Purpose This study aimed to suggest directions for legislation regarding medical support tasks in the Nursing Act to promote the advancement of nursing.
Methods This study reviewed the history of medical support nurses in South Korea and the educational programs for advanced practice providers, both domestically and internationally.
Results Nurses have performed medical support tasks traditionally carried out by physicians, but legal controversies have persisted. As a result of the escalation of conflicts surrounding policies aiming to increase the physician workforce, training doctors left hospitals. This prompted the initiation of pilot programs allowing nurses to legally engage in medical support tasks, culminating in the enactment of the Nursing Act in September 2024. Internationally, advanced practice providers such as advanced practice nurses (APNs) and physician assistants (PAs) undergo graduate-level education and certification. Since Korea lacks a PA system, integrating medical support tasks within the APN framework would be preferable. Achieving this will require absorbing clinical practice nurses (referred to as PA nurses) into the APN system, implementing government-supported education programs to address regional disparities, and establishing reimbursement policies for APNs.
Conclusion With the implementation of the Nursing Act, a long-term approach is needed to establish professional qualifications, accreditation, education, training, examination, and regulatory systems. A comprehensive discussion should be undertaken to develop an optimal workforce, ensuring the delivery of safe and high-quality healthcare services to patients and the public.
Purpose The purpose of this study was to describe clinical practice nurse’s role experience working in a university hospital. Clinical practice nurses are a mix of certified and non-certified nurses. They perform some of the duties of physicians in addition to the work they do as nurses. In the future, such nurses may become advanced practice registered nurses.
Methods Focus group interviews were conducted with three groups, each consisting of eight participants. The interview lasted two and a half hours per group. Data were analyzed using a thematic analysis method.
Results The analysis yielded four categories and 14 themes. The four categories were “seeking an escape from the repeated routines as a nurse”, “pioneering and developing new roles as a clinical practice nurse”, “confusion about professional identity due to ambiguity in role boundaries”, and “securing oneself as a team member and establishing a role as a clinical practice nurse”.
Conclusion The scope of advanced practice registered nurses’ roles was meant to have been established in 2020, but this was not achieved. Thus, studying the role experience of clinical practice nurses and their experiences is worthwhile and the results can inform legislation. The results of the study will also help establish a customized curriculum for advanced practice nurses and ultimately improve the quality of nursing services for patients.
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PURPOSE This research was conducted to explore the experiences of graduate student women with children fulfilling multiple roles and to generate a substantive theory. METHODS This study uses the grounded theory method based on Strauss and Corbin(1988)'s method. Interviews were conducted with 11 graduate student women who had children aged three of older. RESULTS The core category of this research is 'Role balancing for self-generativity'. Based on the core category, three types of married women graduate students' experiences were found. They are 'concentrating on graduate-work' 'postponing graduate-work' and 'adjustment between two roles' CONCLUSIONS: Through understanding the married women's multiple roles experience process, there can be a basis for making a women's health system and social support system for the married women graduate student. Also, this research is to generate a substantive theory which can helps to change social perspectives on the quality of life for the women who will contribute in Korean society as professionals.
PURPOSE The purpose of this study was to determine the effect of supportive nursing care on the level of knowledge and compliance with sick-role behavior in patients with coronary artery disease after coronary angiography(CAG). METHODS A quasi-experimental research was performed with 81 subjects with coronary artery disease who were admitted for CAG to a cardiovascular department. Among the selected subjects, 40 of them were assigned to experimental group and the rest of them were assigned to control group by convenience. Supportive nursing care was implemented twice by a researcher. RESULTS 1. The mean score of knowledge related to coronary artery disease was higher in the group who received supportive nursing care than that of the control group(t=2.259, p=.027). 2. The mean score of compliance of sick role behavior was higher in the group who received supportive nursing care than that of the control group(t=4.580, p=.001). CONCLUSION The supportive nursing care after CAG was effective in increasing the knowledge level and compliance of sick-role behavior in patients with coronary artery disease. Further studies would be recommended to identify long-term effectiveness of supportive care on patients' outcomes.
PURPOSE The research aims to identify the roles of nurses at dementia clinics or geriatric hospitals to set their tasks. METHODS This research has been conducted through literature review and focus group methodology. The field survey has been done for 195 nurses at 36 hospitals for the aged and dementia clinics from Oct. 9 to Oct. 28, 2006. RESULTS The nurses were identified to play eight roles as clinical specialists, educators, researchers, counselors, consultants, collaborators, leaders, managers, and advocators. They were also known to implement 27 nursing tasks and 104 nursing activities. CONCLUSION The findings of this research could provide a foundation for the nursing care work as well as become a practice guideline for the nurses, at these hospitals, to implement versatile roles and tasks.
PURPOSE The purpose of this study was to describe role conflict and job satisfaction of Neurosurgery Clinical Nurse Specialist(NCNS) and to identify associated factors. METHOD The target populations was 77 NCNSs from 30 general hospitals. Data were collected with self-administered questionnaires and analyzed using t-test and ANOVA. RESULTS The overall mean scores of role conflict and job satisfaction were 3.60(+/-0.54) and 3.04(+/-0.46) respectively. Significant variables affecting role conflict were the working period as NCNS, the number of colleague NCNSs in working hospital, and assignment of prescription rights. The significant variable affecting job satisfaction was assignment of prescription rights. There was no statistically significant correlation between job and role conflict. CONCLUSION The variable effecting both role conflict and job satisfaction was the extent of prescription rights. In order to improve the quality of patient care and to protect Neurosurgery Nurse Clinical Specialist, the enactment of law on prescription practice is needed.
PURPOSE The purpose of this study was to identify gender role identity and stereotypes and to explore the relationship between gender role identity and stereotype among college students. METHOD: The subjects consisted of 245 college students in Daegu. Each participant was administered the KGRII of Lee, Kim, Koh(2002) and Sex Stereotype scales modified by Kim, Dongil(1999). The collected data were analyzed using descriptive statistics, ANOVA, x2-test, Sheffe test with SPSS 11.0 PC Program. RESULT: 1. For male students, masculinity type(32.4%) was most prevalent but for female students, feminity type (29.3%) was most common. 2. Female students were inclined to oppose traditional sex-role rather than male students. And the over 23 years old group tended to resist traditional sex-roles rather than other aged group. 3. The Androginy typed group had more progressive sex-role compared with undifferentiated typed group. CONCLUSION: These results suggest that gender role identity and sex stereotype were difference in sex and age. And the androgyny typed group had more progressive sex-role compared with other gender role identity typed group.
PURPOSE The purpose of this study was to investigate gender role identity and health behavior and to explore the relationship between gender role identity and health behavior among university student. METHOD: Participants were 245 university students who lived in Daegu. Each participant was administered the KGRII (Korean Gender Role Identity Inventory), and Healthy Life Style: A self-test provided by ODDHP National Health Information Center. The collected data was analyzed using descriptive statistics, t-test, ANOVA, chi2-test with SPSS 11.0 PC Program. RESULT: 1. As a result of health behavior level, male students had more health risk behavior problems than female students in smoking(p=.00) and drinking (p=.03). Female students had more health risk behavior problems than male students in exercise and physical activity(p=.00). 2. For female students, feminity type (29.3%) was most common, subjects of undifferentiated type was 26.4%. For male students, masculinity type(32.4%) was most prevalent, and androgenic type was 31.4%. 3. Androginy typed group had more healthy behavior compared with other gender role identity typed group. In contrast, undifferentiated typed group had more high risk behavior compared with other typed group for all of health behavior. CONCLUSION: These results suggest that gender role identity is a stronger predictor of heath related variable than is sex of subject. Therefore effect methods to develop health promotion program should consider not only sex difference but gender role identity.
PURPOSE The purpose of this study is to explore the structure and characteristics among college students' gender-role identity. METHOD: The study used a Q-method to measure college students' gender-role identity types. Korean Gender Role Identity Inventory(KGRII) formed the Q sample. The P sample consisted of a convenience sample of 44 college students. Q statements were written on separate cards and were given to the subjects to sort according to degree of agreement or disagreement. The Q-sorts by each subject were coded and analyzed with the Quanl PC program. RESULT: From data, three types were extracted. Three types showed a low correlation with each other, and accounted for 41 percent of the variance of the participants. The first type, a 'sex-role transcendence', expresses warm, humane, and kind. The second type, a 'masculinity intention type', has leadership, activity, power, and initiative. And the third type, a 'femininity intention type' pursues emotional, expressive, delicate and tactful. CONCLUSION: This paper classifies and subdivides three types of gender-role identity in college students. It helps understanding of gender-role identity, and further developing a sense of value and attitude related to gender identity in college students.
The purpose of this study was to identify the effect of social support revealed in the time duration of sick role behavior compliance on the patients with hypertension using Quasi- experimental research design. Data collection was made through the interview survey technique from the hypertensive patients who received social support intervention (experimental group, n=41) and from those who were not exposed to the intervention(control group, n= 34). The subjects were registered in the cardiovascular outpatient clinic at the Chonnam National University Hospital from June 3, 1996 to November 30, 1997. X2-test or t- test, Repeated measures ANOVA were utilized in the data analysis. The results were as follows: 1. The effect of social support intervention on sick role behavior compliance was significant in 1 month(F=69.17, p=.000), 6 months (F=11.51, p=.001), and 12 months(F=.07, p=.789) and between two groups(1 month; F=153.70, p=.000, 6 months; F=13.94, p=.000, 12 months; F=6.72, p= .011). 2. The effect of social support intervention on blood pressure was not significant through all the periods of time (F=1.21, p=.274) between the two groups(F=.12, p=.732). In conclusion, it was showed that social support had an effect on sick role behavior compliance and the effect of social support continued for twelve months(F= 10.03, p=.002) However, the score of compliance tends to decrease after 6 months of intervention. Therefore, this study indicated that social support re-intervention would be needed between six and twelve months.
Coronary intervention is now a well established method for the treatment of coronary artery disease. Coronary restenosis is one of the major limitations after coronary intervention. So medical teams advise the patients to get the follow-up coronary angiogram in 6 months after coronary intervention to know if the coronary artery stenosis recurs or not. This study was done in order to know how many patients complied with the advice, and to identify the relative factors to the compliance with getting the follow-up coronary angiogram. The subjects were 101 patients (male: 58 female: 22, mean age: 61+/-15), who received coronary interventions from Jan. 1st to Mar. 31st 1997, and their data were collected from them by questionnaires one year after intervention. The questionnaires consisted of family support scale, self efficacy scale and compliance with sick role behavior scale. The result may be summarized as follows.
1. The number of patients who complied with getting the follow-up coronary angiogram were 37 people(36.6%) and did not comply with it were 64 people(63.4%). All scores of family support(t=5.56, p<.0001), self efficacy (t=4.13, p<.0001) and compliance with sick role behavior(t=5.66, p<.0001) were significantly higher in the patients who got the follow-up coronary angiogram than in those who did not get it. But there was not any relative factor in demographic variables (p>.05). 2. The major motivations for getting follow-up coronary angiogram were recurrence of subjective symptom(40.5%), the advice of medical team(32.4%), and fear of recurrence (27.1%). The restenosis rate in patients who got the follow-up coronary angiogram was 37.8%. 3.The restenosis rate was higher in the patients who had subjective symptoms than in those who did not have any subjective symptom. So subjective symptom and restenosis rate showed a high positive correlation(r=39.9, p<.001). However, 27.2% of the patients who did not have any subjective symptom showed coronary restenosis. 4. The reasons why they did not get the follow-up coronary angiogram were economic burden(37.5%), improved symptom(34.4%), busy life schedule(10.9%), fear of invasive procedure(9.4%), negative reaction of family member(3.1%), no helper for patient(3.1%) and worry about medical team's mistake (1.6%). The relative fators on compliance with getting the follow-up coronary angiogram after coronary intervention were family support, self-efficacy and Compliance with sick role behavior. And the most important reason why the patients did not get the follow-up coronary angiogram after coronary intervention was an economic burden.
The purpose of this study was to examine the effects of assertiveness training and values clarification training on nurse's role conflict. Fifty-seven registered nurses participated to in the study : they were employed at to three general hospitals, all of which were located in the city of Daegu, Korea. The study employs two treatment groups. The assertiveness training group consisted of nursing subjects who participated in nine, 90-120 minute sessions of assertiveness training over five weeks. The other treatment group received nine, 90-120 minute group sessions of values clarification at the same time. For the control group, nursing subjects did not participated in any training. For pre-test evaluation, Role Conflict Inventory-General tests (RCI-G), were administered to al subjects in al three groups one week prior to the beginning of the treatment and for post-test evaluation, Communication Conflict Inventory-Specific tests (RCI-S), were administered two weeks after the last session. The analysis of covariance (ANCOVA) on RCI-S scores were run using the SPSS program. In order to test statistical difference among mean scores of the subscales obtained after treatment, multiple comparisons were carried out using the Turkey method. The subscale scores of nurse's role conflict of the groups who experienced the assertiveness training and the values clarification, were significantly lower than the control group in role ambiguity, environmental barriers, and competency deficit, but there was no difference in collaboration deficit. The value clarification training was more effective than was th assertiveness training in decreasing the subscale scores in role ambiguity. There were, however, no differences in environmental barriers, competency deficit or collaboration deficit between two experimental groups.
The purpose of this study was to identify the relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance in diabetic patients and to identify the influencing factors for sick-role behavioral compliance. The subjects for study were 244 NIDDM patients from 2 hospitals, who were visiting the outpatient clinic in Taegu. Data were collected from Sep. 18.th to Oct. 5th 1996. In data analysis, SPSS/PC+ programs were utilized for descriptives, as well as Pearson correlation coefficient, t-test, ANOVA and stepwise multiple regression. The results were as follows : 1. The average score for the sick-role behavioral compliance was 50.38, for the self-efficacy was 1337.17, for the self-esteem was 27.81, for the internal health locus of control was 28.79, for the chance health locus of control was 20.55, for the powerful others health locus of control was 28.70. 2. The relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance were significant. Sick-role behavioral compliance were significantly related to self-efficacy(r=0.36, 0.000), to self-esteem (r=0.19, p=0.001), to internal health locus of control(r=0.28, p=0.000), to powerful others health locus of control (r=0.28, p=0.000). 3. In the relationship between general characteristics and sick-role behavioral compliance there were significant differences in a job (t=-2.01, p=0.045), experience of diabetic education(t=2.32, p=0.022). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for sick-role behavioral compliance. Self-efficacy, self-esteem, internal health locus of control, having or not having a job and experience of diabetic education accounted for 24% of the variance in sick-role behavioral compliance. The self-efficacy was the most predictive factor (R2=13%) followed by internal health locus of control, job, self-esteem and experience of diabetic education. The results suggest that self-efficacy is an important variable in the compliance of diabetic patients. For improvement in sick-role behavioral compliance nursing intervention needs to be directed at promoting self-efficacy.
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