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A Study on Clinical Nurses Level of Perception of Importance, Performance and Satisfaction in the control of Nosocomial Infection
Sun Ock Kim, Soo Hyun Cho
Journal of Nurses Academic Society 1997;27(4):765-776.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.4.765
AbstractAbstract PDF

Hospitals accomodate patients who have a high risk of infection due to reduced immunity as well as people who require surgical, medical or other treatments. Consequently, the role of clinical nurses, who come into close contact with these patients is very important in the control of nosocomial infection. This study was done to investigate and compare the level of perception of the importance of the control of nosocomial infections as well as the level of actual performance, and the level of satisfaction with the control of nosocomial by the clinical nurses. Thus, the purpose of this study is to contribute basic data for improving policies and educational programs to control nosocmial infection. A summary of the survey results is as follows. 1) The means of scores on all categories of the inquiry were 4.51 for awareness 4.42 for actual performance, and 3.20 for satisfaction, of a possible high score of 5.00. 2) Correlations of the level of perception of importance between characteristics of nurses and hospital control of nosocomial infection differed significantly according to the type of hospital establishment type(p=.005), age(p=.000), career(p=.000), position(p=.002), and regular conferences on infection control in working departments(p=.003). Correlation of the level of actual performance between characteristics of nurses and hospital control of nosocomial infection differed significantly according to type of hospital(p=.000), hospital size(p=.009), working department(p=.000), age(p=.000), career(p=.000), school career(p=.040), position(p=.000), education experience on nosocomial infection(p=.020), and regular conferences on infection control in working department (p=.000). Correlation of degree of satisfaction between characteristics of nurses and hospital control of nosocomial infection also differed significantly according the type of hospital establishment(p=.003), working department(p=.000), age(p=.000), and regular conferences on infection control in working department(p=.000). 3) Correlation between clinical nurses, level of perception of importance and actual level of performance for the control of nosocomial infection was relatively positive(r=.57, p=.000). Correlation between clinical nurses degree of satisfaction and level of actual performance for control of nosocomial infection was relatively positive(r=.47, p=.000). Correlation between clinical nurses, level of perception of importance and degree of satisfaction degree with the control of nosocomial infection was also relatively positive (r=.27, p=.000).

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Reconstruction of Professional Identity in Clinical Nurses
Hyun Sook Kang, Kyoul Ja Cho, Nam Hee Choe, Won Ock Kim
Journal of Korean Academy of Nursing 2002;32(4):470-481.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.470
AbstractAbstract PDF

PURPOSE: This study was carried out to identify and re-establish the professional identity in clinical nurses. METHOD: From Dec. 1999, for 4 months, the study had been conducted by narrative analysis method based on hermeneutic principles. Subjects were ten nurses with 3-4 years of nursing experience at a university hospital. The data were collected and transcribed through narrative interviews. RESULT: As a result, the maternal role was identified as the most dominant discourse in which nurses formed their identity. Subjects felt that a maternity is socio-culturally needed in case of nursing. Reconstruction of professional identity consists of 3 stages, Telling, Retelling and Rebuilding. At first, nurses felt confused by skeptism of the profession, interpersonal difficulties, and heavy work loads. However, during the interviews, nurses recognized that nursing is not regarded as significant, effort to make nursing meaningful were small, and there was a lack of understanding others. From this new insight, they re-established a new image of nursing "through better understanding of others, seeking knowledge, and making positive efforts towards qualified nursing". CONCLUSION: The above narrative interviews may help nurses reflect and contextually interpret themselves, so that a new identity could be established. Furthermore researchers can obtain new insight from the subjects, while the subjects form a new nursing image from self-reflection.

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Clinical Nurses' lived Experience of Interpersonal Relations in the Ward Setting of the hospital
Yang Heui Ahn, Dae Ran Kim, Bok Nam Seo, Kyoung Eui Lee, Eun Ha Lee, Eun Shil Yim
Journal of Korean Academy of Nursing 2002;32(3):295-304.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.3.295
AbstractAbstract PDF

PURPOSE: The purpose of the study was to describe the essential structure of the lived experience of clinical nurses' interpersonal relations among nurses, patients, and others in the ward setting of the hospital. METHOD: Six nurses who have experienced from 4 to 7 years on the same ward setting, were interviewed. The data were collected from September, 2000 to May, 2001 and analyzed using Colaizzi's (1978) method of phenomenology. RESULT: In this study, 7 themes were extracted: difficulty of interpersonal relations after being familiar with work, developing good relations with doctors, patients, and their significant others as experience increased, generation gap among individual nurses, evaluating other nursing colleagues on their past experience in ward settings, avoiding nurses with whom one was in conflict, sometimes, resolving conflict through getting together with colleagues informally, having a limited interpersonal network, experiencing becoming mature through struggling with the difficulty of interpersonal relations. CONCLUSION: Nurse managers need to provide resources, opportunities, and information to clinical nurses through fully understanding the characteristics of nurses' interpersonal relations. In addition, they should minimize the factors which intervene with good interpersonal relations among clinical nurses.

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Clinical Nurses' Professional Conflicts
Kwuy Bun Kim, Hea Sook Kim, Kyung Ho Lee
Journal of Korean Academy of Nursing 2001;31(3):492-505.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.3.492
AbstractAbstract

PURPOSE: This study aims to find the sources of nurses' conflicts and to find ways to eliminate them for improved nursing care. METHOD: This study is based on a phenomenological approach. All participants were woking at K-hospital, located in Seoul. The research was performed from September 2000 to February 2001. Data was collected through interviews and observations while participants were working. Interviews lasted a duration of one and half hours and data collection accured five to six times per participant. The data were analysed by Giorgi
method
and the results are as follows:
RESULT
Essential themes in the professional conflict of clinical nurses emerged (1) The discords of human relationships ; (2) Dissatisfaction with working conditions; (3) Lack of self-respect in one's professional expertise ; (4) Dissatisfaction with one's work ; (5) Depression accurring due to one's ability as a professional. CONCLUSION: The foregoing arguments suggest that nurses perform stressful environments in a hospital originating from the relationship among peer group, working conditions, and lack of self-respect as a nurses. Therefore, hospital authorities should strangly consider working conditions, interpersonal relationships, and working conditions in order to promote self-respect of the nurses hospitals.

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A Study for a Curriculum for the Oriental Clinical Nurse Specialist Program
Hyang Yeon Lee, Kwuy Bun Kim, Kyoul Ja Cho, Hye Sook Shin, Kwang Joo Kim, Myoung Ja Wang, Sook Young Kim, Jeong Ah Kim, Hyun Sil Kim, Kyung Min Park, Ok Hee Ahn, Mi Jung Oh, Kang Yi Lee, Hye Sook Jang, Eun Young Jeon, Young Hae Chung, Seon Hee Han
Journal of Korean Academy of Nursing 2000;30(6):1467-1478.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.6.1467
AbstractAbstract PDF

The purpose of this study was to develop a curriculum for the oriental clinical nurse specialist program based on the understanding of Korean human beings so as to develop nursing as a profession and promote the client's health. The design of this study was based on literature review and nominal group study. The research was managed by East-West Nursing Research Institute of nursing science college at Kyung Hee University. The research team was composed of 17 professors of nursing departments of oriental medical colleges. We obtained opinions from Oriental Nurses Association, Oriental Nursing Research Association, and professors in oriental medical college. We reviewed articles, curriculums of other clinical nurse specialist programs, medical laws and the curriculum development plan for the oriental clinical nurse specialist program from Korean Nurses Association. We discussed a curriculum thoroughly in numerous meetings. We developed a following curriculum: 1. Educational philosophy was founded on the oriental human view which was based on Chun-In union theory. It was founded on the oriental health view which recognized health being in harmony with nature and the balance of body function with the harmony of Yin-Yang in the five elements. In addition, it was founded on oriental nursing view to promote these health states. 2. Educational goals were to train oriental clinical nurse specialists, oriental nursing educators and oriental nursing researchers who developed knowledge of oriental nursing theory, nursing practice and created a leadership. 3. Curriculum consisted of 48 credits, of which 36 credits are based on lectures and laboratory classes and 12 credits are based on clinical practice. 36 credits consisted of 5 general subject credits and 31 core subject credits. General subjects consisted of nursing theory, nursing research, law and ethics. Students who had earned master's degrees are not required to take the general subjects. Core subjects consisted of 11 subjects such as advanced physical examination and laboratory, oriental nursing theory, original text of oriental nursing, oriental medical nursing, oriental pediatric nursing, oriental gynecologic nursing, oriental gerontologic nursing, oriental pharmacology, oriental constitutional nursing, advanced nursing of channels and acupuncture points and laboratory and oriental rehabilitation nursing and laboratory. In addition, clinical practice in a hospital ward, out patient department, herb prepation room, department of physical therapy and health promotion center in oriental medical hospitals for 12 weeks. To admit this program, students should complete prerequisites of introduction to oriental nursing and nursing of channels and acupuncture points. 4. Course contents of each subjects were developed to include the course's goal and objectives and specific items. 5. Evaluation involved lecture, laboratory and in field practice. We applied various evaluation systems and methods that were based on both knowledge and skills of the students to ensure full credibility and validity.

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A Study about the Human Communication between Clinical Nurse and Patient
Myung Hee Jun
Journal of Korean Academy of Nursing 1999;29(4):841-854.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.4.841
AbstractAbstract PDF

This study tried to the answer to the question : "How does the human communication happen between clinical nurse and patient?" To answer that, a micro-ethnographic research method was used and I performed field work at the orthopedic ward in one Korean metropolitan city. After analysis of interview data, observational data and field notes, I could understand that clinical nurse-patient communication performed for clinical decision making, providing patient education and emotional support. Prepared nurse communicate with patient more effectively, eventually can establish more trust relationship with patient. Conclusively I discussed about the way of nurse's skill acquisition, need of collaborative conference with doctor and nurse, and curriculum development to promote nurses's understanding of human.

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Development and Evaluation of a PBL-based Continuing Education for Clinical Nurses: A Pilot Study
Hee Soon Kim, Seon Young Hwang, Eui Geum Oh, Jae Eun Lee
Journal of Korean Academy of Nursing 2006;36(8):1308-1314.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.8.1308
AbstractAbstract PDF
Purpose

The purposes of this study were to develop a PBL program for continuing nurse education and to evaluate the program after its implementation.

Methods

The PBL program was developed in the core cardio-pulmonary nursing concepts through a collaborative approach with a nursing school and a hospital. The PBL packages with simulation on ACLS were implemented to 40 clinical nurses. The entire PBL program consisted of six 3-hour weekly classes and was evaluated by the participants' subjective responses.

Results

Two PBL packages in cardio-pulmonary system including clinical cases and tutorial guidelines were developed. The 57.5% of the participants responded positively about the use of PBL as continuing nurse education in terms of self-motivated and cooperative learning, whereas 20.0% of the participants answered that the PBL method was not suitable for clinical nurses. Some modifications were suggested in grouping participants and program contents for PBL.

Conclusion

The PBL method could be utilized to promote nurses' clinical competencies as well as self-learning abilities. Further research is needed in the implementation strategies of PBL-based continuing education in order to improve its effectiveness.

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The Relationship between Depression, Perceived Stress, Fatigue and Anger in Clinical Nurses
Won Hee Lee, Chun Ja Kim
Journal of Korean Academy of Nursing 2006;36(6):925-932.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.925
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the relationship between depression, perceived stress, fatigue and anger in clinical nurses.

Method

A descriptive survey was conducted using a convenient sample. Data was collected by questionnaires from four hundred clinical nurses who worked at a university hospital. Radloff's CES-D for depression, Cohen, Kamarck & Mermelstein's Perceived Stress Scale, VAS for Fatigue, and Spielberger's STAXI for anger were used. The data was analyzed using the pearson correlation coefficient, students' t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0.

Result

The depression of clinical nurses showed a significantly positive correlation to perceived stress(r=.360, p=.000), mental fatigue(r=.471, p=.000), physical fatigue(r=.350, p=.000), trait anger(r=.370, p=.000), anger-in expression(r=.231, p=.000), and anger-control expression(r=.120, p=.016). There was a negative correlation between depression and age(r=-.146, p=.003). The mean score of depression of nurses, 26, was a very high score and 40.8% of clinical nurses were included in a depression group. The main significant predictors influencing depression of clinical nurses were mental fatigue, trait anger, perceived stress, anger-in expression, and state anger, which explained about 32.7%.

Conclusion

These results indicate that clinical nurses with a high degree of perceived stress, mental fatigue and anger-in expression are likely to be depressed.

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Development of a Task Performance Evaluation Instrument for Clinical Nurses
Hyun Ok Paik, Sang Sook Han, Sang Chul Lee
Journal of Korean Academy of Nursing 2005;35(1):95-103.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.95
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an instrument of task performance evaluation for clinical nurses, thus testing the validity and the reliability of the scale.

Method

Data was collected from 84 Head Nurses and 255 General Nurses. A conceptual framework, composed of 4 factors of meaning in task performance evaluation, was identified through review of the relevant literature. A total of 78 items were developed and were used on a five-point likert scale. Through factor analysis, items whose factor loading was below 0.50 were deleted, thus 35 items remained. To test the validity and reliability of the instrument, the SPSS 11.0 windows program was used.

Result

The results of the factor analysis indicated that 4 factors were classified and the cumulative percent of variance was 67.54%. The results of the reliability test indicated that Cronbach's coefficient of the total 35 items was over 0.9176. The results of the factor analysis indicated that factor loadings of all items was over 0.50. Conclusively, the validity and the reliability of the scale were proven.

Conclusion

This study was identified as a tool with a high degree of reliability and validity.

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