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Volume 33(1); February 2021

Invited Article

An Integrative Review of Symptom Science
Jiyeon Lee
Korean J Adult Nurs 2021;33(1):1-9.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.1
Purpose
This article aimed to review and summarize symptom literature to promote a comprehensive understanding of symptom science. Methods: An integrative review was conducted regarding symptom science with a particular focus on cancer symptoms. Results: Nursing theories that lead symptom science were reviewed. The importance of symptom assessment was highlighted. The current status of symptom science related to symptom mechanisms, symptom clusters, symptom management, and symptom outcomes was summarized. Conclusion: Nursing researchers need to develop expertise and facilitate collaborative multidisciplinary research to enhance symptom science. A comprehensive understanding of symptom experience and the application of valid research methodologies can advance symptom science.

Citations

Citations to this article as recorded by  
  • Symptom Clusters and Quality of Life in Patients with Type 2 Diabetes Mellitus
    Su-Yeon Hong, Yang-Sook Yoo
    Korean Journal of Adult Nursing.2021; 33(5): 498.     CrossRef
  • 68 View
  • 2 Download
  • 1 Crossref
  • 2 Scopus

Review Article

Individual and Institutional Outcomes of Nurse Residency Program for New Nurses: A Systematic Review
Min Kyoung Han, Sujin Shin, Jeonghyun 3 Kim
Korean J Adult Nurs 2021;33(1):10-28.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.10
Purpose
This study aimed to review the outcomes of nurse residency programs for new graduate nurses. Methods: The inclusion criteria were peer-reviewed articles on the outcomes of nurse residency programs for new graduate nurses published in English from 2010 to 2019. A literature search was conducted in the PubMed, CINAHL, Science Direct, EMBASE, and PsycINFO databases using the search terms "nurse residency program," "new graduate nurse," and "transition to practice program." A qualitative appraisal of studies was conducted using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) and the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results: Twenty-five studies were selected. The systematic review found that nurse residency programs effectively increased the competence and confidence of new graduate nurses in 14 studies. Job satisfaction, job stress and anxiety, and support showed different results, which were increased, decreased, or statistically insignificant after the programs. In three studies, institutional outcomes, including the retention rate in 16 surveys and hospital cost savings, were improved. Patient safety had different results depending upon the study. Conclusion: This study's results can provide evidence for the necessity of a standardized nursing education program and for developing a system for evaluating its effectiveness to improve the quality of nursing education.

Citations

Citations to this article as recorded by  
  • South Korean Nurse Residency Program for New Graduates: A Posttest Study
    Jihye Song, Kyunghee Kim, Yunjung Jang
    The Journal of Continuing Education in Nursing.2024; 55(8): 393.     CrossRef
  • Outcome Evaluation of a Health System Clinical Nurse Specialist Fellowship Program
    Tiffany Rader, Alyson Keen, Brandee Wornhoff, Jan Powers
    Clinical Nurse Specialist.2024; 38(4): 163.     CrossRef
  • The development and evaluation of a pediatric nurse preceptor education program in a children’s hospital
    Nam-Ju Cho, Kyung-Sook Bang, Na-Rae Jung, Eun-Chul Kim
    The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 280.     CrossRef
  • Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study
    Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
    Nurse Education Today.2024; 133: 106077.     CrossRef
  • Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
    Soyoung Kim, Sujin Shin, Inyoung Lee
    Korean Medical Education Review.2023; 25(1): 55.     CrossRef
  • Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model
    Heehwa Choi, Sujin Shin
    The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 27.     CrossRef
  • 76 View
  • 4 Download
  • 6 Crossref
  • 6 Scopus
Original Articles
Attitudes and Practices toward Droplet and Airborne Universal Precaution among Nurses during the COVID-19 Outbreak in Indonesia
Linlin Lindayani, Bhakti Permana, Taryudi , Irma Darmawati
Korean J Adult Nurs 2021;33(1):29-36.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.29
Purpose
Nurses are at the forefront of the battle against the Coronavirus Disease 2019 (COVID-19) pandemic.Nurses’ expertise, attitude, and practice of prevention and control are important to provide a good quality of care for patients and to protect themselves from COVID-19 infection. This study aimed to investigate the attitudes and practices toward droplet and airborne universal precaution among nurses during the COVID-19 outbreak and to identify factors associated with nursing practices. Methods: A cross-sectional online survey was conducted among nurses who had been involved in COVID-19 prevention and control and were able to join in the research from referral hospitals from Bandung, West Java, Indonesia from May 1 to 20, 2020. The questionnaire comprised three parts: demographic characteristics, attitude toward droplet and airborne universal precaution, and practice toward droplet and airborne universal precaution. Results: The response rate was 91.7% (550 of 600 nurses). The majority were women (75.5%), aged 31.26±7.19 years (range: 22~55). Attitude (β=.51, p=.036) and perception of risk of contracting COVID-19 (β=.66, p=.045) were factors found to be associated with practices toward droplet and airborne universal precaution during the COVID-19 outbreak. Conclusion: The Indonesian government needs to improve health services by enhancing and expanding tailored training programs for nurses on routine infection prevention and provide policies to better control the spread of the COVID-19 pandemic.

Citations

Citations to this article as recorded by  
  • Influences of healthcare workers' behaviours towards infection prevention and control practices in the clinical setting: A systematic review
    Gift A. Mutsonziwa, Marwa Mojab, Megha Katuwal, Paul Glew
    Nursing Open.2024;[Epub]     CrossRef
  • 23 View
  • 0 Download
  • 1 Crossref
  • 1 Scopus
The Effect of Intradialytic Stretching Training on Restless Legs Syndrome and Sleep Quality in Hemodialysis Patients
Achmad Fauzi, Rusmai Triaswati
Korean J Adult Nurs 2021;33(1):37-43.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.37
Purpose
Intradialytic exercise could be a cornerstone of management in hemodialysis patients. The aim of this study was to evaluate the effect of intradialytic stretching training on Restless Legs Syndrome (RLS) and sleep quality among patients undergoing hemodialysis. Methods: This 8-week quasi-experimental design study involved adult patients undergoing chronic hemodialysis treatment for at least 3 months at the Drug Dependency Hospital Nephrology Unit in Jakarta. Nineteen participants were listed in each group, so a total of 38 participants were registered. Convenience sampling was used to select respondents. In addition, each respondent was asked to complete the International Restless Legs Syndrome Study Group (IRSSG) rating scale and the Pittsburgh Sleep Quality Index (PSQI). Results: The majority of respondents were women (55.3%), unemployed (71.1%), with duration of hemodialysis>12 months (55.3%), and having hemoglobin levels less than 10 mg/dl (68.4%). The mean RLS before intervention was 1.74 (Standard Deviation [SD]=0.23) and after intervention, there was significant reduction in RLS score to a mean of 0.42 (SD=0.17) (p<.001). Similarly, mean sleep quality before intervention was 4.02 (SD=2.56) and after intervention, it reduced significantly to a mean of 6.16 (SD=3.18) (p<.001). Conclusion: Intradialytic stretching training could play a significant role in decreasing RLS and improving quality of sleep. Further studies with larger sample sizes and longer periods of intervention are required to validate our results and contribute to better patient outcomes.

Citations

Citations to this article as recorded by  
  • Comparisons of Intradialytic Exercise Versus Home-Based Exercise in Hemodialysis Patients: A Narrative Review
    Chao-Lin Lee, Ping-Chen Wang, Yi-Ling Chen, Zen-Yong Chen, Ching-Cherng Uen, Hsien-Yung Lai, Chih-Chung Shiao
    Biomedicines.2024; 12(10): 2364.     CrossRef
  • Efficacy of Aerobic and Stretching Exercises in Managing Willis-Ekbom Disease (Restless Leg Syndrome) Among Hemodialysis Patients
    Mohamedalamin Alnoor Altayb Ismail , Islam Daffalla, Taranpreet Singh, Qandeel Rida Siddique, Mohammed Khaleel I. KH. Almadhoun , Rabail Irfan, Moeez Saqib, Muhammad Haris, Zaid Khan, Jaqueline Giselle Farias Fernandes, Asma Iqbal, Syed Faqeer Hussain Bok
    Cureus.2024;[Epub]     CrossRef
  • Pharmacological and non-pharmacological treatments for restless legs syndrome in end-stage kidney disease: a systematic review and component network meta-analysis
    Jia-Jin Chen, Tao Han Lee, Yu-Kang Tu, George Kuo, Huang-Yu Yang, Chieh-Li Yen, Pei-Chun Fan, Chih-Hsiang Chang
    Nephrology Dialysis Transplantation.2022; 37(10): 1982.     CrossRef
  • Analysis of the Influence of Nursing Safety Management on Nursing Quality in Hemodialysis Room
    Ying Huang, Hong Chen, Zhao kaifa
    Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef
  • 46 View
  • 2 Download
  • 4 Crossref
The Effect of White Noise on Sleep in Hospitalized Patients: A Randomized Controlled Trial
Min-Eun Cho, Sun-Kyung Hwang
Korean J Adult Nurs 2021;33(1):44-55.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.44
Purpose
During hospitalization, sleep can be disturbed and the quality reduced. This study investigated the effect of applying white noise on hospitalized patients for improving their sleep quality. Methods: In a randomized controlled trial design, participants were randomly assigned to an experimental group (n=30) or a comparison group (n=31), enrolled from rehabilitation medicine wards at a university hospital in South Korea. For three days of the intervention, the experimental group listened to white noise for one hour before sleep. The comparison group wore only earplugs before sleep. Sleep quality was assessed by the Verran and Snyder-Halpern (VSH) sleep scale as a subjective measure and the Fitbit ® wrist band monitor as an objective measure. Data were collected pre- and three days post-intervention. Data were analyzed by repeated measures ANOVA using SPSS/WIN 22.0 program. Results: The white noise group showed positive effects on subjective sleep quality (p<.001) compared to the earplug group. Among the objective sleep quality measures, sleep time (p<.001) and sleep efficiency (p=.003) were statistically significant, but there were no statistically significant differences in time of awakening, number of awakening, time of restless and number of restless. Conclusion: Findings indicate that applying white noise could be considered as a useful nursing intervention to improve subjective and objective sleep quality in hospitalized patients.

Citations

Citations to this article as recorded by  
  • A randomized controlled trial on the effect of music and white noise listening on anxiety and vital signs during intramuscular injection skill learning
    Berna Aksoy, Levent Ozturk
    Teaching and Learning in Nursing.2024; 19(1): e52.     CrossRef
  • Effect of dynamic binaural beats on sleep quality: a proof-of-concept study with questionnaire and biosignals
    Hwa-Ah-Ni Lee, Woo-Jin Lee, Seong-Uk Kim, Hyunji Kim, Minkyu Ahn, Jeonghui Kim, Do-Won Kim, Chang-Ho Yun, Han-Jeong Hwang
    SLEEP.2024;[Epub]     CrossRef
  • Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
    Yul Ha Lee, Hye-Ja Park
    Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef
  • External Auditory Stimulation as a Non-Pharmacological Sleep Aid
    Heenam Yoon, Hyun Jae Baek
    Sensors.2022; 22(3): 1264.     CrossRef
  • 76 View
  • 1 Download
  • 4 Crossref
  • 3 Scopus
Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients
Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo
Korean J Adult Nurs 2021;33(1):56-66.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.56
Purpose
This study investigates the mediating effects of self-care competence on the relationship between uncertainty and quality of life in stroke patients. Methods: This study adopts a descriptive research approach using 158 patients diagnosed with ischemic or hemorrhagic stroke through brain Magnetic Resonance Imaging (MRI) or Computed Tomography (CT). The data collection period was from May 20, 2020 to September 29, 2020. The data were analyzed using descriptive statistics, Pearson’s correlation coefficient analysis, and a three-step regression analysis using Baron and Kenny’s method for mediation. Results: The mean scores for uncertainty, self-care competence, and quality of life were 3.07±0.49, 3.66±1.07, and 3.54±0.93, respectively. Self-care competence was found to completely mediate the relationship between uncertainty and quality of life (z=-5.31, p<.001), and its explanatory power was 77.2%. Conclusion: To improve the quality of life among stoke patients in uncertain situations, it is necessary to improve their self-care competence and develop step-by-step and differentiated self-care competence enhancement programs through multidisciplinary collaboration.

Citations

Citations to this article as recorded by  
  • Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
    Enhee Jo, Ju-Young Park, Young Jun Jang
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 315.     CrossRef
  • Telehealth interventions to support self-care of stroke survivors: An integrative review
    Ha-Young Park, In-Sun Yeom, Yoo-Jin Kim
    Heliyon.2023; 9(6): e16430.     CrossRef
  • Mediating Effects of Self-Efficacy and Social Support on the Relationship Between eHealth Literacy and Self-Care Competency in Patients Undergoing Percutaneous Coronary Interventions: A Cross-Sectional Study
    Eunhee Jo, Su-Jin Lee, Sun Hee Han
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef
  • 62 View
  • 3 Download
  • 3 Crossref
  • 3 Scopus
Purpose
Patient outcomes should improve through patient involvement and improved interactions with healthcare providers during the care process. This study aimed to examine factors affecting the perceived health status of patients with cancer, focused on their treatment experiences, and explored the differences in treatment-related experiences according to the patients’ characteristics. Methods: This cross-sectional study used the 2015 Korea National Health and Nutrition Examination Survey, which assesses patients’ general characteristics, treatment-related experiences, and perceived health status. Data from 255 cancer survivors aged 19 years or older were used in this study. Descriptive statistics, independent t-tests, and multiple regression were used for the data analyses. Results: Cancer patients’ perception of a lower health resulted from the following factors: insufficient information provision during the care process (β=-.13, p=.026), less participation in the treatment-related decision-making (β=-.25, p=.005), and more comorbidities (β=-.31, p=.018). A higher education level (β=.68, p<.001) was associated with higher perceived health status. The set of significant factors explained 19% of the total variance of the perceived health status. Conclusion: Sufficient information provision during the care process and patients’ participation in treatment-related decision-making affected the perceived health status of cancer patients. Hence, providing cancer patients with information and involving them in decision-making may improve illness self-management capabilities and health status.
  • 26 View
  • 0 Download
  • 0 Scopus
Effects of Oral Care Interventions on Oral Health and Oral Health-related Quality of Life among Denture-wearing Older Adults
Chanhee Lim, Haejung Lee, Gaeun Park
Korean J Adult Nurs 2021;33(1):76-86.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.76
Purpose
This study investigates the effects of oral care interventions on oral health and oral health-related quality of life in denture-wearing older adults. Methods: A nonequivalent control group pretest-posttest design was utilized. There were 26 participants in the experimental group and 30 in the control group. Participants were aged 65 or older, residing at long-term care facilities for more than six months, using dentures, able to brush their teeth, follow gymnastics without jaw joint problems, and cooperate in the measurement of bad breath. The oral care interventions consisted of brushing teeth, denture management, and mouth gymnastics and was performed three times/week, for 20 minutes/session, for a total of 4 weeks. The x 2 test, Fisher's exact test, repeated measures ANOVA, and independent t-test using SPSS/WIN 22.0 program were analyzed. Results: The performance of brushing teeth (F=27.66, p<.001), denture management (F=38.23, p<.001), and mouth gymnastics (F=5.12, p=.016) significantly increased with time up to the fourth week. After the interventions, significant differences were found between groups in subjective oral health status (t=5.87, p<.001), dry mouth (t=-9.24, p<.001), bad breath (t=-3.37, p<.001), and oral health-related quality of life (t=-6.46, p<.001). Conclusion: The oral care interventions, including a self-administered oral care checklist, can improve the motivation for oral care performance, oral health behaviors, oral health status, and oral health-related quality of life among older adults. Broader application of the intervention is warranted.

Citations

Citations to this article as recorded by  
  • Changes in concentration of VSCs after home oral care interventions based on community care in older adults

    Journal of Korean Society of Dental Hygiene.2023;[Epub]     CrossRef
  • Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial
    Ji-Yun Ki, Se-Rim Jo, Kyung-Sook Cho, Jung-Eun Park, Ja-Won Cho, Jong-Hwa Jang
    International Journal of Environmental Research and Public Health.2021; 18(21): 11679.     CrossRef
  • 29 View
  • 0 Download
  • 2 Crossref
  • 1 Scopus
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