Purpose
This study aimed to examine the influences of online health information-seeking behavior and e-health literacy on self-management among patients undergoing hemodialysis. Methods: A correlational survey was conducted with 150 adult hemodialysis patients who had been receiving dialysis for at least three months. Data were collected from July to November 2023 using structured questionnaires. The variables measured included online health information-seeking behavior, e-health literacy, and self-management. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression with IBM SPSS/WIN 28.0. Results: Participants demonstrated moderate to high levels of online health information-seeking behavior, e-health literacy, and self-management. Self-management was positively correlated with online health information-seeking behavior (r=.34, p<.001) and e-health literacy (r=.45, p<.001). Hierarchical multiple regression analysis identified e-health literacy (β=.30, p<.001), regular exercise during the past year (β=.27, p<.001), and alcohol consumption during the past year (β=−.22, p=.002) as significant predictors of self-management, explaining 32% of the variance. Conclusion: E-health literacy, regular exercise, and alcohol consumption significantly affect self-management among hemodialysis patients. Therefore, nursing interventions should focus on enhancing e-health literacy and promoting healthy lifestyle habits to strengthen self-management capabilities in this population.

Purpose
This review aimed to analyze the use of behavior change techniques (BCTs) and the degree of theory implementation using a theory coding scheme (TCS) in mobile self-management interventions for type 2 diabetes mellitus (T2DM). Methods: In this scoping review, four electronic databases (PubMed, EMBASE, CINAHL, and CENTRAL) and gray literature sources were searched. Studies were independently screened according to predefined criteria. The BCT taxonomy was used to categorize techniques, and the TCS was applied to evaluate the quality of theory implementation. Results: Seventeen randomized controlled trials were included. Twenty-five unique BCTs were identified (mean, 8.1 per study). Commonly used BCTs included social support (unspecified) (n=14), instructions on how to perform a behavior (n=14), feedback on behavior (n=11), and prompts/cues (n=11). Techniques related to capability, such as habit formation, rewards, framing/reframing, and verbal persuasion, were rare (n=1 study each). TCS scores ranged from 5 to 15 (mean, 10.3). All included studies cited a theory, used it to select intervention techniques, and employed randomization. However, no study used the findings to refine the theory, and only one conducted a mediational analysis of theoretical constructs. Conclusion: Mobile T2DM self-management interventions commonly rely on a limited range of BCTs and show restricted theoretical application beyond basic implementation. Future interventions should employ a broader array of BCTs and apply theories more rigorously, including tailoring interventions, empirically testing theoretical mechanisms, and refining theories based on results to increase their effectiveness.

Purpose
This scoping review aimed to comprehensively examine environmental and individual factors contributing to clinical practice stress among nursing students in South Korea and to provide evidence-based recommendations for improving the clinical education environment. Methods: A scoping review was conducted following Arksey and O’Malley’s five-stage framework and the PRISMA-ScR guidelines. Relevant studies published between January 2016 and March 2025 were identified through searches of domestic databases (KCI, RISS) and international databases (PubMed, CINAHL) using predefined keywords. A total of 18 studies met the inclusion criteria. Data were extracted using a standardized template and categorized by study characteristics, methodological features, and stress-related variables. Results: Most included studies were conducted after 2022 and involved students from multiple institutions. Environmental stressors identified included poor clinical setting quality, lack of instructor support, interpersonal challenges, limited educational infrastructure, and disruptions caused by new infectious diseases. At the individual-level, resilience, coping strategies, and emotional regulation were the most frequently studied variables. Among these, resilience was consistently reported as a protective factor against stress, while incivility emerged as the most prominent environmental stressor. Multiple regression models indicated that stress-related factors explained between 18.0% and 75.6% of the variance in outcomes. Conclusion: Clinical practice stress in nursing students results from a dynamic interaction between environmental and individual factors. Nursing education programs should incorporate resilience-enhancing interventions, strengthen collaboration with clinical sites, and adopt flexible educational methods, such as simulation-based training, particularly during periods of restricted clinical access.

Purpose
This study aimed to examine the relationship between stigma and self-management among patients undergoing hemodialysis and to identify the key factors influencing their self-management practices. Methods: A convenience sample of 139 hemodialysis patients, aged 18 years or older with an arteriovenous fistula, was recruited from online websites designed for patients undergoing hemodialysis in South Korea. Data were collected using a self-reported questionnaire that assessed demographic and clinical characteristics, self-management behavior, and stigma. Data analysis included descriptive statistics, the independent t-test, one-way analysis of variance, Pearson r correlations, and hierarchical regression analysis to evaluate the influence of stigma on self-management. Results: Hierarchical regression analysis showed that demographic and clinical characteristics accounted for 25.1% of the variance in self-management, and the inclusion of stigma increased the explained variance to 31.4%. Significant predictors included the number of hemodialysis sessions per week (≥3) (β=–.38, p<.001), stigma (β=–.27, p<.001), monthly household income (≥4 million won) (β=.24, p=.014), and marital status (single) (β=–.18, p=.028). Conclusion: The findings highlight the substantial impact of stigma and treatment burden on self-management, while socioeconomic status and marital support serve as protective factors. Targeted interventions that reduce stigma and strengthen support systems are warranted.

Purpose
This study developed a self-management program for patients undergoing lumbar spinal stenosis surgery utilizing the information-motivation-behavioral skills (IMB) model. Methods: This study employed a quasi-experimental design with a nonequivalent control group and pretest–posttest design. Data were collected from August 11, 2022, to March 31, 2023, at a general hospital in South Korea. A total of 58 patients participated in the study (30 experimental, 28 control group). The experimental group received a six-session self-management program based on the IBM model, whereas the control group received usual education and information. Data were analyzed with SPSS/WIN 23.0 using the independent t-test, chi-square test, Fisher’s exact test, Shapiro-Wilk test, and Mann-Whitney U test. Results: Significant differences were observed in self-management information (p<.001), personal motivation (p=.002), social motivation (p=.002), behavioral skills (p=.002), behaviors (p=.003), health-related quality of life (p<.001), and disc height (p=.006) in the experimental group following program implementation, compared to the control group. However, no significant differences were found in lower extremity muscular strength, lumbar lordotic angle, or the visual analog scores for low back pain and leg pain between the two groups. Conclusion: The self-management program developed in this study, based on the IMB model, was effective in improving self-management information, motivation, behavioral skills, behaviors, health-related quality of life, and self-management health outcomes in patients undergoing lumbar spinal stenosis surgery. Nevertheless, future research should aim to verify the long-term effects of such self-management programs by extending the intervention period.

Purpose
This study aimed to develop and evaluate the effectiveness of a health management program using a mobile application for middle-aged men experiencing andropause. Methods: A quasi-experimental design with a non-equivalent control group pretest-posttest structure was employed. The study took place from June 27 to August 30, 2024, with participant recruitment occurring from June 27 to July 10, 2024. In total, 61 participants (30 in the experimental group and 31 in the control group) participated from July 15 to August 20, 2024. The experimental group received an application-based health management program, while the control group did not. Results: The experimental group showed significant improvements in subjective quality of life, health-promoting behaviors, and subjective health status compared to the control group (p<.001). Conclusion: This study confirms that mobile applications can effectively manage health during andropause in middle-aged men. Further research with a larger sample size is recommended to validate these findings.

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
• Enhancing deep learning models for predicting smoking Status using clinical data in patients with chronic obstructive pulmonary disease
  Sehyun Cho, Hyeonseok Jin, Kyungbaek Kim, Sola Cho, 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.

Citations

• An umbrella review and meta-meta-analysis on the effectiveness of digital health interventions for cognitive function improvement in the elderly
  Yi Deng, Minqi Wang, Can Li, Hong Wu
  European Geriatric Medicine.2025; 16(5): 1599.     CrossRef
• Digital assistive technologies for community-dwelling people with dementia: A systematic review of systematic reviews by the INTERDEM AI & assistive technology taskforce
  David Neal, Michael P Craven, Jane Cross, Shirley Evans, Christopher Fox, Laila Oksnebjerg, Isabel Alexandre, Aidin Aryankhesal, Arlene Astell, Ahmet Begde, Annabel Ditton, Thomas Engelsma, Rikke Gregersen, Pascale Heins, Eef Hogervorst, Aysegul Humeyra K
  DIGITAL HEALTH.2025;[Epub]     CrossRef

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.

Citations

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

Purpose
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

• Impact of Work–Life Balance and Nursing Reflection on the Nursing Performance of Nurses in a Tertiary Hospital
  Yoo Jin Hwang, Won Hee Jun
  International Journal of Nursing Practice.2025;[Epub]     CrossRef
• Nurses' Patient‐Centered Care Competencies and Care Perceptions of the Patients They Care for: A Cross‐Sectional Study
  Vildan Kocatepe, Rakibe Ceyda Çetin, Beyza Buğday, Beyza Dikici
  Scandinavian Journal of Caring Sciences.2025;[Epub]     CrossRef
• 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
• Effectiveness of metaverse-based nursing education on operating room patient safety
  Jieun Shin, Nam-Yi Kim, Amir Karimi
  PLOS One.2025; 20(8): e0329650.     CrossRef
• Assessing the impact of nurses’ patient safety competencies on key performance indicators (KPIs) for patient safety outcomes at Tamale Teaching Hospital: the mediating role of leadership and barriers to competency development
  Mudasir Mohammed Ibrahim, Fatima Abdul-Rahaman, Mohammed Sherif Sayibu, Dora Nyamekye Alhassan, Ruhaima Tunteya Awudu, Iddrisu Mohammed Sisala, Abubakari Wuni, Abdul-Malik Abdulai
  BMC Health Services Research.2025;[Epub]     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.

Citations

• Factors Influencing Health-Related Quality of Life in Patients With Atrial Fibrillation
  Hyeon-Ok Lee, Ji-Yeong Seo
  Journal of Cardiovascular Nursing.2025;[Epub]     CrossRef

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.

Citations

• Vicarious Resilience in Hospital Nurses: A Concept Analysis
  Miri Jeong
  Healthcare.2025; 13(18): 2279.     CrossRef

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.

Citations

• Burnout related factors of infection control nurses in long‐term care hospitals
  Su‐jin Lee, Seo‐Hyeon Kim, Hye Young Min, Ju‐Young Park
  Japan Journal of Nursing Science.2025;[Epub]     CrossRef
• Competency of triage nurse in the emergency department: A scoping review protocol
  Miao Yu, Li Ma, Qingbian Ma, Maher Abdelraheim Titi
  PLOS One.2025; 20(9): e0331982.     CrossRef

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
• Influences of Distress and Uncertainty on Supportive Care Needs in Preoperative Gynecological Cancer Patients in the Early Stages of Diagnosis
  Lee Na Yun, Jeong Hye Kim
  Asian Oncology Nursing.2025; 25(2): 53.     CrossRef
• Influences of Fatigue, Uncertainty, and Resilience on Self-Care Behaviors in Cancer Patients Undergoing Chemotherapy
  Sa-Rang Kim, Gie-Ok Noh
  Asian Oncology Nursing.2025; 25(2): 110.     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.

Citations

• Development of a social support scale among nursing students: A methodological study
  Mi-Young Choi, Sunghee Park
  The Journal of Korean Academic Society of Nursing Education.2025; 31(3): 269.     CrossRef
• Development of a self-care scale for women with polycystic ovary syndrome: a methodological approach
  Miok Kim
  Frontiers in Public Health.2025;[Epub]     CrossRef

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.

Purpose
This study aims to evaluate the Korean revised version of the Self-Care Behaviors Scale’s (SCBS-K19) validity and reliability.
Methods
The data of 203 rheumatoid arthritis patients at a university hospital in D metropolitan city in South Korea were collected from July to August 2020, using a convivence sampling method. The SCBS-K19 was analyzed utilizing SPSS 26.0 and AMOS 23.0 programs. The SCBS-K19’s content validity, structure validity, item-convergent/discriminant validity, convergent validity, and internal consistency and reliability were evaluated.
Results
Among the items in original version, the items with a ceiling or floor effect of 30% or more were deleted, thus, resulting in a revised version with five sub-areas and 19 questions. The confirmatory factor analysis’ results showed adequate model fit indices (c2/df=2.29, GFI=.85, RMR=.06, RMSEA=.08, CFI=.91, TLI=.89, IFI=.91). The items’ convergence and discrimination validity were verified using the extracted mean variance (.52~.66) and composition reliability (.80~.90). The convergent validity was satisfactory as shown by its correlation with the Self-as Carer Inventory (SCI) (r=.60, p<.001). The Cronbach’s ⍺ for the overall scale was .88, and that of five subscales ranged from .77 to .90.
Conclusion
The SCBS-K19 is a valid and reliable instrument. Therefore it is expected that this tool can be used to measure the level of self-care in Korean patients with rheumatoid arthritis.

Citations

• The Turkish version of the self-care behaviors scale for rheumatoid arthritis patients: cross-cultural adaptation and psychometric evaluation
  Öznur Erbay Dallı, Seda Pehlivan, Salim Mısırcı, Nilhan Toyer Şahin, Yavuz Pehlivan
  BMC Health Services Research.2025;[Epub]     CrossRef

Purpose
This study aimed to identify the incidence, characteristics, and risk factors associated with Medical Device-Related Pressure Injuries (MDRPIs) in neurosurgery patients. Methods: Participants were 160 adult patients who underwent neurosurgery under general anesthesia from September 17, 2019 to August 11, 2020. Data were analyzed using SPSS 20 program. Descriptive statistics were used for general characteristics, clinical characteristics, surgical characteristics, MDRPIs incidence, and medical device related. Independent t-test and x² test were used for differences in general characteristics, clinical characteristics, and surgical characteristics according to the occurrence of MDRPIs.
Results
Among 160 participants, MDRPIs occurred in 72 patients (45.0%). The result of the logistic regression analysis showed that the risk factors associated with MDRPIs were operation time (Odds Ratio [OR]=1.03, 95% Confidence Interval [CI]=1.01~1.04, p=.003), intraoperative blood loss (OR=1.02, 95% CI=1.01~1.03, p=.043).
Conclusion
Of the 160 patients who underwent neurosurgery, 72 (45%) developed MDRPIs. Additionally, the longer the operation time and anesthesia time and the higher the amount of blood loss, the higher the incidence of MDRPIs. Therefore, strategies to increase risk assessment and preventive actions against MDRPIs should be established.

Citations

• Nurses' knowledge, attitude and practice in preventing medical device-related pressure injuries and its influencing factors: A cross-sectional study
  Pingping Fang, Wanfan Deng, Xi Zhu, Ying Cao
  Journal of Tissue Viability.2024; 33(4): 738.     CrossRef

Purpose
This study aims to explore the mediating effect of burnout and the moderating effect of nursing work environment in the relationship between nursing competence and patient-centered care among nurses caring for patients with chronic disease. Methods: This study uses a cross-sectional descriptive research design. The participants were 150 nurses at a general hospital. The data were collected from February 10 to May 10, 2020. The questionnaire consisted of measuring tools for general characteristics, patient-centered care, nursing competency, nursing work environment, and burnout. The SPSS/25.0 program was used to analyze the data using descriptive statistics, Pearson's correlation coefficient, independent t-test, one-way ANOVA, Scheffé test, and hierarchical multiple regression. Results: The average score of patient-centered care was found to be 3.75±0.44. Nursing competency had a mean score of 3.64±0.44, nursing work environment of 3.04±0.43, and burnout of 2.91±0.68. Patient-centered care was significantly associated with nursing competency, nursing work environment, and burnout. In the relationship between nursing competency and patient-centered care, burnout had a partial mediating effect. The relationship between nursing competency and patient-centered care showed that nursing work environment had no moderating effect. Conclusion: The results revealed that patient-centered care was performed well if nursing competency was high. It is necessary to lower burnout and increase nursing competency such that patient-centered care can be performed better. In addition, since nursing work environment has a significant effect on nursing competency and patient-centered care, it is necessary to improve nursing work environment to improve nursing competency and patient-centered care performance.

Citations

• How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
  Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
  PLOS ONE.2025; 20(1): e0316654.     CrossRef
• A Predictive Model for Person-Centered Care in Intensive Care Units in South Korea: A Structural Equation Model
  Sunmi Kwon, Kisook Kim
  Korean Journal of Adult Nursing.2025; 37(4): 467.     CrossRef
• Influence of Clinical Nursing Competency and Nursing Working Environment of Psychiatric Nurses on Person-Centered Care
  Pan Heui Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 229.     CrossRef
• Effects of ageism on burnout among clinical nurses
  Sukjae Park, Hyunmin Lee, Minsook Seo, Hee Kyung Kim, Eunhee Shin, Antony Bayer
  PLOS ONE.2024; 19(11): e0313043.     CrossRef
• Effects of Nursing Competence on Job Satisfaction across Career Stages
  Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
• The impacts of nurses' attitudes towards dementia, critical reflection competency, and nursing work environment on person-centered nursing in acute care hospitals: A descriptive study
  Minkyung Kim, Sujin Shin
  Journal of Korean Gerontological Nursing.2023; 25(4): 346.     CrossRef
• Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
  Song Hwa Nam, Eun A Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 588.     CrossRef
• Structural Equation Modeling of Person-Centered Nursing in Hospital Nurses
  Yeon Hee Bae, Hye-Ah Yeom
  Healthcare.2022; 10(3): 514.     CrossRef
• Effects of Compassionate Competence, Communication Skills, and Nursing Work Environment on Person-centered Care in General Hospital Nurses who Care for Cancer Patients
  Mi Jin Han, Seonho Kim
  The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11.     CrossRef
• Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
  Hyun-Joung Yun, Jaehee Jeon
  Korean Journal of Adult Nursing.2022; 34(4): 413.     CrossRef
• The Effects of Communication Ability and Nursing Work Environment on Geriatric Nursing Practices of Nurses in Comprehensive Nursing Care Service Wards: A Cross-Sectional Study
  Kum-Ock Kwon, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2022; 24(2): 123.     CrossRef
• Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients
  Na-Ri Seo, Hyun-E Yeom
  The Korean Journal of Hospice and Palliative Care.2022; 25(4): 159.     CrossRef
• Factors associated with the person-centered care competence of nursing students
  Ju Young Park, Chung Hee Woo
  The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48.     CrossRef

Purpose
This study aimed to obtain insights into the meaning and nature of the lived experiences of environmental health behavior among pregnant women. Methods: The hermeneutic phenomenology framework developed by Max van Manen informed this study, which included 17 pregnant women as participants. Data were collected using in-depth interviews of the participants between July and September 2020. Results: The key themes identified were: “fear of health threats to the mother and baby”, “patience with inconveniences for fetal health”, “movement for the environment”, and “generativity embodied from pregnancy”. Participants expressed that they had deeper experiences with regard to their environmental health behavior during pregnancy than they did before, and recognized that communal environmental behaviors impact future environmental pollution. They had a negative perspective towards environmental pollution involving plastics and chemicals, and wanted to protect their children's health by making the best possible behavioral choices. Conclusion: This study revealed the meanings of environmental health perceptions and behavioral experiences in the participants' sociocultural context. These findings have implications for health care providers' prenatal care practices that focus on environmental health from an ecological perspective.

Citations

• The protocol of DECO-MOM: a clinical trial testing the effectiveness of a mobile application for an environmental health intervention among pregnant women
  Hyun Kyoung Kim
  BMC Medical Informatics and Decision Making.2023;[Epub]     CrossRef
• The effects of environmental prenatal program on environmental health perception and behavior using internet-based intervention in South Korea: A non-randomized controlled study
  Hyun Kyoung Kim, Geum Hee Jeong, Hye Young Min, George Vousden
  PLOS ONE.2022; 17(11): e0277501.     CrossRef

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
The purpose of this study is to explore the benefits of and barriers to disclosing one’s depressive feelings to others. In particular, this study contrasts the barriers to face-to-face communication of depressive feelings with the benefits of using Mobile Instant Messaging (MIM). Methods: A total of 300 South Koreans participated in an online survey about their perceptions of disclosing depressive feelings. Paired t-tests, one-way ANOVA, and linear regression were used to examine the effect of demographic characteristics on the tendency to disclose depressive feelings. A semantic network analysis was conducted with open-ended responses to explore the proposed barriers and benefits. Results: Barriers to expressing depressive feelings in face-to-face communication were observed, while benefits of using MIM were revealed. More importantly, while the perception of social norms was a major barrier to disclosing depressive feelings in face-to-face communication, it was a benefit of disclosing depressive feelings via MIM. Conclusion: The results highlight the benefits of utilizing MIM as a channel for the disclosure of depressive feelings, which may, in turn, enhance emotional well-being.

Citations

• Digital Youth's Self-talk and Pep-talk: Mood Regulation via Mobile Media and Emotional Well-being
  Soontae An, Hannah Lee
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 337.     CrossRef

Purpose
To investigate the relationship between stigma, adjustment, and quality of life of middle-aged male patients with lung cancer and the influences of those factors on the patients’ quality of life.
Methods
A descriptive survey design was used. A total of 120 male patients between 45 to 64 years participated in the study. They answered a self-reported survey composed of Cataldo Lung Cancer Stigma Scale, Korean Mini-Mental Adjustment to Cancer Scale, and The Functional Assessment of Cancer Therapy Scale-General Version 4. The data were analyzed using Pearson’s correlation coefficients, stepwise multiple regression by the SPSS 25 version.
Results
The stigma showed a positive correlation with “helplessness-hopelessness” and “anxious preoccupation” (r=.30, p=.001; r=.41, p<.001, respectively), and a negative correlation with emotional well-being (r=-.24, p=.008). “Helplessness-hopelessness” and “anxious preoccupation” were negatively correlated with quality of life (r=-.61, p<.001; r=-.46, p<.001, respectively). “Fatalism”, “fighting spirit”, and “cognitive avoidance” showed positive correlations with quality of life (r=.37, p<.001; r=.42, p<.001; r=.19, p=.035, respectively). Factors influencing quality of life by multiple regression were identified as helpless-hopelessness, fatalism, performance status, and anxious preoccupation (F=35.76, p<.001, Adjusted R² =54%).
Conclusion
Maximizing positive adjustment response and improving performance status were effective in improving quality of life of middle-aged male patients with lung cancer. The development of nursing interventions focusing on psychological adjustment and physical activity should be warranted for the given patient population.

Citations

• Factors Affecting Quality of Life Among Patients with Primary Lung Cancer
  Mideum Kang, Myung Sun Hyun, Sun Hyoung Bae, Sunjoo Boo
  Asian Oncology Nursing.2024; 24(3): 144.     CrossRef

Purpose
This study investigated factors affecting Quality of Life (QoL) of patients with Meniere disease.
Methods
A descriptive study design was used. Data were collected from March to April 2020 through an online survey of 130 participants diagnosed with probable or definite Meniere disease from a community of online-based patients. The data were analyzed using the independent t-test, Pearson’s correlation coefficient, and multiple linear regression analysis.
Results
Perceived health, anxiety, depression, family support, and health care provider support significantly correlated with QoL. As a result of the multiple regression analysis, family support, perceived health, anxiety, and ear fullness were identified as factors influencing QoL, and these factors accounted for 65.0% of the variance in QoL. Of these variables, family support was the factor affecting the participants’ QoL the most (β=.45).
Conclusion
These results indicate a need for continuous efforts and strategies to increase family support to enhance the QoL of this population. In addition, to increase perceived health (which was the second most influencing factor on the QoL of this population), improved health care provider support (which showed a positive correlation with perceived health) is also warranted. Therefore, nursing interventions aiming to increase social support should be developed and implemented.

Purpose
The purpose of this study was to examine lifestyle behaviors, mental health, and Health-Related Quality of Life (HRQoL) and identify the effects of lifestyle behaviors and mental health on the HRQoL of cancer survivors and general adults.
Methods
Secondary data analysis was conducted. The data used in the study were drawn from the Korea National Health and Nutrition Examination Survey VII-2 (January 1, 2017, to December 31, 2017). A sample of 190 cancer survivors (mean age, 65.12 years; women, 63.7%) and 1,815 general adults (mean age, 52.67 years; women, 52.6%) was used, focusing on demographic characteristics, lifestyle behaviors (including tobacco smoking, alcohol drinking, physical activity, and eating behavior), and mental health (including sleeping hours, stress, and depressive symptoms). Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical stepwise multiple regression were performed to analyze the data.
Results
The overall mean of HRQoL for all the participants was 0.96±0.08 (0.93±0.11 for cancer survivors and 0.97±0.08 for general adults). For cancer survivors, age, depressive symptoms, and moderate intensity physical activity were associated with HRQoL (adjusted R 2 =.180, p<.001). For general adults, age, education level, economic activity, income level, walking, sodium intake, depressive symptoms, and stress were associated with HRQoL (adjusted R 2 =.165, p<.001).
Conclusion
Cancer survivors had lower HRQoL than general adults. Differences were found in the factors associated with HRQOL in cancer survivors and general adults. Therefore, customized health programs and policies should be developed and provided for each group to improve their HRQoL.

Citations

• Factors Associated With Quality of Life Among Posttreatment Cancer Survivors in Korea
  Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi
  Cancer Nursing.2025; 48(1): E47.     CrossRef
• Analysis of Educational Needs Related to Chemotherapy among Patients with Solid Tumors
  Se-Na Lee
  Asian Oncology Nursing.2025; 25(2): 89.     CrossRef
• Mediating Effect of Vitamin Intake on the Relationship Between Depression and Health-related Quality of Life in Cancer Survivors (Using the Korea National Health and Nutrition Examination Survey in 2020)
  Min Ho Yun, Jong Eun Oh
  Information.2024; 27(2): 131.     CrossRef
• The Influence of Uncertainty in Illness and Coping on Quality of Life in Colorectal Cancer Patients Receiving Chemotherapy
  Jin Ah Kim, Juyoun Yu
  Asian Oncology Nursing.2024; 24(2): 63.     CrossRef
• Factors associated with health-related quality of life on mental and oral health in patients with cancer and cancer survivors using the Korea National Health and Nutrition Examination Survey (2005–2018)
  Min-young Lee, Insil Jang, Yeunhee Kwak
  Asia-Pacific Journal of Oncology Nursing.2024; 11(4): 100398.     CrossRef
• Effects of Physical and Mental Health on the Quality of Life of People with Spinal Cord Injury
  Hyun Ji Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 77.     CrossRef
• 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
• Factors Affecting the Occurrence of Mental Health Problems in Female Cancer Survivors: A Nationwide Cohort Study
  So Young Kim, Yeonju Lee, Sang Baek Koh
  International Journal of Environmental Research and Public Health.2022; 19(14): 8615.     CrossRef
• Long COVID-19 and Health-Related Quality of Life of Mild Cases in Korea: 3-Months Follow-up of a Single Community Treatment Center
  Hi Sun Soh, BeLong Cho
  Journal of Korean Medical Science.2022;[Epub]     CrossRef
• Priority Analysis of Educational Needs of Forest Healing Instructors Related to Programs for Cancer Survivors: Using Borich Needs Assessment and the Locus for Focus Model
  Kwang-Hi Park, Min Kyung Song
  International Journal of Environmental Research and Public Health.2022; 19(9): 5376.     CrossRef
• The Influencing Factors on Health-Related Quality of Life in Childbearing Women Based on the Korea National Health and Nutrition Examination Survey (KNHANES) 2019 Data
  Jeongim Lee
  Journal of The Korean Society of Maternal and Child Health.2021; 25(4): 282.     CrossRef
• Factors Influencing Quality of Life among Cancer Survivors: Based on the Korean National Health and Nutrition Examination Survey (KNHANES) for 2019
  Hee Jung Kim
  The Korean Journal of Rehabilitation Nursing.2021; 24(2): 109.     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 investigate caring self-efficacy and social support, and their mediating effects on the relationship between caring burden and caring behavior in family caregivers of elderly with dementia in the community-dwelling.
Methods
A sample of 210 participants was used in a cross-sectional study. Data were collected from July 15th to November 22nd, 2019 through structured questionnaires and analyzed using descriptive statistics, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program.
Results
The mean score for caring behavior was 3.14±0.81 (range 1~5). Caring behavior was significantly associated with caring burden (r=-.54, p<.001), caring self-efficacy (r=.68, p<.001), and social support (r=.69, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, caring behavior was found to be directly affected by caring burden (β=-.55, p<.001). Caring self-efficacy (β=-.36, p<.001) and social support (β=-.34, p<.001) were directly affected by caring burden. The partial mediating effects of caring self-efficacy (β =-.18, p=.007, 95% confidence interval -0.44~-0.14) and social support (β=-.23, p<.001, 95% confidence interval -0.38~-0.13) on the impact of caring burden on caring behavior were confirmed.
Conclusion
The impact of caring burden on caring behavior was mediated by caring self-efficacy and social support in family caregivers of elderly with dementia in the community-dwelling. The results suggest that caring self-efficacy and social support need to be considered in developing nursing interventions to reduce caring burden and improve caring behavior for family caregivers of elderly with dementia.

Citations

• Care burden, depression, quality of life, and institutionalization factors among family caregivers of long-term care recipients: A secondary data analysis
  Eun-Jeong Han, Yeongwoo Park, Heejung Kim, Myonghwa Park
  Journal of Korean Gerontological Nursing.2025; 27(1): 57.     CrossRef
• Factors influencing the caring behaviors of primary family caregivers of older adults with dementia: A cross-sectional study
  Da-Mi Kim, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2024; 26(2): 146.     CrossRef
• Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study
  Eun Sil Lee, Mi Young Kim
  Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
• Influence of Gratitude and Sense of Meaning in Life on Caregiving Self-Efficacy of Family Caregivers of Persons With Mental Illness
  Won Hee Jun
  Western Journal of Nursing Research.2023; 45(12): 1104.     CrossRef
• Resilience of family caregivers of people with dementia in South Korea: protocol for a scoping review
  Hyun-Ju Seo, Min-Jung Choi, Song-I Park, Jeong-hwan Park
  BMJ Open.2022; 12(7): e056739.     CrossRef
• Positive Changes in Caregiving Experiences of Family Caregivers for Long-Term Care Recipients after a Family Counseling Support Program
  Eun-Jeong Han, Myonghwa Park, Jihye Jung
  Journal of Korean Gerontological Nursing.2022; 24(1): 85.     CrossRef
• Health Promotion Behavior among Older Korean Family Caregivers of People with Dementia
  Aram Cho, Chiyoung Cha
  International Journal of Environmental Research and Public Health.2021; 18(8): 4123.     CrossRef

Purpose
The purpose of this study is to investigate factors influencing health-related quality of life (HRQoL) among male patients with osteoporosis over 50 years of age.
Methods
This study used a cross-sectional design with secondary data. The data of male patients with osteoporosis over 50 years of age (n=1,307) from the Community Health Survey (2016) were selected for analysis. Complex sampling design multiple regression analysis was conducted for influential factors on HRQoL, measured by the Euro Quality of Life-5D (EQ-5D).
Results
The mean HRQoL score of male patients with osteoporosis over 50 years of age was 0.74. Factors that influenced HRQoL included age, spouse, job, household income, body mass index, stress, depression, self-reported health status, hours of sleep per day, health examination experience, comorbidity (stroke, osteoarthritis), and osteoporosis fracture (hip bone, spine), which together explained 42% of the HRQoL.
Conclusion
To improve the HRQoL among male patients with osteoporosis over 50 years of age, comprehensive management is required from the stage of diagnosis. Developing and applying long-term programs including multidimensional approaches and early screenings of osteoporosis and prevention education for men are also needed.

Purpose
This study investigated factors affecting participation in dementia screening, based on the health belief model.
Methods
Data from 191 participants that fully answered the distributed questionnaires were analyzed. Data on the following variables were collected: general characteristics with modifying variables, health beliefs, and cue to action for dementia screening. Data were analyzed with descriptive statistics, x2 test, Fisher’s exact test, independent t-test, and logistic regression using SPSS/WIN software version 23.0.
Results
Factors affecting participation in dementia screening were as follows: For age, those in their 70s were more likely to participate in screening tests for dementia than those in their 60s (Odds Ratio [OR]=0.36, p=.003). For level of education, people with less than elementary school education were more likely to participate in screening tests for dementia than those with more than university education (OR=6.13, p=.020). Presence of spouse (OR=3.65, p=.027), presence of family or friends who underwent dementia screening tests (OR=5.63, p=.002), being exposed to dementia screening advertising (OR=3.94, p=.009), and having showed a lower average score of perceived barrier for dementia screening (OR=0.13, p=.002) were factors that increased the likelihood of participation in dementia screening.
Conclusion
To increase participation in dementia screening, strategies should be developed taking into account the influencing factors found by this study. In particular, an advertising strategy that emphasizes the importance of participating in dementia screening will be needed.

Citations

• Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study
  Jin Young Lee, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 263.     CrossRef
• Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model
  So Hee Jung, Mee Ock Gu
  Research in Community and Public Health Nursing.2024; 35: 22.     CrossRef
• Effects of a 6-Week Integrated Dementia Awareness and Prevention Program for Community-Dwelling Older Adults
  Ji-yeon Kim, Sunghee H. Tak, Hana Ko, SuJung Jung, Jaegyeong Lee, Hyein Choi
  Sage Open.2022;[Epub]     CrossRef
• Factors affecting preventive behaviors of Alzheimer’s disease in family members of patients with Alzheimer’s disease
  JiEun Kim, Min Young Kim, Jung-Ae Kim, Youngeun Lee
  Medicine.2022; 101(42): e31136.     CrossRef

Purpose
To explore the nature of psychological resistance to the initiation of antihypertensive medication.
Methods
Participants were 13 adults with hypertension who were refusing or had refused to take antihypertensive drugs from July 2016 to October 2016. The data were collected through face-to-face in-depth interviews, and analyzed according to Braun and Clarke’s 6 steps of thematic analysis.
Results
Analysis of the psychological resistance experience to drug therapy in hypertensive patients resulted in 5 themes and 10 sub-themes from a total of 42 free codes. Participants were “holding out as much as possible without medication” without taking antihypertensive drugs due to “psychological opposition to starting treatment” and “situational barriers related to medication”. However, they were “coming to grips with reality” that they were not taking medication but would take it someday, and they gained “momentum for change” to start taking it.
Conclusion
The 5 themes derived from the data analysis of the experiences of 13 participants are interrelated and suggest the direction of intervention to lower psychological resistance. In particular, we propose the development of an intervention to assist patients in self-decision regarding taking antihypertensive medication. Additional research into the role of medical staff in lowering the psychological resistance of young hypertensive patients is needed.

Citations

• Withdrawal of antihypertensive medication in young to middle-aged adults: a prospective, single-group, intervention study
  Hae-Young Lee, Kyoung Suk Lee
  Clinical Hypertension.2023;[Epub]     CrossRef