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Volume 43(5); October 2013
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Original Articles
Update on Irritable Bowel Syndrome Program of Research
Margaret Heitkemper, Monica Jarrett, Sang-Eun Jun
J Korean Acad Nurs 2013;43(5):579-586.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.579
AbstractAbstract PDF
Purpose

This article provides an update and overview of a nursing research program focused on understanding the pathophysiology and management of irritable bowel syndrome (IBS).

Methods

This review includes English language papers from the United States, Europe, and Asia (e.g., South Korea) from 1999 to 2013. We addressed IBS as a health problem, emerging etiologies, diagnostic and treatment approaches and the importance of a biopsychosocial model.

Results

IBS is a chronic, functional gastrointestinal disorder characterized by recurrent episodes of abdominal pain and alterations in bowel habit (diarrhea, constipation, mixed). It is a condition for which adults, particularly women ages 20-45, seek health care services in both the United States and South Korea. Clinically, nurses play key roles in symptom prevention and management including designing and implementing approaches to enhance the patients' self-management strategies. Multiple mechanisms are believed to participate in the development and maintenance of IBS symptoms including autonomic nervous system dysregulation, intestinal inflammation, intestinal dysbiosis, dietary intolerances, alterations in emotion regulation, heightened visceral pain sensitivity, hypothalamic-pituitary-adrenal dysregulation, and dysmotility. Because IBS tends to occur in families, genetic factors may also contribute to the pathophysiology. Patients with IBS often report a number of co-morbid disorders and/or symptoms including poor sleep.

Conclusion

The key to planning effective management strategies is to understand the heterogeneity of this disorder. Interventions for IBS include non-pharmacological strategies such as cognitive behavior therapy, relaxation strategies, and exclusion diets.

Citations

Citations to this article as recorded by  
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A Guide on the Use of Factor Analysis in the Assessment of Construct Validity
Hyuncheol Kang
J Korean Acad Nurs 2013;43(5):587-594.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.587
AbstractAbstract PDF
Purpose

The purpose of this study is to provide researchers with a simplified approach to undertaking exploratory factor analysis for the assessment of construct validity.

Methods

All articles published in 2010, 2011, and 2012 in Journal of Korean Academy of Nursing were reviewed and other relevant books and articles were chosen for the review.

Results

In this paper, the following were discussed: preliminary analysis process of exploratory factor analysis to examine the sample size, distribution of measured variables, correlation coefficient, and results of KMO measure and Bartlett's test of sphericity. In addition, other areas to be considered in using factor analysis are discussed, including determination of the number of factors, the choice of rotation method or extraction method of the factor structure, and the interpretation of the factor loadings and explained variance.

Conclusion

Content validity is the degree to which elements of an assessment instrument are relevant to and representative of the targeted construct for a particular assessment purpose. This measurement is difficult and challenging and takes a lot of time. Factor analysis is considered one of the strongest approaches to establishing construct validity and is the most commonly used method for establishing construct validity measured by an instrument.

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Risk Factors for Pediatric Inpatient Falls
Myung Sook Cho, Mi Ra Song, Sun Kyung Cha
J Korean Acad Nurs 2013;43(5):595-604.   Published online October 15, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.595
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to identify risk factors for pediatric inpatients falls.

Methods

The study was a matched case-control design. The participants were 279 patients under the age of 6 who were admitted between January 1, 2004 and December 31, 2009. Through chart reviews, 93 pediatric patients who fell and 186 ones who did not fall were paired by gender, age, diagnosis, and length of stay. Five experts evaluated the 38 fall risk factors selected by the researchers.

Results

In a general hospital, pediatric patients with secondary diagnosis, tests that need the patient to be moved, intravenous lines, hyperactivity, anxiolytics, sedatives and hypnotics, and general anesthetics showed significance for falls on adjusted-odds ratios. Conditional logistic regression analysis was performed to elucidate the factors that influence pediatric inpatient falls. The probability of falls increased with hyperactivity and general weakness. Patients who didn't have tests that required them to be moved and intravenous line had a higher risk of falls.

Conclusion

These findings provide information that is relevant in developing fall risk assessment tools and prevention programs for pediatric inpatient falls.

Citations

Citations to this article as recorded by  
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    M.D. Jun, K.M. Lee, S.A. Park
    International Nursing Review.2018; 65(2): 254.     CrossRef
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    Ebru Alemdaroğlu, Sibel Demir Özbudak, Sibel Mandiroğlu, Seda Alakoç Biçer, Neşe Özgirgin, Halil Uçan
    Journal of Pediatric Nursing.2017; 32: 25.     CrossRef
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    So Yeon Park, Hyeon Ok Ju
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    Hyeon Ju Shin, Young Nam Kim, Ju Hee Kim, In Sook Son, Kyung Sook Bang
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Effects of Nurses' Mentoring on Turnover Intention: Focused on the Mediating Effects Role Stress and Burnout
Sangsook Han, Ohsook Kim, Yunsu Joo, Eunduck Choi, Jeongwon Han
J Korean Acad Nurs 2013;43(5):605-612.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.605
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the casual relationship between nurses' mentoring and turnover intention and to verify the goodness of fit between a hypothetical model and actual data in order to suggest an adequate model.

Methods

The survey was conducted with 434 nurses working in general hospitals in Seoul. Data were collected during February 2013, and analyzed with SPSS Windows 18.0 and AMOS 7.0.

Results

Mentoring was found to have a direct effect on decrease in role stress. Role stress had a direct effect on increase in burnout and mentoring, with role stress as a mediator, there was an indirect effect on burnout. Burnout had a direct effect on increase in turnover intention, and role stress, with burnout as a mediator, and mentoring, through role stress and burnout, an indirect effect was found on increase in turnover intention.

Conclusion

The results of this study indicate that nursing managers should put effort into reducing role stress and burnout, while seeking to establish a more efficient mentoring system so that for nurses, there will be a lowering of turnover intention.

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Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities
Jae-Soon Yoo, Mi Yang Jeon, Chul-Gyu Kim
J Korean Acad Nurs 2013;43(5):613-625.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.613
AbstractAbstract PDF
Purpose

This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities.

Methods

The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes.

Results

The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group.

Conclusion

These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

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    Gwang Suk Kim, Namhee Kim, Mi-So Shim, Jae Jun Lee, Min Kyung Park, Qing-Wei Chen
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    Yeunsook Lee, Min-Gi Kim, Eun-Jung Jung, Mi-Seon Jang
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    Gyeong Ran Kim, Mi Sook Song
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    Hyun-Ok Lee, Byung-Hwa Lee, Chang-Hee Lee
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    Hee Gerl Kim
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    Han Suk Lee, Jeung Hun Park
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    Jeongyee Bae, Seong-il Cho
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Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning
Myung-Sook Park, Young-Ran Kweon
J Korean Acad Nurs 2013;43(5):626-635.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.626
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a cultural competence improvement program for maternity nurses.

Methods

A quasi-experimental study using a non-equivalent control group pre and posttest design was used. Participants were 67 maternity nurses caring for multicultural pregnant women in G city. The cultural competence improvement program was developed based on the 3-D Puzzle Model and was provided using case-based small group learning methods for the experimental group (n=31). The control group (n=36) did not receive any intervention. Data were collected using self-report structured questionnaires at two time points: prior to the intervention and after the intervention and were analyzed with descriptive statistics, χ2-test, and t-test.

Results

Compared to the control group, the experimental group reported significant positive changes for cultural knowledge (t=6.39, p<.001), cultural awareness (t=3.50, p<.001), and cultural acceptance (t=4.08, p<.001). However, change in cultural nursing behaviors (t=0.92, p=.067) was not significantly different between the two groups.

Conclusion

Findings from this study indicate that a cultural competence improvement program with case-based small group learning is a useful intervention strategy to promote multicultural maternity care. Further, strategies to improve cultural nursing behavior should be developed to promote culturally congruent nursing care.

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    Soon-Ok Kim
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    Ella T. Heitzler
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    Yune Kyong Kim, Hyeonkyeong Lee
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    Hye-Young Cho, Kyoung-Ah Kang
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    Byoung-Sook Lee, Min-Young Kim
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    Myeong Jeong Chae, Jin-il Kim, Jin Hee Lee
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    Minji Je, Hyun-Mi Son, Young-Hae Kim
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    Lidia Horvat, Dell Horey, Panayiota Romios, John Kis-Rigo
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    Kyung Sook Choi, Sarah Morgan, Vipavee Thongpriwan, So Young Lee, Myunghee Jun
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    Yeon-Soon Kim, Jin-Young Kim
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Health-Illness Transition of Patients with Young-Onset Parkinson's Disease
Sung Reul Kim, Sook Ja Lee
J Korean Acad Nurs 2013;43(5):636-648.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.636
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the health-illness transition of patients with Young-Onset Parkinson's Disease (YOPD).

Methods

From June to November 2011, 17 patients with YOPD who visited a neurologic clinic in a tertiary hospital participated in the study. Data were collected through in-depth interviews and analyzed using the grounded theory of Strauss and Corbin.

Results

The core category of the participants' health-illness transition emerged as 'reshaping identity following uncontrollable changes'. The participants' health-illness transition process consisted of six phases in sequence: ego withdrawal, loss of role, frustration, change of thought, modification of life tract, and second life. Although most participants proceeded through the six phases chronologically, some returned to the frustration phase and then took up the remaining phases.

Conclusion

The study results provide an in-depth understanding of health-illness transition experiences in the participants. These findings suggest a need to develop appropriate nursing intervention strategies according to the different phases in the health-illness transition of patients with YOPD.

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  • Factors Associated With Uncertainty in Illness Among People With Parkinson’s Disease
    MoonKi Choi, JuHee Lee, Eui Geum Oh, Sang Hui Chu, Young H. Sohn, Chang Gi Park
    Clinical Nursing Research.2020; 29(7): 469.     CrossRef
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    JuHee Lee, Yonju Yoo, Sangwoo Ahn, MoonKi Choi
    Topics in Geriatric Rehabilitation.2018; 34(2): 131.     CrossRef
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    Yang Sin Kim, Hee Kyung Kim, Yangsook Lee
    Korean Journal of Adult Nursing.2018; 30(4): 394.     CrossRef
  • Association among type D personality, non-motor symptoms, and quality of life in Parkinson's disease: A cross-sectional study
    Sung Reul Kim, Ji Young Kim, Hyun Kyung Kim, Kyeung Eun Lim, Mi Sun Kim, Sun Ju Chung
    Geriatric Nursing.2017; 38(5): 431.     CrossRef
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Effectiveness of Enneagram Group Counseling for Self-identification and Depression in Nursing College Students
Jeong Seop Lee, Jeong Ah Yoon, Keong Jin Do
J Korean Acad Nurs 2013;43(5):649-657.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.649
AbstractAbstract PDF
Purpose

The purpose of this study was to examine effects of enneagram group counseling program on self-identification and depression in nursing college students. Three groups, categorized by how the students solve their conflicts, were selected to identify changes from the program.

Methods

A quasi-experimental study with a non-equivalent control group and pre posttest design was used. Participants were assigned to the experimental group (n=30) or control group (n=33). The experimental group participated in enneagram group counseling program for 38 hours through eight sessions covering four different topics. Collected data were analyzed using Chi-square test, Fisher's exact test, t-test, and Wilcoxon signed rank test.

Results

Total self-identity score for the experimental group was significantly higher than the control group. However, there was no significant difference between the two groups for depression scores. The Assertive and Compliant groups demonstrated significant change in self-identification while the Withdrawn groups did not reveal any change.

Conclusion

Results indicate that the enneagram group counseling program is very effective in establishing positive self-identification for nursing college students who face developmental crisis and stressful situations. It is also expected that this program would be useful to enhance the students' confidence through a deeper understanding and acceptance of themselves.

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  • Effect of Acceptance and Commitment Therapy Combined with Music Relaxation Therapy on the Self-Identity of College Students
    Jing Yin, Rahim Khan
    Journal of Healthcare Engineering.2022; 2022: 1.     CrossRef
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    Zekeriya Aktürk, Kenan Taştan
    Ortadoğu Tıp Dergisi.2020; 12(2): 211.     CrossRef
  • Is the Enneagram Personality System an Effective Approach in Explaining Drug Addiction?
    Mozhgan Saeidi, Saeid Komasi, Mohammad Mahdi Amiri, Mona Azizi, Mostafa Alikhani
    Middle East Journal of Rehabilitation and Health Studies.2020;[Epub]     CrossRef
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    Saeid Komasi, Ali Zakiei, SeyedRamin Ghasemi, NaderRajabi Gilan, Anis Veisi, Delaram Bagherirad, Mozhgan Saeidi
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    Moon-Sook Yoo, Jee-Won Park, Mi-Sook Song, Mi-Ae You, Hyung-Ran Park
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Meta- analysis of Psychosocial Interventions to Reduce Pain in Patients with Cancer
Pok Ja Oh, Suk Jung Han
J Korean Acad Nurs 2013;43(5):658-668.   Published online October 15, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.658
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to investigate the effects of psychosocial interventions on pain in cancer patients.

Methods

Eight studies published between 1980 and 2012 in Korean and ten studies published between 2002 and 2012 in English met the inclusion criteria with a total of 1539 participants. Methodological quality assessed by Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. The data were analyzed by the RevMan 5.2 program of Cochrane library.

Results

Overall, study quality was moderate to high. Effect sizes were heterogeneous and subgroup analysis was done. Cognitive behavioral therapy (CBT) were effective for pain (ES= -0.35; 95% CI= -0.56, -0.13). Pain education studies measured with NRS and VAS were effective for pain (ES= -0.77; 95% CI= -1.01, -0.52). Publication bias was not detected.

Conclusion

This study support the use of psychosocial interventions administered to cancer patients for their pain management. However, more well-designed studies are needed.

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    Eunyoung E. Suh, Hye Jin Yoo, Jeong Hee Hong, In Gak Kwon, Hyunju Song
    Journal of Korean Critical Care Nursing.2020; 13(3): 51.     CrossRef
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    Eric R. Goodlev, Sandra Discala, Beth D. Darnall, Molly Hanson, Alison Petok, Michael Silverman
    Journal of Palliative Medicine.2019; 22(11): 1308.     CrossRef
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    Jin-Hee Park, Sun Hyoung Bae
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    Youngshin Song, Minhye Oh, Seyeon Park, Myouyun Park, Kyoungok Kim, Ukyoung Lee, Myonghwa Park
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    Sung-In Jang, Kyoung-Hee Cho, Sun Jung Kim, Kwang-Sig Lee, Eun-Cheol Park
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The Process of Acceptance of Complementary and Alternative Therapies (CATs) among Nurses: Grounded Theory Approach
Ae-Kyung Kim, Young-Shin Lee, Hyun-Jung Kim
J Korean Acad Nurs 2013;43(5):669-680.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.669
AbstractAbstract PDF
Purpose

This study was done to explore the process of accepting CATs among nurses who experienced CATs in Korea.

Methods

Grounded theory methodology was utilized. Data were collected from 10 nurses during individual in-depth interviews. Theoretical sampling was used until the data reached saturation. Data were analyzed using the constant comparative analysis method.

Results

The core category emerged as "resolving the doubt and integrating" explaining the process of accepting CATs. The nurses engaged in three stages: need awareness, look for solution and integration. Causal conditions were interest as a nursing intervention and orthodox medical limitations. Context was lack of basis for application and increase in social interest. Strategies were new knowledge acquisition, having a strong will, combined with existing knowledge, and individualized intervention. Intervening conditions were others' eye, exhaustion for nurses and physical environment. Consequences were expanding of the nursing role and improved nurse satisfaction.

Conclusion

The results of the study should facilitate application of CATs in nursing practice. To help nurses who are interested in CATs, there is a need for education programs, and further research on CATs.

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  • Trends in Korean intervention studies on complementary and alternative therapies in rehabilitation nursing
    Da-Jung Kim
    Journal of Exercise Rehabilitation.2024; 20(5): 158.     CrossRef
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    Zahra Tagharrobi, Sima Mohammadkhan Kermanshahi, Eesa Mohammadi
    Complementary Therapies in Clinical Practice.2016; 24: 11.     CrossRef
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Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
Ju-Hee Nho
J Korean Acad Nurs 2013;43(5):681-689.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.681
AbstractAbstract PDF
Purpose

The purpose of this study was to examine effects of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual health enhancement program on, and development in, sexual function, sexual distress, marital intimacy, and subjective happiness of women with gynecologic cancer and their husbands.

Methods

The comprehensive program (4 session, 90 minutes per session) was developed based on the PLISSIT model. Participants were 43 couples, 21 assigned to the experimental group who attended the 4-week program, and 22 to the control group. Sexual function, sexual distress, marital intimacy, subjective happiness of the women, marital intimacy, subjective happiness of husbands were determined by a questionnaire that was completed by the participants before and after the program. The control group received the intervention post experiment. Chi-square test, t-test, Fisher's exact test were used to test the effectiveness of the program.

Results

Post intervention results showed significant differences between the groups for sexual function, sexual distress, and marital intimacy in the women and for subjective happiness in the husbands.

Conclusion

Results indicate that the sexual health enhancement program is effective in improving sexual function, lowering sexual distress, increasing marital intimacy, and subjective happiness in women with gynecologic cancer and their husbands.

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    Athar Rasekh Jahromi, Hanie Jafari, Parvin Adedi, Mojgan Javadnoori, Solmaz Mohammadi, Vahid Rahmanian, Safieh Jamali
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    Hye Sook Kim, Chaewon Yun
    European Journal of Oncology Nursing.2025; 76: 102852.     CrossRef
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    Hamideh Zahedi, Zohreh Alizadeh-Dibazari, Mojgan Mirghafourvand, Mohammad Hasan Sahebihagh, Mina Hosseinzadeh
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    Sevil Cicek Ozdemir, Aliye Dogan Gangal, Ayten Senturk Erenel
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    Maryam Shami, Ali Montazeri, Seyedeh Tahereh Faezi, Zahra Behboodi Moghadam
    Sexuality and Disability.2023; 41(2): 451.     CrossRef
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    Çiğdem BİLGE, Ergül ASLAN
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    Fatemeh Soleimaninejad, Razieh Lotfi, Mehdi Mousavi, Majid Taghizadeh, Kourosh Kabir
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Effects of a Multicultural Education Program on the Cultural Competence, Empathy and Self-efficacy of Nursing Students
Eun-Hee Peek, Chai-Soon Park
J Korean Acad Nurs 2013;43(5):690-696.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.690
AbstractAbstract PDF
Purpose

This study was done to examine the effects of a multicultural education program on nursing students' cultural competence, empathy, and self-efficacy.

Methods

In this quasi-experimental study, the participants were assigned to an experimental group (n=40) or a control group (n=40). The data were analyzed using independent t-test, Chi-square or Fisher's exact test, and paired t-test with the SPSS windows 18.0 program.

Results

After receiving the multicultural education program, the levels of cultural competence and self-efficacy in the experimental group were higher than in the control group. The level of empathy increased slightly in the experimental group while it decreased in the control group.

Conclusion

The results of this study indicate that multicultural education is effective in raising the level of cultural competence and self-efficacy in nursing students. Thus, there is a need for continuous effort to integrate multicultural education programs in the nursing curriculum. Repeated study to test effects of these multicultural education programs should be also necessary.

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