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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
PDF 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
- 724 View
- 30 Download
- 3 Web of Science
- 7 Crossref
- Reversals in Decisions about Life-Sustaining Treatment and Associated Factors among Older Patients with Terminal Stage of Cardiopulmonary Disease
- Jung-Ja Choi, Su Hyun Kim, Shin-Woo Kim
- J Korean Acad Nurs 2019;49(3):329-339. Published online January 15, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.3.329
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Abstract
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Abstract Purpose The purpose of this study was to investigate the frequency, patterns, and factors of reversals in decisions about life-sustaining treatment (LST) among older patients with terminal-stage chronic cardiopulmonary disease.
Methods This was a retrospective correlational descriptive study based on medical chart review. De-identified patient electronic medical record data were collected from 124 deceased older patients with terminal-stage cardiopulmonary disease who had made reversals of LST decisions in an academic tertiary hospital in 2015. Data were extracted about the reversed LST decisions, LST treatments applied before death, and patients’ demographic and clinical factors. Multivariate logistic regression analysis was used to identify the factors associated with the reversal to higher intensity of LST treatment.
Results The use of inotropic agents was the most frequently reversed LST treatment, followed by cardiopulmonary resuscitation, intubation, ventilator therapy, and hemodialysis. Inconsistency between the last LST decisions and actual treatments occurred most often in hemodialysis. One-third of the reversals in LST decisions were made toward higher intensity of LST treatment. Patients who had lung diseases (vs. heart diseases); were single, divorced, or bereaved (vs. married); and had an acquaintance as a primary decision maker (vs. the patients themselves) were significantly more likely to reverse the LST decisions to higher intensity of LST treatment.
Conclusion This study demonstrated the complex and turmoil situation of the LST decision-making process among older patients with terminal-stage cardiopulmonary disease and suggests the importance of support for patients and families in their LST decision-making process.
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Citations
Citations to this article as recorded by- Characteristics of Life-Sustaining Treatment Decisions: National Data Analysis in South Korea
Jiyeon Choi, Heejung Jeon, Ilhak Lee
Asian Bioethics Review.2024; 16(1): 33. CrossRef - Decision and Practice of End-of-Life Care in Lung Disease Patients with Physicians Orders for Life Sustaining Treatment
Yu Mi Oh, Yoon Na Kang, Soo Jung Han, Jeong Hye Kim
The Korean Journal of Hospice and Palliative Care.2023; 26(1): 7. CrossRef - Same, same, but different? A longitudinal, mixed-methods study of stability in values and preferences for future end-of-life care among community-dwelling, older adults
Malin Eneslätt, Gert Helgesson, Carol Tishelman
BMC Palliative Care.2021;[Epub] CrossRef - Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
HyunChul Youn, Suk-young Lee, Han-yong Jung, Shin-Gyeom Kim, Seung‑Hyun Kim, Hyun-Ghang Jeong
BMJ Open.2021; 11(1): e039470. CrossRef - Life-Sustaining Treatment in End-Stage Liver Disease Patients: Patients’ Decisions and Results
Hyun Jung Jung, Jeong Yun Park
The Korean Journal of Hospice and Palliative Care.2020; 23(2): 85. CrossRef
- Characteristics of Life-Sustaining Treatment Decisions: National Data Analysis in South Korea
- 311 View
- 1 Download
- 4 Web of Science
- 5 Crossref
- Family Surrogates' Decision Regret and Psychological Stress about End-of-Life Cancer Treatments: Path Analysis
- Su Hyun Kim
- J Korean Acad Nurs 2018;48(5):578-587. Published online October 31, 2018
- DOI: https://doi.org/10.4040/jkan.2018.48.5.578
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Abstract
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Purpose This study aimed to understand the mechanisms of decision regret and stress of family surrogates' end-of-life decision making using an exploratory path model. In particular, the research identified the direct effects of perceptions of uncertainty and effective decisions on decision regret and stress, and examined the indirect effects of being informed, having clear values, and being supported for decision regret and the stress of end-of-life decision making through the mediating variables of perceptions of uncertainty and effective decisions.
Methods Data were collected from 102 family surrogates who had participated in end-of-life decision making for patients with terminal cancer in a tertiary hospital.
Results Perception of effective decisions was a significant direct predictor of decision regret, and uncertainty was a significant predictor of stress among the participants. Being informed, having clear values, and being supported had a significant indirect influence on decision regret through the perception of effective decisions among family surrogates. However, only having clear values had a significant indirect influence on stress through the perception of uncertainty. The model explained 63.0% of decision regret and 20.0% of stress among the participants and showed a good fit with the data, χ2=12.40 (df=8,
p =.134), TLI=.97, and RMSEA=.07.Conclusion Nurses can support family surrogates in end-oflife decision-making processes to decrease their decision regret by providing information about end-of-life care choices, clarifying personal values, and supporting the decision-making process, and to relieve their stress by facilitating the clarification of personal values.
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Citations
Citations to this article as recorded by- Patient Acceptance of Death and Symptom Control/Quality of Care Among Terminal Cancer Patients Under Inpatient Hospice Care: A Multicenter Cross-Sectional Study
Jae Hyuck Lee, Yoo Jeong Lee, So Jung Park, Young Min Park, Chung Woo Lee, Sun Wook Hwang, Min Seok Seo, Sun Hyun Kim, Hong Yup Ahn, In Cheol Hwang
American Journal of Hospice and Palliative Medicine®.2025;[Epub] CrossRef - Dying matters – innovating spaces to foster end-of-life discussions with applied theatre
Michael Koon Boon Tan, Ashley Barnes
Arts & Health.2024; : 1. CrossRef - Factors Associated With Family Surrogate Decisional-Regret Trajectories
Fur-Hsing Wen, Chia-Hsun Hsieh, Po-Jung Su, Wen-Chi Shen, Ming-Mo Hou, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, Siew Tzuh Tang
Journal of Pain and Symptom Management.2024; 67(3): 223. CrossRef - The attitudes about life-sustaining treatment among cardiac surgery ICU patients and their families
Si Sun, Hao Zhang, XiaoYan Xiong
Frontiers in Surgery.2023;[Epub] CrossRef - Participation and Influencing Factors in the Decision-Making of Life-Sustaining Treatment: A Focus on Deceased Patients with Hematologic Neoplasms
Jae Eun Jang, Jeong Moon Ryu, Min Hee Heo, Do Eun Kwon, Ji Yeon Seo, Dong Yeon Kim
The Korean Journal of Hospice and Palliative Care.2023; 26(2): 69. CrossRef - Decisional-Regret Trajectories From End-of-Life Decision Making Through Bereavement
Fur-Hsing Wen, Chia-Hsun Hsieh, Ming-Mo Hou, Po-Jung Su, Wen-Chi Shen, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, Siew Tzuh Tang
Journal of Pain and Symptom Management.2023; 66(1): 44. CrossRef - We Want More Than Life-Sustaining Treatment during End-of-Life Care: Focus-Group Interviews
Mirinae Kim, Minju Kim
International Journal of Environmental Research and Public Health.2021; 18(9): 4415. CrossRef - Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
Hyeon Jin Cho, Jiyeon Kang
Journal of Korean Academy of Nursing.2021; 51(1): 15. CrossRef - A Mixed Method Study for Exploring the Difficulties in End-of-Life Care and End-of-Life Care Competency in Nurses Who Take Care of Cancer Patients
Lae Hee Kim, Su Yeon Kim, Shin Kim, Hyun A Kim, Hwa Jeong Yang, Kyoung Min Lee, Su Yeon Lee, Kyung Hee Lee, Jeong Hye Kim
Asian Oncology Nursing.2021; 21(2): 98. CrossRef - Life-Sustaining Treatment in End-Stage Liver Disease Patients: Patients’ Decisions and Results
Hyun Jung Jung, Jeong Yun Park
The Korean Journal of Hospice and Palliative Care.2020; 23(2): 85. CrossRef - The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
YeonMi Seo, Sujin Shin
Asian Oncology Nursing.2019; 19(3): 142. CrossRef - Reversals in Decisions about Life-Sustaining Treatment and Associated Factors among Older Patients with Terminal Stage of Cardiopulmonary Disease
Jung-Ja Choi, Su Hyun Kim, Shin-Woo Kim
Journal of Korean Academy of Nursing.2019; 49(3): 329. CrossRef
- Patient Acceptance of Death and Symptom Control/Quality of Care Among Terminal Cancer Patients Under Inpatient Hospice Care: A Multicenter Cross-Sectional Study
- 378 View
- 10 Download
- 12 Crossref
- Patient-Nurse Collaboration in Nursing Practice: A Korean Study
- Dal Sook Kim, Young Eun, Hesook Suzie Kim
- Journal of Korean Academy of Nursing 2002;32(7):1054-1062. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2002.32.7.1054
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Abstract
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INTRODUCTION: Consumerism is prevailing value in Korean society, while there has been little concern about it especially in Korean nursing society even though there has been an increasing emphasis on patients' participation in decisions concerning health care and nursing as an ideal in the literature. OBJECTIVES AND METHODS: The study with survey method was carried out to examine the nature of collaboration between patient and nurse in nursing practice in Korea through a replication of the studies carried out in US, Norway, Finland, an Japan (Kim et al., 1993) and to revise and test Kim's explanatory model of collaborative decision making in nursing practice from the Korean perspectives. RESULTS & CONCLUSIONS: Both patients and nurses as groups exhibited pro-consumerist attitudes regarding collaboration in health care, while there were significant differences in attitudes and perceptions of patients and nurses. These findings are similar to those of Kim et al.' s study carried out in US, Norway, Finland, and Japan. Nurses as a group compared to patients held stronger health-care consumerist attitudes and beliefs in general. However, the Korean nurses seem to hold a weaker attitude for challenging professional authority. And the Korean patients compared to the nurses seem to hold stronger belief in the patient's right to information, as found in US, Finland, and Japan. Regarding the nurse patient collaborative attitude in decision making, it revealed that one third or more of the patients as a group believe in the patients' right to be informed of decisions that nurses make for their patients, while another one third or more of them believe in the patients' right for advisory role and joint role in nursing care decision making. This result for the patients is very similar as those found in US, Norway, Finland, and Japan. However, the attitude for the nurses held stronger agreement with patients' to be informed of decision making that nurses make than the patients' right for advisory and joint role. The nurses have weaker belief in patients' self determination on their care than the patients. The results of path analyses confirmed the explanatory models that tested two explanatory models examining the factors contributing to the differences in the attitudes of patients and nurses. The path model for nurses identified nurses' lengths of experience as the important factor explaining attitudes regarding challenging professional authority and the patient's rights for information. The path model for patients identified the level of education as the most significant factor that explains patients' attitudes regarding the rejection of general authority, challenging professional authority, and the patient's right for participation in decision making.
- 83 View
- 1 Download
- Korean Nursing Students' Experience of Ethical Problems and Use of Ethical Decision-Making Models
- Sung Suk Han, Hyeoun Ae Park, Sung Hee Ahn, Miriam E Cameron, Hyo Sook Oh, Kyeong Uoon Kim
- Journal of Korean Academy of Nursing 2001;31(5):846-857. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2001.31.5.846
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Abstract
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PURPOSE: This study was conducted to study on 1) What is nursing students' experience of ethical problems involving nursing practice? 2) What is nursing students' experience of using ethical decision-making models?
METHOD
In order to answer these two questions, we selected 97 senior baccalaureate nursing students from two Korean universities using a conceptual framework and method of content analysis.
RESULT
From 97 ethical problems emerged five content categories, the largest being ethical problems involving health professionals (69%); the basic nature of the nursing students' experience of ethical problems consisted of conflict, resolution, and rationale; 94% of the students stated that using an ethical decision-making model was helpful.
CONCLUSION
Although additional research is needed, these findings have important implications for nursing ethics education and practice.-
Citations
Citations to this article as recorded by- Experiences of Ethical Issues and Needs for Ethics Education in Clinical Nurses
Ja Hyun Shin, Seok Hee Jeong, Myung Ha Lee, Youngran Yang
Journal of Korean Academy of Nursing Administration.2015; 21(3): 327. CrossRef - The Effects of Debate Classes based on an Ethical Decision-Making Model on Ethical Knowledge, Class Satisfaction, and Ethical Values
Chang-Hee Kim, Sun-Young Jeong
Journal of Digital Convergence.2014; 12(10): 405. CrossRef - A Study of Moral Judgment and Ethical Decision Making and Ethical Dilemmas Experienced in Practice by Nursing Students
Yoon Goo Noh, Myun Sook Jung
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2915. CrossRef - Hospital Nurses' Experience of Do-Not-Resuscitate in Korea
Myungsun Yi, Sang Eun Oh, Eun Ok Choi, In Gak Kwon, Sungbok Kwon, Kyung-mi Cho, Youngah Kang, Jeonghui Ok
Journal of Korean Academy of Nursing.2008; 38(2): 298. CrossRef - Korean Nursing Students’ Ethical Problems and Ethical Decision Making
Hyeoun-Ae Park, Miriam E Cameron, Sung-Suk Han, Sung-Hee Ahn, Hyo-Sook Oh, Kyeong-Uoon Kim
Nursing Ethics.2003; 10(6): 638. CrossRef - Legal and ethical issues: our best ethical and spiritual values
Miriam E Cameron
Journal of Professional Nursing.2003; 19(3): 117. CrossRef
- Experiences of Ethical Issues and Needs for Ethics Education in Clinical Nurses
- 162 View
- 3 Download
- 6 Crossref
- Public Health Nurses' Decision Making Models and Their Knowledge Structure
- Hee Jung Choi
- Journal of Korean Academy of Nursing 2001;31(2):328-339. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2001.31.2.328
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Abstract
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The purpose of this study was to describe decision making model of 180 public health nurses in Korea and their knowledge structure for decision making. The differences of decision making models by nurse's knowledge structure were also tested. Research concepts were measured using the instrument based on systemic and interpretive decision making approaches that were developed by Lauri & Salantera (1995). The results were as follows. 1. The public health nurses turned to, most commonly, a mixed practical-theoretical knowledge structure (45.9%), followed by practical knowledge (32%) and theoretical knowledge (22.1%). 2. The six different decision making models were identified. These were named for decision making theories and nursing process. These were client-oriented decision making, rule-oriented systemic decision making, wholistic and intuitive decision making, decision making depending on subjective view and experience, systemic decision making for defining problems, and hypotheticodeductive decision making for defining problems. 3. The public nurses who had practical and practical-theoretical knowledge structure and community health practitioner (CHP) retold that decision making depends on subjective view and experience. Also the public health nurses who had 5~19 years clinical experience represented hypothetico-deductive decision making for defining problems.
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Citations
Citations to this article as recorded by- Path model on decision‐making ability of clinical nurses
Minsook Park, Minkyung Gu, Sohyune Sok
Journal of Clinical Nursing.2023; 32(7-8): 1343. CrossRef - Correlation between Sedation Knowledge, Clinical Decision Making and Nursing Competence in Sedation Practice among ICU Nurses
Gyoo-Yeong CHO, Yeon-A KIM
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(1): 204. CrossRef - Relationships Between Clinical Decision-Making Patterns and Self-Efficacy and Nursing Professionalism in Korean Pediatric Nurses
Miyoung Choi, Jisoo Kim
Journal of Pediatric Nursing.2015; 30(6): e81. CrossRef - The Effects of Critical Thinking and Clinical Decision-Making on Ethical Dilemmas by Some Dental Hygienists
Hyun-Kyung Kang
The Korean Journal of Health Service Management.2015; 9(1): 67. CrossRef - Validity of Korean Version of Clinical Decision Making Short Form Scale
Myoung Soo Kim, Hyun Kyeong Jung
Korean Journal of Adult Nursing.2014; 26(4): 403. CrossRef
- Path model on decision‐making ability of clinical nurses
- 117 View
- 2 Download
- 5 Crossref
- The Pattern of Decision Making to Donate a Living Kidney
- Myung Sun Yi
- Journal of Korean Academy of Nursing 2000;30(1):47-59. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2000.30.1.47
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Abstract
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The purpose of this study was to explore decision making phenomenon of living kidney donation experienced by kidney donors. Data were collected through semi-structured indepth interviews from 12 kidney donors. All interviewes were audiotaped and transcribed verbatim. Constant comparative analysis was used to analyze the data with NUDIST4.0 software program. The core category emerged was "wish to give (a kidney)". "Wish to give" in the deliberation process have effects on the execution of kidney donation. Based on the degree of "wish to give", three distinct patterns were identified: Voluntary, compromising, and passive. The voluntary decision making was the most frequent one, while the passive the least. The degree of "wish to give" was influenced by intimacy between the donor and the receipient, geographical locations, economical efficiency of kidney transplantation, and religion. Each pattern was explained by describing interfering and facilitating factors as well as other issues occured in the decision making process. The results of this study will help nurses make effective nursing intervention by understanding the characteristics of decision- making patterns and decision-making process to donate a living kidney.
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Citations
Citations to this article as recorded by- Barriers to the donation of living kidneys for kidney transplantation
Kyungok Min, Tai Yeon Koo, Young Hui Hwang, Jaeseok Yang
Scientific Reports.2022;[Epub] CrossRef
- Barriers to the donation of living kidneys for kidney transplantation
- 100 View
- 0 Download
- 1 Crossref
- Factors Influencing Nurses' Clinical Decision Making: Focusing on Critical Thinking Disposition
- Seungmi Park, In Gak Kwon
- Journal of Korean Academy of Nursing 2007;37(6):863-871. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2007.37.6.863
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Abstract
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PURPOSE: The purpose of this study was to investigate the factors influencing nurses' clinical decision making focusing on critical thinking disposition. METHODS: The subjects of this study consisted of 505 nurses working at one of the general hospitals located in Seoul. Data was collected by a self-administered questionnaire between December 2006 and January 2007. Data was analyzed by one way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS Win 14.0. RESULTS: The mean scores of critical thinking disposition and clinical decision making were 99.10 and 134.32 respectively. Clinical decision making scores were significantly higher in groups under continuing education, with a master or higher degree, with clinical experience more than 5 years, or with experts. Critical thinking disposition and its subscales have a significant correlation with clinical decision making. Intellectual eagerness/curiosity, prudence, clinical experience, intellectual honesty, self-confidence, and healthy skepticism were important factors influencing clinical decision making(adjusted R2=33%). CONCLUSION: Results of this study suggest that various strategies such as retaining experienced nurses, encouraging them to continue with education and enhancing critical thinking disposition are warranted for development of clinical decision making.
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Citations
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International Nursing Review.2024; 71(4): 886. CrossRef - Impact of Pediatric Nurses’ Nursing Professionalism on Quality of Nursing Care: Double Mediating Effect of Clinical Decision Making and Pediatric Nurse-Parent Partnership
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Kit S. Double, Yasmine El Masri, Joshua A. McGrane, Therese N. Hopfenbeck
Thinking Skills and Creativity.2023; 50: 101416. CrossRef - The Effect of Clinical Nurses' Critical Thinking Disposition and Communication Ability on Patient Safety Competency
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Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 159. CrossRef - Factors Influencing Clinical Nurses’ Medication Safety Competence
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Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 237. CrossRef - Anxiety Levels and Clinical Decision-Making Skills of Nurses Providing Care for Patients Diagnosed with COVID-19
Cemile Savci, Ayse Cil Akinci, Furkan Keles
Electronic Journal of General Medicine.2021; 18(6): em322. CrossRef - Correlation between Sedation Knowledge, Clinical Decision Making and Nursing Competence in Sedation Practice among ICU Nurses
Gyoo-Yeong CHO, Yeon-A KIM
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(1): 204. CrossRef - Influences of Critical Thinking Disposition, Nurse Managers' Transformation and Transactional Leadership Style on Nurses' Competency with Evidence Based Practice
Geum Ah Lee, Sung Hee Shin, Suk Jeong Ko
Journal of Korean Academy of Nursing Administration.2020; 26(4): 305. CrossRef - Structural Equation Modeling on Clinical Decision Making Ability of Nurses
Min Kyoung Park, Soukyoung Kim
Journal of Korean Academy of Nursing.2019; 49(5): 601. CrossRef - Reliability and Validity of Korean Version of Nursing Students' Anxiety and Self-Confidence with Clinical Decision Making Scale
Mi Yu, Young Eun, KA White, KyungJa Kang
Journal of Korean Academy of Nursing.2019; 49(4): 411. CrossRef - Effects of Clinical Decision-making on Job Satisfaction among Pediatric Nurses: The Mediating Effect of the Nurse-Parent Partnership
Kyoung-Suk Shin, Hye-Young Kim
Child Health Nursing Research.2018; 24(1): 9. CrossRef - The Study with Experience as Self-initiative of College General Physical Education Course : Focusing on Sports Literacy
Hyejin Park
Korean Journal of Sport Studies.2018; 57(6): 101. CrossRef - Development and validation of simulation teaching strategies in an integrated nursing practicum
Hyung-Ran Park, Jee-Won Park, Chun-Ja Kim, Ju-Eun Song
Collegian.2017; 24(5): 479. CrossRef - Effects of Nursing Practice Environment and Self-esteem on Critical Thinking Disposition among Clinical Nurses
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Journal of Korean Academy of Nursing Administration.2017; 23(2): 161. CrossRef - The Survey on the Influence of Clinical Nurse's Critical Thinking Disposition, Problem-solving Skill and Self-efficacy on Patients Safety Competencies
Hyo-Sun Kim, Suk-Jung Han
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(6): 598. CrossRef - Factors influencing Evidence-Based Practice Attitudes among Undergraduate Nursing Students
Mi-Hyang Choi, Young-Hae Kim, Hyun-Mi Son
The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 274. CrossRef - Impacts of Critical Thinking Disposition and Nursing Work Environment on Nurses' Clinical Decision Making Abilities
Insook Oh, Jeong-Hee Kim
The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 304. CrossRef - Knowledge Management, Beliefs, and Competence on Evidence-Based Practice, Evidence-Based Decision Making of Nurses in General Hospitals
In-Sook Jang, Myonghwa Park
Korean Journal of Adult Nursing.2016; 28(1): 83. CrossRef - Effects on Critical Thinking Disposition and Empathy on Cultural Competency in Nursing Students
Eun Ju Song, Ya Ki Yang, Sook Kyoung Park
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(4): 347. CrossRef - A Study on the Critical Thinking Disposition, Self-directed Learning Readiness and Professional Nursing Competency
An-Na Park, Kyung-Hee Chung, Weon Gyeong Kim
Journal of Korean Academy of Nursing Administration.2016; 22(1): 1. CrossRef - The Effects of Critical Thinking Disposition and Self-esteem to Self-leadership of Nursing Student
Sun-Young Lee, Seon-Yeong Jeon, Yun-Young Kim
The Korean Journal of Health Service Management.2016; 10(1): 155. CrossRef - Effects of Moral Sensitivity and Critical Thinking Disposition on Perceived Ethical Confidence in Nursing Students
Mi-Hye Lim
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 610. CrossRef - A Structural Equation Model on Core Competencies of Nursing Students
Myeong-Soon Jung, Hye-Jin Kwon
The Journal of Korean Academic Society of Nursing Education.2015; 21(2): 256. CrossRef - The Relationship among Hesitation Factor of Questions, Critical Thinking Disposition, and Problem Solving: The University Student's Perspective
Chung-hee Woo, Jae Yong Yoo, Ju-young Park
The Journal of Korean Academic Society of Nursing Education.2015; 21(3): 320. CrossRef - Effects of Case-Based Learning on Clinical Decision Making and Nursing Performance in Undergraduate Nursing Students*
Mi-Eun Jeong, Hyoung-Sook Park
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(3): 308. CrossRef - Clinical Reasoning Ability of Oncology Nurses
Eun Young Park
Asian Oncology Nursing.2014; 14(4): 265. CrossRef - Relationship between the Practice Environment of Nursing and Critical Thinking Disposition of Nurses in Local General Hospitals
Ji Yun Lee, So Young Pak
Journal of Korean Academy of Nursing Administration.2014; 20(2): 145. CrossRef - The Effect of Learning Style and Critical Thinking Disposition on Communication Skill in Nursing Students
Gye Seon Jeong, Kyoung Ah Kim, Ji A Seong
The Journal of Korean Academic Society of Nursing Education.2013; 19(3): 413. CrossRef - Impact of Professional Autonomy and Nursing Work Environment on Clinical Decision Making of Clinical Nurses
Yongsoon Lee, Moonhee Gang, Mi Sook Jung
Korean Journal of Occupational Health Nursing.2013; 22(4): 285. CrossRef - Influence of Nurses' Performance with Critical Thinking and Problem Solving Process
Haeran Choi, Dongsook Cho
Korean Journal of Women Health Nursing.2011; 17(3): 265. CrossRef - Relationship between Critical Thinking Disposition, Clinical Decision Making and Job Satisfaction of Cancer Center Nurses
Sam Chul Jung, Dukyoo Jung
Journal of Korean Academy of Nursing Administration.2011; 17(4): 443. CrossRef - The Effectiveness of Error Reporting Promoting Strategy on Nurse's Attitude, Patient Safety Culture, Intention to Report and Reporting Rate
Myoungsoo Kim
Journal of Korean Academy of Nursing.2010; 40(2): 172. CrossRef - Critical Thinking Disposition and Clinical Competence in General Hospital Nurses
Jin-Ah Park, Bog-Ja Kim
Journal of Korean Academy of Nursing.2009; 39(6): 840. CrossRef
- Exploring the interplay of critical thinking dispositions, perceived teacher enthusiasm, willingness to communicate, and gender among Chinese EFL learners
- 190 View
- 6 Download
- 35 Crossref
- Decision-tree Model of Treatment-seeking Behaviors after Detecting Symptoms by Korean Stroke Patients
- Hyo Sook Oh, Hyeoun Ae Park
- Journal of Korean Academy of Nursing 2006;36(4):662-670. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2006.36.4.662
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Abstract
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Purpose This study was performed to develop and test a decision-tree model of treatment-seeking behaviors about when Korean patients visit a doctor after experiencing stroke symptoms.
Methods The study used methodological triangulation. The model was developed based on qualitative data collected from in-depth interviews with 18 stroke patients. The model was tested using quantitative data collected from interviews and a structured questionnaire involving 150 stroke patients. The predictability of the decision-tree model was quantified as the proportion of participants who followed the pathway predicted by the model.
Results Decision outcomes of the model were categorized into immediate and delayed treatment-seeking behavior. The model was influenced by lowered consciousness, social-group influences, perceived seriousness of symptoms, past history of hypertension or stroke, and barriers to hospital visits. The predictability of the model was found to be 90.7%.
Conclusions The results from this study can help healthcare personnel understand the education needs of stroke patients regarding treatment-seeking behaviors, and hence aid in the development of educational strategies for stroke patients.
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Citations
Citations to this article as recorded by- Influencing and Mediating Factors in Health Behaviors among Stroke Patients
Min Kyeong Kim, Hye Ryun Lee, Ju Yeon Kwon, Hyun Soo Oh
Korean Journal of Adult Nursing.2013; 25(6): 610. CrossRef
- Influencing and Mediating Factors in Health Behaviors among Stroke Patients
- 111 View
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- 1 Crossref
- Nurses' Research Activities and Barriers of Research Utilization
- Eui Geum Oh, Hyun Ju Oh, Yoon Jung Lee
- Journal of Korean Academy of Nursing 2004;34(5):838-848. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2004.34.5.838
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Abstract
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Purpose This study was to describe nurses' research activities, perceptions and performances of evidence-based practice and barriers to the use of research evidence in nursing practice in Korea.
Method A cross-sectional survey design was used. A questionnaire, except for Barriers Scale, was developed for the study. Data was collected from a convenient sample of 437 registered nurses working at research and education oriented university hospitals.
Result Nurses' research-related activities were relatively low compared to previous studies. Also perceptions and performances of evidence based nursing practice were low. Preferred informational resources for clinical decision making were identified as ward manuals/clinical guidelines, manager/senior nurses, and literature/research. The major barriers to research utilization were a lack of implication for practice along with inadequate facilitation to implement research evidence and difficulty understanding research written in English. Priorities of barriers factor were Administrator, Communication, Adopter, and Research.
Conclusion The findings provide directions for future training, education, and managerial policy to achieve successful evidence based nursing practice.
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Citations
Citations to this article as recorded by- Exploring Nursing Research Culture in Clinical Practice: Qualitative Ethnographic Study
Hyeyoung Hwang, Jennie C De Gagne, Leeho Yoo, Miji Lee, Hye Kyung Jo, Ju-eun Kim
Asian/Pacific Island Nursing Journal.2024; 8: e50703. CrossRef - Analysis of the importance of nursing care and performance confidence perceived by nurses in the neonatal intensive care unit
Heemoon Lim, Hyejung Lee, Eunsook Kim, Hyoyeong Kim, Eunkyung Jang
The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 5. CrossRef - Implementing English for Medical Purposes (EMP) in South Korea: Nursing students' ongoing needs analysis
Lee Jin Choi
Nurse Education Today.2021; 104: 104989. CrossRef - Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture
Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
PLOS ONE.2019; 14(12): e0226742. CrossRef - Korean Translation of the Barriers to Research Utilization Scale: Psychometric Testing
Youngshin Song, Moonhee Gang, Misook Jung
Research and Theory for Nursing Practice.2017; 31(3): 233. CrossRef - Heat Application According to Nurse's Belief on Evidence-Based Practice and Behavioral Intention Related to Research
Sukyung Yoon, Yong Soon Shin
Journal of Korean Academy of Fundamentals of Nursing.2016; 23(3): 264. CrossRef - Knowledge Management, Beliefs, and Competence on Evidence-Based Practice, Evidence-Based Decision Making of Nurses in General Hospitals
In-Sook Jang, Myonghwa Park
Korean Journal of Adult Nursing.2016; 28(1): 83. CrossRef - Effects of Project Perception of Research Nurses from Research-driven Hospitals, Research-relevant Performance: Focusing on the Mediating Effects of Research Capacity and Job Satisfaction
Kyoung-Mi Cho, Yang-Kyun Kim
Journal of Korean Academy of Nursing Administration.2015; 21(3): 308. CrossRef - Clinical physical therapists research activity reality and barriers to their utilizing research findings
Kyungyeon Park, Boram Choi, Dongwook Han
Journal of Physical Therapy Science.2015; 27(7): 2091. CrossRef - Geriatric Hospital Nurses' Perceived Barriers to Research Utilization and Empowerment
Hyunwook Kang
Asian Nursing Research.2015; 9(1): 65. CrossRef - Factors influencing evidence‐based nursing utilization intention in Korean practice nurses
Jee‐Won Park, Jeong‐Ah Ahn, Mi‐Mi Park
International Journal of Nursing Practice.2015; 21(6): 868. CrossRef - Clinical Nurses’ Perception on Barriers to Research Utilization
Younhee Kang, In-Suk Yang
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(2): 198. CrossRef - Factors Influencing Evidence-Based Practice Readiness for Tertiary General Hospital Nurses
Jeong-Sook Kim, Mee-Ock Gu, Sun-Yon Jo
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2945. CrossRef - Hospital Nurses' Uses of Evidence, and Barriers to and Enablers of Evidenced-based Practice
Jee-In Hwang
Journal of Korean Academy of Nursing Administration.2013; 19(2): 292. CrossRef - Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model
Myung Sook Cho, Yong Ae Cho, Mi Ra Song, Mi Kyung Kim, Sun Kyung Cha
Korean Journal of Adult Nursing.2013; 25(2): 136. CrossRef - The Influence of Information Retrieval Skill on Evidence Based Practice Competency in Clinical Nurses
Youn-Jung Son, Sun-Hee Kim, Young-Su Park, Soo-Kyoung Lee, Yun-Mi Lee
Korean Journal of Adult Nursing.2012; 24(6): 635. CrossRef - Nurses' Awareness and Performance about Evidence-based Pain Management in Older Adults
Eun-Kyoung Kim, Myong-Hwa Park
Korean Journal of Adult Nursing.2012; 24(1): 20. CrossRef - Level of Knowledge on Evidence-based Infection Control and Influencing Factors on Performance among Nurses in Intensive Care Unit
Jae-Yong Yoo, Eui-Geum Oh, Hea-Kung Hur, Mo-Na Choi
Korean Journal of Adult Nursing.2012; 24(3): 232. CrossRef - Level of Beliefs, Knowledge and Performance for Evidence-Based Practice among Nurses Experienced in Preceptor Role
Jae Yong Yoo, Eui Geum Oh
Journal of Korean Academy of Nursing Administration.2012; 18(2): 202. CrossRef - Integrating Evidence-Based Practice into RN-to-BSN Clinical Nursing Education
Eui Geum Oh, Sunah Kim, So Sun Kim, Sue Kim, Eun Yong Cho, Ji-Soo Yoo, Hee Soon Kim, Ju Hee Lee, Mi Ae You, Hyejung Lee
Journal of Nursing Education.2010; 49(7): 387. CrossRef - Research activities and perceptions of barriers to research utilization among critical care nurses in Korea
Eui Geum Oh
Intensive and Critical Care Nursing.2008; 24(5): 314. CrossRef
- Exploring Nursing Research Culture in Clinical Practice: Qualitative Ethnographic Study
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- Decision Making Experience on Breast Reconstruction for Women with Breast Cancer
- Myungsun Yi, Woo Joung Joung, Eun Young Park, Eun Jin Kwon, Haejin Kim, Ji Young Seo
- J Korean Acad Nurs 2016;46(6):894-904. Published online December 30, 2016
- DOI: https://doi.org/10.4040/jkan.2016.46.6.894
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Abstract
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Purpose The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy.
Methods Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction.
Results Five theme clusters emerged. First, “expected loss of sexuality and discovery of autonomy” illustrates various aims of breast reconstruction. Second, “holding tight to the reputation of doctors amid uncertainty” specifies the importance of a trust relationship with their physician despite a lack of information. Third, “family members to step back in position” describes support or opposition from family members in the decision making process. Fourth, “bewilderment due to the paradox of appearance-oriented views” illustrates paradoxical environment, resulting in confusion and anger. Lastly, “decision to be made quickly with limited time to oneself” describes the crazy whirling process of decision making.
Conclusion Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.
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Citations
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Yunhee Jang, Mihyeon Seong, Sohyune Sok
Journal of Clinical Nursing.2023; 32(17-18): 6366. CrossRef - Effects of decision aids on breast reconstruction: A systematic review and meta‐analysis of randomised controlled trials
Shu Yang, Lin Yu, Chunmiao Zhang, Mengmeng Xu, Qi Tian, Xuan Cui, Yantong Liu, Shuanghan Yu, Minglu Cao, Wei Zhang
Journal of Clinical Nursing.2023; 32(7-8): 1025. CrossRef - “Struggling to Accept the New Breast as Part of My Body” – The Challenge of Immediate Breast Reconstruction in Women With Breast Cancer
Jeehee Han, Juhye Jin, Sanghee Kim, Dong Won Lee, Sue Kim
Cancer Nursing.2022; 45(4): 262. CrossRef - Do COVID-19–Related Treatment Changes Influence Fear of Cancer Recurrence, Anxiety, and Depression in Breast Cancer Patients?
Soo Yeon Kim, Sue Kim
Cancer Nursing.2022; 45(2): E628. CrossRef - A Decision Tree Model for Breast Reconstruction of Women with Breast Cancer: A Mixed Method Approach
Eun Young Park, Myungsun Yi, Hye Sook Kim, Haejin Kim
International Journal of Environmental Research and Public Health.2021; 18(7): 3579. CrossRef - The Lived Experience of Body Alteration and Body Image with Regard to Immediate Breast Reconstruction among Women with Breast Cancer
Jeonghee Ahn, Eunyoung E Suh
Journal of Korean Academy of Nursing.2021; 51(2): 245. CrossRef - Factors Influencing Quality of Life Among Breast Cancer Patients Following Immediate Breast Reconstruction
A Young Kim, Jeong Hye Kim
Asian Oncology Nursing.2020; 20(1): 1. CrossRef - Korean Translation and Psychometric Evaluation of Korean Version EORTC QLQ-BRECON23
Soo-Kyung Bok, Youngshin Song, Ancho Lim, Hyunsuk Choi, Hyunkyung Shin, Sohyun Jin
International Journal of Environmental Research and Public Health.2020; 17(24): 9163. CrossRef - Operation Experiences of Women with Breast Cancer
Hyeon-Young Kim, Sun Hwa Shin
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 129. CrossRef - “Waiting for breast reconstruction”: An interpretative phenomenological analysis of heterosexual couples’ experiences of mastectomy for breast cancer
Kristopher Lamore, Cécile Flahault, Léonor Fasse, Aurélie Untas
European Journal of Oncology Nursing.2019; 42: 42. CrossRef - Breast reconstruction statistics in Korea from the Big Data Hub of the Health Insurance Review and Assessment Service
Jae-Won Kim, Jun-Ho Lee, Tae-Gon Kim, Yong-Ha Kim, Kyu Jin Chung
Archives of Plastic Surgery.2018; 45(05): 441. CrossRef
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- A Study on Participation in Clinical Decision Making by Home Healthcare Nurses
- Se Young Kim
- J Korean Acad Nurs 2010;40(6):892-902. Published online December 31, 2010
- DOI: https://doi.org/10.4040/jkan.2010.40.6.892
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Abstract
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Purpose This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making.
Methods A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used.
Results Participation was relatively high, but significantly lower in the design phase (F=3.51,
p =.032). Competency in clinical decision making (r=.45,p <.001), perception of the decision maker role (r=.47,p <.001), and perception of the utility of clinical practice guidelines (r=.25,p =.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79,p =.007) and perception of the decision maker role (OR=15.09,p =.007) were significant factors predicting participation in clinical decision making by home healthcare nurses.Conclusion In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses' participation in clinical decision making in cases where they can identify and solve the patient health problems.
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Citations
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Se Young Kim, Mi-Kyoung Cho
Healthcare.2023; 11(11): 1613. CrossRef - Path model on decision‐making ability of clinical nurses
Minsook Park, Minkyung Gu, Sohyune Sok
Journal of Clinical Nursing.2023; 32(7-8): 1343. 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 - Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field
Moon-Sook Hwang, Hak Young Park, Soo Jung Chang
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 143. CrossRef - Structural Equation Modeling on Clinical Decision Making Ability of Nurses
Min Kyoung Park, Soukyoung Kim
Journal of Korean Academy of Nursing.2019; 49(5): 601. CrossRef
- Concept Analysis of Nursing Surveillance Using a Hybrid Model
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- The Effects of Case-Based Learning Using Video on Clinical Decision Making and Learning Motivation in Undergraduate Nursing Students
- Moon-Sook Yoo, Jin-Hee Park, Si-Ra Lee
- J Korean Acad Nurs 2010;40(6):863-871. Published online December 31, 2010
- DOI: https://doi.org/10.4040/jkan.2010.40.6.863
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Abstract
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Purpose The purpose of this study was to examine the effects of case-base learning (CBL) using video on clinical decision-making and learning motivation.
Methods This research was conducted between June 2009 and April 2010 as a nonequivalent control group non-synchronized design. The study population was 44 third year nursing students who enrolled in a college of nursing, A University in Korea. The nursing students were divided into the CBL and the control group. The intervention was the CBL with three cases using video. The controls attended a traditional live lecture on the same topics. With questionnaires objective clinical decision-making, subjective clinical decision-making, and learning motivation were measured before the intervention, and 10 weeks after the intervention.
Results Significant group differences were observed in clinical decision-making and learning motivation. The post-test scores of clinical decision-making in the CBL group were statistically higher than the control group. Learning motivation was also significantly higher in the CBL group than in the control group.
Conclusion These results indicate that CBL using video is effective in enhancing clinical decision-making and motivating students to learn by encouraging self-directed learning and creating more interest and curiosity in learning.
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