Awareness and Needs on Augmentative and Alternative Communication of Critical Care Nurses / 재활간호학회지

Purpose@#The purpose of this study is to identify awareness and needs on augmentative and alternative communication (AAC) in critical care nurses. @*Methods@#316 critical care nurses from five hospitals participated in the survey. Data were collected using self-reported questionnaires consisting of AAC knowledge, needs, and experience via Google Forms from January to April 2022. The data were presented in frequency and percentage. @*Results@#28.9% of critical care nurses answered that they knew about AAC, indicating low awareness of AAC. Among critical care nurses, intensive care unit nurse showed high awareness of AAC. The most frequently encountered AAC method was written methods using paper, board, and whiteboard, which took more time compared to other methods. The nurses reported educational needs on AAC interventions and strategies as well as support for AAC devices. @*Conclusion@#The results of this study showed that awareness on AAC in critical care nurses were low. Considering that communication problems can reduce patient safety and treatment satisfaction, it is suggested to improve awareness on ACC by providing educational intervention programs. In addition, institutional support for ACC is needed.

A Study on Communication Ability and Empathy According to General Characteristics of Clinical Nurses / 의료커뮤니케이션

Purpose@#: The purpose of this study is to identify the degree of communication and empathy of clinical nurses and to identify the differences in empathy and communication skills according to the general characteristics of clinical nurses. @*Methods@#: A total of 316 nurses were recruited from five hospitals. The data were analyzed using SPSS 21.0 with real number, percentage, mean, t-test, ANOVA, and Pearson’s correlation. @*Results@#: According to the results of this study, the general characteristics that were statistically significant in the difference in communication ability according to general characteristics were age, clinical experience, position, and number of hospital beds. There was a statistically significant difference in empathy ability according to clinical experience, department, place of work, and number of hospital beds. @*Conclusion@#: Based on the results of this study, an intervention program to improve communication and empathy should be developed in consideration of the statistically meaningfully interpreted general characteristics to improve communication and empathy so that patient-centered nursing can be achieved.

Analysis of Factors Affecting the Intention to Quit Smoking in Stroke Patients / 재활간호학회지

Purpose@#This study aimed to analyze factors affecting the intention to quit smoking in stroke patients. @*Methods@#A descriptive approach was taken in this study. Structured questionnaires including subjects' characteristics, stroke symptom knowledge, attitudes towards smoking, social effect, self-efficacy, and intention to quit smoking were completed by eighty three patients in the outpatient stroke service. Data were analyzed with independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression using SPSS/WIN 22.0 program. @*Results@#The subjects were all men and 95.2% of the subjects had a experience of smoking cessation education. There were significant differences in intention to quit smoking by marriage status (F=4.359, p=.007) and smokers existing in the family (t=-2.67, p=.009). The factors influencing intention to quit smoking in the stroke patient were self efficacy (β=.534, p<.001) and negative attitude toward smoking (β=.339, p<.001). @*Conclusion@#This results suggest to develop programs to increase self efficacy and negative attitude toward smoking. This study provides also reference of the importance of family support for quitting smoking.

Factors Affecting the Instrumental Activities of Daily Living of Elderly People with Mild Cognitive Impairment and Mild Dementia / 재활간호학회지

Purpose@#Instrumental activities of daily living (IADL) are activities associated with independent lifestyle. The purpose of this study is to identify factors affecting IADL of the elderly with mild cognitive impairment and mild dementia. @*Methods@#Thirty-one old adults with mild cognitive impairment and thirty elderly with mild dementia participated in the study. Lawton IADL, digit span test, Korean-Color Word Stroop test, Korean version of Trail Making Test, Controlled Oral Word Association Test (COWAT) for elderly were used to assess functions of IADL, cognitive status, inhibition, visual attention and task switching, and verbal fluency, respectively. Multiple regression test was used to analyze data. @*Results@#Color reading positive response (β=-.60), COWAT scores (β=-.38), and the scores of Korean version of Trail Making Test for the elderly (β=.34 for part A, and β=.31 for part B) were significantly associated with IADL. @*Conclusion@#It is important to assess factors associated with IADL and provide intervention to improve or maintain functions. It is recommended to a nursing intervention program that reinforces the influencing factors of instrumental daily living ability identified in this study.

Learning Outcomes and Teaching Methods in Fundamentals of Nursing / 기본간호학회지

PURPOSE: The purpose of this study was to provide a basis for improvement and enhancement of nursing education by investigating learning outcomes that apply to fundamentals of nursing and teaching methods used in classes. METHODS: Data were collected from 111 professors of fundamentals of nursing who responded to the self-report questionnaire. Data were analyzed using chi-square test. RESULTS: For learning outcomes in fundamentals of nursing the most frequent number of outcomes was two (35.2%), or three (32.4%). For learning outcomes in fundamentals of nursing practicum, the most frequent number of outcomes was two (32.4%), or three (31.6%). In fundamental nursing classes, teaching methods used most frequently were lectures (98.2%) and videos (60.4%), and in practice classes, demonstration (98.2) and open laboratory (90.9%). Constructivist teaching methods that were utilized in fundamental nursing were team-based learning (19.8%) and case-based learning (19.8%), and for practice classes, objective structured clinical examination (29.7%). In the cross analysis, 28.8% of the nursing professor used the constructivist teaching methods in fundamental nursing and in practice classes. CONCLUSION: There is a need to continue to improve teaching methods for new nurse-educators and professors and to discuss learning outcomes of fundamental nursing.

Quality Assessment of Non-Randomized Studies in the Journal of Korean Fundamentals of Nursing / 기본간호학회지

PURPOSE: The purpose of this research was to assess the methodological quality of non-randomized studies published in the Journal of Korean Fundamentals of Nursing. METHODS: A search of non-randomized studies assessing intervention effects was conducted among all articles published in the Journal of Korean Fundamentals of Nursing between 2011 and 2013. Articles were assessed for quality using the Methodological Index for Non Randomized Studies (MINORS). For each index item, the frequency and percentage of articles meeting the criteria were calculated, along with mean scores by research method, publication year, and research topic. RESULTS: A total of 22 studies were included. The mean score for studies without control groups was 11.75 (range 0-16), and for those with control groups, 19.27 (range 0-24). Results show that improvement is needed on several items: "endpoints appropriate to the aim of the study," "unbiased assessment of the study endpoint," "follow-up period appropriate to the aim of the study," "loss to follow up less than 5%," and "contemporary groups." CONCLUSION: Although the quality of articles published in the Journal of Korean Fundamentals of Nursing has consistently increased, more emphasis should be placed on using rigorous research methods.

Influence of Life Stress and Depression on Suicidal Ideation among College Nursing Students / 기본간호학회지

PURPOSE: This study was done to explore the level of life stress, depression, and suicidal ideation and to identify the associated factors of suicidal ideation (SI) among college nursing students. METHOD: The design of this study was a descriptive survey design using a convenience sampling. Data collection was done using self-questionnaire from 124 students in 2 universities located in Gyeonggi and Chungnam provinces. The collected data were analyzed using descriptive statistics, ANOVA, t-test, Pearson correlation coefficients, and hierarchical multiple regression. RESULTS: Study participants reported low level of SI, depression, and life stress (44.45+/-19.21, 8.40+/-5.94, 40.65+/-32.17). The 53% of variance in SI was significantly explained by life stress related value (beta=.41, p<.001), life stress related to interpersonal relationship with family (beta=.19, p=.014), life stress related to interpersonal relationship with friends (beta=.34, p<.001), and depression (beta=.36, p<.001). CONCLUSIONS: The results indicate that to decrease the SI in these students, an active interest in the students is needed to lower stress levels in interpersonal relationships with family and friends, in life stress related to value, and for relief of depression. Suicide prevention programs specific to the level of life stress and depression need to be developed for nursing students.

The Influence of Workplace Violence on Anger and Post Traumatic Stress Disorder among Nurses / 한국직업건강간호학회지

PURPOSE: This study was done to identify the influence of workplace violence on anger and post traumatic stress disorder among nurses. METHODS: The research design for this study was a descriptive survey design using a random sampling. Data collection was done using self-questionnaire with 477 nurses. The collected data were analyzed by descriptive statistics, chi2-test and logistics regression. RESULTS: The incidences of total violence, verbal, physical, and sexual violence were 31.2%, 28.7%, 6.3%, 3.6% of the nurses, respectively. Anger was significantly associated with verbal violence (OR: 2.34, CI: 1.40~3.91) and physical violence (OR:4.85 CI: 1.67~14.13). Post traumatic stress disorder was significantly associated with verbal violence (OR: 15.99, CI: 9.58~26.69) and physical violence (OR: 5.37, CI: 1.66~17.40). CONCLUSION: To promote psychological health in nurses, there is a need to develop prevention programs to decrease workplace violence and to develop programs supporting psychological aspects of verbal violence that nurses experience.

Sleep Patterns and Factors Associated with Excessive Daytime Sleepiness in University Students / 기본간호학회지

PURPOSE: The purpose of this study was to investigate sleep patterns and predictors of excessive daytime sleepiness (EDS) in university students. METHODS: Participants were 120 university students who were attending two universities in S-city and C-city. Data were collected from May 20 to June 15, 2012 using self-report questionnaires which included Johns' Epworth Sleepiness Scale, Yi's Sleep Quality Scale, and Beck Depression Inventory. Data were digitalized and analyzed using frequency, percentages, means and standard deviations, Wilcoxon rank sum test, Chi-square test, Fisher's exact test, and multiple logistic regression with SAS 9.0. RESULTS: Mean total sleep time was 6.6 hours on weekdays, 8.1 hours on weekends. Mean sleep latency was 19.1 minutes and the score for mean sleep quality was 22.6. Prevalence of EDS was 12.5%. Depression was significantly different between EDS and Non-EDS students (t=2.17, p=.030). Multiple logistic regression showed that the only factor associated with EDS was depression (adjusted odds ratio of depression=5.33, 95% Confidence Interval=1.49-19.04). CONCLUSION: Results of this study indicate that university students experience short sleep time, low sleep quality, and common EDS with depression, suggesting that students with complaints of EDS should be completely assessed for depression as well as sleep problems.

Effects of Emotional Labor and Occupational Stress on Somatization in Nurses / 간호행정학회지

PURPOSE: This study was done to identify the relationship of occupational stress, emotional labor, and general characteristics to somatization, and to identify factors affecting somatization in nurses. METHODS: A quantitative, descriptive research design was used to study 227 nurses. Nurses completed a 52-item self-questionnaire that included 3 concepts assessing somatization, occupational stress, emotional labor. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression. RESULTS: Mean scales for somatization, occupational stress, and emotional labor were 22.96+/-7.87, 78.73+/-12.29, 29.63+/-3.97 respectively. The explained variance for somatization was 35.5%. Among the variables, frequency of emotional display (beta=.136, p=.042), one of the sub-domains of emotional labor, and role overload (beta=.178, p=.023), one of the sub-domains of occupational stress and working in the ICU, OR, or ER (beta=.296, p<.001) and education level of diploma graduation (beta=.143, p=.028) significantly predicted degree of somatization. CONCLUSION: Findings of this study provide a comprehensive understanding of somatization and related factors for nurses in Korea.

Factors Associated with Attitude toward Cardiopulmonary Resuscitation / 기본간호학회지

PURPOSE: This study was done to identify the relationship of knowledge of cardiopulmonary resuscitation (CPR), general characteristics associated with CPR and attitude toward CPR by college students. METHOD: The research design for this study was a descriptive survey design with a convenience sample. Data collection was done using self-report questionnaires with 424 college students. The collected data were analyzed using descriptive statistics,t-test, one-way ANOVA, Pearson's correlation coefficient and multiple linear regression. RESULTS: Most of the students had received CPR training (58.3%) and 17% of the students had given help on request in an emergency situation. But only 11.3% of them performed CPR. The mean scores for knowledge of CPR and attitude toward CPR by students were 5.79+/-2.41, 33.8+/-6.53, respectively. The 18.3% of explained variance for attitude toward CPR was significantly explained by gender, age, having received CPR training and knowledge of CPR. CONCLUSION: Based on the findings of this study the development of CPR training programs which are tailored to personal characteristics of college students are necessary to improve attitudes toward CPR. Further nursing research is needed on the characteristics of college students associated with attitude toward cardiopulmonary resuscitation.

Factors Affecting Physical Symptoms of Elders / 성인간호학회지

PURPOSE: This study was done to identify the relationship of trait anger, health state, physical symptoms. and general characteristics to physical symptoms and to identify factors affecting physical symptoms of elderly in urban areas. METHODS: The research design for this study was a descriptive survey design using a convenience sampling. Elders (n=276), who agreed to participate in this study completed a self-reporting questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. RESULTS: Study participants reported low trait anger (M=18.61), physical symptoms (M=7.15), and moderate health state (M=3.30). The 45.4% of variance in physical symptoms was significantly explained by emotional function health state (beta=-.284, p=.013), which is one of the sub-domain of the elderly health state, and trait anger (beta=3.841, p<.001). CONCLUSION: Findings of this study provide that the most important factors in explaining physical symptoms for the elders in Korea were emotional function health state and trait anger. Based on the findings of this study, further nursing practice and nursing research for the elders with physical symptoms should be focused on emotional support.

Effects of an Exercise Program on Frontal Lobe Cognitive Function in Elders

PURPOSE: The purpose of this study was to identify the effects of an exercise program on frontal lobe cognitive function in seniors. METHODS: The participants were 42 seniors using a health center in Seoul (experimental group) and 28 seniors using a facility for elders in Seoul (control group). The exercise program was carried out for 16 weeks from April to August 2007. The frontal lobe cognitive function, which includes short term memory, attention, immediate memory, delayed memory, verbal fluency and motor function, was measured by the Digit Span Forward test, Trail Making test, Immediate recall words test, Delayed recall words, Controlled oral word association test and Finger tapping test. The collected data were analyzed by Fisher's exact test, Chi-square, t-test, and ANCOVA using the SAS program. RESULTS: The major findings of this study were as follows: Attention (p=.009), immediate memory (p=.005), delayed memory (p=.009), and verbal fluency (p=.004) improved after the exercise program. CONCLUSION: In this study, the exercise program was effective in improving frontal lobe cognitive function in elders. So it provides basic information for further nursing education on exercise programs which will be effective for prevention of early cognitive function decline in normally aging elders.

Influence of Military Service Experience on Sexual Knowledge, Attitudes, and Behavior of Male College Students / 성인간호학회지

PURPOSE: This study aimed to identify the difference of sexual knowledge, attitudes, and behavior of college students who fulfilled military service and those who did not, for providing basic data for developing nursing interventions for the college students. METHODS: This study used a descriptive research design. The subjects of this study were 3,741 male college students. Data were collected through personal interviews using questionnaires from November to December 2007. The sexual knowledge, attitudes, and behavior measurement tool was used. The collected data were analyzed by descriptive statistics, t-test and chi-square test. RESULTS: The major findings of this study were as follows: 1) There was a statistically significant difference in sexual knowledge of contraception / abortion(p = .002, t = 3.16), venereal disease(p = .006, t = .2.73), sexual attitude of sexual behavior(p = .002; t = 3.13) and sexual double think(p = .047, t = 1.98) according to military service 2) There was a statistically significant difference in sexual behavior experience frequency of 9 items(friendship with opposite sex, kiss / embracing, petting, porno magazine / porno video contact, masturbation, sexual intercourse via anus, sexual intercourse via mouth, cause pregnancy, cause abortion: p < .000, chi-sqare = 39.47; p < .000, chi-sqare = 55.88; p < .000, chi-sqare = 46.76; p = .034, chi-sqare = 6.77; p = .017, chi-sqare = 12.05; p = .003, chi-sqare = 14.24; p < .000, chi-sqare = 47.70; p < .000, chi-sqare = 23.86; p < .000, chi-sqare = 21.84) respectively according to military service. CONCLUSION: The results of this study indicate that sexual knowledge, attitudes and behavior differ before and after the experience of military service, so further study for detecting military sex culture character effecting difference in sex knowledge, attitudes and behavior is needed.

Effects of Group Exercise Program Tailored by Physical Fitness on Perceived Health Status, Physical Strength, Depression and Cognitive Function of the Elderly / 성인간호학회지

PURPOSE: The purpose of this study was to identify the effects of the tailored group exercise program on perceived health status, physical strength, depression and cognitive function in seniors. METHODS: The subjects were 42 seniors of the experimental group and 28 seniors of the control group. The exercise program tailored by physical fitness was carried out for 16 weeks. The dependent variables were measured by Perceived Health Status Scale, The Senior Fitness Test, MMSE-K, and GDS-K. The collected data were analyzed by Fisher's exact test, Chi-square test and t-test, and ANCOVA using the SAS program. RESULTS: In terms of physical strength and depression there was significant difference among groups. Perceived health status and cognitive function were not significant different among groups. CONCLUSION: In this study, the tailored exercise program was effective and safe for the elderly, and resulted in improving physical and psychological health status in the elderly. This demonstrated that the tailored group exercises program on the basis of the subject's fitness, played an essential role in maintaining and improving the health.

Recipe Standardization and Nutrient Analysis of Local Foods of Cheollabuk-do Province(The Second Report) / 대한지역사회영양학회지

Five representative local foods of Cheollabuk-do Province such as chuotang, ochuk, baekhapchuk, dasulgitang and minmulgokimaeuntang were subjected to recipe standardization and nutrient analysis. To derive a standard recipe, first a test recipe was prepared with the consideration of information obtained from literature survey, personal interview and survey of restaurant recipe. This test recipe was modified three times after sensory evaluation. Then the modified test recipe was accepted as the standard recipe when all characteristics of food was assessed over 5 points and the percentage of judges who gave a score over five exceeded 70% in seven-point hedonic scale. Actually, all characteristics of each food were judged as "satisfactory". Nutrient analysis was performed in food cooked according to the decided standard recipe. In general, it appeared that energy content was rather low. However protein contents in chuotang, ochuk and minmulgokimaeuntang were higher than the recommended value per meal. Vitamin A, vitamin C, vitamin B1, vitamin B, niacin, calcium, phosphorus and iron were rich in chwotang and minmulgokimaeuntag. Onhuk contains plenty of vitamin C, vitamin B1, vitamin B2 and the contents of vitamin A, vitamin B1, and niacin in baekhapapchuk were over the recommended values per meal. The foods contained large percentage of aspartic acid and glutamic acid, and major essential amino acids appeared to be leucine and lysine. On the other hand, major fatty acids were oleic acid, linoleic acid and plamitic acid. Among them the content of oleic acid was the highest in chuotang, ochuk and baekhapchuk, whereas linoleic acid and palmitic acid were the most rich fatty acids in baekhapchuk and dasulgitang respectively.

Recipe Standardization and Nutrient Analysis of Local Foods of Cheollabuk-do Province(The First Report) / 대한지역사회영양학회지

As the incidence of diet-related diseases increase, much attention has been focused of traditional foods. Traditional foods are ultimately based on local foods. However, there has been little study looking into the recipes and nutritional value of local foods. Therefore, the present study was designed to standardize recipes and analyze the nutrients of some representative local foods of Cheollabuk-do Province. Their foods were Cheonju pibimpap, kongnamulgukpap, minmuljangokui, aejeotchim and aguytichim. Test recipes for each food were prepared, being based on various information obtained from personal interviews, literature surveys of restaurant recipes. Then test recepe was subjected to sensory evaluation. All characteristics of each food were judged as "satisfactory". The analysis of nutrient composition revealed that in general energy content was low whereas protein content was as high as recommended reguirement in all foods except for kongnamulgukpap. Vitamin content was generally high but contents of calcium and iron were relatively low in all foods. Cheonju pibimpap was rich in dietary fiber. Dietary fiber content of Cheonju pibimpap was 16.6g per serving size. All foods contained considerable amounts of essential amino acids. The major fatty acide were oleic acid, linoleic acid and glutamic acid, oleic acid being the highest in terms of composition ratio.

A Case of Peripheral Neuroblastoma (Involing Skull)

The peripheral neuroblastomas are malignant neoplasms that originate from the adrenal gland and sympathetic nervous tissues. They usually occur in childhood. They exhibit such malignant features that they metastasize early to lung, liver, bone, rarely skull and other structures. The patients with peripheral neuroblastoma have short duration of symptom and short survival period. They reveal the characteristic light microscopic features that resemble other small cell carcinomas. The establishment of final diagnosis of peripheral neuroblastoma needs various special stainings for small cell carcinomas, and the electron microscopic findings are the most reliable. The authors recently experienced a case of peripheral neuroblastoma in a 26-year-old man which involved right frontoparietal skull vault. The only chief complaint was a local non-tender mass at right frontoparietal scalp. Neither headache nor any neurological deficits was detected. Simple skull X-ray revealed a punched out radiolucency at right frontoparietal bone and brain CT showed a superficial elliptical high density mass that enhanced strongly. The mass was totally removed by wide craniectomy. The tumor invaded and penetrated the dura but the arachnoid membrane. At the tumor bed was not invaded by the tumor. The tumor was confirmed as peripheral neuroblastoma by various special stainings for small cell carcinomas. Following surgical resection of the mass, post-operative radiotherapy was offered(4800 rads for about 5 weeks). The patient aggrevated progressively and showed numerous metastases to such bones as lumbar vertebrae, pelvis and humerus to became paraplegic. 8 months after the operation, the patient died.