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Research Papers
- Temporal Exploration of New Nurses’ Field Adaptation Using Text Network Analysis
- Ahn, Shin Hye , Jeong, Hye Won , Yang, Seong Gyeong , Jung, Ue Seok , Choi, Myoung Lee , Kim, Heui Seon
- J Korean Acad Nurs 2024;54(3):358-371. Published online August 31, 2024
- DOI: https://doi.org/10.4040/jkan.24034
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Abstract
PDF - Purpose
This study aimed to analyze the experiences of new nurses during their first year of hospital employment to gather data for the development of an evidence-based new nurse residency program focused on adaptability. Methods: This study was conducted at a tertiary hospital in Korea between March and August 2021 with 80 new nurses who wrote in critical reflective journals during their first year of work. NetMiner 4.5.0 was used to conduct a text network analysis of the critical reflective journals to uncover core keywords and topics across three periods. Results: In the journals, over time, degree centrality emerged as “study” and “patient understanding” for 1 to 3 months, “insufficient” and “stress” for 4 to 6 months, and “handover” and “preparation” for 7 to 12 months. Major sub-themes at 1 to 3 months were: “rounds,” “intravenous-cannulation,” “medical device,” and “patient understanding”; at 4 to 6 months they were “admission,” “discharge,” “oxygen therapy,” and “disease”; and at 7 to 12 months they were “burden,” “independence,” and “solution.” Conclusion: These results provide valuable insights into the challenges and experiences encountered by new nurses during different stages of their field adaptation process. This information may highlight the best nurse leadership methods for improving institutional education and supporting new nurses’ transitions to the hospital work environment.
- 358 View
- 17 Download
- Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
- Kim, Soomi , Kim, Chul-Gyu
- J Korean Acad Nurs 2023;53(3):275-294. Published online June 30, 2023
- DOI: https://doi.org/10.4040/jkan.22109
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Abstract
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- Purpose
This study aimed to develop an evidence-based extracorporeal membrane oxygenation (ECMO) nursing protocol for critically ill patients receiving ECMO treatment by using an adaptation process, and to verify the effects of the protocol.
Methods
The protocol was developed according to the adaptation guidelines. A non-randomized controlled trial was conducted to test the protocol’s effects. Data were collected between April 2019 and March 2021. The differences in physiological indicators and complication rates between the two groups were investigated using a chart review to evaluate patient outcomes. The nurses’ outcome variables were evaluated using a questionnaire.
Results
First, after reviewing 11 guidelines by appraisal of the guidelines for research and evaluation collaboration II, 5 guidelines with a standardization grade of over 50 points were selected. An ECMO nursing protocol was developed based on these guidelines. Second, there were no statistically significant differences in physiological indicators between the two groups of patients. However, the experimental group showed a statistically significant decrease in the infection rate (p = .026) and pressure injury rates (p = .041). The levels of satisfaction with ECMO nursing care, and empowerment and performance of the nurses who used the ECMO nursing protocol were higher than those of nurses who did not (p < .001).
Conclusion
This protocol may help prevent infections and pressure injuries in patients, and improve nurses’ satisfaction and empowerment. The nursing protocol developed for critically ill patients receiving ECMO treatment can be utilized in evidence-based nursing practice.
- 1,620 View
- 105 Download
Original Articles
- Structural Equation Modeling on Clinical Decision Making Ability of Nurses
- Min Kyoung Park, Soukyoung Kim
- J Korean Acad Nurs 2019;49(5):601-612. Published online January 15, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.5.601
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Abstract
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Abstract Purpose The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory.
Methods The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed.
Results The goodness-of-fit of the final model was at a good level (χ 2/df=2.46, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability.
Conclusion The nurses’ clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs.
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Citations
Citations to this article as recorded by
- Development of a Korean clinical decision-making ability scale for hospital nurses
Sunyoung Oh, Minkyung Gu, Sohyune Sok
BMC Nursing.2025;[Epub] CrossRef - Emotional Touch Nursing Competencies Model of the Fourth Industrial Revolution: Instrument Validation Study
Sun-Young Jung, Ji-Hyeon Lee
Asian/Pacific Island Nursing Journal.2024; 8: e67928. CrossRef - The Mediating Effect of Nursing Professionalism in the Relationship between Critical Thinking Disposition and Medication Safety Competency of Peri-Anesthesia Nurses
Won Mi Son, Jung Suk Park
Journal of Korean Academy of Nursing Administration.2024; 30(5): 543. CrossRef - The Relationships among communication competence, professional autonomy and clinical reasoning competence in oncology nurses
Suyeon Noh, Younhee Kang
Nursing Open.2024;[Epub] CrossRef - Development and Effects of a Virtual Reality Simulation Nursing Education Program Combined With Clinical Practice Based on an Information Processing Model
Eunju Lee, Gyuli Baek
CIN: Computers, Informatics, Nursing.2023; 41(12): 1016. CrossRef - Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals
Min Young Kim, Jeong Hye Kim, Su Jung Choi
Journal of Korean Critical Care Nursing.2022; 15(2): 27. CrossRef - Factors Influencing Clinical Nurses’ Medication Safety Competence
Ga-Hyun Kim, Hyun-Ju Lee
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 237. CrossRef
- Development of a Korean clinical decision-making ability scale for hospital nurses
- 719 View
- 30 Download
- 3 Web of Science
- 7 Crossref
- Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study
- Myoung Sun Jang, Sungjae Kim
- J Korean Acad Nurs 2019;49(4):423-436. Published online January 15, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.4.423
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Abstract
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Abstract Purpose The aim of the study was to explore nurses’ experience of person-centered relational care in the context of critical care.
Methods Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through in-depth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data.
Results Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced ‘balancing emotions’ and ‘authenticity’ in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee's theory.
Conclusion The interpretative findings in this study provide deeper understanding of Travelbee's human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.
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Citations
Citations to this article as recorded by- Framework of humanistic care for patients in theICU: A preliminary study
Yuchen Zhang, Li Zhao, Meng Zhang, Xiaojing Guo, Chen Xin, Yubiao Gai
Nursing in Critical Care.2024; 29(1): 125. CrossRef - Exploring Healthcare Providers’ and Women’s Perspectives of Labor Companionship during Childbirth: An Interpretative Phenomenological Analysis Study
Anwar Nader AlKhunaizi, Areej Ghalib Al-Otaibi, Manal F. Alharbi, Ghareeb Bahari
Healthcare.2024; 12(9): 869. CrossRef - Experience of Clinical Adaptation among Nurses in Intensive Care Unit
Jin Young Hong, Sue Kyung Sohn
Journal of Korean Critical Care Nursing.2024; 17(1): 1. CrossRef - Self-reflection of a General Ward Nurses on the Experience of End-of-Life Care for a Patient who Decided to Suspend Life-sustaining Treatment: van Manen's Hermeneutic Phenomenological Approach
Hee Jung Hong
Korean Journal of Adult Nursing.2023; 35(3): 273. CrossRef - The impact of family care visitation programme on patients and caregivers in the intensive care unit: A mixed methods study
Hye Jin Yoo, JaeLan Shim
Journal of Clinical Nursing.2023; 32(13-14): 3797. CrossRef - Effective Teaching Behaviors of Clinical Nursing Teachers: A Qualitative Meta-Synthesis
Jian Zhang, Fenhua Zhou, Jinxia Jiang, Xia Duan, Xin Yang
Frontiers in Public Health.2022;[Epub] CrossRef - Nurse Spiritual Care Therapeutics Scale
Kyung-Ah Kang, Elizabeth Johnston Taylor, Jiyoung Chun
Journal of Hospice & Palliative Nursing.2022; 24(6): E250. CrossRef - Person-centred care among intensive care unit nurses: A cross-sectional study
Hyuna Youn, Miyoung Lee, Sun Joo Jang
Intensive and Critical Care Nursing.2022; 73: 103293. CrossRef - The Effect of a Multifaceted Family Participation Program in an Adult Cardiovascular Surgery ICU*
Hye Jin Yoo, JaeLan Shim
Critical Care Medicine.2021; 49(1): 38. CrossRef - Conceptualization of Person-Centered Care in Korean Nursing Literature: A Scoping Review
Ji Yea Lee, Sewon Lee, Eui Geum Oh
Korean Journal of Adult Nursing.2020; 32(4): 354. CrossRef - Critical care nurses’ communication experiences with patients and families in an intensive care unit: A qualitative study
Hye Jin Yoo, Oak Bun Lim, Jae Lan Shim, Liza Heslop
PLOS ONE.2020; 15(7): e0235694. CrossRef
- Framework of humanistic care for patients in theICU: A preliminary study
- 818 View
- 24 Download
- 8 Web of Science
- 11 Crossref
- Development and Validation of a Measurement to Assess Person-centered Critical Care Nursing
- Jiyeon Kang, Young Shin Cho, Yeon Jin Jeong, Soo Gyeong Kim, Seonyoung Yun, Miyoung Shim
- J Korean Acad Nurs 2018;48(3):323-334. Published online January 15, 2018
- DOI: https://doi.org/10.4040/jkan.2018.48.3.323
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Abstract
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Abstract Purpose The purpose of this study was to develop a scale to measure person-centered critical care nursing and verify its reliability and validity.
Methods A total of 38 preliminary items on person-centered critical care nursing were selected using content validity analysis of and expert opinion on 72 candidate items derived through literature review and qualitative interviews. We conducted a questionnaire survey with 477 nurses who worked in intensive care units. The collected data were analyzed using exploratory factor analysis (EFA) and confirmative factor analysis (CFA) with SPSS and AMOS 24.0 program.
Results EFA was performed with principal axis factor analysis and Varimax rotation. The 15 items in 4 factors that accounted for 50.8% of the total variance were identified by deleting the items that were not meet the condition that the commonality should be .30 or more and the factor loading over .40. We named the factors as compassion, individuality, respect, and comfort, respectively. The correlation coefficient between this scale and the Caring Perception Scale was
r =.57 (p <.001), which determined concurrent validity. The item-total correlation values ranged from .39 to .63, and the internal consistency for the scale was Cronbach's α=.84.Conclusion The reliability and validity of the 15 item person-centered critical care nursing scale were verified. It is expected that the use of this scale would expand person-centered care in critical care nursing.
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Citations
Citations to this article as recorded by- How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
PLOS ONE.2025; 20(1): e0316654. CrossRef - Development and validation of the nurses’ touch comfort evaluation scale in China
Yaohong Liu, Sainan Qiu, Hao Li, Chong Chen, Renhe Yu, Su’e Yuan
BMC Nursing.2025;[Epub] CrossRef - Factors associated with good death for end-of-life patients in the intensive care unit based on nurses’ perspectives: A systematic review
Ifa Hafifah, Wasinee Wisesrith, Noraluk Ua-Kit
Intensive and Critical Care Nursing.2025; 87: 103930. CrossRef - Analysis of Factors Affecting the Inpatient Satisfaction in Integrated Nursing Care Service Wards using a Healthcare Service Survey Database
Young Shin Cho, Jiwon Hong
Journal of Korean Critical Care Nursing.2024; 17(3): 76. CrossRef - The Influence of Ethical Nursing Competence and Positive Nursing Organizational Culture on Person-Centered Care in Intensive Care Unit Nurses: A Cross-Sectional Survey
Jae Eun Lee, Hye-Young Jang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 304. CrossRef - Emotional Touch Nursing Competencies Model of the Fourth Industrial Revolution: Instrument Validation Study
Sun-Young Jung, Ji-Hyeon Lee
Asian/Pacific Island Nursing Journal.2024; 8: e67928. CrossRef - Development and validation of a patient-centered communication scale for nurses
Youngshin Joo, Yeonsoo Jang, Chang Gi Park, You Lee Yang
BMC Nursing.2024;[Epub] CrossRef - Development of a cyberbullying victimization scale for adolescents in South Korea
JongSerl Chun, Jinyung Kim, Serim Lee
Children and Youth Services Review.2023; 144: 106744. CrossRef - The effect of nursing work environment on slow nursing among long-term care hospital nurses: A descriptive study
Hyeon-mi Woo
Journal of Korean Gerontological Nursing.2023; 25(2): 206. CrossRef - Birey Merkezli Perioperatif Hemşirelik Ölçeği: Türkçe’ye Uyarlama, Geçerlik ve Güvenirlik Çalışması
Nadide YILMAZ ESENBOĞA, Seher YURT
Ege Üniversitesi Hemşirelik Fakültesi Dergisi.2023; 39(1): 21. CrossRef - Comparison of Nursing Needs and Nursing Performance Perceived by Patients and Nurses in Integrated Nursing Care Service Wards in Small and Medium-Sized Hospitals: A Cross-Sectional Descriptive Study
Hee-Sun Choi, Young Shin Cho
Korean Journal of Adult Nursing.2023; 35(3): 234. CrossRef - Factors Influencing Person-Centered Care among Nurses in COVID-19 Special Care Units at Tertiary General Hospitals: A Cross-Sectional Descriptive Study
Kisook Kim, Sunmi Kwon
Korean Journal of Adult Nursing.2023; 35(2): 127. CrossRef - Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study
Sun Joo Jang, Eun Hye Kim, Haeyoung Lee
Journal of Nursing Management.2022; 30(7): 2227. CrossRef - Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
Eun Young Kim, Sung Ok Chang
Journal of Korean Gerontological Nursing.2022; 24(1): 33. CrossRef - Intersections of the arts and art therapies in the humanization of care in hospitals: Experiences from the music therapy service of the University Hospital Fundación Santa Fe de Bogotá, Colombia
Mark Ettenberger, Nayibe Paola Calderón Cifuentes
Frontiers in Public Health.2022;[Epub] CrossRef - The relationship between person-centred care and the intensive care unit experience of critically ill patients: A multicentre cross-sectional survey
Jiyeon Kang, Minju Lee, Young Shin Cho, Jin-Heon Jeong, Sol A Choi, Jiwon Hong
Australian Critical Care.2022; 35(6): 623. CrossRef - Mediating Effect of Communication Competence in the Relationship between Compassion and Patient-Centered Care in Clinical Nurses in South Korea
Miri Jeong, Kawoun Seo
Healthcare.2022; 10(10): 2069. CrossRef - Person-centred care among intensive care unit nurses: A cross-sectional study
Hyuna Youn, Miyoung Lee, Sun Joo Jang
Intensive and Critical Care Nursing.2022; 73: 103293. CrossRef - Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
Hyun-Joung Yun, Jaehee Jeon
Korean Journal of Adult Nursing.2022; 34(4): 413. CrossRef - Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit
Da Eun Kim, Hye Sook Min
Journal of Korean Critical Care Nursing.2022; 15(3): 62. CrossRef - Effectiveness of blood glucose control protocol for open heart surgery patients
Hye Jin Yoo, Eunyoung E. Suh, JaeLan Shim
Journal of Advanced Nursing.2021; 77(1): 275. CrossRef - Factors Influencing Patient-Centeredness among Korean Nursing Students: Empathy and Communication Self-Efficacy
Jaehee Jeon, Seunghye Choi
Healthcare.2021; 9(6): 727. CrossRef - The Factors Affecting Person-centered Care Nursing in Intensive Care Unit Nurses
Hye Suk Kang, Minjeong Seo
Journal of Korean Critical Care Nursing.2021; 14(3): 14. CrossRef - The Effect of a Multifaceted Family Participation Program in an Adult Cardiovascular Surgery ICU*
Hye Jin Yoo, JaeLan Shim
Critical Care Medicine.2021; 49(1): 38. CrossRef - Impact of Job Engagement on the Quality of Nursing Services: The Effect of Person-Centered Nursing in South Korean Nurses
Hyesun Kim, Kawoun Seo
Healthcare.2021; 9(7): 826. CrossRef - The mediating effect of self-efficacy on the relationship between social anxiety and communication ability in nursing students
Mi-Jin You, Hye-Sook Han
The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 298. CrossRef - Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
Sohyun Kim, Sunghee H Tak
Journal of Korean Academy of Nursing.2021; 51(3): 363. CrossRef - The Effects of the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses
Sun-Ui Shin, Hyun-E Yeom
The Korean Journal of Hospice and Palliative Care.2021; 24(3): 174. CrossRef - Factors Associated with Quality of Dying and Death in Korean Intensive Care Units: Perceptions of Nurses
Haeyoung Lee, Seung-Hye Choi
Healthcare.2021; 9(1): 40. CrossRef - Influencing Factors on Performance of Person-Centered Care among Intensive Care Unit Nurses: An Ecological Perspective
Yein Lee, Yunhee Kim
Korean Journal of Adult Nursing.2021; 33(5): 522. CrossRef - Factors affecting to the Person-Centered Care among Critical Care Nurses
Seunghye Choi
Journal of Korean Critical Care Nursing.2020; 13(2): 36. CrossRef - Conceptualization of Person-Centered Care in Korean Nursing Literature: A Scoping Review
Ji Yea Lee, Sewon Lee, Eui Geum Oh
Korean Journal of Adult Nursing.2020; 32(4): 354. CrossRef - Critical care nurses’ communication experiences with patients and families in an intensive care unit: A qualitative study
Hye Jin Yoo, Oak Bun Lim, Jae Lan Shim, Liza Heslop
PLOS ONE.2020; 15(7): e0235694. CrossRef - Development and Validation of a Patient Version of Person-Centered Critical Care Nursing Questionnaire: A Methodological Study
Jiwon Hong, Jiyeon Kang
Sage Open.2020;[Epub] CrossRef - Effects of a person‐centred care intervention in an intensive care unit: Using mixed methods to examine nurses’ perspectives
Hye Jin Yoo, JaeLan Shim
Journal of Nursing Management.2020;[Epub] CrossRef - The Relationship between the Work Environment and Person-centered Critical Care Nursing for Intensive Care Nurses
Jiyeon Kang, Yun Mi Lim
Journal of Korean Critical Care Nursing.2019; 12(2): 73. CrossRef - Development and Validation of a Person-Centered Perioperative Nursing Scale
Soyeung Shin, Jiyeon Kang
Asian Nursing Research.2019; 13(3): 221. CrossRef - The Relationship between Person-Centered Nursing and Family Satisfaction in ICUs
Jiyeon Kang, Eun-Ja Shin
Journal of Korean Critical Care Nursing.2019; 12(3): 1. CrossRef - Development of the Patient Caring Communication Scale
Myoung Lyun Heo, Sook Bin Im
Journal of Korean Academy of Nursing.2019; 49(1): 80. CrossRef - A Concept Analysis on Patient-Centered Care in Hospitalized Older Adults with Multimorbidity
Youn-Jung Son, Heun-Keung Yoon
Journal of Korean Critical Care Nursing.2019; 12(2): 61. CrossRef - The Meanings of Hands among Clinical Nurses in a Tertiary Hospital
Hye Jin Yoo, Eunyoung E. Suh, Yeon Hee Shin, Jung Sun Choi, Kwang Hee Park, Jung Yoon Kim, Hyunsun Kim, Jiyoung Kang
Journal of Korean Critical Care Nursing.2019; 12(3): 50. CrossRef
- How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
- 557 View
- 30 Download
- 41 Crossref
- A Study of Critical Thinking Ability of Associate and Baccalaurate Degree Nursing Students
- Kyung Rim Shin
- Journal of Nurses Academic Society 1996;26(1):43-52. Published online March 30, 2017
- DOI: https://doi.org/10.4040/jnas.1996.26.1.43
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Abstract
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This descriptive study was done to investigate the critical thinking ability of senior nursing students in two types of nursing education programs: associate and baccalaureate programs. Data were convenently collected from 159 associate degree nursing(ADN)students and 158 baccalaureate degree nursing(BSN)students. All schools were the Ministry of Education accredited and located in Seoul City and Kyung gi Province. These data were collected by self reporting questionaire given over two months from March to May, 1995. The subjcets completed the Watson -Glaser Critical Thinking Appraisal (WGCTA)and a demographic questionnaire. The data was analyzed using descriptive statistics and t-test with the SAS program. The results of this study are as follows 1. The mean of critical thinking ability of the ADN students was 42.69. 2. The mean of critical thinking ability of the BSN students was 47.68. 3. There was significant difference in the WGCTA scores between the ADN and the BSN students (t=7.38 p<0.001) 4. This study suggests that critical thinking ability may increase with higher levels of nursing education. Possible explanations for these findings are discussed.
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Citations
Citations to this article as recorded by- Critical Thinking Disposition and Problem Solving Ability in Nursing Students
Seung-Ae Yang
Journal of Korean Academy of Nursing Administration.2010; 16(4): 389. CrossRef - Predictors of the Clinical Competence in New Graduate Nurses
Youn-Wha Shin, Haejung Lee, Yeonjung Lim
Journal of Korean Academy of Nursing Administration.2010; 16(1): 37. CrossRef
- Critical Thinking Disposition and Problem Solving Ability in Nursing Students
- 105 View
- 0 Download
- 2 Crossref
- Development of a Critical Pathway for Patients with Coronary Artery Bypass Graft
- Gi Yon Kim
- Journal of Korean Academy of Nursing 1998;28(1):117-131. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.1998.28.1.117
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Abstract
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The purpose of this study was to develop a critical pathway for case management for patients who have received Coronary Artery Bypass Graft(CABG) because of Ischemic Heart Disease(IHD) which is a factor of rising medical expenses. For this study, a conceptual framework was developed through a review of the literature including six critical pathways which are currently being used in USA. In order to identify the overall service contents required by these patients and to draw up a preliminary critical pathway, 30 cases of medical records of patients who had CABG because of IHD between January, 1995 to June, 1996 at the Cardiovascular Center of Yonsei Medical Center in Seoul were analyzed. An expert validity test was done for the preliminary critical pathway and clinical validity test was also done using seven IHD patients with CABG between November 11 and 23, 1996. After these processes, the final critical pathway was developed. The results of this study are summarized as follows : 1. The vertical axis of the critical pathway includes the following eight items, nutrition medications, consultations, activity, assessments, treatments, education discharge planning and the horizontal axis includes the time from the start of hospitalization to discharge. 2. Analysis of the 30 medical records indicated that the average length of stay was 20.2 days with the average length of stay from hospitalization day to operation day being 6.2 days, and the average length of stay from operation day to discharge day was 13.9 days. Analysis of the service contents showed that the horizontal axis of the preliminary critical pathway was set from hospitalization to the 14th post operation day and the vertical axis was set to include eight items, the contents which ought to have occurred, according to the time frames of the horizontal axis. 3. As a result of the experts validity, it was found the among the total of 571 items, there was over 83% agreement for 482 items, less than 83% for 89 items, which were then deleted and a revision of the critical pathway was done. 4. A clinical validity test was done using seven, IHD patients with CABG. During the process, three patients were deleted because they were out of the criteria the investigator set. Finally, four patients were used. The result of study indicated that only one patient was discharged on the tenth post operation day. which was one day later than the expected day. Three patients were discharged later than the expected day from three days to nine days. All the cases progressed on schedule until the operation day and the first post operation day. but from the second post operation days, there were differences between the critical pathway and the actual practice. The differences came from tests, assessments, and treatments. 5. On the basis of the results of the clinical validity test, the following revisions in the final critical pathway were made : the transfer from ICU to step down ward would be the second post operation day, and the transfer to a general ward, the fifth post operation day, for patients who complained of lack of sleep from the fifth post operation day to discharge, a sleeping pill would be prescribed, skin observations would be performed routinely from immediately after the operation until the third post operation day, and would continue if there was a sign of skin injury on the fourth post operation day, and assessment of chest pain would be done from the third post operation day, and the "stairs climbing" item, expected to be done on the ninth post operation day would be deleted. In conclusion, this critical pathway is partially applicable to the care of patients with CABG but there are some parts needed to be further investigated.
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Citations
Citations to this article as recorded by- Reduction of Length of Stay in Emergency Room by Using Critical Pathway for Stroke Patients
Yeo Ok Yun, Min Young Kim, Woo Jeong Kim, Young Joon Kang, Ju Ok Park, Kyung Hye Park
Journal of Korean Academy of Nursing Administration.2011; 17(1): 66. CrossRef - The Development of Nursing Standards for Coronary Artery Disease Patients Who Received Medical Treatment
Won Jung Noh
Journal of Korean Academy of Nursing Administration.2010; 16(3): 326. CrossRef - The Development and Effects of an Integrated Symptom Management Program for Prevention of Recurrent Cardiac Events after Percutaneous Coronary Intervention
Youn-Jung Son
Journal of Korean Academy of Nursing.2008; 38(2): 217. CrossRef
- Reduction of Length of Stay in Emergency Room by Using Critical Pathway for Stroke Patients
- 108 View
- 1 Download
- 3 Crossref
- Patients' Anxiety in Intensive Care Units and Its Related Factors
- Chin Kang Koh
- Journal of Korean Academy of Nursing 2007;37(4):586-593. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2007.37.4.586
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Abstract
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Purpose The purpose of this study was to describe patients' anxiety in the ICU and to investigate related factors on the anxiety level.
Methods An exploratory cross-sectional survey design was used. Forty-eight patients participated in the study. Questionnaires were asked to patients who had been cared in the ICUs.
Results Related to the anxiety level, the mean of the total anxiety score was 5.47, and 60% of the patients had moderate or severe level of anxiety. Patients from the coronary care unit had a significantly higher level of anxiety than those from surgical intensive care unit or pulmonary surgery care unit. Moreover, significantly different levels of anxiety were found among patients who had been stayed for 2, 3, or 4 days.
Conclusion Patients who were from the coronary care unit or had been stayed longer (up to 4 days) in the ICU were significantly associated with higher anxiety level.
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Citations
Citations to this article as recorded by- Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery
Jeong-Yeong Jeon, Dong-Hee Kim, Kyoungrim Kang
Medicine.2023; 102(8): e33001. CrossRef - Effects of Prior Information About Intensive Care Unit Environment on Anxiety and Environmental Stress in Patients Undergoing Open Heart Surgery
Kyong Mi Shin, Hye Ran Choi
The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 28. CrossRef - The Effect of Back Pain Prevention Intervention Program on Back Pain Relief in Patients Following Percutaneous Coronary Intervention
Hyea Kyung Lee, Yeon Suk Park
The Korean Journal of Rehabilitation Nursing.2013; 16(2): 100. CrossRef - Factors Influencing Relocation Stress Syndrome in Patients Following Transfer from Intensive Care Units
Jin-Hee Park, Moon-Sook Yoo, Youn-Jung Son, Sun Hyoung Bae
Journal of Korean Academy of Nursing.2010; 40(3): 307. CrossRef - Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -
Youn-Jung Son, Sung-Kyung Hong, Eun Young Jun
Journal of Korean Academy of Nursing.2008; 38(3): 353. CrossRef
- Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery
- 145 View
- 5 Download
- 5 Crossref
- The Roles of Critical Care Advanced Practice Nurse
- Young Hee Sung, Young Hee Yi, In Gak Kwon, Yong Ae Cho
- Journal of Korean Academy of Nursing 2006;36(8):1340-1351. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2006.36.8.1340
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Abstract
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Purpose To determine and compare the perception among nurses and doctors of the roles and tasks of critical care advanced practice nurses (APNs) in order to establish standardized and formally agreed role criteria for such critical care APNs.
Method This study measured and analyzed the necessity of each of the roles and tasks of critical care APNs, as perceived by nurses and doctors, through a survey of 121 participants: 71 nurses in 7 intensive care units (ICUs) at a general hospital in Seoul, and 50 doctors who used ICUs. Data collection utilized a questionnaire of 128 questions in the following fields: direct practice (79), leadership and change agent (17), consultation and collaboration (15), education and counseling (11), and research (6).
Results Both the nurses' and the doctors' groups confirmed the necessity of critical care APNs, with doctors who frequently used ICUs indicating a particularly strong need. As for the priority of each role of critical care APNs, the nurses considered direct practice to be the most critical, followed by education and counseling, research, consultation and collaboration, and leadership and change agent. The doctors also considered direct practice to be the most critical, followed by education and counseling, consultation and collaboration, research, and leadership and change agent. There was a statistically significant difference between how the two groups regarded all the roles, except for the consultation and collaboration roles. As for the necessity of each role of critical care APNs, the nurses considered research to be the most necessary, followed by education and counseling, consultation and collaboration, leadership and change agent, and direct practice. The doctors, on the other hand, considered education and counseling to be the most necessary, followed by research, consultation and collaboration, leadership and change agent, and direct practice. The responses of the two groups to all the roles, except for education and counseling roles, were significantly different.
Conclusion Nurses and doctors have different perceptions of the roles and tasks of critical care APNs. Thus, it is necessary for the combined nursing and medical fields to reach an official agreement on a set of criteria to standardize for the roles and tasks of critical care APNs.
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- Development of a Critical Thinking Disposition Scale for Nursing Students
- In Soo Kwon, Ga Eon Lee, Gyung Duck Kim, Young Hee Kim, Kyung Min Park, Hyun Sook Park, Sue Kyung Sohn, Woo Sook Lee, Keum Seong Jang, Bok Yae Chung
- Journal of Korean Academy of Nursing 2006;36(6):950-958. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2006.36.6.950
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Abstract
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Purpose The purpose of this study was to develop a critical thinking disposition scale for nursing students.
Method The developmental process was construction of a conceptual framework, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity and extraction of final items. The conceptual framework and first preliminary 60 items were obtained through a review of relevant literature and the development of critical disposition scales by 10 researchers who had been studying critical thinking for one year. These items were reviewed by five specialists for content validity and finally 55 items were chosen. The data was collected from October 1 to 15, 2004 and was analyzed using factor analysis and Cronbach's alpha with the SPSS program. The subjects were composed of 560 Bachelor of Science nursing students from 8 nursing schools.
Result There were 35 final items which were sorted into 8 factors. The factors were identified as ‘ intellectual integrity(6 items)’, ‘ creativity(4 items)’, ‘ challenge(6 items)’, ‘ open-mindedness(3 items)’, ‘ prudence(4 items)’, ‘ objectivity(4 items)’, ‘ truth seeking(3 items)’ and ‘ inquisitiveness(5 items)’. The cumulative percent of variance was 55.107%. The reliability of the scale, Cronbach's alpha was .892 and the factors' ranged from .562-.836.
Conclusion The result of this study could be used for measuring critical thinking dispositions of nursing students. However, for further validity and reliability, repeated research is necessary.
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- The Experiences of Family Caregiving in a Chronic Care Unit
- Myung Ok Cho
- Journal of Korean Academy of Nursing 2005;35(8):1461-1475. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2005.35.8.1461
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Abstract
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Purpose The main purpose of this critical ethnography was to examines the process and discourses through which family caregivers experience while caring for their sick family member in a hospital.
Methods This was achieved by conducting in-depth interviews with 12 family caregivers, and by observing their caring activities and daily lives in natural settings. The study field was a unit for neurologic patients. Data was analyzed using taxonomy, discourse analysis, and proxemics. All research work was iteratively processed from March 2003 to December 2004.
Results Constant comparative analysis of the data yielded the process of becoming a successful family caregiver: encountering the differences and chaos as novice; constructing their world of skilled caregivers; and becoming a hospital family as experienced caregivers. During the process of becoming an experienced hospital family, the discourse of family centered idea guided their caring behaviors and daily lives.
Conclusion The paternalistic family caregivers struggled, cooperated, and harmonized with the patriarchal world of professional health care system. During this process of becoming hospital family, professional nurses must act as cultural brokers between the lay family caring system and the professional caring system.
- 61 View
- 0 Download
- A Longitudinal Study of Critical Thinking Dispositions & Critical Thinking Skills in Baccalaureate Nursing Students
- Kyung Rim Shin, Ju Young Ha, Kon Hee Kim
- Journal of Korean Academy of Nursing 2005;35(2):382-389. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2005.35.2.382
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Abstract
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Purpose This longitudinal study was done to investigate critical thinking dispositions and critical thinking skills of nursing students enrolled in a 4-year baccalaureate program at a university in Korea.
Method The study used a longitudinal design. A convenience sample of 32 nursing students who were completing their 1st, 2nd, 3rd, and 4th year in a baccalaureate program at a selected university was included. The subjects completed the California Critical Thinking Dispositions Inventory (CCTDI), the California Critical Thinking Skill Test (CCTST), and a demographic questionnaire. Data was analyzed by descriptive statistics, repeated ANOVA, adjusted p-values, and Pearson's correlation coefficient with SAS 8.12.
Results There was statistically significant improvement according to academic year in the CCTDI total mean score (F=7.54, p= .0001) and subscales of Open-mindedness, Self-confidence, and Maturity. Contrarily, no statistically significant difference was found in the CCTST total mean score and subscales' score except Analysis.
Conclusion There is no significant correlation between critical thinking dispositions and skills, so it will be necessary to repeat a study like this, and the translated instruments should be modified by considering Korean culture.
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So Young You, Nam Cho Kim
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Sung‐Hee Ahn, Hye‐A Yeom
International Journal of Nursing Practice.2014; 20(5): 482. CrossRef - Exploring Nursing Education Modality for Facilitating Undergraduate Students' Critical Thinking: Focus Group Interview Analysis
Sung Ok Chang, Eun Suk Kong, Chun Gil Kim, Hee Kyung Kim, Mi Soon Song, Soo Yeon Ahn, Young Whee Lee, Myung Ok Cho, Kyung Sook Choi, Nam Cho Kim
Korean Journal of Adult Nursing.2013; 25(2): 125. CrossRef - Affecting Factors on Clinical Competence of Nursing Students
Hee-Jung Jang, Youn-Kyoung Kwag
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(9): 4380. CrossRef - Critical Thinking Disposition, Professional Self-Concept and Clinical Competence in Nursing Students
In-Soon Park, Ran Kim
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Gye Seon Jeong, Kyoung Ah Kim, Ji A Seong
The Journal of Korean Academic Society of Nursing Education.2013; 19(3): 413. CrossRef - Development and Validation of a Clinical Critical Thinking Skills Scale
Su-Jin Shin, Eunbae Yang, Byunghea Kong, Dukyoo Jung
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Youn-Wha Shin, Haejung Lee, Yeonjung Lim
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Yun Min Kim
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- Development of the Critical Pathway for the Patient with Tonsillectomy
- Myung Ok Lee, Myung Ok Chang
- Journal of Korean Academy of Nursing 2003;33(7):885-894. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2003.33.7.885
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Abstract
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Purpose This study aimed at developing a critical pathway for the children undergoing tonsillectomy.
Method Six steps of critical pathway developmental process were used based on the literature review. The researcher reviewed 70 medical records of children who had tonsillectomy between January 4th and April 30th, 2001. They received 76 kinds of medical services during six average hospitalization days. Five of them had post-operative bleeding problem. A professional group carefully screened 67 out of 76 medical services and adopted them with five average hospitalization days as the critical pathway framework. This framework was applied to 34 children undergoing tonsillectomy during June 1st through August 21st, 2001.
Result The children who used the pathways with five average hospitalization days had post-operative bleeding problem. In other words, the group who utilized the critical pathway resulted in better outcomes compared to the group who did not use the tool.
Conclusion Since the critical pathway is an efficient care management tool, nurses need to participate more positively participate in developing and utilizing the tool for other health problem.
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Yeo Ok Yun, Min Young Kim, Woo Jeong Kim, Young Joon Kang, Ju Ok Park, Kyung Hye Park
Journal of Korean Academy of Nursing Administration.2011; 17(1): 66. CrossRef
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- Development of Critical Thinking Skill Evaluation Scale for Nursing Students
- So Young You, Nam Cho Kim
- J Korean Acad Nurs 2014;44(2):129-138. Published online April 30, 2014
- DOI: https://doi.org/10.4040/jkan.2014.44.2.129
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Abstract
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Purpose To develop a Critical Thinking Skill Test for Nursing Students.
Methods The construct concepts were drawn from a literature review and in-depth interviews with hospital nurses and surveys were conducted among students (n=607) from nursing colleges. The data were collected from September 13 to November 23, 2012 and analyzed using the SAS program, 9.2 version. The KR 20 coefficient for reliability, difficulty index, discrimination index, item-total correlation and known group technique for validity were performed.
Results Four domains and 27 skills were identified and 35 multiple choice items were developed. Thirty multiple choice items which had scores higher than .80 on the content validity index were selected for the pre test. From the analysis of the pre test data, a modified 30 items were selected for the main test. In the main test, the KR 20 coefficient was .70 and Corrected Item-Total Correlations range was .11-.38. There was a statistically significant difference between two academic systems (
p =.001).Conclusion The developed instrument is the first critical thinking skill test reflecting nursing perspectives in hospital settings and is expected to be utilized as a tool which contributes to improvement of the critical thinking ability of nursing students.
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Citations
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Nguyen Thi Thanh Tam, Tran Ngoc Tien
rEFLections.2024;[Epub] CrossRef - Chinese version of Yoon Critical Thinking Disposition Instrument: validation using classical test theory and Rasch analysis
Mio Leng Au, Yue Yi Li, Lai Kun Tong, Si Chen Wang, Wai I Ng
BMC Nursing.2023;[Epub] CrossRef - Influence of Perceived Helicopter Parenting, Critical Thinking Disposition, Cognitive Ability, and Learning Motivation on Learning Behavior among Nursing Students
Hyunjoo Oh, Haeryun Cho, So Youn Yim
International Journal of Environmental Research and Public Health.2021; 18(3): 1362. CrossRef - A Review for Concept Clarification of Critical Thinking, Clinical Reasoning, and Clinical Judgment in Nursing Education
Dongsuk Lee, Jiyeon Park
Journal of Korean Academic Society of Nursing Education.2019; 25(3): 378. CrossRef - Effect of a Situational Module Learning Course on Critical Thinking Disposition and Metacognition in Nursing Students: A Quasi-experimental Study
Kwang Ok Park, Mi Yu
Journal of Korean Academic Society of Nursing Education.2019; 25(2): 251. CrossRef - Referenciais teóricos e instrumentos para avaliação do pensamento crítico na enfermagem e na educação
Fernando Riegel, Maria da Graça Oliveira Crossetti
Revista Gaúcha de Enfermagem.2018;[Epub] CrossRef - Changes in decision‐making among Italian nurses and nursing students over the last 15 years
Cristina Canova, Giorgio Brogiato, Gabriele Roveron, Renzo Zanotti
Journal of Clinical Nursing.2016; 25(5-6): 811. CrossRef - A literature Review (1996-2014) on Critical Thinking in Korean Nursing Education for the Era of Convergence
Na-Sun Ha, So-Young Pak, Mi-Ja Lee
Journal of Digital Convergence.2015; 13(9): 341. CrossRef - A Study on application Course Embedded Assessment(CEA) for Program Outcome Assessment in Nursing Education
Soung-Mi Nam
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3121. CrossRef - Validation of Yoon's Critical Thinking Disposition Instrument
Hyunsook Shin, Chang Gi Park, Hyojin Kim
Asian Nursing Research.2015; 9(4): 342. CrossRef
- Unveiling Critical Thinking Pedagogy: Classroom-Based Assessment Strategies in Higher Education
- 341 View
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- Risk Factors and Features of Critically Ill Patients with Deep Vein Thrombosis in Lower Extremities
- Hwasoon Kim, Ok Min Cho, Hyo Im Cho, Ju Yeun Kim
- J Korean Acad Nurs 2012;42(3):396-404. Published online June 12, 2012
- DOI: https://doi.org/10.4040/jkan.2012.42.3.396
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Abstract
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Abstract Purpose The purpose of this study was to identify the features, risk scores and risk factors for deep vein thrombosis in critically ill patients who developed deep vein thrombosis in their lower extremities.
Methods The participants in this prospective descriptive study were 175 adult patients who did not receive any prophylactic medication or mechanical therapy during their admission in the intensive care unit.
Results The mean age was 62.24 (± 17.28) years. Men made up 54.9% of the participating patients. There were significant differences in age, body mass index, and leg swelling between patients who developed deep vein thrombosis and those who did not have deep vein thrombosis. The mean risk score was 6.71(± 2.94) and they had on average 4.01(± 1.35) risk factors. In the multiple logistic regression, body mass index (odds ratio= 1.14) and leg swelling (odds ratio= 6.05) were significant predictors of deep vein thrombosis.
Conclusion Most critically ill patients are in the potentially high risk group for deep vein thrombosis. However, patients who are elderly, obese or have leg edema should be closely assessed and more than one type of active prophylactic intervention should be provided.
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Mi Hee Lee, Mee Ock Gu
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 269. CrossRef - Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
Nam Yong Kim, Eun A Kim, Jae Yeun Sim, Soon Hee Jung, Hye Young Kim, Eun Hee Jang, Jee Hye Shin
Journal of Korean Academy of Nursing Administration.2017; 23(1): 63. CrossRef - Knowledge, Health Belief, and Preventive Behavioral Intention related to Venous Thromboembolism (VTE) of the Patients with Lower Limb Musculoskeletal System Disorders
Hye Jin Yang, Hee-Young Kang
The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 531. CrossRef
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- 208 View
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- Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients
- Eun-Mi Kwak, Heeyoung Oh
- J Korean Acad Nurs 2012;42(1):76-84. Published online February 29, 2012
- DOI: https://doi.org/10.4040/jkan.2012.42.1.76
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Abstract
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Purpose The purpose of this methodological study was to examine the reliability and validity of a translated Korean version of the Critical Care Pain Observation Tool (CPOT) developed for assessment of pain in critically ill nonverbal patients.
Methods A cross-sectional study design was used. Data were collected from a convenience sample of 202 critically ill patients admitted to a university hospital. Upon establishment of content and translation equivalence between the English and Korean version of CPOT, psychometric properties were evaluated.
Results The interrater reliability was found to be acceptable with the weighted kappa coefficients of .81-.88. Significant high correlations between the CPOT and the Checklist of Nonverbal Pain Indicators were found indicating good concurrent validity (r=.72-.83,
p <.001). Data showed the area under the ROC curve of 0.86 with a cut-off point of 1, which resulted in 76.9% sensitivity and 88.6% specificity. The mean score of CPOT during suctioning was significantly different from that of before (t=-14.16,p <.001) or 20 minutes after suctioning (t=16.31,p <.001).Conclusion Results of this study suggest that the CPOT can be used as a reliable and valid measure to assess pain in critically ill nonverbal patients.
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Ah Young Choi, Min Young Kim, Eun Kyeung Song
Journal of Korean Academy of Nursing.2024; 54(1): 32. CrossRef - Validation of the PAINAD-K Scale for Nonverbal Pain Assessment in the Post Anesthesia Care Unit
Hyemin Kang, Ju-Yeon Uhm
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 90. CrossRef - Pain assessment of the adult sedated and ventilated patients in the intensive care setting: A scoping review
Samira Hamadeh Kerbage, Loretta Garvey, Gavin W. Lambert, Georgina Willetts
International Journal of Nursing Studies.2021; 122: 104044. CrossRef - A Systematic Review on Pain Assessment Tools for Intensive Care Unit Patients
Eun-Jeong Kim, Jiwon Hong, Jiyeon Kang, Na geong Kim, NaRi Kim, Su-Youn Maeng, Hye-Ryeon Park, Min Kyung Ban, Gun Young Yang, Kyung Suk Lee, Eun Hye Jang
Journal of Korean Critical Care Nursing.2020; 13(1): 44. CrossRef - Translation into Spanish and Cultural Adaptation of the Critical-Care Pain Observation Tool
Carmen Mabel Arroyo-Novoa, Milagros I. Figueroa-Ramos, Kathleen A. Puntillo, Céline Gélinas
American Journal of Critical Care.2020; 29(3): 226. CrossRef - The Diagnostic Accuracy of Critical Care Pain Observation Tool (CPOT) in ICU Patients: A Systematic Review and Meta-Analysis
Yue Zhai, Shining Cai, Yuxia Zhang
Journal of Pain and Symptom Management.2020; 60(4): 847. CrossRef - Validation of the Dutch version of the critical‐care pain observation tool
Willemke Stilma, Saskia Rijkenberg, Hilde M Feijen, Jolanda M Maaskant, Henrik Endeman
Nursing in Critical Care.2019; 24(3): 132. CrossRef - The German version of the Critical-Care Pain Observation Tool for critically ill adults
I. Kiesewetter, U. Bartels, A. Bauer, G. Schneider, S. Pilge
Der Anaesthesist.2019; 68(12): 836. CrossRef - A Psychometric Analysis Update of Behavioral Pain Assessment Tools for Noncommunicative, Critically Ill Adults
Céline Gélinas, Aaron M. Joffe, Paul M. Szumita, Jean-Francois Payen, Mélanie Bérubé, Shiva Shahiri T., Madalina Boitor, Gerald Chanques, Kathleen A. Puntillo
AACN Advanced Critical Care.2019; 30(4): 365. CrossRef - Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU
John W. Devlin, Yoanna Skrobik, Céline Gélinas, Dale M. Needham, Arjen J. C. Slooter, Pratik P. Pandharipande, Paula L. Watson, Gerald L. Weinhouse, Mark E. Nunnally, Bram Rochwerg, Michele C. Balas, Mark van den Boogaard, Karen J. Bosma, Nathaniel E. Bru
Critical Care Medicine.2018; 46(9): e825. CrossRef - The Critical care Pain Observation Tool is reliable in non-agitated but not in agitated intubated patients
Hoda Chookalayia, Mehdi Heidarzadeh, Mohammad Hassanpour-Darghah, Masoomeh Aghamohammadi-Kalkhoran, Mansoreh Karimollahi
Intensive and Critical Care Nursing.2018; 44: 123. CrossRef - Processus d’implantation d’une échelle d’évaluation de la douleur pour les patients cérébrolésés : description d’un projet de changement de pratique clinique basé sur le Modèle Intégré de la Consultation
Véronique de Goumoëns, François Décaillet, Amélia Didier, Chantal Montreuil, Karin Diserens, Anne-Sylvie Ramelet
Recherche en soins infirmiers.2017; N° 128(1): 79. CrossRef - Validation of the Danish version of the Critical Care Pain Observation Tool
J. B. Frandsen, K. S. O'Reilly Poulsen, E. Laerkner, T. Stroem
Acta Anaesthesiologica Scandinavica.2016; 60(9): 1314. CrossRef - Comparison of Domestic and International Research (1992-2011): Intensive Care Nursing Studies
Eun Hee Choi, Eun Hee Jang, Ji Youn Choi, So Jung Lee, Hyo Kuyng Seo, Kyung Sook Park
Korean Journal of Adult Nursing.2015; 27(4): 384. CrossRef - The Effects of Music Intervention on Pain among Critically Ill Patients with Ventilatory Support
Mi Na Ahn, Hye Young Ahn
Journal of Korean Biological Nursing Science.2013; 15(4): 247. CrossRef
- Effect of an Intervention Using Voice Recording of a Family Member on Patients Undergoing Mechanical Ventilator Weaning Process
- 229 View
- 3 Download
- 15 Crossref
- Adaptation of Evidence-based Surgical Wound Care Algorithm
- Jung Yeon Han, Smi Choi-Kwon
- J Korean Acad Nurs 2011;41(6):768-779. Published online December 31, 2011
- DOI: https://doi.org/10.4040/jkan.2011.41.6.768
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Abstract
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Purpose This study was designed to adapt a surgical wound care algorithm that is used to provide evidence-based surgical wound care in a critical care unit.
Methods This study used, the 'ADAPTE process', an international clinical practice guideline development method. The -'Bonnie Sue wound care algorithm' - was used as a draft for the new algorithm. A content validity index (CVI) targeting 135 critical care nurses was conducted. A 5-point Likert scale was applied to the CVI test using a statistical criterion of .75.
Results A surgical wound care algorithm comprised 9 components: wound assessment, infection control, necrotic tissue management, wound classification by exudates and depths, dressing selection, consideration of systemic factors, wound expected outcome, reevaluate non-healing wounds, and special treatment for non-healing wounds. All of the CVI tests were ≥.75. Compared to existing wound care guidelines, the new wound care algorithm provides precise wound assessment, reliabilities of wound care, expands applicability of wound care to critically ill patients, and provides evidence and strength of recommendations.
Conclusion The new surgical wound care algorithm will contribute to the advancement of evidence-based nursing care, and its use is expected as a nursing intervention in critical care.
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Gianmarco Polverino, Francesca Russo, Francesco D’Andrea
Journal of Clinical Medicine.2024; 13(9): 2488. CrossRef - Knowledge, attitude and practices towards surgical wound care and healing among the public in the Jazan Region, Saudi Arabia
Hassan Mashbari, Sulaiman Hamdi, Hussam Darraj, Mohammed Awaf, Shaden Zaalah, Faisal Hakami, Khalid M. Hakami, Essam Alhazmi, Layla Al khairat, Shatha A. Hakami, Amani Aburasain, Ibrahim Ali I. Hakami, Abdulaziz A. Arishi
Medicine.2023; 102(51): e36776. CrossRef - Surgical wound assessment tool: Construct validity and inter‐rater reliability of a tool designed for nurses
Hien Thi Thu Do, Helen Edwards, Kathleen Finlayson
Journal of Clinical Nursing.2023; 32(1-2): 83. CrossRef - Development of a surgical wound assessment tool to measure healing and risk factors for delayed wound healing in Vietnam: a Delphi process
Hien Thi Thu Do, Helen Edwards, Kathleen Finlayson
Journal of Wound Care.2022; 31(5): 446. CrossRef - Xây dựng và chuẩn hóa bộ công cụ đánh giá vết mổ
Huế Nguyễn Thị
Journal of Clinical Medicine- Hue Central Hospital.2022;[Epub] CrossRef - Exploring guideline adaptation strategy for Turkey: Is “ADAPTE” feasible or does it need adaptation as well?
Duygu Ayhan Baser, Rabia Kahveci, Aylin Baydar Artantas, İlknur Yasar, Hilal Aksoy, Esra Meltem Koc, İsmail Kasim, Ilkka Kunnamo, Adem Özkara
Journal of Evaluation in Clinical Practice.2018; 24(1): 97. CrossRef - Using a Modified ADAPTE Process to Enable Effective Implementation of Electrical Stimulation Therapy for Treating Pressure Ulcers in Persons With Spinal Cord Injury
Deena Lala, Pamela Houghton, Paul Holyoke, Dalton Wolfe
Rehabilitation Process and Outcome.2017;[Epub] CrossRef
- Bioactive Dressing: A New Algorithm in Wound Healing
- 186 View
- 4 Download
- 7 Crossref
- Study on the Changes in Limb Circumferences and Muscle Areas of Critically Ill Patients using Ventilators
- Young-Hui Hwang, Myoung-Ae Choe
- J Korean Acad Nurs 2008;38(6):874-880. Published online December 31, 2008
- DOI: https://doi.org/10.4040/jkan.2008.38.6.874
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Abstract
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Purpose The purpose of this study was to identify muscle atrophy in critically ill patients on ventilators. A comparison was made between limb circumferences and muscle areas on the day of admission to an intensive care unit (ICU) and on the 8th day after admission.
Methods The data were collected from 30 critically ill patients using ventilators at S hospital ICU in Seoul during the period from October 2005 to April 2006. Limb circumferences and skinfold thickness were measured on the day of admission and on the 8th day after admission to the ICU. Limb circumferences and skinfold thickness were measured on the right mid-arm, right mid-thigh, and right mid-calf using a measuring tape and a skinfold calipers. Limb muscle areas were calculated by an equation after measuring limb circumferences and skinfold thickness. The data were analyzed by paired t-test and independent t-test.
Results 1) Mid-arm circumference, mid-thigh circumference and mid-calf circumference on the 8th day after admission to the ICU were significantly less than those on the day of admission to the ICU, 2) Mid-arm muscle area, mid-thigh muscle area and mid-calf muscle area on the 8th day after admission to the ICU were significantly less than those on the day of admission to the ICU, 3) Steroid and vecuronium medication didn't affect changes in limb circumferences (mid-arm, mid-thigh, mid-calf) and muscle areas (mid-arm, mid-thigh, mid-calf) on the 8th day after admission to the ICU compared to the day of admission.
Conclusion Limb muscle atrophy may occur on the 8th day after admission to the ICU in critically ill patients using ventilator.
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Byul Seo, Won-Seob Shin
Physical Therapy Rehabilitation Science.2019; 8(3): 134. CrossRef - Measurement of Muscle Mass as a Nutritional Assessment Tool in Critically Ill Patients
최나예, 조영재, 이은숙, 최수안, 이정화
Journal of Korean Society of Health-System Pharmacists.2013; 30(2): 119. CrossRef - Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients
Eun-Mi Kwak, Heeyoung Oh
Journal of Korean Academy of Nursing.2012; 42(1): 76. CrossRef
- Effects of functional training on strength, function level, and quality of life of persons in intensive care units
- 151 View
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- 3 Crossref
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