Purpose
This study aimed to explore the differences between patient and nurse perceptions of nursing needs and performance in integrated nursing care service wards within small to medium-sized hospitals. Methods: The participants of the study were 116 patients and 116 nurses in the integrated nursing care service wards of small and medium-sized hospitals in U and Y cities. Data collection was conducted between July 18 and August 12, 2022. The collected data were analyzed using descriptive statistics, the paired t-test, the independent t-test, and the importance-performance analysis. Results: Only the difference between nurse-perceived nursing needs and nursing performance (gap 2) was statistically significant (t=4.18, p<.001). Patients' physical needs were higher than what nurses perceived, and patients' financial were higher than nursing performance as perceived by both nurses and patients. In addition, nurses' performance was lower than the perceived nursing needs in all domains. According to the importance-performance analysis, the "concentrate here" areas included infection control, respect for patients' rights, and education of patients and families about diseases and treatment plans. Additionally, financial issues in nursing were identified as a "low priority" area requiring long-term intervention. Conclusion: It is crucial to prioritize nursing care that addresses patients' needs for infection control, respect for rights, and education. Nurses should also meet the physical and economic support needs of patients. Furthermore, it is recommended to adjust the nurse staffing ratio and foster systematic collaboration among hospitals, taking into account the circumstances of small to medium-sized hospitals.

Citations

• Nurses’ perspectives on the adoption of new smart technologies for patient care: focus group interviews
  Hyein Choi, Sunghee H. Tak, Young Ae Song, Jiyeon Park
  BMC Health Services Research.2025;[Epub]     CrossRef

Purpose
This study aimed to compare the health expenditure and unmet health care needs and factors associated with these, in single-person households pre- and post-baby boomer generation, and of baby boomers.
Methods
This cross-sectional study used secondary data from the 2016 Korea Health Panel Study, which was conducted to investigate the factors associated with health expenditures and unmet healthcare needs of single-person households through hierarchical multiple regression analysis.
Results
The subjective health status of a single household showed a significant interaction with pre-baby boomers (β=.16, p=.045) in health expenditure. Identifying as men (OR=1.59, p=.046) and subjective health status (OR=1.90, p=.001) were statistically significant in terms of unmet healthcare needs. However, there was no significant interaction between pre-baby boomers and unmet healthcare needs.
Conclusion
Baby boomers are the first to be prepared for their later years in the current aging society. Despite a stable financial status due to vital economic activities, social support for baby boomers is inadequate. The rights guaranteed to family members under the system centered around kinship should also be guaranteed to single-person households.

Citations

• The impact of physical functionality and activity level on the self-rated health status of older adults living alone: An analysis of the mediating effect of social engagement
  Dajung Ryu
  Geriatric Nursing.2025; 63: 464.     CrossRef

Purpose
This study aimed to determine the severity of patient safety incidents and its associated factors in Long-term Care Hospital (LTCH) settings.
Methods
This study performed a cross-sectional analysis of secondary national data from the Korea Patient Safety Reporting and Learning System. A total of 5,316 LTCH datasets from 2018 to 2020 were analyzed using multi-nominal logistic regression with the help of the SPSS 26.0 program.
Results
Adverse events were significantly associated with age, location of the incidents, night-duty hours, incident type, and small hospital size. Further, sentinel events were significantly associated with female gender, age, incident type (meal and suicide/self-harm), and small hospital size.
Conclusion
The results underline the need for developing standardized patient safety guidelines that consider LTCH characteristics and holding periodic education programs for healthcare workers in LTCHs so that they can gain adequate knowledge and practical skills for ensuring patient safety. In addition, they highlight the need for measures to improve institutional support and processes so that any weaknesses can be resolved to optimize patient safety.

Citations

• Factors Affecting Fall Incidents at Long-term Care Hospitals: Using Data from the Korea Patient Safety Reporting and Learning System
  Soojin Chung, Jeongim Lee
  Journal of Health Informatics and Statistics.2025; 50(1): 96.     CrossRef
• Factors associated with harm in reported patient safety incidents and characteristics during health screenings in Korea: a secondary data analysis
  Jeongin Choe, Kyungmi Woo
  International Journal for Quality in Health Care.2025;[Epub]     CrossRef
• Analysis of the Characteristics of Young-old and Old-old Injured Patients in Korea: Focusing on 2021 Discharge Injury Statistics (2004~2021)
  Jongsuk LEE
  Korean Journal of Clinical Laboratory Science.2024; 56(3): 257.     CrossRef
• Factors Related to the Severity of Patient Safety Incidents in Operating Rooms in South Korea
  Minjung Ryu, Jun Su Park, Bomgyeol Kim, Suk-Yong Jang, Sang Gyu Lee, Tae Hyun Kim
  Health Insurance Review & Assessment Service Research.2024; 4(2): 149.     CrossRef
• Association between location of fall and mortality in hospitalized elderly patients for falls
  Soojin Lee, Kyung Won Paek, Nam Soo Park, Min Kyoung Kim, Sangnam Jeon
  Korean Journal of Health Education and Promotion.2023; 40(1): 89.     CrossRef
• Trends in infection-related patient safety incident reporting before and during the COVID-19 pandemic in Korea
  Eun-Jin Kim, Yeon-Hwan Park
  Journal of Korean Biological Nursing Science.2023; 25(2): 95.     CrossRef
• Analysis of Factors Related to Domestic Patient Safety Incidents Using Decision Tree Technique
  Jieun Shin, Ji-Hoon Lee, Nam-Yi Kim
  Risk Management and Healthcare Policy.2023; Volume 16: 1467.     CrossRef

Purpose
The study aimed to develop a Healthcare Empowerment Program for patients with Temporary Ileostomy (HCEP-TI) and evaluate its effectiveness.
Methods
The HCEP-TI was developed based on Johnson’s model of healthcare empowerment by reviewing relevant literature, identifying patients’ needs through in-depth interviews, and testing content validity. The study was conducted at K University D hospital from June 2019 to September 2020 using a randomized controlled trial with a pretest-posttest design. The subjects were randomly assigned to two groups: experimental (n=15), which participated in HCEP-TI once a week for seven weeks, and control (n=15), which participated in conventional ileostomy care. Data were analyzed using linear by linear association, MannWhitney U, and Wilcoxon signed-rank tests.
Results
There were significant differences between the experimental and control groups in healthcare empowerment, self-management knowledge and behavior, and degree of peristomal skin damage. However, there was no significant difference between the groups regarding dehydration.
Conclusion
The HCEP-TI including engaged, informed, collaborative, committed, and tolerant of uncertainty intervention is effective in improving healthcare empowerment, self-management knowledge and behavior, and the degree of peristomal skin damage. This program can help patients with temporary ileostomy improve their empowerment, self-management, and stoma conditions.

Purpose
The aim of this study was to confirm the relationship between patient experience, patient safety knowledge, and patient safety perception and prepare basic data to help initiate patient safety activities and patient safety education in primary care institutions. Methods: The participants were 252 patients who had used primary care institutions in the Gyeonggi area within six months prior to the study. Data were collected from February 16 to March 15, 2021 using a structured online questionnaire on patient experience, patient safety knowledge, and patient safety perception. The data were analyzed using SPSS 25.0, and hierarchical regression analysis was performed to analyze the moderating effect of patient safety knowledge. Results: Patient experience had a significant positive correlation with patient safety perception. In the relationship between patient experience and patient safety perception, patient safety knowledge had a significant moderating effect. In particular, among the sub-factors of the patient experience, doctors and the hospital environment significantly affected patient safety perception, and in this process, patient safety knowledge acted as a moderating variable. Conclusion: Patients with low safety knowledge have a higher perception of safety when they have positive experiences through doctors. Therefore, medical staff should make continuous efforts to establish a safe hospital environment and earn patients’ trust to increase their safety perception. It is necessary to develop mandatory patient safety education programs by identifying potential patient safety problems and accidents in primary care institutions.

Citations

• The Mediating Role of Patient Safety Perception in the Relationship between Right to Know and Patient Participation among Inpatients
  Sun-Hwa Shin, On-Jeon Baek
  Korean Journal of Adult Nursing.2025; 37(2): 114.     CrossRef
• Influence of patient safety perception and attitude on inpatients’ willingness to participate in patient safety: An observation study
  Mi Hwa Won, In Suk Hwang, Sun-Hwa Shin
  Medicine.2024; 103(29): e39033.     CrossRef
• Impact of hospital outpatients’ experiences of patient safety on fear of infection: a secondary analysis of national data
  Hyunjeong Kwon, Miseon Lee
  BMJ Open.2024; 14(11): e083899.     CrossRef
• Patient Safety Competence Nursing Experience of Nurse : A meta-synthesis Study
  Jin Lee, SunHwa Park, Mi-Seon Kim
  Journal of Korea Society for Simulation in Nursing.2024; 12(1): 17.     CrossRef

Purpose
Person-Centered Care (PCC) is a key indicator of health care quality. The purpose of this scoping review is to identify the characteristics of nursing literatures on PCC and examine the theoretical and operational definition of PCC.
Methods
The scoping review was conducted following the Joanna Briggs Institute’s scoping review guidance. The search terms were “patient-centered”, “person-centered”, “participant-centered”, and “nursing”; and only publications on PCC were selected. Literatures published in Korean since 2001 were searched using electronic databases, and the last search date was June 2020.
Results
Nineteen publications were included. Approximately 80% of the researches were published since 2018, and the most common methodology was survey (53%). Most researches were conducted in nursing homes (63%), and 74% of the participants were health-care providers or facility staff. The conceptual framework was used in only one study. The conceptual and operational definitions of PCC both comprised multilevels, including intrapersonal, interpersonal, and organizational levels. The conceptual definitions of PCC were mainly characterized by intrapersonal elements, including individualized care, dignity, and autonomy followed by organizational attributes such as comfortable environment. However, there were some inconsistencies in the attributes survey instruments shared.
Conclusion
PCC needs to be recognized as a multilevel concept. More studies such as concept analysis and scale development are warranted for conceptualizing PCC systematically.

Citations

• Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust
  Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park
  Asian Oncology Nursing.2024; 24(1): 21.     CrossRef
• Analysis of Tools to Measure the Service Experiences of Families of Older Adults in Long-Term Care Facilities: A Scoping Review
  Hyoung Shim Choi, Jui Kim
  Korean Journal of Adult Nursing.2024; 36(2): 102.     CrossRef
• The influence of Critical Reflection Competency, Nursing Work Environment and Job Crafting on Person-Centered Care in Tertiary Hospital Nurses: A Cross-sectional Study
  Jinseon Hwang, Sujin Shin
  Korean Journal of Adult Nursing.2023; 35(3): 245.     CrossRef
• Factors associated with the person-centered care competence of nursing students
  Ju Young Park, Chung Hee Woo
  The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48.     CrossRef
• Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study
  Sun Joo Jang, Eun Hye Kim, Haeyoung Lee
  Journal of Nursing Management.2022; 30(7): 2227.     CrossRef
• Structural Equation Model for Developing Person-Centered Care Competency among Senior Nursing Students
  Ji-Yeong Yun, In-Young Cho
  International Journal of Environmental Research and Public Health.2021; 18(19): 10421.     CrossRef
• Impact of Job Engagement on the Quality of Nursing Services: The Effect of Person-Centered Nursing in South Korean Nurses
  Hyesun Kim, Kawoun Seo
  Healthcare.2021; 9(7): 826.     CrossRef
• Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
  Sohyun Kim, Sunghee H Tak
  Journal of Korean Academy of Nursing.2021; 51(3): 363.     CrossRef

PURPOSE
The purposes of this secondary analysis study was to examine prevalence, risk factors and unmet healthcare needs among adults with hypertension.
METHODS
A sample of 3,386 adults over the age of 40 with hypertension were drawn from the Korea Health Panel Study (2013). Using SPSS 22.0 version, descriptive statistics including frequency, percentage, chi-square and logistic regression were performed.
RESULTS
Results showed that 18.9% of the sample reported unmet healthcare needs with the most frequently cited one was financial burdens (43.2%). The reported experiences of unmet healthcare needs differed by gender, marital status, vision or hearing impairment, memory problem, impaired mobility, subjective health status, total family income, depressive episode and the difficulty in making decisions. The sample participants were more likely to report unmet healthcare if they had vision impairment, low income and perception that their health status as moderate to poor. Those without vision impairment were less likely to report unmet healthcare needs.
CONCLUSION
The identified risk factors of unmet healthcare needs should be addressed which would enhance access both to health care and to resolution of unmet healthcare needs. Since visual ability seems to impact perception of unmet healthcare needs, it may be useful to find ways to address this factor.

Citations

• Regional disparities in health literacy for chronic diseases: focusing on healthcare resources and local extinction index
  Seokmin Ji, Young Gyu Kwon, Hyunseo Lee, Chaehwan Shin, Minsung Sohn, Mankyu Choi
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Identifying the Group Vulnerable to Unmet Medical Needs Due to Food Security: According to Children in the Household
  Min-Soo Kim, Hyeon-Ji Lee, Jae-Hyun Kim
  Healthcare.2023; 11(3): 423.     CrossRef
• Factors related to undiagnosed diabetes in Korean adults: a secondary data analysis
  Bohyun Kim
  Journal of Korean Biological Nursing Science.2023; 25(4): 295.     CrossRef
• Unmet Healthcare Needs and Related Factors Among Immigrants: A Cross-Sectional Secondary Analysis of 2019 Korea Community Health Survey Data
  SookKyoung Park, Hye Young Kim, Young-Me Lee
  INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2023;[Epub]     CrossRef

PURPOSE
The purpose of this study was to identify attitudes of male baby boomer toward holistic health using Q-methodology.
METHODS
Q-methodology is analysed through the subjectivity of each type of attitudes. Thirty-five q-statements were selected from a total of 145 statements. These statements were categorized into six areas (Physical, psychological, spiritual, work and leisure, love and friendship, culture). The recruited P-sample consisted of thirty-four male baby boomers from one town and two cities. The 35 selected Q-statements from each of 35 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analysed using the PQMethod Program 2.11.
RESULTS
Four types of male baby boomer attitudes towards holistic health were identified. The first is a relationship oriented-marital relationship oriented type, the second type is an economic oriented- job seeking type, the third type is a nature friendly oriented-independent living type, and the fourth type is health oriented-physical health seeking type.
CONCLUSION
The results of this study indicated that different approaches to holistic health promotion program could be developed based on the four types of holistic health attitudes among baby boom generation males in Korea.

PURPOSE
The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of The Oncology Patients' Perception of the Quality of Nursing Care Scale.
METHODS
The translated scale was pilot tested and then administered to 360 patients with cancer. Exploratory and confirmatory factor analyses were utilized to assess the factor structure. Internal consistency reliability was determined using coefficient α.
RESULTS
Two of the 40 items were deleted with a principal component method of exploratory factor analysis because they did not meet the factor-loading criterion. The 38 items were again analyzed and, four factors were validated (KMO=.96, Bartlett χ2=10809.81, df=780, p<.001). The four factors accounted for 60.9% of the variance. Factor loadings of the scale on the four subscales ranged from .65 to .91. The scale showed reliable internal consistency with a Cronbach's α, total 38 items (α=.96) in four subscales: individualization (18 items, α=.96), proficiency (10, .91), responsiveness (7, .90), and coordination (3, .80).
CONCLUSION
The findings of this study demonstrate that the scale has satisfactory construct validity and reliability to measure quality of cancer nursing care from the patient's perspective in Korea.

Citations

• The Nursing-Home Care Quality Perceived Levels from Patients and Caregivers: An Explanatory Study
  Elsa Vitale, Rocco Mea, Yun-Chen Chang
  Patient Preference and Adherence.2023; Volume 17: 1237.     CrossRef
• The Quality of Patient-centered Nursing Care Perceived by Cancer Patients Who Have Had an Operation
  Keum Hyun Wang, Eun Young Park
  Asian Oncology Nursing.2021; 21(2): 65.     CrossRef
• A scale to measure nurses’ and providers’ patient centered care in primary care settings
  Laurel E. Radwin, Howard Cabral, Barbara G. Bokhour, Marjory Nealon Seibert, Kelly Stolzmann, Ann Annis, David C. Mohr
  Patient Education and Counseling.2019; 102(12): 2302.     CrossRef
• Analysis of a Survey on Public Perceptions and Preferences of the “Smart Green Office” to Help Encourage Creation of the Program
  Sang Im Oh, Sung Won Cho, Ja Hee Lee, Ae Kyung Lee
  Flower Research Journal.2019; 27(1): 60.     CrossRef

PURPOSE
The objective of the study is to describe the experience of health care activities of the menopausal women through phenomenological methodology.
METHODS
Seven menopausal women participated in the study. Open in-depth interviews were used to collect data, and data were analyzed by the phenomenological methods suggested by Colaizzi.
RESULTS
The data were separated into 4 categories of uncomfortable life due to physical and emotional change, building consistency in daily life through regulating a routine rhythm, recovering normality, recovering stability, and 8 clusters of themes; securing regularity in daily life, securing availability in daily life, regulating through elimination and diminishment, regulating through supplementation, being patient and control self, expressing self, review the context and exchanging views, expending a world through one's faith.
CONCLUSION
Participants accepted menopause not as a disease but as a natural course of life and realized that menopausal health problems could be naturally settled in general health care activities in daily life.

PURPOSE
The purpose of this study was to develope and evaluate the effects of an AIDS education program among health care workers on knowledge, attitudes and care intention about AIDS.
METHODS
This study was conducted by self reporting with a 44 items of structured questionnaire by 291 health care workers. The research was a quasi-experimental study using one group pre-post design. AIDS education program was consisted of phases for 50 minutes, using power point by a researcher and research assistants. Data were collected before and after education and was analyzed by descriptive statistics and paired t-test.
RESULTS
The level of general cognition about AIDS was low. There were a statistically significant increases in the mean of knowledge(t=-22.17, p=.000) and care intention(t=-2.74, p=.006). However, there was no significant difference in the mean of attitudes(t=-.57, p=.569) between the pre-post test.
CONCLUSION
The findings of this study showed the benefits of providing educational interventions for improving knowledge and care about AIDS, while there not any significant changes in attitudes, especially in items based on Korean socio-cultural values. Therefore, to increase attitude about AIDS, various teaching strategies need to be further studied and evaluated.

PURPOSE
To identify perceived importance and performance frequency of nursing interventions with nursing activities of 5 nursing interventions from the physiological domains of NIC used in the home health care nursing. METHOD: Five nursing interventions in the physiological domain of NIC were selected based on the previous finding. Data were collected from 85 nurses working in 54 home health care centers between August and October, 2004 using mailing survey(return rates : 41.5%). The questionnaire consisted of 96 nursing activities in 5 interventions with definitions, asking perceived importance and performance frequency of them. RESULT: Skin surveillance was perceived as the most important(3.52+/-0.36) intervention and also performed most frequently(4.43+/-0.45). All the nursing activities in skin surveillance appeared to be used frequently, which was rated over 4 out of 5 point Likert, while only 4 nursing activities in exercise therapy: joint mobility did. Correlations between perceived importance and performance frequency of 5 interventions were all significant (r=0.591-0.718, p=0.000). CONCLUSION: Identifying the use of particular interventions and nursing activities will help nurses simplify documentations and to deliver better care to the patients in home health care nursing.

PURPOSE
The purposes of this study were to examine 1) functional status at 2 months after hip fracture surgery 2) health care utilization after a fall episode and 3) fear of falling experienced during first 2 months after a fall episode.
METHOD
With a convenient sample of 99 elderly from six university or general hospitals with hip fracture from a fall, data were collected at 2-3 days before discharge and at 2 months after hip fracture surgery.
RESULT
1) At 2 months after hip fracture from a fall, significant proportion (25.3%) of elderly was not able to walk indoors. 2) Average length of hospital stay was 27.6 days with a range of 8 to 86 days. About 51% subjects received physical therapy during hospital stay, and only 6.1% subjects received physical therapy following discharge from the hospital. 3) Significant proportion (72.7%) had fear of falling after the fall episode. About 51% reported that they restricted their activities because they had fear of falling.
CONCLUSION
Fall is a dreaded event which result in loss of independence and restriction of activity. Development and application of fall prevention program is critical especially for those with risk factors of fall.

PURPOSE
This ethnography was conducted to describe the meaning of illness of the elderly in traditional folk healing performance.
METHOD
This study was guided by Klienman's explanatory model of health care systems. The fieldwork was conducted in an agricultural clan of Namwon City from January of 1990 to Feburary of 2001. Research data were collected by Ehnographic interview and participant observation. Participants of this study were 10 elders aged 74 years old to 96 years old; two of them were male. The data were analysed with the techniques of taxanomy, flow and decision, and proxemics.
RESULT
The meaning of illness was categorized with four compononts, that is, ritual for life, defeat and failure in power game, humiliating punishment for guilt, and Tal. CONCULSION: These meanings were constructed on physical and socio-cultural environment of this clan. The healing strategies were determined based on the meanings of illness. These results can be used to understand the health behavior of the elderly and thus ensure the quality of nursing for the elderly.

The purpose of the study was to investigate the characteristics of the clients registered in the department of home health care nursing in a hospital and to analyze nursing intervention activities recorded in charts by application of Nursing Intervention Classification (NIC) system. For the descriptive survey study, data were collected by reviewing charts of 572 home health care clients between May, 1997 and July, 2000 at K hospital in Seoul. The average age of the clients was 66 years and the number of clients in their 70s ranked first with 28.2 percent(158 people). The mean length of home care service was 47 days with the highest frequency of less than four weeks (56 %). With regard to medical diagnosis, cancer showed the highest frequency (48%, 271 people), followed by cerebrovascular disease (19%), and pulmonary disease (6.9%). According to analysis of nursing interventions by the NIC system, the most frequently used nursing interventions in level 1 were interventions in the Physiological: Complex domain which were used 3,663 times (33%) among 11,107 total interventions. The Safety domain was the second most frequently used intervention, followed by the Physiological: Basic, and the Behavioral domains. In level 2, the Risk Management class was the most frequently used interventions with 3,108 interventions (27.9%), followed by Drug Management, and Tissue Perfusion Management classes. In level 3 interventions, Vital Sign Monitoring was the most frequently used intervention, 569 times (5.1%), followed by Health Screening, and Neurological Monitoring interventions. In sum, half of the clients in the study had cancer and were in their 70s. The most frequent reason for ending home care was death (40%), followed by readmission (28%). These findings represent clients with severe conditions referred to the home care nursing department as it was a University teaching hospital. Further research on analyzing nursing interventions performed in each institution needs to be conducted to develop a standardized list of nursing interventions to use in home health care settings.

This study examines that North American Nursing Diagnosis Association(NANDA) and Home Health Care Classification(HHCC) is appropriate to classify home health care client's nursing problems and suggests a modified nursing diagnosis classification system. Two hundred and forty-nine clients' records at a general hospital were reviewed and nursing problems were diagnosed according to each classification system. Results of this study are as follows. The major client's medical diagnosis are pregnancy, childbirth and puerperium, malignant neoplasm, and benign neoplasm. Of four hundred and sixty-three nursing problems, all nursing problems made a diagnos according to HHCC, while three hundred and eighty-five made a diagnosis according to NANDA. The HHCC diagnosis included 78 more nursing problems than NANDA. The discrepancy in the results may indicate a significant advantage to HHCC diagnosis because HHCC nomenclature was created empirically from hard data. However, this may be due to limitations in the data collection method so determination of which classification system is more useful is difficult to judge. However, nursing components of the HHCC are more concrete and clearer than human response patterns of the NANDA. Also the HHCC facilitates the documentation of patient care by computer, while using a conceptual framework consisting of 20 Care Components based on the nursing process: assessment, diagnosis, outcome identification, planning, implementation and evaluation. Accordingly, the practical application of HHCC is more useful than NANDA. Limitations of this study include a retrospective data collecting method and universality of samples. Further research for various samples that use prospective data collection method is recommended.