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A Comparison of Hospice Care Research Topics between Korea and Other Countries Using Text Network Analysis
Eun-Jun Park, Youngji Kim, Chan Sook Park
J Korean Acad Nurs 2017;47(5):600-612.   Published online October 31, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.5.600
AbstractAbstract PDF
Purpose

This study aimed to identify and compare hospice care research topics between Korean and international nursing studies using text network analysis.

 Methods

The study was conducted in four steps: 1) collecting abstracts of relevant journal articles, 2) extracting and cleaning keywords (semantic morphemes) from the abstracts, 3) developing co-occurrence matrices and text-networks of keywords, and 4) analyzing network-related measures including degree centrality, closeness centrality, betweenness centrality, and clustering using the NetMiner program. Abstracts from 347 Korean and 1,926 international studies for the period of 1998–2016 were analyzed.

 Results

Between Korean and international studies, six of the most important core keywords-“hospice,” “patient,” “death,” “RNs,” “care,” and “family”-were common, whereas “cancer” from Korean studies and “palliative care” from international studies ranked more highly. Keywords such as “attitude,” “spirituality,” “life,” “effect,” and “meaning” for Korean studies and “communication,” “treatment,” “USA,” and “doctor” for international studies uniquely emerged as core keywords in recent studies (2011~2016). Five subtopic groups each were identified from Korean and international studies. Two common subtopics were “hospice palliative care and volunteers” and “cancer patients.”

 Conclusion

For a better quality of hospice care in Korea, it is recommended that nursing researchers focus on study topics of patients with non-cancer disease, children and family, communication, and pain and symptom management.

Citations

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Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial
Kyung In Jeong, Ja Yun Choi
J Korean Acad Nurs 2017;47(6):842-853.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.842
AbstractAbstract PDF
Abstract Purpose

This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education.

 Methods

Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students’ skill training, and evaluators’ training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing.

 Results

ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups.

 Conclusion

This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.

Citations

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