Journal of Korean Academy of Nursing

Original Articles

A Study on Clinical Nurses Level of Perception of Importance, Performance and Satisfaction in the control of Nosocomial Infection: Sun Ock Kim, Soo Hyun Cho; Journal of Nurses Academic Society 1997;27(4):765-776. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.4.765

Abstract PDF: Hospitals accomodate patients who have a high risk of infection due to reduced immunity as well as people who require surgical, medical or other treatments. Consequently, the role of clinical nurses, who come into close contact with these patients is very important in the control of nosocomial infection. This study was done to investigate and compare the level of perception of the importance of the control of nosocomial infections as well as the level of actual performance, and the level of satisfaction with the control of nosocomial by the clinical nurses. Thus, the purpose of this study is to contribute basic data for improving policies and educational programs to control nosocmial infection. A summary of the survey results is as follows. 1) The means of scores on all categories of the inquiry were 4.51 for awareness 4.42 for actual performance, and 3.20 for satisfaction, of a possible high score of 5.00. 2) Correlations of the level of perception of importance between characteristics of nurses and hospital control of nosocomial infection differed significantly according to the type of hospital establishment type(p=.005), age(p=.000), career(p=.000), position(p=.002), and regular conferences on infection control in working departments(p=.003). Correlation of the level of actual performance between characteristics of nurses and hospital control of nosocomial infection differed significantly according to type of hospital(p=.000), hospital size(p=.009), working department(p=.000), age(p=.000), career(p=.000), school career(p=.040), position(p=.000), education experience on nosocomial infection(p=.020), and regular conferences on infection control in working department (p=.000). Correlation of degree of satisfaction between characteristics of nurses and hospital control of nosocomial infection also differed significantly according the type of hospital establishment(p=.003), working department(p=.000), age(p=.000), and regular conferences on infection control in working department(p=.000). 3) Correlation between clinical nurses, level of perception of importance and actual level of performance for the control of nosocomial infection was relatively positive(r=.57, p=.000). Correlation between clinical nurses degree of satisfaction and level of actual performance for control of nosocomial infection was relatively positive(r=.47, p=.000). Correlation between clinical nurses, level of perception of importance and degree of satisfaction degree with the control of nosocomial infection was also relatively positive (r=.27, p=.000).

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A Study on the Method to Estimate the Cost of Hospice Care: Hyun Cho; Journal of Nurses Academic Society 1994;24(2):216-225. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1994.24.2.216

Abstract PDF: The cost of hospice care should be covered by the insurance system if it is to be promoted in our country and this, in turn, requires a proper method to the estimate of this cost. The purpose of this study was to set up the method to estimate the cost of hospice care. First the cost effectiveness of hospice care were studied. By tracing the activities of hospice nurses for a given period, all the relevant data such as the scope and load of activities as well as the cost were collected. Then these were analysed and compared with the data obtained from hospice and home care. The results showed that the cost of hospice care was the most economic, and indicate its qualification as an independent system. The main part of the cost of hospice care was found to be the labor cost which was up to 83% of the total. Therefore a method to estimate the cost should reflect the real labor cost. Several methods have been proposed in the study in terms of unit labor cost, service time, material cost, and the weight of the labor cost. All variables, including the service time surveyed in this study, can easily be translated into numerical values and it would not difficult to estmate the cost of hospice care. Hence by letting the hospic care be insured, hospice care can be expected to function as a good alternative to the present medical system.

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The Age at Menopause and Related Factors in Korean Women: Young Joo Park, Hesook Suzie Kim, Hyun Choel Kang; Journal of Korean Academy of Nursing 2002;32(7):1024-1031. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.7.1024

Abstract PDF

This cross-sectional design was to identify the age at menopause of Korean women using a national sample, and to examine relationships between age at menopause and the anthropometric, sociodemographic, biological and life style behavioral factors. Two thousand eight hundred seven naturally postmenopausal women aged between 41-65 years were recruited by self-selection from 7 metropolitans and 6 provinces in Korea from Dec. 20, 1998 to April 30, 1999. The age at menopause of Korean women was 49.2 years (mean) and 50.0 years (median). The range of age at menopause was 33.0 to 61.0 years. The significant influencing factors on age at menopause were body mass index, mother's and sister's age at menopause, alcohol use, physical activity, coffee preference, and residential area. The menopausal age of Korean women has slightly increased compared to a previous study.

Citations

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Ovarian Function Preservation in Patients With Cervical Cancer Undergoing Hysterectomy and Ovarian Transposition Before Pelvic Radiotherapy
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The Clinical Impact of Body Mass Index on Breast Cancer in Korea: A Nationwide Population-Based Cohort Study
Jae Hwan Jeong, Hak Min Lee, Hai Young Son, Ilkyun Lee
Journal of Breast Disease.2020; 8(1): 51. CrossRef
Beneficial Effects of Breastfeeding on the Prevention of Metabolic Syndrome Among Postmenopausal Women
Jin Suk Ra, Soon Ok Kim
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Neck Circumference and Cerebral Gray Matter Volume
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Trends of Premature and Early Menopause: a Comparative Study of the US National Health and Nutrition Examination Survey and the Korea National Health and Nutrition Examination Survey
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Urinary bisphenol A, phthalate metabolites, and obesity: do gender and menopausal status matter?
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Association between lower urinary tract symptoms and cardiovascular risk scores in ostensibly healthy women
Hyun Young Lee, Ji Eun Moon, Hwa Yeon Sun, Seung Whan Doo, Won Jae Yang, Yun Seob Song, So‐Ryoung Lee, Byoung‐Won Park, Jae Heon Kim
BJU International.2019; 123(4): 669. CrossRef
Higher Pro-Inflammatory Dietary Score is Associated with Higher Hyperuricemia Risk: Results from the Case-Controlled Korean Genome and Epidemiology Study_Cardiovascular Disease Association Study
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Association between obesity type and obstructive coronary artery disease in stable symptomatic postmenopausal women: data from the KoRean wOmen'S chest pain rEgistry (KoROSE)
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Obesity and colorectal adenomatous polyps: A cross-sectional study in Korean adults
Ji Young Lee, Sang Mi Kwak, Seung-Kwon Myung, Sun Ha Jee
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Gender Differences in Risk Factors for Intracranial Cerebral Atherosclerosis Among Asymptomatic Subjects
Young-Suk Kim, Jin-Woo Hong, Woo-Sang Jung, Seong-Uk Park, Jung-Mi Park, Sung-Il Cho, Young-min Bu, Sang-Kwan Moon
Gender Medicine.2011; 8(1): 14. CrossRef
Cortisol, estradiol-17β, and progesterone secretion within the first hour after awakening in women with regular menstrual cycles
Ryun S Ahn, Jee H Choi, Bum C Choi, Jung H Kim, Sung H Lee, Simon S Sung
Journal of Endocrinology.2011; 211(3): 285. CrossRef

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Predictors of Nurse Turnover: Model Development and Testing: Richard Redman, Sung Hyun Cho, Shake Ketefian, Oi Saeng Hong; Journal of Korean Academy of Nursing 2000;30(7):1667-1678. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.7.1667

Abstract PDF: BACKGROUND: The phenomenon of nursing turnover has been explained by organizational commitment, job satisfaction, or intent to stay in previous studies; yet the combined contribution of these factors to nurse turnover has not been examined. OBJECTIVES: The purpose of this study was to develop and test a turnover model which included professionalism, job-related variables, job satisfaction, organizational commitment, and intent to stay.
METHOD
A total of 424 registered nurses in a university hospital completed a self-administered questionnaire including Professionalism Scale, Job Diagnostic Survey, Nurse Assessment Survey, and intention to stay. Nurses were classified as to whether they remained in or had left the organization 18 months after the survey. Multiple regression and logistic regression analyses were conducted to test the model.
RESULTS
Overall job satisfaction and intent to stay were the most important determinants of nursing turnover. Organizational commitment positively affected intent to stay and indirectly decreased turnover through intent to stay. Satisfaction with coworkers and supervisor were the most important factors in explaining overall job satisfaction. Satisfaction with pay, autonomy, and feedback from job also positively affected overall job satisfaction.
CONCLUSION
Using the results of the tested model nurse managers and administrators could predict turnover by monitoring its determinants, and ultimately reduce the turnover rate through early intervention.

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Development and Analysis of Community Based Independent Home Care Nursing Service: Jung Ho Park, Mae Ja Kim, Kyung Ja Hong, Kyung Ja Han, Sung Ae Park, Soon Nyoung Yun, In Sook Lee, Hyun Cho, Kyung Sook Bang; Journal of Korean Academy of Nursing 2000;30(6):1455-1466. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.6.1455

Abstract PDF

The purpose of this study was to develop the framework of community-based home care nursing delivery system, and to demonstrate and evaluate the efficiency of it. The study was carned out over a period of 3years from September 1996 to August 1999. The researchers developed Standards for operations, this was all aimed toward a home care recording system, and an assessment intervention algorithm for various diseases quality control and standardization. In the center, 185 patients enrolled, and of the enrollments cerebrovascular disorder and cancer were the most prevailment diseases. Also, a home care nursing activity classification was developed in six domains. Those domains were assessment, medication, treatment, education and consultation, emotional care, and referral or follow-up care. Ten sub-domains were divided according to the systematic needs. Among these nursing activities, treatment, assessment, and education and consultation were frequently performed. In sub-domain classification, skin integrity, respiration, circulation, and immobility related care were provided most frequently. The cost of home care nursing per visit was also suggested. The cost include direct and indirect nursing care, management, and transportation cost. Also, the researchers tried to overcome the limitations of hospital-based home care to provide more accessible, efficient, safe, and stable home care nursing. Therefore, clients were referred from other patients, families, public health care centers, industries, and even hospitals. As a result of this study, several limitations of operation were found. First, it was difficult to manage and communicate with doctor in the emergency situations. Second, there was too much time spent for transportation. This was because they are only five nurses, who cover all of the areas of Seoul and nearby cities. Third, preparation for special care of home care nurses was lacking. Fourth, criteria for the termination of care and the frequency of home visits were ambiguous. Finally, interconnection with home care machinery company was so yely needed. New paragraphs' strategies for solving these problems were suggested. This study will be the basis of community-based home care nursing, and the computerized information delivery system for home care nursing in Korea.

Citations

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A Study on the Operating Status of Community-based Home Health Care Centers
Eunhee Lee, Sungae Park
Journal of Korean Academy of Nursing Administration.2011; 17(2): 180. CrossRef
Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting
EUN JOO LEE, MIKYOUNG LEE, SUE MOORHEAD
CIN: Computers, Informatics, Nursing.2009; 27(4): 234. CrossRef

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Trends in Patient Satisfaction from 1989-2003: Adjusted for Patient Characteristics: Sung Hyun Cho, Chang yup Kim; Journal of Korean Academy of Nursing 2007;37(2):171-178. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.2.171

Abstract PDF

Purpose

To identify trends in patient satisfaction adjusted for sociodemographic factors and health status from 1989-2003.

Methods

Five repeated cross-sectional surveys were used. The study sample included 290,534 household members 20 years of age and over from the five survey periods of 1989, 1992, 1995, 1999, and 2003. Satisfaction was measured using a five-point scale, ranging from “very satisfied” to “very dissatisfied.” Crude satisfaction rates, representing the proportion of patients satisfied (very satisfied or satisfied), were calculated for each survey period. Satisfaction rates adjusted for age, sex, marital status, education, and selfrated health status were calculated for each of the five years.

Results

Crude satisfaction rates increased from 15.4% in 1989 to 40.5% in 2003. The proportions of satisfaction and dissatisfaction were reversed after 15 years had passed. However, the satisfaction trend was not linear throughout the different years, with 1992 being the year with the lowest satisfaction rate (9.7%). These trends in crude rates did not change even after adjusting for patient characteristics. The odds of satisfaction in 1992 were 38% lower (odds ratio 0.62, 95% CI 0.60 to 0.64) than the odds in 1989. In 2003, the odds of satisfaction were 4.01 times (95% CI 3.89 to 4.13) the odds for 1989. Older, female, married, and less-educated people were more likely to be satisfied. Patients who rated their health as “very good” had the highest satisfaction rate, and those with “neutral” health ratings had the lowest. General hospitals achieved substantial improvement whereas pharmacies became the lowest-rated of all institutions.

Conclusions

The Korean health system has achieved better patient satisfaction rates over the past 15 years. Increased health expenditure, resources, and quality improvement efforts may have contributed to this progress.

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Evaluation of Patient Satisfaction with Cardiology Services
Tengiz Verulava, Revaz Jorbenadze, Leila Karimi, Beka Dangadze, Temur Barkalaia
The Open Public Health Journal.2018; 11(1): 201. CrossRef
Changes in inpatients’ experiences of hospital care in England over a 12-year period: a secondary analysis of national survey data
Rachel Reeves, Elizabeth West
Journal of Health Services Research & Policy.2015; 20(3): 131. CrossRef

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Factors Related to Nurse Staffing Levels in Tertiary and General Hospitals: Yun Mi Kim, Kyung Ja June, Sung Hyun Cho; Journal of Korean Academy of Nursing 2005;35(8):1493-1499. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.8.1493

Abstract PDF

Background

Adequate staffing is necessary to meet patient care needs and provide safe, quality nursing care. In November 1999, the Korean government implemented a new staffing policy that differentiates nursing fees for inpatients based on nurse-to-bed ratios. The purpose was to prevent hospitals from delegating nursing care to family members of patients or paid caregivers, and ultimately deteriorating the quality of nursing care services.

Purpose

To examine nurse staffing levels and related factors including hospital, nursing and medical staff, and financial characteristics.

Methods

A cross-sectional design was employed using two administrative databases, Medical Care Institution Database and Medical Claims Data for May 1-31, 2002. Nurse staffing was graded from 1 to 6, based on grading criteria of nurse-to-bed ratios provided by the policy. The study sample consisted of 42 tertiary and 186 general acute care hospitals.

Results

None of tertiary or general hospitals gained the highest nurse staffing of Grade 1 (i.e., less than 2 beds per nurse in tertiary hospitals; less than 2.5 beds per nurse in general hospitals). Two thirds of the general hospitals had the lowest staffing of Grade 6 (i.e., 4 or more beds per nurse in tertiary hospitals; 4.5 or more beds per nurse in general hospitals). Tertiary hospitals were better staffed than general hospitals, and private hospitals had higher staffing levels compared to public hospitals. Large-sized general hospitals located in metropolitan areas had higher staffing than other general hospitals. Occupancy rate was positively related to nurse staffing. A negative relationship between nursing assistant and nurse staffing was found in general hospitals. A greater number of physician specialists were associated with better nurse staffing.

Conclusions

The staffing policy needs to be evaluated and modified to make it more effective in leading hospitals to increase nurse staffing.

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High-Volume Hospital Had Lower Mortality of Severe Intracerebral Hemorrhage Patients
Sang-Won Park, James Jisu Han, Nam Hun Heo, Eun Chae Lee, Dong-Hun Lee, Ji Young Lee, Boung Chul Lee, Young Wha Lim, Gui Ok Kim, Jae Sang Oh
Journal of Korean Neurosurgical Society.2024; 67(6): 622. CrossRef
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Yunmi Kim, Jiyun Kim, Soon Ae Shin
International Journal of Nursing Studies.2019; 89: 104. CrossRef
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Kyoung-Suk Son, Kyung Sook Cho
Korean Journal of Women Health Nursing.2019; 25(3): 239. CrossRef
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Su-Jin Cho, Jinhyun Kim
Journal of Korean Academy of Nursing Administration.2014; 20(1): 10. CrossRef
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Bohyun Park, Sukyung Seo, Taejin Lee
Journal of Korean Academy of Nursing.2013; 43(1): 39. CrossRef
Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units
Sung‐Hyun Cho, Kyung Ja June, Yun Mi Kim, Yong Ae Cho, Cheong Suk Yoo, Sung‐Cheol Yun, Young Hee Sung
Journal of Clinical Nursing.2009; 18(12): 1729. CrossRef
Nurse Staffing and Patient Mortality in Intensive Care Units
Sung-Hyun Cho, Jeong Hae Hwang, Jaiyong Kim
Nursing Research.2008; 57(5): 322. CrossRef
Impact of nurse staffing level on emergency department market share
Jee-In Hwang, Hyejung Chang
Health Care Management Review.2007; 32(3): 245. CrossRef

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Prediction Model on Mother-infant Attachment during the Early Postpartum Period: Hyun Jeong Shin, Young Joo Park, Hyun Choel Kang; Journal of Korean Academy of Nursing 2004;34(3):504-514. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.3.504

Abstract PDF

Purpose

The purpose of this study is to identify the influencing factors of mother-infant attachment and construct a descriptive model that explains mother-infant attachment during the early postpartum period.

Method

The hypothetical model of this study consisted of 8 variables with 23 constructed paths. The subjects of this study were 152 postpartum women. Data was analyzed to test the hypothetical model using covariance structure analysis.

Result

The final model which is modified from the hypothetical model improved to Chi-Square 41.92, GFI .95, AGFI .89, RMSR .02, RMSEA .06, NFI .94, and NNFI .95. Mother-infant attachment during the early postpartum period was proven to be influenced directly by neonatal perception, maternal sensitivity, and maternal-fetal attachment and also indirectly by social support, maternal-fetal attachment and maternal identity. These variables accounted for 32% of the variance of the mother-infant attachment during the early postpartum period.

Conclusion

It is necessary that the nurses provide postpartum women with an intervention using social support for improving maternal identity and alleviating maternal role strain. It can be helpful to improve maternal sensitivity and in the end it will facilitate the mother-infant attachment during postpartum period.

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Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus
HeeSook Kim, Sue Kim
Journal of Korean Academy of Nursing.2013; 43(1): 69. CrossRef
Perinatal attachment in naturally pregnant and infertility-treated pregnant women in Taiwan
Chen-Jung Chen, Yi-Chang Chen, Huei-Chuan Sung, Pi-Chao Kuo, Chih-Hung Wang
Journal of Advanced Nursing.2011; 67(10): 2200. CrossRef
Effects of Early Contact on Maternal Infant Attachment
Mi-Hae Sung, Myung-Ran Choi, Ok-Bong Um
Korean Journal of Women Health Nursing.2010; 16(2): 177. CrossRef
Effects of a Breast Feeding Promotion Program for Working Women
Ji-Won Yoon, Young-Joo Park
Journal of Korean Academy of Nursing.2008; 38(6): 843. CrossRef
Maternal Attachment Inventory: psychometric evaluation of the Korean version
Hyunjeong Shin, Young Hee Kim
Journal of Advanced Nursing.2007; 59(3): 299. CrossRef

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Sexuality and Related Factors of Postmenopausal Korean Women: Young Joo Park, Hesook Suzie Kim, Sung Ok Chang, Hyun Choel Kang, Sook Hee Chun; Journal of Korean Academy of Nursing 2003;33(4):457-463. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.4.457

Abstract PDF

Purpose

This cross-sectional survey was conducted to describe the sexuality of Korean women after menopause using a national sample, and to examine relationships between the sexuality and demographic, body mass index, and life style factors including smoking, alcohol use, and physical activity.

Method

From Dec. 20, 1998 to April 30, 1999, 2196 naturally postmenopausal women aged between 41 and 65 years were recruited by a disproportional stratified random sampling method from 7 metropolitans and 6 provinces in Korea. The questionnaire was used to obtain information on the demographic characteristics, life style factors, body mass index, and sexual activities.

Result

The findings show that the frequency of intercourse after menopause decreased among most of postmenopausal Korean women (64.5%). The frequency of women reported their sexual activity as satisfactory was higher among women doing physical activity, not smoking, with higher educational status, with middle socioeconomic status, without sleep disturbance, with lower body mass index, and with good subjective health status.

Conclusion

Further studies need to be designed as the longitudinal studies with larger random samples and better measures of sexuality.

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Sexual satisfaction of postmenopausal women: An integrative review
Nasim Shahrahmani, Raheleh Babazadeh, Abbas Ebadi, Luiz F. Baccaro
PLOS ONE.2024; 19(7): e0306207. CrossRef
Association of Combined Tobacco Smoking and Oral Contraceptive Use With Cervical Intraepithelial Neoplasia 2 or 3 in Korean Women
Hea Young Oh, Mi Kyung Kim, Sang-Soo Seo, Jae-Kwan Lee
Journal of Epidemiology.2016; 26(1): 22. CrossRef

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Influences of Oral Health Behaviors, Depression and Stress on Periodontal Disease in Pregnant Women: Hae-Jin Park, Hae Jung Lee, Soo Hyun Cho; J Korean Acad Nurs 2016;46(5):653-662. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.653

Abstract PDF

Purpose

The purpose of this study was to identify the influences of oral health behaviors, depression, and stress on periodontal disease in pregnant women.

Methods

The participants in this study were 129 pregnant women. Data were collected using questionnaires which included individual characteristics, oral health care behaviors, the Center for Epidemiological Studies-Depression scale (CES-D), a global measure of perceived stress, and pregnancy stress. A dentist measured periodontal probing depth and classified stages of periodontal disease according to the Community Periodontal Index (CPI). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression.

Results

Periodontal disease had significant correlations with oral health care behaviors (r=-.56, p <.001), perceived stress (r=.44 p <.001), pregnancy stress (r=.37 p <.001), diet (r=-.33, p <.001) and depression (r=.18 p =.046). Factors influencing periodontal disease for these pregnant women were being in the 2nd (β=.27, p <.001) or 3rd trimester (β=.45, p <.001), having a pregnancy induced disease (β=.20, p =.002), performing higher oral health behaviors (β=-.30, p <.001), and having higher perceived stress (β=.17, p =.028). The explanation power of this regression model was 61.6% (F=15.52, p <.001).

Conclusion

The findings of this study indicated that periodic assessment of periodontal disease is essential for pregnant women who are in 2nd or 3rd trimester and have pregnancy induced diseases. Enhancing oral health care behaviors and reducing perceived stress are indicated as effective strategies to reduce periodontal disease in pregnant women.

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Oral Health, Anxiety, Depression, and Stress in Pregnancy: A Rapid Review of Associations and Implications for Perinatal Care
Abiola A. Adeniyi, Swathi Ramachandran, Cecilia Marie Jevitt
International Journal of Environmental Research and Public Health.2024; 22(1): 32. CrossRef
Effects of depression and stress on oral self‐care among perinatal women in Appalachia: A longitudinal study
Jeongwi An, Christa Lilly, John R. Shaffer, Betsy Foxman, Mary L. Marazita, Daniel W. McNeil
Community Dentistry and Oral Epidemiology.2024; 52(6): 871. CrossRef
Dental caries and depression in pregnant women: The role of oral health self‐perception as mediator
Mariana G. Cademartori, Flavio F. Demarco, Mariangela Freitas da Silveira, Fernando C. Barros, Marcos B. Corrêa
Oral Diseases.2022; 28(6): 1733. CrossRef
Comparison of Diagnosed Depression and Self-Reported Depression Symptom as a Risk Factor of Periodontitis: Analysis of 2016–2018 Korean National Health and Nutrition Examination Survey Data
Seon-Rye Kim, Seoul-Hee Nam
International Journal of Environmental Research and Public Health.2021; 18(3): 871. CrossRef
Factors Related to Maternal Oral Health Status: Focus on Pregnant and Breastfeeding Women
Eun Gyeong Kim, Sook Kyoung Park, Ju-Hee Nho
Healthcare.2021; 9(6): 708. CrossRef
Factors contributing to unmet needs for dental health care in adult population of Serbia
Milica Veličković, Snežana Radovanović, Vesna Dimitrijević, Danijela Gračić, Sanja Krulj, Jasna Milosavljević, Tanja Milićević, Ana Marinković, Tatjana Kanjevac
Zdravstvena zastita.2020; 49(1): 1. CrossRef
The Impact of Oral Health on Work Performance of Japanese Workers
Takashi Zaitsu, Tomoya Saito, Akiko Oshiro, Takeo Fujiwara, Yoko Kawaguchi
Journal of Occupational & Environmental Medicine.2020; 62(2): e59. CrossRef
Predictive Model of Clinical Attachment Loss and Oral Health-Related Quality of Life through Depressive Symptomatology, Oral Hygiene Habits, and Proinflammatory Biomarkers: A Pilot Study
Norma Idalia Rodríguez Franco, José Moral de la Rubia, Andrea Guadalupe Alcázar Pizaña
Dentistry Journal.2020; 8(1): 20. CrossRef
Stress, allostatic load, and periodontal diseases
Wael Sabbah, Noha Gomaa, Aswathikutty Gireesh
Periodontology 2000.2018; 78(1): 154. CrossRef
Comparison of Effects of Oral Health Program and Walking Exercise Program on Health Outcomes for Pregnant Women
Hae-jin Park, Haejung Lee
Journal of Korean Academy of Nursing.2018; 48(5): 506. CrossRef
Periodontal Disease and Health Related Quality of Life (HRQoL) in Pregnant Women
Hae-jin Park, Haejung Lee, Soohyun Cho
Korean Journal of Women Health Nursing.2016; 22(4): 191. CrossRef

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Geographical Imbalances: Migration Patterns of New Graduate Nurses and Factors Related to Working in Non-Metropolitan Hospitals: Sung-Hyun Cho, Ji Yun Lee, Barbara A. Mark, Han Yi Lee; J Korean Acad Nurs 2012;42(7):1019-1026. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.7.1019

Abstract PDF

Purpose

To examine geographical imbalances by analyzing new graduate nurses' migration patterns among regions where they grew up, attended nursing school, and had their first employment and to identify factors related to working in non-metropolitan areas.

Methods

The sample consisted of 507 new graduates working in hospitals as full-time registered nurses in South Korea. Migration patterns were categorized into 5 patterns based on sequential transitions of "geographic origin-nursing school-hospital." Multiple logistic regression analysis was conducted to identify factors associated with working in non-metropolitan hospitals.

Results

Nurses who grew up, graduated, and worked in the same region accounted for the greatest proportion (54%). Sixty-five percent had their first employment in the region where they graduated. Nurses tended to move from poor to rich regions and from non-metropolitan to metropolitan areas. Working in non-metropolitan hospitals was related to older age, the father having completed less than 4 years of college education, non-metropolitan origin, non-capital city school graduation, and a diploma (vs. baccalaureate) degree.

Conclusion

Admitting students with rural backgrounds, increasing rural nursing school admission capacities, and providing service-requiring scholarships, particularly for students from low-income families, are recommended to address geographical imbalances.

Citations

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Hyo Jeong Yoon, Sung Hyun Cho
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Bohyun Park, Se Young Kim
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Nareerut Pudpong, Rapeepong Suphanchaimat, Bipin Batra, Jianlin Hou, Lan T. H. Vu, Paul Dipika
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Geographic mobility of Korean new graduate nurses from their first to subsequent jobs and metropolitan-nonmetropolitan differences in their job satisfaction
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Effects of Hospital Nurse Staffing on in-hospital Mortality, Pneumonia, Sepsis, and Urinary Tract Infection in Surgical Patients: Yunmi Kim, Sung-Hyun Cho, Kyung Ja June, Soon Ae Shin, Jiyun Kim; J Korean Acad Nurs 2012;42(5):719-729. Published online October 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.5.719

Abstract PDF

Purpose

This study was done to examine relationships between nurse staffing level and postsurgical patient outcomes using inpatient database from the National Health Insurance.

Methods

Records of 111,491 patients who received one of 12 types of surgery between January and December, 2009 were identified and analyzed in this study. Nurse staffing level was measured using adjusted nurse staffing grades from 0 to 7. Patient outcomes were defined as in-hospital mortality, or pneumonia, sepsis, or urinary tract infection after surgery. Logistic regression analyses estimated by Generalized Estimation Model, were used to analyze the association between nurse staffing level and patient outcomes.

Results

An inverse relationship was found between nurse staffing and patient mortality. Compared with patients who were cared for in hospitals with the highest nurse staffing (Grades 0-1), increases in the odds of dying were found in those with Grades 6-7 [OR (odds ratio)= 2.99, 95% CI (confidence interval)= 1.94-4.60], those with Grades 4-5 (OR= 1.78, 95% CI= 1.24-2.57) and those with Grades 2-3 (OR= 1.57, 95% CI= 1.25-1.98). Lower nurse staffing level was also associated with higher number of cases in pneumonia and sepsis.

Conclusion

Policies for providing adequate nurse staffing is required to enhance quality of care and lead to better perioperative patient outcomes.

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The Effects of Pre-operative Visual Information and Parental Presence Intervention on Anxiety, Delirium, and Pain of Post-Operative Pediatric Patients in PACU: Je-Bog Yoo, Min-Jung Kim, Soo-Hyun Cho, Yoo-Jung Shin, Nam-Cho Kim; J Korean Acad Nurs 2012;42(3):333-341. Published online June 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.3.333

Abstract PDF

Purpose

The purpose of this study was to test whether pre-operative visual information and parental presence had positive effects on anxiety, delirium, and pain in pediatric patients who awoke from general anesthesia in a post-surgical stage.

Methods

This study used a non equivalent control-group post test design (n=76). Independent variables were provision of pre-operative visual information and parental presence for post-surgical pediatric patients in PACU (post anesthesia care unit). Dependent variables were anxiety, delirium, and pain in the pediatric patients measured three times at 10 minute intervals after extubation in the PACU. Measurements included Numerical Rating Scale for assessing state anxiety, Pediatric Anesthesia Emergence Delirium Scale by Sikich & Lerman (2004) for delirium, and Objective Pain Scale by Broadman, Rice & Hannallah (1988) for pain.

Results

Experimental group showed significantly decreased state anxiety at time points-10, 20, and 30 minutes after extubation. Delirium was significantly lower at 10 minutes and 30 minutes after extubation in the experimental group. Pain was significantly lower at 10 minutes after extubation in the experimental group.

Conclusion

The results of this study suggest that this intervention can be a safe pre-operative nursing intervention for post-surgical pediatric patients at PACU.

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Layane Cristina Araújo, Danielle Mendonça Oliveira, Taysa de Fátima Garcia, Vanessa de Brito Poveda, Liliane de Lourdes Teixeira Silva
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PERIOPERATIVE NURSING CARE FOR ADOLESCENTS: A SCOPING REVIEW
Layane Cristina Araújo, Danielle Mendonça Oliveira, Taysa de Fátima Garcia, Vanessa de Brito Poveda, Liliane de Lourdes Teixeira Silva
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Sucking lollipop after awakening from sevoflurane anesthesia reduces the degree of emergence agitation in children undergoing ambulatory surgery: A prospective randomized controlled trial
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Kyunghee Kim, Sookhee Lee
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Preoperative Anxiety Management, Emergence Delirium, and Postoperative Behavior
Richard J. Banchs, Jerrold Lerman
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Emergence agitation after sevoflurane anaesthesia in children
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Variations in Nurse Staffing in Adult and Neonatal Intensive Care Units: Sung Hyun Cho, Jeong Hae Hwang, Yun Mi Kim, Jae Sun Kim; Journal of Korean Academy of Nursing 2006;36(5):691-700. Published online August 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.5.691

Abstract PDF

Purpose

This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUs).

Method

A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N)ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics.

Result

A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in staffing ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU.

Conclusion

Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs.

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Eun-Sil Choi, Hie-Jin Noh, Won-Gyun Chung, So-Jung Mun
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Hyeon Hwa Lee, Mi Ah Han, Jong Park, Seong Woo Choi
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Joohee Han, Eun Kwang Yoo
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Nurse Staffing and Patient Mortality in Intensive Care Units
Sung-Hyun Cho, Jeong Hae Hwang, Jaiyong Kim
Nursing Research.2008; 57(5): 322. CrossRef

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Inpatient Satisfaction and Dissatisfaction in Relation to Socio-demographics and Utilization Characteristics: Sung Hyun Cho; Journal of Korean Academy of Nursing 2005;35(3):535-545. Published online June 30, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.3.535

Abstract PDF

Purpose

This paper reports a study exploring factors related to patient satisfaction and dissatisfaction with inpatient care.

Method

A cross-sectional study design was used, employing data from the National Health and Nutrition Survey conducted in 2001. Socio-demographic factors, utilization, self-rated health status, and disease characteristics were assessed by employing univariate comparisons and multivariate logistic regression analyses.

Result

Out of 37,769 respondents, 1,043 aged 20 years and over had been admitted to a hospital or clinic at least once during the past year. About a quarter of the respondents were discharged from tertiary hospitals and 21% from clinics. The majority of patients (58%) were satisfied with inpatient care received, whereas 11% were dissatisfied. Greater satisfaction was found in patients aged 45-64 years and those having formal education, discharge from tertiary hospitals, national health insurance as a payer, medical expenses not being burdensome, good self-rated health status, and neoplasm. Living in non-metropolitan urban areas, shorter length of stay, and musculoskeletal diseases were associated with greater dissatisfaction.

Conclusion

Different factors were related to patient satisfaction and dissatisfaction with care. Those factors need to be taken into account when evaluating and comparing satisfaction levels between health care institutions.

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