

Purpose

The purpose of this study was to understand conversations and to identify typical conversational problems between nurses and patients with dementia.

Method

A conversation analysis method was used. The data was collected in a geriatric institutional setting, using a videotape recorder, and transcribed. The transcribed data was analyzed in terms of expressions, contents, and relationships to identify communicative problems and their resolutions.

Results

Among a total of 532 episodes, 440(82.7%) were identified as nurse-involved episodes. In addition, 66 of the 440 episodes were selected based on the significance of the conversation. The communicative problems between nurses and patients in terms of expressions were identified as “directive and authoritative expressions”, “emotional and competitive expressions”, “evasive and on-looking expressions”, and “excessive use of title only”, such as calling them granny or grandpa without proper names. In terms of content and relationships, “lack of themes in psychosocial areas” and “nurse-led relations” were identified respectively as communicative problems.

Conclusion

The results of this study will provide substantial guidelines for nurses in caring for elderly patients with dementia by deeply understanding linguistic structures and problems of everyday conversations between nurses and patients with dementia.

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A Marital-Relationship Enhancement Program for Couples: Randomized Controlled Trial: Seong Sook Kong; Journal of Korean Academy of Nursing 2005;35(6):991-1003. Published online October 31, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.6.991

Abstract PDF

Purpose

This paper reports a randomized controlled trial to investigate the effects of a Marital-relationship enhancement program(MREP) for marital couples.

Methods

Volunteer couples from several well-being centers in Seoul were randomly assigned either to a treatment group (n=36), participating in a MREP based on Gottman's “sound marital house” theory, or to a control group (n=35) receiving no treatment. The content of the MREP was provided to the control group after the research was completed. Data was collected from December 2003 to May 2004 using modified versions of the inventories developed by Gottman on marital satisfaction, positive affect, conflict regulation, and communication barriers.

Results

Participants in the experimental group showed significant improvements in marital satisfaction, positive affects, conflict regulation, and communication-barrier scores compared to the control group.

Conclusion

The present program for marital-relationship enhancement is helpful in enhancing marital relationships and regulating conflict between marital couples and, ultimately, may be useful to prevent divorce.

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