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Original Articles

Purpose
This study analyzed nursing students’ guided reflective journals following simulation-based practice using standardized patients for the initial care of older adults experiencing falls. It aimed to provide a deeper understanding of how changes in students’ thinking occurred through the learning experience and to describe their levels of reflection.
Methods
An eight-hour simulation-based education program was implemented during a geriatric clinical practicum. The program consisted of orientation, pre-learning activities, simulation practice, and a wrap-up session. Reflective journals from 53 third-year nursing students were analyzed using qualitative content analysis.
Results
Fifty-three third-year nursing students participated and submitted reflective journals. Three categories emerged from the analysis: “preparing for simulation-based practice,” which involved students setting care plans and employing observation; (2) “experiencing patient fall management through simulation-based practice,” where students actively engaged in realistic fall management scenarios; and (3) “critical reflection after simulation-based practice,” encompassing students’ acquisition of new insights and their personal growth. In the first category, students prepared for patient encounters by developing care plans and conducting observations. The second category highlighted realistic fall management scenarios utilizing standardized patients. The third category focused on personal growth through critical reflection. In the 53 reflective journals (185,021 words), level 3 reflections accounted for 31.6% of the content, while level 5, the highest reflection level, comprised only 8.6%.
Conclusion
Post-simulation reflective journaling stimulated critical thinking and self-assessment, enabling nursing students to analyze and reflect deeply on clinical practices. This process reinforced their knowledge base and behavioral foundations essential for clinical practice.
  • 506 View
  • 27 Download
Exploring the Facilitators and Barriers of Rapid Response Teams in Korea: A Qualitative Study from the Nursing Perspective
Sun-Hee Moon, Hyeonjin Jeong, Daun Jeong
Korean J Adult Nurs 2025;37(1):1-12.   Published online February 28, 2025
DOI: https://doi.org/10.7475/kjan.2025.37.1.1
Purpose
This study aimed to explore the roles, facilitators, barriers, and future directions of rapid response teams (RRTs) in Korean hospitals from the perspectives of both RRT and ward nurses.
Methods
Focus group interviews were conducted with 10 RRT nurses and 10 ward nurses across three hospitals that employed RRTs in Korea from August 2021 to February 2022. The interviews were recorded, transcribed, and analyzed using qualitative content analysis to identify themes relevant to RRT operations.
Results
The analysis yielded 10 subtopics and 4 main themes: the exploration of RRT's essential roles, the facilitators and barriers impacting RRT operations, and the construction of a blueprint for future systems. Notable barriers included unclear job assignments without legal safeguards, conflict arising from hierarchical structures, and insufficient organizational support. The following facilitators were identified: transformed perceptions through collaborative efforts, organizational recognition and support, and self-reinforcement by demonstrating expertise.
Conclusion
This study highlights the challenges and opportunities associated with implementing RRTs in Korean hospitals, including the need for clear role definitions, effective interprofessional collaboration, and organizational support. Based on these findings, future efforts should focus on establishing legal frameworks that define the scope of practice for RRT nurses.
  • 564 View
  • 27 Download
  • 0 Scopus
Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
Korean J Adult Nurs 2024;36(3):191-202.   Published online August 31, 2024
DOI: https://doi.org/10.7475/kjan.2024.36.3.191
Purpose
The purposes of this study were to develop a prediction model for pressure injury using a machine learning algorithm and to integrate it into clinical practice.
Methods
This was a retrospective study of tertiary hospitals in Seoul, Korea. It analyzed patients in 12 departments where many pressure injuries occurred, including 8 general wards and 4 intensive care units from January 2018 to May 2022. In total, 182 variables were included in the model development. A pressure injury prediction model was developed using the gradient boosting algorithm, logistic regression, and decision tree methods, and it was compared to the Braden scale.
Results
Among the 1,389,660 general ward cases, there were 451 cases of pressure injuries, and among 139,897 intensive care unit cases, there were 297 cases of pressure injuries. Among the tested prediction models, the gradient boosting algorithm showed the highest predictive performance. The area under the receiver operating characteristic curve of the gradient boosting algorithm's pressure injury prediction model in the general ward and intensive care unit was 0.86 (95% confidence interval, 0.83~0.89) and 0.83 (95% confidence interval, 0.79~0.87), respectively. This model was integrated into the electronic health record system to show each patient's probability for pressure injury occurrence, and the risk factors calculated every hour.
Conclusion
The prediction model developed using the gradient boosting algorithm exhibited higher performance than the Braden scale. A clinical decision support system that automatically assesses pressure injury risk allows nurses to focus on patients at high risk for pressure injuries without increasing their workload.
  • 500 View
  • 17 Download
  • 0 Scopus
Purpose
This study examined the relationships of health literacy, physical activity, and grip strength with self-care compliance in older male patients with chronic heart failure.
Methods
A cross-sectional descriptive was conducted, and 106 older male outpatients with chronic HF were recruited from a veterans’ hospital in Seoul. Data were collected from February 7, 2022 to April 10, 2022 using a self-reported questionnaire and were analyzed using SPSS/WIN 23.0.
Results
The average age of the participants was 76.3±4.5 years, and the average time elapsed since the heart failure diagnosis was 3.22±2.01 years. The mean self-care compliance score was 42.21±6.03 out of 60 points. In the univariate analysis, grip strength was not significantly correlated with self-care compliance. The hierarchical regression analysis indicated that health literacy (β=.33, p<.001), physical activity (β=.32, p=.001), and alcohol drinking (β=-.28, p=.001) had statistically significant effects on self-care compliance, collectively explaining 34% of the variance (adjusted R2 =.34, F=12.00, p<.001).
Conclusion
The study highlights the necessity of periodically assessing and considering health literacy and the level of physical activity when developing educational strategies to promote self-care compliance among older male patients with heart failure in outpatient nursing practice.
  • 268 View
  • 7 Download
  • 0 Scopus
Purpose
This study aimed to comprehensively understand the experiences of emergency nurses performing triage during the peak and plateau periods of the Coronavirus Disease 2019 (COVID-19) pandemic over the past two years. Methods: Twenty triage nurses from three emergency medical centers were recruited through purposive and snowball sampling. Data collection occurred from February to May 2022 via focus group interviews and was analyzed using qualitative content analysis. Results: The experiences of emergency nurses in triage revealed four themes: "changes in priorities due to infectious diseases", "barriers to tirage", "the emotional burden experienced by triage nurses", and "the journey toward growth". The pandemic heightened the focus on infection screening in triage. Triage nurses faced numerous challenges concerning their own safety and that of their patients and encountered difficulties in performing triage. Nonetheless, these experiences provided them with opportunities for professional growth. Conclusion: The experiences of nurses performing triage during the peak and plateau periods of the COVID-19 pandemic provide valuable insights for future preparedness and coping strategies in the face of similar infectious disease outbreaks. It is necessary to establish integrated triage guidelines for patient safety, develop operations manuals for triage, implement policies on staffing standards, and provide mental health support for triage nurses during pandemics.
  • 274 View
  • 5 Download
  • 0 Scopus
Risk Factors for Readmission of Heart Transplant Recipients: A Retrospective Case-Control Study
Da El Jang, Yeon Soo Jang
Korean J Adult Nurs 2024;36(1):52-62.   Published online February 29, 2024
DOI: https://doi.org/10.7475/kjan.2024.36.1.52
Purpose
The purpose of this study was to identify factors influencing the readmission of heart transplant recipients through survival analysis. Methods: We collected data from heart transplant recipients who were discharged after surgery between November 2005 and September 2020 from the electronic medical records of Y University Hospital in Seoul. The Kaplan-Meier estimation was utilized to calculate the survival rate, and Cox's proportional hazards model was employed to determine the factors influencing readmission within 1 year. Results: Out of 150 heart transplant recipients, 81 (54.0%) were readmitted within one year. The median time to readmission was 231 days. An increased duration of postoperative days was associated with a higher risk of readmission (p=.016). Groups with abnormal sodium levels (p<.001), those requiring postoperative hemodialysis (p=.013), patients with chronic kidney disease (p=.002), dyslipidemia (p=.040), or diabetes mellitus (p=.045) also faced higher readmission risks. In the final model, sodium levels (hazard ratio [HR]=2.31, p<.001) and chronic kidney disease (HR=1.67, p=.045) were significant risk factors for readmission (x2 =31.90, p<.001). Conclusion: Interventions to improve kidney function and a multidisciplinary approach are needed to reduce readmission of heart transplant recipients.
  • 281 View
  • 2 Download
  • 0 Scopus

Invited Article

The Significance of Sarcopenia in Patients with Heart Failure: What Do We Know and Need to Know?
Youn-Jung Son, Sook Hyun Park
Korean J Adult Nurs 2023;35(4):303-310.   Published online November 30, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.4.303
Purpose
Sarcopenia is significantly associated with frailty, readmission, and mortality in patients with heart failure. This review aims to provide an overview of the literature on sarcopenia in individuals with heart failure.
Methods
A comprehensive literature review was conducted regarding the current state of knowledge on assessment tools for the diagnosis, prognosis, and optimal management of sarcopenia in patients with heart failure.
Results
Sarcopenia can be defined as the loss of muscle mass with low muscle strength and/or poor physical performance. Sarcopenia has been officially listed as a disease in the eighth revision of the Korean Classification of Diseases in 2021. The causes of sarcopenia in patients with heart failure are multifactorial, including chronic inflammation, hormonal imbalances, nutritional deficiencies, low muscle blood flow, and endothelial dysfunction. The management of sarcopenia is primarily focused on exercise and/or nutritional management because there is no specific pharmacological therapy to treat sarcopenia.
Conclusion
Healthcare professionals should be aware of the significance of early detection and timely management of sarcopenia to avoid physical disability, long-term institutional care, and mortality in individuals with heart failure. Clinical trials are required to evaluate the effectiveness of interventions including exercise and nutrition, alone or in combination, on sarcopenia in patients with heart failure. In addition, more research is required to identify multidimensional risk factors and diagnostic biomarkers for sarcopenia.
  • 225 View
  • 5 Download
  • 0 Scopus

Original Articles

Challenges and Experiences of Men Who Have Undergone Andropause: Insights from a Focus Group Study
Sun Jung Park, Young Sook Lim
Korean J Adult Nurs 2023;35(3):290-301.   Published online August 31, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.3.290
Purpose
The purpose of the study was to describe andropause-related difficulties experienced by men. Methods: Two focus group interviews were conducted to collect the data from 10 Participants with andropause-related difficulties experienced. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using content analysis. Results: We organized the responses concerning andropause symptoms into five essential categories: 1) uncontrollable physical changes, 2) intellectual decline, 3) changes in sexual function, 4) difficulties in controlling emotions, and 5) separation from society. The attempts to alleviate andropause were classified into seven distinct categories: 1) dietary modifications, 2) engaging in physical activities, 3) pursuing leisure and hobbies, 4) enhancing self-esteem and self-perception, 5) seeking support and comprehension from one's social circle, 6) utilizing informational resources concerning andropause, and 7) embracing and accepting andropause reality. Conclusion: We analyzed the issues arising from andropause and the corresponding efforts to address them. A comprehensive understanding of andropause's causes, mechanisms, effective nursing interventions, and essential development of management programs, including education, is imperative.
  • 240 View
  • 13 Download
  • 4 Scopus
Isolation and Recovery Experiences of COVID-19 Patients in South Korea: A Qualitative Study
Soo Jung Chang, Geun Myun Kim, So Hyeong Sim, Jeong Ah Kim
Korean J Adult Nurs 2023;35(3):212-224.   Published online August 31, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.3.212
Purpose
COVID-19 is both a national crisis and a cause of individual trauma. This trauma is experienced during the period of acute illness and for an unpredictable duration after recovery. This study explored experiences of COVID-19 patients in hospital isolation, providing a detailed account of their experiences to furnish basic data necessary for establishing strategies to address the psychosocial problems that may arise from the hospital isolation process and recovery period. Methods: We conducted comprehensive interviews and qualitative content analysis. We held in-depth interviews with five COVID-19 patients from May 16 to August 22, 2021, and also analyzed data from interviews with five patients conducted as part of another study on COVID-19 patients' perceptions. Thus, 10 participants' interviews were analyzed in this study. Results: From the qualitative data, 34 codes, 9 subcategories, and 4 categories were identified. The categories included "Prioritization of epidemic prevention over treatment," "Victims who have been labeled as perpetrators," "Gratitude felt in difficult moments," and "Demand for respect from the system and society." After analyzing these categories, we derived the overarching theme of "It's okay, but it's not okay." Conclusion: During isolation treatment, it is crucial to uphold human rights as much as possible by prioritizing patient care, providing a comfortable environment, and offering clear guidance on their progress. Communication between patients and caregivers should be facilitated to provide psychological support. Furthermore, national policies such as economic compensation and strategies for post-traumatic growth should be implemented to address grievances and facilitate recovery.
  • 225 View
  • 4 Download
  • 0 Scopus
Purpose
The purpose of this study is to identify the characteristics of Korean nurses' research participation experiences; their resulting consent satisfaction; pressure to participate; satisfaction in participating; and the factors influencing research participation satisfaction. Methods A descriptive cross-sectional design was used. Data were collected using a questionnaire distributed to nurses who are employed at hospitals or higher medical institutions nationwide and have participated in nursing research at least once. 197 nurses participated in this study. 173 data were analyzed using descriptive statistics, correlation, and regression. Results Senior nurses made the most participation requests (21.4%). The coercion to participate in the research (2.67±0.64) was lower than normal (3). However, the coercion level to participate in the study was significantly higher when notified by the institution or department (F=5.29, p<.001), the department head requested participation (F=5.17, p<.001), or senior nurses instructed other nurses to participate (F=7.96, p<.001). Satisfaction with informed consent (β=.55, p<.001) and coercion to participate in the research (F=93.16, p<.001) were significant variables influencing the satisfaction with research participation (R2=.52). Conclusion In order to protect the rights of nurses as research participants, it is necessary to improve researcher awareness and quality of nursing research, as well as provide ethical research environments for research participants.
  • 236 View
  • 3 Download
  • 0 Scopus
Association between Discharge Process and 2-year Prognosis in Patients with Heart Failure: Retrospective Chart Review
Kyoung Suk Lee, Hyeongsuk Lee, Na Eun Min, Jae-Hyeong Park
Korean J Adult Nurs 2022;34(6):537-544.   Published online December 31, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.6.537
Purpose
This study aims to explore the relationship between the discharge process and two-year prognosis in patients with Heart Failure (HF) who were hospitalized because of HF exacerbation. Methods Medical records were reviewed to identify patients admitted for HF exacerbation. Information regarding the following discharge processes was collected: follow-up visits, discharge educational contents, and the presence of family caregivers during patient education. HF-related events, including emergency department visits, readmissions, or death because of HF, were defined as a composite of events. A multivariate Cox proportional hazards regression model was used after adjusting for covariates to explore the association between the discharge process and HF-related events. Results A total of 201 patients were included in this study. In the two-year follow-up periods, 41 patients (20.4%) experienced at least one HF-related event. Follow-up visits were scheduled at an average of 8.11±2.92 days after discharge. Approximately 95.0% of the patients received discharge education with an average of 1.66±1.04 topics, and 69.7% of the families participated in this educational activity. In the multivariate Cox regression model, not having family members during education was associated with a longer time to HF-related events (hazard ratio: 2.09; 95% confidence interval: 1.001~4.346). However, follow-up visits and the amount of educational content received were not associated with time to HF-related events. Conclusion The presence of family caregivers during education appears to be a protective factor against adverse prognosis in patients with HF. Our results highlight the importance of family engagement during discharg

Citations

Citations to this article as recorded by  
  • Depression, mutuality, and self-care behaviors in patients with heart failure and their caregivers: An actor–partner interdependence model extended to mediation
    Youn-Jung Son, JiYeon Choi, Da-Young Kim, So Hyun Park
    Heart & Lung.2025; 73: 123.     CrossRef
  • Association Between Nurse-Led Multidisciplinary Education and Cardiac Events in Patients With Heart Failure: A Retrospective Chart Review
    Haeng-Mi Son, Hyeongsuk Lee
    Asian Nursing Research.2024; 18(1): 60.     CrossRef
  • 165 View
  • 0 Download
  • 2 Crossref
  • 2 Scopus

Review Article

Experiences of Nurses Caring for Hemodialysis Patients: A Qualitative Meta-Synthesis Study
Ye-Na Lee, Eun Young Kim
Korean J Adult Nurs 2022;34(2):168-177.   Published online April 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.2.168
Purpose
We aimed to systematically review and synthesize qualitative evidence on the experiences of nurses caring for hemodialysis patients.
Methods
We used Noblit and Hare’s meta-ethnography. Seven databases (PubMed, EMBASE, CINAHL, Web of Science, RISS, KISS, National Assembly Electronic Library) were used for the literature search. There were no restrictions placed on publication dates. A total of 10 studies published in English and Korean up until July 2021 were finally selected for review.
Results
Three themes were identified from the literature review, which were then divided into six subthemes: acquiring the technical skills of hemodialysis, responsibility for prolonging patients’ lives, and maintaining stable hemodialysis in patients’ daily lives.
Conclusion
The results of this study provide basic data that emphasizes the specific role of nurses in the hemodialysis unit, a specialized area of nursing, and can be utilized as educational material for hemodialysis unit nurse education.

Citations

Citations to this article as recorded by  
  • A Qualitative Study on Nurses' Caring Experiences With Individuals With Kidney Failure Receiving Haemodialysis
    Edward Appiah Boateng, Bernice Bodua‐Mango, Joana Kyei‐Dompim, Philemon Adoliwine Amooba
    Journal of Renal Care.2025;[Epub]     CrossRef
  • Cherubims in Rdu: Experiences of Novice Nurses in Renal Dialysis Unit Among Tertiary Hospitals in Davao City
    ANNALIE G. CUEVA, SAMUEL F. MIGALLOS
    International Journal of Latest Technology in Engineering Management & Applied Science.2025; 14(4): 438.     CrossRef
  • Nurses’ perspectives and experience in caring for patients undergoing hemodialysis at Benjamin Mkapa hospital in Dodoma, Tanzania: A qualitative study
    Stephania Mbunda, Neema E. Mawi, Masunga K. Iseselo, Jordan Llego
    PLOS One.2025; 20(6): e0325501.     CrossRef
  • Improving assessment and escalation of threatened haemodialysis access: results of a nursing-led program
    Dana Forcey, Dan Tran, Jenny Connor, Piriya Kusuma Na Ayudhya, Christian Ocampo, Craig Nelson, Sandra Crikis
    BMC Nephrology.2023;[Epub]     CrossRef
  • 404 View
  • 11 Download
  • 4 Crossref
  • 2 Scopus

Original Articles

Purpose
The purpose of this study was to compare and verify the effects of aroma essential oil inhalation and music listening on stress response, vital signs, and bispectral index. Methods In a randomized controlled trial design, the participants consisted of healthy adults aged 20~50 years who were randomly assigned to the Aroma essential oil inhalation Group (AG), Music Listening Group (MLG), or control group. The AG inhaled aroma essential oil for 10 minutes, the MLG listened to music for 10 minutes, and the control group took a break for 10 minutes. Stressors introduced to the participants included 70 dB of white noise and an arithmetic calculation. Results The perceived stress was significantly different between three groups at 10 minutes and 30 minutes after the intervention. The stress responses of the AG and MLG were significantly lower than that of the control group. At 10 minutes and 30 minutes after the intervention, there were significant differences in the Bispectral index (BIS) between three groups, and the BIS of the AG and MLG were significantly lower than that of the control group. At 30 minutes after the intervention, the stress index, systolic blood pressure, and heart rate were significantly different between three groups. Conclusion Aroma essential oil inhalation and music listening are effective nursing interventions as they reduce stress, stabilize vital signs, and have sedative effects in healthy adults who perceive stress.

Citations

Citations to this article as recorded by  
  • Effect of Healing Beats Program on Stress, Heart Rate and Sleep Quality of Colorectal Cancer Patients Treated with Chemotherapy: A Randomized Controlled Trial
    Eun-Jeong Hong
    Asian Oncology Nursing.2024; 24(1): 32.     CrossRef
  • Comparative effects of music therapy and aromatherapy on stress, quality of life, and happiness among shift nurses in Korea: a randomized controlled trial
    So-heun Lee, Won-jong Kim, Eun-Hi Choi, Myung-Haeng Hur
    Journal of Korean Biological Nursing Science.2024; 26(4): 337.     CrossRef
  • 203 View
  • 6 Download
  • 2 Crossref
  • 1 Scopus
The Role Experience of Clinical Practice Nurses in a University Hospital
Sosun Kim, Mi Jung Ryu, Ain Kim
Korean J Adult Nurs 2022;34(1):15-26.   Published online February 28, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.1.15
Purpose
The purpose of this study was to describe clinical practice nurse’s role experience working in a university hospital. Clinical practice nurses are a mix of certified and non-certified nurses. They perform some of the duties of physicians in addition to the work they do as nurses. In the future, such nurses may become advanced practice registered nurses. Methods Focus group interviews were conducted with three groups, each consisting of eight participants. The interview lasted two and a half hours per group. Data were analyzed using a thematic analysis method. Results The analysis yielded four categories and 14 themes. The four categories were “seeking an escape from the repeated routines as a nurse”, “pioneering and developing new roles as a clinical practice nurse”, “confusion about professional identity due to ambiguity in role boundaries”, and “securing oneself as a team member and establishing a role as a clinical practice nurse”. Conclusion The scope of advanced practice registered nurses’ roles was meant to have been established in 2020, but this was not achieved. Thus, studying the role experience of clinical practice nurses and their experiences is worthwhile and the results can inform legislation. The results of the study will also help establish a customized curriculum for advanced practice nurses and ultimately improve the quality of nursing services for patients.

Citations

Citations to this article as recorded by  
  • 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
  • Role Conflict of Physician Assistants with Nursing Licenses in Korea
    Byeongkwan Kim, Wonhee Jung
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 141.     CrossRef
  • 352 View
  • 13 Download
  • 2 Crossref
  • 2 Scopus
Nurses’ Experiences of Care for Patients in Coronavirus Disease 2019 Infection Wards during the Early Stages of the Pandemic
Nanhui Kim, Youngran Yang, Junhee Ahn
Korean J Adult Nurs 2022;34(1):109-121.   Published online February 28, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.1.109
Purpose
The purpose of this study is to understand the experiences of nurses caring for Coronavirus Disease 2019 (COVID-19) patients in infection wards dedicated to COVID-19 through an in-depth exploration of the patient experience and meaning of care.
Methods
This study is a qualitative study analyzed by conventional content analysis. The study participants were 14 nurses who took direct care of COVID-19 patients in the early stages of the pandemic at a dedicated COVID-19 ward. The data were collected from July 4 to August 30, 2020, using face-to-face interviews.
Results
The analysis 6 categories: ‘struggling to prepare an infection ward’, ‘fear and anxiety about infection’, ‘the weight of pressure from patient care’, ‘efforts to protect patients’, ‘maturity of professional identity as a nurse’, and ‘a quarantine community that we create together’.
Conclusion
These study findings promote a broader understanding of nursing barriers, to patient care during an initial outbreak of a novel infectious disease, based on nurses' experiences with COVID-19 patients, and consequently, improve the quality of care received by such patients. Finally, nursing leaders, health policymakers, and governments should utilize these findings to inform practical strategies for nursing practice in current or future pandemics.

Citations

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  • The Moderating Effect of Calling in the Relationship between Post-Traumatic Stress and Turnover Intention of Nurses Who Cared for COVID-19 Patients
    Min Ju Woo, Bu Kyung Park
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 75.     CrossRef
  • Improving Emerging Infectious Disease Control Based on the Experiences of South Korean Nurses During the COVID-19 Pandemic: A Qualitative Systematic Review
    Ha-Young Park, In-Sun Yeom
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 1.     CrossRef
  • Factors Influencing Depression Among Nurses in General Hospitals During the COVID-19 Pandemic: Focus on Job Demands, Post-traumatic Stress, and Social and Organizational Support
    Si Hyun Baek, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 306.     CrossRef
  • Experiences of Nurses Working as Helpers in a Dedicated COVID-19 Ward of a Certified Tertiary Hospital
    Eun Hyang Park, Hee Kyung Chang
    Journal of Korean Association for Qualitative Research.2024; 9(2): 93.     CrossRef
  • The COVID-19 Pandemic Experience of A Cohort of Quarantined University Hospital Nurse Managers
    Soon-Youl Lee, Suk Jung Han, Hee Jung Hong
    Journal of Korean Public Health Nursing.2024; 38(2): 205.     CrossRef
  • Experiences of Psychiatric Nurses Working in a Closed Psychiatric Unit during the COVID-19 Pandemic
    Ji Young Kim, Hyun Kyung Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 374.     CrossRef
  • Factors Affecting COVID-19 Incidences and Deaths of Geriatric Hospital Patients in Korea
    Juh Hyun Shin, Sunok Jung, Jung Eun Kim
    Research in Gerontological Nursing.2023; 16(6): 302.     CrossRef
  • The Impact of Resilience on Post-Traumatic Growth among Nurses in COVID-19-Designated Hospitals: The Mediating Effect of Meaning in Life
    Suk-Jung Han, Young-Ran Yeun, Hyunseung Roh
    Healthcare.2023; 11(21): 2895.     CrossRef
  • Perspectives of Frontline Nurses Working in South Korea during the COVID-19 Pandemic: A Combined Method of Text Network Analysis and Summative Content Analysis
    SangA Lee, Tae Wha Lee, Seung Eun Lee
    Journal of Korean Academy of Nursing.2023; 53(6): 584.     CrossRef
  • A topic modeling analysis for Korean online newspapers: Focusing on the social perceptions of nurses during the COVID-19 epidemic period
    Soo Jung Chang, Sunah Park, Yedong Son
    The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 444.     CrossRef
  • Factors Influencing the Educational Needs and Nursing Intention Regarding COVID-19 Patient Care among Undergraduate Nursing Students
    Eun-Joo Ji, Eun-Kyung Lee
    International Journal of Environmental Research and Public Health.2022; 19(23): 15671.     CrossRef
  • 299 View
  • 2 Download
  • 11 Crossref
  • 9 Scopus
Working Experience of Nurses at a COVID-19 Dedicated Hospital
In Ohg Oh, Soo Jin Yoon, Kyoung A Nam
Korean J Adult Nurs 2021;33(6):657-669.   Published online December 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.6.657
Purpose
The study was conducted to explore nurses’ working experiences during the pandemic at a Coronavirus Disease 2019 (COVID-19) dedicated hospital in Korea.
Methods
Twenty registered nurses who provided care for the COVID-19 affected patients participated in this study. Data were collected using three focus groups with 19 participants, and in-depth interviews with 11. Data were analyzed by qualitative content analysis.
Results
Seven categories and 18 subcategories were extracted. The seven categories were ‘Hesitating to move forward’, ‘Standing up with the name of nurse’, ‘Experiencing unfamiliarity and confusion’, ‘Walking on thin ice every day’, ‘Getting used to working’, ‘Growing one step further’ and ‘Being left with an unsolved issue’. The experiences of participants changed over time. In the preparation phase the participants experienced fear of the unknown, but eventually they decided to enter the COVID-19 battlefield. After the opening of the COVID-19 wards, participants were confused and felt nervous because everything was unfamiliar and undefined. While they gradually adapted to work and they felt that they grew as nurses through these experiences. They were also concerned about several unresolved issues, including ethical dilemmas about patient care, optimal working environment and compensation for work.
Conclusion
This study provides an understanding of nurses’ working experiences at a COVID-19 dedicated hospital over a time interval. These findings suggest multidimensional implications for future studies and policy making on nursing management issues and on patients care in the pandemic era.

Citations

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  • A Delphi Study on the Changes in Work, Organizational Culture, and Health Issues of Nurses at Tertiary Hospitals in South Korea during the COVID‐19 Pandemic
    MiRa Yun, WonJong Kim, Boas Yu, Eun-Hi Choi, Paolo C. Colet
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • Korean Hospital Nurses’ Experiences with COVID-19: A Meta-Synthesis of Qualitative Findings
    Suk-Jung Han, Hee-Jung Hong, Bok-Soon Shin
    Healthcare.2024; 12(9): 903.     CrossRef
  • Nurses’ intention to care of COVID-19 patients in hospitals dedicated to infectious disease in South Korea: application of the theory of planned behavior and verification of the moderating effect of ethical nursing competence
    Mira Mo, Seongmi Moon, Eun Kyeung Song
    BMC Nursing.2024;[Epub]     CrossRef
  • An Integrated Review of Difficulties and Response Strategies Experienced by Korean Nurses during the COVID-19 Outbreak: Based on Qualitative Research
    Jayoung YOU, Dan Bi CHO
    Korean Journal of Medical Ethics.2024; 27(1): 27.     CrossRef
  • Improving Emerging Infectious Disease Control Based on the Experiences of South Korean Nurses During the COVID-19 Pandemic: A Qualitative Systematic Review
    Ha-Young Park, In-Sun Yeom
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 1.     CrossRef
  • Experiences of Nurses Working as Helpers in a Dedicated COVID-19 Ward of a Certified Tertiary Hospital
    Eun Hyang Park, Hee Kyung Chang
    Journal of Korean Association for Qualitative Research.2024; 9(2): 93.     CrossRef
  • Exploring the Status and Experiences of School Nurses’ Response to the COVID-19 Pandemic: A Mixed Method Study
    Hyojin Park, Juyoung Ha
    Asian Nursing Research.2024; 18(5): 489.     CrossRef
  • Experiences of Psychiatric Nurses Working in a Closed Psychiatric Unit during the COVID-19 Pandemic
    Ji Young Kim, Hyun Kyung Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 374.     CrossRef
  • Perspectives of Frontline Nurses Working in South Korea during the COVID-19 Pandemic: A Combined Method of Text Network Analysis and Summative Content Analysis
    SangA Lee, Tae Wha Lee, Seung Eun Lee
    Journal of Korean Academy of Nursing.2023; 53(6): 584.     CrossRef
  • Burnout among Nurses in COVID-19 Designated Units Compared with Those in General Units Caring for Both COVID-19 and Non-COVID-19 Patients
    Kyung Ah Woo, Eun Kyoung Yun, JiSun Choi, Hye Min Byun
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 374.     CrossRef
  • Factors Influencing Post-traumatic Growth of Nurses at Nationally Designated Infectious Disease Hospital
    Ji Eun Oh, Ju Young Park
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 499.     CrossRef
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The Effects of Nurse-Led Motivational Interviewing on Exercise and Quality of Life among Koreans with Heart Failure: A Randomized Controlled Trial
Haejung Lee, Gaeun Park, Hyekyung Jin, Kook Jin Chun, Jong Hyun Kim
Korean J Adult Nurs 2021;33(6):588-600.   Published online December 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.6.588
Purpose
Patients with heart failure report low levels of physical activity and quality of life, both of which are important predictors of patient prognosis. This study aimed to investigate the effects of nurse-led motivational interviewing on self-efficacy for exercise, engagement in regular exercise, exercise capacity, and quality of life among patients with heart failure.
Methods
A randomized controlled trial design was used, and 66 Korean participants (i.e., 38 in a control group and 28 in an intervention group) aged 40~80 years who were diagnosed with heart failure were recruited between May 2012 and September 2013. The intervention group received telephone-based motivational interviews twice a week for one month. All participants were assessed for exercise regularity, levels of exercise, exercise capacity, and quality of life at baseline, one month, and three months. The data were analyzed using independent t-tests, repeated measures ANOVA, and nonparametric tests.
Results
At one month, there were significant group differences in exercise regularity (x2 =6.10, p=.013) and levels of exercise (Z=-2.56, p=.024). There was a significant group-by-time effect on the quality of life (F=3.76, p=.044).
Conclusion
Nurse-led motivational interviewing was effective in increasing exercise levels and quality of life in patients with heart failure. In the future, we propose a study with a larger number of participants and a long-term follow-up study with additional contact to maintain the intervention effect.

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  • Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities
    Marie Ivantechenko, Shubarna Akhter, Damara Gutnick
    Community Health Equity Research & Policy.2024;[Epub]     CrossRef
  • Effectiveness of behavioural interventions with motivational interviewing on physical activity outcomes in adults: systematic review and meta-analysis
    SuFen Zhu, Deepra Sinha, Megan Kirk, Moscho Michalopoulou, Anisa Hajizadeh, Gina Wren, Paul Doody, Lucy Mackillop, Ralph Smith, Susan A Jebb, Nerys M Astbury
    BMJ.2024; : e078713.     CrossRef
  • Benefits and Harms of Digital Health Interventions Promoting Physical Activity in People With Chronic Conditions: Systematic Review and Meta-Analysis
    Graziella Zangger, Alessio Bricca, Behnam Liaghat, Carsten B Juhl, Sofie Rath Mortensen, Rune Martens Andersen, Camma Damsted, Trine Grønbek Hamborg, Mathias Ried-Larsen, Lars Hermann Tang, Lau Caspar Thygesen, Søren T Skou
    Journal of Medical Internet Research.2023; 25: e46439.     CrossRef
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A Phenomenological Study on the Lived Experiences of Patients Recovered from COVID-19
Hee Sook Kim, Jae Wan Park
Korean J Adult Nurs 2021;33(6):556-564.   Published online December 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.6.556
Purpose
This descriptive phenomenological study explored the lived experiences of patients recovering from Coronavirus Disease-2019 (COVID-19).
Methods
Using a purposive sampling method, participants were recruited from the Korean Psychological Association’s Mental Health and Wellness Center in G city, South Korea, from May 5 to December 30, 2020. The interviews were analyzed using Colaizzi’s seven-step method. Data saturation was reached after interviewing 14 participants.
Results
The experiences of patients recovering from COVID-19 were clustered into 4 main themes and 10 subthemes:, namely, the patients’ 1) stigmatization, leading to anxiety, fatigue, and concern about neighbors; 2) negative emotions: anger and helplessness; 3) coping strategies under pressure: increased gratitude, self-reflection, and self-efficacy; and 4) ways of overcoming internalized stigma: personal growth and hope for the future.
Discussion
The results suggest that the positive and negative emotions of patients recovering from COVID-19 are interwoven and coexist against the background of the pandemic. Improvement of social networks, development of coping skills, and psychological growth play an important role in alleviating the psychological burden of recovering patients.

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  • Post-Traumatic Psychological Experience of COVID-19 Survivors: A Descriptive Phenomenological Study
    Yusra Al Nasiri, Amal Al Balushi, Saira Al Balushi, Kamila Al Alawi, Zainab Al Mashari, Buthaina Al Muqimi, Faiza Al Balushi, Salah Al Awaidy
    COVID.2024; 4(8): 1188.     CrossRef
  • Meaning and lived experience of Iranian COVID‐19 survivors: A phenomenological study
    Sedigheh Hasani‐Moghadam, Abou Ali Vedadhir, Fatemeh Alijani, Marzieh Azizi, Soghra Khani
    Brain and Behavior.2024;[Epub]     CrossRef
  • Post-traumatic growth among emergency nurses after COVID-19 in Shanghai, China: a qualitative study
    Jinxia Jiang, Yue Liu, Peng Han, Pengjia Zhang, Haiyan Shao, Zhenjuan Dai, Yugang Zhuang
    BMJ Open.2024; 14(2): e081212.     CrossRef
  • 162 View
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  • 3 Crossref
  • 3 Scopus
Clinical Practice Experience of Nursing Students During the COVID-19 Pandemic
Da-Hai-Som Kang, Jinhyang Yang
Korean J Adult Nurs 2021;33(5):509-521.   Published online October 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.5.509
Purpose
This study aimed to explore the clinical practice experience of nursing students during the Coronavirus Disease 2019 (COVID-19) pandemic.
Methods
We used the qualitative content analysis steps presented by Graneheim and Lundman. The participants were 11 nursing students from two universities. We collected data by iterative work through in-depth interviews and observations and analyzed it using content analysis and dialogue between the authors to enhance interpretation.
Results
Four themes emerged from the participants' clinical practice experiences during the pandemic: increased uncertainty in clinical practice and daily life, reduced opportunities for practice experiences and networking, differences in the meaning of clinical practice, and new implications of clinical practice.
Conclusion
Participants were experiencing clinical practice, including themselves and the surrounding world, under the strong influence of the COVID-19. Therefore, the development of practice guidelines that can be communicated quickly between institutions, students, and universities and cope flexibly with the pandemic alarm levels will reduce uncertainty in clinical practice and minimize changes in activities and networking. Additionally, the nurses’ professional intuition should be improved by expanding the awareness of nurse roles in clinical practice during the COVID-19 pandemic.

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  • Impact of grit, empathy, and communication competence on the clinical competence of nursing students in the post-COVID-19 era in Korea: a cross-sectional study
    Soo-Hyun Nam, Seurk Park
    Journal of Korean Biological Nursing Science.2025; 27(1): 115.     CrossRef
  • The Impact of the COVID-19 Pandemic on Clinical Practice Education in South Korea: A Cross-Sectional Study
    Kuemju Park
    International Journal of Environmental Research and Public Health.2025; 22(4): 577.     CrossRef
  • Development of Virtual Reality-Based Home-Visiting Healthcare Education Content
    Young-Sun Ha, Yong-Kyung Park, Hye-Sun Byun, Moon-Ji Choi
    Journal of Digital Contents Society.2025; 26(1): 1.     CrossRef
  • Expectations and concerns about transitioning to face-to-face learning among Korean nursing students: A mixed methods study
    Hyeongsuk Lee, Hye Jin Yoo, Chao Gu
    PLOS ONE.2024; 19(1): e0296914.     CrossRef
  • Therapeutic Communication Using Mirroring Interventions in Nursing Education: A Mixed Methods Study
    Seung Hee Lee, Hye Jin Yoo
    Asian Nursing Research.2024; 18(5): 435.     CrossRef
  • The Impact of COVID-19 Stress, Interpersonal Relations, and Information Literacy on the Adaptation of Nursing Students to College Life
    Miran Jung, So Youn Yim, Young Mi Ryu
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(1): 9.     CrossRef
  • Korean Nursing Students’ Experiences of Virtual Simulation Programs Replacing In-Person Mental Health Nursing Practicum during the COVID-19 Pandemic
    Sunyoung Lee, Eunyoung Park, Hyun-E Yeom
    Healthcare.2024; 12(6): 685.     CrossRef
  • Nursing students’ satisfaction and clinical competence by type of pediatric nursing practicum during the COVID-19 pandemic
    Hyeon Ok Ju, Jung Hwa Lee
    The Journal of Korean Academic Society of Nursing Education.2024; 30(1): 29.     CrossRef
  • Effect of Virtual-Reality Simulation of Indwelling Catheterization on Nursing Students’ Skills, Confidence, and Satisfaction
    Soohyun Park, Hyeon Gyeong Yoon
    Clinical Simulation in Nursing.2023; 80: 46.     CrossRef
  • The Practical Experience of Nursing Graduates through Clinical Practicum Alternative Program during the COVID-19 Pandemic
    Eun Hee Jang, Youngrye Park
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    Yun-Jung Choi, Youn-Joo Um
    Nurse Education Today.2022; 119: 105586.     CrossRef
  • Clinical Field and Alternative Clinical Practice Experience in a Pandemic Situation of Nursing Students Who Have Experienced Clinical Practice before COVID-19
    Hyeran An, Sunnam Park, Jongeun Lee
    International Journal of Environmental Research and Public Health.2022; 19(20): 13372.     CrossRef
  • Laboratory and clinical teaching experience of nursing professors in the COVID-19 pandemic era: Now and the future
    Seung-Yi Choi, Songxian Jin, Jung-Hee Kim
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Effectiveness of Debriefing in Simulation-Based Education for Nursing Students: A Systematic Review and Meta-analysis
    Yeoungsuk Song, Seurk Park
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 399.     CrossRef
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  • 12 Scopus

Invited Article

Purpose
This narrative review aims to provide an introduction and overview of dyadic research within the context of chronic illness. In addition, some methodological considerations and future directions for conducting dyadic research are presented.
Methods
The focus of this review is on adult participants in dyads and with chronic illness based on the previous studies and literatures on dyadic science.
Results
Theory of Dyadic Illness Management and Dyadic Regulation-Connectivity Model (DR-CM) may be appropriate for performing dyadic research. At present, there is a lack of qualitative and quantitative knowledge on the dyadic approach for research on chronic diseases. Dyadic health interventions for building collaborative relationships within a dyad may be beneficial to improve dyadic health outcomes. This article addressed some of the challenges regarding recruitment, data collection, and analysis when it comes to planning dyadic research pertaining to chronic illnesses.
Conclusion
Healthcare professionals should prioritize needs and preferences at the dyadic level when designing effective chronic disease management. Particularly, it is critical to regularly monitor the dyadic relationships or type of dyadic care during illness trajectories. More research should be undertaken on patient-family caregiver dyads in chronic care, considering the various types of chronic diseases and cultural diversities.
  • 328 View
  • 5 Download
  • 0 Scopus
Original Articles
Assessment of Research Performance during COVID-19 Pandemic among Nursing Researchers
Soo Hyun Kim, Seongmi Moon, Seieun Oh, Youn-Jung Son, Youngrye Park, Soo Jung Chang, Kisook Kim, Jooyoung Cheon, Eun Hee Jang, Jeonghyun Cho, Sung-Hee Yoo, Hee Sun Kim, Sung Reul Kim, Yu Hyeon Choe
Korean J Adult Nurs 2021;33(4):406-414.   Published online August 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.4.406
Purpose
The purpose of this study was to assess the research performance during Coronavirus Disease 2019 (COVID-19) pandemic among nursing researchers. Methods: A cross-sectional online survey was conducted for Korean Society of Adult Nursing where 103 subjects participated from April 15 to May 14, 2021. The survey tool developed by researchers had 32 items including difficulties in performing research activities, perception of the impact of COVID-19 on research validity, and three open-ended questions. Results: In the research planning phase, 88 subjects (90.7%) reported difficulties in the recruitment plan and 83 subjects (89.3%) reported difficulties selecting a research design. In the recruitment and data collection phase, 85 subjects (88.6%) had difficulties accessing data collection site and 78 subjects (85.7%) had difficulties in face-to-face data collection. In the provision of intervention phase (for experimental study), 26 subjects (66.7%) reported that they should have changed the method of delivery of intervention. In research administration and manpower management, 62 subjects (75.6%) reported difficulties in face-to-face meeting. In research outcome management, 65 subjects (85.5%) reported that they should have changed the way of research-related events. Lastly, 80 subjects (81.6%) perceived that difficulties caused by COVID-19 impacted research validity. Conclusion: Majority of participants perceived that the difficulties in research activities may decrease research validity. To ensure research quality during COVID-19 pandemic, we should recognize potential threats to research validity and actively pursue adaptable innovations of research designs and data collection methods.
  • 155 View
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A Structural Equation Model on Exercise Behavior in Patients with Heart Failure
Hyekyung Jin, Minju Kim
Korean J Adult Nurs 2021;33(4):333-348.   Published online August 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.4.333
Purpose
The purpose of this study was to construct and test a hypothetical model of exercise behavior in patients with Heart Failure (HF) based on the Information-Motivation-Behavioral skills (IMB) model, and the IMB model including depression (IMBD). Methods: Data collection was conducted from February 1 to March 15, 2019. A total of 306 patients who were diagnosed with HF and were receiving outpatient treatment at the D University hospital and S hospital located in B city were included in the final analysis. The collected data were analyzed using SPSS 24.0 and AMOS 25.0 program. Results: The IMB model (x2 /df=2.45, SRMR=.07, RMSEA=.07, GFI=.98, AGFI=.94, TLI=.93, CFI=.97) and IMBD model (x2 /df=0.79, SRMR=.02, RMSEA=.003, GFI=.99, AGFI=.97, TLI=.98, CFI=.97) were a good fit for the data. In the exercise behavior IMB model, exercise behavior was explained by 55.1% by information, personal motivation, and behavioral skills. In the exercise behavior IMBD model, exercise behavior was explained by 60.4% by information, personal motivation, behavioral skills, and depression. Conclusion: The IMBD model showed high predictive power of exercise behavior. Therefore, in order to improve HF patients’ exercise behavior, it is necessary to identify and manage patients who experience depression. The development and application of integrated interventions to provide appropriate information, motivation, and confidence in exercise can be an effective strategy in increasing exercise compliance, and ultimately contribute to improving the health outcomes of patients with HF.

Citations

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  • Exercise and adults with hemophilia: a systematic review and meta-analysis
    Doo Young Kim, Mi Yang Jeon, Young Eun, Da In Jeong
    Journal of Korean Biological Nursing Science.2024; 26(1): 1.     CrossRef
  • Factors Affecting Health-promoting Behavior of Nurses in Small and Medium-sized Hospitals based on the IMB Model
    Jin Hee Jeong, Hye Kyung Lee
    The Korean Journal of Rehabilitation Nursing.2022; 25(2): 102.     CrossRef
  • Factors Influencing Performance of Exercise Behavior of Middle-Aged Men with Chronic Disease Based on the Information–Motivation–Behavioral Skill-Revealed-Related Variables (IMBR) Model
    Hee-Kyung Kim, Hyoungtae Kim, Jeong-Hyo Seo
    Healthcare.2022; 11(1): 100.     CrossRef
  • 279 View
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  • 3 Scopus
Ethnography on the Health Life of Hemodialysis Patients with Chronic Kidney Failure
Jinhyang Yang, Myung-Ok Cho
Korean J Adult Nurs 2021;33(2):156-168.   Published online April 30, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.2.156
Purpose
This study was performed to explore the contexts and meanings of health life among patients with chronic kidney failure undergoing hemodialysis. Methods: The ethnography steps presented by Spradley were utilized. The participants were 12 patients from two hemodialysis centers. Data were collected by iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods. Field notes were used along with interviews and dialogue between authors to enhance interpretation. Results: Five themes on the health life of participants emerged: experiencing the loss of normality of the body and the collapse of daily life, establishing the role of dialysis patients, reorganizing the network, building an integrated coping pattern, and new normalization of the pattern of life. Patients' experiences differed in health life's patterns and meanings according to various individual situations and sociocultural contexts. Conclusion: Establishing new patterns of life of hemodialysis patients was a normalization process to ensure the adequacy of physical indicators and stability amid physical, emotional, and social challenges. To achieve quality health life, patients should be provided with tailored nursing interventions that consider their individual, social, and cultural situations.

Citations

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  • A qualitative meta-synthesis of the essence of patient experiences of dialysis
    Soyoung Jang, Eunyoung E. Suh, Yoonhee Seok
    Journal of Korean Academy of Nursing.2025; 55(1): 119.     CrossRef
  • Predictors of self-management behaviors among patients undergoing hemodialysis
    Yusun Park, Sunyoung Jung
    Scientific Reports.2025;[Epub]     CrossRef
  • The impact of illness acceptance, depression, and social support on health-related quality of life in older adults on hemodialysis: A descriptive study
    Eunha Lee, Jungmin Kim
    Journal of Korean Gerontological Nursing.2025; 27(1): 106.     CrossRef
  • Predictors of psychosocial adaptation in haemodialysis patients according to haemodialysis vintage: a quantitative study
    Ae Kyung Chang, Ah Young Kim
    Contemporary Nurse.2025; : 1.     CrossRef
  • Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
    Jinhyang Yang, Myung-Ok Cho, Haeok Lee
    Applied Nursing Research.2022; 65: 151584.     CrossRef
  • The Effect of Uncertainty on the Physiological Indexes of Hemodialysis Patients: Serial Mediating Effects of Uncertainty Appraisal and Self-care Behavior
    Mi Kyung Kim, Eun Hee Jang
    Korean Journal of Adult Nursing.2022; 34(1): 51.     CrossRef
  • Development and Evaluation of an Online Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis
    Jinhyang Yang
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 531.     CrossRef
  • 298 View
  • 6 Download
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The Effect of White Noise on Sleep in Hospitalized Patients: A Randomized Controlled Trial
Min-Eun Cho, Sun-Kyung Hwang
Korean J Adult Nurs 2021;33(1):44-55.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.44
Purpose
During hospitalization, sleep can be disturbed and the quality reduced. This study investigated the effect of applying white noise on hospitalized patients for improving their sleep quality. Methods: In a randomized controlled trial design, participants were randomly assigned to an experimental group (n=30) or a comparison group (n=31), enrolled from rehabilitation medicine wards at a university hospital in South Korea. For three days of the intervention, the experimental group listened to white noise for one hour before sleep. The comparison group wore only earplugs before sleep. Sleep quality was assessed by the Verran and Snyder-Halpern (VSH) sleep scale as a subjective measure and the Fitbit ® wrist band monitor as an objective measure. Data were collected pre- and three days post-intervention. Data were analyzed by repeated measures ANOVA using SPSS/WIN 22.0 program. Results: The white noise group showed positive effects on subjective sleep quality (p<.001) compared to the earplug group. Among the objective sleep quality measures, sleep time (p<.001) and sleep efficiency (p=.003) were statistically significant, but there were no statistically significant differences in time of awakening, number of awakening, time of restless and number of restless. Conclusion: Findings indicate that applying white noise could be considered as a useful nursing intervention to improve subjective and objective sleep quality in hospitalized patients.

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    Berna Aksoy, Levent Ozturk
    Teaching and Learning in Nursing.2024; 19(1): e52.     CrossRef
  • Effect of dynamic binaural beats on sleep quality: a proof-of-concept study with questionnaire and biosignals
    Hwa-Ah-Ni Lee, Woo-Jin Lee, Seong-Uk Kim, Hyunji Kim, Minkyu Ahn, Jeonghui Kim, Do-Won Kim, Chang-Ho Yun, Han-Jeong Hwang
    SLEEP.2024;[Epub]     CrossRef
  • Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
    Yul Ha Lee, Hye-Ja Park
    Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef
  • External Auditory Stimulation as a Non-Pharmacological Sleep Aid
    Heenam Yoon, Hyun Jae Baek
    Sensors.2022; 22(3): 1264.     CrossRef
  • 478 View
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Influence of the Rapid Response Team Activation via Screening by Nurses on Unplanned Intensive Care Unit Admissions
Ye-Ji Huh, Seong mi Moon, Eun Kyeung Eun, Min young Kim
Korean J Adult Nurs 2020;32(5):539-549.   Published online October 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.5.539
Purpose
This study aimed to identify the influence of the activation of the Rapid Response Team (RRT) through screening unplanned Intensive Care Unit (ICU) admissions.
Methods
A total of 539 cases in which the RRT was activated, from January 1, 2016 to December 31, 2017, were analyzed. Data were collected by reviewing rapid response team activity reports and electronic medical records and analyzed using the Chi-squared test and multiple logistic regression analysis. The analyzed types of RRT activation were electronic medical record-based screening and activation through direct call.
Results
Patients admitted to the ICU following RRT activation through direct call were twice as likely to experience an unplanned ICU admission than patients for which the RRT was activated through electronic medical record screening (Odds Ratio [OR]=2.05, 95% Confidence Interval [CI]=1.27~3.30). Other variables, including the medical department, activation duration in minutes, total national early warning score, and respiratory distress as the reason for activation (compared to sepsis or septic shock) predicted unplanned ICU admissions.
Conclusion
Electronic medical record screening by RRT may facilitate the early detection and monitoring of physiological deterioration in patients in the general medical ward. This strategy may help prevent unplanned ICU admissions and potentially reduce mortality.

Citations

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  • The effect of nurses' perceptions and satisfaction with hospital rapid response teams on burnout related to emergency situations in Korea: a cross-sectional study
    Bumin Kim, Nahyun Kim
    Journal of Korean Biological Nursing Science.2025; 27(2): 234.     CrossRef
  • Early Prediction of Sepsis in the Intensive Care Unit Using the GRU-D-MGP-TCN Model
    Seunghee Lee, Geonchul Shin, Jeongseok Hwang, Yunjeong Hwang, Hyunwoo Jang, Ju Han Park, Sunmi Han, Kyeongmin Ryu, Jong-Yeup Kim
    IEEE Access.2024; 12: 148294.     CrossRef
  • Nursing Students’ Clinical Judgment and Performance in Simulation of Recognizing and Responding of the Deterioriating Patient ; a retrospective mixed-methods
    Yi Kyung Ha
    Journal of Korean Critical Care Nursing.2023; 16(2): 42.     CrossRef
  • Effects of a Rapid Response Team on the Clinical Outcomes of Cardiopulmonary Resuscitation of Patients Hospitalized in General Wards
    Mi-Jung Yoon, Jin-Hee Park
    Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 491.     CrossRef
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Knowledge Structure of Nursing Studies on Heart Failure Patients in South Korea through Text Network Analysis
Seang Ryu, Hyunyoung Park, Yun-Hee Kim
Korean J Adult Nurs 2020;32(4):409-420.   Published online August 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.4.409
Purpose
The aim of this study was to identify the knowledge structure of nursing research on heart failure in Korea.
Methods
Fifty-two studies published in Korea and 41 published abroad by domestic researches from 1988 to 2019, were included. Meaningful morphemes from the abstracts were extracted and refined, and co-occurrence matrix was generated. Using Phython 3.7 for edge weight, degree centrality, closeness centrality, and betweenness centrality and Gephi 0.9.2 for visualization, 571 keywords were analyzed.
Results
The core keywords were “patient”, “heart failure”, “symptom”, “function”, “quality of life”, “self-care”, and “intervention”. The sociogram identified “patient”, “heart failure”, and “symptom” as the largest node, and the edge weight between the keywords was the highest. From 1988 to 2019, keywords such as “patient”, “heart failure”, and “symptom” ranked the highest. Especially, from 2016 to 2019, “quality of life”, “NYHA”, and “medication” ranked lower, but “cognition”, “health literacy”, “behavior”, “self-efficacy”, “man”, “woman”, and “age” newly appeared or ranked higher.
Conclusion
It is recommended that Korean heart failure nursing researchers conduct researches related to self-care for symptom management of heart failure patients, especially on nursing interventions. In addition, nursing researchers should conduct studies on the cognition and health literacy related to self-care of the elderly patients with heart failure

Citations

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  • Images of Nurses Appeared in Media Reports Before and After Outbreak of COVID-19: Text Network Analysis and Topic Modeling
    Min Young Park, Seok Hee Jeong, Hee Sun Kim, Eun Jee Lee
    Journal of Korean Academy of Nursing.2022; 52(3): 291.     CrossRef
  • 264 View
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  • 1 Scopus
Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis
Jiyeon Kang, Yeon Jin Jeong
Korean J Adult Nurs 2020;32(2):124-133.   Published online April 30, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.2.124
Purpose
To explore the nature of psychological resistance to the initiation of antihypertensive medication.
Methods
Participants were 13 adults with hypertension who were refusing or had refused to take antihypertensive drugs from July 2016 to October 2016. The data were collected through face-to-face in-depth interviews, and analyzed according to Braun and Clarke’s 6 steps of thematic analysis.
Results
Analysis of the psychological resistance experience to drug therapy in hypertensive patients resulted in 5 themes and 10 sub-themes from a total of 42 free codes. Participants were “holding out as much as possible without medication” without taking antihypertensive drugs due to “psychological opposition to starting treatment” and “situational barriers related to medication”. However, they were “coming to grips with reality” that they were not taking medication but would take it someday, and they gained “momentum for change” to start taking it.
Conclusion
The 5 themes derived from the data analysis of the experiences of 13 participants are interrelated and suggest the direction of intervention to lower psychological resistance. In particular, we propose the development of an intervention to assist patients in self-decision regarding taking antihypertensive medication. Additional research into the role of medical staff in lowering the psychological resistance of young hypertensive patients is needed.

Citations

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  • Withdrawal of antihypertensive medication in young to middle-aged adults: a prospective, single-group, intervention study
    Hae-Young Lee, Kyoung Suk Lee
    Clinical Hypertension.2023;[Epub]     CrossRef
  • 162 View
  • 1 Download
  • 1 Crossref
  • 1 Scopus
Lived Experience of Primary Decision - Makers Regarding Do-Not-Resuscitate Instruction: Using Parse's Method
Eun Young Lee, Sung Rae Shin
Korean J Adult Nurs 2019;31(5):540-551.   Published online October 31, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.5.540
PURPOSE
The purpose of this study was to identify the significance and structure of the painful experience of primary decision-makers regarding the Do-Not-Resuscitate (DNR) instruction.
METHODS
This study was a qualitative research based on Parse's qualitative research method. Participants were 7 family members who were primary decision-makers for regarding DNR instruction for the family member from July 28, to October 6, 2018.
RESULTS
The core concepts of the difficulties of the participants were Distress emerging from the pitiful condition of the patient, guilt, sadness and regret, Seeking comfort for loved ones, Uncertainty of DNR decision, Planning the resumption of daily life and decision about own DNR. The painful experience of participants can be defined as the process of empowering the patient through verbal communication with them, by valuing them, and by enabling them to overcome their limitations.
CONCLUSION
The result of this study is expected to contribute to a deep understanding of primary DNR decision-makers' suffering and developing guidelines for nursing care for health care professionals and primary DNR decision-makers who provide end-of-life care to the patients.

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  • Nurse's, physician's and family member's experiences of withholding or withdrawing life‐sustaining treatment process in an intensive care unit
    Hye Ri Choi, Sheila Rodgers, Jennifer Tocher, Sung Wook Kang
    Journal of Clinical Nursing.2023; 32(15-16): 4827.     CrossRef
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Experiences of Unrelated Hematopoietic Stem-cell Donors and Experts of Relevant Institutions
Soyoung Yu, Miok Kim, Tai Gyu Kim, Su Hee Beom
Korean J Adult Nurs 2019;31(5):522-539.   Published online October 31, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.5.522
PURPOSE
This study attempts to explore the experiences of Hematopoietic Stem Cell Donation (HSCD) among donors and experts of HSCD-related institutions in South Korea.
METHODS
In July 2017, 7 donors and 8 experts with experience of HSCD-related work were interviewed. The transcribed data were qualitatively analyzed to identify major themes and sub-themes representing the experiences of the donors and experts.
RESULTS
The analysis indicated that donors' HSCD-related experiences were structured into 5 themes (“Lack of understanding of HSCD”, “Difficulty in decision-making regarding HSCD”, “Major hassles involving HSCD”, “Meaningful experiences and hopefulness” and “More effort by government and institutions for future donors”). The experts' experiences were structured into 4 themes (“Improving the donation procedure through government support”, “Improving the donation procedure through campaign reinforcement”, “Donors' characteristics”, and “Meaning of my job”).
CONCLUSION
HSCD-related institutions must manage donors more carefully. This would involve keeping them aware of what they are likely to experience throughout the donation procedure, follow-up monitoring, and continuous support. Efforts should be taken to inform nurses involved in HSCD of research on donors' experiences, and they must be systematically trained to ease donors' difficulties.

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  • Physical and Psychological Discomfort Experienced by Hematopoietic Stem-Cell Donors
    Miok Kim, Tai-Gyu Kim, Su-Hee Beom
    International Journal of Environmental Research and Public Health.2020; 17(7): 2316.     CrossRef
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PURPOSE
This study aimed to investigate a successful aging experience of aged on the in-home benefits of long-term care insurance.
METHODS
The participants included 12 aged individuals receiving such benefits. Data were collected using in-depth interviews from November of 2016 to July of 2017. The qualitative analysis process followed the grounded theory method by Strauss and Corbin.
RESULTS
The research results indicate that the core category was “living my life in my home using my remaining abilities”. The phenomenon was “recognizing the limitations of my body”, and causal conditions were “old and sick body” and “depression”. The interaction strategies were “examining my body”, “engaging in self-reflection”, “controlling my mind”, “taking care of my health according to the illnesses I experience”, “managing my remaining abilities”, “connecting with a supportive network”, and “spending time”. The outcomes were “living by adapting to my limited body conditions”, “leading my life with the help of others”, “sharing the meaning of life with others”, and “reestablishing my life values”.
CONCLUSION
Based on the this results, systematic health management programs such as personalized physical activity to maintain and preserve remaining function of the body should be develop to maintain the life in my home for aged.

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  • Successful aging among the elderly with mild cognitive impairment facing the crisis of old age: a grounded theory study
    Haeyun Shin, Suhye Kwon
    Journal of Korean Academy of Nursing.2025; 55(2): 301.     CrossRef
  • Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project
    Yun Hee Hwang, Ga Eon Lee
    Journal of Korean Academy of Community Health Nursing.2021; 32(3): 382.     CrossRef
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