Pub Date : 2021-02-01DOI: 10.7475/KJAN.2021.33.1.10
Min-Kyoung Han, Sujin Shin, Jeonghyun Kim
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.
{"title":"Individual and Institutional Outcomes of Nurse Residency Program for New Nurses: A Systematic Review","authors":"Min-Kyoung Han, Sujin Shin, Jeonghyun Kim","doi":"10.7475/KJAN.2021.33.1.10","DOIUrl":"https://doi.org/10.7475/KJAN.2021.33.1.10","url":null,"abstract":"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.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41412588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.3.283
Se Yeong Park, H. Hur
{"title":"Relationship between Clinical Nurses' Job Stress and Medication Safety Performance: Mediating Effect of Fatigue","authors":"Se Yeong Park, H. Hur","doi":"10.7475/kjan.2021.33.3.283","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.3.283","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.5.415
Y. Son
{"title":"Dyadic Research of Patients and Their Family Caregivers in the Context of Chronic Illness: Current Status and Challenges","authors":"Y. Son","doi":"10.7475/kjan.2021.33.5.415","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.5.415","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.4.305
Misoon Lee, Haejung Lee, S. Hyun, Seon-Hwa Ban
{"title":"A Predictive Model of Sleep Quality of the Older Adults with Low Back Pain","authors":"Misoon Lee, Haejung Lee, S. Hyun, Seon-Hwa Ban","doi":"10.7475/kjan.2021.33.4.305","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.4.305","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.1.56
Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo
주요어: 뇌졸중, 불확실성, 삶의 질, 자가간호역량 Corresponding author: Lee, Su-Jin https://orcid.org/0000-0001-6108-308X Kunsan College of Nursing, 7 Donggaejeong-gil, Gunsan 54068, Korea. Tel: +82-63-450-3868, Fax: +82-63-450-3859, E-mail: sjlee@kcn.ac.kr Received: Oct 28, 2020 / Revised: Jan 4, 2021 / Accepted: Jan 7, 2021 This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ORIGINAL ARTICLE Open Access
{"title":"Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients","authors":"Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo","doi":"10.7475/kjan.2021.33.1.56","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.1.56","url":null,"abstract":"주요어: 뇌졸중, 불확실성, 삶의 질, 자가간호역량 Corresponding author: Lee, Su-Jin https://orcid.org/0000-0001-6108-308X Kunsan College of Nursing, 7 Donggaejeong-gil, Gunsan 54068, Korea. Tel: +82-63-450-3868, Fax: +82-63-450-3859, E-mail: sjlee@kcn.ac.kr Received: Oct 28, 2020 / Revised: Jan 4, 2021 / Accepted: Jan 7, 2021 This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ORIGINAL ARTICLE Open Access","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.1.76
Chanhee Lim, Haejung Lee, Gaeun Park
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 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.
{"title":"Effects of Oral Care Interventions on Oral Health and Oral Health-related Quality of Life among Denture-wearing Older Adults","authors":"Chanhee Lim, Haejung Lee, Gaeun Park","doi":"10.7475/kjan.2021.33.1.76","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.1.76","url":null,"abstract":"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 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.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.4.406
Soomi Kim, Seongmi Moon, Seieun Oh, Y. Son, Youngrye Park, S. Chang, Kisook Kim, Jooyoung Cheon, E. Jang, Jeonghyun Cho, Sung-Hee Yoo, H. Kim, Sung Reul Kim, Yu Hyeon Choe
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.6.565
J. Hwang, Min Young Kim
Purpose: This study aimed to investigate the effects of a Multicomponent Intervention Program for Preventing Delirium (MIPPD) on the incidence of delirium, self-extubation or self-removal of the catheter, and length of stay among elderly patients in the Intensive Care Unit (ICU). Methods: This study employed a nonequivalent control group pretest-posttest non-synchronized design to verify the MIPPD effects. The participants, 73 patients aged over 65 years were admitted to a university hospital's ICU in J province between December 2015 and July 2016. The MIPPD contained the following elements: family caregiver education, delirium assessment, reorientation activities, therapeutic communication, sensory intervention for vision and hearing impairments, management of immobility or limited mobility, family support, and maintenance of sleeping patterns. Under the program, nurses and family members provided immediate intervention to elderly patients with an expected length of stay of at least 48 hours. Results: After the MIPPD application, the incidence of delirium in the intervention group was significantly lower (odds ratio=0.19, 95% confidence interval=0.03~0.97) than that in the control group. However, there were no significant differences between the groups in terms of self-extubation or catheter self-removal and length of stay. Conclusions: This program can effectively reduce the incidence of delirium. Because prevention is optimal for delirium management, a proactive intervention must be considered; given that, in this study, there were no problems in terms of family engagement, an MIPPD involving family participation should be actively implemented in intensive care unit practice.
{"title":"Effects of A Multicomponent Intervention Program for Preventing Delirium in Geriatric Patients in the Intensive Care Unit","authors":"J. Hwang, Min Young Kim","doi":"10.7475/kjan.2021.33.6.565","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.565","url":null,"abstract":"Purpose: This study aimed to investigate the effects of a Multicomponent Intervention Program for Preventing Delirium (MIPPD) on the incidence of delirium, self-extubation or self-removal of the catheter, and length of stay among elderly patients in the Intensive Care Unit (ICU). Methods: This study employed a nonequivalent control group pretest-posttest non-synchronized design to verify the MIPPD effects. The participants, 73 patients aged over 65 years were admitted to a university hospital's ICU in J province between December 2015 and July 2016. The MIPPD contained the following elements: family caregiver education, delirium assessment, reorientation activities, therapeutic communication, sensory intervention for vision and hearing impairments, management of immobility or limited mobility, family support, and maintenance of sleeping patterns. Under the program, nurses and family members provided immediate intervention to elderly patients with an expected length of stay of at least 48 hours. Results: After the MIPPD application, the incidence of delirium in the intervention group was significantly lower (odds ratio=0.19, 95% confidence interval=0.03~0.97) than that in the control group. However, there were no significant differences between the groups in terms of self-extubation or catheter self-removal and length of stay. Conclusions: This program can effectively reduce the incidence of delirium. Because prevention is optimal for delirium management, a proactive intervention must be considered; given that, in this study, there were no problems in terms of family engagement, an MIPPD involving family participation should be actively implemented in intensive care unit practice.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.6.616
Jin Mi Kim, Jeong-Sook Park
Purpose: The study aimed to develop a Healthcare Empowerment Program for patients with Temporary Ileostomy (HCEP-TI) and evaluate its effectiveness. Methods: The HCEP-TI was developed based on Johnson ’ s model of healthcare empowerment by reviewing relevant literature, identifying patients ’ needs through in-depth interviews, and testing content validity. The study was conducted at K University D hospital from June 2019 to September 2020 using a randomized controlled trial with a pretest-posttest design. The subjects were randomly assigned to two groups: experimental (n=15), which participated in HCEP-TI once a week for seven weeks, and control (n=15), which participated in conventional ileostomy care. Data were analyzed using linear by linear association, Mann-Whitney U, and Wilcoxon signed-rank tests. Results: There were significant differences between the experimental and control groups in healthcare empowerment, self-management knowledge and behavior, and degree of peristomal skin damage. However, there was no significant difference between the groups regarding dehydration. Conclusion: The HCEP-TI including engaged, informed, collaborative, committed, and tolerant of uncertainty intervention is effective in improving healthcare empowerment, self-management knowledge and behavior, and the degree of peristomal skin damage. This program can help patients with temporary ileostomy improve their empowerment, self-management, and stoma conditions.
{"title":"Development and Evaluation of a Healthcare Empowerment Program for Patients with Temporary Ileostomy","authors":"Jin Mi Kim, Jeong-Sook Park","doi":"10.7475/kjan.2021.33.6.616","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.616","url":null,"abstract":"Purpose: The study aimed to develop a Healthcare Empowerment Program for patients with Temporary Ileostomy (HCEP-TI) and evaluate its effectiveness. Methods: The HCEP-TI was developed based on Johnson ’ s model of healthcare empowerment by reviewing relevant literature, identifying patients ’ needs through in-depth interviews, and testing content validity. The study was conducted at K University D hospital from June 2019 to September 2020 using a randomized controlled trial with a pretest-posttest design. The subjects were randomly assigned to two groups: experimental (n=15), which participated in HCEP-TI once a week for seven weeks, and control (n=15), which participated in conventional ileostomy care. Data were analyzed using linear by linear association, Mann-Whitney U, and Wilcoxon signed-rank tests. Results: There were significant differences between the experimental and control groups in healthcare empowerment, self-management knowledge and behavior, and degree of peristomal skin damage. However, there was no significant difference between the groups regarding dehydration. Conclusion: The HCEP-TI including engaged, informed, collaborative, committed, and tolerant of uncertainty intervention is effective in improving healthcare empowerment, self-management knowledge and behavior, and the degree of peristomal skin damage. This program can help patients with temporary ileostomy improve their empowerment, self-management, and stoma conditions.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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