Purpose
Person-centered care is essential to improving patient outcomes, yet the factors that influence it require further investigation. This study examines the relationships among nurses’ compassion competence, cultural competence, intercultural communication skills, and person-centered care, and it identifies key predictors of person-centered care. Methods: A descriptive survey was conducted among 191 nurses from two general hospitals using convenience sampling between April 1 and April 22, 2024. Data collection included measures of compassion competence, cultural competence, intercultural communication skills, and person-centered care. Statistical analyses involved descriptive statistics, the independent t-test, analysis of variance, Pearson’s correlation coefficient, and stepwise multiple regression. Results: Of the 191 participants, 172 (90.1%) were females and 19 (9.9%) were males, with an average clinical experience of 8.89 years. Person-centered care showed significant positive correlations with compassion competence (r=.58, p<.001), cultural competence (r=.62, p<.001), and intercultural communication skills (r=.63, p<.001). Key predictors of person-centered care included intercultural communication skills (β=.29, p=.001), compassion competence (β=.27, p<.001), cultural competence (β=.20, p=.024), and non-shift work status (β=.12, p=.031). The model explained 47.9% of the variance in person-centered care (F=44.76, p<.001). Conclusion: In this study, person-centered care among nurses was influenced by compassion competence, cultural competence, intercultural communication skills, and work type. Further research is warranted on the delivery of person-centered care among nurses who provide care to patients from diverse cultural backgrounds.

Purpose
This study examined the effects of cognitive function, health literacy, and social support influence the risk of self-care non-adherence among older adults with chronic kidney disease. Methods: A cross-sectional survey was conducted using structured questionnaires. The study included 105 older adults (≥65 years) in the pre-dialysis stage, all of whom were receiving regular follow-up at a nephrology outpatient clinic in Jeonju, Jeollabuk-do, Korea. Data were collected through one-on-one interviews from April to May 2024 and analyzed using SPSS version 26.0. Predictive factors were assessed using hierarchical multiple regression analysis. Results: The risk of self-care non-adherence was significantly correlated with cognitive impairment (r=.61, p<.001), lower social support from healthcare providers (r=–.36, p<.001), and reduced health literacy (r=–.42, p<.001). Multiple regression analysis indicated that decreased physical activity (β=.25, p=.002), greater cognitive impairment (β=.29, p<.001), and lower support from healthcare providers (β=–.26, p=.008) were significant predictors of increased risk of self-care non-adherence. The model explained 46% of the variance in the risk of self-care non-adherence. In contrast, family support and health literacy were not significant predictors. Conclusion: To reduce the risk of self-care non-adherence in older adults with chronic kidney disease, routine cognitive screening and tailored education for those with cognitive impairment should be implemented in outpatient care. Promoting physical activity and strengthening support from healthcare providers are also key strategies to improve adherence in this population.

Purpose
This study aimed to clarify the concept of nursing competence in coping with clinical deterioration by employing Rodgers’ evolutionary concept analysis, which reflects both sociocultural and temporal dimensions. Methods: A six-step concept analysis was conducted following Rodgers’ methodology. A systematic literature review was performed using PubMed, Embase, CINAHL, and Google Scholar, yielding 35 relevant studies published between 2000 and 2025. Data extraction followed the Joanna Briggs Institute template, and quality was appraised using the STROBE checklist. Results: Four key attributes of nursing competence were identified: technical skills in patient monitoring, situational awareness and clinical intuition, decision-making regarding escalation of care, and communication and teamwork to ensure timely intervention. Antecedents included formal education, clinical experience, and institutional support. Consequences encompassed enhanced patient safety, increased nurse confidence, and greater professional autonomy. The concept was demonstrated to be dynamic and influenced by healthcare policies, such as the implementation of rapid response systems. Conclusion: Nursing competence in managing clinical deterioration is a multidimensional and evolving concept that is essential for patient safety. Clarification of this concept can inform the development of assessment tools and simulation-based education. Further research should explore its application across diverse healthcare contexts and address challenges related to escalation of care.

Purpose
The purpose of this study was to examine the experiences of nurse managers in clinical nursing education during an emerging infectious disease outbreak. Methods: Individual semi-structured interviews were conducted with 12 nurse managers from seven general or tertiary hospitals, each with 300 or more beds, in South Korea. Data were collected between February 17 and June 10, 2023, and analyzed using qualitative content analysis. Results: Four themes and 11 subthemes were identified. Nurse managers faced significant challenges in departmental management during the infectious disease outbreak, encountered a wide range of student attitudes toward learning, adapted their teaching methods flexibly in response to changing infectious disease conditions, and ultimately found meaning in the irreplaceable value of clinical practice education. Conclusion: During the emerging infectious disease outbreak, nurse managers not only encountered substantial difficulties but also experienced professional growth as clinical nursing educators. To enhance clinical nursing education in such challenging environments, it is essential to minimize uncertainty caused by infectious diseases and foster positive perceptions among nursing students regarding clinical practice education under restrictive circumstances. Institutional support is also necessary to reduce the work burden on nurse managers.

Purpose
Self-rated health in individuals with chronic diseases is influenced by various factors, including dietary adherence and physical activity. However, limited research has investigated how these factors relate to self-rated health among people with chronic kidney disease. Therefore, this study aimed to describe self-rated health and identify its associated factors in this population. Methods: This cross-sectional, secondary data analysis utilized datasets from the seventh Korea National Health and Nutrition Examination Survey, which were collected between 2016 and 2018. A total of 557 participants (mean age=74.8 years) with a glomerular filtration rate of <60 mL/min/1.73 m² were included. Data from health interviews and examinations were analyzed to assess self-rated health, dietary adherence, and physical activity. Descriptive and inferential statistical methods were employed for analysis. Results: Among the 557 participants, 42.6% rated their health as poor. Factors such as sex, age, income, smoking history, anxiety/depression, number of comorbidities, glomerular filtration rate, and physical activity were significantly associated with self-rated health. In contrast, dietary adherence did not exhibit a significant association. Conclusion: Understanding the factors associated with self-rated health can inform the development of nursing interventions aimed at improving self-rated health among patients with chronic kidney disease.

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

Purpose
This study was a scoping review aimed at evaluating Simulation-Based Education for recognizing and responding to deteriorating patients within Korean nursing school curricula, and at developing educational strategies for these competencies.
Methods
A literature search was conducted from April 1 to April 30, 2024. The review followed the scoping review framework by Arksey and O’Malley and the manual by the Joanna Briggs Institute. Relevant studies were identified through databases such as the Korean Medical Database, Korean Studies Information Service System, DataBase Periodical Information Academic, Research Information Sharing Service, ScienceOn, and the Cumulative Index to Nursing and Allied Health Literature.
Results
Eleven studies published from 2010 to 2019 were reviewed. The simulations typically included several lectures and practice sessions on advanced cardiopulmonary life support before the simulation exercises, which were then repeated. Cardiac arrest was frequently used as a scenario subject. The learning outcomes focused on the cognitive and psychomotor domains, as well as self-efficacy.
Conclusion
Although simulation for recognizing and responding to deteriorating patients was available in Korean nursing school curricula, it was infrequently incorporated as a regular part of the training. Future initiatives should include adding educational content to enhance nursing students' competencies in recognizing and responding to deteriorating patient simulations. Subsequent studies should assess the effectiveness of these educational methods.

Purpose
The purposes of this study were to develop a prediction model for pressure injury using a machine learning algorithm and to integrate it into clinical practice.
Methods
This was a retrospective study of tertiary hospitals in Seoul, Korea. It analyzed patients in 12 departments where many pressure injuries occurred, including 8 general wards and 4 intensive care units from January 2018 to May 2022. In total, 182 variables were included in the model development. A pressure injury prediction model was developed using the gradient boosting algorithm, logistic regression, and decision tree methods, and it was compared to the Braden scale.
Results
Among the 1,389,660 general ward cases, there were 451 cases of pressure injuries, and among 139,897 intensive care unit cases, there were 297 cases of pressure injuries. Among the tested prediction models, the gradient boosting algorithm showed the highest predictive performance. The area under the receiver operating characteristic curve of the gradient boosting algorithm's pressure injury prediction model in the general ward and intensive care unit was 0.86 (95% confidence interval, 0.83~0.89) and 0.83 (95% confidence interval, 0.79~0.87), respectively. This model was integrated into the electronic health record system to show each patient's probability for pressure injury occurrence, and the risk factors calculated every hour.
Conclusion
The prediction model developed using the gradient boosting algorithm exhibited higher performance than the Braden scale. A clinical decision support system that automatically assesses pressure injury risk allows nurses to focus on patients at high risk for pressure injuries without increasing their workload.

Citations

• Machine Learning Applications in Nursing-Affiliated Research: A Systematic Review
  Eun Joo Kim, Seong Kwang Kim
  Korean Journal of Adult Nursing.2025; 37(3): 189.     CrossRef

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

Citations

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

Purpose
The triage process in the emergency department is a complex decision-making task influenced by individual competence and a multitude of factors. Unlike patient-related factors, nurse-related factors can be improved through education. This study sought to determine the impact of grit, self-leadership, and communication skills of emergency department nurses on their triage competency.
Methods
We surveyed a convenience sample of 152 emergency department nurses to evaluate their grit, self-leadership, communication skills, and triage competency. The differences in these skills and competencies were analyzed according to the participants' general characteristics using the independent t-test and one-way analysis of variance. Hierarchical regression analysis was performed to identify the factors influencing nurses' triage competency.
Results
Triage experience, self-leadership, and communication skills influenced triage competency. Although triage competency can be positively impacted by knowledge gained from experience, expert assessment was identified as the least developed category of triage competency.
Conclusion
To improve nurses' triage competency, it is necessary to implement educational programs that utilize various methods to address self-leadership and communication skills. Moreover, reflective methods can be employed to help develop self-leadership, thereby improving triage competency. These findings can contribute to improving the work culture and the development of educational programs. Specifically, these programs should treat nurses' mistakes during work as learning opportunities rather than failures, thereby significantly advancing their competency.

Citations

• The Association Between Self‐Esteem, Assertiveness, and Professional Competence Among Palestinian Newly Graduated Emergency and Critical Care Nurses
  Malakeh Z. Malak, Ahamd Ayed, Anas Shehadeh, Moath Abu Ejheisheh, Ahmad Batran
  International Nursing Review.2025;[Epub]     CrossRef
• Experiences of Emergency Nurses Providing End‐of‐Life Care During the COVID‐19 Pandemic
  Alysha Cowley, Julia Morphet, Kimberley Crawford
  Journal of Advanced Nursing.2025; 81(9): 6036.     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 treatment of chronic kidney disease aims to delay dialysis and prevent progression to end-stage health complications. This study aimed to validate the Korean version of the Chronic Kidney Disease Self-Care (CKDSC-K) scale, which is used to measure self-care behaviors in patients with chronic kidney disease. Methods Data from 285 participants were collected between August and November 2020. Validity was assessed in terms of content, construct, and concurrence through the content validity index and exploratory and confirmatory factor analyses. The reliability of the CKDSC-K was examined using internal consistency. Results The final instrument consisted of 15 items across five factors (medication adherence, diet control, exercise, smoking behaviors, and blood pressure monitoring). The content validity index of the CKDSC-K was ≥.80. Confirmatory factor analysis indicated that factor loadings for the five factors ranged from .41 to .99, which explains the total variance of 75.3%. The internal reliability of the instrument was .81. Conclusion The CKDSC-K scale has demonstrated acceptable reliability and validity and can be utilized to assess self-care behaviours in patients with chronic kidney disease. Additional research is recommended to expand the psychometric evaluation of the CKDSC-K.

Citations

• LITERASI KESEHATAN BERHUBUNGAN DENGAN SELF CARE MANAGEMENT PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS
  Ferlan Ansye Pondaag, Dina Mariana, Musfirah Ahmad
  JURNAL KEPERAWATAN TROPIS PAPUA.2024; 7(1): 8.     CrossRef

Purpose
The purpose of this study was to describe clinical practice nurse’s role experience working in a university hospital. Clinical practice nurses are a mix of certified and non-certified nurses. They perform some of the duties of physicians in addition to the work they do as nurses. In the future, such nurses may become advanced practice registered nurses. Methods Focus group interviews were conducted with three groups, each consisting of eight participants. The interview lasted two and a half hours per group. Data were analyzed using a thematic analysis method. Results The analysis yielded four categories and 14 themes. The four categories were “seeking an escape from the repeated routines as a nurse”, “pioneering and developing new roles as a clinical practice nurse”, “confusion about professional identity due to ambiguity in role boundaries”, and “securing oneself as a team member and establishing a role as a clinical practice nurse”. Conclusion The scope of advanced practice registered nurses’ roles was meant to have been established in 2020, but this was not achieved. Thus, studying the role experience of clinical practice nurses and their experiences is worthwhile and the results can inform legislation. The results of the study will also help establish a customized curriculum for advanced practice nurses and ultimately improve the quality of nursing services for patients.

Citations

• Exploring the Difficulties and Educational Needs of Surgical Unit Nurses in Caring for Surgical Patients: A Qualitative Content Analysis
  Ki Nam Kwon, Seon Young Hwang
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 24.     CrossRef
• Role Conflict of Physician Assistants with Nursing Licenses in Korea
  Byeongkwan Kim, Wonhee Jung
  Journal of Korean Academy of Nursing Administration.2024; 30(2): 141.     CrossRef

Purpose
This study was conducted to identify the factors affecting the performance of person-centered care among Intensive Care Unit (ICU) nurses from an ecological perspective.
Methods
The participants were 172 ICU nurses working in eight hospitals in B city. Data were collected from July to August, 2020. The questionnaire consisted of measuring tools for general characteristics, performance of person-centered care, compassion satisfaction, communication competence, and teamwork. The SPSS/25.0 program was used to analyze the data using hierarchical multiple regression.
Results
According to the hierarchical multiple regression analysis, total nursing experience, compassion satisfaction, communication competence, and team work accounted for 44.1% of the variance in performance of person-centered care among ICU nurses (p<.001).
Conclusion
Enhancing compassion satisfaction, communication competence, and teamwork can help increase the performance of ICU nurses’ person-centered care. In addition, in order to improve the performance of person-centered care among ICU nurses, it is necessary to investigate and explore the factors hindering the performance of person-centered care among ICU nurses with more than 5 years of experience. Therefore, multidimensional efforts are needed to develop educational programs to increase the performance of person-centered care among ICU nurses.

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
• Workload, Teamwork, Compassion Competence, and Person-centered Critical Care Nursing among Critical Care Nurses
  Hyun A Lee, Myung Sun Hyun, Jin-Hee Park, Eun Ji Seo
  Journal of Korean Critical Care Nursing.2025; 18(2): 14.     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
• Assessing Needs for Practical Training in Intensive Care Unit to Enhance Nursing Education: A Focus Group Interview
  Sunah Park, Bokyoung Kim
  Journal of Korean Critical Care Nursing.2024; 17(2): 55.     CrossRef
• Factors Influencing Person-Centered Care among Nurses in COVID-19 Special Care Units at Tertiary General Hospitals: A Cross-Sectional Descriptive Study
  Kisook Kim, Sunmi Kwon
  Korean Journal of Adult Nursing.2023; 35(2): 127.     CrossRef
• Influence of Person-Centered Perioperative Nursing and Patient Safety Competency on Patient Safety Management Activities among Operating Room Nurses: A Descriptive Survey Study
  Ji Yong Shin, Eun Hee Jang
  Korean Journal of Adult Nursing.2023; 35(2): 97.     CrossRef
• Person-centred care among intensive care unit nurses: A cross-sectional study
  Hyuna Youn, Miyoung Lee, Sun Joo Jang
  Intensive and Critical Care Nursing.2022; 73: 103293.     CrossRef
• Mediating Effect of Communication Competence in the Relationship between Compassion and Patient-Centered Care in Clinical Nurses in South Korea
  Miri Jeong, Kawoun Seo
  Healthcare.2022; 10(10): 2069.     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
• Factors influencing mental health nurses in providing person-centered care
  Suyoun Ahn, Yeojin Yi
  Nursing Ethics.2022; 29(6): 1491.     CrossRef

Purpose
This narrative review aims to provide an introduction and overview of dyadic research within the context of chronic illness. In addition, some methodological considerations and future directions for conducting dyadic research are presented.
Methods
The focus of this review is on adult participants in dyads and with chronic illness based on the previous studies and literatures on dyadic science.
Results
Theory of Dyadic Illness Management and Dyadic Regulation-Connectivity Model (DR-CM) may be appropriate for performing dyadic research. At present, there is a lack of qualitative and quantitative knowledge on the dyadic approach for research on chronic diseases. Dyadic health interventions for building collaborative relationships within a dyad may be beneficial to improve dyadic health outcomes. This article addressed some of the challenges regarding recruitment, data collection, and analysis when it comes to planning dyadic research pertaining to chronic illnesses.
Conclusion
Healthcare professionals should prioritize needs and preferences at the dyadic level when designing effective chronic disease management. Particularly, it is critical to regularly monitor the dyadic relationships or type of dyadic care during illness trajectories. More research should be undertaken on patient-family caregiver dyads in chronic care, considering the various types of chronic diseases and cultural diversities.

Citations

• A Review of Recent Trends in Intervention Studies for Adults with Type 2 Diabetes Using Motivational Theory and Self-Determination Theory
  Mi Ran Jang, Jun Yeop Lee, Mi Ji Kim, Jong Hoon Kim, Joo Hyun Kim
  Journal of Korean Association for Qualitative Research.2025; 10(2): 165.     CrossRef

Purpose
The purpose of this study was to identify the moderating effect of teaching effectiveness and students’ anxiety in the relationship between simulation design characteristics and clinical reasoning competence among nursing students. Methods: The participants were 123 nursing students who underwent simulation practice. Data were collected from September 1 to October 30, 2020 using self-report questionnaires. The collected data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, and SPSS PROCESS Macro program (to study the multiple additive moderation effect). Results: Significant positive correlations were observed between clinical reasoning competence and simulation design characteristics (r=.57, p<.001), clinical reasoning competence and teaching effectiveness (r=.49, p<.001), while negative correlations were observed between clinical reasoning competence and students’ anxiety (r=-.33, p<.001). Teaching effectiveness and students’ anxiety had a multiple additive moderating effect on the relationship between simulation design characteristics and clinical reasoning competence among the nursing students (F=15.10, p<.001). Conclusion: The relationship between simulation design characteristics and clinical reasoning competence differed depending on the students’ anxiety. To improve the clinical reasoning competence of nursing students in simulation practice, developing interventions and techniques to manage students’ anxiety levels are important.

Citations

• The mediating role of flow in the relationship between simulation design and simulation educational satisfaction in korean nursing students: a cross-sectional study
  Eun-Kyung Lee, Eun-Joo Ji
  BMC Nursing.2024;[Epub]     CrossRef
• Factors Related to the Problem-solving Ability of Nursing Students Who Experienced Simulation Training
  Ji-Won Han
  Journal of Korea Society for Simulation in Nursing.2023; 11(2): 17.     CrossRef

Purpose
The study sought to investigate the relationships between beliefs about medications, self-efficacy of medication use, social support and medication adherence, and the general factors associated with medication adherence among the elderly living with chronic disease. Methods: This study took the form of a descriptive survey involving 222 elderly outpatients - aged 65 years or older - who visited S medical center, located in S city. Data were collected through self-report questionnaires from July to August 2019. Data analysis was conducted using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and a hierarchical multiple regression via the SPSS/WIN 25.0 program. Results: The mean score for medication adherence was 61.80±10.19 (range 16~80). Participants' medication adherence positively correlated with beliefs about medications (r=.17, p=.012), self-efficacy for medication use (r=.31, p<.001) and social support (r=.20, p=.003). Frequency of alcohol consumption (β=-.20, p=.001), burden level of medical costs (β=-.18, p=.012), experience of side-effects (β=-.21, p=.001), medication-taking education (β=.17, p=.008), beliefs about medication (β=.13, p=.038), and self-efficacy for medication use (β=.19, p=.004) explained for 24.9% of medication adherence (F=6.23, p<.001). Conclusion: It is necessary to consider the beliefs about medication and self-efficacy for medication use when developing educational programs aimed at improving medication adherence among the elderly living with chronic diseases.

Citations

• Factors associated with health literacy in older adults aged 65 and over: a secondary data analysis of the 2021 Korea Health Panel applying the Andersen behavioural model
  Yeong Eun Kim, Ol Han, Chang Sun Moon
  BMJ Open.2025; 15(3): e085696.     CrossRef
• Factors Influencing Medication Adherence among Adult Patients with Hypertension
  Soo Kyung Lee, Myung Sun Hyun
  The Korean Journal of Rehabilitation Nursing.2025; 28(1): 1.     CrossRef
• Factors associated with medication adherence among older adults with multimorbidity: A culture perspective
  Eunhwa Lee, MoonKi Choi
  Geriatric Nursing.2024; 55: 297.     CrossRef
• Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
  Bongsil Lim, Min Young Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87.     CrossRef
• Development and effectiveness of an integrated medication management program centered on senior welfare centers for older adults with hypertension: A cross-sectional study
  Heuijeong Moon, Dukyoo Jung
  Journal of Korean Gerontological Nursing.2023; 25(3): 297.     CrossRef
• Relationships between health literacy, self-efficacy, and medication adherence in older people with polypharmacy: A cross-sectional study
  Jee Young Cho, Sun Ju Chang
  Journal of Korean Gerontological Nursing.2023; 25(4): 357.     CrossRef
• Effects of Changes in Multiple Chronic Conditions on Medical Costs among Older Adults in South Korea
  Soojin Park, Jin Young Nam
  Healthcare.2022; 10(4): 742.     CrossRef

Purpose
This study was performed to explore the contexts and meanings of health life among patients with chronic kidney failure undergoing hemodialysis. Methods: The ethnography steps presented by Spradley were utilized. The participants were 12 patients from two hemodialysis centers. Data were collected by iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods. Field notes were used along with interviews and dialogue between authors to enhance interpretation. Results: Five themes on the health life of participants emerged: experiencing the loss of normality of the body and the collapse of daily life, establishing the role of dialysis patients, reorganizing the network, building an integrated coping pattern, and new normalization of the pattern of life. Patients' experiences differed in health life's patterns and meanings according to various individual situations and sociocultural contexts. Conclusion: Establishing new patterns of life of hemodialysis patients was a normalization process to ensure the adequacy of physical indicators and stability amid physical, emotional, and social challenges. To achieve quality health life, patients should be provided with tailored nursing interventions that consider their individual, social, and cultural situations.

Citations

• A qualitative meta-synthesis of the essence of patient experiences of dialysis
  Soyoung Jang, Eunyoung E. Suh, Yoonhee Seok
  Journal of Korean Academy of Nursing.2025; 55(1): 119.     CrossRef
• Predictors of self-management behaviors among patients undergoing hemodialysis
  Yusun Park, Sunyoung Jung
  Scientific Reports.2025;[Epub]     CrossRef
• The impact of illness acceptance, depression, and social support on health-related quality of life in older adults on hemodialysis: A descriptive study
  Eunha Lee, Jungmin Kim
  Journal of Korean Gerontological Nursing.2025; 27(1): 106.     CrossRef
• Predictors of psychosocial adaptation in haemodialysis patients according to haemodialysis vintage: a quantitative study
  Ae Kyung Chang, Ah Young Kim
  Contemporary Nurse.2025; 61(4): 377.     CrossRef
• Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
  Jinhyang Yang, Myung-Ok Cho, Haeok Lee
  Applied Nursing Research.2022; 65: 151584.     CrossRef
• The Effect of Uncertainty on the Physiological Indexes of Hemodialysis Patients: Serial Mediating Effects of Uncertainty Appraisal and Self-care Behavior
  Mi Kyung Kim, Eun Hee Jang
  Korean Journal of Adult Nursing.2022; 34(1): 51.     CrossRef
• Development and Evaluation of an Online Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis
  Jinhyang Yang
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 531.     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
• 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
During hospitalization, sleep can be disturbed and the quality reduced. This study investigated the effect of applying white noise on hospitalized patients for improving their sleep quality. Methods: In a randomized controlled trial design, participants were randomly assigned to an experimental group (n=30) or a comparison group (n=31), enrolled from rehabilitation medicine wards at a university hospital in South Korea. For three days of the intervention, the experimental group listened to white noise for one hour before sleep. The comparison group wore only earplugs before sleep. Sleep quality was assessed by the Verran and Snyder-Halpern (VSH) sleep scale as a subjective measure and the Fitbit ^® wrist band monitor as an objective measure. Data were collected pre- and three days post-intervention. Data were analyzed by repeated measures ANOVA using SPSS/WIN 22.0 program. Results: The white noise group showed positive effects on subjective sleep quality (p<.001) compared to the earplug group. Among the objective sleep quality measures, sleep time (p<.001) and sleep efficiency (p=.003) were statistically significant, but there were no statistically significant differences in time of awakening, number of awakening, time of restless and number of restless. Conclusion: Findings indicate that applying white noise could be considered as a useful nursing intervention to improve subjective and objective sleep quality in hospitalized patients.

Citations

• A randomized controlled trial on the effect of music and white noise listening on anxiety and vital signs during intramuscular injection skill learning
  Berna Aksoy, Levent Ozturk
  Teaching and Learning in Nursing.2024; 19(1): e52.     CrossRef
• Effect of dynamic binaural beats on sleep quality: a proof-of-concept study with questionnaire and biosignals
  Hwa-Ah-Ni Lee, Woo-Jin Lee, Seong-Uk Kim, Hyunji Kim, Minkyu Ahn, Jeonghui Kim, Do-Won Kim, Chang-Ho Yun, Han-Jeong Hwang
  SLEEP.2024;[Epub]     CrossRef
• Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
  Yul Ha Lee, Hye-Ja Park
  Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef
• External Auditory Stimulation as a Non-Pharmacological Sleep Aid
  Heenam Yoon, Hyun Jae Baek
  Sensors.2022; 22(3): 1264.     CrossRef

Purpose
This study aimed to identify the influence of the activation of the Rapid Response Team (RRT) through screening unplanned Intensive Care Unit (ICU) admissions.
Methods
A total of 539 cases in which the RRT was activated, from January 1, 2016 to December 31, 2017, were analyzed. Data were collected by reviewing rapid response team activity reports and electronic medical records and analyzed using the Chi-squared test and multiple logistic regression analysis. The analyzed types of RRT activation were electronic medical record-based screening and activation through direct call.
Results
Patients admitted to the ICU following RRT activation through direct call were twice as likely to experience an unplanned ICU admission than patients for which the RRT was activated through electronic medical record screening (Odds Ratio [OR]=2.05, 95% Confidence Interval [CI]=1.27~3.30). Other variables, including the medical department, activation duration in minutes, total national early warning score, and respiratory distress as the reason for activation (compared to sepsis or septic shock) predicted unplanned ICU admissions.
Conclusion
Electronic medical record screening by RRT may facilitate the early detection and monitoring of physiological deterioration in patients in the general medical ward. This strategy may help prevent unplanned ICU admissions and potentially reduce mortality.

Citations

• The effect of nurses' perceptions and satisfaction with hospital rapid response teams on burnout related to emergency situations in Korea: a cross-sectional study
  Bumin Kim, Nahyun Kim
  Journal of Korean Biological Nursing Science.2025; 27(2): 234.     CrossRef
• Early Prediction of Sepsis in the Intensive Care Unit Using the GRU-D-MGP-TCN Model
  Seunghee Lee, Geonchul Shin, Jeongseok Hwang, Yunjeong Hwang, Hyunwoo Jang, Ju Han Park, Sunmi Han, Kyeongmin Ryu, Jong-Yeup Kim
  IEEE Access.2024; 12: 148294.     CrossRef
• Nursing Students’ Clinical Judgment and Performance in Simulation of Recognizing and Responding of the Deterioriating Patient ; a retrospective mixed-methods
  Yi Kyung Ha
  Journal of Korean Critical Care Nursing.2023; 16(2): 42.     CrossRef
• Effects of a Rapid Response Team on the Clinical Outcomes of Cardiopulmonary Resuscitation of Patients Hospitalized in General Wards
  Mi-Jung Yoon, Jin-Hee Park
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 491.     CrossRef

Purpose
This study examined sociodemographic and health factors affecting Health-Related Quality of Life (HRQoL) among older adults with osteoarthritis based on the duration of osteoarthritis.
Methods
Data were obtained from the Seventh Korean National Health and Nutrition Examination Survey (Ⅶ-1, 2016; Ⅶ-2, 2017). The sample consisted of total 747 older adults with osteoarthritis. The complex sample analysis was performed using an independent t-test, ANOVA, x² test, and multiple linear regression using the SPSS/WIN 24.0 program.
Results
The HRQoL of older adults who had experienced osteoarthritis for 10 years or more was lower than the group who had experienced osteoarthritis for less than 10 years. The most influential factors affecting HRQoL across both groups were subjective health, limit of daily activity, and sickbed experience. Current alcohol consumption and body weight control were factors affecting HRQoL in the group who had experienced osteoarthritis for less than 10 years, while gender, current smoking, and walking were factors affecting HRQoL in the group who had experienced osteoarthritis for 10 years or more.
Conclusion
Community nurses should consider the target population and customize interventions based on the duration of osteoarthritis in order to improve HRQoL in older adults with osteoarthritis.

Citations

• A Network Analysis of Quality of Life Among Older Adults With Arthritis
  Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim
  International Journal of Older People Nursing.2025;[Epub]     CrossRef
• Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis
  Sang-woo Yoon, Suhn-yeop Kim
  Journal of The Korean Society of Physical Medicine.2024; 19(1): 81.     CrossRef
• Factors Related to Quality of Life among Older Adults who Had Arthritis: Limited Daily Activities and Physical Activity
  Jee-Seon Yi
  Physical Therapy Rehabilitation Science.2023; 12(4): 431.     CrossRef
• The effects of hemp seed consumption on depression, anxiety and cognitive improvement based on machine learning
  Jung Jea-Bum, Cho Yong-Won , Kim Sang-Yub , Chung Soo-Yeon , Han Kyung-Hoon , Ham Byung-Joo , Han Sung-Hee
  Archives of Food and Nutritional Science.2023; 7(1): 032.     CrossRef

Purpose
This study evaluated the impact of Chronic Kidney Disease (CKD) on depression, perceived health, and Health-Related Quality of Life (HRQOL) in community-dwelling adults.
Methods
Data from 9,778 adults who participated in the Korea National Health and Nutrition Examination Survey (KNHANES) in 2014 and 2016 were analyzed. The estimated glomerular filtration rate was calculated using the CKD Epidemiology Collaboration (CKD EPI) equation. Depression was defined as a score of at least 10 points on Patient Health Questionnaire-9 (PHQ-9). The HRQOL was measured using the EuroQol-5D (EQ-5D). The effects of CKD on depression were analyzed using multivariate logistic regression, and the effects on perceived health and HRQOL were analyzed using multivariate ordered logistic regression.
Results
The prevalence of CKD was 3.7%. Among the adults with CKD, 13.1% had depression, 42.9% perceived their health to be bad, and their HRQOL was significantly lower than that of their non-CKD counterparts. The odds ratio for depression in patients with CKD was 1.66 (95% Confidence Interval [CI]=1.10~2.52, p=.017) and that of perceived bad or fair health was 1.80 (95% CI=1.35~2.40, p<.001). The likelihood of lower HRQOL in CKD patients was 1.44 times higher than in the non-CKD patients (95% CI=1.09~1.90, p=.010).
Conclusion
The prevalence of psychological problems in CKD patients was higher than in non-CKD patients. The results suggest the importance of comprehensive intervention for patients with CKD. Policies are needed to help assess and manage patients with CKD who are experiencing emotional problems.

Citations

• Influence of Depression on Health Behavior (Daily Smoking, Binge Drinking, Walking, Skipping Breakfast) among Korean Adults: Based on the KNHANES
  Su Yeon Jeong
  Journal of Health Informatics and Statistics.2024; 49(4): 325.     CrossRef
• Regional Differences in Medical Costs of Chronic Kidney Disease in the South Korean Population: Marginalized Two-Part Model
  Minah Park, Choa Yun, Jae Hong Joo, Soo Hyun Kang, Sung Hoon Jeong, Chung-Mo Nam, Eun-Cheol Park, Yoondae Han, Sung In Jang
  JMIR Public Health and Surveillance.2023; 9: e39904.     CrossRef
• Good subjective health status and health-related quality of life in people with chronic kidney disease: A secondary analysis using the Korea National Health and Nutritional Examination Survey in 2019 and 2020
  Jena Lee, Yujin Suh
  Research in Community and Public Health Nursing.2023; 34: 255.     CrossRef
• Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis
  Haegyeong Lee, Gyuli Baek, Eunju Lee
  Osong Public Health and Research Perspectives.2023; 14(4): 279.     CrossRef
• Association of Blood Heavy Metal Levels and Renal Function in Korean Adults
  Yoonjin Park, Su-Jung Lee
  International Journal of Environmental Research and Public Health.2022; 19(11): 6646.     CrossRef

PURPOSE
The purpose of this study was to identify the characteristics of nutritional status and its risk factors in patients with Chronic Obstructive Pulmonary Disease (COPD).
METHODS
Participants included 136 patients with COPD in Donga University hospital and Haeundae paik hospital in Busan city. The data, collected by a trained research assistant from January 10 to July 18, 2017, were analyzed using Fisher's exact test, the Mann-Whitney U test, and logistic regression analysis with SPSS/WIN 21.0.
RESULTS
Among the 136 patients with COPD, 31 (22.8%) had abnormal nutritional status. According to the results of the logistic regression analysis, gender (Odds Ratio [OR]=5.27, 95% Confidence Interval [CI]=1.18~23.49, p=.029), percent predicted forced expiratory volume in one second [FEV1%] (OR=1.04, 95% CI=0.92~0.99, p=.012), symptom experience (OR=16.19, 95% CI=3.08~85.00, p=.001), carbohydrate intake (OR=1.01, 95% CI=1.00~1.02, p=.037), protein intake (OR=1.06, 95% CI=0.90~0.99, p=.012), and fat intake (OR=1.04, 95% CI=1.01-1.08, p=.015) were associated with nutritional status in patients with COPD.
CONCLUSION
In order to improve the nutrutional status of COPD patients, nursing education is needed with intensive screen on female patients and patients with low lung function, managing symptoms and increasing protein intake.

PURPOSE
This study aimed to identify the type and frequency of nursing activities targeting emergency department patients by analyzing electronic nursing records.
METHODS
This retrospective study identified the characteristics of and nursing activities for adult patients who visited a university hospital emergency department for 6 months from January to June 2018 by analyzing the hospital's electronic nursing records. Descriptive statistics and one-way analysis of variance were used to analyze the characteristics of patients and the nursing records.
RESULTS
A total of 36,435 patients, with an average age of 52.82±19.91 years and a male-to-female ratio of 1:1.16, participated in the study. The number of patients with Korean Triage and Acuity Scale levels 4 (less urgent) and 5 (non-urgent) were 24,403 (67% of the total number). Referrals were requested 1.21±0.54 times per patient. The most frequent NANDA diagnosis and Nursing Intervention Classification intervention were “Risk for unstable blood glucose level” (858, 28.4%), and “Surveillance” (83,131, 23.9%). The most frequent Clinical Care Classification action type was “Assess or Monitor” (313,729, 38.5%). The higher the severity level and the number of referrals, the more the recorded numbers of nursing diagnoses, interventions, and care activities.
CONCLUSION
This study demonstrated the possibility of nursing task analysis by identifying the type and frequency of nursing activities based on the data from electronic nursing records. Further research on electronic nursing records would contribute to the usefulness of these records for nursing workload analysis and effective workforce management.

Citations

• Influence of work stress, clinical decision-making ability, and teamwork on triage competency among emergency room nurses in Korea: a cross-sectional study
  Seon-Hyeong Kim, Ae-Ri Jung
  Journal of Acute Care Surgery.2025; 15(2): 60.     CrossRef
• Analysis of nursing notes and mapping of nursing surveillance activities for patients who underwent cholecystectomy in Korea: a retrospective descriptive study
  Se Young Kim, Chunseon Jang, Moon Kyung Lee, Ok-Ran Jeong, Eunsim Kim
  Journal of Korean Biological Nursing Science.2025; 27(3): 465.     CrossRef
• Improving Handover Efficiency for Emergency Nurses
  Seungeun Lee, Heeje Yun, Yukyung Lee, Minji Kang, Eunbi Jo, Sunjong Yoo, I Gyeong Jo, Jung Hwan Heo, Min Jin Choi
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 294.     CrossRef
• An exploratory study of the practical impact of the COVID-19 pandemic on nursing tasks in clinical settings
  Younhee Kang, Hyeyoung Hwang
  Applied Nursing Research.2024; 76: 151790.     CrossRef
• Experiences of Recording Electronic Nursing Notes among Ward Nurses in Two Hospitals
  Hyunmi Hwang, Geun-Hee Kim, Yeoungsuk Song
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 396.     CrossRef
• An exploratory study of nursing tasks that induce physical and mental stress among hospital nurses
  Younhee Kang, Aekyeong Jin
  Applied Nursing Research.2024; 80: 151853.     CrossRef
• Experiences of traumatic events, knowledge and attitudes concerning post-traumatic stress disorder, and resilience among nurses and paramedics working in emergency department
  Sun-Woo Hong, Kyung-Sook Bang, Hwal Lan Bang, Hye Jin Hyun, Miyoung Lee, Yu Na Jung
  The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 86.     CrossRef
• Life‐Sustaining Treatment Decision in Palliative Care Based on Electronic Health Records Analysis
  Sanghee Kim, Arum Lim, Hyoeun Jang, Misun Jeon
  Journal of Clinical Nursing.2023; 32(1-2): 163.     CrossRef
• Use of the clinical care classification in South Korean nursing practice: Challenges and opportunities
  Hyeoun-Ae Park, Insook Cho
  International Journal of Medical Informatics.2023; 170: 104968.     CrossRef
• Effects on Triage Competency Based on Nursing Task Performance and Self-Efficacy of Nurses in Regional Emergency Medical Institutions
  Su Jin Kim, Su Ol Kim
  Korean Journal of Adult Nursing.2022; 34(3): 304.     CrossRef
• An Analysis of Tasks of Nurses Caring for Patients with COVID-19 in a Nationally-Designated Inpatient Treatment Unit
  Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park
  Journal of Korean Academy of Nursing.2022; 52(4): 391.     CrossRef
• Association Between Symptoms of Patients With Heart Failure and Patient Outcomes Based on Electronic Nursing Records
  Seung Yeon Baik, Gi Wook Ryu, Hyangkyu Lee, Siwook Lee, Mona Choi
  CIN: Computers, Informatics, Nursing.2021; 39(12): 1027.     CrossRef
• Development of Addiction Prevention Care Program for Nurses
  Sungjae Kim, Se-Jin Joo, Young Ok Song, Jin-Gyung Cha, Jeongwoon Yang
  STRESS.2019; 27(4): 389.     CrossRef

PURPOSE
In Korea, cancer is the leading cause of death, and colorectal cancer accounts for a third of deaths caused by cancer. This study aimed to analyze the influence of hospital nurse staffing level on colorectal cancer evaluation grades, mortality rate, and the length of stay of patients who underwent surgery for colorectal cancer.
METHODS
Secondary data collected in 2016, 2018 from the Health Insurance Review and Assessment Service, was used to measure nurse staffing, based on the adjusted nursing grade in general units and was then categorized as adhering with or violating the Medical Service Act. The influence of the nurse staffing on colorectal cancer evaluation grades, and the mortality rate in 129 hospitals was analyzed using multivariate logistic regression and multivariate gamma regression, respectively, and its influence on length of stay was analyzed through hierarchical multiple regression.
RESULTS
Hospitals that adhered to the Medical Service Act in nurse staffing had significantly lower odds for poor colorectal cancer evaluation grades. Hospitals which nurse staffing adhered to the Medical Service Act had a significantly lower mortality rate than those that violated it (B=−0.51, p=.019), and had a significantly shorter length of stay (β=−.19, p=.034).
CONCLUSION
Improvement of nurse staffing levels, in compliance with the Medical Service Act is crucial to provide high-quality nursing services to patients undergoing colorectal cancer surgery and to decrease the mortality rate, and shorten the hospitalization period required for surgery and recovery.

Citations

• Machine Learning in Optimising Nursing Care Delivery Models: An Empirical Analysis of Hospital Wards
  Manar Aslan, Ergin Toros
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Mortality in orthopedic patients: a retrospective review of 333 medical records
  Kamran Shirbache, Asma Mafhoumi, Nazanin Anaraki, Elham Madreseh, Seyyed Hossein Shafiei, Nima Bagheri, Leila Oryadi Zanjani, Ahmadreza Nezameslami, Gholamreza Garmroudi, Mohammad Hossein Nabian
  European Journal of Orthopaedic Surgery & Traumatology.2025;[Epub]     CrossRef
• Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study
  Ana María Porcel-Gálvez, Sergio Barrientos-Trigo, Eugenia Gil-García, Olivia Aguilera-Castillo, Antonio Juan Pérez-Fernández, Elena Fernández-García
  International Journal of Environmental Research and Public Health.2020; 17(21): 7951.     CrossRef

PURPOSE
This study compares the characteristics of patients with Chronic Obstructive Pulmonary Disease (COPD) according to hospitalization frequency due to Acute Exacerbation (AE) using a retrospective medical records review.
METHODS
From August to October 2017, COPD patients who had visited the chonnam national university hospital were classified into three groups: (1) not hospitalization (n=115), (2) hospitalized once owing to AE (n=79) and (3) hospitalized twice or more owing to AE (n=47), and their medical records were reviewed. Data were analyzed using χ2, Kruskal Wallis, and Mann-Whitney tests, and logistic regression.
RESULTS
Home oxygen therapy, metered dose inhaler use, long-acting beta2-agonist, and Inhaled Corticosteroids (ICS) were used most in patients who were hospitalized twice or more. Symptoms of dyspnea and fever, prescription of phosphodiesterase-4 and oral corticosteroid were the least frequent in the patients who were not hospitalized, and they had the best pulmonary function test results. Home oxygen therapy (Odds Ratio [OR]=9.59, 95% Confidence Interval [CI]=2.53~36.46), and prescribed ICS (OR=2.77, 95% CI=1.14~6.77) and phosphodiesterase-4 (OR=5.35, 95% CI=1.69~16.93) were significantly associated with COPD readmission. For patients who were hospitalized once, SpO2 (p=.016), the frequency of positive pressure ventilation therapy (p=.023) and monitoring of oxygen saturation in nursing activities (p=.022) were higher than that of patients who were hospitalized twice or more. There was no significant difference in discharge education between the two hospitalized groups.
CONCLUSION
Regardless of the severity of illness, presence of respiratory symptoms, drug prescribed, or admission frequency, there were no differences in nursing activities and discharge education.

Citations

• COPD Prevalence and Risk Factors in Korean Older Adults
  Do-Youn Lee
  The Journal of Korean Physical Therapy.2025; 37(1): 31.     CrossRef
• Development of a smartphone application for Korean patients with chronic obstructive pulmonary disease: Self-monitoring based action plans
  Ja Yun Choi, Maureen George, So Young Yun
  Applied Nursing Research.2021; 61: 151475.     CrossRef

PURPOSE
This study aimed to construct and test the structural relationships between self efficacy and clinical performance among undergraduate nursing students. The model was based on Bandura's self efficacy theory and a review of previous studies. The hypothesized model included emotional intelligence as a personal factor, self efficacy as self efficacy beliefs, problem solving ability as a skill, and clinical performance as a performance.
METHODS
Data were collected from June 23 to August 11, 2014 using structured questionnaires. The study sample was 205 senior nursing students. Data were analyzed using SPSS/WIN 21.0 and AMOS 21.0 programs.
RESULTS
The hypothesized model was shown to be χ2=183.186 (dF=118), Goodness-of- Fit Index (GFI)=.91, Normed Fit Index (NFI)=.91, Comparative Fit Index (CFI)=.96, and Root Mean Squared Error of Approximation (RMSEA)=.05. Self efficacy (β=.29 p=.033) and problem solving ability (β=.42 p=.007) had a direct effect on the clinical performance. Furthermore, self efficacy had mediating effect on the relationship between emotional intelligence and clinical performance.
CONCLUSION
These findings provide that when developing nursing curriculum and intervention programs, self efficacy and problem solving ability should be considered as key factors facilitating the clinical performance of nursing students. Moreover, consideration should be given to the indirect effects of emotional intelligence subscales on clinical performance via self efficacy and problem solving ability.

Citations

• Examining the impact of emotional intelligence on job performance with the mediating role of clinical competence in nurses: a structural equation approach
  Gholamhossein Mehralian, Shima Bordbar, Jamshid Bahmaei, Ali Reza Yusefi
  BMC Nursing.2025;[Epub]     CrossRef
• The relationship between emotional intelligence, self-efficacy, and clinical decision-making among critical care nurses in Jordan
  Mohammed R. AL Btoush, Malakeh Z. Malak, Shaher H. Hamaideh, Ahmed H. Shuhaiber
  Journal of Human Behavior in the Social Environment.2025; 35(3): 454.     CrossRef
• The mediating role of self-efficacy in nursing students’ initial clinical practice experience
  Mensure Turan, Zeliha Cengiz
  Teaching and Learning in Nursing.2025; 20(3): e676.     CrossRef
• Cultural and emotional intelligence correlates with healthy lifestyles
  Keisuke Kokubun, Kiyotaka Nemoto, Yoshinori Yamakawa
  Acta Psychologica.2025; 255: 104854.     CrossRef
• Determinants of Problem‐Solving Skills of Nursing Students: Solution‐Focused Thinking Skills and Emotional Intelligence
  Alime Selçuk Tosun, Nurcan Akgül Gündoğdu, Dilek Avci, Emine Selda Gündüz
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Emotional intelligence in medical education: Its role in professional identity formation: AMEE Guide No. 186
  Shereen El Tarhouny, Amira Hassouna, Tayseer Mansour
  Medical Teacher.2025; : 1.     CrossRef
• Cool head after warm heart. Hypothesis and verification of a developmental phase model showing the relationship between emotional and cultural intelligence, intercultural adjustment, work engagement, and performance of expatriates
  Keisuke Kokubun, Kiyotaka Nemoto, Yoshinori Yamakawa
  Personality and Individual Differences.2025; 246: 113288.     CrossRef
• Investigating the relationship between happiness and self-esteem with self-efficacy in the clinical performance of midwives working in medical centers and comprehensive health services
  Zahra Mohebbi-Dehnavi, Mahnaz Noroozi
  Journal of Education and Health Promotion.2024;[Epub]     CrossRef
• The relationship between difficulties in emotion regulation and solution-focused thinking in nursing students
  Emre Ciydem
  Nurse Education in Practice.2024; 79: 104088.     CrossRef
• COVID-19 Pandemi Süreci Uzaktan Eğitim Döneminde Hemşirelik Öğrencilerinde Anksiyete ve Klinik Performans Öz-Yeterlilik Algısı İlişkisi
  Yeliz AKKUŞ, Nihal BOSTANCI DAŞTAN
  Sağlık Bilimlerinde Değer.2024; 14(1): 106.     CrossRef
• Exploring the Self-efficacy and Its Influencing Factors of University Nursing Students in Taiwan during the Clinical Practicum
  I-Ju PAN, Pin-Cheng YEN, Yi-Hui Liu
  Journal of Comprehensive Nursing Research and Care.2024;[Epub]     CrossRef
• Relationship between nursing students’ levels of liking children and self-efficacy in paediatric medication administration
  Mehmet Bulduk, Veysel Can, Eda Nur Muhafiz
  BMC Medical Education.2024;[Epub]     CrossRef
• Predicting New Graduate Nurses’ Retention during Transition Using Decision Tree Methods: A Longitudinal Study
  Taewha Lee, Yea Seul Yoon, Yoonjung Ji
  Journal of Nursing Management.2024; 2024: 1.     CrossRef
• THE RELATIONSHIP BETWEEN EMOTIONAL INTELLIGENCE WITH JOB PERFORMANCE AND OCCUPATIONAL STRESS IN NURSES WORKING IN EDUCATIONAL AND MEDICAL CENTERS IN URMIA IN 2022
  Rozita Cheraghi, Laleh Almasi, Vahid Alinejad, Nader Aghakhani, Madineh Jasemi, Samereh Eghtedar
  Nursing and Midwifery Journal.2023; 21(7): 575.     CrossRef
• Factors Influencing Nurses’ Job Performance in Korea and Mongolia: A Cross-Sectional Study
  Zolzaya Bayarsaikhan, YunHee Shin
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 404.     CrossRef
• Emotional Intelligence among Nurses and Its Relationship with Their Performance and Work Engagement: A Cross-Sectional Study
  Fatimah Turjuman, Bayan Alilyyani, Majed Alamri
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• A study on Emotional Intelligence & Empathy in Allied Vision Sciences Students
  Muhammad Shaheer, Asima Rafique, Zahid Kamal Siddiqui, Ummarah Rasheed
  Journal of Rawalpindi Medical College.2023;[Epub]     CrossRef
• Developing nursing students' self-efficacy and problem solving skills via high-fidelity simulation
  Zeliha Cengiz, Züleyha Gürdap, Hatice Oltuluoğlu, Hakime Aslan, Seher Çevik Aktura
  Teaching and Learning in Nursing.2023; 18(4): e167.     CrossRef
• Impact of emotional intelligence on work performance: The mediating role of occupational stress among nurses
  Abdulaziz Mohsen Alsufyani, Ahmad Eissa Aboshaiqah, Fawzeih Ayed Alshehri, Yasir Mohsen Alsufyani
  Journal of Nursing Scholarship.2022; 54(6): 738.     CrossRef
• İlkokul Öğrencilerinde Problem Çözmenin Yordayıcıları Olarak Duygusal ve Psikolojik İyi Oluş ile Yaşam Doyumu
  Mehmet Enes SAĞAR
  Afyon Kocatepe Üniversitesi Sosyal Bilimler Dergisi.2022; 24(4): 1274.     CrossRef
• The Mediating Effect of Self-Regulated Learning on the Relationships Among Emotional Intelligence, Collaboration, and Clinical Performance in Korean Nursing Students
  Sun-Hee KIM
  Journal of Nursing Research.2022; 30(3): e212.     CrossRef
• Nursing students’ confidence in clinical competency and job readiness during the COVID-19 pandemic era
  Kyung-Sook Bang, Jeong Hee Kang, Eun Sook Nam, Mi Yeul Hyun, Eunyoung Suh, Sun-Mi Chae, Heeseung Choi, Da-Ae Shin
  The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 402.     CrossRef

PURPOSE
The aim of this study was to investigate factors affecting medication adherence in hemodialysis patients.
METHODS
A convenience sample of 140 patients receiving hemodialysis was selected. Data were collected from December. 1. 2016 to January. 15. 2017 using a self-reported questionnaires including the eight-item Morisky's Medication Adherence Scale Korean version (K-MMAS-8). The collected data were analyzed with a descriptive test, independent t-test, one-way ANOVA, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 23.0.
RESULTS
The patients showed a low level of medication adherence (M±SD=5.75±1.65). There were significant differences in medication adherence according to subjective health status (F=6.88, p=.001) and discomfort in taking medication (t=−4.59, p<.001). Expectation of medication (r=.42, p<.001) and disgust of medication (r=−.36, p<.001) were the significant factors related to medication adherence. It was explained by expectation of medication (β=.30, p<001), disgust of medication (β=−.21, p=.007), discomfort in taking medication (β=.20, p=.010) and subjective health status (β=−.18, p=.016).
CONCLUSION
It is necessary not only to regularly monitor patients' medication behavior but also develop and implement an individualized nursing intervention that reflects expectation and disgust of medication.

Citations

• Effect of depression and empowerment on medication adherence in patients with breast cancer: a descriptive survey
  Sookyung Jeong, Eun Jeong Kim
  BMC Nursing.2025;[Epub]     CrossRef
• Factors Influencing Medication Adherence in Patients Undergoing Hemodialysis
  Jeonghyeon Kim, Jieun Cha
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 18.     CrossRef
• Factors Affecting Hyperphosphatemia in Patients with Chronic Renal Failure Undergoing Hemodialysis
  Jihyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 247.     CrossRef
• A study of relationships among tuberculosis knowledge, family support, and medication adherence in tuberculosis patients
  Yoo-Ri Jang, Mi-Aie Lee
  The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 80.     CrossRef
• Factors Associated with Medication Adherence among the Elderly with Chronic Diseases
  Sook Hee Kang, Eun Ko
  Korean Journal of Adult Nursing.2021; 33(2): 189.     CrossRef
• Factors Influencing Self-Care Behavior and Treatment Adherence in Hemodialysis Patients
  Hana Kim, Mi-Kyoung Cho
  International Journal of Environmental Research and Public Health.2021; 18(24): 12934.     CrossRef
• Effects of a Medication Adherence Promotion Program in Breast Cancer Patients under Adjuvant Hormonal Therapy
  Seung Hee Yu, Jeong Hee Kang
  Korean Journal of Adult Nursing.2020; 32(3): 223.     CrossRef

PURPOSE
The purpose of this study was to identify factors affecting hyperphosphatemia in hemodialysis patients.
METHODS
The participants of the study were 129 patients who had been diagnosed with end-stage renal disease and received hemodialysis. Data were collected from June 15 to August 15, 2017, and analyzed with frequency, percentage, average, standard deviation, independent t-test, χ2 test, and logistic regression using SPSS/WIN 24.0 version.
RESULTS
Out of the 129 hemodialysis patients, 71 (55%) had hyperphosphatemia. There were significant differences between healthy group and hyperphosphatemia group in terms of age (p=.048), BMI (Body Mass Index) (p=.004), causative disease of chronic renal failure (p=.026), frequency of hemodialysis per week (p=.024), nutritional status (p < .001), weight gain on maintenance hemodialysis (p=.001), TIBC(Total Iron Binding Capacity) (p=.035), Ca (Calcium) × P (Phosphorus) (p < .001), BUN(Blood Urea Nitrogen) (p < .001), creatine (p=.012), and diet factors of self-care (p=.035). Results of the analysis of factors affecting hyperphosphatemia in hemodialysis patients indicated an increased risk of hyperphosphatemia with diabetes (Odds Ratio [OR]=21.45, 95% Confidence Interval [CI]=1.38~333.47), hypertension (OR=14.41, 95% CI=1.15~180.12), nutritional status (OR=9.37, 95% CI=1.36~64.18), weight gain on maintenance hemodialysis (OR=4.86, 95% CI=1.18~20.05), and BUN (OR=1.07, 95% CI=1.01~1.14).
CONCLUSION
Based on the results of this study, it is imperative to manage diabetes and hypertension of hemodialysis patients to prevent hyperphosphatemia. Additionally, it is necessary to not only regularly monitor patients' nutritional conditions and results of blood tests, but also develop and provide an individualized nursing intervention that reflects individual nutritional conditions and biochemical results.

Citations

• Factors Affecting Hyperphosphatemia in Patients with Chronic Renal Failure Undergoing Hemodialysis
  Jihyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 247.     CrossRef
• Predictors Influencing of Medication Adherence in Hemodialysis Patients
  Hana Kim, Eunha Kim
  Korean Journal of Adult Nursing.2019; 31(3): 283.     CrossRef