Earticle

본 연구는 Upton, Scurlock-Evans 와 Upton 이 개발한 간호대학생의 근거기반실무 측정도구 (S-EBPQ)를 한국어로 번안하고 신뢰도와 타당도를 검증하기 위해 수행되었다. 근거기반실무에 대한 학습 경 험과 임상실습 경험이 있는 간호대학생 209명의 자료를 데이터 분석에 활용하였다. 구성타당도를 위한 탐색적 요인분석결과 기존의 도구와 동일한 4 요인, 21 문항이 확인되었다. 도구의 설명력은 67% 였고 도구 전체의 신뢰도는 .927 이였다. 한국어판 S-EBPQ는 우리나라 간호대학생의 근거기반실무 역량을 평가하는데 활용될 수 있을것이다. 또한 도구를 활용하여 우리나라 간호대학의 근거기반실무 교육 프로그램이 효과를 평가하는데 활용 될 수 있을것이며 이는 간호교육의 질 향상에 기여할 것으로 기대된다.

This study aimed to evaluate the reliability and validity of the Korean version of Student Evidence-Based Practice Questionnaire (S-EBPQ) which developed by Upton, Scurlock-Evans, and Upton. Data were collected from 209 nursing students with previous experience of education in evidence-based practice and clinical placement. Using SPSS 25.0, construct validity, concurrent validity and reliability were evaluated. The Korean version of S-EBPQ consisted of 21 items in four domains. The measurement explained 67.0% and the reliability using Cronbach's alpha was .927. The Korean version of S-EBPQ can be used to evaluate the ability of evidence-based practice among nursing students. The tool could be also used to examine the effectiveness of educational programs for evidence-based practice which would contribute to improving the quality of nursing education in Korea.

본 연구는 간호관리자의 리더십과 종합병원 간호사의 근거기반실무 적용의도와의 관계에서 혁신행동의 매개효 과를 확인하기 위해 시행되었다. 본 연구대상으로 500병상 이상 종합병원에 근무하는 간호사 183명을 임의 표집하였 다. 간호관리자의 변혁적 리더십은 간호사의 혁신행동, 근거기반실무 적용의도와 유의한 양의 상관관계가 있었다. 간호 관리자의 변혁적 리더십과 간호사의 근거기반실무 적용의도간의 관계에서 혁신행동이 부분매개효과가 있었다. 간호사 의 근거기반실무 적용의도를 높이기 위해서 조직차원에서 간호 관리자의 변혁적 리더십을 개발하고 향상시켜 간호사의 혁신행동에 긍정적인 영향이 연결될 수 있도록 다양한 제도와 교육프로그램을 개발할 필요가 있다.

This study was conducted to examine the mediating effect of innovative behavior in the relationship between nurse manager's leadership and nurses’ future use of evidence-based practice. Participants were 183 nurses working at general hospitals with over 500 beds in Korea. Nurse manager's transformational leadership was positively correlated with innovative behavior and nurses’ future use of evidence-based practice. Innovative behavior showed partial mediating effects in the relationship between nurse manager's leadership and nurses' future use of evidence-based practice. These findings suggest that in order to enhance nurses’ future use of evidence-based practice, the educational strategies to promote nurses' innovative behavior should be developed and provided in nursing field.

목적 : 본 연구는 지역사회 치매관리시설 및 요양시설을 이용하는 치매환자에게 일관성 있는 최적의 비약 물중재 서비스를 제공하기 위하여 근거중심의 실무 가이드라인을 개발하고자 하였다. 연구방법 : 개발단계에서는 문헌의 질 평가에 의한 자료 선정과 중재유형에 따른 문헌 분류를 수행하였다. 검증단계에서는 예비항목에 대한 검증을 위하여 전문가 집단의 내용 타당도 및 실무자 집단의 현장 적 용성 검증을 수행하였다. 완성단계에서는 문헌고찰 및 전문가와 실무자 검증과정을 통해 도출된 자료를 바탕으로 가이드라인 예비 권고안을 수정, 보완하였다. 결과 : 개발단계에서는 신뢰도가 검증된 질 평가 기준을 적용하여 스코틀랜드의 진료지침 개발기구(Scottish Intercollegiate Guidelines Network; SIGN) grade A 수준에 해당하는 질적 수준이 우수한 문헌을 수 집하였다. 검증단계에서는 전문가 집단의 내용 타당도에서 Content Validity Index for Items(I-CVI), Content Validity Index for Scales(S-CVI) 값이 모두 .9점 이상의 높은 타당도를 보였다. 실무자 집 단의 현장 적용성 검증결과에서는 권고안 내용의 적절성이 5점 만점을 기준으로 4.04점, 효과성 예측 3.92점, 적용 가능성이 3.85점으로 나타났다. 완성단계에서는 대분류 4개 영역, 소분류 12개 중재유형 을 포함하는 비약물중재 실무 가이드라인 권고안을 개발하였다. 결론 : 본 연구는 완성도 높은 실무 가이드라인 개발을 위하여 상위수준의 연구설계 결과에서 검증된 임상 적 근거를 바탕으로 구조화된 검증과정을 수행하였다. 향후 연구에서는 새로운 임상 환경을 반영하기 위 한 근거기반의 연구가 지속적으로 이뤄져야 할 것이다.

Objective: The purpose of this study was to develop evidence-based practice guidelines to provide consistent and optimum non-pharmacological interventions to people with dementia using the community management facilities and a nursing home. Methods: At the development stage, the data selection based on an article quality evaluation was conducted, followed by the article classification according to the intervention type. At the verification stage, the content validity of the expert group and the field applicability of the working group were verified to determine the preliminary items of the guidelines. At the completion stage, the recommended guidelines were revised and complemented based on the data derived from the literature review and the expert and staff validation process. Results: At the development stage, articles corresponding to the Scottish Intercollegiate Guidelines Network (SIGN) grade A level were collected by applying the quality evaluation criteria with a verified reliability. At the verification stage, both Content Validity Index for Items (I-CVI) and Content Validity Index for Scales (S-CVI) values showed a high validity of .9 points or higher in the content validity of the expert group. The results of the field applicability test showed that for the recommended guidelines, the scores of the appropriateness, predicted effects, and applicability were 4.04, 3.92, and 3.85, respectively, out of 5 points in total. At the completion stage, a recommendation for the practice guidelines for non-pharmaceutical intervention, including 4 main categories of domains and 12 subcategories, was developed. Conclusion: In this study, a structured validation process was applied to present the clinical evidence validated through the high-level study design results. Further research should continue to conduct evidence-based research to develop clinical practice guidelines that reflect the new clinical settings.

목적 : 본 연구는 국내 발달재활서비스 관련 학술연구를 체계적으로 검토하여 연구 주제별 경향을 파악하고, 향후 정책 및 연구 개선 방향을 제시하는 데 목적이 있다. 연구방법 : RISS, DBpia, KISS에서 “발달재활서비스”를 검색어로 하여 2021년 1월부터 2025년 1월까지 발표된 문헌을 수집하였으며, PRISMA 지침에 따라 검색·선별·포함 과정을 수행하였다. 총 66편의 논문 중 중복 및 비관련 연구를 제외한 15편을 최종 분석 대상으로 선정하였다. 포함된 연구는 연구 목적 및 내용에 따라 정책·전달체계, 서비스 품질·만족도, 제공인력·전문성, 부모·이용자 경험, 특정 영역 중재·이용, 메타분석·평가지표 개발의 6개 범주로 분류하였다. 연구결과 : 분석 결과, 국내 발달재활서비스 연구는 초기의 만족도·접근성 중심 연구에서 전달체계, 전문인력 기반, 서비스 과정 품질, 평가체계 등 제도 운영의 구조적 요인으로 관심이 확장되고 있었다. 지역간 접근성 및 단가 격차, 전문인력의 직무환경과 역량의 취약성, 제공자–이용자 간 서비스 인식 및 정보접근의 차이, 특정 영역 중심의 서비스·연구 편중, 그리고 평가·연구방법의 비표준화가 공통적 문제로 확인되었다. 결론 : 발달재활서비스의 질 향상과 지속가능성을 확보하기 위해서는 지역 형평성 기반의 전달체계 표준화, 전문인력 역량 및 고용 기반 강화, 정보 공유 중심의 서비스 과정 투명성 제고, 가족 중심 지원체계 확장, 국가 단위의 성과평가·질관리 체계 구축이 요구된다. 또한 영역·연령·장애유형별 효과성 검증, 지역 전달체계와 발달 결과의 연계 분석, 전문인력 직무환경 및 교육·감독체계 효과성 검증, 서비스의 경제성 및 비용효율성 연구 등 후속 연구가 필요하다. 본 연구는 발달재활서비스의 근거기반 정책 설계와 질 관리체계 구축을 위한 기초 자료로서 의의를 지닌다.

Purpose : The purpose of this study is to systematically review research related to Developmental Rehabilitation Services (DRS) in Korea, identify trends by research topic, and suggest directions for future policy and research improvement. Methods : A systematic search was conducted in RISS, DBpia, and KISS using the keyword “developmental rehabilitation service.” Following PRISMA guidelines, 16 peer-reviewed articles published 2021-2025 were screened and included. The studies were analyzed and categorized into thematic domains. Results : Six categories emerged: policy and delivery system; service quality and user satisfaction; professional workforce and competency; parent and user experiences; domain-specific interventions and utilization; and meta-analysis and evaluation indicator development. Across these categories, recurring issues included regional disparities in access, limitations in workforce capacity and working conditions, perception gaps between users and providers, service concentration in a small number of domains, and a lack of standardized evaluation and quality-management frameworks. These findings suggest that despite the expansion of the DRS, empirical evidence remains insufficient to ensure quality, equity, and effectiveness. Conclusion : To advance evidence-based DRS policy and practice, future research should prioritize the development of standardized evaluation systems and examine workforce development and supervision models. Strengthening interdisciplinary and evidence-based frameworks is essential to improve the sustainability and equity of developmental rehabilitation services.

목적 : 본 연구는 치매 비약물중재 메타분석 연구에 대한 질 평가를 수행하여 치료의 효과성에 대한 질적 수준을 검증 하고 향후 국내 비약물중재 분야 근거중심 실무의 질적 향상에 대한 연구적 통찰력을 제시하는 것이다. 연구방법 : 문헌검색은 ‘치매’와 ‘메타분석’을 선정하고 학술연구정보서비스(Research Information Sharing Service, RISS), 한국의학논문데이터베이스(Korean Medical database, KM base), 대한의학학술지편집인협의회(Korea Med), 한국학술정보(Koreanstudies Information Service System, KISS), 국가 과학기술 정보센터(National Digital Science Library, NDLS)를 이용하였다. 메타분석 논문은 AMSTAR 평가도구의 방법론적 질 평가기준을 적용하여 중재유형 별 문헌의 질 평가점수를 분석하였다. 결과 : 메타분석 논문의 방법론적 질 평가 평균점수는 6.16점(SD=1.90)으로 보통 수준으로 나타났다. 개별적으로 연구 를 살펴보면, 보통 수준(5-8점)에 해당하는 연구가 17편, 낮은 수준(0-4점)은 2편으로 조사되었으며, 높은 수준(9-11 점)은 한 편도 없었다. 19편의 연구 중 17편은 KCI에 게재된 연구였고, 인지기반 중재 5편, 신체활동 중재 4편, 음악 치료 4편, 아로마 치료 2편, 가상현실 기반 중재와 미술치료, 회상치료, 작업치료가 각각 1편씩 조사되었다. 질 평가 도구의 사용빈도를 살펴보면, 과반수가 ROB를 사용(59%)하고 있었고, 나머지는 SIGN(12%), PEDro score(12%), RoBANS(12%), EQI(5%)를 사용하고 있었다. 결론 : 국내 치매분야 메타분석 연구에서는 분석대상에 포함되는 문헌 선정과 질적 검증과정이 반드시 수반되어야 하 며, 연구설계 및 진행과정 전반이 이전 방식들보다 체계적이고 엄격하게 이뤄져야 할 필요성이 있다.

Objective : The purpose of this study is to verify the quality level of treatment effect by performing a quality evaluation on the meta-analysis study of non-pharmacological interventions for dementia, and to present convergence research insights on the qualitative improvement of evidence-based practice in the domestic non-pharmacological intervention field in the future. Methods : For literature search, 'dementia' and 'meta-analysis' were selected, and KMbase, KoreaMed, RISS, KISS, and NDLS were used. Methodological quality of meta-analysis papers was analyzed according to the criteria of the AMSTAR evaluation tool. Results : The average score of methodological quality evaluation of meta-analysis papers was 6.16 (SD=1.90), which was average. Looking at the studies individually, there were 17 studies with a moderate level (points 5-8), two studies with a low level (points 0-4), and none of them had a high level (points 9-11). Of the 19 studies, 17 were published in KCI, and 5 Cognitive-based intervention, 4 physical activity intervention , 4 music therapy , 2 aroma therapy, and 1 virtual reality-based intervention, art therapy, recall therapy, and occupational therapy were surveyed. Looking at the frequency of use of the quality evaluation tool, the majority of tools was used ROB (59%), and the rest of tools was used SIGN (12%), PEDro score (12%), RoBANS (12%), and EQI (5%). Conclusion : Meta-analysis research in the field of dementia must be accompanied by the selection of literature to be included in the study and the qualitative verification process of the included research, and the overall research design and process needs to be systematically and rigorously conducted compared to previous methods.

본 연구는 치매환자에게 적합한 인지 프로그램 실무지침을 개발하는 과정에서의 효과성을 검증하는 절차를 기술 한 방법론적 연구이다. 근거중심의 임상진료지침 신규개발 방법에 기초하여 국내 치매환자용 인지프로그램 실무지침 예비 권고안을 개발하였다. 이후, 효과검증을 위해 전문가 내용타당도 및 실무자 현장 적용성 검증을 수행하였다. 실무 지침은 최종 4개 유형으로 구성하였으며 구성항목의 내용타당도는 0.87∼1점을 나타냈다. 현장 적용성의 하위항목에서 는 적절성이 3.95∼4.34점, 적용가능성이 3.57∼4.27점, 효과성예측이 3.84∼4.22점이었다. 전문가 내용타당도 및 현 장 적용성 예측 조사를 통해 본 연구에서 개발한 실무지침이 임상에 종사하는 치매 인지프로그램 관리자의 중재 계획 수립과 임상 근거로 활용할 수 있음을 확인하였다. 추후 연구에서는 치매환자에게 최적의 치료적 활동을 제시하기 위한 근거중심의 실무지침 개발연구가 더욱 활성화되어야 할 것이다.

This study is a methodological study that explains the procedure for verifying effectiveness in developing practical guidelines for cognitive programs suitable for dementia patients. Based on the development of evidence-based new clinical practice guidelines, a preliminary recommendation for the domestic dementia patient care guidelines was developed. The practical guidelines consisted of the final four types, and the content validity score of the configuration items was 0.87 to 1 point. In the sub-categories of field applicability, appropriateness score was 3.95 to 4.34 points, applicability score was 3.57 to 4.27 points, and predicted effect score was 3.84 to 4.22 points. Through the examination of the content validity and field applicability of experts, it was confirmed that the practical guidelines developed in this study can be used as the basis for establishing an intervention plan for dementia cognitive program managers engaged in clinical practice. In future studies should further facilitate the development of evidence-based treatment guidelines to select appropriate treatment activities for dementia patients.

목적 : 이 연구는 대한작업치료학회지에 게재 논문을 중심으로 국내 작업치료 분야 메타분석 논문의 방법 론적 질을 평가하고 메타분석 연구를 위한 지침을 제공하는 것이다. 연구방법 : 창간호부터 2019년까지 발간된 대한작업치료학회지 게재 논문 중 메타분석 논문을 검색하여 최종적으로 7편의 논문을 선택하였다. 메타분석 논문의 방법론적 질은 AMSTAR 평가도구의 기준에 따 라 분석하였다. 결과 : 메타분석 논문의 전체 방법론적 질 평균점수는 6.71점(SD=0.70)으로 보통 수준에 해당하였다. 분석논 문들은 모두 보통 수준(100%)에 해당하였으며 높은 수준 및 낮은 수준의 연구는 한 편도 없었다. 분석대상 연구들은 AMSTAR의 11개 항목 중 7개 항목을 충실하게 이행하고 있었으나, 4개 항목(회색문헌 사용, 포함 및 배제논문 목록 제시, 결론 도출 시 질 평가 결과 활용, 이해상충 기술)에 대해서는 공통적으로 거의 수행하지 않는 것으로 나타났다. 결론 : 작업치료 분야의 메타분석 연구들은 방법론적 분석과정을 보통 수준 이상으로 충실하게 수행하는 것으로 확인되었으나, 메타분석 시 회색문헌을 선정기준에 포함하고 개별연구 질 평가 결과를 결론에 반영하며 이해상 충 표기를 함으로서 메타분석 논문의 질 향상을 위한 노력을 지속하여야 하겠다.

Objective: The purpose of this study was to assess the methodological quality of meta-analyses published in the Korean Journal of Occupational Therapy (KJOT) and provide guidelines for future meta-analysis research. Methods: Among the papers published in the KJOT from the first issue until 2019, meta-analyses were searched and seven papers were selected. The methodological quality of the papers were analyzed according to the criteria of the AMSTAR evaluation tool. Results: The overall methodological quality average score of the meta-analyses was 6.71 (SD = 0.70), which is a moderate level. Analytical papers were all at a moderate level (100%), and there were no high or low level studies. All of the studies faithfully implemented 7 out of 11 items of AMSTAR. However, it was found that four items (use of grey literature, presentation of included and excluded study lists, use of the quality of the individual studies in formulating conclusions, and conflicts of interest) were rarely commonly conducted in all studies. Conclusion: Meta-analyses in the Korean occupational therapy field were found to faithfully apply the methodological analysis process at above a moderate level. However, it is necessary to continue efforts to improve the quality of meta-analyses by using the grey literature, reflecting the results of a quality evaluation of individual studies in the conclusions and describing conflicts of interest.

Purpose: The purpose of this study was to explore the factors influencing evidence-based fall prevention nursing performance of hospital nurses. Methods: A self-reported questionnaire was completed by 344 nurses from three general hospitals from January 20 to March 10, 2013. The study instruments included general characteristics of the subjects, and awareness and performance of fall prevention. Data were analyzed by t test, ANOVA, Pearson’s correlation, and multiple regression using SPSS v. 20.0. Results: There were statistically significant differences in awareness and performance according to age, marital status, clinical experiences, workplace, experience of fall prevention education, knowledge of fall prevention, compliance with fall prevention, attention level toward prevention, recognition level of potential falls, nurse responsibility for falls, importance of fall prevention, efforts level for fall prevention, and awareness score of falls prevention. There was a positive correlation among awareness and performance of fall prevention. Based on the multiple regression analysis, compliance with fall prevention, efforts level for fall prevention, and awareness score of falls prevention were significant predictors for performance of fall prevention. The explanation power of the model was 64.1%. Conclusion: The findings revealed the need to develop an effective nursing intervention to improve hospital nurses’ performance for fall prevention.

Objectives: This study examines the trend of alcohol-related research, with a specific focus on problem drinking and related variables, to provide evidence for prevention and intervention of alcohol related problems as well as for alcohol public policy in Korea. Methods: For the study, research studies published between 1990 and 2013 were analyzed. Forty-three research articles were included for meta-analysis. The main focus of the analysis was on examining the effect size of correlation coefficients of variables related to problem drinking. Results: From the 43 articles, 304 variables were extracted under individual, family, social environment, and demographic variable groups. Overall, more studies focused on individual variables compared to environmental variables. Results showed that Adult Children of Alcoholics (ACOA), level of consumption, motivation, expectancy showed high effect size, followed by drinking culture, social relationship, and family members’ drinking. Conclusion: The study results point to the importance of more research focusing on macro or societal influence of alcohol related problems. Alcohol policy should include more specific contents that target changing the tolerant drinking culture in Korea.

최근 근거중심치료가 대두되면서 중재효과에 대한 근거제시가 강조되고 있으며, 장애아동의 개별치료 목표의 예후 측정에 대한 중요성이 증가되고 있다. 따라서 평가 또한 개별목표에 따라 장애정도와 중재목표, 중재의 다양 성을 고려하여 개별화 되어야 한다. 목표성취척도는 개별화된 측정도구이며, 변화에 대한 기준참조평가 방법으로 개개인의 다양성을 고려하여 다양한 목표와 환경에서 적용이 가능하다. 이 평가도구에 대한 여러 가지 장점과 단 점이 제기되고 있지만, 선행연구에서 지속적으로 사용되어 왔고 이것이 임상적 활용 가능성에 대한 근거로 볼 수 있을 것이다. 특히 아동을 대상으로 한 실험논문 고찰결과 ICF 모델의 활동 및 참여 영역의 평가를 위해 사용되었 으며, 다수의 논문에서 뇌성마비 아동의 중재효과 측정을 위해 사용되었음을 알 수 있었다.

The current climate in health care is increasingly raising the notion of evidence-based practice, and emphasizes the suggestion of evidence regarding the effectiveness of intervention. The importance of measuring the change after a period of intervention based on individualized intervention goals has increased. Therefore, measurements are also individualized depending on the severity of disability, intervention goals, and diversity of treatment. A Goal Attainment Scale (GAS), described as an individualized-measurement tool and criterion- referenced measure of change, can be applied to variable intervention goals and settings. Although there are several positive and negative attributes, the sustained use of GAS in the preceding research will be a testimony to its clinical utility. For review results of an experimental study with children, GAS is used for measuring the activity and participation in an ICF model. In the majority of studies, GAS is used for the effectiveness of intervention in children with cerebral palsy.

Purpose: The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula. Methods: For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis. Results: Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP. Conclusion: The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.

Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.

Purpose: This study was aimed to investigate the level of EBP competence consisting of knowledge, attitude, and skills, and related factors with EBP competence for the faculty members working in community health nursing. Methods: This descriptive cross-sectional was done with 42 faculty members using a self-administered questionnaire including demographic characteristics, EBP-related training/education, and the modified-Korean version of competence in EBP with 25 items from December 1, 2014 to March 2, 2015. Data was analyzed with descriptive statistics, Student’s t-test, and one-way ANOVA. Results: The mean scores of knowledge, attitude, and skills were 3.98, 4.14, and 4.01 on a five point scale, respectively. And, participants who have experienced in teaching EBP showed higher in knowledge in EBP than others (t=-2.38, p=0.022). Conclusions: This study indicates that Korean faculty members working in community health nursing have a positive attitude toward EBP but they do not rate their knowledge in EBP as positively. Only experience of teaching EBP is related with the knowledge in EBP. Therefore, an educational program needs to be developed, offering knowledge and developing necessary skills to promote EBP for faculty members. Further studies using larger sample size are required to increase the representativeness and generalizability of the study results.

The purpose of this descriptive correlational study was to explore the effect of knowledge of evidence-based practice (K-EBP) and organizational culture on the innovation behavior of university librarians in South Korea. The structured survey questionnaire consisted of four sections and 60 items. The four sections were concerned with K-EBP, organizational culture, innovation behavior, and EBP-related activities and demographic. The respondents were librarians working in 101 university libraries in South Korea. The results of this study were as follows. First, K-EBP indicated that the respondents had excellent practical skills, but their ability to appraise critically, apply knowledge and to conduct research was weak. Second, the questionnaire scores for K-EBP were significantly positively correlated with those for organizational culture and innovation behavior. Higher K-EBP scores corresponded to higher scores for relation-, innovation-, and task-oriented organizational culture. Third, K-EBP outcomes differed significantly by age group, education level, employment type, job title/seniority, reading of academic journal articles, and attendance at conferences. Organizational culture differed significantly with age. Innovation differed significantly with both age and conference attendance. Fourth, in the hierarchical multiple regression analysis, factors predicting K-EBP scores were education level and reading academic journals. Fifth, the multiple regression analysis identifying factors predicting innovation revealed statistically significant regression coefficients for overall K-EBP and for innovation- and hierarchy-oriented organizational culture. The regression coefficient for perception of a hierarchy-oriented organizational culture was negative. To promote innovation behavior of librarians, we need to foster an innovative organizational culture characterized by communication and cooperation, and improve the ability of librarians to engage in EBP. Educational programs that promote librarian engagement in research-related activities are needed.

Objective: The purpose of this study was to identify the practitioner and organizational characteristics that either detracted from or encouraged the use of evidence-based practice (EBP) by physical therapists. Design: A cross-sectional survey study Methods: Participants were 260 physical therapists currently practicing in South Korea. They completed a questionnaire designed to determine attitudes, beliefs, interest, self-efficacy and barriers to EBP, as well as demographic information about themselves and their practice settings. Logistic regression was used to examine relationships between socio-demographic and work environment characteristics and each practitioner factor. Results: Respondents agreed that the use of evidence in practice was necessary. Although 80% of them agreed that research findings are useful, 71% felt that a divide exists between research and practice. In terms of confidence in their skills, the ability to interpret results of statistical procedures ranked lowest. Despite internet access at work for 63% of respondents, only 14% were given protected work time to search and appraise the literature. Only 2% of respondents stated that their organization had a written requirement to use current evidence in their practice. The primary barrier to implementing EBP was a reported lack of time. Conclusions: In conclusion, most physical therapists stated they had a positive attitude toward EBP and were interested in learning or improving the skills necessary for implementation. Most recognized a need to increase the use of evidence in their daily practice, but a lack of ability to understand the results of research represents a significant barrier to implementing EBP.

Purpose: Evidence-based practice (EBP) is a key competency that undergraduate nursing students need to learn, as EBP competence is essential for the effective implementation of EBP. However, few studies have comprehensively assessed the aspects of EBP competence using a reliable and valid measure specific to Korean nursing students. This study aimed to translate the Student Evidence-Based Practice Questionnaire (S-EBPQ) into Korean and evaluate its psychometric properties. Methods: The original S-EBPQ was translated into Korean. After a pilot test, a convenience sample of 249 college students with more than four weeks of clinical training experience was selected from three universities in September 2017. Reliability and construct validity were evaluated using exploratory and confirmatory factor analyses. Concurrent validity was evaluated by correlating the measure with informatics competency. Results: The exploratory factor analysis revealed four factors that explained 66.3 of the variance. The confirmatory factor analysis yielded a 4-factor structure (c2/df = 1.52, p < .001, standardized root-meansquare residual = .07, root-mean-square error of approximation = .07, goodness of fit index = .84, comparative fit index = .91). The Cronbach’s a was .81 for the total scale. The scale’s correlation with informatics competency was r = .55. Conclusions: The Korean S-EBPQ is a reliable and valid tool that has utility for assessing EBP competence in Korean nursing students and for making comparisons of the EBP competence of nursing students from other countries.

Purpose: This study is to evaluate the psychometric properties of the Korean version of the Self-Efficacy of Evidence-Based Practice (SE-EBP) scale, which was originally developed by Chang and Crowe. The beta-version of the SE-EBP is a modified version of the original SE-EBP, which measures the clinical nurses' confidence in finding, appraising, and implementing evidence into practice. Although the original SE-EBP has been validated, no study has been conducted to validate the Korean version of SE-EBP. Methods: The original scale was translated into Korean through a process of forward and back translation of the original scale. After getting confirmation of the equivalence of the Korean forward translation by the original author, exploratory factor analysis and confirmatory factor analysis of data from 212 clinical nurses were used to test construct validity. Internal consistency was examined using Cronbach a coefficients. For the statistical analysis, STATA version 13.0 software program was used. Results: Exploratory factor analysis of the 28 items revealed three factors with eigenvalues above 1, accounting for 60.2% of the total variance. Confirmatory factor analysis showed good fit of the three-factor structure which was statistically significant (x2 = 718.61, df = 330, p < .01). For internal consistency, Cronbach a coefficient for the total scalewas .95, and itwas greater than .80 for each of the three subscales. Conclusions: The Korean version of SE-EBP scale showed evidence of adequate construct validity and reliability. This study might have contributed to a wider application of the SE-EBP scale, but further studies are needed to provide more evidence on the structure of the scale.

Purpose This paper is a report of the results of a literature review conducted with the goal of identifying the nursing process components: assessment, diagnoses, interventions and outcomes related to health promotion in adults with hypertension in primary settings. Methods A search of MEDLINE, CINAHL, and PantherCat Online Catalogue of UWM database,PsycInfo, Cochrane Database, and Social Services Abstracts was conducted to retrieve literature published from 1988 to 2006. Results A total of 115 articles were reviewed. Overall, 70 relevant studies were selected on health promotion in adults with hypertension in primary settings. A total of 39 nursing process components (nursing diagnoses outcomes and interventions) related to health promotion with adults with high blood pressure were identified in primary healthcare settings. Conclusions Research-based evidence material provides an evidence-based nursing practice guideline with specific nursing process components on the topic. The evidence-based nursing practice guideline developed from this referential study for promoting health of adults with hypertension should be reflected in nursing practice in primary healthcare settings. For a future study, focus groups and key informant interview are recommended with nurses who actually provide nursing services in primary healthcare settings to clients who are diagnosed with high blood pressure. [Asian Nursing Research 2010;4(4):227?245]

Purpose: This study aimed to evaluate the perceived importance and performance of evidence-basedclinical practice guidelines (EBCPG) for venous thromboembolism (VTE) prevention among nurses inorthopedic hospitals. Methods: A cross-sectional descriptive study was conducted among 188 nurses in three orthopedichospitals in South Korea. Participants rated the importance and performance of 110 EBCPG for VTEprevention items across 10 domains using a 5-point Likert scale. Importance-performance analysis wasutilized to identify gaps and prioritize areas for improvement. Results: The mean importance and performance scores for EBCPG for VTE prevention were 4.02 and 3.67,respectively, revealing a statistically significant gap (t ¼ 10.67, p < .001). Differences were observedacross domains, with “General interventions for VTE prevention” showing the highest scores for bothimportance and performance, while “VTE prevention for cancer patients” and “VTE prevention for surgicalpatients” exhibited the largest gaps. Conclusion: The findings highlight the need for targeted strategies to bridge the gap between theperceived importance and performance of EBCPG for VTE prevention, particularly in domains withsignificant performance deficiencies. Tailored education and institutional support are recommended toenhance guideline utilization and improve patient outcomes in orthopedic hospitals.