Journal of Korean Academy of Nursing

Original Articles

Nurses' Perception of Barriers to Research Utilization: Eun Hyun Lee, Hae Suk Kim; Journal of Korean Academy of Nursing 2000;30(5):1347-1356. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.5.1347

The present study is a descriptive study to investigate nurses'perception of barriers to research utilization. A total of 274 participants in this study consisted of registered nurses working in a large, urban and academic medical center. A questionnaire packet containing the Barriers Scale, and a demographic profile was distributed to nurses and they were asked to return the packet to a return-box in the Nursing Office after completion. The greatest barrier was insufficient time on the job to implement new ideas. Next was `implications for practice are not made clear'. Also the item of the English language in research articles was considered to be the ninth barrier. The greatest mean score of each of the sub-scales was the communication factor. The were followed by the organization, research, and nurse factors. Compared with the means from other studies, the mean scores of the communication and research factors were higher in this study. Nurses who had not taken a class of research methods found the communication and research factors as a higher barrier than those who did. Also, nurses who did not participate in a conference last year perceived the research factor as higher than those who did. It is recommended that English and research classes should be strengthened in educational nursing programs. The researchers should also describe the section of implication for practice as more detail and clearer for the understanding of nurses; Lastly journals in a libraries or online journal systems should be easily accessible.

Citations

Citations to this article as recorded by

Korean Translation of the Barriers to Research Utilization Scale: Psychometric Testing
Youngshin Song, Moonhee Gang, Misook Jung
Research and Theory for Nursing Practice.2017; 31(3): 233. CrossRef
Geriatric Hospital Nurses' Perceived Barriers to Research Utilization and Empowerment
Hyunwook Kang
Asian Nursing Research.2015; 9(1): 65. CrossRef
Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model
Myung Sook Cho, Yong Ae Cho, Mi Ra Song, Mi Kyung Kim, Sun Kyung Cha
Korean Journal of Adult Nursing.2013; 25(2): 136. CrossRef
Factors Influencing Evidence-Based Practice Readiness for Tertiary General Hospital Nurses
Jeong-Sook Kim, Mee-Ock Gu, Sun-Yon Jo
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2945. CrossRef
Research activities and perceptions of barriers to research utilization among critical care nurses in Korea
Eui Geum Oh
Intensive and Critical Care Nursing.2008; 24(5): 314. CrossRef
Perceived Barriers to Research Utilization by Korean University Librarians
Kapseon Kim
The Journal of Academic Librarianship.2005; 31(5): 438. CrossRef
Barriers to University Librarians' Research Utilization
Eun-Chul Lee, Kap-Seon Kim
Journal of the Korean Society for Library and Information Science.2004; 38(1): 77. CrossRef

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Nurses' Research Activities and Barriers of Research Utilization: Eui Geum Oh, Hyun Ju Oh, Yoon Jung Lee; Journal of Korean Academy of Nursing 2004;34(5):838-848. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.838

Abstract PDF

Purpose

This study was to describe nurses' research activities, perceptions and performances of evidence-based practice and barriers to the use of research evidence in nursing practice in Korea.

Method

A cross-sectional survey design was used. A questionnaire, except for Barriers Scale, was developed for the study. Data was collected from a convenient sample of 437 registered nurses working at research and education oriented university hospitals.

Result

Nurses' research-related activities were relatively low compared to previous studies. Also perceptions and performances of evidence based nursing practice were low. Preferred informational resources for clinical decision making were identified as ward manuals/clinical guidelines, manager/senior nurses, and literature/research. The major barriers to research utilization were a lack of implication for practice along with inadequate facilitation to implement research evidence and difficulty understanding research written in English. Priorities of barriers factor were Administrator, Communication, Adopter, and Research.

Conclusion

The findings provide directions for future training, education, and managerial policy to achieve successful evidence based nursing practice.

Citations

Citations to this article as recorded by

Exploring Nursing Research Culture in Clinical Practice: Qualitative Ethnographic Study
Hyeyoung Hwang, Jennie C De Gagne, Leeho Yoo, Miji Lee, Hye Kyung Jo, Ju-eun Kim
Asian/Pacific Island Nursing Journal.2024; 8: e50703. CrossRef
Analysis of the importance of nursing care and performance confidence perceived by nurses in the neonatal intensive care unit
Heemoon Lim, Hyejung Lee, Eunsook Kim, Hyoyeong Kim, Eunkyung Jang
The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 5. CrossRef
Implementing English for Medical Purposes (EMP) in South Korea: Nursing students' ongoing needs analysis
Lee Jin Choi
Nurse Education Today.2021; 104: 104989. CrossRef
Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture
Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
PLOS ONE.2019; 14(12): e0226742. CrossRef
Korean Translation of the Barriers to Research Utilization Scale: Psychometric Testing
Youngshin Song, Moonhee Gang, Misook Jung
Research and Theory for Nursing Practice.2017; 31(3): 233. CrossRef
Heat Application According to Nurse's Belief on Evidence-Based Practice and Behavioral Intention Related to Research
Sukyung Yoon, Yong Soon Shin
Journal of Korean Academy of Fundamentals of Nursing.2016; 23(3): 264. CrossRef
Knowledge Management, Beliefs, and Competence on Evidence-Based Practice, Evidence-Based Decision Making of Nurses in General Hospitals
In-Sook Jang, Myonghwa Park
Korean Journal of Adult Nursing.2016; 28(1): 83. CrossRef
Effects of Project Perception of Research Nurses from Research-driven Hospitals, Research-relevant Performance: Focusing on the Mediating Effects of Research Capacity and Job Satisfaction
Kyoung-Mi Cho, Yang-Kyun Kim
Journal of Korean Academy of Nursing Administration.2015; 21(3): 308. CrossRef
Clinical physical therapists research activity reality and barriers to their utilizing research findings
Kyungyeon Park, Boram Choi, Dongwook Han
Journal of Physical Therapy Science.2015; 27(7): 2091. CrossRef
Geriatric Hospital Nurses' Perceived Barriers to Research Utilization and Empowerment
Hyunwook Kang
Asian Nursing Research.2015; 9(1): 65. CrossRef
Factors influencing evidence‐based nursing utilization intention in Korean practice nurses
Jee‐Won Park, Jeong‐Ah Ahn, Mi‐Mi Park
International Journal of Nursing Practice.2015; 21(6): 868. CrossRef
Clinical Nurses’ Perception on Barriers to Research Utilization
Younhee Kang, In-Suk Yang
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(2): 198. CrossRef
Factors Influencing Evidence-Based Practice Readiness for Tertiary General Hospital Nurses
Jeong-Sook Kim, Mee-Ock Gu, Sun-Yon Jo
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2945. CrossRef
Hospital Nurses' Uses of Evidence, and Barriers to and Enablers of Evidenced-based Practice
Jee-In Hwang
Journal of Korean Academy of Nursing Administration.2013; 19(2): 292. CrossRef
Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model
Myung Sook Cho, Yong Ae Cho, Mi Ra Song, Mi Kyung Kim, Sun Kyung Cha
Korean Journal of Adult Nursing.2013; 25(2): 136. CrossRef
The Influence of Information Retrieval Skill on Evidence Based Practice Competency in Clinical Nurses
Youn-Jung Son, Sun-Hee Kim, Young-Su Park, Soo-Kyoung Lee, Yun-Mi Lee
Korean Journal of Adult Nursing.2012; 24(6): 635. CrossRef
Nurses' Awareness and Performance about Evidence-based Pain Management in Older Adults
Eun-Kyoung Kim, Myong-Hwa Park
Korean Journal of Adult Nursing.2012; 24(1): 20. CrossRef
Level of Knowledge on Evidence-based Infection Control and Influencing Factors on Performance among Nurses in Intensive Care Unit
Jae-Yong Yoo, Eui-Geum Oh, Hea-Kung Hur, Mo-Na Choi
Korean Journal of Adult Nursing.2012; 24(3): 232. CrossRef
Level of Beliefs, Knowledge and Performance for Evidence-Based Practice among Nurses Experienced in Preceptor Role
Jae Yong Yoo, Eui Geum Oh
Journal of Korean Academy of Nursing Administration.2012; 18(2): 202. CrossRef
Integrating Evidence-Based Practice into RN-to-BSN Clinical Nursing Education
Eui Geum Oh, Sunah Kim, So Sun Kim, Sue Kim, Eun Yong Cho, Ji-Soo Yoo, Hee Soon Kim, Ju Hee Lee, Mi Ae You, Hyejung Lee
Journal of Nursing Education.2010; 49(7): 387. CrossRef
Research activities and perceptions of barriers to research utilization among critical care nurses in Korea
Eui Geum Oh
Intensive and Critical Care Nursing.2008; 24(5): 314. CrossRef

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Impact of level of physical activity on healthcare utilization among Korean adults: Jiyun Kim, Seungmi Park; J Korean Acad Nurs 2012;42(2):199-206. Published online April 30, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.2.199

Abstract PDF

Purpose

This study was done to identify the impact of physical activity on healthcare utilization among Korean adults.

Methods

Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the χ²-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare.

Results

Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors.

Conclusion

An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.

Citations

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Mediating Effects of Health-Promotion Behaviors on the Correlation between Self-Perceived Health and Medical Care Utilization among Older Adults
Kyu-Min Kim, Han-Kyoul Kim, Hyun-Sill Rhee
The Korean Journal of Health Service Management.2019; 13(4): 179. CrossRef
Influencing Factors for and Medical Expenditures of Metabolic Syndrome among Public Officials
Ahrin Kim, Chanyeong Kwak, Eun Shil Yim
Korean Journal of Occupational Health Nursing.2012; 21(3): 209. CrossRef
The Comparison between Physical Activity and Health Related Factors of the Korean Male Adult
Jisu Kim, Gyeongnam Lee
Journal of Korean Biological Nursing Science.2012; 14(3): 166. CrossRef

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Relationship between Resource Utilization and Long-term Care Classification Level for Residents in Nursing Homes: Min Kyung Lee, Eun-Kyung Kim; J Korean Acad Nurs 2010;40(6):903-912. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.903

Abstract PDF

Purpose

This study was conducted to examine whether the level of classification for long-term care service under long-term care insurance reflects resource utilization level for residents in nursing homes.

Methods

From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period.

Results

Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance.

Conclusion

The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

Citations

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Comparison of resource utilization by physical function, cognitive function, and behavioral symptoms of residents in long-term care facilities: A cross-sectional study
Eun-Jeong Han, Seonhwa Lee, JungSuk Lee, Myonghwa Park
Journal of Korean Gerontological Nursing.2023; 25(4): 432. CrossRef
Comparison of Utilized Resource Volumes by Grade of Seniors in Long-Term Care Facilities
Eun-Jeong Han, Seonhwa Lee, Rahil Hwang
Journal of Korean Gerontological Nursing.2022; 24(1): 96. CrossRef
Research on Disability Grading Based on ICF Functional Framework: Empirical Evidence From Zhejiang Province, China
Huan Liu
Frontiers in Public Health.2021;[Epub] CrossRef
The effect of aerobic exercise based korean traditional dance on vascular health, muscle strength and balance in the elderly with dementia
Mi Yang Jeon, Chi Yang Yoon, Mi Jeong Jin, Dong Hyun Yi, Hyeon Cheol Jeong
The Journal of Korean Academy of Physical Therapy Science.2020; 27(3): 12. CrossRef
Incidence of hip fracture among long-term care insurance beneficiaries with dementia: comparison of home care and institutional care services
Juyeong Kim, Young Choi, Eun-Cheol Park
BMC Geriatrics.2019;[Epub] CrossRef
Does long‐term care insurance reduce the burden of medical costs? A retrospective elderly cohort study
Jae Woo Choi, Eun‐Cheol Park, Sang Gyu Lee, Sohee Park, Hwang‐Gun Ryu, Tae Hyun Kim
Geriatrics & Gerontology International.2018; 18(12): 1641. CrossRef
Factors Influencing Care Behavior of Certified Care Assistants for Older Adults with Dementia
Ji-yeon Kim, Sunghee H Tak
Journal of Korean Gerontological Nursing.2018; 20(3): 185. CrossRef
Demand and willing to pay for oral hygiene service in long-term care insurance of elderly
Han-Nah Kim, Gi-Yon Kim, Hie-Jin Noh, Nam-Hee Kim
Journal of Korean Academy of Oral Health.2018; 42(4): 204. CrossRef
Incidence of Pressure Ulcers During Home and Institutional Care Among Long-Term Care Insurance Beneficiaries With Dementia Using the Korean Elderly Cohort
Juyeong Kim, Young Choi, Jaeyong Shin, Suk-Yong Jang, Kyeong Hee Cho, Jin Young Nam, Eun-Cheol Park
Journal of the American Medical Directors Association.2017; 18(7): 638.e1. CrossRef
Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care
Woon-Sook Jung, Eun-Shil Yim
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 388. CrossRef
Cognitive Function, Behavioral Problems, and Physical Function in Long‐Term Care Insurance Beneficiaries with Dementia in South Korea: Comparison of Home Care and Institutional Care Services
Tae Wha Lee, Eunsil Yim, Eunhee Cho, Jane Chung
Journal of the American Geriatrics Society.2014; 62(8): 1467. CrossRef
Cognitive Function and Activity of Daily Living of Older Adults Using Long-term Care Service
Hyun-Sook Chang, Hung Sa Lee
Korean Journal of Health Policy and Administration.2012; 22(4): 522. CrossRef

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Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea: Hosihn Ryu; Journal of Korean Academy of Nursing 2006;36(7):1193-1203. Published online December 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.7.1193

Abstract PDF

Purpose

The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea.

Method

A secondary analysis of existing data was used from the national electronic data information(EDI) of 148 home health agencies for 6 months from May to Oct 2005 in total.

Result

The 148 agencies had multiple services in cerebral infaction, essential hypertension, sequela of cerebrovascular disease, type 2 diabetes mellitus, etc.. The highest 10 rankings of 76 categories of home health nursing services were composed of 96.4% of the total services, such as simple treatment, inflammatory treatment, urethra & bladder irrigation, inserting indwelling catheter etc., in that order. The highest 20 rankings of 226 categories of home examination services were composed of 77.0% of the total home examination services. In addition, the average cost of home health care per visit was 46,088 Won (≒48 $, 1 $=960 Won). The costs ranged from 74,523 Won (≒78 $, loss of chronic kidney function, N18) to 32,270 Won (≒34 $, other cerebrovascular diseases, I67).

Conclusion

Results suggest that client characteristics of hospital based HHNC are not different from community based HHNC or visiting nursing services for elderly. The national results will contribute to baseline data used to establish a policy for the home health nursing care system and education.

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CIN: Computers, Informatics, Nursing.2009; 27(4): 234. CrossRef

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