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Volume 34(3); June 2022

Review Article

Research Trends in Intervention Studies for Frail Elderly Adults in Korea: A Scoping Review
Hyeyoung Kim, Hyunseon Kang
Korean J Adult Nurs 2022;34(3):233-248.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.233
Purpose
This study was a scoping review designed to identify research trends in intervention studies related to the frailty of older adults in Korea.
Methods
The scoping review utilized the Joanna Briggs Institute (JBI) protocol. A literature search was conducted on DBpia, KISS, KMBASE, NDSL, RISS, CINAHL, and PubMed. In total, 1,131 articles were identified, and 41 articles were used for the final analysis. Two reviewers independently selected studies and extracted characteristics using pre-tested forms to determine the final inclusion.
Results
The most widely utilized measurement tools were the Frailty phenotype scale and a basic measurement tool for frail older adults used in a customized visiting health care project at a public health center. For the intervention program, an exercise program as well as educational and cognitive enhancement programs, nutrition kit provision, etc., was used in 40 studies. The most common outcome variables measured in this study were bodily function followed by body composition. In addition, depression, quality of life, cognitive function, daily activities, perceived health status, and falling incidents were measured.
Conclusion
Research related to frailty is being conducted on community-dwelling older adults, to develop and apply interventions suitable for institutionalized older adults. In research, the use of reliable tools to determine any weakness of older adults should be expanded, and various interventions such as psychosocial interventions, nutritional provision, and exercise programs should be developed and applied.
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Original Articles
Factors Associated with Adverse Events Following the First Dose of COVID-19 Immunization in Indonesia
Siti Fadlilah, Deden Iwan Setiawan, Muflih Muflih, Thomas Aquino Erjinyuare Amigo, Rachmat Susanto, Ahmat Pujianto
Korean J Adult Nurs 2022;34(3):249-257.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.249
Purpose
This study investigated the factors associated with Adverse Event Following Immunization (AEFI) for Coronavirus Disease 2019 (COVID-19) in selected areas in Indonesia.
Methods
We used a cross-sectional approach with a correlational research design; a total of 2,730 samples were collected using accidental sampling. The instrument was an online questionnaire. The AEFI questionnaire was a modified version of the survey instrument of the Ministry of Health, Republic of Indonesia. χ2 and Fisher's exact tests were used for statistical analysis.
Results
The most common AEFI were pain at the injection site (81.2%), drowsiness (77.2%), hunger (77.0%), headache (70.3%), and weakness (58.4%). Bivariate testing revealed that gender, age, disease history, vaccine type, and anxiety had statistically significant relationships with the incidence of weakness, pain at the injection site, and headache (p<.050). Age and vaccine type were significantly related to the incidence of fever, swelling at the injection site, and hunger. Gender, vaccine type, and anxiety were found to have statistically significant relationships with the incidence of nausea. Vaccine type and anxiety were significantly related to vomiting.
Conclusion
The study found that gender, age, history of disease, vaccine type, and level of anxiety were associated with several adverse events following COVID-19 immunization. These findings provide data to nurses and other health workers to help them offer additional interventions to prevent or reduce adverse events in at-risk groups following COVID-19 vaccination.
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Purpose
This study aimed to develop and examine the effects of a mobile application-based self-management program for Chemotherapy-Induced Peripheral Neuropathy (CIPN) in colorectal cancer patients.
Methods
This study used a nonequivalent control group and a pretest-posttest design. Eighty-three patients with colorectal cancer undergoing neurotoxic chemotherapy were included in the study (experimental group, n=41; control group, n=42). The self-management program for CIPN consisted of an eight-week program (for individual training and telephonic coaching). CIPN 20, a CIPN assessment tool, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 scale were used to assess CIPN, disturbance of activities of daily living, and quality of life, respectively. The study was conducted from December 7, 2018, to August 20, 2019. For data analysis, descriptive statistics, a test of homogeneity in the pretest, independent t-tests, and repeated-measures analysis of variance were used.
Results
In the experimental group, significant improvements were found in CIPN (F=5.88, p=.018) and disturbance of activities of daily living (F=8.26, p=.005) compared to those in the control group. There was no significant difference in the interaction between the groups and time in terms of quality of life.
Conclusion
Our results indicate that the mobile application-based self-management program used in this study is effective and could be used as a nursing intervention for cancer patients with CIPN.
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Mediating Effect of Resilience between Supportive Care Needs and Quality of Life of Female Genital Cancer Patients
Yu-Jung Son, Keum-Hee Nam
Korean J Adult Nurs 2022;34(3):269-279.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.269
Purpose
This study aimed to confirm the relationship between supportive care needs and resilience of female genital cancer patients, and to investigate the mediating effect of resilience in the relationship between supportive care needs and quality of life.
Methods
This study was conducted with 105 outpatients and inpatients who were receiving treatment for female genital cancer at K University Hospital in B City. Data were collected from July 22, 2021 to August 17, 2021 and analyzed by using the SPSS/WIN 23.0 program. The correlation between the patients’ supportive care needs, resilience, and quality of life was analyzed by Pearson's correlation coefficients, and SPSS Process Macro was used for the significance of parameter indirect effects.
Results
The quality of life of female genital cancer patients showed a significant negative correlation with supportive care needs (r=-.68, p<.001), and a significant positive correlation with resilience (r=.53, p<.001). Moreover, resilience partially mediated the relationship between supportive care needs and quality of life (95% CI -0.009~-0.032).
Conclusion
Based on the results of this study, improving the resilience of female genital cancer patients may act as an additional coping strategy to reduce supportive care needs and establish an enhanced quality of life.

Citations

Citations to this article as recorded by  
  • Validity and Reliability of the Korean Version of Supportive Care Needs Survey-Short Form 34 for Patients With Cancer: A Methodological Study
    Eun Ji Park, Hye Young Kim, Ju-Hee Nho, Eun Ko, Allison W. Boyes
    Asian Nursing Research.2025; 19(1): 60.     CrossRef
  • Factors influencing the supportive care needs of female patients with genital cancer in South Korea
    Yu-Jung Son, Keum-Hee Nam, JaeLan Shim
    Medicine.2023; 102(51): e36650.     CrossRef
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  • 2 Scopus
Conceptual Analysis of Health Behavior in Tuberculosis Patients
Hye-Jin Kim, Myung Kyung Lee
Korean J Adult Nurs 2022;34(3):280-294.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.280
Purpose
Health behavior is important for the treatment of tuberculosis patients. This study aims to clarify the concept of health behavior in tuberculosis patients.
Methods
We used Rodger's evolutionary concept analysis method. A literature search was performed using the NDSL, NAL, RISS, PubMed, ProQuest, CINAHL, Web of Science and Cochrane Library published in Korean and English language from January 2015 to April 2021. After applying inclusion and exclusion criteria, a total of 69 articles were selected for final analysis.
Results
The analysis showed that five attributes determine health behavior concepts: willpower, the choice for every moment, counterbalance, overcoming, and multi-level multi-causal processes.
Conclusion
This study shows that health behavior in tuberculosis patients has evolved into a patient-centered approach in an evolutionary context. The results of this study will contribute to the development of intervention access and management programs for health care providers, including nurses.
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Factors Associated with Patient Safety Incidents in Long-Term Care Hospitals: A Secondary Data Analysis
Sookhee Yoon, Myungsuk Kang
Korean J Adult Nurs 2022;34(3):295-303.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.295
Purpose
This study aimed to determine the severity of patient safety incidents and its associated factors in Long-term Care Hospital (LTCH) settings.
Methods
This study performed a cross-sectional analysis of secondary national data from the Korea Patient Safety Reporting and Learning System. A total of 5,316 LTCH datasets from 2018 to 2020 were analyzed using multi-nominal logistic regression with the help of the SPSS 26.0 program.
Results
Adverse events were significantly associated with age, location of the incidents, night-duty hours, incident type, and small hospital size. Further, sentinel events were significantly associated with female gender, age, incident type (meal and suicide/self-harm), and small hospital size.
Conclusion
The results underline the need for developing standardized patient safety guidelines that consider LTCH characteristics and holding periodic education programs for healthcare workers in LTCHs so that they can gain adequate knowledge and practical skills for ensuring patient safety. In addition, they highlight the need for measures to improve institutional support and processes so that any weaknesses can be resolved to optimize patient safety.

Citations

Citations to this article as recorded by  
  • Factors Affecting Fall Incidents at Long-term Care Hospitals: Using Data from the Korea Patient Safety Reporting and Learning System
    Soojin Chung, Jeongim Lee
    Journal of Health Informatics and Statistics.2025; 50(1): 96.     CrossRef
  • Factors associated with harm in reported patient safety incidents and characteristics during health screenings in Korea: a secondary data analysis
    Jeongin Choe, Kyungmi Woo
    International Journal for Quality in Health Care.2025;[Epub]     CrossRef
  • Analysis of the Characteristics of Young-old and Old-old Injured Patients in Korea: Focusing on 2021 Discharge Injury Statistics (2004~2021)
    Jongsuk LEE
    Korean Journal of Clinical Laboratory Science.2024; 56(3): 257.     CrossRef
  • Factors Related to the Severity of Patient Safety Incidents in Operating Rooms in South Korea
    Minjung Ryu, Jun Su Park, Bomgyeol Kim, Suk-Yong Jang, Sang Gyu Lee, Tae Hyun Kim
    Health Insurance Review & Assessment Service Research.2024; 4(2): 149.     CrossRef
  • Association between location of fall and mortality in hospitalized elderly patients for falls
    Soojin Lee, Kyung Won Paek, Nam Soo Park, Min Kyoung Kim, Sangnam Jeon
    Korean Journal of Health Education and Promotion.2023; 40(1): 89.     CrossRef
  • Trends in infection-related patient safety incident reporting before and during the COVID-19 pandemic in Korea
    Eun-Jin Kim, Yeon-Hwan Park
    Journal of Korean Biological Nursing Science.2023; 25(2): 95.     CrossRef
  • Analysis of Factors Related to Domestic Patient Safety Incidents Using Decision Tree Technique
    Jieun Shin, Ji-Hoon Lee, Nam-Yi Kim
    Risk Management and Healthcare Policy.2023; Volume 16: 1467.     CrossRef
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  • 3 Scopus
Purpose
The purpose of this study was to identify the relationship between triage competency, nursing task performance, and self-efficacy among nurses working at local emergency departments, and to identify factors that affect triage competency.
Methods
Participants in this descriptive study were 111 nurses working at 20 local emergency departments. Data were collected from August 1 to August 31, 2019, and then analyzed in terms of Independent t-test and one-way ANOVA, Pearson's correlation coefficient, and multiple regression by using the SPSS/WIN 21.0 program.
Results
Triage competency was positively correlated with nursing task performance, and self-efficacy was positively correlated with nursing task performance. There were significant predictors of nursing task performance (β=.41, p<.001) and self-efficacy (β=.35, p<.001), thus explaining the 60.4% variance in triage competency.
Conclusion
Nursing task performance was identified as the most significant factor affecting the triage competency of nurses working in emergency departments. Going forward, it is recommended to conduct a follow-up study to confirm the impact of developing a program for increasing triage competency by expanding subjects and scope in terms of regions.
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Factors Influencing the Implementation of Anticancer Drug Safety Management Guidelines for Nurses
Dong Ju Min, Mi Ran Kim
Korean J Adult Nurs 2022;34(3):313-323.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.313
Purpose
This descriptive survey study was conducted to determine the degree of implementation of anticancer drug safety management guidelines by nurses handling anticancer drugs, safety motivation, safety control, ward safety culture, and anticancer drug safety guidelines.
Methods
The subjects of this study were 136 nurses working in the designated ward for anticancer drug treatment, and data collection was conducted from November 3rd to November 16, 2021. Collected data were analyzed using the IBM SPSS statistics 28.0 program by frequency and percentage, mean and standard deviation, independent sample t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple regression analysis.
Results
As a result of analyzing the effects of the subjects’ knowledge of anticancer drug safety management guidelines, safety motivation, safety control, and ward safety culture on the implementation of anticancer drug safety guidelines, it was found to be knowledge of anticancer drug safety management guidelines (β=.22), with 7.0% of the explanatory power.
Conclusion
The factors influencing the implementation of anticancer drug safety management guidelines were found to be anticancer drug safety management guidelines, and it is suggested that follow-up studies be conducted to develop educational programs and interventions to improve anticancer drug safety guidelines.

Citations

Citations to this article as recorded by  
  • Development and Validation of the Short Form of Core Competencies Scale of Nursing Care for Cancer Patients Undergoing Chemotherapy
    Sung Hae Kim, Seyong Lee, Sang Hee Kim, Jung Ok Choi, Gie Ok Noh
    Asian Oncology Nursing.2024; 24(4): 184.     CrossRef
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  • 1 Crossref
Development of an Information Value Chain for Systemic Lupus Erythematosus
Ji Woon Ko, Maranda Russell, Aleksander Lenert, Sujin Kim
Korean J Adult Nurs 2022;34(3):324-337.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.324
Purpose
Information value is created by providing care for specific medical conditions. To assess the appropriate content and time of delivery, a research framework to examine information values at different stages of the care continuum is needed. This study identified essential information to recommend for different stages of Systemic Lupus Erythematosus (SLE) management.
Methods
Using Porter's value chain analysis, we conducted a content analysis of the research literature, clinical practice guidelines, and patient education materials in an education-enabled environment regarding patient with SLE. We also used a natural language processing technique to automatically map the essential information identified into authorized concepts in the National Library of Medicine’s Unified Medical Language Systems.
Results
The essential contents in the diagnosis stage pertained to a general understanding of disease manifestation such as SLE definition, pathophysiology, etiology, prognosis, and progress. The intervening stage highlights information about prominent spheres of therapeutic regimens and administration as well as diverse care providers with relevance to their specific roles. While screening information, such as self-awareness of SLE signs, is valued prior to a clinical visit, the monitoring information follows clinical visits to avoid flaring events. The key concepts identified were "butterfly rash" (C0277942), "anti-inflammatory drugs" (C0003211), "SLE" (C0024141), and "antinuclear antibodies" (C0151480).
Conclusion
Communication of essential information identified at appropriate care stages can increase patient knowledge and reduce anxiety levels to improve self-care.

Citations

Citations to this article as recorded by  
  • Application of Information Value Chain in Gout Management
    Maranda Russell, Sujin Kim
    Korean Journal of Adult Nursing.2022; 34(4): 351.     CrossRef
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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 J Adult Nurs 2022;34(3):338-349.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.338
Purpose
This study aimed to identify the factors affecting patient satisfaction in an emergency department based on the use of the Korea Triage and Acuity Scale (KTAS).
Methods
A survey and medical record review were conducted. Participants included 100 patients and 20 nurses from an emergency medical institution located in B city, between June and August 2020. Data were analyzed using descriptive statistics, independent t-test, one way analysis of variance, partial correlation, and multiple regression.
Results
The mean score of patient satisfaction was 3.99±0.63. The mean waiting time, duration of stay, and occupation rate were 14.29±10.97 min, 104.96 ±67.35 min, and 22.0±7.4%, respectively. From the multiple regression analysis, waiting time (β=-.36, p<.001), nurse’s self-efficacy (β=.19, p=.013), and professional competence (β=.36, p<.001) explained 57.9% of the patients’ satisfaction with their use of the emergency medical institution (F=34.50, p<.001).
Conclusion
Patient satisfaction after experiencing the KTAS was influenced by waiting time, nurses’ self-efficacy, and professional competence. Therefore, institutions need to define an appropriate waiting time that does not reduce patient satisfaction, and introduce an internal marketing strategy to increase nurses’ professional competence and self-efficacy.

Citations

Citations to this article as recorded by  
  • Factors Influencing Sleep Quality in Patients with Hepatocellular Carcinoma Undergoing Transarterial Chemoembolization: A Cross-Sectional Study
    Ji Young Park, Myoung Soo Kim, Han Byeol Lim
    Korean Journal of Adult Nursing.2024; 36(2): 160.     CrossRef
  • Satisfacción de los pacientes sobre la atención recibida por la enfermera en el triaje de los servicios de urgencias hospitalarios: revisión de alcance
    Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
    Enfermería Clínica.2024; 34(5): 408.     CrossRef
  • Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review
    Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
    Enfermería Clínica (English Edition).2024; 34(5): 408.     CrossRef
  • Patient Satisfaction With the Level of Competence of the Triage Nurse in Hospital Emergency Departments
    Meritxell López Hernández, Montserrat Puig‐Llobet, Sergio Higon Fernández, Marta Franco Freirut, Yolanda Moreno Mateos, Jordi Galimany Masclans
    Journal of Clinical Nursing.2024;[Epub]     CrossRef
  • Emergency nurses’ communication experiences with patients and their families during the COVID-19 pandemic: A qualitative study
    Soyoung Shin, Hye Jin Yoo
    International Emergency Nursing.2023; 66: 101240.     CrossRef
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  • 4 Scopus
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