Journal of Korean Academy of Nursing

Research Papers

Support Needs for Health Promotion of Community-Dwelling People with Disabilities: Perspectives of Operators Managing Disability Supportive Housing: Nam, Hye Jin , Lee, Haesun , Park, Han Nah , Lee, Sujin , Kim, Bohye , Yoon, Ju Young; J Korean Acad Nurs 2024;54(2):211-223. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23143

Abstract PDF: Purpose
Recent studies have focused on policies aimed at supporting the independence of individuals with disabilities in communities. As part of this initiative, supportive housing, integrated care, and residential spaces offer tailored services based on individual needs and autonomy. The attitudes and knowledge of the administrators supporting supportive housing residents regarding health management can influence the well-being of individuals with disabilities. Therefore, this study aimed to explore the challenges faced by supporting housing workers in enhancing the self-management skills of individuals with disabilities.
Methods
In this qualitative study, focus group interviews were conducted in August 2023 with nine administrators working to support housing in Seoul. Qualitative content analysis was used to analyze the interview data.
Results
The needs and challenges in enhancing the self-management skills of individuals with disabilities were as follows: (1) the complexity of health management challenges, (2) bidirectional strategies for strengthening health management capabilities, and (3) support for systematic health management. Additionally, eight subthemes were derived.
Conclusion
By investigating the difficulties experienced and identifying the necessary support requirements for supportive housing workers, this study seeks to uncover insights and identifies areas for improvement and strategies for health management. This study acknowledges the educational and institutional support necessary to improve the health and quality of life of individuals with disabilities residing in supportive housing.

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Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease: Jang, Jun Hee , Min, Hye Sook; J Korean Acad Nurs 2023;53(2):191-207. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.22093

Purpose
This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey.
Methods
A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated-measures ANOVA.
Results
The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status.
Conclusion
The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.

Citations

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Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Enhee Jo, Ju-Young Park, Young Jun Jang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 315. CrossRef

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Original Articles

Comparison of Nursing Activities Reflected in Nursing Notes and In-depth Interviews of Nurses in an Acute Hospital: Misoon Song, Mae Ja Kim, Young Sook Park, Eun Ok Lee, Yang Sook Hah, Kyung Ja Han, Se Ang Ryu, Hae Young Kang, Kyung Nam Kim, Moon Sook Cho; Journal of Korean Academy of Nursing 2003;33(6):802-811. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.802

Abstract PDF

Purpose

The purpose of this study was to compare the nursing activities delineated by interview of nurses with those on nursing notes.

Method

The participants of interview were 18 nurses working in medical and surgical units of a large hospital in Seoul. Each nurse was asked to choose one patient who demand most nursing care among her patients. The nurse was then interviewed to describe what her nursing activities for the patient was that day. The audio-taped interview was transcribed and the content was analyzed by researchers. Nursing notes of each nurses' patients were copied and the content analyzed by researchers. Finally, themes from the interview data and those from nursing notes were compared.

Result

Activities related to emotional or psychological nursing, education for patient and families, and problem solving related to treatment or nursing procedure were most often omitted in nursing notes. Most of the documentation in nursing notes were related to physical condition of patients or physician's orders. Nurses described that they will do better recording if they were given less patient care responsibility, had better nursing knowledge, had better recording system, and received more training on nursing record.

Conclusion

Nursing notes did not reflect nursing activities properly. Few independent nursing roles were documented in the nursing notes. Development of nursing education program and nursing record system is needed for improvement of nursing record.

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Effects on Knowledge and Performance in Clinical Nursing of Education on Nursing Recording Focusing on Legal Aspects
Eun-Young Kim, Yeo-Jin Yi
Journal of Korean Academy of Nursing Administration.2011; 17(3): 277. CrossRef
A Comparison of the Nursing Records of Hysterectomy Patients: Pre and Post Implementation of an ICNP Based Electronic Nursing Record System
Woan Heui Choi, Young Sook Park, InSook Cho
Journal of Korean Society of Medical Informatics.2009; 15(4): 455. CrossRef
Identifying outcomes from the nursing outcomes classification as indicators of quality of care in Korea: A modified delphi study
B. Lee
International Journal of Nursing Studies.2007; 44(6): 1021. CrossRef

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Development and Evaluation of a Motivational Interviewing Program for Exercise Improvement in Persons with Physical Disabilities: Jeong Hee Jeong, Ihn Sook Jeong; J Korean Acad Nurs 2017;47(3):406-419. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.3.406

Abstract PDF

Abstract Purpose

The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilities and to examine the effect of this motivational interviewing intervention.

Methods

The study employed a nonequivalent control group pretest and posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruited from 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduled once a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention, 2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise, stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using the c²-test, Fisher's exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18.

Results

The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001), and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differences between the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (c²=26.61, p<.001).

Conclusion

The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.

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SOSYAL HİZMET PERSPEKTİFİNDEN MOTİVASYONEL GÖRÜŞME TEKNİĞİNE BAKIŞ
Aliye Beyza Bayyar
Tıbbi Sosyal Hizmet Dergisi.2023; 0(21): 110. CrossRef
The Effects of Nurse-Led Motivational Interviewing on Exercise and Quality of Life among Koreans with Heart Failure: A Randomized Controlled Trial
Haejung Lee, Gaeun Park, Hyekyung Jin, Kook Jin Chun, Jong Hyun Kim
Korean Journal of Adult Nursing.2021; 33(6): 588. CrossRef
Engaging youth with major depression in an exercise intervention with motivational interviewing
Yasmina Nasstasia, Amanda L. Baker, Terry J. Lewin, Sean A. Halpin, Leanne Hides, Brian J. Kelly, Robin Callister
Mental Health and Physical Activity.2019; 17: 100295. CrossRef

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The Experience of Fluid Management in Hemodialysis Patients: Yoonsoo Kim, Miyoung Kim; J Korean Acad Nurs 2015;45(5):773-782. Published online October 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.5.773

Abstract PDF

Purpose

The purpose of this study was to explore the experience of fluid management in hemodialysis patients by describing how they manage fluid intake and what affects fluid management.

Methods

Purposive sampling yielded 11 patients who have received hemodialysis for one year or longer in one general hospital. Data were collected through in-depth interviews and analysed using Giorgi's phenomenological method. Data collection and analysis were performed concurrently.

Results

The findings regarding how hemodialysis patients manage fluid intake were classified into four constituents: 'recognizing the need for fluid control', 'observing the status of fluid accumulation', 'controlling fluid intake and output', 'getting used to fluid management'. The factors that affect fluid management of hemodialysis patients were revealed as 'willpower', 'change in the mindset', 'support system', and 'emotional state'.

Conclusion

The study results show that hemodialysis patients manage fluid intake through food and exercise as well as interpersonal relationships. These findings suggest that strategies in the development of nursing interventions for hemodialysis patients should be directed at assisting them in familiarization with fluid management based on an understanding of their sociocultural contexts.

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Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus: Hye-Yeon Kang, Mee Ock Gu; J Korean Acad Nurs 2015;45(4):533-543. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.533

Abstract PDF

Purpose

This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus.

Methods

A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0.

Results

For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group.

Conclusion

The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

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Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease
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Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents: Young Sun Ha, Yeon Hee Choi; J Korean Acad Nurs 2015;45(3):347-356. Published online June 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.3.347

Abstract PDF

Purpose

In this study, the effectiveness of a motivational interviewing smoking cessation YOU-TURN program for adolescents was examined. The program was based on the self-determination theory.

Methods

The study was carried out with a nonequivalent control group pretest-posttest design. Participants in the present study were 136 high school students living in D city. The students were assigned to the experimental group (n=52) who participated in the motivational interviewing smoking cessation YOU-TURN program based on self-determination theory, or to the control group (n=84) who participated in a general smoking cessation program. Data were collected from September 1, 2013 through April 30, 2014. Collected data were analyzed using SPSS PC+ 21.0 with Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test, Repeated Measures ANOVA, and MANOVA-Wilk's Lambda.

Results

The experimental group had a significant increase in basic psychological needs, and duration of quitting-smoking in comparison with the control group. The experimental group had a significant decrease in cigarettes smoked per day and cotinine in urine in comparison with the control group.

Conclusion

The motivational interviewing YOU-TURN program, when delivered to adolescents who smoked, was effective in discouraging smoking, and can be utilized as an effective nursing intervention for adolescents who smoke.

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Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease
Jun Hee Jang, Hye Sook Min
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Journal of Health Research.2019; 33(5): 366. CrossRef
Motivational interviewing for smoking cessation
Nicola Lindson, Tom P Thompson, Anne Ferrey, Jeffrey D Lambert, Paul Aveyard
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Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
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Tobacco cessation interventions for young people
Thomas R Fanshawe, William Halliwell, Nicola Lindson, Paul Aveyard, Jonathan Livingstone-Banks, Jamie Hartmann-Boyce
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Effectiveness of a Motivational Interviewing Smoking Cessation Program on Cessation Change in Adolescents: Young Sun Ha, Yeon Hee Choi; J Korean Acad Nurs 2012;42(1):19-27. Published online February 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.1.19

Abstract PDF

Purpose

This study examined the effectiveness of an Adolescent Motivational Interviewing Cessation program on smoking cessation change. The study was done with a nonequivalent control group pretest-posttest design.

Methods

The participants were 39 high school students from G city, who were in school from September 1 to October 30, 2009. The students were assigned to the experimental group (20) and participated in the motivational interviewing cessation program or to the control group (19) who did not participate. Data analyses involved χ²-test, independent t-test, Repeated Measures ANOVA, and utilized the SPSS program.

Results

The experimental group had significantly less daily smoking, nicotine dependence and smoking temptation in comparison to the control group. The experimental group had significantly higher stage of change in comparison to the control group.

Conclusion

The results of the study indicate that a motivational interviewing cessation program delivered to adolescents who smoke is an effective method of encouraging cessation, and can be utilized as an effective nursing intervention for adolescents who smoke.

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An interventional study to assess the impact of behavior modification therapy on motivation level for tobacco cessation among adult tobacco users in a resettlement colony of South Delhi
Richa Gautam, Yasir Alvi, Farzana Islam, Nitesh Kumar, Rambha Pathak, Rashmi Agarwalla, Meely Panda, Ekta Gupta, Mamta Parashar, Rashmi Prakash Dayal
Journal of Education and Health Promotion.2024;[Epub] CrossRef
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Raj Kumar, Manoj Kumar, Sukriti Raj, Dileep Kumar Arisham, Anil Kumar Mavi, Kamal Singh
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A Prospective Study to Assess the Outcome of Motivational Interviewing Among Male Students of Haryana, India: A Strive Towards Smoking Cessation in the Youth
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Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents
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Hye Kyeong Kim, Ji Yeon Park, Eun Joo Kwon, Seung Hee Choi, Han-Ik Cho
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Healing Effects of the Forest Experience on Alcoholics: Jingyung Cha, Sungjae Kim; J Korean Acad Nurs 2009;39(3):338-348. Published online June 29, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.3.338

Abstract PDF

Purpose

The purpose of this study was to explore and describe healing effects of the forest on alcoholics through a forest experience program.

Methods

The qualitative data was gathered from one focus group discussion with 6 alcoholics and individual interviews with 8 alcoholics. They had all participated in a "healing forest" program. All interviews were recorded and transcribed according to thematic content analysis processes.

Results

The four main themes on the attributes of forest were "a lively living being", "placidity and tranquility", "acceptive atmosphere", and "beautifulness as it is" which revealed the participants' perceived nature of the forest which was attributed to the healing effects. Eight other themes on participants' positive changes included "revived senses", "aspired to live", "relieved and relaxed from being tense", "gaining insight on self", "having an acceptive attitude", "becoming compliant with his/her life", "learning that life is being together" and "recognizing the value of one's existence".

Conclusion

The findings of the study illustrated the participants' self-healing processes through interactions with the nature of the forest. Nursing interventions utilizing healing atmospheres such as "healing forest" programs can be considered helpful in providing a venue to alcoholics to reflect on their lives affirmatively.

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Journal of Korean Academy of Community Health Nursing.2014; 25(2): 109. CrossRef
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