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Research Papers

Effect of Patient Safety Training Program of Nurses in Operating Room: Zhang, Peijia , Liao, Xin , Luo, Jie; J Korean Acad Nurs 2022;52(4):378-390. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.22017

Abstract PDF

Purpose
This study developed an in-service training program for patient safety and aimed to evaluate the impact of the program on nurses in the operating room (OR).
Methods
A pretest–posttest self-controlled survey was conducted on OR nurses from May 6 to June 14, 2020. An in-service training program for patient safety was developed on the basis of the knowledge–attitude–practice (KAP) theory through various teaching methods. The levels of safety attitude, cognition, and attitudes toward the adverse event reporting of nurses were compared to evaluate the effect of the program. Nurses who attended the training were surveyed one week before the training (pretest) and two weeks after the training (posttest).
Results
A total of 84 nurses participated in the study. After the training, the scores of safety attitude, cognition, and attitudes toward adverse event reporting of nurses showed a significant increase relative to the scores before the training (p < .001). The effects of safety training on the total score and the dimensions of safety attitude, cognition, and attitudes toward nurses’ adverse event reporting were above the moderate level.
Conclusion
The proposed patient safety training program based on KAP theory improves the safety attitude of OR nurses. Further studies are required to develop an interprofessional patient safety training program. In addition to strength training, hospital managers need to focus on the aspects of workflow, management system, department culture, and other means to promote safety culture.

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Effect of Counting Error Prevention Training on Operating Room Nurses’ Counting Error Prevention Awareness and Perceptions of Patient Safety
Myung Jin JANG, Mi Kyung HONG, Mi Jeong LEE, Kyung A LEE, Yang Ok KIM, Jin A JEON, Hana KO
Korean Journal of Health Promotion.2024; 24(1): 20. CrossRef

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Willingness to Use and Appropriate Payable Cost for Visiting Nurse Service for the Elderly in the Community: Seo, Soyoung , Jang, Soong-nang; J Korean Acad Nurs 2022;52(1):105-119. Published online February 28, 2022; DOI: https://doi.org/10.4040/jkan.21193

Abstract PDF

Purpose
This study aimed to measure willingness to use (WTU) and appropriate payable cost of visiting nurse service for the elderly and explore their impact factors.
Methods
The study included 752 participants selected from data that were completed in 2017 for the elderly aged over 60 nationwide. Logit and Tobit regression analysis were performed to confirm the influencing factors.
Results
The study found that 39.1% of the elderly in the community were WTU the visiting nurse service, and they reported that the cost per visit was 12,650 Korean Won. The factors influencing WTU were having less than moderate subjective health status (OR = 1.63, p = .011), being part of a social participating groups (OR = 1.50, p = .046), or participation in senior health promotion programs (SHPPs) (OR = 1.96, p = .003). The cost was also influenced by less than moderate subjective health status (β = 4.37, p = .021), being part of a social participating groups (β = 4.41, p = .028), or participation in SHPPs (β = 4.87, p = .023). Additionally, elderly people living alone who were used as covariates were highly WTU (OR = 2.20, p = .029).
Conclusion
This study provides evidence to predict demand for visiting nurse service and reflects consumer value in setting the service cost. This is the first study to derive cost from consumers' perspective regarding the service for the elderly. As it is the result of an open-ended survey, follow-up studies are needed to estimate more reliable and reasonable results.

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Health and Environmental Monitoring Services for Smart Healthy Cities : Current Practices and Challenges in Local Government Plans
Dong-ah Choi, Yun-jeong Song, Andy Hong
Journal of Korea Planning Association.2024; 59(5): 147. CrossRef

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Review Paper

A Study on Dispatched Nursing during the Japanese Colonial Era: Kim, Sook Young , Cho, Eunhyung , Joung, Sun ei; J Korean Acad Nurs 2021;51(2):138-149. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20239

Abstract PDF: Purpose
This study aimed to explore the characteristics of dispatched nursing, a type of private nursing called Hasutsu, during the Japanese colonial period in Korea. This specialized and professional nursing was a form of a dispatched nursing service provided by nurses associations.
Methods
This study reviewed a literature on visiting nursing, a literature on dispatched nursing, focusing on data collected during the Japanese colonial period from August 1910 to August 1945. Study design was a document research study of historical records. Results: The dispatched nursing service was established by the Japanese nurses in Korea. More than 60 nurses associations operated to meet the demands in the modern Korean nursing period. It was found that some associations tried to raise the nursing fees. Also, the practice of employing visiting nurses who did not have a license was criticized severely in the newspapers. Considering that the data was limited in this study, the existence of Korean nurses association employing Korean visiting nurses has not been specifically identified.
Conclusion
The findings reveal some aspects of dispatched nursing provided by the nurses associations in that era. The nurses associations developed their own specialized service independently by dispatching nurses to fulfill the needs of people not only with cheaper nursing fares than hospitals but with convenient nursing care services, including customized care for infectious diseases. A study of modern historical records of Korean nurses would facilitate deeper research into Korean nursing history.

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Original Articles

Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing: Juhang Kim, Ji Young Lim; J Korean Acad Nurs 2019;49(5):586-600. Published online October 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.586

Abstract PDF: Purpose
This study aimed to develop a web-based cost management program for visiting nursing centers (CMP-VNC), using time-driven activity-based costing (TD-ABC), and to analyze effects of the program.
Methods
The CMP-VNC was developed using the combined prototyping approach and system developing life cycle method following four stages: need analysis with comprehensive literature reviews and focus group interviews, design and development of program algorithm, evaluation of the developed program validity using experts and users group, and application and effects analysis. The non-equivalent control group pretest-posttest design was used to analyze the effects of the program. The program demonstration was conducted for four weeks with 60 visiting nurses in 35 visiting centers.
Results
The web-based program was developed. It has five interfaces with basic and special functions using TD-ABC, namely, input, visiting nursing activity, visiting nursing activity cost, cost efficiency, and cost calculation report. The experimental group showed significantly higher cost perception and cost confidence than control group.
Conclusion
We found that the CMP-VNC can be an effective tool to increase visiting nurses’ competency of costing and enhance efficiencies of visiting nursing centers.

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Effects of a Web-Based Korean Triage and Acuity Scale Learning Program on Triage Self-Efficacy and Triage Performance Ability for Nurses in Emergency Department: Hyo-Jin Kim, Hee-Young Kang; J Korean Acad Nurs 2019;49(2):171-180. Published online April 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.2.171

Abstract PDF

Purpose

The Korean Triage and Acuity Scale (KTAS) is a tool used to classify the severity and urgency of emergency department (ED) patients, focusing on their symptoms. In consideration of the importance of the KTAS, a web-based learning program has emerged as a new mode of education; it enables ED triage nurses to access it anytime and anywhere, and according to their own learning abilities. This study aimed to develop a web-based KTAS learning program and evaluate its effects on self-efficacy and triage performance ability in ED nurses.

Methods

A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The conceptual framework was Bandura's self-efficacy theory. There were 30 participants in the experimental group and 29 in the control group. The experimental group attended an orientation and 4 sessions of a web-based KTAS learning program. The learning program lasted 280 minutes over five weeks, consisting of 40 minutes of orientation and four 60-minute sessions.

Results

The scores of self-efficacy, triage performance ability in KTAS level, and chief complaints significantly increased in the experimental group compared to the control group. In addition, the numbers of under-triage in KTAS significantly decreased in the experimental group in comparison to the control group.

Conclusion

The results suggest that the learning program was effective in improving ED nurses' level of self-efficacy and triage performance ability (KTAS level and KTAS chief complaint). Accordingly, the web-based KTAS learning program can be applied as an education intervention to improve ED nurses' triage skill.

Citations

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Optimizing triage education for emergency room nurses: A scoping review
Hui Ju Shin, Subin Park, Hyun Joo Lee
Nurse Education Today.2025; 144: 106452. CrossRef
Construction of learning objectives and content for emergency triage nurses in tertiary general hospitals: A Delphi study
Linyuan Zhang, Bo Gao, Fang He, Chao Wu, Juan Du, Li Zhang, Juan Liang, Hongjuan Lang
Nurse Education in Practice.2024; 80: 104145. CrossRef
Effectiveness of the Patient’s Severity Classification Competency Promotion Virtual Reality Program of Nursing Students during the COVID-19 Pandemic Period
Eunju Lee, Gyuli Baek, Yeonhui Hwang
Healthcare.2023; 11(8): 1122. CrossRef
Effects on Triage Competency Based on Nursing Task Performance and Self-Efficacy of Nurses in Regional Emergency Medical Institutions
Su Jin Kim, Su Ol Kim
Korean Journal of Adult Nursing.2022; 34(3): 304. CrossRef
The Effect of Competency-Based Triage Education Application on Emergency Nurses’ Triage Competency and Performance
Sun-Hee Moon, In-Young Cho
Healthcare.2022; 10(4): 596. CrossRef
Factors Influencing Patient Satisfaction in an Emergency Department Based on the Use of the Korea Triage and Acuity Scale
Keun Hee Park, Min Yoon, Myoung Soo Kim
Korean Journal of Adult Nursing.2022; 34(3): 338. CrossRef
Factors associated with the undertriage of patients with abdominal pain in an emergency room
Boo Young Oh, Kisook Kim
International Emergency Nursing.2021; 54: 100933. CrossRef
Facilitators and Barriers of the Triage Process based on Emergency Nurses’ Experience with the Korean Triage and Acuity Scale: A Qualitative Content Analysis
Sun-Hee Moon, Mi-Kyeong Jeon, Deok Ju
Asian Nursing Research.2021; 15(4): 255. CrossRef
Effect of problem-based learning on severity classification agreement by triage nurses
Kyeongmin Jang, Eunmi Jo, Kyoung Jun Song
BMC Nursing.2021;[Epub] CrossRef
Remote Diagnosis System of Uremia Complicated with Sleep Disorder and Effectiveness of Nursing Intervention
Yiqian Wang, Jing Zhu, Jun Cao, Dan Zheng, Lihua Wang, Yuvaraja Teekaraman
Contrast Media & Molecular Imaging.2021; 2021: 1. CrossRef
Comparing the Effect of Web-based Networking Education and Lectures on Learning of Hospital Triage in Nursing Students in Armed Forces Universities of the Islamic Republic of Iran in the Covid-19 Pandemic
Ashkan Morovati, Zahra Farsi, Nahid Rajai, Seyede Azam Sajadi
Military Caring Sciences.2021; 8(2): 127. CrossRef

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Evaluation of Validity of the Korean Triage and Acuity Scale: Heejung Choi, Jong Sun Ok, Soo Young An; J Korean Acad Nurs 2019;49(1):26-35. Published online February 28, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.1.26

Abstract PDF

Purpose

The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS).

Methods

This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value.

Results

In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively.

Conclusion

The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.

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Predictive validity of resource-adjusted Korean Triage and Acuity Scale in pediatric gastrointestinal tract foreign body patients
Jin Hee Lee, Jin Hee Jung, Hyun Noh, Mi Jin Kim
Scientific Reports.2024;[Epub] CrossRef
Effect of storage duration on outcome of patients receiving red blood cell in emergency department
Yu-Kyung Koo, Sol Ji Choi, Soon Sung Kwon, Jinwoo Myung, Sinyoung Kim, Incheol Park, Hyun Soo Chung
Scientific Reports.2024;[Epub] CrossRef
Inter hospital external validation of interpretable machine learning based triage score for the emergency department using common data model
Jae Yong Yu, Doyeop Kim, Sunyoung Yoon, Taerim Kim, SeJin Heo, Hansol Chang, Gab Soo Han, Kyung Won Jeong, Rae Woong Park, Jun Myung Gwon, Feng Xie, Marcus Eng Hock Ong, Yih Yng Ng, Hyung Joon Joo, Won Chul Cha
Scientific Reports.2024;[Epub] CrossRef
A novel deep learning algorithm for real-time prediction of clinical deterioration in the emergency department for a multimodal clinical decision support system
Arom Choi, Kwanhyung Lee, Heejung Hyun, Kwang Joon Kim, Byungeun Ahn, Kyung Hyun Lee, Sangchul Hahn, So Yeon Choi, Ji Hoon Kim
Scientific Reports.2024;[Epub] CrossRef
Validity of the Korean triage and acuity scale in older patients compared to the adult group
Ho Sub Chung, Myeong Namgung, Dong Hoon Lee, Yoon Hee Choi, Sung Jin Bae
Experimental Gerontology.2023; 175: 112136. CrossRef
Predictive indicators for determining red blood cell transfusion strategies in the emergency department
Junhyup Song, Sinyoung Kim, Hyun Soo Chung, Incheol Park, Soon Sung Kwon, Jinwoo Myung
European Journal of Emergency Medicine.2023; 30(4): 260. CrossRef
Development and Validation of Simple Age-Adjusted Objectified Korean Triage and Acuity Scale for Adult Patients Visiting the Emergency Department
Seung Wook Kim, Yong Won Kim, Yong Hun Min, Kui Ja Lee, Hyo Ju Choi, Dong Won Kim, You Hwan Jo, Dong Keon Lee
Yonsei Medical Journal.2022; 63(3): 272. CrossRef
Baseline and clinical characteristics of older adults admitted to the intensive care unit through the emergency room: Analysis based on age groups
Ye Lim Lee, Sang Ook Ha, Young Sun Park, Jeong Hyeon Yi, Sun Beom Hur, Ki Ho Lee, Ki Yong Hong, Ju Young Sin, Duk Hwan Kim, Jun Kwon Cha, Jin Hyuck Kim
Hong Kong Journal of Emergency Medicine.2021; 28(2): 85. CrossRef
Long-term impact of coronavirus disease 2019 pandemic on emergency department utilization in a metropolitan emergency department in Korea
Seung Yeon Hwang, Jae Kwang Lee, Hyun Sik Ryu, Seong Soo Park, Jun Young Choi, Hye Ji Lee, Seung Ho Hur, Yeong Geun Park, Hyun Soo Choi
Pediatric Emergency Medicine Journal.2021; 8(2): 57. CrossRef
Modification and Validation of a Complaint-Oriented Emergency Department Triage System: A Multicenter Observational Study
Dong Hyun Choi, Won Pyo Hong, Kyoung Jun Song, Tae Han Kim, Sang Do Shin, Ki Jeong Hong, Jeong Ho Park, Joo Jeong
Yonsei Medical Journal.2021; 62(12): 1145. CrossRef
Pediatric Emergency Department Utilization and Coronavirus Disease in Daegu, Korea
Kyung Mi Jang, Ji Young Ahn, Hee Joung Choi, Sukhee Lee, Dongsub Kim, Dong Won Lee, Jae Young Choe
Journal of Korean Medical Science.2021;[Epub] CrossRef
Factors Associated with School Nurses’ Triage Competency in South Korea
Jaehee Yoon, Heesook Son
International Journal of Environmental Research and Public Health.2021; 18(16): 8279. CrossRef
Characteristics of children with trauma compared to those with disease in the emergency department: a Korean single regional emergency medical center study
Yosub Hwang, Ha Young Jo, Hye Won Yoo, Young Mi Kim, Hye-Young Kim
Pediatric Emergency Medicine Journal.2020; 7(2): 108. CrossRef
Alert Override Patterns With a Medication Clinical Decision Support System in an Academic Emergency Department: Retrospective Descriptive Study
Junsang Yoo, Jeonghoon Lee, Poong-Lyul Rhee, Dong Kyung Chang, Mira Kang, Jong Soo Choi, David W Bates, Won Chul Cha
JMIR Medical Informatics.2020; 8(11): e23351. CrossRef

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Usefulness of Korean Version of Behavioral Cue Checklist for Predicting of Patient Violence in Emergency Departments: Jang Mi Kim, Eun Nam Lee; J Korean Acad Nurs 2018;48(3):289-297. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.3.289

Abstract PDF: Abstract Purpose
This study aimed to evaluate the usefulness of a behavioral cue checklist (BCC) containing 17 items developed by Wilkes et al. (2010) for identifying potentially violent patients in emergency departments.
Methods
This was a prospective observational study to evaluate the usefulness of the Korean version of a BCC (K-BCC) as an assessment tool for predicting patient violence in emergency departments, and was conducted over 4 weeks in a regional emergency medical center located in B City. A total of 1,324 patients were finally analyzed.
Results
Logistic regression analysis was performed to investigate whether each item of the K-BCC predicts violence, and a parsimonious set of 8 statistically significant items was selected for the tool. Receiver operating characteristic analysis of the BCC showed that the area under the curve was .97 (95% confidence interval: .94~1.0). The sensitivity, specificity, positive predictive value, and negative predictive value at the cut-off score of 2 were 75.6%, 98.9%, 68.2%, and 99.2%, respectively.
Conclusion
The K-BCC was found to be useful in predicting patient violence toward emergency department staff. This tool is simple, and fast to use and can play a significantly role identifying potentially violent patients. Owing to this advance identification, this tool can be helpful in preventing the potential for violence from manifesting as violent behaviors.

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A study of the Nursing Service Quality and Satisfaction that Admitted Patients Perceived: being used SERVQUAL: Mi Aie Lee; Journal of Korean Academy of Nursing 2002;32(4):506-518. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.4.506

Abstract PDF

PURPOSE: This study was performed to measure the nursing service quality being used SERVQUAL model and satisfaction that the admitted patients perceived. METHOD: The questionnaire founded on the SERVQUAL was developed and distributed to 300 patients at the three general hospitals in three provincial city, Korea. For data analysis, Cronbach's alpha frequencies, percentages, paired t-test, Pearson Correlation Coefficient were used. RESULT: In expectation, patients most highly perceived the assurance factor that was one among the 5 factors being constituted nursing service. In performance, patients most highly perceived the responsiveness factor. The performance degrees of the 5 factors and 20 attributes being constituted nursing service did not exceed the expectation degree of those. So the calculated figures for nursing service quality of the three subjected hospitals were all minus. In relation of the patients' demographics and nursing service characteristics to their general satisfaction, patients' sex, age, income and the all factors and attributes of nursing service had relation to their general satisfaction. CONCLUSION: It could be concluded that the nursing service quality of the three subjected hospitals was poor and the patients' demographic and nursing service characteristics had relation to their general satisfaction.

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Examining how and why service quality fosters patients’ revisit intentions: evidence from Pakistan
Sundas Pervaiz, Usman Javed, Amir Rajput, Shoaib Shafique, Rabia Tasneem
International Journal of Pharmaceutical and Healthcare Marketing.2024; 18(3): 455. CrossRef
Development of the Patient Caring Communication Scale
Myoung Lyun Heo, Sook Bin Im
Journal of Korean Academy of Nursing.2019; 49(1): 80. CrossRef
Hospitalization Experience of Patients Admitted to Nursing Care Integrated Service Wards in Small and Medium-size General Hospitals
Hyun Ju Choi, A Leum Han, Young Mi Park, JI Hyeon Lee, Young Sook Tae
Journal of Korean Academy of Nursing Administration.2018; 24(5): 396. CrossRef
The Impacts of Socio-Economic Characteristics on the Services User's Perception by the Change of Social Condition in Healthcare Services
Young Soon Choi
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3276. CrossRef
Comparing Satisfaction with Nursing Care and Factors Relevant to Hospital Revisit Intent among Hospitalized Patients in Comprehensive Nursing Care Units and General Care Units
Sa-Rang Shin, Kyung-Yeon Park
Journal of Korean Academy of Nursing Administration.2015; 21(5): 469. CrossRef
Positioning Patient-Perceived Medical Services to Develop a Marketing Strategy
Minsoo Jung, Myung-Sun Hong
The Health Care Manager.2012; 31(1): 52. CrossRef

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Evaluation of Government Assisted Visiting Nursing Services of Health Center in 2000: Il Sun Ko, Cho Ja Kim, Tae Wha Lee, Kyung Ja Lee, Eui Sook Kim, Heek Young Ma, Young Sook Lee; Journal of Korean Academy of Nursing 2002;32(3):344-354. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.3.344

Abstract PDF

PURPOSE: This study is a fact-finding research to understand the status of visiting nursing services operated by health centers in Korea and it aims to provide basic information for policy development on operation and management of visiting nursing services in health centers. METHOD: This study investigates the results of visiting nursing services in 242 health centers from Jan. 10 through Dec. 30, 2000, where 3,106 visiting nurses were employed by the public work program. RESULT: In 2000, 129,401 new household as service recipients was identified and that was 0.9% of Koreas total households (15,137,000), and 5.8% of low income households (2,242,000). The highest high risk group was dementia patients(aver. 55.2/1,000 person). Average number of households visited by visiting nurse were 4.5 households per day and the first-visited houses per visiting nurse were 1.1 households per day. The re-visiting rate was 71.3%. Total 4,059,130 service items were provided and assessment ranked the highest with 33.7%. The satisfaction level of clients on the nurses was an average of 3.17 points in the scale of 4 and the nursing service was a 2.60 points in a scale of 3. CONCLUSION: Visiting nursing service should continue to provide comprehensive healthcare services in cost-effective ways while cooperating with others.

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Effectiveness of Community-based Case Management for Patients with Hypertension
Soon-Nyoung Yun, In-Sook Lee, Jin Hyun Kim, Young Ko
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 159. CrossRef
Factors influencing the number of remaining natural teeth in elderly people visiting dental care services
Hyun-Ju Lim, Eun-Kyoung Lee
Journal of Korean society of Dental Hygiene.2013; 13(4): 693. CrossRef
The Correlation between Nursing Professional Values and Job Satisfaction Depending on the Types of Visiting Nurses' Personality
Hae In Park, Kyung Min Park, Kyung Hee Lee
Korean Journal of Occupational Health Nursing.2012; 21(2): 77. CrossRef
A Cost Benefit Analysis of Individual Home Visiting Health Care
Jinhyun Kim, Taejin Lee, Jinhee Lee, Sangjin Shin, Eunhee Lee
Journal of Korean Academy of Community Health Nursing.2010; 21(3): 362. CrossRef
Development of Community Health Center-Based Hospice Management Model: Pilot Project at a Community Health Center in Busan
Sook Nam Kim, Soon Ock Choi, Young Jae Kim, So Ra Lee
The Korean Journal of Hospice and Palliative Care.2010; 13(2): 109. CrossRef
Experience of Home Health Nursing Personnel in Actual and Simulated Case Finding of Wife Abuse in Korea
Young Ran Han
Public Health Nursing.2008; 25(1): 88. CrossRef

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A Study of the Perception Gap on Nursing Service between Consumers and Providers: Mi Aie Lee; Journal of Korean Academy of Nursing 2001;31(5):871-884. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.5.871

Abstract PDF

PURPOSE: this study was to investigate the perception gap on nursing service between consumers and providers.
METHOD
the questionnaire founded on the SERVQUAL was developed and distributed to 300 patients and 210 nurses at the three subjected general hospitals in three provincial city, Korea during February to March, 2001. For data analysis, Cronbachs' Alpha, frequency, t-test, and paired t-test were used.
RESULT
1. In the gap analysis on the 20 properties constituting nursing service, providers almost all perceived higher than consumer in quality. Among them, the number of properties being statistically significant was 7 in the expectation, 18 in the important and 7 in the performance. 2. In the comparison analysis of the perception gap on the expectation-performance and the important-performance, it turned out that the subjected hospitals had to improve their equipment and facilities immediately. It was suggested a good strategy to strengthen the responsiveness factor and the assurance factor of nursing service.
CONCLUSION
it could be concluded that nurses have to recognize the blind spot of their perception and endeavor to take away the perception gap between consumers and providers.

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Nursing Intensive‐Care Satisfaction Scale [NICSS]: Development and validation of a patient‐centred instrument
Marta Romero‐García, Laura de la Cueva‐Ariza, Llucia Benito‐Aracil, Teresa Lluch‐Canut, Joan Trujols‐Albet, Maria Antonia Martínez‐Momblan, Maria‐Eulàlia Juvé‐Udina, Pilar Delgado‐Hito
Journal of Advanced Nursing.2018; 74(6): 1423. CrossRef
Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
Hae Sagong, Ga Eon Lee
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 309. CrossRef
A comparative study of patients’ and nurses’ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey
Mi Aie Lee, Young-Hee Yom
International Journal of Nursing Studies.2007; 44(4): 545. CrossRef

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Development of an Urban Community Based Comprehensive Service Model for Bed-Ridden Elderly: Keum Soon Kim, Moon Ja Suh, Nam Ok Cho, In Ja Kim; Journal of Korean Academy of Nursing 2001;31(4):656-668. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.4.656

Abstract PDF: PURPOSE: This study aims to identify the ADL and IADL of bed-ridden elderly. Also it is used to show fuctional status, and to investigate the content and the level of nursing services provided. METHOD: The subjects were 191 elderly who received visiting nurse service through public health centers in the Seoul Metopolitan and Chungnam Province. Data collection was conducted by public health center nurses during four months in 2000. Result: As for daily living activities, 100% of subjects had at least one difficulty in ADL and IADL. Among them, only 0.5% had moderate disabilities and 99.5% had severe disabilities by HFS, 27.9% were in a semi bed-ridden state and 72.1% were completely bed-ridden by JABC. The major service provided was a visiting nurse service which was preferable to the social welfare service. In the visiting nurse service, there was no significant difference according to the elderlys' functional status. In addition there was no standadization about the qualification of the visiting nurse, and single entry point for the nursing service. CONCLUSION: The researchers urgently suggest that a community based comprehensive service model has to be developed to respond to the needs of the elderly in Korea.

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Analysis of Services and Cost in CVA Patients by Severity in Hospital-based Home Health Care: In Sun Jang, Na Mi Hwang; Journal of Korean Academy of Nursing 2001;31(4):619-630. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.4.619

Abstract PDF

PURPOSE: The purpose of this study was to analyze the differences in terms of services and cost between CVA without typical diseases (Group I), and CVA with typical diseases (Group II), in their Hospital-based home health care. METHOD: The subjects of this study were 308 CVA patients who used home care nursing during the second phase demonstration project of their hospital-based home health care. Results: The results of the study was as follows 1. Group II had more home visit (15.3/12.7) (p>0.05), and cases of death when home care (16.8/11.4) (p<0.05). 2. Group II needed more services than Group I such as bladder irrigation, skin care, bed sore care, glycerin enema, finger enema, lung care, urine sugar test, monitoring and surveillance of fluid infusion and R.O.M exercise (p<0.05). 3. The variables that showed statistical significance in the regression analysis were family style, OPD visit, level of consciousness, patient's state on termination of home care, and some extend of home health care services (R2=0.373, 0.205). CONCLUSION: Home nursing care needs to be planned by severity in Hospital-based home health care for CVA patients.

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Introducing Economic Evaluation as a Policy Tool in Korea: Will Decision Makers get Quality Information?
Kun-Sei Lee, Werner B F Brouwer, Sang-Il Lee, Hye-Won Koo
PharmacoEconomics.2005; 23(7): 709. CrossRef

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An Analysis of Interrupting Factors in Collaboration between Medical Professionals in Home Health Service: Seon Hye Woo; Journal of Korean Academy of Nursing 2000;30(7):1729-1742. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.7.1729

Abstract PDF: The propose of this study is to give a theoretical basis for better home health service by looking at the subjective structure the collaboration between the home health nurse and doctor and at how collaboration can be improved. There are at least three types of recognition that can help the collaboration. The first type is to put more weight on the relationship between doctors and home health care nurses. This means that doctors and home health care nurses should make an effort to improve, their collaboration. The second type is to put more weight on the reward for doctors' participation. Reward will help collaboration. The third type is to put more weight on organization support. Organization support will bring about trust between doctors and home health care nurses The following conclusion were reached: 1) Trust should exist between doctors and home health care nurses. 2)Doctors should maintain an equal relationship with home health care nurses and accept them as professionals. 3) Appropriate reward should be given to doctors for their participation. 4)Home health care nurses should reinforce their skills through education, training, and professionalization. 5) Home health care nurses should cooperate with doctors by building a system that centers on patients. 6) Collaboration between doctors and home health care nurses is important because it is useful to recognize patients and their families in a broader light. 7) Doctors and home health care nurses need to be more concerned about patients. 8)More active support of hospital administrators and systems is needed to enhance collaboration between doctors and home health care nurses. 9) The present legal system for collaboration between doctors and home health care nurses can be a factor. The nine nursing strategies above will help doctors and home health care nurses build more positive relations and get closer to their patient, more effective home healthcare will get closer to people who want quality medical service.

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A Study on the Differences of Perception between Consumers and Providers about Nursing Service Quality, and the Usefulness of Tools Measuring Nursing Service Quality: Mi Aie Lee; Journal of Korean Academy of Nursing 2000;30(5):1121-1132. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.5.1121

Abstract PDF

Service quality is, unlike goods quality, an abstract and elusive term. However, quality is very important to marketers and consumers in that it has many strategic benefits in contributing to profitability of marketing activities and consumers' problem-solving activities. The main purpose of this study is 1) to explore the differences of perception between consumers and providers about nursing service quality, 2) to identify the useful tool between two tools measuring nursing service quality. To achieve these purposes of the study, the questionnaire was developed and distributed to 210 nurses who worked at seven subjected hospitals in Seoul. Also, 280 people who had a direct experience with the subjected hospital nursing services at the time of screening were involved. They were randomly selected at the seven subjected hospitals during August to September of 1998. Among them, 165 responses from nurses and 229 responses from others resulted in worthy finds. The measurement instrument for a nursing services quality evaluation was modified from the SERVQUAL model originated from Parasuraman, Zeithaml, and Berry (1988). The reliability coefficient of the scale was calculated and showed high degree of internal consistency (Cronbachs' Alpha = .9353). For data analysis, SPSS/PC was used for descriptive statistics, t-test, ANOVA and regression analysis. The results were as follows: 1) In the perception about nursing services quality, there were gap between consumers and providers. Especially the critical attributes in point of perception nursing services quality, naming satisfy, hygiene and performance factors, are very different contents. 2) In the comparison analysis of the usefulness tools it was turned out that SEVPERF model is more appropriate than SERVQUAL model. And in the analysis to identify the construct validity of the tool, it is turned out that the relationship between the constructing factors of the tool and the general satisfaction is significant.

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Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly
Do Hwa Byeon, Hye Jin Hyun
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 332. CrossRef
Causality Analysis on Health Care Evaluation Criteria for State-Operated Mental Hospitals in Korea Using Malcolm Baldrige National Quality Award Model
Yang-Kyun Kim, Hyun-Jong Oh
Community Mental Health Journal.2012; 48(5): 643. CrossRef

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Comparison of the Costs of Care and Nursing Services for Terminally Ill Patients Receiving Home Hospice Care in Comparison to Institutional Care: Tae Wha Lee, Won Hee Lee, Myung Sil Kim; Journal of Korean Academy of Nursing 2000;30(4):1045-1054. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.4.1045

Abstract PDF

As cost pressures have escalated, policy makers, politicians, health care providers and families have tried to devise ways to reduce health care costs. While originally developed to enhance patient control and to provide better care at the end of life, hospice care has recently received significant attention as a mean of reducing health care costs. As a program providing care for patients who are dying at their homes, hospice has expanded slowly since the opening of the first hospice in Korea in 1963. Therefore, a variety of services that responds to the needs and concerns of many dying people and their families is limited The purpose of this study was to determine the potential cost savings at the end of life among patients who used home hospice compared with the patients who received institutional care in Korea. This study used a retrospective, descriptive design. The sample for this study included 46 patients who died of lung cancer: 25 patients who received home hospice care and 21 patients who received institutional care. Data on patient characteristics, kinds and frequencies of provided treatment and nursing services, and hospice and hospital charges during the last month before death were collected. Cost of care was measured by the average cost per patient per day in the last month of life. The results of the study indicated that there were significant differences in average cost of care between home hospice sample and institutional care sample (t=9.956, p<.001; home hospice sample: M=18,102 won, institutional care sample: M=317,578 won). The cost of the home hospice sample was approximately 6% of the cost of institutional care. The majority of the home hospice nursing services were education (35.7%) and supportive counseling (25.2%), followed by medication management (13.6%), assessment (12.1%), basic nursing (7.2%), treatment (5.5%) and others. In institutional care sample, basic nursing and treatment were more emphasized than education or supportive counseling among the nursing services provided. The results of this study showed the potential for hospice to reduce costs and implications for policymakers and clinicians to incorporate hospice program into the formal health care delivery system in Korea.

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The Perceptions and Needs of Hospice Palliative Care and Shared Decision Making among Middle-Aged Adults
Na-Yeon Lee, Seungjin Lee, Soo-Kyoung Lee
The Korean Journal of Hospice and Palliative Care.2016; 19(4): 310. CrossRef
Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis
Kae Hwa Jo, Ae Ran Park, Jin Ju Lee
The Korean Journal of Hospice and Palliative Care.2015; 18(2): 136. CrossRef
Home hospice palliative care service in Korea: Based on focus group interview
Su-Jin Koh, Yeol Kim, Mi Ok Song, Youngsim Choi, Sung Eun Choi, Hyun Jung Jho, Yun Jung Huh, Myung-Hee Park, Seon Ju Park, So-Hi Kwon
Journal of the Korean Data and Information Science Society.2014; 25(1): 37. CrossRef
Comparison in Spiritual Well-being and Quality of Life between Hospital and Home Hospice Patients
Bok Hee Kim, Heeok Park
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 292. CrossRef
Comparison of the Hospice Systems in the United States, Japan and Taiwan
Chung Yul Lee, Hiroko Komatsu, Weihua Zhang, Yann-Fen Chao, Ki Kyong Kim, Gwang Suk Kim, Yoon Hee Cho, Ji Sook Ko
Asian Nursing Research.2010; 4(4): 163. CrossRef
Hospice and Hospice Care in Korea: Evolution, Current Status, and Challenges
Bok Yae Chung, Yu Xu, Chanyeong Kwak
Home Health Care Management & Practice.2005; 18(1): 73. CrossRef
Introducing Economic Evaluation as a Policy Tool in Korea: Will Decision Makers get Quality Information?
Kun-Sei Lee, Werner B F Brouwer, Sang-Il Lee, Hye-Won Koo
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A Study on the Forecast of Bed Demand for Institutional Long-term Care in Taegu, Korea: Myung Hi Kim; Journal of Korean Academy of Nursing 2000;30(2):437-451. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.2.437

Abstract PDF: The purpose of this study was to estimate the forecast of bed demand for institutional long-term care for the elderly persons in Taegu Metropolitan City. The study subject was the total 1,877 elderly persons over age 65 living in Taegu. Among them 1,441 elderly persons were sampled from community and 436 were from the elderly admitted 5 general hospitals. Data collection was carried out by interview from 25 August to 25 December 1997. The measuring instrument of this study was the modified tool of CARE, MAI, PCTC, and ADL which were examined for validity and reliability. In order to forecast bed demand of Nursing Home, this study revised prediction techniques suggested by Robin. The results were as follows : 1. OLDi of Taegu City were 122,202 by the year 1998 and number of Low-Income Elderly Persons were 3,210. 2. The Level I : Senior Citizen Home AQi * ASTAYi ADEMi = --------------- 365 * AOCUi . AQi = OLDi * LADLi * NASi * ALONi * LIADLi * AUTILi Predicted number of bed demand for Home Based Elderly Persons were 4,210 and Low-Income Elderly Persons were 1,081 and Total Elderly Persons were 5,291 by the year 1998, 6,343 by the year 2000 and 8,351 by the 2005. 3. The Level II : Nursing Home (BQ1i+BQ2i) * BSTAYi BDEMi = ----------------------- 365 * BOCUi . BQ1i = OLDi * HADLi * ALONi * HIADLi BQ2i = OLDi * HADLi * FAMi * OBEDi Predicted number of demand for Total Elderly Persons were 668 by the year 1998, 802 by the year 2000 and 1,055 by the 2005. 4. The Level III : Nursing Home COLDi * HDISi * CUTILi * CSTAYi CDEMi = ------------------------------------ + CQi/10 365 * COCUi Predicted number of demand for Total Elderly Persons were 1,899 by the year 1998, 2,311 by the year 2000 and 3,003 by the 2005. 5. Predicted number of bed demand of long-term care facilities in the year 1998 according to Levels were 4.3% among elderly persons in Taegu by Level I, 0.5% by Level II and 1.5% by Level III. Number of elderly persons in current long-term care facilities were 458 in LevelI I,284 in Level II. 6. Deficit number of bed demand of long-term care facilities were 4,833 in Level I, 384 in Level II , 1,899 in Level III for the elderly persons in Taegu Metropolitan City.

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Nursing Services Positioning Analysis for Nursing Services Repositioning: Mi Aie Lee; Journal of Korean Academy of Nursing 1999;29(2):383-392. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.383

Abstract PDF

Recently, the hospitals in Korea has positively changed one way or another. Therefore hospital managers must focus on the nurses' role in terms of consumers' perception of overall image of hospitals and the degree of satisfaction of the consumers To achieve the purposes, the questionnaire was developed and distributed to 280 people who had a direct experience with nursing services subjected hospitals in Seoul at the time of screening. among them, 229 responses were turned out to be useful and used for final analysis. The measurement instrument for hospital nursing service quality evaluation was modified from the SERVQUAL model originated from Parasuraman, Zeithaml, and Berry(1988). For data analysis, SPSS/ PC and PC-MDS program were used. The results were as follows : 1) The perception map showed that the seven subjected hospitals were divided into three groups. It could be interpreted that the hospitals in the same group had a strong competitive relationships. Because the nursing services' scores of hospitals C and E were higher than those of other hospitals, they could be served as a benchmark for the other hospitals. 2) The marketing place of hospital nursing services was divided by four. Since service generally had a strong point in nearby service market segment, Aiming an nearby hospital nursing services market segment by the hospital nursing services department was regarded as a good repositioning strategy. 3) When consumers evaluated the quality of hospital nursing services, they were greatly affected by the hospitals' overall image or other characteristics. Therefore, for improving hospital's nursing services, hospital nursing services department requires a great deal of labor to improve hospitals' overall image or other characteristics.

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Myung-Jun Lee, Seok-Han Yoon, Young-Chae Cho
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 569. CrossRef
Analysis of the Influencing Factors on Quality of Nursing Services in General Hospital Nurses using the Structural Equation Model
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The Study on the Medical and Nursing Service Needs of the Terminal Cancer Patients and Their Caregivers: So Woo Lee, Eun Ok Lee, Dae Suk Huh, Kuck Hee Noh, Hyun Sook Kim, Sun Rae Kim, Sung Za Kim, Jung Hee Kim, Kung Ok Lee, Eun Hee Lee, Eun Za Chung, Mun Sook Cho, Myung Sook Cho, Myung Ae Whang, Young Ho Yun; Journal of Korean Academy of Nursing 1998;28(4):958-969. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.4.958

Abstract PDF

In this study, we attempted to investigate the needs and problems of the terminal cancer patients and their family caregivers to provide them with nursing information to improve their quality of life and prepare for a peaceful death. Data was collected from August 1, 1995 to July 31, 1996 at the internal medicine unit of S hospital in Seoul area with the two groups of participants who were family members of terminal cancer patients seventy four of them were in-patients and 34 were out-patients who were discharged from the same hospital for home care. The research tool used in this study has been developed by selecting the questionnaires from various references, modifying them for our purpose and refining then based on the results of preliminary study. While general background information about the patients was obtained by reviewing their medical records, all other information was collected by interviewing the primary family caregivers of the patients using the questionnaire. The data collected were analyzed with the SPSS PC+ program. The results of this study are summarized as follows; 1) Most frequently complained symptoms of the terminal cancer patients were in the order of pain(87%), weakness(86.1%), anorexia(83.3%) and fatigue(80.6%). 2) Main therapies for the terminal cancer patients were pain control(58.3%), hyperalimentation(47.2%) and antibiotics(21.3%). 3) Special medical devices that terminal cancer patients used most were oxygen device(11.1%), and feeding tube(5.6%). Other devices were used by less than 5% of the patents. 4) The mobility of 70.4% of the patients was worse than ECOG 3 level, they had to stay in bed more than 50% of a day. 5) Patients wanted their medical staffs to help relieve pain(45.4%), various physical symptoms(29.6%), and problems associated with their emotion(11.1%). 6) 16.7% of the family caregivers hoped for full recovery of the patients, refusing to admit the status of the patients. also, 37% wished for the extension of the patient's life at least for 6 months. 7) Only 38.9% of the family members was preparing for the patient's funeral. 8) 45.4% of family caregivers prefer hospital as the place for the patient's death, 39.8% their own home, and 14.8% undetermined. 9) caregivers of the patients were mostly close family members, i.e., spouse(62%), and sons and daughters or daughter-in-laws(21.3%). 10) 43.5% of the family caregivers were aware of hospice care. 46.8% of them learned about the hospice care from the mass media, 27.7% from health professionals, and the rest from books and other sources. 11) Caregivers were asked about the most difficult problems they encounter in home care, 41 of them pointed out the lack of health professionals they can contact, counsel and get help from in case of emergency, 17 identified the difficulty of finding appropriate transportation to hospital, and 13 stated the difficulty of admission in hospital as needed. 12) 93.6% of family caregivers demanded 24-hour hot line, 80% the visiting nurses and doctors, and 69.4% the volunteer's help. The above results indicate that terminal patients and their family caregivers demand help from qualified health professionals whenever necessary. Hospice care system led by well-trained medical and nursing staffs is one of the viable answers for such demands.

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Factors Influencing Performance of End-of-life Care by ICU Nurses
Mun Jung Ko, So-Hyun Moon
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(4): 327. CrossRef
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Kyung Suk Heo, Eun-Jun Park
Asian Oncology Nursing.2016; 16(3): 147. CrossRef
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Asian Oncology Nursing.2014; 14(3): 191. CrossRef
Assessment of the Effect of a Public Health Clinics’ Home-Based Terminal Cancer Patient Management in Collaboration with a Regional Cancer Center
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The Korean Journal of Hospice and Palliative Care.2013; 16(1): 10. CrossRef
Experiences of Family Caregivers of Patients with Terminal Cancer
Eun Sook Choi, Keum Soon Kim
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In Sun Suh, Mi Hwa Shin, Se Hwa Hong
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Ji Hyun Sung, Min Young Kim, Ok Hee Hwang, Han Jin Yoo, Eun Ja Lee
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Evaluation of a Community-Based Cancer Patient Management Program: Collaboration between a Hospice Center and Public Health Centers
Hae Sook Lee, Sun Hee Park, Young Soon Chung, Bookyung Lee, So-Hi Kwon
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Family Experiences in End-of-Life Care: A Literature Review
Ji-Soo Yoo, JuHee Lee, Soo Jung Chang
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The Current Status of Adult Day Care in Korea: Operation, Staffing, and Service: Yeon Hwan Park; Journal of Korean Academy of Nursing 2007;37(4):613-623. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.4.613

Abstract PDF

Purpose

The purpose of this study was to describe the operation, staffing, and services provided at adult day care centers in Korea.

Methods

The study was a cross-sectional descriptive survey. The subjects were 209 centers among 280 centers registered in Korea (response rate 74.6%). The data was collected from August to December in 2006.

Results

48.8% of centers were located in a city area. The centers were based on the Social Model 65.5% of the centers were open Monday to Friday, an average of 7~8 hours per day. Dementia, stroke or frail elderly could use the center, and 57.4% of centers were used for dementia and stroke elderly together. The enrollment of elderly was 13.5. The number of total staff was 8.27, the number of RN's and social workers was 0.67, and 2.54 respectively. The social services(Meal preparation 98.6%, Special event 98.1%, Transportation, 97.1%) were provided more than the health services(Physical therapy 98.1%, ADL training 95.2%, Counseling 84.7%, Vaccination 82.8%, Health monitoring 78.9%, Health education 78.5%, Bathing 66.1%, and Speech therapy 28.2%).

Conclusion

These results suggest we have to develop a health-focused adult day health care model based on the needs of elderly and their families. Nurses will have an important role in adult day health care.

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Korean Terminology for Frailty
Chang Won Won M.D.
Journal of the Korean Geriatrics Society.2012; 16(2): 51. CrossRef

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Developing a Psychosocial Rehabilitation Model for Persons with Chronic Mental Illness: Hyun Sook Kim; Journal of Korean Academy of Nursing 2007;37(4):490-500. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.4.490

Abstract PDF: Purpose
The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically.
Method
Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL.
Result
1) The fitness indices of the model were χ²=133.77 (df=48, p=.00), GFI = 0.93, AGFI = 0.87, RMR = 2.32, NNFI = 0.95 and NFI = 0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors.
Conclusion
This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.

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Evaluation of Visiting Nursing Care Using Geographical Information System(GIS) Technology: Suk Jeong Lee, Jeong Mo Park; Journal of Korean Academy of Nursing 2006;36(6):1042-1054. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.6.1042

Abstract PDF

Purpose

Previous evaluation studies of the visiting nursing program explained an average change of the participants' health status, without considering socio-ecological characteristics and their impacts. However, these factors must affect individual health problems and lifestyles. For effective and appropriate community based programs, the Geographical Information System(GIS) can be utilized. GIS is a computer-based tool for mapping and analyzing things that happen on earth, and integrates statistical analysis with unique visualization. The purpose of this study was to evaluate visiting nursing care and to advocate the usefulness of planning and evaluating visiting nursing programs using Exploratory Spatial Data Analysis(ESDA) with GIS technology.

Methods

One hundred eighty-four elderly participants with cerebrovascular risk factors who lived in 13 areas of one community received visiting nursing care. The data analyzed characteristics of pre-post change and autocorrelation by ESDA using GIS technology.

Results

Visiting nursing care showed an improvement in the participants' lifestyle habits, and family management ability and stress level, while the improvements were different depending on the regions. The change of family management ability and stress level correlated with neighborhoods (Morgan's I= 0.1841, 0.1675).

Conclusions

Community health providers need to consider the individual participant's health status as well as socio-ecological factors. Analysis using GIS technology will contribute to the effective monitoring, evaluation and design of a visiting nursing program.

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Geographical thinking in nursing inquiry, part one: locations, contents, meanings
Gavin J. Andrews
Nursing Philosophy.2016; 17(4): 262. CrossRef

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A Nationwide Survey on Current Conditions of School Health Education: Eun Sook Park, Young Joo Park, Ho Shin Ryu, Keum Sun Han, Rah Il Hwang, Yeo Jin Im, Hye Sang Im, So Hyun Moon; Journal of Korean Academy of Nursing 2006;36(2):381-388. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.2.381

Abstract PDF

Purpose

The purpose of this study was to analyze and assess the current situation of Korea's school health education program and to establish measures to efficiently carry out school health education in Korea.

Method

The survey was conducted through the internet with the health educators of elementary, middle, and high schools nationwide to assess the current condition of school health education programs, and 2,459 samples were collected which accounted for 23.4% of the total respondents.

Results

According to school health educators on the enforcement of health education, the higher the education became, the less the health education was enforced. The enforcement rate was 96.9% in elementary schools, 76.7% in middle schools, and 67.3% in high schools. The major reasons were found as difficulty in securing class time (54.5%) and other excessive workloads (20.9%). As a result of the health education awareness survey, over 99% answered that health education is needed, over 80% answered that the education requires independent health textbooks, and over 95% answered that health educators are suitable for the person in charge of the education.

Conclusion

This study will be a useful in establishing a detailed policy on enhancing school health education in the future.

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A Comparative Study of how Subjects' Characteristics and Nursing Service Quality Influence on Hospital Revisiting Intent between Patients and Nurses: Mi Aie Lee; Journal of Korean Academy of Nursing 2005;35(7):1210-1220. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1210

Abstract PDF

Purpose

This study was aimed to examine how subjects' characteristics and nursing service quality influence hospital revisiting intent, to compare perceptions of patients with those of nurses.

Methods

The questionnaire was developed and distributed to 300 patients and nurses at six general hospitals in a provincial city, Korea. For data analysis, the SPSS/PC program was used.

Results

The nursing service quality's scores of patients is 3.61, that of nurses is 3.77, and there is a significant difference. The hospital revisiting intent's score of patients is 4.84, that of nurses is 4.61, and there are no significant differences. In subjects' characteristics, patients perceive that the hospital is the only different factor, and place hospital revisiting intent at 3.6%. Nurses perceive that education level and position are different factors, and place hospital revisiting intent at 3.3%. In nursing service quality, patients perceive that 2 attributes explain hospital revisiting intent at 17.8% and 2 factors explain it at 16.5%; whereas, nurses perceive that 2 attributes explain hospital revisiting intent at 15.3% and 3 factors explain it at 12.2%.

Conclusions

There are perception gaps between consumers and providers. So nursing and hospital managers must recognize these facts and provide various marketing strategies to overcome them.

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Suk-Jung Han, Oh-Soon Yoon, Myung-Soon Kwon, Myung-Sun Song
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The Impact of Patient Satisfaction With Nursing Care Services, Switching Costs and Perceived Risk on Intention of Reuse in the Emergency Medical Center
Hyun Jeong Kim, Young-Hee Yom
Journal of Korean Academy of Nursing Administration.2011; 17(4): 432. CrossRef
Influences of Job Stress and Burnout on Turnover Intention of Nurses
Geum-Suk Yoon, Souk Young Kim
Journal of Korean Academy of Nursing Administration.2010; 16(4): 507. CrossRef
Qualitative Research Investigating Patterns of Health Care Behavior among Korean Patients with Chronic Hepatitis B
Jin-Hyang Yang, Myung-Ok Cho, Hae-Ok Lee
Journal of Korean Academy of Nursing.2009; 39(6): 805. CrossRef

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Types of Students' Death Attitudes Majoring in Human Service Area: Q-Methodological Approach: Kae Hwa Jo, Hyun Ji Lee, Yun Ju Lee; Journal of Korean Academy of Nursing 2005;35(5):829-841. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.5.829

Abstract PDF

Purpose

The purpose of this study was to analyze death attitudes of students majoring in the human service area, such as nursing science, education, and social welfare.

Method

The Q-methodology which provides a method of analyzing the subjectivity of each item was used. The 38 selected Q-statements from each of 42 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program.

Result

Four types of death attitudes for research subjects in nursing, education, and social welfare areas were identified. Type I is fatalistic admission, Type II is pursuit of existential life, Type III is uncertainty of life after death, and Type IV is separation-connection between life and death.

Conclusion

The results of the study indicate that different approaches of death educational programs are recommended based on the four types of death attitudes.

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Convergence Analysis of Factors Influencing the End-of-life Care Attitude in Undergraduate Nursing Students
Seung Ae Yang
Journal of the Korea Convergence Society.2016; 7(4): 141. CrossRef
Factors influencing the attitude toward death in college nursing student
Jong Gun Kim, Su Min Oh, Eui Young Cheon, Jang Hak Yoo
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(1): 676. CrossRef
Paramedic students' awareness and attitude toward a do-not-resuscitate (DNR) order and death
Bo-Ram Choi, Dong-Ok Kim
The Korean Journal of Emergency Medical Services.2015; 19(2): 71. CrossRef
Subjectivity toward Death among HIV-Positive Men
Eun-Ju Lee
The Korean Journal of Hospice and Palliative Care.2014; 17(3): 142. CrossRef
Nursing Students’ First Clinical Experiences of Death
Hyoung Sook Park, Youngju Jee, Soon Hee Kim, Yoon-ji Kim
The Korean Journal of Hospice and Palliative Care.2014; 17(3): 161. CrossRef
An Analysis of Factors about Nursing Students' Attitudes Toward the Perception of Death : Q-sort method
Yong-Sook Eo, Young-Hee Kim, Kyong-Ri Lee
Journal of Fisheries and Marine Sciences Education.2013; 25(6): 1294. CrossRef
Death Metaphors in Korean Undergraduate Nursing Students
Kae-Hwa Jo, Gyeong-Ju An
Holistic Nursing Practice.2012; 26(2): 79. CrossRef
Development and Evaluation of a Dignified Dying Scale for Korean Adults
Kae-Hwa Jo
Journal of Korean Academy of Nursing.2011; 41(3): 313. CrossRef
Effect of an End-of-Life Care Education Program Among Korean Nurses
Kae-Hwa Jo, Ardith Z. Doorenbos, Gyeong Ju An
Journal of Hospice & Palliative Nursing.2009; 11(4): 230. CrossRef
Relationship between Self-efficacy, Depression, Level of Satisfaction and Death Attitude of College Students
Kae-Hwa Jo, Hyun Ji Lee
Journal of Korean Academy of Nursing.2008; 38(2): 229. CrossRef
The Perception of Good Death Among Human Service Students in South Korea: A Q-Methodological Approach
Hyun Ji Lee, Kae Hwa Jo, Kyong Hee Chee, Yun Ju Lee
Death Studies.2008; 32(9): 870. CrossRef

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The Differences in Quality Perceptions, Expectations, Evaluation, and Satisfaction for Nursing Service between Patients and Nurses: Small-medium Sized General Hospitals: Jeong Hee Kim, In Sook Lee; Journal of Korean Academy of Nursing 2004;34(7):1243-1254. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1243

Abstract PDF

Purpose

This study was performed to give direction to quality improvement strategies of nursing services by comparing the differences in quality perceptions and satisfaction for nursing services between patients and nurses in small-medium sized general hospitals with 200 beds.

Method

The subjects, who were 150 inpatients and 162 nurses of 4 general hospitals in a community, answered a self-report questionnaire with a SERVQUAL scale.

Result

There were differences between patients' and nurses' expectations and perceptions of nursing service and satisfaction. In the service expectation, the highest factor was ‘the responsiveness’, and in the perceived performance, the highest was the ‘assurance’. In addition, overall patients' perceptions on nursing services showed higher than nurses'. There were positive correlations among the expectations and perceptions on nursing service, and satisfaction. The correlation between perception and satisfaction was higher than the correlation between expectations and satisfaction.

Conclusion

To improve the nursing service quality at small-medium hospitals, strengthening the ‘assurance’ factor and improving the nursing service support system is needed. Also, this study on nurses' perceived nursing service at small-medium sized hospitals should be duplicated.

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Developing a multimedia encyclopedia for little people and their families
Sherry Y. Chen, Boren You
Universal Access in the Information Society.2017; 16(4): 977. CrossRef
Structural Equation Modeling for Public Hospital Quality of Care, Image, Role Performance, Satisfaction, Intent to (Re)visit, and Intent to Recommend Hospital as Perceived by Community Residents
Eun Jeong Hwang, In Ok Sim
Journal of Korean Academy of Nursing.2016; 46(1): 118. CrossRef
Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
Hae Sagong, Ga Eon Lee
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 309. CrossRef
Comparing Satisfaction with Nursing Care and Factors Relevant to Hospital Revisit Intent among Hospitalized Patients in Comprehensive Nursing Care Units and General Care Units
Sa-Rang Shin, Kyung-Yeon Park
Journal of Korean Academy of Nursing Administration.2015; 21(5): 469. CrossRef
The Effects of Quality of Care, Image, Role Performance Perceived by Community Residents on Medical Service Satisfaction to Public Hospitals
Eun Jeong Hwang, Jungjoo Moon, In Ok Sim
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Perceived nursing service quality in a tertiary care hospital, Maldives
Mariyam Nashrath, Thitinut Akkadechanunt, Ratanawadee Chontawan
Nursing & Health Sciences.2011; 13(4): 495. CrossRef
A Study on Family Satisfaction with Community Mental Health Center Services in Gyeonggi Province by Families of People with Mental Illness
Hee Jung Kim
Journal of Korean Academy of Nursing.2009; 39(1): 124. CrossRef

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Estimating the Cost of Visiting Nursing Service by Visiting Nursing Model for Urban Public Health Center in Korea: Ho Sihn Ryu; Journal of Korean Academy of Nursing 2004;34(6):983-993. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.6.983

Abstract PDF

Purpose

This study focused on analysing costs per visiting nursing care based on nursing activities in a public health center.

Method

The Easley-Storfjell Instrument(1997) was used for a prospective descriptive analysis of self-records for workload data from 10 visiting nurses during 4 weeks on all nursing activities. In addition, analysis of the 478 visiting nursing records and cost data from 5 home visiting departments in public health centers during one year of 2003 was done.

Result

The workload of visiting nurses by the type of model was identified as follows: Type I showed that caseloads made up 32.9 % of all nurse activities, and type II showed that the caseloads made up 45.8 %. Second, The cost per visit in type I was 33,088 won and 31,323 won in type II. Third, the estimated budgets were 1,902,436 won to 12,057,696 won for the type I model. and 4,151,316 won to 17,432,712 won for the type II model for one year.

Conclusion

This study's results will contribute to baseline data used to establish on infrastructure for visiting nursing program and visiting nursing agencies based on the budget of visiting nursing services.

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Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
Estimation of Nursing Costs Based on Nurse Visit Time for Long-Term Care Services
Eun-Kyung Kim, Yun Mi Kim, Myung Ae Kim
Journal of Korean Academy of Nursing.2010; 40(3): 349. CrossRef

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Working with Vulnerable Families: A Nurse Home Visiting Perspective: In Sook Lee; Journal of Korean Academy of Nursing 2004;34(6):1025-1034. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.6.1025

Abstract PDF: Purpose
This study defines a vulnerable group in a community that has become the main target of a national health project also, it is descriptive research to suggest an evidence-based direction to meet their deficit health-related needs.
Method
This research examined 833 families and 1,835 family members of the financially vulnerable class that was registered in a home visiting program of a public health center. Among them, 892 persons who had health problems, and their family members were examined in detail to find out their characteristics of vulnerability and health needs by assessment during a nurses home visit. Frequency distribution, stepwise-regression and factor analysis were used to analyze the data.
Result
The vulnerable group that was defined with social indexes set as standards, involved substantial characteristics of vulnerability. The characteristics of demand showed tendencies of being clustered in 5 factors needs of intensive nursing care, chronic nursing care problems and helplessness, maintenance of family functioning with a disability, deficient problem solving ability, and simple financial fragility.
Conclusion
Categorization of needs is an evidence-based estimator of workload in nurse home visiting services, and can be used as a basic resource for direction to meet the deficit needs of a vulnerable group.

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Functional Status of Stroke Patients among Different Long-Term Care Settings: Eun Young Kim; Journal of Korean Academy of Nursing 2004;34(2):372-378. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.2.372

Abstract PDF

Purpose

The purpose of this study was to measure the functional status of stroke patients cared for in different long-term care settings.

Method

We assessed all stroke patients in two home health care agencies, four nursing homes and one geriatric hospital in Korea (n=171) using the Resident Assessment Instrument (RAI), which comprises Activity of Daily Living (ADL), urine incontinence, bowel incontinence, a Cognitive Performance Scale (CPS),and being understood and understanding others. Data was collected by face-to-face surveys with patients.

Results

The mean ADL score, urine incontinence score, bowel incontinence score, CPS, and being understood score and understanding others score were lowest for the patients receiving home health care, and highest for the patients in nursing homes. Low scores described poor and high scores good functional status. The results showed significant differences in physical and cognitive function scores between the three groups of patients.

Conclusion

This study suggests that there may be large differences between the patients in these three types of long-term care settings. These findings can be used to help develop and implement efficient long-term care programs.

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Prevalence and potential determinants of musculoskeletal disease symptoms among care workers in long‐term care facilities in South Korea
Myung‐Sook Park, Mi Yu, Su‐Jeong Yu, Kyung‐Ja Kang, Hyun‐Mi Seo
Japan Journal of Nursing Science.2014; 11(3): 211. CrossRef
The Long-term Care Utilization of the Elderly with Dementia, Stroke, and Multimorbidity in Korea
Boyoung Jeon, Soonman Kwon, Hongsoo Kim
Health Policy and Management.2013; 23(1): 90. CrossRef

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A Study of the Nursing Service Quality and Gap Perceived by Consumers: Mi Aie Lee; Journal of Korean Academy of Nursing 2004;34(2):225-234. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.2.225

Abstract PDF

Purpose

The purpose of this study was to develop a tool that measures the quality of nursing service, to measure the quality of nursing service perceived by consumers, and to identify the gaps between ideal and actual nursing services.

Method

A questionnaire was developed and distributed to 300 people who had been hospitalized in one of six general hospitals with quality of nursing services in five provincial cities in Korea. For data analysis, the SPSS/WIN(ver 10.0) program was used.

Result

The 20 attributes included in the instrument of quality of nursing service is abstracted into 2 factors : tangibility and intangibility. In quality analysis, 15 of 20 attributes are minus scores, meaning that those nursing services are perceived as generally low. However among the minus scores' attributes, only two attributes are significant statistically. Gaps between importance and performance of the nursing service exists in 19 among 20 attributes.

Conclusion

Nursing service quality (performance-expectation) needs to be improved, and Gaps (importance-performance) reduced. In addition, a tool measuring nursing service quality has to be developed so nurses can deal successfully with the quality and gaps of nursing service perceived by consumers.

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The Effects of Compassion Competence, Clinical Nursing Character, and Nursing Professionalism on Nursing Service Quality of Long-term Care Hospital Nurses
Young Moon Cho, Hyun O We
The Korean Journal of Rehabilitation Nursing.2024; 27(1): 11. CrossRef
Comparison with Importance and Performance in Rehabilitation Nursing Needs Perceived by Stroke Patients Admitted to a Rehabilitation Hospital and Nurses
Eun Hee Lee, Eun Ko
The Korean Journal of Rehabilitation Nursing.2016; 19(1): 30. CrossRef
The Relationships in Emotional Intelligence, Job Satisfaction, and Quality of Nursing Service in Hospital Nurses
Ra-jin Jang, Young-Sil Kang, Yu-mi Kim
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(6): 326. CrossRef
Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
Hae Sagong, Ga Eon Lee
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 309. CrossRef
Evaluation of Health Care Services of Public Health Centers: SERVQUAL
Hye Young Joung, Do Hwa Byeon
Journal of Korean Public Health Nursing.2014; 28(3): 553. CrossRef
Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly
Do Hwa Byeon, Hye Jin Hyun
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 332. CrossRef
An analysis on the importance and performance of home help service through measuring service quality perceived by its users
Do-Hwa Byeon
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(1): 247. CrossRef
A Study on Family Satisfaction with Community Mental Health Center Services in Gyeonggi Province by Families of People with Mental Illness
Hee Jung Kim
Journal of Korean Academy of Nursing.2009; 39(1): 124. CrossRef

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Health Problems and Support from the Health & Welfare Service in the Elderly at Home: In Young Yoo; Journal of Korean Academy of Nursing 2004;34(1):111-122. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.1.111

Abstract PDF

Purpose

This study was conducted to identify health problems and support received from the health and welfare service using MDS-HC(Minimun Data Set for Home Care) in the aged living at home.

Method

Eighty-one elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003.

Result

Eleven health problems per elderly person on average were identified, and the frequent care needs were in order: preventive health measure, health promotion, visual function, depression & anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition and falls. The number of health problems by the level of ADL was ‘ ADL 1(Independence)’ 9.87, ‘ ADL 2(Partial independence)’ 12.78, ‘ ADL 3(Dependence)’ 13.73. Utilization of formal health & welfare services among the elderly was ‘ meals on wheels’ 40.7%, ‘ home helper’ 38.2%, ‘ visiting of social welfare worker’ 21.0%, ‘ physical therapy’ 19.6%, ‘ day care center’ 12.3%, ‘ volunteer's service’ 9.9%, ‘ home visiting care’ 3.7%, ‘ occupational therapy’ 3.7%, and ‘ speech therapy’ 2.5%.

Conclusion

The results suggest that using the MDS-HC 2.0 is applicable to help decide criteria for both health and welfare service supplied to the elderly.

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The Prospect of the Fourth Industrial Revolution and Home Healthcare in Super-Aged Society
Jai-Yon Lee, Jae-Young Lim
Annals of Geriatric Medicine and Research.2017; 21(3): 95. CrossRef
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Eun-Joo Bang, Soon-Young Yun
Journal of Korean Academy of Community Health Nursing.2010; 21(2): 263. CrossRef

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