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 aimed to examine the relationship among professor-student interactions, grit, and adaptation to college life.
Methods
In this quantitative, cross-sectional study, participants completed a structured questionnaire comprising 48 items: 8 on general characteristics, 8 on professor-student interactions, 12 on grit, and 20 on adaptation to college life. Data were collected from 165 nursing students at two four-year universities between April 15 and May 20, 2023.
Results
Professor-student interactions had a mean score of 3.76±0.59 out of 5, grit had a mean score of 3.09±0.53, and adaptation to college life had a mean score of 3.48±0.51. Regression analysis identified significant predictors of adaptation to college life, including professor-student interactions (β=.26, p<.001), grit-perseverance of effort (β=.18, p=.047), and satisfaction with the major, with the "very satisfied" (β=.40, p<.001) and "satisfied" (β=.24, p=.002) categories showing significant impacts. The overall regression model was statistically significant (F=20.76, p<.001) and accounted for 32.5% of the variance in adaptation to college life.
Conclusion
Educational programs designed to strengthen professor-student interactions, enhance grit, and improve satisfaction with one's major should be developed to help nursing students adapt to college life. These findings have important implications for nursing education practices, the improvement of student support systems, and the preparation of students for their professional roles.

Purpose
This study describes the attitudes toward Personal Protective Equipment (PPE), physical discomfort with wearing PPE, obsession with Coronavirus Disease 2019 (COVID-19), and perceived psychosocial stress among operating room nurses during the COVID-19 pandemic and identifies factors affecting perceived psychosocial stress.
Methods
This study used a descriptive, cross-sectional design to evaluate physical discomfort experienced when wearing PPE, attitudes toward PPE, and obsession with COVID-19. We collected the data between December 2020 and January 2021. The participants were 127 nurses who worked in operating rooms at three hospitals in South Korea. Perceived psychosocial stress was assessed using the Psychosocial Well-being Index Short Form. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple linear regression.
Results
Having a bachelor's degree (β=.28, p=.031), attitude toward PPE (β=-.22, p=.011), experiencing shortness of breath while wearing PPE (β=.26, p=.008), and obsession with COVID-19 (β=.23, p=.006) were identified as factors affecting the psychosocial stress of nurses who wore PPE and participated in surgery.
Conclusion
Nurses who had a negative attitude toward PPE, experienced shortness of breath while wearing it, and had a high level of obsession with COVID-19 had higher psychosocial stress. To reduce the psychosocial stress of nurses who wear PPE and participate in surgery, we suggest research on education that can reduce repetitive thinking about infectious diseases, such as obsession with COVID-19. Additionally, support is needed to improve positive attitudes toward PPE and alleviate physical discomfort.

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 aim of this study was to systematically review the literature on the effects of mobile health applications in older adults with dementia or Mild Cognitive Impairment (MCI) and to quantify the effect size of these interventions through meta-analysis.
Methods
A systematic review and meta-analysis was conducted, with a total of seven databases searched on April 18, 2023. The risk of bias was evaluated using the Revised Cochrane Risk of Bias and the Risk of Bias in Non-randomized Studies of Interventions tools. Effect sizes were calculated using Hedges’ g within a random effects model, and subgroup analyses were also performed.
Results
A total of 10 studies were included in the systematic review, and six studies were included in the meta-analysis. Intervention groups exhibited a statistically significant improvement in cognitive function (Hedges’ g=0.33, 95% Confidence Interval [CI]=0.09~0.56, p=.007). Subgroup analyses revealed that older adults with MCI (Hedges’ g=0.41, 95% CI=0.12~0.69, p=.006) and interventions lasting more than 4 weeks (Hedges’ g=0.47, 95% CI=0.09~0.85, p=.016) demonstrated a significant cognitive improvement.
Conclusion
The results of this study indicate that mobile health applications may represent a suitable approach for improving cognitive function in older adults with MCI, emphasizing the need for at least a four-week intervention. These findings underscore the potential of mobile health interventions as a practical option for cognitive improvement in the early stages of cognitive decline.

Purpose
This study aimed to investigate the impact of physical performance and fear of falling on fall risk in patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis. Methods: This study included 132 patients who regularly received hemodialysis treatment at outpatient clinics in B City from January to April 2022. Data were collected on demographic and clinical characteristics, physical performance (the Short Physical Performance Battery [SPPB]), fear of falling (the Korean Falls Efficacy Scale-International [KFES-I]), and fall risk (the Morse Fall Scale [MFS]). The collected data were analyzed using hierarchical multiple regression in the SPSS/WIN 25.0 program. Results: Thirty-eight patients (28.8%) had experienced accidental falls in the past year, with an average of 1.68 falls per patient. The average SPPB score was 7.89±3.55 (range, 0 to 12), the KFES-I score was 23.18±9.36 (range, 16 to 64), and the MFS score was 45.68±19.52 (range, 0 to 125). Fall risk showed a significant negative correlation with physical function (r=-.72, p<.001) and a significant positive correlation with fear of falling (r=.65, p<.001). Factors affecting the patients' fall risk included the level of serum intact parathyroid hormone (β=.15, p=.004), fear of falling (β=.24, p=.010), number of falls (β=.34, p<.001), and physical performance (β=-.41, p<.001). The regression model was statistically significant (F=22.71, p<.001), with an explanatory power of 64.9%. Conclusion: To prevent accidental falls in ESRD patients undergoing hemodialysis treatment, it is necessary to develop and apply interventions that can enhance physical performance and reduce the fear of falling.

Citations

• Fear of Falling among Elderly Individuals with Various Medical Conditions
  T.K. Konovalchik
  Clinical Psychology and Special Education.2025; 13(4): 76.     CrossRef

Purpose
The purpose of this study was to investigate the awareness and educational demand regarding Vancomycin-Resistant Enterococci (VRE) infection control among nurses in wards with cohort isolation rooms.
Methods
A mixed-methods design was applied. Quantitative data were collected via structured questionnaires and data from 61 nurses and analyzed using SPSS for Windows version 23.0. An Importance-Performance Analysis (IPA) was conducted. Qualitative data were collected through focus groups with 12 nurses who worked in wards with VRE cohort isolation rooms, and content analysis was conducted.
Results
All items had lower performance scores than their importance scores, with significant differences. In the qualitative/descriptive analysis, the barriers to implementing VRE infection control were a lack of awareness of infection control, increased work burden, and lack of resources.
Conclusion
The findings indicate that it is necessary to develop systematic education tailored to nurses in wards with cohort isolation rooms. Furthermore, adequate resource support, distinct from the general infection control practices in other wards, is necessary. This includes considering additional infection control tasks and procedures when staffing the ward, as well as supplying equipment in accordance with cohort isolation requirements.

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
The purpose of the study was to describe andropause-related difficulties experienced by men. Methods: Two focus group interviews were conducted to collect the data from 10 Participants with andropause-related difficulties experienced. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using content analysis. Results: We organized the responses concerning andropause symptoms into five essential categories: 1) uncontrollable physical changes, 2) intellectual decline, 3) changes in sexual function, 4) difficulties in controlling emotions, and 5) separation from society. The attempts to alleviate andropause were classified into seven distinct categories: 1) dietary modifications, 2) engaging in physical activities, 3) pursuing leisure and hobbies, 4) enhancing self-esteem and self-perception, 5) seeking support and comprehension from one's social circle, 6) utilizing informational resources concerning andropause, and 7) embracing and accepting andropause reality. Conclusion: We analyzed the issues arising from andropause and the corresponding efforts to address them. A comprehensive understanding of andropause's causes, mechanisms, effective nursing interventions, and essential development of management programs, including education, is imperative.

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

Citations

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

Purpose
This 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
According to the Ministry of Health and Welfare, the turnover rate of nurses working at regional trauma centers is 27.6%, which is almost double the turnover rate of 13.8% of all nurses in 2018. The turnover of nurses lowers the morale of the remaining nurses and increases their workload, negatively affecting hospital operation. This study aimed to investigate the mediation effect of grit on the relationship between the working environment and intention to stay at work among regional trauma center nurses, to reduce the turnover rate and improve their intention to stay at work.
Methods
The participants were 185 nurses with more than six months of clinical experience working at 16 regional trauma centers in South Korea. The data were collected using structured questionnaires from July 1, 2022 to July 31, 2022, and analysis was conducted using SPSS/WIN 25.0 programs.
Results
The intention to stay at work among regional trauma center nurses was different depending on age (F=6.32, p=.002), marital status (F=-3.66, p<.001), education level (F=5.29, p=.006), and total clinical experience (F=4.22, p=.007). Grit was found to have a complete mediating effect on the relationship between work environment and intention to stay at work (Z=4.49, p<.001).
Conclusion
To lower the turnover rate of trauma nurses and increase their intention to stay at work, it is necessary to subdivide the intervention program for various ages and clinical career, and to develop a mediation program that can improve nurses' grit by improving the working environment.

Citations

• Role of violence exposure on altruistic behavior and grit among emergency nurses in rural hospitals
  Mohamed Hussein Ramadan Atta, Shimmaa Mohamed Elsayed, Heba Emad El‐Gazar, Naglaa Gamal Eldien Abdelhafez, Mohamed Ali Zoromba
  International Nursing Review.2025;[Epub]     CrossRef

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
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 aimed to identify the relationship among post-traumatic stress disorder (PTSD), resilience, and retention intention in nurses who had experienced a traumatic event during hospital work. Methods A structured questionnaire, was administered online from September 10 to September 22, 2021 to 198 nurses who had experienced a traumatic event during work at a university hospital in G metropolitan city. Data were analyzed using three-step mediated regression analysis. Results Of the total participants, 70.7% had a high risk of PTSD. PTSD (β=-.20, p=.002) and resilience (β=.47, p<.001) had a direct effect on retention intention, and the explanatory power was 27.0%. However, the mediating effect of resilience on the relationship between PTSD and retention intention was not supported, which indicates that the relationship between post-traumatic stress and resilience was not significant (β=-.09, p=.232). Conclusion Although there was no mediating effect of resilience, PTSD and resilience are considered to be important in order to improve nurses’ retention intention. It is needed to develop strategies to prevent the occurrence of traumatic events and to formulate policies and conduct programs for stress symptom management, aimed at increasing nurses’ resilience.

Purpose
This study aimed to compare the lifestyle, self-rated health, and mental health of breast cancer survivors with those of the healthy people through a propensity-matched comparison, and identify factors affecting the mental health of breast cancer survivors. Methods This study was a secondary analysis that used data from the Korea National Health and Nutrition Examination Survey (KNHANES), from 2015 to 2020. It included 47,118 participants, of which 134 breast cancer survivors and 268 healthy people were separated and analysed by 1:2 Propensity Score Matching (PSM), and complex sample logistic regression analysis was performed using SPSS and R programs. Results Statistically significant differences were found in smoking rate, walking exercise rate, cancer screening rate, daily energy intake, and self-rated health between breast cancer survivors and healthy groups. After PSM, there were significant differences in the ratio of perceived stress, suicide plan, suicide attempts, and mental health counseling experiences between the healthy group and breast cancer survivors. As compared to the healthy group, breast cancer survivors had a significantly higher risk of mental health issues by 2.19 times. Self-rated health, household income, and number of household members were significant influencing factors affecting the mental health of breast cancer survivors. Conclusion This study provides evidence of an increased mental health risk in breast cancer survivors compared with healthy women with no cancer. Mental health outcomes, such as stress, sleep disturbance, and suicidal ideation, have been reported post cancer treatment. Counselling and management strategies would be helpful for breast cancer survivors.

Citations

• Factors Associated with Stress among Employed Korean Cancer Survivors: A Cross-sectional Descriptive Study Based on National Data
  Kisook Kim, Booyoung Oh
  Korean Journal of Adult Nursing.2023; 35(3): 254.     CrossRef

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
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
This study aimed to confirm the relationship between supportive care needs and resilience of female genital cancer patients, and to investigate the mediating effect of resilience in the relationship between supportive care needs and quality of life.
Methods
This study was conducted with 105 outpatients and inpatients who were receiving treatment for female genital cancer at K University Hospital in B City. Data were collected from July 22, 2021 to August 17, 2021 and analyzed by using the SPSS/WIN 23.0 program. The correlation between the patients’ supportive care needs, resilience, and quality of life was analyzed by Pearson's correlation coefficients, and SPSS Process Macro was used for the significance of parameter indirect effects.
Results
The quality of life of female genital cancer patients showed a significant negative correlation with supportive care needs (r=-.68, p<.001), and a significant positive correlation with resilience (r=.53, p<.001). Moreover, resilience partially mediated the relationship between supportive care needs and quality of life (95% CI -0.009~-0.032).
Conclusion
Based on the results of this study, improving the resilience of female genital cancer patients may act as an additional coping strategy to reduce supportive care needs and establish an enhanced quality of life.

Citations

• Validity and Reliability of the Korean Version of Supportive Care Needs Survey-Short Form 34 for Patients With Cancer: A Methodological Study
  Eun Ji Park, Hye Young Kim, Ju-Hee Nho, Eun Ko, Allison W. Boyes
  Asian Nursing Research.2025; 19(1): 60.     CrossRef
• Factors influencing the supportive care needs of female patients with genital cancer in South Korea
  Yu-Jung Son, Keum-Hee Nam, JaeLan Shim
  Medicine.2023; 102(51): e36650.     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
This study aimed to construct and test a hypothetical model which explains the psychosocial adjustment of breast cancer survivors using the family resilience model suggested by McCubbin and McCubbin.
Methods
The study participants were 242 breast cancer survivors who had finished active treatments within the past five years. Data were collected from September to October 2017 from an offline breast cancer self-help group survey and an online breast cancer support group. Data were analyzed using SPSS version 22.0 and AMOS version 23.0.
Results
The model fit indices for the modified hypothetical model were suitable for the recommended level: x² =223.80 (df=88, p<.001), x² /df=2.54, RMR=.04, GFI=.90, IFI=.93, CFI=.93, and RMSEA=.08. Symptoms and posttraumatic growth directly affected psychosocial adjustment. Symptoms were found to be the most influential factors in the psychosocial adjustment. All three family resilience factors-family hardiness, problem-solving communication, and problem-solving coping-directly affected posttraumatic growth and indirectly affected psychosocial adjustment through posttraumatic growth. These variables explained 81.2% of breast cancer survivors’ psychosocial adjustment.
Conclusion
Health care professionals need to continue to provide interventions for symptom relief and support to improve the psychosocial adjustment of breast cancer survivors. Additionally, practical nursing interventions should be prepared for individuals and families of breast cancer survivors to promote recovery and reinforce family resilience. This will ultimately improve the quality of life for breast cancer survivors and their families.

Citations

• Validation of the Korean Version of Patient-Centered Care Tool: For Outpatients
  Yeo Ju Kim, Gunjeong Lee, Sunyeob Choi
  Patient Preference and Adherence.2023; Volume 17: 1525.     CrossRef
• Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea?: a cross-sectional study
  Minkyung Kim, Sukhee Ahn
  Korean Journal of Women Health Nursing.2022; 28(3): 197.     CrossRef

Purpose
The purpose of this study was to develop the Osteoporosis Self-Care Scale (OSCS-13) and verify its validity and reliability. Methods The subjects were 445 patients with osteoporosis who visited the hospital. They were randomly assigned into two groups as follows: 220 patients for exploratory factor analysis and 225 patients for confirmatory factor analysis. The OSCS-13’s construct validity, convergent-discriminant validity, structure validity, group validity, consistency reliability and test-retest reliability were evaluated. Results This study examined four factors and 13 items scored on a 5-point likert scale. The confirmatory factor analysis showed adequate model fit indices (Minimum/Degree of Freedom [CMIN/DF]=1.70, Root Mean Residual [RMR] =.03, Root Mean Square Error of Approximation [RMSEA]=.06, Comparative Fit Index [CFI]=.97, Tucker-Lewis Index [TNI]=.96, Incremental Fit Index [IFI]=.97). Convergent-discriminative validity and convergent validity were demonstrated using measures of defining issue. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach’s α of .65~.92 and an intraclass correlation coefficient of .65~.80. Conclusion The OSCS-13 is a valid and reliable instrument. Hence, it is expected that this tool can be used to measure the level of self-care for patients with osteoporosis.

Purpose
Pressure ulcers (PUs) are a common problem affecting the quality of life of patients and also hindering the quality of medical services. The purpose of this scoping review was to analyze Randomized Controlled Trials (RCTs) focusing on devices used for the prevention and treatment of PUs.
Methods
The scoping review was conducted using the scoping review process outlined by Arskey and O’ Malley and using the JBI template. The review was described by PRISMA-ScR. Studies on relevant interventional devices for PUs were searched using electronic databases. The medical databases PubMed, CINHAL, CENTRAL, and EMBASE, and several Korean databases were searched between 2010 and July 2021.
Results
Thirteen RCTs were included in the analysis. The devices used were found to be effective in the prevention and treatment of PUs by the mechanisms of either pressure relief, moisture retention, or increased blood flow. The effectiveness of the devices was measured by the incidence of PUs and the improvement in patients’ quality of life and comfort after therapy.
Conclusion
The use of devices for the prevention and treatment of PUs is helpful in clinical settings. However, more studies are needed that address the use of these devices in larger populations to improve the quality of patients’ life and medical service.

Citations

• Pressure Ulcer Management Virtual Reality Simulation (PU-VRSim) for Novice Nurses: Mixed Methods Study
  Soo Youn Jung, Kyoung Ja Moon
  JMIR Serious Games.2024; 12: e53165.     CrossRef
• Development of Pressure Ulcer Management and Fall Prevention Protocol
  Youngshin Song, Keumok Ban, Hye Young Kim, Sun Ae Kim, Seyeon Park, Myoungjin Kwon
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 391.     CrossRef
• The Novel Digital Therapeutics Sensor and Algorithm for Pressure Ulcer Care Based on Tissue Impedance
  Tae-Mi Jung, Dae-Jin Jang, Jong-Ha Lee
  Sensors.2023; 23(7): 3620.     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 concept analysis was performed to clarify “stress in hemodialysis patients”. Methods: Walker and Avant’s methodology guided the analysis. In addition, the concept was compared with stress from other perspectives. Results: Stress in hemodialysis patients was defined in terms of “Physical”, “Psychological”, “Social ‧ Economic”, and “Behavioral” dimensions. Stress in hemodialysis patients is preceded by kidney failure, fear of treatment, and uncertainty about prognosis, after which there is often negative coping such as non-compliance with treatment, or positive coping such as maintaining the status quo, relying on medical staff, conforming to treatment, and self-management. Conclusion: It is necessary to develop a stress intervention program suitable for hemodialysis patients and a tool to identify the concept of stress in hemodialysis patients suitable for domestic situations, as well as conduct further research to identify its influencing factors.

Citations

• Mediating Effect of Shared Decision-Making on the Relationship between Patient Activation and Self-Management in Patients on Hemodialysis: A Cross-Sectional Study
  Mi Yeon Kim, So Young Yun
  Korean Journal of Adult Nursing.2025; 37(2): 177.     CrossRef
• Lived Experience of Kidney Transplant Recipients with Kidney Graft Failure
  Younghui Hwang, Kyoungok Min, Haeng-Mi Son
  Journal of Korean Academy of Nursing.2024; 54(1): 93.     CrossRef
• Effects of self-care intervention using a mobile instant messenger on hemodialysis patient’s knowledge, self-efficacy, self-care behavior and physiological index
  Yu Kyung Shin, Mi Young Kim
  Journal of Korean Biological Nursing Science.2024; 26(2): 123.     CrossRef

Purpose
This study identified relationships among person-centered care environment, patient engagement, and patient outcomes in stroke rehabilitation patients.
Methods
This descriptive, correlational study was conducted using data from 243 post-stroke patients who were admitted in 6 rehabilitation hospitals. We collected data using self-report, structured questionnaires, which included items about the person-centered care environment, patient engagement, patient outcomes (patient satisfaction with nursing care, activities of daily living, levels of depression), and demographic characteristics. Path analysis and descriptive analyses were performed using SPSS 20.0 and AMOS 20.0.
Results
The hypothesized path model fit well for data based on goodness-of-fit indices. In the path model, person-centered care environment was significantly related to patient engagement and patient satisfaction with nursing care but not to activities of daily living and levels of depression, controlling for demographic characteristics. Additionally, person-centered care was significantly related to patient satisfaction with nursing care and reduction of depression through patient engagement.
Conclusion
Findings indicate the importance of developing a person-centered care environment to improve satisfaction with nursing care for stroke rehabilitation patients. A person-centered care environment improves patient engagement, which might be a significant factor in patient outcomes, including reduced depression for stroke rehabilitation patients.

Citations

• Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust
  Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park
  Asian Oncology Nursing.2024; 24(1): 21.     CrossRef

Purpose
This study aimed to identify variables influencing the sexual adjustment of patients who underwent radical prostatectomy in order to establish a structural model and intervention strategy for improving patients’ sexual adjustment.
Methods
Participants were 179 patients who received follow-up care after undergoing radical prostatectomy at two university hospitals in South Korea. Data were collected from July to November, 2017 using structured questionnaires. The exogenous variables were urinary symptoms and age, and the endogenous variables were sexual function, self-esteem, depression, couple intimacy, and sexual adjustment. The collected data were analyzed using SPSS 21.0 and AMOS 21.0.
Results
The goodness-of-fit measures of the final hypothetical model were satisfactory, as follows: χ² /df=2.68, GFI=.91, CFI=.90, RMSEA=.09, SRMR=.07. Sexual function, self-esteem, and couple intimacy had direct and total effects on sexual adjustment in patients who underwent radical prostatectomy, and age had only an indirect effect. These variables explained 66.5% of sexual adjustment among patients. Urinary symptoms and depression did not show any significant effects, however.
Conclusion
To improve sexual adjustment in patients who underwent radical prostatectomy, it is imperative to establish active and effective nursing interventions to strengthen their sexual function, self-esteem, and couple intimacy, considering their age.

Purpose
The purpose of this study was to assess the research performance during Coronavirus Disease 2019 (COVID-19) pandemic among nursing researchers. Methods: A cross-sectional online survey was conducted for Korean Society of Adult Nursing where 103 subjects participated from April 15 to May 14, 2021. The survey tool developed by researchers had 32 items including difficulties in performing research activities, perception of the impact of COVID-19 on research validity, and three open-ended questions. Results: In the research planning phase, 88 subjects (90.7%) reported difficulties in the recruitment plan and 83 subjects (89.3%) reported difficulties selecting a research design. In the recruitment and data collection phase, 85 subjects (88.6%) had difficulties accessing data collection site and 78 subjects (85.7%) had difficulties in face-to-face data collection. In the provision of intervention phase (for experimental study), 26 subjects (66.7%) reported that they should have changed the method of delivery of intervention. In research administration and manpower management, 62 subjects (75.6%) reported difficulties in face-to-face meeting. In research outcome management, 65 subjects (85.5%) reported that they should have changed the way of research-related events. Lastly, 80 subjects (81.6%) perceived that difficulties caused by COVID-19 impacted research validity. Conclusion: Majority of participants perceived that the difficulties in research activities may decrease research validity. To ensure research quality during COVID-19 pandemic, we should recognize potential threats to research validity and actively pursue adaptable innovations of research designs and data collection methods.