PURPOSE
This study was designed to assess the effects of skill teaching of oral liquid medication on the dose loss and caregivers' administering behavior.
METHODS
A nonequivalent control group no-synchronized design was used. 104 participants were assigned to one of two groups. A intervention group received a skill teaching and the control group received the conventional teaching about oral medication.
RESULTS
The mean amount of the dose loss by all participating caregivers was 23.3% of the prescribed dose and 61.5% of the caregivers showed dose loss more than 20% of the prescribed dose. Caregivers' age (Exp=3.56, p=.017) and time taken for administration (Exp=7.97, p < .001) were related to more dose loss. Toddlers' posture sitting in a stroller upon medication (Exp=.14, p=.009) and re-administering the remains after checking the medication bottle (Exp=.22, p=.040) influenced on reduction in dose loss. Before and after the skill teaching, a significant decrease in the dose loss was found in the high-viscous liquid medication only (t=−4.95, p < .001). The difference in the dose loss between the two groups were significant in the high-viscous liquid medication (t=4.95, p < .001). Also, caregivers' administration behavior were significantly improved in the intervention group.
CONCLUSION
The findings of this study showed that the skill teaching of oral liquid medication designed for toddlers' caregivers was effective in reduction of dose loss and improvement in administering behaviors with confidence.

Citations

• Caregiver Views on Prospective Use of Robotic Care in Helping Children Adapt to Hospitalization
  Meiling Jin, Hanna Choi
  Healthcare.2022; 10(10): 1925.     CrossRef

PURPOSE
The objective of this study was to identify and evaluate the measures used for assessment of posttraumatic growth (PTG) for women survivors with breast cancer and to evaluate the psychometric properties of each instrument.
METHODS
A systematic review was conducted to identify measurement instruments used for assessment of PTG using electronic databases such as KoreaMed, DBpia, PubMed, Embase, PsycINFO, CINAHL, and Cochrane Library. Studied published both in Korean and/or English were included for the analysis. Studies were examined by two independent reviewers and eighty-nine studies met the inclusion criteria. The selection of the eighty-nine studies was evaluated on methodological and psychometric properties including validity and reliability of the instruments.
RESULTS
Three instruments were identified in the review of the eighty-nine studies. The three instruments were identified as 1) Posttraumatic Growth Inventory (PTGI), 2) Benefit Finding Scale, and 3) Positive Meaning Scale. The PTGI was the most frequently reported instrument used in the review. The majority of the reported studies were used translation and back-translation, but some of the studies did not report translation methods. Most studies (71.9%) reported reliability, but only 29.2% studies reported validity of the instruments used in the study.
CONCLUSION
This study was conducted to provide an evidence for selection and development of measurement instruments of PTG for breast cancer survivors.

Citations

• Current status of systematic review studies on patient-reported outcome measures published in Korean journals
  Duck-Hee Chae, Jiyeon Lee, Eun-Hyun Lee
  Research in Community and Public Health Nursing.2025; 36: 1.     CrossRef
• Scoping review protocol of post-traumatic growth (PTG) in Korean cancer survivors
  Yu-Jin Park, Kyoung Suk Lee
  BMJ Open.2024; 14(3): e077896.     CrossRef

PURPOSE
The purpose of the study was to describe the structural relationship of meaning in life, spirituality, hope, intrinsic religious orientation, and self-esteem among middle-aged adults.
METHODS
The sample included 344 participants between the ages of 40 and 60, who resided in one of four cities. The collected data were analyzed using SPSS 21.0, descriptive statistics and AMOS 20.0 which uses structural modeling to test whether the hypothesized model fits the collected data.
RESULTS
Middle-aged adult's spirituality was found to have a significant direct effect on meaning in life. Further, middle-aged adult's reported hope, intrinsic religious orientation, and self-esteem had a direct effect on spirituality. Lastly, self-esteem had a direct effect on hope.
CONCLUSION
The findings from the study indicated that spirituality was the best predictor of meaning in life among middle age. In addition, hope, intrinsic religious orientation, and self-esteem did not have a direct effect on the meaning in life, but had a indirect effect through spirituality.

PURPOSE
The purpose of this study was to examine the mediation of Self-Esteem in the relationship between Social Support and attitude toward the Withdrawal of Life-Sustaining Treatment (WLST) for community dwelling elderly in order to provide a basis for planning nursing interventions to improve the attitude of elderly.
METHODS
The participants were 252 elderly residing in Seoul. The data were collected through a questionnaire survey distributed in March, 2016. The survey included scales on Social Support, attitude towards WLST and measures of Self-esteem. Collected data were analyzed using SPSS/WIN 21.0 program.
RESULTS
The mean score for the attitude towards WLST was 73.83. Self-Esteem was 29.44. Overall Social Support was 42.51. There were significant correlations among the three variables. Self-esteem was directly affected by the attitude (R²=24%). Attitude towards WLST was directly affected by Family Support. Family Support and Self-esteem affected by the attitude on WLST (R²=19%). Self-esteem had a partial mediating effect (β=.23, p < .001) in the relationship between Family Support and reported attitude from the WLST (Sobel test: Z=4.93, p < .001).
CONCLUSION
Based on the findings of this study, programs can be created focusing on Social Support and Self-Esteem improvement. The programs may positively change the elderly's attitude towards WLST.

Citations

• Influence of Advance Directives' Self-efficacy of Community-dwelling Older Adults on the Completion of Advance Directives: Mediating the Effect of Intention for Advance Directives: A Cross-Sectional Study
  Hyun Sook Kim, Gye Jeong Yeom
  Journal of Korean Gerontological Nursing.2022; 24(2): 133.     CrossRef
• Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Lifesustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students
  Youngmi Park, Keumhee Nam, Joohee Bae
  The Korean Journal of Hospice and Palliative Care.2021; 24(1): 36.     CrossRef
• Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
  HyunChul Youn, Suk-young Lee, Han-yong Jung, Shin-Gyeom Kim, Seung‑Hyun Kim, Hyun-Ghang Jeong
  BMJ Open.2021; 11(1): e039470.     CrossRef
• Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
  Hyeon Jin Cho, Jiyeon Kang
  Journal of Korean Academy of Nursing.2021; 51(1): 15.     CrossRef
• Relationships among Perceptions of Dying Well, Attitudes toward Advance Directives, and Preferences for Advance Directives among Elderly Living Alone
  Eun-Jin Ryu, So-Eun Choi
  The Korean Journal of Hospice and Palliative Care.2020; 23(4): 241.     CrossRef
• Effects of Advance Care Planning on End-of-Life Decision Making: A Systematic Review and Meta-Analysis
  Minju Kim, Jieun Lee
  The Korean Journal of Hospice and Palliative Care.2020; 23(2): 71.     CrossRef
• Influence of Older Person's Ego Integrity and Knowledge of Advance Directives on their Attitude toward Withdrawal from Life-sustaining Treatment
  Eun Yi Yeom, Kum Sook Seo
  Journal of Korean Gerontological Nursing.2019; 21(3): 173.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
  Asian Oncology Nursing.2019; 19(3): 142.     CrossRef

PURPOSE
This study was a secondary data analysis using the 6th Korea National Health and Nutritional Examination Survey 2014. The purpose of the study was to identify and compare the impacts of Physical Activity (PA), central obesity and depression on health-related quality of life (HRQoL). The study sample was postmenopausal women aged 45~65 years of aged with or without cardiovascular risk factors. Specifically, the sample consisted of 472 women who had cardiovascular risk factors (risk group) and 374 women with no reported risk factors (no risk group).
METHODS
The degree of PA (MET-min/week) was estimated based on the International PA Questionnaire and depression was measured by the Patient Health Questionnaire-9.
RESULTS
The scores from the PA were lower than the recommended PA scores among both groups, and muscle strengthening was significantly lower within the risk group compared to those in the no risk group (p < .001). Multiple linear regression analyses showed that depression, PA and WHtR accounted for 32.8% of the HRQoL in the risk group (R²=.328, F=64.49, p < .001), while depression and WHtR accounted for 28.5% of the HRQoL in the no risk group (R²=.256, F=35.18, p < .001).
CONCLUSION
It is essential to correct low PA, central obesity, and depression in order to improve the HRQoL of middle-aged women with cardiovascular risk factors. For those who have cardiovascular risk factors, the PA intervention program including muscle strengthening exercise might be needed.

Citations

• Factors influencing health-related quality of life in older adult women with sarcopenia: analysis of the Korean National Health and Nutrition Examination Survey 2019
  Sol Hyun Lee, Ju-Hee Nho, Hye Young Kim, Eun Jee Lee
  Korean Journal of Women Health Nursing.2023; 29(4): 328.     CrossRef
• Effects of Somatic, Depression Symptoms, and Sedentary Time on Sleep Quality in Middle-Aged Women with Risk Factors for Cardiovascular Disease
  Hyun-Sook Choi, Kyung-Ae Kim
  Healthcare.2021; 9(10): 1378.     CrossRef
• Use of Clinical Preventive Service and Related Factors in Middle-Aged Postmenopausal Women in Korea
  Kisook Kim
  Healthcare.2020; 8(2): 83.     CrossRef
• Comparison of health-related habits and metabolic syndrome risk factors according to obesity type in Korean postmenopausal women
  Han-Gyo Choi, Hye-Jin Kim
  Menopause.2020; 27(9): 1022.     CrossRef
• Factors Influencing Pre-Diabetes in Middle-aged Women based on the KNHANES
  Kyung Ae Kim, Jae Lan Shim
  Korean Journal of Adult Nursing.2019; 31(6): 628.     CrossRef
• Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
  Moon Jung Kang, Jee Seon Yi, Chang Seung Park
  Korean Journal of Women Health Nursing.2018; 24(2): 185.     CrossRef

PURPOSE
Although the patient safety is the first priority in hospitals, the safety strategies and supportive programs for nurses in medium and small-sized hospitals are still insufficient. The purpose of this study was to identify the correlates of patient safety performance related to characteristics of nurses working at small-medium sized hospitals with less than 200 beds.
METHODS
The study design was a descriptive correlational design. Data were collected from 211 nurses of seven small-medium sized hospitals located in Seoul, Korea. Study variables measured by using survey questionnaires were patient safety performance, safety culture, job satisfaction, and general characteristics. Data were analyzed by multiple regression using SPSS/WIN 22.0 program.
RESULTS
The strongest factor associated with patient safety performance was communication process (β=.21, p=.002) followed by working environment (β=.21, p=.008), satisfaction on job contents (β=.16, p=.033), and safety management manual in hospital (β=.12, p=.041). Among general characteristics, nurses unmarried, working as staff nurses, having more than 10 years of clinical experience, and working at hospitals with the first nursing grade performed better patient safety performance.
CONCLUSION
The study findings suggest that the small-medium sized hospitals require strategies for nurses, supportive working environment, clear job contents, and qualitative safety management manuals.

Citations

• The Mediating Role of Patient Safety Perception in the Relationship between Right to Know and Patient Participation among Inpatients
  Sun-Hwa Shin, On-Jeon Baek
  Korean Journal of Adult Nursing.2025; 37(2): 114.     CrossRef
• Mediating Effects of Job Satisfaction between Nurses’ Perceptions of Patient Safety Culture and Their Safety Nursing Activities
  I Jung Han, Young Ran Han
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 46.     CrossRef
• Association of Job Crafting and Perception of Patient Safety Culture with Patient Safety Management Activities among Hospital Nurses
  Jung Sook Kim, Ji-Soo Kim
  Journal of Korean Academy of Nursing Administration.2022; 28(4): 382.     CrossRef
• Impact of Perception of Patient Safety Culture and Safety Control on Patient Safety Management Activities among Perioperative Nurses in University Hospitals
  Ki Nam Kwon, Seon Young Hwang
  Journal of Korean Academy of Nursing Administration.2022; 28(3): 285.     CrossRef
• Completeness Documentation of Fall Risk Management
  Kartika Mawar Sari Sugianto, Rr Tutik Sri Hariyati, Annisa Rahmi Galleryzki, Elisabet Herlyani Bota Koten, Endang Sudjiati, Dadan Bardah
  Iranian Journal of Nursing and Midwifery Research.2022; 27(6): 517.     CrossRef
• Nurse Burnout Syndrome and Work Environment Impact Patient Safety Grade
  Aoyjai P. Montgomery, Patricia A. Patrician, Andres Azuero
  Journal of Nursing Care Quality.2022; 37(1): 87.     CrossRef
• Effects of Perceived Safety Culture, Nursing Work Environment, and Professional Self-concept on Patient Safety Care Activity of Nurses in Small-medium Sized Hospitals
  Young Ok Cho, Myoung Soo Kim
  Journal of Health Informatics and Statistics.2022; 47(1): 66.     CrossRef
• The Effect of Role Conflict and Professional Autonomy on the Role Performance of Patient Safety Coordinators in Small and Medium-Sized Hospitals in Korea
  Kyo-Yeon Park, Kyoungrim Kang
  International Journal of Environmental Research and Public Health.2022; 19(15): 9392.     CrossRef
• Nurses' Perceptions of Patient Safety Culture During the Pandemic in Covid-19 Referral Hospitals
  Annisa Rahmi Galleryzki, RR Tutik Sri Hariyati, Kuntarti, Janes Jainurakhma
  Journal of Health Sciences.2022; 15(03): 270.     CrossRef
• The Effect of Maritime Safety Activity on Maritime Safety Culture Perception of Seaman
  Jin-Ho CHOI, Jae-Ho KIM
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(4): 1023.     CrossRef
• Analysis of Subgroups with Lower Level of Patient Safety Perceptions Using Decision-Tree Analysis
  Sun Hwa Shin
  Journal of Korean Academy of Nursing.2020; 50(5): 686.     CrossRef
• Mediating Effects of Perceptions Regarding the Importance of Patient Safety Management on the Relationship between Incident Reporting Attitudes and Patient Safety Care Activities for Nurses in Small- and Medium-sized General Hospitals
  Young Mi Park, Keum Hee Nam, Ki Noh Kang, Jeong Ja Nam, Yeon Ok Yun
  Journal of Korean Critical Care Nursing.2019; 12(2): 85.     CrossRef
• Patient Safety Care Activity in Small-Medium Sized Hospital Nurses Patient Safety Care Activity among Nurses in Small-Medium Sized General Hospitals
  Yuna Paik, Youngji Kim
  The Korean Journal of Rehabilitation Nursing.2018; 21(1): 51.     CrossRef

PURPOSE
The purpose of this study was the evaluation of a Home Nursing Care based Respiratory Management Program (HHNbRMP) on health care ability, respiratory and psychological status and quality of life (QoL) of patients with Amyotrophic Lateral Sclerosis (ALS). The management program utilizes a home mechanical ventilator (HMV) in the home.
METHODS
A non-randomized controlled experimental design was employed. HHNbRMP based on Cox's Interaction Model which includes cognitive assent (education, specialized medical care, case management), internal motivation (airway clearance, thoracic exercise, air accumulated exercise) and psychological response (meditation & active listening). These variables were measured first for a base line reading and then at four, twelve, and twenty-four weeks. The data were analyzed by t-test/ANOVA and Repeated Measures ANOVA/ANCOVA.
RESULTS
Only respiratory difficulty among the variables showed a significant difference at twelve and twenty-four weeks (F=7.52, p=.009; F=7.58, p=.009).
CONCLUSION
The Home Health Nursing Management program was effective in managing respiratory difficulty. The patients were satisfied with this program. Applying this program tailored to patients' condition, their respiratory health parameters would be improved.

Citations

• Factors associated with caring behaviors of family caregivers for patients receiving home mechanical ventilation with tracheostomy: A cross-sectional study
  Hyang Sook Kim, Chung Eun Lee, Yong Sook Yang, Tai-Heng Chen
  PLOS ONE.2021; 16(7): e0254987.     CrossRef

PURPOSE
Despite the importance of promoting quality of life (QOL) among patients with terminal cancer, a comprehensive understanding of QOL among this population is lacking in South Korea. Thus, the purpose of the integrative review was to identify patterns in studies about patient-reported QOL among Korean adult patients with a diagnosis of terminal cancer.
METHODS
The integrative review method described by Whittemore and Knaf was used in this stuy. Twenty-five articles were selected for analysis.
RESULTS
Most articles addressed factors that influenced QOL or validated an assessment instrument to measure QOL in patients with terminal cancer. Only one qualitative research article which described patients' experiences of living with terminal cancer. Six other articles examined the effects of interventions on patients' QOL but these did not provide detailed information about interventions. These articles seldom used robust designs and methods to test the interventions.
CONCLUSION
Findings from the review suggest conducting studies with qualitative methodologies to gain an in-depth understanding of QOL from patients' perspectives. Additional studies with robust designs and methods are also necessary to develop and test theory-based, empirically-derived interventions that help maintain or promote QOL in patients with terminal cancer.

Citations

• Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea
  Hongyeul Lee
  Korean Journal of Medical Ethics.2025; 28(1): 41.     CrossRef
• Effect of Laughter Therapy on Mood Disturbances, Pain, and Burnout in Terminally Ill Cancer Patients and Family Caregivers
  Hee Moon, Songjah Journ, Seonah Lee
  Cancer Nursing.2024; 47(1): 3.     CrossRef
• Cross-Cultural Validation of the McGill Quality of Life Questionnaire-Revised (MQOL-R), Korean Version; A Focus on People at the End of Life
  Kyung-Ah Kang, Myung-Nam Lee
  The Korean Journal of Hospice and Palliative Care.2022; 25(3): 110.     CrossRef
• Initial Assessment and Care Planning in Palliative Hospice Care: Focus on Assessment Tools
  Eun Ju Park, Su Jin Koh, Jae Kyung Cheon
  The Korean Journal of Hospice and Palliative Care.2019; 22(2): 67.     CrossRef

PURPOSE
The purpose of this study was to investigate patients’ perceived postoperative recovery over time and to identify the influences of resilience and social support on postoperative recovery among patients with gastrointestinal cancer.
METHODS
101 patients with GI cancer who underwent surgery at S tertiary hospital were recruited from October 29th, 2015 to January 19th, 2016. Data was collected 3 times at postoperative day (POD)3, and POD5 in the hospital and at POD14 at home. Statistical analyses used were descriptive statistics, t-test, ANOVA, ANCOVA, correlation, and linear mixed model.
RESULTS
The patients' perceived postoperative recovery(reverse cording) decreased at home rather than time during hospital stay (POD3: 16.70, POD5: 15.74, POD14: 17.08). Postoperative recovery at POD5 showed negative correlation with resilience (r=−.36, p=.002). Postoperative recovery scores at POD14 were negatively correlated with resilience (r=−.60, p < .001) and social support (r=−.34, p=.019). There was a positive correlation (r=−.36, p=.002) between resilience and social support. Resilience was a significant associated factor with postoperative recovery over time (β=−0.29, p=.001).
CONCLUSION
Since the degree of postoperative recovery after hospital discharge was perceived lower than that of during hospital stay, nursing interventions such as nurse-led telephone follow-up programs should be applied during the transition period.

Citations

• Influence of Resilience and Social Support on Body Image of Patients in an Acute Stage Following Traffic Accidents
  Jihye Shin, Jieun Cha
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 156.     CrossRef
• Factors Affecting Quality of Life in Patients with Radical Prostatectomy
  Hyo Jung Park, Yoonju Lee
  Korean Journal of Adult Nursing.2019; 31(2): 190.     CrossRef
• Predictive model for quality of life in patients with recurrent coronary artery disease
  Eunhee Jo, Sung Reul Kim, Hye Young Kim
  European Journal of Cardiovascular Nursing.2019; 18(6): 501.     CrossRef

PURPOSE
Perceptions of nurses regarding complementary and alternative therapies(CATs) acceptance illustrate how CATs can be applied in nursing practice and become the empirical basis for the expansion of nursing role. Purpose is to identify nurses' perception of CATs acceptance.
METHODS
A Q-methodological study, which allows for analysis of subjectivity of data, was used. A convenience P-sample was consisted of 36 nurses. Twenty-seven Q-statements were derived from a literature review and interviews with six nurses, and were then categorized on a normal distribution using a 9-point scale. The collected data were analyzed using the QUANAL PC Program.
RESULTS
Three types of perception regarding acceptance of CATs were identified among nurses. Type I was called the “cautious type”; Type II, the “positive acceptance type”; and Type III, the “considering reality type.” CONCLUSION: Along with further exploration of the scientific evidence of CATs, adequate nursing education, and finding ways to overcome the obstacles needed for acceptance of effective and empirically tested CATs into a nursing practice, the results of this study may help promoting application of CATs as a nursing practice.

Citations

• Complementary and alternative therapies (CAT) in academic programs and nursing practice: Is more education is needed?
  Sandra L. Siedlecki
  Complementary Therapies in Clinical Practice.2021; 43: 101327.     CrossRef