Journal of Korean Academy of Nursing

Original Articles

A Study on the Budget and Management of the Nursing Service Equipment: Bok Nyeo Hwang, Eun Ja Yeun, Gyu Suk Cho; Journal of Nurses Academic Society 1984;14(1):34-49. Published online April 3, 2017; DOI: https://doi.org/10.4040/jnas.1984.14.1.34

Abstract PDF: This study was carried out to collect basic information of the budget and management of the nursing service equipment. A survey was conducted with charge nurses (72), head nurses (400), supervisors (93), nursing directors (43) in 134 Hospitals. The questionnaire was consisted of 34 questions related to management of budget, facility, supplies, and equipment. We investigated from 10th to 22nd, Oct 1983. The results obtained were summarized as follows: 1) A budget for the department of nursing was 65.4% (51/78) 2) A budget committee was 43.6% (34/78) 3) 51.3% took corrective action for the deviation from the budget, if indicated (40/78) 4) An established lost consciousness program in the hospital was 87.2% (64/68) 5) A formalized system for the maintenance of supplies for the patient care units was 87.2% 6) 87.9% had stocks level which was established for patient care units. 7) 64.6% had safeguards for the storage of special equipment which was investigated regularly in 54.7%. 8) The director of nursing or her representative, participates in the selection was 72.4%. 9) 58.2% was provided instruction in the use of equipment by manufacturers of technical equipment.

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A Study on Causal Attribution and Self-Efficacy in the Patients with Cancer: Eun Jung Ryu, Eun Ja Yeun; Journal of Korean Academy of Nursing 2001;31(2):232-243. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.2.232

When people undergo stressful situations such as a cancer diagnosis, they ask, "why me?" The causal attributions people make about cancer influence what kind of coping strategies are chosen. Weiner (1979) suggested three dimensions of causal attributions: focus of causality, stability, and controllability. The purpose of the present study was to test the relation between causal attributions and self-efficacy in patients with cancer. The subjects were 194 patients who had been diagnosed cancer one year ago and attended an outpatient clinic. 1. Each mean score of causal attribution dimensions (focus of control, stability, controllability) that each patient made about cancer was 2.47, 2.73, 2.86, 3.35, and 3.28. The mean score of self-efficacy was 71.03. 2. There was a significant negative correlation between self efficacy and controllability. Particularly, there was a significant negative relationship between self efficacy and external controllability. Based upon these results, it is recommended that the developing nursing interventions to change causal attribution and self-efficacy is necessary. A number of theoretical relationships and empirical finding are confirmed by this data, and future proposals in research is suggested.

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Development and Validation of Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B)
Ran Lee, Soo Hyun Kim, Keun Sook Lee, Myung Kyung Seo
Journal of Korean Academy of Nursing.2012; 42(3): 385. CrossRef

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Subjectivity on Organ Donation and Transplantation: Young Mi Kwon, Eun Ja Yeun; Journal of Korean Academy of Nursing 2000;30(6):1437-1454. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.6.1437

Abstract PDF

This study was designed to identify the attitudes of the people on organ donation and transplantation. The purpose of this study was to provide data to help inspire organ donation, and promote registration yield so donor candidates will have more favorable recipients through Q-methodology. A Q-sample was developed through a review of the literature and interviews. Thirty-three statements made up the final Q-sample. The P-sample consisted of twenty-eight subjects, excluding chronic organic disorder. The Q-sorts by each subject were coded and analyzed with the QUNAL computer program. The results were as follows: This study discovered five different types of organ donation and transplantation of twenty- eight subjects. Type I is 'utilitarian.' The people of this type consider human life very valuable and they recognize that organ transplantation is an affirmative medicine that should be performed to extend human life. They believe that are saving others' lives by donating organs. Type II is 'sardonist.' The people of this type approve of organ transplantation usefulness, but they have no intention of participating in the program because of it may trample on human rights. Type III is 'individualist.' The people of this type consider it proper for the activation of organ transplantation by the legal system. They believe that organ donation a valuable too, but needs support through social benefits to donors. Yet, they have not intention of doing what they propose. Type IV is 'familist.' The people of this type have strong attachments to life but they think that organ donation and transplantation should be done between within a family. Type IV is disposition of family intensive consideration rather than altruistic and utilitarianism. Type V is 'deontologist.' The people of this type recognize the benefits of transplantation, but have a negative opinion of activation. They worry about ethical and social problems occurring in the development of modern medicine. They believe that death is the only natural end to life, so they have strong negative opinions of euthanasia and brain death compared to other types. They regard transplantation to be a non-human behavior, because it involves a removing organs and breaking the boundary of death. The findings of this study are only preliminary and serve as a baseline to understanding the subjectivity of individuals on organ donation and transplantation. Therefore, the subjectivity of the five types will be applied to formulate the educational programs and public relations strategies for organ donation because the public's awareness toward organ donation is closely related to their values, beliefs, and attitudes.

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The Effect of an Organ Donation Education on Undergraduate Students' Knowledge, Attitude and Practice Will to Organ Donation
Jung Sook Kim, In Sun Jang
Journal of East-West Nursing Research.2016; 22(2): 104. CrossRef

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How People Understand Death: a Coorientational Look: Eun Ja Yeun, Hung Kyu Kim; Journal of Korean Academy of Nursing 1998;28(2):270-279. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.2.270

Abstract PDF

Since death is an extremely subjective and unique experience, if we take into account the lack of understanding about death due to the difficulty in methodology, it is very important to try to understand the subjectivity of death. In this respect, Q-methodology that explains and shows the respondents' subjectivity by objectifying his subjectivity is employed as a solution to the questions in this study. Therefore, the purpose of this study was to provide data on how medical personnel should treat their patients, when, it comes to death ; by finding out the opinions of those who are being treated, namely the patients, and those who are providing the treatment, namely the medical personnel. It also by examined the characteristics and relationships between these two groups on attitudes to death. The results of this study show that medical personnel have two(fate-recipient, reality-oriented) types of response and patients have three(religion-dependent, science-adherent, sardonist) types. Medical personnel saw patients as having three(life-attached, traditionalist, death-rejector) types of response and to patients saw medical personnel as having two(rationalist, humanist)types. The relationship between the above-mentioned types will be examined in a coorientation model, the subjectivity of the medical personnel and the patient toward death indicates a relatively high understanding between the two groups under the great proposition of 'death'. Therefore, in their relationship with people who are facing death, the provider of care, namely the medical personnel, should identify the subjectivity of the patient before approaching them. By doing this, they can minimize the conflicts they might experience in establishing a therapeutic relationship, reduce suffering, and help the patient in greeting a more comfortable death. Throughout the study, Q-methodology expands out understanding of coorientation model that has only been approached with R-methodology. This study confirmed Q's potentiality and its validity in human subjective matters.

Citations

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The Journal of Targeted at the general public for the Modeling of Well-dying Program Development
Kwang-Hwan Kim, Yong-Ha Kim, Sang-Yoon Ahn, Chong Hyung Lee, Moo-Sik Lee, Moon-Joon Kim, Arma Park, Hye-Jeong Hwang, Moon-Sook Shim, Hyeon-Dong Song
Journal of Digital Convergence.2014; 12(8): 369. CrossRef
Attitudes of elderly Korean patients toward death and dying: an application of Q-methodology
Eunja Yeun
International Journal of Nursing Studies.2005; 42(8): 871. CrossRef

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A Q-methodological Study on Nursing Students' Attitudes toward Nursing Ethics: Eun Ja Yeun, Young Mi Kwon, Hung Kyu Kim; Journal of Korean Academy of Nursing 2004;34(8):1434-1442. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.8.1434

Abstract PDF: Purpose
Professional nursing ethics is a living, dynamic set of standards for nurses'professional moral behavior. Furthermore, in daily clinical nursing training, nursing students are constantly confronted with decisionmaking that is moral in nature. The aim of this study was to identify the perceived ethical attitudes in the clinical training process of senior nursing students using Q-methodology to offer basic strategies for nursing ethics education and thereby improve patients'care.
Methods
Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty-seven participants in a university rated 38 selected Q-statements on a scale of 1-9. The collected data were analyzed using pc-QUNAL software.
Results
Principal component analysis identified 3 types of ethical attitudes in nursing students in Korea. The categories were labeled Sacred-life, Science-realistic and Humane-life. Sacred-life individuals think that a life belongs to an absolute power (God), not a man, and a human life is a high and noble thing. Science-realistic individuals disagreed that allowing an induced abortion or embryo (human) duplication is unethical behavior that provokes a trend, which takes the value of a life lightly; most of them took a utilitarian position with respect to ethical decisions. Humane-life individuals exhibit a tendency toward human-centered thought with respect to ethical attitudes.
Conclusion
This study will be of interest to educators of students of nursing and hospital nursing administrators. Also, the findings may provide the basis for the development of more appropriate strategies to improve nursing ethics education programs.

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Development and Testing of a Nurse Turnover Intention Scale (NTIS): Eun Ja Yeun, Heejeong Kim; J Korean Acad Nurs 2013;43(2):256-266. Published online April 30, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.2.256

Abstract PDF

Purpose

The purpose of this study was to develop a measurement tool of nurse's turnover intention.

Methods

Data were collected from questionnaires completed by 678 nurses who worked in 3 university hospitals in South Korea and analyzed using the SPSS 18.0 and AMOS 18 programs. Thirty-seven preliminary items were selected from 161 basic items extracted via a literature review and in depth interviews with 6 hospital nurses. Three steps with factor analysis were undertaken to verify the reliability and validity of the preliminary instruments. Finally, confirmative factor analysis was carried out.

Results

As a result of the analysis, 3 factors including 10 items were selected. Cronbach's Alpha for the 10 items was .83, for job satisfaction (4 items), .78, for interpersonal relationships (3 items), .80, and for work performance (3 items), .74, which was stable.

Conclusion

This study is meaningful because through it a scale reflecting Korean culture was developed to measure turnover intention in nurses. Further studies that test the psychometrics of this scale in more diverse samples are warranted.

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Subjectivity of Nursing College Students' Awareness of Gender Equality: An Application of Q-methodology: Eun Ja Yeun, Hye Jin Kwon, Hyun Jeong Kim; J Korean Acad Nurs 2012;42(3):342-350. Published online June 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.3.342

Abstract PDF

Purpose

This study was done to identify the awareness of gender equality among nursing college students, and to provide basic data for educational solutions and desirable directions.

Methods

A Q-methodology which provides a method of analyzing the subjectivity of each item was used. 34 selected Q-statements from each of 20 women nursing college students were classified into a shape of normal distribution using 9-point scale. Subjectivity on the equality among genders was analyzed by the pc-QUANL program.

Results

Four types of awareness of gender equality in nursing college students were identified. The name for type I was 'pursuit of androgyny', for type II, 'difference-recognition', for type III, 'human-relationship emphasis', and for type IV, 'social-system emphasis'.

Conclusion

The results of this study indicate that different approaches to educational programs on gender equality are recommended for nursing college students based on the four types of gender equality awareness.

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Factors Affecting Gender Equality Consciousness of University Students : The Graduates of Social Welfare
Suk-Ja YOON, Eun-Kyung BYUN
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Yueh‐Chin Chung, Ching‐Yi Lin, Chien‐Ning Huang, Jen‐Hung Yang
The Kaohsiung Journal of Medical Sciences.2013; 29(11): 629. CrossRef

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Development of a Nursing Professional Values Scale: Eun Ja Yeun, Young Mi Kwon, Ok Hee Ahn; Journal of Korean Academy of Nursing 2005;35(6):1091-1100. Published online October 31, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.6.1091

Abstract PDF

Purpose

The purpose of this study was to develop an instrument to measure nursing professional values.

Method

Forty preliminary items were selected by classifying 223 basic items extracted via a literature study and in-depth interviews of subjects and testing the relevance of their contents. In order to verify the reliability and relevance of the preliminary instrument, data was collected from 504 nurses in 3 general hospitals.

Result

As a result of the item analysis, 29 items were selected from a total of 40 items. Five factors were extracted by factor analysis, and the total variance was 51.5%. For the explanation of variances by factors, the 1st factor, ‘self-concept of the profession’ accounted for 14.8%, the 2nd factor, ‘social awareness’ 12.1%, the 3rd factor, ‘professionalism of nursing’ 9.8%, the 4th factor, ‘the roles of nursing service’ 9.1%, and the 5th factor, ‘originality of nursing’, 5.6%. Cronbach's Alpha of those 29 items was .9168, which was high.

Conclusion

This paper is meaningful in a way that it developed a tool capable of measuring nursing professional values, which reflects the characteristics of our country. In order to re-verify the relevance and stability of this tool, it is necessary that comparative studies should be conducted.

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