Purpose
Over 10% of intensive care unit (ICU) patients die; however, research aimed at assessing and improving the quality of their deaths remains scarce. This study investigated the impact of communication among healthcare professionals and person-centered care provided by ICU nurses on the quality of dying and death (QODD) experienced by ICU patients.
Methods
We measured general characteristics of ICU nurses, interprofessional communication, and person-centered care, and identified their impact on the quality of death for patients who died in the ICU. Participants consisted of 103 ICU nurses employed at two tertiary hospitals in South Korea. Data were collected between January and May 2023. Descriptive statistics, the t-test, analysis of variance, the Mann-Whitney U test, Pearson correlation coefficients, and multiple linear regression analyses were conducted using SPSS version 23.0.
Results
The mean QODD score was 44.73±21.26. QODD was positively correlated with openness (nurse-physician), understanding (nurse-physician), satisfaction (nurse-physician), and person-centered care. Factors significantly influencing QODD included nurse-physician communication, specifically understanding (β=.35, p=.010), and person-centered care (β=.19, p=.033), explaining 20.2% of the total variance (F=7.44, p<.001).
Conclusion
Improved communication among healthcare professionals and enhanced person-centered care are essential for improving the QODD for ICU patients. To achieve this, educational initiatives focusing on end-of-life care and communication training programs for healthcare professionals should be implemented.

Purpose
Middle-aged women often experience weight gain, particularly as visceral fat, due to hormonal changes associated with menopause. Visceral fat, which accumulates in the abdomen, poses significant risks to cardiometabolic health. This cross-sectional study aimed to compare the cardiometabolic risks associated with Visceral Fat Obesity (VFO) and Subcutaneous Fat Obesity (SFO) in middle-aged Korean women and to identify factors that influence VFO.
Methods
Women aged 40 to 64 with overweight or obesity were recruited from March to April 2019. The study involved anthropometric measurements, fasting blood tests, and low-volume abdominal computed tomography. Additionally, participants provided self-reported sociodemographic, health-related, and lifestyle information, including Physical Activity (PA) and dietary intake.
Results
Of all participants, 70.8% were post-menopausal, and 55.1% had VFO. Those with VFO exhibited significantly higher mean values for waist circumference, total cholesterol, low-density lipoprotein cholesterol, triglycerides, fasting glucose, high sensitivity C-reactive protein, and the Framingham risk score compared to those with SFO. The factors influencing VFO were age (odds ratio (OR)=1.14; 95% confidence interval (CI), 1.032~1.247), body mass index (OR=1.47; 95% CI, 1.151 ~1.875), days of vigorous PA per week (OR=0.42; 95% CI, 0.244~0.735), and intake of animal calcium (OR=0.99; 95% CI, 0.988~0.997).
Conclusion
The findings indicate that middle-aged women with VFO face increased cardiometabolic risks. Since menopause is inevitable in women, targeting modifiable behaviors to reduce weight, particularly visceral fat, is crucial for lowering cardiometabolic risk.

Purpose
The purpose of this study was to develop and verify a Quality of Life Scale (QOLS) specifically for hypertensive patients. Methods: In the development phase of the QOLS, initial items were derived based on literature review and content analysis through in-depth interviews. After verifying the content validity of the expert group, preliminary questions composed of 94 items were created and confirmed by conducting preliminary research on hypertensive patients. During the verification phase, the preliminary QOLS was administered to 392 hypertensive patients from general hospitals, medical clinics, and public health centers in Busan. Data were analyzed using item analysis, exploratory factor analysis, convergent validity, discriminant validity, criterion validity, and Cronbach’s ⍺. Results: The final scale consisted of 30 items derived from 5 factors. Five factors (negative emotion, acceptance of disease, self-reinforcement, social support, self-regulation) were extracted from the factor analysis, which explained 68.0% of the total variance. The convergent validity showed a positive correlation (r=.51, p<.001), discriminant validity showed an inverse correlation (r=-.60, p<.001), and criterion validity showed a positive correlation (r=.35~.64, p<.001). The Cronbach’s ⍺ was .94 and reliability of the subscales was .78~.92. Conclusion: The specific Quality of Life Scale for hypertensive patients (QOLS_HP) was composed of 30 items using a 5-point Likert scale. The scale demonstrated acceptable validity and reliability.

Purpose
This study introduces information value chain analysis by identifying essential information for use in gout care management. Part I reviews the essential concepts of information value chain analysis first introduced by Porter. Part II applies the analysis to determine the information values of patient health information and explores ways in which health information technologies can be best utilized to provide that information to patients with gout. Methods We combined value chain analysis with natural language processing and machine learning techniques to develop algorithms that can identify patients with gout flares using clinical notes. As one of the first signs that the disease was not being controlled, variables found to be associated with gout flares were considered valuable information for patients with gout. Results The best performing model, in terms of both gout flare prediction and association identification, was the comprehensive model that not only included concepts from all stages of the value chain but also designated natural language processing concepts from every care stage as surrogate variables. Additionally, all administrative codes traditionally associated with gout and its treatment were included as surrogate outcome variables. Conclusion This study introduced information value chain analysis and applied it to develop a computer-based method with theoretical underpinnings to identify the concepts associated with gout flares. The findings can be used as a starting point for filtering the vast amounts of information patients must go through and identifying the most valuable information for patient with gout to adequately manage their symptoms.

Purpose
Information value is created by providing care for specific medical conditions. To assess the appropriate content and time of delivery, a research framework to examine information values at different stages of the care continuum is needed. This study identified essential information to recommend for different stages of Systemic Lupus Erythematosus (SLE) management.
Methods
Using Porter's value chain analysis, we conducted a content analysis of the research literature, clinical practice guidelines, and patient education materials in an education-enabled environment regarding patient with SLE. We also used a natural language processing technique to automatically map the essential information identified into authorized concepts in the National Library of Medicine’s Unified Medical Language Systems.
Results
The essential contents in the diagnosis stage pertained to a general understanding of disease manifestation such as SLE definition, pathophysiology, etiology, prognosis, and progress. The intervening stage highlights information about prominent spheres of therapeutic regimens and administration as well as diverse care providers with relevance to their specific roles. While screening information, such as self-awareness of SLE signs, is valued prior to a clinical visit, the monitoring information follows clinical visits to avoid flaring events. The key concepts identified were "butterfly rash" (C0277942), "anti-inflammatory drugs" (C0003211), "SLE" (C0024141), and "antinuclear antibodies" (C0151480).
Conclusion
Communication of essential information identified at appropriate care stages can increase patient knowledge and reduce anxiety levels to improve self-care.

Citations

• Application of Information Value Chain in Gout Management
  Maranda Russell, Sujin Kim
  Korean Journal of Adult Nursing.2022; 34(4): 351.     CrossRef

Purpose
The purpose of this study was to identify the relationship between triage competency, nursing task performance, and self-efficacy among nurses working at local emergency departments, and to identify factors that affect triage competency.
Methods
Participants in this descriptive study were 111 nurses working at 20 local emergency departments. Data were collected from August 1 to August 31, 2019, and then analyzed in terms of Independent t-test and one-way ANOVA, Pearson's correlation coefficient, and multiple regression by using the SPSS/WIN 21.0 program.
Results
Triage competency was positively correlated with nursing task performance, and self-efficacy was positively correlated with nursing task performance. There were significant predictors of nursing task performance (β=.41, p<.001) and self-efficacy (β=.35, p<.001), thus explaining the 60.4% variance in triage competency.
Conclusion
Nursing task performance was identified as the most significant factor affecting the triage competency of nurses working in emergency departments. Going forward, it is recommended to conduct a follow-up study to confirm the impact of developing a program for increasing triage competency by expanding subjects and scope in terms of regions.

Purpose
Health behavior is important for the treatment of tuberculosis patients. This study aims to clarify the concept of health behavior in tuberculosis patients.
Methods
We used Rodger's evolutionary concept analysis method. A literature search was performed using the NDSL, NAL, RISS, PubMed, ProQuest, CINAHL, Web of Science and Cochrane Library published in Korean and English language from January 2015 to April 2021. After applying inclusion and exclusion criteria, a total of 69 articles were selected for final analysis.
Results
The analysis showed that five attributes determine health behavior concepts: willpower, the choice for every moment, counterbalance, overcoming, and multi-level multi-causal processes.
Conclusion
This study shows that health behavior in tuberculosis patients has evolved into a patient-centered approach in an evolutionary context. The results of this study will contribute to the development of intervention access and management programs for health care providers, including nurses.

PURPOSE
This study was conducted to identify cardiovascular risk factor cluster types in early middle-aged male workers in their 30s and 40s, and to identify differences in awareness of mobile health and preventive health behaviors by cluster type.
METHODS
This study adopted a cross-sectional descriptive design. Male workers aged 30~49 years with cardiovascular risk factors (n=166) at three medical device manufacturers in June, 2019 were recruited. Self-reported questionnaires were administered. K-means cluster analysis was performed using four measurement tools: e-health literacy, behavior of seeking health information on the internet, intent to use mobile health, and preventive health behavior.
RESULTS
Three cluster groups were identified based on 7 risk factors: "unhealthy behavior (51.8%)", "chronic disease (28.9%)", and "dyslipid · family history (19.3%)". In the "unhealthy behavior" group where more than 70% of the participants were smoking and drinking heavily, the awareness of mobile health utilization such as behavior of seeking information on the internet and intent to use mobile health, especially usefulness, was significantly lower than that in the other two groups. The preventive health behavior was also the lowest among the three groups.
CONCLUSION
We suggest that when planning for mobile-use cardiovascular prevention education for early middle-aged male workers, it is necessary to consider a cluster of risk factors. Strategies for raising positive awareness of the use of mobile health should be included prior to cardiovascular health education for workers with unhealthy lifestyles such as smoking and excessive drinking alcohol.

Citations

• The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea
  Yu Zhu Zhang, Seon Young Hwang
  Journal of Transcultural Nursing.2023; 34(2): 131.     CrossRef
• Comparison of Factors Related to Health Behavior for Cardiocerebrovascular Disease Prevention in Middle-Aged Women with and without Depression
  Eun Ko, Hyukjoon Kim
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 543.     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
• The Impact of Cluster-Type Risk Factors on Adverse Clinical Prognosis in Patients with Coronary Artery Disease: A Secondary Data Analysis
  In Ae Uhm, Seon Young Hwang
  Korean Journal of Adult Nursing.2020; 32(2): 156.     CrossRef

PURPOSE
This study was conducted to identify factors associated with oncology nurses' adherence to Chemotherapy-Induced Neutropenia (CIN) guidelines based on Pender's Health Promotion Model (HPM).
METHODS
For this cross-sectional descriptive study, 187 nurses who worked at the oncology department of Channam National University Hawsun Hospital responded to self-administered questionnaires. A tool for CIN guideline adherence was developed through systematic search, synthesis, translation, and content validation. Data collection was conducted by a trained research assistant from September 18 to September 26, 2017. Data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
Stepwise multiple regression showed that guideline adherence was associated with CIN education (β=.26, p<.001), self-efficacy (β=.17, p=.018), perceived benefits (β=.16, p=.026), interpersonal factors (β=.16, p=.043), and educational level (β=.14, p=.030).
CONCLUSION
The findings of this study could be used to develop interventions focusing on CIN education and for the strengthening oncology nurses' self-efficacy and beliefs to promote adherence to CIN guidelines. In addition, repeated studies would be needed to verify application of Pender's HPM to explain nurses' adherence.

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

Citations

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

PURPOSE
The purpose of the study was to develop and pilot test an early exercise program for lumbar spine surgery patients.
METHODS
A group of experts developed an early exercise program based on the exercise guidelines of spine hospitals and literature review. Fifty-three lumbar surgery patients were assigned into an experimental group or a control group and both groups participated in a 7-day exercise program. Pain, sleep disorders and daily living activity disorders were measured by self-administered questionnaires. The lower extremity strength was assessed by thigh circumference and the number of standing up from a chair within 30 seconds.
RESULTS
The experiment group had significantly lower scores in back pain and daily living activity disorders than the control group. The number of standing up from a chair significantly increased in the experimental group.
CONCLUSION
Our early exercise program was effective in decreasing the back pain and daily living activity disorder and increasing the strength of lower extremity among lumbar surgery patients. The early exercise program should be considered as a nursing intervention in clinical settings for lumbar surgery patients.

PURPOSE
The aim of this study was to impact describe the perception of safety and barriers to adverse drug reactions (ADR) reporting on clinical nurses' monitoring practice for ADR.
METHODS
A cross-sectional descriptive study was conducted for 270 nurses working at two major general hospitals by convenience sampling. Data were collected using self-report structured questionnaires from May to June, 2017 and analyzed using the SPSS/WIN 22.0 program.
RESULTS
The nurses' mean score of perceived safety climate was identified towards the hospital organization level (34.41±7.12), towards the work unit level (66.32±9.42), towards the individual level (7.56±1.50) and towards the ADR monitoring practice (32.68±5.42). ADR monitoring practices are positively correlated with that of perceived safety climate at the work unit level and negatively correlated with the barriers to ADR reporting both at the individual and organizational (p < .001) levels. Multiple regression analysis showed that perceived safety climate at the work unit level (β=.37), at the hospital organization level (β=−.18) and the individual barriers to ADR reporting (β=−.42) were found to be predictors of ADR monitoring practice (Adj R2=.36, F=16.38, p < .001).
CONCLUSION
These findings suggest that an effective educational program needs to be developed to assist the clinical nurses' ADR monitoring practice by improving the nurses' perception of safety climate at the work unit level and reducing the barriers to ADR reporting.

Citations

• Predictors of Adverse Drug Reaction Monitoring Practices Among Hospital Nurses
  Anyeong Kim, Duckhee Chae
  JONA: The Journal of Nursing Administration.2025; 55(5): 267.     CrossRef
• Influences of Organizational Communication Satisfaction and Safety Climate on Medication Safety Competence in Hospital Nurse
  Garam Song, Oksoo Kim
  Journal of Korean Academy of Nursing Administration.2022; 28(3): 297.     CrossRef
• Validity and Reliability of a Korean Version of the ConCom Safety Management Scale
  Mi Young Kwon, Nam Yi Kim
  International Journal of Environmental Research and Public Health.2021; 18(23): 12514.     CrossRef
• Effect of A Pharmacovigilance Practice Training Course for Future Doctors of Korean Medicine on Knowledge, Attitudes and Self Efficacy
  Mikyung Kim
  Journal of Korean Medicine.2020; 41(1): 21.     CrossRef

PURPOSE
The purpose of this study was to identify the mediating effects of self-efficacy and family support in the relationship between illness perception and health behaviors among patients with tuberculosis.
METHODS
A descriptive, cross-sectional study was conducted with 219 patients with tuberculosis from one general hospital in D city in Korea. The participants took medication over a two months period. Data were collected from four self-reported questionnaires including Health behaviors Questionnaire and Family Support Questionnaire. Of the four questionnaires, Venereal Disease Education Health Belief Model Scales and Health Belief Model Scales were modified for this study population with tuberculosis. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression analysis using SPSS statistics 23.0 program.
RESULTS
A positive correlation existed between health behaviors and illness perception (r=0.80, p < .001), self-efficacy (r=0.66, p < .001), and family support (r=0.73, p < .001). Self-efficacy and family support had partial mediating effect on the relationship between illness perception and health behaviors.
CONCLUSION
Theses results indicated that in order to improve the health behaviors of patients with tuberculosis, it is necessary to develop a management plan that focuses not only on the illness perception but also on the self-efficacy and the role of the family support.

Citations

• Effects of illness perception on negative emotions and fatigue in chronic rheumatic diseases: Rumination as a possible mediator
  Yanxia Lu, Xia Jin, Li-Wei Feng, CSK Tang, Michelle Neo, Roger C Ho
  World Journal of Clinical Cases.2022; 10(34): 12515.     CrossRef
• Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
  Hyun Ju Lee, Jiyoung Park
  Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef
• Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease
  Kisook Kim, Ji Woon Ko, Sangbong Choi
  Journal of Gerontological Nursing.2020; 46(2): 49.     CrossRef
• Emotional Intelligence, Problem Solving Ability, Self Efficacy, and Clinical Performance among Nursing Students: A Structural Equation Model
  Mi Sook Kim, Sue Kyung Sohn
  Korean Journal of Adult Nursing.2019; 31(4): 380.     CrossRef

PURPOSE
Despite the importance of promoting quality of life (QOL) among patients with terminal cancer, a comprehensive understanding of QOL among this population is lacking in South Korea. Thus, the purpose of the integrative review was to identify patterns in studies about patient-reported QOL among Korean adult patients with a diagnosis of terminal cancer.
METHODS
The integrative review method described by Whittemore and Knaf was used in this stuy. Twenty-five articles were selected for analysis.
RESULTS
Most articles addressed factors that influenced QOL or validated an assessment instrument to measure QOL in patients with terminal cancer. Only one qualitative research article which described patients' experiences of living with terminal cancer. Six other articles examined the effects of interventions on patients' QOL but these did not provide detailed information about interventions. These articles seldom used robust designs and methods to test the interventions.
CONCLUSION
Findings from the review suggest conducting studies with qualitative methodologies to gain an in-depth understanding of QOL from patients' perspectives. Additional studies with robust designs and methods are also necessary to develop and test theory-based, empirically-derived interventions that help maintain or promote QOL in patients with terminal cancer.

Citations

• Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea
  Hongyeul Lee
  Korean Journal of Medical Ethics.2025; 28(1): 41.     CrossRef
• Effect of Laughter Therapy on Mood Disturbances, Pain, and Burnout in Terminally Ill Cancer Patients and Family Caregivers
  Hee Moon, Songjah Journ, Seonah Lee
  Cancer Nursing.2024; 47(1): 3.     CrossRef
• Cross-Cultural Validation of the McGill Quality of Life Questionnaire-Revised (MQOL-R), Korean Version; A Focus on People at the End of Life
  Kyung-Ah Kang, Myung-Nam Lee
  The Korean Journal of Hospice and Palliative Care.2022; 25(3): 110.     CrossRef
• Initial Assessment and Care Planning in Palliative Hospice Care: Focus on Assessment Tools
  Eun Ju Park, Su Jin Koh, Jae Kyung Cheon
  The Korean Journal of Hospice and Palliative Care.2019; 22(2): 67.     CrossRef

PURPOSE
This study was aimed to identify the level of emotional labor, job stress and professional quality of life and to identify the factors affecting on professional quality of life among nurses in long-term care hospitals.
METHODS
136 nurses working at eight different long-term care hospitals were recruited from May 1 to June 30, 2016. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression using SPSS/WIN 22.0.
RESULTS
Professional quality of life is consisted of three subcategories as compassion satisfaction, secondary traumatic stress and burn-out. As for the factors affecting on compassion satisfaction, age, satisfaction on working ward and shift pattern of duties were significant factors. The three variables' explanation power on compassion satisfaction was 25.0%. As for factors affecting on secondary traumatic stress, emotional labor was a significant factor. The emotional labor's explanation power on secondary traumatic stress was 13.0%. Factors affecting on burn-out, emotional labor, age, and health condition were significant factors. The three variables' explanation power on burnout is 31.0%.
CONCLUSION
On the basis of results, program development are required to relieve emotional labor and job stress for nurses at long-term care hospitals and to improve their professional quality of life.

Citations

• How emotional labor harms employee’s performance: unleashing the missing links through anxiety, quality of work-life and Islamic work ethic
  Shazia Nauman, Sania Zahra Malik, Farida Saleem, Sabreen Ashraf Elahi
  The International Journal of Human Resource Management.2024; 35(12): 2131.     CrossRef
• Workload-Related Issues among Nurses Caring for Patients with Behavioral and Psychological Symptoms of Dementia: A Scoping Review
  Younhee Kang, Chohee Bang
  Healthcare.2024; 12(18): 1893.     CrossRef
• Secondary traumatic stress among pediatric nurses: Relationship to peer-organizational support and emotional labor strategies
  Einat Yehene, Adi Asherman, Gil Goldzweig, Hadar Simana, Amichai Brezner
  Journal of Pediatric Nursing.2024; 74: 92.     CrossRef
• Comparison of Quality of Life and Coping Strategies among Firefighters and Emergency Medical Services Personnel in Saveh, Iran
  Bahram Armoon, Parisa Hosseini Koukamari, Mohammad Reza Rouhani, Leila Gharegozloo, Mahmood Karimy, Anthony Coetzer-Liversage
  NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy.2024; 34(2): 120.     CrossRef
• Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals
  Sun Jung Moon, Haena Jang
  Journal of Korean Critical Care Nursing.2022; 15(3): 23.     CrossRef
• Factors influencing professional quality of life of nurses in long-term care hospitals: A cross-sectional study
  Hyun-Ju Lee
  Journal of Korean Gerontological Nursing.2022; 24(4): 377.     CrossRef
• Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
  Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
  International Journal of Environmental Research and Public Health.2022; 19(10): 5792.     CrossRef
• Occupational Risks in Hospitals, Quality of Life, and Quality of Work Life: A Systematic Review
  Carlos Rodrigo Nascimento de Lira, Rita de Cássia Akutsu, Priscila Ribas de Farias Costa, Luana de Oliveira Leite, Karine Brito Beck da Silva, Raquel B. A. Botelho, António Raposo, Heesup Han, Antonio Ariza-Montes, Luis Araya-Castillo, Renata Puppin Zando
  International Journal of Environmental Research and Public Health.2021; 18(21): 11434.     CrossRef
• Compassion Satisfaction, Secondary Traumatic Stress, and Burnout among Nurses Working in Trauma Centers: A Cross-Sectional Study
  Hyoung Ju Lee, Miyoung Lee, Sun Joo Jang
  International Journal of Environmental Research and Public Health.2021; 18(14): 7228.     CrossRef
• Lived experiences toward moral distress among long-term care hospital nurses: A phenomenological approach
  So young Lee, Jung A Kim
  The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 167.     CrossRef
• Effects of Self-leadership, Professional Self-concept, Emotional Labor on Professional Quality of Life in Hospital Nurses
  Yu-Yeong Kyun, Mi-Aie Lee
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 447.     CrossRef
• Person-Centered Care, Job Stress, and Quality of Life Among Long-Term Care Nursing Staff
  HeeKyung CHANG, Chorong GIL, Hyejin KIM, Hanju BEA
  Journal of Nursing Research.2020; 28(5): e114.     CrossRef
• Effects of Communication Skills and Humanistic Knowledge on Professional Quality of Life in Intensive Care Unit Nurses
  Gyoo Yeong CHO, Myung Nam Ha, Mi Kyung Seo
  Journal of Korean Critical Care Nursing.2020; 13(2): 45.     CrossRef
• Effect of the Professional Quality of Life on Verbal Abuse Experience among Emergency Nurses: Mediating Effect of Job Stress
  Kyoung Ju Lee, Hye Young Kim
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 533.     CrossRef
• Impact of Traumatic Events and Resilience on the Professional Quality of Life among Clinical Nurses
  Dan-Bi Yoo, Hye-Ja Park, Phill-Ja Kim
  The Korean Journal of Rehabilitation Nursing.2019; 22(1): 27.     CrossRef
• Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
  Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
  Korean Journal of Adult Nursing.2018; 30(6): 634.     CrossRef
• Psychometric Properties of Korean version of Nurse Emotional Labor Strategy Scale (K-NELSS)
  Heejung Choi, Miyeon Kim
  Journal of Korean Academy of Nursing Administration.2018; 24(2): 161.     CrossRef

PURPOSE
This study was designed to identify knowledge, attitude, environment, and self-efficacy among perioperative nurses in terms of radiation protection and to describe those factors affecting radiation protection behaviors.
METHODS
The sample was comprised of 128 perioperative nurses who agreed to participate in this descriptive study. Data were collected from a self-administered questionnaire and were analyzed using the t-test, analysis of variance, Mann-whitney U test, Kruskal-Wallis test, Pearson's correlation, and multiple regression analyses.
RESULTS
Radiation protection behaviors were significantly different by participant's gender, length of career as a perioperative nurse, educational level and prior experience with radiation protection education. Radiation protection behaviors were significantly correlated with radiation protection environment and self-efficacy in terms of radiation protection behaviors. In the multiple linear regression models, radiation protection environment and self-efficacy on radiation protection behaviors were statistically significant predictors of radiation protection behaviors, which accounted for 50.3% of variance in dependent variable.
CONCLUSION
This study concluded that radiation protective environment in operating room is important to promote radiation protective behaviors and radiation safety management program to enhance self-efficacy is highly recommended.

Citations

• Factors Influencing Radiation Protection Behavior of Nurses in Intensive Care Units
  Seo Jeong Kim, Yun Hee Kim
  Journal of Korean Critical Care Nursing.2024; 17(3): 1.     CrossRef
• Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
  Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
  Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
• Factors Influencing Protective Behaviors for Dental Radiation Exposure among Female Korean Dental Hygienists Using Health Belief Model
  Su-Yeon Hwang, Jung-Eun Park, Jong-Hwa Jang
  International Journal of Environmental Research and Public Health.2022; 19(1): 518.     CrossRef
• Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses
  Sookkyoung Park, Yaki Yang
  International Journal of Environmental Research and Public Health.2021; 18(12): 6238.     CrossRef
• Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses
  Su Jin Lee, Sunjoo Boo, Jeong-Ah Ahn, Mi-Ae You
  Journal of Korean Critical Care Nursing.2020; 13(1): 15.     CrossRef
• A Study on Knowledge, Attitude and Behavior for Radiation Protection of Nurses : Focus on the Operating Rooms and Intensive Care Units
  Choi Jung-im, Yang Young-Ok
  Journal of Radiological Science and Technology.2019; 42(6): 461.     CrossRef
• Radiation safety education and compliance with safety procedures—The Korea Nurses’ Health Study
  Oksoo Kim, Mi Sun Kim, Hee Jung Jang, Hyangkyu Lee, Younhee Kang, Yanghee Pang, Heeja Jung
  Journal of Clinical Nursing.2018; 27(13-14): 2650.     CrossRef

PURPOSE
The purpose of this study was to explore the subjective experience of job stress among nurses working in long-term care hospitals.
METHODS
A phenomenological approach was used for the study. Data were collected from May to June, 2016 using open-ended questions during in-depth interviews. Participants were nurses working in long-term care hospitals and had reported experiences of stress. Six nurses participated in this study.
RESULTS
Six themes emerged from the analysis using Colaizzi's method: (a) Heavy workload and responsibility due to nurse shortage, (b) Getting exhausted by caring for cognitively impaired patients, (c) Feeling pressure due to conflict with patients' family, (d) compassion for patients who are getting worse, (e) Low value in being a long-term hospital nurse, and (f) Efforts to overcome stress.
CONCLUSION
Sufficient labor supply, environmental improvements, program for improving interpersonal skills, education and counseling on end-of-life care, and recognition improvement about long term hospital are suggested to reduce the job stress of long-term hospital nurses.

Citations

• The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
  Inhee Choo, Milim Cho, Eunha Kim
  Journal of Korean Gerontological Nursing.2024; 26(4): 392.     CrossRef
• Factors influencing professional quality of life of nurses in long-term care hospitals: A cross-sectional study
  Hyun-Ju Lee
  Journal of Korean Gerontological Nursing.2022; 24(4): 377.     CrossRef
• Predictors of Nursing Competency of Nurses in Long-term Care Hospitals: A Descriptive Study
  Jung-Hye Lim, Mi-Jung Kim, Oe-Seon Lee
  Journal of Korean Gerontological Nursing.2022; 24(3): 238.     CrossRef
• Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study
  Bom-Mi Park
  Healthcare.2021; 9(6): 715.     CrossRef
• Effects of the Resilience of Nurses in Long-Term Care Hospitals during on Job Stress COVID-19 Pandemic: Mediating Effects of Nursing Professionalism
  Bom-Mi Park, Jiyeon Jung
  International Journal of Environmental Research and Public Health.2021; 18(19): 10327.     CrossRef
• Communication Skills, Problem-Solving Ability, Understanding of Patients’ Conditions, and Nurse’s Perception of Professionalism among Clinical Nurses: A Structural Equation Model Analysis
  Ae Young Kim, In Ok Sim
  International Journal of Environmental Research and Public Health.2020; 17(13): 4896.     CrossRef
• Effect of Job Embeddedness on Turnover Intention of Nurses in Long Term Care Hospitals: The Mediating Effect of Nursing Work Environment
  Sun Mi Ha, Yeong Ju Ko
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 439.     CrossRef
• Person-Centered Care, Job Stress, and Quality of Life Among Long-Term Care Nursing Staff
  HeeKyung CHANG, Chorong GIL, Hyejin KIM, Hanju BEA
  Journal of Nursing Research.2020; 28(5): e114.     CrossRef
• Adaptation Experience of Nurses who were Transferred to a Long Term Care Hospital from an Acute Hospital
  Hyoung Sook Park, Yun Jeong Lee, Mi Jeong Ji, Mi Suk Hong
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 301.     CrossRef
• End of Life Care Competencies and Terminal Care Stress of Nurses in Long Term Care Hospitals
  Young-Hee Jeong, Kyung Ja June
  The Korean Journal of Hospice and Palliative Care.2019; 22(3): 125.     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
• Comparative Analysis of Cognitive and Physical Function according to Dysphagia of Aged Patients in Geriatric Hospitals
  Jin Su Kim, Jeong Soo Kim
  Journal of Korean Gerontological Nursing.2019; 21(3): 190.     CrossRef
• Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR
  Kye Ha Kim, Sun Jin Jeong
  Journal of Korean Gerontological Nursing.2019; 21(2): 61.     CrossRef
• Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
  Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
  Korean Journal of Adult Nursing.2018; 30(6): 634.     CrossRef
• Nurses' Experiences of End of Life Care of Older Adults with Dementia
  Chun-Gill Kim, Young Hee Lee
  Korean Journal of Adult Nursing.2017; 29(2): 119.     CrossRef

PURPOSE
The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease.
METHODS
We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses.
RESULTS
Older adults (> or =65) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p<.001) and poorer medication adherence (67.7 vs 91.8, chi2=14.06, p<.001) than adults (<65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50% of patients were current smokers.
CONCLUSION
Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation.

Citations

• Interpretation of Pulmonary Function Tests and Optimization of Inhalation Therapy
  Sung Yoon Lim, Ho Il Yoon
  The Korean Journal of Medicine.2021; 96(3): 209.     CrossRef
• Effects of a tailored inhaler use education program for chronic obstructive pulmonary disease patients
  Yu Mi Kim, Mi Yu, Hye Ri Moon, Sun Young Ju, Gyeong Ae Lee, Min Jin Kim
  Patient Education and Counseling.2020; 103(4): 717.     CrossRef

PURPOSE
The purpose of the study was to identify the levels of anxiety, depression and uncertainty of patients who participated in the clinical trials for anticancer drug, and to identify correlations among these variables.
METHODS
Cross-sectional survey used the Symptom Check List-90-Revision and the Mishel Uncertainty in Illness Scale from 106 subjects in 2011. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients.
RESULTS
The mean score of anxiety was 2.06, that of depression 2.35, and that of uncertainty 2.61. Anxiety and depression (r=.70), anxiety and uncertainty (r=.44), depression and uncertainty (r=.60) were significantly correlated each other. The levels of anxiety, depression and uncertainty were different in various characteristics of the subjects, such as education, recurrence, and economic burden.
CONCLUSION
The results of the study indicate that when implementing psychosocial interventions for cancer patients who participate in clinical trial, factors such as education, economic burden, and recurrence should be integrated into the intervention. Further studies applying theoretical model would be helpful to identify directional relationships among the variables that are important in psychosocial well-being of cancer patients undergoing clinical trial.

Citations

• Impact of informed consent quality on illness uncertainty among patients with cancer in clinical trials: A cross-sectional study
  Sihan Kang, Jie Zhang, Dong Pang, Hong Yang, Xiaohong Liu, Renxiu Guo, Yuhan Lu
  Asia-Pacific Journal of Oncology Nursing.2025; 12: 100673.     CrossRef
• Effect of Ambulatory Chemotherapy (Portable Infusion Pump Use) Video Education on Knowledge, Self-efficacy and Anxiety of Colorectal Cancer Patients
  Eun Hee Choi, Eun Young Park, Young A Park, You Hee Son, Myung Jin Jang
  Asian Oncology Nursing.2022; 22(3): 193.     CrossRef
• Factors affecting anxiety and depression in young breast cancer survivors undergoing radiotherapy
  Kisook Kim, Hyesun Park
  European Journal of Oncology Nursing.2021; 50: 101898.     CrossRef
• Consumer characteristics of Body Mass Index groups, and the effect of body satisfaction and self-esteem on the involvement in dieting among females aged 25-49 years
  Su-mok Jeong, Eunah Yoh
  The Research Journal of the Costume Culture.2020; 28(5): 591.     CrossRef
• Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers
  Gyong-Ae Choi, Hyun-Jung Choi, So-Young Park
  Korean Journal of Health Promotion.2019; 19(1): 32.     CrossRef
• Perception and Satisfaction of Anticancer Drug Clinical Trials in Cancer Patients
  Ju Kyung Jeon, Jeong Hye Kim
  Asian Oncology Nursing.2019; 19(1): 18.     CrossRef
• Effects of Body Mass Index, Self-esteem, and Sociocultural Attitude toward Appearance on Diet Awareness
  Kwanghee Park
  Fashion & Textile Research Journal.2016; 18(2): 176.     CrossRef
• Characteristics of Groups classified by Degree of Obesity using Body Mass Index - Focused on Self-esteem, Food lifestyle, Social-cultural Attitudes towards Appearance, and Diet-related Attitude and Behavior -
  Kwanghee Park
  Journal of the Korean Society of Costume.2016; 66(8): 33.     CrossRef
• Survey on Self Care, Respiratory Difficulty, Sleep Impediment, Anxiety and Depression among Patients with Neuromuscular Disease dependent on Home Mechanical Ventilator
  Moon Sook Hwang, Mi Kyung Lee, Jong Rye Song
  Korean Journal of Adult Nursing.2016; 28(5): 595.     CrossRef

PURPOSE
This study was designed to identify the factors that influenced the decision to have a colonoscopy.
METHODS
The sample was one hundred ninety four subjects who completed a self administrated survey. The survey posed questions of self-efficacy scale, fatalism scale and an intention scale. Data were analyzed with descriptive and inferential statistics including t-test, ANOVA, Pearson's correlation and multiple regression analysis.
RESULTS
There were statistically significant differences among the intention of having a colonoscopy and age, educational background, occupation and income. There was a statistically significant positive correlation between self-efficacy and intention of having a colonoscopy. In contrast, there was a negative correlation between fatalism and decision to have a colonoscopy. Self-efficacy, income and age were significant predictors of the decision to have a colonoscopy; accounting for 44.3% of the total variance.
CONCLUSION
Self-efficacy and fatalism were influence the decision to have a colonoscopy. As a result of these, it may be useful to develop strategies to foster decision making to have a colonoscopy utilizing the findings from this study.

PURPOSE
This study assessed the effectiveness of hand massage on reducing discomfort of patients undergoing percutaneous coronary intervention(PCI). METHODS: The sample consisted of 62 patients admitted to an university affiliated hospital. The 30 patients in experimental group received hand massage developed by Snyder(1995) for 5 minutes on both hands and 32 patients in control group received the usual nursing intervention only. The outcome variable of discomfort was measured 10 minutes before and after the hand massage using Questionnaire and VAS. The data were collected from Feb. 5th to May 17th in 2007, and analysed through Chi-square, and t-test with SPSS WIN 12.0. RESULTS: The level of discomfort measured with the questionnaire was decreased in experimental group, but increased in control group. This discomfort changes in two groups were significantly different(t=4.43, p<.001). The level of discomfort measured with VAS was also decreased in experimental group, but increased in control group. The changes were significant, too(t=5.62, p<.001). CONCLUSION: It was clear that hand massage could be a useful nursing intervention in reducing the discomfort of patients undergoing PCI.

PURPOSE
This study aims to explore general perception types about the life of institutionalized elderly and thus to provide the basic data for nursing intervention for them. METHOD: This study used a Q methodology. A Q sample was developed through a review of related literature and descriptions of ordinary people about the life of institutionalized elderly. Thirty-eight statements made up the finalized Q sample. RESULTS: The results revealed three different types of the general people's perception about the life of institutionalized elderly. Type 1 is an optimistic group which expects modernized institutions. This group focuses on social relationships enjoying a variety of cultural life. Type 2 is a positive group which pursues independence. They are open-minded about the use of the institution and are not ashamed of the life in the institution. Type 3 is a conservative group which disapproves institutionalization. The members of this group strongly disapprove the institution itself and have negative views on institutionalization. These three types share certain common features while having distinctive characteristics showing individual views and traits about the life of the institutionalized elderly. CONCLUSION: This study will provide us the basic data to understand institutionalized elderly and to develop nursing intervention for them.

PURPOSE
The Purpose of this study was to explain the effects of aromatherapy massage on the preoperative anxiety of hemorrhoidectomy patients, and to provide the effective and holistic nursing care to them. METHOD: The research design was a nonequivalent control group non-synchronized design. The data were collected during the period from November 1 to November 30, 2003 at K-Hospital in Seoul. The subjects were fifty patients who were to have a hemorrhoidectomy under general anesthesia. They were assigned to two groups, 25 subjects to the experimental group and 25 subjects to the control group. The State Anxiety Inventory tool was used to measure state-anxiety on all patients the day before surgery. Systolic and diastolic blood pressure, and pulse rate were measured on the day before surgery and the preoperative period. The experimental group received aromatherapy massage on the hand with lavender oil. Data were analyzed by x2 test, independent t-test, paired t-test. RESULTS: 1. Hypothesis 1, that the level of preoperative state-anxiety of the experimental group who received aromatherapy massage would be lower than that of the control group who did not received aromatherapy was supported(p=.047). 2. Hypothesis 2was that the Physiological index of the preoperative anxiety of the experimental group who received aromatherapy would be lower than that of the control group who did not received aromatherapy. The 1st subhypothesis that "the level of the preoperative systolic and diastolic blood pressure of the experimental group would be less than that of the control group" was not supported. CONCLUSION: Aromatherapy massage can be regarded as a partially effective nursing intervention that relives the preoperative anxiety of surgical patients and stabilizes vital signs.

As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.