Journal of Korean Academy of Nursing

Research Paper

Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening: Shin, Hye Sook , Chi, Eunlim , Han, Hae-Ra; J Korean Acad Nurs 2021;51(6):769-781. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21108

Purpose
Health literacy is a significant determinant of health and health behaviors such as cancer screening. Despite its significance, there are limited instruments available to assess health literacy targeting Koreans. The purpose of this study was to test the psychometric properties of Korean translation of a validated health literacy instrument in cancer screening—Korean version of assessment of health literacy in breast and cervical cancer screening (K-AHL-C).
Methods
A total of 555 women aged 20~65 participated in the online survey study. Of 52 items addressing five domains included in the original version, we focused on 36 items addressing three key domains closely associated with cancer screening: familiarity, health navigation, and comprehension.
Results
During content validation, two items from the health navigation domain were removed, yielding 34 items. Using Rasch analysis and confirmatory factor analysis, we found the evidence of construct validity of K-AHL-C. The Korean version was also significantly correlated with measures of Functional Health Literacy scale, cancer prevention behaviors, and subjective health status, suggesting convergent validities respectively. Finally, K-AHL-C had acceptable reliability coefficients (α) ranging from 0.71 to 0.92 for each domain and the total scale.
Conclusion
These psychometric properties support the K-AHL-C is a valid and reliable instrument for measuring Koreans’ health literacy in cancer screening. Also it is expected to use the instrument to detect breast and cervical cancer early and improve the screening rate, and ultimately to contribute to the promotion of women's health and women's health nursing practice.

Citations

Citations to this article as recorded by

Associations and gender differences between OHI-seeking behaviors and eHealth literacy among Chinese university students
Jie Chen, Hua Tian
Revista da Escola de Enfermagem da USP.2024;[Epub] CrossRef
Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
Yun-La Hur, Eun-Jeong Hong
Asian Oncology Nursing.2024; 24(3): 155. CrossRef
A Psychometric Validation of the Korean Version of Disaster Response Self-Efficacy Scale for Nursing Students
Sung Hae Kim
International Journal of Environmental Research and Public Health.2023; 20(4): 2804. CrossRef
Health literacy measures in South Korea: A scoping review
Heeran Chun, Su Hyun Kim, Eunja Park
Korean Journal of Health Education and Promotion.2022; 39(4): 39. CrossRef
Validity and Reliability of the Korean Version of the Climate, Health, and Nursing Tool
Da Woon Jeong, Gwang Suk Kim, Min Kyung Park
Journal of Korean Academy of Nursing.2022; 52(2): 173. CrossRef

450 View
13 Download
3 Web of Science
5 Crossref

Original Articles

Assessing Decisional Balance toward Mammography Screening in Korean Women: Young Joo Park, Sung Ok Chang, Hyun Cheol Kang; Journal of Korean Academy of Nursing 2001;31(7):1174-1180. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.7.1174

Abstract PDF

This cross-sectional survey was carried out to assess the decisional balance of Korean women toward mammography screening. A sample of 1, 903 naturally postmenopausal women was selected from the community-based social groups in town or city hall auxiliaries in seven metropolitan areas and six provinces in Korea. The classification of women according to the stage of adoption of mammography was 54.9% in pre-contemplation, 31.9% in contemplation, 7.8% in action, and 5.5% in maintenance. The mean differences of pros, cons, and the decisional balance by the stage of mammography adoption were statistically significant. There were significant mean differences between the stages of adoption according to a woman's experience with and intention for mammography and the pros score, the cons score, and the decisional balance score. Results provide the empirical evidence for the Transtheoretical model. An association between stages of mammography adoption and decisional balance exists.

Citations

Citations to this article as recorded by

Analyzing paths from online health information seeking to colorectal cancer screening using health literacy skills frame and cognitive mediation model
Seok Won Jin, Yeonggeul Lee, David A. Dia
Patient Education and Counseling.2019; 102(3): 416. CrossRef

80 View
0 Download
1 Crossref

A study of the Stage of Change and Decisional balance: Exercise Acquisition, Smoking Cessation, Mammography Screening and Kegel's Exercise Acquisition in Korea: Sung Ok Chang, Young Joo Park, Chang Seung Park, Yeo Jin Lim; Journal of Korean Academy of Nursing 2000;30(5):1265-1278. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.5.1265

Abstract PDF

This study was carried out to assess the perception of decisional balance of Korean subjects about 4 health behaviors and to identify the influencing factor of decisional balance for exercise acquisition, smoking cessation, mammography screening and Kegel's exercise acquisition. All are representative health behaviors nurses can intervene in Korea based on the Transtheoretical model. Convenient samples of 2,484 subjects (191; exercise, 169; smoking cessation, 1903; mammography screening and 221; Kegel's exercise) were selected from cities and counties over 9 provinces throughout Korea, and the data was collected from January 1, 1999 to February 29, 2000. The research instrument were the Decisional Balance Measure for Exercise (Marcus & Owen., 1992), Smoking Cessation (Velicer et al., 1985), Mammography Screening (Rakowski et al.,1992) and Kegel Exercise (Lim, 1999) and Stage of Change Measure for Exercise (Marcus et al, 1992), Smoking Cessation (DiClemente et al., 1991), Mammography Screening (Rakowski et al.,1992) and Kegel's Exercise (Lim, 1999). The data was analyzed by the SAS Program. The results are as follows; 1. According to the stage of change measure, 2,484 subjects were distributed in each stage of change for four health behaviors: 1,233 subjects (49.8%), 745 subjects (30.2%), 113 subjects (4.7%), 156 subjects (6.5%), and 216 (8.7%) belonged to the pre- contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage. They were all series of stages of change in their efforts to do health behavior. 2. Factor analysis identified 3 factors (1 of Pros, 2 of Cons) for the exercise, 4 factors for smoking cessation (2 of Pros, 2 of Cons), 2 factors (1 of Pros, 1 of Cons) for the mammogram screening and 2 factors (1 of Pros, 1 of Cons) for Kegel's exercise of decisional balance. 3. The analysis of variance and multiple comparison analysis showed that for all 4 samples, the Cons of changing the problem behaviors outweighed the Pros for subjects who were in the pre- contemplation stage, The opposite was true for subjects in action and maintenance stage. 4. Through the discriminant analysis, it was found that one factor of Pros for exercise, one factor of Cons for smoking cessation, 1 factor of Cons for mammogram screening and one factor of Cons for Kegel's exercise were the more influencing factors, than others in discriminating the stages of change.
Results
are consistent with the applications of the Transtheoretical model, which have been used to understand how people change health behaviors. This results provide some evidence that subject's report of his/her health behavior corresponds to beliefs about usefulness of related health behaviors. The results of this study have implications for patients' health education and health intervention strategies. The findings of this study give useful information for nursing educators for 4 health behaviors, especially the factors relating to decision making in the different stages of change.

Citations

Citations to this article as recorded by

Effects of a Smoking Cessation Program using Self-regulated Learning Strategy for Middle School Boys
Young-Ju Jee, Haejung Lee, Yeonjung Lim
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2011; 20(1): 1. CrossRef
Application of the Transtheoretical Model to Identify Aspects Influencing Condom Use Among Korean College Students
Young Mi Kwon, Eun Ja Yeun, Hee Young Kim, Mi Sun Youn, Ju Yeon Cho, Hee Joo Lee
Western Journal of Nursing Research.2008; 30(8): 991. CrossRef

132 View
0 Download
2 Crossref

Factors related to Continuous Participation in the Pap Smear Screening among Korean Women: using a Structural Model: So Mi Park; Journal of Korean Academy of Nursing 2000;30(1):160-170. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.1.160

Abstract PDF

The purpose of this study was to develop an explanatory model to predict factors related to continuous participation in the Pap smear screening among Korean women. A hypothetical model was constructed on the basis of Health Belief Model and extensive review of literature on the Pap smear screening. Exogeneous variables included in this model were knowledge, perceived sensitivity, perceived severity, negative and positive emotional responses and professional support from physicians and nurses. Endogeneous variables were threat to cervical cancer, perceived benefit of the Pap smear screening, perceived barrier, and the final outcome variable was continuous participation in the Pap smear screening. The hypothetical model was tested with an empirical study. The data was collected from 623 married women whose age range was 24 - 83 using a self-reported survey questionnaire which was developed by the researcher. It's Cronbach's alpha score ranged from .6478 to .9118. Data was collected at different locations in Seoul; a university hospital, a local health center, and apartment complexes. Data analysis was done using SPSS 7.5 WIN Program for descriptive statistics and LISREL 8.12a WIN Program for covariance structural analysis. In conclusion, threat, perceived benefit, perceived barrier, positive emotion and professional support had a significant direct effect on continuous participation in the Pap smear screening among Korean women. The
results
of this study also showed that perceived barrier had the most significant direct effect on continuous participation in the Pap smear screening while negative emotional response had the most significant direct effect on perceived barrier. It can be suggested that decreasing perceived barrier by reducing negative emotional responses may be the most effective strategies for increasing continuous participation in the Pap smear screening among married Korean women.

Citations

Citations to this article as recorded by

Health behaviors related to endocrine-disrupting chemicals and the associated factors of adolescent Korean girls
SoMi Park, ChaeWeon Chung
Women & Health.2018; 58(8): 915. CrossRef
Knowledge Level of Human Papillomavirus, Cervical Cancer and Vaccination Status among Mothers with Daughters in High School
Myung-Sook Yoo
Korean Journal of Women Health Nursing.2014; 20(1): 105. CrossRef
Predictors Associated with Repeated Papanicolaou Smear for Cervical Cancer Screening
Eun-Joo Lee, Jeong-Sook Park
Asian Oncology Nursing.2013; 13(1): 28. CrossRef
Pap Smear Screening Participation Behavior and Related Factors in Married Immigrant Women
So Young Kim, So Young Choi
Korean Journal of Women Health Nursing.2010; 16(3): 255. CrossRef
Identifying barriers to Papanicolaou smear screening in Korean women: Korean National Health and Nutrition Examination Survey 2005
Su Jeong Park, Woong-Sub Park
Journal of Gynecologic Oncology.2010; 21(2): 81. CrossRef
Effects of a Cognition‐Emotion  Focused Program to Increase  Public Participation in  Papanicolaou Smear Screening
SoMi Park, SoonBok Chang, ChaeWeon Chung
Public Health Nursing.2005; 22(4): 289. CrossRef

128 View
1 Download
6 Crossref

Korean Immigrant Women's Meanings of Breast, Breast Cancer, and Breast Cancer Screenings: Eunyoung Eunice Suh; Journal of Korean Academy of Nursing 2006;36(4):604-611. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.4.604

Abstract PDF

Purpose

Koreans are one of the fastest growing Asian populations in the U.S. since 1960s. In Korean immigrant women (KIW), breast cancer was reported as the most frequently diagnosed cancer. However, their screening rates for breast cancer are lower than national guidelines; it is assumed that underlying cultural schemas of breast, breast cancer, and its screening modalities exist and need to be studied. This study was aimed to investigate cultural meanings of breast, breast cancer, and breast cancer screenings in KIW.

Methods

Using cultural models theory from cognitive anthropology, naturalistic qualitative methodology was utilized. Three focus group interviews with fifteen KIW were conducted. Thematic analysis with constant comparison technique was performed eliciting units of meaning, categories, and themes.

Results

The cultural schema of the meaning of breast is “mother who is breast-feeding her baby,” with two themes of “balance in size,” and “shyness.” Regarding breast cancer, three themes, i.e., “indifference,” “fear,” and “uncertainty” are emerged. “Lack of information about screening modalities” is the overarching schema with reference to breast cancer screenings.

Conclusions

The findings of this study demonstrate unique cultural models of KIW related to breast cancer and its screenings, which are critical to understand and penetrate their barriers to breast cancer screening.

Citations

Citations to this article as recorded by

The Lived Experience of Body Alteration and Body Image with Regard to Immediate Breast Reconstruction among Women with Breast Cancer
Jeonghee Ahn, Eunyoung E Suh
Journal of Korean Academy of Nursing.2021; 51(2): 245. CrossRef
Understanding breast cancer screening behaviors of Korean American women in sociocultural contexts
Ga-Young Choi, Eun Koh, Sam Choi, Ji-Young Cho
Social Work in Health Care.2017; 56(1): 45. CrossRef
Effectiveness of an Ongoing, Community-Based Breast Cancer Prevention Program for Korean American Women
Eun Koh, Ga-Young Choi, Ji Young Cho
Health & Social Work.2016; 41(1): 51. CrossRef
Cultural Competence in Qualitative Interview Methods with Asian Immigrants
Eunyoung E. Suh, Sarah Kagan, Neville Strumpf
Journal of Transcultural Nursing.2009; 20(2): 194. CrossRef

113 View
0 Download
4 Crossref

Development of an Interaction Behaviors Checklist for Early Detection of Autistic Children: Sook Bin Im; Journal of Korean Academy of Nursing 2005;35(1):5-15. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.5

Abstract PDF

Purpose

This study was conducted to develop a behavioral checklist to predict an autistic disorder and to identify the earliest detecting time.

Method

One hundred and fifty eight children including normal, autistic, institutionalized normal, and retarded were assessed using critical interaction behavioral markers from literature review. Data was collected by semi-structured mother-child interaction by videotape recording and analyzed by factor analysis, Cronbach α, Kappa, χ², and Duncan.

Result

Ten behavioral markers were sorted into 2 factors; joint-attention and synchronized behavior. Autistic children were impaired in pretend play, prodeclarative pointing, proimperative pointing, gaze-monitoring, referential looking, showing, joint-attention, rhythmical vocal exchange, and synchronized laughing. The sychronized behavior was also a critical marker to predict the autistic disorder. However, it was difficult to differentiate autistic disorder from mental retardation. In addition, the appropriate detecting time was around 18 months after birth.

Conclusion

This checklist should be behavior markers to predict autistic disorder and could be useful as educational material at children's clinics, parents class, and for caregivers in the health center. In addition, early detection should lead to treatment being started as soon after 18 months of age as possible.

Citations

Citations to this article as recorded by

Development & Validation of a Checklist for Infant and Child Developmental Screening
Hyeon-Ok Ju, Nae-Young Lee, In-Sook Park, Sun-Ok Lee, So-Hee Kim
Journal of Korean Academy of Child Health Nursing.2009; 15(1): 34. CrossRef

138 View
0 Download
1 Crossref

Breast Cancer Screening and Repeat Screening: Sung Hee Kim, Ihn Sook Jeong, Jung Soon Kim; Journal of Korean Academy of Nursing 2004;34(5):791-800. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.791

Abstract PDF

Purpose

This study was to investigate the characteristics and related factors of breast cancer screening and repeat screening, and to propose nursing interventions to increase the rate of breast cancer screening and repeat screening.

Method

Study subjects was 236 women residing in the community, teachers and nurses who were older than 45 were recruited. Data was collected with self administered questionnaires from July 1st to August 31st, 2003 and analysed using SPSS/WIN 10.0 with X²test, t-test, and stepwise multiple logistic regression at a significant level of =.05.

Result

The breast cancer screening rate was 57.2%, and repeat screening rate was 15.3%. With the multiple logistic regression analysis, factors associated with mammography screening were age and perceived barriers of action, and factors related to the repeat mammography screening were education level and other cancer screening experience.

Conclusion

Based on the results, we recommend the development of anintervention program to decrease the perceived barrier of action, to regard mammography as an essential test in regular check-up, and to give active advertisement and education to the public to improve the rates of breast cancer screening and repeat screening.

Citations

Citations to this article as recorded by

Factors related to the Performance of Mammography Screening among Women with a Family History of Breast Cancer in Korea
Jina Oh, Taehyun Kim, Youngok Park
Korean Journal of Women Health Nursing.2011; 17(5): 439. CrossRef
Mammography Use and Its Demographic Correlates Among Women in South Korea
Eunyoung E. Suh, Sunhee Park
Asian Nursing Research.2009; 3(2): 71. CrossRef
Breast Cancer Screening Beliefs Among Older Korean American Women
Young Eun, Eunice E. Lee, Mi Ja Kim, Louis Fogg
Journal of Gerontological Nursing.2009; 35(9): 40. CrossRef
Predictors of mammography uptake in Korean women aged 40 years and over
Eunjung Ryu, Okhee Ahn, Sun‐Sook Baek, Mi‐Soon Jeon, Seung‐Eui Han, Young‐Rye Park, Mi‐Young Ham
Journal of Advanced Nursing.2008; 64(2): 168. CrossRef
Implications of Systematic Review for Breast Cancer Prediction
Sun-Mi Lee, Jin-Hee Park, Han-Jong Park
Cancer Nursing.2008; 31(5): E40. CrossRef
Predictors of Perceived Barriers to Mammography in Korean Women
Jung-Hee Kim, Oksoo Kim
Asian Nursing Research.2008; 2(2): 74. CrossRef

120 View
0 Download
6 Crossref

Cervical Cancer Screening in Korean American Women: Findings from Focus Group Interviews: Hooja Kim, Kyung Ja Lee, Sun Ock Lee, Sungjae Kim; Journal of Korean Academy of Nursing 2004;34(4):617-624. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.4.617

Abstract PDF

Purpose

Korean American women have twice the rate of cervical cancer than white women and demonstrate low rates in participation in cervical cancer screening. This study was to describe the perceptions about cervical cancer and factors related to cervical cancer screening among Korean American women.

Method

Focus group methods.

Results

Five themes emerged. First, knowledge about cervical cancer; misconceptions about cervical cancer, its causes, reproductive anatomy and the treatment Second, perceived meanings of having cervical cancer; most of the women felt that cervical cancer represented a loss of femininity and existential value of womanhood. Third, knowledge about cervical cancer screening ; regular medical check-ups were necessary for early detection and prevention of cervical cancer. Forth, experiences and perceived meanings of cervical cancer screening; the participants expressed their feelings; embarrassment, fear, shame and shyness. Fifth, practices of cervical cancer screening; various intervals in participating in cervical cancer screening. But they mentioned several deterrents, language, insurance, time constraint, embarrassment, fear of the screening results, misbelief about susceptibility, lack of health prevention behavior, and lack of information written in Korean.

Conclusion

Results emphasize the critical need for culturally appropriate health education to encourage participation of Korean American women in cervical cancer screening.

Citations

Citations to this article as recorded by

Interventions for cancer screening among Chinese Americans: A systematic review and meta-analysis
Fang Lei, Ying Zheng, Eunice Lee, Hyunseok Kang
PLOS ONE.2022; 17(3): e0265201. CrossRef
Predictors of Cervical Cancer Screening Awareness and Literacy Among Korean-American Women
Y. Joon Choi, Hee Yun Lee, Soonok An, Young Ji Yoon, Jennifer Oh
Journal of Racial and Ethnic Health Disparities.2020; 7(1): 1. CrossRef
Racial Disparities in Cervical Cancer Screening: Implications for Relieving Cervical Cancer Burden in Asian American Pacific Islander Women
Hee Yun Lee, Raiza Beltran, Nam Keol Kim, Do Kyung Lee
Cancer Nursing.2019; 42(6): 458. CrossRef
Predicting Behavioral Intentions Related to Cervical Cancer Screening Using a Three-Level Model for the TPB and SCT in Nanjing, China
Jianxin Zhang, Zimo Sha, Yuzhou Gu, Yanzhang Li, Qinlan Yang, Yuxuan Zhu, Yuan He
International Journal of Environmental Research and Public Health.2019; 16(19): 3575. CrossRef
Development and Evaluation of Culturally and Linguistically Tailored Mobile App to Promote Breast Cancer Screening
Hee Yun Lee, Mi Hwa Lee, Zan Gao, Karim Sadak
Journal of Clinical Medicine.2018; 7(8): 181. CrossRef
Addressing multilevel barriers to cervical cancer screening in Korean American women: A randomized trial of a community‐based intervention
Carolyn Y. Fang, Grace X. Ma, Elizabeth A. Handorf, Ziding Feng, Yin Tan, Joanne Rhee, Suzanne M. Miller, Charles Kim, Han Seung Koh
Cancer.2017; 123(6): 1018. CrossRef
Gauging the Relativistic Particle Model on the Noncommutative Plane
Majid Monemzadeh, Mehdi Dehghani, Salman Abarghouei Nejad
International Journal of Theoretical Physics.2017; 56(6): 1793. CrossRef
Barriers and Facilitating Factors Perceived in Turkish Women's Behaviors Towards Early Cervical Cancer Detection: A Qualitative Approach
Fatma Ersin, Zuhal Bahar
Asian Pacific Journal of Cancer Prevention.2013; 14(9): 4977. CrossRef
Korean Americans' Beliefs about Colorectal Cancer Screening
Shin-Young Lee, Eunice E. Lee
Asian Nursing Research.2013; 7(2): 45. CrossRef
Age-Related Differences in Health Beliefs Regarding Cervical Cancer Screening Among Korean American Women
Eunice E. Lee, Young Eun, Shin-Young Lee, Karabi Nandy
Journal of Transcultural Nursing.2012; 23(3): 237. CrossRef
Psychometric Evaluation of Uterine Cervical Cancer Screening Embarrassment Questionnaire among Korean Women: Complementary Use of Rasch Model
Eun-Jung Cho, Bok-Yae Chung, Kwan Lee, Nathan S. Consedine, Won-Kee Lee
Korean Journal of Women Health Nursing.2011; 17(5): 463. CrossRef
Korean American Women's Beliefs About Breast and Cervical Cancer and Associated Symbolic Meanings
Eunice E. Lee, Toni Tripp-Reimer, Arlene M. Miller, Georgia R. Sadler, Shin-Young Lee
Oncology Nursing Forum.2007; 34(3): 713. CrossRef
A Multifaceted Intervention to Increase Cervical Cancer Screening among Underserved Korean Women
Carolyn Y. Fang, Grace X. Ma, Yin Tan, Nungja Chi
Cancer Epidemiology, Biomarkers & Prevention.2007; 16(6): 1298. CrossRef
Context of barriers to Pap testing in Korean women
SoMi Park, SoonBok Chang, ChaeWeon Chung
Applied Nursing Research.2006; 19(4): 177. CrossRef

139 View
0 Download
14 Crossref

The Effect of Handwashing Improving Program and MRSA Carrier Screening Program on the MRSA Infection Rates in an Intensive Care Unit: Young Hae Kim, Seong Sook Jeon, Ihn Sook Jeong, Chul Hoon Chang, Jeung Hwa Kim, Jeong Ae Huh; Journal of Korean Academy of Nursing 2003;33(6):686-692. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.686

Abstract PDF

Purpose

To assess the effect of handwashing improving program and MRSA carrier detection program on MRSA(methicillin resistant Staphylococcus aureus) infection rate in a intensive care unit.

Method

The intervention was Nosocomial Infection(NI) control program consisted of hand washing improving program and identification and treatment of MRSA carrier. Data on the NI and MRSA infections were collected by an infection control nurse based on the definition of CDC. MRSA infection rates were calculated by the number of MRSA infection per 100 admissions or 1,000 patients-days. The difference of MRSA infection rates between pre and post intervention was tested by Chi-square at =.05.

Result

MRSA infection rates 3.0% or 3.2 per 1,000 patient-days at the pre, 4.6% or 3.7 per 1,000 patient-days at the post, and the differences were not statistically significant (p=.411, p=.769 respectively).

Conclusion

The handwashing improving program and MRSA carrier detection program was not effective in reducing the Nosocomial Infection(NI) or MRSA infection rates. It is recommended further studies with a longer intervention and follow-up period.

Citations

Citations to this article as recorded by

Knowledge and Beliefs about Hand Hygiene among Hospital Nurses
Sun Young Jeong, Oksoo Kim
Korean Journal of Occupational Health Nursing.2013; 22(3): 198. CrossRef
Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline
Jiyeon Kang, Jinwan Cho, Yujung Kim, Dong-Hee Kim, Jiyoung Lee, Hey-Kyung Park, Sung-Hee Jung, Eun-Nam Lee
Journal of Korean Academy of Nursing.2009; 39(2): 186. CrossRef
A Nationwide Survey on the Hand Washing Behavior and Awareness
Jae Sim Jeong, Jun Kil Choi, Ihn Sook Jeong, Kyong Ran Paek, Hye-Kyung In, Ki Dong Park
Journal of Preventive Medicine and Public Health.2007; 40(3): 197. CrossRef

137 View
0 Download
3 Crossref

Development of Korean Intensive Care Delirium Screening Tool (KICDST): Ae-Ri-Na Nam, Jee-Won Park; J Korean Acad Nurs 2016;46(1):149-158. Published online February 29, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.1.149

Abstract PDF

Purpose

This study was done to develop of the Korean intensive care delirium screening tool (KICDST).

Methods

The KICDST was developed in 5 steps: Configuration of conceptual frame, development of preliminary tool, pilot study, reliability and validity test, development of final KICDST. Reliability tests were done using degree of agreement between evaluators and internal consistency. For validity tests, CVI (Content Validity Index), ROC (Receiver Operating Characteristics) analysis, known group technique and factor analysis were used.

Results

In the reliability test, the degree of agreement between evaluators showed .80~1.00 and the internal consistency was KR-20=.84. The CVI was .83~1.00. In ROC analysis, the AUC (Area Under the ROC Curve) was .98. Assessment score was 4 points. The values for sensitivity, specificity, correct classification rate, positive predictive value, and negative predictive value were found to be 95.0%, 93.7%, 94.4%, 95.0% and 93.7%, respectively. In the known group technique, the average delirium screening tool score of the non-delirium group was 1.25±0.99 while that of delirium group was 5.07±1.89 (t= - 16.33, p <.001). The factors were classified into 3 factors (cognitive change, symptom fluctuation, psychomotor retardation), which explained 67.4% of total variance.

Conclusion

Findings show that the KICDST has high sensitivity and specificity. Therefore, this screening tool is recommended for early identification of delirium in intensive care patients.

Citations

Citations to this article as recorded by

Comparison of the Validity of the PRE-DELIRIC model and the E-PRE-DELIRIC model for Predicting Delirium in patients after Cardiac Surgery
Eun Ju Cho, Myoung Soo Kim
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 275. CrossRef

215 View
1 Download
1 Crossref

Cross-cultural Validation of Instruments Measuring Health Beliefs about Colorectal Cancer Screening among Korean Americans: Shin-Young Lee, Eunice E. Lee; J Korean Acad Nurs 2015;45(1):129-138. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.129

Abstract PDF

Purpose

The purpose of this study was to report the instrument modification and validation processes to make existing health belief model scales culturally appropriate for Korean Americans (KAs) regarding colorectal cancer (CRC) screening utilization.

Methods

Instrument translation, individual interviews using cognitive interviewing, and expert reviews were conducted during the instrument modification phase, and a pilot test and a cross-sectional survey were conducted during the instrument validation phase. Data analyses of the cross-sectional survey included internal consistency and construct validity using exploratory and confirmatory factor analysis.

Results

The main issues identified during the instrument modification phase were (a) cultural and linguistic translation issues and (b) newly developed items reflecting Korean cultural barriers. Cross-sectional survey analyses during the instrument validation phase revealed that all scales demonstrate good internal consistency reliability (Cronbach's alpha=.72~.88). Exploratory factor analysis showed that susceptibility and severity loaded on the same factor, which may indicate a threat variable. Items with low factor loadings in the confirmatory factor analysis may relate to (a) lack of knowledge about fecal occult blood testing and (b) multiple dimensions of the subscales.

Conclusion

Methodological, sequential processes of instrument modification and validation, including translation, individual interviews, expert reviews, pilot testing and a cross-sectional survey, were provided in this study. The findings indicate that existing instruments need to be examined for CRC screening research involving KAs.

Citations

Citations to this article as recorded by

Predictive factors based on the health belief model on cancer screening behaviour in first degree relatives of patients with Lynch syndrome-associated colorectal cancer
Jiaojiao Gu, Shumin Jia, Huaxiang Chao, Tinglan Chen, Xiaodan Wu
International Journal of Nursing Sciences.2023; 10(2): 251. CrossRef
Perceived barriers and benefits in the participation in faecal occult blood test colorectal cancer screening programme
Martín Menéndez Rodríguez, Natalia García-Morales, Teresa Seoane Pillado, Jorge Garau Ramírez, Alba Traver Salvador, Yésica Hervás Jiménez, Noel Pin Vieito, Luis Menéndez Rodríguez, Joaquín Cubiella
Gastroenterología y Hepatología.2023; 46(3): 185. CrossRef
Perceived barriers and benefits in the participation in faecal occult blood test colorectal cancer screening programme
Martín Menéndez Rodríguez, Natalia García-Morales, Teresa Seoane Pillado, Jorge Garau Ramírez, Alba Traver Salvador, Yésica Hervás Jiménez, Noel Pin Vieito, Luis Menéndez Rodríguez, Joaquín Cubiella
Gastroenterología y Hepatología (English Edition).2023; 46(3): 185. CrossRef
Validación al castellano del cuestionario Rawl de cribado de cáncer colorrectal con sangre oculta en heces
Martín Menéndez Rodríguez, Jorge Garau Ramírez, Alba Traver Salvador, Yésica Hervás Jiménez, Natalia García Morales, Teresa Seoane Pillado, Noel Pin Vieito, Pablo Vega Villaamil, Agustín Montes Martínez, Joaquín Cubiella
Gastroenterología y Hepatología.2022; 45(2): 106. CrossRef
Rawl’s questionnaire Spanish validation for colorectal cancer screening with faecal occult blood testing
Martín Menéndez Rodríguez, Jorge Garau Ramírez, Alba Traver Salvador, Yésica Hervás Jiménez, Natalia García Morales, Teresa Seoane Pillado, Noel Pin Vieito, Pablo Vega Villaamil, Agustín Montes Martínez, Joaquín Cubiella
Gastroenterología y Hepatología (English Edition).2022; 45(2): 106. CrossRef
Cross-Cultural Instrument Adaptation and Validation of Health Beliefs About Cancer Screening
Fang Lei, Wei-Ti Chen, Mary-Lynn Brecht, Zuo-Feng Zhang, Eunice Lee
Cancer Nursing.2022; 45(5): 387. CrossRef
Effect of Health Belief Model on the Participation in FOBT CRC Screening Programme: Case/Control Study
Martín Menéndez, Natalia García-Morales, Teresa Seoane Pillado, Jorge Garau Ramírez, Alba Traver Salvador, Yésica Hervás Jiménez, Noel Pin Vieito, Luis Menéndez Rodríguez, Joaquín Cubiella
SSRN Electronic Journal .2021;[Epub] CrossRef
Cross-Cultural Modification Strategies for Instruments Measuring Health Beliefs About Cancer Screening: Systematic Review
Fang Lei, Eunice Lee
JMIR Cancer.2021; 7(4): e28393. CrossRef
Adaptation and validation of the health belief model scale for colorectal cancer screening
Shin‐Young Lee, Eunice E. Lee, Young Sun Rhee, Eun Young Yang, Jeong Ha Shin, Seonah Lee
Nursing & Health Sciences.2020; 22(2): 355. CrossRef
Enriching the quality of cross‐cultural instrument development through cognitive interviewing: Implications for nursing research
Min Kyeong Jang, Sue Kim, Eileen G. Collins, Lauretta T. Quinn, Chang G. Park, Carol E. Ferrans
Japan Journal of Nursing Science.2020;[Epub] CrossRef
Validation of Family Management Measure for the Brazilian culture
Regina Szylit Bousso, Carolliny Rossi de Faria Ichikawa, Maira Deguer Misko, Maiara Rodrigues dos Santos, Michelle Freire Baliza, Ana Márcia Chiaradia Mendes-Castillo, Estela Regina Ferraz Bianchi
Revista Brasileira de Enfermagem.2017; 70(6): 1151. CrossRef

211 View
1 Download
11 Crossref

Review Article

Dysphagia Screening Measures for Use in Nursing Homes: A Systematic Review: Yeon-Hwan Park, Hwal Lan Bang, Hae-Ra Han, Hee-Kyung Chang; J Korean Acad Nurs 2015;45(1):1-13. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.1

Abstract PDF

Purpose

The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia in older adults to identify the 'right tool' for nurses to use in nursing homes.

Methods

A systematic review was done. Electronic databases were searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality and applicability. Tools were evaluated for feasible incorporation into routine care by nurses.

Results

29 tools from 31 studies were identified. Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52% and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometric quality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagia and aspiration of nursing home residents.

Conclusion

Results show that GUSS and SSA are reliable and sensitive tools for screening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identified tools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.

Citations

Citations to this article as recorded by

Evaluation of the performance of screening tools for dysphagia in older adults: A diagnostic meta-analysis
Lingli Zhang, Ran Hou, Lin Liu, Yan Liu, Qinqin Yu
Geriatric Nursing.2025; 61: 629. CrossRef
Effect of artificial intelligence-based video-game system on dysphagia in patients with stroke: A randomized controlled trial
Bohan Zhang, Ka Po Wong, Mingyue Liu, Vivian Hui, Cai Guo, Zihan Liu, Yue Liu, Qian Xiao, Jing Qin
Clinical Nutrition.2025; 45: 81. CrossRef
Progress on aspiration assessment methods for patients after esophageal cancer surgery in early: A review
Yushuang Su, Yan Li, Zhongbin Chen, Hong Gao, Yaxie He, Xiaohua Li, Xiaying Zeng, Wei Lan, Qin Yang
Medicine.2025; 104(3): e41214. CrossRef
eTWST: An Extension to the Timed Water Swallow Test for Increased Dysphagia Screening Accuracy
Louise Brage, Fredrik Nylén, Patricia Hägglund, Thorbjörn Holmlund
Dysphagia.2024;[Epub] CrossRef
Feasibility of Oral Function Evaluation According to Dementia Severity in Older Adults with Alzheimer’s Disease
Maki Shirobe, Ayako Edahiro, Keiko Motokawa, Shiho Morishita, Yoshiko Motohashi, Chiaki Matsubara, Masanori Iwasaki, Yutaka Watanabe, Hirohiko Hirano
Nutrients.2024; 16(7): 992. CrossRef
Research trends on dysphagia among Korean older adults in long-term care facilities: A scoping review
Seyoung Cho, Dukyoo Jung, Jisung Park
Journal of Korean Gerontological Nursing.2024; 26(2): 134. CrossRef
Appropriate volumes of water for non-invasive swallowing assessments of nursing home residents: A descriptive correlational study
Meng Rung Tsai, Wann Yun Shieh, Hsiu Hsin Tsai, Yea Ing Lotus Shyu, Kuo Hsuan Chang, Fur Hsing Wen, Chia Yih Liu
Heliyon.2024; 10(17): e37340. CrossRef
Aspiration pneumonia in nursing literature—a mapping review
Dominika Lisiecka, Áine Kearns, William Evans, Dawn Farrell
Frontiers in Rehabilitation Sciences.2024;[Epub] CrossRef
Development and validation of a nomogram for predicting dysphagia in long-term care facility residents
Jinmei Liu, Mingshu Liao, Hui Yang, Xiaofang Chen, Yang Peng, Jing Zeng
Aging Clinical and Experimental Research.2023; 35(6): 1293. CrossRef
Understanding how primary care practitioners can be supported to recognise, screen and initially diagnose oropharyngeal dysphagia: protocol for a behavioural science realist review
Caroline Smith, Debi Bhattacharya, Sion Scott
BMJ Open.2023; 13(2): e065121. CrossRef
Effects of chin tuck against resistance exercise on post-stroke dysphagia rehabilitation: A systematic review and meta-analysis
Jing Liu, Qiuyi Wang, Jing Tian, Wanqiong Zhou, Yitian Gao, Xuemei Chen, Wei Zhang, Yajing Gao, Lanshu Zhou
Frontiers in Neurology.2023;[Epub] CrossRef
Development and validation of a predictive model for patients with post-extubation dysphagia
Jia-ying Tang, Xiu-qin Feng, Xiao-xia Huang, Yu-ping Zhang, Zhi-ting Guo, Lan Chen, Hao-tian Chen, Xiao-xiao Ying
World Journal of Emergency Medicine.2023; 14(1): 49. CrossRef
Evaluation of preventive care for swallowing difficulty through policy changes in Japanese long-term care insurance: analysis of a nationwide claims dataset for long-term care insurance
Hiroko Mori, Ayako Nakane, Haruka Tohara, Takeo Nakayama
BMC Health Services Research.2023;[Epub] CrossRef
Are Oropharyngeal Dysphagia Screening Tests Effective in Preventing Pneumonia?
Ikuko Okuni, Satoru Ebihara
Journal of Clinical Medicine.2022; 11(2): 370. CrossRef
Altered Brain Function Activity in Patients With Dysphagia After Cerebral Infarction: A Resting-State Functional Magnetic Resonance Imaging Study
Lei Li, Jiayu Liu, Fenxiong Liang, Haidong Chen, Rungen Zhan, Shengli Zhao, Tiao Li, Yongjun Peng
Frontiers in Neurology.2022;[Epub] CrossRef
The Role of Instrumental Swallowing Assessment in Adults in Residential Aged Care Homes: A National Modified Delphi Survey Examining Beliefs and Practices
Olga Birchall, Michelle Bennett, Nadine Lawson, Susan M. Cotton, Adam P. Vogel
Dysphagia.2022; 37(3): 510. CrossRef
Predicting feeding-tube dependence in patients following endotracheal extubation: a two-item swallowing screen
Shu-Fen Siao, Wen-Hsuan Tseng, Tyng-Guey Wang, Yu-Chung Wei, Tzu-Yu Hsiao, Shih-Chi Ku, Cheryl Chia-Hui Chen
BMC Pulmonary Medicine.2021;[Epub] CrossRef
European white paper: oropharyngeal dysphagia in head and neck cancer
Laura W. J. Baijens, Margaret Walshe, Leena-Maija Aaltonen, Christoph Arens, Reinie Cordier, Patrick Cras, Lise Crevier-Buchman, Chris Curtis, Wojciech Golusinski, Roganie Govender, Jesper Grau Eriksen, Kevin Hansen, Kate Heathcote, Markus M. Hess, Sefik
European Archives of Oto-Rhino-Laryngology.2021; 278(2): 577. CrossRef
Dysphagia screening in residential care settings: A scoping review
Constantino Estupiñán Artiles, Julie Regan, Claire Donnellan
International Journal of Nursing Studies.2021; 114: 103813. CrossRef
A Swallowing Screening Test Enhances a Better Recognition of Patients with a Hip Fracture at Risk for Oropharyngeal Dysphagia
Hugo Wijnen, Peter P. Schmitz, Martine Jansen, Linda Hendrix, Job L. C. van Susante, Hanna Willems
Orthopaedic Nursing.2021; 40(2): 94. CrossRef
Comparison studies of ultrasound-guided botulinum toxin injection and balloon catheter dilatation in the treatment of neurogenic cricopharyngeal muscle dysfunction
Shuo Luan, Shao-Ling Wu, Ling-Jun Xiao, Hai-Yun Yang, Mei-Xin Liao, Shao-Ling Wang, Sheng-Nuo Fan, Chao Ma
NeuroRehabilitation.2021; 49(4): 629. CrossRef
Instrumental Swallowing Assessment in Adults in Residential Aged Care Homes: A Scoping Review
Olga Birchall, Michelle Bennett, Nadine Lawson, Susan M. Cotton, Adam P. Vogel
Journal of the American Medical Directors Association.2021; 22(2): 372. CrossRef
Validation of the Munich Swallowing Score (MUCSS) in patients with neurogenic dysphagia: A preliminary study
G. Bartolome, U. Starrost, H. Schröter-Morasch, B. Schilling, L. Fischbacher, L. Kues, S. Graf, W. Ziegler
NeuroRehabilitation.2021; 49(3): 445. CrossRef
Dietary inflammatory index is associated with pain intensity and some components of quality of life in patients with knee osteoarthritis
Vahideh Toopchizadeh, Neda Dolatkhah, Dawood Aghamohammadi, Mahrokh Rasouli, Maryam Hashemian
BMC Research Notes.2020;[Epub] CrossRef
Dysphagia and mealtime difficulties in dementia: Speech and language therapists’ practices and perspectives
Aisling Egan, Carolyn Andrews, Anja Lowit
International Journal of Language & Communication Disorders.2020; 55(5): 777. CrossRef
The Gugging Swallowing Screen in dysphagia screening for patients with stroke: A systematic review
Ki Deok Park, Tae Hee Kim, Seon Heui Lee
International Journal of Nursing Studies.2020; 107: 103588. CrossRef
Optimising Medicines Administration for Patients with Dysphagia in Hospital: Medical or Nursing Responsibility?
David J. Wright, David G. Smithard, Richard Griffith
Geriatrics.2020; 5(1): 9. CrossRef
Risk Factors of Dysphagia Among Community-Dwelling Middle-Aged Women
Young Hee Lee, Dukyoo Jung, Ok Jong Yun, Hyesoon Lee, Minkyung Lee
Gastroenterology Nursing.2020; 43(2): 164. CrossRef
Developing and Testing the Diagnostic Accuracy of a Brief Nursing Dysphagia Screen
Sarah Groppo-Lawless, Claire C. Davies, Alex Lengerich
Rehabilitation Nursing.2020; 45(6): 367. CrossRef
The Easy Dysphagia Symptom Questionnaire (EDSQ): a new dysphagia screening questionnaire for the older adults
Kyeong Eun Uhm, Minsun Kim, Yong Min Lee, Bo-Ram Kim, Yoon-Sook Kim, Jaekyung Choi, Seol-Heui Han, Hee Joung Kim, Kwang Ha Yoo, Jongmin Lee
European Geriatric Medicine.2019; 10(1): 47. CrossRef
Sarcopenia is an Independent Risk Factor for Dysphagia in Community-Dwelling Older Adults
Seungwoo Cha, Won-Seok Kim, Ki Woong Kim, Ji Won Han, Hak Chul Jang, Soo Lim, Nam-Jong Paik
Dysphagia.2019; 34(5): 692. CrossRef
The GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity study
Ebru Umay, Sibel Eyigor, Ali Yavuz Karahan, Ilknur Albayrak Gezer, Ayse Kurkcu, Dilek Keskin, Gulten Karaca, Zeliha Unlu, Canan Tıkız, Meltem Vural, Banu Aydeniz, Ebru Alemdaroglu, Emine Esra Bilir, Ayse Yalıman, Ekin Ilke Sen, Mazlum Serdar Akaltun, Ozle
European Geriatric Medicine.2019; 10(6): 879. CrossRef
Repetitive Saliva Swallowing Test: Norms, Clinical Relevance and the Impact of Saliva Secretion
Emmelie Persson, Inger Wårdh, Per Östberg
Dysphagia.2019; 34(2): 271. CrossRef
Dysphagia in Frail Older Persons: Making the Most of Current Knowledge
Nicole Rogus-Pulia, Rainer Wirth, Philip D. Sloane
Journal of the American Medical Directors Association.2018; 19(9): 736. CrossRef
Frailty, Swallowing and Dysphagia
David G. Smithard, Mariyam Shazra, Dharinee Hansjee, Ian Swaine
Current Physical Medicine and Rehabilitation Reports.2018; 6(3): 192. CrossRef
Nursing interventions in adult patients with oropharyngeal dysphagia: a systematic review
Lorena Molina, Susana Santos-Ruiz, Pere Clavé, Luis González-de Paz, Esther Cabrera
European Geriatric Medicine.2018; 9(1): 5. CrossRef
Nursing home-acquired pneumonia, dysphagia and associated diseases in nursing home residents: A retrospective, cross-sectional study
Vanessa R.Y. Hollaar, Gert-Jan van der Putten, Claar D. van der Maarel-Wierink, Ewald M. Bronkhorst, Bert J.M. de Swart, Cees de Baat, Nico H.J. Creugers
Geriatric Nursing.2017; 38(5): 437. CrossRef
Oropharyngeal dysphagia: manifestations and diagnosis
Nathalie Rommel, Shaheen Hamdy
Nature Reviews Gastroenterology & Hepatology.2016; 13(1): 49. CrossRef
Dysphagia and Aspiration
John E. Morley
Journal of the American Medical Directors Association.2015; 16(8): 631. CrossRef
Expanding Instrumental Options for Dysphagia Diagnosis and Research: Ultrasound and Manometry
Maggie-Lee Huckabee, Phoebe Macrae, Kristin Lamvik
Folia Phoniatrica et Logopaedica.2015; 67(6): 269. CrossRef

544 View
16 Download
40 Crossref

Original Articles

A Path Analysis on Factors Influencing Second Primary Cancer Screening Practices in Stomach, Colon, and Breast Cancer Survivors: Young Hee Yang; J Korean Acad Nurs 2014;44(2):139-148. Published online April 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.2.139

Abstract PDF

Purpose

This study was conducted to identify the factors influencing second primary cancer (SPC) screening practice by examining the relationships of physical symptoms, knowledge and attitudes regarding SPC screening, perceived risk, primary cancer type, and demographic factors of cancer survivors.

Methods

Participants were 308 survivors of stomach, colon, or breast cancer recruited from 2 university hospitals in Korea. Data were collected using a questionnaire and analyzed using IBM SPSS 21.0 and AMOS 18.0.

Results

The proportion of participants taking all cancer screenings according to national guidelines was 40%. They had moderate knowledge and a relatively positive attitude regarding SPC screening and high cancer risk perception. The participants had taken fewer SPC screenings after than before cancer diagnosis. The factors influencing cancer risk perception were age, physical symptoms, knowledge regarding SPC and primary cancer type (stomach). The factors influencing SPC screening practice were age, gender, economic status, knowledge regarding SPC screening, and primary cancer types (colon).

Conclusion

It is important for clinical professionals to recognize that survivors of cancer are susceptible to another cancer. Education on SPC screening for these survivors should focus on communicating with and encouraging them to have regular cancer screenings.

Citations

Citations to this article as recorded by

Development of Integrated Supportive Care Nursing Competence Scale for Cancer Survivors
Eun-Jung Bae, Yun-Hee Kim
Healthcare.2024; 12(7): 755. CrossRef
Health Behaviors of Cancer Survivors According to the Employment Status and Occupation: A Cross-Sectional Study
Ka Ryeong Bae, Wi-Young So, Su Jung Lee
Healthcare.2023; 11(22): 2974. CrossRef
Survivors’ health competence mediates the association between wearable activity tracker use and self-rated health: HINTS analysis
Steven De La Torre, Donna Spruijt-Metz, Albert J. Farias
Journal of Cancer Survivorship.2022; 16(6): 1268. CrossRef
Factors Associated with Health Check-up and Cancer Screening Participation among Family Caregivers of Patients with Dementia: A Cross-Sectional Study
Bomgyeol Kim, Yejin Lee, Jin-Won Noh, Tae Hyun Kim
BMC Public Health.2021;[Epub] CrossRef
Factors Influencing Supportive Care Needs of Colorectal Cancer Survivors
Hyekyung Kim, Yang-Sook Yoo
Asian Nursing Research.2021; 15(1): 60. CrossRef
Factors Influencing Quality of Life among Cancer Survivors: Based on the Korean National Health and Nutrition Examination Survey (KNHANES) for 2019
Hee Jung Kim
The Korean Journal of Rehabilitation Nursing.2021; 24(2): 109. CrossRef
Colorectal cancer screening practices among cancer survivors five years after diagnosis
Adeline Monet, Rajae Touzani, Anne-Déborah Bouhnik, Marc-Karim Bendiane, Julien Mancini
Journal of Public Health.2021; 29(4): 805. CrossRef
An Integrated TK-TD Model for Evaluation of Radix Aconitikusnezoffii (RAK)
Xin Miao, Ren Bu, Yang Liu, Bing Li, Xiaofei Zhang, Haiyan Xing, Gang Li
Pharmacology.2020; 105(11-12): 669. CrossRef
A Comparative Study on the Characteristics of Cancer Patients and Cancer Survivors
So Young Baek, Ja Yun Choi
Asian Oncology Nursing.2018; 18(1): 11. CrossRef
Breast and Cervical Cancer Screening Behavior in Female Cancer Survivors: The Korea National Health and Nutrition Examination Survey, 2007–2012
Eun-Ae Lee, Jinyoung Shin, Eun-Joo Hwang, Jung-Woong Lee
Korean Journal of Family Medicine.2017; 38(3): 116. CrossRef
The necessity of analysis of cancer survivor concept in Korea
Jiyoung Kim
Journal of Comprehensive Nursing Research and Care.2017;[Epub] CrossRef
The Factors Related to the Non-Practice of Cancer Screening in Cancer Survivors: Based on the 2007-2012 Korean National Health and Nutrition Examination Survey
Song-Ei Yang, Nam-Kyung Han, Sun-Mi Lee, Tae-Hyun Kim, Woojin Chung
Health Policy and Management.2015; 25(3): 162. CrossRef

240 View
0 Download
12 Crossref

Development and validation of the Korean Nursing Delirium Scale: Kyoung-Nam Kim, Cheol-Ho Kim, Kwang-Il Kim, Hyun-Jung Yoo, Si-Young Park, Yeon-Hwan Park; J Korean Acad Nurs 2012;42(3):414-423. Published online June 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.3.414

Abstract PDF

Purpose

The aims of this study were to develop and test the validity of the Korean Nursing Delirium Scale (Nu-DESC) for older patients in hospital.

Methods

The Korean Nu-DESC was developed based on the Nu-DESC (Gaudreau, 2005), and revised according to nursing records related to signs and symptoms of older patients with delirium (n=361) and the results of a pilot study (n=42) in one general hospital. To test the validity of the Korean Nu-DESC, 75 older patients whom nurses suspected of delirium from 731 older patients from 12 nursing units were assessed by bedside nurses using the Korean Nu-DESC. A Receiver Operating Characteristic Curve of the Korean Nu-DESC was constructed with an accompanying Area Under the Curve (AUC).

Results

Specific examples such as irritable, kidding, sleeping tendency, which were observed by bedside nurses in Korea, were identified in the five features of signs and symptoms of delirium in the instrument. The Korean Nu-DESC was psycho-metrically valid and had a sensitivity and specificity of .81-.76 and .97-.73, respectively. The AUC were .89, .74.

Conclusion

Results of this study indicate that the Korean Nu-DESC is well-suited for widespread clinical use in busy inpatients settings and shows promise as a research instrument.

Citations

Citations to this article as recorded by

Risk factors for postoperative delirium in patients with cardiac surgery
Min-Song Kim, Sang-Hee Kim
Science Progress.2024;[Epub] CrossRef
Extracellular Vesicle MicroRNAs as Predictive Biomarkers in Postoperative Delirium After Spine Surgery: Preliminary Study
Young-Eun Cho, Jeongmin Kim, Rany Vorn, Hyeonmi Cho, Wonhee Baek, Hyunki Park, Sijung Yun, Hyung-Suk Kim, Ann K Cashion, Jessica Gill, Bon-Nyeo Koo, Hyangkyu Lee, Gustavo Duque
The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences.2024;[Epub] CrossRef
Assessment of Risk Factors for Postoperative Delirium in Older Adults Who Underwent Spinal Surgery and Identifying Associated Biomarkers Using Exosomal Protein
Wonhee Baek, JuHee Lee, Yeonsoo Jang, Jeongmin Kim, Dong Ah Shin, Hyunki Park, Bon-Nyeo Koo, Hyangkyu Lee
Journal of Korean Academy of Nursing.2023; 53(4): 371. CrossRef
The Relationship between Perioperative Blood Transfusion and Postoperative Delirium in Patients Undergoing Spinal Fusion Surgery: Clinical Data Warehouse Analysis
Young-Suk Kwon, Jong-Ho Kim, Jae-Jun Lee, Eun-Min Seo
Medicina.2022; 58(2): 268. CrossRef
The Effect of Korean Medicine Treatment for Hemorrhagic Transformation after Interventional Reperfusion Therapy of an Anterior Circulation Infarction in a Patient with Hemiplegia and Conscious and Cognitive Disorders: A Case Report
Chae-eun Kim, Ji-hyeon Kang, Seo-hyun Kim, Jun-seok Kim, Kyung-min Baek
The Journal of Internal Korean Medicine.2022; 43(6): 1274. CrossRef
Preoperative Inflammatory Markers and the Risk of Postoperative Delirium in Patients Undergoing Lumbar Spinal Fusion Surgery
Jin Seo Yang, Jae Jun Lee, Young-Suk Kwon, Jong-Ho Kim, Jong-Hee Sohn
Journal of Clinical Medicine.2022; 11(14): 4085. CrossRef
Geriatric assessment predicts nonfatal toxicities and survival for intensively treated older adults with AML
Gi-June Min, Byung-Sik Cho, Sung-Soo Park, Silvia Park, Young-Woo Jeon, Seung-Hwan Shin, Seung-Ah Yahng, Jae-Ho Yoon, Sung-Eun Lee, Ki-Seong Eom, Yoo-Jin Kim, Seok Lee, Chang-Ki Min, Seok-Goo Cho, Dong-Wook Kim, Jong Wook Lee, Kim Hee-Je
Blood.2022; 139(11): 1646. CrossRef
A Case Report of Elderly Delirium Treated with Shihogayonggolmoryo-tang
Su-jung Lee, Ji-soo Yang, Eun-chai Cho, Jae-hwan Lew
The Journal of Internal Korean Medicine.2022; 43(2): 144. CrossRef
Incidence and Risk Factors of Postoperative Recovery Room Delirium in Elderly Patients after Surgery under General Anesthesia
Eunjung Choi, Ye-Eun Seo, Hyun-Sook Yoo, Dong Yeon Kim
Korean Journal of Adult Nursing.2022; 34(2): 215. CrossRef
Validation of the Simplified Palliative Prognostic Index to Predict Survival for Advanced Cancer Patients in Home Hospice Setting
Hyeon-Jeong Yang, Seok-Joon Yoon, Jong-Sung Kim, Sung-Soo Kim, Jin-Gyu Jung, Won Yoon Suh, Sami Lee, Hyun Gu Kim, Yong Woo Lee
Korean Journal of Family Medicine.2021; 42(4): 274. CrossRef
Prevalence and Predictive Factors for Upfront Dose Reduction of the First Cycle of First-Line Chemotherapy in Older Adults with Metastatic Solid Cancer: Korean Cancer Study Group (KCSG) Multicenter Study
In Gyu Hwang, Minsuk Kwon, Jin Won Kim, Se Hyun Kim, Yun-Gyoo Lee, Jin Young Kim, Su-Jin Koh, Yoon Ho Ko, Seong Hoon Shin, Soojung Hong, Tae-Yong Kim, Sun Young Kim, Hyun Jung Kim, Hyo Jung Kim, Myung Ah Lee, Jung Hye Kwon, Yong Sang Hong, Kyung Hee Lee,
Cancers.2021; 13(2): 331. CrossRef
Factors Associated with the Fear of Falling after Discharge in Older Adults Who had Surgery after Experiencing a Fall Fracture
Jin-Yeong Kim, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2021; 23(4): 395. CrossRef
A single-arm feasibility study of gradual dose de-escalation of antiemetic dexamethasone for older patients receiving chemotherapy
Koung Jin Suh, Seonghae Yoon, Jin Won Kim, Seo Hyun Yoon, Ji-Won Kim, Se Hyun Kim, Yu Jung Kim, Keun-Wook Lee, Jong Seok Lee, Jee Hyun Kim
Journal of Geriatric Oncology.2021; 12(6): 922. CrossRef
Effects of Increased Optic Nerve Sheath Diameter on Inadequate Emergence from Anesthesia in Patients Undergoing Robot-Assisted Laparoscopic Prostatectomy: A Prospective Observational Study
Yu Jeong Bang, Heejoon Jeong, Burn Young Heo, Byung Seop Shin, Woo Seog Sim, Duk-Kyung Kim, Sang Hyun Lee, Ji Su Kim, Young Hee Shin
Diagnostics.2021; 11(12): 2260. CrossRef
Diagnostic test accuracy of the Nursing Delirium Screening Scale: A systematic review and meta‐analysis
Eunhye Jeong, Jinkyung Park, Juneyoung Lee
Journal of Advanced Nursing.2020; 76(10): 2510. CrossRef
Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review
Angela María Henao-Castaño, Laura Elizabeth Pachón Cetina, Juan David Monroy Rodríguez
Aquichan.2020; 20(4): 1. CrossRef
Delirium screening in patients in a palliative care ward: a best practice implementation project
Xiao Bin Lai, Zhe Huang, Chun Yan Chen, Matthew Stephenson
JBI Database of Systematic Reviews and Implementation Reports.2019; 17(3): 429. CrossRef
Predictors for Incidence of Delirium after Musculoskeletal Operation in Elderly Patients
Unjong Choi, Sun Ja Kim, Ji Sook Kang
Stress.2019; 27(2): 139. CrossRef
Prevalence of Delirium and Risk Factors in Heart Surgery Patients in Intensive Care Unit: A Retrospective study
Eun-Young Noh, Yeon-Hwan Park
Korean Journal of Adult Nursing.2019; 31(2): 146. CrossRef
Effects of Delirium Management Program on Nursing Practice and Nurses' Stress in Comprehensive Nursing Care Service Units
Ji Hye Kim, Sook Young Kim
The Korean Journal of Rehabilitation Nursing.2019; 22(2): 114. CrossRef
The Incidence and Related Risk Factors of Delirium in the Older Inpatients with Neurological Disorders in a Tertiary Hospital
Mi Sun Kim, Ji Yoon Jun, Hyun Ju Chun, Yun Ok Kim
Korean Journal of Adult Nursing.2018; 30(3): 255. CrossRef
Nurses' Awareness of Psychological Distress and Delirium in Cancer Patients and Job Stress
Mi Ae Park, Eunsook Choi
Asian Oncology Nursing.2017; 17(4): 252. CrossRef
Delirium Management: Diagnosis, Assessment, and Treatment in Palliative Care
Min Seok Seo, Yong Joo Lee
The Korean Journal of Hospice and Palliative Care.2016; 19(3): 201. CrossRef
Development of Korean Intensive Care Delirium Screening Tool (KICDST)
Ae-Ri-Na Nam, Jee-Won Park
Journal of Korean Academy of Nursing.2016; 46(1): 149. CrossRef
Postoperative Delirium in Elderly Patients with Osteoarthritis Surgery: Incidence and Risk Factors
Eun A Park, Min Young Kim
Journal of muscle and joint health.2015; 22(2): 57. CrossRef
Effects of Family Presence Intervention on Anxiety, Delirium, Pain and Length of Time in Recovery Room of Post-operative Elderly Patients in Post-anesthesia Care Units
Kyunghee Kim, Sookhee Lee
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(2): 149. CrossRef
Evaluation of Clinical Usefulness of Delirium Assessment Tools for Elderly Patients after Neurosurgery
Su-Jung Kim, Jun-Ah Song
Journal of Korean Gerontological Nursing.2015; 17(1): 38. CrossRef
Validity of Instrument Development Research in Korean Nursing Research
Kyunghee Lee, Sujin Shin
Journal of Korean Academy of Nursing.2013; 43(6): 697. CrossRef
Comparison of Delirium Screening Instruments for the Elderly
Young Whee Lee, Sung Ok Chang, Eun Suk Kong, Nam Cho Kim, Chun Gill Kim, Hee Kyung Kim, Misoon Song, Soo Yeon Ahn, Myung Ok Cho, Kyung Sook Choi
Korean Journal of Adult Nursing.2013; 25(6): 655. CrossRef

325 View
10 Download
29 Crossref

First
Prev
Page of 1
Next
Last

Search