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11 "Hee Sun Kang"
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Original Articles
Development of Sexual Satisfaction Measurement Tool
Sook Nam Kim, Soon Bok Chang, Hee Sun Kang
Journal of Nurses Academic Society 1997;27(4):753-764.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.4.753
AbstractAbstract PDF

This study was conducted to develop a sexual satisfaction tool for married women in Korea. The data was collected from July 19 to Aug 18, 1997 by means of questionnaires developed by researchers. The subject were 417 married women living in Seoul and Pusan. The process of this study was as follows : 1) The concept of sexual satisfaction was defined. 2) A conceptual framework was identified based on the extensive review of relevant literature and interviews with married women. 3) The preliminary question items containing the attributes and elements of the concept of sexual satisfaction were listed. 4) The preliminary items were revised after a pilot study. 5) The Index of Content Validity(CVI) was calculated from the content specialists' rating. 6) The reliability and validity of the sexual satisfaction measurement tool were tested. As a result of the item and factor analysis, 17 out of 30 items were found to be valid, consequently could be used to measure sexual satisfaction for married women. These final 17 items were divided into two factors. These factors were labeled as "situation factor"(10 items) and "response factor"(7 items) according to the attributes of the clustered items. The reliability of the final 17 items was .9118. Further research in needed to confirm the reliability and validity of the tool by applying it to a group of healthy married women and to a group of married women having health-related problem.

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The Sexual Satisfaction in Married Women
Sook Bok Chang, Hee Sun Kang, Sook Nam Kim
Journal of Korean Academy of Nursing 1998;28(1):201-209.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.1.201
AbstractAbstract PDF

This study was conducted to explore the level of sexual satisfaction in married women. This is a descriptive study. The data was collected from July 19 to Aug 10, 1997 utilizing a questionnaire developed by researchers. Sexual satisfaction(alpha=.926) was measured by the Sexual satisfaction scale(Kim at el, 1997) which is consisted of 17-items. And data was analysed using SPSS/PC+ 7.5. The following is a summary of the study. 1. The study surveyed a total of 400 married women from Seoul, Kyungki do, and Pusan. The mean age of the subjects was 38.61 years with the range from 22 to 69 years. A large proportion of the subjects(69.3%) had received a high school education or further education. In terms of the marital satisfaction, 68.6% of subjects were moderately or highly satisfied; 6.8% were dissatisfied. 2. The mean score and standard deviation of the sexual satisfaction was 42.74+/-10.42 with the range from 17 to 68 score. 3. The variables influencing on sexual satisfaction were age, education level, income, job, stress, and perceived marital satisfaction.

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The Effects of Cognitive Behavioral Anger Management Program on Self-consciousness and Anger in Korean Military Man
Myung Sun Hyun, Kyoung A Nam, Hee Sun Kang
Journal of Korean Academy of Nursing 2006;36(6):1076-1084.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.1076
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate a cognitive behavioral anger management intervention in order to increase self-consciousness and decrease anger among Korean military men.

Methods

A quasi-experimental design was used for this study. Ninety two soldiers were screened for unhealthy anger expression using a questionnaire. Among them, 26 soldiers who showed unhealthy anger expression were selected for this study. They were matched by rank and assigned to either a treatment or control group. The treatment group received the intervention three consecutive times, once a week and for 120 minutes per session. Participants were assessed before and after the intervention for anger (the State-Trait Anger Scale) and self-consciousness (Self-consciousness Scale). Data was analyzed using descriptive statistics, χ2-test, Mann-Whitney test, and Wilcox on signed rank test.

Results

There was no statistically significant decrease in anger or increase in self-consciousness between the two groups following treatment. However, there was a significant increase in private self-consciousness in the treatment group after the intervention(p=.006).

Conclusion

The cognitive behavioral anger management program improves private self-consciousness in soldiers. However, Additional research is needed to explore whether long-term intervention is more effective for anger control in the military setting. The findings from this study suggest that more attention should be given to mental health care for Korean soldiers.

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Barriers and Attitudes to Research Among Nurses in One Hospital in Korea
Hee Sun Kang, Mi Jong Kim
Journal of Korean Academy of Nursing 2005;35(4):656-663.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.4.656
AbstractAbstract
Purpose

Nursing research is recognized as an essential basis for the continuous development of the scientific nursing knowledge and practice. An understanding of the barriers and attitudes to research among nurses is important to improve clinical nursing research activities.

Method

Data were collected from nurses at a general hospital, located in D city, using a self-reported questionnaire, from March 15th to April 4th, 2003, and 133 questionnaires were used for the analyses. A 5 pointscale instrument was used to measure barriers and attitudes towards nursing research, with a Cronbach's alpha of .85 and .89, respectively.

Results

Nurses had limited experience in research and were not well prepared to conduct it. Lack of experience, training and time were the major barriers for conducting research. However, the nurses had positive attitudes toward research. There was a difference in barriers (t=2.68, p=.02) and research attitudes (t=-2.74, p=.00) according to the nurses' position. Also, the nurses' research experience influenced research attitudes (t=-3.27, p=.00). The degree of research preparation (F=6.98, p=.00) had an effect on the attitudes toward nursing research but not on the barriers.

Conclusion

There is an urgent need to promote both the ability and environment for clinical nurses to actively participate in research. As the majority of nurses had little experience and low confidence in research and perceived many barriers, this promotion can be accomplished by enhancing their confidence in research through continuing education and by gradually eliminating the barriers to research.

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Commercial Sex Workers'Condom Use Behavior in Korea
Surin Shin, Hee Sun Kang, Soon Bok Chang
Journal of Korean Academy of Nursing 2004;34(8):1477-1482.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.8.1477
AbstractAbstract PDF
Purpose

With the continuous spread of the AIDS virus and other sexually transmitted diseases (STDs) throughout Asia, it has become imperative for HIV/AIDS prevention outreach programs to stress the need for using prophylactics as one form of protection. This is particularly true for commercial sex workers. This pilot study was conducted to investigate the rate of condom use among the commercial sex workers in Korea and reasons why they frequently do not wear condoms during sexual intercourse.

Methods

Fifty female commercial sex workers who worked in the Yong San area were recruited while outreach was performed and forty eight responses were analyzed due to two incomplete questionnaires. The data were collected on June 28, 2004 as part of an outreach program for condom use promotion.

Results

The subjects ranged in age from 21 to 45 years. Nearly half of the subjects (47.9%) did not consistently use condoms. The major reason for not using protection was clients'reluctances for using condoms. When condoms were used, the subjects preferred lubricant-rich and less painful condom during intercourse.

Conclusion

Due to the inconsistent use of condoms, it is clear that many commercial sex workers and clients are susceptible to sexually transmitted diseases. Therefore, it is important to not only educate commercial sex workers, but also to educate their pimps and clientele about the importance of condom use. In general, it is recommended that practical strategies and a policy for condom use promotion be developed.

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Development of College Students' Condom Attitude Scale
Hee Sun Kang, Soon Bok Chang
Journal of Korean Academy of Nursing 2004;34(5):751-759.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.751
AbstractAbstract PDF
Purpose

The aim of this study was to design and evaluate a scale for measuring the attitudes toward condom use in sexual relationships.

Method

A questionnaire was administered to 631 college students using a convenience sampling method. The psychometric properties (reliability and validity) were evaluated.

Result

As a result of the item analysis, 16 items were selected and the internal consistency alpha coefficient was .88. Results indicated that the condom attitude scale is composed of three factors: Interruption of sexual pleasure; Protection; and Image. The three factors accounted for 59.54% of the variance in the total scale. Also, condom attitude was statistically significant (t=7.389, p=.000) between consistent condom users and inconsistent users.

Conclusion

The results demonstrate that condom attitudes are multidimensional, and the reliability and validity of the scale was supported.

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A Comparative Study of Consistent and Inconsistent Contraceptive Users on Partner Communication, Perceived Contraceptive Control, and Sexual Autonomy
Mi Jong Kim, Hee Sun Kang
Journal of Korean Academy of Nursing 2003;33(6):784-791.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.6.784
AbstractAbstract PDF
Purpose

This study is to investigate the influencing factors in the consistent use of contraception methods by comparing consistent and inconsistent users on partner communication, contraceptive control perception, and sexual autonomy among married Korean women.

Method

This study consists of 243 married women living in Korea. A convenient sampling technique was used and data were collected by self report questionnaires from September 14, 2000 to October 20, 2000.

Result

Only 41.6% of women were using contraception methods consistently and the rest of them were using contraception methods inconsistently. Between the two groups, statistical significances were noted in sexual communication(t=-2.5, p=.01), perceived contraceptive control(t=-7.5, p=.00) and sexual autonomy(t=-3.1, p=.00). As for general communication, it was not statistically significant(t=-1.0, p=.31).

Conclusion

Family planning program advisors should recognize that intervention programs for the promotion of consistent contraceptive behavior should focus on the sexual communication, perceived contraceptive control, and sexual autonomy.

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The Lived Experience of Stigma among Mentally Ill Persons
Myung Sun Hyun, Young Hee Kim, Hee Sun Kang, Kyoung A Nam
J Korean Acad Nurs 2012;42(2):226-235.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.226
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the subjective experiences of stigma among mentally ill persons.

Methods

Phenomenological methodology was used for the study. Participants were twelve people with mental illness enrolled at the S community mental health center in GyeongGi-Do. Data were collected via in-depth interviews from August 30 to October 1, 2010 and analyzed using Colaizzi's framework.

Results

Four themes and sixteen formulated meanings were identified for the stigma experiences of participants with mental illness. The four themes were 'Incapable of struggling against unfair treatment', 'Living as an outsider', 'Being constrained by oneself', 'Being in suspense over disclosure of oneself'.

Conclusion

The results from this study underscore the need for an educational and awareness programs to reduce public stigma among the general population and self-stigma among people with mental illness. In addition, efforts are also needed to prioritize mental illness stigma as a major public health issue at the government and community level.

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Violent Experiences and Coping among Home Visiting Health Care Workers in Korea
In Sook Lee, Kwang Ok Lee, Hee Sun Kang, Yeon-Hwan Park
J Korean Acad Nurs 2012;42(1):66-75.   Published online February 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.1.66
AbstractAbstract PDF
Purpose

The purpose of this study was to explore violent experiences of home visiting health care workers in Korea.

Methods

This study was a cross-sectional survey. Data were collected using self-report questionnaires from 1,640 health care workers. Data collection was done between September 1, 2009 and June 30, 2010.

Results

Of the respondents, 70.6% had experienced work-related violence. Shouting (51.9%) was the most common verbal violence, followed by verbalizing sexual remarks to the health care workers (19.0%) and touching the hands (16.5%), the most common acts relating to sexual harassment. Of the respondents who had experienced violence, 50.9% told their peers about the incidents. However, the major reasons why they did not report these incidents was due to the fact that they felt it was useless to file reports and that they expected such incidents to occur as part of their job. The majority of the respondents (86.4%) wanted education on how to deal with such violence at work.

Conclusion

The results of this study indicate that efforts should be made to increase awareness and to minimize violence in the workplace. Also, educational programs should be designed to improve knowledge and to prevent workplace violence.

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Use of Physical Assessment Skills and Education Needs of Advanced Practice Nurses and Nurse Specialists
Hyunsook Shin, Bog-Ja Kim, Hee Sun Kang
J Korean Acad Nurs 2009;39(5):709-719.   Published online October 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.5.709
AbstractAbstract PDF
Purpose

The study was done to investigate physical assessment skills used by, and educational needs of, advanced practice nurses (APNs) and nurse specialists in Korea.

Methods

A total of 123 APNs and nurse specialists working in five major hospitals in Seoul were surveyed from July 15 to August 20, 2007.

Results

Fourteen skills out of 126 items were reported as being performed on a regular basis by participants. The majority of these skills involved general observation. Forty-six skills were rarely used. Some participants showed a lack of confidence in certain assessment skills, such as in doing a rectal or pelvic exam, and the use of some assessment equipment. Over 90% of participants required in-depth education on health assessment provided by specialists or nursing professional organizations.

Conclusion

More educational opportunities in physical assessment should be provided including education programs based on the nurses' skill levels and needs. This effort will help to increase confidence of APNs and nurse specialists in physical assessment skills, ultimately resulting in better nursing outcomes.

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Factors Associated with Social Isolation in Older Adults using Senior Welfare Centers
Yeon-Hwan Park, Hee Sun Kang
J Korean Acad Nurs 2008;38(5):712-719.   Published online October 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.5.712
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the factors associated with social isolation in older adults using a senior welfare center.

Methods

This study was a cross-sectional survey. Data was collected from June to August 2006 using a questionnaire. A total of 248 older adults responded.

Results

About one third (34.9%) of participants responded they felt socially isolated. There were statistically significant differences in living, religion, family and belongingness social support, loneliness, depression, family function, perceived health status, and number of chronic illnesses between socially isolated and non isolated groups. However, factors influencing social isolation were family function (OR=0.954, CI=0.926-0.982), loneliness (OR=1.042, CI=1.002-1.083), depression (OR=1.041, CI=1.002-1.081), and number of chronic illness (OR=1.657, CI=1.153-2.382).

Conclusion

We found that some older adults were feeling socially isolated even though the senior welfare center was a good place to meet people. The findings of this study indicated that older adults suffering from social isolation need special attention and may benefit from interventions which promote health and social interactions. Further studies are needed to develop and evaluate an intervention program for this population.

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