PURPOSE: The traditional nursing roles have become increasingly blurred. Nurses are now working in different ways and at higher levels of practice that enable nurses to adapt their roles and take on new responsibilities. The advanced role of nurses requires a different kind of master-level prepared education. METHOD AND RESULT: This article describes an curriculum development process in preparing registered nurses for their advanced nurese' roles in the area of acute adult health nursing, geriatric nursing, pediatric nursing, neonatal intensive care nursing and oncology nursing. Several important issues to be solved regarding introduction of APN were also discussed. CONCLUSION: The curriculum that was proposed in the study will equip nurses to meet the challenges of future healthcare provision and will be a model to other areas of nursing practice and curriculum development.
PURPOSE: The purpose of this study was to investigate the rate of pregnancy, abortion, delivery and contraceptive use and the relationship between the related factors and the early coitus among Korean teenagers.
METHOD
The subjects of this study were 12,733 teenagers age 13-19 years in 7 major cities and 9 provinces in Korea. Data was collected from 2 Oct., to 28 Oct., 2000 and analyzed by using SPSS 10.0 Program.
RESULTS
The results showed pregnancy rate 4.5%, delivery rate 0.5%, abortion rate 0.4%. Adolescent girls who experienced coitus relatively went to vocational school, coeduaction school, night school in the general characteristics (p=0.000). Adolescent girls who experienced coitus tend to go to video room (18.5%), go the singing room (60.7%), the bar (54.8%), petting with the partner during the dates. There were overlapping juvenile delinquencies such as drinking (89.2%), pornography (65.3%), bond inhalation (2.7%), leaving homes (43.7%), smoking (14.5%), cyber sex (70.8%), phone sex (12.9%). Adolescent girls who experienced coitus were more suffering from Wangtta (26.1%) than who had not. They showed significant positive attitudes toward coitus; such as feeling of excitement (6.6%), nature (37.9%), beauty (8.7%). On the other hand, they had more guilty (2.8%) than the inexperienced (p=0.000). The main factors relating to early coitus were 'to confirm love' (46.9%), 'afraid of rejection' (32.2%). They think the benefits of coitus were 'more intimacy with boyfriends' (20.6%), 'satisfaction of curiosity' (16.8%). The losses on coitus were 'worry about pregnancy' (73.7%) and 'unability to refuse sexual contacts' (28.7%)
CONCLUSION
It could be concluded that it is necessary to plan different sex education programs according to general characteristics and delinquency behaviors of teenage girls in Korea.
For producing large numbers of professional nurses who could manage 21th century's human health, it is necessary to review the direction of registered nursed' national examination which evaluates the nursing education and is granted a licence. For adapting to social expectation of the nurse, we have to nurture the nurses' problem solving capability in clinical setting. Seven divisions of Korean Academy of Nursing suggested clinical competency according to their categories. This paper was presented in the workshop for setting up direction of registered nurses' national examination. We expect that this paper would be more refine and confirm through reviewing subdivisions' learning objectives and discussing clinical minimum level of competence contents with clinical leaders.
The purpose of this study was to test the effectiveness of a comprehensive smoking cessation program for Korean adolescents.
The study design was quasi-experimental with one pre and three post-tests. The three posttests were done immediately after, three months later, and six months after the completion of the program. A total of 43 high school students who smoked participated in the study with 22 in the experimental group and 21 in the control group. The smoking cessation program consisted of 9 sessions with content on enhancement of self-efficacy, stress management, correction of distorted thoughts, consciousness raising, and assertiveness training. The study variables were urine cotinine levels, self-efficacy, stress, and stages of changed behavior.
Urine cotinine levels significantly decreased in the experimental group after the program (F=3.02,
The program was effective in smoking cessation and influencing stages of change but did not change psychosocial factors such as self-efficacy and stress. It is suggested a program should be developed to change psychosocial variables on a long-term basis. It is also desirable to involve peers and families of adolescents who smoke when planning programs to enhance social support.
The purposes of this descriptive study were to: (a) describe the identifiable characteristics of the population of battered women; (b) examine mental health aspects by means of measuring level of anxiety, self-esteem, and depression.
A convenience sample of 96 battered women was recruited from women who were admitted to a shelter.
Data from this study supported the assertion that many battered women were exposed to severe physical abusive situations. Also the major finding was that the levels of anxiety and depression were high and the level of self-esteem was low in battered women living in shelters.
This study was designed to investigate the effects of a network program to prevent obesity and improve dietary habits for patients taking antipsychotics or antidepressants.
Thirty-seven patients in two hospitals were assigned to a control group (21 patients) or an intervention group (16 patients). The intervention group was evaluated to analyze the effect of the network program for six weeks after the program.
There was a difference in the rate of increased body weight between the control group and the intervention group. Notably, the body weight of both groups before the intervention was significantly increased. However, after the intervention the body weight of the intervention group rarely increased, whereas, the body weight of the control group was significantly increased as expected. There was an observed difference in diet between the control group and the intervention group. After the intervention, caloric intake per day of the intervention group decreased. Also, the duration of the meal of the intervention group after the intervention was longer than before.
The network program for preventing obesity and improving dietary habits of patients taking antipsychotics or antidepressants was effective. The study shows that a network program can be an important part of a nursing intervention in clinical practice.