Purpose
This study aimed to develop and evaluate the effectiveness of a therapeutic communication program based on King’s goal attainment theory, specifically designed for nurses providing care to patients with hematological oncology in a tertiary hospital setting. Methods: A non-equivalent control group design was employed, involving 59 nurses (intervention group: 29, control group: 30) with experience in hematological cancer care. The therapeutic communication program, developed according to the theoretical constructs of King’s theory, consisted of eight weekly sessions. Outcome variables included problem-solving ability, communication self-efficacy, and interaction satisfaction. The effects of the intervention were analyzed using the independent- and paired-samples t-test as well as a Wilcoxon signed-rank test. Results: In between-group comparisons of pre–post changes, communication self-efficacy increased significantly more in the intervention group than in the control group (p=.027). However, no significant between-group differences were found for problem-solving ability or interaction satisfaction. These findings suggest that the program effectively enhances therapeutic communication competencies among nurses in hematological oncology wards. Conclusion: The therapeutic communication program significantly improved problem-solving ability, communication self-efficacy, and interaction satisfaction among nurses in the intervention group within the hematological oncology ward. This theory-based intervention provides an evidence-based framework for strengthening clinical nursing practice and education.

PURPOSE
The purpose of this study was to compare the content of the falls prevention guideline developed by Korean Hospital Nurses' Association (KHNA) in 2008 with the seven guidelines recommended by The Joint Commission.
METHODS
The contents of the eight guidelines were categorized into eight assessment, eight intervention, and two outcome elements that were considered core concepts of individual nursing activities. Concept-level comparisons were conducted using the International Classification for Nursing Practice, and the Logical Observation Identifiers, Names, and Codes. Two researchers independently examined the content coverage of each guideline and assigned 1 point to included content, 0 to excluded content, and 0.5 to similar content that was ambiguous in terms of a broader expression. The scores were compared, with discordance among raters resolved through consensus-based discussions.
RESULTS
The communication element in the assessment area was missing from the KHNA guideline, while five elements of pathophysiologic, mental/cognitive, therapeutic, and post-fall assessments showed lack of content. Although there were no missing elements in the intervention area, the three elements of staff communication, risk-targeted, and post-fall interventions showed considerable lack of content compared to the other guidelines. In terms of outcomes, the severity of fall-related injury was omitted, and the facility's policy on falls prevention was not addressed.
CONCLUSION
Many nursing elements and key concepts were missing from the KHNA guideline, and its content was not comprehensive. This suggests that the current guideline needs to be revised urgently, and the points identified in this study should be considered a high priority.

Citations

• Evaluation of an approach to clinical decision support for preventing inpatient falls: a pragmatic trial
  Insook Cho, MiSoon Kim, Mi Ra Song, Patricia C Dykes
  JAMIA Open.2023;[Epub]     CrossRef
• Identifying Frequently Used NANDA-I Nursing Diagnoses, NOC Outcomes, NIC Interventions, and NNN Linkages for Nursing Home Residents in Korea
  Juh Hyun Shin, Gui Yun Choi, Jiyeon Lee
  International Journal of Environmental Research and Public Health.2021; 18(21): 11505.     CrossRef
• Development of ICNP‐based inpatient falls prevention catalogue
  I. Cho, J. Kim, J.S. Chae, M. Jung, Y.H. Kim
  International Nursing Review.2020; 67(2): 239.     CrossRef
• Evidence-based Clinical Nursing Practice Guideline for Management of Inpatient Falls: Adopting the Guideline Adaptation Process
  Insook Cho, Kyung Hee Park, Minhee Suh, Eun Man Kim
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(1): 40.     CrossRef