PURPOSE
The purpose of the study was to systematically review the associations among health literacy, psychosocial factors, and cancer-related health actions.
METHODS
PubMed, CINAHL, PsycARTICLES, KISS, RISS, and KoreaMed were searched for articles published between January 2000 and March 2018. Fourteen studies were identified and reviewed for the associations among the variables based on Von Wagner's framework on health literacy and health actions. Two researchers reviewed the articles independently using the Mixed Methods Appraisal Tool.
RESULTS
Of the 14 relevant studies, five studies analyzed all of the associations among health literacy, motivational or volitional factors, and cancer-related health actions. Eleven studies investigated the association between health literacy and motivational factors, including knowledge (n=11) and attitudes (n=6). Four studies investigated the association between health literacy and volitional factors, including self-efficacy (n=4) and efforts to search cancer-related information (n=1).
CONCLUSION
The possible paths between health literacy and cancer-related health actions mediated through the psychosocial variables were identified. Further research is warranted to substantiate the mediating pathways of the associations between health literacy and cancer-related health actions.

Citations

• Determining global trends in health literacy research using topic modeling
  Su Hyun Kim, Woojin Kang, Eunhye Yoon, Jongwook Lee
  Korean Journal of Health Education and Promotion.2023; 40(2): 79.     CrossRef
• Health literacy measures in South Korea: A scoping review
  Heeran Chun, Su Hyun Kim, Eunja Park
  Korean Journal of Health Education and Promotion.2022; 39(4): 39.     CrossRef
• Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
  Hye Sook Shin, Eunlim Chi, Hae-Ra Han
  Journal of Korean Academy of Nursing.2021; 51(6): 769.     CrossRef
• The Impact of Sleep Quality and Education Level on the Relationship between Depression and Suicidal Ideation in Parents of Adolescents
  Ji Yeon Shim, Sook Lee, Il Hyun Lee, Yoo Mi Jeong
  Healthcare.2021; 9(9): 1171.     CrossRef

PURPOSE
Geriatric depression is often closely connected with physical symptoms among older adults. This study aimed to determine the factors related to depressive symptoms among older adults with multiple chronic diseases.
METHODS
We assessed 6,672 older adults using data extracted from the 2014 National Survey on the Elderly in Korea. The short form of the Geriatric Depression Scale and the Korean versions of the Mini-Mental State Examination for dementia screening and the DETERMINE Your Nutrition Health Checklist were used. Statistical analyses included independent t-test, χ2 test, and logistic regression analysis.
RESULTS
We found that 36.7% of the older adults exhibited depressive symptoms, and the average score on the short form of the Geriatric Depression Scale was 5.90±4.53. The factors significantly related to depressive symptoms were unemployment (Odds Ratio [OR]=1.85, 95% Confidence Interval [CI]=1.59~2.15), “high risk” nutritional management status (OR=1.19, 95% CI=1.16~1.22), slight visual dysfunction (OR=1.21, 95% CI=1.05~1.38), high visual dysfunction (OR=1.41, 95% CI=1.04~1.91), slight hearing dysfunction (OR=1.22, 95% CI=1.05~1.43), slight chewing dysfunction (OR=1.37, 95% CI=1.19~1.59), high chewing dysfunction (OR=1.59, 95% CI=1.30~1.95), low cellphone utilization (OR=1.60, 95% CI=1.04~2.46), older age (OR=0.99, 95% CI=0.98~1.00), and higher educational level (OR=0.96, 95% CI=0.95~0.98).
CONCLUSION
Preventive interventions for depressive symptoms should include nutritional education programs, functional assistive devices, and the use of information technology.

Citations

• Muscle Strength Moderates the Relationship between Nutritional Health Risk and Depression in Korean Older Adults
  Jeonghyeon Kim, Seamon Kang, Haeryun Hong, Hyunsik Kang, Ju-Hyoung Kim, Sang-Koo Woo
  Nutrients.2022; 14(3): 665.     CrossRef
• Effects of Nutritional Health Risk and Physical Activity on Depressive Symptoms in Older Adults
  Jihye Gwon, Jiho Shin, Hyunsik Kang
  Exercise Science.2022; 31(2): 173.     CrossRef
• Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network
  Yuda Turana, Jeslyn Tengkawan, Yook C. Chia, Jinho Shin, Chen‐Huan Chen, Sungha Park, Kelvin Tsoi, Peera Buranakitjaroen, Arieska A. Soenarta, Saulat Siddique, Hao‐Min Cheng, Jam C. Tay, Boon W. Teo, Tzung‐Dau Wang, Kazuomi Kario
  The Journal of Clinical Hypertension.2021; 23(3): 504.     CrossRef
• Factor Structure and Validation of the 12-Item Korean Version of the General Health Questionnaire in a Sample of Early Childhood Teachers
  Boram Lee, Yang-Eun Kim
  Education Sciences.2021; 11(5): 243.     CrossRef
• Missing in Action: Bridging Capital and Cross-Boundary Discourse
  Sora Lee, Valerie Braithwaite
  The ANNALS of the American Academy of Political and Social Science.2020; 691(1): 258.     CrossRef

PURPOSE
The purpose of this study was to explore Inattentional Blindness (IB) as experienced by hospital nurses.
METHODS
Data were collected from August 3 to October 30, 2017 through focus group interviews with 24 nurses working in a university hospital in Seoul, Korea. Four focus group interviews were conducted and all interviews were recorded. Data were analyzed through qualitative content analysis.
RESULTS
Three categories and seven subcategories were identified from 96 units of analysis, as follows: 1) occurrence of IB (preoccupation with specific factors, pressure from external factors, unexpected event); 2) triggers of IB (distraction, low expectation of error); and 3) influences due to exposure to IB (continuous self-surveillance, perceived need for thinking expansion).
CONCLUSION
The findings of this study show that nurses experienced IB directly and indirectly while performing their duties. IB occurred especially in common nursing situations, such as health assessment and medication administration. The results also suggest that it is necessary to develop strategies to prevent IB in the clinical setting, which can be useful not only to ensure patient safety but also to help patients regain their health.

Citations

• Effects of patient deterioration simulation using inattentional blindness for final year nursing students: A randomized controlled trial
  Jaewon Park, Kyoung-Ja Kim
  Nurse Education Today.2021; 106: 105080.     CrossRef

PURPOSE
The purpose of this study was to identify factors affecting hyperphosphatemia in hemodialysis patients.
METHODS
The participants of the study were 129 patients who had been diagnosed with end-stage renal disease and received hemodialysis. Data were collected from June 15 to August 15, 2017, and analyzed with frequency, percentage, average, standard deviation, independent t-test, χ2 test, and logistic regression using SPSS/WIN 24.0 version.
RESULTS
Out of the 129 hemodialysis patients, 71 (55%) had hyperphosphatemia. There were significant differences between healthy group and hyperphosphatemia group in terms of age (p=.048), BMI (Body Mass Index) (p=.004), causative disease of chronic renal failure (p=.026), frequency of hemodialysis per week (p=.024), nutritional status (p < .001), weight gain on maintenance hemodialysis (p=.001), TIBC(Total Iron Binding Capacity) (p=.035), Ca (Calcium) × P (Phosphorus) (p < .001), BUN(Blood Urea Nitrogen) (p < .001), creatine (p=.012), and diet factors of self-care (p=.035). Results of the analysis of factors affecting hyperphosphatemia in hemodialysis patients indicated an increased risk of hyperphosphatemia with diabetes (Odds Ratio [OR]=21.45, 95% Confidence Interval [CI]=1.38~333.47), hypertension (OR=14.41, 95% CI=1.15~180.12), nutritional status (OR=9.37, 95% CI=1.36~64.18), weight gain on maintenance hemodialysis (OR=4.86, 95% CI=1.18~20.05), and BUN (OR=1.07, 95% CI=1.01~1.14).
CONCLUSION
Based on the results of this study, it is imperative to manage diabetes and hypertension of hemodialysis patients to prevent hyperphosphatemia. Additionally, it is necessary to not only regularly monitor patients' nutritional conditions and results of blood tests, but also develop and provide an individualized nursing intervention that reflects individual nutritional conditions and biochemical results.

Citations

• Factors Affecting Hyperphosphatemia in Patients with Chronic Renal Failure Undergoing Hemodialysis
  Jihyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 247.     CrossRef
• Predictors Influencing of Medication Adherence in Hemodialysis Patients
  Hana Kim, Eunha Kim
  Korean Journal of Adult Nursing.2019; 31(3): 283.     CrossRef

PURPOSE
The purpose of this study was to explore the process of symptom acceptance of tinnitus patients.
METHODS
Data were collected from October 2017 to March 2018 through individual in-depth interviews with 15 tinnitus patients. Verbatim transcripts and field notes were analyzed using grounded theory methodology developed by Corbin and Strauss.
RESULTS
The core category about the symptom acceptance of tinnitus patients was identified as “accepting tinnitus as an alarming sign to escape from the prison of ear ringing and maintain good health.” The acceptance of tinnitus consisted of three phases: “desperate effort”, “resigned reflection on the past stage”, and “voluntary change in viewpoint stage”.
CONCLUSION
The findings from this study show that tinnitus had a great impact on the life of the patients. The core category: “accepting tinnitus as an alarming sign to escape from the prison of ear ringing and maintain good health” shows the agony and endeavor of the patients in the process of accepting the symptom as the part of their life amid lack of social insight into tinnitus. Healthcare providers' cooperation is needed to build a supportive social atmosphere to help these patients empathetically and enhance their coping capabilities and symptom management. This finding will be helpful for developing educational programs and intervention guidelines and providing appropriate counseling services for these people.

Citations

• Predictors of Depression in Individuals Aged over 60 with Tinnitus: A Cross-Sectional Study
  Seohyeon Kim, Sunghee H. Tak
  Korean Journal of Adult Nursing.2025; 37(1): 25.     CrossRef
• Mediating Effect of Sleep Discomfort in the Relationship between Tinnitus Distress and Depression: A Cross-sectional Study
  Woo Joung Joung
  Korean Journal of Adult Nursing.2024; 36(3): 251.     CrossRef

PURPOSE
The purpose of this study was to compare the content of the falls prevention guideline developed by Korean Hospital Nurses' Association (KHNA) in 2008 with the seven guidelines recommended by The Joint Commission.
METHODS
The contents of the eight guidelines were categorized into eight assessment, eight intervention, and two outcome elements that were considered core concepts of individual nursing activities. Concept-level comparisons were conducted using the International Classification for Nursing Practice, and the Logical Observation Identifiers, Names, and Codes. Two researchers independently examined the content coverage of each guideline and assigned 1 point to included content, 0 to excluded content, and 0.5 to similar content that was ambiguous in terms of a broader expression. The scores were compared, with discordance among raters resolved through consensus-based discussions.
RESULTS
The communication element in the assessment area was missing from the KHNA guideline, while five elements of pathophysiologic, mental/cognitive, therapeutic, and post-fall assessments showed lack of content. Although there were no missing elements in the intervention area, the three elements of staff communication, risk-targeted, and post-fall interventions showed considerable lack of content compared to the other guidelines. In terms of outcomes, the severity of fall-related injury was omitted, and the facility's policy on falls prevention was not addressed.
CONCLUSION
Many nursing elements and key concepts were missing from the KHNA guideline, and its content was not comprehensive. This suggests that the current guideline needs to be revised urgently, and the points identified in this study should be considered a high priority.

Citations

• Evaluation of an approach to clinical decision support for preventing inpatient falls: a pragmatic trial
  Insook Cho, MiSoon Kim, Mi Ra Song, Patricia C Dykes
  JAMIA Open.2023;[Epub]     CrossRef
• Identifying Frequently Used NANDA-I Nursing Diagnoses, NOC Outcomes, NIC Interventions, and NNN Linkages for Nursing Home Residents in Korea
  Juh Hyun Shin, Gui Yun Choi, Jiyeon Lee
  International Journal of Environmental Research and Public Health.2021; 18(21): 11505.     CrossRef
• Development of ICNP‐based inpatient falls prevention catalogue
  I. Cho, J. Kim, J.S. Chae, M. Jung, Y.H. Kim
  International Nursing Review.2020; 67(2): 239.     CrossRef
• Evidence-based Clinical Nursing Practice Guideline for Management of Inpatient Falls: Adopting the Guideline Adaptation Process
  Insook Cho, Kyung Hee Park, Minhee Suh, Eun Man Kim
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(1): 40.     CrossRef

PURPOSE
Nurses' infection prevention and control responsibilities have been emphasized owing to the increasing infection rate in long-term care facilities in South Korea. The aim of this study was to explore nurses' perspectives on challenging situations and the areas of improvement related to their role in infection management.
METHODS
An exploratory descriptive qualitative study was conducted with a purposive sample of 15 nursing staff from five long-term care facilities. A focus group interview with semi-structured questions was conducted between January and May 2017. The study participants' discussions were analyzed using conventional content analysis with line-by-line coding.
RESULTS
The participants discussed the breadth of challenges interfering with their ability to provide optimal infection care, from practical human resource management issues to organizational and environmental barriers, and laid a foundation based on which lacking areas can be improved. The analysis produced key themes centered on healthcare personnel-related professionalism, professional role boundaries, daily workflow and management, interdisciplinary collaboration, standards and protocols, and technological infrastructure.
CONCLUSION
Although participants expressed negative feelings toward the constraints in long-term care facilities, they demonstrated the willingness to create a positive change and offered suggestions for improvement and support to improve resident safety and care management. Therefore, special attention should be paid to nurses' perspectives on their work and roles regarding infection control practices and supporting them with available sources.

Citations

• The Multiple Determinants of Infection Prevention and Control Practices in Nursing Homes: A Scoping Review
  Kanako Fujimoto, Momoe Utsumi, Toshiyuki Swa, Aoi Furuya, Ayumi Ikuji, Ayami Nakanishi, Nahoko Harada
  Journal of the American Medical Directors Association.2025; 26(6): 105593.     CrossRef
• Development of an infection control competency scale for clinical nurses: an instrument design study
  Yong Hwan Hyeon, Kyoung Ja Moon
  BMC Nursing.2024;[Epub]     CrossRef
• Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people
  Gavin Daker‐White, Maria Panagioti, Sally Giles, Thomas Blakeman, Victoria Moore, Alex Hall, Paul P. Jones, Oliver Wright, Bethany Shears, Natasha Tyler, Stephen Campbell
  Health Expectations.2022; 25(5): 2095.     CrossRef
• Nurses’ Outlook on Healthcare-associated Infection Surveillance: Findings from Focus Group Discussions
  Soumya Christabel, Christopher Sudhaker , Muralidhar Varma
  Africa Journal of Nursing and Midwifery.2022;[Epub]     CrossRef
• Nurses’ perceptions of the potential evolution of their role in antibiotic stewardship in nursing homes: a French qualitative study
  Céline Bridey, Gaëlle Le Dref, Aurélie Bocquier, Stéphanie Bonnay, Céline Pulcini, Nathalie Thilly
  JAC-Antimicrobial Resistance.2022;[Epub]     CrossRef
• The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: A scoping review
  Lauren McCauley, Marcia Kirwan, Anne Matthews
  International Journal of Nursing Studies Advances.2021; 3: 100039.     CrossRef
• Omissions of Care in Nursing Home Settings: A Narrative Review
  Aaron M. Ogletree, Rikki Mangrum, Yael Harris, David R. Gifford, Rouguia Barry, Linda Bergofsky, Deborah Perfetto
  Journal of the American Medical Directors Association.2020; 21(5): 604.     CrossRef

PURPOSE
Nurses lead Evidence-Based Practice (EBP) in the healthcare system. To facilitate the evidence-based nursing process, nurses must have the knowledge and skills to formulate clinical questions in a searchable format. The purpose of this study was to develop an e-learning program on steps of EBP, especially focusing on clinical questioning to assess its effects.
METHODS
This research utilized a quasi-experimental study with a nonequivalent control group pre-post test design. The experimental group was provided an e-learning program with case-based animation. The control group was provided written material about EBP. The e-learning program was performed from October to November 2015. To evaluate the effects of the program, knowledge of EBP, attitude towards EBP, practice of EBP, clinical questioning confidence, and clinical questioning knowledge were evaluated.
RESULTS
There were significant differences in attitude towards EBP (t=2.08, p=.042), practice of EBP (t=2.06, p=.044), clinical questioning confidence (t=2.05, p=.045) and clinical questioning knowledge (t=2.08, p=.042). However, there was no significant difference between the experimental and control groups in knowledge of EBP (t=1.20, p=.237).
CONCLUSION
The e-learning program with case-based animation was an effective method to provide the EBP education to nurses. Further researches are needed to disseminate the case-based education to nurses and nursing students and to develop more diverse educational media.

Citations

• Exploring the Difficulties and Educational Needs of Surgical Unit Nurses in Caring for Surgical Patients: A Qualitative Content Analysis
  Ki Nam Kwon, Seon Young Hwang
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 24.     CrossRef
• Evaluating the performance of an integrated evidence-based nursing knowledge management (I-EBNKM) platform in real-world clinical environments
  Myonghwa Park, Insook Jang, Sung Lim Kim, Wonjae Lim, Ga Ae Kim, Gyeongho Bae, Yerin Kim
  International Journal of Medical Informatics.2023; 179: 105239.     CrossRef
• THE EFFECT OF PICO GAME ON NURSING DIAGNOSIS AND PROBLEM-SOLVING SKILLS OF STUDENTS
  Hale SEZER, Elif GÜNAY İSMAİLOĞLU
  SDÜ Tıp Fakültesi Dergisi.2022; 29(2): 197.     CrossRef
• Disseminating implementation science: Describing the impact of animations shared via social media
  Michael Sykes, Lucia Cerda, Juan Cerda, Tracy Finch, Christopher Carroll
  PLOS ONE.2022; 17(7): e0270605.     CrossRef
• The effect of case-based e-learning on academic performance and problem-solving ability in nursing students
  Rita Rezaee, Fateme Haveshki, Reza Barati-Boldaji, Manoosh Mehrabi
  Journal of Education and Health Promotion.2022; 11(1): 302.     CrossRef
• Development and Evaluation of a Web-based Learning Course for Clinical Nurses: Anticancer Chemotherapy and Nursing
  Mi Yeong Mun, Seon Young Hwang
  Korean Journal of Adult Nursing.2020; 32(4): 364.     CrossRef
• Web-based experiential learning strategies to enhance the evidence-based-practice competence of undergraduate nursing students
  Myonghwa Park, Miri Jeong, Mihyun Lee, Laura Cullen
  Nurse Education Today.2020; 91: 104466.     CrossRef
• Effects of a Case-Based Dementia Education Program for Nursing Staff in Long-Term Care Hospitals
  Soo Yeon Kim, Hyun Joo Yang
  Journal of Korean Gerontological Nursing.2020; 22(4): 304.     CrossRef

PURPOSE
The specific aims were to identify the process of fight against ovarian cancer and how the women interact with other people.
METHODS
The subjects included 12 women who were higher than stage II epithelial ovarian cancer. Data were collected with an in-depth individual interview from July 2017 to April 2018. The specific analysis process followed the grounded theory method of Corbin and Strauss.
RESULTS
The results show that the core category was “finding the existence value with being tied to the bridle of death”. The outcomes were “fighting cancer in loneliness”, “life compromised with death”, and “social sublimation”. The women with ovarian cancer experienced the collapse of existence value while they reached the phase of implicit maintenance through the phases of chaos, active seeking, and desperate coping by using various strategies.
CONCLUSION
The results of this study indicate psychosocial problems due to the collapse of women's existence value in the process of ovarian cancer treatment, which have an important effect on the entire treatment process. Thus, it is important to develop nursing strategies based on the characteristics of the process of treatment in ovarian cancer and health providers should support them to rebuild the value of the existence through it.

Citations

• The Experience of Gynecologic Cancer in Young Women: A Qualitative Study
  Sung-Jin Kim, Hyunjeong Shin
  Journal of Korean Academy of Nursing.2023; 53(1): 115.     CrossRef

PURPOSE
The purpose of this study was to identify factors associated with family caregivers' self-management of acute stroke survivors.
METHODS
The study participants were 130 stroke survivors and their caregivers. Data on participant characteristics, depression, task difficulty, survivor memory and behavioral problem, and self-management were collected from July 1 to September 30, 2017 using a structured questionnaire. Data were analyzed with the SPSS/WIN 23.0 program for descriptive statistics, using independent t-test, one-way analysis of variance, Pearson's correlation coefficient and enter multiple regression analysis.
RESULTS
Significant factors associated with self-management for family caregivers were survivors' age, the presence of comorbidities, the relationship between caregivers and survivors, and the presence of an alternative caregiver. Self-management has negative correlations with depression, task difficulty, and the occurrence of survivor memory and behavioral problems. The determining factors affecting caregiver self-management were caregiver depression (β=−.46, p < .001) and survivor age (β=.32, p=.004), and their explanation power was about 37%.
CONCLUSION
The results suggest that caregiver depression and survivor age should be considered in developing the nursing interventions to improve family caregiver self-management. Furthermore, findings underscore the importance of early screening and ongoing psychological assessments for depression in family caregivers of stroke survivors.