Journal of Korean Academy of Nursing

The Experiences of Patients in Intensive Care Units(ICU): Young Hae Kim, Mi Jee Koo, So Hee Kim, Young Mi Kim, Nae Young Lee, Koung Oh Chang; Journal of Korean Academy of Nursing 2007;37(6):924-931. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.6.924

Abstract PDF: PURPOSE: The purpose of this study was to describe the essence of the experiences of patients in an ICU, and to understand them from the patients' point of view. METHODS: Participants in this study were six patients in P hospital. Data collection consisted of in-depth interviews and an observation method done from January to April in 2005. The method was analysis using the phenomenological method proposed by Colaizzi(1978). RESULTS: The themes were classified into eight theme clusters. The eight theme clusters were finally grouped into four categories, 'shock', 'pain', 'gratefulness' and 'pleasure of revival'. CONCLUSION: The ICU patients had negative experiences in physical.mental critical situations, but also positive experiences in consolation and nurses and families' encouragement. Therefore, ICU nurses must support patients and their families to minimize the negative experiences and maximize the positive experiences.

Concept Analysis of DNR(Do-Not-Resuscitate): Hyoung Sook Park, Mi Jee Koo, Young Hee Kim; Journal of Korean Academy of Nursing 2006;36(6):1055-1064. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.6.1055

Abstract PDF: Purpose
The purpose of this study was to analyze and clarify the ambiguous concept of DNR, and to distinguish between DNR and euthanasia.
Method
This study used the process of Walker & Avant's concept analysis.
Result
The definable attributes of DNR were care for comfort, no further treatment and no CPR. The antecedents of DNR were the autonomy of patients and families feelings about death, the uselessness of treatment and the right to die with dignity. The process of the DNR decision should be documented and the antecedents of DNR also can be a basis for objective standards of DNR decision-making. The result of DNR was the acceptance of death by patients and families.
Conclusion
DNR is decided and documented by the antecedents of DNR, and the result is a natural acceptance of death, the last process of human life. Hospice care should be activated and nurses must be patient's advocates and families' supporters in the process.

The Experiences of Mental Health Hospital Workers: Young hae Kim, Koung Oh Chang, MI Jee Koo, So Hee Kim, Young Mi Kim, Nae Young Lee; Journal of Korean Academy of Nursing 2007;37(3):381-390. Published online April 30, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.3.381

Abstract PDF: Purpose
The purpose of this study was to understand the experiences of mental health hospital workers.
Methods
Participants in the study were a total of 8 mental health hospital workers who consisted of nurses, social welfare workers and health managers. To prevent them from being omitted, the interviews were all recorded under the participants prior agreement. The method was analysis using the phenomenological method proposed by Colaizzi(1978).
Results
The experiences of the participants of this study were classified into 15 significant areas, from which 10 subjects hard work, conflicts, heavy feeling, irritability, getting familiar, changes of recognition, aptitude determination, feeling of achievement and sense of pride were drawn out. These subjects were then grouped into 5 themes. These five themes were finally grouped into 5 categories, negative emotion, depressive emotion, changes of thinking, delight and value discovery.
Conclusions
The study tried to analyze the experiences of key informants like nurses, social welfare workers and health managers all of whom were serving at mental health hospitals, contribute to social recognition about the special medical establishment, promote qualitative mental health nursing and further provide educational information necessary for understanding mental health hospital workers.

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