Purpose
This study aimed to identify key predictive factors influencing adherence to physical exercise rehabilitation among adults during the first three months following a first-onset ischemic stroke in China. Methods: A cross-sectional descriptive study was conducted among 137 adults who attended clinical follow-up appointments within the first three months after experiencing a first-onset ischemic stroke. Predictors included family support, coping with role transition, depression, self-efficacy, and body image. Hierarchical multiple regression analysis was performed. Results: The mean adherence score for physical exercise rehabilitation was 39.58 (standard deviation=6.71), indicating a moderate adherence level (70.6%). In model 1, male sex (β=.20, p=.017) and post-stroke duration of 2 months (β=.31, p=.015) and 3 months (β=.39, p=.002) were significant predictors of adherence to physical exercise rehabilitation. Adding main predictors in model 2 resulted in a significant increase in explained variance (ΔR²=.418, p<.001), accounting for 51.5% of the total variance (R²=.515, adjusted R²=.484). Male sex (β=.15, p=.017), family support (β=.43, p<.001), self-efficacy (β=.26, p<.001), depression (β=–.24, p=.001), and coping with role transition (β=.16, p=.033) were significant predictors. Body image and post-stroke duration were not significant after adjustment. Conclusion: Efforts to promote adherence to physical exercise rehabilitation should prioritize family support, depressive symptoms, self-efficacy, and coping with role transition. Furthermore, body image may warrant attention when developing sex-specific intervention strategies.

Purpose
This study aimed to develop and evaluate the effectiveness of a therapeutic communication program based on King’s goal attainment theory, specifically designed for nurses providing care to patients with hematological oncology in a tertiary hospital setting. Methods: A non-equivalent control group design was employed, involving 59 nurses (intervention group: 29, control group: 30) with experience in hematological cancer care. The therapeutic communication program, developed according to the theoretical constructs of King’s theory, consisted of eight weekly sessions. Outcome variables included problem-solving ability, communication self-efficacy, and interaction satisfaction. The effects of the intervention were analyzed using the independent- and paired-samples t-test as well as a Wilcoxon signed-rank test. Results: In between-group comparisons of pre–post changes, communication self-efficacy increased significantly more in the intervention group than in the control group (p=.027). However, no significant between-group differences were found for problem-solving ability or interaction satisfaction. These findings suggest that the program effectively enhances therapeutic communication competencies among nurses in hematological oncology wards. Conclusion: The therapeutic communication program significantly improved problem-solving ability, communication self-efficacy, and interaction satisfaction among nurses in the intervention group within the hematological oncology ward. This theory-based intervention provides an evidence-based framework for strengthening clinical nursing practice and education.

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

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

Purpose
This study aimed to investigate the mediating role of patient safety perception (PSP) in the relationship between the right to know (RtK) and patient participation (PP) among inpatients.
Methods
This descriptive study used a convenience sample of inpatients from three small and medium-sized hospitals in October 2023. A total of 231 inpatients completed a self-report questionnaire assessing PP, RtK, and PSP. Data were analyzed using a mediation model with the PROCESS Macro (Model 4), applying 95% bias-corrected bootstrap confidence intervals.
Results
The findings revealed significant positive correlations between PP and RtK (r=.78, p<.001) and PSP (r=.83, p<.001). Both RtK and PSP had significant effects on PP. PSP was identified as an important mediator in the relationship between RtK and PP (B=.35, boot standard error=.06, 95% confidence interval=.27–.44). The findings confirm that inpatients’ RtK is associated with improved PSP and increased PP.
Conclusion
These findings highlight the critical role of safeguarding patients’ right to information as a strategy for promoting patient safety. To ensure safe and effective care in small and medium-sized hospitals, ongoing support is essential for developing and systematically implementing patient safety education initiatives that actively involve patients.

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

• 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

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

• 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

Purpose
This study aimed to identify the main keywords, network structures, and topical themes in patient safety incident reports using text network analysis. Methods: The study analyzed patient safety incident reports from a general hospital in Seoul, covering a total of 3,576 cases reported over five years, from 2019 to 2023. Unstructured data were extracted from the text of the incident reports, detailing how the patient safety incidents occurred and how they were managed according to the six-part principles. The analysis was conducted in four steps: 1) word extraction and refinement, 2) keyword extraction and word network generation, 3) network connectivity and centrality analysis, and 4) topic modeling analysis. The NetMiner program was used for data analysis. Results: The analysis of degree, betweenness, and closeness centrality revealed that the most common keywords among the top five were "confirmation," "medication," "inpatient room," "caregiver," and "condition." Topic modeling analysis identified three main topic groups: 1) incidents caused by a lack of awareness of fall risk, 2) incidents of non-compliance with basic medication principles, and 3) incidents due to inaccurate patient identification.
Conclusion
To prevent patient safety incidents, it is necessary to promote a culture of safety in hospitals, standardize patient identification procedures, and provide basic training in medication safety and fall prevention to healthcare staff. Furthermore, empirical research on patient safety practices is necessary to encourage active participation in patient safety activities by patients and family caregivers.

Purpose
The purpose of this study was to develop and validate a tool to evaluate slow nursing performance for older adults in long-term care hospitals.
Methods
The search period was set from March 2013, when the term "slow nursing" was first used in the literature, to October 2021. A slow nursing tool was developed in two phases: development and verification. In the tool development phase, 29 items were developed through an extensive literature review and in-depth interviews with seven long-term care hospital nurses. Construct validity testing was performed by a 10-member expert panel, and a pilot survey was conducted on long-term care hospital nurses. In the tool validation phase, the construct validity, criterion validity, and reliability of the tool were tested by applying it to 181 nurses in long-term care hospitals .
Results
The final tool comprised five factors and 23 items, with an overall explanatory power of 56.8%. Construct validity was examined using confirmatory factor analysis, and the model fit was good. Known-group validity was established by the observation of a significant difference in the slow nursing score between intensive care unit and long-term care hospital nurses, and criterion validity was established by a significant correlation between the slow nursing and person-centered assessment scores. Internal consistency reliability was shown by a Cronbach's ⍺ coefficient of .781.
Conclusion
The concept of slow nursing has been clarified, improving the understanding and implementation of slow nursing care by nurses in long-term care hospitals. The Slow Nursing Tool for Long-term Care Hospital Nurses (SNT-LCHN) is expected to increase interest in and contribute to the effectiveness of slow nursing practices. It will serve as a valuable tool for improving nursing performance in these settings.

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

Citations

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

Purpose
This study explored tools to measure service experiences for families of older adults living in long-term care facilities, with the goal of suggesting directions for developing service experience measurement indicators for these families in the Korean context.
Methods
In this scoping review, English-language literature on the service experiences of families of older adults in long-term care facilities published in academic journals from January 1990 to December 2021 was reviewed. The CINAHL, Embase, and PubMed databases were searched. The review process involved identifying the research question; searching for relevant published studies; selecting studies; mapping the data; and collating, summarizing, and reporting the results. This method helped identify knowledge gaps, explore, and define key concepts, and obtain an overview of extant studies’ focus by determining the literature scope. Among 118 articles, seven were finally selected according to predetermined criteria.
Results
Through an analysis of the sub-factors of the tools used in the seven selected articles, the following themes were derived: environment, information and family member involvement, tailored care, respect, and responsive workforce. Concept definitions were clarified and examined.
Conclusion
Measuring the service experiences of families serving as surrogates for older adults who are in long-term care facilities and cannot express their opinions is essential for improving service quality. Developing a measurement tool for experiences of facility service experience that accurately reflects the perspectives of family members of older adults in these facilities in the Korean context is a pressing need given South Korea’s rapidly aging population.

Purpose
The purpose of this study was to identify factors influencing the readmission of heart transplant recipients through survival analysis. Methods: We collected data from heart transplant recipients who were discharged after surgery between November 2005 and September 2020 from the electronic medical records of Y University Hospital in Seoul. The Kaplan-Meier estimation was utilized to calculate the survival rate, and Cox's proportional hazards model was employed to determine the factors influencing readmission within 1 year. Results: Out of 150 heart transplant recipients, 81 (54.0%) were readmitted within one year. The median time to readmission was 231 days. An increased duration of postoperative days was associated with a higher risk of readmission (p=.016). Groups with abnormal sodium levels (p<.001), those requiring postoperative hemodialysis (p=.013), patients with chronic kidney disease (p=.002), dyslipidemia (p=.040), or diabetes mellitus (p=.045) also faced higher readmission risks. In the final model, sodium levels (hazard ratio [HR]=2.31, p<.001) and chronic kidney disease (HR=1.67, p=.045) were significant risk factors for readmission (x² =31.90, p<.001). Conclusion: Interventions to improve kidney function and a multidisciplinary approach are needed to reduce readmission of heart transplant recipients.

Purpose
The aim of this study was to better understand the concept of patient activation in patients with cancer by identifying its dimensions and attributes and clarifying its definition through concept analysis. Methods: This concept analysis study used the method of Walker and Avant (2019), and systematically reviewed dictionary entries and 30 studies in various academic fields. Results: The concept of patient activation in patients with cancer was found to have four attributes: seeking health information, participating in treatment decision-making, confidence in health care, self-management behaviors. The antecedents identified were cancer history, fear of recurrence, information and resources provided by healthcare professionals, access to healthcare providers, negative perceptions of cancer, social support, and sociodemographic status. The consequences were appropriate treatment implementation, satisfaction with treatment, improved physical and mental health conditions, improved quality of life, reduced healthcare costs, and reduced stress. Conclusion: The development of patient activation measurements tailored to the characteristics of the disease and the goal of strengthening the role of patients, as well as the development and implementation of policies, programs, and guidelines to promote patient activation, will improve the medical experience and outcomes of cancer patients and adopt a more person-centered treatment approach.

Purpose
COVID-19 is both a national crisis and a cause of individual trauma. This trauma is experienced during the period of acute illness and for an unpredictable duration after recovery. This study explored experiences of COVID-19 patients in hospital isolation, providing a detailed account of their experiences to furnish basic data necessary for establishing strategies to address the psychosocial problems that may arise from the hospital isolation process and recovery period. Methods: We conducted comprehensive interviews and qualitative content analysis. We held in-depth interviews with five COVID-19 patients from May 16 to August 22, 2021, and also analyzed data from interviews with five patients conducted as part of another study on COVID-19 patients' perceptions. Thus, 10 participants' interviews were analyzed in this study. Results: From the qualitative data, 34 codes, 9 subcategories, and 4 categories were identified. The categories included "Prioritization of epidemic prevention over treatment," "Victims who have been labeled as perpetrators," "Gratitude felt in difficult moments," and "Demand for respect from the system and society." After analyzing these categories, we derived the overarching theme of "It's okay, but it's not okay." Conclusion: During isolation treatment, it is crucial to uphold human rights as much as possible by prioritizing patient care, providing a comfortable environment, and offering clear guidance on their progress. Communication between patients and caregivers should be facilitated to provide psychological support. Furthermore, national policies such as economic compensation and strategies for post-traumatic growth should be implemented to address grievances and facilitate recovery.

Purpose
This descriptive survey study aimed to identify the influences of person-centered perioperative nursing and patient safety competency on patient safety management activities among operating room nurses.
Methods
Data were collected from June 14 to July 14, 2021, covering 158 operating room nurses working at six general hospitals. Data were analyzed using hierarchical multiple regression to identify the influencing factors of patient safety management activities.
Results
The mean scores of person-centered perioperative nursing, patient safety competency, and patient safety management activities were 3.86, 3.88, and 4.55, respectively. These scores increased with increased age and clinical experience. Person-centered perioperative nursing (β=.22, p=.014) and patient safety competency (β=.22, p=.014) influenced patient safety management activities.
Conclusion
Therefore, to improve the patient safety management activities of operating room nurses, an efficient nursing work environment must be created along with systematic and continuous education and programs to enhance person-centered perioperative nursing and patient safety competency.

Citations

• Impact of Delirium-Related Stress, Self-Efficacy, Person-Centred Care on Delirium Nursing Performance Among Nurses in Trauma Intensive Care Units: A Cross-Sectional Descriptive Survey Study
  Ga-Hee Seong, Hyung-Ran Park
  Healthcare.2025; 13(11): 1243.     CrossRef
• Novice Perioperative Nurses’ Perceptions of Nursing Competence and Strategies Used to Enhance Competence: A Phenomenographic Study
  Seo Jin Kwon, Sung Ok Chang, Boo Hyo Park
  AORN Journal.2025; 121(3): 186.     CrossRef
• Effectiveness of metaverse-based nursing education on operating room patient safety
  Jieun Shin, Nam-Yi Kim, Amir Karimi
  PLOS One.2025; 20(8): e0329650.     CrossRef
• Assessing the impact of nurses’ patient safety competencies on key performance indicators (KPIs) for patient safety outcomes at Tamale Teaching Hospital: the mediating role of leadership and barriers to competency development
  Mudasir Mohammed Ibrahim, Fatima Abdul-Rahaman, Mohammed Sherif Sayibu, Dora Nyamekye Alhassan, Ruhaima Tunteya Awudu, Iddrisu Mohammed Sisala, Abubakari Wuni, Abdul-Malik Abdulai
  BMC Health Services Research.2025;[Epub]     CrossRef
• Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities
  Subin Lee, Sujin Shin
  Journal of Korean Critical Care Nursing.2023; 16(3): 87.     CrossRef

Purpose
This study 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

• 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

Purpose
This study aims to confirms the relationship between nurses' professional autonomy, job satisfaction, perceived patient-safety culture, and patient-safety management activities; it also identifies factors that influence their patient-safety management activities.
Methods
A cross-sectional study design was adopted. The participants were 164 nurses from at five hospitals in two G provinces, Korea, who participated in the study voluntarily. Data were collected between November and December 2022 via a 120-question structured questionnaire and analyzed using SPSS/WINdows software version 25.0. The data were measured by frequency, percentage, and mean and standard deviation, using an independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis.
Results
The average age of the participants was 35.54±8.42 years; 143 (87.2%) were women. The following factors influenced their patient-safety management activities: level of education (β=.16, p=.018), experience of patient-safety education (β=.15, p=.014), and perceived patient-safety culture (β=.56, p<.001). The explanatory power of the nurses' patient-safety management activities was 44.0%.
Conclusion
Hospital managers should enable nurses to carry out patient-safety procedures competently by providing continuous patient-safety education; they should also revise regulations and systems to promote good patient-safety management practices and create an environment that supports patient safety. In addition, a program should be designed and implemented to improve nurses' perceived patient-safety culture.

Citations

• Patient Safety Culture and Perceived Self-Efficacy in Nurses from Two Health Institucions in Lima-Peru
  Paola Barbara Pinedo Albines, Monica Elisa Meneses-La-Riva
  Journal of Lifestyle and SDGs Review.2025; 5(4): e05994.     CrossRef
• The relationship between attitudes towards professional autonomy and nurse–nurse collaboration: A cross‐sectional study
  Merve Tarhan
  International Nursing Review.2025;[Epub]     CrossRef
• Standardizing Clinical Nursing Practice and Delivery Method for the Management of United States-Bound Refugees in Uganda
  Shanna Miko, Sarah J. Hoffman, Mathika Thongkhamkitcharoen, Susan B. Dicker, Warren Dalal, Alexander Klosovsky, Erin M. Mann, MPH, Michelle Mathiason, Shailey Prasad
  Journal for Nurses in Professional Development.2025; 41(2): 108.     CrossRef
• Job satisfaction among hospital nurses: An updated literature review
  Yang Zhao, Hong Lu, Xiu Zhu, Guihua Xiao
  International Journal of Nursing Studies.2025; 162: 104964.     CrossRef
• Nurses' Autonomy and Its Determinants in Clinical Practice: A Scoping Review
  Hani Tuasikal, Inge Dhamanti, Mahmudah
  Health Leadership and Quality of Life.2025; 4: 700.     CrossRef

Purpose
This study aims to confirm the influence of type D personality and health literacy on resilience of patients hospitalized for Cardiovascular Diseases (CVDs), and provide basic information for improving resilience as a post-discharge strategy to promote self-care among patients with chronic diseases. Methods A questionnaire-based survey was carried out in this cross-sectional study. The subjects were 142 patients who were being treated at a tertiary general hospital for CVDs such as coronary artery disease, arrhythmia, and heart failure. Data were collected from July to October 2022 using a structured questionnaire, and then analyzed using the SPSS program version 26.0. Results 75.3% of the study subjects (n=107) had type D personalities, and the average health literacy and resilience scores were 48.96±9.13 points and 68.27±13.02 points, respectively, indicating relatively low grades. Following a hierarchical regression analysis, low monthly income (β=-.62, p<.001), current smokers (β=-.23, p=.010), patients with type D personality (β=-.24, p=.001), and patients with low health literacy (β=.27, p<.001) were identified as significant predictors of resilience (Adjusted R2=.57, F=14.32, p<.001). Conclusion In order to increase the resilience of patients hospitalized for CVD, it is necessary to identify and take into account smokers with low socioeconomic status, poor health literacy, and type D personality. We advise doing a follow-up study to ascertain if the resilience of patients hospitalized for CVD influences post-discharge self-care and clinical outcomes.

Citations

• Associations between Health Literacy, Autonomy Support, and Health Behavior Adherence in Premature Coronary Artery Disease Patients: A Cross-Sectional Survey
  Seong Rae Cho, Yeojin Yi
  Korean Journal of Adult Nursing.2025; 37(4): 436.     CrossRef

Purpose
This study aims to explore the relationship between the discharge process and two-year prognosis in patients with Heart Failure (HF) who were hospitalized because of HF exacerbation. Methods Medical records were reviewed to identify patients admitted for HF exacerbation. Information regarding the following discharge processes was collected: follow-up visits, discharge educational contents, and the presence of family caregivers during patient education. HF-related events, including emergency department visits, readmissions, or death because of HF, were defined as a composite of events. A multivariate Cox proportional hazards regression model was used after adjusting for covariates to explore the association between the discharge process and HF-related events. Results A total of 201 patients were included in this study. In the two-year follow-up periods, 41 patients (20.4%) experienced at least one HF-related event. Follow-up visits were scheduled at an average of 8.11±2.92 days after discharge. Approximately 95.0% of the patients received discharge education with an average of 1.66±1.04 topics, and 69.7% of the families participated in this educational activity. In the multivariate Cox regression model, not having family members during education was associated with a longer time to HF-related events (hazard ratio: 2.09; 95% confidence interval: 1.001~4.346). However, follow-up visits and the amount of educational content received were not associated with time to HF-related events. Conclusion The presence of family caregivers during education appears to be a protective factor against adverse prognosis in patients with HF. Our results highlight the importance of family engagement during discharg

Citations

• Depression, mutuality, and self-care behaviors in patients with heart failure and their caregivers: An actor–partner interdependence model extended to mediation
  Youn-Jung Son, JiYeon Choi, Da-Young Kim, So Hyun Park
  Heart & Lung.2025; 73: 123.     CrossRef
• Situation analysis of implementation of the SMART safe discharge protocol: a study from East Guilan, Iran
  Azar Darvishpour, Shiva Mahdavi Fashtami, Nafiseh Koochaki, Esmat Nourbakhsh Kashki
  BMC Nursing.2025;[Epub]     CrossRef
• Association Between Nurse-Led Multidisciplinary Education and Cardiac Events in Patients With Heart Failure: A Retrospective Chart Review
  Haeng-Mi Son, Hyeongsuk Lee
  Asian Nursing Research.2024; 18(1): 60.     CrossRef

Purpose
The purpose of this study was to investigate the effect of a self-care education program using a QR-Code on self-efficacy, self-care performance, and education satisfaction among pneumothorax patients after discharge from a hospital.
Methods
The participants comprised 60 inpatients diagnosed with spontaneous pneumothorax and operated on at a tertiary general hospital in G city. The experimental group (n=30) attended a self-nursing education program using handouts and a QR-Code, and the control group (n=30) was provided discharge education through existing handouts. χ² test, fisher’s exact test, independent t-test, and repeated measures ANOVA were performed to analyze the collected data using the SPSS 26.0 version program.
Results
After three weeks of intervention, the experimental group showed a significant increase in self-efficacy (t=-4.50, p<.001) and self-care performance (t=-5.54, p<.001). The experimental group also showed significant increases in self-efficacy (F=37.72, p<.001) and self-care performance over time (F=52.00, p<.001). and reported significantly higher education satisfaction compared to the control group (t=-6.84, p<.001).
Conclusion
QR-Code-based self-care education increases self-efficacy, self-care performance, and education satisfaction among pneumothorax patients. Thus, this program can be used as an effective nursing intervention to maintain and improve the health of pneumothorax patients.

Citations

• Effects of a video-based enteral nutrition education program using QR codes for intensive care unit nurses: a quasi-experimental study
  Won Kee Seo, Hyunjung Kim
  Journal of Korean Biological Nursing Science.2024; 26(1): 16.     CrossRef
• The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
  Jin Hee Jun, Se-Na Lee
  Asian Oncology Nursing.2024; 24(3): 103.     CrossRef

Purpose
It is necessary for nurses who perform tasks related to life-sustaining treatment to play a supporting role in the decision-making process of life-sustaining treatment for patients and guardians based on their knowledge of decisions and implementation, such as cessation of life-sustaining treatment. Therefore, the Knowledge Scale of the Life-Sustaining Treatment (KS-LST) was developed and reliability and validity were verified.
Methods
Our methodological study aimed at developing tools to measure the knowledge of nurses´ life-saving medical decision system and to verify their reliability and validity. To this end, preliminary questions were constructed through literature review. In this regard, content validity, face validity, k-group comparison, and composition validity through item analysis were verified, and reliability was derived from KR-20.
Results
A total of 26 questions were derived from the 35 preliminary questions through content validity and facial validity; depending on whether they were educated or not, there was a significant difference between the two groups (p=.004). The final 23 questions were derived by deleting 3 questions with low discrimination, and KR-20 was .62.
Conclusion
Using the KS-LST that was developed through this study, we can measure the nurses´ knowledge of the life-sustaining medical decision system and provide education in the deficient areas. We expect nurses with accurate knowledge to provide accurate information to patients and caregivers to help patients make the right choices.

Citations

• Factors associated with disaster nursing competence among emergency department nurses: the roles of disaster preparedness, self-efficacy, and communication ability
  Gyu Bong Noh, Sun Hyoung Bae
  BMC Nursing.2025;[Epub]     CrossRef
• Knowledge, Attitudes and Nursing Stress Related to Life-Sustaining Treatment among Oncology Nurses
  Seul Lee, Suyoun Hong, Sojung Park, Soojung Lim
  The Journal of Hospice and Palliative Care.2023; 26(3): 112.     CrossRef

Purpose
In this study, factors influencing the performance of person-centered care among nurses in designated COVID-19 hospitals were examined. Methods A total of 182 nurses providing care to COVID-19 patients at six public hospitals in Gyeonggi-do the designated hospital for infectious diseases participated in the study. Data were collected from February to March 2021 using a 152-question structured questionnaire, and analyzed using SPSS/WINdows software, version 25.0 by frequency and percentage, mean and standard deviation, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression. Results The factors influencing the respondents’ performance of person-centered care were organizational culture for infection control (β=.35, p<.001), empathic ability (β=.16, p=.027), and the charge nurse position (β=.14, p=.035); these explained 20.8% of their person-centered care. Conclusion It is necessary to consider strategies to improve the organizational culture for infection control and empathic ability to promote the performance of person-centered care among nurses at designated COVID-19 hospitals. It is also necessary to design a program that can facilitate the implementation of person-centered care by nurses who hold positions junior to that of the charge nurse at designated COVID-19 hospitals.

Citations

• Factors Influencing Nurses’ Person-Centered Care: A Cross-sectional Descriptive Study
  Heesun Jang, Young A Kim
  Korean Journal of Adult Nursing.2025; 37(3): 344.     CrossRef
• Experiences of Person‐Centred Care Among Nurses in COVID‐19 Wards: A Qualitative Study
  Myoungsuk Kim, Yongmi Lee, Hyun‐Ju Kang
  Nursing Open.2025;[Epub]     CrossRef
• Exploring research trends in nursing organizational culture using topic modeling
  Eun-Jun Park, Chan Sook Park
  The Journal of Korean Academic Society of Nursing Education.2024; 30(4): 371.     CrossRef
• Factors Influencing Person-Centered Care among Nurses in COVID-19 Special Care Units at Tertiary General Hospitals: A Cross-Sectional Descriptive Study
  Kisook Kim, Sunmi Kwon
  Korean Journal of Adult Nursing.2023; 35(2): 127.     CrossRef

Purpose
This study investigated the level of Activities of Daily Living (ADL) of elderly patients with pulmonary disease preparing for discharge and the factors affecting it. Methods The participants of this cross-sectional, descriptive study were 104 patients aged over 65 diagnosed with pulmonary disease at an acute care hospital. Data were collected from November 28, 2018 to March 15, 2019 using a structured questionnaire and the participants’ electronic medical record. The questionnaire asked about demographic and disease-related characteristics and respiratory symptoms experience, and included the Korean versions of the ENRICHD Social Support Instrument, Hospital Anxiety and Depression Scale, and Katz’s ADL. Results In the enter-method multiple linear regression analysis, the model explained 38.1% of the ADL (F=4.26, p<.001). The higher the participants’ level of depression, the lower their level of ADL (β=0.43, p<.001), while those without a history of any neurological or psychiatric disease had higher levels of ADL than their counterparts with it (β=-0.22, p=.024). Conclusion The findings suggest that an intervention that considers depression and history of neurological or psychiatric disease should be implemented to promote ADL among elderly patients with pulmonary disease preparing for discharge. In addition, the results of this study can be used as fundamental information to assess the discharge readiness of elderly patients with pulmonary disease and improve their health-related quality of life by promoting ADL.

Purpose
The treatment of chronic kidney disease aims to delay dialysis and prevent progression to end-stage health complications. This study aimed to validate the Korean version of the Chronic Kidney Disease Self-Care (CKDSC-K) scale, which is used to measure self-care behaviors in patients with chronic kidney disease. Methods Data from 285 participants were collected between August and November 2020. Validity was assessed in terms of content, construct, and concurrence through the content validity index and exploratory and confirmatory factor analyses. The reliability of the CKDSC-K was examined using internal consistency. Results The final instrument consisted of 15 items across five factors (medication adherence, diet control, exercise, smoking behaviors, and blood pressure monitoring). The content validity index of the CKDSC-K was ≥.80. Confirmatory factor analysis indicated that factor loadings for the five factors ranged from .41 to .99, which explains the total variance of 75.3%. The internal reliability of the instrument was .81. Conclusion The CKDSC-K scale has demonstrated acceptable reliability and validity and can be utilized to assess self-care behaviours in patients with chronic kidney disease. Additional research is recommended to expand the psychometric evaluation of the CKDSC-K.

Citations

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

Purpose
This study introduces information value chain analysis by identifying essential information for use in gout care management. Part I reviews the essential concepts of information value chain analysis first introduced by Porter. Part II applies the analysis to determine the information values of patient health information and explores ways in which health information technologies can be best utilized to provide that information to patients with gout. Methods We combined value chain analysis with natural language processing and machine learning techniques to develop algorithms that can identify patients with gout flares using clinical notes. As one of the first signs that the disease was not being controlled, variables found to be associated with gout flares were considered valuable information for patients with gout. Results The best performing model, in terms of both gout flare prediction and association identification, was the comprehensive model that not only included concepts from all stages of the value chain but also designated natural language processing concepts from every care stage as surrogate variables. Additionally, all administrative codes traditionally associated with gout and its treatment were included as surrogate outcome variables. Conclusion This study introduced information value chain analysis and applied it to develop a computer-based method with theoretical underpinnings to identify the concepts associated with gout flares. The findings can be used as a starting point for filtering the vast amounts of information patients must go through and identifying the most valuable information for patient with gout to adequately manage their symptoms.

Purpose
This study aimed to identify the factors affecting patient satisfaction in an emergency department based on the use of the Korea Triage and Acuity Scale (KTAS).
Methods
A survey and medical record review were conducted. Participants included 100 patients and 20 nurses from an emergency medical institution located in B city, between June and August 2020. Data were analyzed using descriptive statistics, independent t-test, one way analysis of variance, partial correlation, and multiple regression.
Results
The mean score of patient satisfaction was 3.99±0.63. The mean waiting time, duration of stay, and occupation rate were 14.29±10.97 min, 104.96 ±67.35 min, and 22.0±7.4%, respectively. From the multiple regression analysis, waiting time (β=-.36, p<.001), nurse’s self-efficacy (β=.19, p=.013), and professional competence (β=.36, p<.001) explained 57.9% of the patients’ satisfaction with their use of the emergency medical institution (F=34.50, p<.001).
Conclusion
Patient satisfaction after experiencing the KTAS was influenced by waiting time, nurses’ self-efficacy, and professional competence. Therefore, institutions need to define an appropriate waiting time that does not reduce patient satisfaction, and introduce an internal marketing strategy to increase nurses’ professional competence and self-efficacy.

Citations

• Patient Satisfaction With the Level of Competence of the Triage Nurse in Hospital Emergency Departments
  Meritxell López Hernández, Montserrat Puig‐Llobet, Sergio Higon Fernández, Marta Franco Freirut, Yolanda Moreno Mateos, Jordi Galimany Masclans
  Journal of Clinical Nursing.2025; 34(9): 3893.     CrossRef
• Factors Influencing Sleep Quality in Patients with Hepatocellular Carcinoma Undergoing Transarterial Chemoembolization: A Cross-Sectional Study
  Ji Young Park, Myoung Soo Kim, Han Byeol Lim
  Korean Journal of Adult Nursing.2024; 36(2): 160.     CrossRef
• Satisfacción de los pacientes sobre la atención recibida por la enfermera en el triaje de los servicios de urgencias hospitalarios: revisión de alcance
  Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
  Enfermería Clínica.2024; 34(5): 408.     CrossRef
• Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review
  Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
  Enfermería Clínica (English Edition).2024; 34(5): 408.     CrossRef
• Emergency nurses’ communication experiences with patients and their families during the COVID-19 pandemic: A qualitative study
  Soyoung Shin, Hye Jin Yoo
  International Emergency Nursing.2023; 66: 101240.     CrossRef

Purpose
Information value is created by providing care for specific medical conditions. To assess the appropriate content and time of delivery, a research framework to examine information values at different stages of the care continuum is needed. This study identified essential information to recommend for different stages of Systemic Lupus Erythematosus (SLE) management.
Methods
Using Porter's value chain analysis, we conducted a content analysis of the research literature, clinical practice guidelines, and patient education materials in an education-enabled environment regarding patient with SLE. We also used a natural language processing technique to automatically map the essential information identified into authorized concepts in the National Library of Medicine’s Unified Medical Language Systems.
Results
The essential contents in the diagnosis stage pertained to a general understanding of disease manifestation such as SLE definition, pathophysiology, etiology, prognosis, and progress. The intervening stage highlights information about prominent spheres of therapeutic regimens and administration as well as diverse care providers with relevance to their specific roles. While screening information, such as self-awareness of SLE signs, is valued prior to a clinical visit, the monitoring information follows clinical visits to avoid flaring events. The key concepts identified were "butterfly rash" (C0277942), "anti-inflammatory drugs" (C0003211), "SLE" (C0024141), and "antinuclear antibodies" (C0151480).
Conclusion
Communication of essential information identified at appropriate care stages can increase patient knowledge and reduce anxiety levels to improve self-care.

Citations

• Application of Information Value Chain in Gout Management
  Maranda Russell, Sujin Kim
  Korean Journal of Adult Nursing.2022; 34(4): 351.     CrossRef

Purpose
This descriptive survey study was conducted to determine the degree of implementation of anticancer drug safety management guidelines by nurses handling anticancer drugs, safety motivation, safety control, ward safety culture, and anticancer drug safety guidelines.
Methods
The subjects of this study were 136 nurses working in the designated ward for anticancer drug treatment, and data collection was conducted from November 3rd to November 16, 2021. Collected data were analyzed using the IBM SPSS statistics 28.0 program by frequency and percentage, mean and standard deviation, independent sample t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple regression analysis.
Results
As a result of analyzing the effects of the subjects’ knowledge of anticancer drug safety management guidelines, safety motivation, safety control, and ward safety culture on the implementation of anticancer drug safety guidelines, it was found to be knowledge of anticancer drug safety management guidelines (β=.22), with 7.0% of the explanatory power.
Conclusion
The factors influencing the implementation of anticancer drug safety management guidelines were found to be anticancer drug safety management guidelines, and it is suggested that follow-up studies be conducted to develop educational programs and interventions to improve anticancer drug safety guidelines.

Citations

• Development and Validation of the Short Form of Core Competencies Scale of Nursing Care for Cancer Patients Undergoing Chemotherapy
  Sung Hae Kim, Seyong Lee, Sang Hee Kim, Jung Ok Choi, Gie Ok Noh
  Asian Oncology Nursing.2024; 24(4): 184.     CrossRef

Purpose
This study aimed to determine the severity of patient safety incidents and its associated factors in Long-term Care Hospital (LTCH) settings.
Methods
This study performed a cross-sectional analysis of secondary national data from the Korea Patient Safety Reporting and Learning System. A total of 5,316 LTCH datasets from 2018 to 2020 were analyzed using multi-nominal logistic regression with the help of the SPSS 26.0 program.
Results
Adverse events were significantly associated with age, location of the incidents, night-duty hours, incident type, and small hospital size. Further, sentinel events were significantly associated with female gender, age, incident type (meal and suicide/self-harm), and small hospital size.
Conclusion
The results underline the need for developing standardized patient safety guidelines that consider LTCH characteristics and holding periodic education programs for healthcare workers in LTCHs so that they can gain adequate knowledge and practical skills for ensuring patient safety. In addition, they highlight the need for measures to improve institutional support and processes so that any weaknesses can be resolved to optimize patient safety.

Citations

• Factors Affecting Fall Incidents at Long-term Care Hospitals: Using Data from the Korea Patient Safety Reporting and Learning System
  Soojin Chung, Jeongim Lee
  Journal of Health Informatics and Statistics.2025; 50(1): 96.     CrossRef
• Factors associated with harm in reported patient safety incidents and characteristics during health screenings in Korea: a secondary data analysis
  Jeongin Choe, Kyungmi Woo
  International Journal for Quality in Health Care.2025;[Epub]     CrossRef
• Response to Patient Safety Incidents Involving Older Adult Patients: Focusing on the Disclosure of Patient Safety Incidents
  Won Lee
  Korean Journal of Geriatrics & Gerontology.2025; 26(2): 59.     CrossRef
• Analysis of the Characteristics of Young-old and Old-old Injured Patients in Korea: Focusing on 2021 Discharge Injury Statistics (2004~2021)
  Jongsuk LEE
  Korean Journal of Clinical Laboratory Science.2024; 56(3): 257.     CrossRef
• Factors Related to the Severity of Patient Safety Incidents in Operating Rooms in South Korea
  Minjung Ryu, Jun Su Park, Bomgyeol Kim, Suk-Yong Jang, Sang Gyu Lee, Tae Hyun Kim
  Health Insurance Review & Assessment Service Research.2024; 4(2): 149.     CrossRef
• Association between location of fall and mortality in hospitalized elderly patients for falls
  Soojin Lee, Kyung Won Paek, Nam Soo Park, Min Kyoung Kim, Sangnam Jeon
  Korean Journal of Health Education and Promotion.2023; 40(1): 89.     CrossRef
• Trends in infection-related patient safety incident reporting before and during the COVID-19 pandemic in Korea
  Eun-Jin Kim, Yeon-Hwan Park
  Journal of Korean Biological Nursing Science.2023; 25(2): 95.     CrossRef
• Analysis of Factors Related to Domestic Patient Safety Incidents Using Decision Tree Technique
  Jieun Shin, Ji-Hoon Lee, Nam-Yi Kim
  Risk Management and Healthcare Policy.2023; Volume 16: 1467.     CrossRef

Purpose
Health behavior is important for the treatment of tuberculosis patients. This study aims to clarify the concept of health behavior in tuberculosis patients.
Methods
We used Rodger's evolutionary concept analysis method. A literature search was performed using the NDSL, NAL, RISS, PubMed, ProQuest, CINAHL, Web of Science and Cochrane Library published in Korean and English language from January 2015 to April 2021. After applying inclusion and exclusion criteria, a total of 69 articles were selected for final analysis.
Results
The analysis showed that five attributes determine health behavior concepts: willpower, the choice for every moment, counterbalance, overcoming, and multi-level multi-causal processes.
Conclusion
This study shows that health behavior in tuberculosis patients has evolved into a patient-centered approach in an evolutionary context. The results of this study will contribute to the development of intervention access and management programs for health care providers, including nurses.

Purpose
The purpose of this study is to understand the experiences of nurses caring for Coronavirus Disease 2019 (COVID-19) patients in infection wards dedicated to COVID-19 through an in-depth exploration of the patient experience and meaning of care.
Methods
This study is a qualitative study analyzed by conventional content analysis. The study participants were 14 nurses who took direct care of COVID-19 patients in the early stages of the pandemic at a dedicated COVID-19 ward. The data were collected from July 4 to August 30, 2020, using face-to-face interviews.
Results
The analysis 6 categories: ‘struggling to prepare an infection ward’, ‘fear and anxiety about infection’, ‘the weight of pressure from patient care’, ‘efforts to protect patients’, ‘maturity of professional identity as a nurse’, and ‘a quarantine community that we create together’.
Conclusion
These study findings promote a broader understanding of nursing barriers, to patient care during an initial outbreak of a novel infectious disease, based on nurses' experiences with COVID-19 patients, and consequently, improve the quality of care received by such patients. Finally, nursing leaders, health policymakers, and governments should utilize these findings to inform practical strategies for nursing practice in current or future pandemics.

Citations

• The Moderating Effect of Calling in the Relationship between Post-Traumatic Stress and Turnover Intention of Nurses Who Cared for COVID-19 Patients
  Min Ju Woo, Bu Kyung Park
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 75.     CrossRef
• Experiences of Person‐Centred Care Among Nurses in COVID‐19 Wards: A Qualitative Study
  Myoungsuk Kim, Yongmi Lee, Hyun‐Ju Kang
  Nursing Open.2025;[Epub]     CrossRef
• Improving Emerging Infectious Disease Control Based on the Experiences of South Korean Nurses During the COVID-19 Pandemic: A Qualitative Systematic Review
  Ha-Young Park, In-Sun Yeom
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 1.     CrossRef
• Factors Influencing Depression Among Nurses in General Hospitals During the COVID-19 Pandemic: Focus on Job Demands, Post-traumatic Stress, and Social and Organizational Support
  Si Hyun Baek, Jeong-Hee Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 306.     CrossRef
• Experiences of Nurses Working as Helpers in a Dedicated COVID-19 Ward of a Certified Tertiary Hospital
  Eun Hyang Park, Hee Kyung Chang
  Journal of Korean Association for Qualitative Research.2024; 9(2): 93.     CrossRef
• The COVID-19 Pandemic Experience of A Cohort of Quarantined University Hospital Nurse Managers
  Soon-Youl Lee, Suk Jung Han, Hee Jung Hong
  Journal of Korean Public Health Nursing.2024; 38(2): 205.     CrossRef
• Experiences of Psychiatric Nurses Working in a Closed Psychiatric Unit during the COVID-19 Pandemic
  Ji Young Kim, Hyun Kyung Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 374.     CrossRef
• Factors Affecting COVID-19 Incidences and Deaths of Geriatric Hospital Patients in Korea
  Juh Hyun Shin, Sunok Jung, Jung Eun Kim
  Research in Gerontological Nursing.2023; 16(6): 302.     CrossRef
• The Impact of Resilience on Post-Traumatic Growth among Nurses in COVID-19-Designated Hospitals: The Mediating Effect of Meaning in Life
  Suk-Jung Han, Young-Ran Yeun, Hyunseung Roh
  Healthcare.2023; 11(21): 2895.     CrossRef
• Perspectives of Frontline Nurses Working in South Korea during the COVID-19 Pandemic: A Combined Method of Text Network Analysis and Summative Content Analysis
  SangA Lee, Tae Wha Lee, Seung Eun Lee
  Journal of Korean Academy of Nursing.2023; 53(6): 584.     CrossRef
• A topic modeling analysis for Korean online newspapers: Focusing on the social perceptions of nurses during the COVID-19 epidemic period
  Soo Jung Chang, Sunah Park, Yedong Son
  The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 444.     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

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

Citations

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

Purpose
This study identified factors related to bowel cleanliness of colonoscopy examinees.
Methods
From December 2, 2020 to January 21, 2021, we surveyed 152 participants who underwent colonoscopy at a university hospital at B City. The questionnaires included participants characteristics, social cognitive determinants (knowledge on bowel preparation, severity and susceptibility for colon cancer as perceived threat, self-efficacy, and social support), and compliance with bowel preparation. For data analysis, SPSS/WIN 21.0 and AMOS 22.0 statistical programs were used. Descriptive statistics, an independent t-test, one way ANOVA, Pearson correlation coefficient, and path analysis were utilized.
Results
Participants’ knowledge level on bowel preparation was 8.49±1.57; severity, 18.49±4.43; susceptibility, 12.55±4.10; self-efficacy, 41.92±9.28; social support, 24.90±4.84; compliance with bowel preparation, 9.26±1.81; and degree of bowel cleanliness, 6.05±1.71. Factors influencing the compliance with bowel preparation included self-efficacy (β=.27, p=.007), knowledge on bowel preparation (β=.23, p=.005), marital status (β=.19, p=.048), social support (β=.17, p=.030), and age (β=-.16, p=.007). The factor directly affecting bowel cleanliness was compliance with bowel preparation (β=.17, p=.043). Indirectly affecting factors were self-efficacy (β=.05 p=.021), knowledge on bowel preparation (β=.04, p=.022), social support (β=.03, p=.026), marital status (β=.03, p=.034), and age (β=-.03, p=.018).
Conclusion
Bowel cleanliness of colonoscopy examinees can be improved by enhancing compliance with bowel preparation. Future studies should examine the effects of strategies that concern self-efficacy, knowledge on bowel preparation, social support, marital status and age on compliance with bowel preparation.

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

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

Citations

• How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
  Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
  PLOS ONE.2025; 20(1): e0316654.     CrossRef
• Workload, Teamwork, Compassion Competence, and Person-centered Critical Care Nursing among Critical Care Nurses
  Hyun A Lee, Myung Sun Hyun, Jin-Hee Park, Eun Ji Seo
  Journal of Korean Critical Care Nursing.2025; 18(2): 14.     CrossRef
• A Predictive Model for Person-Centered Care in Intensive Care Units in South Korea: A Structural Equation Model
  Sunmi Kwon, Kisook Kim
  Korean Journal of Adult Nursing.2025; 37(4): 467.     CrossRef
• Factors Influencing Person-Centered Care Among Psychiatric Nurses in Hospitals
  Ji Su Lee, Mi Heui Jang, Min Jung Sun
  Healthcare.2024; 12(22): 2269.     CrossRef
• Assessing Needs for Practical Training in Intensive Care Unit to Enhance Nursing Education: A Focus Group Interview
  Sunah Park, Bokyoung Kim
  Journal of Korean Critical Care Nursing.2024; 17(2): 55.     CrossRef
• Factors Influencing Person-Centered Care among Nurses in COVID-19 Special Care Units at Tertiary General Hospitals: A Cross-Sectional Descriptive Study
  Kisook Kim, Sunmi Kwon
  Korean Journal of Adult Nursing.2023; 35(2): 127.     CrossRef
• Influence of Person-Centered Perioperative Nursing and Patient Safety Competency on Patient Safety Management Activities among Operating Room Nurses: A Descriptive Survey Study
  Ji Yong Shin, Eun Hee Jang
  Korean Journal of Adult Nursing.2023; 35(2): 97.     CrossRef
• Person-centred care among intensive care unit nurses: A cross-sectional study
  Hyuna Youn, Miyoung Lee, Sun Joo Jang
  Intensive and Critical Care Nursing.2022; 73: 103293.     CrossRef
• Mediating Effect of Communication Competence in the Relationship between Compassion and Patient-Centered Care in Clinical Nurses in South Korea
  Miri Jeong, Kawoun Seo
  Healthcare.2022; 10(10): 2069.     CrossRef
• Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
  Hyun-Joung Yun, Jaehee Jeon
  Korean Journal of Adult Nursing.2022; 34(4): 413.     CrossRef
• Factors influencing mental health nurses in providing person-centered care
  Suyoun Ahn, Yeojin Yi
  Nursing Ethics.2022; 29(6): 1491.     CrossRef

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

Citations

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

Purpose
The aim of this study was to confirm the relationship between patient experience, patient safety knowledge, and patient safety perception and prepare basic data to help initiate patient safety activities and patient safety education in primary care institutions. Methods: The participants were 252 patients who had used primary care institutions in the Gyeonggi area within six months prior to the study. Data were collected from February 16 to March 15, 2021 using a structured online questionnaire on patient experience, patient safety knowledge, and patient safety perception. The data were analyzed using SPSS 25.0, and hierarchical regression analysis was performed to analyze the moderating effect of patient safety knowledge. Results: Patient experience had a significant positive correlation with patient safety perception. In the relationship between patient experience and patient safety perception, patient safety knowledge had a significant moderating effect. In particular, among the sub-factors of the patient experience, doctors and the hospital environment significantly affected patient safety perception, and in this process, patient safety knowledge acted as a moderating variable. Conclusion: Patients with low safety knowledge have a higher perception of safety when they have positive experiences through doctors. Therefore, medical staff should make continuous efforts to establish a safe hospital environment and earn patients’ trust to increase their safety perception. It is necessary to develop mandatory patient safety education programs by identifying potential patient safety problems and accidents in primary care institutions.

Citations

• The Mediating Role of Patient Safety Perception in the Relationship between Right to Know and Patient Participation among Inpatients
  Sun-Hwa Shin, On-Jeon Baek
  Korean Journal of Adult Nursing.2025; 37(2): 114.     CrossRef
• The Influence of Patient Safety Perception and Knowledge on Patient Participation among Inpatients in Comprehensive Nursing Care Service Ward
  Kyung Suk Baek, Chul-Gyu Kim
  Quality Improvement in Health Care.2025; 31(1): 2.     CrossRef
• Influence of patient safety perception and attitude on inpatients’ willingness to participate in patient safety: An observation study
  Mi Hwa Won, In Suk Hwang, Sun-Hwa Shin
  Medicine.2024; 103(29): e39033.     CrossRef
• Impact of hospital outpatients’ experiences of patient safety on fear of infection: a secondary analysis of national data
  Hyunjeong Kwon, Miseon Lee
  BMJ Open.2024; 14(11): e083899.     CrossRef
• Patient Safety Competence Nursing Experience of Nurse : A meta-synthesis Study
  Jin Lee, SunHwa Park, Mi-Seon Kim
  Journal of Korea Society for Simulation in Nursing.2024; 12(1): 17.     CrossRef

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.

Citations

• 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

Purpose
This study aimed to identify the mediating effect of fatigue in the relationship between clinical nurses’ job stress and medication safety performance.
Methods
For this cross-sectional study, 122 registered nurses were recruited through convenience sampling. The results were collected from August to September 2020 using self-reported structured questionnaires, analyzed with IBM SPSS Statistics 25.0 and using descriptive statistics, independent t-tests, one-way analysis of variance and Pearson correlation coefficient, and hierarchical multiple regression analysis. The mediating effect was analyzed using PROCESS macro with a 95.0% bias-corrected bootstrap confidence interval (5,000 bootstraps re-sampling).
Results
Significant positive correlation was observed between job stress and fatigue (r=.57, p<.001). Significant negative correlations were observed between job stress and medication safety performance (r=-.27, p=.003), fatigue, and medication safety performance (r=-.55, p<.001). Fatigue has a mediating effect between job stress and medication safety performance in nurses (indirect effect=-0.11, 95% Boot confidence interval=-0.16~-0.07).
Conclusion
To improve the medication safety performance of clinical nurses who experience job stress and fatigue, early detection and periodic observation of nurses’ job stress and fatigue should be made. Moreover, job stress and fatigue should be considered together in devising relevant interventions.

Citations

• The Mediating Effect of Self-Transcendence on the Relationship between Job Stress and Wellness among Nurses
  Sung Mi Kim, Da Eun Kim
  Journal of Korean Academy of Nursing Administration.2025; 31(4): 394.     CrossRef
• Factors influencing job stress in pediatric nurses during the pandemic period: Focusing on fatigue, pediatric nurse−parent partnership
  Bo Yeong Jeon, Sun Jeong Yun, Hye Young Kim
  Journal for Specialists in Pediatric Nursing.2024;[Epub]     CrossRef
• Comparison of methods for testing mediation effects under structural equation modeling framework: Percentile bootstrap and bias-corrected bootstrap
  Mikyung Sim, Youngsuk Suh, Su-Young Kim
  The Korean Journal of Psychology: General.2022; 41(2): 103.     CrossRef

Purpose
This study aimed to examine the relationship between nursing care needs and nurse staffing in pulmonology units.
Methods
This was a descriptive study that used a retrospective design. In total, 2,622 patient medical records from a tertiary hospital were analyzed. Variables were collected from Clinical Data Warehouse and Electronic Medical Records.
Results
The study found a difference in nursing care needs and nurse staffing by shift among units. In unit A (general unit), nurses were assigned according to nursing care needs and the proportion of severe patients. However, in unit B (general unit), higher nursing needs could lead to an increase in the number of patients per nurse on night duty (r=.23, p<.001). In unit C (comprehensive nursing care service unit), the number of patients per nurse during the day increased as nursing needs increased. The higher the proportion of “greater than two points in nursing activities”, the higher the number of patients per nurse during the day (r=.13, p=.010) and evening (r=.12, p=.018). However, the higher the proportion of “greater than three points in activities of daily living”, the lower the number of patients per nurse during the night shift (r=-.28, p<.001).
Conclusion
Patients’ nursing care needs should be considered in the management of nurse staffing. We should develop a nurse staffing program that considers variation in daily nursing care needs to establish efficient staffing guidelines.

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

Citations

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

Purpose
Patient outcomes should improve through patient involvement and improved interactions with healthcare providers during the care process. This study aimed to examine factors affecting the perceived health status of patients with cancer, focused on their treatment experiences, and explored the differences in treatment-related experiences according to the patients’ characteristics. Methods: This cross-sectional study used the 2015 Korea National Health and Nutrition Examination Survey, which assesses patients’ general characteristics, treatment-related experiences, and perceived health status. Data from 255 cancer survivors aged 19 years or older were used in this study. Descriptive statistics, independent t-tests, and multiple regression were used for the data analyses. Results: Cancer patients’ perception of a lower health resulted from the following factors: insufficient information provision during the care process (β=-.13, p=.026), less participation in the treatment-related decision-making (β=-.25, p=.005), and more comorbidities (β=-.31, p=.018). A higher education level (β=.68, p<.001) was associated with higher perceived health status. The set of significant factors explained 19% of the total variance of the perceived health status. Conclusion: Sufficient information provision during the care process and patients’ participation in treatment-related decision-making affected the perceived health status of cancer patients. Hence, providing cancer patients with information and involving them in decision-making may improve illness self-management capabilities and health status.

Purpose
During hospitalization, sleep can be disturbed and the quality reduced. This study investigated the effect of applying white noise on hospitalized patients for improving their sleep quality. Methods: In a randomized controlled trial design, participants were randomly assigned to an experimental group (n=30) or a comparison group (n=31), enrolled from rehabilitation medicine wards at a university hospital in South Korea. For three days of the intervention, the experimental group listened to white noise for one hour before sleep. The comparison group wore only earplugs before sleep. Sleep quality was assessed by the Verran and Snyder-Halpern (VSH) sleep scale as a subjective measure and the Fitbit ^® wrist band monitor as an objective measure. Data were collected pre- and three days post-intervention. Data were analyzed by repeated measures ANOVA using SPSS/WIN 22.0 program. Results: The white noise group showed positive effects on subjective sleep quality (p<.001) compared to the earplug group. Among the objective sleep quality measures, sleep time (p<.001) and sleep efficiency (p=.003) were statistically significant, but there were no statistically significant differences in time of awakening, number of awakening, time of restless and number of restless. Conclusion: Findings indicate that applying white noise could be considered as a useful nursing intervention to improve subjective and objective sleep quality in hospitalized patients.

Citations

• Impact and efficacy of sound machine on sleep in hospitalized adults: A systematic review
  Kanika Khandelwal, Alecia Anyim, Sara Shu, Dana Gerberi, Mohammed Yousufuddin, Sandeep Pagali
  Sleep Medicine: X.2025; 10: 100154.     CrossRef
• A randomized controlled trial on the effect of music and white noise listening on anxiety and vital signs during intramuscular injection skill learning
  Berna Aksoy, Levent Ozturk
  Teaching and Learning in Nursing.2024; 19(1): e52.     CrossRef
• Effect of dynamic binaural beats on sleep quality: a proof-of-concept study with questionnaire and biosignals
  Hwa-Ah-Ni Lee, Woo-Jin Lee, Seong-Uk Kim, Hyunji Kim, Minkyu Ahn, Jeonghui Kim, Do-Won Kim, Chang-Ho Yun, Han-Jeong Hwang
  SLEEP.2024;[Epub]     CrossRef
• Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
  Yul Ha Lee, Hye-Ja Park
  Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef
• External Auditory Stimulation as a Non-Pharmacological Sleep Aid
  Heenam Yoon, Hyun Jae Baek
  Sensors.2022; 22(3): 1264.     CrossRef

Purpose
This study aimed to 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.

Citations

• 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

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

Citations

• 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

Purpose
The purpose of this study was to explore and describe the process of illness adaptation of patients with Atrial Fibrillation (AF).
Methods
Data were collected from December 2017 to July 2018 through individual in-depth interviews with thirteen patients with AF. Verbatim transcripts were analyzed using the grounded theory methodology developed by Corbin and Strauss.
Results
The core category about the illness adaptation process of patients with AF was identified as “living a life managing the silent insurrection of the heart.” The process of illness adaptation of patients with AF consisted of four phases: “withdrawal”, “transition”, “practice”, and “adeptness”.
Conclusion
An in-depth understanding of the illness adaptation process of patients with AF will guide nurses in proactively developing and implementing effective nursing interventions to better support patients with AF in Korea.

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

Citations

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

PURPOSE
The purpose of this study was to identify factors that influence the performance of cancer pain management among nurses in an oncology unit.
METHODS
The participants of this study were nurses working in an oncology unit at an oncology hospital located in Busan city. Data was collected between January 10 and February 10, 2018 from questionnaire responses received 101 nurses. Measures used for this study assessed knowledge and attitudes toward cancer pain management, patient-centered care, and the performance of cancer pain management. Data were analyzed using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Performance of cancer pain management was significantly correlated with knowledge (r=.21, p=.032), attitudes toward cancer pain management (r=.21, p=.034), and patient-centered care (r=.33, p=.001). In addition, performance of cancer pain management was influenced by knowledge of cancer pain management (β=.27, p=.008), patient-centered care (β=.33, p=.001), and working in the surgery department (β=.24, p=.012). The explanatory power of this model was 29.3%.
CONCLUSION
These results suggest the need for programs to improve patient-centered care, and continual education on cancer pain management guidelines, in order to provide organized and effective pain management.

Citations

• Developing and Validating a Knowledge, Attitude, and Practice (KAP) Questionnaire for Pain Management
  Bashar I. Alzghoul, Hussam M. Seedahmed, Khalid Mohamad Ibraheem
  The Open Public Health Journal.2025;[Epub]     CrossRef
• Development and Effectiveness of a Clinical Decision Support System for Postembolization Syndrome after Transarterial Chemoembolization: A Randomized Controlled Trial
  Myoung Soo Kim, Minkyeong Kang
  Asian Nursing Research.2025; 19(3): 291.     CrossRef
• Competence and training needs in cancer pain management among nurses: a cross-sectional study
  Ting Dong, Lingcao Ma, Xiaolin Song, Sisi Wang, Hanqing Dai, Kunhua Hou
  Frontiers in Medicine.2025;[Epub]     CrossRef
• Nurses’ Knowledge and Attitude Regarding Patient-controlled Analgesia in Tertiary Hospital
  Summayah Mohammed Fallatah, Hadeel Khalid Alotaibi, Noor Ali Busaleh, Raghad Mubarak Almutairi, Ghadah Saud Alqasim, Khadijah Mohammed Alsulaimi
  Journal of Advanced Trends in Medical Research.2025; 2(3): 494.     CrossRef
• Assessing healthcare professionals’ perceptions of pain concepts and beliefs
  Sejun Oh, Yeonji Gu, Inbeom Kim, Euha Kwon, Sangheon Lee, Kyounghae Kim
  NeuroRehabilitation.2024; 55(1): 117.     CrossRef
• Development of a nurse navigation program for cancer pain
  Miyoung Yoo, Eunyoung E. Suh, Mi Jang, Sunsil Kang
  Asia-Pacific Journal of Oncology Nursing.2024; 11(7): 100528.     CrossRef
• Managing Postembolization Syndrome Through a Machine Learning–Based Clinical Decision Support System
  Minkyeong Kang, Myoung Soo Kim
  CIN: Computers, Informatics, Nursing.2024; 42(11): 817.     CrossRef
• Understanding of Dense Breast and Perception of Breast Cancer Risk of Nurses with or without Dense Breast Notification
  Seon Mi Yoon, Jeong Hee Kang
  Asian Oncology Nursing.2023; 23(2): 75.     CrossRef
• Nurses’ knowledge and attitudes toward patient-controlled analgesia for postoperative pain control in a tertiary hospital in South Korea
  Mi-Ra Kang, Youn-Ju Kwon
  BMC Nursing.2022;[Epub]     CrossRef
• Factors Affecting Nurses’ Performance of Cancer Pain Management in a Tertiary Hospital
  Minhwa Kang, Minjeong Seo
  The Korean Journal of Hospice and Palliative Care.2022; 25(3): 99.     CrossRef
• Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients
  Hoi Sook Seo, Eun Young Park, Se Jin Park, Bo Ra Han, Myung Jin Jang
  Asian Oncology Nursing.2021; 21(4): 213.     CrossRef
• The Knowledge, Attitudes, Performance, and Barriers of Nurses to Pain in Oncology Settings: A Multi-Center Study
  Hyekyung Kim, Soeun Choi, Sue Kim, Jiyeon Lee, Sun-Hee Kim, Insook Lee, Yoonjung Shin, Hye-Young Jang
  Asian Oncology Nursing.2021; 21(1): 15.     CrossRef
• Pain Assessment of Lung Cancer Patients in the Emergency Department: A Case Report
  Nayung Youn
  Asian Oncology Nursing.2021; 21(4): 194.     CrossRef

PURPOSE
The purpose of the study was to evaluate the influence of patient activation on diabetes self-care activities and diabetes-specific distress among patients with type 2 diabetes mellitus.
METHODS
This cross-sectional correlational study was a secondary data analysis, utilizing data collected from September 2016 to July 2017, for 151 adults diagnosed with type 2 diabetes in ambulatory endocrinology units of two tertiary hospitals in a metropolitan city. The instruments used for data collection included the Summary of Diabetes Self-Care Activities Questionnaire, the Patient Activation Scale, and the Brief Diabetes Distress Screening Instrument. Hierarchical multiple linear regression analyses were conducted to test the influence of patient activation levels on self-care activities and diabetes-specific distress, after controlling for demographic and clinical variables.
RESULTS
The average patient activation level was 67.8±16.72 (with the possible range from 0 to 100), and the average diabetes-specific distress level was 6.91±2.69 (with the possible range from 2 to 12). Diabetes self-care activities scores were highest in medication adherence and lowest in glucose self-monitoring. Patient activation was the significant factor influencing self-care activities, after controlling for demographic and clinical variables, but showed no significant influence on diabetes-specific distress. Oral hypoglycemic agents and insulin medications were the significant factors influencing diabetes-specific distress.
CONCLUSION
These findings indicate the importance of nursing interventions to improve patient activation and to alleviate diabetes-specific distress. Therefore, in order to improve diabetes self-care activities, it is necessary to facilitate patient activation for diabetes care.

Citations

• Diabetes self‐care activities and its correlates in patients with diabetic neuropathy
  Younhee Kang, Inkyung Park
  Journal of Clinical Nursing.2025; 34(6): 2163.     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
• Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
  Young-Eun Yi, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
• Patient Activation in Cancer Patients: Concept Analysis
  Se Young Jang, Eun Sun Lee
  Korean Journal of Adult Nursing.2024; 36(1): 15.     CrossRef
• The Mediating Effect of Experiential Avoidance on the Relationship between Diabetes Distress and Self-Stigma in People with Diabetes Mellitus Type 2 in Republic of Korea
  Kawoun Seo
  Healthcare.2023; 11(20): 2773.     CrossRef
• The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
  Hyesun Kim, Kawoun Seo
  Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446.     CrossRef
• Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory
  Mona Choi, Chang Gi Park, Soomin Hong
  Asian Nursing Research.2022; 16(4): 187.     CrossRef
• Effects of Symptoms and Patient Activation on Sleep Disturbance in Patients with Acute Leukemia Undergoing Chemotherapy
  Suna Lee, Eunjung Ryu
  Asian Oncology Nursing.2021; 21(3): 173.     CrossRef

PURPOSE
This study explored the level of Post-Traumatic Growth (PTG) in stroke patients receiving rehabilitation treatment and identified the effects of hope, meaning in life, and social support on PTG.
METHODS
A sample of 165 participants was surveyed in a cross-sectional study. Data were collected from January 17, 2018 to April 9, 2018 using self-report structured questionnaires and analyzed using descriptive statistics and hierarchical regression analysis with SPSS/WIN 24.0 program.
RESULTS
The mean score for PTG in stroke patients was 2.82±1.14 (range 0~5). Living with family (t=−2.37, p=.019), having a religion (t=2.91 p=.004), higher income (F=8.94, p<.001), shorter period in stroke diagnosis (≤6 month) (F=3.88, p=.010), having no speech defect (t=−2.24, p=.026), and good functional status (F=3.99, p=.020) were associated with higher PTG. The higher levels of hope (r=.73, p<.001), higher meaning in life (r=.64, p<.001), and higher social support (r=.49, p<.001) were related to higher PTG. Hierarchical regression analysis showed that hope (β=.43, p<.001), meaning in life (β=.25, p=.001), and social support (β=.12, p=.044) were effective factors of PTG in stroke patients. These variables accounted for 42%p of the variance in PTG (F=20.52, p<.001).
CONCLUSION
The study provides insights into how hope, meaning in life, and social support promote PTG in stroke patients. To increase PTG in stroke patients receiving rehabilitation treatment, health care providers should consider developing intervention programs to help increase hope, meaning in life, and social support.

Citations

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