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Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors
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So Hee Kang, Seon Young Hwang
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J Korean Acad Nurs 2019;49(6):748-759. Published online December 30, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.6.748
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Abstract
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Purpose
This study aimed to examine the effect of spouses participating in health coaching on stage of the change, health behaviors, and physiological indicators among male office workers with cardiocerebrovascular disease (CVD) risk factors and compare the findings with trainers who provided health coaching only to workers.
Methods
A quasi-experimental pretest-posttest design was used. Convenience sampling was used to recruit participants from a manufacturing research and development company in the city of Gyeonggi province. The health coaching program for the experimental group (n=26) included individual counseling sessions according to workers' stage of change, and provision of customized health information materials on CVD prevention to workers and their spouses for 12 weeks through mobile phone and email.
Results
After 12 weeks of intervention, the total score for health behavior, and scores on the sub-areas of exercise and health checkups significantly improved in the experimental group, but there were no significant differences in the scores of stage of the change and physical indicators. The results of a paired t-test showed a significant decrease in the body mass index, abdominal circumference, systolic blood pressure, diastolic blood pressure, total cholesterol and triglyceride values, and a significant increase in the high-density lipoprotein cholesterol value in the experimental group after the intervention.
Conclusion
To improve the health of male workers with CVD risk factors in the workplace, sharing health information with their spouses has proven to be more effective than health coaching for only workers. Therefore, it is important to develop strategies to encourage spousal participation when planning workplace health education for changing health-related behaviors.
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Citations
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- Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial
Eun Jin Kim, Seon Young Hwang Journal of Korean Academy of Nursing.2024; 54(1): 44. CrossRef - Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
Kyong Sil Park, Seon Young Hwang Asian Nursing Research.2024; 18(2): 81. CrossRef - An intervention study of a combined intervention of positioning and hand massage in patients undergoing radiofrequency catheter ablation
Yun Kyeong Lee, Mihae Im, Haeryun Cho Nursing Open.2023; 10(3): 1404. CrossRef
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Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease
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Kyung Ae Kim, Seon Young Hwang
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J Korean Acad Nurs 2019;49(2):113-125. Published online April 30, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.2.113
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Abstract
PDF
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Purpose
The purpose of this study was to examine the effects of a daily life-based physical activity enhancement program performed by middle-aged women at risk for cardiovascular disease.
Methods
This study used a randomized control group pretest-posttest design. Middle-aged women aged 45 to 64 were recruited from two outpatient cardiology departments, and randomly assigned to an experimental group (n=28) and a control group (n=30). For the experimental group, after providing one-on-one counseling and education, we provided customized text messages to motivate them in daily life. To monitor the practice of physical activity, they also used an exercise diary and mobile pedometer for 12 weeks. Subjects' physical activities (MET-min/week) were measured using the International Physical Activity Questionnaire (IPAQ). Their physiological data were obtained by blood tests using a portable analyzer, and the data were analyzed using the SPSS 21.0/WIN program.
Results
There were significant differences in exercise self-efficacy, health behavior, IPAQ score, body fat, body muscle, and fasting blood sugar between the two groups. However, there were no significant differences in total cholesterol, hemoglobin A1c, high-density lipoprotein cholesterol, and waist-to-hip ratio.
Conclusion
Strengthening physical activity in daily life without being limited by cost burden and time and space constraints. Therefore, it is essential to motivate middle-aged women at risk for cardiovascular disease to practice activities that are easily performed in their daily lives.
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Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy
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Yeong Kyong Oh, Seon Young Hwang
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J Korean Acad Nurs 2018;48(1):50-58. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.1.50
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Abstract
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Purpose
The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients.
Methods
This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis.
Results
Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (b=-.39, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (b=.17, p=.026), social well-being (SWB) (b=.49, p=.010), and functional well-being (FWB) (b=.38, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (b=-.07, p=.024), SWB (b=-.19, p=.008), and FWB (b=-.15, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB.
Conclusion
Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.
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Kyungmi Lee, Semi Lim Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef - The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
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Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure
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Jae Lan Shim, Seon Young Hwang
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J Korean Acad Nurs 2016;46(6):881-893. Published online December 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.6.881
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Abstract
PDF
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Purpose
The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity.
Methods
A randomized control-group pretest-posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0.
Results
At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group.
Conclusion
The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.
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Geungyeong Park, Heeyoung Oh Korean Journal of Adult Nursing.2021; 33(3): 294. CrossRef - Development of a Mobile App-Based Self-care Health Diary for Heart Transplant Recipients
Hye Jin Yoo, Eunyoung E. Suh CIN: Computers, Informatics, Nursing.2021; 39(11): 804. CrossRef - Association Between Symptoms of Patients With Heart Failure and Patient Outcomes Based on Electronic Nursing Records
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Effects of Case-based Small Group Learning about Care of Infected Children for Daycare Center Teachers
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Eun Ju Choi, Seon Young Hwang
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J Korean Acad Nurs 2012;42(6):771-782. Published online December 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.6.771
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Abstract
PDF
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Purpose
This study was conducted to develop and implement a case-based small group learning program on the care of children with infectious disease, and to examine its effects on knowledge, attitude and preventive practice behaviors of daycare center teachers compared to a control group.
Methods
Based on the need assessment, the case-based learning program for the management of infectious children was developed. For this quasi-experimental study, 69 teachers were recruited from 14 child daycare centers in a city located in J province. Thirty four teachers were assigned to experimental group and participated in the case-based small group learning once a week for 5 weeks. Data were analyzed using the SPSS 18.0 program to perform χ2-test and t-tests. Analysis of covariance was used to treat the covariate of the number of assigned children between experimental and control groups.
Results
The experimental group showed significantly higher posttest scores in knowledge, attitude and preventive practice behaviors than those of control group (p<.001).
Conclusion
These findings indicate that case-based small group learning is an effective educational strategy for daycare center teachers to learn infection management through the emphasis of self-reflection and discussion.
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Il Tae Park, Gi Joong Kim The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 222. CrossRef - Effect of Visiting and a Smartphone Application Based Infection Prevention Education Program for Child Care Teachers: A Non-Randomized Controlled Trial
Yun Jeong Yang, In Soo Kwon Journal of Korean Academy of Nursing.2017; 47(6): 744. CrossRef - The Influence of Case-Based Learning using video In Emergency care of infant and toddlers
Hye-Young Cho, Kyoung-Ah Kang Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 292. CrossRef - Factors Affecting Daycare Center Teachers’ Management of Childhood Fever
Song I Park, Jin Sun Kim Child Health Nursing Research.2016; 22(4): 289. CrossRef - The Effects of Case-Based Learning (CBL) on Learning Motivation and Learning Satisfaction of Nursing Students in a Human Physiology Course
Na Hyun Kim, Ji Yeon Park, Sang Eun Jun Journal of Korean Biological Nursing Science.2015; 17(1): 78. CrossRef - Effects of Case-based Small Group Learning on Daycare Center Teachers' Coping Ability in Emergency Situations: Focus on Daily Life and Cardiopulmonary Resuscitation.
Eun Ju Choi Child Health Nursing Research.2013; 19(3): 168. CrossRef - Effects of an Infection Prevention Education Program in Infant and Child for Married Immigrant Vietnamese Women
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Development and Evaluation of a Small Group-based Cardiocerebrovascular Disease Prevention Education Program for Male Bus Drivers
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Eun Young Kim, Seon Young Hwang
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J Korean Acad Nurs 2012;42(3):322-332. Published online June 29, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.3.322
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Abstract
PDF
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Purpose
This study was conducted to examine effects of a small group-based cardiocerebrovascular disease (CVD) prevention education program on knowledge, stage of change and health behavior among male bus drivers with CVD risk factors.
Methods
A non-equivalent control group pretest-posttest design was used. Participants were 68 male bus drivers recruited from two urban bus companies. Participants from the two groups were selected by matching age, education and risk factors. Experimental group (n=34) received a small group-based CVD prevention education program 8 times over 6 weeks and 3 times through telephone interviews at 2-week intervals. Data were collected between December, 2010 and March, 2011, and were analyzed using chi-square test, t-test, and repeated measure analysis of variance with SPSS/Win18.0.
Results
Experimental group showed significantly higher scores in CVD prevention knowledge (p<.001) and health behavior (p<.001) at 6 and 12 weeks after intervention. Participants in pre-contemplation and contemplation stages made progress to contemplation and action. This was significantly better at 6 and 12 weeks after intervention (p<.001).
Conclusion
Results suggest that small group-based education programs for CVD prevention are effective in increasing knowledge, stage of change, and health behavior to prevent CVD among male bus drivers with CVD risk.
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Eun Jin Kim, Seon Young Hwang Journal of Korean Academy of Nursing.2024; 54(1): 44. CrossRef - Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea
Kyong Sil Park, Seon Young Hwang, Bo Youl Choi, June Kim, Sang Il Kim, Woo-Joo Kim, Chun Kang Epidemiology and Health.2020; 43: e2021002. CrossRef - Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors
So Hee Kang, Seon Young Hwang Journal of Korean Academy of Nursing.2019; 49(6): 748. CrossRef - Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
Seon Young Hwang, Jin Shil Kim Asian Nursing Research.2015; 9(4): 291. CrossRef - Effects of a Cardiocerebrovascular Disease Prevention Education Program for Postmenopausal Middle-aged Women
Soo Kyung Choi, In Sook Kim Journal of Korean Academy of Nursing.2015; 45(1): 25. CrossRef - The Effects of Individual Counseling for Bus-drivers to Cerebrovascular and Cardiovascular Disease Prevention: Secondary Data Analysis
Hye-Sun Jung, Mi-Jung Eum, Insun Jang Korean Journal of Occupational Health Nursing.2015; 24(4): 281. CrossRef - Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
Won Ju Hwang, Yunhee Park Journal of Korean Academy of Nursing.2015; 45(6): 857. CrossRef - Knowledge on Cardiovascular Prevention and Nicotine Dependency among Smoking Male College Students
Seon Young Hwang, Kyongok Park Journal of Korean Academy of Community Health Nursing.2014; 25(2): 75. CrossRef - Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors
Mi-Kyoung Park, Jeong-Hee Kim Journal of Korean Academy of Community Health Nursing.2013; 24(2): 111. CrossRef - Development and Evaluation of Cardiocerebrovascular Disease Prevention Program for Taxi Drivers
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Development and Effects of an e-Learning Program in Operating Room Nursing for Nursing Students
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Eun Hee Park, Seon Young Hwang
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J Korean Acad Nurs 2011;41(1):36-46. Published online February 28, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.1.36
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Abstract
PDF
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Purpose
This study was conducted to develop an e-Learning program that assists nursing students' clinical practice in operating room nursing and to examine the learning effects.
Methods
Based on content and need analysis, 9 learning modules were developed for nursing care in operating rooms and with operating equipment. To verify the effects of the program, a quasi-experimental pretest-posttest control group design was employed. The participants in this study were 74 third-year nursing students (34 in the experimental and 40 in the control group) from a junior college in G-city, Korea, who were engaged in a one week clinical practicum in an operating unit. Frequencies, χ2-test and t-test with the SPSS program 17.0 were used to analyze the data.
Results
Knowledge was significantly higher in the experimental group compared to the control group (p=.018). However, there was no significant difference between the two groups in self-directed learning. The experimental group had significantly higher motivation toward learning, which was examined posttest only (p=.027).
Conclusion
These results indicate that the implementation of an e-Learning program needs to be continued as an effective educational tool, but more research on the best way to implement e-Learning in students' practicum is needed.
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De-Chih Lee, Ching-Yi Chang Education and Information Technologies.2024;[Epub] CrossRef - A competency-based guided-learning algorithm applied on adaptively guiding e-learning
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Comparison of Clinical Manifestations and Treatment-Seeking Behavior in Younger and Older Patients with First-time Acute Coronary Syndrome
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Seon Young Hwang
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J Korean Acad Nurs 2009;39(6):888-898. Published online December 31, 2009
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DOI: https://doi.org/10.4040/jkan.2009.39.6.888
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Abstract
PDF
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Purpose
This study was conducted to examine and compare clinical manifestations and predicting factors for treatment-seeking delay among patients <65 and ≥65 yr with first-time acute coronary syndrome (ACS).
Methods
A total of 288 patients who were diagnosed with ACS were individually interviewed at C university hospital in G-city from November 2007 to December 2008.
Results
Median pre-hospital delays for younger and older patients were 5 and 12 hr, respectively. Younger patients were more likely to be current smokers, heavy drinkers, obese, stressed, and have an unhealthy diet and family history, and to complain of chest pain, left shoulder and arm pain, perspiration, and nausea. Older patients were more likely to have hypertension and diabetes, and to complain syncope and dyspnea. Logistic regression analyses showed that after adjustment for age, gender and education, progressive onset of symptom and no attribution to cardiac problem significantly predicted pre-hospital delay >3 hr in both younger and older patients. Low perceived health status was a significant independent predictor in older patients only.
Conclusion
Health care providers should be concerned with different manifestations between younger and older adults, and educate people at risk for heart attack about symptoms and actions to get immediate help.
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Kyung Ae Kim, Seon Young Hwang Korean Journal of Adult Nursing.2016; 28(4): 424. CrossRef - Gender Differences in Delay Seeking Treatment and Related Experiences in Patients with Acute Myocardial Infarction
Mi-Suk Won, Nah-Mee Shin, Eunsook Kim Korean Journal of Adult Nursing.2016; 28(4): 459. CrossRef - Cluster dyads of risk factors and symptoms are associated with major adverse cardiac events in patients with acute myocardial infarction
Seon Young Hwang, JinShil Kim International Journal of Nursing Practice.2015; 21(2): 166. CrossRef - Symptom Clusters in Korean Patients with Acute Myocardial Infarction
Eunjin Park, Jia Lee Journal of Korean Academy of Nursing.2015; 45(3): 378. CrossRef - Lifestyle Differences between Middle-aged and Old-aged Patients with Acute Myocardial Infarction
김미정, 김계하 Health and Social Welfare Review.2012; 32(1): 260. CrossRef - Atypical Symptom Cluster Predicts a Higher Mortality in Patients With First-Time Acute Myocardial Infarction
Seon Young Hwang, Young Geun Ahn, Myung Ho Jeong Korean Circulation Journal.2012; 42(1): 16. CrossRef - Impact of Prodromal Symptoms on Prehospital Delay in Patients With First-Time Acute Myocardial Infarction in Korea
Seon Young Hwang, Julie J. Zerwic, Myung Ho Jeong Journal of Cardiovascular Nursing.2011; 26(3): 194. CrossRef
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Development and Evaluation of a PBL-based Continuing Education for Clinical Nurses: A Pilot Study
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Hee Soon Kim, Seon Young Hwang, Eui Geum Oh, Jae Eun Lee
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Journal of Korean Academy of Nursing 2006;36(8):1308-1314. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2006.36.8.1308
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Abstract
PDF
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Purpose
The purposes of this study were to develop a PBL program for continuing nurse education and to evaluate the program after its implementation.
Methods
The PBL program was developed in the core cardio-pulmonary nursing concepts through a collaborative approach with a nursing school and a hospital. The PBL packages with simulation on ACLS were implemented to 40 clinical nurses. The entire PBL program consisted of six 3-hour weekly classes and was evaluated by the participants' subjective responses.
Results
Two PBL packages in cardio-pulmonary system including clinical cases and tutorial guidelines were developed. The 57.5% of the participants responded positively about the use of PBL as continuing nurse education in terms of self-motivated and cooperative learning, whereas 20.0% of the participants answered that the PBL method was not suitable for clinical nurses. Some modifications were suggested in grouping participants and program contents for PBL.
Conclusion
The PBL method could be utilized to promote nurses' clinical competencies as well as self-learning abilities. Further research is needed in the implementation strategies of PBL-based continuing education in order to improve its effectiveness.
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Comparison of Cardiovascular Risk Profile Clusters Among Industrial Workers
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Seon Young Hwang, Ji Hyun Lee
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Journal of Korean Academy of Nursing 2005;35(8):1500-1507. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.8.1500
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Abstract
PDF
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Purpose
The purpose of this study was to identify subgroups of the physical and behavioral risk profiles for cardiovascular disease among industrial workers, and to examine predicting factors for the subgroups.
Sample and Methods
Health records of 2,616 male and female workers aged 19-56 years who were employed in an airplane manufacturing industry were analyzed. Data were analyzed using the Latent class cluster analysis.
Results
Four different clusters (two high-risk groups, one low-risk group, and one normal group) were found and these clusters were significantly different by age, gender, and work type (p<.05). The two high-risk groups had higher chances of drinking alcohol, elevated BMI, FBS, total cholesterol, having hypertension, and were significantly older, and had relatively high chances of being day workers rather than other groups. The low-risk group had higher chances of drinking alcohol, higher BMI and total cholesterols compared to normal group, and highest portions of current smokers and shift workers in the four clusters and their mean BP was within prehypertension criteria.
Conclusion
Industrial nurses should guide the lifestyle behaviors and risk factors of the high risk groups for CVD and need to intervene early for behavioral change for the low-risk group who are young and shift workers. Age, and work environment should be considered in planning for targeted preventive interventions for industrial workers.
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Citations
Citations to this article as recorded by 
- Factors Associated with Blue-collar Workers' Risk Perception of Cardiovascular Disease
Won Ju Hwang, OiSaeng Hong, Mi Ja Kim Journal of Korean Academy of Nursing.2012; 42(7): 1095. CrossRef
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Perception about Problem-based Learning in Reflective Journals among Undergraduate Nursing Students
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Seon Young Hwang, Keum Seong Jang
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Journal of Korean Academy of Nursing 2005;35(1):65-76. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.1.65
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Abstract
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Objective
The aim of this study is to explore the variation in perceptions about problem-based learning(PBL) according to the level of academic achievement and learning attitude in the nursing students of a junior college (3-year program).
Method
Students (n=39) learned the respiratory and cardiac system with seven PBL packages and group-based learning for a semester in 2002. Students were asked to write reflective journals that focused on their learning perception after an experience with each learning package. A total of 208 journals were used for analysis.
Result
Students positively perceived that PBL making them increase their sense of responsibility for learning and felt satisfaction with the learning process, and had a confidence in the use of clinical nursing interventions. On the other hand, they negatively perceived that PBL was a burden because it took more time than traditional learning tasks, and they experienced an anxiety about regular tests and felt conflicts and diffidences in the learning process. The negative perceptions were expressed more often from students with a low academic achievement and low learning attitude compared to others.
Conclusion
Students perceived the PBL as effective in understanding the learning concepts in the clinical practice environment. PBL need to be supplemented by feedback-based lecture and facilitative strategies for academically low-achieved students.
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Citations
Citations to this article as recorded by 
- The relationship between intrinsic motivation and learning outcomes in problem-based learning
Hye-Ryoung Kim The Journal of Korean Academic Society of Nursing Education.2020; 26(3): 238. CrossRef - An analysis of medical students’ reflective essays in problem-based learning
Jihyun Si Korean Journal of Medical Education.2018; 30(1): 57. CrossRef - Effect of Team-based Learning using Reflection Journal on Pregnancy Nursing Course for Nursing Students
Jin Young Kim, Mi-Kyoung Lee Korean Journal of Women Health Nursing.2018; 24(4): 404. CrossRef - Validity and Reliability of the Self-Reflection and Insight Scale for Korean Nursing Students
Mi Ok Song, Heeyoung Kim Journal of Korean Academy of Fundamentals of Nursing.2018; 25(1): 11. CrossRef - Analysis of Students’ Reflective Journals on Medical Communication Role Plays
Young Jon Kim, Seung Hyun Lee, Hyo Hyun Yoo Korean Medical Education Review.2017; 19(3): 169. CrossRef - Effects of Writing Reflective Journal on Meta-cognition and Problem Solving Ability in Nursing Students taking a Fundamental Nursing Skills Course Applying Blended Learning
Mi Young Jho Journal of Korean Academy of Fundamentals of Nursing.2016; 23(4): 430. CrossRef - Class Experience of the Students on 『Pregnancy, Delivery and Puerperium』 Nursing Course through Flipped Learning: Mixed Method Research
Byeongju Lee, Seon Young Hwang Korean Journal of Women Health Nursing.2016; 22(4): 221. CrossRef - Effects of a Multicultural Education Program on the Cultural Competence, Empathy and Self-efficacy of Nursing Students
Eun-Hee Peek, Chai-Soon Park Journal of Korean Academy of Nursing.2013; 43(5): 690. CrossRef - Effect of reflective journaling in team learning on the learning motivation of learners
In-Suk Park, Mi-Jeong Kim Journal of Korean society of Dental Hygiene.2012; 12(5): 849. CrossRef - An evaluation on the implementation of problem-based learning in medical education
박민정 The Journal of Curriculum Studies.2010; 28(2): 225. CrossRef - A comparison of problem-based learning and lecture-based learning in an adult health nursing course
Seon Young Hwang, Mi Ja Kim Nurse Education Today.2006; 26(4): 315. CrossRef
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