A Preliminary Study on the Standardization of Fundamental Nursing Practice Education / 기본간호학회지

PURPOSE: This study was undertaken to develop directions for research on nursing practice education and also for standardization of contents of Fundamental Nursing Practice (FNP) by identifying and analyzing the present content and inconsistency in FNP textbooks. METHOD: Eleven FNP textbooks published between 2007 and 2013 were selected and itemized nursing contents were compared and analyzed. Nursing professors and practicingnurses prioritized contents identified from an actual condition survey based on theoretical reason and clinical guides for each item. RESULTS: Inconsistencies were found for 34 domains with 219 sub items and of them, 21 domains and 84 items needed to be standardized. Number of items that showed consistency between professors and nurses (ICC > or = .800) was 29 (34.5%) and for complete consistency (ICC=1), 4 (4.8%). Number of items that showed inconsistency between the groups (ICC< .600) was 30 (35.7%) and very low consistency (ICC=0), 10 (11.9%). CONCLUSION: The results indicate a difference between understood validity of content by professors and by nurses and technical differences among FNP textbooks. Therefore confirmation of the items needing to be standardized and differences in understanding content by professors and by nurses shows a need for standardization of practice education between course and clinical practice. These results provide basic data for developing standardized form of FNP education.

An Analysis of Research Trends Published in the Journal of Korean Academy of Fundamentals of Nursing (JKAFN) based on Knowledge Development Classifications of Nursing: 2006 Year of Publication Articles in JKAFN / 기본간호학회지

PURPOSE: This study was conducted to identify the nature the research trends of articles published in the Journal of Korean Academy of Fundamentals of Nursing (JKAFN). METHOD: Comparison analysis between articles in JKAFN (Volume 13, Number 1-3) and articles in the Journal of Korean Academy of Nursing (Volume 36, Number 1-3, 5-7) based on knowledge development classification was used to identify the nature of research trends in JKAFN. RESULTS: Based on comparison with Journal of Korean Academy of Nursing, research trends in JKAFN were dominant; in personal knowledge in the pattern of knowing in nursing, in the desiderative focus in cognitive needs for nursing epistemology, in advancing of various aspects of nursing in the focus of knowledge, and practice domain in the domains for nursing. CONCLUSION: The major focuses on research trends in JKAFN were nursing practice, actions of nurses in practice and practice guideline applicable in nursing education.

A Comparison of Learning Objectives in Fundamentals of Nursing between 2000 and 2004 year / 기본간호학회지

PURPOSE: The purpose of this study was to compare changes in learning objectives in Fundamentals of Nursing which were established between 2000 and 2004. METHOD: 2000, 2004 learning objectives were analyzed with frequencies and percents. RESULTS: There was an increase in the total number of learning objectives used in 2004(n=534) over 2000(n=527). In 2004 compared to 2000, there was an increase in learning objectives related to nursing process, need of oxygenation, need of nutrition, need of temperature regulation, need of activity and exercise, need of comfort, medication, preoperative care. According to Bloom's taxonomy, learning objectives established in 2004, mainly consisted of three domains, 35.5% for comprehension, 23.6% for synthesis, 20.4% for knowledge. Changes in learning objectives established in 2004 compared to 2000 decreases in the comprehension domain and increases in the synthesis domain. CONCLUSION: The learning objectives established in 2004 showed remarkable change when compared to those established in 2000. But the learning objective domains in Bloom's taxonomy were distributed unevenly. For better learning objectives in Fundamentals of Nursing, constant revision will be needed.

Education on Nosocomial Infection Control within the Content of Courses in Fundamentals of Nursing / 기본간호학회지

PURPOSE: The purpose of this study was to explore the content related to nosocomial infection control in the course on Fundamentals of Nursing. METHOD: Participants were 49 faculty who were teaching courses in Fundamentals of Nursing in universities and colleges in Korea. The questionnaire was composed of 55 items related to nosocomial infection control. RESULTS: Eighteen items out of 55 items were taught in more than 80% of the universities and colleges. These included principles of infection control, principles and effect of hand washing, method of hand washing, hand scrubs, and donning sterile gown and gloves. CONCLUSION: The most effective interventions for infection control, including asepsis, hand washing, infection control for urinary catheterization, and infection control for IV sites were taught in most universities and colleges. However, the time assigned for teaching these items and the importance placed on practice were not considered sufficient.

Evaluative Study of Hospice Education using Data Triangulation / 기본간호학회지

PURPOSE: This research used quantitative research to identify differences in death consciousness between pre and post education. The study was also designed to further understanding of the effects of nursing education by using a qualitative analysis to examine hospice education experience. METHOD: This study a one group pre-post test design. RESULTS: 1. The mean score for the students' death consciousness before the hospice education averaged 2.15+/- .33, a medium level for death consciousness. The score after education was 2.25+/- .36, that is, there was higher score for death consciousness after education. 2. The result of classification, giving their names and categorizing the experience of being in a coffin shown to be self-reflection, regret, recognition to death, death as discontinuation of life, the last closing from everything, death as a sad and cruel event, death as another world, specialist intuition of nursing. CONCLUSION: This research provided an opportunity for nursing students to consider death earnestly and realistically through hospice nursing education. We also discovered affirmative changes in the students' viewpoint of death, students who in future clinical practice may work with elders. We also found increases in motives to develop ability to present effective aid to dying patients.

Educational Evaluation of Competency in Nursing Skills through Open Laboratory Self-directed Practice / 기본간호학회지

PURPOSE: This study was conducted to evaluate the effect of open laboratory self-directed practice in improving nursing skill competency. METHODS: This study was a one group posttest only design that examined the competency in basic nursing skills after traditional education and open laboratory self-directed practice. Students participated in traditional education and open laboratory practice through self-study. Whenever practice was done, the item of practice and time were measured and documented. Collected data were analyzed by frequency, percentages, averages and standard deviations, and Pearson correlation coefficients. RESULTS: 1. The average number of students who participated in the open lab self-directed practice was 53.9 (64.2%) and the total number of hours of participation was 1567.5 minutes per year. Each student participated for an average of 29.1 minutes per year. 2. Analysis showed a statistically positive correlation between practical skill and open laboratory self-study (r=0.252, p=0.048).

A Grounded Theory Approach to the Comfort Experience of Hospitalized Patients / 간호학회지

This study is based on grounded theory methodology by Strauss & Corbin(1998). Ten hospitalized subjects were interviewed for data collection. In the process of data analysis, 'acceptance' is found to be the causal condition, while 'health professionals' skillfulness', 'ward environment', 'history of hospitalization', and 'general conditions' were identified as context, 'felling of relief' as the core phenomenon, 'self-efficacy', 'support of others', and 'life style' as the intermediate situation, 'passive reaction', 'alternative reaction' and 'active reaction' as the strategy and 'stabilization', 'satisfaction', 'hope' and 'carrying out' as consequences. 'Feeling of relief' is found to go through the three stages of recognition-generation-maintenance after the five different patterns. 1) In case the health professionals are skillful, the ward environment is favorable, the general conditions of the patients improved and as a result the feeling of relief is strong, during the first hospitalization, the self-efficacy of the subjects tends to be strong. They proceed toward the goal set for themselves with a renewed hope and active or alternative reaction toward the feeling of relief. 2) The subjects tend to proceed toward the goal set for themselves with a renewed hope and active and alternative reaction toward the feeling of relief in case health professionals are skillful, the ward environment is favorable the general conditions of the subjects improved, self-efficacy is strong, and lifestyle is autonomous, during the second hospitalization even though support of others is merely superficial. 3) The subjects tend to stabilize, and satisfy themselves with the given situation with passive and alternative reaction to the feeling of relief in case health professionals are skillful and the ward environment is favorable but the general conditions worsened and accordingly the feeling of relief, is weak and life style is dependent during the second hospitalization although the subjects' self-efficacy is strong and support of others is specific. 4) The subjects tend to stabilize and satisfy themselves with the given situation with passive and alternative reaction to the feeling of relief in case health professionals are unskillful the ward environment is unfavorable, the general conditions improved, support of others is specific but life style is dependent and self-efficacy is weak during the first hospitalization. 5) The subjects tend to stabilize and satisfy themselves with the given situation in case health professionals are unskillful the ward environment is unfavorable but the general conditions improved support of others is specific and as a result self-efficacy is strong but life style is dependent.

Analytic Case Study on Ethical Responsibilities of the Nurse / 기본간호학회지

Respect for human life and respect for human rights are basic values which the organized nursing profession has urged its members to adhere to in their service to human being. This study was designed and carried out to identify ways to reconcile often conflicting basic values in practice. This study focused on ethical dilemma experienced by nurses who were caring for political offenders in prison. Concrete case study was presented to show solutions to the problems.