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Review Articles

Symptom Clusters among Lung Cancer Patients: A Scoping Review
Yun Young Choi, Jotsna Akter, Jiyeon Lee
Korean J Adult Nurs 2024;36(4):271-297.   Published online November 30, 2024
DOI: https://doi.org/10.7475/kjan.2024.36.4.271
Purpose
Lung cancer (LC) is the leading cause of cancer-related death globally, and understanding symptom clusters (SCs) among LC patients could improve symptom management. This scoping review provides a comprehensive summary of the most common SCs and their compositions identified in studies specifically investigating SCs of LC patients.
Methods
A scoping review was conducted following the Joanna Briggs Institute methodology. The study included LC patients as participants, SCs as the concept, and studies with distinct aim to investigate LC SCs as the context. We searched studies from inception to September 2022 in PubMed, Embase, PsycINFO, CINAHL, and the Cochrane Library databases using the terms: "lung cancer," "cancer survivors, " and "symptom cluster." Results: Of 41 reviewed reports, 188 SCs were identified. Both a priori and de novo method were used to identify LC SCs, with exploratory factor analysis being the most commonly used statistical method in the de novo approach. The three most frequent SCs were respiratory, gastrointestinal (GI), and psychological SCs. The most common respiratory SC included cough + dyspnea. Nausea + vomiting was the most prevalent cluster membership among GI SCs. Sad + feeling irritable + feeling nervous + worrying was the most common cluster membership among psychological SCs.
Conclusion
Respiratory, GI, and psychological SCs were common among LC patients, and addressing these clusters could improve symptom management strategies. Further research on SCs across the lung cancer trajectory is essential to enhance our understanding about SCs and facilitate effective symptom management throughout the disease course.
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Purpose
This study was a scoping review aimed at evaluating Simulation-Based Education for recognizing and responding to deteriorating patients within Korean nursing school curricula, and at developing educational strategies for these competencies.
Methods
A literature search was conducted from April 1 to April 30, 2024. The review followed the scoping review framework by Arksey and O’Malley and the manual by the Joanna Briggs Institute. Relevant studies were identified through databases such as the Korean Medical Database, Korean Studies Information Service System, DataBase Periodical Information Academic, Research Information Sharing Service, ScienceOn, and the Cumulative Index to Nursing and Allied Health Literature.
Results
Eleven studies published from 2010 to 2019 were reviewed. The simulations typically included several lectures and practice sessions on advanced cardiopulmonary life support before the simulation exercises, which were then repeated. Cardiac arrest was frequently used as a scenario subject. The learning outcomes focused on the cognitive and psychomotor domains, as well as self-efficacy.
Conclusion
Although simulation for recognizing and responding to deteriorating patients was available in Korean nursing school curricula, it was infrequently incorporated as a regular part of the training. Future initiatives should include adding educational content to enhance nursing students' competencies in recognizing and responding to deteriorating patient simulations. Subsequent studies should assess the effectiveness of these educational methods.
  • 79 View
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The Effects of Aromatherapy on Stroke Symptoms in Stroke Patients: A Systematic Review and Meta-Analysis
A Reum Lim, Hyun Kyoung Kim
Korean J Adult Nurs 2024;36(2):85-101.   Published online May 31, 2024
DOI: https://doi.org/10.7475/kjan.2024.36.2.85
Purpose
This systematic review and meta-analysis aimed to investigate the effects of aromatherapy interventions on stroke symptoms in stroke patients.
Methods
This study adhered to the Preferred Reporting Items of Systematic Reviews and Meta-Analysis guidelines. Relevant studies published between 2004 and 2022 were searched in the PubMed, CINAHL, Cochrane Library, EMBASE, ERIC, and RISS databases. The review included randomized and non-randomized studies of stroke patients who received aromatherapy interventions targeting stroke symptoms. The extracted literature was evaluated via the ROB 2 and ROBINS-1 quality appraisal checklists and visualized using a risk-of-bias visualization tool.
Results
The review included five randomized controlled trials and five quasi-experimental studies. The results showed that aromatherapy, administered through massage, inhalation, acupressure, mouth care, and olfactory stimulation, was effective in alleviating pain, constipation, oral health, motor power, muscle strength, balance, fatigue, and sleep quality. Aromatherapy also demonstrated beneficial effects in reducing depression, stress, delirium, blood pressure, pulse rate, respiration rate, serum cortisol, and antioxidants, while enhancing happiness, body temperature, and quality of life. A meta-analysis of mean differences in post-test results revealed that three studies reported a significant effect on pain, with an effect size of 1.85 (95% CI, 0.18~3.51).
Conclusion
Aromatherapy had positive effects on physical, physiological, psychological, cognitive, and integrative health outcomes. We recommend the use of aromatherapy in stroke patients to improve pain relief and health outcomes.

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  • Traditional, complementary, and integrative medicine in the management of ischemic stroke: a narrative review
    S. Sowmiya, Rukaiah Fatma Begum, L. S. Dhivya, Praveen Rajendran, N. Harikrishnan, Ankul Singh S
    Frontiers in Pharmacology.2025;[Epub]     CrossRef
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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.
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Purpose
This study aimed to identify the characteristics and efficacy of Intermittent Pneumatic Compression (IPC) interventions for preventing Venous Thromboembolism (VTE) in critically ill patients. Methods: The CENTRAL, Embase, OVID, CINAHL, KMbase, KoreaMed, and KoreaScience databases were searched from January 7 to 11, 2023. The search included all records from the inception of each database up to January 2023, with publication language restrictions to English and Korean. Three reviewers independently carried out the entire process, which included data search, quality assessment, and data extraction. Results: Out of 1066 articles, six Randomized Controlled Trials (RCTs) were included. One of the four studies that reported on the incidence of DVT, and one of the six studies that measured the incidence of Pulmonary Embolism (PE), found that IPC alone was effective in reducing the incidence of DVT and PE. One of the four studies that reported on VTE incidence demonstrated a significant reduction in VTE incidence with a triple intervention of IPC, anticoagulants, and elastic compression stockings compared to a combined intervention of anticoagulants and graduated compression stockings. Four studies that reported data on the incidence of bleeding reported no effect on reducing bleeding. Conclusion: Our findings suggest that IPC interventions may reduce the incidence of DVT as a preventive strategy in critically ill patients. Further RCTs are necessary to evaluate the effect of IPC interventions on DVT prevention in this patient population and to provide robust evidence for critical care nursing.
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The Application of Theories in Research on Advance Care Planning (2010~2022): A Scoping Review
Jeongwon Shin, Sujin Lim, Hwain Kim, Kyunghee Lee, Heejung Jeon
Korean J Adult Nurs 2024;36(1):1-14.   Published online February 29, 2024
DOI: https://doi.org/10.7475/kjan.2024.36.1.1
Purpose
This scoping review aimed to identify the current state of the application of theories in research related to advance care planning and to analyze the types and characteristics of the theories applied. Methods: Using the scoping review methodology presented by Arksey & O'Malley, the articles published from 2010 to 2022 were searched by combining the terms "advance care planning," "theory," and "model" in five electronic databases; PubMed, CINAHL, EMBASE, KMBASE, and KISS. Results: Thirty-two studies were identified. Theory-based research has been actively conducted since 2019, with a total of 25 theories applied. Psychological theories were the most prevalent, accounting for 75.0% of the applications, followed by sociological theories (12.5%), public health theories (6.3%), and one nursing theory (3.1%). Theories were utilized to create a framework for data analysis, establish a philosophical underpinning, develop intervention frameworks, and derive new tools. Conclusion: Various theories have been applied to research on advance care planning, yet the application of nursing theory has been limited. To optimize end-of-life care and advance care planning from a nursing perspective, further research incorporating nursing theory is essential.
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Present and Future of Research on Continuous Glucose Monitoring: A Narrative Review
Junhee Ahn, Jeong Hee Kang, Jihyon Pahn, Youngran Yang
Korean J Adult Nurs 2023;35(4):311-326.   Published online November 30, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.4.311
Purpose
Continuous Glucose Monitoring (CGM) plays a crucial role in helping patients with diabetes manage their blood sugar levels. This review aimed to understand the context and scope of CGM-related studies in Korea and identified areas for future research, particularly in nursing science.
Methods
The search strategy involved examining eight electronic databases for published studies on CGM, with the search period ending in March 2022. Four independent reviewers conducted screening, selection, and narrative review of the studies.
Results
Descriptive and substantive analyses were performed for 68 studies on CGM, which covered diverse areas, including: (1) evaluating the CGM performance through comparisons with self-monitoring of blood glucose and correlations with existing indices; (2) validating the efficacy of CGM in improving patient outcomes and assessing various interventions; and (3) expanding the use of CGM, such as clinical guidelines and reviews, developing predictive models, and other clinical studies.
Conclusion
Research on CGM has expanded to include early performance evaluation, efficacy verification, and utilization in various clinical settings. However, there is a lack of nursing-focused studies of CGM. It is recommended to incorporate CGM in nursing research aimed at enhancing self-management for patients with diabetes. Future projects should focus on developing and applying patient-customized CGM user manuals, comparing the effectiveness of CGM among patients with different types of diabetes, exploring qualitative experiences of CGM use, and addressing related issues.

Citations

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  • Exploring the Initial Encounter with Continuous Glucose Monitoring among Individuals with Type 2 Diabetes: A Two-Week Trip
    Miseon Shin, Youngran Yang, Jeong Hee Kang, Heung Yong Jin
    Diabetes, Metabolic Syndrome and Obesity.2024; Volume 17: 3521.     CrossRef
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  • 1 Crossref
  • 1 Scopus

Invited Articles

The Significance of Sarcopenia in Patients with Heart Failure: What Do We Know and Need to Know?
Youn-Jung Son, Sook Hyun Park
Korean J Adult Nurs 2023;35(4):303-310.   Published online November 30, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.4.303
Purpose
Sarcopenia is significantly associated with frailty, readmission, and mortality in patients with heart failure. This review aims to provide an overview of the literature on sarcopenia in individuals with heart failure.
Methods
A comprehensive literature review was conducted regarding the current state of knowledge on assessment tools for the diagnosis, prognosis, and optimal management of sarcopenia in patients with heart failure.
Results
Sarcopenia can be defined as the loss of muscle mass with low muscle strength and/or poor physical performance. Sarcopenia has been officially listed as a disease in the eighth revision of the Korean Classification of Diseases in 2021. The causes of sarcopenia in patients with heart failure are multifactorial, including chronic inflammation, hormonal imbalances, nutritional deficiencies, low muscle blood flow, and endothelial dysfunction. The management of sarcopenia is primarily focused on exercise and/or nutritional management because there is no specific pharmacological therapy to treat sarcopenia.
Conclusion
Healthcare professionals should be aware of the significance of early detection and timely management of sarcopenia to avoid physical disability, long-term institutional care, and mortality in individuals with heart failure. Clinical trials are required to evaluate the effectiveness of interventions including exercise and nutrition, alone or in combination, on sarcopenia in patients with heart failure. In addition, more research is required to identify multidimensional risk factors and diagnostic biomarkers for sarcopenia.
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The Understanding and Application of Telomere Length as an Emerging Biomarker in Adult Nursing Research: A Review
Seolbin Han, Jihee Min, Dae-Kwang Kim, In Deok Kong, Nahyun Kim
Korean J Adult Nurs 2023;35(1):1-12.   Published online February 28, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.1.1
Purpose
This study aimed to provide an overview of telomere length (TL) as an emerging biomarker in adult healthcare. Additionally, some measurement considerations and future directions for its application in adult nursing research were described. Methods A comprehensive literature review was conducted. Results TL is a widely known indicator of aging and aging-related diseases at the molecular level. Throughout the literature, TL has been established as a useful biomarker that is indicative of aging-related diseases such as cancer, metabolic diseases, and psychological distress and their resulting health conditions. The main pathway of TL shortening appears as an interaction between genetic and environmental factors through a mechanism commonly known as oxidative stress and inflammation. TL attrition may be slowed down, stopped, or even lengthened by interventions such as mindfulness, meditation, exercise, lifestyle modifications, and cognitive behavioral therapy, which have been demonstrated to have a positive effect on TL. As these interventions have been widely applied in adult nursing research, the value and scope of adult nursing science can be expanded by using TL in such research. Conclusion TL has been shown to be associated with age-related diseases, which are mainly studied in adult nursing research. Therefore, it is necessary to explore various nursing phenomena using TL as a biomarker through adult nursing research and to develop nursing interventions that have a positive effect on TL.

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  • A biobehavioral theoretical framework based on the mechanism of cellular aging for nursing interventions to promote autonomic balance
    Nahyun Kim, Jooyeon Park
    Journal of Korean Biological Nursing Science.2024; 26(2): 99.     CrossRef
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Review Articles

Association of Psychological Stress with Telomere Length as a Biomarker of Cellular Aging: A Systematic Review
Seolbin Han, Sangeun Jun, Nahyun Kim
Korean J Adult Nurs 2022;34(5):450-465.   Published online October 31, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.5.450
Purpose
This study aimed to synthesize evidence for the association of psychological stress with Telomere Length (TL)-a potential biomarker of cellular aging. Methods: A systematic literature search was conducted to identify eligible studies in the Cochrane Library, PubMed, Embase, and CINHAL. In this review, we included all papers published since the initiative's inception and summarized results as of March 2022. Studies that investigated subjective stress using questionnaires and objective stress using biomarkers of adults (aged≥18 years) were included. Ultimately, 20 studies met our selection criteria. The risk of bias was assessed using the Newcastle-Ottawa Scale. Results: Fifteen of the twenty studies (75.0%) reported that individuals with higher psychological stress levels had shorter TL. Eleven of sixteen studies (68.8%) measuring subjective stress and five of eight studies (62.5%) measuring objective stress showed significant associations of psychological stress with TL. However, five studies reported no association between psychological stress and TL shortening. Although the heterogeneous studies limited the ability to draw clear conclusions, it is suggested that psychological stress might accelerate the erosion of telomere ends.
Conclusion
Our findings indicate that TL could be a useful emerging biomarker for measuring stress-related health outcomes in nursing. Further large-scale longitudinal studies using TL as a genetic biomarker with multidimensional stress measurements are needed to investigate the association between psychological stress and cellular senescence.

Citations

Citations to this article as recorded by  
  • A biobehavioral theoretical framework based on the mechanism of cellular aging for nursing interventions to promote autonomic balance
    Nahyun Kim, Jooyeon Park
    Journal of Korean Biological Nursing Science.2024; 26(2): 99.     CrossRef
  • The Understanding and Application of Telomere Length as an Emerging Biomarker in Adult Nursing Research: A Review
    Seolbin Han, Jihee Min, Dae-Kwang Kim, In Deok Kong, Nahyun Kim
    Korean Journal of Adult Nursing.2023; 35(1): 1.     CrossRef
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Effectiveness of Delirium Education Programs for Nurses in Acute Hospitals: A Systematic Review and Meta-Analysis
Jungyeon Roh, Sujin Shin, Eunmin Hong
Korean J Adult Nurs 2022;34(5):435-449.   Published online October 31, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.5.435
Purpose
This study aimed to review the effectiveness of delirium education programs for nurses in acute hospitals.
Methods
The inclusion criteria were studies on delirium education programs for nurses published in English and Korean from 2012 to 2022. A literature search was conducted in the RISS, KISS, DBpia, PubMed, CINAHL, PsycINFO, and Web of Science databases using the key words of "delirium", "nurse", and "education". Qualitative appraisal of studies was conducted using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) and the Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool translated by National Evidence-based Healthcare Collaborating Agency (NECA). For meta-analysis, the effect size of the intervention was calculated as standardized mean difference.
Results
Eighteen studies were selected for the systematic review. While the contents of the education programs were similar, the teaching methods were different. Interventions implemented included traditional learning, e-learning, and blended learning. Teaching methods of delirium education programs for nurses included lecture, discussion, practice, simulation, role-play, and coaching. The systematic review found that delirium education programs for nurses effectively increased post-intervention outcomes in 17 studies. Delirium education programs for nurses have benefits regarding delirium knowledge and performance. In four studies, delirium education program interventions improved delirium nursing performance (95% CI: 0.48~2.44, p=.003).
Conclusion
These results demonstrate the need for a standardized delirium education program. It is recommended that further studies evaluating the patient outcome effects of delirium education programs should be conducted.

Citations

Citations to this article as recorded by  
  • The influence of delirium knowledge, critical thinking disposition, and compassion competence on delirium nursing performance in general hospital clinical nurses: A cross-sectional descriptive study
    Hyang Sook Lee, Jeong Eun Yang
    Journal of Korean Gerontological Nursing.2025; 27(1): 95.     CrossRef
  • Educational programs to improve nursing competency of patient- and family-centered care in intensive care units: A systematic review
    Youngshin Joo, Eugene Han, Yeonsoo Jang
    Nurse Education Today.2025; 151: 106699.     CrossRef
  • Performance, Knowledge, and Barrier Awareness of Medical Staff Regarding the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Critical Care Patients: A Cross-Sectional Study
    Hyo-Geun Song, Duckhee Chae, Sung-Hee Yoo
    Korean Journal of Adult Nursing.2023; 35(4): 379.     CrossRef
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Research Trends in Intervention Studies for Frail Elderly Adults in Korea: A Scoping Review
Hyeyoung Kim, Hyunseon Kang
Korean J Adult Nurs 2022;34(3):233-248.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.233
Purpose
This study was a scoping review designed to identify research trends in intervention studies related to the frailty of older adults in Korea.
Methods
The scoping review utilized the Joanna Briggs Institute (JBI) protocol. A literature search was conducted on DBpia, KISS, KMBASE, NDSL, RISS, CINAHL, and PubMed. In total, 1,131 articles were identified, and 41 articles were used for the final analysis. Two reviewers independently selected studies and extracted characteristics using pre-tested forms to determine the final inclusion.
Results
The most widely utilized measurement tools were the Frailty phenotype scale and a basic measurement tool for frail older adults used in a customized visiting health care project at a public health center. For the intervention program, an exercise program as well as educational and cognitive enhancement programs, nutrition kit provision, etc., was used in 40 studies. The most common outcome variables measured in this study were bodily function followed by body composition. In addition, depression, quality of life, cognitive function, daily activities, perceived health status, and falling incidents were measured.
Conclusion
Research related to frailty is being conducted on community-dwelling older adults, to develop and apply interventions suitable for institutionalized older adults. In research, the use of reliable tools to determine any weakness of older adults should be expanded, and various interventions such as psychosocial interventions, nutritional provision, and exercise programs should be developed and applied.
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Experiences of Nurses Caring for Hemodialysis Patients: A Qualitative Meta-Synthesis Study
Ye-Na Lee, Eun Young Kim
Korean J Adult Nurs 2022;34(2):168-177.   Published online April 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.2.168
Purpose
We aimed to systematically review and synthesize qualitative evidence on the experiences of nurses caring for hemodialysis patients.
Methods
We used Noblit and Hare’s meta-ethnography. Seven databases (PubMed, EMBASE, CINAHL, Web of Science, RISS, KISS, National Assembly Electronic Library) were used for the literature search. There were no restrictions placed on publication dates. A total of 10 studies published in English and Korean up until July 2021 were finally selected for review.
Results
Three themes were identified from the literature review, which were then divided into six subthemes: acquiring the technical skills of hemodialysis, responsibility for prolonging patients’ lives, and maintaining stable hemodialysis in patients’ daily lives.
Conclusion
The results of this study provide basic data that emphasizes the specific role of nurses in the hemodialysis unit, a specialized area of nursing, and can be utilized as educational material for hemodialysis unit nurse education.

Citations

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  • A Qualitative Study on Nurses' Caring Experiences With Individuals With Kidney Failure Receiving Haemodialysis
    Edward Appiah Boateng, Bernice Bodua‐Mango, Joana Kyei‐Dompim, Philemon Adoliwine Amooba
    Journal of Renal Care.2025;[Epub]     CrossRef
  • Cherubims in Rdu: Experiences of Novice Nurses in Renal Dialysis Unit Among Tertiary Hospitals in Davao City
    ANNALIE G. CUEVA, SAMUEL F. MIGALLOS
    International Journal of Latest Technology in Engineering Management & Applied Science.2025; 14(4): 438.     CrossRef
  • Improving assessment and escalation of threatened haemodialysis access: results of a nursing-led program
    Dana Forcey, Dan Tran, Jenny Connor, Piriya Kusuma Na Ayudhya, Christian Ocampo, Craig Nelson, Sandra Crikis
    BMC Nephrology.2023;[Epub]     CrossRef
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  • 2 Scopus
Effectiveness of Devices for Prevention and Treatment of Pressure Ulcers: A scoping Review
Soo Youn Jung, Mina Park, Kyoung Ja Moon
Korean J Adult Nurs 2022;34(2):123-136.   Published online April 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.2.123
Purpose
Pressure ulcers (PUs) are a common problem affecting the quality of life of patients and also hindering the quality of medical services. The purpose of this scoping review was to analyze Randomized Controlled Trials (RCTs) focusing on devices used for the prevention and treatment of PUs.
Methods
The scoping review was conducted using the scoping review process outlined by Arskey and O’ Malley and using the JBI template. The review was described by PRISMA-ScR. Studies on relevant interventional devices for PUs were searched using electronic databases. The medical databases PubMed, CINHAL, CENTRAL, and EMBASE, and several Korean databases were searched between 2010 and July 2021.
Results
Thirteen RCTs were included in the analysis. The devices used were found to be effective in the prevention and treatment of PUs by the mechanisms of either pressure relief, moisture retention, or increased blood flow. The effectiveness of the devices was measured by the incidence of PUs and the improvement in patients’ quality of life and comfort after therapy.
Conclusion
The use of devices for the prevention and treatment of PUs is helpful in clinical settings. However, more studies are needed that address the use of these devices in larger populations to improve the quality of patients’ life and medical service.

Citations

Citations to this article as recorded by  
  • Pressure Ulcer Management Virtual Reality Simulation (PU-VRSim) for Novice Nurses: Mixed Methods Study
    Soo Youn Jung, Kyoung Ja Moon
    JMIR Serious Games.2024; 12: e53165.     CrossRef
  • Development of Pressure Ulcer Management and Fall Prevention Protocol
    Youngshin Song, Keumok Ban, Hye Young Kim, Sun Ae Kim, Seyeon Park, Myoungjin Kwon
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 391.     CrossRef
  • The Novel Digital Therapeutics Sensor and Algorithm for Pressure Ulcer Care Based on Tissue Impedance
    Tae-Mi Jung, Dae-Jin Jang, Jong-Ha Lee
    Sensors.2023; 23(7): 3620.     CrossRef
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Effects of Exercise on Chemotherapy-induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis
Yu Hyeon Choe, Da Hye Kim
Korean J Adult Nurs 2021;33(5):458-471.   Published online October 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.5.458
Purpose
This review aimed to evaluate the effectiveness of exercise on Chemotherapy-induced Peripheral Neuropathy (CIPN).
Methods
The medical databases PubMed, EMBASE, and CINAHL, and several Korean databases were searched until December 2020. Additionally, a manual search was conducted. The risk of bias was assessed using the revised Cochrane risk-of-bias tool for randomized trials. The Review Manager 5.3 version of the Cochrane Library was used to estimate effect size through meta-analysis.
Results
Nine studies were included. The most common types of exercise reported were yoga, combined aerobics and strength exercise, and combined strength and balance exercise; each was backed by two studies. Four randomized controlled trials were meta-analyzed, and five studies were synthesized qualitatively. A significant effect on CIPN was found using meta-analysis (standardized mean difference=-0.28, 95% confidence interval=-0.47~-0.09, p=.004). As a result of qualitative synthesis, groups that did exercises were reported to have significantly lessened CIPN symptoms than control groups in three studies. In one study, the exercise group showed significant reduction in CIPN symptoms. And in another, the exercise group was more relieved of CIPN symptoms than the control group, although the difference was not significant.
Conclusion
The results indicate that exercise should be part of the regimen for patients who are receiving or have completed neurotoxic chemotherapy, for relieving CIPN symptoms. However, these results should be interpreted cautiously, especially due to the limited number of studies and the small number of participants. Therefore, further well-designed studies with sufficient numbers of participants are required.

Citations

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  • The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional survey
    Sohee Mun, Hyojung Park
    Korean Journal of Women Health Nursing.2022; 28(4): 296.     CrossRef
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Artificial Intelligence-based Healthcare Interventions: A Systematic Review
Gaeun Park, Haejung Lee, Misoon Lee
Korean J Adult Nurs 2021;33(5):427-447.   Published online October 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.5.427
Purpose
This study aimed to identify the components of artificial intelligence-based healthcare interventions and determine their effects on health behaviors and physiological, psychological, and cost-effectiveness outcomes among adults.
Methods
Nine core electronic databases were searched for articles published between January, 2009 and May, 2021 using terms related to artificial intelligence, healthcare, and randomized controlled trials. Qualitative synthesis was then performed.
Results
Of the 1,194 retrieved articles, 20 were selected for analysis. Many of the studies targeted adults who wanted to change their health behaviors, patients with diabetes, and those aged 20~50 years. The characteristics of the artificial intelligence-based healthcare interventions were analyzed in terms of the following components: external data, artificial intelligence technology, problem solving, and goals. Many interventions offered personalized suggestions by learning participant behavior patterns using machine learning technology and diet and physical activity data. The majority of interventions targeted health behaviors and physiological outcomes. These artificial intelligence-based healthcare interventions were effective in decreasing hospital visits and improving psychological outcomes and health behaviors.
Conclusion
Artificial intelligence-based healthcare interventions can be an important part of decreasing hospital visits and improving psychological outcomes and health behaviors among adults. The results suggest that there is a need to develop and apply appropriate artificial intelligence algorithms for patients with chronic diseases that require continuous management in Korea.

Citations

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  • Keyword Network Analysis and Topic Modeling of News Articles Related to Artificial Intelligence and Nursing
    Ju-Young Ha, Hyo-Jin Park
    Journal of Korean Academy of Nursing.2023; 53(1): 55.     CrossRef
  • The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus
    Gaeun Park, Haejung Lee, Ah Reum Khang
    Journal of Korean Academy of Nursing.2022; 52(5): 535.     CrossRef
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  • 3 Scopus

Invited Article

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.
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Review Articles

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

Citations

Citations to this article as recorded by  
  • South Korean Nurse Residency Program for New Graduates: A Posttest Study
    Jihye Song, Kyunghee Kim, Yunjung Jang
    The Journal of Continuing Education in Nursing.2024; 55(8): 393.     CrossRef
  • Outcome Evaluation of a Health System Clinical Nurse Specialist Fellowship Program
    Tiffany Rader, Alyson Keen, Brandee Wornhoff, Jan Powers
    Clinical Nurse Specialist.2024; 38(4): 163.     CrossRef
  • The development and evaluation of a pediatric nurse preceptor education program in a children’s hospital
    Nam-Ju Cho, Kyung-Sook Bang, Na-Rae Jung, Eun-Chul Kim
    The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 280.     CrossRef
  • Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study
    Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
    Nurse Education Today.2024; 133: 106077.     CrossRef
  • Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
    Soyoung Kim, Sujin Shin, Inyoung Lee
    Korean Medical Education Review.2023; 25(1): 55.     CrossRef
  • Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model
    Heehwa Choi, Sujin Shin
    The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 27.     CrossRef
  • 110 View
  • 7 Download
  • 6 Crossref
  • 6 Scopus
Research Trends in Korea on Integrated Nursing Care Service: A Scoping Review
Ju i Kim, Hyoung Shim Choi
Korean J Adult Nurs 2020;32(5):455-471.   Published online October 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.5.455
Purpose
This study aimed to analyze the domestic studies on Integrated Nursing Care Services (INCS) to confirm research trends and present future directions.
Methods
This study used the scoping review method, which comprises six stages: 1) identifying the research question, 2) identifying relevant studies, 3) study selection, 4) charting the data, 5) collating, summarizing, and reporting results, 6) consultation.
Results
Studies related to INCS were multiplying and could be categorized into five themes: patient experience, risks to patient, nursing experience, risks to nurse, and environment of INCS unit. Research has primarily focused on investigating the phenomenon, with nurses as the predominant subjects. Although various variables were investigated for nurses, the results were controversial. Research on patients’ experiences and risks is insufficient, and research variables are limited.
Conclusion
Further research is needed on INCS regarding patients and environments. Research on nurses also requires repeated studies after controlling for various situations.

Citations

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

Citations

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  • A review of the relationship between patient safety culture and safety activities: A systematic review focusing on the Korean version of the Hospital Survey on Patient Safety Culture 1.0
    Hana Kim, Mijeong Park, Jeongeun Kim, Jisan Lee
    The Journal of Korean Academic Society of Nursing Education.2025; 31(1): 65.     CrossRef
  • Nurses' Hospital Selection within a Dual Labor Market Framework: The Dilemma of Professional Identity
    Hyun-Ji Bae, Hyoung Suk Kim, Hwal Lan Bang
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 14.     CrossRef
  • AI‐Assisted Tailored Intervention for Nurse Burnout: A Three‐Group Randomized Controlled Trial
    Gumhee Baek, Chiyoung Cha
    Worldviews on Evidence-Based Nursing.2025;[Epub]     CrossRef
  • Development of an Emergency Nurse Internship to Promote a Healthy Work Environment and Improve Nurse Retention
    Megan Hignight, Karrie Boss, Mustafa Culcuoglu, Penelope Gorsuch
    Journal of Emergency Nursing.2024; 50(5): 610.     CrossRef
  • Simulation-Based Education for Recognizing and Responding to Deteriorating Patients in Korean Nursing Curricula: A Scoping Review
    Yi Kyung Ha, Hye Jin Kang
    Korean Journal of Adult Nursing.2024; 36(4): 261.     CrossRef
  • Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study
    Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
    Nurse Education Today.2024; 133: 106077.     CrossRef
  • A Microlearning-Based Self-directed Learning Chatbot on Medication Administration for New Nurses
    Ae Ran Kim, Ae Young Park, Soojin Song, Jeong Hee Hong, Kyeongsug Kim
    CIN: Computers, Informatics, Nursing.2024; 42(5): 343.     CrossRef
  • Turnover Rates and Factors Associated With Turnover: A Longitudinal Analysis of the Retention Period of Clinical Nurses in Korea Using National Data
    Yunmi Kim, Hyun-Young Kim
    Policy, Politics, & Nursing Practice.2024; 25(2): 83.     CrossRef
  • Exploring the impact of the mentoring new nurses for transition and empowerment program led by clinical nurse educators in South Korea: A mixed-methods study
    Sun-Hee Moon, Hye Won Jeong, Ue Seok Jung
    Nurse Education Today.2024; 140: 106251.     CrossRef
  • The Moderating Effect of Nursing Organizational Culture on the Relationship between Resilience and Clinical Competence of New Graduate Nurses
    Hanna Lee, Eun-Jun Park
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 483.     CrossRef
  • Effect of Transition Shock on Intention to Stay in Newly Graduated Nurses : The Mediating Effect of Positive Psychological Capital
    Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
    Journal of Korean Critical Care Nursing.2024; 17(3): 25.     CrossRef
  • Implementation and Evaluation of an Emergency Response Training Program for Newly Graduated Nurses: A Scoping Review
    Jeonghyun Kim, Minjae Lee, Miji Lee
    Journal of Korea Society for Simulation in Nursing.2024; 12(1): 59.     CrossRef
  • The mediating effect of transition shock on the relationship between readiness for practice and turnover intention of new graduate nurses in South Korea: A longitudinal study
    Taewha Lee, Eunkyung Kim, Yoonjung Ji
    Nurse Education Today.2024; 143: 106394.     CrossRef
  • Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model
    Heehwa Choi, Sujin Shin
    The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 27.     CrossRef
  • Influence of Nursing Manager's Ethical Leadership Perceived by Nurses in Patient-Engaged Nursing Services: Mediating Effect of Patient Participation Culture
    Yea Seul Yoon, Yoonjung Ji, Tae Wha Lee
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 397.     CrossRef
  • Capturing New Nurses' Experiences and Supporting Critical Thinking
    Sun Hee Seon, Hye Won Jeong, Deok Ju, Jung A. Lee, Shin Hye Ahn
    CIN: Computers, Informatics, Nursing.2023; 41(6): 434.     CrossRef
  • Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
    Soyoung Kim, Sujin Shin, Inyoung Lee
    Korean Medical Education Review.2023; 25(1): 55.     CrossRef
  • The educational needs of virtual reality simulation training for novice nurses’ adaptation to clinical practice: A mixed methods study
    Mikyoung Lee, Jeong Hee Eom, Jinyoung Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 339.     CrossRef
  • Moderating Effect of Nursing Organizational Culture on the Relationship between Verbal Violence and Burnout in Operating Room Nurses
    Sojeong Lim, Sujin Shin
    Korean Journal of Adult Nursing.2022; 34(2): 196.     CrossRef
  • Research Trends in Intervention Studies for Frail Elderly Adults in Korea: A Scoping Review
    Hyeyoung Kim, Hyunseon Kang
    Korean Journal of Adult Nursing.2022; 34(3): 233.     CrossRef
  • Influence of Sleep Characteristic Changes on Nurses’ Quality of Life during Their Transition to Practice: A Prospective Cohort Study
    Kyoungja Kim, Youngjin Lee
    International Journal of Environmental Research and Public Health.2022; 19(1): 573.     CrossRef
  • Effects of Self-Esteem, Problem-Solving Ability, and Professional Nursing Values on the Career Identity of Nursing College Students in South Korea: A Cross-Sectional Study
    Jisun Min, Hyunlye Kim, Jaeyong Yoo
    International Journal of Environmental Research and Public Health.2021; 18(16): 8531.     CrossRef
  • Research trend analysis of Korean new graduate nurses using topic modeling
    Seungmi Park, Jung Lim Lee
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 240.     CrossRef
  • 230 View
  • 21 Download
  • 23 Crossref
  • 20 Scopus

Invited Article

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

Citations

Citations to this article as recorded by  
  • Assessing Learning Outcomes in Simulation-based Education to Recognize and Respond to Deteriorating Patients in Nursing Education: A Scoping Review
    Yi Kyung Ha
    Journal of Korean Critical Care Nursing.2025; 18(1): 39.     CrossRef
  • Research trends in interprofessional education programs related to medication for undergraduate nursing students: a scoping review
    Chaeyoon Jung, Jaeuk Oh, Sang Hui Chu
    Journal of Korean Biological Nursing Science.2024; 26(2): 83.     CrossRef
  • A Scoping Review of Research Trends in Forest Therapy Programs by Subject Types: Focused on KCD-8
    Gyeong-Min Min, Poung-Sik Yeon, Jin-Gun Kim
    Journal of People, Plants, and Environment.2024; 27(2): 143.     CrossRef
  • A Scoping Review on Burnout among Dental Hygienists in South Korea
    Yang-Keum Han, An-Na Yeo
    Journal of Dental Hygiene Science.2024; 24(2): 71.     CrossRef
  • Strategies in Ecological Momentary Interventions for Mental Health Care in Adults: A Scoping Review
    Gi Wook Ryu
    Journal of Digital Contents Society.2024; 25(4): 961.     CrossRef
  • Health Literacy in Fall-Prevention Strategy: A Scoping Review
    Yusun Park, Sung Reul Kim, Hyun-Ju Seo, Jeonghyun Cho
    Asian Nursing Research.2024; 18(5): 532.     CrossRef
  • Oral Hygiene Care of Endotracheal Intubated Patients in Korean Intensive Care Units : A Scoping Review
    Jungeun Lim, Dukyoo Jung, Leeho Yoo
    Journal of Korean Critical Care Nursing.2024; 17(1): 68.     CrossRef
  • Simulation-Based Education for Recognizing and Responding to Deteriorating Patients in Korean Nursing Curricula: A Scoping Review
    Yi Kyung Ha, Hye Jin Kang
    Korean Journal of Adult Nursing.2024; 36(4): 261.     CrossRef
  • Research trends in nurse–parent partnership: A scoping review of the paediatric field in South Korea
    Seo Jin Park, Ji Yeong Yun, Jina Lee, In Young Cho
    Nursing Open.2024;[Epub]     CrossRef
  • Constipation among Korean older adults in long-term care facilities: A scoping review
    Yuseon Jeong, Dukyoo Jung, Eunju Choi
    Journal of Korean Gerontological Nursing.2024; 26(1): 4.     CrossRef
  • The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
    Jiyeon Lee, Sunyeob Choi
    Journal of Pediatric Nursing.2023; 72: 36.     CrossRef
  • Prehospital triage in emergency medical services system: A scoping review
    Kisook Kim, Booyoung Oh
    International Emergency Nursing.2023; 69: 101293.     CrossRef
  • An analysis of research trend on infection control in dental hygiene: a scoping review

    Journal of Korean Society of Dental Hygiene.2023;[Epub]     CrossRef
  • Fire Response Education for Hospital Healthcare Providers: A Scoping Review
    Min-Ji Kim, Seung-Eun Lee, Hyun-Eun Park
    Quality Improvement in Health Care.2023; 29(2): 32.     CrossRef
  • Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
    Soyoung Kim, Sujin Shin, Inyoung Lee
    Korean Medical Education Review.2023; 25(1): 55.     CrossRef
  • A scoping review of music-based interventions for swallowing difficulties: implications for treating older adults with presbyphagia
    Soo Ji Kim, Myung Sun Yeo, So Yeon Kim, Seo Yeon Kang
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • Effectiveness of Devices for Prevention and Treatment of Pressure Ulcers: A scoping Review
    Soo Youn Jung, Mina Park, Kyoung Ja Moon
    Korean Journal of Adult Nursing.2022; 34(2): 123.     CrossRef
  • Research Trends of Follow-Up Care after Neonatal Intensive Care Unit Graduation for Children Born Preterm: A Scoping Review
    So Ra Kang, Haeryun Cho
    International Journal of Environmental Research and Public Health.2021; 18(6): 3268.     CrossRef
  • A Scoping Review of Urban Livability Indicators
    Sunmin Jun, Jeongwoo Yoon, JiYong Park, Juchul Jung
    Journal of the Korean Society of Hazard Mitigation.2021; 21(5): 281.     CrossRef
  • 101 View
  • 2 Download
  • 19 Crossref
  • 13 Scopus

Review Articles

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

Citations

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  • Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust
    Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park
    Asian Oncology Nursing.2024; 24(1): 21.     CrossRef
  • Analysis of Tools to Measure the Service Experiences of Families of Older Adults in Long-Term Care Facilities: A Scoping Review
    Hyoung Shim Choi, Jui Kim
    Korean Journal of Adult Nursing.2024; 36(2): 102.     CrossRef
  • The influence of Critical Reflection Competency, Nursing Work Environment and Job Crafting on Person-Centered Care in Tertiary Hospital Nurses: A Cross-sectional Study
    Jinseon Hwang, Sujin Shin
    Korean Journal of Adult Nursing.2023; 35(3): 245.     CrossRef
  • Factors associated with the person-centered care competence of nursing students
    Ju Young Park, Chung Hee Woo
    The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48.     CrossRef
  • Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study
    Sun Joo Jang, Eun Hye Kim, Haeyoung Lee
    Journal of Nursing Management.2022; 30(7): 2227.     CrossRef
  • Structural Equation Model for Developing Person-Centered Care Competency among Senior Nursing Students
    Ji-Yeong Yun, In-Young Cho
    International Journal of Environmental Research and Public Health.2021; 18(19): 10421.     CrossRef
  • Impact of Job Engagement on the Quality of Nursing Services: The Effect of Person-Centered Nursing in South Korean Nurses
    Hyesun Kim, Kawoun Seo
    Healthcare.2021; 9(7): 826.     CrossRef
  • Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
    Sohyun Kim, Sunghee H Tak
    Journal of Korean Academy of Nursing.2021; 51(3): 363.     CrossRef
  • 118 View
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  • 8 Crossref
  • 7 Scopus
Purpose
The purpose of this study was to review non-pharmacologic intervention programs designed to alleviate symptoms in adults with overactive bladder syndrome.
Methods
A systematic search using Korean and English keywords was conducted in nine electronic databases. Ten studies were included in the sample for the systematic review. The Risk of Bias (RoB) and the Risk of Bias Assessment tool for Non-randomized Study (RoBANS) were used to assess methodological rigor and quality of scientific evidence.
Results
Randomized Controlled Trials (RCTs) were used in eight studies and quasi-experimental designs were used in two studies. Non-pharmacological interventions included education, acupuncture, Tibial Nerve Stimulation (TNS), exercise (pelvic muscle exercise, Tai-chi), and Heart Rate Variability (HRV) biofeedback. The majority of the literature has been evaluated to have a low risk of bias. Nine out of 10 studies applied interventions on women only. It was shown that education, TNS, exercise, and HRV biofeedback were effective in alleviating overactive bladder syndrome symptoms, but acupuncture’s efficacy depended on the frequency and intensity of the intervention.
Conclusion
The results provide a basis for developing an intervention program to improve the symptoms of overactive bladder syndrome. Future studies should also include men as subjects. The results of the intervention should be generalized by confirming the consistency and effectiveness of the aforementioned based on its frequency and intensity.

Citations

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  • Effectiveness of Fluid and Caffeine Modifications on Symptoms in Adults With Overactive Bladder: A Systematic Review
    Jeongok Park, Hyojin Lee, Youngkyung Kim, Christine Norton, Sue Woodward, Sejeong Lee
    International Neurourology Journal.2023; 27(1): 23.     CrossRef
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  • 1 Crossref
  • 1 Scopus
PURPOSE
This study was a systematic review and meta-analysis designed to investigate the variables related to burden of caregivers of people with dementia living at home.
METHODS
In total, 24 studies were identified through a systematic review and 11 studies met the inclusion criteria for the meta-analysis. EMBASE, MEDLINE (Ovid-MEDLINE, Pubmed) and several Korean databases were searched until April 2018. ‘R 3.5.1’ version was used to analyze the correlated effect sizes.
RESULTS
According to the results, variables related to caregivers' burden were categorized into factors related to patients and factors related to family caregivers. The effect sizes of correlations between factors associated with patients and caregivers' burden were as follows: problematic behavior & cognition (memory) (.42), problematic behavior (.37), cognition (memory) (.35), stage of dementia (.31), and ability to perform daily life functions (−.27). Factors associated with family caregivers correlated with caregiver burden as follows: health status (−.40), relation (.33), education (.25), time of caring (.24), income (−.21), age (.20), job (−.17), duration of caring (.15), and religion (.14).
CONCLUSION
Based on the findings, family caregiver needs to preferentialy try to manage problematic behavior & cognition (memory) of dementia and health professionals need to provide comprehensive nursing interventions to improve health for patients with dementia but also family caregivers.

Citations

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  • Exploring Family Caregiver Burden Using the Ecological Model: Insights From Thailand's Older Population
    Phanida Juntasopeepun, Donna Z. Bliss, Jirawan Deeluea, Jittawadee Rhiantong
    Nursing & Health Sciences.2025;[Epub]     CrossRef
  • Allocation‐routing problem in a multi‐hospital home hospitalization system: the case of a healthcare provider in Portugal
    Valentina Bonomi, Maria Lopes, Daniel Rebelo Santos, Renata Mansini, Ana Paula Barbosa‐Pòvoa
    International Transactions in Operational Research.2025;[Epub]     CrossRef
  • Factors influencing the care burden among family caregivers using dementia care centers for older adults with dementia in Korea: a cross-sectional descriptive study
    Ja Eun Kim, Soo Jin Lee
    Journal of Korean Biological Nursing Science.2024; 26(4): 382.     CrossRef
  • Resilience of Family Caregivers of People With Dementia in South Korea: A Scoping Review
    Hyun‐Ju Seo, Song‐I Park, Min‐Jung Choi, Il‐Han Choo, Jeong‐Hwan Park
    International Journal of Older People Nursing.2024;[Epub]     CrossRef
  • Mason Caregivers Aiming for Resilience, Empowerment, and Support Study: Assessing Family Caregiver Burden Post-Intervention
    Gilbert Gimm, Shannon Layman, Megumi Inoue, Emily S. Ihara, Harveen Pantleay, Catherine J. Tompkins
    Journal of Applied Gerontology.2024; 43(9): 1274.     CrossRef
  • The Relationships between Caregiver Burden, Physical Frailty, Race, Behavioral and Psychological Symptoms (BPSD), and Other Associated Variables: An Exploratory Study
    Carl I. Cohen, Saeed Hashem, Kay Thwe Kyaw, Sharon A. Brangman, Suzanne Fields, Bruce R. Troen, Michael Reinhardt
    Medicina.2024; 60(3): 426.     CrossRef
  • Exploring Factors Influencing Caregiver Burden: A Systematic Review of Family Caregivers of Older Adults with Chronic Illness in Local Communities
    Jin Young Choi, Seon Heui Lee, Soyoung Yu
    Healthcare.2024; 12(10): 1002.     CrossRef
  • CBD Oil as a Miracle Drug: A Thematic Analysis of Caregivers’ Attitudes and Practices Towards Cannabidiol in Dementia Treatment
    Urszula Kłosińska, Magdalena Leszko
    Journal of Drug Issues.2024; 54(1): 38.     CrossRef
  • The Lived Experience of Informal Caregivers of People Who Have Severe Mental Illness and Coexisting Long‐Term Conditions: A Qualitative Study
    C. Carswell, J. V. E. Brown, D. Shiers, R. Ajjan, A. Balogun‐Katung, S. Bellass, R. I. G. Holt, R. Jacobs, I. Kellar, C. Lewisohn, J. Lister, N. Siddiqi, I. Sidorova, P. Coventry
    Health Expectations.2024;[Epub]     CrossRef
  • Factors related to depression in primary caregivers of older adults with dementia in the COVID-19 pandemic era: A cross-sectional descriptive study
    Su-In Kim, Gwi-Ryung Son Hong
    Journal of Korean Gerontological Nursing.2023; 25(4): 420.     CrossRef
  • The impact of aromatherapy-based oral care on oral conditions, salivary pH, and halitosis in older adults with dementia: Pilot study
    Ae Kyung Chang, Bo kyoung Kim, Ah Young Kim
    Geriatric Nursing.2023; 53: 109.     CrossRef
  • Factors related to the organizational silence of Korean nurses: A systematic review and meta-analysis
    Kyungja Kang, Jeong-Hee Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 302.     CrossRef
  • Perceptions of Burden and Preparedness for Caregiving among the Family Caregivers of Hospitalised Older Adults: A Cross-Sectional Study
    Carla Gomes da Rocha, Béatrice Perrenoud, Anne-Sylvie Ramelet
    Geriatrics.2022; 7(1): 19.     CrossRef
  • Health Promotion Behavior among Older Korean Family Caregivers of People with Dementia
    Aram Cho, Chiyoung Cha
    International Journal of Environmental Research and Public Health.2021; 18(8): 4123.     CrossRef
  • Behavioural and psychological symptoms of dementia in patients with Alzheimer’s disease and family caregiver burden: a path analysis
    Bokyoung Kim, Gie Ok Noh, Kyunghee Kim
    BMC Geriatrics.2021;[Epub]     CrossRef
  • A systematic review of interventions for family caregivers of the elderly with dementia in Korea
    Seonghee Jeong, Jeonghae Hwang, Doonam Oh
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 306.     CrossRef
  • The Impact of Dementia Knowledge and Attitude on Caregiving Appraisal among Caregivers of Older Adults with Dementia Using Dementia Care Centers
    Ji Yeon Hong, Dukyoo Jung
    Journal of Korean Gerontological Nursing.2020; 22(4): 348.     CrossRef
  • Relationship between Caring Burden and Caring Behavior among Family Caregivers of Elderly with Dementia in Community-Dwelling: Mediating Effects of Caring Self-Efficacy and Social Support
    Young Ju Oh, Myung Ha Lee, Hee Sun Kim
    Korean Journal of Adult Nursing.2020; 32(2): 186.     CrossRef
  • 73 View
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  • 18 Crossref
  • 19 Scopus
PURPOSE
The purpose of this study was to review articles that used the Pittsburgh Sleep Quality Index (PSQI) scale to measure sleep quality among adults with trauma experiences.
METHODS
Databases such as PubMed, CINAHL, Embase, Cochrane, Medline, Google Scholar, Riss, NDSL, and reference data were searched systematically for relevant studies from July 5 to 6, 2018. A quality assessment was conducted using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) risk of bias checklist, including content validity, structural validity, internal consistency, reliability, measurement error, hypotheses testing, cross-cultural validity, criterion validity, and responsiveness.
RESULTS
Fourteen studies met the inclusion criteria. All selected studies confirmed the overall quality of sleep by total score, but only 28.6% of the papers presented subscales. The quality of the methodology used varied within and between studies. Internal consistency of 21.5%, cross-cultural validity of 7.1%, and criterion validity of 14.2% were all evaluated as sufficient (+). Reliability and measurement errors were not presented in selected studies.
CONCLUSION
Our findings revealed that overall quality of sleep was measured by analyzing the characteristics and measurement attributes of the PSQI. However, as a result of the varying purposes of each study, the full potential of the tool could not be optimized. Future research should assess the attributes of the PSQI based on the content specified in the COSMIN evaluation standard, using it carefully to consider the target population's socio-cultural characteristics.

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Factors related to Family Support for Hemodialysis Patients: A Systematic Review and Meta-analysis
Young Ran Chae, Sun Hee Lee, Young Mi Jo, Hyo Young Kang
Korean J Adult Nurs 2019;31(2):123-135.   Published online April 30, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.2.123
PURPOSE
This study was conducted to explore the factors related to family support for hemodialysis patients.
METHODS
Preferred Reporting Items Systematic Reviews and Meta-Analysis (PRISMA) flow diagram was used to select 18 studies in Korea for systematic review and meta-analysis. The Effect Sizes of correlation coefficients (ESr) were determined through Fisher's Z transformation.
RESULTS
The systematic review revealed 31 factors that affect family support(including socio-economic and disease-specific factors) and 23 factors that are influenced by family support (including socio-psychological factors and physiological indicators). In the meta-analysis, 18 factors (10 socio-economic and disease-specific factors and 8 psychological factors and physiological indicators) were used. The socio-economic factors that significantly affected family support were type of medical insurance, perceived economic state, marital status, primary care giver, living together, family monthly income, education level, and job state. Disease-specific factors such as frequency of dialysis per week did not have a significant impact on family support. Family support had a positive influence over patients' self efficacy (ESr=.56), quality of life (ESr=.48), self-esteem(ESr=.42), fatigue (ESr=−.32), sick role behavior (ESr=.32), and depression (ESr=−.24).
CONCLUSION
This study showed that economic status and family characteristics of hemodialysis patients in Korea affect the level of family support that patients receive, and family support promotes patients' positive psychology and sick role behavior. The results of this study provide useful information in developing family support intervention programs for hemodialysis patients.

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Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
Eun Jin Kim, Su Hyun Kim
Korean J Adult Nurs 2018;30(6):565-576.   Published online December 31, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.6.565
PURPOSE
The purpose of the study was to systematically review the associations among health literacy, psychosocial factors, and cancer-related health actions.
METHODS
PubMed, CINAHL, PsycARTICLES, KISS, RISS, and KoreaMed were searched for articles published between January 2000 and March 2018. Fourteen studies were identified and reviewed for the associations among the variables based on Von Wagner's framework on health literacy and health actions. Two researchers reviewed the articles independently using the Mixed Methods Appraisal Tool.
RESULTS
Of the 14 relevant studies, five studies analyzed all of the associations among health literacy, motivational or volitional factors, and cancer-related health actions. Eleven studies investigated the association between health literacy and motivational factors, including knowledge (n=11) and attitudes (n=6). Four studies investigated the association between health literacy and volitional factors, including self-efficacy (n=4) and efforts to search cancer-related information (n=1).
CONCLUSION
The possible paths between health literacy and cancer-related health actions mediated through the psychosocial variables were identified. Further research is warranted to substantiate the mediating pathways of the associations between health literacy and cancer-related health actions.

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Related Factors of Turnover Intention among Korean Hospital Nurses: A Systematic Review and Meta-Analysis
Youngock Lee, Jiyeon Kang
Korean J Adult Nurs 2018;30(1):1-17.   Published online February 28, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.1.1
PURPOSE
The purpose of this study was to conduct a systematically review of factors related to the reported intention of hospital nurses in Korea to leave their positions.
METHODS
Appropriate studies in the recent ten years were selected from databases. A total of 263 studies were selected for the systematic review on the basis of the PRISMA flow. The correlational effect size of 35 studies was analyzed through meta-analysis using CMA 3.0.
RESULTS
Through systematic review, 52 related factors were classified by ecological system: 18 individual, 12 microsystem, 11 mesosystem, 8 exosystem, and 3 macrosystem. The overall effect size of turnover intention was 3.26. The total correlational effect size of related factors was 0.28: 0.14 for individual, 0.50 for microsystem, 0.25 for mesosystem and 0.40 for exosystem. Among single factors with larger effect size, emotional labor, role conflict, and work-home conflict were classified into contributors whereas organizational commitment, job satisfaction, and internal marketing were classified as inhibitors.
CONCLUSION
Previous studies focused on the individual and the microsystem in the quantitative respect. In addition, the effect size was relatively greater for the microsystem and the exosystem. It is therefore necessary to conduct further research on the systems with larger effects.

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Original Articles
Understanding Quality of Life among Adult Patients with Terminal Cancer in South Korea: An Integrative Review
Hyejin Kim, Jeonghyun Cho
Korean J Adult Nurs 2017;29(4):419-431.   Published online August 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.4.419
PURPOSE
Despite the importance of promoting quality of life (QOL) among patients with terminal cancer, a comprehensive understanding of QOL among this population is lacking in South Korea. Thus, the purpose of the integrative review was to identify patterns in studies about patient-reported QOL among Korean adult patients with a diagnosis of terminal cancer.
METHODS
The integrative review method described by Whittemore and Knaf was used in this stuy. Twenty-five articles were selected for analysis.
RESULTS
Most articles addressed factors that influenced QOL or validated an assessment instrument to measure QOL in patients with terminal cancer. Only one qualitative research article which described patients' experiences of living with terminal cancer. Six other articles examined the effects of interventions on patients' QOL but these did not provide detailed information about interventions. These articles seldom used robust designs and methods to test the interventions.
CONCLUSION
Findings from the review suggest conducting studies with qualitative methodologies to gain an in-depth understanding of QOL from patients' perspectives. Additional studies with robust designs and methods are also necessary to develop and test theory-based, empirically-derived interventions that help maintain or promote QOL in patients with terminal cancer.

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    Hongyeul Lee
    Korean Journal of Medical Ethics.2025; 28(1): 41.     CrossRef
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    Hee Moon, Songjah Journ, Seonah Lee
    Cancer Nursing.2024; 47(1): 3.     CrossRef
  • Cross-Cultural Validation of the McGill Quality of Life Questionnaire-Revised (MQOL-R), Korean Version; A Focus on People at the End of Life
    Kyung-Ah Kang, Myung-Nam Lee
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    Eun Ju Park, Su Jin Koh, Jae Kyung Cheon
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Current Situation and the Forecast of the Supply and Demand of the Nursing Workforce in Korea
Boon Han Kim, Bok Yae Chung, Jin Kyung Kim, Ae Young Lee, Seon Young Hwang, Joon Ah Cho, Jung A Kim
Korean J Adult Nurs 2013;25(6):701-711.   Published online December 31, 2013
DOI: https://doi.org/10.7475/kjan.2013.25.6.701
PURPOSE
The plan proposed by the Ministry of Health and Welfare in 2012 did not reflect the position of nurses and focused only on how to increase the number of nurses. There is a need for coming up with a specific and viable alternative plan considering the qualitative aspect of nursing, delegation of nursing tasks, the in-death analysis of the reasons for leaving the nursing profession, and the legal standards based on varying nursing tasks.
METHODS
Drawing on a review of existing literature, this report was written to examine policy directions and the factors that influence the institutional environment that regulates the supply and demand of the nursing workforce in Korea.
RESULTS
Implementing the government's plan for introducing a new type of nurse, the registered practical nurse, which generally requires a two-year associate's degree, must be reconsidered. Also, a concrete plan to make use of unemployed nurses and to close the salary gap between nurses working at hospitals in cities and those working at hospitals in rural areas must be prepared. Furthermore, there is a need for introducing a new rating system aimed at boosting the quality of nursing care in small-and medium-sized hospitals, thereby increasing the number of nursing professionals who provide high quality care.
CONCLUSION
In preparation for expected poor quality of care and looming unemployment crisis due to the increase in the number of nursing professionals, a practical and concrete plan for the supply and demand of the nursing workforce should be made. The Korean Nurses Association should mount a profession-wide campaign to make the government formulate a new and viable policy on the supply and demand of the nursing workforce.
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