Pub Date : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.168
Hyun Hee Park, G. Jeong
Purpose: This study aimed to identify the knowledge and educational needs of operating room(OR) and central supply room (CSR) nurses about medical equipment reprocessing .Methods: The subjects were 148 operating room and central supply room nurses working at 13 general hospitals in Gyeonggi Province, South Korea. The descriptive study surveyed knowledge and educational needs about medical device reprocessing among nurses. Data were collected from April 1 to May 20, 2022 and, analyzed using the mean and standard deviation, independent t-test, and one-way analysis of variance with SPSS 27.0.Results: The participants were 66 CSR nurses and 82 OR nurses. The score for knowledge was 26.93±4.14 and the highest score in knowledge and educational needs was found for sterilization indicators. The number of beds was significantly associated with knowledge (F=3.16, p=.046), and OR nurses had higher scores for educational needs than CSR nurses (t=3.28, p<.001). Exposure to external education was associated with a higher score for educational needs (t=1.73, p=043). In knowledge, significant differences according to the current department were found for return and cleaning (t=-4.02, p<.001) and, sterilization methods (t=2.57, p=.006). Regarding educational needs, significant differences were found according to the current department in return and cleaning (t=2.83, p=.003), packing (t=2.85, p=.003), sterilization methods (t=3.29, p<.001). Sterilization indicators (t=2.26, p=.013), and sterilization maintenance and release (t=3.85, p<.001).Conclusion: The risk of medical device related infection should be minimized through correct reprocessing. It is necessary to develop an educational program for nurses in charge of reprocessing.
{"title":"Knowledge and Educational Needs for Medical Devices Reprocessing among Central Supply Room and Operating Room Nurses","authors":"Hyun Hee Park, G. Jeong","doi":"10.7739/jkafn.2022.30.2.168","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.168","url":null,"abstract":"Purpose: This study aimed to identify the knowledge and educational needs of operating room(OR) and central supply room (CSR) nurses about medical equipment reprocessing .Methods: The subjects were 148 operating room and central supply room nurses working at 13 general hospitals in Gyeonggi Province, South Korea. The descriptive study surveyed knowledge and educational needs about medical device reprocessing among nurses. Data were collected from April 1 to May 20, 2022 and, analyzed using the mean and standard deviation, independent t-test, and one-way analysis of variance with SPSS 27.0.Results: The participants were 66 CSR nurses and 82 OR nurses. The score for knowledge was 26.93±4.14 and the highest score in knowledge and educational needs was found for sterilization indicators. The number of beds was significantly associated with knowledge (F=3.16, p=.046), and OR nurses had higher scores for educational needs than CSR nurses (t=3.28, p<.001). Exposure to external education was associated with a higher score for educational needs (t=1.73, p=043). In knowledge, significant differences according to the current department were found for return and cleaning (t=-4.02, p<.001) and, sterilization methods (t=2.57, p=.006). Regarding educational needs, significant differences were found according to the current department in return and cleaning (t=2.83, p=.003), packing (t=2.85, p=.003), sterilization methods (t=3.29, p<.001). Sterilization indicators (t=2.26, p=.013), and sterilization maintenance and release (t=3.85, p<.001).Conclusion: The risk of medical device related infection should be minimized through correct reprocessing. It is necessary to develop an educational program for nurses in charge of reprocessing.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46341341","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.180
S. An, Hannah Lee
Purpose: The purpose of this study is to provide an overview of mobile application (app) for mood management and to assess the quality of these application using the Mobile Application Rating Scale (MARS).Methods: The Google Play store was thoroughly explored in order to find apps that could help regulate daily moods. A total of 28 apps were selected. These mobile apps were analyzed with MARS questionnaires, which includes a total of 23 evaluation criteria organized into 6 categories (Engagement, Functionality, Aesthetics, Information, Subjective Quality, and App specific). In addition, we examined the features contained in of 28 different apps, focusing on those that measured mood and provided coping strategies.Results: The mean MARS score for the overall quality of the 28 apps was 3.48±0.81, with a maximum of 5 and a minimum of 0. Most apps received acceptable grades for Engagement and Aesthetics.Conclusion: MARS is a useful strategy for determining which apps can be recommended to users and which features should be modify to improve the quality of apps. This review shows that some apps match predetermined criteria for quality, content, or functionality, underlining the need for additional refining to evidence-based principles.
{"title":"Quality Evaluation of Mobile Application for Daily Mood Regulation: A Review and Analysis using the Mobile Application Rating Scale","authors":"S. An, Hannah Lee","doi":"10.7739/jkafn.2022.30.2.180","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.180","url":null,"abstract":"Purpose: The purpose of this study is to provide an overview of mobile application (app) for mood management and to assess the quality of these application using the Mobile Application Rating Scale (MARS).Methods: The Google Play store was thoroughly explored in order to find apps that could help regulate daily moods. A total of 28 apps were selected. These mobile apps were analyzed with MARS questionnaires, which includes a total of 23 evaluation criteria organized into 6 categories (Engagement, Functionality, Aesthetics, Information, Subjective Quality, and App specific). In addition, we examined the features contained in of 28 different apps, focusing on those that measured mood and provided coping strategies.Results: The mean MARS score for the overall quality of the 28 apps was 3.48±0.81, with a maximum of 5 and a minimum of 0. Most apps received acceptable grades for Engagement and Aesthetics.Conclusion: MARS is a useful strategy for determining which apps can be recommended to users and which features should be modify to improve the quality of apps. This review shows that some apps match predetermined criteria for quality, content, or functionality, underlining the need for additional refining to evidence-based principles.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41535794","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.225
Jiwon Kim, Hyojung Park
Purpose: This descriptive research study was conducted to examine hospital nurses’ knowledge of standard precautions, nursing professionalism, and organizational culture for infection control and their performance with guidelines for standard precautions, as well as to identify factors influencing the performance with guidelines for standard precautions.Methods: The study participants were 179 nurses with more than 6 months of experience working at a general hospital. The collected data were analyzed using SPSS version 28.0. Factors influencing performance with guidelines for standard precautions were identified by multiple regression analysis.Results: The factors affecting performance with guidelines for the standard precaution were infection control organizational culture (β=.29, p=.001), knowledge of standard precautions (β=.23, p=.001), and clinical experience (≥5) (β=-.15, p=.029), with a total explanatory power of approximately 29%.Conclusion: This study identified variables that could affect hospital nurses’ performance with guidelines for standard precautions, making a novel contribution to the literature. The results of this study can be used as a basis for improving the management of medical-related infections and as basic data that can enhance the implementation of guidelines on standard precautions by hospital nurses.
{"title":"The Influence of Knowledge on Standard Precautions, Nursing Professionalism, and Organizational Culture for Infection Control on Hospital Nurses’ Performance with Guidelines for Standard Precautions","authors":"Jiwon Kim, Hyojung Park","doi":"10.7739/jkafn.2022.30.2.225","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.225","url":null,"abstract":"Purpose: This descriptive research study was conducted to examine hospital nurses’ knowledge of standard precautions, nursing professionalism, and organizational culture for infection control and their performance with guidelines for standard precautions, as well as to identify factors influencing the performance with guidelines for standard precautions.Methods: The study participants were 179 nurses with more than 6 months of experience working at a general hospital. The collected data were analyzed using SPSS version 28.0. Factors influencing performance with guidelines for standard precautions were identified by multiple regression analysis.Results: The factors affecting performance with guidelines for the standard precaution were infection control organizational culture (β=.29, p=.001), knowledge of standard precautions (β=.23, p=.001), and clinical experience (≥5) (β=-.15, p=.029), with a total explanatory power of approximately 29%.Conclusion: This study identified variables that could affect hospital nurses’ performance with guidelines for standard precautions, making a novel contribution to the literature. The results of this study can be used as a basis for improving the management of medical-related infections and as basic data that can enhance the implementation of guidelines on standard precautions by hospital nurses.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45452323","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.193
S. Noh, Y. Yu, S. Choi
Purpose: The purpose of this study was to explore the experience of work-study balance among clinical nurses in a nursing doctoral program.Methods: The participants were nine clinical nurses in a nursing doctoral program. Data collection was conducted through in-depth interviews with participants from March 16 to March 31. Giorgi's phenomenological method, consisting of four steps, was used for analysis.Results: Through the in-depth interviews of the participants, five essential themes and 11 sub-themes were derived. The five categories were “difficulty in actively demonstrating research capabilities as a doctoral student in the clinical field”, “hard to devote oneself to both studying and clinical work while straddling between them”, “need support from both schools and hospitals for compatibility between work and study”, “prioritizing oneself as a clinical nurse over oneself as a student during the Ph.D. program”, and “seeking an extended role after graduating from the nursing doctoral program”.Conclusion: In order to help and support nursing doctoral students working as nurses, policies must be developed in schools and hospitals to support them. It is also suggested to establish a favorable environment for conducting nursing research in practice.
{"title":"Experience of Work-Study Balance among Clinical Nurses in a Nursing Doctoral Program: A Qualitative Study","authors":"S. Noh, Y. Yu, S. Choi","doi":"10.7739/jkafn.2022.30.2.193","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.193","url":null,"abstract":"Purpose: The purpose of this study was to explore the experience of work-study balance among clinical nurses in a nursing doctoral program.Methods: The participants were nine clinical nurses in a nursing doctoral program. Data collection was conducted through in-depth interviews with participants from March 16 to March 31. Giorgi's phenomenological method, consisting of four steps, was used for analysis.Results: Through the in-depth interviews of the participants, five essential themes and 11 sub-themes were derived. The five categories were “difficulty in actively demonstrating research capabilities as a doctoral student in the clinical field”, “hard to devote oneself to both studying and clinical work while straddling between them”, “need support from both schools and hospitals for compatibility between work and study”, “prioritizing oneself as a clinical nurse over oneself as a student during the Ph.D. program”, and “seeking an extended role after graduating from the nursing doctoral program”.Conclusion: In order to help and support nursing doctoral students working as nurses, policies must be developed in schools and hospitals to support them. It is also suggested to establish a favorable environment for conducting nursing research in practice.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43668300","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.292
Sook-Kyoung Park, H. Kim
Purpose: The purpose of this study was to develop a virtual reality (VR)-based simulation program for nursing students regarding emergency triage and evaluate its usability.Methods: The content was developed according to the system development lifecycle: analysis, design, implementation, and evaluation. Experts and fourth-year nursing students verified the validity and usability of the content. The study was conducted from November 2021 to June 2022.Results: The VR content was constructed using Keller’s ARCS (attention, relevance, confidence, and satisfaction) model of motivational design as a basic strategy. Nurses were dispatched to an emergency site where a major accident had occurred, and 20 casualties were classified according to the triage and acuity scale. The research participants assigned scores for the following sub-factors after applying the VR content developed in this study: Relevance scored highest (4.23 out of 5), followed by confidence (3.81 out of 5), attention (3.76 out of 5), and content satisfaction (2.52 out of 5).Conclusion: The VR-based simulation content for emergency patient classification developed in this study may be useful for nursing students. However, inconveniences caused by the use of VR devices or problems with adaptation to the virtual environment may occur. Therefore, establishing countermeasures and systematically developing content for various disaster environments will help improve the core competencies of nursing students in disaster nursing.
目的:本研究的目的是开发一个虚拟现实(VR)的护理学生急救分诊模拟程序，并评估其可用性。方法:按照系统开发生命周期:分析、设计、实现、评估进行内容开发。专家和护理专业四年级学生验证了内容的有效性和可用性。该研究于2021年11月至2022年6月进行。结果:以Keller的ARCS (attention, relevance, confidence, and satisfaction)动机设计模型为基本策略构建虚拟现实内容。护士被派往发生重大事故的紧急地点，并根据分诊和急性程度对20名伤亡者进行了分类。研究参与者在应用本研究开发的虚拟现实内容后，对以下子因素进行了评分:相关性得分最高(4.23分)，其次是信心(3.81分)，注意力(3.76分)和内容满意度(2.52分)。结论:本研究开发的基于虚拟现实的急诊患者分类模拟内容可能对护理学生有用。但是，可能会出现使用VR设备带来的不便或对虚拟环境的适应问题。因此，针对各种灾害环境制定对策，系统开发内容，有助于提高护生灾害护理核心能力。
{"title":"Development and Evaluation of Virtual Reality-based Simulation Content for Nursing Students Regarding Emergency Triage","authors":"Sook-Kyoung Park, H. Kim","doi":"10.7739/jkafn.2022.30.2.292","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.292","url":null,"abstract":"Purpose: The purpose of this study was to develop a virtual reality (VR)-based simulation program for nursing students regarding emergency triage and evaluate its usability.Methods: The content was developed according to the system development lifecycle: analysis, design, implementation, and evaluation. Experts and fourth-year nursing students verified the validity and usability of the content. The study was conducted from November 2021 to June 2022.Results: The VR content was constructed using Keller’s ARCS (attention, relevance, confidence, and satisfaction) model of motivational design as a basic strategy. Nurses were dispatched to an emergency site where a major accident had occurred, and 20 casualties were classified according to the triage and acuity scale. The research participants assigned scores for the following sub-factors after applying the VR content developed in this study: Relevance scored highest (4.23 out of 5), followed by confidence (3.81 out of 5), attention (3.76 out of 5), and content satisfaction (2.52 out of 5).Conclusion: The VR-based simulation content for emergency patient classification developed in this study may be useful for nursing students. However, inconveniences caused by the use of VR devices or problems with adaptation to the virtual environment may occur. Therefore, establishing countermeasures and systematically developing content for various disaster environments will help improve the core competencies of nursing students in disaster nursing.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44310133","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.236
M. Cho
Purpose: Cognitive impairment and depressive symptoms often accompany one another, as depressive symptoms often worsen cognitive impairment. This study aimed to identify the risk factors for depressive symptoms in older adults with mild cognitive impairment in Korea.Methods: This study analyzed data from the eighth Korean Longitudinal Study of Aging 2020. A total of 1,023 participants aged 65 and older were selected as participants whose scores on the Korean Mini-Mental State Examination ranged from 18 to 23. For data analysis, descriptive statistics, the Rao-Scott x2 test, and logistic regression using complex samples were performed.Results: The prevalence of depressive symptoms among participants was 33.2%. According to the logistic regression analysis, the significant risk factors affecting depressive symptoms in older adults with mild cognitive impairment were having a high education level (odds ratio [OR]=1.98, 95% confidence interval [CI]=1.23~3.16), low hand grip strength (OR=1.85, 95% CI=1.12~3.08), visual impairment (OR=3.31, 95% CI=1.36~8.04), good oral health status (OR=0.97, 95% CI=0.95~0.99), and rarely having contact with one’s neighbors (OR=2.52 95% CI=1.23~5.18). Among the different characteristics(demographic, health status, social, and economic), health status characteristics were identified as having the greatest influence on depressive symptoms in older adults with mild cognitive impairment.Conclusion: The results of this study suggest that a multidimensional nursing strategy including the regular management of health conditions is necessary to prevent depressive symptoms in older adults with mild cognitive impairment.
{"title":"Risk Factors for Depressive Symptoms among Older Adults with Mild Cognitive Impairment: An Analysis of Data from the Eighth Korean Longitudinal Study of Aging 2020","authors":"M. Cho","doi":"10.7739/jkafn.2022.30.2.236","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.236","url":null,"abstract":"Purpose: Cognitive impairment and depressive symptoms often accompany one another, as depressive symptoms often worsen cognitive impairment. This study aimed to identify the risk factors for depressive symptoms in older adults with mild cognitive impairment in Korea.Methods: This study analyzed data from the eighth Korean Longitudinal Study of Aging 2020. A total of 1,023 participants aged 65 and older were selected as participants whose scores on the Korean Mini-Mental State Examination ranged from 18 to 23. For data analysis, descriptive statistics, the Rao-Scott x2 test, and logistic regression using complex samples were performed.Results: The prevalence of depressive symptoms among participants was 33.2%. According to the logistic regression analysis, the significant risk factors affecting depressive symptoms in older adults with mild cognitive impairment were having a high education level (odds ratio [OR]=1.98, 95% confidence interval [CI]=1.23~3.16), low hand grip strength (OR=1.85, 95% CI=1.12~3.08), visual impairment (OR=3.31, 95% CI=1.36~8.04), good oral health status (OR=0.97, 95% CI=0.95~0.99), and rarely having contact with one’s neighbors (OR=2.52 95% CI=1.23~5.18). Among the different characteristics(demographic, health status, social, and economic), health status characteristics were identified as having the greatest influence on depressive symptoms in older adults with mild cognitive impairment.Conclusion: The results of this study suggest that a multidimensional nursing strategy including the regular management of health conditions is necessary to prevent depressive symptoms in older adults with mild cognitive impairment.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41580723","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.271
Jeounghee Kim, Y. Shin
Purpose: The aim of this study was to analyze time-dependent complications in patients with traumatic spinal cord injury (SCI) as a function of their initial neurological status determined by the ASIA Impairment Scale (AIS) grade.Methods: Consecutive patients with SCI who visited the emergency department at Asan Medical Center from 2005 to 2019 were included, and their electronic medical records were analyzed according to four time periods from initial visit to hospital discharge. Time-dependent SCI-related complications, including medical, urinary, musculoskeletal, and neurological complications and pain, were analyzed as well as the association between SCI complications and AIS grade. In-hospital recovery from neurological damage and long-term outcomes were also evaluated.Results: Of the 632 SCI patients who visited the emergency department during the study period, 110 patients were included in the study. The complication rates in patients initially assessed as AIS grades A, B, C, D, and E were 53.6%, 16.4%, 14.6%, 13.6%, and 1.8%, respectively. The most common complications after SCI were UTIs (n=37; 33.6%), pressure ulcers (n=36; 32.7%), neuropathic pain (n=34; 30.9%), and pneumonia (n=33; 30.0%). Patients with a poor neurological status (AIS grade A) had more medical complications and lower neurological resilience than did those with better neurological status (AIS grades B-E).Conclusion: Post-SCI complications differed by time after SCI and neurological status. Nurses should be aware that complications can occur at any time in patients with traumatic SCI. Patients with poorer AIS grades should be particularly closely observed and receive preventive care for complications.
{"title":"Time-related Complications in Patients with Traumatic Spinal Cord Injury according to the AIS Impairment Scale Grade: A Retrospective Review","authors":"Jeounghee Kim, Y. Shin","doi":"10.7739/jkafn.2022.30.2.271","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.271","url":null,"abstract":"Purpose: The aim of this study was to analyze time-dependent complications in patients with traumatic spinal cord injury (SCI) as a function of their initial neurological status determined by the ASIA Impairment Scale (AIS) grade.Methods: Consecutive patients with SCI who visited the emergency department at Asan Medical Center from 2005 to 2019 were included, and their electronic medical records were analyzed according to four time periods from initial visit to hospital discharge. Time-dependent SCI-related complications, including medical, urinary, musculoskeletal, and neurological complications and pain, were analyzed as well as the association between SCI complications and AIS grade. In-hospital recovery from neurological damage and long-term outcomes were also evaluated.Results: Of the 632 SCI patients who visited the emergency department during the study period, 110 patients were included in the study. The complication rates in patients initially assessed as AIS grades A, B, C, D, and E were 53.6%, 16.4%, 14.6%, 13.6%, and 1.8%, respectively. The most common complications after SCI were UTIs (n=37; 33.6%), pressure ulcers (n=36; 32.7%), neuropathic pain (n=34; 30.9%), and pneumonia (n=33; 30.0%). Patients with a poor neurological status (AIS grade A) had more medical complications and lower neurological resilience than did those with better neurological status (AIS grades B-E).Conclusion: Post-SCI complications differed by time after SCI and neurological status. Nurses should be aware that complications can occur at any time in patients with traumatic SCI. Patients with poorer AIS grades should be particularly closely observed and receive preventive care for complications.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44540427","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.216
Boyeon Lee, Hyojung Park
Purpose: This study aimed to evaluate whether a telephone-based self-care intervention improved self-care knowledge, self-efficacy, and self-care performance of gynecologic cancer patients receiving chemotherapy.Methods: This quasi-experimental study used a non-equivalent control group pretest-posttest design. The participants included 38 gynecologic cancer patients who were admitted to Seoul National University Hospital and received chemotherapy. To reduce the spread of the experimental treatment, the control group was recruited prior to the experimental group, with matching inclusion criteria for age, diagnosis, and chemotherapeutic agent. The experimental group received education on managing chemotherapy side effects in the form of a booklet prior to chemotherapy and four telephone-based self-care interventions after discharge. The control group received only education on managing chemotherapy side effects in the form of a booklet prior to chemotherapy. Data were collected prior to the intervention and 3 weeks after the first-line chemotherapy cycle ended. Outcomes were measured using a self-care knowledge measurement tool, the New General Self-Efficacy Scale and a self-care performance assessment scale. The statistical analysis was performed using the x2 test, Fisher's exact test, Shapiro-Wilk normality test, paired t-test and independent t-test.Results: Significant differences were found between the two groups in scores for self-care knowledge (t=-2.64, p=.012), self-efficacy (t=-4.32, p<.001), and self-care performance (t=-2.53, p=.016) after the telephone-based self-care intervention.Conclusion: This telephone-based self-care intervention was effective for improving self-care knowledge, self-efficacy, and self-care performance.
{"title":"Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study","authors":"Boyeon Lee, Hyojung Park","doi":"10.7739/jkafn.2022.30.2.216","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.216","url":null,"abstract":"Purpose: This study aimed to evaluate whether a telephone-based self-care intervention improved self-care knowledge, self-efficacy, and self-care performance of gynecologic cancer patients receiving chemotherapy.Methods: This quasi-experimental study used a non-equivalent control group pretest-posttest design. The participants included 38 gynecologic cancer patients who were admitted to Seoul National University Hospital and received chemotherapy. To reduce the spread of the experimental treatment, the control group was recruited prior to the experimental group, with matching inclusion criteria for age, diagnosis, and chemotherapeutic agent. The experimental group received education on managing chemotherapy side effects in the form of a booklet prior to chemotherapy and four telephone-based self-care interventions after discharge. The control group received only education on managing chemotherapy side effects in the form of a booklet prior to chemotherapy. Data were collected prior to the intervention and 3 weeks after the first-line chemotherapy cycle ended. Outcomes were measured using a self-care knowledge measurement tool, the New General Self-Efficacy Scale and a self-care performance assessment scale. The statistical analysis was performed using the x2 test, Fisher's exact test, Shapiro-Wilk normality test, paired t-test and independent t-test.Results: Significant differences were found between the two groups in scores for self-care knowledge (t=-2.64, p=.012), self-efficacy (t=-4.32, p<.001), and self-care performance (t=-2.53, p=.016) after the telephone-based self-care intervention.Conclusion: This telephone-based self-care intervention was effective for improving self-care knowledge, self-efficacy, and self-care performance.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45176194","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.155
Yi-Rang Yim, Myung-Haeng Hur
Purpose: We aimed to confirm the effects of virtual reality programs used for patients with diabetes on reducing blood glucose levels and improving physical function.Methods: In this systematic literature review and meta-analysis, literature was collected from various databases for randomized controlled trials published in Korean, Chinese, and English by May 2021. The search yielded 1,243 studies. Eight studies were selected for the systematic literature review, and six studies were included in the meta-analysis.Results: In the eight selected studies, a non-immersive virtual reality programs were employed as the intervention method. The effect size of the virtual reality programs on glycated hemoglobin (HbA1c) was -0.40, with no significant difference between experimental and control groups. The effect size on static balancing ability was 1.04, and the effect size on dynamic balancing ability was 2.39. The effect size on falls efficacy was 0.69, and all functional outcomes differed significantly between the experimental and control groups (p<.05). A subgroup analysis of static balancing ability was performed according to the duration of the interventional virtual reality program. When the virtual reality programs lasting for more than six weeks, shows an effect size of 1.27 for static balance ability, which was statistically significant (Z=3.32, p<.001).Conclusion: Virtual reality programs for participants with diabetes did not reduce HbA1c, but improved balance ability and falls prevention efficacy. The virtual reality program is an effective method for diabetics to be interested and consistently self-care.
{"title":"Effects of Virtual Reality Program on Glycated Hemoglobin, Static and Dynamic Balancing Ability, and Falls Efficacy for Diabetic Patients: A Systematic Review and Meta-Analysis","authors":"Yi-Rang Yim, Myung-Haeng Hur","doi":"10.7739/jkafn.2022.30.2.155","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.155","url":null,"abstract":"Purpose: We aimed to confirm the effects of virtual reality programs used for patients with diabetes on reducing blood glucose levels and improving physical function.Methods: In this systematic literature review and meta-analysis, literature was collected from various databases for randomized controlled trials published in Korean, Chinese, and English by May 2021. The search yielded 1,243 studies. Eight studies were selected for the systematic literature review, and six studies were included in the meta-analysis.Results: In the eight selected studies, a non-immersive virtual reality programs were employed as the intervention method. The effect size of the virtual reality programs on glycated hemoglobin (HbA1c) was -0.40, with no significant difference between experimental and control groups. The effect size on static balancing ability was 1.04, and the effect size on dynamic balancing ability was 2.39. The effect size on falls efficacy was 0.69, and all functional outcomes differed significantly between the experimental and control groups (p<.05). A subgroup analysis of static balancing ability was performed according to the duration of the interventional virtual reality program. When the virtual reality programs lasting for more than six weeks, shows an effect size of 1.27 for static balance ability, which was statistically significant (Z=3.32, p<.001).Conclusion: Virtual reality programs for participants with diabetes did not reduce HbA1c, but improved balance ability and falls prevention efficacy. The virtual reality program is an effective method for diabetics to be interested and consistently self-care.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46936265","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 : 2023-05-31DOI: 10.7739/jkafn.2022.30.2.281
M. Chung, Sujeong Han
Purpose: This study investigated the direct and indirect effects of factors related to nurses' turnover intention.Methods: The study included 212 nurses working at three university hospitals in Korea. The collected data were subjected to descriptive statistical analysis, correlation analysis, and path analysis.Results: Promotion-focused job crafting had direct effects on burnout (β=-.32, p=.001) and job satisfaction (β=.18, p=.008). Promotion-focused job crafting had an indirect effect on job satisfaction via burnout (β=.13, p<.001). For turnover intention, promotion-focused job crafting had an indirect effect (β=-.18, p=.001) mediated by burnout and job satisfaction. Job satisfaction had a direct effect on turnover intention (β=-.26, p=.001). Additionally, burnout affected turnover intention, both directly (β=.32, p=.001) and indirectly (β=.10, p=.001), mediated by job satisfaction. Finally, promotion-focused job crafting had a dual mediation effect on turnover intention through burnout and job satisfaction (effect=-0.02, p<.001). Including the indirect effect of promotion job crafting, the explanatory power of job satisfaction and burnout on turnover intention was about 25%.Conclusion: Based on the results of this study, the strategy of reducing burnout by strengthening nurses' promotion-focused job crafting and lowering turnover intention by increasing job satisfaction can have a positive effect on organizational performance.
{"title":"Effects of Job Crafting, Burnout, and Job Satisfaction on Nurses' Turnover Intention: A Path Analysis","authors":"M. Chung, Sujeong Han","doi":"10.7739/jkafn.2022.30.2.281","DOIUrl":"https://doi.org/10.7739/jkafn.2022.30.2.281","url":null,"abstract":"Purpose: This study investigated the direct and indirect effects of factors related to nurses' turnover intention.Methods: The study included 212 nurses working at three university hospitals in Korea. The collected data were subjected to descriptive statistical analysis, correlation analysis, and path analysis.Results: Promotion-focused job crafting had direct effects on burnout (β=-.32, p=.001) and job satisfaction (β=.18, p=.008). Promotion-focused job crafting had an indirect effect on job satisfaction via burnout (β=.13, p<.001). For turnover intention, promotion-focused job crafting had an indirect effect (β=-.18, p=.001) mediated by burnout and job satisfaction. Job satisfaction had a direct effect on turnover intention (β=-.26, p=.001). Additionally, burnout affected turnover intention, both directly (β=.32, p=.001) and indirectly (β=.10, p=.001), mediated by job satisfaction. Finally, promotion-focused job crafting had a dual mediation effect on turnover intention through burnout and job satisfaction (effect=-0.02, p<.001). Including the indirect effect of promotion job crafting, the explanatory power of job satisfaction and burnout on turnover intention was about 25%.Conclusion: Based on the results of this study, the strategy of reducing burnout by strengthening nurses' promotion-focused job crafting and lowering turnover intention by increasing job satisfaction can have a positive effect on organizational performance.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44404880","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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