| Yeong Kyeong Kim | 16 Articles |
PURPOSE
The purpose of current study was to explore the positive outcomes of advanced practice nurse who have experienced the roles in their clinical settings. METHODS This study adopted a qualitative research design based on conventional content analysis. Participants were 16 nurse practitioners have been worked at hospitals or community centers. Data were collected via focus group interviews and analyzed using thematic analysis method. RESULTS Patients' aspect outcomes were "client-centered care in providing continuity", "providing trust based on expertise", "promoting skilled intervention in patient recovering", "blocking the negative consequences", "quality improvement: nursing becoming tighter", "providing total care for cases that require intensive care", "improving patients outcomes by total management", "increasing confidence in evidence-based professional nursing", "rising the satisfaction by cost-effective services", "providing skilled professional practice", and "providing comprehensive care related to covering various aspects." Other themes elicited also included "promoting efficacy by inter-related health professions supervising", "the expansion of specialized practice areas increase business efficiency", "formation of outside customers due to increasing the satisfaction with skilled nursing care", "filling in the emptying spaces of doctors by practicing reliable role to bridge", "attracting external customers through successful management of subjects", "increasing staff's satisfaction on the role to make a bridge between inside and outside doctors", "24 hours medical expertise of professional staff ready secured", and "low cost, same results, that is, cost-effective" in reference to health care resources aspect. CONCLUSION These findings suggested that advanced practice nurses perceived various positive outcomes and provided basic data for outcome indicators of advanced practice nurses' role. Citations Citations to this article as recorded by
PURPOSE
This study was conducted to contribute on nursing practice for elderly people by identifying the effects of hand moxibustion and hand press pellet therapy on the alleviation of constipation. METHODS The data were collected from October to November, 2009, and the subjects included 39 elders (experimental group: 20, control group: 19) from a senior citizens center in B City who reported constipation. Experimental group received an intervention of hand moxibustion and hand press pellet therapy three times a week for six weeks (total: 18 times). Data about the number of defecations per week and constipation degree scores were collected one week after each treatment. RESULTS 1. The number of defecation in the experimental group were different from that of the control group (F=228.26, p<.001). 2. The degree of reported constipation in the experimental group differed from the control group (F=170.59, p<.001). CONCLUSION Hand moxibustion and hand press pellet therapy was shown to be effective in alleviating the constipation of elderly people by increasing the number of defecation per week and reducing the constipation degree scores. These two interventions can thus be used for alleviating the constipation of elderly people, replacing the stool softener and enema.
PURPOSE
The aims of this study were to examine the trend of quantitative study in Korean Journal of Adult Nursing published between 1989-2011 and to provide future directions for nursing research in adult health nursing. METHODS A total of 883 published articles were reviewed, and main subject and the methodology were analyzed using descriptive statistics. RESULTS The most frequently cited keywords were elderly, quality of life, depression, knowledge, stress and anxiety. The survey study was the most popular research design (67.6%) followed by experimental (26.5%), and methodological study (5.5%) design. Over 80% of studies with translated or developed instruments reported reliability for psychometric analysis, while only 18% of the studies reported validity of the instruments they used. In the periods of 2006~2011, significantly more studies utilized experimental design, obtained IRB approval and written consent, and included power analysis for sample size calculation. In recent experimental study, educational program and complimentary therapy were the two most frequently used interventions. CONCLUSION Through the analysis of nursing studies published in Korean Journal of Adult Nursing, we found the number of experimental studies has increased and methodological rigor has improved in recent years.
PURPOSE
This study was to examine the trend of qualitative study published by Korean Journal of Adult Nursing from 1989 to 2011, and to suggest future directions through identifying its strength and weakness. METHODS Ninety one published qualitative studies were analyzed focusing on research methodology and research themes using descriptive statistics. RESULTS During the last 22 years, the number of qualitative studies has rapidly increased and the methodology used to analyze qualitative data has been diversified. The most frequently used analytic method was a phenomenology (48.4%) and the frequency of conducting a content analysis has increased. The prevailing data collection settings were community (61.5%), followed by hospital (35.2%). Especially, many researches showed specific description on researcher's efforts to get validity and reliability of studies in individual studies presented within recent 10 years. However, it was noted that meta study using mixed methodology and secondary analysis of qualitative studies are rarely used and need to be facilitated. CONCLUSION Nursing Researchers utilizing qualitative research should continuously make efforts to increase the validity and reliability of their studies and to find knowledges or strategies applicable to practice through using mixed methods or secondary analysis of individual studies.
The Korean Society of Adult Nursing (KSAN) was founded in 1971. KSAN is dedicated to the development of nursing's knowledge base and specifically in the area of adult nursing. Other goals are knowledge dissemination, promotion of nursing research and education, and the encouragement and support of nurse researchers, nurse educators and nurse practitioners through forums fostering interactions. With more than 1,100 active members in 2011, this year we celebrate the 40th anniversary of KSAN by lookingback at our past, living our present, and pursuing the future. KSAN has six branches nationwide and is governed by an eleven board of directors. KSAN's conferences, held two or three times every year, offer members opportunities to share creative nursing ideas. The Korean Journal of Adult Nursing (KJAN), our bi-monthly Journal, provides innovative ideas in the field of adult nursing for our members through peer-reviewed articles. It was launched in 1989, listed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) in 2011, and strives to publish the best articles. Each issue of the Journal examines current problems and trends in nursing practice, education, and research. On the occasion of our 40th anniversary, we pledge to continue the development of our society in order to meet the needs of our members, and contribute to expand and extend the knowledge base of adult nursing.
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
This purpose of this study was to identify the factors related to the health related quality of life among institutionalized elders. METHODS The subjects were 247 elders institutionalized among one of the four nursing homes in Busan. Data were collected through interview with four standardized questionnaires from August to October, 2008. Questionnaires were related to health related quality of life (SmithKline Beecham's Quality of Life scale, SBQoL), quality of sleep(Pittsburgh Sleep Quality index, PSQI), activity of daily living (Katz ADL Index), and depression (Geriatric Depression Scale Short Form Korea, GDSSF-K). Data were analyzed for descriptive analysis, t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression by using SPSS/WIN 17.0 program. RESULTS The mean HRQoL in the subjects was 6.62 +/- 0.91. Percentage of the respondents reporting sleep disorders were 72.5% and 27.1% reported being vulnerable to depression. The significant predictors of the HRQoL were sleep quality, activity of daily living (ADL), level of education, and depression. The factors accounted for 28.8% of variance in the health related quality of life of institutionalized elders. CONCLUSION Sleep quality, activity of daily living, and depression need to be considered as the important control factors for improving the health related quality of life in the institutionalized elders.
PURPOSE
The purposes of this article were to analyze curricula of gerontological nurse practitioner(GNP) programs in the United States, to compare the curricula with Korean GNP programs, and to provide suggestions for better GNP programs in Korea. METHODS Top GNP programs in the United States were identified from the US NEWS and 12 universities were included in the analyses. Class distribution, credit hours, and clinical hours were analyzed and suggestions for Korean GNP programs were made. RESULTS Average credit hours for class lectures in the US GNP programs were 47 and emphases on physiology, pharmacology, physical assessment, and disease management were identified. Most US GNP programs(75%) provided health concerns for both middle aged and older adults. Not all US GNP programs included 'theory' or 'the introduction to GNP' classes, while these are required classes in the Korean GNP program. The mean clinical hours in the US GNP Programs were 537 which are much higher than those in the Korean GNP program. CONCLUSION Based on the analyses, we can conclude that Korean GNP programs are lacking in many ways. Further evaluation and curricula modifications are required to settle down the program better and to have the graduates prepared more as internationally competent nurse practitioners.
PURPOSE
This study aimed to explore the constituents and structure of adaptation experiences in their everyday life among senior patients of a nursing home in order to provide nursing intervention data for the satisfaction and the improvement of life of senior patients by appreciating the nature of their adaptational experience. METHODS The participants were five female and one male senior patients who were 65-years old or older and admitted at a nursing home in a metropolitan city. The interview data were analyzed by the Giorgi's phenomenological analysis method. RESULTS As the results of analysis, the following three constituents have been found out: retrospective focus based on the meaning of admission, expanding a view and facing up to the reality, reconstructing views about the meaning of life and the world. CONCLUSION With the increasing number of senior in facilities, nurses not only play a key role in caring for seniors but also in managing their maladaptation. Thus, it is considered that the results obtained from the this study provide valuable information for both the senior patients and their families as well as for the nurses, by presenting the data about senior patients' adaptational experiences of nursing home admission.
PURPOSE
To understand the meaning of death seen by nursing students through collage art works. METHOD: The qualitative research method and the content analysis were used. The text were collage and related essays written by 42 senior nursing students about the impressions on death through collage art works. RESULT: Statements were classified into three categories and seventeen themes. The three categories include 'efinitions of death', 'feelings about the death', and 'attitudes about the death and the dying patients'. CONCLUSION: It is shown that participants recognize their position as nursing student, although they may not escape the fear of death, will learn to deal with death, and the dying in a suitably professional manner. In this respect, the study is considered to be helpful for the students in learning the knowledge and information which are needed for hospice nursing care more effectively.
PURPOSE
To understand the meaning of death seen by nursing students through art works. METHOD: The qualitative research method and the content analysis were used. The text were essays written by 42 senior nursing students about their impressions on death through art works. RESULT: Statements were classified into six categories and twenty six themes. The six categories include definitions of death, feelings about the death of a main character, responses to the death of the main character, feelings of significant others about the death of the main character, feelings of participants in this study, and oaths of the participants in this study. CONCLUSION: It is shown that participants recognize their position as nursing students, although they may not escape the fear of death, will learn to cope with death, and the dying in a suitably professional manner. In this respect, the study is considered to be helpful for the students in learning the knowledge and information which are needed for hospice nursing care more effectively.
PURPOSE
To investigate the effects of foot reflexology massage on sleep and fatigue of elderly women. METHOD: The study was performed from April thru July of 2004 on the nonequivalent control group non-synchronized quasi-experimental design. Fifty elderly women were selected for each group. The foot reflexology massage was performed for 45 minutes every three days for experimental group. The data were analyzed using the Cronbach's alpha, Chi-Square test, t-test and Repeated measures ANOVA and Bonferroni. RESULT: 1. The sleep score of the experiment group is significantly higher than that of the control group(t=-5.944, p=.000). 2. For the experiment group, it is seen that the sleep score increases as the frequency of the foot reflexology massage increases(F=96.362, p=.000). 3. The fatigue score of the experiment group is significantly lower than that of the control group(t=4.356, p=.000). 4. For the experiment group, the fatigue is relieved gradually as the frequency of the foot reflexology massage increases(F= 118.444, p=.000). CONCLUSION: Based on the results described above, it is considered that the foot reflexology massage is effective for elderly women in promoting a good sleep and relieving the fatigue.
PURPOSE
To find the effects of semi-Fowler's position on the post-operative recovery for patients with laparoscopic abdominal surgery in recovery room. METHOD: The research was performed by nonequivalent control group non-synchronized quasi-experimental design. The subjects are forty patients who had laparoscopic abdominal surgery in a hospital from Aug. thru Nov. of 2003. Post-recovery scores and O2 saturation degree were measured. The experimental group was place in semi fowler's position while the control group was placed in supine position. The homogeneity between the control group and experimental group was analyzed using the Chi-square, and the hypothesis were tested using t-test. RESULT: 1. The patients in the experimental group placed in semi fowler's position showed significant higher post-recovery scores than those in the control group who were in a supine position. 2. The patients in the experimental group who were in semi Fowler's position showed no significant higher O2 saturation degree than those in the control group who were in supine position. CONCLUSION: Based on the results described above, it is considered that the semi-Fowler's position might be effective in enhancing the post-operative recovery score of the patients with laparoscopic abdominal surgery in recovery room.
PURPOSE
To investigate the effect of oral care either with normal saline or with tantum solution on the oral state of the patients in intensive care unit as well as the frequency of bacteria occurrence inside their oral cavities. METHOD: The study was performed from March thru May of 2003 on the nonequivalent control group non-synchronized quasi-experimental design. Forty subjects were selected for each group. The data were analyzed using the SPSS 10.0 Win. The pre-experimental homogeneity and post-experimental differences between the two groups were analyzed with t-test. RESULT: There was a significant difference in the oral cavity state between the experimental group that had used normal saline and the control group that had used tantum solution. CONCLUSION: Based on the results described above, it is considered that normal saline is more effective than the tantum solution for the oral care of the patients in intensive care unit.
PURPOSE
The study was undertaken to examine the degree of nurse's suffering experience and to identify the influencing factors on nurses' suffering experience in Korea. METHOD: Data were collected using a questionnaire for 271 nurses working at 5 general hospitals in Daegu and Kyung-book province from Sep. 1, to Sep. 30, 2003. The questionnaire consists of 54 items, general characteristics(10) and nurse's suffering experience(44). All surveys were sorted and studied by frequency analysis, mean score, standard deviation, range, independent t-test, one way ANOVA, Pearson's correlation coefficient and Multiple regression. RESULT: The findings of this survey indicate 1) The degree of suffering experienced by nurses caring for terminal cancer patients was 2.96; 2) Demographic variables affecting the degree of nurses' suffering experience were age(F=5.62, p=.000), marital status(F=20.53, p=.000), religion(F=5.44, p=.020), career of clinical experience(F=6.96, p=.000), and feelings of end-life care(F=3.11, p=.016); 3) There were slight correlation between the subitem of nurse's suffering experience and general characteristics of subjects. For 'expanding self consciousness', age, career duration, and position; for 'forming empathy with family', age and career duration ; for 'spiritual sublimation', age, and career duration were affected variables. 4) As a result of the multiple regression analysis for predictable variables affecting nurses' suffering, it was found that 'career of clinical experience' was most significant(F=23.100, p=.000). The explanatory power of this regression formula was 17.6%. CONCLUSION: This study can provide the basic data useful towards improvement of nursing services for terminal cancer patients and the health of the nurse.
The purposes of this study were to evaluate the applicability of pressure ulcer risk assessment tool ; the tool used was that developed by Cubbin and Jackson(1991). The subjects of this study were 253 patients in intensive care units. Data were prospectively collected from Feb 21 to June 10, 1997. Data were analyzed by mean, percentage, chi-square, Mann-Whitney U and stepwise multiple regression. The results of the study are as follows : 1. The factors that will predict pressure ulcer development are general skin condition, incontinence, age and hygiene, and there is a positive relationship between low scoring and pressure ulcer development. 2. The prevalence of the pressure ulcer is 38.3%, and the incidence of the pressure ulcer is 21.7%. 3. The most common pressure ulcer site is the sacrum(64.1%) and the next is the heel(7.69%). 4. Additional pressure ulcer risk factors are hemoglobin level and admission period.
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