Purpose
This descriptive correlational study aimed to evaluate the impact of patient activation on self-management and explore the mediating role of shared decision-making (SDM) among patients on hemodialysis.
Methods
A cohort of 136 participants was recruited from hemodialysis units in Gwangju, South Korea, between August 9 and 22, 2024. Patient activation, self-management, and SDM were assessed using the Patient Activation Measure (PAM-13), the Hemodialysis Self-Management Instrument (HDMI-K), and the 9-item Shared Decision-Making Questionnaire (SDM-Q-9), respectively. Descriptive statistics, Pearson’s correlation analysis, and mediation analysis using the PROCESS macro were conducted to analyze the data.
Results
Patient activation, SDM, and self-management were positively correlated with one another. Mediation analysis showed that patient activation significantly predicted both SDM and self-management. SDM also significantly predicted self-management, confirming its partial mediating effect. The final model explained 54.5% of the variance in self-management. The indirect effect of patient activation on self-management through SDM was statistically significant (indirect effect=0.05, 95% confidence interval [CI]=0.02–0.10). The indirect effect of patient activation on self-management through SDM was statistically significant (indirect effect=0.05, 95% CI=0.02–0.10).
Conclusion
Patient activation directly and indirectly enhances self-management through SDM, verifying the partial mediating role of SDM. Integrating SDM into nursing interventions is essential for effectively supporting self-management in patients undergoing hemodialysis.

Purpose
This study was conducted to develop a conceptual framework for understanding non-adherence to self-management among patients with Chronic Obstructive Pulmonary Disease (COPD). This was accomplished through a literature review, in-depth interviews with patients, and a survey of healthcare professionals featuring semi-structured open-ended questions.
Methods
First, a systematic literature review was conducted across five databases. Next, 25 patients with COPD participated in detailed interviews that included seven semi-structured questions. Subsequently, 15 healthcare professionals completed a survey about factor categories and specific factors associated with non-adherence to COPD self-management. Categories and factors identified at least once across these three methods were documented. Finally, two researchers conducted preliminary mapping of the relationships between factor categories and individual factors, which was assessed for face validity by a third researcher. All processes were conducted from March 28, 2022, and January 30, 2023.
Results
The research revealed eight factor categories and 53 individual factors associated with non-adherence to COPD self-management. The categories encompassed personal, socioeconomic, disease-related, functional, treatment- related, health system-related, and environmental characteristics. The literature review, patient interviews, and survey of healthcare professionals yielded 35, 19, and 44 factors, respectively. Twelve factors were identified using all three sources. All processes were conducted from March 28, 2022, and January 30, 2023.
Conclusion
In this study, quantitative and qualitative methods were employed to develop a conceptual framework for non-adherence to COPD self-management. The findings indicate that effective self-management of this condition requires not only patient effort but also adaptations to complex treatment regimens, societal perceptions, and workplace environments.

Citations

• Development of a deep learning model to predict smoking status in patients with chronic obstructive pulmonary disease: A secondary analysis of cross-sectional national survey
  Sudarshan Pant, Hyung Jeong Yang, Sehyun Cho, EuiJeong Ryu, Ja Yun Choi
  DIGITAL HEALTH.2025;[Epub]     CrossRef
• Factors Associated with Non-Adherence to Self-Management Among Patients with Chronic Obstructive Pulmonary Disease: A Survey Using the Delphi Technique and Analytic Hierarchy Process
  Ja Yun Choi, Eui Jeong Ryu
  International Journal of Chronic Obstructive Pulmonary Disease.2024; Volume 19: 1247.     CrossRef

Purpose
The purpose of this study was to construct and test a hypothetical model of self-management behavior in patients with chronic low back pain based on the results of previous studies and a literature review.
Methods
Data from 218 outpatients with spinal disease who visited a university hospital from January 21 to August 3, 2021 with chronic back pain that had lasted for more than 3 months were collected and analyzed.
Results
The goodness-of-fit of the final model satisfied recommendations (RMR=.01, RMSEA=.07, GFI=.97, NFI=.95, TLI=.92, CFI=.97). Negative illness perception directly and negatively influenced self-management behavior (β=-.15, p=.021), and also indirectly affected self-management behavior through self-efficacy (β=-.07, p=.007). Positive illness perception directly exerted a positive impact on self-management behavior. Active participation, internal health control, and self-efficacy all directly influenced self-management behavior.
Conclusion
In order to improve self-management behavior in patients with chronic low back pain and spinal diseases, it is crucial to first determine whether the patient's perception of their illness is positive or negative. Patients should be encouraged to adopt a positive attitude towards their condition and to persist with self-management.

Purpose
This study was conducted to provide fundamental data for improving the quality of care by investigating the relationships of critical reflection competency, nursing practice environment, job crafting, and person-centered care among tertiary hospital nurses. Additionally, the study sought to identify the factors influencing person-centered care. Methods: Data were collected from 132 tertiary hospital nurses with at least 1 year of work experience via an online survey conducted in January 2023. Results: Person-centered care varied significantly according to age, clinical experience, and department. Significant correlations of person-centered care with critical reflection competency (r=.77, p<.001), nursing practice environment (r=.46, p<.001), and job crafting (r=.71, p<.001) were observed. Factors contributing to person-centered care among tertiary hospital nurses included critical reflection competency (β=.46, p<.001) and job crafting (β=.40, p<.001), with an explanatory power of 70.2%. Conclusion: To provide ethically enhanced person-centered care in tertiary hospitals, various training programs must be developed to strengthen nurses' critical reflection competency and job crafting skills.

Citations

• Cultural Competence and Nursing Work Environment: Impact on Culturally Congruent Care in Portuguese Multicultural Healthcare Units
  Gisela Teixeira, Ricardo Picoito, Filomena Gaspar, Pedro Lucas
  Healthcare.2024; 12(23): 2430.     CrossRef
• Factors associated with critical reflection competency among clinical nurse educators
  Sujin Shin, MiJi Lee, Eunmin Hong
  Teaching and Learning in Nursing.2024; 19(4): e630.     CrossRef
• Factors Influencing Person-Centered Care Among Psychiatric Nurses in Hospitals
  Ji Su Lee, Mi Heui Jang, Min Jung Sun
  Healthcare.2024; 12(22): 2269.     CrossRef
• Proactive behaviors and health care workers: A systematic review
  Alden Yuanhong Lai, Kenneth Z. Wee, Jemima A. Frimpong
  Health Care Management Review.2024; 49(3): 239.     CrossRef

Purpose
This descriptive survey study aimed to identify the influences of person-centered perioperative nursing and patient safety competency on patient safety management activities among operating room nurses.
Methods
Data were collected from June 14 to July 14, 2021, covering 158 operating room nurses working at six general hospitals. Data were analyzed using hierarchical multiple regression to identify the influencing factors of patient safety management activities.
Results
The mean scores of person-centered perioperative nursing, patient safety competency, and patient safety management activities were 3.86, 3.88, and 4.55, respectively. These scores increased with increased age and clinical experience. Person-centered perioperative nursing (β=.22, p=.014) and patient safety competency (β=.22, p=.014) influenced patient safety management activities.
Conclusion
Therefore, to improve the patient safety management activities of operating room nurses, an efficient nursing work environment must be created along with systematic and continuous education and programs to enhance person-centered perioperative nursing and patient safety competency.

Citations

• Impact of Delirium-Related Stress, Self-Efficacy, Person-Centred Care on Delirium Nursing Performance Among Nurses in Trauma Intensive Care Units: A Cross-Sectional Descriptive Survey Study
  Ga-Hee Seong, Hyung-Ran Park
  Healthcare.2025; 13(11): 1243.     CrossRef
• Novice Perioperative Nurses’ Perceptions of Nursing Competence and Strategies Used to Enhance Competence: A Phenomenographic Study
  Seo Jin Kwon, Sung Ok Chang, Boo Hyo Park
  AORN Journal.2025; 121(3): 186.     CrossRef
• Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities
  Subin Lee, Sujin Shin
  Journal of Korean Critical Care Nursing.2023; 16(3): 87.     CrossRef

Purpose
This study aims to identify factors affecting the Health-Related Quality of Life (HRQoL) in patients with atrial fibrillation.
Methods
The study subjects were 158 outpatients with atrial fibrillation at a university hospital in Metropolitan City B. Data were collected from March 18, 2022 to July 1, 2022 and were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression with SPSS 22.
Results
Self-management behaviors (β=.27, p<.001), self-efficacy (β=.30, p<.001), and grit (β=.33, p<.001) were found to have statistically significant effects on HRQoL. Hierarchical regression analysis showed that age, employment status, and monthly household income explained 23.6% of the variance in HRQoL, while subjective health status and perceived stress added 18.6% of the variance. Self-management behaviors, self-efficacy, and grit had an explanatory power of 32.4%, and the overall explanatory power was 74.6%.
Conclusion
Self-management behaviors, self-efficacy, and grit were identified as factors affecting HRQoL in patients with atrial fibrillation. These results will be used as important fundamental data to develop nursing interventions in order to improve the HRQoL of patients with atrial fibrillation.

Purpose
This study aimed to evaluate the validity and reliability of the revised Korean version of the Chronic Hepatitis B Self-Management Scale-K16 (CHBSMS-K16). Methods Using the convenience sampling method, the data of chronic hepatitis B patients (N=200) were collected from August to October 2021. The participants were recruited from two hospitals in D metropolitan city and 3 internet cafes for hepatitis patients. The data were analyzed using SPSS 26.0 and AMOS programs. The content, structure, item-convergent/discriminant, and convergent validities and internal consistency were evaluated. Results Based on the statistical analysis, 9 items from the original version were excluded-resulting in 4 subscales with a total of 16 items. The confirmatory factor analysis demonstrated adequate model fit indices. The items convergence and discrimination validity were verified using extracted mean variance (.46~.65) and composition reliability (.81~.88). The convergent validity was satisfactory, as demonstrated by its correlation with the New General Self Efficacy scale (r=.63, p<.001). The Cronbach’s α for the overall scale was .88, and that of the four subscales ranged from .63 to .74. Conclusion The CHBSMS-K16 is a valid and reliable instrument. Therefore, this tool can be used to measure the level of self-management of Korean patients with chronic hepatitis B. Additionally, this scale can be used in clinical settings as well as in educational and research settings.

Purpose
This descriptive survey study was conducted to determine the degree of implementation of anticancer drug safety management guidelines by nurses handling anticancer drugs, safety motivation, safety control, ward safety culture, and anticancer drug safety guidelines.
Methods
The subjects of this study were 136 nurses working in the designated ward for anticancer drug treatment, and data collection was conducted from November 3rd to November 16, 2021. Collected data were analyzed using the IBM SPSS statistics 28.0 program by frequency and percentage, mean and standard deviation, independent sample t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple regression analysis.
Results
As a result of analyzing the effects of the subjects’ knowledge of anticancer drug safety management guidelines, safety motivation, safety control, and ward safety culture on the implementation of anticancer drug safety guidelines, it was found to be knowledge of anticancer drug safety management guidelines (β=.22), with 7.0% of the explanatory power.
Conclusion
The factors influencing the implementation of anticancer drug safety management guidelines were found to be anticancer drug safety management guidelines, and it is suggested that follow-up studies be conducted to develop educational programs and interventions to improve anticancer drug safety guidelines.

Citations

• Development and Validation of the Short Form of Core Competencies Scale of Nursing Care for Cancer Patients Undergoing Chemotherapy
  Sung Hae Kim, Seyong Lee, Sang Hee Kim, Jung Ok Choi, Gie Ok Noh
  Asian Oncology Nursing.2024; 24(4): 184.     CrossRef

Purpose
This study investigates the effects of thermomechanical stimulation intervention during arteriovenous fistula puncture on hemodialysis patients’ pain, anxiety, and stress. Methods: We used a nonequivalent groups pretest-posttest experimental design. In this study, 44 patients on regular hemodialysis (22 each in experimental and control groups) at a general hospital in South Korea were enrolled from December 2020 to January 2021.Subsequently, thermomechanical stimulation intervention using the Buzzy device was applied to the experimental group during arteriovenous fistula puncture. The outcome measures were the patients’ pain, anxiety, and stress.
Results
After the intervention, the experimental group recorded significantly lower arteriovenous fistula puncture pain compared to the control group (t=2.90, p=.006). However, no significant differences in anxiety and stress were noted before and after the intervention between the groups.
Conclusion
The study indicates that thermomechanical stimulation intervention can be utilized as an easy and effective intervention method to reduce the puncture pain experienced by patients on hemodialysis during arteriovenous fistula puncture.

Citations

• Effects of an intervention combining warm therapy with a digital distraction app on pain, stress, and satisfaction during intravenous catheterization in South Korea: a randomized controlled trial
  Jae-Kyeum Lee, Ki-Yong Kim, Yean-Hee Jeong, Yu-Jin Lee, Min-Ho Lee, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2025; 27(2): 191.     CrossRef
• Effects of a thermoelectric element tourniquet on venipuncture pain and stress relief in Korea: a randomized controlled trial
  Tae Jung Lee, Jihoo Her, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2025; 27(2): 179.     CrossRef
• Thermoelectric tourniquet–assisted thermotherapy and cryotherapy for pain, regional blood flow, and satisfaction with intravenous injections among hospitalized patients in Korea: a randomized controlled trial
  Seon-Mi Lee, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2024; 26(4): 323.     CrossRef
• Effect of aromatherapy on quality of life in maintenance hemodialysis patients: a systematic review and meta-analysis
  Cong Zhang, Hang Mu, Yong-Fang Yang, Yong Zhang, Wen-Jun Gou
  Renal Failure.2023;[Epub]     CrossRef
• Juan Bi Tang, a traditional Chinese medicine, for alleviating pain related to arteriovenous fistula in maintenance hemodialysis patients: An interventional pilot study with brief review
  Yung-Tang Hsu, Yung-Hsiang Chen, Chung-Ming Fu, Wen-Chin Lee, Ming-Yen Tsai
  Medicine.2023; 102(45): e35974.     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
This article aimed to review and summarize symptom literature to promote a comprehensive understanding of symptom science. Methods: An integrative review was conducted regarding symptom science with a particular focus on cancer symptoms. Results: Nursing theories that lead symptom science were reviewed. The importance of symptom assessment was highlighted. The current status of symptom science related to symptom mechanisms, symptom clusters, symptom management, and symptom outcomes was summarized. Conclusion: Nursing researchers need to develop expertise and facilitate collaborative multidisciplinary research to enhance symptom science. A comprehensive understanding of symptom experience and the application of valid research methodologies can advance symptom science.

Citations

• Symptom Clusters and Quality of Life in Patients with Type 2 Diabetes Mellitus
  Su-Yeon Hong, Yang-Sook Yoo
  Korean Journal of Adult Nursing.2021; 33(5): 498.     CrossRef

Purpose
This study aimed to identify factors influencing performance of pain assessment and pain intervention for dementia patients among long-term care hospital nurses.
Methods
In this descriptive study, participants were 106 nurses working in seven long-term care hospitals. Data were collected from August 13 to August 30, 2019. Nurses’ performance of pain assessment and pain intervention, attitude toward dementia, empathy, and knowledge about dementia-related pain were measured through self-reported questionnaires.
Results
The factors influencing performance of pain assessment were a total clinical career of 5 to 9 years (β=.29, p=.013) and a total clinical career of more than 15 years (β=.31, p=.013), which together explained 15.9% of the variance in the model. The factor influencing performance of pain intervention was attitude toward dementia (β=.31, p=.018), and explained 8.7% of the variance in the model. Empathy and knowledge about dementia-related pain were not found to be significant factors in either of the models.
Conclusion
The study findings suggest that a specialized education program for nurses with short clinical careers should be developed. Additionally, when designing the education program, it is recommended that varied content that can induce psychological and emotional attitude changes be included, as well as knowledge-oriented content. Finally, the more effective the pain assessment for dementia patients, the more appropriate the pain intervention and its performance will be. Thus, it is necessary to provide systematic training to enhance the pain assessment skills through a case study-based approach.

Citations

• The Status and Challenges of Pain Assessment in Hospitalized Patients: A Cross-Sectional Study
  Xiaofeng Xu, Hongxiu Chen, Jing Xu, Yue'er Zhang, Renrong Gong, Xiuying Hu
  Pain Management Nursing.2025; 26(2): e124.     CrossRef
• Development of the Korean Version of the Pain Assessment Tool in Impaired Cognition (KPAIC-15) for Patients with Dementia: A Scale Development
  Sun Young Lim, Su Jung Lee, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2022; 24(2): 218.     CrossRef

PURPOSE
The purpose of this study was to identify factors that influence the performance of cancer pain management among nurses in an oncology unit.
METHODS
The participants of this study were nurses working in an oncology unit at an oncology hospital located in Busan city. Data was collected between January 10 and February 10, 2018 from questionnaire responses received 101 nurses. Measures used for this study assessed knowledge and attitudes toward cancer pain management, patient-centered care, and the performance of cancer pain management. Data were analyzed using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Performance of cancer pain management was significantly correlated with knowledge (r=.21, p=.032), attitudes toward cancer pain management (r=.21, p=.034), and patient-centered care (r=.33, p=.001). In addition, performance of cancer pain management was influenced by knowledge of cancer pain management (β=.27, p=.008), patient-centered care (β=.33, p=.001), and working in the surgery department (β=.24, p=.012). The explanatory power of this model was 29.3%.
CONCLUSION
These results suggest the need for programs to improve patient-centered care, and continual education on cancer pain management guidelines, in order to provide organized and effective pain management.

Citations

• Assessing healthcare professionals’ perceptions of pain concepts and beliefs
  Sejun Oh, Yeonji Gu, Inbeom Kim, Euha Kwon, Sangheon Lee, Kyounghae Kim
  NeuroRehabilitation.2024; 55(1): 117.     CrossRef
• Development of a nurse navigation program for cancer pain
  Miyoung Yoo, Eunyoung E. Suh, Mi Jang, Sunsil Kang
  Asia-Pacific Journal of Oncology Nursing.2024; 11(7): 100528.     CrossRef
• Managing Postembolization Syndrome Through a Machine Learning–Based Clinical Decision Support System
  Minkyeong Kang, Myoung Soo Kim
  CIN: Computers, Informatics, Nursing.2024; 42(11): 817.     CrossRef
• Understanding of Dense Breast and Perception of Breast Cancer Risk of Nurses with or without Dense Breast Notification
  Seon Mi Yoon, Jeong Hee Kang
  Asian Oncology Nursing.2023; 23(2): 75.     CrossRef
• Nurses’ knowledge and attitudes toward patient-controlled analgesia for postoperative pain control in a tertiary hospital in South Korea
  Mi-Ra Kang, Youn-Ju Kwon
  BMC Nursing.2022;[Epub]     CrossRef
• Factors Affecting Nurses’ Performance of Cancer Pain Management in a Tertiary Hospital
  Minhwa Kang, Minjeong Seo
  The Korean Journal of Hospice and Palliative Care.2022; 25(3): 99.     CrossRef
• Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients
  Hoi Sook Seo, Eun Young Park, Se Jin Park, Bo Ra Han, Myung Jin Jang
  Asian Oncology Nursing.2021; 21(4): 213.     CrossRef
• The Knowledge, Attitudes, Performance, and Barriers of Nurses to Pain in Oncology Settings: A Multi-Center Study
  Hyekyung Kim, Soeun Choi, Sue Kim, Jiyeon Lee, Sun-Hee Kim, Insook Lee, Yoonjung Shin, Hye-Young Jang
  Asian Oncology Nursing.2021; 21(1): 15.     CrossRef
• Pain Assessment of Lung Cancer Patients in the Emergency Department: A Case Report
  Nayung Youn
  Asian Oncology Nursing.2021; 21(4): 194.     CrossRef

PURPOSE
This study aimed to develop evidence-based nursing practice guidelines for pain management in patients with dementia and to verify their effects.
METHODS
Guidelines were developed according to the Clinical Practice Guideline Adaptation Manual. Additionally the quality of six guidelines was evaluated using the AGREE (Appraisal of Guidelines for Research & Evaluation) tool. Subsequently, the guidelines were translated into Korean and a preliminary set of guidelines was established. After a group of experts confirmed the content validity of the guidelines, the Korean version was applied to clinical settings for 4 weeks, to examine their applicability. Data was collected from April to August 2017. The dependent variables were nurses' knowledge and attitudes about pain management in patients with dementia, pain assessment frequency, use of pharmacological and nonpharmacological intervention to reduce pain, and subjective and objective pain scores of patients with dementia. Data were analyzed using an independent t-test, Mann-Whitney U test, Wilcoxon Signed Ranks test, and analysis of covariance with SPSS/WIN 22.0.
RESULTS
Nurses in the experimental group had a higher degree of knowledge and more positive attitudes regarding pain management, and they reported a higher frequency of pain assessment as compared to those in the control group. As compared to patients in the control group, those in the experimental group had more days of regular treatment with analgesics and were provided with a higher analgesics dose as well as more frequently received physical and relaxation therapies. The two groups did not show significant differences in subjective and objective pain scores.
CONCLUSION
The present findings indicates that the evidence-based guidelines for pain management developed in this study were effective in helping nurses and patients with dementia to resolve their pain for which they were currently seeking treatment.

Citations

• Developing evidence‐based medication therapy management tools for psychiatric nurses: An evaluative qualitative case study
  Melisa Bulut, Çiğdem Yüksel
  Journal of Evaluation in Clinical Practice.2024; 30(8): 1519.     CrossRef
• Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
  Soomi Kim, Chul-Gyu Kim
  Journal of Korean Academy of Nursing.2023; 53(3): 275.     CrossRef
• Self-rated health as a predictor of mortality according to cognitive impairment: findings from the Korean Longitudinal Study of Aging (2006-2016)
  Goun Park, Wankyo Chung
  Epidemiology and Health.2021; 43: e2021021.     CrossRef
• Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
  Inhwa Hong, Young Eun
  Journal of Korean Academy of Nursing.2020; 50(6): 863.     CrossRef
• Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses
  Mi Seon Jeon, Chi Eun Song, Jeong Min Park, Weon Gyeong Kim
  Korean Journal of Adult Nursing.2020; 32(3): 283.     CrossRef

PURPOSE
This study aimed to identify the associations among psychological insulin resistance, diabetes self-efficacy, and diabetes self-care management in Korean patients with type 2 diabetes requiring insulin therapy.
METHODS
This study was a part of a parent study, for which data were collected from December 2015 to March 2016. Participants were 192 patients with type 2 diabetes who were recommended insulin therapy but were either not taking insulin or had been taking it for less than one year. Data were analyzed using descriptive statistics and Pearson's correlation coefficient. To identify the predictors of diabetes self-care management, sociodemographic and disease-related characteristics, psychological insulin resistance, and diabetes self-efficacy were entered into the hierarchical multiple regression model.
RESULTS
The mean age of participants was approximately 63 years, and 56.3% were men. A significant negative correlation was found between diabetes self-care management and psychological insulin resistance (r=−.19, p=.010), whereas self-care management and diabetes self-efficacy were positively correlated (r=.56, p < .001). In the hierarchical multiple regression model, psychological insulin resistance and diabetes self-efficacy were both strong predictors of diabetes self-care management after controlling for covariates such as education and economic status.
CONCLUSION
The levels of both psychological resistance and diabetes self-efficacy should be considered when educating and counseling patients in order to promote diabetes self-care management. Further research is needed on what type of intervention will improve self-care management in terms of reducing psychological insulin resistance and improving self-efficacy.

Citations

• Factors influencing self-management and health-related quality of life in low-income patients with diabetes: a predictive model
  Jihyon Pahn, Youngran Yang, Sun Hee Kim
  International Journal of Nursing Studies Advances.2025; 8: 100349.     CrossRef
• Factors Influencing the Subjective Health Status of Men with Insulin-treated Type 2 Diabetes Mellitus: A Secondary Analysis Using Quantile Regression Analysis
  Kang Sun Lee, Hyuk Joon Kim, Young Man Kim, Hye Young Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 530.     CrossRef
• Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
  Kang Sun Lee, Hye Young Kim, Heung Young Jin
  Journal of Clinical Nursing.2022; 31(9-10): 1285.     CrossRef
• Evaluation of the effect of training given according to Pender's Health Promotion Model on psychological insulin resistance
  Ezgi Bağrıaçık, Nurhan Bayraktar
  Human Nutrition & Metabolism.2022; 29: 200153.     CrossRef
• Diyabetli Hastalarda Psikolojik İnsülin Direnci Ölçeğinin Türkçeye Uyarlanması
  Kevser IŞIK, Hilal YILDIRIM, Zeliha CENGİZ
  Turkish Journal of Family Medicine and Primary Care.2021; 15(4): 726.     CrossRef
• Influences of Patient Activation on Diabetes Self-Care Activities and Diabetes-Specific Distress
  Sookyung Choi, Su Hyun Kim
  Korean Journal of Adult Nursing.2020; 32(1): 10.     CrossRef
• Willingness of people with Type 2 diabetes to start insulin therapy: Evidence from the South African Tshwane Insulin Project (TIP)
  Patrick Ngassa Piotie, Paola Wood, Elizabeth M. Webb, Tessa S. Marcus, Paul Rheeder
  Diabetes Research and Clinical Practice.2020; 168: 108366.     CrossRef

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

PURPOSE
The purpose of this study was to develop a Self-Management Scale for Hemodialysis Patients on Arteriovenous Fistula (SMHDP) and to verify its validity and reliability.
METHODS
Items for the preliminary instrument of the SMHDP-scale were created through a literature review and in-depth interviews with hemodialysis patients and hemodialysis unit nurses. A convenient sample was utilized for this study. The questionnaire was distributed to 200 hemodialysis patients with arteriovenous fistula. Content validity, construct validity, criterion validity, convergent validity, and discriminative validity were evaluated respectively. Cronbach's α was used to evaluate the reliability of the SMHDP-scale.
RESULTS
Five factors were identified through factor analysis. The factors included dietary knowledge of hemodialysis (8 items), compliance with hemodialysis (7 items), knowledge of hemodialysis (6 items), dietary compliance of hemodialysis (6 items), and compliance with hemodialysis order (3 items).These five factors explained 58.9% of the total variance. The correlation coefficient between criterion instrument and SMHDP-scale was .66 Reliability analysis showed Cronbach's α coefficient was .90.
CONCLUSION
Results show that the SMHDP-scale had good reliability and validity and thus SMHDP-scale may be a useful scale for clinical practices and for research as a measure of self-management of hemodialysis patient on arteriovenous fistula.

Citations

• 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

PURPOSE
This study aimed at the effectiveness to investigate the performance of evidence-based pain assessment and management guidelines.
METHODS
Participants were 140 nurses at the med-surgical units. Data were collected in early July, 2014 using Registered Nurses Association of Ontario (RNAO) guideline (2007) revised and validated by Hong and Lee (2012) and analyzed by descriptive statistics, t-test, ANOVA using SPSS/WIN18.0.
RESULTS
The score of performance of pain assessment guideline was higher than the score of pain management. Categories with high score were pain screening, parameter of pain assessment, documentation, assessment of opioids side-effects, and record of pain caused intervention. Categories with low score were comprehensive pain assessment, multidisciplinary communication, establishing a plan for pain management, consultation and education for patients and their families, and education for nurse. Non-pharmacological management was the lowest one.
CONCLUSION
Assessing and managing pain is a complex phenomenon. It might be useful if institutions host training programs to ensure that nurse are better able to understand and implement pain assessment and management. Since non-pharmacological management is less likely to be used by nurses it may be helpful to include these methods in a training program.

Citations

• Developing and Implementing Postoperative Pain Management Guidelines for Breast Cancer Surgery: A Leadership Perspective
  Mouza Al Ameri, Nandan M Shanbhag
  Cureus.2023;[Epub]     CrossRef
• Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients
  Hoi Sook Seo, Eun Young Park, Se Jin Park, Bo Ra Han, Myung Jin Jang
  Asian Oncology Nursing.2021; 21(4): 213.     CrossRef
• Identification of Knowledge Structure of Pain Management Nursing Research Applying Text Network Analysis
  Chan Sook Park, Eun-Jun Park
  Journal of Korean Academy of Nursing.2019; 49(5): 538.     CrossRef

PURPOSE
The purpose of this study was to explore how knowledge management of hospital and nurses' beliefs and competences on evidence-based practice can affect evidence-based decision making.
METHODS
In this descriptive study, a total of 184 nurses who were working in the five general hospitals participated. The data were collected through a self-administered questionnaire in September, 2014. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and step-wise multiple regression with SPSS/WIN Statistics 21.0 program.
RESULTS
Evidence-based decision making was correlated with EBP beliefs (r=.55, p<.001), EBP competence (r=.57, p<.001), and knowledge management (r=.50, p<.001). Hierarchical regression analysis showed that EBP beliefs (β=.18, p=.005), EBP competence (β=.37, p<.001), organizational knowledge management (beta=.27, p<.001) explained 48.6% of evidence based decision making (p<.001).
CONCLUSION
The study results indicated that evidence-based practice competences, organizational knowledge management, and evidence-based practice beliefs were important factors on evidence-based decision making. In order to improve evidence-based practice among nurses through organizational knowledge management, EBP beliefs and competence at individual level need to be considered and incorporated into any systemic training of EBP.

Citations

• Influence of Nursing Students’ Competencies Who Participated in Simulation Training on Competency with Evidence-based Practice
  Yeon Jeong Su
  Journal of Korea Society for Simulation in Nursing.2024; 12(1): 33.     CrossRef
• Translation and cross-cultural adaptation of the National Health Service Sustainability Model to the Chinese healthcare context
  Jie Lai, Lynne Maher, Chaixiu Li, Chunlan Zhou, Hasan Alelayan, Jiaqi Fu, Yanni Wu
  BMC Nursing.2023;[Epub]     CrossRef
• Evaluating the performance of an integrated evidence-based nursing knowledge management (I-EBNKM) platform in real-world clinical environments
  Myonghwa Park, Insook Jang, Sung Lim Kim, Wonjae Lim, Ga Ae Kim, Gyeongho Bae, Yerin Kim
  International Journal of Medical Informatics.2023; 179: 105239.     CrossRef
• Barriers to implementing evidence-based nursing practice from the hospitals' point of view in China: A regional cross-sectional study
  Jie Lai, Alison Brettle, Yingjie Zhang, Chunlan Zhou, Chaixiu Li, Jiaqi Fu, Yanni Wu
  Nurse Education Today.2022; 116: 105436.     CrossRef
• Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
  Inhwa Hong, Young Eun
  Journal of Korean Academy of Nursing.2020; 50(6): 863.     CrossRef
• Influences of Critical Thinking Disposition, Nurse Managers' Transformation and Transactional Leadership Style on Nurses' Competency with Evidence Based Practice
  Geum Ah Lee, Sung Hee Shin, Suk Jeong Ko
  Journal of Korean Academy of Nursing Administration.2020; 26(4): 305.     CrossRef
• Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture
  Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
  PLOS ONE.2019; 14(12): e0226742.     CrossRef
• Factors associated with Oncology Nurses' Adherence to Chemotherapy-Induced Neutropenia Guidelines based on Pender's Health Promotion Model
  Gyeong-Jin Kim, Ja Yun Choi
  Korean Journal of Adult Nursing.2019; 31(4): 389.     CrossRef
• Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses
  Ae Ri Na Nam, Eun Ho Lee, Jeong Ok Park, Eun Jung Ki, Su Min Nam, Mi Mi Park
  Journal of Korean Academy of Nursing Administration.2017; 23(3): 239.     CrossRef
• Heat Application According to Nurse's Belief on Evidence-Based Practice and Behavioral Intention Related to Research
  Sukyung Yoon, Yong Soon Shin
  Journal of Korean Academy of Fundamentals of Nursing.2016; 23(3): 264.     CrossRef
• Factors Influencing Nurses’ Implementation of Evidence-based Restraint Use in Long-term Care Hospitals
  Myonghwa Park, Mi Hwa Park
  Journal of Korean Gerontological Nursing.2016; 18(3): 172.     CrossRef

PURPOSE
The purpose of the study was to understand what are the experiences and management of type 2 diabetes in everyday lives among Korean people.
METHODS
A grounded theory method was utilized to explore how people with type 2 diabetes to experience and manage their disease under the Korean socio-cultural context. The data were collected via narrative in-depth interviews with 21 people with type 2 diabetes during 2010-2011 and all interviews were transcribed for verbatim analysis.
RESULTS
The core category was 'Rearranging everyday lives by accepting diabetes as lifelong annoying companion.' Four stages were identified: ignoring; struggling compromising and conciliating. Each stage illustrates major problems and/or strategies that the participants face in dealing with diabetes. The process illustrates the transference from their ordinary life, in which diabetes or health was ignored, to the health-oriented life, within which diabetes is integrated into their lives. The most difficult barriers they faced in everyday lives include social stigma of diabetes and collectivistic culture in Korea. Within the culture, the group goals are concerned over individual ones, making it harder for the participants to take care of their own health.
CONCLUSION
The findings of the study imply that health care professionals may consider the influence of social stigma in caring diabetic patients. Also, the intervention study is warranted to educate Korean people with diabetes to get aware of the sociocultural context and stigma as well as personal difficulties in self-caring diabetes.

Citations

• The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
  Hyesun Kim, Kawoun Seo
  Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446.     CrossRef
• Association among Lifestyle Factors, Obesity, C-peptide Secretion, Metabolic Syndrome, and Cardiovascular Risk in Adults with Newly Diagnosed Type 2 Diabetes Mellitus: A Case Study
  Sun-Young Kwon, Hye-Ja Park
  Journal of Health Informatics and Statistics.2019; 44(2): 125.     CrossRef
• Samoan migrants’ perspectives on diabetes: A qualitative study
  Yasin Shahab, Olataga Alofivae‐Doorbinnia, Jennifer Reath, Freya MacMillan, David Simmons, Kate McBride, Penelope Abbott
  Health Promotion Journal of Australia.2019; 30(3): 317.     CrossRef
• A Review of Qualitative Research in Korea: The Life Experiences of Diabetes Patients
  Been Yoo
  The Journal of Korean Diabetes.2017; 18(4): 270.     CrossRef

PURPOSE
This study was conducted to test the impact of simulation-based education program for emergency airway management on self-efficacy and clinical performance ability.
METHODS
A quasi-experimental non-equivalent control group pre-post test design was used. A total of 60 nurses, 30 nurses assigned to the simulation-based education group and 30 nurses to a traditional lecture group. The treatment group received a lecture, small group workshop and team simulation whereas the comparison group received lectures.
RESULTS
The participants in the simulation-based education group reported significantly higher self-efficacy of emergency airway management compared to participants in the lecture only group (t=5.985, p<.001). The simulation-based education group showed significantly higher clinical performance ability of emergency airway management compared with the lecture group (t=5.532, p<.001).
CONCLUSION
Simulation-based education was verified to be an effective teaching method to improve the self-efficacy, clinical performance skills of nurses in the learning of emergency airway management.

Citations

• An Exploratory Study to Develop a Virtual Reality Based Simulation Training Program for Hypovolemic Shock Nursing Care: A Qualitative Study Using Focus Group Interview
  Jaehee Jeon, Sihyun Park
  Healthcare.2021; 9(4): 417.     CrossRef
• Simulation-based education program on postpartum hemorrhage for nursing students
  Miok Kim, Juyoung Ha
  Korean Journal of Women Health Nursing.2020; 26(1): 19.     CrossRef
• Development and Effects a Simulation-based Emergency Airway Management Education Program for Nurses in a Neonatal Intensive Care Unit
  Minjung Kim, Sunghee Kim
  Child Health Nursing Research.2019; 25(4): 518.     CrossRef
• Importance and Performance Analysis of Competency for Advanced Beginner-stage Nurses of Ward
  Inhee Hwang, Soyoung Yu
  Journal of Health Informatics and Statistics.2019; 44(3): 292.     CrossRef
• Effect of simulation-based emergency cardiac arrest education on nursing students' self-efficacy and critical thinking skills: Roleplay versus lecture
  Eunsook Kim
  Nurse Education Today.2018; 61: 258.     CrossRef
• Effects of a simulated emergency airway management education program on the self‐efficacy and clinical performance of intensive care unit nurses
  Myong‐Ja Han, Ju‐Ry Lee, Yu‐Jung Shin, Jeong‐Suk Son, Eun‐Joo Choi, Yun‐Hee Oh, Soon‐Haeng Lee, Hye‐Ran Choi
  Japan Journal of Nursing Science.2018; 15(3): 258.     CrossRef
• Effects of a Simulation-based Stroke Care Education on Nursing Performance Ability and Satisfaction in Nursing Students
  Kie In Jang, Young Sook Roh
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(1): 408.     CrossRef
• Effect of Attribution Disposition and Self-Efficacy on Clinical Practice Competence of Nursing Student
  Su Ol Kim, So Myeong Kim
  Journal of Korean Public Health Nursing.2015; 29(3): 452.     CrossRef

PURPOSE
The objective of this study was to identify the moderating and mediating effects of transformational-leadership in the relationship between medication error management climate and error reporting intention.
METHODS
Participants in this study were 118 nurses from 11 hospitals in Korea. The scales of medication error management climate, transformational-leadership and error reporting intention of nurses were used in this study. Descriptive statistics, t-test, ANOVA, partial Pearson correlation coefficient, and stepwise multiple regression were used for data analysis.
RESULTS
Higher transformational leadership group members had higher error management climate (t=3.88~4.64, p<.001) and higher intention to error reporting (t=2.49, p=.014). There were significant positive correlations between subcategories of medication error management climate and transformational leadership (r=.37~.51, p<.001). But error reporting intention was related to the transformational leadership (r=.28 p=.002), two subcategories such as 'learn from error' (r=.26, p=.004) and 'medication error competence' (r=.25, p=.008) of medication error management climate. Transformational-leadership was a moderator and a mediator between medication error management climate and error reporting intention.
CONCLUSION
Based on the results of this study, transformational-leadership promotion training program to construct medication error management climate and to improve error reporting intention should be needed.

PURPOSE
The purpose of this study was to examine relationships among blood glucose, HbA1c, and self management comparing these with general and illness characteristics of subjects with Type II Diabetes living in the community.
METHODS
Using a comprehensive survey developed for the study, data were collected from 82 type II diabetes patients who were registered at five community health departments. The variables of self management, blood glucose and HbA1c were assessed by nurses. Data were analyzed with descriptive statistics including t-test, ANOVA and Pearson's correlation coefficient to compare self management and level of HbA1c by subject's general and illness characteristics and to examine the relationships among variables.
RESULTS
About 73.2% of the subjects' HbA1c were 7.0% or higher and 54.9% of subjects' blood glucose were 200 mg/dL or higher. The level of self management was moderate. Most frequently perceived reasons for failure of blood glucose control were dietary failure (32.9%). There was significant relationship between self management and HbA1c(r=-.223, p=.040). The mean score of self management were higher among female (t=-2.37, p=.021), who are not on diabetes medication (t=6.70, p=.011).
CONCLUSION
Comprehensive intervention is needed to improve dietary self management, especially for male and those who is on diabetes medication.

PURPOSE
The aim of this research was to determine knowledge and management of tracheal tube cuffs among nurses of ICU.
METHODS
This descriptive survey recruited 150 nurses working at 8 different adult ICUs within 2 tertiary hospitals in Seoul. A survey questionnaire was developed to measure cuff management. The internal reliability of the tool was examined by Cronbach's alpha Descriptive statistics and multiple regressions were used to analyze data.
RESULTS
Among the 150 nurses, 94.0% replied that they would measure the pressure themselves. With regard to nurses' knowledge about tracheal tube cuffs, only 6% answered that they knew 'the appropriate cuff pressure'. The existence of a measuring device (p < .001), a guideline (p < .001), the level of knowledge on its related complications(p = .003), and clinical experience (p < .001) together accounted for 35.0% of the total variation in cuff management. They pointed out that the lack of time and the lack of education were major barriers to appropriate management; whereas education update was the most imperative factor for good management.
CONCLUSION
ICU nurses have inappropriate knowledge and practice in cuff management. Therefore continuing education is necessary for better practice of tracheal tube cuff management.

PURPOSE
The purpose of this study was to investigate the level of self management of patients with poorly controlled type 2 diabetes, and to investigate the factors influencing self management.
METHODS
The subjects consisted of 117 diabetes patients who visited the outpatient department of a university hospital from March to August 2008. Data were collected by asking the subjects to answer a 54-item questionnaire and were analyzed using the SPSS/WIN 14.0 program.
RESULTS
The total mean score of the patients in self -management was 4.38 out of 7. Medication adherence obtained the highest score under self-management, and the self-monitoring of blood glucose obtained the lowest score. Family support, self-efficacy, severity, and depression were found to be significantly correlated with self-management. In stepwise multiple regression analysis a total of 44.5% of the variance in self management was accounted for by family support, self-efficacy, severity, and depression.
CONCLUSION
Therefore, a diabetic intervention program should be designed and provided for increasing family support, self efficacy, and severity and for reducing depression of patients with poorly controlled type 2 diabetes.

PURPOSE
The purpose of this study was to identify pain intensity according to activities over postoperative days and to identify factors of patient satisfaction with pain management after abdominal surgery.
METHODS
The subjects were 123 patients who were admitted at a general surgical ward and had abdominal surgery from Mar. 2005 to June 2005. The collected data were analyzed using the SPSS 12.0 program.
RESULTS
The average postoperative pain scores were 6.13 at POD 1, 5.46 at POD 2, and 4.22 at POD 3. In stepwise multiple regression analysis a total of 40% of variance in satisfaction with pain management was accounted for by pain intensity on POD 3 at rest (29.4%) and attitude toward using pain medicine (6.6%), and side effects of pain medicine (4.0%).
CONCLUSION
According to the findings of this study, patients had inadequate pain management after abdominal surgery. Therefore, nurses need to provide educational programs focused on changing attitudes toward using pain medicine, to reduce side effects of pain medicine, and to develop nursing intervention for relieving pain.

PURPOSE
This study was attempted and completed in order to settle down and qualitatively improve web-based nursing education by evaluating effect and managing strategy of tutor. METHOD: The development of tutor's managing strategy was based on "The Self-regulated Learning" and "The supportive Learning", then it was applied to 79 learners in one of the cyber-learning centers. After applying the tutor's managing strategy, self-regulated learning scale, attitude for school, preference for computer and academic achievement were evaluated. The development of tutor's managing strategy for web-based nursing education are consisted of participation promotion, psychological support and motivation, recognition and promotion strategy of learning activity, management strategy of evaluating stage. RESULT: The levels of learner's self-regulated learning, recognition, behavior, attitude on the school and learning achievement were meaningfully increased in statistics after applying for the managing strategy of tutor. The motivation level and learning participation kept high scores from the beginning with no significant statistical changes. CONCLUSION: It is required to develop an educational program for cultivating well-educated tutors in order to help the effective learning process of nurses based on understanding characteristics of learners.

This study was conducted to develop and evaluate guidelines for cancer patients' symptoms management such as nausea/vomiting, fatigue, constipation, diarrhea, and oral mucositis. Based on the literature review, assessment path to identify each stage of five symptoms were also developed. Guidelines for symptom management of each stage of the symptoms were developed. Guidelines then were evaluated by a panel of experts. Finally, 95 cancer patients were recruited and asked to use the guidelines for their symptom management Levels of understanding of and satisfaction with assessment path and management guidelines were surveyed. Prevalence rate of five symptoms varied ranging from 20% (diarrhea) to 47% (nausea/vomiting). Regarding the level of understanding of each symptom most of the cancer patients indicated that they were easy and sufficient. Regarding the easiness of use of the symptom management guidelines, most of cancer patients indicated that they were easy to use. Regarding the nursing intervention on each symptom, most of cancer patients indicated that they were easy and helpful. More information was added with feedback from the patients. The result of this study has implications on development of customized patient education materials based on assessment path and symptom management guidelines.

PURPOSE
The purpose was to examine the effectiveness of a psychosocial stress management program on stress and coping in student nurses. METHOD: A nonequivalent control group pre-posttest design was used. A convenience sample of 24 students from the Department of Nursing, Wonju College of Medicine, Yonsei University were assigned to experimental (n=12) and control groups (n=12). Stress was measured using the Visual Analog Scale (10 points) and blood cortisol. Coping was measured using a scale modified by So (1995) based on the Ways of Coping Checklist developed by Folkman and Lazarus (1985). Depression was measured using the CES-D by Radloff (1977) and state anxiety, using the State Anxiety Inventory by Spielberger (1976). The psychosocial stress management program included education, relaxation (Korean Dan Jeon-typed Breathing and music), and social support. RESULTS: Results showed for the two groups, 1) a significant difference in stress scores (U= 19.50, p=0.002), 2) no difference in cortisol levels (8am, 4pm), 3) a significant difference in problem-focused coping (U=25.50, p=0.007), 4) no difference in emotion-focused coping, and 5) no difference in state anxiety and depression. CONCLUSION: By utilizing the program, students were able to learn how to control their stress and improve their coping. Therefore with a partial modification, psychosocial stress management can be useful for continual management of stress in student nurses.

PURPOSE
The purpose of this study is to evaluate the knowledge and attitudes of oncology ward nurses toward cancer pain management and to find ways to improve the educational program for nurses. METHOD: A total of 209 nurses working at the oncology ward of three hospitals in Seoul and a Gyenggi Province. The survey instrument used was the 32-item scale for evaluating nurses knowledge and attitudes originally developed by McCaffery and Ferrell'(1990), that was by Kim'(1997). RESULTS: In terms of the nurses knowledge of pain management, the result showed that the nurses scored an average of 67.8 out of 100 for phamacokinetics of opioids, 84.8 for classification of analgesics, 60.1 for pain assessment, and 70.7 for drug administration. 18.2% of the nurses hesitate to inject the narcotic agent because of concerns regarding the drug's potential side effects. there was significant difference in the knowledge of pain management according to the general characteristics of pain in terms of the nurses age(p=.001), position (p=.016), years of experiences(p=.002), experience of cancer pain education(p=.001). CONCLUSION: The also showed that nurses working at cancer ward lack knowledge. It is important to provide intensive education to nurses about cancer pain management.