Journal of Korean Academy of Nursing

Original Articles

Priorities of Nursing Research Areas in Korea: Eui Geum Oh, Cho Ja Kim, Ji Soo Yoo, Il Sun Ko, Mi Ja Kim; Journal of Korean Academy of Nursing 2002;32(6):803-811. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.6.803

Abstract PDF: PURPOSE: This study was to identify priority areas of nursing research in Korea. METHOD: A data analysis was done for the PhD subjects (n=133) who responded at the national level two-rounds delphi survey. Subjects were asked to assign a score from 1 to 7 for 29 nursing research areas regarding 3 aspects: the degree of nurses research leadership; the degree of contribution to nursing professions; and the degree of contribution to health and welfare of patients/clients. RESULT: For the overall three aspects, research area on clinical nursing practice was identified as the first priority, followed by nursing education, home health nursing, nursing research, and chronic disease. For nursing research leadership, research area on clinical nursing practice, nursing education, home health nursing, nursing research, and nursing diagnosis were identified. Concerning contribution to the nursing profession, the first priority was nursing education, followed by clinical nursing practice, nursing research, nursing policy, and home health nursing. Concerning contribution to the health/welfare of patients, clinical nursing practice, home health care, geriatric nursing, chronic disease, and symptom management were ranked as top 5 research priorities. CONCLUSION: The findings of this national survey will assist in building insights into the research needs of nurses practicing in Korea.

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Factors Influencing Functional Status in People with Chronic Lung Disease: Eui Geum Oh, Cho Ja Kim, Won Hee Lee, So Sun Kim, Bo Eun Kwon, Yeon Soo Chang, Ji Yeon Lee, Young Jin Kim; Journal of Korean Academy of Nursing 2002;32(5):643-653. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.5.643

Abstract PDF: PURPOSE: The purpose of this study was to identify factors that influence the functional status of chronic lung disease patients. METHOD: A descriptive, correlational study design was used. The study was conducted at the outpatient respiratory clinic of the large university hospital in Korea. A convenience sample of 128 chronic lung patients (age = 64.2 yrs; 106 COPD, 17 bronchiectasis, 5 DILD) with mean FEV1 64.4 % predicted. Functional status was measured with SIP. Physical variables (FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress), psychological variables (mood, stress), and situational variable (sleep quality) were examined. Dyspnea was measured by the BDI, fatigue was measured with the MFI. Mood was measured with the modified Korean version of POMS. Sleep quality was measured with the Pittsburgh Sleep Quality Index. Potential independent variables for the regression were age, gender, years since diagnosis, FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress, stress, and sleep quality. RESULT: In general, functional status was relatively good. In regression analysis, functional status were significantly influenced by dyspnea, mood, age and fatigue. These variables explained 70 % of the variances in functional status. CONCLUSION: The results suggest that psychophysiologic symptom management should be a focus to enhance the functional status in this group.

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Educational Issues and Strategies to Improve APN Education: Kasil Oh, Kang Mi Ja Kim, Keum Soon Kim, Jee Won Park, Myung Sook Sung, Eui Geum Oh, Myung Ha Lee, Chae Weon Chung, Dong Sook Cho, Young Ran Tak, Jee In Yoo; Journal of Korean Academy of Nursing 2007;37(5):801-809. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.801

Abstract PDF

Purpose

This study was aimed at exploring the current status of graduate programs for an advanced practice nurse(APN) to recommend future directions of APN education.

Methods

A total of 142 students enrolled in seven APN specialty programs, 67 professors who were involved in APN education, and nine nurse administrators participated in the study. Data was collected by questionnaires and focus group interviews.

Results

The current definition of APN was found not to be specific enough to represent expected roles of APN in regards to knowledge, attitudes, roles, and skills. Standard curricula employed regardless of the area of APN specialty, lack of qualified clinical practice settings, as well as prepared instructors were found to be problematic.

Conclusion

The following needs to be addressed: 1. redefining of APN roles, 2. tailoring specialty areas of APN, 3. consolidating educational programs, and 4. ensuring APN role models and faculty. Suggesting a CNS role in Korean APN, areas of APN should be rearranged toclarify their roles and educational programs need to be further developed to meet the expectations and quality of APNs. It is necessary to ensure APN's employment in the health care system by laws and policies to perform advanced nursing roles.

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Jongsun Park, Hyejin Kim
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Im-Jin Jung, Yun-Mi Kim
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Sung‐Jung Hong, Eunjoo Lee
Nursing & Health Sciences.2014; 16(4): 434. CrossRef
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Mijung Kim, Yeong Kyeong Kim, Sujin Shin
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Hyun Kyung Kim, Young Eun, Kyung Ja June, Ae Young So, Hee Gerl Kim, Mi Ran Eom, Yeon Yi Song, Eun Suk Choi, Ji Yeon Park, Hyoung Suk Kim
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Journal of Korean Academy of Nursing.2008; 38(3): 363. CrossRef

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Knowledge, Perception and Health Behavior about Metabolic Syndrome for an at Risk Group in a Rural Community Area: Eui Geum Oh, So Youn Bang, Sa Saeng Hyun, Sang Hui Chu, Justin Y Jeon, Myung Sook Kang; Journal of Korean Academy of Nursing 2007;37(5):790-800. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.790

Abstract PDF

Purpose

This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area.

Methods

A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record.

Results

Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up.

Conclusion

Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.

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

Abstract PDF

Purpose

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

Methods

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

Results

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

Conclusion

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

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Cultural and Ethical Barriers to Cancer Treatment in Nursing Homes and Educational Strategies: A Scoping Review
Cynthia Filteau, Arnaud Simeone, Christine Ravot, David Dayde, Claire Falandry
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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

Abstract PDF

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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Effects of a Short-term Home-based Pulmonary Rehabilitation Program in Patients with Chronic Lung Disease: Eui Geum Oh, Sun Hee Kim, Hee Ok Park, So Yon Bang, Chun Hwa Lee, So Hee Kim; Journal of Korean Academy of Nursing 2003;33(5):570-579. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.5.570

Abstract PDF

Purpose

The purpose of this study is to exam the effects of a short-term pulmonary program on lung function, exercise tolerance, and quality of life in chronic lung patients.

Method

Randomized controlled pre-post test design was used. The outcome measures were forced expiratory volume in one second (FEV1, % predicted), 6 min walking distance (6MWD), Borg score after 6MWD, and Chronic Respiratory Disease Questionnaire (CRDQ). Experimental group performed the 4-week home-based pulmonary rehabilitation program composed of inspiratory muscle training, upper and lower extremity exercise, relaxation, and telephone visit. Patients in control group were only given education about self-management strategies. Thirty four patients with moderate-to-severe respiratory impairment were recruited, and 28 patients (19 in experiments, 15 in control) completed the study.

Result

Significant improvements in lung function, exercise tolerance, and health related quality of life were found only in the experiment group.

Conclusion

This study yielded evidence for the potential and beneficial effects of home-based pulmonary rehabilitation program in patients with moderate to severe chronic lung disease. The program could be adequately utilized for improvement of health related quality of life in chronic lung patients.

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Túlio Medina Dutra de Oliveira, Adriano Luiz Pereira, Giovani Bernardo Costa, Liliane P. de Souza Mendes, Leonardo Barbosa de Almeida, Marcelo Velloso, Carla Malaguti
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Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors: Eui Geum Oh, You Lee Yang, Jae Yong Yoo, Ji Yun Lim, Ji Hyun Sung; J Korean Acad Nurs 2016;46(4):501-513. Published online August 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.4.501

Abstract PDF

Purpose

The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula.

Methods

For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis.

Results

Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP.

Conclusion

The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.

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Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services: Eui Geum Oh, Hyun Joo Lee, Yukyung Kim, Ji Hyun Sung, Young-Su Park, Jae Yong Yoo, Soohee Woo; J Korean Acad Nurs 2015;45(5):742-751. Published online October 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.5.742

Abstract PDF

Purpose

The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services.

Methods

A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program.

Results

Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling.

Conclusion

The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

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An Explanatory Model for Sleep Disorders in People with Cancer: Hee Sun Kim, Eui Geum Oh; J Korean Acad Nurs 2011;41(4):460-470. Published online August 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.4.460

Abstract PDF

Purpose

The aim of this study was to develop and test an explanatory model for sleep disorders in people with cancer. A hypothetical model was constructed on the basis of a review of previous studies, literature, and sleep models, and 10 latent variables were used to construct a hypothetical model.

Methods

Data were collected from April 19 to June 25, 2010, using self-report questionnaires. The sample was 291 outpatients with cancer who visited the oncology cancer center at a university hospital. Collected data were analyzed using SPSS Win 15.0 program for descriptive statistics and correlation analysis and AMOS 7.0 program for covariance structural analysis.

Results

It appeared that overall fit index was good as χ²/df=1.162, GFI=.969, AGFI=.944, SRMR=.052, NFI=.881, NNFI=.969, CFI=.980, RMSEA=.024, CN=337 in the modified model. The explanatory power of this model for sleep disorders in people with cancer was 62%. Further, sleep disorders were influenced directly by cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and past sleep pattern.

Conclusion

Findings suggest that nurses should assess past sleep pattern and consider the development of a comprehensive nursing intervention program to minimize the cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and thus, reduce sleep disorders in people with cancer.

Citations

Citations to this article as recorded by

Effects of Symptoms and Patient Activation on Sleep Disturbance in Patients with Acute Leukemia Undergoing Chemotherapy
Suna Lee, Eunjung Ryu
Asian Oncology Nursing.2021; 21(3): 173. CrossRef
Sleep Pattern and Factors Causing Sleep Disturbance in Adolescents with Cancer before and after Hospital Admission
Jin Jung, Eun-Hye Lee, You-Jin Yang, Bo-Yoon Jang
Asian Oncology Nursing.2017; 17(3): 143. CrossRef
Symptom Clusters in Korean Patients With Metastatic Cancer Undergoing Palliative Chemotherapy
Hee Sun Kim, Miok Kim, Seon Heui Lee
Journal of Hospice & Palliative Nursing.2016; 18(4): 292. CrossRef
Predictors of symptom experience in Korean patients with cancer undergoing chemotherapy
Hee Sun Kim, Eui Geum Oh, Hyangkyu Lee, Soo Hyun Kim, Hyun Kyung Kim
European Journal of Oncology Nursing.2015; 19(6): 644. CrossRef
Related Factors to Quality of Life among Hospitalized Cancer Patients Undergoing Chemotherapy
Ji Yeon Jeong, Hyang Sook So, Ji Eun Hong, Myeong Jeong Chae, Geunhye Han
Asian Oncology Nursing.2012; 12(1): 84. CrossRef

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The Analysis of Intervention Studies for Patients with Metabolic Syndrome: Eui Geum Oh, Soo Hyun Kim, Sa Sang Hyun, Myung Sook Kang, So Youn Bang; Journal of Korean Academy of Nursing 2007;37(1):72-80. Published online February 28, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.1.72

Abstract PDF

Purpose

This study was to analyze the trend of research on intervention for patients with metabolic syndrome.

Method

Using Pubmed, Medline, and CINAHL search engines, a randomized controlled trial(RCT) researching titles such as “metabolic syndrome”, “intervention”, “lifestyle modification”, or “community-based” were collected. A total of 16 researches were analyzed based on the guidelines of the National Cholesterol Education Program-Adult Treatment Panel(NCEP-ATP III).

Results

1) The total period of the intervention was from 12 to 24 weeks, the frequency was 3 to 5 times per week, and the duration of each session was from 45 to 60 minutes. The types of intervention included exercise, diet, and medication. Among these types, diet was performed most frequently. 2) The outcomes of the intervention was measured with physical aspects such as anthropometric measures, body composition, or biological markers. No studies have evaluated psychosocial outcomes such as quality of life. 3) In terms of effectiveness of the intervention, anthropometric indicators, body composition, or serological markers showed positive effects, whereas results on endothelial or urine indicators were inconsistent.

Conclusion

Methodological research developing comprehensive therapeutic lifestyle modification programs and intervention studies are needed for patients with metabolic syndrome. In addition, effects should be evaluated with multidimensional perspectives.

Citations

Citations to this article as recorded by

Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome
Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim, Yoonjung Han
Journal of Korean Medical Science.2015; 30(8): 1092. CrossRef
Effectiveness of lifestyle interventions to prevent diabetes and cardiovascular diseases in a health promoting hospital
Hyekyeong Kim, Eunhee Nah
Korean Journal of Health Education and Promotion.2015; 32(4): 37. CrossRef

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