Journal of Korean Academy of Nursing

Original Articles

Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea: Byoungsook Lee; Journal of Korean Academy of Nursing 2005;35(4):649-655. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.4.649

Abstract: The purpose of this study was to identify the perception of nurse experts on the contribution of nursing interventions to Nursing Outcomes Classification NOC nursing outcomes. A nursing outcome is a nursing-sensitive patient outcome primarily affected by nursing interventions. As one of the standardized language systems of nursing outcomes, the NOC must be examined for applicability before it is used in Korea. Data were collected in February and March 2003 using a 5-point Likert scale. For data collection, 230 quality improvement (QI) or quality assurance (QA) nurses from general hospitals in Korea were asked to rate the extent that nursing interventions contribute to each of the NOC nursing outcomes (2000) in their hospitals. Ninety-six nurses from 63 hospitals responded and the response rate was 41.7%. Mean scores for perception of contribution of nursing interventions to each of the NOC nursing outcomes ranged from 2.18 to 4.54. Vital Signs Status had the highest score (M=4.54), and Abuse Recovery: Financial, the lowest score (M=2.18). Of the seven NOC domains, the mean score was highest for Physiologic Health (M=3.91) and lowest for Community Health (M=2.92). Of the 29 NOC classes, the mean score for perceived contribution was highest for Metabolic Regulation (M=4.32) and lowest for Community Well-Being (M=2.92). Participants perceived that nursing interventions in general hospitals in Korea contributed, at least to a certain extent, to most of the NOC nursing outcomes. Based on these results, NOC should have relatively good applicability in Korea.

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Effects of a Closed Endotracheal Suction System on Oxygen Saturation, Ventilator-Associated Pneumonia, and Nursing Efficacy: Eun Sook Lee, Sung Hyo Kim, Jung Sook Kim; Journal of Korean Academy of Nursing 2004;34(7):1315-1325. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1315

Purpose

The purpose of this study was to examine the effects of a closed endotracheal suction system(CES) on oxygen saturation, ventilator associated pneumonia(VAP), and nursing efficacy in mechanically ventilated patients.

Method

This study was conducted in the intensive care unit of a University Hospital in Gwangju City. Data was collected from July to October, 2003. Seventy mechanically ventilated patients were randomly divided into two groups; 32 for CES and 38 for open endotracheal suction system(OES) protocol. Twenty one nurses were also involved to examine the nurses' attitude of usefulness about CES.

Result

SaO₂ was significantly different between CES and OES. The incidence of VAP in CES was lower than that of OES. Nursing efficacy was related to time, cost, and usefulness of the suction system. Time of suctioning in CES was shorter than that of OES. CES also contributed significantly to lower the cost of treatment than OES. The usefulness score of CES increased after 6 months of use.

Conclusion

CES prevented VAP, was cost effective, and a safe suctioning system. CES ncan be used with patients with sensitivity to hypoxygenation and with a high risk of VAP.

Citations

Citations to this article as recorded by

EFFECTIVENESS OF A PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING VENTILATOR ASSOCIATED PNEUMONIA AMONG STAFF NURSES WORKING IN A TERTIARY CARE HOSPITAL IN SRINAGAR
Nusrat Jan, Rajinderjit Kaur Bajwa
INTERNATIONAL JOURNAL OF RESEARCH IN MEDICAL SCIENCES & TECHNOLOGY.2021; 12: 207. CrossRef
A Closed-Suction Catheter with a Pressure Valve Can Reduce Tracheal Mucosal Injury in Intubated Patients
Jin-Heon Jeong, Sung-Jin Nam, Young-Jae Cho, Yeon Joo Lee, Se Joong Kim, In-Ae Song, Sang-Heon Park, Young-Tae Jeon
Korean Journal of Critical Care Medicine.2014; 29(1): 7. CrossRef
Effects of Open or Closed Suctioning on Lung Dynamics and Hypoxemia in Mechanically Ventilated Patients
Eun Young Lee, Su Hyun Kim
Journal of Korean Academy of Nursing.2014; 44(2): 149. CrossRef
Comparison of the Pattern in Semi-Quantitative Sputum Cultures Based on Different Endotracheal Suction Techniques
Jiwoong Oh, Kum Whang, Hyenho Jung, Jongtaek Park
Korean Journal of Critical Care Medicine.2012; 27(2): 70. CrossRef
Endotracheal Colonization and Ventilator-associated Pneumonia in Mechanically Ventilated Patients according to Type of Endotracheal Suction System
Kyeong-Sook Cha, Ho-Ran Park
Journal of Korean Academy of Nursing.2011; 41(2): 175. CrossRef

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Validation of Nursing Care Sensitive Outcomes related to Knowledge: Eun Joo Lee; Journal of Korean Academy of Nursing 2003;33(5):625-632. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.5.625

Abstract PDF

Purpose

The purpose of this study was to assess the importance and sensitivity to nursing interventions of four nursing sensitive nursing outcomes selected from the Nursing Outcomes Classification (NOC). Outcomes for this study were “Knowledge: Diet”, “Knowledge: Disease Process”, “Knowledge: Energy Conservation”, and “Knowledge: Health Behaviors”.

Method

Data were collected from 183 nurses working in 2 university hospitals. Fehring method was used to estimate outcome and indicators' content and sensitivity validity. Multiple and stepwise regression were used to evaluate relationships between each outcome and its indicators.

Result

Results confirmed the importance and nursing sensitivity of outcomes and their indicators. Key indicators of each outcomes were found by multiple regression. “Knowledge: Diet” was suggested for adding new indicators because the variance explained by indicators was relatively low. Not all of the indicators selected for stepwise regression model were rated for highly in Fehring method. The R² statistics of the stepwise regression models were between 18 and 63% in importance by selected indicators and between 34 and 68% in contribution by selected indicators.

Conclusion

This study refined what outcomes and indicators will be useful in clinical practice. Further research will be required for the revision of outcome and indicators of NOC. However, this study refined what outcomes and indicators will be useful in clinical practice.

Citations

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Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting
EUN JOO LEE, MIKYOUNG LEE, SUE MOORHEAD
CIN: Computers, Informatics, Nursing.2009; 27(4): 234. CrossRef

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Development and Application of a Computerized Nursing Process Program for Orthopedic Surgery Inpatients: NANDA, NOC, and NIC Linkages: Hye Suk Kim; Journal of Korean Academy of Nursing 2005;35(6):979-990. Published online October 31, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.6.979

Abstract PDF

Purpose

The purpose of this study was to develop and to apply the NANDA, NOC, and NIC (NNN) linkages into a computerized nursing process program using the classification systems of nursing diagnoses, nursing outcomes and nursing interventions.

Method

The program was developed with planning, analysis, design and performance stages. The program was applied to 117 patients who were admitted to orthopedic surgery nursing units from January to February, 2004.

Results

Thirty-five of fifty-three nursing diagnoses were identified. Five nursing diagnoses in order of frequency were: Acute pain (28.4%), Impaired physical mobility (15.6%), Impaired walking (8.7%), Chronic pain (5.5%) and Risk for disuse syndrome (5.0%). The nursing outcomes of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management (95.2%), Comfort level (35.5%) and Pain level (17.7%). The nursing interventions of the ‘Acute pain’ nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management (71.0%), Splinting (24.2%) and Analgesic administration (17.7%). In comparison of outcome indicator scores between before and after the intervention according to the 61 nursing outcomes, the mean scores of 52 outcome indicators after the intervention were significantly higher than before the intervention.

Conclusion

It is expected that this program will help nurses perform their nursing processes more efficiently.

Citations

Citations to this article as recorded by

Identification of North American Nursing Diagnosis Association—Nursing Interventions Classification—Nursing Outcomes Classification of nursing home residents using on‐time data by android smartphone application by registered nurses
Juh Hyun Shin, Sun Ok Jung, Jee Sun Lee
International Journal of Nursing Knowledge.2024; 35(1): 46. CrossRef
ELECTRONIC NURSING PROCESS PROGRAM IN NURSING CARE PLANNING: A SYSTEMATIC REVIEW
Elif GÜNAY İSMAİLOĞLU, Seda ŞAHAN, Kemal YILMAZ, Serkan TİMUÇİN, Oğuzhan TAŞKIN
Izmir Democracy University Health Sciences Journal.2021; 4(1): 22. CrossRef
Effectiveness of Nursing Interventions using Standardized Nursing Terminologies: An Integrative Review
Sena Chae, Hyunkyoung Oh, Sue Moorhead
Western Journal of Nursing Research.2020; 42(11): 963. CrossRef
An Effect of the Application of Educational Electronic Nursing Record System for Nursing Students
Se Young Kim, Insook Lee, Shinmi Kim, Kisook Kim, Bohyun Park, Yoon Goo Noh
The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 396. CrossRef
Relationships Among NANDA‐I Diagnoses, Nursing Outcomes Classification, and Nursing Interventions Classification by Nursing Students for Patients in Medical‐Surgical Units in Korea
Hyun Kyung Noh, Eunjoo Lee
International Journal of Nursing Knowledge.2015; 26(1): 43. CrossRef
Identifying core nursing sensitive outcomes associated with the most frequently used North American Nursing Diagnosis Association—International nursing diagnoses for patients with cerebrovascular disease in Korea
Eunjoo Lee, Hyejin Park, James Whyte, Youngae Kim, Sang Youn Park
International Journal of Nursing Practice.2014; 20(6): 636. CrossRef
The Knowledge, Need, and Usage of Medical Terminology in Clinical Nursing Practice
Gisoo Shin, Mi-Kyoung Cho
Journal of Korean Biological Nursing Science.2014; 16(4): 276. CrossRef
Construction and Application of Nursing Information System Using NANDA-NOC-NIC Linkage in Medical-Surgical Nursing Units
Eun Ko, Hyang-Sook So
Korean Journal of Adult Nursing.2013; 25(4): 365. CrossRef
Evaluation of Adaption and Intent to Use Smartphone Application for Nursing Process of Nursing Student
Hune Cho, Sung-Jung Hong, Hwa-Sun Kim
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(12): 6403. CrossRef
Construction of the Nursing Diagnosis Ontology in Obstetric and Gynecologic Nursing Unit using Nursing Process and SNOMED CT
Jeong-Eun Park, Kwi-Ae Chung, Hune Cho, Hwa Sun Kim
Korean Journal of Women Health Nursing.2013; 19(1): 1. CrossRef
A Study on Nursing Diagnoses, Interventions, Outcomes Frequently Used and Linkage to NANDA-NOC-NIC in Major Nursing Departments
Jong Kyung Kim
Journal of Korean Academy of Nursing Administration.2010; 16(2): 121. CrossRef
Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System
Myung Ja Kim
Journal of Korean Academy of Nursing Administration.2010; 16(1): 73. CrossRef

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