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Original Articles
Validity and Reliability of the Clinical Teaching Behavior Inventory (CTBI) for Nurse Preceptors in Korea
Myun Sook Jung, Eun Gyung Kim, Se Young Kim, Jong Kyung Kim, Sun Ju You
J Korean Acad Nurs 2019;49(5):526-537.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.526
AbstractAbstract PDF
Abstract Purpose

The aim of this study was to evaluate the validity and reliability of the Korean version of the Clinical Teaching Behavior Inventory (CTBI).

Methods

The English CTBI-23 was translated into Korean with forward and backward translation. Survey data were collected from 280 nurses’ preceptors at five acute-care hospitals in Korea. Content validity, construct validity, and criterion-related validity were evaluated. Cronbach's α was used to assess reliability. SPSS 24.0 and AMOS 22.0 software was used for data analysis.

Results

The CTBI Korean version consists of 22 items in six domains, including being committed to teaching, building a learning atmosphere, using appropriate teaching strategies, guiding inter-professional communication, providing feedback and evaluation, and showing concern and support. One of the items in the CTBI was excluded with a standardized factor loading of less than .05. The confirmatory factor analysis supported good fit and reliable scores for the Korean version of the CTBI model. A six-factor structure was validated (χ 2=366.30, p<.001, CMIN/df=2.0, RMSEA=.06, RMR=.03, SRMR=.05, GFI=.90, IFI=.94, TLI=.92, CFI=.94). The criterion validity of the core competency evaluation tool for preceptors was .77 (p<.001). The Cronbach's α for the overall scale was .93, and the six subscales ranged from .72 to .85.

Conclusion

The Korean version CTBI-22 is a valid and reliable instrument for identifying the clinical teaching behaviors of preceptors in Korea. The CTBI-22 also could be used as a guide for the effective teaching behavior of preceptors, which can help new nurses adapt to the practicalities of nursing.

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A Study on the Adjustment of Daily of Daily Life and Body Image of the Mastectomy Patients
Chai Sook Kim, Myun Sook Jung
Journal of Nurses Academic Society 1984;14(2):75-83.   Published online April 3, 2017
DOI: https://doi.org/10.4040/jnas.1984.14.2.75
AbstractAbstract PDF

The purpose of this study was to identify the relationship between the body image adjustment of daily life. 58 subjects who had undergone radical mastectomy or modified radical mastectomy from 1979 to April 1984 at Seoul National University Hospital were selected as a sample and used for a final analysis. Finding of this study were as follows; 1) The relationship between the body image and the adjustment of daily life were significant differences. The body image is more positive, the adjustment of daily life is better. However, the cause-effect relationship was not found in this study.(p<0.05) 2) There were no significant differences in the body image between the right side mastectomy and left side mastectomy, between the radical mastectomy and modified radical mastectomy between those who had occupation and those who did not have occupation, and between the level of education. 3) There was no significant correlation between the body image and age, between the body image and elapsed time after surgery.

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The Image of Nursing projected in Newspapers
Myun Sook Jung, Young Sil Kang
Journal of Nurses Academic Society 1993;23(1):16-28.   Published online March 31, 2017
DOI: https://doi.org/10.4040/jnas.1993.23.1.16
AbstractAbstract PDF

The purpose of this study was to identify the image of nursing, that is, to see how nursing is viewed in newspapers. Articles about nursing from two Korean daily newspapers from Jan. 1,1987 to Dec. 31, 1991 were examined for subject, type, attitude and authorship. The inter-rater reliability was 0.89(by The Holsti method). The major findings were as follows; 1. The total number of articles were 110. 2. As for the subjests matter, articles related to professional nursing activities appeared most frequently (29.6%), there about labor issues and activity to promote nurses's job climate 19.4%, and about official activities of nursing 11.2%. 3. Commentary articles appeared most frequently(41.2%), Other article forms were straight news(27.1%), contribution(17.6%) and interviews (10.<6%). 4. Feature stories acounted for 62.4% and news articles for 37.6%. Most of the articles were of national interests (96.5%), the rest (3.5%) of news from abroad. 5. Articles favorable toward nursing accounted for 54.1%, neutral 28.2%, negative 17.6%. 6. Many articles were written by the reporters (66.3%).

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Effects Nursing Interventions on Anxiety and / or Stress : A Meta - Analysis
Eun Ok Lee, Hae Hyang Song, Byung Sook Lee, Joo Hyun Kim, Eun Hee Lee, Eun Joo Lee, Chai Soon Park, Gyeong Ja Chun, Myun Sook Jung
Journal of Nurses Academic Society 1992;22(4):526-551.   Published online March 31, 2017
DOI: https://doi.org/10.4040/jnas.1992.22.4.526
AbstractAbstract PDF

The purpose of this study was to identify the commonalities of various nursing interventions and effective intervention methods in each intervention through analysis and synthesis of many accumulated research papers. The study analyzed the effects of various nursing interventions on anxiety and/or stress. For this purpose, 64 experimental studies with randomized or nonequivalent control group pre-test-posttest design were selected were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Central Journal of Medicine, the New Medical Journal, the Nurse Monthly, and from theses and dissertations conducted from 1970 to 1991. The selected studies were classified according to three characteristics : 1) the research sample, 2) types and methods of nursing interventions, and 3) statistical tests. The following analysis was done : 1) Confirmation of the accuracy of data drawn from each study by paired review, 2) Estimation of the homogenity of pre-test scores of the dependent variable between control and experimental groups warranted the effect size of post-scores, 3) If the homogenity of pre-test scores did not warrant, the change scores from pre-test to post-test were used to estimate the effect size, 4) Use of the effect size of each study among homogenious studies was tested for each intervention method, such as relaxation, information, and touch and/or support. Finally, for the studies not showing homogenity, and ANOVA test was used to identify patterns for each intervention. Some findings are summarized as follow: The effect sizes for relaxation and information were greater than those for touch and / or supportive technique. Studies using random assignment had greater effect sizes than nonrandomized sample studies using the same intervention. For healthy people, group education was more effective than individual teaching. However, for patients, relaxation and touch and / or supportive techniques given on individual basis were more effective than when given in a group situation. Measuring anxiety and stress by biological indicators was less effective than by self-report. Budzynski's relaxation method was the most effective. The more frequently the techniques applied, the larger the effect size. On the bases of these findings, the following recommendations were made : 1. A combination of information, relaxation, and touch-supportive techniques should be sued for greater effect in reducing the level of anxiety and / or stress. 2. Information is the first choice of intervention to reduce the level of anxiety and/or stress of health people ; other intervention may be added depending on the conditions of the subjects.

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Analysis of Studies of Anxiety and Stress Conducted in Korea form 1970 to 1990
Eun Ok Lee, Eun Joo Lee, Eun Hee Lee, Kyung Za Chun, Joo Hyun Kim, Chai Soon Park, Byung Sook Lee, Myun Sook Jung
Journal of Nurses Academic Society 1992;22(3):271-296.   Published online March 31, 2017
DOI: https://doi.org/10.4040/jnas.1992.22.3.271
AbstractAbstract PDF

The purposes of this study were 1) to identify patterns and trends of studies of anxiety and stress and 2) to provide direction on which to base further research. Research studies of anxiety and stress were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Central Journal of Medicine, the New Medical Journal, Monthly Nurse, and from theses and dissertations, which had been conducted for the 20 years from 1970 to 1990. The total population of the studies numbered 463. Seven studies were excluded from the analysis because of duplication, so that 252 studies of anxiety and 204 of stress were analyzed. These studies were analyzed for 1) time of publication or presentation, 2) research design, 3) characteristics of subjects used in each study, 4) types of correlated variables, and 5) types of nursing interventions. Findings obtained in the study were as follows : 1. The number of studies related to anxiety and stress has increased rapidly since the early 1980's. 2. The studies were primarily descriptive throughout the 20 years. However, correlational studies, comparative studies and experimental studies slowly increased. 3. Anxiety studies tend to be conducted more on patients and stress studies with normal subjects in non-experimental research. However, experimental studies were conducted more with patients than with normal subjects. 4. In correlational studies, the trend was to study physical conditions in relation to anxiety, and coping and adaptation in relation to stress. 5. In experimental studies, teaching and information therapy and relaxation were the most popular interventions for anxiety, and supportive care for stress. On the bases of these findings, the following recommendations were made : 1. These patterns of studies related to anxiety and stress in Korea need to be compared with studies conducted in other countries. 2. More attention is needed in terms of research design, reliability and validity of tools, and results of statistical analysis. 3. Meta-analysis should be done to analyze and integrate the results of various studies. 4. For theory testing and identification of useful intervention methods, experimental studies with the same protocols must be conducted rather than more descriptive studies.

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A study for assessing accuracy rates of pain rating scales (KPRS & VAS)
Eun Ok Lee, Myun Sook Jung
Journal of Nurses Academic Society 1988;18(3):239-244.   Published online March 31, 2017
DOI: https://doi.org/10.4040/jnas.1988.18.3.239
AbstractAbstract PDF

The purpose of this study was to identify the accu racy rates (hit ratio) which mean the degree of con cordance between pain rating scale differences over time & subjective comparisons. Subjective comparisons mean the responses to the question "how does the pain you are now experiencing compare with the one at the time of the assessment yesterday?". Answers to this question were translated into 'greater', 'same', or 'less'. KPRS(Korean Pain Rating Scale) was developed through 4 consecutive studies to assess pain extensively & accurately by Lee etc. VAS (Visual Analogue Scale) was reported as valid & veliable measure for the intensity of pain by many researchers. Thirty hospitalized patients with complaints of Headache were partispated in this study during the period from May 1 to July 31, 1987. In conclusion, the accuracy rates of KPRS and VAS were 60%, 67%, respectively.

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Analysis of Research Papers Published in the Journal of Korean Academy of Nursing
Yeon Ok Suh, Jeong Sook Park, Jin Hyang Yang, Hae Won Kim, Min Hyun Suk, Hyun Sook Shin, Hee Jung Jang, Myun Sook Jung, Myung Sill Chung
Journal of Korean Academy of Nursing 2007;37(6):1013-1019.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.1013
AbstractAbstract PDF

PURPOSE: This study was to determine the current trend of nursing research as exploring both quantitative and qualitative methodologies, and to provide the explicit direction to improve the quality of published papers. METHODS: Total of 366 articles published between 2004 and 2006 was reviewed using the criteria of analysis. RESULTS: There was more number of quantitative studies than qualitative studies. More studies were conducted with subjects who had health problems, and studies that targeted women and elderly population have been significantly increased. In quantitative methodology, utilization of experimental and quasi-experimental designs has been increased, however descriptive study was dominant as yet. In qualitative methodology, studies using grounded theory and phenomenology were frequently published. It was noted that theoretical framework and rational for sample size were rarely presented in quantitative study. Philosophical position and the process of preparation for study, which guided the research, were not clearly described in qualitative study. CONCLUSION: The findings of this review suggest that published studies have been improved and diversified, however, detailed and clear evaluation tool that assesses study process and method should be developed as a way to further improve the quality of published papers.

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Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness
Yoon Goo Noh, Myun Sook Jung
J Korean Acad Nurs 2016;46(6):824-835.   Published online December 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.6.824
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze the paths of influence that a hospital's ethical climate exerts on nurses' organizational commitment and organizational citizenship behavior, with supervisor trust as the mediating factor, and verify compatibility of the models in hospital nurses.

Methods

The sample consisted of 374 nurses recruited from four hospitals in 3 cities in Korea. The measurements included the Ethical Climate Questionnaire, Supervisor Trust Questionnaire, Organizational Commitment Questionnaire and Organizational Citizenship Behavior Questionnaire. Ethical Climate Questionnaire consisted of 6 factors; benevolence, personal morality, company rules and procedures, laws and professional codes, self-interest and efficiency. Data were analysed using SPSS version 18.0 and AMOS version 18.0.

Results

Supervisor trust was explained by benevolence and self-interest (29.8%). Organizational commitment was explained by benevolence, supervisor trust, personal morality, and rules and procedures (40.4%). Organizational citizenship behavior was explained by supervisor trust, laws and codes, and benevolence (21.8%).

Conclusion

Findings indicate that managers need to develop a positive hospital ethical climate in order to improve nurses' trust in supervisors, organizational commitment and organizational citizenship behavior.

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Effects of an Elder Health Promotion Program using the Strategy of Elder Health Leader Training in Senior Citizen Halls
Mee Ock Gu, Young Eun, Eun Sim Kim, Hwang Ran Ahn, In Soo Kwon, Hyun Sook Oh, Young-Sil Kang, Myun Sook Jung, So Young Choi, Kyung Mi Sung, Hye Yeon Kang
J Korean Acad Nurs 2012;42(1):125-135.   Published online February 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.1.125
AbstractAbstract PDF
Purpose

This study was conducted to develop and test the effects of an elder health promotion program and apply strategies for elder health leader training sessions with elders at senior citizen halls.

Methods

A nonequivalent control group pretest-posttest design was used. Participants were 49 elders at a senior citizen hall (intervention: 27, control: 22). The elder health promotion program consisted of health education and exercise. A professional leader led the program for 4 weeks, and then an elder health leader and research assistant led for 8 weeks (total 12 weeks). Scales for elder health promoting behaviors, perceived health status, life satisfaction and senior citizen hall capability were used and physical fitness levels were measured. Data were collected between April 21 and July 28, 2010 and analyzed using Chi-square, Fisher's exact test, t-test, and repeated measure ANOVA with SPSS/WIN 12.0.

Results

Health promoting behaviors, physical fitness, perceived health status, and senior citizen hall capacity were significantly better in the experimental group after the intervention compared to the control group.

Conclusion

Study findings indicate that elder health promotion programs applying strategies of elder health leader training are effective and can be recommended as nursing interventions for health promotion of these elders.

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Analysis of Nursing-related Content Portrayed in Middle and High School Textbooks under the National Common Basic Curriculum in Korea
Myun Sook Jung, Hyeong Wook Choi, Dong Mei Li
J Korean Acad Nurs 2010;40(1):33-42.   Published online February 28, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.1.33
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze nursing-related content in middle, and high school textbooks under the National Common Basic Curriculum in Korea.

Methods

Nursing-related content from 43 middle school textbooks and 13 high school textbooks was analyzed.

Results

There were 28 items of nursing-related content in the selected textbooks. Among them, 13 items were in the 'nursing activity' area, 6 items were in the 'nurse as an occupation' area, 2 items were in the 'major and career choice' area, 6 items were 'just one word' and 1 item in 'others'.

Conclusion

The main nursing related content which portrayed in the middle and high school textbooks were caring for patients (7 items accounting for 46.5%), nurses working in hospitals (6 items accounting for 21.4%). In terms of gender perspective, female nurses (15 items accounting for 53.6%) were most prevalent.

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Developmental Direction for Review System of the Journal of Korean Academy of Nursing
Hae Won Kim, Myungsill Chung, Jeong Sook Park, Yeon Ok Suh, Min Hyun Suk, Hyunsook Shin, Jin Hyang Yang, Hee Jung Jang, Myun Sook Jung
Journal of Korean Academy of Nursing 2007;37(3):422-430.   Published online April 30, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.3.422
AbstractAbstract PDF
Purpose

This study was performed to identify current characteristics of the Journal of Korean Academy of Nursing and to explore a way to elevate it to an international level and to critique the overall review process so as to delineate the advanced, objective paper appraisal in this journal.

Methods

Data was collected using self administered questionnaires to 75 journal reviewers belonging to the Korean academy of nursing and its division academy of nursing from August 15th to September 30th, 2006.

Results

The majority of reviewers pointed out a lack of discrimination between the Journal of Korean Academy of Nursing and other journals. Among the main answers of reviewers, Creativeness(52.3%) and excellence of nursing(38%) will be critical factors to develop in order to elevate to an the journal to an international level. In specific evaluation areas, reviewers preferred a subjective critique method(60%), and the condition of the decision making process regarding paper acceptance as a combination of checklist and subjective evaluation(84%). Subjective evaluation opinions with major categories will occur in the next revised evaluation format. 76% of reviewers agreed with the current objective evaluation form.

Conclusions

The journal review process should be evaluated on a regular basis to elevate the journal level and a mutual agreement of the journal's scope, range, and purpose will be necessary. As a recommendation, an attempt at various approaches in journal reviews and reviewer training should be made.

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Nursing Images Appearing in Elementary School Textbooks under the 7th National Curriculum
Hyeong Wook Choi, Myun Sook Jung
Journal of Korean Academy of Nursing 2007;37(3):391-400.   Published online April 30, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.3.391
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the nursing images appearing in elementary school textbooks.

Method

This study targeted 130 textbooks of 13 subjects under the 7th national curriculum for elementary schools as of December 2005. Nursing-related texts, photographs, and illustrations in the textbooks were analyzed by using a content analysis method. As for the textbook analysis, two coders thoroughly read the textbooks to record nursing-related content per coding paper, respectively.

Result

The total number of nursing-related content appearing in 130 textbooks of 13 subjects was 70. More nursing-related content was exhibited in the photograph and illustration domain(N=57, 81.4%) than in the text domain(N=13, 18.6%). Nursing-related content(N=70) appeared in the order of nursing activities with 56(80.0%), nursing as a job with 10(14.3%), and others with 4(5.7%). As for the nursing image of nursing-related content, positive images weremost with 30(42.9%), followed by negative images with 21(30.0%), and neutral images with 19(27.1%).

Conclusion

Nursing-related content was dealt with too little, and dependent nursing activities such as medication, and assisting roles for doctor's examinations and treatments mainly appeared. Also, the main activity place was a hospital. To introduce proper and adequate nursing activities to the students, various types of nursing-related data and material should be distributed to front line schools, teachers, main authors, and publishing companies.

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