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.

PURPOSE
The study aims were to examine motivation factors for behavioral modification among individuals with metabolic syndrome at each stage of behavioral change.
METHODS
The correlational research design was used to explore motivation factors of self-efficacy, perceived benefits, perceived barriers, and emotional salience to explain health behaviors. Total of 239 patients with metabolic syndrome completed the structured questionnaire and the data were analyzed by SPSS/WIN 22.0 for ANOVA and multiple regression analysis.
RESULTS
The average age of participants were 59 years old, and 52.3% perceived their health relatively worse than others. The motivation and health behaviors except for smoking cessation were significantly different at each stage of planning, preparation, and action-maintenance. The motivation factors explained 25% of variance in health behavior at planning stage, 38% at preparation stage, and 31% at action-maintenance stage. Self-efficacy and perceived barriers were significant predictors at the planning and action-maintenance stages, while self-efficacy was a significant predictor at preparation stage.
CONCLUSION
The performance of health behaviors was significantly different at the stages of change along with a different set of motivation factors. Nursing strategies should focus on cognitive and emotional motivation factors to lead initiation and maintenance of behavioral modification in individuals with metabolic syndrome.

Citations

• Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study
  Jin Young Lee, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 263.     CrossRef
• Cognitive and Emotional Motivation to Explain Infection-Prevention Behaviors with Social Support as a Mediator During the COVID-19 Pandemic: A Nationwide Cross-Sectional Study in Korea
  Myonghwa Park, Keunyeob Oh, Hyungjun Kim, Xing Fan, Thi-Thanh-Thnh Giap, Rhayun Song
  Patient Preference and Adherence.2023; Volume 17: 1063.     CrossRef
• Motivational Factors for Smoking Behaviors in Individuals with Metabolic Syndrome
  Moonkyoung Park, Baram Kang, Ahyun Ryu, YueLin Li, Rhayun Song
  Patient Preference and Adherence.2021; Volume 15: 2847.     CrossRef
• The Relationship between Meal Regularity and Oral Health and Metabolic Syndrome of Adults in Single Korean Households
  Jin-Ah Jung, Hye-Won Cheon, On-Ju Ju
  Journal of Dental Hygiene Science.2021; 21(3): 185.     CrossRef
• Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research
  Jong Im Kim, Sun Ae Kim, Keumok Park, Jiyoung Kim, Lina Lee, Si Wan Choi, Bon Jeong Ku
  Journal of Korean Academy of Nursing.2020; 50(4): 571.     CrossRef

No abstract available.

PURPOSE
This study was to understand to the nursing theory frame contained in the traditional philosophy and western nursing theory for the theory development fit for Korean people and to identified the strategy for nursing theory development.
METHOD
To perform this study various relevant texts-western, eastern, classical and contemporary were reviewed.
RESULT
The metaparadigm of the nursing in western considers four major factors-Human being, Environment, Health and Nursing. In Korea, the metaparadigm of nursing considers three major factors-Universe, Human being (body, life, health, disease) and Nursing. The key strategy for establishing comprehensive nursing theory which combines both western and eastern is to study the nursing literature based on eastern and western philosophy. Theorists should study the life and culture of the specific nation in order to understand the essence of the thoughts and psychology of the patients and to investigate the phenomena, which will be the foundation of theory development.
CONCLUSION
Western nursing theory must be utilized to provide practical framework for the development of nursing theory, and practical approach is necessary for combining western and eastern theory.