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15 "Sang Sook Han"
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Original Articles
Correlation between Perception and Clinical Achievements of Nursing Students
Sang Sook Han
Journal of Nurses Academic Society 1976;6(2):25-31.   Published online April 3, 2017
DOI: https://doi.org/10.4040/jnas.1976.6.2.25
AbstractAbstract PDF

The present study was carried out for the period from July 14 through September 13, 1975 by means of questionaire distributed to 300 nursing students whose extent of satisfaction is known to be relatively low compared with other students of the different course of study by applying the perceptual orientation scale based on the principle defining that the e-ffectiveness in maintaining helpful relation with others in human society depends upon the per-cepthn possessed by individuals. The present study was intended to investigate the effectiveness of nursing profession for nursing students of the 4 - year system and 3 - year system nursing school and relationship between perceptual orientation and clinical achievements, thereby, attempting more efficient a-pplication of the perceptual orientation scale. The results obtained are summarized as follows: 1. There was observed no significant difference in perceptual orientation between the nursing students of the 4 - year system and 3 - year system nursing schools. 2. 'There was observed significant correlation between the perceptual orientation and clinical achivements of the nursing students. 3. In the comparison of the perceptual orientation point and mean value by school, significant difference was observed between schools other than B and C schools of the 4 - year system. 4 . Marked correlation was observed between the perceptual orientation and clinical achievements of the students of 4 - year system nursing courses. 5 . Low correlation was observed between the perceptual orientation and clinical achievements of the students of the 3 - year system nursing school.

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Effects of Muscle Strengthening Exercises Using a Thera Band on Lower Limb Function of Hemiplegic Stroke Patients
Sang Sook Han, Jeong Ja Her, Youn Jung Kim
Journal of Korean Academy of Nursing 2007;37(6):844-854.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.844
AbstractAbstract PDF

PURPOSE: This study was to verify the effect of muscle strengthening exercises using a Thera-Band on the lower limbs. METHODS: The design utilized for this study was a nonequivalent control group pretest-posttest design. A control group (16) and experimental group (16) were selected from stroke patients of K Oriental Medicine Hospital who were hospitalized for 5 months from December 2005 through April 2006. While only acupuncture therapy and physical therapy were used on the control group, acupuncture, physical therapy and additional muscle strengthening exercises using a red thera band were used on the experimental group. Muscle strengthening was performed 20 minutes per session, more than one session a day for 4 weeks. Hypotheses for this study were verified using Two-way repeated ANOVA and ANCOVA using a pre test score as a covariate. RESULTS: The experimental group with thera band muscle strengthening exercises showed a decrease in asymmetry weight loading percentage(F=14.704, P= .010), range of knee (Z=-3.15, P= .001) & deep tendon reflex score(Z=-2.52, P= .012) and moving performance(F=12.328, P= .001)compared to the control group. CONCLUSION: It is confirmed that muscle strengthening exercises using a Thera-Band can be used as an effective nursing intervention to improve the function of the lower limb of hemiplegic stroke patients.

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Factors Predicting Depression in Hemodialysis Patients
Sang Sook Han, Young Hee Kim
Journal of Korean Academy of Nursing 2005;35(7):1353-1361.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.7.1353
AbstractAbstract PDF
Purpose

This study was done to provide fundamental data for developing a depression prediction model by discovering main factors that affect depression in patients who do maintenance hemodialysis.

Methods

The subjects were 191 patients doing maintenance hemodialysis selected from outpatient dialysis clinics at 9 major general hospitals, The Instrument tools utilized in this study were adapted from depression, fatigue, sleep disturbance, stress, adaptation,symptoms, daily activities, and role limitation and thoroughly modified to verify reliability and validity. The collected data was analyzed with a SPSS-PC 11.0 Window Statistics Program for real numbers, percentage, average, standard deviation, and multiple regression.

Results

The correlation factor for depression was (M=2.54) fatigue(M=3.12), sleep disturbance (M=2.82), stress(M=3.04), adaptation(M=2.53), daily activities(M=2.24), symptoms(M=2.37), and role limitation(M=2.24). The strongest factor that affected depression was explained by symptoms of the patients who performed hemodialysis. The analysis of the factors that affected depression revealed a 58.4% prediction in symptoms, stress, role limitation, and adaptation.

Conclusion

It has been confirmed that the regression equation model(Depression=7.351 + .266*symptoms + .260*stress -.189*adaptation + .057*fatigue) of this research may serve as a prediction factor for depression in Hemodialysis Patients.

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Development of a Scale to measure the Effectiveness of Oriental Nursing Education
Sang Sook Han, Won Ock Kim, Kyung Sun Hyun, Jeong Sook Won, Jong Soo Lee
Journal of Korean Academy of Nursing 2005;35(2):362-371.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.2.362
AbstractAbstract PDF
Purpose

The aim of this study was to design and evaluate a scale for measuring reliability and validity in the field of oriental nursing education.

Method

A questionnaire was administered to 495 university nursing students using a convenience sampling method. The period of time for collecting data was from September 2003 to January 2004.

Result

The derived outcome tool consisted of 6 factors and 22 inquires on the basis of a conceptual frame of three domains (knowledge, attitude, and skill), As a result of the item analysis, 22 items were selected and the internal consistency alpha coefficient was .767. The value of Cronbach' Alpha of knowledge(factor 1) was .885, attitude(factor2)was .756, and skill (factor 3) was .610. The three factors accounted for 65.110% of the variance in the total scale. Addressing the explanatory variance of each domain Cognitive domain was 22.477%, affective domain was 20.543%, and psychomotor domain was 17.090%.

Conclusion

Further studies need to be done to verify educational evaluation and apply our outcomes to oriental nursing education.

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Development of a Task Performance Evaluation Instrument for Clinical Nurses
Hyun Ok Paik, Sang Sook Han, Sang Chul Lee
Journal of Korean Academy of Nursing 2005;35(1):95-103.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.95
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an instrument of task performance evaluation for clinical nurses, thus testing the validity and the reliability of the scale.

Method

Data was collected from 84 Head Nurses and 255 General Nurses. A conceptual framework, composed of 4 factors of meaning in task performance evaluation, was identified through review of the relevant literature. A total of 78 items were developed and were used on a five-point likert scale. Through factor analysis, items whose factor loading was below 0.50 were deleted, thus 35 items remained. To test the validity and reliability of the instrument, the SPSS 11.0 windows program was used.

Result

The results of the factor analysis indicated that 4 factors were classified and the cumulative percent of variance was 67.54%. The results of the reliability test indicated that Cronbach's coefficient of the total 35 items was over 0.9176. The results of the factor analysis indicated that factor loadings of all items was over 0.50. Conclusively, the validity and the reliability of the scale were proven.

Conclusion

This study was identified as a tool with a high degree of reliability and validity.

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Effecting Factors on Depression in Patients with Fibromyalgia
Sang Sook Han, Sang Chul Lee
Journal of Korean Academy of Nursing 2005;35(1):87-94.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.87
AbstractAbstract PDF
Purpose

The purpose of this research was to provide basic data in the control of depression found in patients with fibromyalgia by analysing the main factors that affect them.

Method

The subjects were 207 out-patients in three university medical centers diagnosed with fibromyalgia according to the conditions by American College of Rheumatology (1990). Depression was measured by the CES-D Scale. Dependant variables, such as stress and anxiety were measured by the VAS Scale and physical activity was measured using 10(4-point-scale) questions developed by the researcher. The number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al.(1989) for arthritis patients.

Result

The main factors that affect depression of patients with fibromyalgia were self-efficacy, anxiety, physical activity, tender points fatigue, and family support, which explained 49% of the depression.

Conclusion

It has been confirmed that the regression equation model of this research may serve as a predictor of depression in patients with fibromyalgia.

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Effects of Normal Saline for Maintenance of Arterial Lines of Surgical Patients
Sang Sook Han, Jee Eun Park, Nam Eun Kim, Hwa Ja Kang
J Korean Acad Nurs 2012;42(6):791-798.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.6.791
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze the effectiveness of saline solution vs. heparinized-saline for maintenance of arterial lines and to detect changes in platelet and aPTT as physiological indexes.

Methods

In this nonequivalent control group, non-synchronized, double-blind study the effects of heparinized and saline solution on the maintenance of arterial lines were compared. Fifty five patients received the heparinized solution and fifty nine patients received the saline solution. All patients who had surgery in K-university hospital between September and December 2011 were eligible for participation in the study.

Results

There was no statistically significant difference between the saline and the heparin group in the maintenance time of the arterial lines or the number of irrigations. There was no statistically significant difference between the groups in changes in the number of platelets and aPTT for interaction between the groups and time intervals.

Conclusion

The results indicate that saline solution can be used as an irrigation solution for the maintenance of arterial lines of adult surgical patients, rather than heparinized-saline, in view of potential risk factors in the use of heparin.

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Effects of Nurses' Perception of Servant Leadership on Leader Effectiveness, Satisfaction and Additional Effort: Focused on the Mediating Effects of Leader Trust and Value Congruence
Sang Sook Han, Nam Eun Kim
J Korean Acad Nurs 2012;42(1):85-94.   Published online February 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.1.85
AbstractAbstract PDF
Purpose

This study was done to examine the effects of nurses' perception of servant leadership on leader effectiveness, satisfaction and promoting additional effort. The focus was the mediating effects of leader trust and value congruence.

Methods

Data were collected from 361 RN-BSN students and nurses participating in nationally attended in-service training programs. Data were analyzed using descriptive statistics and structural analysis with SPSS 17.0 windows program and Amos 7.0.

Results

Direct effects of nurses' perception of servant leadership were negative, but mediating effects of trust and value congruency were positively correlated with leader effectiveness, satisfaction and additional effort, that is servant leadership should be effective through mediating factors.

Conclusion

The study results indicate that if the middle managers of nurses can build leader trust and value congruency between nurses through servant leadership, leader effectiveness, satisfaction and additional effort on the part of the nurses could result in a positive change in the long term.

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A Predictive Model on Turnover Intention of Nurses in Korea
Sook Ja Moon, Sang Sook Han
J Korean Acad Nurs 2011;41(5):633-641.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.633
AbstractAbstract PDF
Purpose

The purpose of this study was to propose and test a predictive model that could explain and predict Korean nurses' turnover intentions.

Methods

A survey using a structured questionnaire was conducted with 445 nurses in Korea. Six instruments were used in this model. The data were analyzed using SPSS 15.0 and Amos 7.0 program.

Results

Based on the constructed model, organizational commitment, and burnout were found to have a significant direct effect on turnover intention of nurses. In addition, factors such as empowerment, job satisfaction, and organizational commitment were found to indirectly affect turnover intention of nurse. The final modified model yielded χ2=402.30, p<.001), χ2/df=2.94, RMSEA=0.07, RMR=0.03, GFI=0.90, AGF=0.87, NFI=0.88, CFI=0.92 and good fit indices.

Conclusion

This structural equational model is a comprehensive theoretical model that explains the related factors and their relationship with turnover intention in Korean nurses. Findings from this study can be used to design appropriate strategies to further decrease the nurses' turnover intention in Korea.

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Contingent Nurses' Burnout and Influencing Factors
Won Ock Kim, Sook Ja Moon, Sang Sook Han
J Korean Acad Nurs 2010;40(6):882-891.   Published online December 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.6.882
AbstractAbstract PDF
Purpose

This study was designed to identify burnout and factors influencing burnout in contingent nurses.

Methods

A cross-sectional design was conducted with a sample of 228 contingent nurses randomly selected from 25 general hospitals in Korea. The tools used for this study were scales measuring burnout (8 items), job stress (8 items), job satisfaction (9 items), self efficacy (9 items), organizational commitment (9 items), empowerment (9 items), autonomy (7 items) and social support (8 items). The data were analyzed using SPSS 15.0 employing Pearson correlation coefficients and multiple regression analysis.

Results

The mean score for burnout in contingent nurses was 3.05 points. Factors influencing burnout in contingent nurses were identified as job stress (β=.40), satisfaction level with current ward (β=-.25), organizational commitment (β=-.21), job satisfaction (β=-.19) and empowerment (β=-.16). These factors explained 65.0% of burnout reported by contingent nurses.

Conclusion

The results indicate which factors are major factors influencing burnout in contingent nurses in general hospitals. Therefore, these factors may serve as predictors of burnout in contingent nurses.

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New Nurse Turnover Intention and Influencing Factors
Sang Sook Han, In Soon Sohn, Nam Eun Kim
J Korean Acad Nurs 2009;39(6):878-887.   Published online December 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.6.878
AbstractAbstract PDF
Purpose

The study was done to identify turnover intention in new nurses according to characteristics of the nurses and other factors affecting turnover and to provide data to set up a strategy to reduce the turnover.

Methods

Data were collected from 1,077 new nurses who had less than 12 months employment experience and worked in one of 188 hospitals. Eight research instruments were used. Data analysis was done using SPSS WIN 15.0 program.

Results

Several factors influence new nurse turnover intention. The average score for turnover intention was 2.12. The scores for subscales were self efficacy, 3.76, nursing performance, 3.90, job satisfaction, 2.09, organization commitment, 1.28, stress, 1.32, burnout, 2.82 and nursing organizational culture, 3.29. Turnover intention was related to self efficacy, nursing performance, job satisfaction, organization commitment, stress, burnout, nursing organizational culture, duration of in-class training, duration of on the job training, number of hospital beds, length of employment and duration of employment in current workplace. The predicting factors for turnover intention were burnout, stress, duration of employment in the current workplace, self efficacy and nursing performance. Those factors explained 51.6% of turnover intention.

Conclusion

New nurse turnover intention can be reduced by mitigating the factors affecting this intention.

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Predicting Factors on Eating Behavior in Coronary Artery Disease Patients
Sang Sook Han, Ju Im Lee, Youn Jung Kim
Journal of Korean Academy of Nursing 2007;37(7):1193-1201.   Published online December 31, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.7.1193
AbstractAbstract PDF
Purpose

This study was aimed to identify the factors that influence eating behaviors in coronary artery disease patients and to create data for nursing which is thought to improve the eating behavior.

Method

The study population was coronary artery disease patients who were treated on an outpatient basis. The measurements were eating behavior, diet self-efficacy, perceived-benefits, perceived-seriousness, family support and medical team support. All of the measurement tools above were thoroughly modified to verify validity and reliability. Statistical analysis was done by the SPSS PC 12.0 program.

Results

The influencing factors for the eating behavior was diet self-efficacy (β=0.476), social support (β=0.253), chest pain (β=0.177), smoking (β=-0.173) and regular exercise (β=.169), which explained 46.2%.

Conclusion

Eating behaviors of coronary artery disease patients were influenced by diet self-efficacy, family support and the presence of chest pain. Therefore, the development of a program for efficient dietary education that prevents the progression of coronary artery disease is needed.

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Development of E-Mail Education for Hyperlipidemia Health Check-up and Application Effects
Sang Sook Han, Sun Hee Kim
Journal of Korean Academy of Nursing 2006;36(7):1154-1163.   Published online December 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.7.1154
AbstractAbstract PDF
Purpose

This study was to monitor the effects of forming desirable eating and exercise habits and change the blood lipid levels by developing and applying E-Mail educational programs for a hyperlipidemia health check-up.

Method

The research design used a nonequivalent control group pre-post test. Ninety-nine subjects (Exp.=50, Cont.=49) were selected randomly and the male subjects agreed to a hyperlipidemia health check-up at a comprehensive medical screening center. This study verified validity and reliability through factor analysis on a life habit measurement tool. The data was analyzed with SPSS win 12.0 using an χ2-test,t-test, ANOVA and ANCOVA.

Result

Eatingand exercise habit scores of the experimental group which were educated through E-Mails changed considerably more than that of the control group which was not educated. Total-cholesterol and LDLcholesterol in the experimental group was considerably lower than that in the control group, but HDL-cholesterol increased considerably. Triglycerides, however, didn't show change.

Conclusion

An E-Mail educational program may be applied as a hyperlipidemia health check-up nursing intervention strategy.

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Influencing Factors on Self-Esteem in Adolescents
Sang Sook Han, Kyung Mi Kim
Journal of Korean Academy of Nursing 2006;36(1):37-44.   Published online February 28, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.1.37
AbstractAbstract PDF
Purpose

This research has been conducted in order to understand the major factors that affect self-esteem of adolescents.

Methods

Data was collected by questionnaires from 1155 students at middle and high school in Seoul and Kyungkido, Korea. The Instrument tools utilized in this study were self-esteem, body-image, problematic behavior, depression, school adjustment, social support tool and thoroughly modified to verify validity and reliability. The collected data have been analyzed using SPSS 11.0 program. The variable of family harmony and counseling partner was treated as a dummy variable. Seven outliers which were bigger than 3 in absolute value were found, so after taking them off, Multiple Regression was used for further analysis.

Result

The major factors that affect self-esteem of adolescents were depression, social support, body-image, problematic behavior, school adjustment, and family harmony, which explained 54.7% of self-esteem.

Conclusion

It has been confirmed that the regression equation model of this research may serve as a self-esteem prediction factors in adolescents.

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The Effects of a Health Promotion Program for Elderly
Sang Sook Han, Kyung Sun Hyun, Won Ock Kim, Jeong Sook Won, Kwuy Bun Kim
Journal of Korean Academy of Nursing 2005;35(6):1054-1062.   Published online October 31, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.6.1054
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and to evaluate a health promotion program for elderly.

Method

Subjects were 63 elderly women (experimental group:33, control group:30). The study was a nonequivalant control group pretest-posttest design. The data was analyzed with an SPSS Window program, then the data was computed for the purpose of each study.

Result

1. In designing the program, the experimental group was given health education - 2 times per week, for 8 weeks - and they participated in recreation programs and stretching exercises five times a week. 2. Stretching exercises including health education, significantly affected the total Cholesterol, HDL-cholesterol, triglycerides, health behavior and self-efficacy. 3. The body fat weight was not significantly affected by the stretching exercises.

Conclusion

This program was tested to promote the health of elderly and verified as an effective nursing intervention program, because the outcome of this program ascertains that this program enhances self efficacy of exercise, reduces Cholesterol and triglyceride levels' increases HDL-cholesterol, and helps promote the understanding of heath behavior.

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