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Volume 29(6); December 2017

Original Articles
The Influence of Self-care Agency and Social Support on Self-care Practice among Spinal Cord Injured Patients
Soyoung Choi, Il Sun Ko
Korean J Adult Nurs 2017;29(6):569-578.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.569
PURPOSE
The purpose of this study was to identify how self-care agency and social support influence self-care practices among spinal cord injured patients.
METHODS
106 spinal cord injured patients were recruited from April 12 to May 28, 2016. Structured questionnaires used were the Korean version of the Appraisal of the Self-Care Agency Scale Revised (ASAS-R), the Social Support Scale, and the Spinal Cord Injury Lifestyle Scale (SCILS). Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlations, and Stepwise multiple regression analysis with the SPSS/WIN 23.0 program.
RESULTS
Self-care practices had a significant association with self-care agency (β=.30, p=.002), social support (β=.24, p=.010), and monthly income (β=.18, p=.038). A total of 21.5% of the variance explained the self-care practice among spinal cord injured patients and was explained by self-care agency, social support, and monthly income. The self-care agency was the factor most influential on self-care practices among spinal cord injured patients explaining 15.4% of variance.
CONCLUSION
The result suggests that developing strategies enhance spinal cord injured patients' self-care agency and self-care practices.

Citations

Citations to this article as recorded by  
  • Relationship between Uncertainty and Health-related Quality of Life in Elderly Patients Undergoing Total Knee Arthroplasty: The Mediating Effects of Sense of Coherence and Social Support
    Min-Yi Song, Min-Jeong Park
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 284.     CrossRef
  • Assistência de enfermagem em diálise peritoneal: aplicabilidade da teoria de orem - estudo de método misto
    Denise Rocha Raimundo Leone, Ana Carolina de Oliveira Jeronymo Neves, Roberta Teixeira Prado, Edna Aparecida Barbosa de Castro
    Escola Anna Nery.2021;[Epub]     CrossRef
  • Positive Mental Health and Self‐Care in Patients with Chronic Physical Health Problems: Implications for Evidence‐based Practice
    Montserrat Puig Llobet, MªAurelia Sánchez Ortega, MªTeresa Lluch‐Canut, MªCarmen Moreno‐Arroyo, Miguel Àngel Hidalgo Blanco, Juan Roldán‐Merino
    Worldviews on Evidence-Based Nursing.2020; 17(4): 293.     CrossRef
  • 27 View
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  • 3 Crossref
  • 2 Scopus
Living with a Colostomy: A Phenomenological Study
Soo Young Jun, Yeoungsuk Song
Korean J Adult Nurs 2017;29(6):579-586.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.579
PURPOSE
This study was to explore and describe their experience of living with a colostomy.
METHODS
The data were collected by in-depth interviews with eight patients with colorectal cancer. The individual interviews lasted from 45 minutes to one hour each time, up to two times. The main questions were “How do you cope with the distress related to your colostomy?” The interview data were analyzed using Colaizzi's phenomenological method.
RESULTS
Of the eight participants, five were men and three were women. Mean age was 60.6 years. Three theme clusters were identified; ‘overcoming adversity of ostomy’, and ‘adjustment to ostomy’ and ‘new life through self-transcendence’.
CONCLUSION
These results showed that participants try to overcome their negative images and distress of having an ostomy by themselves, or with support from neighbors, families, religious persons or health professionals. The results from this study can help nurses to develop effective colostomy-caring interventions for patients living with a colostomy.

Citations

Citations to this article as recorded by  
  • Hopelessness and suicide ideation in ostomy patients: a mixed method study
    Nasrin Sarabi
    Journal of Coloproctology.2020; 40(03): 214.     CrossRef
  • Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients
    Keum Hee Nam, Heui Yeoung Kim, Jung Ho Kim, Ki‐Noh Kang, Soo Yang Na, Bok Hee Han
    International Wound Journal.2019; 16(S1): 13.     CrossRef
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The Effects of Exercise Intervention for Fall Prevention in Persons with Arthritis: A Meta Analysis
Chun Hee Lee, Heeok Park
Korean J Adult Nurs 2017;29(6):587-603.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.587
PURPOSE
This study was a meta-analysis of the effects of exercise intervention in preventing falls among persons with arthritis.
METHODS
The review consisted of searches from Pubmed, Ovid-MEDLINE, CINAHL, EMBASE and Korean DBs using PICO-SD format. Key words for searching included ‘arthritis’, ‘exercise’, ‘fall’ and the articles published until January 2017 were selected for this study. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.3 program of Cochrane Library.
RESULTS
Nineteen clinical trials met the inclusion criteria with a total of 832 participants. There were significant differences in Tai Chi exercise (ES=0.76), exercise interventions performed over 60 minutes at one time (ES=0.98), exercise interventions provided once a week (ES=0.69) or 2~3 times a week (ES=0.65), exercise interventions provided for a total of 12 weeks or less (ES=0.86). The outcome measures such as balance (ES=0.66), fall efficacy (ES=0.70), and fear of falling (ES=−0.70) showed the significant difference, and their effect sizes were ranged from moderate to large.
CONCLUSION
The results of the study show that the exercise intervention is effective to prevent fall in persons with arthritis. It is necessary to include the comprehensive exercise interventions to enhance balance and fall efficacy and reduce fear of falling for the fall prevention program in persons with arthritis.

Citations

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  • Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
    Bom-Mi Park
    Healthcare.2021; 9(6): 699.     CrossRef
  • Motivation for adopting fall prevention measures: a literature review searching for technology acceptance factors
    Jan Aidemark, Linda Askenäs
    Procedia Computer Science.2018; 138: 3.     CrossRef
  • 26 View
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The Effect of Dialysate Temperature on Blood Pressure, Core Temperature, and Physical Symptoms in Hemodialysis Patients
Sun Mi Cha, Hye Sook Min
Korean J Adult Nurs 2017;29(6):604-614.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.604
PURPOSE
This study utilized a randomized block-design for the purpose of studying the effect of dialysate temperature on blood pressure (BP), core temperature, and physical symptoms in hemodialysis patients. The sample was thirty-one patients undergoing hemodialysis assigned to one of three groups. were divided into 3 groups.
METHODS
Repeated analysis of variance to number of hypotension occurrences, core temperature changes, and physical symptoms at cool dialysis with dialysate of 35.5℃, standard dialysis with dialysate of 36.5℃ and isothermic dialysis based on blood temperature feedback monitor (BTM). Each of the three groups underwent hemodialysis six times at a specific dialysate temperature.
RESULTS
The number of hypotension events were 21 at cool dialysis, 47 at standard dialysis, and 27 at isothermic dialysis, occurrences under cool dialysis were less frequent than under standard dialysis (F=8.08, p=.002). The patients' core temperature increased by 0.07℃ at cool dialysis, 0.21℃ at standard dialysis, and 0.18℃ at isothermic dialysis, cool dialysis showed a significantly smaller increase in core temperature (F=17.76, p < .001). There was no difference in the incidence of physical symptoms related to dialysate temperatures (F=2.04, p=.146).
CONCLUSION
Cool dialysis resulted in a significant prevention of the increase in core temperature and was more effective than standard dialysis in preventing hypotension. Isothermic dialysis had no positive effects in preventing the increase in core temperature or occurrences of hypotension.
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Adjusting Process of Nurses to an Oriental Medical Unit
Mee Hun Lee, Hyoung Sook Park, Jae Hyun Ha
Korean J Adult Nurs 2017;29(6):615-625.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.615
PURPOSE
The purpose of this study was to understand and describe the adjustment experiences of nurses to an oriental medical unit.
METHODS
Fourteen nurses who worked or were working in oriental medical units participated. Data were collected through in-depth interviews from April to December, 2013. Analyses of the transcribed interviews were done using Corbin and Strauss's grounded theory.
RESULTS
Through the constant comparative analysis method, the central phenomenon was identified as ‘constant mental fluctuation’. Nurses reported their adjustment to an oriental medical unit through four stages. The stages were described as ‘the discouraged’ stage, ‘the conflicted’ stage, ‘the restructuring’ stage and lastly ‘the coexistence’ stage.
CONCLUSION
As the participants reported the process of adjusting, they reported continuous constant conflicts and struggles with the oriental medical doctors, the nursing department, patients and their guardians and lastly with themselves. The process of becoming integrated into an oriental medical unit is a complex study and should be studied further in terms of whether this process is the same or different adjusting to other units.

Citations

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  • Experience of Clinical Adaptation among Nurses in Intensive Care Unit
    Jin Young Hong, Sue Kyung Sohn
    Journal of Korean Critical Care Nursing.2024; 17(1): 1.     CrossRef
  • The Effect of Coffee Aromatherapy on Reducing Fatigue and Stress Levels of Female Caregivers Caring for the Elderly in Hospitals
    Roxsana Devi Tumanggor, Anna Kasfi, Nur Baiti, Diah Lestari Nasution
    Open Access Macedonian Journal of Medical Sciences.2022; 10(G): 382.     CrossRef
  • Effects of aromatherapy on stress, fructosamine, fatigue, and sleep quality in prediabetic middle-aged women: A randomised controlled trial
    Myung-Haeng Hur, Jun Hwa Hong, SeongHee Yeo
    European Journal of Integrative Medicine.2019; 31: 100978.     CrossRef
  • Comparing the effects of relaxation technique and inhalation aromatherapy on fatigue in patients undergoing hemodialysis
    Mohammadali Hassanzadeh, Fatemeh Kiani, Salehoddin Bouya, Mohammad Zarei
    Complementary Therapies in Clinical Practice.2018; 31: 210.     CrossRef
  • Effect of aromatherapy via inhalation on the sleep quality and fatigue level in people undergoing hemodialysis
    Gamze Muz, Sultan Taşcı
    Applied Nursing Research.2017; 37: 28.     CrossRef
  • Effects of Aroma Massage on Pruritus, Skin pH, Skin Hydration and Sleep in Elders in Long-term Care Hospitals
    So Young Roh, Kye Ha Kim
    Journal of Korean Academy of Nursing.2013; 43(6): 726.     CrossRef
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  • 6 Crossref
  • 0 Scopus
PURPOSE
The purpose of this study was to identify the mediating effects of self-efficacy and family support in the relationship between illness perception and health behaviors among patients with tuberculosis.
METHODS
A descriptive, cross-sectional study was conducted with 219 patients with tuberculosis from one general hospital in D city in Korea. The participants took medication over a two months period. Data were collected from four self-reported questionnaires including Health behaviors Questionnaire and Family Support Questionnaire. Of the four questionnaires, Venereal Disease Education Health Belief Model Scales and Health Belief Model Scales were modified for this study population with tuberculosis. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression analysis using SPSS statistics 23.0 program.
RESULTS
A positive correlation existed between health behaviors and illness perception (r=0.80, p < .001), self-efficacy (r=0.66, p < .001), and family support (r=0.73, p < .001). Self-efficacy and family support had partial mediating effect on the relationship between illness perception and health behaviors.
CONCLUSION
Theses results indicated that in order to improve the health behaviors of patients with tuberculosis, it is necessary to develop a management plan that focuses not only on the illness perception but also on the self-efficacy and the role of the family support.

Citations

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  • Effects of illness perception on negative emotions and fatigue in chronic rheumatic diseases: Rumination as a possible mediator
    Yanxia Lu, Xia Jin, Li-Wei Feng, CSK Tang, Michelle Neo, Roger C Ho
    World Journal of Clinical Cases.2022; 10(34): 12515.     CrossRef
  • Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
    Hyun Ju Lee, Jiyoung Park
    Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef
  • Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease
    Kisook Kim, Ji Woon Ko, Sangbong Choi
    Journal of Gerontological Nursing.2020; 46(2): 49.     CrossRef
  • Emotional Intelligence, Problem Solving Ability, Self Efficacy, and Clinical Performance among Nursing Students: A Structural Equation Model
    Mi Sook Kim, Sue Kyung Sohn
    Korean Journal of Adult Nursing.2019; 31(4): 380.     CrossRef
  • 21 View
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  • 4 Crossref
  • 6 Scopus
Psychometric Evaluation of Self-management Scale for Hemodialysis Patients with Arteriovenous Fistula
Kyungmi Lee, Semi Lim, Younhee Kang
Korean J Adult Nurs 2017;29(6):637-646.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.637
PURPOSE
The purpose of this study was to develop a Self-Management Scale for Hemodialysis Patients on Arteriovenous Fistula (SMHDP) and to verify its validity and reliability.
METHODS
Items for the preliminary instrument of the SMHDP-scale were created through a literature review and in-depth interviews with hemodialysis patients and hemodialysis unit nurses. A convenient sample was utilized for this study. The questionnaire was distributed to 200 hemodialysis patients with arteriovenous fistula. Content validity, construct validity, criterion validity, convergent validity, and discriminative validity were evaluated respectively. Cronbach's α was used to evaluate the reliability of the SMHDP-scale.
RESULTS
Five factors were identified through factor analysis. The factors included dietary knowledge of hemodialysis (8 items), compliance with hemodialysis (7 items), knowledge of hemodialysis (6 items), dietary compliance of hemodialysis (6 items), and compliance with hemodialysis order (3 items).These five factors explained 58.9% of the total variance. The correlation coefficient between criterion instrument and SMHDP-scale was .66 Reliability analysis showed Cronbach's α coefficient was .90.
CONCLUSION
Results show that the SMHDP-scale had good reliability and validity and thus SMHDP-scale may be a useful scale for clinical practices and for research as a measure of self-management of hemodialysis patient on arteriovenous fistula.

Citations

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  • Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis
    Haegyeong Lee, Gyuli Baek, Eunju Lee
    Osong Public Health and Research Perspectives.2023; 14(4): 279.     CrossRef
  • 28 View
  • 1 Download
  • 1 Crossref
  • 2 Scopus
The Effect of Caregiver Reaction on Psychological Well-being among Family Caregivers of Cancer Patients
Kyoung Hee Kim, Yong Soon Shin
Korean J Adult Nurs 2017;29(6):647-656.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.647
PURPOSE
This study was designed to explore positive and negative aspects of the caregiver reaction and identify factors influencing psychological well-being among family caregivers of home-based cancer patients.
METHODS
The participants were 139 family caregivers from two cities. These caregivers took care of he family member in the home. Data were collected utilizing the Caregiver Reaction Assessment Scale and the Psychological Well-being Scale.
RESULTS
Self-esteem was the highest reaction reported among the family caregivers. There were significant correlations between caregiver reaction and their psychological well-being. In multiple regression analysis, self-esteem and family support were predictors of psychological well-being among family caregivers (F=13.71, p < .001, Adj. R²=.393).
CONCLUSION
The results demonstrated that self-esteem and family support impacts the psychological well-being among cancer family caregivers. Thus, nursing intervention are needed to enhance self-esteem to improve psychological well-being among family caregivers.

Citations

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  • Family Caregivers’ Experiences Related to Fear of Cancer Recurrence in Caring for Cancer Survivors
    Ka Ryeong Bae, Jisoo Yu
    Asian Oncology Nursing.2023; 23(2): 64.     CrossRef
  • The effect of caregiver educational program on caregiver reactions and lifestyle behaviors for caregivers of colorectal cancer patients: a quasi-experimental study
    Nilay Bektas Akpinar, Tulin Beduk, Filiz Cay Senler
    Supportive Care in Cancer.2022; 30(5): 4389.     CrossRef
  • Influences of Depression and Social Support on Quality of Life in Family Caregivers of Cancer Patients Undergoing Chemotherapy at an Outpatient Department
    Hye Young Kim, Eun Ko
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 430.     CrossRef
  • Palyatif bakım kliniğinde yatan hastalara bakım veren bireylerin mental iyi oluş durumları ve sosyal destek düzeylerinin incelenmesi
    Fatma ERSİN, Dursun ÇADIRCI, Gül KILIÇ DEDEOĞLU
    Ege Tıp Dergisi.2022; 61(3): 379.     CrossRef
  • Factors associated with Burden of Family Caregivers of Home-dwelling Elderly People with Dementia: A Systematic Review and Meta-analysis
    Eun Kyung Kim, Heeok Park
    Korean Journal of Adult Nursing.2019; 31(4): 351.     CrossRef
  • 18 View
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  • 5 Crossref
  • 3 Scopus
Influence of Post-traumatic Stress Disorders on Quality of Life among Patients with Ostomy: Focused on the Mediating Effect of Resilience
Jee Hye Shin, Hyang Sook So, Eun A Kim
Korean J Adult Nurs 2017;29(6):657-666.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.657
PURPOSE
This study was performed to identify the mediating effect of resilience in the relationship between post-traumatic stress disorder (PTSD) and quality of life (QoL) among patients with ostomy.
METHODS
A crosssectional survey design was used. A convenience sample of 150 patients with ostomy was recruited from three hospitals located in Gwangju and Chonnam province in Korea. Data were collected by self-report questionnaires and included demographics as well as measures of PTSD, resilience, and QoL. Data were analyzed with descriptive statistics, Pearson correlation coefficients, independent t-test, One-way ANOVA, and linear regression using the SPSS 24.0 program.
RESULTS
There were significant negative relationships between PTSD and QoL (r=−.30, p < .001) and between PTSD and resilience (r=−.57, p < .001). Resilience showed a partial mediating effect (β=.39, p < .001) between PTSD and QoL (Z=−3.12, p < .001).
CONCLUSION
This study findings suggest the importance of reducing PTSD scores and improving resilience among persons with ostomy which will possibly increase their QoL. Nursing interventions including counseling or education to improve psychological resilience might help better manage PTSD among patients with ostomy.

Citations

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  • Relationships between stigma, coping styles, self-care and post-traumatic growth among colorectal cancer patients with permanent enterostomy: A cross-sectional study
    Meida Zhang, Yiming Li
    Heliyon.2025; 11(10): e38902.     CrossRef
  • Resilience Among Residents from the Areas First Affected by COVID-19 in South Korea
    Eunhee Nam, Yujeong Kim
    Psychology Research and Behavior Management.2022; Volume 15: 1033.     CrossRef
  • Mediating Effect of Resilience between Supportive Care Needs and Quality of Life of Female Genital Cancer Patients
    Yu-Jung Son, Keum-Hee Nam
    Korean Journal of Adult Nursing.2022; 34(3): 269.     CrossRef
  • Patient Perspectives on Medical Trauma Related to Inflammatory Bowel Disease
    Kimberly Pothemont, Sarah Quinton, Majdoline Jayoushe, Sharon Jedel, Alyse Bedell, Stephen B. Hanauer, Ece A. Mutlu, Tiffany H. Taft
    Journal of Clinical Psychology in Medical Settings.2022; 29(3): 596.     CrossRef
  • Development and Evaluation of Resilience Enhancement Program Applying Mindfulness Meditation in Patients with Ileostomy
    Jee Hye Shin, Ja Yun Choi
    Journal of Korean Academy of Nursing.2021; 51(3): 334.     CrossRef
  • Relationship between Self-efficacy and Resilience among Patients with Colorectal Cancer with Stoma: Mediating Effects of Family Support and Medical Staff Support
    Mi Na Yun, Kyoung Mi Kim
    Korean Journal of Adult Nursing.2020; 32(6): 599.     CrossRef
  • Hopelessness and suicide ideation in ostomy patients: a mixed method study
    Nasrin Sarabi
    Journal of Coloproctology.2020; 40(03): 214.     CrossRef
  • Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients
    Keum Hee Nam, Heui Yeoung Kim, Jung Ho Kim, Ki‐Noh Kang, Soo Yang Na, Bok Hee Han
    International Wound Journal.2019; 16(S1): 13.     CrossRef
  • Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
    Eun Jung Yang, Ho Sihn Ryu
    Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef
  • 14 View
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  • 9 Crossref
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Effect of Team Debriefing in Simulation-based Cardiac Arrest Emergency Nursing Education
SangJin Ko, Eun Hee Choi
Korean J Adult Nurs 2017;29(6):667-676.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.667
PURPOSE
The aim of this study was to verify the effect of simulation and examine the effect of within-team debriefing for cardiac arrest emergency nursing education.
METHODS
A non-equivalent control group quasi-experimental design was used. The participants in this study were 199 senior nursing students from one nursing school in Daegu, Korea. Data were analyzed using χ² test, t-test, Fisher's exact test with SPSS 22.0 program.
RESULTS
Developed simulation protocol in this study increased the learning immersion (t=12.19, p < .001, t=5.07, p < .001), learning confidence (t=−10.36, p < .001, t=−5.99, p < .001) and clinical performance ability (t=−10.88, p < .001, t=−3.84, p=.002) among nursing students. In addition to this, learning immersion (t=2.66, p=.008), learning confidence (t=−2.78, p=.006), simulation satisfaction (t=−3.15, p=.002) and clinical performance (t=−3.02, p=.005) were significantly higher in the experiment group using within-team debriefing.
CONCLUSION
The results indicate that simulation using within-team debriefing was an effective educational method for nursing students.

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  • The Effects of Simulation Based Practical Education on Nursing Students' Self-efficacy, Performance Confidence, and Educational Satisfaction
    Inok Kim
    Physical Therapy Rehabilitation Science.2024; 13(1): 18.     CrossRef
  • Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit
    Su Jin Jung, Jin-Hee Park
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 100.     CrossRef
  • SIMULAÇÃO NO ENSINO DE URGÊNCIA E EMERGÊNCIA PARA ENFERMAGEM
    Amanda Diniz Silva, Suzel Regina Ribeiro Chavaglia, Fabiana Cristina Pires, Caroline Bueno de Moraes Pereira, Ingrid Fidelix de Souza, Elizabeth Barichello, Rosali Isabel Barduchi Ohl
    Enfermagem em Foco.2022;[Epub]     CrossRef
  • Effects of Peer-led Debriefing on Cognitive Load, Achievement Emotions, and Nursing Performance
    Yoon Hee Na, Young Sook Roh
    Clinical Simulation in Nursing.2021; 55: 1.     CrossRef
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    Hwa Yeong Choi, Yeoungsuk Song
    Journal of Health Informatics and Statistics.2020; 45(2): 216.     CrossRef
  • Learning Experience of Undergraduate Nursing Students in Simulation: A Meta-synthesis and Meta-ethnography Study
    Jihae Lee, Jieun Jeon, Sooyoung Kim
    Journal of Korean Academic Society of Nursing Education.2019; 25(3): 300.     CrossRef
  • 18 View
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  • 6 Crossref
  • 3 Scopus
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