Direction for Development of the Journal of Korean Academy of Adult Nursing through Analysis of Accepted and Rejected Papers (2007~2009) / 성인간호학회지

PURPOSE: The purpose of this study was to explore the direction for development of the Korean Journal of Adult Nursing toward becoming an international journal through analysing the accepted and rejected papers during the last three years (2007-2009). METHODS: Two hundred and ten accepted papers were analyzed focusing on research methodology and key words using descriptive statistics. In addition, rejected papers were reviewed to analyze their study designs and key words. RESULTS: The proportion of quantitative research was 86.4% while the proportion of qualitative research was 9.5%. The majority of the qualitative research design was survey (71.8%). Sixty percent of the research had verbal consent and 32.7% had written consent from the participants. The prevailing data collection settings were hospitals (52.1%), and community (22.7%). The most frequently used research domain was health. It was noted that theoretical framework was rarely presented. The paper rejection rate was 31.5% and among the rejected paper, 75.3% was survey. CONCLUSION: The results of this analysis suggest that published studies have been improved and diversified compared with the papers published before the year 2007. However, translation research, clinical trials by nurses, and more detailed evaluation process for ethics in research need to be facilitated.

Development of Critical Pathway for Laparoscopic Assisted Vaginal Hysterectomy by CPA program / 대한의료정보학회지

OBJECTIVE: The aim of this study was to develop critical pathway for post operation care of laparoscopic assisted vaginal hysterectomy with time and cost effectiveness using a clinical pathway assistant program (MDCPA(TM), MDware Co.) METHODS: Procedure was done with the following steps; establishment of conceptual framework, development of preliminary critical pathway using CPA program, expert validity test, and confirmation of final critical pathway. RESULTS: Preliminary critical pathway was extracted by CPA program, and this result was verified by expert validity test. The process of data collection and analysis to develop the preliminary critical pathway was accomplished automatically by CPA program. The patients' hospitalization period in the aspect of time and cost effectiveness was confirmed as 6 days, and each item of assessment, test, medication, treatment, diet, activity, and teaching were finalized. CONCLUSION: The CPA program can automate the complicated process, which contains collecting and cleaning the large size EMR data, classifying and confirming the items in critical pathway, so that the time and cost to develop a critical pathway can be reduced. This program is expected to be used for development of critical pathway in a variety of clinical settings in the aspect of time and cost effectiveness.

The Effects of Hope Intervention on the Hope and Quality of Life of Cancer Patients Staying at Home and Cared in Public Health Center

PURPOSE: This study was to identify the effects of hope intervention on the hope and quality of life of cancer patients staying at home. METHOD: The study adopted the randomized control group design. The subjects consisted of randomly selected forty cancer patients who were registered at S-Gu Public Health Center. Hope intervention which was composed of hope assessment, positive self identity formation, hope objective setting, therapeutic relationship and spiritual & transcendental process improving, and hope evaluation was provided from October 22, 2007 to November 30, 2007. RESULT: Hypothesis 1-1 "The experimental group that received hope intervention will have a higher score of hope than the control group", was supported(t=-3.108, p=.004). Hypothesis 1-2 "The experimental group that received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.219, p=.000). Therefore, Hypothesis 1 "The experimental group that received hope intervention will have a higher level of hope than the control group" was supported. Hypothesis 2 "The experimental group that received hope intervention will have a higher level of quality of life than the control group", was not supported (t=-1.726, p=.092). CONCLUSION: Hope intervention is an effective nursing intervention to enhance hope for patients with cancer staying at home.

Nurses' Usage of Clinical Practice Guideline and Demand of Evidence Based Clinical Practice Guideline / 성인간호학회지

PURPOSE: The purpose of this study was to offer the baseline data for developing a systematic and high quality of clinical practice guideline by exploring how nurses utilize clinical guidelines and what they need for. METHOD: This study has been done with 242 nurses of a university hospital in Daegu using a self-administered questionnaire. The instrument used in this study was developed by researchers based on the results of the previous studies. Data analysis was done with SPSS 11.0 Program. RESULTS: Nurses felt that clinical guidelines were not sufficiently disseminated to update their clinical knowledge education. Nurses showed the strong demand for developing clinical practice guidelines with the newest and systematic evidence. However, a relatively low number of nurses knew evidence-based nursing and evidence-based clinical guidelines. CONCLUSION: It is necessary to develop an educational program for evidence-based nursing and an evidence-based nursing clinical practice guideline for nurses and to explore the strategies for development and dissemination of evidence-based clinical practice guidelines to solve the urgent and frequent clinical problems.

Effects of on Education Program for Nurses on the Use of Restraints / 간호학회지

PURPOSE: This study was conducted to verify the effects of an education program of restraints use on nurses' knowledge, attitude and nursing performance related to restraints use. METHOD: A quasi experimental study with a pre and post non-equivalent design was used. The subjects were nurses who met the selection criteria and worked in intensive care units of two university hospitals located at K-city, Gyeongbuk. Twenty nurses in A hospital were designated as the experimental group and 20 nurses in B hospital as the control group. RESULT: The first hypothesis which assumed that the experimental group would have higher scores of knowledge than the control group was supported(F=62.66, p=0.000). The second hypothesis which assumed that the experimental group would have lower scores of attitude toward using restraints than the control group was supported(F=23.77, p=0.000). The third hypothesis which assumed that the experimental group would have higher scores of nursing performance than the control group was supported(F=3.28, p=0.032). CONCLUSION: An education program for nurses' on the use of restraints needs to be introduced to decrease inappropriate use of restraints.

Long Term Effects of Hospital Information System on Nurses' Job Pattern and Satisfaction, and Attitudes Toward HIS / 대한의료정보학회지

OBJECTIVE: The purpose of this study was to examine the long-term effects of Hospital Information System(HIS) on nurses' job pattern and satisfaction, and attitudes toward electronic medical record system. METHODS: Prospective survey using repeated measures design was performed to compare the changes between 2 years and 4 years after introduction of HIS in a tertiary hospital. Participants were 374 nurses working in the target hospital. Questionnaire was developed by researchers based on Walker, Eyman, Krall, Prophet, and Flanagan(1996)'s study and consisted of 21 questions about job pattern, job satisfaction, and attitudes toward computerization and paper record system. RESULTS: Overall time for documentation, shift reporting, communication with other departments were reduced. Otherwise, direct nursing time was not increased after HIS. Nurses showed positive responses on changes of job pattern after HIS while job satisfaction has been decreased. In addition, nurses' attitudes toward hospital information system and paper medical record system showed they were accepting computerized information system. CONCLUSION: This study identified the long-term positive effects of HIS and the need for nursing sensitive hospital information system.

Application Of Nursing Minimum Data Set (Nmds) and Uniform Hospital Discharge Data Set (Uhdds) To Describe Nursing Care Of Patients With Dementia / 대한의료정보학회지

The purpose of this study was to identify nursing care for elderly patients with dementia using Uniform Hospital Discharge Data Set (UHDDS) and Nursing Minimum Data Set (NMDS) of a community hospital in the United States Mid-west. The study sample included 222 elderly patients with dementia who were discharged in the year 1998. The findings were as follows. 1. The proportion of dementia in this study was 8.5% among total elderly patients. The most common associated disease was hypertension (n=40, 18.0%), followed by urinary tract infection (n=30, 13.5%). 2. The most frequent nursing diagnoses were altered health maintenance (n=158, 71.2%), knowledge deficit (n=150, 67.6%), potential for injury (n=119, 53.6%), potential for infection (n=102, 45.9%), pain (n=89, 40.1%), impaired physical mobility (n=78, 35.1%), and altered thought process (n=64, 28.8%). 3. The most frequent interventions were discharge planning (n=138, 62.1%), surveillance safety (n=86, 38.8%), fall prevention (n=78, 34.9%), teaching: disease process (n=74, 33.1%), learning facilitation (n=66, 29.5%), and infection protection (n=65, 29.3%). The results identified the need for continued work on the linkage of the nursing care elements, including nursing diagnosis, nursing intervention, and nursing-sensitive outcome, using the standardized languages.