Journal of Korean Academy of Nursing

Original Articles

Development of a Critical Thinking Disposition Scale for Nursing Students: In Soo Kwon, Ga Eon Lee, Gyung Duck Kim, Young Hee Kim, Kyung Min Park, Hyun Sook Park, Sue Kyung Sohn, Woo Sook Lee, Keum Seong Jang, Bok Yae Chung; Journal of Korean Academy of Nursing 2006;36(6):950-958. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.6.950

Purpose

The purpose of this study was to develop a critical thinking disposition scale for nursing students.

Method

The developmental process was construction of a conceptual framework, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity and extraction of final items. The conceptual framework and first preliminary 60 items were obtained through a review of relevant literature and the development of critical disposition scales by 10 researchers who had been studying critical thinking for one year. These items were reviewed by five specialists for content validity and finally 55 items were chosen. The data was collected from October 1 to 15, 2004 and was analyzed using factor analysis and Cronbach's alpha with the SPSS program. The subjects were composed of 560 Bachelor of Science nursing students from 8 nursing schools.

Result

There were 35 final items which were sorted into 8 factors. The factors were identified as ‘ intellectual integrity(6 items)’, ‘ creativity(4 items)’, ‘ challenge(6 items)’, ‘ open-mindedness(3 items)’, ‘ prudence(4 items)’, ‘ objectivity(4 items)’, ‘ truth seeking(3 items)’ and ‘ inquisitiveness(5 items)’. The cumulative percent of variance was 55.107%. The reliability of the scale, Cronbach's alpha was .892 and the factors' ranged from .562-.836.

Conclusion

The result of this study could be used for measuring critical thinking dispositions of nursing students. However, for further validity and reliability, repeated research is necessary.

Citations

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Development of Clinical Performance Indicators for Establishing a Connecting System between Hospital Performance Management and Quality Improvement: Keum Seong Jang, Sam Yong Lee, Yun Min Kim, Sun Young Hwang, Nam Young Kim, Se Ang Ryu, Soon Joo Park, Ja Yun Choi; Journal of Korean Academy of Nursing 2005;35(7):1238-1247. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1238

Abstract PDF

Purpose

This study aimed at developing integrated clinical performance indicators(CPIs) through the analysis of quality improvement(QI) activities of a hospital and literature review about performance measures.

Methods

The CPIs were developed through the following three stages; 1)Identifying preliminary CPIs 2)A staff validity test in preliminary CPIs 3)Developing final CPIs.

Results

One hundred twenty-three preliminary CPIs were developed through QI activities of the target hospital for 8 years and literature review. The results of the validity test for the preliminary CPIs supported ninety-one items. Sixty-two CPIs were selected through integration, reclassification and renaming. Then, eighteen items were deleted on account of an imprecise calculation method. Finally, forty-four CPIs were confirmed. They consisted of twenty-six items at the hospital level and eighteen items at the department level.

Conclusions

CPIs can be used as criteria to evaluate the performance of healthcare organizations, and to decide the quality of healthcare for customers. This study may contribute to establishing an integrated system between QI activities and performance measurement of healthcare organizations.

Citations

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The Journal of Korean Academic Society of Nursing Education.2012; 18(3): 474. CrossRef
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Perception about Problem-based Learning in Reflective Journals among Undergraduate Nursing Students: Seon Young Hwang, Keum Seong Jang; Journal of Korean Academy of Nursing 2005;35(1):65-76. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.65

Abstract PDF

Objective

The aim of this study is to explore the variation in perceptions about problem-based learning(PBL) according to the level of academic achievement and learning attitude in the nursing students of a junior college (3-year program).

Method

Students (n=39) learned the respiratory and cardiac system with seven PBL packages and group-based learning for a semester in 2002. Students were asked to write reflective journals that focused on their learning perception after an experience with each learning package. A total of 208 journals were used for analysis.

Result

Students positively perceived that PBL making them increase their sense of responsibility for learning and felt satisfaction with the learning process, and had a confidence in the use of clinical nursing interventions. On the other hand, they negatively perceived that PBL was a burden because it took more time than traditional learning tasks, and they experienced an anxiety about regular tests and felt conflicts and diffidences in the learning process. The negative perceptions were expressed more often from students with a low academic achievement and low learning attitude compared to others.

Conclusion

Students perceived the PBL as effective in understanding the learning concepts in the clinical practice environment. PBL need to be supplemented by feedback-based lecture and facilitative strategies for academically low-achieved students.

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Structural Model of Evidence-Based Practice Implementation among Clinical Nurses: Hyunyoung Park, Keum Seong Jang; J Korean Acad Nurs 2016;46(5):697-709. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.697

Abstract PDF

Purpose

This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory.

Methods

Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program.

Results

The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses.

Conclusion

The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.

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Effect of a Simulation-based Education on Cardio-pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses: Yun Hee Kim, Keum Seong Jang; J Korean Acad Nurs 2011;41(2):245-255. Published online April 30, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.2.245

Abstract PDF

Purpose

This study was conducted to examine the effects of simulation-based education regarding care in a cardio-pulmonary emergency care as related to knowledge, clinical performance ability, and problem solving process in new nurses.

Methods

An equivalent control group pre-post test experimental design was used. Fifty new nurses were recruited, 26 nurses for the experimental group and 24 nurses for the control group. The simulation-based cardio-pulmonary emergency care education included lecture, skill training, team-based practice, and debriefing, and it was implemented with the experimental group for a week in May, 2009. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability and t-test with the SPSS program.

Results

The experimental group who had the simulation-based education showed significantly higher know-ledge (t=5.76, p<.001) and clinical performance ability (t=5.86, p<.001) for cardio-pulmonary emergency care compared with the control group who had traditional education but problem solving process was not included (t=1.11, p=.138).

Conclusion

The results indicate that a simulation-based education is an effective teaching method to improve knowledge and clinical performance ability in new nurses learning cardio-pulmonary emergency care. Further study is needed to identify the effect of a simulation-based team discussion on cognitive outcome of clinical nurses such as problem solving skills.

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Development of a Measurement of Intellectual Capital for Hospital Nursing Organizations: Eun A Kim, Keum Seong Jang; J Korean Acad Nurs 2011;41(1):129-140. Published online February 28, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.1.129

Abstract PDF

Purpose

This study was done to develop an instrument for measuring intellectual capital and assess its validity and reliability in identifying the components, human capital, structure capital and customer capital of intellectual capital in hospital nursing organizations.

Methods

The participants were 950 regular clinical nurses who had worked for over 13 months in 7 medical hospitals including 4 national university hospitals and 3 private university hospitals. The data were collected through a questionnaire survey done from July 2 to August 25, 2009. Data from 906 nurses were used for the final analysis. Data were analyzed using descriptive statistics, Cronbach's alpha coefficients, item analysis, factor analysis (principal component analysis, Varimax rotation) with the SPSS PC⁺ 17.0 for Windows program.

Results

Developing the instrument for measuring intellectual capital in hospital nursing organizations involved a literature review, development of preliminary items, and verification of validity and reliability. The final instrument was in a self-report form on a 5-point Likert scale. There were 29 items on human capital (5 domains), 21 items on customer capital (4 domains), 26 items on structure capital (4 domains).

Conclusion

The results of this study may be useful to assess the levels of intellectual capital of hospital nursing organizations.

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Gülhan Gök
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Effects of Intellectual Capital on Organizational Performance of Nurses in Medium and Small Hospitals
Won-Kyung Kim, Hyang-In Cho Chung
Journal of Korean Academy of Nursing Administration.2012; 18(4): 452. CrossRef

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Validity and Reliability of a Clinical Performance Examination using Standardized Patients: Ja Yun Choi, Keum Seong Jang, Soon Hee Choi, Mi Soon Hong; Journal of Korean Academy of Nursing 2008;38(1):83-91. Published online February 28, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.1.83

Abstract PDF

Purpose

The purpose of this study was to test the validity of a modified clinical performance examination (CPX) for preclinical students in nursing.

Methods

70 nursing students in their second semester of the junior year at C University participated in CPX. Scenarios and checklists were developed by our research team from September to October 2005. Six stations were organized. Evaluation included physical examination of a patient with lung cancer, education on usage of a metered dosage inhaler, and lobectomy postoperative care. Students were randomly assigned to a station

Results

There was a difference in the CPX scores according to stations. The agreement of scoring between trained faculty members and SPs was more than moderate (r=.647). The correlation between the CPX score and the average grade in the previous semester and between the CPX score and the average grade of a paper and pen test of the pulmonary system of adults was low (r=.276; r=.048).

Conclusion

Traditional CPX is generally recommended, however, modified CPX is appropriate for preclinical students in the current Korean Nursing school setting if there are additional scoring systems to balance the testing level at each station.

Citations

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Jung-Hee Kim, In-Hee Park, Sujin Shin
The Journal of Korean Academic Society of Nursing Education.2013; 19(3): 307. CrossRef
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Suk Jeong Lee, Young Mi Park, Sang Mi Noh
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Sun Ju Choi, Mal Suk Kwon, Seon Hwa Kim, Hyeon Mi Kim, Yang Sook Jung, Geum Yi Jo
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Journal of Korean Academy of Nursing.2009; 39(2): 249. CrossRef

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Comparison of Cancer Nursing Interventions Recorded in Nursing Notes with Nursing Interventions Perceived by Nurses of an Oncology Unit: Patients with Terminal Cancer: Ja Yun Choi, Keum Seong Jang; Journal of Korean Academy of Nursing 2005;35(3):441-450. Published online June 30, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.3.441

Abstract PDF

Purpose

The purposes of this study were to determine the core nursing interventions in nursing notes and the practice which was perceived by nurses of an oncology unit with patients with terminal cancer. Also, comparing interventions in nursing notes with interventions in perceived practice was done.

Method

Subjects were 44 nursing records of patients with terminal cancer who had died from Jan. to Dec. 2002 at C University Hospital and 83 nurses who were working on an oncology unit for more than one year. Data was collected using a Nursing Interventions Classification and analyzed by means of mean and t-test.

Results

The most frequent nursing intervention was ‘nausea management’ in the nursing note and was ‘medication administration : oral’ in perceived practice. The frequency of nursing interventions in the nursing record was lower than in perceived practice.

Conclusion

This study finds that nurses actually practice nursing care, but they may omit records. To correct for omitted nursing records, development of a systematic nursing record system, continuous education and feedback is recommended.

Citations

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Korean Journal of Women Health Nursing.2011; 17(3): 275. CrossRef

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