Journal of Korean Academy of Nursing

Volume 45(1); February 2015

Review Article

Dysphagia Screening Measures for Use in Nursing Homes: A Systematic Review: Yeon-Hwan Park, Hwal Lan Bang, Hae-Ra Han, Hee-Kyung Chang; J Korean Acad Nurs 2015;45(1):1-13. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.1

Purpose

The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia in older adults to identify the 'right tool' for nurses to use in nursing homes.

Methods

A systematic review was done. Electronic databases were searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality and applicability. Tools were evaluated for feasible incorporation into routine care by nurses.

Results

29 tools from 31 studies were identified. Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52% and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometric quality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagia and aspiration of nursing home residents.

Conclusion

Results show that GUSS and SSA are reliable and sensitive tools for screening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identified tools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.

Citations

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Original Articles

Relationship between Expectations Regarding Aging and Physical Activity among Middle Aged Adults in Urban Areas: Based on the Pender's Health Promotion Model: Sung-Hye Cho, MoonKi Choi, JuHee Lee, Hyewon Cho; J Korean Acad Nurs 2015;45(1):14-24. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.14

Abstract PDF

Purpose

The purpose of this study was to measure the level of expectations regarding aging (ERA) and identify relationship between ERA and physical activity of middle aged adults.

Methods

Participants were middle aged adults who resided in the community in three cities in Korea. Data were collected using questionnaires that contained items on individual characteristic, International Physical Activity Questionnaires (IPAQ), and behavior-specific cognitive factors including ERA-12. Hierarchical multiple regression was conducted to examine whether ERA would predict physical activity by controlling other factors.

Results

The mean age of the participants was 51.1±6.9 years. The mean score for ERA (possible range=0 to 100) was 40.04±14.31. More than half of the participants (62.6%) were not engaged in health promoting physical activity. Gender, employment status and exercise confidence were associated with level of physical activity (F=7.14, p<.001, R²=.36). After controlling for individual factors and behavior-specific cognitive factors, ERA was independently related to physical activity (F=7.19, p<.001, R²=.38).

Conclusion

The results demonstrate that individuals' belief about aging has effects on physical activity in Korean middle aged adults. Thus, nursing interventions which focused on ERA could help enhance physical activity in middle aged adults.

Citations

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The Effects of Health Status and Social Support on Happiness in MiddleAged Women
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Jundishapur Journal of Chronic Disease Care.2024;[Epub] CrossRef
The Level of Expectations Regarding Aging Among Older Adults: A Systematic Review and Meta-analysis
Lunwei Lin, Shunqi Liao, Zhangrong Yan, Chaofan Liu, Qi Wang, Fang Wang
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The Effect of a Training Intervention Based on Pender’s Health Promotion Model on the Lifestyle of Patients Undergoing Hemodialysis
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Hamid Sharif Nia, Long She, Sotheeswari Somasundram, Fatemeh Khoshnavay Fomani, Omolhoda Kaveh, Lida Hosseini
The International Journal of Aging and Human Development.2023; 96(2): 248. CrossRef
Health-Related Expectations Regarding Aging among Middle-Aged and Older Japanese: Psychometric Performance and Novel Findings from the ERA-12-J
Michael Annear, Yasuo Shimizu, Tetsuhiro Kidokoro
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Jeong Eui Cho, Yeongmi Ha
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Lower serum levels of alpha tocopherol and lycopene are associated with higher pain and physical disability in subjects with primary knee osteoarthritis: A case-control study
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Effects of a Cardiocerebrovascular Disease Prevention Education Program for Postmenopausal Middle-aged Women: Soo Kyung Choi, In Sook Kim; J Korean Acad Nurs 2015;45(1):25-34. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.25

Abstract PDF

Purpose

This study was conducted to examine effects of a cardiocerebrovascular disease (CVD) prevention education program on knowledge, self-efficacy and health behavior among postmenopausal middle-aged women.

Methods

A non-equivalent control group pretest-posttest design was used. Participants were 53 postmenopausal middle-aged women who registered in two community culture centers in G metropolitan city. Experimental group (n=26) received a CVD prevention education program 8 times over 8 weeks. Knowledge, self-efficacy and health behavior of the participants were examined with self-report structured questionaries. Data were collected between October 15 and December 11, 2013, and were analyzed using chi-square test, Fisher's exact test, independent t-test, and analysis of covariance with SPSS/PC version 21.0.

Results

After the intervention the experimental group showed significant increases in the knowledge of CVD symptoms (p<.001) and CVD risk factors (p<.001), level of self-efficacy (p=.028) and health behavior (p<.001) compared to the control group. However, no significant difference was found between groups for knowledge of CVD prevention (p<.133).

Conclusion

Results suggest that a CVD prevention education program can be an effective strategy to improve knowledge on CVD symptoms and risk factors, self-efficacy and health behavior for postmenopausal middle-aged women.

Citations

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A Community-Based, Lifestyle Behavioral Intervention Based on the Extended Theory of Planned Behavior for Postmenopausal Women at Cardiometabolic Risk: A Randomized Controlled Trial
Sooyeon Park, Jina Choo
Western Journal of Nursing Research.2025;[Epub] CrossRef
Mental Health Status of Adults with Cardiovascular or Metabolic Diseases by Gender
Yeunhee Kwak, Yoonjung Kim, Soo Jin Kwon, Haekyung Chung
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Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease
Kyung Ae Kim, Seon Young Hwang
Journal of Korean Academy of Nursing.2019; 49(2): 113. CrossRef
Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
Moon Jung Kang, Jee Seon Yi, Chang Seung Park
Korean Journal of Women Health Nursing.2018; 24(2): 185. CrossRef
Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk
Kyung Ae Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2016; 28(4): 424. CrossRef

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Effect of Muscle Strength Training on Urinary Incontinence and Physical Function: A Randomized Controlled Trial in Long-term Care Facilities: Hyekyung Kang, Gwi-Ryung Son Hong; J Korean Acad Nurs 2015;45(1):35-45. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.35

Abstract PDF

Purpose

This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinary incontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities.

Methods

A randomized controlled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, and be able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group (n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel's exercise, Thera-band training and indoor walking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG), one leg standing test (OLST), activities of daily living (ADL) and grip strength. Changes in outcome measurements were calculated from baseline to 4 weeks and to 8 weeks using repeated measures ANOVA.

Results

There were significant differences in peak vaginal pressure (p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time.

Conclusion

Future studies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.

Citations

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Rachele Ricci, Pinar Avsar, Zena Moore, Tom O'Connor, Linda Nugent, Declan Patton
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Myoungjin Kwon, Moonkyoung Park, Hyun Joo Kim, Jong Im Kim, Sun Ae Kim
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Long-Term Effects of a Self-management Program for Older Women With Urinary Incontinence in Rural Korea
Aeyoung So, Jennie C. De Gagne, Sunah Park
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Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women
Chantale Dumoulin, Licia P Cacciari, E Jean C Hay-Smith
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The Effect of an Exercise Program for Preventing Urinary Incontinence among Community-Dwelling Elderly Females Living Alone
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Effects of Special Mouth Care with an Aroma Solution on Oral Status and Oral Cavity Microorganism Growth in Elderly Stroke Patients: Eun-Hye Lee, Hyojung Park; J Korean Acad Nurs 2015;45(1):46-53. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.46

Abstract PDF

Purpose

This study was conducted to examine the effect of oral care with an aroma solution on oral status and oral cavity microorganism growth in elderly patients with stroke.

Methods

A non-equivalent control group, with a pretest-posttest design was used in this study. The participants were assigned to the experimental group (n=30) that received oral care with an aroma solution or the control group (n=31) that received 0.9% saline solution. To identify the effect of the experimental treatments, objective/subjective assessments of oral status and oral cavity microorganism growth were performed using the oral assessment guide, oral perception guide, and oral swab culture. Data were analyzed using Chi-square test, Fisher's exact test, and t-test with the SPSS version 21.0 program.

Results

The objective oral status was significantly lower in the experimental group than in the control group (t= -3.64, p<.001). There was no significant difference between the subjective oral status of the experimental group and control groups (t= -1.24, p=.109). Oral microorganism growth was significantly lower in the experimental group than in the control group (t= -7.39, p<.001).

Conclusion

These findings indicate that special mouth care using an aroma solution could be an effective oral health nursing intervention for elderly patients with stroke.

Citations

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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 Journal of Adult Nursing.2024; 36(2): 85. CrossRef
Effect of Honey-based Oral Care on Oral Health of Patients With Stroke Undergoing Rehabilitation: A Randomized Controlled Trial
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Effects of Oral Gargling with Aroma Solution in Psychiatric Inpatients: A Non-Randomized Controlled Trial
Yun Ah Jung, Hee Sook Kim
Journal of Korean Academy of Nursing.2020; 50(2): 200. CrossRef

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Development and Evaluation of the Empowering A Self-Efficacy (EASE) Program for Children with Epilepsy: Hana Yoo, Hee-Soon Kim; J Korean Acad Nurs 2015;45(1):54-63. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.54

Abstract PDF

Purpose

The purpose of this study was to verify effects of the Empowering A Self-Efficacy (EASE) program on self-efficacy, self-management, and child attitude toward illness in children with epilepsy.

Methods

This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants were 10 to 15 year old children with epilepsy (11 in the experimental group and 10 in the control group) who were registered at one hospital in S city. The experimental group received the EASE program for 3 weeks. In the first week, a group meeting lasting 570 minutes was conducted on a single day. Over the next two weeks, telephone counselling was conducted twice a week. Data were analyzed using SPSS 18.0.

Results

There was a significant difference of pre-post evaluation of the epilepsy self-management scores in the experimental group. However, differences between the experimental group and the control group for seizure self-efficacy and child attitude toward illness were not significant.

Conclusion

This is the first study in Korea to develop and evaluate an intervention program for children with epilepsy. Further studies are needed to confirm the effects of the EASE program.

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Rosa Michaelis, Venus Tang, Sarah J Nevitt, Janelle L Wagner, Avani C Modi, William Curt LaFrance Jr, Laura H Goldstein, Milena Gandy, Rebecca Bresnahan, Kette Valente, Kirsten A Donald, Markus Reuber
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Structural Equation Modeling on Healthy Menopausal Transition: Eunyoung Hong, Young Sil Kang; J Korean Acad Nurs 2015;45(1):64-75. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.64

Abstract

Purpose

This study was designed to construct and test structural equation modeling on healthy menopausal transition in middle-aged women in order to identify variables affecting healthy menopausal transition.

Methods

Participants, 276 women, 45 to 60 years of age, with menopausal symptom score higher than 5 on the Korean version of Menopause Rating Scale, were recruited in three cities and one county of Gyeongnam Province. Research data were collected via questionnaires and analysed using SPSS version 18.0 and AMOS version 20.0.

Results

After confirmatory factor analysis, one of the observed variables was excluded due to relatively low factor loading. The model fit indices for the hypothetical model were suitable for the recommended level: GFI=.93, CFI=.92, RMSEA=.05. Self-efficacy, self-differentiation, and menopausal symptoms explained 67.7% of variance in menopausal transition, and self-differentiation was the most influential factor for menopausal transition. Self efficacy and menopausal symptoms explained 9.6% of variance in menopausal management, although "menopausal symptoms" was not significant.

Conclusion

These results suggest that nursing interventions to improve self-differentiation, self efficacy, menopausal management and decrease menopausal symptoms are critical for healthy menopausal transition in middle-aged women. Continued development of a variety of community-based nursing interventions to facilitate healthy menopausal transition is suggested.

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Factors that Influence Sexual Intercourse among Middle School Students: Using Data from the 8^th (2012) Korea Youth Risk Behavior Web-based Survey: Seok Hyun Gwon, Chung Yul Lee; J Korean Acad Nurs 2015;45(1):76-83. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.76

Abstract PDF

Purpose

The purpose of this study was to investigate factors that influence sexual intercourse among middle school students in South Korea.

Methods

Using statistics from the 8th (2012) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. The study sample comprised 37,297 middle school students aged primarily 12 to 15.

Results

The significant predictors of sexual intercourse were grade, ever smoking, ever drinking, habitual or purposeful drug use, economic status, weekly allowance, cohabitation with family, and type of school.

Conclusion

The results suggest that intensified sex education is needed not only in the 1st grade of middle school, but also in the upper grades of elementary school. Sexual health interventions for high-risk groups may be needed, given the factors predicting sexual intercourse.

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Effects of a Physical Activity Program using Exergame with Elderly Women: Jungok Yu, Jungsoon Kim; J Korean Acad Nurs 2015;45(1):84-96. Published online February 15, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.84

Abstract PDF

Abstract Purpose

This study was done to investigate the motivational, physical and affective benefits of exergaming in community dwelling older adult women.

Methods

The research design was a nonequivalent control group pre-test and post-test design. Sixty-one older adult women over the age of 65 were recruited from 6 community senior centers to participate in the 8 week exercise intervention or control group. Six centers were divided into one of three groups: exergame, qigong exercise, or control. The exergame and the qigong exercise group received 16 sessions, scheduled twice a week, with each session lasting 50 minutes. Test measures were completed before and after the 8 week intervention period for all participants. Measures included: Grip strength, chair stand, 6 m walking, balance, geriatric depression scale, vitality and intrinsic motivation.

Results

There were significant improvements in the exergame and qigong exercise group for grip strength, chair stand, 6m walking, balance, vitality and intrinsic motivation at the end the 8-week program compared with the control group.

Conclusion

The exergame could be an effective alternative for older adult women to group exercise classes.

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Structural Equation Model for Caregiving Experience of Families Providing Care for Family Members with Mental Disorders: In Ohg Oh, Sunah Kim; J Korean Acad Nurs 2015;45(1):97-106. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.97

Abstract PDF

Purpose

This study was done to develop and test a structural model for caregiving experience including caregiving satisfaction and caregiving strain in families providing care for family members with a mental disorder.

Methods

The Stress-appraisal-coping model was used as the conceptual framework and the structural equation model to confirm the path that explains what and how variables affect caregiving experience in these families. In this hypothesis model, exogenous variables were optimism, severity of illness and uncertainty. The endogenous variables were self efficacy, social support, caregiving satisfaction and caregiving strain. Data were collected using structured questionnaires.

Results

Optimism and caregiving self-efficacy had significant direct and indirect effects on caregiving satisfaction. Optimism, severity of illness and uncertainty had significant direct and indirect effects on caregiving strain. The modified path model explained effects of optimism on caregiving self-efficacy with social support in the path structure as a mediator. Also, there were direct and indirect effects of optimism and uncertainty on caregiving satisfaction with social support and caregiving self-efficacy in the path structure as a mediators.

Conclusion

Results suggest the need to improve caregiving self-efficacy of these families, establish support systems such as a mental health professional support programs for caregiving self-efficacy. Optimism, severity of illness and uncertainty perceived by families need to be considered in the development of support programs in order to increase their effectiveness.

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Psychometric Properties of the Alzheimer's Disease Knowledge Scale-Korean Version: Eun Joo Kim, Ji-young Jung; J Korean Acad Nurs 2015;45(1):107-117. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.107

Abstract PDF

Purpose

The purpose of this study was to evaluate the psychometric properties of the Korean version of the Alzheimer's Disease Knowledge Scale (ADKS-K) to determine its applicability to Korean adults.

Methods

Cross-cultural validity was performed according to Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN). The Kuder-Richardson Formula 20 for internal consistency and Intraclass Correlation Coefficient (ICC) for test-retest reliability were conducted. Content validity, criterion related validity and construct validity were evaluated. The Classical Test Theory (CTT) model and the Item Response Theory (IRT) model were applied in performing the item analysis.

Results

The KR 20 was .71, and the ICC was .90, indicating that the ADKS-K has internal consistency and stability reliability. Thirty items of the ADKS-K had significant Content Validity Ratio (CVR) values, i.e., mean of 0.82 and range of 0.60~1.00. Mean item difficulty and discrimination indices calculated by TestAn program were 0.63 and 0.23, respectively. Mean item difficulty and discrimination indices calculated by BayesiAn program were -0.60 and 0.77, respectively. These tests indicate that ADKS-K has an acceptable level of difficulty and discriminating efficiency.

Conclusion

Results suggest that ADKS-K has the potential to be a proper instrument for assessing AD knowledge in Korean adults.

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Prevalence and Characteristics of Chemotherapy-related Cognitive Impairment in Patients with Breast Cancer: Jin-Hee Park, Sun Hyoung Bae, Yong-Sik Jung, Young-Mi Jung; J Korean Acad Nurs 2015;45(1):118-128. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.118

Abstract PDF

Purpose

Evidence suggests that some patients with breast cancer experience cognitive difficulties following chemotherapy. This longitudinal study was done to examine the prevalence of cognitive impairment and trajectory of cognitive function over time in women with breast cancer, who received adjuvant chemotherapy.

Methods

Participants were 137 patients with breast cancer. They completed neuropsychological tests and the Functional Assessment of Cancer Therapy-Cognitive Function before adjuvant therapy (pretest), toward the end of adjuvant therapy (posttest), and 6 months after the completion of adjuvant therapy (follow-up test). Of the patients, 91 were treated with adjuvant chemotherapy and 46 patients who did not receive chemotherapy made up the comparison group. A reliable-change index and repeated-measure ANOVA were used for statistical analyses.

Results

At the posttest point, over 30% of patients showed complex cognitive impairment and reported greater difficulty in subjective cognitive function. At the follow-up test point, 22.0% of patients exhibited complex cognitive impairment and 30.8% of patients complained of subjective cognitive impairment. Repeated-measure ANOVA showed significant decreases after receiving chemotherapy followed by small improvements 6 months after the completion of chemotherapy in cognitive domains of change for attention and concentration, memory, executive function, and subjective cognitive function.

Conclusion

These results suggest that chemotherapy in patients with breast cancer may be associated with objective and subjective cognitive impairments. Further studies are needed to explore the potential risk factors and predictor of chemotherapy-related cognitive changes. Also nursing interventions for prevention and intervention of cognitive impairments should be developed and tested.

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Cross-cultural Validation of Instruments Measuring Health Beliefs about Colorectal Cancer Screening among Korean Americans: Shin-Young Lee, Eunice E. Lee; J Korean Acad Nurs 2015;45(1):129-138. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.129

Abstract PDF

Purpose

The purpose of this study was to report the instrument modification and validation processes to make existing health belief model scales culturally appropriate for Korean Americans (KAs) regarding colorectal cancer (CRC) screening utilization.

Methods

Instrument translation, individual interviews using cognitive interviewing, and expert reviews were conducted during the instrument modification phase, and a pilot test and a cross-sectional survey were conducted during the instrument validation phase. Data analyses of the cross-sectional survey included internal consistency and construct validity using exploratory and confirmatory factor analysis.

Results

The main issues identified during the instrument modification phase were (a) cultural and linguistic translation issues and (b) newly developed items reflecting Korean cultural barriers. Cross-sectional survey analyses during the instrument validation phase revealed that all scales demonstrate good internal consistency reliability (Cronbach's alpha=.72~.88). Exploratory factor analysis showed that susceptibility and severity loaded on the same factor, which may indicate a threat variable. Items with low factor loadings in the confirmatory factor analysis may relate to (a) lack of knowledge about fecal occult blood testing and (b) multiple dimensions of the subscales.

Conclusion

Methodological, sequential processes of instrument modification and validation, including translation, individual interviews, expert reviews, pilot testing and a cross-sectional survey, were provided in this study. The findings indicate that existing instruments need to be examined for CRC screening research involving KAs.

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Development and Evaluation of an Education Program for Professional Palliative Care Nursing: Young-Ran Yeun, Min Kwon, Kyoung-Soon Lee; J Korean Acad Nurs 2015;45(1):139-146. Published online February 15, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.139

Abstract PDF

Abstract Purpose

This study aimed to develop a “Palliative Care Professional” education program and evaluate its effects on the recognition of good death, palliative care, and the meaning of life for nurses.

Methods

It was developed based on the hospice care program for volunteers being used in the Hospice Palliative Care Research Center of S University in Seoul. It was also based on the studies which investigated the educational needs of nurses in palliative care. This program consisted of 5 sessions and 16 content items for 2 weeks. A nonequivalent control group non-synchronized design was utilized and participants were assigned to the experimental group (n= 42) or the control group (n= 44).

Results

The recognition of a good death (F= 11.44, p= .001), palliative care (F= 4.15, p= .045), and the meaning of life (F= 5.12, p= .026) increased more significantly for participants in the experimental group than in the control group. Participants felt that they gained further knowledge in palliative patient management and refined their clinical practice.

Conclusion

The results of the study indicate that this program could serve as a practical program for palliative care nursing in the nursing field and suggests that more attention should be directed to the diverse educational needs of nurses.

Citations

Citations to this article as recorded by

Assessment of blended learning palliative care educational programme in cancer treatment centres in India
Sushma Bhatnagar, Apoorva Mittal, Shirlynn Ho, Giam Cheong Leong, Raghav Gupta, Naveen Salins
BMJ Supportive & Palliative Care.2025; : spcare-2024-005232. CrossRef
Effectiveness of Training Programs About a Palliative Care Approach: A Systematic Review of Intervention Trials for Health Care Professionals
Daryl Bainbridge, Valerie Bishop, Jeff Myers, Denise Marshall, Kelli Stajduhar, Hsien Seow
Journal of Palliative Medicine.2023; 26(4): 564. CrossRef
Initial exploration of training for palliative care specialist nurses in mainland China
Qinqin Cheng, Qinghui Zhang, Xiangyu Liu, Yongyi Chen
Nurse Education Today.2021; 101: 104869. CrossRef
Effect of an end‐of‐life gerontological nursing education programme on the attitudes and knowledge of clinical nurses: A non‐randomised controlled trial
Akemi Okumura‐Hiroshige, Hiroki Fukahori, Sachiko Yoshioka, Midori Nishiyama, Kaori Takamichi, Miyoko Kuwata
International Journal of Older People Nursing.2020;[Epub] CrossRef
Impact of a Palliative Care Education Program on Korean Hospice Volunteers: Motivation, Death Anxiety, and Communication with the Dying
Hee Young Woo, Young Ran Yeun
The Korean Journal of Hospice and Palliative Care.2018; 21(2): 58. CrossRef

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Return to Work Experience among Military Officers with Cancer: Mira Son, Jeong Seop Lee; J Korean Acad Nurs 2015;45(1):147-156. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.147

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Purpose

This study was done to describe the return to work experience of military officers with cancer.

Methods

Individual in-depth interviews with 15 participants were conducted between September 2013 and April 2014. Participants were interviewed 1~4 times; interviews continued until the data became saturated. Data were analyzed using Strauss and Corbin's grounded theory.

Results

The core category emerged as "living a new life after enduring difficulties". The return to work process consisted of four sequential phases: chaos, positive thought formation, behavior practices, and reformation. Action/interaction strategies used by military officers with cancer to resolve enduring difficulties were controlling emotions, accepting reality, prioritizing health, making efforts to improve relationships, and looking for future jobs.

Conclusion

These results will promote understanding of military officers' return to work experience following cancer survival, and will be helpful in developing more effective nursing interventions through enhanced perspectives and insights of practitioners.

Citations

Citations to this article as recorded by

Changes after cancer diagnosis and return to work: experience of Korean cancer patients
Ka Ryeong Bae, Juhee Cho
BMC Cancer.2021;[Epub] CrossRef
Taking an obscure path, a common concern during returning to work after cancer
Vahid Zamanzadeh, Leila Valizadeh, Mohammad Zirak, Azad Rahmani
Journal of Vocational Rehabilitation.2019; 51(3): 369. CrossRef

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Retraction

Retraction: Risk Factors and Features of Critically Ill Patients with Deep Vein Thrombosis in Lower Extremities: Hwasoon Kim, Ok Min Cho, Hyo Im Cho, Ju Yeun Kim; J Korean Acad Nurs 2015;45(1):157-157. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.157

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