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Research Papers
Effects of Second Victim Experiences after Patient Safety Incidents on Nursing Practice Changes in Korean Clinical Nurses: The Mediating Effects of Coping Behaviors
Jeong, Seohee , Jeong, Seok Hee
J Korean Acad Nurs 2021;51(4):489-504.   Published online August 31, 2021
DOI: https://doi.org/10.4040/jkan.21089
AbstractAbstract PDF
Purpose
This study was investigated the mediating effect of coping behaviors in the relationship between the second victim experiences after patient safety incidents and the nursing practice changes.
Methods
A cross-sectional survey was performed using structured questionnaires. Participants were 218 clinical nurses in general tertiary hospitals in South Korea. Data were collected through an online survey and snowball sampling from August 11 to September 6 2020. Data were analyzed using SPSS 23.0 program. A mediation analysis was performed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval.
Results
The mean scores of second victim experiences was 3.41/5. Approach coping (β = .55, p < .001) and the avoidant coping (β = - .23, p = .001) showed mediation effects in the relationship between second victim experiences and constructive change in nursing practice. Avoidant coping (β = .29, p < .001) showed a mediation effect in the relationship between second victim experiences and defensive change in nursing practice.
Conclusion
Coping behaviors has a mediating effect on the relationship between second victim experiences and nursing practice changes. To ensure that nurses do not experience second victim, medical institutions should have a culture of patient safety that employs a systematic approach rather than blame individuals. They also need to develop strategies that enhance approach coping and reducing avoidant coping to induce nurses’ constructive practice changes in clinical nurses in experiencing second victims due to patient safety incidents.

Citations

Citations to this article as recorded by  
  • Factors influencing negative outcomes for nurses who experience patient safety incidents: An integrative review
    Hanseulgi Lee, Nam‐Ju Lee, Nari Kim
    International Nursing Review.2025;[Epub]     CrossRef
  • How does just culture reduce negative work outcomes through second victim distress and demand for support in clinical nurses? A path analysis
    Seohee Jeong, Sunmi Kim, Hyoung Eun Chang, Seok Hee Jeong
    BMC Nursing.2025;[Epub]     CrossRef
  • Changes in Nursing Practice Among Clinical Nurses After Experiencing a Patient Safety Incident: Partial Least Squares Structural Equation Modeling
    Sunmi Kim, Seohee Jeong, Seok Hee Jeong, Majd Mrayyan
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • “Learn from Errors”: Post-traumatic growth among second victims
    Huanhuan Huang, Tong Liu, Ying Peng, Xingyao Du, Qi Huang, Qinghua Zhao, Mingzhao Xiao, Yetao Luo, Shuangjiang Zheng
    BMC Public Health.2024;[Epub]     CrossRef
  • Nurse Leader Perspectives and Experiences on Caregiver Support Following a Serious Medical Error
    Marie M. Prothero, Madeline Sorhus, Katherine Huefner
    JONA: The Journal of Nursing Administration.2024; 54(12): 664.     CrossRef
  • Prevalence of the second victim phenomenon among intensive care unit nurses and the support provided by their organizations
    Maria Kappes, Pilar Delgado‐Hito, Verónica Riquelme Contreras, Marta Romero‐García
    Nursing in Critical Care.2023; 28(6): 1022.     CrossRef
  • The mediating role of coping styles in the relationship between second victim experience and professional quality of life among nurses: a cross-sectional study
    Xizhao Li, Chong Chin Che, Yamin Li, Ling Wang, Mei Chan Chong
    BMC Nursing.2023;[Epub]     CrossRef
  • Associations among workplace incivility, stress coping, and nursing performance in hospital nurses: A path analysis
    Eun Ha Kim, Yeojin Yi
    Journal of Nursing Scholarship.2023; 55(4): 834.     CrossRef
  • Influence of Clinical Nurses’ Second-Victim Experience and Second-Victim Support in Relation to Patient Safety Incidents on Their Work-Related Outcomes
    Su Jin Jung, Youngjin Lee, Sun Hyoung Bae
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 331.     CrossRef
  • Profiles of second victim symptoms and desired support strategies among Korean nurses: A latent profile analysis
    Eun Young Choi, Jeehee Pyo, Minsu Ock, Haeyoung Lee
    Journal of Advanced Nursing.2022; 78(9): 2872.     CrossRef
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  • 9 Web of Science
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Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals
Park, Ju-Young , Hwang, Jee-In
J Korean Acad Nurs 2021;51(1):27-39.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20201
AbstractAbstract PDF
Purpose
This study aimed to identify the degree of non-nursing tasks and nursing care left undone in integrated nursing care wards, and examine their relationships with nurses’ burnout, job satisfaction, turnover intentions, and medical errors.
Methods
A cross-sectional questionnaire survey was conducted. Data were collected using self-report questionnaires from 346 nurses working in 20 wards of seven small and medium-sized general hospitals, and analyzed using multiple regression and multiple logistic regression analysis with the SPSS WIN 25.0 program.
Results
The mean score for non-nursing tasks was 7.32±1.71, and that for nursing care left undone was 4.42 ± 3.67. An increase in non-nursing tasks (β = .12, p = .021) and nursing care left undone (β = .18, p < .001) led to an increase in nurses’ burnout (F = 6.26, p < .001). As nursing care left undone (β = .13, p = .018) increased, their turnover intentions also (F = 3.96, p < .001) increased, and more medical errors occurred (odds ratio 1.08, 95% confidence interval 1.02~1.15).
Conclusion
Non-nursing tasks and nursing care left undone are positively associated with nurses’ burnout, turnover intentions, and the occurrence of medical errors. Therefore, it is important to reduce non-nursing tasks and nursing care left undone in order to deliver high quality nursing care and in turn increase patient safety.

Citations

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  • First Integration of a Service Robot and a Communication Application into a Nursing Isolation Setting – An Observational Study Evaluating Walking Distances, Stress and Radiation Doses
    Angelika Warmbein, Laura Sehn, Ivanka Rathgeber, Janesca Seif, Christoph Ohneberg, Nicole Stöbich, Astrid Delker, Christian Zach, Inge Eberl, Uli Fischer
    International Journal of Social Robotics.2025;[Epub]     CrossRef
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    Haena Lim, Yeojin Yi
    Nurse Education in Practice.2025; 83: 104283.     CrossRef
  • Study of Nurses' Malpractice Tendencies and Burnout Levels
    Leman Şenturan, Gizem Kaya, Tuba Emirtaş
    Research in Nursing & Health.2025;[Epub]     CrossRef
  • The relationship between job stress and the perception of patient safety culture among Palestinian hospital nurses
    Loai M. Zabin, Jamal Qaddumi, Sajed Faisal Ghawadra
    BMC Nursing.2025;[Epub]     CrossRef
  • A phenomenological study of the experiences of nurses working in integrated nursing care wards in Korea
    Young-mi Cho, Sun-hui Kim
    BMC Nursing.2024;[Epub]     CrossRef
  • Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards
    Yoon Sook Cho, Hyoung Eun Chang, Hyunjung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 163.     CrossRef
  • Exploring the causes and consequences of non-nursing tasks among nurses in Jordan: An in-depth qualitative investigation
    Ayman Abed Aldarawsheh, Ahmad Rajeh Saifan, Murad Adnan Sawalha, Enas A. Assaf, Intima Alrimawi, Rami A. Elshatarat, Zyad T. Saleh, Wesam T. Almagharbeh, Nermen A. Mohamed, Mudathir M. Eltayeb
    Applied Nursing Research.2024; 77: 151791.     CrossRef
  • Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
    Ji Yeong Park, Kyoung Ja Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 246.     CrossRef
  • A comparative analysis of nurses' reported number of patients and perceived appropriate number of patients in integrated nursing care services
    Hyunjeong Kwon, Jinhyun Kim
    Nursing & Health Sciences.2024;[Epub]     CrossRef
  • Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
    Jae Woo Oh, Ji Eun Kim
    Nursing Open.2023; 10(12): 7622.     CrossRef
  • The Effect of Missed Nursing Care on Adverse Event Experiences, Patient Safety Management Activity, Job Satisfaction and Turnover Intention in Nurses: A Nationwide Survey using Proportional Quota Sampling
    Myung Jin Choi, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 490.     CrossRef
  • Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses
    Mi Yu, Se Young Kim, Ji Min Ryu
    Journal of Korean Academy of Nursing.2023; 53(2): 236.     CrossRef
  • Competency Survey of Caregivers in Medical Tourism Special Zone and Other Regions
    Dong-Yeop Lee, Sang-Bong Lee, Yeong-Im Park, Jin-Geun Lee, Yoon Hee Park, So Young Lee, Dong-Yoon Kang
    Journal of Health Informatics and Statistics.2023; 48(2): 140.     CrossRef
  • Influence of the Team Effectiveness of Nursing Units on Nursing Care Left Undone and Nurse-Reported Quality of Care
    Se Young Kim, Young Ko
    Healthcare.2023; 11(10): 1380.     CrossRef
  • The Impact of Performance of Non-Nursing Tasks on the Attitudes of Nursing Students toward Nursing Profession
    Ibrahim Rawhi Ayasreh, Ferial Hayajneh, Rana Al Awamleh
    Nurse Media Journal of Nursing.2022; 12(2): 151.     CrossRef
  • Clinical Application Value of Group‐Sharing Nursing Management Based on Case Analysis
    Jing Mei, Yifan Wu, Jie Hu, Min Li, Mohammad Farukh Hashmi
    Contrast Media & Molecular Imaging.2022;[Epub]     CrossRef
  • The Effect of Burnout on Quality of Care Using Donabedian’s Framework
    Kathleen M. White, Dorothy Dulko, Bonnie DiPietro
    Nursing Clinics of North America.2022; 57(1): 115.     CrossRef
  • Emotional Labor, Burnout, Medical Error, and Turnover Intention among South Korean Nursing Staff in a University Hospital Setting
    Chan-Young Kwon, Boram Lee, O-Jin Kwon, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi
    International Journal of Environmental Research and Public Health.2021; 18(19): 10111.     CrossRef
  • Integrated and Person-Centered Nursing in the Era of the 4th Industrial Revolution
    Hyoung Suk Kim, Sun Joo Jang, Jeung-Im Kim
    Journal of Korean Academy of Nursing.2021; 51(3): 261.     CrossRef
  • Analysis of Nurses' Work Experience in Comprehensive Nursing Care Units of Small and Medium-sized Hospitals
    Mi Ryeong Song, Su Hyang Ryu
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 419.     CrossRef
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Original Articles
A Study on the Current Status of the Curriculum Operation of the Basic Medical Sciences in Nursing Education
Myoung Ae Choi, Gi Soo Shin
Journal of Nurses Academic Society 1997;27(4):975-987.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.4.975
AbstractAbstract

The purpose of this study was to investigate the current status of curriculum operation of the basic medical sciences in nursing education at college of nursing, department of nursing and junior college of nursing, ultimately to provide the basic data to provide a curriculum of basic medical science in nursing education. 78 professors who were in charge of basic medical science at 22 colleges of nursing and department of nursing, and 20 junior colleges of nursing responded the questionnaire consisted of 22 question items about the status of objectives, lectures, laboratory practice and characteristics of professors, and mailed to the author. The findings of this study were as follows : 1. The subjects of basic medical science were identified as physiology, anatomy, biochemistry, pathology, microbiology, pharmacology in the most colleges of nursing and junior college of nursing. 2. College of nursing and department of nursing(9.1%) and 19 junior colleges of nursing(95%) did not open biochemistry, 1 college of nursing and department of nursing(5%) did not open pathology and pharmacology. 2 Junior colleges of nursing(10%) did not open pharmacology, 1 junior college of nursing(5%) did not open pathology, the other 1 junior college of nursing did not open microbiology. 2. Credits of the subjects were ranged from 1 to 4. Lecture hours of one semester of physiology at school of nursing and junior college of nursing was average 103.6 and average 102.67, that of anatomy was average 127.1 and average 98, that of microbiology was average 109.7 and average 86.33, that of biochemistry was average 105, that of pathology was average 91 and average 94, that of pharmacology was average 86 and average 85.75. 3. Most of schools used 1 textbook for lectures, 3 school of nursing and department of nursing recommended references without using textbook, while all 36 junior colleges of nursing used textbooks. 4. 5 among 10 schools of nursing and department of nursing had a laboratory practice in physiology, 4 among 7 schools in anatomy, 4 among 6 schools in biochemistry, 2 among 6 schools in biochemistry, 2 among 6 schools in pathology, 5 among 6 schools in microbiology. Not all the schools had a laboratory practice in pharmacology. 4 among 9 junior colleges of nursing had a laboratory practice in physiology. 1 among 4 schools in anatomy, 2 among 7 schools in microbiology. Not all the junior college of nursing had a laboratory practice in pathology and pharmacology. 11 among 20 colleges of nursing and department of nursing, 4 among 7 junior schools of nursing used a textbook of laboratory practice. 5. All the subjects as school of nursing and department of nursing responded that content of lectures and laboratory practices of basic medical science should be different from that of medical education, 34 junior schools of nursing responded that content of lecture of basic medical science in nursing education should be different from that of medical education. 33 junior schools of nursing responded that content of practice of basic medical science in nursing education should be different from that of medical education. 6. The final degree of 25 professors who were in charge of basic medical science were doctors of medicine, that of 5 professors were masters of medicine, that of 5 were doctor of pharmacology, that of 2 were a master of pharmacology, that of 1 was physical science. The final degree of 8 professors who were in charge og basic medical science were masters of medicine, 7 doctors of medicine, 4 masters of nursing science, 4 masters of pharmacology, 2 doctors of nursing, 2 doctors of physical science, 2 doctors of pharmacology and 1 master of public health. 9 full professors, 13 associate professors, 11 assistant professors, 3 full time instructors, and 6 part time instructors were in charge of basic medical science at college of nursing and department of nursing, 20 part time instructors, 8 associate professors, 6 assistant professors, and 2 full professors were in charge of has basic medical science at junior college of nursing. Based on these results, curriculum of basic medical science in nursing education should be reviewed deeply based on nursing model.

Citations

Citations to this article as recorded by  
  • Establishment of biological nursing science in Korea
    Myoung-Ae Choe
    Journal of Korean Biological Nursing Science.2023; 25(1): 1.     CrossRef
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Experience of Women Living with Lymphedema
Myoung Ok Cho
Journal of Korean Academy of Nursing 2002;32(7):1049-1053.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.7.1049
AbstractAbstract PDF

PURPOSE: The object of this study was to explore and describe the experience of women living with lymphedema within a socio-medical context in Korea.
METHODS
Research data was collected through interviews and participant observation with 9 informants between February 2000 and July 2002. Data was examined using Spradley's taxonomy analyzing techniques.
RESULTS
5 themes were identified; 'overwhelming and despair over the ailment condition', 'distrust and abandonment of conventional medicine' 'shaming of losing maternity and femineity', 'returning to the permanent safe shelter', and 'struggling for reconstruction of one's self'. The 'chaotic' state of knowledge and health care system for lymphedmea patient affected the experiences of informants.
CONCLUSIONS
This result will be a basic understanding of psychosocial impact of lymphedema for the women and to develop the comprehensive nursing program including counseling program.

Citations

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  • “Just live with it”: Having to live with breast cancer related lymphedema
    Johanna E. Maree, Dalene Beckmann
    Health SA Gesondheid.2016; 21: 77.     CrossRef
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An Evaluation Study of 1339 and 119 Emergency Medical Dispatch Protocols
Kyung Hee Kang, In Sook Lee
Journal of Korean Academy of Nursing 2001;31(4):538-547.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.4.538
AbstractAbstract PDF

PURPOSE: To evaluate the emergency medical protocols and need assessment through the
case
report METHOD: The study investigated the emergency call system through the 1339 emergency patients information center in 1997. Results: The emergency calls tend to follow general trends of the type of cases : abdominal pain (13.5%), unconsciousness(12.0%), traffic accidents (7.4%), bleeding (6.6%), respiration difficulty (5.9%). This was all collected through emergency medical protocols injury and poisoning (22.3%), symptom (51.6%), others (26.1%).
CONCLUSION
The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review the cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

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  • The Role of Telephone Counseling in Management of Parkinson’s Disease Patients
    Mi Sun Kim, Sun Ju Chung, Sung Reul Kim, Tai Yeon Lee, Myoung Chong Lee
    Journal of Movement Disorders.2008; 1(1): 33.     CrossRef
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  • 1 Crossref
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Objectives and Contents of Basic Medical Sciences in Nursing Education
Myoung Ae Choe, Gi Soo Shin
Journal of Korean Academy of Nursing 1999;29(6):1455-1468.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.6.1455
AbstractAbstract PDF

The purpose of this study was to investigate the objectives and contents of basic medical sciences at department of nursing in college of nursing, and junior college of nursing, thus ultimately providing the basic data to standardize the curriculum of the basic medical sciences in nursing education. Seventy eight professors who were in charge of teaching basic medical sciences to at 22 colleges of nursing/department of nursing, and 20 junior colleges of nursing responded to the questionnaires that consisted of the questions regarding objectives and contents, of basic medical sciences. Based on the description of objectives, the description related to nursing, nurse, nursing science was cathegorized as on objective applicable to nursing science, the description related to medicine or clinical medicine as medical model, the description without description related to medicine was cathegorized as knowledge acquisition. The number of schools corresponding to each category were summerized in descending order. The objectives of basic medical sciences were categorized by concepts and number of schools corresponding to the categorized concept. The findings of the study are as follows: 1. The subjects of basic medical science identified were physiology, anatomy, biochemistry, pathology, microbiology, and pharmacology in most colleges of nursing and junior colleges. Two colleges of nursing/department of nursing (9.1%) and 19 junior colleges of nursing(95%) did not offer biochemistry, 1 college of nursing /department of nursing(5%) did not offer pathology & pharmacology. 2 junior colleges of nursing (10%) did not offer pharmacology, 1 junior college of nursing(5%) did not offer pathology. The other 1 junior college of nursing did not offer microbiology. 2. Objectives of physiology were to acquire knowledge and understanding on human function in both 6 (50%) colleges and 5 junior colleges. Objectives of anatomy were to acquire knowledge on human structure in both 4 (57%) colleges and 2 (50%) junior colleges; knowledge applicable to nursing sciences in both 3 (42.8%) colleges and 2 (50%) junior colleges. Objectives of biochemistry was to obtain knowledge and understanding on biochemistry, and understanding of basic concepts about biochemistry. Objectives of pathology were to obtain knowledge and understanding on pathology in both 4 (57.1%) colleges and 5(62.5%) junior colleges. Objectives of microbiology were to acquire knowledge and understanding on microbiology in both 5(83.8%) colleges and 6(85.7%) junior colleges. Objectives of pharmacology were to acquire knowledge on pharmacology in both 7(100%) colleges and 8(100%) junior colleges. 3. Contents of physiology in 19 (100%) schools were membrane transport, digestion, circulation, nervous system and respiration. In 16(84.2%) were kidney and muscle, that in 13(68.4%) were endocrine physiology. In 11(57.9%) were introduction and that in 9(47.4%) were structure and function of cells. Contents of anatomy in 11(100%) schools were skeletal system, muscle system, digestive system, circulatory system, concepts regarding human structure. In 10(90.9%) schools were endocrine system and nervous system, and in 5(45.5%) schools were blood, urinary system and cell. Contents of biochemistry in 6(100%) schools were history of biochemistry, body regulating factor, bioenergy, health and nutrition, nutrition of cell, energy production system. In 5(83.3%) schools were metabolism of protein and carbohydrate and enzyme, and in 3(50%) schools were metabolism of energy and fat. Contents of microbiology in 13(100%) schools were environment and influenc of bacteria, virus, G(-) rods, purulent cocci, G(+) rods. In 10 (76.9%) were immunity, diphtheria, enterobacteria, and in 9(69.2%) were spirochete, rickettsia and clamydia, and that in 6(46.2%) were sterilization and disinfection. Contents of pathology in 14(100%) schools were cell injury and adaptation, inflammation, respiratory diseases, circulatory diseases. In 10(71.4%) were neurological disorders, in 8(57.1%) were immunity and disease, and in 7 (50%) were tumor and progressive changes. Contents of pharmacology in 15(100%) were cardivascular drugs, introduction to pharmacology, hypnotics, analgesics, local anesthetics, an ticonvulsants. In 12(80%) were drugs activity on sympathetic and parasympathetic nervous system, and in 11(73%) were sulfa drugs, antibiotics, drug abuse and addiction.

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  • An integrative review on cadaver practice among undergraduate nursing students
    Gyeong-Ju An
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    Journal of Korean Biological Nursing Science.2023; 25(1): 1.     CrossRef
  • The Relevance between Pathophysiological Subject and Examination Workbook Items for National Nurse Licensure Examination in South Korea and the United States
    Myung Sook Park, Hee Jung Choi, Youn Jung Kim, Hee Kyung Chang, Sun Ju Chang, Haeyoung Lee
    Journal of Korean Biological Nursing Science.2016; 18(4): 264.     CrossRef
  • A Qualitative Content Analysis of Experiences on Concept Mapping for Pathophysiology in Nursing Students
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    Journal of Korean Biological Nursing Science.2015; 17(4): 356.     CrossRef
  • A Study on Perceived Connectivity between Pharmacological Knowledge and Clinical Practice, and the Need for Pharmacology Education Contents in Undergraduate Courses among Clinical Nurses
    Chul-Gyu Kim, Mi-Kyoung Cho, Seungmi Park
    Journal of Korean Biological Nursing Science.2014; 16(1): 41.     CrossRef
  • Effect of Nursing Students' Learning Motivation in Microbiology Lecture involved in Laboratory Based on the ARCS Model
    Bo-Hwan Kim, Hee-Kyoung Hyong
    Journal of Fisheries and Marine Sciences Education.2014; 26(6): 1425.     CrossRef
  • Survey of Curriculum for 4 Subjects (Structure and Function of Human Body, Clinical Microbiology, Pathophysiology, & Mechanism and Effect of Drugs) of Biological Nursing in Undergraduate Nursing Education
    Kyung-Sook Lee, Eun-Ok Choi, Jae Sim Jeong
    Journal of Korean Biological Nursing Science.2014; 16(1): 17.     CrossRef
  • Development of Standard Syllabuses for 4 Subjects (Structure and Function of Human Body, Pathogenic Microbiology, Pathophysiology, Mechanisms and Effects of Drug) of Bionursing
    Kyung-Sook Lee, Jae Sim Jeong, Myoung-Ae Choe, Joo Hyun Kim, Gyeong Ju An, Jin Hak Kim, Gi Soo Shin, Yun Kyung Kim, Yun Mi Lee, Sang Hui Chu, Smi ChoiKwon
    Journal of Korean Biological Nursing Science.2013; 15(1): 33.     CrossRef
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    Journal of Korean Biological Nursing Science.2013; 15(3): 139.     CrossRef
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    Myoung-Ae Choe, Gyeong-Ju An, Jae-Sim Jeong
    Journal of Korean Biological Nursing Science.2012; 14(3): 212.     CrossRef
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The Study on the Medical and Nursing Service Needs of the Terminal Cancer Patients and Their Caregivers
So Woo Lee, Eun Ok Lee, Dae Suk Huh, Kuck Hee Noh, Hyun Sook Kim, Sun Rae Kim, Sung Za Kim, Jung Hee Kim, Kung Ok Lee, Eun Hee Lee, Eun Za Chung, Mun Sook Cho, Myung Sook Cho, Myung Ae Whang, Young Ho Yun
Journal of Korean Academy of Nursing 1998;28(4):958-969.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.958
AbstractAbstract PDF

In this study, we attempted to investigate the needs and problems of the terminal cancer patients and their family caregivers to provide them with nursing information to improve their quality of life and prepare for a peaceful death. Data was collected from August 1, 1995 to July 31, 1996 at the internal medicine unit of S hospital in Seoul area with the two groups of participants who were family members of terminal cancer patients seventy four of them were in-patients and 34 were out-patients who were discharged from the same hospital for home care. The research tool used in this study has been developed by selecting the questionnaires from various references, modifying them for our purpose and refining then based on the results of preliminary study. While general background information about the patients was obtained by reviewing their medical records, all other information was collected by interviewing the primary family caregivers of the patients using the questionnaire. The data collected were analyzed with the SPSS PC+ program. The results of this study are summarized as follows; 1) Most frequently complained symptoms of the terminal cancer patients were in the order of pain(87%), weakness(86.1%), anorexia(83.3%) and fatigue(80.6%). 2) Main therapies for the terminal cancer patients were pain control(58.3%), hyperalimentation(47.2%) and antibiotics(21.3%). 3) Special medical devices that terminal cancer patients used most were oxygen device(11.1%), and feeding tube(5.6%). Other devices were used by less than 5% of the patents. 4) The mobility of 70.4% of the patients was worse than ECOG 3 level, they had to stay in bed more than 50% of a day. 5) Patients wanted their medical staffs to help relieve pain(45.4%), various physical symptoms(29.6%), and problems associated with their emotion(11.1%). 6) 16.7% of the family caregivers hoped for full recovery of the patients, refusing to admit the status of the patients. also, 37% wished for the extension of the patient's life at least for 6 months. 7) Only 38.9% of the family members was preparing for the patient's funeral. 8) 45.4% of family caregivers prefer hospital as the place for the patient's death, 39.8% their own home, and 14.8% undetermined. 9) caregivers of the patients were mostly close family members, i.e., spouse(62%), and sons and daughters or daughter-in-laws(21.3%). 10) 43.5% of the family caregivers were aware of hospice care. 46.8% of them learned about the hospice care from the mass media, 27.7% from health professionals, and the rest from books and other sources. 11) Caregivers were asked about the most difficult problems they encounter in home care, 41 of them pointed out the lack of health professionals they can contact, counsel and get help from in case of emergency, 17 identified the difficulty of finding appropriate transportation to hospital, and 13 stated the difficulty of admission in hospital as needed. 12) 93.6% of family caregivers demanded 24-hour hot line, 80% the visiting nurses and doctors, and 69.4% the volunteer's help. The above results indicate that terminal patients and their family caregivers demand help from qualified health professionals whenever necessary. Hospice care system led by well-trained medical and nursing staffs is one of the viable answers for such demands.

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    The Korean Journal of Hospice and Palliative Care.2013; 16(1): 10.     CrossRef
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    Eun Sook Choi, Keum Soon Kim
    Journal of Korean Academy of Nursing.2012; 42(2): 280.     CrossRef
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    In Sun Suh, Mi Hwa Shin, Se Hwa Hong
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    Hae Sook Lee, Sun Hee Park, Young Soon Chung, Bookyung Lee, So-Hi Kwon
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The Effectiveness of the Error Reporting Promoting Program on the Nursing Error Incidence Rate in Korean Operating Rooms
Myoung Soo Kim, Jung Soon Kim, In Sook Jung, Young Hae Kim, Ho Jung Kim
Journal of Korean Academy of Nursing 2007;37(2):185-191.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.2.185
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and evaluate an error reporting promoting program(ERPP) to systematically reduce the incidence rate of nursing errors in operating room.

Methods

A non-equivalent control group non-synchronized design was used. Twenty-six operating room nurses who were in one university hospital in Busan participated in this study. They were stratified into four groups according to their operating room experience and were allocated to the experimental and control groups using a matching method. Mann-Whitney U Test was used to analyze the differences pre and post incidence rates of nursing errors between the two groups.

Results

The incidence rate of nursing errors decreased significantly in the experimental group compared to the pre-test score from 28.4% to 15.7%. The incidence rate by domains, it decreased significantly in the 3 domains-“compliance of aseptic technique”, “management of document”, “environmental management” in the experimental group while it decreased in the control group which was applied ordinary error-reporting method.

Conclusion

Error-reporting system can make possible to hold the errors in common and to learn from them. ERPP was effective to reduce the errors of recognition-related nursing activities. For the wake of more effective error-prevention, we will be better to apply effort of risk management along the whole health care system with this program.

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    Myoung Soo Kim
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    Myoung-Soo Kim, Yun-Hee Kim
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    Myoungsoo Kim
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Difficulties in Caring for Psychiatric Patient as Experienced by Non-Psychiatric Nurses
Jaewon Joung, Mi Young Jang, Jihyun Shim, Yoonhi Ko, Sung Hee Shin
J Korean Acad Nurs 2017;47(1):49-59.   Published online February 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.1.49
AbstractAbstract PDF
Purpose

The purpose of this study was to identify non-psychiatric nurses' difficulties in caring for patients with mental illness.

Methods

Data were collected from eighteen general medical-surgical nurses working at a university hospital in Seoul, Korea. This study involved two focus group discussions and three in-depth individual interviews. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis.

Results

General medical-surgical nurses experienced difficulties in 3 categories, 9 subcategories, 27 codes. The three categories were ‘nurse’ related factors, ‘patient’ related factors, ‘resource’ related factors. The nine categories were ‘unpreparedness’, ‘nursing barriers due to stigma’, ‘undervaluing and avoidance of psychiatric nursing’, ‘eroding into the trap of a vicious cycle’, ‘facing unapproachable patients’, ‘dealing with unhelpful family members’, ‘burdening already overburdened staff’, ‘obstructive environment’, and ‘isolation of staff with heavy responsibilities’.

Conclusion

The results of this study indicate the need to develop psychiatric mental health education programs for non-psychiatric nurses. Education about psychiatric mental health and support from institutions for non-psychiatric nurses can reduce their negative attitude toward psychiatric patients and difficulties in caring for psychiatric patients.

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Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction
Hye Mi Ahn, Hyeongsu Kim, Kun Sei Lee, Jung Hyun Lee, Hyo Seon Jeong, Soung Hoon Chang, Kyeong Ryong Lee, Sung Hea Kim, Eun Young Shin
J Korean Acad Nurs 2016;46(6):804-812.   Published online December 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.6.804
AbstractAbstract PDF
Purpose

This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI).

Methods

Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour.

Results

After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation.

Conclusion

Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center driectly should be implemented for patients and/or caregivers.

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Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea
Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park
J Korean Acad Nurs 2012;42(7):928-935.   Published online December 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.928
AbstractAbstract PDF
Abstract Purpose

The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling.

Methods

Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis.

Results

Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization.

Conclusion

The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/ or promotion of community awareness.

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    Albino Kalolo, Lara Gautier, Manuela De Allegri
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    Su Jung Kim, Eun Ju Lee
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    Ju Moon Park
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    Hong-Ah Kim, Ju-Young Shin, Mi-Hee Kim, Byung-Joo Park, Terence J. Quinn
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Development and Evaluation of Shared Medical Decision-Making Scale for End-of-Life Patients in Korea
Kae Hwa Jo
J Korean Acad Nurs 2012;42(4):453-465.   Published online August 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.4.453
AbstractAbstract PDF
Purpose

The study was done to develop a shared decision-making scale for end-of-life patients in Korea.

Methods

The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 388 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, or Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from July to October 2011.

Results

Thirty-four items were selected for the final scale, and categorized into 7 factors explaining 61.9% of the total variance. The factors were labeled as sharing information (9 items), constructing system (7 items), explanation as a duty (5 items), autonomy (4 items), capturing time (3 items), participation of family (3 items), and human respect (3 items). The scores for the scale were significantly correlated among shared decision-making scale, terminating life support scale, and dignified dying scale. Cronbach's alpha coefficient for the 34 items was .94.

Conclusion

The above findings indicate that the shared decision-making scale has a good validity and reliability when used for end-of-life patients in Korea.

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    Dahae Choi, Hyewon Shin
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    Junghwa Yun, Mihyeon Seong, Youngmi Cho, Sohyune Sok, Majed Alamri
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    Dalyong Kim, Hyun Jung Lee, Soo-Young Yu, Jung Hye Kwon, Hee Kyung Ahn, Jee Hyun Kim, Seyoung Seo, Chi Hoon Maeng, Seungtaek Lim, Do Yeun Kim, Sung Joon Shin
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    Na-Yeon Lee, Seungjin Lee, Soo-Kyoung Lee
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    Kae-Hwa Jo, Gyeong-Ju An, Hong Seon Lee
    Sage Open.2015;[Epub]     CrossRef
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    Kae‐Hwa Jo, Gyeong‐Ju An
    International Journal of Nursing Practice.2015; 21(6): 839.     CrossRef
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    Kae Hwa Jo, Gyun Moo Kim
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    Jo Kae-Hwa, An Gyeong-Ju
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    Kae Hwa Jo, Yeon Ja Kim
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    Seonyoung Yun, Jiyeon Kang
    Korean Journal of Adult Nursing.2013; 25(2): 207.     CrossRef
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Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land
Eun-Jun Park, Chunmi Kim, Seung Joo Lim
J Korean Acad Nurs 2012;42(2):149-160.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.149
AbstractAbstract PDF
Purpose

The purpose of this study was to explain the role transition process to nurse case managers (NCMs) for Medical-aid beneficiaries in Korea.

Methods

Fourteen NCMs were interviewed regarding their experiences of becoming proficient in the new role of case manger. Data were analyzed through the application of grounded theory.

Results

'Taking root in a barren land' was the core category explaining the role transition process of NCMs. They engaged in four stages: launching, trial and error, proficiency, and wait-and-see stages. NCMs showed not only fear but also passion for case management practice. Despite their passion and effort, NCMs went through a period of trial and error. After becoming skilled, NCMs went through a stage of wait-and-see often because of job insecurity related to temporary position or few opportunities for promotion. Factors influencing NCMs' role transition process included their understanding of client characteristics, belief in case management, and support from their colleagues and families.

Conclusion

NCMs experience many challenges in the process of becoming proficient NCMs. To help with their role transition, there is a need for education programs, preceptorship programs, research on their roles and functions, and regulation for securing NCMs' employment and career stability.

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    Jin Young Hong, Sue Kyung Sohn
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The Effectiveness of Error Reporting Promoting Strategy on Nurse's Attitude, Patient Safety Culture, Intention to Report and Reporting Rate
Myoungsoo Kim
J Korean Acad Nurs 2010;40(2):172-181.   Published online April 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.2.172
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the impact of strategies to promote reporting of errors on nurses' attitude to reporting errors, organizational culture related to patient safety, intention to report and reporting rate in hospital nurses.

Methods

A nonequivalent control group non-synchronized design was used for this study. The program was developed and then administered to the experimental group for 12 weeks. Data were analyzed using descriptive analysis, χ2-test, t-test, and ANCOVA with the SPSS 12.0 program.

Results

After the intervention, the experimental group showed significantly higher scores for nurses' attitude to reporting errors (experimental: 20.73 vs control: 20.52, F=5.483, p=.021) and reporting rate (experimental: 3.40 vs control: 1.33, F=1998.083, p<.001). There was no significant difference in some categories for organizational culture and intention to report.

Conclusion

The study findings indicate that strategies that promote reporting of errors play an important role in producing positive attitudes to reporting errors and improving behavior of reporting. Further advanced strategies for reporting errors that can lead to improved patient safety should be developed and applied in a broad range of hospitals.

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