Global Health and Nursing 2021 KCI Impact Factor : 0.96

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pISSN : 2233-5560 / eISSN : 2671-5554
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2022, Vol.12, No.2

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  • 1.

    Nursing Theory-based Delirium Research: A Systematic Review

    Kim, Sue Hyon , Kim Hyunji , Kim, YoungKyung and 1 other persons | 2022, 12(2) | pp.89~100 | number of Cited : 0
    Abstract PDF
    Purpose: This systematic review aimed to synthesize nursing theory-based delirium studies. Methods: Six electronic databases were searched via combinations of the key terms “delirium” , “nursing theory” , “hospital” , and “patient”. In total, 338 articles were found, and 87 duplicates were removed. Three independent reviewers screened and read the remaining articles and selected 12 articles. Characteristics of the included studies and theory application related information were extracted. Keywords of the studies were classified and analyzed based on the nursing meta-paradigm. Results: Studies on delirium utilized various theories that included grand (n=4), middle-range (n=4), and situation specific theories (n=4). Regarding theory application, eight studies used nursing theory as a conceptual framework, three studies developed new nursing theories on delirium, and one evaluated an existing theory. In three studies out of four RCTs (Randomized controlled trials), theory-based delirium interventions proved effective in reducing the incidence, duration, and severity of delirium. Nursing theories also helped explain nurses’ clinical reasoning and caregiver engagement in delirium. Keyword analysis results showed that elderly and intensive care unit patients are high risk groups. Conclusion: Nursing theories could be applied to various study designs; however, the number of nursing theory-based literature is limited. Further application in practice, research, and education should be promoted continuously.
  • 2.

    Disaster Experience among Older Adults after Earthquake

    Eun-Mi Kim , Lee, Yun-Kyeong , Lee, Ju-Ry and 3 other persons | 2022, 12(2) | pp.101~112 | number of Cited : 0
    Abstract PDF
    Purpose: The Pohang Earthquake caused substantial socioeconomic damage in 2017. Vulnerable populations include older adults, who experience adverse impacts during earthquakes. This study was to investigate the earthquake experiences of older adults living in an earthquake-stricken area. Methods: This study was based on qualitative research using phenomenological methodology. Data collection was conducted through in-depth interviews from October to December 2021 with 10 older adults who experienced the Pohang Earthquake. Data analysis was performed using Colaizzi’s method. Results: The earthquake experiences of older adults were categorized into 34 sub-themes, 11 themes, and the following four theme clusters: (1) an unforgettable situation that occurred during the earthquake; (2) a life of suffering caused by the earthquake; (3) longing for one’s peaceful life before the earthquake; and (4) accepting the new reality for oneself and future generations. Conclusion: The current study results can help to improve the understanding of various aspects of earthquake experiences among vulnerable older adults. Community nurses and policymakers must focus on enhancing disaster psychological support programs highlighting psychological impacts and somatic symptoms among older adults. These results can be used to enhance community resilience and disaster preparedness in community centers and earthquake trauma centers.
  • 3.

    Study on the Response Status of School Communicable Diseases for COVID-19 by Elementary, Middle, and High School Health Teachers

    Seo, Yu-Na , Ha, Ju-Young | 2022, 12(2) | pp.113~125 | number of Cited : 0
    Abstract PDF
    Purpose: The purpose of this study was to identify the school communicable disease response of elementary, middle and high school health teachers to COVID-19. Methods: The study design was a descriptive survey. The total number of participants who worked as the health teachers in Gyeongsangnamdo was 360. Data were collected online from September 15th to September 25th, 2020, using a questionnaire. The method of analysis included descriptive statistics, x 2 test, and Fisher’s exact test using the IBM SPSS Statistics Windows 25.0 program. Results: Responding to COVID-19, 63.3% of the individuals in charge of the planning and division of work had multiple appointments. In case of confirmed (suspicious) infection, 85.2% of participants answered that they cooperated appropriately with local public health centers. There was a difference in the appropriate operation of the reporting system (x 2 =4.88, p=.037) when there was a working experience during the influenza H1N1 or MERS outbreak. At the school level, the implementation of COVID-19 responses education for parents was high in elementary school (x 2 =11.77, p=.003). In addition, there were many cases in which health teachers oversaw school disinfection (x 2 =54.69, p<.001). Conclusion: A system to raise the awareness of the responsibility of members of the communicable disease management system is required. Health education classes for communicable disease prevention education should be included in the school curriculum. Also, Specific admin￾istrative support at the level of the education office is required to prevent communicable diseases.
  • 4.

    Factors Influencing the Increase in National Early Warning Score of Patients after their Discharge from the Medical Intensive Care Unit

    Jeong, Soyoung , Kim, Myung Hee , Yun, Jungmi | 2022, 12(2) | pp.126~136 | number of Cited : 0
    Abstract PDF
    Purpose: This study aimed to identify factors affecting the increase in the National Early Warning Score (NEWS) of patients after discharge from the medical intensive care unit (MICU). Methods: The study covered 210 adult patients who had been discharged from the MICU of P University Hospital in Y city between June 1, 2017 and June 30, 2018. The data were collected from the electronic medical records to investigate general characteristics, clinical characteristics, discharge-related characteristics, and NEWS. The data were analyzed using descriptive statistics, Mann-Whitney U test, x 2 test, and logistic regression analysis using the SPSS 23.0 program. Results: Out of 210 patients, 42 patients (20.0%) showed an increase in NEWS within 72 hours of discharge from MICU. Logistic regression analysis was performed considering usage of ventilator, tracheostomy tube, and inotropic drugs; length of stay in the ICU; and NEWS before discharge from the ICU as independent variables. Factors predicting the increase in NEWS after discharge from the ICU were tracheostomy (OR=3.58, 95% CI=1.65~7.77) and pre-discharge NEWS (OR=1.35, 95% CI=1.14~1.60). Conclusion: NEWS before discharge from the intensive care unit can be used to detect and predict the early deterioration of a patient's condition after transfer to the general ward.
  • 5.

    Factors Affecting the Ethical Sensitivity of Nurses in Long-Term Care Hospitals

    Ma, Seong Min , Seo Ji-Min | 2022, 12(2) | pp.137~147 | number of Cited : 0
    Abstract PDF
    Purpose: The purpose of this study was to identify the factors that affect the ethical sensitivities of nurses in long-term care hospitals. Methods: This correlational study collected data from August 18, 2017, to September 8, 2017. The subjects of this study were 144 nurses working in long-term care hospitals with more than 100 beds in B-city. The study used the Ethical Sensitivity Scale for Clinical Nurses, Ethics Perception Questionnaire, Hospital Ethical Climate Survey, and Ethical Leadership Scale. Data were analyzed with the SPSS/WIN 23.0 program with descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression. Results: Educational level (β=.15 p=.017), idealism (β=.56, p<.001) among the sub- factors of ethical orientation, and ethical leadership (β=.16, p=.037) among organizational factors were the significant factors affecting the subject's ethical sensitivity, and overall explanatory power was 49.9%. Conclusion: The ethical sensitivity of hospital nurses was found to be influenced by educational level and ethical orientation (idealism) among personal factors, and ethical leadership among organizational factors. Therefore, it is necessary to consider the level of education, ethical orientation, and ethical leadership in the development of education programs to promote ethical sensitivity among nurses.