Purpose
This study aimed to examine the level of fear of cancer recurrence (FCR) among adult breast cancer survivors and to identify factors influencing it. Methods: This cross-sectional study included 104 adult breast cancer survivors who were no longer receiving active treatment. Data were collected through self-report questionnaires addressing FCR, depression, anxiety, distress, fatigue, coping with cancer, social support, subjective health status, subjective quality of life, demographic characteristics, and disease-related characteristics. Surveys were administered both face-to-face and online between March and September 2024. Data analysis was conducted using descriptive statistics, frequencies, the independent t-test, one-way analysis of variance, Pearson’s correlation, and multiple regression. Results: The mean total FCR score was 78.83±25.71 (range, 0–168), reflecting a moderate level. Among participants, 22.1% scored above the cutoff for depression, 34.6% for mild anxiety, and 27.9% for severe distress. More than 70% of participants reported fatigue. Levels of coping with cancer, social support, subjective health status, and subjective quality of life were moderate or higher. Anxiety (β=.56, p<.001), fatigue (≤34) (β=.18, p=.019), and subjective quality of life (β=–.18, p=.022) significantly influenced FCR. Conclusion: Ongoing assessments and tailored interventions are essential to address FCR and to promote psychological well-being in breast cancer survivors following completion of active treatment.

Purpose
Colorectal cancer (CRC) survivors face significant challenges after completing treatment, including returning to work, concerns about the future, and financial difficulties. Understanding how inner strength developed after treatment affects survivors’ lives is crucial for informing patient-centered care. This study explored the unique inner strength exhibited by CRC survivors during their transition to a “new normal.” Methods: We recruited 16 patients from Korea who had completed treatment, to explore their experiences of managing their health. We conducted a qualitative study from July 4, 2022 to July 25, 2022 using individual interviews and directed content analysis. Transcribed interview data were analyzed to interpret meaning from the data, consistent with the naturalistic paradigm. Results: Participants described their transition to a new normal by reframing the cancer experience, struggling to return to normal life, experiencing growth promoted by supportive relationships, and encountering both positive and negative life changes. Throughout these experiences as survivors, inner strength played a critical role in adapting to a new normal. Conclusion: Our findings suggest that inner strength serves as a dynamic psychological resource, enabling CRC survivors to reframe their illness, regain disrupted roles, and reconstruct a meaningful life despite ongoing physical and emotional challenges. In doing so, inner strength facilitates their adaptation to a new normal.

Purpose
This study analyzed the methodological characteristics of machine learning (ML) applications in nursing research, evaluated their reporting quality against standardized guidelines, and assessed progress toward clinical implementation. Methods: A PRISMA-compliant systematic review (PROSPERO CRD42024595877) searched nine English- and Korean-language databases through September 27, 2024. Included studies applied ML to a nursing question and had at least one nursing-affiliated author. Two reviewers independently extracted data following the Cross-Industry Standard Process for Data Mining (CRISP-DM) framework. Reporting quality was appraised using the TRIPOD+AI checklist. Results: Of 125 included studies, supervised learning predominated (93.6%), with random forest, logistic regression, and support vector machines as common algorithms. The most frequent performance metrics were the area under the receiver operating curve and accuracy. Mean TRIPOD+AI compliance was 50.4% (standard deviation=9.37), with reporting quality lowest for data preparation (48.0%) and class imbalance handling (22.4%). Research focused on predicting pressure injuries, falls, and readmissions. Only seven studies described clinical deployment, often citing ethical or workflow barriers. Conclusion: While ML studies in nursing are increasing and show strong discriminatory accuracy, their impact is limited by inconsistent reporting, limited external validation, and rare clinical deployment. Translating these algorithms into practice requires adopting comprehensive reporting guidelines like TRIPOD+AI, documenting each CRISP-DM phase, and integrating nurse-centered decision-support pathways.

Purpose
The purpose of this study was to examine the experiences of nurse managers in clinical nursing education during an emerging infectious disease outbreak. Methods: Individual semi-structured interviews were conducted with 12 nurse managers from seven general or tertiary hospitals, each with 300 or more beds, in South Korea. Data were collected between February 17 and June 10, 2023, and analyzed using qualitative content analysis. Results: Four themes and 11 subthemes were identified. Nurse managers faced significant challenges in departmental management during the infectious disease outbreak, encountered a wide range of student attitudes toward learning, adapted their teaching methods flexibly in response to changing infectious disease conditions, and ultimately found meaning in the irreplaceable value of clinical practice education. Conclusion: During the emerging infectious disease outbreak, nurse managers not only encountered substantial difficulties but also experienced professional growth as clinical nursing educators. To enhance clinical nursing education in such challenging environments, it is essential to minimize uncertainty caused by infectious diseases and foster positive perceptions among nursing students regarding clinical practice education under restrictive circumstances. Institutional support is also necessary to reduce the work burden on nurse managers.

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.

Citations

• Effectiveness of a high-fidelity simulation program based on flipped learning for nurses’ emergency management of seizures: a mixed-methods design
  Jae-Kyun Ju, Okja Choi, Shinhye Ahn, Hye Won Jeong
  BMC Nursing.2025;[Epub]     CrossRef
• Effect of structured community-based older people education program on empathy, emotional intelligence, and caring behavior among nursing students
  Jing Ma, PingLei Chui, Mei Chan Chong, Jingru Yuan, Yongyan Zhu, Luyao Liu, Zhenqing Sun
  Frontiers in Medicine.2025;[Epub]     CrossRef

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.

Citations

• Enhancing postoperative recovery with multimodal prehabilitation: the journey begins before surgery
  Ah-Reum Cho, Wariya Vongchaiudomchoke, Detlef Balde, Do Jun Kim, Francesco Carli
  Korean Journal of Anesthesiology.2025; 78(5): 401.     CrossRef

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.

Citations

• Machine Learning Applications in Nursing-Affiliated Research: A Systematic Review
  Eun Joo Kim, Seong Kwang Kim
  Korean Journal of Adult Nursing.2025; 37(3): 189.     CrossRef
• Data Analytics and Administrative Decision‐Making in Nursing Management: A Systematic Review
  Nathidathip Darach, Min Su Kim, Wasinee Wisesrith, Eileen G. Collins, Majd Mrayyan
  Journal of Nursing Management.2025;[Epub]     CrossRef

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.

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.

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.

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.

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.

Citations

• Development and Effectiveness of a Mobile Application-Based Health Management Program for Middle-Aged Men with Andropause: A Non-equivalent Control Group Pretest-Posttest Study
  Sun Jung Park, Young Sook Lim
  Korean Journal of Adult Nursing.2025; 37(3): 231.     CrossRef

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.

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.

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

• 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
• Situation analysis of implementation of the SMART safe discharge protocol: a study from East Guilan, Iran
  Azar Darvishpour, Shiva Mahdavi Fashtami, Nafiseh Koochaki, Esmat Nourbakhsh Kashki
  BMC Nursing.2025;[Epub]     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

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

• 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

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

• 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

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

• 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
• A study on the job performance, importance, and educational needs of clinical practice nurses in tertiary hospitals
  Hyemi Lee, Youngmee Ahn, Min Sohn, Minhee Suh
  The Journal of Korean Academic Society of Nursing Education.2025; 31(3): 315.     CrossRef
• The Influence of Clinical Practice Nurses' Self-Leadership, Role Conflict, and Practice Environment on Patient Safety Competency
  Jeong Hwa Heo, Ji Hyun Sung
  Journal of Korean Academy of Nursing Administration.2025; 31(4): 458.     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

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

• 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
• Experiences of Person‐Centred Care Among Nurses in COVID‐19 Wards: A Qualitative Study
  Myoungsuk Kim, Yongmi Lee, Hyun‐Ju Kang
  Nursing Open.2025;[Epub]     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

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

• Experiences of Person‐Centred Care Among Nurses in COVID‐19 Wards: A Qualitative Study
  Myoungsuk Kim, Yongmi Lee, Hyun‐Ju Kang
  Nursing Open.2025;[Epub]     CrossRef
• 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

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.

Citations

• 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.2025; 46(1): 41.     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; 386: 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

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.

Citations

• 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

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.

Citations

• 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
• Experiences of Nurse Managers in Clinical Nursing Education during Emerging Infectious Disease Outbreaks: A Qualitative Study
  Soojin Chung, Ju-Young Park, Jeongim Lee
  Korean Journal of Adult Nursing.2025; 37(3): 276.     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
  Journal of Korean Association for Qualitative Research.2023; 8(2): 107.     CrossRef
• Student nurse experiences in public healthcare clinical practice during the COVID-19 pandemic: A qualitative study
  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

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.

Citations

• A Review of Recent Trends in Intervention Studies for Adults with Type 2 Diabetes Using Motivational Theory and Self-Determination Theory
  Mi Ran Jang, Jun Yeop Lee, Mi Ji Kim, Jong Hoon Kim, Joo Hyun Kim
  Journal of Korean Association for Qualitative Research.2025; 10(2): 165.     CrossRef

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.

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

• 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

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

• 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; 61(4): 377.     CrossRef
• Influences of Online Health Information Seeking Behavior and E-health Literacy on Self-Management in Hemodialysis Patients: A Cross-Sectional Study
  Myeong-yi Kim, Jaehee Jeon
  Korean Journal of Adult Nursing.2025; 37(4): 502.     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

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.

Citations

• Impact and efficacy of sound machine on sleep in hospitalized adults: A systematic review
  Kanika Khandelwal, Alecia Anyim, Sara Shu, Dana Gerberi, Mohammed Yousufuddin, Sandeep Pagali
  Sleep Medicine: X.2025; 10: 100154.     CrossRef
• A randomized controlled trial on the effect of music and white noise listening on anxiety and vital signs during intramuscular injection skill learning
  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

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

• 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

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

• 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

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

• 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

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.

Citations

• 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

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.

Citations

• Unveiling the unknown: exploring Korean anonymous organ donors’ post-donation outcomes
  Chulhee Kang, Hyelim Hong, Chanmi Kim
  Humanities and Social Sciences Communications.2025;[Epub]     CrossRef
• 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

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.

Citations

• 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

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 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 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
This study aimed to understand the experiences of family caregivers utilizing Care Support of Dementia Centers (CSDC) in the community.
METHODS
Colaizzi's phenomenological approach was used for this study. The participants were 10 family caregivers. Open in-depth interviews were used to collect data from January 2018 to February 2018.
RESULTS
Four categories emerged from the analysis. The experiences of family caregivers utilizing CSDC included “becoming to open the mind to dementia”, “forming of good field for each other”, “alterations in the patterns of family life” and “hoping for a better life”. There were 8 clusters of themes and 17 themes. The experiences of family caregivers utilizing CSDC were driving force of understanding about dementia, older adults with dementia and caring. The older adults with dementia accepted their disease, they actively participated in supporting programs. So, forming of another world that provide regular activities for older adults with dementia, giving rest to the family caregivers, and rearranging the pattern of life according to the schedule of older adults with dementia. Moreover, they expressed the need for a helpful and empathetic support program.
CONCLUSION
These results suggest that CSDC helped older adults with dementia and their family caregivers. Therefore, the importance of the role of dementia centers has been emphasized. It is necessary to provide guidance on the content and direction of the network of community support systems.

Citations

• Factors influencing the caring behaviors of primary family caregivers of older adults with dementia: A cross-sectional study
  Da-Mi Kim, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2024; 26(2): 146.     CrossRef
• Time Usage and Satisfaction Based on Occupational Area Between Weekdays and Weekends of Family Caregivers and Non-family Caregivers of Dementia Patients
  Woo-Hyuk Jang, Jong-Hwi Park
  Annals of Indian Academy of Neurology.2024; 27(5): 543.     CrossRef
• Time usage analysis according to occupational area and satisfaction level in family caregivers of dementia patients
  Woo-Hyuk Jang, Jong-Sik Jang, Jong-Hwi Park
  PeerJ.2023; 11: e15178.     CrossRef
• Evaluating the Effectiveness of Community-Based Dementia Caregiver Intervention on Caregiving Burden, Depression, and Attitude Toward Dementia: A Quasi‐experimental Study
  Su Jung Lee, Hyun-Ju Seo, IL Han Choo, Seong Min Kim, Jeong Min Park, Eun-Young Yang, Yu Mi Choi
  Clinical Interventions in Aging.2022; Volume 17: 937.     CrossRef
• Experience of family caregivers using dementia management programs for patients with dementia during COVID-19: Based on focus group interviews
  Doonam Oh, Jeonghae Hwang, Seonghee Jeong
  Korean Journal of Health Education and Promotion.2022; 39(5): 101.     CrossRef
• Comparing the Needs of Family Caregivers and Program Providers in Long-Term Care in Terms of Family Support Program
  Myonghwa Park, Younghye Go, Miri Jeong, Eun-Jeong Han
  Korean Journal of Adult Nursing.2019; 31(1): 14.     CrossRef

PURPOSE
The purpose of this study was to identify the factors associated with compliance with standard precautions among hemodialysis unit nurses.
METHODS
A cross-sectional study design was used. One hundred ninety six nurses were recruited from 18 hemodialysis units in South Korea. Data were analyzed using SPSS/WIN 23.0 to provide descriptive statistics to describe the characteristics of the sample and variables. A hierarchical linear model was used to analyze effects of individual and hospital characteristics on nurses' compliance with standard precautions.
RESULTS
The majority of the sample was female (98%) and reported receiving in-service education on infection control (80%). The participants' average year of work experience in hemodialysis units was 7 years and the average nurse-patient ratio was 7:1. At the individual level, the perception of patients' severity, the length of work experience in hemodialysis unit, and the safety climate on infection prevention practices were significantly associated with nurse's compliance with standard precautions. At the hospital level, clinics showed a lower compliance with standard precautions than general hospital or university hospital.
CONCLUSION
In order to enhance compliance with standard precautions among hemodialysis unit nurses, it is imperative to warrant safety climate on infection prevention practice at clinics and develop infection control educational program for nurses with less work experience in hemodialysis units.

Citations

• Factors Influencing Emergency Department Nurses’ Compliance with Standard Precautions Using Multilevel Analysis
  Su Jung Kim, Eun Ju Lee
  International Journal of Environmental Research and Public Health.2021; 18(11): 6149.     CrossRef
• Factors influencing the adherence of nurses to standard precautions in South Korea hospital settings
  Eunja Oh, Jeong Sil Choi
  American Journal of Infection Control.2019; 47(11): 1346.     CrossRef

PURPOSE
The aim of this study was to verify the effect of simulation and examine the effect of within-team debriefing for cardiac arrest emergency nursing education.
METHODS
A non-equivalent control group quasi-experimental design was used. The participants in this study were 199 senior nursing students from one nursing school in Daegu, Korea. Data were analyzed using χ² test, t-test, Fisher's exact test with SPSS 22.0 program.
RESULTS
Developed simulation protocol in this study increased the learning immersion (t=12.19, p < .001, t=5.07, p < .001), learning confidence (t=−10.36, p < .001, t=−5.99, p < .001) and clinical performance ability (t=−10.88, p < .001, t=−3.84, p=.002) among nursing students. In addition to this, learning immersion (t=2.66, p=.008), learning confidence (t=−2.78, p=.006), simulation satisfaction (t=−3.15, p=.002) and clinical performance (t=−3.02, p=.005) were significantly higher in the experiment group using within-team debriefing.
CONCLUSION
The results indicate that simulation using within-team debriefing was an effective educational method for nursing students.

Citations

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

PURPOSE
This study was to explore and describe their experience of living with a colostomy.
METHODS
The data were collected by in-depth interviews with eight patients with colorectal cancer. The individual interviews lasted from 45 minutes to one hour each time, up to two times. The main questions were “How do you cope with the distress related to your colostomy?” The interview data were analyzed using Colaizzi's phenomenological method.
RESULTS
Of the eight participants, five were men and three were women. Mean age was 60.6 years. Three theme clusters were identified; ‘overcoming adversity of ostomy’, and ‘adjustment to ostomy’ and ‘new life through self-transcendence’.
CONCLUSION
These results showed that participants try to overcome their negative images and distress of having an ostomy by themselves, or with support from neighbors, families, religious persons or health professionals. The results from this study can help nurses to develop effective colostomy-caring interventions for patients living with a colostomy.

Citations

• Hopelessness and suicide ideation in ostomy patients: a mixed method study
  Nasrin Sarabi
  Journal of Coloproctology.2020; 40(03): 214.     CrossRef
• Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients
  Keum Hee Nam, Heui Yeoung Kim, Jung Ho Kim, Ki‐Noh Kang, Soo Yang Na, Bok Hee Han
  International Wound Journal.2019; 16(S1): 13.     CrossRef

PURPOSE
The aim of the study was to identify factors influencing quality of communication life of older adults in the community.
METHODS
Participants in this study were 128 older adults who registered at the community welfare center. The data were collected from September to October 2015 by using audiometer and three self-administered questionnaires including Korean Evaluation Scale for Hearing Handicap, Korean-Perceived Stress Scale, and Quality of Communication Life Scale. Mean minimal threshold of both ears was defined as 40dB and above for hearing handicap in this study. Data analysis included descriptive statistics, t-test, Pearson correlation coefficients, and hierarchical regression.
RESULTS
According to the screening test result from audiometer measurement, 53.9% of the participants were found to have hearing impairment. The main factors influencing quality of communication life in older adults were subjective hearing handicap of social domain and perceived stress. They explained about 41% of quality of communication life.
CONCLUSION
This study identified that subjective hearing handicap on social domain and self perceived stress in older adults were more important factors for their quality of communication life compared to physical hearing loss. Nurses caring for older people should include strategies to increases communication skills and to decrease communication related stress.

Citations

• Knowledge and Attitude Regarding the Care of the Elderly with Hearing Loss among Nurses
  Ye Seul Kang, Jeong Yun Park
  Korean Journal of Health Promotion.2023; 23(3): 147.     CrossRef
• Association of age-related hearing loss, tinnitus, and chronic low back pain in middle-aged and older Korean adults
  Hye-Mi Noh, Yi Hwa Choi, Jee Hye Wee, Hong Ji Song, Hye-Ji An, Keum Ji Kim, Soo Kyung Lee, Min Soo Jang, Nayoung Yeon, Tadashi Ito
  PLOS ONE.2023; 18(9): e0291396.     CrossRef
• A Grounded Theory Study on the Symptom Acceptance of Tinnitus Patients
  Woo Joung Joung
  Korean Journal of Adult Nursing.2018; 30(6): 611.     CrossRef

PURPOSE
There is limited available research about the experiences of family caregivers and their care of family members with cancer. The purpose of this study was to explore the experience of distress among family caregivers. Further, this study explored what aspects of caring for family member contributed to the distress.
METHODS
Data were collected through in-depth interviews with thirteen family members primarily responsible for the care of the member with cancer. All interviews were audio-taped, transcribed, and analyzed with qualitative content analysis.
RESULTS
The findings showed that the patients' physical, psychological, socio-relational, and spiritual symptoms influenced their caregivers' distress. The four categories that emerged from the data included “focusing attention only on the patient battling with cancer,”“being trapped in turmoil of complex emotions and feelings,”“having had to endure alone,” and “hanging in there at the crossroads of life and death.” With respect to these categories, fourteen sub-categories were ultimately identified.
CONCLUSION
Based on this study, researchers need to focus more attention on, and explore such co-existing distress to develop an adequate support program for the family caregivers of cancer patients.

Citations

• Caregivers of patients with cancer: perceived stress, quality of life and immune function
  Yoonjoo Kim, Misook L Chung, Hyangkyu Lee
  BMJ Supportive & Palliative Care.2025; 15(2): 195.     CrossRef
• Validity and Reliability of the Korean Version of the Parkinson’s Disease Questionnaire–Carer
  JuHee Lee, Young H. Sohn, Seok Jong Chung, Sung Hae Kim, Yujin Suh, Jungah Park, Yielin Kim
  Journal of Clinical Neurology.2023; 19(6): 547.     CrossRef
• Influences of Depression and Social Support on Quality of Life in Family Caregivers of Cancer Patients Undergoing Chemotherapy at an Outpatient Department
  Hye Young Kim, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 430.     CrossRef
• Factors Related to the Caregiving Burden on Families of Korean Patients With Lung Cancer
  Hyun Jung Lee, Soo Kyung Park
  Clinical Nursing Research.2022; 31(6): 1124.     CrossRef
• Caregiving experiences of Korean family caregivers of cancer patients: An integrative literature review
  Eunice E. Lee, Shin‐Young Lee
  Psycho-Oncology.2020; 29(10): 1486.     CrossRef
• Factors influencing caregiver burden in families of hospitalised patients with lung cancer
  Ye Ji Seo, Heeok Park
  Journal of Clinical Nursing.2019; 28(9-10): 1979.     CrossRef

PURPOSE
The purpose of this study was to identify the following: knowledge of stroke, fear of recurrence and health behaviors among patients with ischemic stroke. Further, factors influencing health behavior will be described.
METHODS
Data were collected from 180 patients with ischemic stroke at a general hospital. The study instruments included items about general and health related characteristics, a Stroke Knowledge Scale, a Stroke Fear of Recurrence Scale, and a Health Behavior Scale. Hierarchical regression method was conducted to examine predictors of health behavior.
RESULTS
The mean age of the participants was 63.62±11.10 years, and 57.8% of the sample was men. The mean score for stroke knowledge (possible range=0~17) was 14.99±1.76, the mean score for fear of recurrence (possible range=0~32) was 23.16±3.75, and the mean score for health behavior (possible range=20~80) was 54.69±6.46. Stroke knowledge and fear of recurrence were associated with health behavior in patients with ischemic stroke (F=9.98, p < .001, Adjusted R²=.43).
CONCLUSION
The results demonstrated that stroke knowledge and fear of recurrence impacts the health behavior among patients with ischemic stroke. Thus, nursing interventions which focused on fear of recurrence as well as enhancing stroke knowledge could help health behavior in patients with ischemic stroke.

Citations

• Prevalence and factors influencing fear of disease progression in stroke patients: a systematic review and meta-analysis with a focus on China
  Zilin Yang, Congying Chen, Meichang Wang, Yanxia Yang, Liping Xu
  BMJ Open.2025; 15(6): e091605.     CrossRef
• Effects of the Fear of Stroke Recurrence and a Sense of Coherence on Health Behavior Compliance among Patients Treated for Ischemic Stroke
  Seyun Kim, Jong-Eun Lee
  The Korean Journal of Rehabilitation Nursing.2025; 28(1): 20.     CrossRef
• Fear of progression profiles and their association with quality of life and depression in ischemic stroke survivors: a latent profile analysis
  Jia Li, Yi He, Fei Xie, Zhiming Kang, Jing Mei, Bin Mei
  BMC Psychiatry.2025;[Epub]     CrossRef
• Stroke knowledge and health-promoting behaviors: Mediating effect of patient self-esteem
  GyeongChae MUN, JaeLan SHIM
  Patient Education and Counseling.2024; 129: 108398.     CrossRef
• A scoping review of factors associated with self-management in young adults with stroke
  Zifang Zhou, Xiaoqun Fang, Youhong Huang, Jiangyu Hu, Kaibing Zhang, Shulei Jia
  Patient Education and Counseling.2024; 125: 108308.     CrossRef
• Predictive Model of Self-management in Patients With Stroke Based on the Information-Motivation-Behavioral Skills Model
  Sung Reul Kim, Sunho Kim, Hye Young Kim, Kyung-Hee Cho
  Journal of Cardiovascular Nursing.2023; 38(2): 158.     CrossRef
• Comparison of Stroke Knowledge, Health Beliefs, and Stroke Prevention Behavior between Early and Middle-Aged Adults
  Eun Ko
  STRESS.2022; 30(2): 98.     CrossRef
• Relationship between multidimensional stressors and quality of life in people with stroke
  Eun Jeong Choi, Hye Young Kim
  Nursing & Health Sciences.2022; 24(3): 764.     CrossRef
• A prediction model of health‐related quality of life in young adult patients with stroke
  Susie Yoon, Hye Young Kim, Sung Reul Kim
  Journal of Clinical Nursing.2021; 30(13-14): 2023.     CrossRef
• Factors Influencing Unawareness of Warning Signs of Stroke among Hypertensive Diabetic Patients at a High Risk for Stroke: The 2017 Nationwide Community Health Survey in Korea
  Mirae Jo, Heeyoung Oh, Suk-Yong Jang, Ahra Jo
  Korean Journal of Adult Nursing.2019; 31(4): 403.     CrossRef
• Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer
  Song Ok Lim, Sangeun Jun
  Korean Journal of Adult Nursing.2019; 31(3): 325.     CrossRef
• Effects of the Health Literacy and Knowledge on Adherence to Self-care Behavior among Elderly with Ischemic Stroke Visiting Local General Hospitals
  Young-Nam Park, Chul-Gyu Kim
  Korean Journal of Adult Nursing.2019; 31(5): 573.     CrossRef

PURPOSE
The purpose of this study was to understand the nurses' experiences of end of life care of older adults with dementia living in long-term care hospitals and geriatric care facilities.
METHODS
The participants were nine nurses. Open in-depth interviews were used to collect data from June, 2016 to November, 2016. Colaizzi's phenomenological approach was used to analyze the data.
RESULTS
Three categories were identified. The nurses' reported experiences of end of life care of older adults with dementia were ‘warm care with living together’, ‘care for family’, and the ‘self-reflection and responsibility as a nurse’. There were ten clusters of themes and 24 themes. The participants stated that the end of life care of older adults with dementia were individualized holistic care with dignity, being in older adults with dementia and family, and responsibility as a professional. Nurses reported the need for dementia hospice care.
CONCLUSION
These results could be considered in planning nursing intervention for hospice care. The findings support the need for educational strategies and programs to improve end of life care among older adults with dementia.

Citations

• Nursing staff’s experiences and perspectives on end-of-life care in South Korean long-term care facilities: a qualitative study
  Soo Jung Chang, Na Kyoung Lee, So-Hyeong Sim
  BMC Nursing.2025;[Epub]     CrossRef
• Impact of settings and culture on nurses’ knowledge of and attitudes and perceptions towards people with dementia: An integrative literature review
  Sara Mahmoud Yaghmour
  Nursing Open.2022; 9(1): 66.     CrossRef
• Registered Nurses’ Experiences of End-of-Life Care in Nursing Homes of South Korea: A Qualitative Study
  Soo-Jung Chang
  Healthcare.2022; 10(11): 2213.     CrossRef
• Experiences of Long-term Care Hospital Nurses Caring for Elders with Dementia
  Eun Kyoung Suh, Hye Ryoung Kim
  Journal of Korean Gerontological Nursing.2019; 21(2): 99.     CrossRef
• Factors Affecting the Care Burden of Nurses Caring Elderly Patients with Dementia
  Doo Ree Kim, Eun-Kyoung Han
  Journal of Korean Academy of Community Health Nursing.2019; 30(3): 368.     CrossRef

PURPOSE
The purpose of this study was to investigate the relationship among sleep quality, heart rate variability (HRV), fatigue, depression, and anxiety reported by Korean adults.
METHODS
A cross-sectional study of 208 adults aged 20~60 years was conducted using a short-term HRV analysis and self-reported questionnaires of Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale, Beck Depression Inventory, and State Trait Anxiety Inventory.
RESULTS
Subjects with good sleep quality (PSQI score≤5) had higher HRV total power (t=2.03, p=.043) and high-frequency (t=2.04, p=.043) with lower fatigue (t=−4.08, p < .001), depressive mood (t=−3.66, p < .001), and trait anxiety (t=−3.84, p < .001) than subjects with poor sleep quality. Poor sleep quality was negatively correlated with HRV total power (r=−.17, p=.016), high-frequency (r=−.14, p=.049), and positively fatigue (r=.39, p < .001), depression (r=.44, p < .001), state anxiety (r=.23, p=.001) and trait anxiety (r=.34, p < .001).
CONCLUSION
The results indicated that sleep quality is correlated with HRV which reflects the activities of the autonomic nerve system, fatigue, depression, and anxiety in adults.

Citations

• 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
• Explainable predictions of a machine learning model to forecast the postoperative length of stay for severe patients: machine learning model development and evaluation
  Ha Na Cho, Imjin Ahn, Hansle Gwon, Hee Jun Kang, Yunha Kim, Hyeram Seo, Heejung Choi, Minkyoung Kim, Jiye Han, Gaeun Kee, Seohyun Park, Tae Joon Jun, Young-Hak Kim
  BMC Medical Informatics and Decision Making.2024;[Epub]     CrossRef
• Seasonal Forest Changes of Color and Temperature: Effects on the Mood and Physiological State of University Students
  Eunjin Kim, Hwayong Lee
  International Journal of Environmental Research and Public Health.2023; 20(14): 6338.     CrossRef
• The relationship between stress and sleep quality: The mediating effect of fatigue and dizziness among patients with cardiovascular disease
  Hwan-Cheol Park, Jihyun Oh
  Medicine.2023; 102(20): e33837.     CrossRef
• Changes in the Circadian Rhythm of High-Frequency Heart Rate Variability Associated With Depression
  Deokjong Lee, Changho Han, Hyungjun Kim, Jae-Sun Uhm, Dukyong Yoon, Jin Young Park
  Journal of Korean Medical Science.2023;[Epub]     CrossRef
• Correlations between Sleep Quality and Heart Rate Variability, Tongue Diagnosis, and Korean Medical Questionnaires
  Hyeyoon Shim, Jeong Hwan Park, Sanghun Lee, Hojun Kim
  Journal of Korean Medicine Rehabilitation.2022; 32(1): 73.     CrossRef
• Relationship Between Anxiety and Heart Rate Variability in Elderly Insomnia Patients
  Jin Won Seo, Minjeong Kim, Hyerin Gu, Hyeyeon Jang, Seog Ju Kim
  Chronobiology in Medicine.2022; 4(4): 168.     CrossRef
• Research on Psycological and Physiological Reaction Evaluation According to Temperature and Airflow of Air Conditioning
  Jae-Kyun LEE, Dong-Gyu KIM, Jong-Soo KUM
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(2): 388.     CrossRef
• Association Between Age and Sleep Quality: Findings From a Community Health Survey
  Minjung Kim, Yoo-Hyun Um, Tae-Won Kim, Sung-Min Kim, Ho-Jun Seo, Jong-Hyun Jeong, Jihyung Lee, Suhyung Kim, In Hee Cho, Suk-Young Kim, Seung-Chul Hong
  Sleep Medicine Research.2021; 12(2): 155.     CrossRef
• OkenReader: ML-based classification of the reading patterns using an Apple iPad
  V. Anisimov, K. Сhernozatonsky, A. Pikunov, M. Raykhrud, A. Revazov, K. Shedenko, D. Zhigulskaya, S. Zuev
  Procedia Computer Science.2021; 192: 1944.     CrossRef
• Comparative Study on the Measurement and Analysis Methods of Heart Rate Variability in Human Body for Occupants’ Thermal Comfort Evaluation by Considering Physiological Response
  JaeHan Lim
  Journal of the Korean Solar Energy Society.2021; 41(3): 79.     CrossRef
• The Mediating Role of Visual Stimuli From Media Use at Bedtime on Psychological Distress and Fatigue in College Students: Cross-Sectional Study
  Yuan Guan, Wenjie Duan
  JMIR Mental Health.2020; 7(3): e11609.     CrossRef
• Effect of Sleep Quality on Fatigue and Quality of Life : a Sasang Constitutional Medicine Perspective
  Ji-Eun Park, Sujeong Mun, Siwoo Lee
  Journal of Physiology & Pathology in Korean Medicine.2020; 34(1): 37.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef
• Differences of Stress, Sleep Quality and Metabolic Syndrome by Prolonged Fatigue in Early Adulthood
  Bok Nam Seo, Inja Kim
  Korean Journal of Adult Nursing.2019; 31(2): 202.     CrossRef
• Stress, Pain, and Nursing Needs of Surgical Patients under General Anesthesia in the Recovery Room
  Jihyun Jo, Minkyung Gu, Sohyune Sok
  Korean Journal of Adult Nursing.2019; 31(3): 249.     CrossRef
• A longitudinal analysis of the relationships among daytime dysfunction, fatigue, and depression in college students
  Eun-Jung Shim, Hae-lim Noh, Jungmin Yoon, Han sol Mun, Bong-Jin Hahm
  Journal of American College Health.2019; 67(1): 51.     CrossRef

PURPOSE
The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers.
METHODS
The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families.
RESULTS
Five themes and 13 sub-themes emerged. “Captive of patients' delayed death: Fear and anxiety” describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. “Families as the weak: Suppression and resistance” describes interpersonal difficulties arisingdue to lack of information and trust with healthcare providers. “Deprivation of authority and duty as families: Helplessness” illustrate situational barriers in attempting to protect and support family member. “Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation” describes how they satisfied with themselves by regaining trust relationship. Lastly, “Acceptance of reality through direct care participation: Relief and peace” illustrates peace of mind by gaining sense of reality through active direct care participation.
CONCLUSION
This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions.

Citations

• A Comparison of the Importance, Satisfaction, and Barrier Levels of Communication Performance between Family Members and Staff Nurses in Intensive Care Units
  Haetsal Hong, Myoungock Jang
  Journal of Korean Critical Care Nursing.2025; 18(1): 55.     CrossRef
• The End-of-Life Experiences of Cancer Patients’ Families in a Tertiary Hospital Providing Palliative Care Consultation During the COVID-19 Pandemic
  Hyoung Suk Han, Mi Young Kim
  Journal of Hospice and Palliative Care.2025; 28(2): 40.     CrossRef
• Experiences of Family Members With Visitation Prohibition for Critically Ill Patients
  Sunjung Kim, Sunghee H. Tak
  Western Journal of Nursing Research.2024; 46(11): 854.     CrossRef
• Factors Affecting Intention of Signing the Advance Directives in Middle Aged Adults in Korea Based on the Theory of Planned Behavior: A Cross-sectional Study
  Hyun Jeong Park, Kyu Eun Lee
  Journal of Health Informatics and Statistics.2024; 49(3): 279.     CrossRef
• The impact of family care visitation programme on patients and caregivers in the intensive care unit: A mixed methods study
  Hye Jin Yoo, JaeLan Shim
  Journal of Clinical Nursing.2023; 32(13-14): 3797.     CrossRef
• Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
  Hyeon Jin Cho, Jiyeon Kang
  Journal of Korean Academy of Nursing.2021; 51(1): 15.     CrossRef
• Challenges Experienced by Family Caregivers of the Adult Intensive Care Unit Patients in Korea: An Integrative Review
  JiYeon Choi, Judith A. Tate, Youn-Jung Son
  Clinical Nursing Research.2021; 30(4): 423.     CrossRef
• Effects of a person‐centred care intervention in an intensive care unit: Using mixed methods to examine nurses’ perspectives
  Hye Jin Yoo, JaeLan Shim
  Journal of Nursing Management.2020;[Epub]     CrossRef
• Critical care nurses’ communication experiences with patients and families in an intensive care unit: A qualitative study
  Hye Jin Yoo, Oak Bun Lim, Jae Lan Shim, Liza Heslop
  PLOS ONE.2020; 15(7): e0235694.     CrossRef
• The Relationship between Person-Centered Nursing and Family Satisfaction in ICUs
  Jiyeon Kang, Eun-Ja Shin
  Journal of Korean Critical Care Nursing.2019; 12(3): 1.     CrossRef
• Willingness to pay for family education and counselling services provided by critical care advanced practice nurses
  Chung Mee Ko, Chin Kang Koh, Sangho Kwon
  International Journal of Nursing Practice.2019;[Epub]     CrossRef

PURPOSE
The purpose of this study was to describe the reported experiences of health management among twenty elderly workers living in urban areas.
METHODS
Corbin and Strauss's grounded theory approach was used to capture the meaning of health management. Theoretical sampling technique was used in the interviews. Using open coding, axial coding, and selective coding, data were collected and analyzed simultaneously.
RESULTS
The core category was ‘pursuing health to take root in the workplace.’ Four stages of the elderly workers' health management were identified as ‘awareness of health changes’, ‘having the will to be healthy’, ‘utilization of health care resources’, and ‘reorganization of health habits.’ However, when the elderly workers reported limited capacity to manage their health, then two new categories were described: ‘awareness of health changes’ and ‘settlement with current health.’ CONCLUSION: To the elderly workers the concept of working was equated with being healthy. Further, the participants reported having a future oriented view of health and sought health to extend their working lives. The specialized intervention of health management targeting elderly workers in the settlement stage of current health habits should be provided.

PURPOSE
The purpose of this study was to identify the effect of auricular acupressure on pruritus and fatigue in hemodialysis patients.
METHODS
The study design was a randomized control group pre-post test. Initially, forty- four patients were randomly assigned to one of two groups. There was a loss of three participants assigned to the treatment group. The period of data collection was from December 2014 to March 2015. Both groups completed a pre-test. The treatment group received auricular acupressure once a week for ten weeks. Data were collected from the treatment group at two time periods: five weeks and ten weeks following initiation of the treatment protocol. Data were collected from the control group at week 5 and week 10. Data analysis was performed using IBM SPSS Statistics 21.0 program, specifically with the independent t-test and the Repeated Measures of ANOVA.
RESULTS
Auricular acupressure was effective in reducing pruritus (F=13.93, p<.001) and fatigue (F=18.33, p<.001).
CONCLUSION
Auricular acupressure is a non-invasive simple method that can be used for the relief of symptoms reported by hemodialysis patients. This treatment modality could be used in several clinical areas.

Citations

• Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism
  Hyunseo Sim, Younghee Park
  Holistic Nursing Practice.2025; 39(1): 15.     CrossRef
• Hemodiyaliz Hastalarının Semptom Yönetiminde Aurikuloterapi Kullanımı: Geleneksel Derleme
  Mehmet Aytemur, Özlem Ceyhan, Sultan Taşci
  Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi.2025; 15(2): 436.     CrossRef
• The effect of self-auriculotherapy on the severity of restless leg syndrome, sleep quality, and fatigue in hemodialysis patients: A randomized controlled clinical trial
  Fatemeh Asgari, Mohammad Aghajani, Sara Mortazavi Nia
  EXPLORE.2025; 21(5): 103205.     CrossRef
• Effectiveness of Acupressure for Fatigue Alleviation in Patients Receiving Hemodialysis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
  Kai-Mei CHANG, Debby Syahru ROMADLON, Pin-Yuan CHEN, Faizul HASAN, Shu-Liu GUO, Hsiao-Yean CHIU
  Journal of Nursing Research.2024; 32(3): e334.     CrossRef
• The Effects of Auricular Acupressure on Pruritus, Skin Dryness, and Depression in Hemodialysis Patients
  Eunyoung Choi, Kyungsook Park
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 69.     CrossRef
• Effect of auricular acupressure on postpartum blues: A randomized sham controlled trial
  Zainab Alimoradi, Somayeh Asgari, Sanaz Barghamadi, Hamideh Hajnasiri, Terry Oleson, Mark D. Griffiths
  Complementary Therapies in Clinical Practice.2023; 52: 101762.     CrossRef
• Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis
  Haegyeong Lee, Gyuli Baek, Eunju Lee
  Osong Public Health and Research Perspectives.2023; 14(4): 279.     CrossRef
• Effects of Hand Acupressure on Sleep Quality and Pruritus in Patients on Hemodialysis
  Yeo Ju Kim, Hyojung Park
  Korean Journal of Adult Nursing.2020; 32(6): 610.     CrossRef
• Effect of Auricular Acupressure on Sleep and Pruritus in Patients Undergoing Hemodialysis
  Yun Yi Bang, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 141.     CrossRef

PURPOSE
The objective of this study was to identify factors related to self-care adherence in symptomatic patients with heart failure (HF).
METHODS
Using a cross-sectional design, a convenience sample 209 outpatient clinic patients were recruited at two medical centers. Between October 2011 and August 2012, data were collected using the structured questionnaire. Factors related to self-care adherence were examined using hierarchical multiple regression.
RESULTS
Mean age of participants was 67.71 years and a half of them (53.6%) were female. They showed relatively low self-care adherence with mean scores of 61.88±12.92. Lower self-care adherence was reported in asking for low sodium items, weighing oneself, checking for ankle edema, and exercising for 30 minutes. The overall model significantly explained 23.9% of variance in self-care adherence. Among the predictors, education, New York Heart Association functional classification, and social support were statistically significant in influencing self-care adherence. The variable of negative emotional status such as anxiety and depression were not found to be significant.
CONCLUSION
These findings demonstrate that social support could help self-care adherence among symptomatic patients with HF. Thus, programs targeting self-care adherence in this population should consider the strategies improving social support.

Citations

• An Integrated Literature Review on Cardiac Rehabilitation Program for Patients with Coronary Artery Disease
  Hong-A Lim, Yeoungsuk Song
  Journal of Health Informatics and Statistics.2024; 49(3): 205.     CrossRef
• Self-care model based on the theory of unpleasant symptoms in patients with heart failure
  In-Suk Yang, Younhee Kang
  Applied Nursing Research.2018; 43: 10.     CrossRef