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Original Article
A Grounded Theory Approach to the Comfort Experience of Hospitalized Patients
Kyung Hee Kim, Keum Soon Kim, Kyu Sook Kang, Hyun Sook Kang, Won Ock Kim, Hoon Jung Paik, Jong Soon Won, Nan Young Lim, Ihn Sook Jeong, Hye Jin Kwon
Journal of Korean Academy of Nursing 2000;30(3):750-763.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.750
AbstractAbstract PDF

This study is based on grounded theory methodology by Strauss & Corbin(1998). Ten hospitalized subjects were interviewed for data collection. In the process of data analysis, 'acceptance' is found to be the causal condition, while 'health professionals' skillfulness', 'ward environment', 'history of hospitalization', and 'general conditions' were identified as context, 'felling of relief' as the core phenomenon, 'self-efficacy', 'support of others', and 'life style' as the intermediate situation, 'passive reaction', 'alternative reaction' and 'active reaction' as the strategy and 'stabilization', 'satisfaction', 'hope' and 'carrying out' as consequences. 'Feeling of relief' is found to go through the three stages of recognition-generation-maintenance after the five different patterns. 1) In case the health professionals are skillful, the ward environment is favorable, the general conditions of the patients improved and as a result the feeling of relief is strong, during the first hospitalization, the self-efficacy of the subjects tends to be strong. They proceed toward the goal set for themselves with a renewed hope and active or alternative reaction toward the feeling of relief. 2) The subjects tend to proceed toward the goal set for themselves with a renewed hope and active and alternative reaction toward the feeling of relief in case health professionals are skillful, the ward environment is favorable the general conditions of the subjects improved, self-efficacy is strong, and lifestyle is autonomous, during the second hospitalization even though support of others is merely superficial. 3) The subjects tend to stabilize, and satisfy themselves with the given situation with passive and alternative reaction to the feeling of relief in case health professionals are skillful and the ward environment is favorable but the general conditions worsened and accordingly the feeling of relief, is weak and life style is dependent during the second hospitalization although the subjects' self-efficacy is strong and support of others is specific. 4) The subjects tend to stabilize and satisfy themselves with the given situation with passive and alternative reaction to the feeling of relief in case health professionals are unskillful the ward environment is unfavorable, the general conditions improved, support of others is specific but life style is dependent and self-efficacy is weak during the first hospitalization. 5) The subjects tend to stabilize and satisfy themselves with the given situation in case health professionals are unskillful the ward environment is unfavorable but the general conditions improved support of others is specific and as a result self-efficacy is strong but life style is dependent.

Citations

Citations to this article as recorded by  
  • Identifying the Factors Affecting Comfort and the Comfort Levels of Patients Hospitalized in the Coronary Care Unit
    Nesrin Nural, Semiha Alkan
    Holistic Nursing Practice.2018; 32(1): 35.     CrossRef
  • Comfort and Quality of Life of Cancer Patients
    Keum-Soon Kim, So-Hi Kwon
    Asian Nursing Research.2007; 1(2): 125.     CrossRef
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  • 2 Crossref
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Review Article
Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis
Yoon Lee Kim, Seok Hee Jeong
J Korean Acad Nurs 2015;45(4):469-482.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.469
AbstractAbstract PDF
Purpose

The purpose of this study was to identify which nursing interventions are the most effective in fall prevention for hospitalized patients.

Methods

From 3,675 papers searched, 34 were selected for inclusion in the meta-analysis. Number of fallers, falls, falls per 1,000 hospital-days, and injurious falls, fall protection activity, knowledge related to falls, and self-efficacy about falls were evaluated as outcome variables. Data were analyzed using the Comprehensive Meta Analysis (CMA) 2.2 Version program and the effect sizes were shown as the Odd Ratio (OR) and Hedges's g.

Results

Overall effect size of nursing interventions for fall prevention was OR=0.64 (95% CI: 0.57~0.73, p <.05) and Hedges's g= - 0.24. The effect sizes (OR) of each intervention ranged from 0.34 to 0.93, and the most effective nursing intervention was the education & environment intervention (OR=0.34, 95% CI: 0.28~0.42, p <.001), followed by education intervention (OR=0.57, 95% CI: 0.50~0.67, p =.001). Subgroup analyses showed that multifaceted interventions (OR=0.76, 95% CI: 0.73~0.79, p <.001) were more effective than unifactorial interventions, and that activities for prevention of falls (OR=0.08, 95% CI: 0.05~0.15, p <.001) showed the largest effect size among outcome variables.

Conclusion

Falls in hospitalized patients can be effectively prevented using the nursing interventions identified in this study. These findings provide scientific evidence for developing and using effective nursing interventions to improve the safety of hospitalized patients.

Citations

Citations to this article as recorded by  
  • Characteristics and Effects of Fall Prevention Interventions among the Korean Older Adults: A Systematic Review
    Jeong Ha Park, Hee Ju Kim
    Journal of Korean Gerontological Nursing.2022; 24(1): 65.     CrossRef
  • Internet-Delivered Cognitive Behavioral Therapy in Patients With Irritable Bowel Syndrome: Systematic Review and Meta-Analysis
    Hyunjung Kim, Younjae Oh, Sun Ju Chang
    Journal of Medical Internet Research.2022; 24(6): e35260.     CrossRef
  • Validity and Reliability of Turkish Version of the Self- Awareness of Falls in Elderly Scale Among Elderly Inpatients
    Fatma Birgili, Seda Kılınç, Nezihe Bulut Uğurlu
    Cyprus Journal of Medical Sciences.2022; 7(7): 69.     CrossRef
  • Validity of the Morse Fall Scale and the Johns Hopkins Fall Risk Assessment Tool for fall risk assessment in an acute care setting
    Young Ju Kim, Kyoung‐Ok Choi, Suk Hyun Cho, Seok Jung Kim
    Journal of Clinical Nursing.2022; 31(23-24): 3584.     CrossRef
  • An Educational Intervention to Improve Staff Collaboration and Enhance Knowledge of Fall Risk Factors and Prevention Guidelines
    Kimberly A. DiGerolamo, Mei Lin Chen-Lim
    Journal of Pediatric Nursing.2021; 57: 43.     CrossRef
  • Trends of Nursing Research on Accidental Falls: A Topic Modeling Analysis
    Yeji Seo, Kyunghee Kim, Ji-Su Kim
    International Journal of Environmental Research and Public Health.2021; 18(8): 3963.     CrossRef
  • Analysis of Fall Incident Rate among Hospitalized Korean Children Using Big Data
    Eun Joo Kim, Anna Lee
    Journal of Pediatric Nursing.2021; 61: 136.     CrossRef
  • Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital
    Bom Mi Park, Ho Sihn Ryu, Kyeung Eun Kwon, Chun Young Lee
    Journal of Korean Academy of Nursing.2019; 49(2): 203.     CrossRef
  • Use of the Nursing Outcomes Classification for Falls and Fall Prevention by Nurses in South Korea
    Eunjoo Lee
    International Journal of Nursing Knowledge.2019; 30(1): 28.     CrossRef
  • Development and Validation of the Self-Awareness of Falls in Elderly Scale Among Elderly Inpatients
    Meei-Ling Shyu, Hui-Chuan Huang, Mei-Jung Wu, Hsiu-Ju Chang
    Clinical Nursing Research.2018; 27(1): 105.     CrossRef
  • The effectiveness of intervention programs for preventing patients from falls
    Jana Horová, Iva Brabcová, Jitka Krocová
    Kontakt.2017; 19(2): e105.     CrossRef
  • Effect of Strength Exercise on Patient Fall Prevention Program: Focusing on the Fall High Risk Group Elderly Patients
    Hyun-Ok Lee, Byung-Hwa Lee, Chang-Hee Lee
    Journal of Health Informatics and Statistics.2017; 42(4): 338.     CrossRef
  • The Effect of Pediatric Inpatient Fall Prevention Education on Caregivers' Fall-related Knowledge and Preventive Behaviors
    So Yeon Park, Hyeon Ok Ju
    Journal of Korean Academic Society of Nursing Education.2017; 23(4): 398.     CrossRef
  • 347 View
  • 14 Download
  • 13 Crossref
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