Journal of Korean Academy of Nursing

Research Paper

Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals: Mi-Kyeong Jeon, Su Jung Choi, Ji Eun Han, Eun Kyung Kwon, Jeong Hee Park, Jeong Hye Kim; J Korean Acad Nurs 2024;54(4):594-606. Published online November 4, 2024; DOI: https://doi.org/10.4040/jkan.24069

Abstract PDF ePub: Purpose
This study aimed to understand and describe the experiences of patients and their families who have received medical services from advanced practice nurses in tertiary general hospitals in Korea.
Methods
Data were collected through four focus group interviews with 20 patients and their families who had received medical services from advanced practice nurses for more than six months at four tertiary hospitals from November 29 to December 28, 2023. Verbatim transcripts were analyzed using qualitative content analysis.
Results
The four themes extracted from the experiences of patients and their families were as follows: unfamiliar medical personnel encountered during the treatment process, healthcare professionals who exhibited excellence, companions to light my way through the tunnel of illness, and an advanced practice nurse system that must be activated urgently.
Conclusion
The study’s findings indicate that patients and their families view the care provided by advanced practice nurses as excellent, reliable, and holistic. Research suggests that advanced practice nurses are valuable healthcare professionals in team-based care. The findings suggest that hospitals should utilize an advanced practice nurse system to improve patient outcomes and ensure the quality of care.

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Review Paper

Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses: Choi, Su Jung , Kim, Min Young; J Korean Acad Nurs 2024;54(3):300-310. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.24075

Abstract PDF: Purpose
Medical support staff nurses have traditionally performed various supportive tasks for physicians, often extending beyond standard nursing roles. Despite these long-standing practices, there is a notable lack of official recognition and legal protection for these expanded responsibilities, leading to increasing legal concerns. Therefore, there is a need for proposing a rational solution to address these issues.
Methods
The number of medical support staff nurses is rising, particularly as they fill gaps left by the 2024 resident physician strike. The study focuses on identifying potential challenges arising from this shift and developing strategic improvements to address these challenges effectively.
Results
This study proposed legally expanding the scope of nursing duties and creating a robust system for training and certifying nurses to handle these responsibilities effectively, by integrating these roles within the advanced practice nurse (APN) framework.
Conclusion
Integrating these roles within the framework of APN can offer a sustainable and legally sound solution to the ongoing healthcare crisis, ensuring patient safety and safeguarding healthcare workers’ legal rights.

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Research Papers

Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial: Kim, Eun Jin , Hwang, Seon Young; J Korean Acad Nurs 2024;54(1):44-58. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23090

Abstract PDF: Purpose
This study aimed to apply a health partnership program using commercially available mobile health apps to improve cardiovascular risk factors in male employees and verify its effectiveness.
Methods
Using a randomized control group pretest-posttest design, male employees with cardiovascular risk factors from five small and medium-sized workplaces were randomly assigned to an experimental group (n = 32) and a control group (n = 31). The experimental group was encouraged to use three mobile health apps for 12 weeks to acquire the necessary cardiovascular disease-related information and practice strengthening training, walking, and diet management appropriate to their level. They also received feedback on their weekly activities and motivational text messages from health partners. Hypotheses were tested using the SPSS WIN 22.0.
Results
The experimental group showed a significant difference compared to the control group in terms of their perception of mobile health app (p < .05), self-efficacy for exercise and diet, self-management partnership, and cardiovascular disease prevention health behavior (p < .001). In particular, there were significant decreases in the body mass index, ratio, serum fasting blood sugar, total cholesterol, and triglyceride in the experimental group (p < .001); however, there was no significant difference in high-density lipoprotein-cholesterol.
Conclusion
Intervention using mobile apps based on partnership with health managers is effective in improving the objective cardiovascular risk index in male employees; therefore, such intervention should be continuously used as a useful lifestyle modification strategy in the workplace.

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Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses: Kim, Min Young , Choi, Su Jung , Kim, Jeong Hye , Leem, Cho Sun , Kang, Young-ah; J Korean Acad Nurs 2023;53(1):39-54. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22098

Abstract PDF

Purpose
This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs).
Methods
Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN.
Results
The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks.
Conclusion
To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

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Results of Applying a Ventilator Weaning Protocol Led by an Advanced Practice Nurse for Cardiac Surgery Patients
YoungJu Eim, Su Jung Choi
Journal of Korean Critical Care Nursing.2024; 17(2): 42. CrossRef
Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses
Su Jung Choi, Min Young Kim
Journal of Korean Academy of Nursing.2024; 54(3): 300. CrossRef

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Development and Effectiveness of Practice Application Program of Intravenous Infusion EvidenceBased Nursing Practice Guideline - for Small and Medium Sized Hospitals: Hong, Inhwa , Eun, Young; J Korean Acad Nurs 2020;50(6):863-875. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20196

Abstract PDF

Purpose
This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals.
Methods
A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses’ EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital’s medical records. Data were analyzed using t-test, χ² -test, and Shapiro-Wilk test, with qualitative content analysis used for interview data.
Results
Following the intervention, nurses’ EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group.
Conclusion
This program is effective to improve nurse’s perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

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Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study
Suhyun Kim, Hye Won Jeong
BMC Nursing.2024;[Epub] CrossRef
Effects of nurse’s knowledge and self-efficacy on nursing performance in pediatric intravenous fluid management in South Korea: a descriptive study
Se-Won Kim, Mi-Young Choi
Child Health Nursing Research.2024; 30(4): 288. CrossRef
Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
Soomi Kim, Chul-Gyu Kim
Journal of Korean Academy of Nursing.2023; 53(3): 275. CrossRef

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Original Articles

Opening Status of the Korea Midwifery Birthing Centers and Development of Midwifery Practice Guideline: Song, Ji Young , Park, Young-Joo; J Korean Acad Nurs 2020;50(4):583-598. Published online August 31, 2020; DOI: https://doi.org/10.4040/jkan.20032

Abstract PDF

Purpose
This study was to investigate the operational status of the midwifery birthing centers (MBCs) and midwives’ job status (Phase 1) and to develop midwifery practice guidelines (MPG) (Phase 2) in Korea.
Methods
In the first phase, the subjects were 15 midwives who operated 11 of 14 MBCs that were opened as of August 2018. The questionnaire consisted of items to measure the operational status of the MBC and midwives’ job status. In the second phase, the MPG was developed from literature review, interviews with five midwives opening their MBCs, surveys with 74 midwives, and a validity evaluation conducted by seven experts.
Results
The distribution of operating MBCs was five in Gyunggi-do, two each in Seoul and Incheon, one each in Busan, Chungcheongbuk-do, Gyeongsangbuk-do, Gyeongsangnam-do and Jeju-do. The mean age of midwives was 54.3 and all were female. In 2017, a total of 762 births including 81 homebirths were performed by midwives. The job performance was highest in the order of neonatal care 3.81, childbirth care 3.56, and postpartal care 3.53, respectively. The MPG included seven areas of prenatal care, childbirth care, postpartal care, neonatal care, primary health care, law/ ethics, and administration, with 56 tasks and 166 task elements.
Conclusion
This study provides the valid basic data for the operational status of the MBC and the midwives’ job status. The MPG describes the midwife’s job and may be used as basic data for preparing policies for the development of midwifery practice in Korea.

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Preparation of the nursing workforce in the field of women’s health
Sukhee Ahn
Women's Health Nursing.2024; 30(2): 91. CrossRef
A Job analysis of Hospital Midwives: A DACUM Analysis
Yunmi Kim, Sunok Lee, Jummi Park, Sunhee Lee, Miyoung An, Buyoun Kim
Journal of The Korean Society of Maternal and Child Health.2023; 27(2): 119. CrossRef
A comparison of the perceived importance and performance of midwives’ roles between midwives and nurses in Korea: a cross-sectional study
Kyungwon Kim, Yunmi Kim, Jummi Park
Korean Journal of Women Health Nursing.2023; 29(4): 263. CrossRef
Expanding the role of midwives in Korea
Kyung Won Kim
Korean Journal of Women Health Nursing.2021; 27(3): 167. CrossRef
2020 Year of the nurse and the midwife: a call for strengthening midwifery in response to South Korea’s ultra-low birth rate
Yun Mi Kim
Korean Journal of Women Health Nursing.2020; 26(4): 255. CrossRef

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Bridging the Gap Between Research, Practice and Theory in Nursing: Ketefian Shake; Journal of Nurses Academic Society 1994;24(2):303-312. Published online March 31, 2017; DOI: https://doi.org/10.4040/jnas.1994.24.2.303

Abstract PDF: No abstract available.

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A Preliminary Study on Development and Evaluation of Home Health Care Nurse Clinical Practice Program: Focused on Postoperative Orthopedic Patients: Young Sook Suh; Journal of Nurses Academic Society 1996;26(1):15-32. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1996.26.1.15

Abstract PDF: The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed included confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient/family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who had had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.

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Expertise in ICU Nursing: A Qualitative Approach: Myung Sun Yi, Eun Ok Lee, Myoung Ae Choi, Keum Soon Kim, Mooon Hee Ko, Min Jeong Kim, Hyun Sook Kim, Jung Tae Son, Mi Ran Eom, Sang Eun Oh, Kyung Sook Lee, Eun Hee Jang, Gyeol Ja Cho, Jeong Sook Choe; Journal of Korean Academy of Nursing 2000;30(5):1230-1242. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.5.1230

Abstract PDF

The purpose of this research was to uncover the expertise of ICU nursing in Korea, and to describe nurses' practice based on the degree of skill acquisition. A total of 18 ICU nurses participated in the study. The data was collected through individual in-depth interviews and it was managed using the NUDIST 4.0 software program. The data was analyzed using interpretive phenomenology suggested by Benner. Four properties of expertise of ICU nursing were identified. These are 1) concern and love toward patients; 2) knowledge; 3) skill, and 4) abilities in interpersonal relationships. And the characterisitcs of four levels of skill acquisition, that is advanced beginner, competent, proficient, and expert, were described with exemplars. The results of this study might help nurse researchers clarify and elaborate on the concept of expertise in ICU nursing, and enable them to understand how the process of skill acquisition occurs in the ICU setting. They might also help nurse managers establish educational goals for ICU nursing for student or novice nurses.

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Experience of Clinical Adaptation among Nurses in Intensive Care Unit
Jin Young Hong, Sue Kyung Sohn
Journal of Korean Critical Care Nursing.2024; 17(1): 1. CrossRef
Hermeneutic Phenomenological Study on Caring Experiences of Mental Health Nurses for the Mentally Ill Patients
Seong Ui Kim, Seong Sook Kong
Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(3): 293. CrossRef

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An Inquiry into Subjectivity of Fundamental Nursing Practice Attitude: Kyoung Soon Han, Eun Hee Park, Ju Yeon Cho; Journal of Korean Academy of Nursing 2000;30(3):682-693. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.3.682

Abstract PDF

The study was designed to identify the attitude of nursing students to fundamental nursing practice through Q-methodology. A Q sample was developed through a review of the literature and interviews. Forty statements made up the finalized Q-sample. The P sample consisted of 25 nursing students in S College. Q statements were written on separate cards and were given to the 25 subjects to sort according to degree of agreement or disagreement. The Q-sort by each subject was coded and analyzed with QUANL PC Program. The analysis discovered three major attitudes, namely "type 1: passive demand", "type 2: active self-confidence", "type 3: practical application". The correlation was .213 between type 1 and 2, .409 between type 1 and 3, .379 between t ype 2 and 3. The results revealed three different types of fundamental nursing practice attitude; 1) Passive demand type: they were not satisfied with fundamental nursing practice time, the number of persons, practice machines. They presented anxiety and worry through fundamental nursing practice. Therefore, they will presenta passive attitude of clinical practice experience. 2) Active self-confidence type: they experienced pride as a nursing student and fascination as a nurse was an acquired recognition. 3) Practical application type: they practiced that fundamental nursing skill was applied their family and oneself. Therefore they had tension through initial fundamental nursing practice but they gained self-confidence and interest through practical study. In conclusion, the researchers suggest that the education program would be more effective if it was planned considering to each types of attitude of nursing students for fundamental nursing practice.

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Effects of Self-directed Feedback Practice using Smartphone Videos on Basic Nursing Skills, Confidence in Performance and Learning Satisfaction
Seul Gi Lee, Yun Hee Shin
Journal of Korean Academy of Nursing.2016; 46(2): 283. CrossRef
Cognition and Practice of Standard Precautions towards Hospital Infection Control in Emergency Medical Technology Students
Jin-Uk Kim, Yoon-Shin Kim, Hyun-Kyung Ji, Ki-Sook Bae
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(1): 264. CrossRef
Student Experience and Satisfaction with Clinical Nursing Practice in Women's Health Nursing
Yunmi Kim, Nami Chun, Eun Hee Lee, In Sook Cho, Sukhee Ahn, Jeung-Im Kim, Myung Haeng Hur, Sook-Hee Lee, Hae-Kyung Lee, Chae Weon Chung, Nam Mi Kang, Hae Won Kim
Korean Journal of Women Health Nursing.2011; 17(3): 225. CrossRef

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An Analysis of Requisite Knowledge Body of Physiology for Clinical Nursing Practices: Wha Sook Seo, Young Whee Lee; Journal of Korean Academy of Nursing 1999;29(3):711-720. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.3.711

Abstract PDF

The purpose of this study was to define the content of physiological knowledge needed for clinical nursing practices. Subjects of physiology were classified into 15 areas, and each area was further classified into subareas, resulting in a total of 194 subareas. The degree of importance of each subarea was measured with a 4-point scale. The subjects of this study were 179 nurses of two university hospitals located in Seoul and Inchon. The results were as follows: 1. The areas of physiology necessary for clinical nursing practice as a basic knowledge in the order of importance were : blood, respiratory system and renal physiology , function of the immune system, body fluid and cardiovascular system, body temperature, endocrine physiology and gastrointestinal physiology. However, the degree of importance for reproductive physiology, neurophysiology, energy and metabolism, cell and cell membrane physiology, muscular physiology and special sense was relatively low. 2. The most important content of physiology for all clinical areas in nursing was blood physiology. However, the degree of importance for each physiology area was different depending on clinical areas. 3. Subareas of physiology as a basic knowledge for clinical practice and education in nursing were blood transfusion, blood type, function of red blood cell, white blood cell and platelet, characteristics and function of hemoglobin, composition and function of hemoglobin, composition and function of plasma protein, and mechanism and function of plasma protein, and mechanism of blood coagulation and anticoagulation. In conclusion, areas of physiology necessary for clinical nursing practice were blood, respiratory system and renal physiology, function of immune, body fluid and cardiovascular system, body temperature, endocrine physiology and gastrointestinal physiology. However, the degree of importance for each physiology area was different depending on clinical areas in nursing.

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A Coorientation Analysis of Perception on Bionursing between Clinical Nurses and Nursing Professors
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 Degree of ZMother's Accident Prevention Practices for Their Children: Shin Jeong Kim, Hwan Seok Choi; Journal of Korean Academy of Nursing 1999;29(3):656-664. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.3.656

Abstract PDF

Accidents are the leading cause of death in children worldwide. The purpose of this study is to use basic data of safety education, counseling, and information available regarding accident prevention to examine the degree of mother's accident prevention practices for their children. Data were collected from June to October, 1998 from 587 mothers including 2 University hospitals located in Seoul and KyoungKi-Do. By using the 30 item questionnaire, which was created by researchers through literature review, the degree of mothers' accident prevention practices for their children was measured. The degree of accident prevention practices of mothers shown ranged 70-118 and averaged 3.19. Compared to the composit area average score, drug keeping had the highest score of 3.57. The next highest scores and traffic safety(3.41), and super vision of child(3.30). Prevention against burning was the lowest point at 2.58. With the respect to the demographic characteristics, there were statistically significant differences in the mothers' education(F=4.291, p=.014), type of residence(F=3.979, p=.008), and child developmental age(F=5.275, p=.001). The degree of accident prevention practices of mothers were relatively high. But the area which showed the low degree of accident prevention practices, required nurses' active education, counseling, social interest and support, and mass media participation.

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Development and Evaluation of a Safety Education Program for Injury Prevention in Elementary School Students
Shin-Jeong Kim
Journal of Korean Academy of Child Health Nursing.2010; 16(1): 20. CrossRef

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A Study on the Experience of Fundamental Nursing Practice: Kyoung Soon Han, Ju Yeon Cho; Journal of Korean Academy of Nursing 1999;29(2):293-303. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.293

Abstract PDF

The purpose of this study was to understand and to explain how were nursing students experienced and accepted the fundemental nursing practice. In addition to, the results of this study are attempted to contribute for offer of basic data in projecting and accomplishing to promote quality practice education. The participants were 790 freshmen of S College of Nursing in kyungi-do. They presented record of feeling and thinking on their the foundemental nursing practice experience. The data were collected from 29, June to 10, July in 1998. Collected data was analyzed by means of Van Kaam's phenomenological method. The results of this study was founded 423 descriptive expression and they were grouped under 42 common factors and they were grouped under 9 categories. By means of the frequency on the categories, the higher category is Anxiety, next Solemn, Flutter, Pride, Usefulness, Recognition of reality in nursing-system, Lack of practice environment, Self-accusation, Comprehension of nursing spirit were founded. 5 common factors, Tension, Difficulty, Dread, Apprehension, Burden were grouped under Anxiety. 7 common factors, Pledge, Memory, importance of practice, Sincerity, Restriction of dress, Acceptance, Active attitude were grouped under Solemn. 5 common factors, Interest, Strange, Beanimated, Waiting, Curiosity were grouped under Flutter. 5 common factors, Conceit, Self-confidence, Skilled, Worth, Accomplishment were grouped under Pride. 6 common factors, acknowledge of nursing affairs, Expectation of future, Fascination of nursing, Acquirement of disposition of nurse, Association of injection, Actual Feeling of dept. of nursing were grouped under Recognition of reality in nursing-system. 4 common factors, Lack of practice time, Many persons of practice, Lack of practice instrument, Lack of reality were grouped under Lack of practice environment. 5 common factors, Inconvenient, Reflection, Loss of pride, Shyness, Feeling sorry were grouped under Self-accusation. 3 common factors, utility, Connection of practice and theory, Various experience were grouped under Usefulness. 2 common factors, Comprehension on the dignity of human, Comprehension on a point of view of patient were grouped under Comprehension of nursing spirit. In conclusion, the following recommendation should be necessary a supplementary study to approach on the type of students that has a firm view and care about client prior to clinical nursing practice.

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The Effects of Team-Based Learning on Fundamentals of Nursing
Soon-Ok Kim, Mi-sook Kim
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 107. CrossRef
Communication Experience of between Nursing Students and Patients
윤석희, 이정섭
Health Communication, the Official Journal of Korean Academy on Communication in Healthcare.2013; 8(2): 129. CrossRef

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Educational Issues and Strategies to Improve APN Education: Kasil Oh, Kang Mi Ja Kim, Keum Soon Kim, Jee Won Park, Myung Sook Sung, Eui Geum Oh, Myung Ha Lee, Chae Weon Chung, Dong Sook Cho, Young Ran Tak, Jee In Yoo; Journal of Korean Academy of Nursing 2007;37(5):801-809. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.801

Abstract PDF

Purpose

This study was aimed at exploring the current status of graduate programs for an advanced practice nurse(APN) to recommend future directions of APN education.

Methods

A total of 142 students enrolled in seven APN specialty programs, 67 professors who were involved in APN education, and nine nurse administrators participated in the study. Data was collected by questionnaires and focus group interviews.

Results

The current definition of APN was found not to be specific enough to represent expected roles of APN in regards to knowledge, attitudes, roles, and skills. Standard curricula employed regardless of the area of APN specialty, lack of qualified clinical practice settings, as well as prepared instructors were found to be problematic.

Conclusion

The following needs to be addressed: 1. redefining of APN roles, 2. tailoring specialty areas of APN, 3. consolidating educational programs, and 4. ensuring APN role models and faculty. Suggesting a CNS role in Korean APN, areas of APN should be rearranged toclarify their roles and educational programs need to be further developed to meet the expectations and quality of APNs. It is necessary to ensure APN's employment in the health care system by laws and policies to perform advanced nursing roles.

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Nurses’ perceptions of gerontological nurse practitioner programme curricula: A qualitative descriptive study
Jongsun Park, Hyejin Kim
Journal of Korean Gerontological Nursing.2023; 25(3): 237. CrossRef
A Comparison of Empowerment, Job Satisfaction, Organizational Commitment between Advanced Practice Nurses and Registered Nurses of Hospitals
Im-Jin Jung, Yun-Mi Kim
The Journal of the Korea Contents Association.2016; 16(3): 354. CrossRef
Korean hospice nursing interventions using the Nursing Interventions Classification system: A comparison with the USA
Sung‐Jung Hong, Eunjoo Lee
Nursing & Health Sciences.2014; 16(4): 434. CrossRef
Job Performance by Advanced Practice Nurses in Korea
Mijung Kim, Yeong Kyeong Kim, Sujin Shin
Korean Journal of Adult Nursing.2014; 26(6): 630. CrossRef
Job Competencies and Educational Needs Perceived by New Community Health Practitioners
Hyun Kyung Kim, Young Eun, Kyung Ja June, Ae Young So, Hee Gerl Kim, Mi Ran Eom, Yeon Yi Song, Eun Suk Choi, Ji Yeon Park, Hyoung Suk Kim
Journal of Korean Academy of Community Health Nursing.2014; 25(2): 85. CrossRef
Factors Affecting the Self-directed Learning of Students at Clinical Practice Course for Advanced Practice Nurse
Miyoung Kim, Seong-Yeon Park
Asian Nursing Research.2011; 5(1): 48. CrossRef
Use of Physical Assessment Skills and Education Needs of Advanced Practice Nurses and Nurse Specialists
Hyunsook Shin, Bog-Ja Kim, Hee Sun Kang
Journal of Korean Academy of Nursing.2009; 39(5): 709. CrossRef
Economic Evaluation of Gemcitabine-cisplatin Chemotherapy for Non Small-Cell Lung Cancer Patient in an Outpatient Setting
Su Hyun Min, Su-kyoung Ko, Ji Young Lim
Journal of Korean Academy of Nursing.2008; 38(3): 363. CrossRef

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Factors Influencing Vitality among Nurses: Ji Soon Lee, Won Oak Oh; Journal of Korean Academy of Nursing 2007;37(5):676-683. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.676

Abstract PDF

PURPOSE: This study was conducted to understand the degree of vitality, meaning in life and self-efficacy and to elucidate the factors influencing this vitality in the nurses of Korea. METHOD: A cross-sectional survey of nurses from 4 hospitals was conducted by convenience sampling. Data collection was conducted through the use of questionnaires which were constructed to include a Vitality Self Test, Purpose in Life Test and Self-efficacy Scale. RESULTS: The degree of vitality in nurses was in the middle range. The nurses of this study had few goals towards meaning in life, and an existential vacuum state. A positive relationship was found between vitality and the research variables. The significant predictors influencing vitality in nurses were meaning in life, self-efficacy, and clinical career, and these variables accounted for 28.7% of the variance in vitality. CONCLUSIONS: This results support that vitality is an important link with meaning in life and self-efficacy. There should be a comprehensive study in the future for in-depth understanding of the vitality of nurses.

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Burning bright or burning out: a qualitative investigation of leader vitality
Jamie Shapiro
Frontiers in Psychology.2023;[Epub] CrossRef
The prospective effect of purpose in life on gambling disorder and psychological flourishing among university students
Meng Xuan Zhang, Hong Mian Yang, Kwok-Kit Tong, Anise M. S. Wu
Journal of Behavioral Addictions.2020; 9(3): 756. CrossRef
Quality of life and menopause: Developing a theoretical model based on meaning in life, self-efficacy beliefs, and body image
Forugh Jafary, Kiumars Farahbakhsh, Abdollah Shafiabadi, Ali Delavar
Aging & Mental Health.2011; 15(5): 630. CrossRef

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A Professional Nursing Practice Environment and Its Impact on Nurses' Task Motivation: So Young Kang, Young Rhan Um, Sung Suk Han; Journal of Korean Academy of Nursing 2005;35(2):353-361. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.353

Abstract PDF

Purpose

This study was aimed at (a) describing professional nursing practice environments embedded in nursing care units and (b) examining its relationships to nurses' task motivation.

Method

Using the Nursing Work Index Revised (NWI-R) and the Work Preference Inventory (WPI), a descriptive study was conducted with a sample of 320 registered nurses on 26 nursing care units in one University hospital in Korea.

Result

Mean scores were 12.9 on a 5-20 score range of an autonomous environment scale, 7.3 on a 3-12 score range of a collaborative environment, and 15.8 on a 7-28 score range of control over nursing practice. Nurses' age, educational level, job position, working period at the hospital and employment status were significantly related to the degree of a professional practice environment. The extent to which a professional practice environment accounted for task motivation was 19.5%.

Conclusion

There is a certain degree of professionalism in the workplace environment that nurses perceived within the nursing care units. When nurses care for patients, the degree of task motivation depends on the work environment supporting the professional nursing practice.

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Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention in the Small and Medium Sized Hospitals
Jeong Ok Kwon, Eun-Young Kim
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Eunhee Cho, Mona Choi, Eun-Young Kim, Il Young Yoo, Nam-Ju Lee
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Nurses' Research Activities and Barriers of Research Utilization: Eui Geum Oh, Hyun Ju Oh, Yoon Jung Lee; Journal of Korean Academy of Nursing 2004;34(5):838-848. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.838

Abstract PDF

Purpose

This study was to describe nurses' research activities, perceptions and performances of evidence-based practice and barriers to the use of research evidence in nursing practice in Korea.

Method

A cross-sectional survey design was used. A questionnaire, except for Barriers Scale, was developed for the study. Data was collected from a convenient sample of 437 registered nurses working at research and education oriented university hospitals.

Result

Nurses' research-related activities were relatively low compared to previous studies. Also perceptions and performances of evidence based nursing practice were low. Preferred informational resources for clinical decision making were identified as ward manuals/clinical guidelines, manager/senior nurses, and literature/research. The major barriers to research utilization were a lack of implication for practice along with inadequate facilitation to implement research evidence and difficulty understanding research written in English. Priorities of barriers factor were Administrator, Communication, Adopter, and Research.

Conclusion

The findings provide directions for future training, education, and managerial policy to achieve successful evidence based nursing practice.

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Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
PLOS ONE.2019; 14(12): e0226742. CrossRef
Korean Translation of the Barriers to Research Utilization Scale: Psychometric Testing
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Heat Application According to Nurse's Belief on Evidence-Based Practice and Behavioral Intention Related to Research
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Effects of Project Perception of Research Nurses from Research-driven Hospitals, Research-relevant Performance: Focusing on the Mediating Effects of Research Capacity and Job Satisfaction
Kyoung-Mi Cho, Yang-Kyun Kim
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Clinical physical therapists research activity reality and barriers to their utilizing research findings
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Hospital Nurses' Uses of Evidence, and Barriers to and Enablers of Evidenced-based Practice
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Myung Sook Cho, Yong Ae Cho, Mi Ra Song, Mi Kyung Kim, Sun Kyung Cha
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Youn-Jung Son, Sun-Hee Kim, Young-Su Park, Soo-Kyoung Lee, Yun-Mi Lee
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Level of Knowledge on Evidence-based Infection Control and Influencing Factors on Performance among Nurses in Intensive Care Unit
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Journal of Nursing Education.2010; 49(7): 387. CrossRef
Research activities and perceptions of barriers to research utilization among critical care nurses in Korea
Eui Geum Oh
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The Development and Effects of a Comprehensive Communication Course for Nursing Students: Sunah Kim, Jung Hwa Park, Hyun Hwa Lee; Journal of Korean Academy of Nursing 2004;34(3):412-420. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.3.412

Abstract PDF

Purpose

The purposes of this study were to: (a) develop a comprehensive communication course combined with a group program for improving communication skills; and (b) examine the effects of the comprehensive communication course on interpersonal communication, relationship change, self-esteem, and depression in nursing students.

Method

The experimental group consisted of 82 nursing students, and the control group, 108 nursing students. Both groups each took communication courses from March to June, 2002 and 2003. A group program for improving communication skills was conducted for each 8 subgroups of the experimental group for 90 minutes once a week during the 6 weeks, while the existing communication lecture was conducted for the control group. Both groups were post-tested after the intervention for verifying the difference of variables between the two groups, and the experimental group was also pre-tested for verifying the difference between before and after the treatment.

Result & Conclusion

Interpersonal communication score of the post-test in the experimental group was significantly higher than in the control group and the depression score of the post-test in the experimental group was significantly lower than in the control group. Interpersonal communication, relationship change and self-esteem scores were significantly increased and the depression score was significantly decreased in experimental group after the treatment. In conclusion, the comprehensive communication course that was developed in this study had positive effects on communication skills in nursing students.

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Min Young Jung, Jeongyee Bae
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Improving the Standards of Midwifery Education and Practice and Extending the Role of a Midwife in Korean Women and Children's Health Care: Kyung Hye Lee; Journal of Korean Academy of Nursing 2003;33(8):1111-1118. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.8.1111

Abstract PDF

Background

A midwife is a medical professional who has a nursing license, and is also licensed as a midwife with one additional year of education. In this globalization era, a midwife's role is increasing in importance for women and children's health care worldwide.

Purpose

The primary purpose was to analyze midwifery education programs in Korea and other nations. The secondary purpose was to define strategies to improve midwifery education and practice, and to extend the role of a midwife women and children's health care in Korea.

Methods & Results

1) The definition of a midwife and midwifery practice recognized internationally by World Health Organization (WHO) and International Council of Nurse Midwives (ICNM) was identified. 2) Midwifery education programs of Korea, U.S.A., Sweden, Australia, and Japan, were investigated and discussed. 3) Core competencies for the basic midwifery practice suggested by ACNM of the U.S.A. were reviewed as standard of midwifery practice. 4) As for the midwifery education system, a Masters degree program in a college of nursing is suggested. 5) The role of a midwife includes not only health care of childbirth women and newborn babies, but also a lifelong health care of women as well as her family and children.

Conclusion

An effort to extend the midwife's role and to improve service is imperative. The Laws/Acts related to midwives should be revised in regard to education, and practices, and the national examination for midwifery licensure needs revision to qualify for international approval. Also, midwifery curriculum and standards of practice need to be evaluated periodically, and an effective system needs to be established to renew midwife licenses.

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Midwifery Qualification in Selected Countries: A Rapid Review
Shakirah Md. Sharif, Wuan Shuen Yap, Weng Hong Fun, Ee Ling Yoon, Nur Fadzilah Abd Razak, Sondi Sararaks, Shaun Wen Huey Lee
Nursing Reports.2021; 11(4): 859. CrossRef

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Development of the Transition Shock Scale for Newly Graduated Nurses: Eun-Young Kim, Jung Hee Yeo, Kyeong Im Yi; J Korean Acad Nurs 2017;47(5):589-599. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.5.589

Abstract PDF

Abstract Purpose

The purpose of this study was to develop a scale to assess the transition shock experienced by newly graduated nurses, and test the validity and reliability of the scale.

Methods

The initial items were identified through a review of literature and in-depth interviews with nine newly graduated nurses. Content validation of the items was evaluated by five nurse professors and three nurses. Participants were 269 newly graduated nurses who worked at six acute care hospitals in Busan, Ulsan, and Yangsan, South Korea. Data were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion related validity, and internal consistency.

Results

The final scale consisted of 18 items and six factors (conflict between theory and practice, overwhelming workload, loss of social support, shrinking relationship with co-workers, confusion in professional nursing values, and incongruity in work and personal life), which explained 71.3% of the total variance. The six subscale model was validated by confirmatory factor analysis. Cronbach's alpha for the total items was. 89. Convergent validity was evaluated by analyzing total correlation with burnout (r=.71, p<.001) and turnover intention (t=5.84, p<.001).

Conclusion

This scale can be used in the development of nursing interventions to reduce the transition shock experienced by newly graduated nurses.

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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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International Journal of Medical Informatics.2023; 179: 105239. CrossRef
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Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
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Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses
Ae Ri Na Nam, Eun Ho Lee, Jeong Ok Park, Eun Jung Ki, Su Min Nam, Mi Mi Park
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Journal of Korean Gerontological Nursing.2016; 18(3): 172. CrossRef

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Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors: Eui Geum Oh, You Lee Yang, Jae Yong Yoo, Ji Yun Lim, Ji Hyun Sung; J Korean Acad Nurs 2016;46(4):501-513. Published online August 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.4.501

Abstract PDF

Purpose

The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula.

Methods

For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis.

Results

Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP.

Conclusion

The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.

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Chi Eun Song, Weon Gyeong Kim, You Jin Lim
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Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
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A Study on the Classification of Nursing Management Competencies and Development of related Behavioral Indicators in Hospitals: Seong Yeol Kim, Jong Kyung Kim; J Korean Acad Nurs 2016;46(3):375-389. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.375

Abstract PDF

Purpose

The aim of this study was to classify nursing management competencies and develop behavioral indicators for nurse managers in hospitals. Also, levels of importance and performance based on developed criteria were to be identified and compared.

Methods

Using expert survey we classified nursing management competencies and behavioral indicators with data from 34 nurse managers and professors. Subsequently, data from a survey of 216 nurse managers in 7 cities was used to analyze the importance-performance comparison of the classified nursing management competencies and behavioral indicators.

Results

Forty-two nursing management competencies were identified together with 181 behavioral indicators. The mean score for importance of nursing management competency was higher than the mean score for performance. According to the importance-performance analysis, 5 of the 42 nursing management competencies require further development: vision-building, analysis, change management, human resource development, and self-management competency.

Conclusion

The classification of nursing management competencies and behavioral indicators for nurse managers in hospitals provides basic data for the development and evaluation of programs designed to increase the competency of nurse managers in hospitals

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Need analysis for managerial competencies of nurse managers in general hospitals
Hee-Kyoung Jeong, Seongmi Moon
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Training Priority for Managerial Competence of Nurse Managers in Small and Medium-Sized Hospitals: Focusing on the Management Level
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Competences of Graduates of Higher Education Business Studies in Labor Market I (Results of Pilot Cross-Border Research Project in Poland and Slovakia)
Magdalena M. Stuss, Katarzyna Szczepańska-Woszczyna, Zbigniew J. Makieła
Sustainability.2019; 11(18): 4988. CrossRef
Factors Influencing Managerial Competence of Frontline Nurse Managers
Ran Lee, Miyoung Kim, Sujin Choi, Hee Yeon Shin
Journal of Korean Academy of Nursing Administration.2018; 24(5): 435. CrossRef
Clinical Nurses' Perception on the Importance and Performance of Nursing Managerial Competencies
Gyeongja Kang, Jeong Hee Kim
Journal of Korean Academic Society of Nursing Education.2017; 23(3): 252. CrossRef

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Effects of an Individual Breast-feeding Promotion Program for Married Immigrant Women: Mi Kyoung Park, So-Hyun Moon; J Korean Acad Nurs 2016;46(1):128-139. Published online February 29, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.1.128

Abstract PDF

Purpose

This study was designed to evaluate the effects of an individual breast-feeding promotion program to address breast-feeding knowledge, attitude, method and rate of practice for married immigrant women.

Methods

A non-equivalent control group quasi-experimental design was used (experimental group=16, control group=17). The intervention consisted of 3 phases: (1) Within 2 hours of delivery - individual breast-feeding training through video/verbal/practical training education and demonstration (2) After 1~2 days - group training using video, model doll, and breast models (3) After 7 days - family visit, counseling, retraining and reinforcement training. The data were analyzed using non-parametric tests with the SPSS program.

Results

Married immigrant women who participated in the individual breast-feeding program scored high in knowledge, attitude, method and rate of practice compared to the control group.

Conclusion

The results indicate that the individual breast-feeding program is very effective in increasing breast-feeding knowledge, attitude, method and rate of practicing breast feeding for married immigrant women. So, nurses are encouraged to aggressively utilize individual breast-feeding programs to help married immigrant women, who are exposed to vulnerability due to various situations.

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Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
Eunju Kwak, Seungmi Park
Journal of Korean Academy of Nursing.2024; 54(2): 224. CrossRef
Effect of community‐based education to Korean mothers in relation to the prevention of cervical cancer in their daughters: A non‐randomized trial
Hae Won Kim, Seungmi Park, Youngji Kim
Japan Journal of Nursing Science.2018; 15(2): 146. CrossRef
Effects of the Culturally Sensitive Education of Perinatal Care on Knowledge, Skills, and Self-Efficacy among Korean Husbands and Vietnamese Wives
Youngmee Kim, Kap-Chul Cho
Child Health Nursing Research.2017; 23(4): 515. CrossRef
Effectiveness of Psychosocial and Educational Prenatal and Postnatal Care Interventions for Married Immigrant Women in Korea: Systematic Review and Meta-analysis
Sun Kyung Kim, Seyeon Park, Sukhee Ahn
Asia Pacific Journal of Public Health.2017; 29(5): 351. CrossRef

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Special Article

Implementing Evidence into Practice for Best Dementia Care: Myonghwa Park; J Korean Acad Nurs 2015;45(4):495-500. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.495

Abstract PDF: Purpose
The purpose of this paper was to discuss the need for translation studies in dementia care and current translational endeavors, and to provide recommendations for evolving evidence-based dementia care.
Methods
A literature review yielded current evidence and translational efforts.
Results
Dementia care interventions need to be implemented at various service levels. Barriers to translation include evidence gaps, lack of the use of a conceptual framework to explain the implementation process, and unsupportive funding mechanisms for applying innovations.
Conclusion
There is clear evidence of the need for and benefits of evidence-based dementia care for patients with dementia, family caregivers, and care professionals. The urgent need now is finding ways to advance translational activities and facilitate future research into translation science.

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Original Articles

Associations of Breastfeeding Knowledge, Attitude and Interest with Breastfeeding Duration: A Cross-sectional Web-based Study: Nam Mi Kang, Yoon Ji Choi, Taisun Hyun, Jung Eun Lee; J Korean Acad Nurs 2015;45(3):449-458. Published online June 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.3.449

Abstract PDF

Purpose

Maternal knowledge, positive attitudes and interest toward breastfeeding may improve the sustainability of breastfeeding. This study examined the associations of knowledge, attitudes, and interest toward breastfeeding with the duration of breastfeeding in Korean mothers who used the internet.

Methods

We conducted a cross-sectional study of 604 Korean mothers who breastfed their babies. Mothers were recruited through the internet and their knowledge, attitudes and interest toward breastfeeding were assessed using a web-based self-administered questionnaire. Geometric means and odds ratio (OR) with 95% confidence intervals were calculated.

Results

Higher knowledge, attitudes, and interest toward breastfeeding were associated with longer duration of breastfeeding in Korean mothers. In particular, mothers who had optimal breastfeeding duration were more likely to be aware of the easiness of breast milk stimulation and breastfeeding, the development of attachment between mother and child, and pleasure from breastfeeding compared to those mothers with shorter duration. The association with optimal breastfeeding duration was more pronounced among mothers who graduated from high school for total attitude scores and total interest scores, compared to mothers who graduated from college or above.

Conclusion

The results of this study suggest that it is important to improve maternal knowledge, attitudes, and interest toward breastfeeding in Korean mothers who use the internet as a source of knowledge. Also, the study results imply that the development of strategies to target mothers with relatively low education levels may improve breastfeeding rates.

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Reliability and validity of the German version of the Iowa infant feeding attitude scale (IIFAS-G) and relations to breastfeeding duration and feeding method
Debora Suppiger, Giancarlo Natalucci, Tilman Reinelt
International Breastfeeding Journal.2024;[Epub] CrossRef
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Pascale Sophie Russell, Debbie M. Smith, Michèle D. Birtel, Kathryn H. Hart, Sarah E. Golding
Health Psychology Review.2022; 16(2): 257. CrossRef
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Journal of Korean Medical Science.2022;[Epub] CrossRef
Survey of Korean pediatrician’s perceptions of barriers to and improvements in breastfeeding
Seong Phil Bae, Woo Ryoung Lee, Won-Ho Hahn, Hye-Jung Shin, Young Min Ahn, Son Moon Shin, Yong Joo Kim, Ellen Ai-Rhan Kim, Youn Jeong Shin, Dae Yong Yi, Soon Min Lee, Juyoung Lee, Jin A Lee, Sung-Hoon Chung, Euiseok Jung, Eui Kyung Choi, Ju Sun Heo
Clinical and Experimental Pediatrics.2022; 65(11): 540. CrossRef
Factors Associated with the Need for Breastfeeding Information Among Women with Gestational Diabetes Mellitus: A Cross-sectional Study
Seungmi Park, In Sun Jang, Deulle Min
Asian Nursing Research.2021; 15(3): 210. CrossRef
Integrative Review of Antenatal Milk Expression and Mother–Infant Outcomes During the First 2 Weeks After Birth
Nina A. Juntereal, Diane L. Spatz
Journal of Obstetric, Gynecologic & Neonatal Nursing.2021; 50(6): 659. CrossRef
Investigating Predictors of Prenatal Breastfeeding Self-Efficacy
Kathryn Corby, Debbie Kane, Deborah Dayus
Canadian Journal of Nursing Research.2021; 53(1): 56. CrossRef
Factors associated with exclusive breast-feeding: A cross-sectional survey in Kaiyuan, Yunnan, Southwest China
Yuan Ruan, Qiang Zhang, Juanjuan Li, Rong Wan, Jun Bai, Wenzhong Wang, Yutong Zhou, Qingqing Wan, Jiang Zhao, Siyang Yu, Min Peng, Zhitao Liu, Joann M. McDermid
PLOS ONE.2019; 14(10): e0223251. CrossRef
Prevalence of exclusive breastfeeding and barriers for its continuation up to six months in Kandy district, Sri Lanka
Himali Erandathie Ratnayake, Dhammica Rowel
International Breastfeeding Journal.2018;[Epub] CrossRef
Positive Effect of Baby-Friendly Hospital Initiatives on Improving Mothers' Intention for Successful Breastfeeding in Korea
Hyun Woo Park, Keun Ho Ryu, Yongjun Piao, Peipei Li, Jae Shik Hong, Hee Bum Kim, Hwanwook Chung, Jeong-Kyu Hoh, Yong Joo Kim
Journal of Korean Medical Science.2018;[Epub] CrossRef

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Adaptation and Evaluation of the Incontinence Care Protocol: Kyung Hee Park, Heejung Choi; J Korean Acad Nurs 2015;45(3):357-366. Published online June 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.3.357

Abstract PDF

Purpose

This study was done to develop an evidence-based incontinence care protocol through an adaptation process and to evaluate the effects of the protocol.

Methods

The protocol was developed according to the guideline of adaptation. A non-randomized controlled trial was used for testing the effects of the new Incontinence Care Protocol. A total of 120 patients having bowel incontinence with Bristol stool type 5, 6, and 7 and admitted to intensive care units were recruited to this study. The newly developed incontinence care protocol was used with patients in the experimental group and conventional skin care was given to patients in the control group. Outcome variables were incontinence-associated dermatitis (IAD) severity, pressure ulcer occurrence and severity.

Results

The experimental group had significantly less severe IAD (t=6.69, p<.001), lower occurrence of pressure ulcers (χ²=7.35, p=.007), and less severity of pressure ulcers (Mann-Whitney=86.00, p=.009) than the control group.

Conclusion

Use of this incontinence care protocol has the effects of preventing pressure ulcers and inhibiting worsening of IAD and pressure ulcers. Therefore, this incontinence care protocol is expected to contribute to managing IAD and pressure ulcers.

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Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
Soomi Kim, Chul-Gyu Kim
Journal of Korean Academy of Nursing.2023; 53(3): 275. CrossRef
The Efficacy of a Viscoelastic Foam Overlay on Prevention of Pressure Injury in Acutely Ill Patients
Kyung Hee Park, Joohee Park
Journal of Wound, Ostomy & Continence Nursing.2017; 44(5): 440. CrossRef

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A Structural Model for the Practice of Life Safety Behavior in School-age Children: Myung-Ock Chae; J Korean Acad Nurs 2014;44(2):119-128. Published online April 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.2.119

Abstract PDF

Purpose

This study is an examination of the paths in which the primary factors of anxiety, impulsiveness, knowledge of life safety practice, attitudes towards life safety practice, interpersonal support, and self-efficacy from Pender's Health Promotion Model influence the practice of life safety behavior in school-age children.

Methods

The sample consisted of 489 5th and 6th grade students recruited from five elementary schools in Seoul City and four provinces, South Korea. Data were analyzed using descriptive statistics, correlations, factor analysis, and structural equation modeling.

Results

Attitudes towards life safety practice, interpersonal support, self-efficacy and impulsiveness directly influenced practice of life safety behavior. Anxiety did not have a direct influence on practice of life safety behavior, but indirectly affected it. In this modified model, 52.0% of the practice of life safety behavior was explained by the primary factors.

Conclusion

To facilitate the practice life safety behaviors in late childhood, a positive attitude towards life safety needs to be developed along with decreasing impulsiveness and enhancing self-efficacy.

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A Study of Effect of Disability Prevention Program Acquired by People with Disabilities are Performed : centered on Elementary School Students
Yeon-Jung Kim
Journal of Digital Convergence.2016; 14(5): 369. CrossRef
Effects of Academic Stress and Self-Esteem on Practice of Life Safety Behaviors in School-Age Children
Myung-Ock Chae
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(4): 2713. CrossRef

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Review Article

Evidence Based Practice in Long Term Care Settings: Janet K. Specht; J Korean Acad Nurs 2013;43(2):145-153. Published online April 30, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.2.145

Abstract PDF

Purpose

The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC.

Methods

Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities.

Results

Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership.

Conclusion

There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

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International Journal of Older People Nursing.2023;[Epub] CrossRef
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International Journal of Environmental Research and Public Health.2022; 19(3): 1733. CrossRef
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Yuxin Bai, Caitlin McArthur, George Ioannidis, Lora Giangregorio, Sharon Straus, Alexandra Papaioannou
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Elena O Siegel, Heather M Young, Patricia C Heyn
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Annette Bauer, Michela Tinelli, Helen Weatherly, Beth Anderson, Bernadette Li, Bhash Naidoo, Rachel Kettle, Martin Knapp
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Elodie Perruchoud, Sofia Fernandes, Henk Verloo, Filipa Pereira
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Leili Rostamnia, Vahid Ghanbari, Fidan Shabani, Abbas Farahani, Nahid Dehghan-Nayeri
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Original Article

Comparison of Standardized Peristomal Skin Care and Crusting Technique in Prevention of Peristomal Skin Problems in Ostomy Patients: Seungmi Park, Yun Jin Lee, Doo Nam Oh, Jiyun Kim; J Korean Acad Nurs 2011;41(6):814-820. Published online December 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.6.814

Abstract PDF

Purpose

This study was performed to compare the effects of standardized peristomal skin care (SPSC) and crusting technique (CT) on the peristomal skin of ostomates. SPSC was developed by a consensus among the expert group based on a comprehensive review of the relevant literature and hospital protocols.

Methods

A randomized controlled pilot trial with 2 parallel arms was used. A total of 81 ostomates, who were recruited from a tertiary hospital, completed the baseline, 1-month, 2-month, and 3-month follow-up (SPSC group, n=45; CT group, n=36). SPSC consisted of water cleansing and direct application of ostomy appliances. CT involved crusting hydrocolloid powder and patting with water sponge or protective barrier liquid film. The outcomes of the study were assessed by skin problems, such as discoloration, erosion and tissue overgrowth; the domains of the evaluation tool used in examining the peristomal skin. A generalized estimating equation model was used to examine the effects according to time and group.

Results

In both SPSC and CT groups, the likelihood of occurrence of discoloration (OR, 1.99; 95% CI, 1.61-2.46), erosion (OR, 1.87; 95% CI, 1.55-2.25) and tissue enlargement (OR, 1.94; 95% CI, 1.36-2.77) increased with time. There was no significant difference in discoloration between the groups, whereas the probability of erosion (OR, 0.38; 95% CI, 0.16-0.89) and tissue overgrowth (OR, 0.09; 95% CI, 0.02-0.55) was lower in the SPSC group than in CT group.

Conclusion

SPSC was sufficient in preventing peristomal skin problems of ostomates compared to the CT.

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Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review
Agnieszka Kulawik-Pióro, Małgorzata Miastkowska, Katarzyna Bialik-Wąs, Piotr Zelga, Anna Piotrowska
Cosmetics.2025; 12(2): 74. CrossRef
Adapted Crusting Technique in Children with Peristomal Lesions: A Case Series
Ana Cristina Santos Monteiro, Maria Lucia Barbosa Maia dos Santos, Marcia Aparecida Souza, Juliana Caires de Oliveira Achili Ferreira
Advances in Skin & Wound Care.2020; 33(6): 329. CrossRef
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Journal of Wound, Ostomy & Continence Nursing.2017; 44(Supplement): S1. CrossRef
Scientific and Clinical Abstracts From the WOCN® Society's 45th Annual Conference

Journal of Wound, Ostomy & Continence Nursing.2013; 40(Supplement): S1. CrossRef

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