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Original Articles
A Comparison between Home Care Nursing Interventions for Hospice and General Patients
Jin Sun Yong, You Ja Ro, Sung Suk Han, Myung Ja Kim
Journal of Korean Academy of Nursing 2001;31(5):897-911.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.5.897
AbstractAbstract PDF

PURPOSE: The purpose of the study was to compare home care nursing intervention activities analyzed by the Nursing Intervention Classification (NIC) system for hospice and general patients.
METHOD
For the descriptive survey study, data was collected by reviewing charts of 151 hospice patients and 421 general patients who registered in the department of home health care nursing at K Hospital.
RESULTS
According to the NIC system application, there were 2380 total nursing interventions used for the hospice patients and 8725 for the general home care patients. For both sets of patients (hospice vs. general), the most frequently used nursing intervention in level 1 was the Physiological: Complex domain (40.13 vs. 31.06 percent), followed by the Safety domain; in level 2, the Risk Management class (28.4 vs. 27.70 percent), followed by Tissue Perfusion Management; and in level 3, Vital Sign Monitoring (6.18 vs. 4.84 percent), followed by Health Screening.
CONCLUSION
The study showed that there was a lack of specialized hospice nursing interventions such as emotional, family and spiritual support, and care for dying hospice patients.

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Analysis of Nursing Interventions Performed by Chosunjok Nurses in Yanbian Using NIC
Young Hee Yom, Kwu Eun Lee, Hae Kyung Chang, Eun Ju Kim, Chun Yu Li, Kyung Yun Kim, Zhen Yu Huang, Moon Ae Yuk
Journal of Korean Academy of Nursing 2001;31(5):793-807.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.5.793
AbstractAbstract PDF

PURPOSE: To identify nursing interventions performed by Chosunjok nurses in Yanbian using NIC.
METHODS
The sample consisted of 36 nurses working in 2 hospitals. The Nursing Interventions Use Questionnaire developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean using the method of back-translation.
RESULTS
Twenty-eight interventions were performed at least daily. Interventions in the Physiological: Basic domain were most frequently used at least daily. The most frequently used interventions was Positioning, followed by the interventions Pressure Ulcer Prevention, Intravenous (IV) Therapy, Hypothermia Treatment and Intravenous (IV) Insertion. The least frequently used interventions was Electronic Fetal Monitoring: Antepartum. Nurses working in special medical care units performed interventions most often, while nurses working in general surgical units performed them least. Nurses working in general medical, special medical and other care units performed interventions in the Physiological domain more often than the nurses working in general surgical units.
CONCLUSION
Chosunjok nurses in Yanbian performed physiological interventions frequently. Further studies will be needed to compare interventions performed by nurses in two countries.

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The Nursing Minimum Data Set (NMDS) and Its Relationship with the Nursing Management Minimum Data Set (NMMDS): significance, development, and future of nursing profession
Eunjoo Lee
Journal of Korean Academy of Nursing 2001;31(3):401-416.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.3.401
AbstractAbstract PDF

No Abstract available.

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The Classification of Standard Nursing Activities in Korea
Jung Ho Park, Young Hee Sung, Mi Sook Song, Jung Sook Cho, Won Hee Sim
Journal of Korean Academy of Nursing 2000;30(6):1411-1426.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.6.1411
AbstractAbstract PDF

A nursing activity classification for hospitalized patients was performed based on an article review regarding nursing definition and nursing activity classification system. The study was conducted as follows: 1) Taxonomy was developed by the research team through the Delphi process and review article. The taxonomy consists of four nursing processes, (assessment, diagnosis, intervention and evaluation) and twelve nursing activity domains space (resperation, nutrition, elimination, exercise/alignment maintenance, comfort, hygiene, safety, spiritual support, counseling/ education, medication, communication, patient and information management). 2) First, nursing activities of the intervention process were listed and then classified by the nursing process of assessment, diagnosis, intervention and evaluation. The list consists of twelve nursing activity domains and 136 nursing activities. 3) A pilot study was conducted in two hospitals to verify validity and appropriateness of nursing activities. 4) The content validity index, which was calculated by 6 clinical practice experts, was 0.95. Also, a nursing activity classification system should also be developed in the department of community nursing and home health care nursing.

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Patient Severity Classification in a Medical ICU using APACHE III and Patient Severity Classification Tool
Kyeong Ok Lee, Hyeon Ju Shin, Hyeoun Ae Park, Hyeon Myeong Jeong, Mi Hye Lee, Eun Ha Choi, Jeong Mi Lee, Yu Ja Kim, Yun Kyeong Sim, Kyi Ju Park
Journal of Korean Academy of Nursing 2000;30(5):1243-1253.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1243
AbstractAbstract PDF

The purpose of this study was to verify the validity of the Patient Severity Classification Tool by examining the correlations between the APACHE III and the Patient Severity Classification Tool and to propose admission criteria to the ICU. The instruments used for this study were the APACHE III developed by Knaus and thePatient Severity Classification Tool developed by Korean Clinical Nurses Association. Data was collected from the 156 Medical ICU patients during their first 24 hours of admission at the Seoul National University Hospital by three trained Medical ICU nurses from April 20 to August 31 1999. Data were analyzed using the frequency, X2, Wilcoxon rank sum test, and Spearman rho. There was statistically significant correlations between the scores of the APACHE III and the Patient Severity Classification Tool. Mortality rate was increased as patients classification of severity in both the APACHE III and the Patient Severity Classification Tool scored higher. The Patient Severity Classification Tool was proved to be a valid and reliable tool, and a useful tool as one of the severity predicting factors, ICU admission criteria, information sharing between ICUs, quality evaluations of ICUs, and ICU nurse staffing. 1) This paper was awarded the first prize at the Seoul National Hospital Nursing Department Research Contest.

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Nursing Interventions Classification(NIC) Use in Korea: Oriental Medicine Hospitals and General Hospitals
Young Hee Yom, Sung Sil Kim, In Sook Kim, Won Sook Park, Eun Ju Kim
Journal of Korean Academy of Nursing 1999;29(4):802-816.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.4.802
AbstractAbstract PDF

The purposes of this research were to identify nursing interventions performed by Korean nurses and to compare the interventions performed by nurses working in the oriental medicine hospitals and with those performed by nurses working in the general hospitals. The samples consisted of 144 Korean nurses working in three hospitals, 70 nurses working in the oriental medicine hospitals and 74 nurses working in the general hospitals. The Nursing Interventions Classification(NIC) Use Questionnaire developed by the Iowa Intervention Project team was translated to Korean and verified using the method of back-translation. The questionnaire consists of 433 intervention labels and definition. Thirteen interventions were used at least daily by nurses working in the oriental medicine hospitals, while twenty-one interventions were used at least daily by nurses working in the general hospitals. the most frequently used interventions by nurses working in the oriental medicine hospitals were Documentation, shift Report vital signs Monitoring, Pressure Ulcer Prevention, Positioning, Fall Prevention, Exercise Promotion, Intravenous(IV) Therapy, Pressure Ulcer care, and Bed Rest Care in that crder. For nurses working in the general hospitals the most frequent intervention was Analgesic Administration, followed by the interventions of Medication Administration : Parenteral and Intravenous Therapy(IV) Therapy, Documentation, Intravenous(IV) Insertion, shift Report, Fall Prevention, vital Signs Monitoring, Medication Adnninistraction : and , fluid Monitoring, and Medication Management in that order. The interventions performed least often by nurses working in the oriental medicine hospitals were Hemodialysis Therapy and Bleeding Reduction : Antepartum Uterus, while the interventions performed least often by nurses working in the general hospital were Rape Trauma Treatment and Contact Lens Care. The nurses working in the oriental medicine hospitals performed the interventions in the Physiological : Complex domain significantly more often than the nurses working in the general hospitals, while the nurses working in the general hospitals performed the intervention in the Behavior domain significantly more often than the nurses working in the oriental medicine hospitals. This study suggests that further study will be needed to developed and validate more interventions sensitive to Korean culture.

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Development of Nursing Intervention List: Caregiver Support - Soobal
Soo Yeon Ahn, Young Hee Yom
Journal of Korean Academy of Nursing 1999;29(3):518-529.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.518
AbstractAbstract PDF

The purpose of this research was to develop a nursing intervention list for family caregivers. The specific steps were as follows: 1. Analyze the concept, Soobal, based on literature review and case observation. 2. Generate an initial list of defining activities for 'Caregiver Support : Soobal'. 3. Validate the defining activities. 4. Complete the final list of defining activities. A two-round Delphi questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of intervention, Caregiver Support : Soobal. The definition of 'Caregiver Support : Soobal' was provision of the necessary information advocacy, and support to facilitate primary patient care by someone other than a health care professional in Korean traditional manners. Ten nurse experts participated in Round I and II of this study. They were asked to rate activities that exemplified the interventions on a scale of 1(activity is not all characteristic) to 515 'critical' activities and 10 'supporting' activities, while round II contained 16 'critical' activities and 6 'supporting' activities. No activities were considered to be 'nonsupporting' in both round I and II. Finally, the definition and 25 defining activities were developed. Intervention, Caregiver Support : Soobal, attained an ICV score of .82. This study provides a protocol model to develop Korean nursing interventions.

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Analysis of the Nursing Interventions Performed by Hospital Nurses Using NIC
Young Hee Yom
Journal of Korean Academy of Nursing 1999;29(2):346-360.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.2.346
AbstractAbstract PDF

The purpose of this research was to identify nursing interventions performed by hospital nurses in Korea. The sample consisted of 311 nurses working in three hospitals. The Nursing Interventions Use Questionnaire developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean using the method of back-translation. Eighteen interventions were performed at least daily. Interventions in the Physiological : Basic domain were most frequently used at least daily. No interventions in the Family and Behavioral domains were used by nurses at least once a day. The most frequently used interventions was Documentation, followed by the interventions Medication : Parenteral, Intravenous(IV) Insertion, Temperature Control, and Shift Report. The intervention performed least often was Reproductive Technology Management. Nurses working in intensive car units on the whole performed interventions most often, while nurses working in obstetric, gynecological, and pediatric units performed them least often. The nurses working in intensive care unit, medical and surgical care units performed the interventions in the Physiological : Basic domain more often than the nurses working in obstetric, gynecological, and pediatric units. The nurses working in obstetric, gynecological, and pediatric units used the interventions in the Family domain more often than the nurses working in the other three units. The study contributes to the documentation of nurses' work in Korea. Further study will be needed to validate nursing activities of each NIC intervention.

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A Study on Nursing Diagnoses and Nursing Intervention Classification: focused on Home Health Care Clients
Cho Ja Kim, Ae Kyu Choi, Ki Ran Kim, Hee Young Song
Journal of Korean Academy of Nursing 1999;29(1):72-83.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.72
AbstractAbstract PDF

The purpose of this study was to classify, from collected home health care records data, nursing diagnoses according to the NANDA system and nursing interventions according to the NIC system, and to link nursing interventions to nursing diagnoses. For this study, 101 home health care records of clients seen between September, 1994 and November, 1996 at Yonsei Medical Center, Seoul, were analyzed. The results of this study are summarized as follows: 1. The most frequent nursing diagnoses were 'Risk for infection' and 'Altered nutrition : Less than body requirements', then 'Impaired skin integrity' and 'Ineffective airway clearance' in the Exchange patterns of NANDA nine human response patterns. 2. The most frequent nursing interventions were the interventions in the Physiological : Complex domain, there were 690(50.7%) interventions among a total 1347 interventions. This results corresponds to Yom, Young Hee(1995)'s research, both Korean and U.S. nurses used the interventions in the Physiological : Complex domain most often on a daily basis. And respiratory nursing interventions were most frequent because 32.7% of the subjects were respiratory patients. 3. The next step was to link the nursing interventions to nursing diagnoses. The most frequent nursing diagnosis was 'Risk for infection' and 19 interventions for 'Risk for infection' were used 267 times. Then 14 interventions for 'Impaired skin integrity' were used 258 times, 12 interventions for 'Ineffective airway clearance' were used 193 times, 12 interventions for 'Altered nutrition : Less than body requirements' were used 122 times, 10 interventions for 'Activity intolerance' were used 75 times, and 11 interventions for 'Knowledge deficit' were used 52 times. 4. The use of standardized classification in the areas of nursing diagnoses and nursing interventions facilitates clinical decision making and prompt nursing activity, and so enhances the effectiveness of nursing care.

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Analysis of the Nursing Interventions done by MICU and SICU nurses using NIC
Eun Jung Ryu, Kyung Sook Choi, Young Mi Kwon, Suk Nam Joo, Suk Rae Yun, Hwa Sook Choi, Seoung Bok Kwon, Jeong Hee Lee, Bok Ja Kim, Hyung Yae Kim, Ok Hee Ahn, Eun Sun Rho, Kyung Sook Park
Journal of Korean Academy of Nursing 1998;28(2):457-467.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.2.457
AbstractAbstract PDF

The purpose of this research was to identify nursing interventions performed by MICU and SICU nurses. For data collection this study used the taxonomy of the Nursing Interventions Classification(NIC: 433 nursing interventions) which was modified by McCloskey and Bulecheck(1996). Each of the 433 interventions were identified as used by MICU and SICU nurses. More than 50% of the ICU nurses performed 280 nursing interventions at least monthly. Rarely used interventions included 26 nursing interventions in the childbearing care class. Overall, both MICU and SICU nurses used interventions in the Physicological : Complex domain most often on a daily basis and the interventions in the Family domain least often. The most frequently reported interventions as being used daily in the MICU were chest physioterapy, airway suctioning and coughing enhancement and, in the SICU, documentation and airway suctioning. There were significant differences between MICU and SICU nurses differences interventions childbearing care, cognitive therapy, communication enhancement, coping assistance, elimination management, lifespan care, health system mediation, immobility management, medication management, neurologic management, patient education psychological comfort promotion, physical comfort program, respiratory management, risk management and information management. The SICU nurses performed there interventions more frequently than the MICU nurses. These findings will help in building of a standardized language for the MICU and SICU and enhance the quality of nursing care.

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Analysis of the Nursing Interventions Performed by Public Health Nurses in Health Centers Using the NIC
Souk Young Kim, Young Ran Chin, Vock Chang Oh, Eun Jun Park, Soon Nyoung Yun, In Sook Lee
Journal of Korean Academy of Nursing 2006;36(2):217-226.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.217
AbstractAbstract PDF
Purpose

The purpose of this study was to identify nursing interventions performed by public health nurses in health centers.

Method

Data was collected by the taxonomy of Nursing Intervention Classification (NIC 3rd: 486 nursing interventions) from 131 public health nurses in health centers and analyzed using descriptive statistics.

Result

As its result, more than 50% of public health nurses performed 137 nursing interventions at least monthly. The most frequently used intervention class was ‘ activity and exercise management’, followed by ‘ physical comfort promotion’, ‘ community health promotion’, ‘ life span care’, ‘ coping assistance’, ‘ Self care facilitation’, ‘ information management’, ‘ nutrition support’, ‘ community risk management’ and ‘ patient education’. One hundred twenty nursing interventions were rarely performed by 90% or more of the nurses. Most of them were the physical complex domain.

Conclusion

In conclusion, 137 interventions were performed by public health nurses at least monthly. NIC is helpful to build a standardized language for public health nursing.

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Validation of Nursing Care Sensitive Outcomes related to Knowledge
Eun Joo Lee
Journal of Korean Academy of Nursing 2003;33(5):625-632.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.5.625
AbstractAbstract PDF
Purpose

The purpose of this study was to assess the importance and sensitivity to nursing interventions of four nursing sensitive nursing outcomes selected from the Nursing Outcomes Classification (NOC). Outcomes for this study were “Knowledge: Diet”, “Knowledge: Disease Process”, “Knowledge: Energy Conservation”, and “Knowledge: Health Behaviors”.

Method

Data were collected from 183 nurses working in 2 university hospitals. Fehring method was used to estimate outcome and indicators' content and sensitivity validity. Multiple and stepwise regression were used to evaluate relationships between each outcome and its indicators.

Result

Results confirmed the importance and nursing sensitivity of outcomes and their indicators. Key indicators of each outcomes were found by multiple regression. “Knowledge: Diet” was suggested for adding new indicators because the variance explained by indicators was relatively low. Not all of the indicators selected for stepwise regression model were rated for highly in Fehring method. The R2 statistics of the stepwise regression models were between 18 and 63% in importance by selected indicators and between 34 and 68% in contribution by selected indicators.

Conclusion

This study refined what outcomes and indicators will be useful in clinical practice. Further research will be required for the revision of outcome and indicators of NOC. However, this study refined what outcomes and indicators will be useful in clinical practice.

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A Study on the Classification of Nursing Management Competencies and Development of related Behavioral Indicators in Hospitals
Seong Yeol Kim, Jong Kyung Kim
J Korean Acad Nurs 2016;46(3):375-389.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.375
AbstractAbstract PDF
Purpose

The aim of this study was to classify nursing management competencies and develop behavioral indicators for nurse managers in hospitals. Also, levels of importance and performance based on developed criteria were to be identified and compared.

Methods

Using expert survey we classified nursing management competencies and behavioral indicators with data from 34 nurse managers and professors. Subsequently, data from a survey of 216 nurse managers in 7 cities was used to analyze the importance-performance comparison of the classified nursing management competencies and behavioral indicators.

Results

Forty-two nursing management competencies were identified together with 181 behavioral indicators. The mean score for importance of nursing management competency was higher than the mean score for performance. According to the importance-performance analysis, 5 of the 42 nursing management competencies require further development: vision-building, analysis, change management, human resource development, and self-management competency.

Conclusion

The classification of nursing management competencies and behavioral indicators for nurse managers in hospitals provides basic data for the development and evaluation of programs designed to increase the competency of nurse managers in hospitals

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Estimation of Nursing Costs by a Patient Classification System(PCS) in ICU
Younghee Sung, Mi Sook Song, Jungho Park
Journal of Korean Academy of Nursing 2007;37(3):373-380.   Published online April 30, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.3.373
AbstractAbstract PDF
Purpose

The objective of our study was to figure out costs of nursing services in ICU based on the PCS in order to determine an appropriate nursing fee schedule.

Method

Data was collected from 2 hospitals from April 15-16 to April 22-23, 2003. The costs of nursing services in the ICU were analyzed by nursing time based on the nursing intensity. The inpatients in the ICU were classified by a PCS tool developed by the Korean Clinical Nurses Association(2000).

Results

The distribution of patients by PCS in the ICU ranged from class IV to Class VI. The higher PCS in ICU consumed more nursing time. As a result, the higher nursing intensity, the more the daily average nursing costs in the ICU.

Conclusion

Our study provides evidence to refine the current nursing fee schedule that does not differentiate from the volume of nursing services based on nursing time. We strongly recommend that the current reimbursement system for nursing services should be applied not only to the general nursing units but also to the ICU or other special nursing units.

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