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Original Articles
Korean Nursing Students' Experience of Ethical Problems and Use of Ethical Decision-Making Models
Sung Suk Han, Hyeoun Ae Park, Sung Hee Ahn, Miriam E Cameron, Hyo Sook Oh, Kyeong Uoon Kim
Journal of Korean Academy of Nursing 2001;31(5):846-857.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.5.846
AbstractAbstract PDF

PURPOSE: This study was conducted to study on 1) What is nursing students' experience of ethical problems involving nursing practice? 2) What is nursing students' experience of using ethical decision-making models?
METHOD
In order to answer these two questions, we selected 97 senior baccalaureate nursing students from two Korean universities using a conceptual framework and method of content analysis.
RESULT
From 97 ethical problems emerged five content categories, the largest being ethical problems involving health professionals (69%); the basic nature of the nursing students' experience of ethical problems consisted of conflict, resolution, and rationale; 94% of the students stated that using an ethical decision-making model was helpful.
CONCLUSION
Although additional research is needed, these findings have important implications for nursing ethics education and practice.

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Model Development of Korean Professional Hospice Care Education
Euy Soon Choi, You Ja Ro, Sung Suk Han, Nam Cho Kim, Hee Seung Kim, Ho Ran Park, Sung Hee Ahn
Journal of Korean Academy of Nursing 1999;29(5):1011-1020.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.5.1011
AbstractAbstract PDF

This study was conducted to develop an education program of hospice care for the professional in order to care for nurses for terminally ill patients facing death and their families. The Modified Tyler-Type Ends-Means model was used to guide the curriculum development of the study. The curriculum include a philosophical conception of hospice education, fundamental concepts, purpose, objective and the educational contents. The content was developed based upon a 70% or more demand in educational demand analysis. The education program has a total of 360 hours consisting of 172 hours of theoretical study and 188 hours of practice including fundamental nursing care for hospice.

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Influence of Nurse Managers' Authentic Leadership on Nurses' Organizational Commitment and Job Satisfaction: Focused on the Mediating Effects of Empowerment
Han-Gyo Choi, Sung Hee Ahn
J Korean Acad Nurs 2016;46(1):100-108.   Published online February 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.1.100
AbstractAbstract PDF
Purpose

The aim of this study was to examine the mediating effect of empowerment in the relationship of nurse managers' authentic leadership, with nurses' organizational commitment and job satisfaction.

Methods

The participants in this study were 273 registered nurses working in five University hospitals located in Seoul and Gyeonggi Province. The measurements included the Authentic Leadership Questionnaire, Condition of Work Effectiveness Questionnaire-II, Organizational Commitment Questionnaire and Korea-Minnesota Satisfaction Questionnaire. Data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, simple and multiple regression techniques with the SPSS 18.0 program. Mediation analysis was performed according to the Baron and Kenny method and Sobel test.

Results

There were significant correlations among authentic leadership, empowerment, organizational commitment and job satisfaction. Empowerment showed perfect mediating effects in the relationship between authentic leadership and organizational commitment. It had partial mediating effects in the relationship between authentic leadership and job satisfaction.

Conclusion

In this study, nurse managers' authentic leadership had significant influences on nurses organizational commitment and job satisfaction via empowerment. Therefore, to enhance nurses' organizational commitment and job satisfaction, it is necessary to build effective strategies to enhance nurse manager's authentic leadership and to develop empowering education programs for nurses.

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Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients
Sung Hee Ahn, Young Lan An, Yang Sook Yoo, Michiyo Ando, Soo Jin Yoon
J Korean Acad Nurs 2012;42(1):28-35.   Published online February 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.1.28
AbstractAbstract PDF
Purpose

This study was done to evaluate the effects of a short-term life review on spiritual well-being, depression, and anxiety in patients with terminal cancer.

Methods

The study used a pre posttest quasi experimental design with a nonequivalent control group. Measurement instruments included the Functional Assessment of Chronic Illness Therapy-Spiritual scale (FACIT-Sp12) and the Hospital Anxiety and Depression Scale (HADS). Participants were 32 patients with terminal cancer who were receiving chemotherapy or palliative care at hospitals or at home. Eighteen patients were assigned to the experimental group and 14 to the control group. A sixty minute short-term life review session was held twice a week as the intervention with the experimental group.

Results

There was a statistically significant increase in spiritual well-being in the experimental group compared to the control group. There were also significant decreases in depression and anxiety in the experimental group compared to the control group.

Conclusion

The results indicate that a short-term life review can be used as a nursing intervention for enhancing the spiritual well-being of patients with terminal cancer.

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Development of Key Indicators for Nurses Performance Evaluation and Estimation of Their Weights for Management by Objectives
Eun Hwa Lee, Sung Hee Ahn
J Korean Acad Nurs 2010;40(1):69-77.   Published online February 28, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.1.69
AbstractAbstract PDF
Purpose

This methodological research was designed to develop performance evaluation key indicators (PEKIs) for management by objectives (MBO) and to estimate their weights for hospital nurses.

Methods

The PEKIs were developed by selecting preliminary indicators from a literature review, examining content validity and identifying their level of importance. Data were collected from November 14, 2007 to February 18, 2008. Data set for importance of indicators was obtained from 464 nurses and weights of PEKIs domain was from 453 nurses, who worked for at least 2 yr in one of three hospitals. Data were analyzed using χ2-test, factor analysis, and the Analytical Hierarchy Process.

Results

Based upon Content Validity Index of .8 or above, 61 indicators were selected from the 100 preliminary indicators. Finally, 40 PEKIs were developed from the 61 indicators, and categorized into 10 domains. The highest weight of the 10 domains was customer satisfaction, which was followed by patient education, direct nursing care, profit increase, safety management, improvement of nursing quality, completeness of nursing records, enhancing competence of nurses, indirect nursing care, and cost reduction, in that order.

Conclusion

PEKIs and their weights can be utilized for impartial evaluation and MBO for hospital nurses. Further research to verify PEKIs would lead to successful implementation of MBO.

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