{"title":"Relationship between Social Network Characteristics, Flow in Class, Communication Skills, and Problem-solving Skills of Nursing Students in Simulation Nursing Education: Focusing on Social Network Analysis","authors":"Hyung-Eun Seo, E. Ji","doi":"10.7739/jkafn.2021.28.4.510","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.4.510","url":null,"abstract":"Purpose: The purpose of this study was to investigate the relationship between social network characteristics, flow in class, communication skills, and problem-solving skills of nursing students in simulation.Methods: For this study a descriptive survey design was used. Participants were 100 nursing students who attended in 2 university and completed the self-report questionnaire. Data were collected from October 14 to December 6, 2019 and were analyzed with SPSS 26.0, AMOS 21.0 and Netminer 4 evaluation version.Results: It was confirmed that the task advice network centrality of nursing students fully mediates their communication skills and affects their problemsolving skills and that friendship network centrality completely mediates flow in class and communication skills, and affects problem-solving skills. Task advice network centrality, friendship network centrality, flow in class, and communication skills were found to explain problem solving skills by 51.8%.Conclusion: In order to increase the problem-solving skills of nursing students in simulation nursing education, a strategy to improve their flow in class and communication skills is essential and it suggests the need to make it part of the curriculum. In addition, in order to increase the communication skills of nursing students, it is necessary to be careful when making a team to minimize the team members isolated within the team so that smooth interaction can occur.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41611321","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}
{"title":"Changes in Empathy of Nursing College Students: A Cohort Longitudinal Study","authors":"Hyesun Jeong, Keelyong Lee","doi":"10.7739/jkafn.2021.28.4.431","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.4.431","url":null,"abstract":"Purpose: This study aimed to identify changes in sub-areas of empathy over the 4 years from admission to graduation of nursing college students.Methods: This descriptive survey study was conducted using a longitudinal cohort design. The participants in this study were 158 South Korean nursing students attending a university in Chungcheongbuk Province or Gyeonggi Province, all of whom passed the certification evaluation for the 4-year nursing educational institute. Data from 126 participants were analyzed. The level of empathy was measured five times from March 2012 to December 2015. Empathy was identified using a multi-dimensional measurement tool consisting of four sub-constructs of cognitive and emotional aspects: (1) perspective taking, (2) fantasy, (3) empathic concern, and (4) personal distress. Data were analyzed using SPSS version 25 to provide descriptive statistics of the participants’ general characteristics and empathy level and to perform repeated-measures analysis of variance for the sub-constructs empathy.Results: Perspective taking (F=13.08, p<.001) and personal distress (F=5.24, p=.001), but not fantasy or empathic concern, showed significant differences over time.Conclusion: Cognitive empathy (perspective taking) and emotional empathy (personal distress) improved. Intervention programs should be developed to maintain and strengthen changes in empathy in nursing education.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43119059","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}
{"title":"Effects of a Rapid Response Team on the Clinical Outcomes of Cardiopulmonary Resuscitation of Patients Hospitalized in General Wards","authors":"M. Yoon, Jin-Hee Park","doi":"10.7739/jkafn.2021.28.4.491","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.4.491","url":null,"abstract":"Purpose: This study investigated differences in the clinical outcomes of cardiopulmonary resuscitation (CPR) of patients hospitalized in general wards according to the operation of a rapid response team.Methods: This retrospective study included 122 patients over the age of 19 who were admitted to general ward of a hospital located in Suwon, between July 1, 2015 and December 31, 2019, and received CPR during the operating hours of the rapid response team. The collected data were analyzed by descriptive statistics, the x2 test, Fisher's exact test, and one-way analysis of variance using SPSS for Windows version 25.0.Results: The proportion of nurses who were the initial responders to cardiac arrest was 79.1% during the extended-operation period. 41.2% during the pre-operation period, and 42.2% during the limited-operation period (p<.001). The rate of good neurological recovery at discharge post-CPR was 25.0% in patients who received CPR during the pre-operation period, 36.4% during the limited-operation period, and 87.5% during the extended-operation period (p=.042).Conclusion: This study identified clinical outcomes in patients who received CPR according to the operation status of the rapid response team. These results are expected to help in the further implementation of rapid response teams.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44251332","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}
{"title":"Development and Effects of a Nursing Education Program Using Virtual Reality for Enhancing Clinical Decision-Making Ability in Respiratory Disease Nursing Care","authors":"Eun Ju Lee, Min-Jung Ryu","doi":"10.7739/jkafn.2021.28.4.458","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.4.458","url":null,"abstract":"Purpose: This study was conducted to develop and examine the effects of a nursing education program using virtual reality to enhance clinical decision-making ability in respiratory disease nursing care by assessing students’ confidence in performance, clinical decision-making ability, practice flow, class evaluations, and simulation design evaluations.Methods: This study was developed based on the Jeffries simulation model and 5E learning cycle model, blending a virtual reality simulation and high-fidelity simulation. The participants were 41 third-year nursing students with no virtual reality and simulation education experience. The experimental group (n=21) received the virtual reality program, while the control group (n=20) received traditional simulation education. Data were collected from March 8 to May 28, 2021 and analyzed using SPSS version 27 for Windows.Results: Statistically significant differences were found between the experimental group and the control group post-intervention in confidence in performance (F=4.88, p=.33) and clinical decision-making ability (F=18.68, p<.001). The experimental group showed significant increases in practice flow (t=2.34, p=.024) and class evaluations (t=2.99, p=.005) compared to the control group.Conclusion: Nursing education programs using virtual reality to enhance clinical decision-making ability in respiratory disease nursing care can be an effective educational strategy in the clinical context.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45464224","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}
{"title":"Mediating Effect of Acceptance Action in relationship between Diabetes Self-Stigma and Quality of Life in People with Diabetes in Korea","authors":"Kawoun Seo","doi":"10.7739/jkafn.2021.28.3.384","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.3.384","url":null,"abstract":"Purpose: This study was done to investigate the mediating effects of acceptance action on the relationship between diabetes self-stigma and quality of life in diabetes patients.Methods: For this study a descriptive research approach was used. Patients (237) with a diagnosis of diabetes mellitus from a doctor of endocrinology were included. Data collection was done from March 26, to March 28, 2020. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficient analysis, and hierarchecal multiple regression.Results: The mean scores for diabetes self-stigma, acceptance action and quality of life were 2.67±0.71, 4.12±0.38, and 3.26±0.48, respectively. Acceptance action was found to partial mediate the relationship between diabetes self-stigma and quality of life (z=-4.20, p<.001), and its explanatory power was 17.6%.Conclusion: To improve the quality of life among patients with diabetes in diabetes self-stigma situations, it is necessary to improve their acceptance action and develop step-by-step and differentiated acceptance action enhancement programs through multidisciplinary collaboration.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":"14 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41261798","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}
S. Chaung, Y. Shin, Youngmi Kang, Dongwon Choi, Hye-Sun Jeong, Youngshin Song, Hyun-Ju Kim, Ji-su Kim, K. Sohng, H. Park, S. Park
{"title":"A Survey on Undergraduate Nursing Students Safety during Fundamentals of Nursing Practicum","authors":"S. Chaung, Y. Shin, Youngmi Kang, Dongwon Choi, Hye-Sun Jeong, Youngshin Song, Hyun-Ju Kim, Ji-su Kim, K. Sohng, H. Park, S. Park","doi":"10.7739/jkafn.2021.28.3.320","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.3.320","url":null,"abstract":"Purpose: This study was done to investigate the experience of physical and emotional safety in nursing students during fundamentals of nursing practicum.Methods: A descriptive cross-sectional study was conducted from March to September 2019. A total of 553 nursing students, who had completed fundamental nursing laboratories, participated in this study. Data were collected using self-report questionnaires which included questions about general characteristics, physical and emotional safety during fundamental nursing laboratories along with an informed consent given prior to the practicum.Results: Of the students, 26 experienced physical safety accidents, and 18 reported emotional safety accidents. Students' mean stress score for physical safety was 1.95, and the mean score for emotional safety was 1.92. Of the students, more than 59.1% agreed to volunteer as practice models in certain nursing procedures’ training. Of the students, 55.8% were satisfied with using their bodies to train fundamental nursing skills. 61.8% of students reported that informed consent was obtained during the nursing laboratory, and 88.6% of students thought that informed consent needs to be obtained.Conclusion: To prevent safety accidents during the fundamentals of nursing practicum and systematically manage accidents, standardized safety guidelines for nursing practicum should be developed. Establishing various training strategies using advanced models or simulators to increase education efficiency and satisfaction is necessary.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45361372","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}
{"title":"Effects of Caregiver Burden, Anxiety, Spirituality and Family Relationships on Depression among Caregivers of Hospitalized Children","authors":"Ahyoung Seo, Suk-Sun Kim","doi":"10.7739/jkafn.2021.28.3.353","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.3.353","url":null,"abstract":"Purpose: The purposes of this study were to examine the associations among caregiver burden, anxiety, spirituality, family relationship and depression and to determine predictors of depression among caregivers of hospitalized children.Methods: The participants were 128 caregivers of hospitalized children. Data were collected through self-report questionnaires and analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient and multiple regression analysis with SPSS ver. 27.Results: Depression was significantly positively associated with caregiver burden, anxiety and negatively associated with family relationships. Multiple regression analysis revealed that caregiver burden, anxiety, family relationship, and being 6 months or more post diagnosis were significant factors having an explanation power of approximately 56% of the variance in depression.Conclusion: Our study findings show that it is necessary to develop strategies to reinforce family relationship and reduce caregiver burden to prevent caregiver depression.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47745242","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}
{"title":"Qualitative Meta-synthesis of Nurses' Caring Experience for People with Dementia","authors":"E. Y. Kim, S. Chang","doi":"10.7739/jkafn.2021.28.3.372","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.3.372","url":null,"abstract":"Purpose: The purpose of this study was to synthesize and integrate the results of qualitative studies on nurses' experience caring for people with dementia.Methods: We followed Noblit and Hare’s seven step of meta-ethnography to synthesize qualitative studies. Six databases (PubMed, Web of Science, EMBASE, RISS, National Assembly Library, KCI) were used to search for literatures that explored the nurses’ experience of caring for people with dementia. Based on the criteria, nine studies were included for the synthesis.Results: Five themes and ten sub-themes were identified: “Knowing the diversity of dementia”, “Building a relationship of trust”, “Finding the value in life”, “Willingness to overcome external obstacles”, “Establishment of nursing strategy to maintain routine of people with dementia”. The nurses considered their own life through the life of the people with dementia, and tried to establish a nursing strategy to maintain daily life for these people.Conclusion: This study provides a deeper understanding of nurses' caring experiences for people with dementia, and can be helpful in establishing various coping strategies so that nurses can provide efficient caring for these patients.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45762943","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}
{"title":"Effects of Aroma Essential Oil Inhalation on Autonomic Nerve System Response, Electroencephalogram and Concentration","authors":"E. Min, Myung-Haeng Hur","doi":"10.7739/jkafn.2021.28.3.286","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.3.286","url":null,"abstract":"Purpose: This study was an experimental research study to examine the effects of aroma essential oil inhalation on autonomic nerve system response, electroencephalogram and concentration.Methods: The participants were 92 healthy adults: 32 in the experimental group, 30 in the placebo group, and 30 in the control group. In the experimental group, lemon and rosemary oil were mixed in a ratio of 4: 1, and 0.1 ml was dropped on gauze and then naturally inhaled for a total of 30 minutes. The application for the placebo group was 0.9% saline solution, and for the control group, no treatment. To determine the effects, the autonomic nervous system response was measured by applying Canopy 9 Plus 4.0 before the experiment and at 10, 20, and 30 minutes after the experimental application, and an electroencephalogram was taken using QEEG-8. The computerized neurocognitive function test for measuring concentration was given before the experiment and at 30 minutes after the treatment.Results: There were no significant differences in the homogeneity tests for general characteristics and for the dependent variables prior to the experiment. There was a significant difference in sympathetic nervous activity between the experimental group, placebo group, and control group (F=3.78, p=.027), and the experimental group had higher sympathetic nervous activity than the control group. There was no statistically significant difference on the electroencephalogram between the ⍺ and beta waves of the three groups. The Stroop Color-Word interference test (color) of the three groups for concentration measurement was significantly different between pre test and at 30 minutes after the treatment (F=7.40, p=.001), and the score for the experimental group increased compared to the control group.Conclusion: The findings showed that the inhalation of aroma essential oil activated the sympathetic nervous system and partially increased the level of concentration.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43970801","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}
Jeonghyun Kim, Sujin Shin, Sung‐Heui Bae, Inyoung Lee
{"title":"Developing a Nursing Needs Assessment Scale and Patient Classification System based on Nursing Activities in Comprehensive Nursing Care Units","authors":"Jeonghyun Kim, Sujin Shin, Sung‐Heui Bae, Inyoung Lee","doi":"10.7739/jkafn.2021.28.3.395","DOIUrl":"https://doi.org/10.7739/jkafn.2021.28.3.395","url":null,"abstract":"Purpose: This study was done to develop and validate a scale for assessing nursing needs on comprehensive nursing care units and to derive a patient classification system based on nursing needs.Methods: In this methodological study, the initial items were identified through a review of the literature and surveys from nursing staff regarding the nursing needs on comprehensive nursing care units. Content validity was evaluated by nine nursing staff members from comprehensive nursing care units. To evaluate the concurrent validity and derive a patient classification system, nursing needs scores, perceived nursing needs and perceived patient severity for 216 patient cases were evaluated by five nurses. These data were analyzed using Pearson‘s correlation coefficients, one-way ANOVA with Scheffépost hoc tests and K-means clustering.Results: After evaluating content validity, the developed scale contained 64 activities in two domains: nursing intervention and assistance of daily living. Concurrent validity was verified by analyzing the differences in the nursing needs scores according to each group of perceived nursing needs and severity (p<.001) and by analyzing the correlation between the score of the developed scale and the National Health Insurance Service nursing need assessment scale (r=.68, p<.001). Based on the score of the developed scale, a patient classification system that classified nursing needs into four stages was derived.Conclusion: The developed scale represented nursing activities in comprehensive nursing care units. It also provided specific data regarding the time spent on nursing activities. Therefore, it is expected to contribute toward establishing appropriate nurse staffing strategies to provide quality patient care.","PeriodicalId":53419,"journal":{"name":"Journal of the Korean Academy of Fundamentals of Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47110300","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}