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Review Articles

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.
  • 440 View
  • 10 Download
The Effects of Game-Based Virtual Reality in Nursing Education: A Scoping Review
Mina Park, Kyoung Ja Moon
Korean J Adult Nurs 2025;37(4):384-400.   Published online November 24, 2025
DOI: https://doi.org/10.7475/kjan.2025.0814
Purpose
This scoping review aimed to explore the characteristics and educational effects of game-based virtual reality (VR) programs used in nursing education, providing foundational insights for future instructional design and research. Methods: Following the Joanna Briggs Institute guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist, a comprehensive literature search was conducted across eight databases for studies published between April 2014 and March 2025. Studies were screened and selected using the population, concept, context framework. Twenty-four studies met the inclusion criteria and were analyzed. Results: Most of the 24 included studies targeted nursing students, with some involving practicing nurses. Interventions primarily employed immersive VR head-mounted displays and incorporated diverse game elements such as mission-based scenarios, challenges, feedback loops, and virtual patient interactions. Educational effects were categorized into cognitive, affective, and psychomotor domains. Improvements in knowledge acquisition, self-efficacy, learning motivation, and skill performance were consistently reported. Additionally, most studies reported enhanced learner satisfaction, engagement, and emotional immersion. However, limited evidence was found regarding teamwork and communication skills. Conclusion: Game-based VR programs show substantial potential as effective instructional strategies in nursing education. Their design features—including immediate feedback, repeatable immersive scenarios, and engaging game mechanics—support learner-centered and self-directed learning. Nevertheless, the current evidence base largely focuses on nursing students and short-term outcomes. Future studies should encompass diverse nursing populations and assess long-term effects and real-world applicability, particularly in team-based and clinical practice contexts.
  • 590 View
  • 14 Download

Original Article

Factors Influencing Nurses’ Person-Centered Care: A Cross-sectional Descriptive Study
Heesun Jang, Young A Kim
Korean J Adult Nurs 2025;37(3):344-353.   Published online August 29, 2025
DOI: https://doi.org/10.7475/kjan.2025.0509
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.
  • 3,043 View
  • 71 Download

Invited Article

Machine Learning Applications in Nursing-Affiliated Research: A Systematic Review
Eun Joo Kim, Seong Kwang Kim
Korean J Adult Nurs 2025;37(3):189-214.   Published online August 29, 2025
DOI: https://doi.org/10.7475/kjan.2025.0327
Purpose
This study analyzed the methodological characteristics of machine learning (ML) applications in nursing research, evaluated their reporting quality against standardized guidelines, and assessed progress toward clinical implementation. Methods: A PRISMA-compliant systematic review (PROSPERO CRD42024595877) searched nine English- and Korean-language databases through September 27, 2024. Included studies applied ML to a nursing question and had at least one nursing-affiliated author. Two reviewers independently extracted data following the Cross-Industry Standard Process for Data Mining (CRISP-DM) framework. Reporting quality was appraised using the TRIPOD+AI checklist. Results: Of 125 included studies, supervised learning predominated (93.6%), with random forest, logistic regression, and support vector machines as common algorithms. The most frequent performance metrics were the area under the receiver operating curve and accuracy. Mean TRIPOD+AI compliance was 50.4% (standard deviation=9.37), with reporting quality lowest for data preparation (48.0%) and class imbalance handling (22.4%). Research focused on predicting pressure injuries, falls, and readmissions. Only seven studies described clinical deployment, often citing ethical or workflow barriers. Conclusion: While ML studies in nursing are increasing and show strong discriminatory accuracy, their impact is limited by inconsistent reporting, limited external validation, and rare clinical deployment. Translating these algorithms into practice requires adopting comprehensive reporting guidelines like TRIPOD+AI, documenting each CRISP-DM phase, and integrating nurse-centered decision-support pathways.
  • 6,248 View
  • 89 Download

Original Articles

Experiences of Nurse Managers in Clinical Nursing Education during Emerging Infectious Disease Outbreaks: A Qualitative Study
Soojin Chung, Ju-Young Park, Jeongim Lee
Korean J Adult Nurs 2025;37(3):276-286.   Published online August 29, 2025
DOI: https://doi.org/10.7475/kjan.2025.0321
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.
  • 788 View
  • 17 Download
Self-Rated Health among People with Chronic Kidney Disease: A Secondary Data Analysis
Jena Lee, Soo Kyung Park
Korean J Adult Nurs 2025;37(3):245-256.   Published online August 29, 2025
DOI: https://doi.org/10.7475/kjan.2025.0308
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.
  • 1,606 View
  • 31 Download

Invited Article

Purpose
This study aimed to suggest directions for legislation regarding medical support tasks in the Nursing Act to promote the advancement of nursing.
Methods
This study reviewed the history of medical support nurses in South Korea and the educational programs for advanced practice providers, both domestically and internationally.
Results
Nurses have performed medical support tasks traditionally carried out by physicians, but legal controversies have persisted. As a result of the escalation of conflicts surrounding policies aiming to increase the physician workforce, training doctors left hospitals. This prompted the initiation of pilot programs allowing nurses to legally engage in medical support tasks, culminating in the enactment of the Nursing Act in September 2024. Internationally, advanced practice providers such as advanced practice nurses (APNs) and physician assistants (PAs) undergo graduate-level education and certification. Since Korea lacks a PA system, integrating medical support tasks within the APN framework would be preferable. Achieving this will require absorbing clinical practice nurses (referred to as PA nurses) into the APN system, implementing government-supported education programs to address regional disparities, and establishing reimbursement policies for APNs.
Conclusion
With the implementation of the Nursing Act, a long-term approach is needed to establish professional qualifications, accreditation, education, training, examination, and regulatory systems. A comprehensive discussion should be undertaken to develop an optimal workforce, ensuring the delivery of safe and high-quality healthcare services to patients and the public.

Citations

Citations to this article as recorded by  
  • Lessons from the US Advanced Practice Registered Nurse system
    Eun-Ok Im, Dongmi Kim
    Journal of Korean Academy of Nursing.2025; 55(4): 492.     CrossRef
  • 7,871 View
  • 144 Download
  • 1 Crossref

Original Articles

Preliminary Evaluation of Experiential Learning–Based Fall and Medication Error Prevention Education (EFMPE) using a Virtual Reality Room of Errors program: A Randomized Controlled Trial
Hyeran Park, JuHee Lee, Eun Kyoung Choi, Seung Eun Lee, Eunbae B. Yang, Yoonju Lee
Korean J Adult Nurs 2025;37(2):140-152.   Published online May 30, 2025
DOI: https://doi.org/10.7475/kjan.2025.0117
Purpose
Falls and medication errors are the most common patient safety incidents globally. Kolb’s experiential learning theory supports the application of cognitive learning in clinical settings. This study examined the effectiveness of Experiential Learning–Based Fall and Medication Error Prevention Education (EFMPE), utilizing virtual reality and room of errors.
Methods
A randomized controlled trial was conducted with 28 fourth-year nursing students (15 experimental, 13 control). The experimental group participated in EFMPE from February 1 to 6, 2024, comprising six sessions of 2 hours each. The control group received traditional lectures. Safety control confidence and course interest were measured before and immediately after the intervention; safety control confidence was reassessed 6 weeks later.
Results
Both groups showed immediate improvement; however, only the experimental group sustained increased safety control confidence after 6 weeks (Wald χ²=13.21, p<.001). Course interest was significantly higher in the experimental group post-intervention (Wald χ²=10.64, p=.001).
Conclusion
These preliminary findings suggest that EFMPE potentially supports the prevention of falls and medication errors in clinical practice.
  • 3,880 View
  • 108 Download
Purpose
This study analyzed nursing students’ guided reflective journals following simulation-based practice using standardized patients for the initial care of older adults experiencing falls. It aimed to provide a deeper understanding of how changes in students’ thinking occurred through the learning experience and to describe their levels of reflection.
Methods
An eight-hour simulation-based education program was implemented during a geriatric clinical practicum. The program consisted of orientation, pre-learning activities, simulation practice, and a wrap-up session. Reflective journals from 53 third-year nursing students were analyzed using qualitative content analysis.
Results
Fifty-three third-year nursing students participated and submitted reflective journals. Three categories emerged from the analysis: “preparing for simulation-based practice,” which involved students setting care plans and employing observation; (2) “experiencing patient fall management through simulation-based practice,” where students actively engaged in realistic fall management scenarios; and (3) “critical reflection after simulation-based practice,” encompassing students’ acquisition of new insights and their personal growth. In the first category, students prepared for patient encounters by developing care plans and conducting observations. The second category highlighted realistic fall management scenarios utilizing standardized patients. The third category focused on personal growth through critical reflection. In the 53 reflective journals (185,021 words), level 3 reflections accounted for 31.6% of the content, while level 5, the highest reflection level, comprised only 8.6%.
Conclusion
Post-simulation reflective journaling stimulated critical thinking and self-assessment, enabling nursing students to analyze and reflect deeply on clinical practices. This process reinforced their knowledge base and behavioral foundations essential for clinical practice.

Citations

Citations to this article as recorded by  
  • Effectiveness of a high-fidelity simulation program based on flipped learning for nurses’ emergency management of seizures: a mixed-methods design
    Jae-Kyun Ju, Okja Choi, Shinhye Ahn, Hye Won Jeong
    BMC Nursing.2025;[Epub]     CrossRef
  • Effect of structured community-based older people education program on empathy, emotional intelligence, and caring behavior among nursing students
    Jing Ma, PingLei Chui, Mei Chan Chong, Jingru Yuan, Yongyan Zhu, Luyao Liu, Zhenqing Sun
    Frontiers in Medicine.2025;[Epub]     CrossRef
  • 3,601 View
  • 86 Download
  • 2 Crossref
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.
  • 2,356 View
  • 33 Download
  • 0 Scopus
Exploring the Facilitators and Barriers of Rapid Response Teams in Korea: A Qualitative Study from the Nursing Perspective
Sun-Hee Moon, Hyeonjin Jeong, Daun Jeong
Korean J Adult Nurs 2025;37(1):1-12.   Published online February 28, 2025
DOI: https://doi.org/10.7475/kjan.2025.37.1.1
Purpose
This study aimed to explore the roles, facilitators, barriers, and future directions of rapid response teams (RRTs) in Korean hospitals from the perspectives of both RRT and ward nurses.
Methods
Focus group interviews were conducted with 10 RRT nurses and 10 ward nurses across three hospitals that employed RRTs in Korea from August 2021 to February 2022. The interviews were recorded, transcribed, and analyzed using qualitative content analysis to identify themes relevant to RRT operations.
Results
The analysis yielded 10 subtopics and 4 main themes: the exploration of RRT's essential roles, the facilitators and barriers impacting RRT operations, and the construction of a blueprint for future systems. Notable barriers included unclear job assignments without legal safeguards, conflict arising from hierarchical structures, and insufficient organizational support. The following facilitators were identified: transformed perceptions through collaborative efforts, organizational recognition and support, and self-reinforcement by demonstrating expertise.
Conclusion
This study highlights the challenges and opportunities associated with implementing RRTs in Korean hospitals, including the need for clear role definitions, effective interprofessional collaboration, and organizational support. Based on these findings, future efforts should focus on establishing legal frameworks that define the scope of practice for RRT nurses.

Citations

Citations to this article as recorded by  
  • Enhancing postoperative recovery with multimodal prehabilitation: the journey begins before surgery
    Ah-Reum Cho, Wariya Vongchaiudomchoke, Detlef Balde, Do Jun Kim, Francesco Carli
    Korean Journal of Anesthesiology.2025; 78(5): 401.     CrossRef
  • 3,404 View
  • 74 Download
  • 1 Crossref
  • 0 Scopus

Review Article

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.
  • 1,983 View
  • 50 Download
  • 0 Scopus

Original Article

Purpose
This study aimed to comprehensively understand the experiences of emergency nurses performing triage during the peak and plateau periods of the Coronavirus Disease 2019 (COVID-19) pandemic over the past two years. Methods: Twenty triage nurses from three emergency medical centers were recruited through purposive and snowball sampling. Data collection occurred from February to May 2022 via focus group interviews and was analyzed using qualitative content analysis. Results: The experiences of emergency nurses in triage revealed four themes: "changes in priorities due to infectious diseases", "barriers to tirage", "the emotional burden experienced by triage nurses", and "the journey toward growth". The pandemic heightened the focus on infection screening in triage. Triage nurses faced numerous challenges concerning their own safety and that of their patients and encountered difficulties in performing triage. Nonetheless, these experiences provided them with opportunities for professional growth. Conclusion: The experiences of nurses performing triage during the peak and plateau periods of the COVID-19 pandemic provide valuable insights for future preparedness and coping strategies in the face of similar infectious disease outbreaks. It is necessary to establish integrated triage guidelines for patient safety, develop operations manuals for triage, implement policies on staffing standards, and provide mental health support for triage nurses during pandemics.
  • 1,832 View
  • 15 Download
  • 0 Scopus

Review Articles

Purpose
This study aimed to identify the characteristics and efficacy of Intermittent Pneumatic Compression (IPC) interventions for preventing Venous Thromboembolism (VTE) in critically ill patients. Methods: The CENTRAL, Embase, OVID, CINAHL, KMbase, KoreaMed, and KoreaScience databases were searched from January 7 to 11, 2023. The search included all records from the inception of each database up to January 2023, with publication language restrictions to English and Korean. Three reviewers independently carried out the entire process, which included data search, quality assessment, and data extraction. Results: Out of 1066 articles, six Randomized Controlled Trials (RCTs) were included. One of the four studies that reported on the incidence of DVT, and one of the six studies that measured the incidence of Pulmonary Embolism (PE), found that IPC alone was effective in reducing the incidence of DVT and PE. One of the four studies that reported on VTE incidence demonstrated a significant reduction in VTE incidence with a triple intervention of IPC, anticoagulants, and elastic compression stockings compared to a combined intervention of anticoagulants and graduated compression stockings. Four studies that reported data on the incidence of bleeding reported no effect on reducing bleeding. Conclusion: Our findings suggest that IPC interventions may reduce the incidence of DVT as a preventive strategy in critically ill patients. Further RCTs are necessary to evaluate the effect of IPC interventions on DVT prevention in this patient population and to provide robust evidence for critical care nursing.
  • 4,654 View
  • 65 Download
  • 0 Scopus
The Application of Theories in Research on Advance Care Planning (2010~2022): A Scoping Review
Jeongwon Shin, Sujin Lim, Hwain Kim, Kyunghee Lee, Heejung Jeon
Korean J Adult Nurs 2024;36(1):1-14.   Published online February 29, 2024
DOI: https://doi.org/10.7475/kjan.2024.36.1.1
Purpose
This scoping review aimed to identify the current state of the application of theories in research related to advance care planning and to analyze the types and characteristics of the theories applied. Methods: Using the scoping review methodology presented by Arksey & O'Malley, the articles published from 2010 to 2022 were searched by combining the terms "advance care planning," "theory," and "model" in five electronic databases; PubMed, CINAHL, EMBASE, KMBASE, and KISS. Results: Thirty-two studies were identified. Theory-based research has been actively conducted since 2019, with a total of 25 theories applied. Psychological theories were the most prevalent, accounting for 75.0% of the applications, followed by sociological theories (12.5%), public health theories (6.3%), and one nursing theory (3.1%). Theories were utilized to create a framework for data analysis, establish a philosophical underpinning, develop intervention frameworks, and derive new tools. Conclusion: Various theories have been applied to research on advance care planning, yet the application of nursing theory has been limited. To optimize end-of-life care and advance care planning from a nursing perspective, further research incorporating nursing theory is essential.

Citations

Citations to this article as recorded by  
  • Nurses’ high valuation of palliative care versus patient and family misconceptions: A mixed-approach study of Advanced Care Planning implementation in China
    Chenyan Liang, Suzhen Lv, Jia Song, Leiwen Tang, César Leal-Costa
    PLOS One.2025; 20(10): e0333739.     CrossRef
  • 1,968 View
  • 41 Download
  • 1 Crossref
  • 0 Scopus

Original Articles

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

Citations to this article as recorded by  
  • 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
  • Factors influencing triage competence in emergency nurses: The role of resilience, social support, and work-related factors
    JianMei Chen, JiaHui Ma, Ao Zhao, XueHuan Huang
    International Emergency Nursing.2025; 83: 101681.     CrossRef
  • 1,997 View
  • 40 Download
  • 3 Crossref
  • 3 Scopus
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

Citations to this article as recorded by  
  • 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
  • 2,155 View
  • 23 Download
  • 1 Crossref
  • 1 Scopus
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

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  • 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
  • 4,326 View
  • 117 Download
  • 5 Crossref
  • 2 Scopus
Purpose
This study aimed to evaluate the validity and reliability of the revised Korean version of the Nurses' Ethical Behaviors for Protecting Patient's Rights Scale (NEBPPRS-K25).
Methods
The participants in this study consisted of 311 nurses employed at university hospitals located in D, S, or U cities. Data were collected from July 1 to August 31, 2022. The collected data were analyzed utilizing SPSS and AMOS version 28.0.
Results
The statistical analysis led to the exclusion of three items from the original version, resulting in five subscales encompassing a total of 25 items. Confirmatory factor analysis demonstrated satisfactory model fit indices (normed χ2 =2.56, p<.001, RMR=.05, RMSEA=.07, GFI=.84, CFI=.86, TLI=.85, IFI=.87). The items' convergent and discriminant validity were verified using confirmed through the extracted mean variance (.54~.65) and composite reliability (.78~.90). The Cronbach's ⍺ value for the overall NEBPPRS-K instrument was .89, while the Cronbach's ⍺ value for each individual subscale ranged from .66 to .85.
Conclusion
The NEBPPRS-K25 is a valid and reliable scale, making it suitable for widespread use in measuring nurses' ethical behaviors to safeguard patient rights.

Citations

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  • Psychometric evaluation of the Vietnamese version of nurses’ ethical behaviors for protecting patient rights scale (V-NEBPPRS): a methodological study
    Ninh Do Thi, Gunjeong Lee, Dian Susmarini
    BMC Nursing.2024;[Epub]     CrossRef
  • Development of Ethical Competence Self-assessment Tool for Korean Physical Therapists
    JiYeon Cheon, MyungChul Kim, HaeIn Kim, Hyunsuk Kim
    The Open Public Health Journal.2024;[Epub]     CrossRef
  • 2,727 View
  • 22 Download
  • 2 Crossref
  • 2 Scopus

Invited Article

The Understanding and Application of Telomere Length as an Emerging Biomarker in Adult Nursing Research: A Review
Seolbin Han, Jihee Min, Dae-Kwang Kim, In Deok Kong, Nahyun Kim
Korean J Adult Nurs 2023;35(1):1-12.   Published online February 28, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.1.1
Purpose
This study aimed to provide an overview of telomere length (TL) as an emerging biomarker in adult healthcare. Additionally, some measurement considerations and future directions for its application in adult nursing research were described. Methods A comprehensive literature review was conducted. Results TL is a widely known indicator of aging and aging-related diseases at the molecular level. Throughout the literature, TL has been established as a useful biomarker that is indicative of aging-related diseases such as cancer, metabolic diseases, and psychological distress and their resulting health conditions. The main pathway of TL shortening appears as an interaction between genetic and environmental factors through a mechanism commonly known as oxidative stress and inflammation. TL attrition may be slowed down, stopped, or even lengthened by interventions such as mindfulness, meditation, exercise, lifestyle modifications, and cognitive behavioral therapy, which have been demonstrated to have a positive effect on TL. As these interventions have been widely applied in adult nursing research, the value and scope of adult nursing science can be expanded by using TL in such research. Conclusion TL has been shown to be associated with age-related diseases, which are mainly studied in adult nursing research. Therefore, it is necessary to explore various nursing phenomena using TL as a biomarker through adult nursing research and to develop nursing interventions that have a positive effect on TL.

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  • A biobehavioral theoretical framework based on the mechanism of cellular aging for nursing interventions to promote autonomic balance
    Nahyun Kim, Jooyeon Park
    Journal of Korean Biological Nursing Science.2024; 26(2): 99.     CrossRef
  • 4,480 View
  • 59 Download
  • 1 Crossref
  • 1 Scopus

Original Articles

Purpose
The purpose of this study is to identify the characteristics of Korean nurses' research participation experiences; their resulting consent satisfaction; pressure to participate; satisfaction in participating; and the factors influencing research participation satisfaction. Methods A descriptive cross-sectional design was used. Data were collected using a questionnaire distributed to nurses who are employed at hospitals or higher medical institutions nationwide and have participated in nursing research at least once. 197 nurses participated in this study. 173 data were analyzed using descriptive statistics, correlation, and regression. Results Senior nurses made the most participation requests (21.4%). The coercion to participate in the research (2.67±0.64) was lower than normal (3). However, the coercion level to participate in the study was significantly higher when notified by the institution or department (F=5.29, p<.001), the department head requested participation (F=5.17, p<.001), or senior nurses instructed other nurses to participate (F=7.96, p<.001). Satisfaction with informed consent (β=.55, p<.001) and coercion to participate in the research (F=93.16, p<.001) were significant variables influencing the satisfaction with research participation (R2=.52). Conclusion In order to protect the rights of nurses as research participants, it is necessary to improve researcher awareness and quality of nursing research, as well as provide ethical research environments for research participants.
  • 927 View
  • 35 Download
  • 0 Scopus
Factors Affecting Depression in Nursing Students during the COVID-19 Pandemic
Jeong Rim Koh, Jaehee Jeon
Korean J Adult Nurs 2022;34(4):380-390.   Published online August 31, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.4.380
Purpose
This study investigated the factors affecting depression in nursing students during the COVID-19 pandemic. Methods The participants of this descriptive study were 183 nursing students at four nursing colleges. Data were collected from August 27 to September 10, 2021 through an online questionnaire comprising 101 questions, and analyzed using SPSS/Win 25.0 program by frequency and percentage, mean and standard deviation, independent t-test, one-way ANOVA, pearson’s correlation coefficient, and hierarchical multiple regression analysis. Results The results revealed that the average score for depression in the participants was 9.19±9.23 out of 63 points. The factors affecting depression in the participants during the COVID-19 pandemic were satisfaction with major (moderate) (β=-.38, p=.009), satisfaction with major (satisfied) (β=-.35, p=.018), job-seeking anxiety (β=.33, p<.001), health status (good) (β=-.28, p=.016), and self-efficacy (β=-.26, p=.001), and the explanatory power of these variables for depression in the participants was 43.0%. Conclusion The results of this study suggest that for early prevention and management of depression in nursing students, to increase their satisfaction with the nursing major, it is necessary to implement learning enhancement programs and adopt strategies to improve their understanding of nursing. It is also necessary to develop and implement various extracurricular programs for reducing job-seeking anxiety and enhancing self-efficacy.

Citations

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  • Factors Affecting Depression in College Students who were Confirmed with COVID-19
    Minkyung Gu
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(1): 60.     CrossRef
  • Mediating Effect Of Stress Response and Grit On the Relationship Between Stress and Depression In Nursing Students: Emperical Research Quantitative
    Jaehee Jeon, Seunghye Choi
    Nursing Open.2024;[Epub]     CrossRef
  • 655 View
  • 13 Download
  • 2 Crossref
  • 2 Scopus
Purpose
The purpose of this study was to provide the fundamental data for improving working environments for operating room nurses as well as the quality of surgical nursing.
Methods
Study participants were 95 operating room nurses with at least three months of work experience in general and tertiary hospitals in S and G provinces. Data were collected from October 2021 to November 2021 using a structured questionnaire. Results: Factors affecting the participants’ burnout were verbal violence (β=.23, p=.007), the self-perceived health status “not healthy” (β=.21, p=.009), and job satisfaction: “dissatisfied” (β=.34, p<.001) and “moderate” (β=.44, p<.001). Work-oriented nursing organizational culture (β=.26, p=.007) had a moderating effect on the relationship between verbal violence and burnout.
Conclusion
The results indicated that the verbal violence experienced by the participants affected their burnout, and work-oriented nursing organizational culture acted as a moderating variable.Therefore, a hospital’s organizational efforts to reduce verbal violence in the operating room and develop a well-balanced nursing organizational culture must be aimed at lowering nurse burnout.

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  • The Effects of Grit, Emergency Nursing Competency, and Positive Nursing Organisational Culture on Burnout Among Nurses in the Emergency Department
    Su-Young Moon, Hyung-Ran Park
    Behavioral Sciences.2025; 15(4): 486.     CrossRef
  • Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
    Yesol Byon, Yoon Goo Noh
    Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
  • Predictive modeling of burnout based on organizational culture perceptions among health systems employees: a comparative study using correlation, decision tree, and Bayesian analyses
    Teray Johnson, Sameh Shamroukh
    Scientific Reports.2024;[Epub]     CrossRef
  • The relationship between occupational burnout and moral courage in operating room personnel: A cross-sectional study
    Mahla Zakeriafshar, Camellia Torabizadeh, Zahra Jamshidi
    Perioperative Care and Operating Room Management.2023; 32: 100339.     CrossRef
  • Effects of Clinical Nurses' Responses to Violence on Burnout: The Moderating Role of Positive Psychological Capital
    Haejun Choi, Sujin Shin, Seungji Kim, Sungran Kim
    Korean Journal of Adult Nursing.2023; 35(4): 406.     CrossRef
  • 1,121 View
  • 52 Download
  • 5 Crossref
  • 4 Scopus
Structural Equation Modeling on Spiritual Nursing Care of Clinical Nurses Based on the Theory of Planned Behavior
Sunhee Lee, Mi Kyoung Kim, Eun-Young Hong, Jai Jung Lee, Hyun Joo Kim, Hyung Sook Kim, Dong Yeon Kim, Ran Hee Park, Ja Young Ban, Myung Hee Park, Sun Hee Yun, Soo Jung Lim
Korean J Adult Nurs 2022;34(1):27-38.   Published online February 28, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.1.27
Purpose
The purpose of this study was to construct and test a hypothetical model of clinical nurses’ spiritual nursing care based on the theory of planned behavior. Methods From May 1 to May 31, 2019, data of 289 nurses working at a university hospital were collected and analyzed. Results The goodness-of-fit of the final model was at a good level (TLI=.90, CFI=.91, SRMR=.06, RMSEA=.06). The intention toward spiritual nursing was directly affected by attitude, subjective norm, and perceived behavior control toward spiritual nursing. Spiritual nursing care was both directly and indirectly affected by attitude, subjective norm, perceived behavioral control, and intention toward spiritual nursing. These variables accounted for 76.6% of the intention to spiritual nursing and 44.5% of spiritual nursing care. Conclusion Clinical nurses’ spiritual nursing care can be improved by intention, attitude, subjective norm, and decreased perceived behavioral control toward spiritual nursing. Therefore, it is necessary to improve the job of nursing, create an environment for spiritual nursing, and develop and implement various education programs.

Citations

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  • Spiritual nursing education programme for nursing students in Korea: a systematic review and meta-analysis
    Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park
    BMC Nursing.2024;[Epub]     CrossRef
  • A Structural Model for Aggression in Middle School Students in Korea: Based on Ajzen’s Theory of Planned Behavior
    Sook Jang, Hye Young Ahn
    International Journal of Environmental Research and Public Health.2023; 20(2): 1576.     CrossRef
  • 821 View
  • 35 Download
  • 2 Crossref
  • 2 Scopus
Clinical Practice Experience of Nursing Students During the COVID-19 Pandemic
Da-Hai-Som Kang, Jinhyang Yang
Korean J Adult Nurs 2021;33(5):509-521.   Published online October 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.5.509
Purpose
This study aimed to explore the clinical practice experience of nursing students during the Coronavirus Disease 2019 (COVID-19) pandemic.
Methods
We used the qualitative content analysis steps presented by Graneheim and Lundman. The participants were 11 nursing students from two universities. We collected data by iterative work through in-depth interviews and observations and analyzed it using content analysis and dialogue between the authors to enhance interpretation.
Results
Four themes emerged from the participants' clinical practice experiences during the pandemic: increased uncertainty in clinical practice and daily life, reduced opportunities for practice experiences and networking, differences in the meaning of clinical practice, and new implications of clinical practice.
Conclusion
Participants were experiencing clinical practice, including themselves and the surrounding world, under the strong influence of the COVID-19. Therefore, the development of practice guidelines that can be communicated quickly between institutions, students, and universities and cope flexibly with the pandemic alarm levels will reduce uncertainty in clinical practice and minimize changes in activities and networking. Additionally, the nurses’ professional intuition should be improved by expanding the awareness of nurse roles in clinical practice during the COVID-19 pandemic.

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  • Impact of grit, empathy, and communication competence on the clinical competence of nursing students in the post-COVID-19 era in Korea: a cross-sectional study
    Soo-Hyun Nam, Seurk Park
    Journal of Korean Biological Nursing Science.2025; 27(1): 115.     CrossRef
  • The Impact of the COVID-19 Pandemic on Clinical Practice Education in South Korea: A Cross-Sectional Study
    Kuemju Park
    International Journal of Environmental Research and Public Health.2025; 22(4): 577.     CrossRef
  • Development of Virtual Reality-Based Home-Visiting Healthcare Education Content
    Young-Sun Ha, Yong-Kyung Park, Hye-Sun Byun, Moon-Ji Choi
    Journal of Digital Contents Society.2025; 26(1): 1.     CrossRef
  • Experiences of Nurse Managers in Clinical Nursing Education during Emerging Infectious Disease Outbreaks: A Qualitative Study
    Soojin Chung, Ju-Young Park, Jeongim Lee
    Korean Journal of Adult Nursing.2025; 37(3): 276.     CrossRef
  • Expectations and concerns about transitioning to face-to-face learning among Korean nursing students: A mixed methods study
    Hyeongsuk Lee, Hye Jin Yoo, Chao Gu
    PLOS ONE.2024; 19(1): e0296914.     CrossRef
  • Therapeutic Communication Using Mirroring Interventions in Nursing Education: A Mixed Methods Study
    Seung Hee Lee, Hye Jin Yoo
    Asian Nursing Research.2024; 18(5): 435.     CrossRef
  • The Impact of COVID-19 Stress, Interpersonal Relations, and Information Literacy on the Adaptation of Nursing Students to College Life
    Miran Jung, So Youn Yim, Young Mi Ryu
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(1): 9.     CrossRef
  • Korean Nursing Students’ Experiences of Virtual Simulation Programs Replacing In-Person Mental Health Nursing Practicum during the COVID-19 Pandemic
    Sunyoung Lee, Eunyoung Park, Hyun-E Yeom
    Healthcare.2024; 12(6): 685.     CrossRef
  • Nursing students’ satisfaction and clinical competence by type of pediatric nursing practicum during the COVID-19 pandemic
    Hyeon Ok Ju, Jung Hwa Lee
    The Journal of Korean Academic Society of Nursing Education.2024; 30(1): 29.     CrossRef
  • Effect of Virtual-Reality Simulation of Indwelling Catheterization on Nursing Students’ Skills, Confidence, and Satisfaction
    Soohyun Park, Hyeon Gyeong Yoon
    Clinical Simulation in Nursing.2023; 80: 46.     CrossRef
  • The Practical Experience of Nursing Graduates through Clinical Practicum Alternative Program during the COVID-19 Pandemic
    Eun Hee Jang, Youngrye Park
    Journal of Korean Association for Qualitative Research.2023; 8(2): 107.     CrossRef
  • Student nurse experiences in public healthcare clinical practice during the COVID-19 pandemic: A qualitative study
    Yun-Jung Choi, Youn-Joo Um
    Nurse Education Today.2022; 119: 105586.     CrossRef
  • Clinical Field and Alternative Clinical Practice Experience in a Pandemic Situation of Nursing Students Who Have Experienced Clinical Practice before COVID-19
    Hyeran An, Sunnam Park, Jongeun Lee
    International Journal of Environmental Research and Public Health.2022; 19(20): 13372.     CrossRef
  • Laboratory and clinical teaching experience of nursing professors in the COVID-19 pandemic era: Now and the future
    Seung-Yi Choi, Songxian Jin, Jung-Hee Kim
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Effectiveness of Debriefing in Simulation-Based Education for Nursing Students: A Systematic Review and Meta-analysis
    Yeoungsuk Song, Seurk Park
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 399.     CrossRef
  • 1,382 View
  • 18 Download
  • 15 Crossref
  • 12 Scopus
Assessment of Research Performance during COVID-19 Pandemic among Nursing Researchers
Soo Hyun Kim, Seongmi Moon, Seieun Oh, Youn-Jung Son, Youngrye Park, Soo Jung Chang, Kisook Kim, Jooyoung Cheon, Eun Hee Jang, Jeonghyun Cho, Sung-Hee Yoo, Hee Sun Kim, Sung Reul Kim, Yu Hyeon Choe
Korean J Adult Nurs 2021;33(4):406-414.   Published online August 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.4.406
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.
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  • 3 Download
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Factors Associated with Nurses’ Nursing Intention toward COVID-19 Patients
Do Eun Kyung, Yong Soon Shin
Korean J Adult Nurs 2021;33(4):376-386.   Published online August 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.4.376
Purpose
The purpose of this study was to determine the factors related to nurses’ intentions toward Coronavirus Disease 2019 (COVID-19) patients. Methods: The participants were 227 nurses, from three hospitals in Seoul and Gyeonggi-do, Korea, who cared for patients directly. Based on the theory of planned behavior, nursing intention, key factors, and belief factors were measured using the modified nurses’ intention to care for patients with severe acute respiratory syndrome. Anxiety was measured using the State-Trait Anxiety Inventory, and depression by the Korean-Beck Depression Inventory. Data were collected via an online survey and analyzed using multiple regression. Results: The mean of the nursing intention scores for COVID-19 patients was 0.54±1.41. The predictors of nursing intention were perceived behavioral control (β=.38), attitude toward behavior (β=.28), and normative beliefs (β=.13) (Adj. R2 =.49, F=27.89, p<.001). However, anxiety and depression did not affect nursing intentions. Conclusion: To effectively manage the current COVID-19 pandemic, institutional and educational strategies must be developed to help nurses enhance their nursing practices and adopt a positive attitude toward the care of patients infected with COVID-19.

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  • Nurses’ intention to care of COVID-19 patients in hospitals dedicated to infectious disease in South Korea: application of the theory of planned behavior and verification of the moderating effect of ethical nursing competence
    Mira Mo, Seongmi Moon, Eun Kyeung Song
    BMC Nursing.2024;[Epub]     CrossRef
  • Factors influencing nurses' intent to provide care involved in coronavirus disease 2019: Theory of planned behaviour perspectives
    Areum Hwang, Donghee Kim
    Journal of Clinical Nursing.2024; 33(1): 333.     CrossRef
  • Factors associated with intention to use care robots among people with physical disabilities
    Sang H. Jung, Yong Soon Shin
    Nursing Outlook.2024; 72(3): 102145.     CrossRef
  • Factors Affecting the Preparedness to Care for Patients with Highly Infectious Diseases among Nursing Staff in Long-term Care Hospitals: A Cross-Sectional Descriptive Study
    Ye Seul Lee, Min Hye Lee
    Korean Journal of Adult Nursing.2023; 35(1): 35.     CrossRef
  • Stress, COVID‐19 related knowledge, attitude, and infection control performance of nurses at long‐term care hospitals
    Ji Ae Shim, Sun Young Jeong
    Nursing & Health Sciences.2023; 25(2): 247.     CrossRef
  • Development and testing effectiveness of a simulation program to control COVID-19 infections in nursing students
    Kino Kang, Mihae Im, Miyoung Jang, Jaewoon Lee, Okjong Lee
    Journal of Korean Critical Care Nursing.2023; 16(2): 54.     CrossRef
  • The Influence of Long-term Care Hospital Nurses' Nursing Professionalism and Knowledge of COVID-19 on Nursing Intentions for COVID-19 Patients
    Mi Aie Lee, Hyun Ju Park, Bonghwa Kim
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 35.     CrossRef
  • Factors Influencing Psychosocial Well-being of General Hospital Nurses Following the COVID-19 Pandemic: A Cross-sectional Study
    Na Rae Park, Sa Ra Lee, Ju Young Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 469.     CrossRef
  • Factors Affecting Infection Control Performance of School Health Nurses During the COVID-19 Pandemic in South Korea
    Mi-Ra Yim, Boyoung Kim
    Journal of Multidisciplinary Healthcare.2022; Volume 15: 805.     CrossRef
  • Factors Affecting Nursing Intention for Patients with Emerging Infectious Diseases among Nurses in Hospitals Dedicated to COVID-19: A Focus on the Mediating Effects of Job Crafting
    Yu Na Lim, Ju Young Park
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 105.     CrossRef
  • Factors Influencing the Educational Needs and Nursing Intention Regarding COVID-19 Patient Care among Undergraduate Nursing Students
    Eun-Joo Ji, Eun-Kyung Lee
    International Journal of Environmental Research and Public Health.2022; 19(23): 15671.     CrossRef
  • Mental Health and Quality of Life for Disaster Service Workers in a Province under COVID-19
    Ji-Won Na, Chan-Mo Yang, Sang-Yeol Lee, Seung-Ho Jang
    Journal of Clinical Medicine.2022; 11(6): 1600.     CrossRef
  • The Influencing Factor of Motivation to Transfer, Work Value, Social Responsibility on Nursing Intention for Patients with Emerging Communicable Diseases among Nursing Students
    Da-Hye Park, Wanju Park
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 339.     CrossRef
  • Mediating Effects of Psychological States on Work Performance of Visiting Nurses According to COVID-19 Workplace Quarantine Measures: A Multi-Group Path Analysis Study
    Jee-Hyun Hwang
    International Journal of Environmental Research and Public Health.2021; 19(1): 444.     CrossRef
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  • 12 Download
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  • 13 Scopus
Korean Undergraduate Nursing Education: Current Status and Developmental Strategies as Perceived by Nursing Educators and Nurses
Suk Jeong Lee, Young Man Kim, Eui Geum Oh
Korean J Adult Nurs 2021;33(4):360-375.   Published online August 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.4.360
Purpose
The aims of this study are to identify current problems of nursing education as perceived by nursing educators and nurses, and to suggest developmental strategies for effective undergraduate nursing education in Korea. Methods: This study is a descriptive study to investigate how nursing education is perceived by nursing educators and nurses, including the performance of core competencies, and curriculum improvement points, and gaps between the two. We surveyed 71 faculties in nursing colleges, and 282 nurses with less than three years of clinical experience in general and tertiary hospitals. Statistical analyses were conducted using descriptive statistics, independent two-sample t-test, and Importance-Performance Analysis (IPA). Results: According to the majority of nursing educators (91.4%), there is a necessity of curriculum reform toward an integrated curriculum based on concepts (58.9%), and the keywords for future nursing education are professionalism, leadership, and ethics. They also impressed upon the necessity of information technology as an additional field of education (73.2%). Nurses responded that the most helpful theoretical and practical subjects were adult nursing (35.5%), and simulation practicum (35.4%), respectively. Both nursing educators and nurses expressed the necessity of high-fidelity simulation. The IPA results showed that performance was low compared to importance in all items. The statistically significant gaps between nursing educators and nurses were core knowledge and technical skill. Conclusion: Based on the findings of this study, future undergraduate nursing education should consider a concept-based curriculum, field-oriented clinical practice, learner-centered education, competency-based curriculum, information technology education, and inter-professional education to respond preemptively to future healthcare environments.

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  • A Systematic Review and Meta-Analysis of Studies on Psychiatric Nursing Simulation Program-Focused on Scenario
    Geun Myun Kim, Eun Joo Kim, Ji Young Lim, Soo Jung Chang, Ok Kyun Lee, Seong Kwang Kim
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  • Simulation-Based Education for Recognizing and Responding to Deteriorating Patients in Korean Nursing Curricula: A Scoping Review
    Yi Kyung Ha, Hye Jin Kang
    Korean Journal of Adult Nursing.2024; 36(4): 261.     CrossRef
  • Social support for nursing students: A concept analysis study
    Mi-Young Choi, Sunghee Park, Gie Ok Noh
    Nurse Education Today.2024; 132: 106038.     CrossRef
  • Efficacy of an error reporting-based education program on nursing students’ skill confidence, immersion, and satisfaction
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  • Nursing students' motivational and self‐regulated learning during the COVID‐19 pandemic: A cross‐sectional study
    Sunhee Cho, Sun Joo Jang
    Nursing & Health Sciences.2022; 24(3): 699.     CrossRef
  • 2,900 View
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  • 9 Scopus
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.

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  • The influence of clinical simulation on anxiety in nursing students: A scoping review
    Francisco Marcelo Leandro Cavalcante, Francisca Carla dos Angelos Santos, Odézio Damasceno Brito, Ana Clécia Silva Monteiro, Vanessa Emille Carvalho de Sousa Freire, Ana Railka de Souza Oliveira Kumakura, Natasha Marques Frota, Lívia Moreira Barros
    Nurse Education in Practice.2026; 90: 104622.     CrossRef
  • The Effect of Digital Collaboration Problem-Solving Competency on Online Simulation Training in the COVID-19 Era: Mediating Effect of Flipped Learning
    Jung Eun Shin
    Journal of Digital Contents Society.2025; 26(9): 2635.     CrossRef
  • 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
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    Ji-Won Han
    Journal of Korea Society for Simulation in Nursing.2023; 11(2): 17.     CrossRef
  • 882 View
  • 15 Download
  • 4 Crossref
  • 1 Scopus
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.

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    Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
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  • A Predictive Model for Person-Centered Care in Intensive Care Units in South Korea: A Structural Equation Model
    Sunmi Kwon, Kisook Kim
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    Pan Heui Kim
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    Sukjae Park, Hyunmin Lee, Minsook Seo, Hee Kyung Kim, Eunhee Shin, Antony Bayer
    PLOS ONE.2024; 19(11): e0313043.     CrossRef
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    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
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    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
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    Yeon Hee Bae, Hye-Ah Yeom
    Healthcare.2022; 10(3): 514.     CrossRef
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    Mi Jin Han, Seonho Kim
    The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11.     CrossRef
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    Hyun-Joung Yun, Jaehee Jeon
    Korean Journal of Adult Nursing.2022; 34(4): 413.     CrossRef
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    Kum-Ock Kwon, Hye-Young Jang
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    Na-Ri Seo, Hyun-E Yeom
    The Korean Journal of Hospice and Palliative Care.2022; 25(4): 159.     CrossRef
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    Ju Young Park, Chung Hee Woo
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Attitudes and Practices toward Droplet and Airborne Universal Precaution among Nurses during the COVID-19 Outbreak in Indonesia
Linlin Lindayani, Bhakti Permana, Taryudi , Irma Darmawati
Korean J Adult Nurs 2021;33(1):29-36.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.29
Purpose
Nurses are at the forefront of the battle against the Coronavirus Disease 2019 (COVID-19) pandemic.Nurses’ expertise, attitude, and practice of prevention and control are important to provide a good quality of care for patients and to protect themselves from COVID-19 infection. This study aimed to investigate the attitudes and practices toward droplet and airborne universal precaution among nurses during the COVID-19 outbreak and to identify factors associated with nursing practices. Methods: A cross-sectional online survey was conducted among nurses who had been involved in COVID-19 prevention and control and were able to join in the research from referral hospitals from Bandung, West Java, Indonesia from May 1 to 20, 2020. The questionnaire comprised three parts: demographic characteristics, attitude toward droplet and airborne universal precaution, and practice toward droplet and airborne universal precaution. Results: The response rate was 91.7% (550 of 600 nurses). The majority were women (75.5%), aged 31.26±7.19 years (range: 22~55). Attitude (β=.51, p=.036) and perception of risk of contracting COVID-19 (β=.66, p=.045) were factors found to be associated with practices toward droplet and airborne universal precaution during the COVID-19 outbreak. Conclusion: The Indonesian government needs to improve health services by enhancing and expanding tailored training programs for nurses on routine infection prevention and provide policies to better control the spread of the COVID-19 pandemic.

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  • Influences of healthcare workers' behaviours towards infection prevention and control practices in the clinical setting: A systematic review
    Gift A. Mutsonziwa, Marwa Mojab, Megha Katuwal, Paul Glew
    Nursing Open.2024;[Epub]     CrossRef
  • 601 View
  • 4 Download
  • 1 Crossref
  • 1 Scopus

Review Article

Individual and Institutional Outcomes of Nurse Residency Program for New Nurses: A Systematic Review
Min Kyoung Han, Sujin Shin, Jeonghyun 3 Kim
Korean J Adult Nurs 2021;33(1):10-28.   Published online February 28, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.1.10
Purpose
This study aimed to review the outcomes of nurse residency programs for new graduate nurses. Methods: The inclusion criteria were peer-reviewed articles on the outcomes of nurse residency programs for new graduate nurses published in English from 2010 to 2019. A literature search was conducted in the PubMed, CINAHL, Science Direct, EMBASE, and PsycINFO databases using the search terms "nurse residency program," "new graduate nurse," and "transition to practice program." A qualitative appraisal of studies was conducted using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) and the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results: Twenty-five studies were selected. The systematic review found that nurse residency programs effectively increased the competence and confidence of new graduate nurses in 14 studies. Job satisfaction, job stress and anxiety, and support showed different results, which were increased, decreased, or statistically insignificant after the programs. In three studies, institutional outcomes, including the retention rate in 16 surveys and hospital cost savings, were improved. Patient safety had different results depending upon the study. Conclusion: This study's results can provide evidence for the necessity of a standardized nursing education program and for developing a system for evaluating its effectiveness to improve the quality of nursing education.

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    Shinhye Ahn, Hye Won Jeong
    BMC Nursing.2025;[Epub]     CrossRef
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    Sunmi Kim, Myoung Hee Seo, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 371.     CrossRef
  • South Korean Nurse Residency Program for New Graduates: A Posttest Study
    Jihye Song, Kyunghee Kim, Yunjung Jang
    The Journal of Continuing Education in Nursing.2024; 55(8): 393.     CrossRef
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    Tiffany Rader, Alyson Keen, Brandee Wornhoff, Jan Powers
    Clinical Nurse Specialist.2024; 38(4): 163.     CrossRef
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    Nam-Ju Cho, Kyung-Sook Bang, Na-Rae Jung, Eun-Chul Kim
    The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 280.     CrossRef
  • Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study
    Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
    Nurse Education Today.2024; 133: 106077.     CrossRef
  • Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
    Soyoung Kim, Sujin Shin, Inyoung Lee
    Korean Medical Education Review.2023; 25(1): 55.     CrossRef
  • Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model
    Heehwa Choi, Sujin Shin
    The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 27.     CrossRef
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  • 101 Download
  • 8 Crossref
  • 6 Scopus

Original Articles

Purpose
Workplace violence affects workplace performance. Bystanders’ role in social violence affects the consequences of violence. The purpose of current study was to explore the influences of workplace violence and bystander type on handover error of nurses caring for adult patients. Methods: A cross-sectional survey design was conducted using a structured questionnaire pertaining to teamwork, workplace violence, bystander type and handover error. This study involved adult patients nurses working in a tertiary university hospital having over 1,100 beds, located in a city. The questionnaire was administered to 193 bedside nurses at September 2019. Results: Nurses’ handover error was significantly correlated with overall workplace violence (p<.001), teamwork (p<.001), and all three bystander types; facilitating (p<.001), abdicating (p<.001) and defending (p<.001). A hierarchical multiple regression model with career, teamwork, workplace violence and bystander type explained 27.0% of nurses’ handover error (F=13.55, p<.001). Among input variables, positive bystander type-defender (β=-.20, p=.005) was the most powerful influential factors on nurses’ handover error. Negative bystander types - facilitating, abdicating bystander (β=.18, p=.025) workplace violence (β=.18, p=.015), and teamwork (β=-.15, p=.026) influenced nurses’ handover error, also. Conclusion: Bystanders is more than simple witnesses or observers. In this study, a positive bystander reduced the handover error in the clinical area, while a negative bystander exacerbated the handover error. Therefore, it is necessary to educate hospital nurses regarding positive bystanders and it’s importance for handover error and develop strategies to reduce nurse handover error.

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  • Influence of Workplace Bullying and Bystander Types on Speaking Up for Patient Safety Among Hospital Nurses: A Cross‐Sectional Study
    Sunghee Park, Kyoungja Kim, Sinhye Kim, Cheryl B. Jones
    Journal of Advanced Nursing.2025; 81(10): 6441.     CrossRef
  • Development of nursing handoff competency scale: a methodological study
    Jiyoung Do, Sujin Shin
    BMC Nursing.2024;[Epub]     CrossRef
  • Exploring Bystander Behavior Types as a Determinant of Workplace Violence in Nursing Organizations Focusing on Nurse‐To‐Nurse Bullying: A Qualitative Focus Group Study
    Kyoungja Kim, Scott Seung Woo Choi, Cheongin Im, Jacopo Fiorini
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • Effects of Communication Skills and Organisational Communication Satisfaction on Self-Efficacy for Handoffs among Nurses in South Korea
    Yongmi Lee, Hyekyoung Kim, Younjae Oh
    Healthcare.2023; 11(24): 3125.     CrossRef
  • Influences of Workplace Violence on Depression among Nurses: The Mediating Effect of Social Support
    Eun-Mi Seol, Soohyun Nam
    STRESS.2021; 29(1): 37.     CrossRef
  • 1,022 View
  • 28 Download
  • 5 Crossref
Development of Ethical Nursing Competence Self-rating Scale for Clinical Nurses
Borah Kang, Hee young Oh
Korean J Adult Nurs 2020;32(5):482-493.   Published online October 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.5.482
Purpose
The aim of this study was to develop an Ethical Nursing Competence Self-rating Scale for Clinical Nurses. Methods: A scale-development study was applied that comprised eight stages of DeVellis. The scale verification involved a convenience sample of 423 nurses from September to October 2019 at three general hospitals located in Korea. The content validity, factorial structure validity, item-convergent/discriminant validity, known-group validity, convergent validity, internal consistency reliability, and test-retest reliability of the Ethical Nursing Competence Self-rating Scale for Clinical Nurses were evaluated. Data were analyzed using exploratory and confirmatory factor analyses, Pearson’s correlation coefficient, Heterotrait-monotrait (HTMT), Cronbach’s ⍺, and intraclass correlation coefficient. Results: Exploratory and confirmatory factor analyses yielded five-factors. Known-group validity was demonstrated by clinical experience and nursing ethics education experience. Convergent validity was demonstrated using measures of defining issue. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach’s ⍺ of .70~.85 and an intraclass correlation coefficient of .72~.89. Conclusion: The Ethical Nursing Competence Self-rating Scale for Clinical Nurses is a new instrument that comprehensively measures the aspects of ethical behavior, ethical decision-making and action, ethical sensitivity, ethical reflection, and ethical knowledge. It consists of 20 items scored on a 4-point Likert scale. The validity and reliability of the scale were verified. These findings indicate that the instrument can be applied in clinical practice, nursing education, and research.

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  • Effects of Clinical Nurses' Ethical Climate and Ethical Nursing Competence on Moral Distress
    Sun Mi Ha, Yeong Ju Yoon
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 25.     CrossRef
  • Influence of Nurses' Moral Distress and Ethical Nursing Competence on Retention Intention
    Ji-Hyun Choi, Mi-Jin Byun, Thi Ninh Do
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 36.     CrossRef
  • Assessing educational needs of nurses’ ethical competence based on the four components model of moral behaviour: a cross-sectional study using the Borich needs assessment and locus for focus models
    Kyunghee Ha, Younjae Oh
    BMC Nursing.2025;[Epub]     CrossRef
  • Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
    Eunji Lee, Haejung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
  • Factors Influencing End-of-life Care Competency in Nursing Students
    Jinryung Park, Minjeong Seo
    Korean Journal of Medical Ethics.2024; 27(4): 267.     CrossRef
  • The Influence of Ethical Nursing Competence and Positive Nursing Organizational Culture on Person-Centered Care in Intensive Care Unit Nurses: A Cross-Sectional Survey
    Jae Eun Lee, Hye-Young Jang
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 304.     CrossRef
  • Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals
    Seulki Kim, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 392.     CrossRef
  • Development of Ethical Competence Self-assessment Tool for Korean Physical Therapists
    JiYeon Cheon, MyungChul Kim, HaeIn Kim, Hyunsuk Kim
    The Open Public Health Journal.2024;[Epub]     CrossRef
  • Nurses’ intention to care of COVID-19 patients in hospitals dedicated to infectious disease in South Korea: application of the theory of planned behavior and verification of the moderating effect of ethical nursing competence
    Mira Mo, Seongmi Moon, Eun Kyeung Song
    BMC Nursing.2024;[Epub]     CrossRef
  • Validity and Reliability of the Korean Version of Nurses' Ethical Behaviors for Protecting Patient's Rights Scale: A Methodological Study
    Jihye Yun, Heeyoung Oh
    Korean Journal of Adult Nursing.2023; 35(2): 138.     CrossRef
  • 2,461 View
  • 113 Download
  • 10 Crossref

Review Articles

Research Trends in Korea on Integrated Nursing Care Service: A Scoping Review
Ju i Kim, Hyoung Shim Choi
Korean J Adult Nurs 2020;32(5):455-471.   Published online October 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.5.455
Purpose
This study aimed to analyze the domestic studies on Integrated Nursing Care Services (INCS) to confirm research trends and present future directions.
Methods
This study used the scoping review method, which comprises six stages: 1) identifying the research question, 2) identifying relevant studies, 3) study selection, 4) charting the data, 5) collating, summarizing, and reporting results, 6) consultation.
Results
Studies related to INCS were multiplying and could be categorized into five themes: patient experience, risks to patient, nursing experience, risks to nurse, and environment of INCS unit. Research has primarily focused on investigating the phenomenon, with nurses as the predominant subjects. Although various variables were investigated for nurses, the results were controversial. Research on patients’ experiences and risks is insufficient, and research variables are limited.
Conclusion
Further research is needed on INCS regarding patients and environments. Research on nurses also requires repeated studies after controlling for various situations.

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  • Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes
    Sung-Heui Bae
    Journal of Nursing Care Quality.2025;[Epub]     CrossRef
  • Analysis of Factors Affecting the Inpatient Satisfaction in Integrated Nursing Care Service Wards using a Healthcare Service Survey Database
    Young Shin Cho, Jiwon Hong
    Journal of Korean Critical Care Nursing.2024; 17(3): 76.     CrossRef
  • Cancer-Oriented Comprehensive Nursing Services in Republic of Korea: Lessons from an Oncologist’s Perspective
    Suk Hun Ha, Moonho Kim, Hyojin Kim, Boram No, Ara Go, Miso Choi, Seol Lee, Yongchel Ahn
    Medicina.2023; 59(1): 144.     CrossRef
  • Comparison of Nursing Needs and Nursing Performance Perceived by Patients and Nurses in Integrated Nursing Care Service Wards in Small and Medium-Sized Hospitals: A Cross-Sectional Descriptive Study
    Hee-Sun Choi, Young Shin Cho
    Korean Journal of Adult Nursing.2023; 35(3): 234.     CrossRef
  • The trends on research articles related to health promotion policy in South Korea
    Ju Yul Lee, Don Hyung Lee, Su Jin Lee, Insung Cho, Su Young Kim
    Korean Journal of Health Education and Promotion.2021; 38(4): 53.     CrossRef
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  • 67 Download
  • 5 Crossref
  • 3 Scopus
Education Programs for Newly Graduated Nurses in Hospitals: A Scoping Review
Mi jung Kim, Su jin Shin, In young Lee
Korean J Adult Nurs 2020;32(5):440-454.   Published online October 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.5.440
Purpose
This study was a scoping review designed to identify research trends in education programs for newly graduated nurses in Korea.
Methods
The methodological framework was based on a previous work by Arksey and O’Malley. The studies reviewed were found through electronic databases, such as DBpia, RISS, PubMed, and CINAHL. The scope of the data was from January 2000 to December 2019. Each study was analyzed, and extracted data were abstracted into the following domains: publication characteristics, study design, program details, and program evaluation.
Results
The 26 studies were reviewed. The majority of the educational domain was competency enhancement education. The following teaching methods were used: lectures, demonstrations, simulations, team based learning, and discussions. Most educational program evaluations involved reaction and learning evaluation.
Conclusion
Appropriate education is essential for newly graduated nurses to adapt to their work. However, there was a lack of research on education programs for newly graduated nurses to adapt to their work before gaining clinical experience. Results indicate that it is necessary to develop various education programs and program evaluations. Future researchers should focus on nursing education programs to enhance the clinical competency of newly graduated nurses.

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  • A review of the relationship between patient safety culture and safety activities: A systematic review focusing on the Korean version of the Hospital Survey on Patient Safety Culture 1.0
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    Hyun-Ji Bae, Hyoung Suk Kim, Hwal Lan Bang
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    Korean Journal of Adult Nursing.2024; 36(4): 261.     CrossRef
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    Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
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    Ae Ran Kim, Ae Young Park, Soojin Song, Jeong Hee Hong, Kyeongsug Kim
    CIN: Computers, Informatics, Nursing.2024; 42(5): 343.     CrossRef
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    Yunmi Kim, Hyun-Young Kim
    Policy, Politics, & Nursing Practice.2024; 25(2): 83.     CrossRef
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    Sun-Hee Moon, Hye Won Jeong, Ue Seok Jung
    Nurse Education Today.2024; 140: 106251.     CrossRef
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    Hanna Lee, Eun-Jun Park
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    Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
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    Soyoung Kim, Sujin Shin, Inyoung Lee
    Korean Medical Education Review.2023; 25(1): 55.     CrossRef
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    Mikyoung Lee, Jeong Hee Eom, Jinyoung Kim
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    Sojeong Lim, Sujin Shin
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    Hyeyoung Kim, Hyunseon Kang
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    Jisun Min, Hyunlye Kim, Jaeyong Yoo
    International Journal of Environmental Research and Public Health.2021; 18(16): 8531.     CrossRef
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Invited Article

The Scoping Review Approach to Synthesize Nursing Research Evidence
Hyun-Ju Seo
Korean J Adult Nurs 2020;32(5):433-439.   Published online October 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.5.433
Purpose
The aim of this article is to provide detailed information on scoping reviews, including definition, related processes, and differences between scoping reviews and systematic reviews, and to discuss the limitations of scoping reviews. Methods: This article briefly introduces the researchers to the purpose of a scoping review, methodological framework and related examples, limitations and useful tips for conducting a scoping review. Results: A scoping review is a relatively new approach of evidence synthesis that provides an overview/map of the available research evidence without generating a summary estimation. Therefore, scoping reviews are particularly useful when a body of literature has not yet been comprehensively examined, or has a complex or heterogeneous phenomena unsuitable for conducting systematic review and meta-analysis of the evidence. Conclusion: Because of the variability in the methods of performing scoping review, there is a need for methodological standardization to improve the utility and robustness of review findings.

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    Kisook Kim, Booyoung Oh
    International Emergency Nursing.2023; 69: 101293.     CrossRef
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    Frontiers in Medicine.2023;[Epub]     CrossRef
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    Soo Youn Jung, Mina Park, Kyoung Ja Moon
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    International Journal of Environmental Research and Public Health.2021; 18(6): 3268.     CrossRef
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    Sunmin Jun, Jeongwoo Yoon, JiYong Park, Juchul Jung
    Journal of the Korean Society of Hazard Mitigation.2021; 21(5): 281.     CrossRef
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Original Articles

Knowledge Structure of Nursing Studies on Heart Failure Patients in South Korea through Text Network Analysis
Seang Ryu, Hyunyoung Park, Yun-Hee Kim
Korean J Adult Nurs 2020;32(4):409-420.   Published online August 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.4.409
Purpose
The aim of this study was to identify the knowledge structure of nursing research on heart failure in Korea.
Methods
Fifty-two studies published in Korea and 41 published abroad by domestic researches from 1988 to 2019, were included. Meaningful morphemes from the abstracts were extracted and refined, and co-occurrence matrix was generated. Using Phython 3.7 for edge weight, degree centrality, closeness centrality, and betweenness centrality and Gephi 0.9.2 for visualization, 571 keywords were analyzed.
Results
The core keywords were “patient”, “heart failure”, “symptom”, “function”, “quality of life”, “self-care”, and “intervention”. The sociogram identified “patient”, “heart failure”, and “symptom” as the largest node, and the edge weight between the keywords was the highest. From 1988 to 2019, keywords such as “patient”, “heart failure”, and “symptom” ranked the highest. Especially, from 2016 to 2019, “quality of life”, “NYHA”, and “medication” ranked lower, but “cognition”, “health literacy”, “behavior”, “self-efficacy”, “man”, “woman”, and “age” newly appeared or ranked higher.
Conclusion
It is recommended that Korean heart failure nursing researchers conduct researches related to self-care for symptom management of heart failure patients, especially on nursing interventions. In addition, nursing researchers should conduct studies on the cognition and health literacy related to self-care of the elderly patients with heart failure

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  • Images of Nurses Appeared in Media Reports Before and After Outbreak of COVID-19: Text Network Analysis and Topic Modeling
    Min Young Park, Seok Hee Jeong, Hee Sun Kim, Eun Jee Lee
    Journal of Korean Academy of Nursing.2022; 52(3): 291.     CrossRef
  • 1,402 View
  • 47 Download
  • 1 Crossref
Development and Evaluation of a Web-based Learning Course for Clinical Nurses: Anticancer Chemotherapy and Nursing
Mi Yeong Mun, Seon Young Hwang
Korean J Adult Nurs 2020;32(4):364-373.   Published online August 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.4.364
Purpose
Since anticancer medication nursing is an evaluation area for accreditation by medical institutions in Korea, all clinical nurses are required to attend an annual classroom lecture. However, it is necessary to reconsider the methods and effects of this requirement. This study was conducted to develop a web-based anticancer chemotherapy nursing course for clinical nurses and to examine its effectiveness in terms of job knowledge, self-efficacy, and nursing performance.
Methods
A randomized controlled design using random selection was utilized. The content was developed into 5 modules featuring basic and advanced learning, and the total learning time was 80 minutes. To test the effect of the multimedia contents, a randomized control group pretest-posttest study design was adopted. Clinical nurses with less than five years of experience were recruited from a university-affiliated hospital and randomly assigned to an experimental (n=28) or control (n=28) group. The experimental group autonomously learned web-based anticancer chemotherapy nursing for two weeks through a website.
Results
There was a statistically significant increase in the job knowledge of the experimental group receiving the classroom lecture (p=.001). However, there were no statistically significant differences between the two groups in self-efficacy (p=.055) and nursing performance (p=.359).
Conclusion
This study found that web-based self-learning could be a useful learning strategy for the anticancer chemotherapy and nursing education that clinical nurses must complete annually. However, it is necessary to verify the effect on self-efficacy and nursing performance through repeated studies.

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  • Effectiveness of a blended learning program on chemotherapy nursing education led by oncology clinical nurse specialists: A single-group pretest–posttest study
    Hyuna Kim, Laehee Kim, Suyeon Kim, Shin Kim, Eunhye Park, Kyoungmin Lee, Suyeon Lee, Jeounghee Kim
    Asia-Pacific Journal of Oncology Nursing.2025; 12: 100695.     CrossRef
  • Redesigning Competency Assessment
    Sharon R. Kauffman, Brittni Prosdocimo
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  • Asynchronous e-learning with technology-enabled and enhanced training for continuing education of nurses: a scoping review
    Rika Kimura, Mayumi Matsunaga, Edward Barroga, Naoko Hayashi
    BMC Medical Education.2023;[Epub]     CrossRef
  • Self‐efficacy in the context of nursing education and transition to practice as a registered practitioner: A systematic review
    Mousa Abusubhiah, Nuala Walshe, Rena Creedon, Brendan Noonan, Josephine Hegarty
    Nursing Open.2023; 10(10): 6650.     CrossRef
  • Effect of Website-based Learning on Improved Monitoring of Adverse Drug Reactions by Clinical Nurses
    Hyun jin Kim, Seon Young Hwang
    Asian Nursing Research.2022; 16(1): 45.     CrossRef
  • Development of a Web-Based Korean Triage and Acuity Scale Learning Program for Emergency Department Nurses
    Hyo-Jin Kim, Hee-Young Kang, Hae-Ran Kim
    CIN: Computers, Informatics, Nursing.2021; 39(11): 821.     CrossRef
  • 891 View
  • 11 Download
  • 6 Crossref
  • 5 Scopus

Review Article

Conceptualization of Person-Centered Care in Korean Nursing Literature: A Scoping Review
Ji Yea Lee, Sewon Lee, Eui Geum Oh
Korean J Adult Nurs 2020;32(4):354-363.   Published online August 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.4.354
Purpose
Person-Centered Care (PCC) is a key indicator of health care quality. The purpose of this scoping review is to identify the characteristics of nursing literatures on PCC and examine the theoretical and operational definition of PCC.
Methods
The scoping review was conducted following the Joanna Briggs Institute’s scoping review guidance. The search terms were “patient-centered”, “person-centered”, “participant-centered”, and “nursing”; and only publications on PCC were selected. Literatures published in Korean since 2001 were searched using electronic databases, and the last search date was June 2020.
Results
Nineteen publications were included. Approximately 80% of the researches were published since 2018, and the most common methodology was survey (53%). Most researches were conducted in nursing homes (63%), and 74% of the participants were health-care providers or facility staff. The conceptual framework was used in only one study. The conceptual and operational definitions of PCC both comprised multilevels, including intrapersonal, interpersonal, and organizational levels. The conceptual definitions of PCC were mainly characterized by intrapersonal elements, including individualized care, dignity, and autonomy followed by organizational attributes such as comfortable environment. However, there were some inconsistencies in the attributes survey instruments shared.
Conclusion
PCC needs to be recognized as a multilevel concept. More studies such as concept analysis and scale development are warranted for conceptualizing PCC systematically.

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    Myoungsuk Kim, Yongmi Lee, Hyun‐Ju Kang
    Nursing Open.2025;[Epub]     CrossRef
  • 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
  • Analysis of Tools to Measure the Service Experiences of Families of Older Adults in Long-Term Care Facilities: A Scoping Review
    Hyoung Shim Choi, Jui Kim
    Korean Journal of Adult Nursing.2024; 36(2): 102.     CrossRef
  • The influence of Critical Reflection Competency, Nursing Work Environment and Job Crafting on Person-Centered Care in Tertiary Hospital Nurses: A Cross-sectional Study
    Jinseon Hwang, Sujin Shin
    Korean Journal of Adult Nursing.2023; 35(3): 245.     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
  • Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study
    Sun Joo Jang, Eun Hye Kim, Haeyoung Lee
    Journal of Nursing Management.2022; 30(7): 2227.     CrossRef
  • Structural Equation Model for Developing Person-Centered Care Competency among Senior Nursing Students
    Ji-Yeong Yun, In-Young Cho
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    Hyesun Kim, Kawoun Seo
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  • Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
    Sohyun Kim, Sunghee H Tak
    Journal of Korean Academy of Nursing.2021; 51(3): 363.     CrossRef
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  • 9 Crossref
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Original Articles
Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses
Mi Seon Jeon, Chi Eun Song, Jeong Min Park, Weon Gyeong Kim
Korean J Adult Nurs 2020;32(3):283-291.   Published online June 30, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.3.283
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.

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  • 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
  • 611 View
  • 17 Download
  • 2 Crossref
  • 2 Scopus
Effects of Social Support, Family Support and Repulsion Related Nursing Home Use on the Well-Dying of Elderly
Young Ju Oh, Kyeong In Cha, Young Hee Jeon
Korean J Adult Nurs 2020;32(3):235-247.   Published online June 30, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.3.235
Purpose
This study aimed to explore the level of well-dying in the elderly and identify the effects of social support, family support, and repulsion related nursing home on that.
Methods
The sample for this cross-sectional study consisted of 110 community-dwelling elderly and 103 nursing home residents. Data were collected using a structured questionnaire from August to October 2019. SPSS/WIN 25.0 program was used to conduct statistical analyses, including descriptive statistics, an independent t-test, a one-way analysis of variance, and stepwise multiple linear regression.
Results
The mean score for well-dying was 2.63±0.28 (range 1~4). Well-dying had a statistically significant relationship with religion (t=5.56, p<.001), household income (F=14.04, p<.001) and perceived health status (F=44.59, p<.001). Furthermore, social support (r=.71, p<.001), family support (r=.42, p<.001), and repulsion related nursing home (r=-.56, p<.001) significantly correlated with well-dying. Stepwise multiple linear regression demonstrated that social support, repulsion related nursing home, and having a religion explained 62.0% of the variance in well-dying.
Conclusion
Social support was found to have the largest influence on well-dying, followed by repulsion related nursing home and religion. The results highlight the need to develop a detailed nursing intervention that considers these factors to promote well-dying in the elderly.

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    Sun‐Ae Kim, Jae‐Sun An, Kyung‐Hyun Suh
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    Dong Sim Choi, Gie Ok Noh
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  • The effects of ego integrity and readiness for death on the preferences of care near the end-of-life of hospitalized older adults in long-term care hospitals: A cross-sectional correlation study
    Jangmi Baek, Jun-Ah Song
    Journal of Korean Gerontological Nursing.2023; 25(2): 185.     CrossRef
  • Understanding Cultural Beliefs of a Good Death by Older People in South Korea: An Integrative Review of the Literature
    Kyoungsun Yun, Minjeong Jo, Yunji Lee
    Journal of Hospice & Palliative Nursing.2022; 24(6): E265.     CrossRef
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    Ju-Young Ha, Hyo-Jin Park
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    Xiu-Fen Yang, Meng-qi Li, Lu-lu Liao, Hui Feng, Si Zhao, Shuang Wu, Ping Yin, Giovanni Ottoboni
    PLOS ONE.2021; 16(4): e0249656.     CrossRef
  • Subjective Perception of Long-Term Care Facilities in Home-Dwelling Older Adults: A Q Methodological Study
    Eun Ho Ha
    Korean Journal of Adult Nursing.2021; 33(3): 269.     CrossRef
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Development and Effectiveness of an Oncology Nursing Standardized Patient Simulation Program for Nursing Students
Kie In Jang, Yang Sook Yoo, Young Sook Roh
Korean J Adult Nurs 2019;31(6):595-604.   Published online December 31, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.6.595
PURPOSE
Standardized patient-based simulation is known to be a useful tool in the training of nursing students; however, few studies have examined the use of this method in oncology nursing education. This study aimed to evaluate the effects of an oncology nursing simulation program that used standardized patients on knowledge, nursing performance ability, and satisfaction among nursing students.
METHODS
This study used a non-equivalent control group pretest-posttest design. The experimental group (n=25) participated in an 8-hour oncology nursing simulation program that consisted of a lecture (2 hours) and a four-session simulation program(6 hours). The control group (n=29) received case-based learning (6 hours) and a lecture (2 hours). Knowledge level was assessed with a 33-item knowledge assessment multiple-choice questionnaire. Nursing performance ability was assessed with a nursing performance ability checklist. Educational satisfaction was evaluated using the 12-item Course Satisfaction Evaluation tool. Data were collected from June to July of 2012 and were analyzed using descriptive statistics, independent t-test, and repeated measures analysis of variance.
RESULTS
The experimental group showed significantly higher nursing performance ability and satisfaction compared with the control group. Knowledge of oncology nursing increased in both the experimental and control groups.
CONCLUSION
An oncology nursing simulation program was more effective than case-based learning in improving nursing student performance and was found to produce high satisfaction.

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  • The role of simulation in oncology nursing: A systematic review
    Firdous M. Usman, Ayesha Jalal, Mitansh Bansal, Meisya Rosamystica, Vikas Bansal, Zara Arshad, Faisal A. Nawaz, Rahul Kashyap
    Nurse Education in Practice.2025; 87: 104466.     CrossRef
  • Impact Of Simulation Design Elements on Undergraduate Nursing Education: A Systematic Review
    Matthew Jackson, Lauren McTier, Laura A. Brooks, Rochelle Wynne
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  • The Effect of Two Different Simulation Modalities in Palliative Care Teaching on Nursing Students' Knowledge, Satisfaction, Self-confidence, and Skills
    Abdallah Alwawi, Bahar İnkaya
    CIN: Computers, Informatics, Nursing.2023; 41(4): 246.     CrossRef
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    Mary Beth R. Maguire, Anne White, Austin Brown
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  • The Effects of a Simulation-Based Experience with Standardized Participants on Learning and Clinical Decision-Making Related to Nursing Management of Oncologic Emergencies
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    Journal of Cancer Education.2023; 38(3): 870.     CrossRef
  • Standardized Patient Simulation in an Oncology Symptom Management Seminar-Style Course: Prelicensure Nursing Student Outcomes
    Sherry A. Burrell, Jennifer Gunberg Ross, Christine D’Annunzio, MaryAnn Heverly
    Journal of Cancer Education.2023; 38(1): 185.     CrossRef
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    Naila Khalid, Sarfraz Masih, Muhammad Afzal
    Pakistan Journal of Health Sciences.2022; : 131.     CrossRef
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    Marta Domingo-Osle, Virginia La Rosa-Salas, Leire Ambrosio, Nerea Elizondo-Rodriguez, Cristina Garcia-Vivar
    Nurse Education Today.2021; 97: 104704.     CrossRef
  • Mixed-method study on the satisfaction of a high-fidelity simulation program in a sample of nursing-degree students
    María José Cabañero-Martínez, Sofía García-Sanjuán, Silvia Escribano, Manuel Fernández-Alcántara, José Ramón Martínez-Riera, Rocio Juliá-Sanchís
    Nurse Education Today.2021; 100: 104858.     CrossRef
  • Contemporary Integrative Review in Simulation-Based Learning in Nursing
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Emergency Department Nursing Activities: Retrospective Study on Data from Electronic Nursing Records
Seung Yeon Baik, Eunhee Cho, Young Ah Kim, Mona Choi
Korean J Adult Nurs 2019;31(5):496-506.   Published online October 31, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.5.496
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.

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    Applied Nursing Research.2024; 80: 151853.     CrossRef
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    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
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    Sanghee Kim, Arum Lim, Hyoeun Jang, Misun Jeon
    Journal of Clinical Nursing.2023; 32(1-2): 163.     CrossRef
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    Hyeoun-Ae Park, Insook Cho
    International Journal of Medical Informatics.2023; 170: 104968.     CrossRef
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    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
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    Sungjae Kim, Se-Jin Joo, Young Ok Song, Jin-Gyung Cha, Jeongwoon Yang
    STRESS.2019; 27(4): 389.     CrossRef
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  • 14 Download
  • 13 Crossref
  • 10 Scopus
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

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    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
  • 963 View
  • 15 Download
  • 2 Crossref
  • 0 Scopus
PURPOSE
This study was conducted to identify factors associated with oncology nurses' adherence to Chemotherapy-Induced Neutropenia (CIN) guidelines based on Pender's Health Promotion Model (HPM).
METHODS
For this cross-sectional descriptive study, 187 nurses who worked at the oncology department of Channam National University Hawsun Hospital responded to self-administered questionnaires. A tool for CIN guideline adherence was developed through systematic search, synthesis, translation, and content validation. Data collection was conducted by a trained research assistant from September 18 to September 26, 2017. Data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
Stepwise multiple regression showed that guideline adherence was associated with CIN education (β=.26, p<.001), self-efficacy (β=.17, p=.018), perceived benefits (β=.16, p=.026), interpersonal factors (β=.16, p=.043), and educational level (β=.14, p=.030).
CONCLUSION
The findings of this study could be used to develop interventions focusing on CIN education and for the strengthening oncology nurses' self-efficacy and beliefs to promote adherence to CIN guidelines. In addition, repeated studies would be needed to verify application of Pender's HPM to explain nurses' adherence.
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Development of the Unit Specialist-led Pressure Ulcer Nursing Algorithm
Yuna Noh, Jia Lee
Korean J Adult Nurs 2019;31(4):365-379.   Published online August 31, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.4.365
PURPOSE
The aims of this study were to develop the unit specialist-led pressure ulcer nursing algorithm for hospital nurses, and to examine its clinical adequacy.
METHODS
The study used a methodological design. The algorithm was developed through the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model using the combination of systematic review, clinical staff interview, and expert panel interview. Thirty nurses in two hospital units applied the algorithm to 30 patients from September 7, 2017 to September 20, 2017.
RESULTS
The contents of the nursing algorithm included roles of the unit specialist, application of the algorithm, assessment, nursing interventions, and documentation. The algorithm had acceptable validity of Scale-level Content Validity Index (S-CVI) from .93 to .95. The Braden scale scores were significantly improved from 12.37±3.30 to 13.67±3.59 (t=20.55, p<.001) in the patients who used the algorithm. The hospital unit nurses rated the algorithm's clinical adequacy as acceptable, with a mean score ranging from 3.30±0.65 to 3.67±0.48. The most highly rated item was that “pressure ulcer has been detected and managed promptly”.
CONCLUSION
The unit specialist-led pressure ulcer nursing algorithm in general hospital units facilitated the prompt and accurate decision-making for hospital unit nurses. Using this algorithm, the hospital unit nurses will be able to provide relevant and prompt care for pressure ulcer prevention and management.

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    Ji-Won Kang, Su-Jin Lee, Sil Ah Kim, Ah ram Kim, Kirang Kim, Sohyun Park, Yoon Jung Park, Ju Yeon Park, Jieun Oh, Hyun Joo Ryou, Seo-Jin Chung, Ji-Yun Hwang
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    INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2021;[Epub]     CrossRef
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    Youngshin Song, Ji-Su Kim, Soohyun Park
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 198.     CrossRef
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  • 32 Download
  • 3 Crossref
  • 2 Scopus
Stress, Pain, and Nursing Needs of Surgical Patients under General Anesthesia in the Recovery Room
Jihyun Jo, Minkyung Gu, Sohyune Sok
Korean J Adult Nurs 2019;31(3):249-258.   Published online June 30, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.3.249
PURPOSE
This study sought to examine the relationships among patient's stress, pain, and nursing needs in the recovery room after surgery that was performed under general anaesthesia.
METHODS
Participants were adult patients aged 20 to 64 years who underwent surgery under general anesthesia from February 5, 2018 to March 9, 2018. A survey was conducted to evaluate the participants' general demographics, stress, pain and recovery room nursing needs at a Post Anesthesia Care Unit (PACU). A total of 145 patients receiving operational treatment in Daejin Medical Center at Gyeonggi-do were recruited. Collected data were analyzed in terms of percentage, frequency, independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS/WIN 23.0 program.
RESULTS
Among the PACU nursing needs environmental and educational nursing needs were the highest. In addition, patients with underlying diseases experienced more post-operational stress and had fewer educational nursing needs in the recovery room. Therefore, Aggressive pain management and emotional recovery room nursing needs should be provided in the PACU.
CONCLUSION
It is necessary to build a comfortable environment for the patient as well as protect patients from infection and guarantee their privacy. In order to reduce patients' stress, educational nursing needs in the recovery room should be provided before an operation.

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  • 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
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  • 36 Download
  • 1 Crossref
  • 1 Scopus
Development and Effect of Evidence-based Nursing Practice Guidelines for Pain Management in Patients with Dementia
Young Seun Ryu, Jeong Sook Park
Korean J Adult Nurs 2019;31(2):176-189.   Published online April 30, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.2.176
PURPOSE
This study aimed to develop evidence-based nursing practice guidelines for pain management in patients with dementia and to verify their effects.
METHODS
Guidelines were developed according to the Clinical Practice Guideline Adaptation Manual. Additionally the quality of six guidelines was evaluated using the AGREE (Appraisal of Guidelines for Research & Evaluation) tool. Subsequently, the guidelines were translated into Korean and a preliminary set of guidelines was established. After a group of experts confirmed the content validity of the guidelines, the Korean version was applied to clinical settings for 4 weeks, to examine their applicability. Data was collected from April to August 2017. The dependent variables were nurses' knowledge and attitudes about pain management in patients with dementia, pain assessment frequency, use of pharmacological and nonpharmacological intervention to reduce pain, and subjective and objective pain scores of patients with dementia. Data were analyzed using an independent t-test, Mann-Whitney U test, Wilcoxon Signed Ranks test, and analysis of covariance with SPSS/WIN 22.0.
RESULTS
Nurses in the experimental group had a higher degree of knowledge and more positive attitudes regarding pain management, and they reported a higher frequency of pain assessment as compared to those in the control group. As compared to patients in the control group, those in the experimental group had more days of regular treatment with analgesics and were provided with a higher analgesics dose as well as more frequently received physical and relaxation therapies. The two groups did not show significant differences in subjective and objective pain scores.
CONCLUSION
The present findings indicates that the evidence-based guidelines for pain management developed in this study were effective in helping nurses and patients with dementia to resolve their pain for which they were currently seeking treatment.

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  • Developing evidence‐based medication therapy management tools for psychiatric nurses: An evaluative qualitative case study
    Melisa Bulut, Çiğdem Yüksel
    Journal of Evaluation in Clinical Practice.2024; 30(8): 1519.     CrossRef
  • Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
    Soomi Kim, Chul-Gyu Kim
    Journal of Korean Academy of Nursing.2023; 53(3): 275.     CrossRef
  • Self-rated health as a predictor of mortality according to cognitive impairment: findings from the Korean Longitudinal Study of Aging (2006-2016)
    Goun Park, Wankyo Chung
    Epidemiology and Health.2021; 43: e2021021.     CrossRef
  • Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
    Inhwa Hong, Young Eun
    Journal of Korean Academy of Nursing.2020; 50(6): 863.     CrossRef
  • Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses
    Mi Seon Jeon, Chi Eun Song, Jeong Min Park, Weon Gyeong Kim
    Korean Journal of Adult Nursing.2020; 32(3): 283.     CrossRef
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  • 5 Scopus
Concept Analysis of Patient Rights
Hye Suk Jun
Korean J Adult Nurs 2019;31(1):89-99.   Published online February 28, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.1.89
PURPOSE
This study aimed to define the concept of patient rights.
METHODS
A concept analysis on patient rights through the concept analysis method proposed by Walker and Avant was conducted.
RESULTS
The attributes of the concept identified in this study are as follows: (1) respect for the patient's opinion, (2) patient benefits, (3) human dignity, (4) equality, and (5) legal, moral, and ethical guarantees. The antecedents of patient rights include the recognition of the importance of patient rights and a medical system in which patient rights can be protected. Regarding the consequences of patient rights, this study identified the improvement of medical services, enhancement of professional awareness and reliability of medical staff, increase in awareness and establishment of patient safety, decline in medicolegal problems, and increase in satisfaction with medical services.
CONCLUSION
This study aimed to clarify the concept and attributes of patient rights through a concept analysis, and to connect the same to practical work to enable useful application to nursing practice. In determining the attributes of patient rights through a concept analysis, the study hoped to contribute to research on nursing intervention and the development of tools, as well as the establishment and implementation of legal systems related to patient rights.

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    Jihye Yun, Heeyoung Oh
    Korean Journal of Adult Nursing.2023; 35(2): 138.     CrossRef
  • Factors influencing clinical nurses’ advocacy for people with disability
    Ji Young Jeon, Hyunkyung Choi
    The Journal of Korean Academic Society of Nursing Education.2020; 26(3): 269.     CrossRef
  • Factors affecting the attitude toward withdrawal of life-sustaining treatment of nurses working at long-term care hospitals
    Mi Sook Kim
    The Journal of Korean Academic Society of Nursing Education.2020; 26(4): 383.     CrossRef
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  • 14 Download
  • 3 Crossref
  • 3 Scopus
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