Journal of Korean Academy of Nursing

Review Papers

Effectiveness of non-pharmacological interventions to reduce internalized stigma in people with severe mental illness: a systematic review and meta-analysis: Soyoung Kim, Sun Hyoung Bae, Myung-Sun Hyun; J Korean Acad Nurs 2025;55(1):1-18. Published online February 25, 2025; DOI: https://doi.org/10.4040/jkan.24072

Abstract PDF ePub: Purpose
This study systematically reviewed and analyzed the effects of non-pharmacological interventions on internalized stigma among people with severe mental illness.
Methods
A systematic review and meta-analysis were conducted following the Cochrane Intervention Research Systematic Review Manual and Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. This study targeted people with severe mental illness as the population, interventions aimed at reducing internalized stigma, comparisons with control groups, and internalized stigma as the outcome. A literature search was performed across multiple databases, including PubMed, EMBASE, the Cochrane Library, CINAHL, PsycArticles, RISS, KMbase, and KoreaMed. The risk of bias was evaluated using the Cochrane Risk of Bias 2.0 tool. Effect sizes were computed using Hedges’s g, and subgroup analyses were conducted with Comprehensive Meta-Analysis software version 4.0.
Results
Of 2,388 papers, 15 were included in the meta-analysis. The overall effect size (Hedges’s g) of the intervention was –0.60 (95% confidence interval, –1.01 to –0.19), indicating a statistically significant reduction in internalized stigma (Z=–2.88, p=.004). Subgroup analyses revealed that the intervention type (p=.008) and session length (p=.011) were significant moderators influencing the effectiveness of the interventions.
Conclusion
Tailoring interventions by considering variables such as the intervention type and session length could enhance the effectiveness of non-pharmacological interventions for reducing internalized stigma among people with severe mental illness (PROSPERO: CRD42023418561).

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Effects of Non-Pharmacological Interventions on Major Adverse Cardiac Events in Patients Underwent Percutaneous Coronary Intervention: Systematic Review and Meta-Analysis: Jo, Sojeong , Lee, Haejung , Park, Gaeun; J Korean Acad Nurs 2024;54(3):311-328. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.24019

Abstract PDF: Purpose
In this study a systematic review and meta-analysis investigated the impact of non-pharmacological interventions on major adverse cardiac events (MACE) in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI).
Methods
A literature search was performed using PubMed, Cochrane Library, EMBASE, and Cumulative Index to Nursing & Allied Health Literature databases up to November 2023. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. Effect sizes and 95% confidence intervals were calculated using R software (version 4.3.2).
Results
Eighteen randomized studies, involving 2,898 participants, were included. Of these, 16 studies with 2,697 participants provided quantitative data. Non-pharmacological interventions (education, exercise, and comprehensive) significantly reduced the risk of angina, heart failure, myocardial infarction, restenosis, cardiovascular-related readmission, and cardiovascular-related death. The subgroup meta-analysis showed that combined interventions were effective in reducing the occurrence of myocardial infarction (MI), and individual and group-based interventions had significant effects on reducing the occurrence of MACE. In interventions lasting seven months or longer, occurrence of decreased by 0.16 times, and mortality related to cardiovascular disease decreased by 0.44 times, showing that interventions lasting seven months or more were more effective in reducing MI and cardiovascular disease-related mortality.
Conclusion
Further investigations are required to assess the cost-effectiveness of these interventions in patients undergoing PCI and validate their short- and long-term effects. This systematic review underscores the potential of non-pharmacological interventions in decreasing the incidence of MACE and highlights the importance of continued research in this area (PROSPERO registration number: CRD42023462690).

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Research Paper

Nurses’ Experiences of the COVID-19 Crisis: Lee, Jung-Hoon , Song, Yeoungsuk; J Korean Acad Nurs 2021;51(6):689-702. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21160

Abstract PDF

Purpose
This study aimed to develop a situation-specific theory to explain nurses’ experiences of the COVID-19 crisis.
Methods
The participants were 16 hospital nurses who experienced the COVID-19 crisis. Data were collected through in-depth individual interviews from September 2, 2020 to January 20, 2021. Transcribed interview contents were analyzed using Corbin and Strauss’s grounded theory method.
Results
A total of 38 concepts and 13 categories were identified through an open coding process. The core category found was becoming a pioneering nurse who turns crises into opportunities. The causal conditions were the chaos of being exposed defenselessly to an unexpected pandemic, fear caused by a nursing care field reminiscent of a battlefield, and moral distress from failing to protect patients’ human dignity. The contextual conditions were feeling like the scapegoat of the hospital organization, increasing uncertainty due to the unpredictable state of COVID-19, and relative deprivation due to inappropriate treatment. The central phenomenon was suffering alone while experiencing the dedication of the COVID-19 hero image. The action/interactional strategy were efforts to find a breakthrough and getting the nurse’s mind right, and the intervening conditions were gratitude for those who care for broken hearts and getting used to myself with repetitive work. The Consequences were becoming an independent nurse and frustration with the unchanging reality.
Conclusion
This study provides the foundation for the nurse's situation-specific theory of the COVID-19 crisis by defining the crisis perceived by nurses who cared for COVID-19 patients and suggesting types of coping with the crisis.

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The Moderating Effect of Calling in the Relationship between Post-Traumatic Stress and Turnover Intention of Nurses Who Cared for COVID-19 Patients
Min Ju Woo, Bu Kyung Park
Journal of Korean Academy of Nursing Administration.2025; 31(1): 75. CrossRef
The mediating and moderating role of recovery experience between occupational stress and turnover intention in nurses caring for patients with COVID‐19
Junghoon Lee, Junekyu Kim, Hong‐A Lim, Yeoungsuk Song
Journal of Clinical Nursing.2024; 33(4): 1470. CrossRef
Improving Emerging Infectious Disease Control Based on the Experiences of South Korean Nurses During the COVID-19 Pandemic: A Qualitative Systematic Review
Ha-Young Park, In-Sun Yeom
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 1. CrossRef
Factors Influencing Depression Among Nurses in General Hospitals During the COVID-19 Pandemic: Focus on Job Demands, Post-traumatic Stress, and Social and Organizational Support
Si Hyun Baek, Jeong-Hee Kim
Journal of Korean Academy of Nursing Administration.2024; 30(3): 306. CrossRef
An Integrated Review of Difficulties and Response Strategies Experienced by Korean Nurses during the COVID-19 Outbreak: Based on Qualitative Research
Jayoung YOU, Dan Bi CHO
Korean Journal of Medical Ethics.2024; 27(1): 27. CrossRef
Experience of Clinical Adaptation among Nurses in Intensive Care Unit
Jin Young Hong, Sue Kyung Sohn
Journal of Korean Critical Care Nursing.2024; 17(1): 1. CrossRef
Nurses’ intention to care of COVID-19 patients in hospitals dedicated to infectious disease in South Korea: application of the theory of planned behavior and verification of the moderating effect of ethical nursing competence
Mira Mo, Seongmi Moon, Eun Kyeung Song
BMC Nursing.2024;[Epub] CrossRef
Factors Influencing Person-Centered Care among Nurses in COVID-19 Special Care Units at Tertiary General Hospitals: A Cross-Sectional Descriptive Study
Kisook Kim, Sunmi Kwon
Korean Journal of Adult Nursing.2023; 35(2): 127. CrossRef
Perceptions of Healthcare Safety Nets among Tertiary Hospital and Long-Term Care Hospital Nurses during the COVID-19 Pandemic: A Q-Methodological Approach
Bom-Mi Park, Mi Young Chon, Hyun-Jung Lee
Healthcare.2023; 11(20): 2732. CrossRef
Burnout and Its Associated Factors Among COVID-19 Frontline Healthcare Workers
Hyeonseok Oh, Euihyun Kwak, So Yeon Hyun, Songeun Lee, Suk-Hyun Lee, In Mok Oh, Minyoung Sim
Journal of Korean Neuropsychiatric Association.2023; 62(4): 199. CrossRef
Experiences of Psychiatric Nurses Working in a Closed Psychiatric Unit during the COVID-19 Pandemic
Ji Young Kim, Hyun Kyung Kim
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 374. CrossRef
Parenting Experience of Shift Nurses With Elementary School-Aged Children During the COVID-19 Pandemic: A Phenomenological Study
Jeung-Im Kim, Mi-Youn Jang, A-Ri Song, Jung-Eun Yu, Myung-Sook Baik
Journal of The Korean Society of Maternal and Child Health.2023; 27(3): 154. CrossRef
Influence of COVID 19 on Nursing Students’ Career Identity: A Cross-sectional Study
Na-geong Kim, Hye-Ryeon Park
The Open Nursing Journal.2023;[Epub] CrossRef
Effects of Job Stress, Social Support, and Infection Control Fatigue on Professional Quality of Life among Nurses in Designated COVID-19 Hospitals
Minyoung Shin, Woojoung Joung
Journal of Korean Academy of Nursing Administration.2023; 29(5): 603. CrossRef
Burnout among Nurses in COVID-19 Designated Units Compared with Those in General Units Caring for Both COVID-19 and Non-COVID-19 Patients
Kyung Ah Woo, Eun Kyoung Yun, JiSun Choi, Hye Min Byun
Journal of Korean Academy of Nursing Administration.2023; 29(4): 374. CrossRef
Effect of Anxiety and Calling on Professional Quality of Life in COVID-19 Dedicated Nurses in Korea
Minjung Moon, Kyoungsan Seo
Healthcare.2022; 10(9): 1797. CrossRef
An Exploratory Study on Current Nursing Issues in the COVID-19 era through Newspaper Articles: The Application of Text Network Analysis
Young Joo Lee
Journal of Korean Academy of Nursing Administration.2022; 28(3): 307. CrossRef
Exploring the Experiences of Nurse Managers during the COVID-19 Pandemic
Hyunjin Jang, Eun-Mi An, Ki-Eun Kim, Yoounjoong Jung, Youjung Choi, Sue Kim
Journal of Korean Academy of Nursing Administration.2022; 28(4): 460. CrossRef
An Analysis of Tasks of Nurses Caring for Patients with COVID-19 in a Nationally-Designated Inpatient Treatment Unit
Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park
Journal of Korean Academy of Nursing.2022; 52(4): 391. CrossRef
Factors Influencing Post-traumatic Growth of Nurses at Nationally Designated Infectious Disease Hospital
Ji Eun Oh, Ju Young Park
Journal of Korean Academy of Nursing Administration.2022; 28(5): 499. CrossRef

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Letter to the Editor

How Should We Approach Nurse Suicide in Korea: With the Aspect of Prevention-InterventionPostvention Management: Kim, Hyoung Suk , Bae, Hyun Ji , Kang, Kyeong Hwa; J Korean Acad Nurs 2021;51(4):408-413. Published online August 31, 2021; DOI: https://doi.org/10.4040/jkan.21171

Abstract PDF

Recently, nurse suicide has emerged as one of the major issues. We tried to review the status of nurse suicide and its management in Korea through inspecting related web sites, news articles, and research. However, there were no sufficient reports or statistics along with the research throughout the country. Moreover, there were no organized nurse suicide management systems or programs including suicide prevention, suicide intervention, suicide postvention management. In other countries, there were various trials and successful experiences about nurse suicide programs, and those have been managed in organized and integrated ways. It gave us a lot of implications. To effectively prevent and manage the nurse suicide in Korea, nursing workforce, nursing managers, and nursing researchers should be concerned about nurse suicide. Furthermore, discussions and the research must be made actively. Based on such efforts, appropriate programs, organized manage systems, and policies must be devised at institution and national level.

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Images of Nurses Appeared in Media Reports Before and After Outbreak of COVID-19: Text Network Analysis and Topic Modeling
Min Young Park, Seok Hee Jeong, Hee Sun Kim, Eun Jee Lee
Journal of Korean Academy of Nursing.2022; 52(3): 291. CrossRef
Factors Affecting the Quality of Work Life of Nurses at Tertiary General Hospitals in the Context of the COVID-19 Pandemic
Eunhee Hwang
International Journal of Environmental Research and Public Health.2022; 19(8): 4718. CrossRef
Dis-eases of Korean nurses: a women’s health perspective
Moon Jeong Kim
Korean Journal of Women Health Nursing.2021; 27(4): 268. CrossRef

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Original Articles

The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention: Eun Sil Shin, Myung-Hee Kim; J Korean Acad Nurs 2018;48(4):465-474. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.4.465

Abstract PDF

Abstract Purpose

This study aimed to determine the effect of hand massage in patients who underwent transradial percutaneous coronary intervention.

Methods

This was a quasi-experimental study with a nonequivalent control group and non-synchronized design. The study included 30 patients in the experimental group and 30 in the control group. Hand massage was performed 2 times for 5 minutes each in the experimental group and the control group only received usual nursing interventions. Pain, level of discomfort, and vital signs were defined as key outcome measures, and the data were analyzed using the chi-square test, an independent t-test, Mann-Whitney U test, repeated-measures analysis of variance, and Friedman test.

Results

Significant differences were observed between the 2 groups in the pain score (F=7.91, p=.003), discomfort score (F=18.15, p<.001), pulse (F=12.92, p<.001), and respiration rate (χ ²=19.35, p<.001).

Conclusion

Hand massage can be a helpful nursing intervention for transradial percutaneous coronary intervention by reducing pain and discomfort to a considerable degree.

Citations

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An intervention study of a combined intervention of positioning and hand massage in patients undergoing radiofrequency catheter ablation
Yun Kyeong Lee, Mihae Im, Haeryun Cho
Nursing Open.2023; 10(3): 1404. CrossRef
Effect of Hand Massage on Pain, Anxiety, and Vital Signs in Patients Before Venipuncture Procedure: A Randomized Controlled Trial
Saadet Erzincanli, Kadriye Sayin Kasar
Pain Management Nursing.2021; 22(3): 356. CrossRef

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The Effect of Circumvaginal Muscle Exercise on Sexual Function in Married Women: Young Sook Lee; Journal of Nurses Academic Society 1996;26(1):148-164. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1996.26.1.148

Abstract PDF: The effect of circumvaginal muscle (CVM) exercises to improve sexual function in married women has not been investigated by currently acceptable research methods, nor have appropriate instruments and techniques to carry out such investigation been available. The purpose of this research was to study the effect of CVM exercise on sexual function, and of measuring CVM function after CVM exercises. The research tools used were a modified Derogatis Sexual Function Inventory questionnare and a pressure sensitive intravaginal balloon device. This research was conducted in Kwangju-city and Chonnam province, Korea from July, 1994 to July, 1995. The research used a non-equivalent control pre-post test quasi-experimental design. Forty-five healthy married female volunteers, aged 30?8, and were randomly assigned by age using the matching fixed-length blocks to two groups. The experimental group consisted of 21 women who were assigned a 25 -minute per day CVM home exercise program for six weeks. The control group of 24 women did not do the CVM home exercises. The CVM home exercise was developed by Dougherty (1989a) and adopted to Korea by Lee (1993). Data were analyzed by x2-test, Paired t-test, Spearman product-moment correlation using SAS/PC+. The results are summarized as follows: 1. There were no significant differences in the characteristics of the subjects between the exper imental and control groups before the CVM home exercises. 2. Hypothesis 1 that married women who participated in CVM home exercises would have higher mean scores on the sexual function (SF) than in those who did not participate in home exercise was supported. 3. Hypothesis 2 that married women who participated in CVM home exercises would have higher vaginal pressure on SF than in those who did not participate in home exercises was supported (mean maximum pressure, t= -7.338, P<.0001, peak maximum pressure, t=-11.164, P<.0001). 4. Hypothesis 3 that the more often (number of days) and the more frequent (numbers of times per day) that married women do CVM home exercise, the higher their mean scores on SF and vaginal pressures was supported (r =0.233, P<.01; r=0.352, P<.05). A six week CVM home exercise program using a tape recording showed that SF can be improved. Results of this study showed that married women who exercise on a regular basis for six weeks improve their sexual function and increase the mean vaginal pressure and peak maximum pressure (tested by electronic monitor). In conclusion, CVM exercise is effective in increasing SF.

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A Comparison between Home Care Nursing Interventions for Hospice and General Patients: Jin Sun Yong, You Ja Ro, Sung Suk Han, Myung Ja Kim; Journal of Korean Academy of Nursing 2001;31(5):897-911. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.5.897

Abstract PDF

PURPOSE: The purpose of the study was to compare home care nursing intervention activities analyzed by the Nursing Intervention Classification (NIC) system for hospice and general patients.
METHOD
For the descriptive survey study, data was collected by reviewing charts of 151 hospice patients and 421 general patients who registered in the department of home health care nursing at K Hospital.
RESULTS
According to the NIC system application, there were 2380 total nursing interventions used for the hospice patients and 8725 for the general home care patients. For both sets of patients (hospice vs. general), the most frequently used nursing intervention in level 1 was the Physiological: Complex domain (40.13 vs. 31.06 percent), followed by the Safety domain; in level 2, the Risk Management class (28.4 vs. 27.70 percent), followed by Tissue Perfusion Management; and in level 3, Vital Sign Monitoring (6.18 vs. 4.84 percent), followed by Health Screening.
CONCLUSION
The study showed that there was a lack of specialized hospice nursing interventions such as emotional, family and spiritual support, and care for dying hospice patients.

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Nurses’ perceptions of spiritual care and attitudes toward the principles of dying with dignity: A sample from Turkey
Eylem Pasli Gurdogan, Duygu Kurt, Berna Aksoy, Ezgi Kınıcı, Ayla Şen
Death Studies.2017; 41(3): 180. CrossRef
Home-Based Hospice Care Provided by a Free-Standing Hospice Center: Patients’ Characteristics and Service Conditions
Hyoung Suk Kim, Kyung Ja June, Young Sun Son
The Korean Journal of Hospice and Palliative Care.2016; 19(2): 145. CrossRef
Korean hospice nursing interventions using the Nursing Interventions Classification system: A comparison with the USA
Sung‐Jung Hong, Eunjoo Lee
Nursing & Health Sciences.2014; 16(4): 434. CrossRef
Current and Future of Hospice and Palliative Care in South Korea
Boon Han Kim
The Korean Journal of Hospice and Palliative Care.2011; 14(4): 191. CrossRef
Nursing interventions to promote dignified dying in South Korea
Kae-Hwa Jo, Ki-Wol Sung, Ardith Z Doorenbos, Elizabeth Hong, Tessa Rue, Amy Coenen
International Journal of Palliative Nursing.2011; 17(8): 392. CrossRef
Cognition and Needs for Hospice Care among Parents of Children with Cancer
Hyun Young Koo, Sun Hee Choi, Ho Ran Park
Journal of Korean Academy of Child Health Nursing.2009; 15(3): 325. CrossRef
Hospice and Hospice Care in Korea: Evolution, Current Status, and Challenges
Bok Yae Chung, Yu Xu, Chanyeong Kwak
Home Health Care Management & Practice.2005; 18(1): 73. CrossRef
Development of a Clinical Protocol for Home Hospice Care for Koreans
Won-Hee Lee, Chang-geol Lee
Yonsei Medical Journal.2005; 46(1): 8. CrossRef

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The Study on the Effect of Stage Based Exercise Motivational Intervention Program for the Elderly: Pyoung Sook Lee, Sung Ok Chang; Journal of Korean Academy of Nursing 2001;31(5):818-834. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.5.818

Abstract PDF

PURPOSE: This study aims at confirming exercise effects on obesity, mobility, self-efficacy, process of change, and decisional component by stage based exercise motivational intervention program for the elderly. The stage based exercise intervention program was constructed based on Transtheoretical Model.
METHODS
The design of this study is nonequivalent control group with repeated measuring by quasi-experimental study. The subjects of this study, composing of experimental group of 32 and control group of 28 were selected at one institution for the aged in Seoul.
RESULTS
1) The body fat (weight, BMI and circumference of waist), of the intervention group was significantly decreased than the control group. 2) The mobility of the intervention group was not significantly increased than control group. 3) The self-efficacy, Pros, Process of Change for exercise of the intervention group was not significantly increased than the control group. 4) The Cons for exercise of intervention group was not significantly decreased than the control group.
CONCLUSION
The above result have informed us that a stage-based exercise motivational intervention program for the elderly has the effect of decreasing old persons' body fat and has value as an effective means of nursing for the elderly.

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Analysis of Nursing Interventions Performed by Chosunjok Nurses in Yanbian Using NIC: Young Hee Yom, Kwu Eun Lee, Hae Kyung Chang, Eun Ju Kim, Chun Yu Li, Kyung Yun Kim, Zhen Yu Huang, Moon Ae Yuk; Journal of Korean Academy of Nursing 2001;31(5):793-807. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.5.793

Abstract PDF

PURPOSE: To identify nursing interventions performed by Chosunjok nurses in Yanbian using NIC.
METHODS
The sample consisted of 36 nurses working in 2 hospitals. The Nursing Interventions Use Questionnaire developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean using the method of back-translation.
RESULTS
Twenty-eight interventions were performed at least daily. Interventions in the Physiological: Basic domain were most frequently used at least daily. The most frequently used interventions was Positioning, followed by the interventions Pressure Ulcer Prevention, Intravenous (IV) Therapy, Hypothermia Treatment and Intravenous (IV) Insertion. The least frequently used interventions was Electronic Fetal Monitoring: Antepartum. Nurses working in special medical care units performed interventions most often, while nurses working in general surgical units performed them least. Nurses working in general medical, special medical and other care units performed interventions in the Physiological domain more often than the nurses working in general surgical units.
CONCLUSION
Chosunjok nurses in Yanbian performed physiological interventions frequently. Further studies will be needed to compare interventions performed by nurses in two countries.

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Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System
Myung Ja Kim
Journal of Korean Academy of Nursing Administration.2010; 16(1): 73. CrossRef

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Hospital Breastfeeding Policies and Practices in South Korea: A Comparison with the WHO/UNICEF Ten Steps: Andrea Crivelli Kovach, Heasook Kim; Journal of Korean Academy of Nursing 2000;30(7):1752-1767. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.7.1752

Abstract PDF: BACKGROUND: The purpose of this study was to describe breastfeeding policies and practices among hospitals in South Korea and the degree to which the hospitals are implementing the WHO/UNICEF Baby Friendly Hospital Initiative.
METHODS
A cross-sectional survey of 34 hospitals was used to collect data. Quantitative and qualitative information and insights into current breastfeeding policies and practices were derived from responses of maternal and child health personnel at each hospital. One questionnaire per hospital was completed with personnel from all sections of maternity services, labor and delivery, nursery, and postpartum, contributing information needed to create a composite picture of the hospital's breastfeeding policies and practices.
RESULTS
Most hospitals were classified as either high or moderately high implementers on four of the Ten Steps: printed information distributed to breastfeeding mothers, oral breastfeeding instruction given to mothers, infant supplementation, and infant feeding schedules. The remaining steps, including key practices like staff instruction, breastfeeding initiation, rooming-in, and hospital postpartum support are being partially implemented by the majority of hospitals in this study.
CONCLUSIONS
Areas identified as needing the greatest attention by hospitals were health care staff training, breastfeeding initiation, supplementation, rooming-in, breastfeeding policy, and postpartum support for the breastfeeding mother.

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Continence Self-Efficacy to Increase PFM Exercise Adherence in SUI: Jeung Im Kim; Journal of Korean Academy of Nursing 2000;30(7):1743-1751. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.7.1743

Abstract PDF: Stress urinary incontinence is most common type in urinary incontinence. Most women had been suffering with stress urinary incontinence for more than a year in the community without seeking medical help. Under the assumption that stress urinary incontinence will be treated or improved by keeping PFM exercise with his/her continence confidence, this study was conducted. This study examined Continence self-efficacy effect on PFM exercise adherence. Subject were in 48 women aged 20 to 75 years with stress urinary incontinence and were recommended by their doctor to attempt PFM exercise as one treatment method.. Data were collected by self-administered report using Continence Self-Efficacy Scale, PFM exercise adherence check sheet. Telephone support was used as a method of CEIP to increase Continence self-efficacy. Continence self-efficacy score was higher in the intervention group than in control group (T=-3.23, P<.01), PFM exercise adherence was better in the intervention group than in control group (T=-4.03, P<.001). Through this research, it was also found that there were three types in attitude toward treatment; those who want to be treated completely, those who want to be relieved, and those who think urine loss is no problem. It can be concluded that to increase Continence self-efficacy was useful to the PFM exercise adherence of women with stress urinary incontinence.

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Preliminary Analysis for Predicting Changes in Pain and Depression after Implementing the Rheumatoid Health Promotion Program: Hyun Soo Oh, Wha Sook Seo; Journal of Korean Academy of Nursing 2000;30(7):1615-1626. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.7.1615

Abstract PDF: This study was performed to evaluate the effect of 7-week comprehensive health promotion program for RA patients (CHPPRA) on changes in pain and depression. In addition, it was also examined that this effect was generated by changes in patients' health promoting strategies (positive self-image, positive thinking, problem solving, communication, pain management, stress management, exercise, and knowledge about RA) learned through CHPPRA. Twenty-eight out-patients of RA clinic in a university hospital participated for this study. The results are as followers. Changes in exercise, self-concept, positive thinking, problem solving, depression, and pain management were significant predictors to explain relieving pain level. Since all of these variables had positive standardized beta weights (betas), it can be interpreted that increasing level of these health promoting strategies may induce pain improvement. Changes in positive thinking, communication skill, exercise, self-concept, pain management, and knowledge about the disease were significant predictors to explain positive change in depression. Since all of the significant variables except the change in knowledge about the disease had positive standardized beta weights (betas), it can be interpreted that increasing level of these health promoting strategies may induce improving depression level. However, our results showed that the higher level of the knowledge about the disease was, the worse depression was.

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Development and Evaluation of the Computerized Nursing Diagnosis/Intervention System for Nutritional and Eliminative Problem: Ji Yeon Lee; Journal of Korean Academy of Nursing 2000;30(4):1078-1087. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.4.1078

Abstract PDF

The purpose of this study was to develop and to evaluate the Computerized Nursing Diagnosis/ Intervention System for Nutritional and Eliminative Problems for clinical application. Each stage was processed based on the System Development Life Cycle. At the Strategy Planning Stage, valid nursing diagnoses and interventions were chosen. At the System Analysis Stage, a nursing diagnosis and intervention flowchart was drawn up. At the System Design Stage, a system was developed based on the flowchart and named the Nursing Diagnosis/Intervention System. The Nursing Diagnosis/Intervention System consisted of the Patient's Basic Information, Patient's Nursing Process, Nursing Process, and Code Registration. Each element in flowchart was coded and made into a database. The System was used and evaluated. A total of 30 cases were collected. After the application, the nurses evaluated the System using a 5 point Likert scale. Every item was scored at three points or more and 13 out of 17 items were scored at four points or more, thus the Nursing Diagnosis/Intervention System that was developed in this study was regarded as a useful one.

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Analysis of Nursing Diagnoses Applied to Emergency Room Patients - Using the NANDA Nursing Diagnosis Classification -*
Young A Kim, Soon Hee Choi
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(1): 16. CrossRef

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The Development of Korean Nursing Alternative: Kyong Rim Shin; Journal of Korean Academy of Nursing 1999;29(6):1403-1418. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.6.1403

Abstract PDF

Nursing is a discipline that helps to understand human being, to mitigate pains in life by promoting and recovering health, and to study the basic principles in sustaining and preserving life. To understand man and thus to nurse, it is essential to take the way of life of the specific person, his/her ideas, and natural environment into consideration. This means, the temperament, geography, environment and society peculiar to Korea have formed its own culture distinguished from those of other people. Thoughts and philosophy develop as a products of the specific culture and society. Therefore, accurate understanding of the concepts of nursing in the traditional thoughts and philosophy is indispensible to define Korean nursing. Modern Korean nursing at first rooted in the westernized nursing and western nursing intervention has been applied ever since its introduction in the late 19th century under the paradigm of western natural science. However, Koreans in the past made use of alternative therapy which put its emphasis on the organic and holistic view of life as well as a means for traditional medicine and nursing. This alternative therapy has been largely ignored since the introduction of western medical science, and was considered something used only by the aged or the uneducated. Moreover, Health concerned practices and customary traditional therapy have been discarded in the clinical medicine as "unscientific" or "unsystematic". As described above, it is true that Korean nursing has developed in the quantitative aspect only adhering to western nursing intervention. Now it is the time to stop to hold ourself and to look back our past. To find and develop the originality of Korean nursing to cope with the globalization, it is necessary to rediscover nursing (alternative) therapy in Korean culture ignored so far. For this purpose, this study examines the oriental philosophy to explore alternative nursing theory now under development. Also it aims to present ways to apply alternative therapy to nursing education, research and clinical practices and ultimately to show the desirable direction of the nursing to go in the future. Yangsaeng theory of Taoism and Yin-yang, Oh-hang(five elements) and khi theory in Dongeuibogam which gave enormous influences on Korean medical culture and treatment together with Sahsang(four temperaments) emphasized in Dongeuisusebowon will be examined as conceptual framework. Concepts of nursing are categorized into views on each the universe, the human being and nursing. Views on human being is classified into subcategories of body, life, health, and disease. Also it emphasizes the necessity of including alternative therapy in nursing intervention. Views on the universe is classified into yin-yang, khi, and temperament. Nursing will be available anywhere and easily accessible with this new nursing intervention. Trying to give a new thoughts to all those traditional concepts and alternative therapy, this article suggests the necessity of developing original Korean nursing theory and nursing intervention.

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Literature review of complementary and alternative therapies: using text mining and analysis of trends in nursing research
Jihye Nam, Hyejin Lee, Seunghyeon Lee, Hyojung Park
BMC Nursing.2024;[Epub] CrossRef
Effects of Moxibustion on Physiological Indices and Autonomic Nervous Symptoms in Adults with Prehypertension
Soon Hee Cho
Journal of Korean Academy of Nursing.2010; 40(5): 686. CrossRef
Trends of Doctoral Dissertations in Nursing Science: Focused on Studies Submitted Since 2000
Hyunsook Shin, Kyung-Mi Sung, Seok Hee Jeong, Dae-Ran Kim
Journal of Korean Academy of Nursing.2008; 38(1): 74. CrossRef
Mapping of Nursing Records Into the NIC and the ICNP in a Korean Oriental-Medicine Hospital
EUNJOO LEE, MIKYOUNG LEE, OK BUN JUNG
CIN: Computers, Informatics, Nursing.2006; 24(6): 346. CrossRef

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Effects of the Nursing Intervention on Mother-Infant Interaction: Mi Ye Kim; Journal of Korean Academy of Nursing 1999;29(6):1355-1364. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.6.1355

Abstract PDF: Mother and infant relationship has a great influence on child's developments. In this study, nursing intervention to increase maternal sensitivity to the infant's cues was applied to 25 primiparas (Experimental Group). Mother and infant interacations of these primiparas were compared with those of 25 primiparas (Control Group) who did not receive the nursing intervention. Fifty primiparas and infants were recruited from a university hospital, a general hospital, and an OBGY clinic located in Taegu city. Mother and infant interactions were assessed at 6 weeks after birth using videotapes. Feeding situations were videotaped and two trained observers analyzed the tapes. Data were collected from March 23rd to July 27th of 1998. Mother and infant interactions during feeding were assessed by the response rating scale which was modified by the author based on NCAST feeding scale (Barnard, 1978a) and AMIS scale (Price, 1983). The validity of the modified rating scale was verified by faculty members and researchers who previously had research experience in the area. Cronbach's Alpha of the modified scale for this study was .90. The data was analyzed by SAS program, using wilcoxon rank sums test, chi square test, Fisher's exact test, and ANOVA. Findings were as follows: 1. Mothers in the experimental group were more likely to have higher scores in mother and infant interactions during feeding than mothers in the control group. 2. Mothers in the experimental group showed better sensitivity to infant's signals or cues, provided growth fostering, and had higher responsibility to the infant's distress than mothers in the control group. 3. Infants in the experimental group showed higher clarity of cues and responsibility to the mother's behaviors than infants in the control group. 4. Mothers and infants in the experimental group showed higher synchronic responses than mothers and infants in the control group. In conclusion, this study has shown that the applied nursing intervention promoted mother and infant interaction among primiparas. Therefore, this study suggests that the nursing interventions to increase maternal sensitivity to the infant's cues should be broadly applied to primiparas, which can be beneficial to the social, affective, and cognitive developments of their children.

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Nursing Interventions Classification(NIC) Use in Korea: Oriental Medicine Hospitals and General Hospitals: Young Hee Yom, Sung Sil Kim, In Sook Kim, Won Sook Park, Eun Ju Kim; Journal of Korean Academy of Nursing 1999;29(4):802-816. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.4.802

Abstract PDF

The purposes of this research were to identify nursing interventions performed by Korean nurses and to compare the interventions performed by nurses working in the oriental medicine hospitals and with those performed by nurses working in the general hospitals. The samples consisted of 144 Korean nurses working in three hospitals, 70 nurses working in the oriental medicine hospitals and 74 nurses working in the general hospitals. The Nursing Interventions Classification(NIC) Use Questionnaire developed by the Iowa Intervention Project team was translated to Korean and verified using the method of back-translation. The questionnaire consists of 433 intervention labels and definition. Thirteen interventions were used at least daily by nurses working in the oriental medicine hospitals, while twenty-one interventions were used at least daily by nurses working in the general hospitals. the most frequently used interventions by nurses working in the oriental medicine hospitals were Documentation, shift Report vital signs Monitoring, Pressure Ulcer Prevention, Positioning, Fall Prevention, Exercise Promotion, Intravenous(IV) Therapy, Pressure Ulcer care, and Bed Rest Care in that crder. For nurses working in the general hospitals the most frequent intervention was Analgesic Administration, followed by the interventions of Medication Administration : Parenteral and Intravenous Therapy(IV) Therapy, Documentation, Intravenous(IV) Insertion, shift Report, Fall Prevention, vital Signs Monitoring, Medication Adnninistraction : and , fluid Monitoring, and Medication Management in that order. The interventions performed least often by nurses working in the oriental medicine hospitals were Hemodialysis Therapy and Bleeding Reduction : Antepartum Uterus, while the interventions performed least often by nurses working in the general hospital were Rape Trauma Treatment and Contact Lens Care. The nurses working in the oriental medicine hospitals performed the interventions in the Physiological : Complex domain significantly more often than the nurses working in the general hospitals, while the nurses working in the general hospitals performed the intervention in the Behavior domain significantly more often than the nurses working in the oriental medicine hospitals. This study suggests that further study will be needed to developed and validate more interventions sensitive to Korean culture.

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Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System
Myung Ja Kim
Journal of Korean Academy of Nursing Administration.2010; 16(1): 73. CrossRef
Mapping of Nursing Records Into the NIC and the ICNP in a Korean Oriental-Medicine Hospital
EUNJOO LEE, MIKYOUNG LEE, OK BUN JUNG
CIN: Computers, Informatics, Nursing.2006; 24(6): 346. CrossRef
Application of Nursing Diagnoses, Interventions, and Outcomes to Patients Undergoing Abdominal Surgery in Korea
Young‐Hee Yom, Sung Ai Chi, Hyung Sook Yoo
International Journal of Nursing Terminologies and Classifications.2002; 13(3): 77. CrossRef

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Development of Nursing Intervention List: Caregiver Support - Soobal: Soo Yeon Ahn, Young Hee Yom; Journal of Korean Academy of Nursing 1999;29(3):518-529. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.3.518

Abstract PDF: The purpose of this research was to develop a nursing intervention list for family caregivers. The specific steps were as follows: 1. Analyze the concept, Soobal, based on literature review and case observation. 2. Generate an initial list of defining activities for 'Caregiver Support : Soobal'. 3. Validate the defining activities. 4. Complete the final list of defining activities. A two-round Delphi questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of intervention, Caregiver Support : Soobal. The definition of 'Caregiver Support : Soobal' was provision of the necessary information advocacy, and support to facilitate primary patient care by someone other than a health care professional in Korean traditional manners. Ten nurse experts participated in Round I and II of this study. They were asked to rate activities that exemplified the interventions on a scale of 1(activity is not all characteristic) to 515 'critical' activities and 10 'supporting' activities, while round II contained 16 'critical' activities and 6 'supporting' activities. No activities were considered to be 'nonsupporting' in both round I and II. Finally, the definition and 25 defining activities were developed. Intervention, Caregiver Support : Soobal, attained an ICV score of .82. This study provides a protocol model to develop Korean nursing interventions.

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Analysis of the Nursing Interventions Performed by Hospital Nurses Using NIC: Young Hee Yom; Journal of Korean Academy of Nursing 1999;29(2):346-360. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.346

Abstract PDF

The purpose of this research was to identify nursing interventions performed by hospital nurses in Korea. The sample consisted of 311 nurses working in three hospitals. The Nursing Interventions Use Questionnaire developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean using the method of back-translation. Eighteen interventions were performed at least daily. Interventions in the Physiological : Basic domain were most frequently used at least daily. No interventions in the Family and Behavioral domains were used by nurses at least once a day. The most frequently used interventions was Documentation, followed by the interventions Medication : Parenteral, Intravenous(IV) Insertion, Temperature Control, and Shift Report. The intervention performed least often was Reproductive Technology Management. Nurses working in intensive car units on the whole performed interventions most often, while nurses working in obstetric, gynecological, and pediatric units performed them least often. The nurses working in intensive care unit, medical and surgical care units performed the interventions in the Physiological : Basic domain more often than the nurses working in obstetric, gynecological, and pediatric units. The nurses working in obstetric, gynecological, and pediatric units used the interventions in the Family domain more often than the nurses working in the other three units. The study contributes to the documentation of nurses' work in Korea. Further study will be needed to validate nursing activities of each NIC intervention.

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Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System
Myung Ja Kim
Journal of Korean Academy of Nursing Administration.2010; 16(1): 73. CrossRef

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A Study on Nursing Diagnoses and Nursing Intervention Classification: focused on Home Health Care Clients: Cho Ja Kim, Ae Kyu Choi, Ki Ran Kim, Hee Young Song; Journal of Korean Academy of Nursing 1999;29(1):72-83. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.1.72

Abstract PDF

The purpose of this study was to classify, from collected home health care records data, nursing diagnoses according to the NANDA system and nursing interventions according to the NIC system, and to link nursing interventions to nursing diagnoses. For this study, 101 home health care records of clients seen between September, 1994 and November, 1996 at Yonsei Medical Center, Seoul, were analyzed. The results of this study are summarized as follows: 1. The most frequent nursing diagnoses were 'Risk for infection' and 'Altered nutrition : Less than body requirements', then 'Impaired skin integrity' and 'Ineffective airway clearance' in the Exchange patterns of NANDA nine human response patterns. 2. The most frequent nursing interventions were the interventions in the Physiological : Complex domain, there were 690(50.7%) interventions among a total 1347 interventions. This results corresponds to Yom, Young Hee(1995)'s research, both Korean and U.S. nurses used the interventions in the Physiological : Complex domain most often on a daily basis. And respiratory nursing interventions were most frequent because 32.7% of the subjects were respiratory patients. 3. The next step was to link the nursing interventions to nursing diagnoses. The most frequent nursing diagnosis was 'Risk for infection' and 19 interventions for 'Risk for infection' were used 267 times. Then 14 interventions for 'Impaired skin integrity' were used 258 times, 12 interventions for 'Ineffective airway clearance' were used 193 times, 12 interventions for 'Altered nutrition : Less than body requirements' were used 122 times, 10 interventions for 'Activity intolerance' were used 75 times, and 11 interventions for 'Knowledge deficit' were used 52 times. 4. The use of standardized classification in the areas of nursing diagnoses and nursing interventions facilitates clinical decision making and prompt nursing activity, and so enhances the effectiveness of nursing care.

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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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The Comparison Between the Effects of Integrated Arthritis Self-help Programs and the Effects of Arthritis Exercise Programs Through Meta-analysis: Hyun Soo Oh, Seo Yeon Ok; Journal of Korean Academy of Nursing 1998;28(4):941-957. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.4.941

Abstract PDF

The purpose of this study was to use meta-analysis to analyze result of 17 studies which investigated the effects of integrated programs, and 11 studies which examined the effects of exercise programs on pain, depression, and disability. The 28 studies analyzed in this work were selected from the following sources: MEDLINE Search, bibliographies of related studies, main academic journals of nursing in Korea, and journals on arthritis issues. For the analysis of the data, homogeneity of effect sizes which were calculated based on data in the 28 studies was tested and its average effect size was computed by using meta analysis software package which was developed by Song(1992, 1998). the results can be summarized as follows: 1) Homogeneity tests were conducted on integrated programs on pain. In the preliminary homogeneity tests on effect size of all 17 studies, no homogeneity was found. When homogeneity tests on the effect size of the remaining 15 studies were performed, excluding two studies which had extremely larger effect size compared to other studies, the 15 studies were found to be homogeneous(Q=16.38, p=.23). The obtained average effect size, D(Mean Standardized Difference Between Means), was .25. When homogeneity tests on effect size on pain was conducted for the exercise programs, effect size for all nine studies wee found to be homogeneous(Q=7.42, p=.49) and the average effect size D=.30. Therefore, Hypothesis 1 was rejected from the results, that an average effect size of the integrated programs in pain was not significantly different from that of the exercise programs in pain. 2) Since only two studies investigated the effect of exercise programs n depression, comparison between the average effect size of integrated programs on depression could not be tested. Thereby, only the average effect size of integrated programs in depression was obtained. Eight studies wee tested to be positive on the homogeneity of effect sizes(Q=18.31, p=.02) at alpha <.01 and its average effect size was D=.11. 3) For the analysis of integrated program on disability, 13 studies, except for four which had an extremely large effect size compared to the others were found to be homogeneous at alpha <.01(Q=22.30, p=.04) and the average effect size on disability was D=.16. for analysis of the exercise programs on disability, eight studies, except for one which had an extremely large effect size compared to others, were found to be homogeneous(Q=7.87, p=.34) and the average effect size on disability was D=.60. Therefore, Hypothesis 3 was accepted from the results that an average effect size of exercise programs n disability was significantly larger than that of integrated programs in disability.

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The Effects of Exercise Intervention for Fall Prevention in Persons with Arthritis: A Meta Analysis
Chun Hee Lee, Heeok Park
Korean Journal of Adult Nursing.2017; 29(6): 587. CrossRef

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Study on the Effects of the Nursing Intervention Program for Perimenstrual Discomfort of the Female University Students: Kyung Ja Hong, Young Sook Park, Jeong Eun Kim, Hae Won Kim; Journal of Korean Academy of Nursing 1998;28(4):821-831. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.4.821

Abstract PDF

Management of perimenstrual discomfort could be an effective strategy for women's health promotion. This study was designed to develop and test the nursing intervention program for the reduction of the perimenstrual discomfort. The data were collected from a group of 76 female university students(34 in the intervention group, 42 in the control group) during November 20, 1997 and March 10, 1998. Measurements were taken concerning perimenstrual discomfort, self care behavior, and perimenstrual discomfort from both groups, at pre and post intervention. Intervention program involves education, support, counselling, and relaxation training, via individual and group levels over a twelve- week period. Listed are the summarized results: 1. The intervention group had more knowledge concerning perimenstrual discomfort(t=2.290, p=.025), self care behavior(t=3.198, p=.000), and lower perimenstrual discomfort score(t=-4.446, p=.000) than the control group at post intervention. 2. The intervention group showed an enhancement on the knowledge on perimenstural discomfort(t=2.35, p=.025), and decreased the perimenstrual discomfort score(t=-7.36, p=.000). However change of self care behavior was not significant during the intervention. According to this study a developed nursing intervention program is effective for reduction of the perimenstrual discomfort. For a future research, it is necessary that experiments concerning menstruation, and a correlational study of perimensturual discomfort and stress will be performed.

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Relationships among Premenstrual Syndrome, Perfection and Anxiety among the College Student
Hye Seon Choi, Eun Dong Lee, Hye Young Ahn
Korean Journal of Women Health Nursing.2013; 19(4): 265. CrossRef
Menstrual Attitudes and Maternal Child Rearing Attitudes in Middle School Female Students
Kyoung Ja Hong, Hae Won Kim, Hye Young Ahn
Journal of Korean Academy of Nursing.2008; 38(5): 748. CrossRef

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Analysis of the Nursing Interventions done by MICU and SICU nurses using NIC: Eun Jung Ryu, Kyung Sook Choi, Young Mi Kwon, Suk Nam Joo, Suk Rae Yun, Hwa Sook Choi, Seoung Bok Kwon, Jeong Hee Lee, Bok Ja Kim, Hyung Yae Kim, Ok Hee Ahn, Eun Sun Rho, Kyung Sook Park; Journal of Korean Academy of Nursing 1998;28(2):457-467. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.2.457

Abstract PDF

The purpose of this research was to identify nursing interventions performed by MICU and SICU nurses. For data collection this study used the taxonomy of the Nursing Interventions Classification(NIC: 433 nursing interventions) which was modified by McCloskey and Bulecheck(1996). Each of the 433 interventions were identified as used by MICU and SICU nurses. More than 50% of the ICU nurses performed 280 nursing interventions at least monthly. Rarely used interventions included 26 nursing interventions in the childbearing care class. Overall, both MICU and SICU nurses used interventions in the Physicological : Complex domain most often on a daily basis and the interventions in the Family domain least often. The most frequently reported interventions as being used daily in the MICU were chest physioterapy, airway suctioning and coughing enhancement and, in the SICU, documentation and airway suctioning. There were significant differences between MICU and SICU nurses differences interventions childbearing care, cognitive therapy, communication enhancement, coping assistance, elimination management, lifespan care, health system mediation, immobility management, medication management, neurologic management, patient education psychological comfort promotion, physical comfort program, respiratory management, risk management and information management. The SICU nurses performed there interventions more frequently than the MICU nurses. These findings will help in building of a standardized language for the MICU and SICU and enhance the quality of nursing care.

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Identification and Comparison of Interventions Performed by Korean School Nurses and U.S. School Nurses Using the Nursing Interventions Classification (NIC)
Eunjoo Lee, Hyejin Park, Mihwa Nam, James Whyte
The Journal of School Nursing.2011; 27(2): 93. CrossRef
Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System
Myung Ja Kim
Journal of Korean Academy of Nursing Administration.2010; 16(1): 73. 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
The Perioperative Nursing Data Set in Korean: Translation, Validation, and Testing
Hyeoun‐Ae Park, Hyun Jung Lee, Kesook Yoon
AORN Journal.2007; 86(3): 424. CrossRef
Application of Nursing Diagnoses, Interventions, and Outcomes to Patients Undergoing Abdominal Surgery in Korea
Young‐Hee Yom, Sung Ai Chi, Hyung Sook Yoo
International Journal of Nursing Terminologies and Classifications.2002; 13(3): 77. CrossRef

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The Effects of a Support Group Intervention on the Burden of Primary Family Caregivers of Stroke Patients: Eun Kwang Yoo, Sanghee Jeon, Jeong Eun Yang; Journal of Korean Academy of Nursing 2007;37(5):693-702. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.693

Abstract PDF

PURPOSE: The purpose of this study was to develop and evaluate the effects of a support group intervention on the burden of primary family caregivers of stroke patients. METHOD: A nonequivalent control group pretest-posttest design was used. The subjects were 36 primary family caregivers of stroke patients [experimental(N=18) and control(N=18) groups] in a neurosurgery ward of a university hospital. The experimental group members participated in six sessions of a support group intervention for two weeks and the degree of their caregiving burden was evaluated. Data was analyzed by Chi-square tests, t-tests, and paired t-tests using SPSS 10.0. RESULT: The experimental group had a significantly lower total burden score (t=2.061, p= .047)and sub-scales of emotional(t=-3.319, p= .002), time-dependent(t=-2.045, p= .049) and developmental(t=-2.656, p= .012) burden scores than the control group, while no significant differences were found in physical, social or financial burden scores between the two groups. Within the experimental group, there was a significant decrease in physical(t=2.507, p= .023), emotional(t=4.754, p= .000), social(t=2.932, p= .009), time- dependent(t=5.015, p= .000) and developmental(t=7.541, p= .000) burden scores but not the financial burden score. CONCLUSION: The results suggest that a support group intervention can be utilized as an effective nursing program to reduce the burden of primary family caregivers of stroke patients.

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Brain & Neurorehabilitation.2022;[Epub] CrossRef
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Nam Hee Kim, Young Sook Tae
Korean Journal of Adult Nursing.2018; 30(3): 277. CrossRef
Effects of a Footbath Program on Heart Rate Variability, Blood Pressure, Body Temperature and Fatigue in Stroke Patients
Yu Lim Son, Myung Sook Yoo
Journal of Korean Biological Nursing Science.2016; 18(1): 51. CrossRef
The Effect of Post-Stroke Depression on Rehabilitation Outcome and the Impact of Caregiver Type as a Factor of Post-Stroke Depression
Dong-Heun Ahn, Yung-Jin Lee, Ji-Hun Jeong, Yong-Rok Kim, Jong-Bum Park
Annals of Rehabilitation Medicine.2015; 39(1): 74. CrossRef
Effects of a Telephone-based Support Group Program for Family Caregivers Providing Long-term Care for Elders
Eun-Young Kim, Jeong Ok Kwon
Journal of Korean Gerontological Nursing.2014; 16(1): 38. CrossRef

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A Meta-Analysis of Effects of Job Stress Management Interventions(SMIs): Jeong Hee Kim; Journal of Korean Academy of Nursing 2007;37(4):529-539. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.4.529

Abstract PDF

Purpose

This quantitative meta analysis sought to determine the effectiveness of SMIs.

Method

Forty-six experimental studies with a randomized or nonequivalent control group pre-post test design were included in the analysis. The selected studies were classified according to the sample characteristics, the types and methods of the interventions, and the types of outcome variables. Six intervention types were distinguished: cognitive-behavioral intervention(CBT), relaxation techniques(RT), exercise(EX), multimodal programs 1 and 2(MT1, 2), and organizationfocused interventions(OTs). Effect sizes were calculated for the 4 outcome categories across intervention types: psycho-social outcome, behavioral-personal resources, physiologic, and organizational outcome.

Results

Individual worker-focused interventions(ITs) were more effective than OTs. A small but significant overall effect was found. A moderate effect was found for RT, and small effects were found for other ITs. The effect size for OTs was the smallest. The interventions involving CBT and RT appeared to be the preferred means of reducing worker's psycho-social and organizational outcomes. With regard to physiologic outcomes, RT appeared to be most effective. CBT appeared to be most effective in reducing psycho-social outcomes. The effects of OT were non-significant, except for the psycho-social outcomes.

Conclusions

SMIs are effective. Interventions involving RT and CBT are more effective than other types.

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Effect of Aggression Management Training on Perceived Stress Levels of Nurses Working in Mental Health Care Settings in Jordan
Rami Masa'Deh, Omayma Masadeh, Samiha Jarrah, Manar AlAzzam, Fadwa Alhalaiqa
Journal of Psychosocial Nursing and Mental Health Services.2020; 58(10): 32. CrossRef
Effectiveness of Workplace Yoga Interventions to Reduce Perceived Stress in Employees: A Systematic Review and Meta-Analysis
Elisabetta Della Valle, Stefano Palermi, Irene Aloe, Roberto Marcantonio, Rocco Spera, Stefania Montagnani, Felice Sirico
Journal of Functional Morphology and Kinesiology.2020; 5(2): 33. CrossRef
The Effect of Cognitive-Behavioral Therapy on Depression, Anxiety, and Stress Levels in Iranian Males With Addiction
Ghorban Hemati Alamdarloo, Soheila Moradzadeh Khorasani, Mahmoud Najafi, Fatemeh Soosan Jabbari, Setareh Shojaee
Sage Open.2019;[Epub] CrossRef
Effects of Group Rational Emotive Behavior Therapy on the Nurses' Job Stress, Burnout, Job Satisfaction, Organizational Commitment and Turnover Intention
Hye-Lyun Kim, Sook-Hee Yoon
Journal of Korean Academy of Nursing.2018; 48(4): 432. CrossRef
Mediating Role of Psychological Capital in Relationship between Occupational Stress and Turnover Intention among Nurses at Veterans Administration Hospitals in Korea
Hee-Yun Yim, Hyun-Ju Seo, Yoonhyung Cho, JinHee Kim
Asian Nursing Research.2017; 11(1): 6. CrossRef
Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
Won Ju Hwang, Yunhee Park
Journal of Korean Academy of Nursing.2015; 45(6): 857. CrossRef
Effectiveness of a Comprehensive Stress Management Program to Reduce Work-Related Stress in a Medium-Sized Enterprise
Shin-Ae Kim, Chunhui Suh, Mi-Hee Park, Kunhyung Kim, Chae-Kwan Lee, Byung-Chul Son, Jeong-Ho Kim, Jong-Tae Lee, Kuck-Hyun Woo, Kabsoon Kang, Hyunjin Jung
Annals of Occupational and Environmental Medicine.2014;[Epub] CrossRef
Effects of a Stress Management Program Providing Cognitive Behavior Therapy on Problem-focused Coping, Job Stress, and Depression in Firefighters
Chun Youn Nam, Hee Sook Kim, So Hee Kwon
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2013; 22(1): 12. CrossRef

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Effects of a Postpartum Back Pain Relief Program for Korean Women: Hyun Ei Oh, Young Sook Lee, Mi Jung Shim, Jin Sun Kim; Journal of Korean Academy of Nursing 2007;37(2):163-170. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.2.163

Abstract PDF

Purpose

Despite the high prevalence of back pain and its subsequent effects in post-partum women, intervention programs are scarce. The purpose of this study was to test the effects of a back-pain-reducing program on post-partum women who experienced low-back pain during pregnancy.

Methods

A non-equivalent control-group pretest-posttest design was used. Pregnant women who attended a hospital for prenatal check-ups and experienced back pain participated in an intervention program (n=27), and the results were compared with women in a control group from another hospital (n=25).

Results

At 8 weeks post-partum, the pain intensity, functional limitations were lower in the intervention group than in the control group. However, differences in mean change of the pain intensity and functional limitations between 36 and 39 weeks of gestation and at 8 weeks post-partum were not statistically significant between the groups. Moreover, the flexibility, post-partum functional status, and post-partum depression did not differ significantly between the groups.

Conclusions

A back-pain-relief program in this study was not effective to reduce the back-pain intensity in post-partum women and to decrease the associated functional limitations. The implications for nursing practice and directions for future research are discussed.

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Outcomes and outcomes measurements used in intervention studies of pelvic girdle pain and lumbopelvic pain: a systematic review
Francesca Wuytack, Maggie O’Donovan
Chiropractic & Manual Therapies.2019;[Epub] CrossRef
Power Analysis in Experimental Designs with t test Analysis
Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko
The Journal of Korean Academic Society of Nursing Education.2009; 15(1): 120. CrossRef

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A Comparison of Interventions Recorded in Nursing Notes between Actue and Subacute Stage after a Cerebrovascular Accident: Ja Yun Choi, Soon Joo Park; Journal of Korean Academy of Nursing 2006;36(2):227-235. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.2.227

Abstract PDF

Purpose

This study aimed to: 1) determine the core nursing interventions, and 2) compare acute interventions with subacute interventions recorded in the nursing notes of patients with cerebrovascular accidents (CVA).

Methods

The nursing records covering the first 10 days of 30 patients with a CVA who were admitted from January to December 2004 at C University Hospital in Korea were examined. Data was collected using the nursing interventions classification (NIC) from January to April 2005. Finally, data analysis was carried out using mean, SD, and paired t-test according to domains, classes, and interventions.

Results

The most frequent nursing intervention at both stage was “Neurologic monitoring”. There were differences in interventions belonging to the “Physiological: complex,” “Behavioral,” “Safety,” and “Health system” domains between the acute and subacute stages. The frequency of interventions belonging to the “Immobility management,” “Neurological management,” “Tissue perfusion management,” “Patient education,” “Risk management,” “Health system mediation,” and “Information management” classes at the acute stage was higher compared to the subacute stage.

Conclusions

This study found out that nurses relatively recorded more nursing interventions during the acute stage hence the unsuccessful documentation of the subacute stage particularly in describing the specific nursing interventions at this stage.

Citations

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A study on the Prevention of Deep Vein Thrombosis and Skin Response of Patients after Intracranial Surgery : By Boots and Calf Intermittent Pneumatic Compression Device
Moo-Yong Cho, Boon-Han Kim, Ki-Sook Kim
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 203. CrossRef
ICF Core Sets for Measuring Functional Status of Acute Stroke Patients
Mi-Jin Park, Ji-Yeon Kang
Journal of muscle and joint health.2012; 19(2): 107. CrossRef
Effects on Changes in Femoral Vein Blood Flow Velocity with the Use of Lower Extremity Compression for Critical Patients with Brain injury
Jung Sook Kim, Hye Jung Kim, Yun Hee Woo, Ji Young Lym, Chul Hyung Lee
Journal of Korean Academy of Nursing.2009; 39(2): 288. CrossRef

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Analysis of the Nursing Interventions Performed by Public Health Nurses in Health Centers Using the NIC: Souk Young Kim, Young Ran Chin, Vock Chang Oh, Eun Jun Park, Soon Nyoung Yun, In Sook Lee; Journal of Korean Academy of Nursing 2006;36(2):217-226. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.2.217

Abstract PDF

Purpose

The purpose of this study was to identify nursing interventions performed by public health nurses in health centers.

Method

Data was collected by the taxonomy of Nursing Intervention Classification (NIC 3rd: 486 nursing interventions) from 131 public health nurses in health centers and analyzed using descriptive statistics.

Result

As its result, more than 50% of public health nurses performed 137 nursing interventions at least monthly. The most frequently used intervention class was ‘ activity and exercise management’, followed by ‘ physical comfort promotion’, ‘ community health promotion’, ‘ life span care’, ‘ coping assistance’, ‘ Self care facilitation’, ‘ information management’, ‘ nutrition support’, ‘ community risk management’ and ‘ patient education’. One hundred twenty nursing interventions were rarely performed by 90% or more of the nurses. Most of them were the physical complex domain.

Conclusion

In conclusion, 137 interventions were performed by public health nurses at least monthly. NIC is helpful to build a standardized language for public health nursing.

Citations

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Identification and Comparison of Interventions Performed by Korean School Nurses and U.S. School Nurses Using the Nursing Interventions Classification (NIC)
Eunjoo Lee, Hyejin Park, Mihwa Nam, James Whyte
The Journal of School Nursing.2011; 27(2): 93. CrossRef
Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System
Myung Ja Kim
Journal of Korean Academy of Nursing Administration.2010; 16(1): 73. CrossRef
Analysis of the Characteristics and the Nursing Interventions for Children in Regional Emergency Departments -Using the Nursing Intervention Classification-
Young Hae Kim, Nae-Young Lee, Jae Hyun Ha
Journal of Korean Academy of Child Health Nursing.2010; 16(4): 277. CrossRef
Healing Effects of the Forest Experience on Alcoholics
Jingyung Cha, Sungjae Kim
Journal of Korean Academy of Nursing.2009; 39(3): 338. CrossRef

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Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea: Byoungsook Lee; Journal of Korean Academy of Nursing 2005;35(4):649-655. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.4.649

Abstract: The purpose of this study was to identify the perception of nurse experts on the contribution of nursing interventions to Nursing Outcomes Classification NOC nursing outcomes. A nursing outcome is a nursing-sensitive patient outcome primarily affected by nursing interventions. As one of the standardized language systems of nursing outcomes, the NOC must be examined for applicability before it is used in Korea. Data were collected in February and March 2003 using a 5-point Likert scale. For data collection, 230 quality improvement (QI) or quality assurance (QA) nurses from general hospitals in Korea were asked to rate the extent that nursing interventions contribute to each of the NOC nursing outcomes (2000) in their hospitals. Ninety-six nurses from 63 hospitals responded and the response rate was 41.7%. Mean scores for perception of contribution of nursing interventions to each of the NOC nursing outcomes ranged from 2.18 to 4.54. Vital Signs Status had the highest score (M=4.54), and Abuse Recovery: Financial, the lowest score (M=2.18). Of the seven NOC domains, the mean score was highest for Physiologic Health (M=3.91) and lowest for Community Health (M=2.92). Of the 29 NOC classes, the mean score for perceived contribution was highest for Metabolic Regulation (M=4.32) and lowest for Community Well-Being (M=2.92). Participants perceived that nursing interventions in general hospitals in Korea contributed, at least to a certain extent, to most of the NOC nursing outcomes. Based on these results, NOC should have relatively good applicability in Korea.

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Developing and Testing the Effects of a Psychosocial Intervention on Stress Response and Coping in Korean Breast Cancer Survivors: A Pilot Study: Cho Ja Kim, Hea Kung Hur, Duck Hee Kang, Bo Hwan Kim; Journal of Korean Academy of Nursing 2004;34(6):1069-1080. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.6.1069

Abstract PDF

Purpose

The purpose of this study was to develop a socioculturally-appropriate psychosocial intervention program for Korean patients with breast cancer and test its effects on stress, anxiety, depression, and coping strategies.

Methods

One group pretest and posttest design was used to test the effects of the intervention. A post-intervention interview was conducted to refine the nature of the intervention. A convenience sample of 10 breast cancer survivors was recruited from the outpatients clinics. Psychosocial intervention was developed to provide the health education, stress management, coping skill training and support weekly(90min) for 6 weeks.

Results

There was a significant decrease in stress scores following the intervention(Z= -2.388, p=0.017). However, no significant changes were noted in the use of problem-focused and emotion-focused coping strategies, nor in the changes of anxiety and depression levels. Content analysis of interview data revealed six clusters; changes in perception, changes in problem solving approaches, changes in anger management, changes in life pattern, social support and reduction of perceived stress.

Conclusion

Based on quantitative and qualitative data, we recommend the refinements of the intervention in the following areas for future studies: 1) duration, activities, and progression of psychosocial intervention; 2) research design and sample size; and 3) measurements.

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Effects of BeHaS Exercise Program on Flexibility, Grip Strength, Stress and Self-esteem in Breast Cancer Survivors
Sun Young Park, Jong Im Kim
Journal of muscle and joint health.2013; 20(3): 171. CrossRef

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A Correlation Study of Perceived Importance of Nursing Interventions with Performance Frequency in Psychiatric Nursing Units Using the 3th NIC: Ja Yun Choi, Hye Suk Kim, Mi Sun Park; Journal of Korean Academy of Nursing 2003;33(1):95-103. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.1.95

Abstract

Purpose

The purpose of this study was to identify the perceived importance of nursing intserventions of psychiatric nurses according to domains, classes and interventions using the 3th NIC.

Method

In this study, a 435 of 486 nursing interventions were selected from 75% consent reached by experts. Data were collected from 9 hospitals and 141 nurses(return rates : 94.0%) in Seoul, Kyonggi, Chungnam, Gwang-ju and Chonnam region from January, 2002 to February, 2002 using 4 point Likert scale.

Result

Total perceived importance score was 2.905+/−0.463 and total correlation score with performance frequency was r=0.295. The most important perceived domain and class was found to be ‘ safety’ (3.217+/−0.465) and ‘ community health promotion’ (3.285+/−0.866). The most correlated domain and class with performance frequency appeared to be ‘ behavioral’ (r=0.431, p=0.000) and ‘ communication enhancement’ (r=0.439, p=0.000). The most important perceived nursing intervention was found to be ‘ active listening’ (3.652+/−0.549).

Conclusion

In conclusion, nurses in clinical settings were found to perform less than perceive its importance. Therefore, further researches are needed to identify factors related to impede and develop strategies to improve the performance of nursing interventions.

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Schizophrenic Patients' Perception and Nurses' Estimation of the Stress during Hospitalization in Psychiatric Ward
ByungJun Kim, Sookbin Im
Korean Journal of Stress Research.2017; 25(3): 201. CrossRef
Korean hospice nursing interventions using the Nursing Interventions Classification system: A comparison with the USA
Sung‐Jung Hong, Eunjoo Lee
Nursing & Health Sciences.2014; 16(4): 434. CrossRef
Perceived Importance and Performance of Intravenous Fluid Therapy by Nurses in Small-Medium General Hospitals
Jong Im Kim, Jihyun Lee, Ockja Chang
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(4): 372. CrossRef
Identification and Comparison of Interventions Performed by Korean School Nurses and U.S. School Nurses Using the Nursing Interventions Classification (NIC)
Eunjoo Lee, Hyejin Park, Mihwa Nam, James Whyte
The Journal of School Nursing.2011; 27(2): 93. CrossRef
Analysis of Nursing Interventions Performed by Gynecological Nursing Unit Nurses Using the Nursing Interventions Classification
Sung-Jung Hong, Sung Hee Lee, Hwa Sun Kim
Korean Journal of Women Health Nursing.2011; 17(3): 275. CrossRef
Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System
Myung Ja Kim
Journal of Korean Academy of Nursing Administration.2010; 16(1): 73. CrossRef

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