Purpose The purpose of this study is to examine the validity and reliability of Korean version of the attitude measurement tool for Family Presence during Resuscitation (K-FPDR). Methods Data were collected from 299 nurses working at a tertiary hospital located in Seoul via structured-questionnaire and analyzed using SPSS 24.0 and AMOS 21.0. To examine the validity and reliability of K-FPDR, content/construct validity using exploratory/ confirmatory factor analysis and reliability test and criterion validity using Pearson correlation coefficient were conducted. Results There were 6 of the 30 items deleted through content/construct validity test. The Korean version of K-FPDR was composed of three dimensions: benefits, negative effects, and decision-making on K-FPDR. K-FPDR was validated by confirmatory factor analysis (CFI=.82, GFI=.86, AGFI=.83, RMR=.07, and RMSEA= .07), and factor loading of the 24 items ranged from .40 to .82. In terms of criterion validity, the K-FPDR positively correlated with Family Presence Self-Confidence Scale. Also, the reliability of the scale was confirmed with Cronbach's ⍺=.85. Conclusion The K-FPDR is a reliable and valid scale; therefore, this scale is expected to be useful in measuring the attitude toward family presence during resuscitation among Korean nurses.
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.
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PURPOSE The purpose of this study was to investigate the effects of knowledge, attitude, and self-efficacy of cardiopulmonary resuscitation (CPR) and the willingness of family members to perform the CPR to their loved one with heart disease. METHODS 226 participants whose family member is hospitalized with heart disease were recruited from two hospitals in Daegu city. Data were collected by using questionnaires which included demographic characteristics, factors including knowledge, attitude, and self-efficacy and the willingness to perform CPR. RESULTS Participants reported on their level of knowledge, attitude, and self-efficacy of CPR at the following levels: 9.16±2.66, 35.55±5.56, and 63.83±19.37 respectively. Only 53% of the participants reported prior CPR training, and 67.7% indicated that they would be willing to perform CPR to their family member with heart disease. Of the participants without prior CPR training, 34% reported that they did not recognize the importance of CPR training. Participants reported attitude (p=.002) and self-efficacy (p=.040) predicted willingness to perform CPR. Age (p < .001), gender (p=.004), educational level (p < .001), occupation (p < .001), prior CPR training (p < .001) were related to willingness to perform CPR. CONCLUSION This study findings suggest that it is necessary to develop educational programs for public to improve competent CPR performance.
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PURPOSE This study was designed to describe the effects of a nursing simulation focused on patients with cardiac arrest. The study was designed to measure knowledge, self-confidence, critical thinking, and clinical performance ability of nursing students. METHODS A non-equivalent control group quasi-experimental design was used. Thirty students in the experimental group received two hours of pre-learning and three hours of skill and simulation practice. Another thirty students in the experimental group received a two hour conventional lecture and three hours for skill practice. The post survey was completed by both groups. RESULTS Students in the experiemetal group scored significantly higher than students in control group. The critical thinking disposition was not significantly different between the two groups of students. CONCLUSION The results indicate that a simulation education program is more effective in a number of areas including knowledge, self-confidence, and clinical performance. It is recommended that simulation education should be expanded to various clinical situations.
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PURPOSE The purpose of this study was to compare the attitude of physicians and nurses toward family presence during cardiopulmonary resuscitation (CPR). METHODS 100 physicians and 100 nurses from five hospitals with than 500 beds in B city were surveyed using a Family Presence During Resuscitation (FPDR) Inventory. The data were analyzed by t-test, ANOVA and Duncan's multiple range test using SPSS/WIN 19.0 version. RESULTS Nurses showed more positive attitudes toward family presence during CPR but reported more concerns about the problem of confidentiality, arguing with family members, and emotional distress of family members than physicians did. CONCLUSION On the basis of results from this study, we recommend that educational program be developed within the hospitals to change the negative perception of health care providers for the family presence during CPR.
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PURPOSE This is for analyzing the recent citations from papers enrolled in the Journal of Korean Academy of Nursing and understanding correct marking of references. METHOD: Targeted 2,334 references in 93 articles introduced from Feb. 2002 to Dec. 2002 which are applied current contribution rules of the Journal of Korean Academy of Nursing. RESULT: 1. 25 references are quoted per article and particularly foreign journals are most frequently quoted. Among foreign journals, Nursing Research is most frequently used. The Journal of Korean Academy of Nursing is also mostly referred material among national journals. 2. The retrieval rate is prove to be 1,539(83.8%) and 267(11.7%) are without errors and the other 2,022 have at least more than one error regardless of frequency. 3. Major error rate of periodical publication is 484(36.8%) and most occurred in the inconsistency of titles between articles and references. 4. Foreign journals have much more errors than national ones concerning periodical publications. CONCLUSION: Correct citation and marking of references can be achieved through strict reviewing process by authors, editors, publishers and paper investigators. In consequence, it is expected that these processes can cause improvement of quality in impact factor and papers.