This study investigated whether professional identity predicts learning burnout among Chinese nursing students, and whether resilience moderates this relationship.
This cross-sectional study recruited 635 students from a nursing college at a medical university in Hefei, China. Data were collected using the professional identity questionnaire, learning burnout scale for college students, and 10-item Connor-Davidson Resilience Scale. Pearson’s correlation analysis was used to investigate the relationships between variables. The mediation effect was evaluated using linear regression and the bootstrap method in SPSS.
Nursing students exhibited intermediate learning burnout levels (score: 54.95 ± 10.42). Professional identity was positively correlated with psychological resilience (r = .42,
Psychological resilience mediates the relationship between professional identity and learning burnout. Thus, nursing educators can mitigate student burnout by developing their students' professional identities and psychological resilience.
The role of registered nurses is expanding in scope as the healthcare paradigm shifts from acute, hospital-based care to community and population-based care. Given this paradigm shift, this study explores the legal aspects of the role of a registered nurse.
We used document analysis for extracting laws and legal orders related to nursing from the entirety of Korean law. Using textualism approach, we examined the contents utilizing a framework that was developed based on the role classification of community nurses by Clark in this study.
A total of 119 items related to nursing were derived from 64 laws. Of these, 71.4 % can be performed by people in multiple types of occupations including nurses. As a result of analyzing required qualifications, 45.4% of 119 items required additional qualifications besides registered nurse license. Analysis of workplace and activity type demonstrated that 26.1% of the 119 items were related to medical institutions, with nurses performing mostly “Client-oriented role.” More than half (68.9%) were non-medical institutions, with nurses performing mostly “Delivery-oriented role.” Some, however, did not stipulate the nurse's roles clearly.
Therefore, to match the enhanced scope and responsibilities of registered nurses and to appropriately recognize, guide, and hold these nurses accountable, laws and policy must reflect these changes. In doing so, these updated laws and policies will ultimately serve as a basis for improving the quality and safety of nursing services.
This study was a survey done for the purpose of constructing a nursing theory according to Korean culture and to identify the traditional Korean view of humans and the expectations of the sick role, and to confirm changes from the traditional view of humans and expectations of the sick role according to general characteristics of the population. The subjects were all adults over 18 years old. 517 who lived in six large cities and 191 who lived in five rural communities. Data collection was done from November 19th, 1994 to January 19th, 1995 using a tool to measure the traditional view of humans and expectations of the sick role which was developed by the investigator through a literature review. Collected data were analyzed using frequency, percent, Cronbach alpha, t -test, F- test and Scheffe post hoc contrasts, with the SAS program. Thr results of this study are summerized as follows; 1. The Traditional view of human score for all subject was 49.92, which shows that Korean traditional view of human is moderate. High scored items were "human need to live by making harmony with nature, not by overcoming the nature" (3.44), "Filial duty to parents and elders is important"(3.31), "Think of family more than a individual"(2.96). 2. The differences in the traditional view of humans between residential districts showed that the residents of Chungbuk(56.00), Kyungbuk(55.26), Chonbuk(51.32), Taegu(50.59) had a more traditional view of humans than those in Pusan(45. 42)and Seoul(47.27). 3. The differences in the traditional view of humans according to general characteristics showed that rural community residents, males, older people, people with lower levels of education, married and house-resident groups had a significantly higher traditional view of humans than urban residents, females, younger people, people with a higher levels of education, single and apartment-resident groups. There were differences according to religion and job. Buddhism had a higher traditional view of humans than those of atheism, Christianity and Catholicism and physical workers, a significantly highers score, than technicians and professional workers. 4. Daily expected task performance during illnesses was lowest for patients with stroke(2.16) and psy-chosis (2.40), in which case almost no daily general tasks were expected, followed by arthritis 4. 06, peptic ulcer 4.79, headache 4.99 and cough 5. 58. The amount of expected role exemption during illnesses was also highest for stroke(2.25), followed by psychosis(2.08), arthritis(1.64). peptic ulcer(1.29), headache(1.16) and cough(1.09). The amount of daily task performance in the acute stage(3.05) was significantly lower than that of convalescent stage(4.95). 5. Total expectation of role exemption according to general characteristics showed that there was no significant differences in urban/rural community, marriage, level of education and religion. By sex, women showed higher expectation of role exemption during illnesses than men. By age, the 31-40 year old group showed lower expectation of role exemption than the 41-50 year old group or over the 61 year old group.
This study was carried out to measure the degree of organizational commitment, job involvement, and role stress of clinical nurses, and to identify the relationships among personal characteristics, role stress, organizational commitment and job involvement in clinical nurses. The subjects were consisted of 412 nurses who were working at three General Hospitals in Chonbuk. The data were collected by self-reporting questionnaire from Sept. 20 to Sept. 31, 1995. The instruments used in this study were Organizational Commitment Scale developed by Mowday et al. and Job Involvement Scale developed by Kanungo. The role stress was measured by the scale developed by Rizzo(: role conflict, role ambiguity) and Beehr(: role overload). T-test, one-way ANOVA, Scheffe test and pearson's correlation coefficient were used for data analysis. Major findings were as follows: 1. Mean scores for organizational commitment were 3.008, job involvement 3.074, and role stress 2. 815(: role conflict 2.802, role ambiguity 2.253, role overload 3.294) on a 5 point scale. 2. All of personal characteristics were significantly related to the level of organizational commitment: age(r=.481, p=.000), clinical experience(r= .479, p=.000), educational level(t=4.11, p= .000), position(F=30.867, p=.000), marital status(t=-5.63, p=.000) and hospital agency (F=21.374, p=.000). 3. All of personal characteristics were significantly related to the level of job involvement: age(r= .381, p=.000), clinical experience(r=.393, p= .000), educational level(t=3.72, p=.000), pos-ition(F=18.004, p=.000), marital status (t=-4. 91, p=.000) and hospital agency(F=39.441, p= .000). 4. There was a negative relationship between role stress and organizational commitment (r= - .519, p=.000). 5. There was a negative relationship between role stress and job involvement (r= -.256, p=.000). 6. There was a positive relationship between organizational commitment and job involvement (r=.591, p=.000).
This study was designed to identify the relationship of perceived self-efficacy and sick-role behavioral compliance in diabetic children. The forty-two diabetic children participating in this study were selected from outpatients. The period of data collection was August 8 to December 9, 1994. Collected data were analyzed by means of chi-square test, t-test, Pearson correlation using SPSS/PC+. The result are summarized as follows: 1. The mean score of perceived self-efficacy was 3. 21 that of sick-role behavioral compliance 3.17. 2. Perceived self-efficacy and sick-role behavioral compliance had a positive correlation which was statistically significant (r=0.77, P<0.001). 3. There were statistically significant difference in perceived self-efficacy according to age(p<0. 01) and acknowledgment of prescribed calories in the diabetic diet (p<0.001). 4. There were statistically significant difference in sick-role behavioral compliance according to age(p<0.01) and acknowledgment of prescribed calories in the diabetic diet (p<0.001). These results suggest that perceived self-efficacy is an important variable in the compliance of diabetic children. Nursing intervention needs to be directed at promoting perceived self-efficacy to maintain sick ?role behavioral compliance for diabetic children. Therefore programs of nursing intervention should be revised in order to promote perceived self ?efficacy in diabetic children.
PURPOSE: This study was performed to develope a scale of gender role identity in Korean adults based on the Bem's theory of androgyny. Although there were several tools in Korea, they were revealed having some problems of cultural differences, translation biases, and methodological problems. METHODS: A list of 78 items were developed using the existing tools and descriptions from 5 married couples. The items were the typical personality characteristics which were manifested by gender, male or female. And the list contained several items which were the socially desirable personality characteristics. which would be simply used as contextual items. Validity of the 78 items were screened by 18 expert panels with 4 point Likert scale, and 57 items were judged as highly valid from 70% of the experts, which were selected as preliminary items for the tool. Using the preliminary tool which was developed as a 4 point Likert scale, data were collected from 1,127 subjects for item analysis and factor analysis. 53 items were remained, because 4 items whose item-total correlation were lower than 0.2 were excluded by the result of item analysis. Factor analysis was done with the 53 items, and 49 items whose factor loadings were same and higher than 0.4 were remained. 3 factors were identified with eigen value 2.0, and these factors were named as masculinity, femininity, and social desirability. RESULTS AND CONCLUSION: KGRII(Korean Gender Role Identity Inventory) which contained 45 items was developed, with 15 items for 3 factors. The reliability of the tool was very high. Cronbach alpha of the tool was 0.929, and alpha of the subscales were ranged from 0.841 to 0.922.
PURPOSE: This study was aimed at comparing and evaluating one main role, the professional self concept and job satisfaction of public health nurses and clinical nurses. METHOD: The data was collected from 72 nurses in 8 health centers and 86 nurses in 5 hospitals in Daegu city and Kyungpook province from May 5th to June 5th, 2001. This study was interviewed by trained social workers. The origin of questionnaires used in this study were PSCNI(Professional Self-Concept of Nurses Instrument) to measure the professional self concept of nurses and JDI(Job Descriptive Index) to measure the job satisfaction of nurses. The data was analyzed by SAS(version 6.12) and statistical methods used were Chi-square test, t-test, ANOVA(analysis of variables) and ANCOVA(analysis of covariate). RESULT: The findings of this study were as follows: 1. The most important domain in the main role of public health nurses were as counsellors, managers, mediators and evaluators. In clinical nurses, their main roles were, directors of nursing, researchers, spokesmans, and informers. 2. Public health nurses showed lower scores in the professional self concept of nurses than clinical nurses, what statistically significant tool was used to suggest this finding. 3. Public health nurses showed higher scores in job satisfaction than clinical nurses, but again, explain the tool used in these findings for give a rationals. 4. For public health nurses, general characteristics which affected professional self concept were age, educational level, and duration of job. In clinical nurses, the general characteristics which affected professional self concept were age, religion, marital status, and duration of job. 5. For public health nurses, there was no general characteristic which affected job satisfaction. In clinical nurses, the general characteristics which affected job satisfaction were age, religion, and duration of job. CONCLUSION: Nursing profession should give a training to competent nurses who can deliver high quality care to meet the needs of health consumers. The role of nurses has been expended and specialized as health conception has been changed in Korea.
PURPOSE: This study was conducted to evaluate the effectiveness of the maternal role
education program for primiparas in mother-infant interaction, childrearing environ-
ment, and infant development. METHOD: A Non-equivalent control group time-series
design was used. For the intervention group, programmed parenting education focusing
on mother-infant interaction, home environment for infant development, and parent
counseling and support was provided via home visits or telephone for twelve months.
RESULT
Significant differences were found in the mother-infant interaction feeding scale
at one and three months, but no differences were found in the teaching scale at six and
twelve months between the intervention and control groups. Also, the difference in
childrearing environment (HOME) between the two groups was significant at three, six,
twelve months. In addition, the intervention group showed higher GQ in the Griffiths
mental development scale at three and six months. In multiple regression analysis, 22.6%
to 43.6% of infant development was explained by HOME, mother-infant interaction, and
previous development. CONCLUSION: The maternal role education program proved to be
effective in promoting mother-infant interaction, organizing the childrearing environment,
and fostering infant development.
The labor participation rate of women are increasing, especially for married and 30 and over aged women in Korea. The employment of married women occurs dual-role problems. But recent empirical evidences suggest that employment yields a net gain of benefits over costs with respect to both physical and mental health for women as well as men. Previous researches suggested that the quality of the role or role satisfaction, not the occupancy of the role, is one of the predictors of psychological health. The purpose of this study is to investigate influencing factors on quality of job role for Korean women with children and husband. Data were collected from 323 mothers of students at 3 kindergartens, 2 elementary schools, 3 middle schools, 4 high schools in metropolitan area, during 1998.8 - 1998.12. they were dual-earner couples, and were employed over one year. Response rate is 62.3%. Quality of role was measured using Role Quality Scale developed by Park, June & Kim(1999). This instrument is based on Role Rewards and Concerns Scale of Barnett et al.(1993) for quality of job role. Quality of job role is made of 27 items and the subfactors are interpersonal relationship, job stress, pride, payment, and autonomy. Scales have good internal consistency(Cronbach ??= 0.86). The findings of this study show that personal income, occupation, husband's attitude for wife's employment, and the perceived equity for labor division between couples are significant variables for quality of job role. But age, education, career years, working hours per week are not significant. 24.83% of the variance in quality of job role were accounted for by these variables.
The aims of this study were to identify the effects on sexual role identity and sexual attitude of the A-V programed sexual education on Oct. 1. 1997 through Sep. 30, 2000. The program was focused on the formation of the desirable sexual activity, attitude and androgyny sexual role identity of the Korean adolescents, and that was the 25 minute VTR media "Our sexuality is healthful". This study was non equivalent post-test only quasi-experimental design, and the subjects were 530 middle school boys in Busan, Korea. After the manipulation, the change of sexual role identity and sexual attitude was analysed. Outcome measures were middle school boys' sexual role identity toward KSRI on a seven-point Likert scale and sexual attitudes toward SAS on a five-point Likert scale. The data was analysed by SPSS WIN. The results were summarized as follows: 1) The experimental group who was exposed to the A-V media produced by the author showed the higher score of androgyny sexual role identity than the control group who didn't watch the A-V program. 2) The experimental group showed the higher rate of the androgyny than the control group, On the other hand, their rate of the masculinity turned out to be lower than the latter group. 3) The experimental group didn't show the difference of SAS score from the control group. In conclusion, "Our sexuality is Healthful" A-V program for sexual education brought about the significant change of sexual role identity of the middle school boys, but didn't affect their attitude toward sexual activity.
The purpose of this study is to identify health promotion behavior, self-efficacy and role stress of family caregivers who care for hospitalized cancer patient, The results would be used to provide the necessary basic data for promoting healthy behavior of the family caregivers to the cancer patient. The results were as follow : 1) The level of health promotion behavior was significantly different depending on the existence of care givers religion and type of help from family members. There was a positive relationship between the performance level of health promotion behavior and perceived health status or age. There was a negative correlation between the performance level of health promotion behavior and time cared for. 2) The level of self-efficacy was significantly different depending on gender and if the subject was employed. There was a positive relationship between perceived health status and intimacy with patient. 3) The level of role stress was significantly different in genders and relationships with patients. 4) There was a positive relationship between health promotion behavior and self-efficacy.
This study was done to determine the factors influencing smoking-cessation behavior in female university students. a total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997. The measurement tools used in this study were the self help change process scale(Cronbach's alpha=.9930 : developed by Oh&Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale(KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers(N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool(150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p= .000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score(t=5.24, p= .000), and more openness to sex role acceptance(t=-2.15, p= .032) compared to the group with smoking experience(N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior(total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation ration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.
The purpose of this study was to contribute to neonatal nursing and maternal nursing to reduce parental role stress in mothers of preterm babies and to improve perception of the newborn to by the parents. Data were collected through self-report questionnaires which were consisted of a parental role stress scale and a neonatal perception inventory. The subjects were 100 mothers of fullterm babies and 50 mothers of preterm babies, all in the early postpartum stage and admitted to three hospitals I the Kyoung-In area between November 8 1997 and May 30, 1998. The data were analyzed by a SPSS program and the results are as follows : 1. There were no significantly differences in the means for parental role stress between mothers of fullterm babies and preterm babies. The mean for perception of the newborn was significantly lower in mothers of preterm babies than in mothers of fullterm babies. 2. In mothers of preterm babies, the level of parental role stress was correlated to the one minute Apgar score. The level of perception of the newborn was correlated to gestational age and birth weight. 3. The mothers of preterm babies whose education level was above graduation from college had lower parental role stress than those who had a lowers level of education. The mothers who had experienced cesarean section had higher parental role stress than those who gave birth to their baby prematurely. The above findings indicate that mothers of preterm babies had lower perception of the newborn than mothers of fullterm babies. Therefore, nursing intervention should be provided for mothers of preterm babies to manage parental role stress and improve perception of the newborn.
The purpose of this study was to evaluate maternal perception of the newborn, confidence and gratification of mothering role, and contribute to maternal nursing and neonatal nursing. The questionnaire, maternal perception of the newborn(I) was completed by 47 mothers at three hospitals in the Kyoung-In area during the first to third day after birth. the questionnaire, maternal perception of the newborn(II), confidence and gratification of mothering role were completed at fourth to sixth week after birth. the data were analyzed by a SPSS program. The results were as follows; 1) The means of perception of the newborn(I) and (II) were 2.28+/-4.81 and 3.83+/-4.84. The means of confidence and gratification of mothering role were 40.38+/-5.51 and 39.30+/-6.70. 2) Half of the mothers(48.9%) rated their newborn as better than average newborn at first to third day after birth, and 74.5% of mothers did at fourth to sixth week after birth. 3) The score of maternal perception of the newborn(I) was significantly correlated with the score of confidence and gratification of mothering role. The score of maternal perception of the newborn(II) was correlated with the score of confidence and gratification of mothering role. The score of confidence and gratification of mothering role was related. 4) Maternal gratification of mothering role was significantly different by maternal perception of the newborn(I), and maternal confidence was different by maternal perception of the newborn(II). 5) Mothers who had religions and who wanted the pregnancy had higher perception of the new-born(I) than those who did not. Mothers whose newborn(II) than those whose newborns were girls. Mothers who wanted the pregnancy had higher confidence of mothering role than those who did not. Mothers who planed cow's milk had lower gratification of mothering role than those who did not. The above findings indicate that mothers who have a different level of perception of the newborn, confidence and gratification of mothering role. Therefore, it is important maternal perception of the newborn, confidence and gratification of mothering role were precisely evaluated, and nursing intervention for improving perception of the newborn should be provided of for mothers.
This study was performed to compare the transcultural differences on perimenstrual discomforts, menstrual attitudes and sex role acceptance between Korean and American college students. The subjects, 2557 nursing students were selected from 13 universities all around Korea, and 4 universities in the eastern, western, and middle areas of the United States. The data were collected using the MDQ(Menstrual Distress Questionnaire by Moos), the MAQ(Menstrual Attitude Questionnaire) and the Sex Role Acceptance Scale, the subjects answered the MDQ for three points(premenstrual, menstrual, intermenstrual based on their recollections) between July, 1996 and April, 1997. The findings are as follows : 1. There were significant differences in the age of menarche, duration of menstruation, and menstrual cycle between the Koreans and the Americans. 2. As for sex role acceptance, Americans more frequently denied the traditional female role than did Koreans. 3. There were significant differences between the two groups on five categories of menstrual attitude(menstruation is a phenomena that weakens women physically and psychologically, menstruation is a bothersome phenomena. menstruation is a natural phenomena, and menstruation is a phenomena that does not influence women's behaviors non is expected to). 4, For the menstrual discomfort scores, there were significant differences between the two groups on all six categories of the MDQ(pain, attention deficit, behavioral changes, ANS response, water retention, and negative emotion) for the three points(premenstrual, menstrual, intermenstrual period). 5. The most common complaints for the Korean women were pain during the perimenstrual period and fatigue during the intermenstrual period. In contrast, for the Americans the most common complaint was negative emotions during the perimenstrual period, but less pain than the Koreans, and a similarity to Koreans during the intermenstrual period. 6. Regularity of the menstrual cycle was positively correlated with age of menarche, menstrual cycle, and duration of menstruation. 7. For the interrelationship between of Perimenstrual discomforts, menstrual attitudes, and sex role acceptance, there were significant correlations for both group as follows : First, the MA category "menstruation is a bothering phenomena" was negatively correlated with sex role acceptance, second, the MA category "menstruation is a phenomena that weakens the women physically and psychologically" was positively correlated with the MA category "menstruation onset is a predictable phenomena." For the further research, it is recommended that efficient nursing intervention programs for perimenstrual discomforts, be developed and qualitative re search to demonstrate the cultural differences as the feminism view point be done.
Nursing works in emergency department were analyzed and the importance of nursing works that the emergency department nurses perceived at university hospitals in Seoul. 12 nursing domains including 76 nursing activities were identified. The most frequently performed nursing domain was records and the most frequently performed activity in the emergency department was checking the vital sign of patients. The most important nursing activity that emergency department nurses perceived was physical crisis intervention.
This study was done using a Quasi-experimental research design to determine the effects of social support on compliance with sick role behavior in hypertensive patients and to know if the effect of the social support on compliance lasted for at least 6 months. The subjects consisted of 81 hypertensive patients who were registered in the Cardio-Vascular OPD at Chonnam National University Hospital. They were divided by random sampling into 42 people for the experimental group and 39 for the control group. Data were gathered from June 3, 1996 to June 10, 1997 through individual interviews using a structured questionnaire. The results of the study were summarized as follows : 1. Compliance with sick role behaviors in hypertensive clients was significantly increased in the experimental group who received social support from the nurse as compared to the control group who did not receive social support(t=15.99, p<.001). 2. The effect of social support on compliance with sick role behaviors in hypertensive clients lasted for 6 months(t=7.99, p<.001). 3. Four of six people stopped smoking in experimental group after the intervention of social support, but none of the five in control group were able to stop smoking. Fisher's Exact test showed a significant difference between the experimental and control group(x2=4.385, p<.05). Mantel Haenszel test showed that the effect of social support on stopping smoking in the experimental group lasted for six months because there were no significant differences between one month after the social support and six months after, in the number of subjects who stopped smoking(x2=1.154, p>.05). Finally, social support was effective on compliance with sick role behaviors and stopping smoking in the hypertensive clients, and the effect of social support on compliance lasted for 6 months.
PURPOSE: The purpose of this study was to examine the effects of Kangaroo Care(KC) on anxiety, maternal role confidence, and maternal infant attachment of mothers who delivered preterm infants. METHODS: The research design was a nonequivalent control group pretest-posttest. Data was collected from September 1. 2006 to June 20. 2007. The participants were 22 mothers in the experimental group and 21 in the control group. KC was applied three times per day, for a total of ten times in 4 days to the experimental group. RESULTS: The degree of anxiety was statistically significantly different between the two groups but maternal role confidence and maternal infant attachment was statistically insignificant. CONCLUSION: This data suggests that KC was effective for mothers anxiety relief but it was not effective for maternal role confidence and maternal infant attachment of mothers. The implications for nursing practice and directions for future research need to be discussed.
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.
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.
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.
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.
To determine and compare the perception among nurses and doctors of the roles and tasks of critical care advanced practice nurses (APNs) in order to establish standardized and formally agreed role criteria for such critical care APNs.
This study measured and analyzed the necessity of each of the roles and tasks of critical care APNs, as perceived by nurses and doctors, through a survey of 121 participants: 71 nurses in 7 intensive care units (ICUs) at a general hospital in Seoul, and 50 doctors who used ICUs. Data collection utilized a questionnaire of 128 questions in the following fields: direct practice (79), leadership and change agent (17), consultation and collaboration (15), education and counseling (11), and research (6).
Both the nurses' and the doctors' groups confirmed the necessity of critical care APNs, with doctors who frequently used ICUs indicating a particularly strong need. As for the priority of each role of critical care APNs, the nurses considered direct practice to be the most critical, followed by education and counseling, research, consultation and collaboration, and leadership and change agent. The doctors also considered direct practice to be the most critical, followed by education and counseling, consultation and collaboration, research, and leadership and change agent. There was a statistically significant difference between how the two groups regarded all the roles, except for the consultation and collaboration roles. As for the necessity of each role of critical care APNs, the nurses considered research to be the most necessary, followed by education and counseling, consultation and collaboration, leadership and change agent, and direct practice. The doctors, on the other hand, considered education and counseling to be the most necessary, followed by research, consultation and collaboration, leadership and change agent, and direct practice. The responses of the two groups to all the roles, except for education and counseling roles, were significantly different.
Nurses and doctors have different perceptions of the roles and tasks of critical care APNs. Thus, it is necessary for the combined nursing and medical fields to reach an official agreement on a set of criteria to standardize for the roles and tasks of critical care APNs.
This paper is derived from a larger study of nurses perceptions of their role as patient educators. The focus is to examine nurses performance in patient education in relation to issues of their perceived responsibility and their ability to prioritize patient education.
A multiple-method survey design, using a questionnaire and in-depth interviews, is used to produce a comprehensive picture of the research problem examined.
The findings suggest that although nurses consider patient education as an integral part of their care, they fail to deliver as much as they desire in the face of work constraints. Nurses patient education activities are mainly informal and reactional, in which case they can be easily regarded as a low priority when faced with time constraints.
The findings suggest that there is a need for systematic approaches that enable the inculcation of patient education into routine daily care.
This study was conducted to develop and evaluate a Web-based program for the maternal role of primiparas who use the internet.
The study process was a systems requirements analysis, design and development of a program, program testing by experts, program implementation, and program evaluation by users. A nonequivalent control group non-synchronized design was used. The data was collected from October 5th, 2002 to February 24th, 2003.
1. Based on inquiries into mothers' needs, a Web-based support program was developed. The program was then modified from feedback received from experts. 2. In a sub-scale analysis of mothers' perception of a baby, amenability and persistence was significantly higher in the intervention group. The differences in the mean score of maternal self-confidence and maternal satisfaction were significant. 3. Cyber counseling was done for a total of 73 cases and the most frequent problems for counseling were feeding and nutrition (28.8%), followed by baby care, and health problems.
It was proven that a Web-based support program provided appropriate support to primiparas and was effective in promoting their maternal role. Therefore, this study suggests that a Web-based support program for primiparas can become a powerful nursing intervention on virtually all mother and infant health concerns.
The purpose of this study is to identify the role adaptation process experienced by head nurses.
Data were collected from 10 head nurses with in-depth interviews about their actual experiences. All the interviews were recorded and transcribed. The collected data were analyzed by the grounded theory methodology of Strauss and Corbin.
The core category was identified as “weighing and balancing,” and the role adaptation process was divided into six stages by time sequence: inquiring, approaching to others, bringing people into their fold, working with conviction, avoiding conflicts, and settling.
The results of this study yield useful information for top mangers of nursing to identify, by stages, the demands of the head nurses in their role adaptation process. The findings of this study contributes to developing programs that facilitates the head nurses' role adaptation.
Korean women are likely to experience symptoms of depression, possibly due to socially fixed limitations on the roles that Korean women are expected to perform. Also if a Korean woman experinces negative relationship problem or stress in her family, she would feel responsible, which will worsen her depression. Nonetheless, much of the research on depression among Korean women has focused on menopausal women. This study aims to understand the depression of Korean women to provide fundamental data to develop nursing intervention method for promoting women's health.
The present investigation assessed the prevalence and correlates of depression in a large sample of Korean women, aged 18 or older, from the general population. With a probability sample of 3312 women drawn from two areas in Korea, a survey, which contains the Center for Epidemiological Studies Depression Scale (CES-D) and background, was completed.
According to CES-D classification criteria, 36.5% of the women in the sample displayed either no depression or mild depression, 55.6% exhibited moderate depression, and 7.8% manifested severe depression. Significant bivariate relationships were observed between depression and each measured background variable except alcohol use. Logistic regression analysis indicated that the strongest combination of predictors of depression included income, menopausal, and marital status.
The data support the premise that Korean women disproportionately experience elevated levels of depression. Consistent with the theory, depression may be related to social pressures to conform to the traditional roles. The study suggests the need for further research, primary prevention activities, and increased access to treatment.
The purpose of this study was to identify experiences of nurses who served as preceptors in clinical education for senior student nurses in a college of medicine in Wonju city.
Data was collected from 20 preceptors instructing senior student nurses in 2001 using a self-completion questionnaire. To analyze data, content analysis was done using an analysis scheme developed by the investigators.
The analysis scheme consisted of 7 categories and 25 subcategories. 135 significant statements were analyzed and categorized. Preceptors indicated that they were role models, socialization facilitators and educators while instructing students in the clinical practicum. In performing the preceptors' role, preceptors reported that their most important change was self-enhancement,and positive experience was a constructive work atmosphere. The most important factor facilitating the preceptors' role performance was support from head nurses, and the most discouraging factor was work loads.
This study suggests that interventions for encouragement and socialization of preceptors should be developed to promote clinical education for senior student nurses.
The main purpose of this study was to identify the correlation between the child rearing attitudes and the maternal role strain of mother with infants.
This study is designed as a descriptive research study and the data was collected from 82 mothers and infants by means of an interview and questionnaire in a period from July 2002 to December 2002, when they came to screen their infant's growth and developmental state at a public health center.
The results of this study were as follows : There was a significant positive correlation between the child rearing attitudes and maternal role strain(r.= .53, p= .000). There was a significant difference between the father's employment state and child rearing attitude of mothers(t.=5.22, p<.000). There was a significant difference between male infant and female infants in maternal role strain(t.=3.8, p=0.04).
When the child rearing attitude was positive, the subject's maternal role strain was high. Also further research is needed on social support or other factors in the subjects in child-rearing attitudes and maternal role strain.
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.
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.
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.
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.
The purpose of the study was to assess the level of nurses' genetic knowledge and the perception of nurses' role in genetics. The ultimate goal of this paper is to educate practicing nurses so that they can counsel individuals and families with genetic problems, on the basis of better understanding of genetic diseases.
A total of 969 clinical nurses in 11 general hospitals completed a self-administered questionnaire including basic genetic knowledge and perception of their role. The instruments were made by the author with the help of some experts on genetics. T-test, ANOVA, and Pearson Correlation were used to analyze the data.
The results of this study indicated that nurses revealed a vast knowledge deficit in genetics and the need for genetic content in nursing curriculum. The results also showed that nurses' sources of information about genetics largely came from the mass media. The nurses also expressed great interest in educating and counseling patients. Overall, the survey found a positive correlation between the nurses' level of knowledge and their degree of interest in genetics.
In conclusion, education and training of clinical nurses in genetics is critical in integrating genetics with nursing science. Therefore, the development of educational programs for nursing knowledge and counseling as well as basic curriculums in genetic nursing at universities are essential in the near future.
This research aimed to investigate the effects of a cognitive rehearsal program (CRP) on workplace bullying among nurses.
A randomized controlled trial was performed. Participants were 40 nurses working in different university hospitals in B city, South Korea. The experimental group was provided with a 20-hour CRP comprising scenarios on bullying situations, standard communication, and role-playing. To evaluate effects of the CRP, we measured interpersonal relationships, workplace bullying, symptom experience, and turnover intention at pre-and post-intervention. Follow-up effect was measured in the experimental group only at 4 weeks after the intervention.
After the intervention, there were significant differences in interpersonal relationships (F=6.21,
The CRP for workplace bullying improves interpersonal relationships and decreases turnover intention. So it can be utilized as one of the personal coping strategies to reduce the the turnover among nurses. Further studies on the effects of unit- or hospital-based CRP and on the long-term effects of CRP are necessary.