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"Perception"

Original Articles
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.
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  • 29 Download
Self-Management Behaviors for Chronic Low Back Pain in Patients with Spinal Disease: A Structural Equation Modeling Analysis
Jeom Suk Jung, Gwang Suk Kim
Korean J Adult Nurs 2023;35(4):340-355.   Published online November 30, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.4.340
Purpose
The purpose of this study was to construct and test a hypothetical model of self-management behavior in patients with chronic low back pain based on the results of previous studies and a literature review.
Methods
Data from 218 outpatients with spinal disease who visited a university hospital from January 21 to August 3, 2021 with chronic back pain that had lasted for more than 3 months were collected and analyzed.
Results
The goodness-of-fit of the final model satisfied recommendations (RMR=.01, RMSEA=.07, GFI=.97, NFI=.95, TLI=.92, CFI=.97). Negative illness perception directly and negatively influenced self-management behavior (β=-.15, p=.021), and also indirectly affected self-management behavior through self-efficacy (β=-.07, p=.007). Positive illness perception directly exerted a positive impact on self-management behavior. Active participation, internal health control, and self-efficacy all directly influenced self-management behavior.
Conclusion
In order to improve self-management behavior in patients with chronic low back pain and spinal diseases, it is crucial to first determine whether the patient's perception of their illness is positive or negative. Patients should be encouraged to adopt a positive attitude towards their condition and to persist with self-management.
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  • 0 Scopus
Factors Influencing Nursing Graduate Students’ Perception and Behavior Related to Climate Change and Health: A Secondary Data Analysis
Min Kyung Park, Seoyoung Baek, Da Woon Jeong, Gwang Suk Kim
Korean J Adult Nurs 2023;35(1):71-83.   Published online February 28, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.1.71
Purpose
This study aimed to identify nursing graduate students’ perception and behavior related to climate change and health and the factors affecting them. Methods: This secondary analysis used research data on the development of a Korean version of Climate Health and Nursing Tool. The participants were 220 graduate nursing students who were currently working. The dependent variable, which is the climate-health related perception and behavior, consisted of 20 items on awareness, concern, motivation, behaviors at home, and behaviors at work related to climate change. Results: The mean score on the climate-health related perception and behavior was 73.52, which ranged from 41 to 100. Multiple linear regression showed that climate-health related perception and behavior were predicted by an optimistic attitude toward climate change response (β=.20, p=.002), experience in climate change- related extreme events (β=.18, p=.010), number of exposure pathways for climate change-related information (β=.17, p=.008), education level (β=.16, p=.015), and current work area (β=.15, p=.027). Conclusion: An optimistic attitude toward climate change response was identified as the most influential factor that explained nursing students’ climate-health related perception and behavior. Interventions that reinforce positive feelings about climate change-related behaviors and an optimistic attitude that climate change can be adapted to and mitigated through appropriate behaviors would significantly improve climate-health related perception and behavior.

Citations

Citations to this article as recorded by  
  • Climate change perceptions and behaviors among Korean nurses: The role of organizational initiatives
    Dukhyun Back, Kihye Han, Jieun Kim, Hyang Baek
    Nursing Outlook.2025; 73(3): 102383.     CrossRef
  • Factors related to perceptions of climate health impact and climate action: Focusing on the Health Belief Model
    Hansol Lee, Jaehee Kim, Yuri Lee
    Korean Journal of Health Education and Promotion.2024; 41(2): 31.     CrossRef
  • Nurses' Perceptions and Behaviours Regarding Climate Change and Health: A Quantile Regression Analysis
    Min Kyung Park, Seoyoung Baek, Da Woon Jeong, Gwang Suk Kim
    Journal of Advanced Nursing.2024;[Epub]     CrossRef
  • 614 View
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  • 3 Crossref
Media Dependence of Nursing Students on COVID-19-Related Infection Prevention Behavior: Mediating Effect of Risk Perception
Sung Jung Kwak, Nam Yi Kim
Korean J Adult Nurs 2021;33(6):630-638.   Published online December 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.6.630
Purpose
This study aimed to identify the mediating effect of risk perception in the relationship between media dependence and the Coronavirus Disease 2019 (COVID-19)-related infection prevention behavior of nursing students.
Methods
The survey data of 159 nursing students were analyzed. The independent variable was media dependence, the dependent variable was COVID-19-related infection prevention behavior, and the parameter was risk perception. The hypothesis was tested using the Maximum Likelihood (ML) method to analyze the covariate structure.
Results
COVID-19-related infection prevention behavior showed a positive correlation with media dependence and risk perception. With regard to the relationship between media dependence and COVID-19-related infection prevention behavior, risk perception showed a partial mediating effect.
Conclusion
To improve infection prevention behavior, it is necessary to use various media suitable for the age group to access information about COVID-19. Particularly, nursing students take care of various infected patients through clinical practice or medical service. Therefore, it is required to raise risk awareness and improve infection prevention behavior through clinical practice or medical volunteer activities.

Citations

Citations to this article as recorded by  
  • Relationship between Risk Perception, Emotion, and Coping Behavior during Public Health Emergencies: A Systematic Review and Meta-Analysis
    Yuxia Zhao, Yicen Jiang, Wei Zhang, Yanchun Zhu
    Systems.2023; 11(4): 181.     CrossRef
  • Social and Health Beliefs Related to College Students’ COVID-19 Preventive Behavior
    Nam-Yi Kim
    Healthcare.2023; 11(13): 1869.     CrossRef
  • How do mothers with young children perceive endocrine-disrupting chemicals?: an exploratory qualitative study
    SoMi Park, ChaeWeon Chung
    Korean Journal of Women Health Nursing.2023; 29(4): 337.     CrossRef
  • Nursing students' knowledge, health beliefs, anxiety, and preventive health behaviors on COVID-19: A cross-sectional study
    Hyeweon Sa, Youngj Kim
    The Journal of Korean Academic Society of Nursing Education.2022; 28(3): 284.     CrossRef
  • Influencing Factors on COVID-19 Preventive Behaviors among College Students
    Hyeseung Kim, Yunhee Kim
    Journal of Korean Academy of Community Health Nursing.2022; 33(2): 196.     CrossRef
  • COVID-19 Depression and Infection Prevention Behavior among College Students: A Health Belief Perspective
    Yeong-Mi Jang, Jong-Uk Park, Nam-Yi Kim
    Healthcare.2022; 10(10): 2104.     CrossRef
  • Factors Influencing Preventive Behavior of COVID-19 among Nursing Students in South Korea
    Seung-Kyoung Yang, Minji Kim
    International Journal of Environmental Research and Public Health.2022; 19(19): 12094.     CrossRef
  • 155 View
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  • 7 Crossref
  • 7 Scopus
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

Citations to this article as recorded by  
  • 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
  • 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
  • 307 View
  • 3 Download
  • 4 Crossref
  • 1 Scopus
Purpose
Long-Term Care Facilities (LTCF) are places where older adults who require help managing dementia, stroke, and other senile diseases live. The facilities provide convenience for meals, medical and nursing care, and daily life. Therefore, since the actual consumers are older adults rather than the young, it is important to understand the perceptions of older adults about LTCF. This study aimed to identify subjective perceptions toward LTCF in home-dwelling older adults.
Methods
The Q methodology systematic research method, which investigates participants’ subjective viewpoints and perceptions of certain issues, was used. Forty Q-statements were derived from the Q population and arranged in rank order by 50 participants (over 65 years old) into a normal distribution grid (from -4 to +4). A pc QUANL program was used to analyze the collected data.
Results
Three types of subjective perceptions toward LTCF were revealed: “demand for LTCF management improvement (viewpoint of management first, use after)”, “support for LTCF admission (viewpoint of essential use)”, and “distrust of using LTCF (viewpoint of opposition to use)”.
Conclusion
The results of this study can be helpful in developing nursing strategies to ensure better understanding of LTCF among home-dwelling older adults. It is also necessary to develop individualized nursing intervention programs reflecting the three types of subjective perceptions derived in this study.

Citations

Citations to this article as recorded by  
  • Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
    Eun Young Kim, Sung Ok Chang
    Journal of Korean Gerontological Nursing.2022; 24(1): 33.     CrossRef
  • A Meta-Synthesis Study of Person-Centered Care Experience from the Perspective of Nursing Home Residents
    Eun-Young Kim, Sung-Ok Chang
    International Journal of Environmental Research and Public Health.2022; 19(14): 8576.     CrossRef
  • 192 View
  • 1 Download
  • 2 Crossref
  • 2 Scopus
Purpose
The purpose of this study was to investigate the roles of the perception of aging symptoms in mediating and moderating the relationship between family function and stress in middle-aged adults.
Methods
This was a cross-sectional correlational study of 244 middle-aged men and women. Self-administered surveys were conducted using the Family APGAR, stress index, and symptom management beliefs questionnaire. The data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, hierarchical multiple regression analysis, and PROCESS macro using SPSS 23.0.
Results
A significant interaction between family function and the perception of aging symptoms in predicting stress was found, indicating a moderating effect of the perception of aging symptoms on the relationship between family function and stress. An indirect effect of family function on stress through the perception of aging symptoms was not significant, indicating an insignificant mediating effect of the perception of aging symptoms.
Conclusion
The relationship between family function and stress differed depending on participants’ perceptions of aging symptoms. Individuals with negative perceptions of aging symptoms may be vulnerable to stress caused by poorer family function. It is necessary to develop programs to help modify negative perceptions of aging as well as strengthen family function to decrease the stress of middle-aged adults.
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PURPOSE
This study aimed to examine the relationship between illness perception, stress, and sleep, focusing on the influence of illness perception on the quality of sleep through the mediating effect of stress in patients with metabolic syndrome risk factors.
METHODS
A cross-sectional correlational study was conducted with 219 patients with two metabolic syndrome risk factors. Participants were recruited from outpatient clinics in Daegu and Gyeongbuk between June and July 2016. Data were collected using a self-administered structured questionnaire that included items from the Brief Illness Perception Scale, the Perceived Stress Inventory, and the Pittsburgh Sleep Quality Index. Pearson's correlation coefficient, independent t-test, one-way ANOVA, multiple linear regression analysis, and a SPSS macro bootstrap approach were performed.
RESULTS
There were significant correlations between illness perception and sleep (r=.42, p<.001) and between stress and sleep (r=.49, p<.001). Illness perception was a significant predictor of stress (t=7.99, p<.001) and sleep (t=5.83, p<.001) after adjusting for the influence of age, gender, job status, and body mass index. A mediating effect of stress on the relationship between illness perception and sleep was demonstrated by Baron and Kenny's approach (Z=4.57, p<.001) and the PROCESS macro for SPSS (95% confidence interval=0.04~0.13).
CONCLUSION
This study suggests that the negative impact of illness perception on sleep can be reduced by regulating stress. Further, it is necessary to develop intervention programs that can reduce stress linked to the illness perception among patients with metabolic syndrome risk factors.

Citations

Citations to this article as recorded by  
  • Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
    Eun-Hee Lee, Dongwon Choi
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494.     CrossRef
  • Illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran
    Aysan Thagizadeh, Akram Ghahramanian, Vahid Zamanzadeh, Naser Aslanabadi, Tonia C. Onyeka, Nargess Ramazanzadeh
    BMC Cardiovascular Disorders.2022;[Epub]     CrossRef
  • 163 View
  • 2 Download
  • 2 Crossref
  • 3 Scopus
Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
Chi Young Lee, Min Hye Lee, Seong Hyeon Lee, Yeon Hwan Park
Korean J Adult Nurs 2018;30(6):634-642.   Published online December 31, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.6.634
PURPOSE
Nurses' infection prevention and control responsibilities have been emphasized owing to the increasing infection rate in long-term care facilities in South Korea. The aim of this study was to explore nurses' perspectives on challenging situations and the areas of improvement related to their role in infection management.
METHODS
An exploratory descriptive qualitative study was conducted with a purposive sample of 15 nursing staff from five long-term care facilities. A focus group interview with semi-structured questions was conducted between January and May 2017. The study participants' discussions were analyzed using conventional content analysis with line-by-line coding.
RESULTS
The participants discussed the breadth of challenges interfering with their ability to provide optimal infection care, from practical human resource management issues to organizational and environmental barriers, and laid a foundation based on which lacking areas can be improved. The analysis produced key themes centered on healthcare personnel-related professionalism, professional role boundaries, daily workflow and management, interdisciplinary collaboration, standards and protocols, and technological infrastructure.
CONCLUSION
Although participants expressed negative feelings toward the constraints in long-term care facilities, they demonstrated the willingness to create a positive change and offered suggestions for improvement and support to improve resident safety and care management. Therefore, special attention should be paid to nurses' perspectives on their work and roles regarding infection control practices and supporting them with available sources.

Citations

Citations to this article as recorded by  
  • The Multiple Determinants of Infection Prevention and Control Practices in Nursing Homes: A Scoping Review
    Kanako Fujimoto, Momoe Utsumi, Toshiyuki Swa, Aoi Furuya, Ayumi Ikuji, Ayami Nakanishi, Nahoko Harada
    Journal of the American Medical Directors Association.2025; 26(6): 105593.     CrossRef
  • Development of an infection control competency scale for clinical nurses: an instrument design study
    Yong Hwan Hyeon, Kyoung Ja Moon
    BMC Nursing.2024;[Epub]     CrossRef
  • Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people
    Gavin Daker‐White, Maria Panagioti, Sally Giles, Thomas Blakeman, Victoria Moore, Alex Hall, Paul P. Jones, Oliver Wright, Bethany Shears, Natasha Tyler, Stephen Campbell
    Health Expectations.2022; 25(5): 2095.     CrossRef
  • Nurses’ Outlook on Healthcare-associated Infection Surveillance: Findings from Focus Group Discussions
    Soumya Christabel, Christopher Sudhaker , Muralidhar Varma
    Africa Journal of Nursing and Midwifery.2022;[Epub]     CrossRef
  • Nurses’ perceptions of the potential evolution of their role in antibiotic stewardship in nursing homes: a French qualitative study
    Céline Bridey, Gaëlle Le Dref, Aurélie Bocquier, Stéphanie Bonnay, Céline Pulcini, Nathalie Thilly
    JAC-Antimicrobial Resistance.2022;[Epub]     CrossRef
  • The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: A scoping review
    Lauren McCauley, Marcia Kirwan, Anne Matthews
    International Journal of Nursing Studies Advances.2021; 3: 100039.     CrossRef
  • Omissions of Care in Nursing Home Settings: A Narrative Review
    Aaron M. Ogletree, Rikki Mangrum, Yael Harris, David R. Gifford, Rouguia Barry, Linda Bergofsky, Deborah Perfetto
    Journal of the American Medical Directors Association.2020; 21(5): 604.     CrossRef
  • 419 View
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  • 7 Crossref
  • 9 Scopus
PURPOSE
The purpose of this study was to identify the mediating effects of self-efficacy and family support in the relationship between illness perception and health behaviors among patients with tuberculosis.
METHODS
A descriptive, cross-sectional study was conducted with 219 patients with tuberculosis from one general hospital in D city in Korea. The participants took medication over a two months period. Data were collected from four self-reported questionnaires including Health behaviors Questionnaire and Family Support Questionnaire. Of the four questionnaires, Venereal Disease Education Health Belief Model Scales and Health Belief Model Scales were modified for this study population with tuberculosis. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression analysis using SPSS statistics 23.0 program.
RESULTS
A positive correlation existed between health behaviors and illness perception (r=0.80, p < .001), self-efficacy (r=0.66, p < .001), and family support (r=0.73, p < .001). Self-efficacy and family support had partial mediating effect on the relationship between illness perception and health behaviors.
CONCLUSION
Theses results indicated that in order to improve the health behaviors of patients with tuberculosis, it is necessary to develop a management plan that focuses not only on the illness perception but also on the self-efficacy and the role of the family support.

Citations

Citations to this article as recorded by  
  • Effects of illness perception on negative emotions and fatigue in chronic rheumatic diseases: Rumination as a possible mediator
    Yanxia Lu, Xia Jin, Li-Wei Feng, CSK Tang, Michelle Neo, Roger C Ho
    World Journal of Clinical Cases.2022; 10(34): 12515.     CrossRef
  • Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
    Hyun Ju Lee, Jiyoung Park
    Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef
  • Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease
    Kisook Kim, Ji Woon Ko, Sangbong Choi
    Journal of Gerontological Nursing.2020; 46(2): 49.     CrossRef
  • Emotional Intelligence, Problem Solving Ability, Self Efficacy, and Clinical Performance among Nursing Students: A Structural Equation Model
    Mi Sook Kim, Sue Kyung Sohn
    Korean Journal of Adult Nursing.2019; 31(4): 380.     CrossRef
  • 105 View
  • 2 Download
  • 4 Crossref
  • 6 Scopus
Acceptance of Complementary and Alternative Therapy among Nurses: A Q-methodological Study
Ae Kyung Kim
Korean J Adult Nurs 2017;29(4):441-449.   Published online August 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.4.441
PURPOSE
Perceptions of nurses regarding complementary and alternative therapies(CATs) acceptance illustrate how CATs can be applied in nursing practice and become the empirical basis for the expansion of nursing role. Purpose is to identify nurses' perception of CATs acceptance.
METHODS
A Q-methodological study, which allows for analysis of subjectivity of data, was used. A convenience P-sample was consisted of 36 nurses. Twenty-seven Q-statements were derived from a literature review and interviews with six nurses, and were then categorized on a normal distribution using a 9-point scale. The collected data were analyzed using the QUANAL PC Program.
RESULTS
Three types of perception regarding acceptance of CATs were identified among nurses. Type I was called the “cautious type”; Type II, the “positive acceptance type”; and Type III, the “considering reality type.” CONCLUSION: Along with further exploration of the scientific evidence of CATs, adequate nursing education, and finding ways to overcome the obstacles needed for acceptance of effective and empirically tested CATs into a nursing practice, the results of this study may help promoting application of CATs as a nursing practice.

Citations

Citations to this article as recorded by  
  • Complementary and alternative therapies (CAT) in academic programs and nursing practice: Is more education is needed?
    Sandra L. Siedlecki
    Complementary Therapies in Clinical Practice.2021; 43: 101327.     CrossRef
  • 91 View
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  • 1 Crossref
  • 3 Scopus
PURPOSE
This study was designed to identify factors affecting depression among hospitalized older adults prior to discharge from an acute care hospital.
METHODS
This descriptive study included adults aged 65 or older who were hospitalized in a general hospital in Seoul, Korea. Depression was measured by the Short Form Geriatric Depression Scale and illness perception was evaluated by the Brief Illness Perception Questionnaire. Social support was examined using the Perceived Geriatric Social Support Scale. Data were collected from August 25 to October 12, 2015. Data analysis included descriptive statistics, independent t-test, Kruskal-Wallis test, Pearson's correlation coefficient, and hierarchical multiple regression.
RESULTS
Among a total of 120 participants, 57 patients (47.5%) experienced depression. Mean depression score was 7.37±3.67. Depression was associated with illness perception (r=.53, p < .001), social support (r=-.19, p=.043), number of admission due to the recurrence (r=.31, p=.001), and time to recognize discharge plan (r=.25, p=.044). In hierarchical multiple regression, illness perception (β=.45, p < .001) and time to recognize discharge plan (β=.21, p=.039) were predictors of depression (F=7.68, p < .001, Adjusted R²=.38).
CONCLUSION
The findings of this study suggest that management of illness perception and timely notice of discharge are important to reduce depression in hospitalized elderly patients.

Citations

Citations to this article as recorded by  
  • The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue
    Sun Hwa Shin, Eun Hye Lee
    Journal of Korean Academy of Community Health Nursing.2022; 33(1): 43.     CrossRef
  • Mediating Effect of Stress on the Relationship between Illness Perception and Sleep in Patients at Risk of Metabolic Syndrome
    Hyun-E Yeom, Jee-Won Shin
    Korean Journal of Adult Nursing.2019; 31(4): 449.     CrossRef
  • The Level of Successful Aging and Influencing Factors of the Community Elderly
    Kyeong-Sook Cha, Hung Sa Lee, Chunmi Kim, Eun Man Kim
    Korean Journal of Health Promotion.2019; 19(1): 39.     CrossRef
  • Distress and Quality of Life among Elderly Patients with Gastric Cancer: The Mediating Effect of Social Support
    Yoon Sun Kim, Young Sook Tae, Gum Hee Nam
    Korean Journal of Adult Nursing.2017; 29(5): 536.     CrossRef
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Differences between Nurses and Patients' Perception of Nurses' Communication Skills
Soonjoo Park
Korean J Adult Nurs 2017;29(2):166-176.   Published online April 30, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.2.166
PURPOSE
The study aimed to assess differences between nurses' and patients' perception of the communication skills to promote patients' health literacy in a hospital.
METHODS
The convenience sample consisted of 150 patients and 169 nurses in a university hospital. The data were collected from January to February 2014 using the Communication Skills Scale for Hospital nurses and patients. Descriptive statistics, independent t-test, ANOVA, Kruskal-Wallis test, and Lin's concordance were used to analyze the data.
RESULTS
There were significant differences (t=9.44, p<.001) between the perception of nurses (8.18±2.00) and patients (5.49±2.95) on the communication skills used by nurses. Most nurses (3.87±0.39) perceived that the communication skills were effective, but more patients (4.13±0.62) reported significantly higher scores (t=−4.34, p<.001).
CONCLUSION
The results implied that nurses need to make sure that their communication skills are effective when they communicate with patients, and education programs for nurses to develop the advanced communication skills would be necessary.

Citations

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  • The Validity and Reliability of Nursing Assessment Communication-Competence Scale for Clinical Nurses
    Hyojin Kim, Heeyoung Oh
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 78.     CrossRef
  • From NAFLD to MAFLD: Nurse and allied health perspective
    Michelle Clayton, Núria Fabrellas, Jinkai Luo, Mohammed G. Alghamdi, Azaa Hafez, Tahani Al Qadiri, Nevin Owise, Dina Attia
    Liver International.2021; 41(4): 683.     CrossRef
  • Nursing Students' Communication Experience with Professor
    Kwang-Ok Park, Jong Kyung Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(3): 205.     CrossRef
  • Comparison Study of e-Health Literacy and Health Promoting Behaviors of Cancer Patients and Nurses
    Hyoen Jeong Kim, Miyoung Kim
    Asian Oncology Nursing.2020; 20(2): 100.     CrossRef
  • Nurses’ Perspectives on Health Education and Health Literacy of Older Patients
    Min Young Kim, Seieun Oh
    International Journal of Environmental Research and Public Health.2020; 17(18): 6455.     CrossRef
  • Experiences of Inpatients Living with Lung Cancer in South Korea
    Hae Ok Kim, Hyeon Jeong Kim
    Asian Oncology Nursing.2020; 20(1): 28.     CrossRef
  • Development of the Patient Caring Communication Scale
    Myoung Lyun Heo, Sook Bin Im
    Journal of Korean Academy of Nursing.2019; 49(1): 80.     CrossRef
  • 413 View
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  • 6 Scopus
Self-portrait of Obese and Overweight Korean Women based on Lifetime Phase
Nah Mee Shin, Eunyoung Park, Jiwon Choi, Young Joo Park, Sunyoung Jung
Korean J Adult Nurs 2016;28(6):701-708.   Published online December 31, 2016
DOI: https://doi.org/10.7475/kjan.2016.28.6.701
PURPOSE
This study investigated Korean women in between age 30 to 60 who were obese or overweight in order to explore their self-perception based on lifetime phase.
METHODS
Focus group interviews were performed four times with six to eight participants in each group (a total of 27). Data were analyzed using inductive thematic analysis.
RESULTS
The data analysis from the interviews revealed recurring common themes: heavy heart, heavy body, resigned acceptance of their own condition, and compromise. The study also found that each age group had different concerns: concerning others' gaze on their obese appearances (30s), realizing their aging obese appearances (40s), recognizing red flags of their health with obesity (50s), and becoming ambivalent about their obese appearances (60s). Overall, their perceptions of being overweight were negative and stressful. Women in their 30s and 40s were more interested in their appearances, and thus were more obsessive about weight gain. In contrast, women in their 50s and 60s were more accepting of their physical appearances, and thus were more concerned about living healthy than losing weight.
CONCLUSION
These results may be useful to consider when developing tailored weight-control programs for obese and overweight Korean women. Additionally, strategic approaches for successful and effective programs targeting healthy weight should be based on better understanding about women's self-perceptions and motivations.

Citations

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  • Exploring Barriers to and Facilitators of Physical Activity among Korean American Women
    JiWon Choi, Juhyun Cho, Nah-Mee Shin, Janice Tsoh
    Western Journal of Nursing Research.2021; 43(9): 817.     CrossRef
  • Factors Affecting Body Image Discordance Amongst Korean Adults Aged 19–39 Years
    Hye-Young Jang, Jung-Won Ahn, Mi-Kyeong Jeon
    Osong Public Health and Research Perspectives.2018; 9(4): 197.     CrossRef
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  • 2 Scopus
Perception of Sex Life and Sexual Desire Coping Behavior according to General Characteristics among the Spouseless Aged
Eun Young Choi, Ju Young Ha
Korean J Adult Nurs 2014;26(1):58-66.   Published online February 28, 2014
DOI: https://doi.org/10.7475/kjan.2014.26.1.58
PURPOSE
The aim of this study was to identify factors affecting the perception of sex life and sexual desire coping behavior among the spouseless elderly.
METHODS
The participants were 149 elders who resided in six administrative regions of B city. Data were collected from December 1, 2012 to March 3, 2013 using a questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and Stepwise multiple regression in a PASW 18.0 program.
RESULTS
Stepwise multiple regression analysis of data indicated that the most likely predictor is gender. Gender, sexual relation, subjective health status and parent-child relationship explained 34% of the variance of perception of sex life. Gender, dating status and age explained 44% of the variance of sexual desire coping behavior.
CONCLUSION
Based on the study findings, gender and current dating status should be considered to conduct comprehensive sex health care education for healthy sex life of the elderly with no spouse.
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Perceptions of Family Care-givers toward Use of Physical Restraints: An Application of Q-methodology
Eun Ja Yeun, Jeong Hwa An, Jung A Kim, Mi Soon Jeon
Korean J Adult Nurs 2013;25(3):344-355.   Published online June 30, 2013
DOI: https://doi.org/10.7475/kjan.2013.25.3.344
PURPOSE
The purpose of this study was to identify on the perceptions of family care-givers toward use of physical restraints according to their values, beliefs, and perceptions using Q methodology.
METHODS
Thirty-three family care-givers classified 41 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc QUANL program.
RESULTS
Principal component analysis identified 4types of the perceptions of family care-givers toward the use of physical restraints. Type I is 'Rational accepted', which means that they perceived the restraints are essential therapeutic devices and had cooperative attitude to use of medical staffs' restraints. Type II is 'Sardonic sensibility', which means that they have a negative and a cynical attitude to use of physical restraints. Type III is 'Ambivalent', which means that they have conflicts between rationality and emotion, and type IV is 'Practical claim of a right', which means they insist that patients and their family members must be provided with a detailed explanation regarding the application of physical restraints.
CONCLUSION
The findings of this study suggest that perceptions toward the use of physical restraints among family care-givers should be understood for patients' safety and dignity in medical circumstance. Based on the results, this study will be useful in developing the customized nursing intervention for supporting family care-givers' subjectivity considering the Korean context.

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  • Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
    So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef
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The Relationship between Perceptions of Nursing College Students regarding Clinical Practice Environment and Related Variables
Gui Yun Choi
J Korean Acad Adult Nurs 2009;21(1):129-139.   Published online February 28, 2009
PURPOSE
This study was to identify the perceptions of nursing student on the clinical practice environment and related variables.
METHODS
The subjects of this study were 180 nursing students from a college participated in clinical practice at four regional hospitals. Data was collected with the questionnaire tool for the perceptions of clinical practice environment.
RESULTS
The students highly satisfied in the major had significantly high perception in innovation, personalization, student involvement, and clinical practice satisfaction. The students with a low level of stress and a clearly named guidance nurse were significantly high in the perceptions of task orientation, innovation, personalization, student involvement, and practice satisfaction. Clinical practice environment variables such as task orientation, innovation, individualization, personalization, student involvement, and practice satisfaction were significantly correlated with each other. In student characteristics, the main variables directly influencing the perceptions of clinical practice environment were religion, the level of stress, and the method of guidance.
CONCLUSION
Understanding the students' perspective would be valuable for promoting a positive clinical practice environment. Developing a cooperative system between the college and educational hospitals is necessary for effective clinical practice education
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Factors Influencing Life Satisfaction Among the Senior Welfare Center Elderly
Chun Gill Kim, Hyea Ja Park
J Korean Acad Adult Nurs 2007;19(4):535-546.   Published online September 30, 2007
PURPOSE
This study was conducted to evaluate life satisfaction(LS) and to assess the factors that influence LS in senior center elderly people.
METHODS
The subjects were 253 elders who visited the Y city Senior Welfare Center between July 2006 and August 2006. Data were collected using structured questionnaires. The instruments were composed of Kang's Family Support Scale, Depression Scale by Sheikh & Yesavage, Laffery's Health Concept Scale, and LS scale by Choi. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program.
RESULTS
The LS level showed a maximum score of 38 with a mean score of 23.23. The mean scores for depression, health perception and family support were 5.52(maximum score, 15), 77.46(maximum score, 112), 43.45(maximum score, 55) respectively. The LS were significantly correlated with health perception, depression and family support. Depression was the most powerful predictor of and it accounted for 42.0% of the total variance in LS. A combination of significance of eudaimonistic health perception and satisfaction with pocket money accounted for 47.2% in LS.
CONCLUSION
Depression and health perception were identified as affecting variables for the LS. Based upon these results, nurses should help the aged to enhance their LS.
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A Study on Perception and Performance of Health Assessment among Clinical Nurses
San Ok Kim, Myung Suk Sung
J Korean Acad Adult Nurs 2007;19(2):225-236.   Published online June 30, 2007
PURPOSE
The purpose of this study was to describe perception and performance of health assessment among clinical nurses.
METHODS
The sample of this study consisted of 177 staff nurses working at university affiliated hospitals and a self-report questionnaire was used to collect data. Data were analyzed with SPSS WIN 12.0 program.
RESULTS
The overall mean scores of perception and performance of health assessment were 3.67 and 1.71 respectively. There were no significant differences according to educational level, working department, and type of health assessment courses taken for perception of health assessment. The variable significantly affecting health assessment performance was the working department. There was a statistically significant correlation between perception and performance of health assessment.
CONCLUSION
These findings suggest the need to develop a nursing education strategy to increase the performance of health assessment.
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Factors Influencing the Hospital Presentation Time of Stroke Patients
Sang Hyun Lee, Young Whee Lee, Hwa Soon Kim, Ji Young Lim
J Korean Acad Adult Nurs 2007;19(2):167-177.   Published online June 30, 2007
PURPOSE
This cross-sectional survey research was undertaken to identify the factors influencing time from onset to hospital arrival of stroke patients and to provide basic information for the development of intervention programs for stroke patients.
METHODS
The data were collected using a convenient sampling method from three hospitals in Inchon. The subjects were 78 patients who were diagnosed as stroke by doctor and they voluntarily participated in the study.
RESULTS
On the average, subjects arrived at the hospitals by 16.72 hours after the onset of stroke events with the range from 0.17 hours to 72 hours. Thirty-four(43.6%) subjects arrived within 3 hours which can maximize treatment effects. There was significant difference in hospital presentation time according to the level of knowledge(chi-square=18.629, p=.0003). A negative correlation was found between the hospital presentation time and self-efficacy (r= -.320, p=.004). Stepwise multiple regression analysis revealed that the most powerful predictor was self-efficacy. Self-efficacy, the level of knowledge and physical symptoms were significant factors and accounted for 21.7% of the variance of hospital presentation time in stroke patients.
CONCLUSION
According to the results, self-efficacy is a useful concept for reducing the hospital presentation time from onset of attack in stroke patients. Therefore, nurses should consider educational programs which include not only a knowledge of stroke and recurrence prevention but also the concept of self-efficacy.
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A Study on Physiological Parameter, Physical Health Status, and Health Perception in the Elderly
Ae Kyung Han
J Korean Acad Adult Nurs 2004;16(3):460-469.   Published online September 30, 2004
PURPOSE
The purpose was to investigate the physiological parameter and physical health status and health perception in the elderly, and to find the correlation between these variables. The subjects were 139 in Kyungi senior center. METHOD: The instruments for this study were physiological parameters, which were composed of vital capacity, blood pressure, pulse oxygenation, hand grip power, body fat and physical health status scale developed by researcher, and health perception scale developed by Ware(1976). The data were analyzed by the SPSS-PC 11.0 version. RESULTS: 1) 7.9% of subjects were included in abnormal range of vital capacity, 40.3% were systolic hypertension and 11.5% were diastolic hypertension. And 92.1% were included in normal range of pulse oxygenation, 79.8% were weakened hand grip power, and 10.1% of subjects were included in normal range of body fat. 2) The total mean score of the physical health status was 26.34 of a possible maximum score of 45. The physical health status score of women was lower than man's. 3) The mean score of man's health perception was 24.52 and women's was 20.39 of a possible maximum score of 44. 4) There was a significant positive correlation between hand grip power and physical health status(r=.28, p=.001). And a significant correlation between physical health status and health perception was found (r=.24, p=.004). CONCLUSION: It is concluded that the blood pressure, hand grip power and body fat among the physiological parameters of elderly subjects in Kyungi senior center were included in abnormal range. The factors were related life style. therefore, it is suggested that the health education to change life style for the elderly is needed.
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A Structural Model Development of Health Insensitivity in Korean Adult
Dong Suk Lee
J Korean Acad Adult Nurs 2004;16(3):355-365.   Published online September 30, 2004
PURPOSE
The aims of this study were to develope a structural model of health insensitivity and to verify the model of health insensitivity. METHOD: There were three theoretical variables in the hypothetical model. The endogenous variable was health insensitivity which is a concept including bluntness of health risk perception and unhealthy behavior. The exogenous variables were composed of personal factors and socio-cultural factors. In personal factors, neuroticism, external health locus of control, blunting style of information-seeking, deficit of self-efficacy, knowledge deficit related to health, health-related experience, age and education were included. Whereas socio-cultural factors include perceived group size of unhealthy behavior and stereotypes of unhealthy behavior. RESULT: Personal factors and sociocultural factors were significant in explanation of the health insensitivity. Relationship between personal factors and sociocultural factors was significant, too. However, the optimistic bias as part of health insensitivity was not supported by these data. GFI, AGFI and PGFI were .95, .92, .65, respectively. Therefore, this model was verified to be a good fit to the data and parsimonious. CONCLUSION: Nursing to change unhealthy behavior has focused on personal factors rather than sociocultural factors. Based on this result, however, the sociocultural factors should be considered as well.
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A Study on Age-related Difference in Risk Perception of Breast Cancer and Influencing Predictors
Dong Suk Lee, Haeng Mi Son
J Korean Acad Adult Nurs 2004;16(2):327-336.   Published online June 30, 2004
PURPOSE
The aim of this study was to identify the age-related differences in risk perception of breast cancer and the age-related differences in predictors of risk perception. METHOD: The subjects were 553 women aged from 15 to 64 who lived in Seoul, Kwang-Ju, Jeon-nam province. Data was collected by self-reported questionnaire surveys using convenience sampling. The collected data was analyzed using descriptive statistics, F-test with Scheffe test, and stepwise multiple regression with SPSS-Win 10.0 version. RESULT: Risk perception of breast cancer was different by age group. Especially, risk perception in teenagers and the 50~64 years group was lower than the other groups. Additionally, general fear of breast cancer, information seeking style, experience, and knowledge were different between the age groups. The results of multiple regression analyses predicting risk perception indicated the following significant predictors: general fear and knowledge in all the subjects, general fear and experience in the 20~29 years group, and general fear in the other age groups. CONCLUSION: These results suggested that the construction of educational messages for breast cancer prevention and early detection should be designed differently for each age group.
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Perception and Ways of Coping with Stress of Sasangin
Jung Hee Yoo, Hyang Yeon Lee, Eui Ju Lee
J Korean Acad Adult Nurs 2003;15(2):173-182.   Published online June 30, 2003
PURPOSE
This study was founded to identify perception and ways of coping with stress according to classification of Sasangin(4 constitutions).
METHOD
The subjects were 258 regular students who majored in oriental medicine in Jechon and Seoul. Data was collected by 3 types of questionnaires for 3 months; Perceived stess, ways of coping, Questionnaires of Sasang Constitution Classification (QSCC II). Data analysis was conducted by SPSS version 10.
RESULT
1) Difference of perceived stress in Sasangin: Perceived stress by the Sasangin indicated that Soeumin perceived more stress than Soyangin and Taeumin(P=0.013). 2) Different method in coping with stress of Sasangin: It was found that Soeumin didn't make use of emotional coping way according to the analysis(P=0.040). 3) Relationship between ways of coping for stress and perceived stress in Sasangin: It was shown that as Soeumin perceived stress so higher than Soyangin and Taeumin, they tended to use the solving problem-method therefore it was shown to have a negative correlation(P=0.044).
CONCLUSION
In conclusion, it was found that there were differences of Sasangin in perceived stress and ways to cope with it. The dose relationship between the perception and coping method of stress was found.
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Patinets' Perception and Satisfaction with Nursing Care in Korea
Ae Yong Eom
J Korean Acad Adult Nurs 2001;13(4):581-590.   Published online December 31, 2001
No abstract available.
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