| Sung Rae Shin | 20 Articles |
Purpose
This study aims to identify predicting factors influencing Chinese students’ intentions to quit smoking. Methods Secondary data for this study came from a study on the change in smoking cessation among Asian students. Data on their intention to quit smoking was collected from October 2020 to January 2021 through an online survey. The study participants included 190 Chinese international students aged 19 to 29 who were smokers. Descriptive statistics, chi-squared test, independent-test, and decision-making trees were used for analysis. Results 73.2% (139 students) of Chinese international students in Korea intended to quit smoking; 97.8% of the groups intending to quit smoking had previously attempted to quit. The decision tree ultimately had seven sections. The attempt to quit smoking was the most significant predictor of smoking cessation intention. Stop smoking attempts, intent to participate in a nonsmoking programs, smoking parents, stop-smoking self attempts, and smoking after studying abroad were factors predicting intention to quit smoking. Conclusion The factors influencing Chinese students’ intention to quit smoking differed depending on their previous smoking cessation experience. Intention to participate in a smoking cessation program, parent smoking, and recent attempts to quit smoking were factors predicting intention to quit in those with previous smoking cessation experience. A program tailored to their needs should be developed to improve the smoking cessation intention of Chinese international students depending on their history of smoking cessation.
Purpose
This study was conducted to investigate selected constructs of the Transtheoretical Model (TTM) of behavior change regarding smoking behavior among Asian students in Korea. Methods A convenience sample of 240 Chinese and Vietnamese smokers studying in colleges, graduate schools, and language programs across the country completed the Chinese and Vietnamese versions of the short form questionnaire from October 2020 to January 2021, through an online survey. The collected data were analyzed using the SPSS/WIN 25.0 program using descriptive statistics, one-way ANOVA, independent t-test, and logistic regression. Results Analyses showed that 72.1% of participants were in contemplation and preparation stage. There were significant differences in the process of change, decisional balance, and self-efficacy depending on the stages of change in smoking cessation. Factors influencing smoking cessation intention were consciousness raising (Odds Radio [OR]=1.22, 95% Confidence Interval [CI]=1.00~1.15, p=.047), self-reevaluation (OR=1.40, 95% CI=1.15~1.70, p=.001), cons of smoking (OR=1.18, 95% CI=1.00~1.39, p=.045), and self-efficacy (OR=1.08, 95% CI=1.00~1.15, p=039). Conclusion The results provide support on the advantages of including the concepts of consciousness raising, self-reevaluation, negative aspects of smoking (cons), and self-efficacy in intervention program development for smoking cessation. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to identify the significance and structure of the painful experience of primary decision-makers regarding the Do-Not-Resuscitate (DNR) instruction. METHODS This study was a qualitative research based on Parse's qualitative research method. Participants were 7 family members who were primary decision-makers for regarding DNR instruction for the family member from July 28, to October 6, 2018. RESULTS The core concepts of the difficulties of the participants were Distress emerging from the pitiful condition of the patient, guilt, sadness and regret, Seeking comfort for loved ones, Uncertainty of DNR decision, Planning the resumption of daily life and decision about own DNR. The painful experience of participants can be defined as the process of empowering the patient through verbal communication with them, by valuing them, and by enabling them to overcome their limitations. CONCLUSION The result of this study is expected to contribute to a deep understanding of primary DNR decision-makers' suffering and developing guidelines for nursing care for health care professionals and primary DNR decision-makers who provide end-of-life care to the patients. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to examine the mediation of Self-Esteem in the relationship between Social Support and attitude toward the Withdrawal of Life-Sustaining Treatment (WLST) for community dwelling elderly in order to provide a basis for planning nursing interventions to improve the attitude of elderly. METHODS The participants were 252 elderly residing in Seoul. The data were collected through a questionnaire survey distributed in March, 2016. The survey included scales on Social Support, attitude towards WLST and measures of Self-esteem. Collected data were analyzed using SPSS/WIN 21.0 program. RESULTS The mean score for the attitude towards WLST was 73.83. Self-Esteem was 29.44. Overall Social Support was 42.51. There were significant correlations among the three variables. Self-esteem was directly affected by the attitude (R²=24%). Attitude towards WLST was directly affected by Family Support. Family Support and Self-esteem affected by the attitude on WLST (R²=19%). Self-esteem had a partial mediating effect (β=.23, p < .001) in the relationship between Family Support and reported attitude from the WLST (Sobel test: Z=4.93, p < .001). CONCLUSION Based on the findings of this study, programs can be created focusing on Social Support and Self-Esteem improvement. The programs may positively change the elderly's attitude towards WLST. Citations Citations to this article as recorded by
PURPOSE
This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly. METHODS This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson's correlation, and hierrarchical multiple regression. RESULTS Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly. CONCLUSION The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas. Citations Citations to this article as recorded by
PURPOSE
This research analyzed the different factors that influenced smoking cessation motivation. METHODS Subjects were both current and past male adult smokers. Data collection was conducted in four small businesses in Seoul and one public enterprise in Gyeonggi-Province from December 10, 2011 to January 30, 2012. Reasons for Quitting (RFQ) scale which was developed by Curry et al. was used for data collection. There were 350 participants and 324 (93%) questionnaires were used for the statistical analysis. RESULTS Participant's level of motivation varied by present smoking, quit attempt, smoking cessation counseling, level of nicotine dependence, stages of smoking cessation, and types of smoking. Participant's drinking pattern, smoking cessation counseling, social seeking type (G) and stages of smoking cessation had a 13% explanatory power for being motivated to stop smoking. CONCLUSION For participants who drink alcohol regularly, who do not participate in smoking cessation counseling and those who are in the pre-contemplation stage for smoking cessation are candidates for future smoking cessation intervention programs or smoking cessation motivation programs.
PURPOSE
The purpose of this study was to identify a model based on f the learning objectives in adult health nursing curriculums. The model can be eventually reflected in Korean National Nurse's Licensing Examination (KNNLE). METHODS The model was developed through a series of practical analysis by the task force team from June to October, 2011. The research team conducted the data synthesis and analysis from the learning objectives of adult health nursing drawn from selected national and international universities, from the adult health nursing areas in KNNLE, and from the current disease prevalence from clinical data in the representative university hospitals in Korea. RESULTS The current disease prevalence and mortality rates are on the increase especially for malignant neoplasm, heart diseases, suicide and diabetes. The items on the KNNLE of adult nursing are categorized by body systems into digestive system (15%), introduction (13.8%), respiratory system (11.3%), and cardiac system (11.3%). While the current system-based learning objectives covers extensive areas of adult health nursing, the core items are required to be selected based on core competences and core learning objectives to restructure the items of KNNLE. The first revised model is to consolidate and restructure the items microscopically in the subjects of adult health nursing by system. The second proposed model from macroscopic perspective is to build a comprehensive scheme of nursing curriculum by encompassing 8 subjects under current KNNLE and adjust the number of items accordingly. CONCLUSION The items of KNNLE need to be gradually redesigned by considering the intervention need at clinical practice and the modified learning objectives of adult health nursing. Based on the job analysis on core competences for newly employed nurses performed by the Korean Accreditation Board of Nursing, it is necessary to establish the core learning objectives of adult health nursing and set up standards for core items in KNNLE.
PURPOSE
Health care professionals represent an immediately available resource to promote smoking cessation. However, the content in smoking cessation intervention courses in most institutions is insufficiently covered due to the limited number of class hours. The purpose of this study was to develop a comprehensive tobacco cessation-web-based, multimedia, educational program for a range of medical professionals. METHODS Based on Jung's Teaching and Learning Structure Plan Model, a development process was proposed comprising four stages: (1) analysis, (2) planning, (3) production, and (4) operation/evaluation. The effectiveness of the program was tested using quasi-experimental design, and the participants in experimental group were required to complete the program. Changes in the level of knowledge and attitude were measured. RESULTS The educational program developed includes nine topics and 26 sub-topics. A total of 180 storyboards, 15 videos, and 27 pictures were made. After the education, the level of knowledge was significantly increased in the experimental group. CONCLUSION This web-based program can be recommended as a potential medium for health care professionals to use in counseling smoking cessation. The study findings also indicated that the program may be either offered as a teaching aid or utilized concurrently with lectures for students studying health care-related topics.
PURPOSE
The purpose of this study was to compare the antioxidant level, serum cholesterol and skin beta-carotene, of female elderly who had been living more then 10 months in institutions which offered either vegetarian or nonvegetarian diet. METHODS Total of 110 female elderly, 56 from institution serving vegetarian diet and 54 from nonvegetarian diet, were recruited from institutions located in S and N city in Korea. beta-carotene level was measured on their palm using Pharmanex Biophotonic Scanner and annual health evaluation data was utilized for the analysis of serum cholesterol. RESULTS The subjects on a vegetarian diet had a significantly higher level of phosphorus, carotene, and folic acid. The elderly who were living in an institution offering a vegetarian diet had a lower level of serum cholesterol and higher level of skin beta-carotene, compared to those living in an institution offering a non-vegetarian diet. CONCLUSION This study reveals that a vegetarian diet is beneficial in increasing skin beta-carotene level, decreasing serum total cholesterol level. The skin beta-carotene measurement appear valuable as a bio-marker of antioxidant intake. Further study on antioxidant food and effective serving strategy for elderly are recommended.
PURPOSE
The purpose of this study was to examine the effects of resistance exercise program for elders with type 2 Diabetes on the self care, stress and HbA1c. METHODS: Thirty three elders with type 2 Diabetes(18 experimental and 15 control subjects) were selected conveniently among the aged who had been enrolled in a community senior center. The subjects in experimental group participated in a resistance exercise program for 8 weeks. Data were analyzed using the SPSS/Win 12.0. RESULTS: The resistance exercise program showed a statistical difference in self care(t=-4.39, p=.000) and stress(t=2.22, p=.034). However, there was not a statistical difference in HbA1c (F=.556, p=.557), but experimental group had decreased continuously in HbA1c after the program. CONCLUSION: The resistance exercise program improved self care and reduced the stress in the elders with type 2 Diabetes. Therefore, resistance exercise program can be applied as an effective nursing intervention to promote self care, decrease the stress and to prevent complication for the elders with type 2 Diabetes.
PURPOSE
This study was conducted to investigate the effects of a school based smoking prevention program for college freshmen. METHOD The nonequivalent control group, pretest-post-test design was used. Among 16 departments in a University located in S city, students in 8, randomly selected, departments received 6 sessions of smoking prevention program consisted of small group discussion led by smoking cessation leaders, video watching, and lectures from March 15 to June 9, 2004. Students in remaining 8 departments did not receive any education. Student's attitude, intention, stress, temptation, knowledge and self efficacy was measured. RESULT The level of stress and smoking temptation was significantly decreased in the experimental group over that of the control group. CONCLUSION It was proven that this school based smoking prevention program was effective for decreasing smoking temptation in college freshmen. In the future, more efforts should be given to college age students to prevent them becoming chronic smokers.
PURPOSE
This study was conducted to 1) find out the frequency of tobacco control intervention, barriers, and facilitators. 2) compare the differences in tobacco control intervention, barriers, and facilitators between oncology nurses and general nurses. METHOD: A sample was composed of 96 oncology nurses and 284 general nurses. The survey questionnaire was mailed out to nurses who were working at the randomly selected hospitals throughout the country. The questionnaire was adopted from the study of national survey on oncology nurse's tobacco interventions in United States by Sarnar, et al.(2000). RESULTS: Oncology nurses were found to provide tobacco control interventions more frequently comparing to the general nurses. "Patient not motivated to quit smoking", "Lack of time", "Lack of recognition/ rewards", were the most commonly identified barriers. "Patient wants to quit", "Adequate time", "Confidence in ability help people to stop smoking", were the most commonly identified facilitators. CONCLUSIONS: Although oncology nurses are in an important position in delivering tobacco interventions and providing resources, their participation in consistent delivery of a tobacco control intervention was less than desirable. To help nurses participate in the assessment of tobacco use and interventions for cessation, the development of educational program is necessary.
PURPOSE
The specific aims of this study was to find out the barrier to smoking cessation intervention in clinical practice among clinical nurses and compare them in high barrier group with those in the low barrier group. METHOD: The sample of this study consisted of 738 nurses practicing in general hospitals with over 400 beds throughout the country. The questionnaire was adopted from the 'Oncology Nurse's Tobacco Control Survey' used in the United Stated by Sarna et al.(2001). RESULT: Age, marital status, hospital experience, position were the variables related to the mean score of subjective resource insufficiency. The perception that the patient was not motivated to quit smoking was the most commonly identified barrier in low barrier group and the second most common barrier in high barrier group. CONCLUSION: Younger, with less clinical experience, single, staff nurses were the characteristics of nurses in the high barrier group. The smoking cessation educational program should be targeted to these populations. Further research is needed to develope strategies to reduce the perception associated with barriers in delivery of tobacco cessation interventions.
PURPOSE
The purpose of this study was to analyze the subjectivity of smoking cessation methods of smokers. METHOD: The Q. methodology which provides a method of analyzing the individual's subjectivity was used. The 34 subjects classified 38 selected Q-statements into a 9 point scale to make a normal distribution. The collected data was analyzed using a QUANL PC program. RESULTS: Three types of smoking cessation among smokers were identified. Type I, Family Centered; Type II, Suppressing Temptation; Type III, Self Overcoming. CONCLUSION: This study results revealed that different approaches of support programs are needed to address the three types of smoking cessation and their characteristics
PURPOSE
The purpose of this study was to develope a evaluation tool of the quality of nursing care for aneurysmal subarachnoid hemorrhage patients at Hunt & Hess Grade I~III. METHOD: The data was gathered from April 15, 2002 to June 14, 2002. The tool proceeded in six steps according to Bloch's framework. RESULT: The results of this study are as follows: 1) The quality evaluation tool for neurosurgery ICU consisted of 25 standards and 138 criteria. The quality evaluation tool for ward consisted of 27 standards and 144 criteria.; 2) The content validities of the tools for neurosurgery ICU and ward were 0.96 and 0.98, respectively.; 3) The Pearson coefficients for evaluating the interrated reliability of the tools for neurosurgery ICU and ward were r=0.9106 (p<0.1) and r=0.8807 (p<0.1), respectively.; 4) The ranges of corrected item-total correlations for evaluating the construct validity of the tools for neurosurgery ICU and ward were 0.0279~0.9354 and 0.0174~0.9682, respectively.; And 5) The ranges of Cronbach's alpha reliabilities for evaluating the internal consistency reliability of the tools for neurosurgery ICU and ward were 0.6040~0.8554 and 0.6212~0.9584, respectively. CONCLUSION: The tools developed in this study seem useful in evaluating the quality of nursing care for aneurismal subarachnoid hemorrhage patients at Hunt & Hess Grade I-III.
PURPOSE
This study aimed to compare differences on sexual satisfaction between non-smokers and smokers of Korean adult males. METHOD: The subjects of this study were 304 current smokers and 331 current non-smokers(stop smokers, never smokers) (58.0%). Because of the nature of the study, the participants were recruited through a home page advertisement of a brand newspaper company in Korea, and the survey was done through Internet system. The tool to measure participant's sexual satisfaction was adopted from the Arizona Sexual Experience Scale-Male. RESULT: Participant's age ranged from 20 to 49, mostly in their 30s-40s(96.1%). They were smoking average of 15 cigarettes per day. There were no significant difference on sexual satisfaction between current smokers and non- smokers(t=-.55, p>.05). However, there were significant difference on sexual satisfaction between ever smokers(n=481) and never smokers(n=154) (t=2.10, p<.05). There were significant differences an erectile and orgasm satisfaction according to number of cigarettes they smoked per day. 54.5% smokers who said that they have difficulty in keeping erectile state considered on smoking cessation within 30 days whereas 24.2% in those who said that keeping erectile state was easy. CONCLUSION: Informing about the high risk of sexual dysfunction with cigarette smoking should become a important part of smoking cessation education and for smoking adolescents.
PURPOSE
This descriptive study was conducted to project the number of critical care APNs needed in critical care units in an acute care hospital setting, up to the year 2020. METHOD Necessary data and information were collected from various funded reports, professional literature, web-sites and personal visits to national and private institutions. The demand of critical care APNs were projected based on two critical care APNs per critical care units. RESULT The projected number of critical APNs for the critical care units in acute care hospital settings as follows: 1) The total projected number of critical care APNs needed for critical care units were 1,270 in 2001. 2) By the year 2020, total number of projected critical care APNs needed in critical care units will be 1,080-1,700. CONCLUSION In order to match the supply to the need, the professional organization should direct their efforts toward enacting legislation. Educational systems should identify strategies in initiation of critical care APN programs in masters level as well as standardizing curriculums across the programs.
The purpose of this study was to test the reliability and validity of a self efficacy scale which was revised for Korean adolescents. The self efficacy scale was based on 48 smoking situations, developed by Best and Hakstian (1978), and was revised according to situations which tempt Korean adolescents to smoke. The 18 situations which were believed to have true characteristics of a temptation to smoke for Korean adolescents. The psychometric evaluation was done on 281 high school adolescents. The result revealed a high internal consistency Alpha coefficient of .97, Principal Component Factor Analysis with a varimax rotation which resulted in 3 factors with more than 1.0 of eigen value. The three factors were 'negative feelings, interpersonal relationship', 'dependence ', and 'self image'. There was a significant positive correlation of r=.290 between this self efficacy scale and the scale of intention for smoking cessation, and a significant negative correlation of r=-.330 between number of cigarettes they smoked. The result indicated that the self efficacy scale measuring adolescents' degree of efficacy in a smoking tempted situation was reliable and valid. Further application of research in the various age and sex groups was recommended for a generalization of the scale.
The purpose of this study was to find out the relationships between parental attitudes about smoking and parental smoking behavior as factors associated with adolescent's smoking behavior. Data were collected from Nov 20, 1997 to Feb 30, 1998 from 295 male high school students located in the Kyung Gi Do Province. Specific questions for adolescents concerning their parent's attitudes about their smoking, parental smoking behavior and the youth smoking behavior were included. Data were analyzed using a SPSS/PC program for the descriptive and chi-square statistics. Results indicated that parental attitudes are significantly associated with adolescents' smoking, both in behavior and amount smoked. Whereas parental behavior showed difference in means of adolescent's smoking behavior and smoking amount. In conclusion, parental attitudes toward adolescent smoking have a significantly greater effect on both the behavior and on the amount smoked than does parental antismoking educational efforts may find it helpful to include this factor.
This descriptive study was conducted to investigate the factors related to adolescent's smoking and to find out relationship between their self reported cigarette smoking and urine cotinine level. The subjects for this study were 68 adolescents attending in a technical high school located in Seoul. The data was collected from April 1 to June 13, 1996 using a questionnaire and their urine was collected simultaneously for the cotinine analysis. The data were analyzed using descriptive statistics, t-test, GLM, Pearson Correlation using SAS program. The results of the study can be summarized as follows: 1. Those subject who spend more than 2 hours each day with smoking friends, who spends more than 30,000 won from their parent's stipends each month, two recognize their smoking behavior can be accepted by their parents, who drink alcohol, smokes significantly mor than those subjects who spend less than 2 hours each day with smoking friends, have less than 30,000 won from their parent's stipends each month, recognizes their parents will be very upset for their smoking behavior, who do not drink alcohol( self report: 94, p=.004; t=3.875, p=.003; t=4.46, p=.003; t=4.08, p=.006, urine cotinine; t=2.678, p=.009; t=33.229, p=.002; t=2.84, p=.005; t=3.29, p=.003). 2. There were positive correlation between their self report of cigarette smoking and urine cotinine level in all groups regardless of ; having religion, level of satisfaction to school, length of time spent with smoking friends, amount of stipend each month, parent's response to their smoking behavior, drinking habits. However there was no relationship between their self report of cigarette smoking and urine cotinine level in a group who smoke more than 11 cigarettes each day. The findings of this study reveals that adolescents can provide fairly honest self reports of their cigarette smoking if trusting relationships can be established between the researcher and the subjects.
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