Journal of Korean Academy of Nursing

Volume 49(5); October 2019

Review Article

Changes in Strauss & Corbin's Grounded Theory: Ji Eun Kim; J Korean Acad Nurs 2019;49(5):505-514. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.505

Abstract Purpose

This study aimed to introduce and elucidate changes in Strauss and Corbin's grounded theory and discuss its application to the field of nursing in South Korea.

Methods

The changes in grounded theory by Strauss and Corbin were examined through a literature review of grounded theory from its inception.

Results

Strauss and Corbin acknowledged their philosophical backgrounds of symbolic interactionism and pragmatism; however, their methodology based on positivism overwhelmed their epistemology and ontology. This inconsistency has been represented by the coding paradigm and the premise of “emergent from the data.” In the revised version of Basics, Strauss and Corbin modified their theory to weaken the coding paradigm and strengthen the strategies for the development of substantive theory.

Conclusion

Strauss and Corbin's revised grounded theory did not fully address the inconsistency of their epistemology and ontology between their acknowledgement and methodology. However, these changes constitute a meaningful step toward resolving inconsistencies and highlight the development of substantive theory. This has implications for Korean nursing researchers who have utilized methodologies in grounded theory with dogmatic approaches; grounded theory, with its evolving nature, is not a finalized method and calls for open approaches for the development of a grounded theory that fits Korean nursing.

Citations

Citations to this article as recorded by

Expert school nurses' experiences of reopening schools during the COVID-19 pandemic: A qualitative study
Ji Eun Kim, Hyun-Ju Seo, Jaehee Yoon
Journal of Pediatric Nursing.2024; 76: 16. CrossRef
Digital textbooks for undergraduate nursing education: a scoping review protocol
Aeri Jang, Hyunyoung Park
BMJ Open.2024; 14(7): e071147. CrossRef
Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
Young Ah Park, YeoJin Im
Qualitative Health Research.2024;[Epub] CrossRef
Qualitative Research in Healthcare: Data Analysis
Dasom Im, Jeehye Pyo, Haneul Lee, Hyeran Jung, Minsu Ock
Journal of Preventive Medicine and Public Health.2023; 56(2): 100. CrossRef
Efeitos da intervenção terapêutica de enfermagem em pacientes com doença cardíaca coronária
Bifei Yan, Jing Chen, Juanhua Tu, Yan Wang
Acta Paulista de Enfermagem.2023;[Epub] CrossRef
Developing and Validating Educational Strategies for Couples to Enhance Family Bonds: A Qualitative Expert Analysis
Seyed Amin Saadat, Mohammad Hosein Fallah, Saeid Vaziri Yazdi
Thrita.2023;[Epub] CrossRef
Illness Experiences of Adolescents with Type 1 Diabetes
Ji Eun Kim, Ilaria Campesi
Journal of Diabetes Research.2022; 2022: 1. CrossRef
Internet of things platform technology used in undergraduate nursing student education: a scoping review protocol
A Jang, CE Song
BMJ Open.2022; 12(4): e058556. CrossRef
The Health Management Experience of Vietnamese Married Immigrant Women Living in the City
Jiyoung Chun
Journal of Korean Academy of Community Health Nursing.2021; 32(4): 506. CrossRef

592 View
19 Download
7 Web of Science
9 Crossref

Original Articles

Effects of a Customized Health Promotion Program on Depression, Cognitive Functioning, and Physical Health of Elderly Women Living Alone in Community: A Cluster Randomized Controlled Trial: Ye Ri Ja Park, Kyeong-Yae Sohng; J Korean Acad Nurs 2019;49(5):515-525. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.515

Abstract PDF

Abstract Purpose

This study aimed to evaluate the effectiveness of a customized health promotion program (CHPP) on depression, cognitive functioning, and physical health of elderly women living alone in the community.

Methods

A randomized comparison of pre-and post-test design was used with 62 participants assigned to either an intervention (n=32 in seven clusters) or a control group (n=30 in seven clusters) in 14 areas of a town. The final sample included 30 intervention participants who completed the CHPP for 10 weeks, and 26 control participants. The intervention group participated in the CHPP weekly; they were provided with instructions about coping with their chronic illnesses, lifestyle modification, risk management, providing emotional support to each other, and floor-seated exercise, which they were encouraged to do three times a week in their homes.

Results

Significant group differences were found in depression (U=48.50, p<.001), cognitive functioning (U=2.50, p<.001), left arm flexibility (U=251.50, p=.023), right arm flexibility (U=225.00, p=.007), static balance (U=237.00, p=.012), and gait ability (U=190.50, p=.004). However, there were no significant differences in bothgrip strength and muscle mass between the two groups.

Conclusion

The findings indicate that CHPP was overall effective at improving depression, cognitive functioning, and physical functioning of elderly women living alone, and could therefore be considered a positive program for community-dwelling elderly women living alone.

Citations

Citations to this article as recorded by

Outcomes of the Together for Life Program in Community-Dwelling Older Adults Living Alone: A Pilot Study
Hye Seung Choi, Younghye Park, Hae-Ra Han, Jong-Eun Lee
Journal of Gerontological Nursing.2025; 51(1): 49. CrossRef
Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries
Marianna Purgato, Eleonora Prina, Caterina Ceccarelli, Camilla Cadorin, Jibril O Abdulmalik, Francesco Amaddeo, Lyria Arcari, Rachel Churchill, Mark JD Jordans, Crick Lund, Davide Papola, Eleonora Uphoff, Nadja van Ginneken, Wietse Anton Tol, Corrado Barb
Cochrane Database of Systematic Reviews.2023;[Epub] CrossRef
Effects of Physical Health Status, Social Support, and Depression on Quality of Life in the Korean Community-Dwelling Elderly
Koung-Oh Chang, Dazhou Li
Advances in Public Health.2023; 2023: 1. CrossRef
Development and application of a self-transcendence enhancement program for the well-being of elderly women living alone in Korea
Sun-Mi Kim, Sukhee Ahn
Korean Journal of Women Health Nursing.2021; 27(2): 128. CrossRef
Effects of a Physical Exercise Program on Physiological, Psychological, and Physical Function of Older Adults in Rural Areas
Sunmi Kim, Eun-Jee Lee, Hyeon-Ok Kim
International Journal of Environmental Research and Public Health.2021; 18(16): 8487. CrossRef
The Humanoid Robot Sil-Bot in a Cognitive Training Program for Community-Dwelling Elderly People with Mild Cognitive Impairment during the COVID-19 Pandemic: A Randomized Controlled Trial
Eun-A Park, Ae-Ri Jung, Kyoung-A Lee
International Journal of Environmental Research and Public Health.2021; 18(15): 8198. CrossRef

331 View
14 Download
5 Web of Science
6 Crossref

Validity and Reliability of the Clinical Teaching Behavior Inventory (CTBI) for Nurse Preceptors in Korea: Myun Sook Jung, Eun Gyung Kim, Se Young Kim, Jong Kyung Kim, Sun Ju You; J Korean Acad Nurs 2019;49(5):526-537. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.526

Abstract PDF

Abstract Purpose

The aim of this study was to evaluate the validity and reliability of the Korean version of the Clinical Teaching Behavior Inventory (CTBI).

Methods

The English CTBI-23 was translated into Korean with forward and backward translation. Survey data were collected from 280 nurses’ preceptors at five acute-care hospitals in Korea. Content validity, construct validity, and criterion-related validity were evaluated. Cronbach's α was used to assess reliability. SPSS 24.0 and AMOS 22.0 software was used for data analysis.

Results

The CTBI Korean version consists of 22 items in six domains, including being committed to teaching, building a learning atmosphere, using appropriate teaching strategies, guiding inter-professional communication, providing feedback and evaluation, and showing concern and support. One of the items in the CTBI was excluded with a standardized factor loading of less than .05. The confirmatory factor analysis supported good fit and reliable scores for the Korean version of the CTBI model. A six-factor structure was validated (χ ²=366.30, p<.001, CMIN/df=2.0, RMSEA=.06, RMR=.03, SRMR=.05, GFI=.90, IFI=.94, TLI=.92, CFI=.94). The criterion validity of the core competency evaluation tool for preceptors was .77 (p<.001). The Cronbach's α for the overall scale was .93, and the six subscales ranged from .72 to .85.

Conclusion

The Korean version CTBI-22 is a valid and reliable instrument for identifying the clinical teaching behaviors of preceptors in Korea. The CTBI-22 also could be used as a guide for the effective teaching behavior of preceptors, which can help new nurses adapt to the practicalities of nursing.

Citations

Citations to this article as recorded by

Factors influencing preceptor nurses' clinical teaching behavior: A cross-sectional study
Kyeong Hye Kim, Sujin Shin
Nurse Education Today.2025; 146: 106555. CrossRef
The development and validation of a nurse preceptor core competency scale: A culturally compatible methodological study
Tzu-Ting Chen, Chia-Chi Hsiao, Hsing-Ju Lu, Yea-Jyh Chen, Chang-Chiao Hung
Nurse Education Today.2025; 150: 106705. CrossRef
The Effect of Newly Graduated Nurses' Perceived Nursing Practice Readiness, Resilience, and Preceptors' Teaching Behavior on Turnover Intention
Jinhee Kim, Eunhee Lee
Journal of Korean Academy of Nursing Administration.2025; 31(2): 167. CrossRef
Analysis of translation teaching skills in colleges and universities based on deep learning
Yan Liu, Shuhua Li, Dan Cui
Computers in Human Behavior.2024; 157: 108212. CrossRef
An analysis of the educational needs priorities for clinical nurse educators: Utilizing the Borich needs assessment and the locus for focus model
Sujin Shin, Eunmin Hong, Jiyoung Do, Miji Lee
The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 405. CrossRef
The relationships between clinical teaching behaviour and transition shock in newly graduated nurses
Bei Yun, Qian Su, Xuchun Ye, Yuhan Wu, Lian Chen, Yamei Zuo, Jia Liu, Lin Han
Nursing Open.2023; 10(4): 2107. CrossRef
Content Analysis of Feedback Journals for New Nurses From Preceptor Nurses Using Text Network Analysis
Shin Hye Ahn, Hye Won Jeong
CIN: Computers, Informatics, Nursing.2023; 41(10): 780. 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
Effects of Preceptors’ Clinical Teaching Behavior on the Field Adaptation of New Graduate Nurses: Mediating Effects of Self-Leadership and Resilience
Eunjung Kim, Eungyung Kim
Journal of Korean Academy of Nursing Administration.2023; 29(5): 577. CrossRef
Effect of Preceptors' Teaching Behavior on New Graduate Nurses' Intention to Stay: The Mediating Effect of Resilience and Organizational Socialization
Eungyung Kim, Eunha Choi
Journal of Korean Academy of Nursing Administration.2022; 28(1): 57. CrossRef
Development and Preliminary Evaluation of the Effects of a Preceptor Reflective Practice Program: A Mixed-Method Research
Heui-Seon Kim, Hye-Won Jeong, Deok Ju, Jung-A Lee, Shin-Hye Ahn
International Journal of Environmental Research and Public Health.2022; 19(21): 13755. CrossRef
Types of Role Perception of Preceptors for New Nurses: A Q Methodology Approach
Sukyung Kim, Byoungsook Lee
Journal of Korean Academy of Nursing Administration.2021; 27(3): 204. CrossRef
Effect of Nurses’ Preceptorship Experience in Educating New Graduate Nurses and Preceptor Training Courses on Clinical Teaching Behavior
Kyung Jin Hong, Hyo-Jeong Yoon
International Journal of Environmental Research and Public Health.2021; 18(3): 975. CrossRef
Validity and Reliability of the Korean Version of the Menorah Park Engagement Scale (K-MPES) for Patients with Dementia
Ye-Na Lee, Eunhye Jeong, Sung Ok Chang
Journal of Korean Gerontological Nursing.2021; 23(2): 200. CrossRef
Validity and Reliability of the Korean Version of the Apathy Evaluation Scale Short form for Patients with Dementia
Young-Rim Choi, Ye-Na Lee, Eunhye Jeong, Sung Ok Chang
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 164. CrossRef

461 View
35 Download
6 Web of Science
15 Crossref

Identification of Knowledge Structure of Pain Management Nursing Research Applying Text Network Analysis: Chan Sook Park, Eun-Jun Park; J Korean Acad Nurs 2019;49(5):538-549. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.538

Abstract PDF

Abstract Purpose

This study aimed to explore and compare the knowledge structure of pain management nursing research, between Korea and other countries, applying a text network analysis.

Methods

321 Korean and 6,685 international study abstracts of pain management, published from 2004 to 2017, were collected. Keywords and meaningful morphemes from the abstracts were analyzed and refined, and their co-occurrence matrix was generated. Two networks of 140 and 424 keywords, respectively, of domestic and international studies were analyzed using NetMiner 4.3 software for degree centrality, closeness centrality, betweenness centrality, and eigenvector community analysis.

Results

In both Korean and international studies, the most important, core-keywords were “pain,” “patient,” “pain management,” “registered nurses,” “care,” “cancer,” “need,” “analgesia,” “assessment,” and “surgery.” While some keywords like “education,” “knowledge,” and “patient-controlled analgesia” found to be important in Korean studies; “treatment,” “hospice palliative care,” and “children” were critical keywords in international studies. Three common sub-topic groups found in Korean and international studies were “pain and accompanying symptoms,” “target groups of pain management,” and “RNs’ performance of pain management.” It is only in recent years (2016~17), that keywords such as “performance,” “attitude,” “depression,” and “sleep” have become more important in Korean studies than, while keywords such as “assessment,” “intervention,” “analgesia,” and “chronic pain” have become important in international studies.

Conclusion

It is suggested that Korean pain-management researchers should expand their concerns to children and adolescents, the elderly, patients with chronic pain, patients in diverse healthcare settings, and patients’ use of opioid analgesia. Moreover, researchers need to approach pain-management with a quality of life perspective rather than a mere focus on individual symptoms.

Citations

Citations to this article as recorded by

Temporal Exploration of New Nurses’ Field Adaptation Using Text Network Analysis
Shin Hye Ahn, Hye Won Jeong, Seong Gyeong Yang, Ue Seok Jung, Myoung Lee Choi, Heui Seon Kim
Journal of Korean Academy of Nursing.2024; 54(3): 358. CrossRef
Content Analysis of Patient Safety Incident Reports Using Text Mining: A Secondary Data Analysis
On-Jeon Baek, Ho Jin Moon, Hyosun Kim, Sun-Hwa Shin
Korean Journal of Adult Nursing.2024; 36(4): 298. CrossRef
Text Network Analysis of Research Topics and Trends on Simulations Using Virtual Patients in Nursing Education
Miok Song, Jeong Eun Moon, Aeri Jang
CIN: Computers, Informatics, Nursing.2023; 41(9): 639. CrossRef
National Petition Analysis Related to Nursing: Text Network Analysis and Topic Modeling
HyunJung Ko, Seok Hee Jeong, Eun Jee Lee, Hee Sun Kim
Journal of Korean Academy of Nursing.2023; 53(6): 635. CrossRef
Research trends over 10 years (2010-2021) in infant and toddler rearing behavior by family caregivers in South Korea: text network and topic modeling
In-Hye Song, Kyung-Ah Kang
Child Health Nursing Research.2023; 29(3): 182. CrossRef
Content Analysis of Feedback Journals for New Nurses From Preceptor Nurses Using Text Network Analysis
Shin Hye Ahn, Hye Won Jeong
CIN: Computers, Informatics, Nursing.2023; 41(10): 780. 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
Images of Nurses Appeared in Media Reports Before and After Outbreak of COVID-19: Text Network Analysis and Topic Modeling
Min Young Park, Seok Hee Jeong, Hee Sun Kim, Eun Jee Lee
Journal of Korean Academy of Nursing.2022; 52(3): 291. CrossRef
Factors Affecting Nurses’ Performance of Cancer Pain Management in a Tertiary Hospital
Minhwa Kang, Minjeong Seo
The Korean Journal of Hospice and Palliative Care.2022; 25(3): 99. CrossRef
Knowledge Structure of Chronic Obstructive Pulmonary Disease Health Information on Health-Related Websites and Patients’ Needs in the Literature Using Text Network Analysis
Ja Yun Choi, Su Yeon Lim, So Young Yun
Journal of Korean Academy of Nursing.2021; 51(6): 720. CrossRef
Trends of Nursing Research on Accidental Falls: A Topic Modeling Analysis
Yeji Seo, Kyunghee Kim, Ji-Su Kim
International Journal of Environmental Research and Public Health.2021; 18(8): 3963. CrossRef
An Identification of the Knowledge Structure on the Resilience of Caregivers of People with Dementia using a Text Network Analysis
Eun Young Kim, Sung Ok Chang
Journal of Korean Gerontological Nursing.2021; 23(1): 66. CrossRef
Identification of the Knowledge Structure of Cancer Survivors’ Return to Work and Quality of Life: A Text Network Analysis
Kisook Kim, Ki-Seong Lee
International Journal of Environmental Research and Public Health.2020; 17(24): 9368. CrossRef
Effect of Knowledge and Attitudes of Cancer Pain Management and Patient-Centered Care on Performance of Cancer Pain Management among Nurses at an Oncology Unit
Mikyung Kim, Yun Mi Lee
Korean Journal of Adult Nursing.2020; 32(1): 57. CrossRef
Knowledge Structure of Nursing Studies on Heart Failure Patients in South Korea through Text Network Analysis
Seang Ryu, Hyunyoung Park, Yun-Hee Kim
Korean Journal of Adult Nursing.2020; 32(4): 409. CrossRef

457 View
8 Download
9 Web of Science
15 Crossref

The Effects of Utilizing Smartphone Application Peer Support on Health Behavior and Body Mass Index among Breast Cancer Survivors: Gaeun Park, Haejung Lee, Hyun Yul Kim; J Korean Acad Nurs 2019;49(5):550-561. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.550

Abstract PDF

Abstract Purpose

This study aimed to identify the effects of utilizing Smartphone Application Peer Support (SAPS) on health behavior and body mass index (BMI) among overweight or obese breast cancer survivors (BCS).

Methods

A nonequivalent control group with a non-synchronized design was utilized and 36 participants (experimental group 14, control group 22) were recruited from August 2017 to September 2018. Participants were 40~65 years old, overweight or obese, had completed primary cancer treatment within the 12 months prior to the study, and had not done regular exercise during the last 6 months. The 3-month SAPS consisted of exercise and diet education (once p/2 weeks), peer support (once p/week), and self-monitoring using smartphone applications (5 times p/week). All participants underwent assessments at baseline, right after SAPS, and at 3 months after SAPS. Data were analyzed using repeated measures ANOVA.

Results

At the completion of SAPS significant differences were found between groups in motivation for exercise (t=-3.24, p=.005), physical activity (t=-4.15, p<.001), total calorie intake (t=3.42, p=.002), calories from fat (t=-3.01, p=.005), intake of vegetables (t=-2.83, p=.008), and BMI (t=5.21, p<.001). Significant differences in BMI (t=4.13, p<.001) remained up to 3 months after SAPS completion. No significant differences was shown between groups in self-efficacy for exercise, either immediately after or 3 months after SAPS.

Conclusion

The SAPS has the potential to improve motivation for exercise, health behavior, and BMI of BCS. However, special efforts are required to encourage participants to complete the intervention and maintain long-term effects for future trials.

Citations

Citations to this article as recorded by

Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
Suyoun Maeng, Jungok Yu
Journal of Korean Academy of Nursing.2024; 54(2): 250. CrossRef
Effects of an integrated lifestyle intervention for overweight and obese breast cancer survivors: A quasi-experimental study
Su Jin Seo, Ju-Hee Nho
European Journal of Oncology Nursing.2024; 73: 102714. CrossRef
User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
Ji-Su Kim, Minhae Kim, Yeji Seo
European Journal of Oncology Nursing.2023; 63: 102276. CrossRef
Effectiveness of Digital Health on the Quality of Life of Long-Term Breast Cancer Survivors: A Systematic Review
Gustavo Adolfo Pimentel-Parra, M. Nelia Soto-Ruiz, Leticia San Martín-Rodríguez, Paula Escalada-Hernández, Cristina García-Vivar
Seminars in Oncology Nursing.2023; 39(4): 151418. CrossRef
Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
Jae Woo Oh, Ji Eun Kim
Nursing Open.2023; 10(12): 7622. CrossRef
Effects of smart-care services program for breast cancer survivors
Bok Yae Chung, Sung Jung Hong
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 95. CrossRef
The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
Korean Journal of Women Health Nursing.2021; 27(3): 243. CrossRef
Peer‐supported lifestyle interventions on body weight, energy intake, and physical activity in adults: A systematic review and meta‐analysis
Siew Lim, Wai Kit Lee, Andy Tan, Mingling Chen, Chau Thien Tay, Surbhi Sood, Stephanie Pirotta, Lisa J. Moran, Meena Daivadanam, Ljoudmila Busija, Helen Skouteris, Mamaru A. Awoke, Briony Hill
Obesity Reviews.2021;[Epub] CrossRef
Application and evaluation of mobile nutrition management service for breast cancer patients
Ji Hee Choi, Seon-Joo Park, Hee Kwon, Hae-Jeung Lee
Journal of Nutrition and Health.2020; 53(1): 83. CrossRef

345 View
6 Download
8 Web of Science
9 Crossref

Response Patterns of Nursing Unit Managers regarding Workplace Bullying: A Q Methodology Approach: Jin Kyu Choi, Byoungsook Lee; J Korean Acad Nurs 2019;49(5):562-574. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.562

Abstract PDF

Abstract Purpose

The purpose of this study was to identify the response patterns of nursing unit managers regarding workplace bullying.

Methods

Q methodology was used to identify the response patterns. Thirty-six Q samples were selected from the Q population of 210 that included literature reviews and in-depth interviews with clinical nurses and nursing managers. Participants were 30 nursing unit managers who had experience managing workplace bullying and they classified the Q samples into a normal distribution frame measured on a nine-point scale. The data were analyzed using the PC-QUANL program.

Results

Five types of response patterns were identified: (1) sympathetic-understanding acceleration, (2) harmonious-team approach, (3) preventive-organizational management, (4) passive observation, and (5) leading-active intervention. The preventive-organizational management type was most frequently used by the nursing unit managers.

Conclusion

The results of this study indicated that nursing unit managers attempted to prevent and solve workplace bullying in various ways. Therefore, it is necessary to develop and conduct leadership training and intervention programs that appropriately address the response patterns of nursing unit managers, such as those identified in this study.

Citations

Citations to this article as recorded by

The COVID-19 Pandemic Experience of A Cohort of Quarantined University Hospital Nurse Managers
Soon-Youl Lee, Suk Jung Han, Hee Jung Hong
Journal of Korean Public Health Nursing.2024; 38(2): 205. CrossRef
Prevalence of workplace violence against registered nurses and their perceptions of relevant management systems in acute care hospitals
Seungmi Park, Eunju Kwak, Ye-Won Lee, Eun-Jun Park
The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 319. CrossRef
Workplace bullying among Korean registered nurses: A meta-aggregation of qualitative studies
Eun-Jun Park, Hyunwook Kang, Ji Woon Ko
The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 450. CrossRef
Q Methodology as an Innovative Addition to Bullying Researchers’ Methodological Repertoire
Adrian Lundberg, Lisa Hellström
International Journal of Bullying Prevention.2022; 4(3): 209. CrossRef

252 View
6 Download
4 Crossref

Development and Evaluation of Electronic Health Record Data-Driven Predictive Models for Pressure Ulcers: Seul Ki Park, Hyeoun-Ae Park, Hee Hwang; J Korean Acad Nurs 2019;49(5):575-585. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.575

Abstract PDF

Abstract Purpose

The purpose of this study was to develop predictive models for pressure ulcer incidence using electronic health record (EHR) data and to compare their predictive validity performance indicators with that of the Braden Scale used in the study hospital.

Methods

A retrospective case-control study was conducted in a tertiary teaching hospital in Korea. Data of 202 pressure ulcer patients and 14,705 non-pressure ulcer patients admitted between January 2015 and May 2016 were extracted from the EHRs. Three predictive models for pressure ulcer incidence were developed using logistic regression, Cox proportional hazards regression, and decision tree modeling. The predictive validity performance indicators of the three models were compared with those of the Braden Scale.

Results

The logistic regression model was most efficient with a high area under the receiver operating characteristics curve (AUC) estimate of 0.97, followed by the decision tree model (AUC 0.95), Cox proportional hazards regression model (AUC 0.95), and the Braden Scale (AUC 0.82). Decreased mobility was the most significant factor in the logistic regression and Cox proportional hazards models, and the endotracheal tube was the most important factor in the decision tree model.

Conclusion

Predictive validity performance indicators of the Braden Scale were lower than those of the logistic regression, Cox proportional hazards regression, and decision tree models. The models developed in this study can be used to develop a clinical decision support system that automatically assesses risk for pressure ulcers to aid nurses.

Citations

Citations to this article as recorded by

Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
Korean Journal of Adult Nursing.2024; 36(3): 191. CrossRef
Could we prove the nursing outcomes utilising clinical data warehouse? Effectiveness of pressure ulcer intervention in Korean tertiary hospital
Moonsook Kim, Se Yeon Park, Meihua Piao, Earom Lim, Soon Hwa Yoo, Minju Ryu, Hyo Yeon Lee, Hyejin Won
International Wound Journal.2023; 20(1): 201. CrossRef
Data‐driven approach to predicting the risk of pressure injury: A retrospective analysis based on changes in patient conditions
Yinji Jin, Ji‐Sun Back, Sun Ho Im, Jong Hyo Oh, Sun‐Mi Lee
Journal of Clinical Nursing.2023; 32(19-20): 7273. CrossRef
Factors Associated with Pressure Injury Among Critically Ill Patients in a Coronary Care Unit
Eunji Ko, Seunghye Choi
Advances in Skin & Wound Care.2022; 35(10): 1. CrossRef
Data-Driven Learning Teaching Model of College English Based on Mega Data Analysis
Jie Zhang, Tongguang Ni
Scientific Programming.2022; 2022: 1. CrossRef

502 View
14 Download
5 Web of Science
5 Crossref

Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing: Juhang Kim, Ji Young Lim; J Korean Acad Nurs 2019;49(5):586-600. Published online October 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.586

Abstract PDF: Purpose
This study aimed to develop a web-based cost management program for visiting nursing centers (CMP-VNC), using time-driven activity-based costing (TD-ABC), and to analyze effects of the program.
Methods
The CMP-VNC was developed using the combined prototyping approach and system developing life cycle method following four stages: need analysis with comprehensive literature reviews and focus group interviews, design and development of program algorithm, evaluation of the developed program validity using experts and users group, and application and effects analysis. The non-equivalent control group pretest-posttest design was used to analyze the effects of the program. The program demonstration was conducted for four weeks with 60 visiting nurses in 35 visiting centers.
Results
The web-based program was developed. It has five interfaces with basic and special functions using TD-ABC, namely, input, visiting nursing activity, visiting nursing activity cost, cost efficiency, and cost calculation report. The experimental group showed significantly higher cost perception and cost confidence than control group.
Conclusion
We found that the CMP-VNC can be an effective tool to increase visiting nurses’ competency of costing and enhance efficiencies of visiting nursing centers.

332 View
3 Download

Structural Equation Modeling on Clinical Decision Making Ability of Nurses: Min Kyoung Park, Soukyoung Kim; J Korean Acad Nurs 2019;49(5):601-612. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.601

Abstract PDF

Abstract Purpose

The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory.

Methods

The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed.

Results

The goodness-of-fit of the final model was at a good level (χ ²/df=2.46, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability.

Conclusion

The nurses’ clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs.

Citations

Citations to this article as recorded by

Development of a Korean clinical decision-making ability scale for hospital nurses
Sunyoung Oh, Minkyung Gu, Sohyune Sok
BMC Nursing.2025;[Epub] CrossRef
Emotional Touch Nursing Competencies Model of the Fourth Industrial Revolution: Instrument Validation Study
Sun-Young Jung, Ji-Hyeon Lee
Asian/Pacific Island Nursing Journal.2024; 8: e67928. CrossRef
The Mediating Effect of Nursing Professionalism in the Relationship between Critical Thinking Disposition and Medication Safety Competency of Peri-Anesthesia Nurses
Won Mi Son, Jung Suk Park
Journal of Korean Academy of Nursing Administration.2024; 30(5): 543. CrossRef
The Relationships among communication competence, professional autonomy and clinical reasoning competence in oncology nurses
Suyeon Noh, Younhee Kang
Nursing Open.2024;[Epub] CrossRef
Development and Effects of a Virtual Reality Simulation Nursing Education Program Combined With Clinical Practice Based on an Information Processing Model
Eunju Lee, Gyuli Baek
CIN: Computers, Informatics, Nursing.2023; 41(12): 1016. CrossRef
Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals
Min Young Kim, Jeong Hye Kim, Su Jung Choi
Journal of Korean Critical Care Nursing.2022; 15(2): 27. CrossRef
Factors Influencing Clinical Nurses’ Medication Safety Competence
Ga-Hyun Kim, Hyun-Ju Lee
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 237. CrossRef

669 View
28 Download
3 Web of Science
7 Crossref

Development of the Patient-Centered Nursing Culture Scale for Hospitals: Esther Shin, Sook-Hee Yoon; J Korean Acad Nurs 2019;49(5):613-630. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.613

Abstract PDF

Abstract Purpose

This study aimed to develop a scale measuring the Patient-Centered Nursing Culture (PCNC) and provide a basic tool to improve PCNC in Korea.

Methods

A conceptual framework and construct factors were extracted through extensive literature review and in-depth interviews with nursing professionals. In total, 59 items were derived based on the pilot survey. Data were collected from 357 nurses working at general hospitals and analyzed for verifying the reliability and validity of the scale.

Results

Nine factors containing 54 items were extracted from the exploratory factor analysis to verify the construct validity. The nine factors were top management leadership, policy and procedure, education and training, middle management leadership, supportive teamwork, nursing workplace environment, professional competence, patient-centered nursing activity, and nurses’ values. These items were verified by convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (Cronbach's α=.96).

Conclusion

The developed PCNC scale is expected to be used as the tool for the development of theory and improvement of PCNC, the empirical testing for cause and effect of PCNC, the development of interventions, education and training programs for improving PCNC, and indicators for evaluation or accreditation of hospital service quality.

Citations

Citations to this article as recorded by

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; : 106699. CrossRef
Validation of the Korean Version of Patient-Centered Care Tool: For Outpatients
Yeo Ju Kim, Gunjeong Lee, Sunyeob Choi
Patient Preference and Adherence.2023; Volume 17: 1525. CrossRef
Hospital Nurses’ Experience of Patient-Centered Nursing
Soojin Chung, Jee-In Hwang
Quality Improvement in Health Care.2021; 27(1): 26. CrossRef

452 View
25 Download
2 Web of Science
3 Crossref

Influencing Factors and Consequences of Near Miss Experience in Nurses’ Medication Error: Jin Hee Park, Eun Nam Lee; J Korean Acad Nurs 2019;49(5):631-642. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.631

Abstract PDF

Abstract Purpose

This study aimed to predict the influencing factors and the consequences of near miss in nurses’ medication error based upon Salazar & Primomo's ecological system theory.

Methods

A convenience sample of 198 nurses was recruited for the cross-sectional survey design. Data were collected from July to September 2016. Using the collected data, the developed model was verified by structural equation modeling analysis using SPSS and AMOS program.

Results

For the fitness of the hypothetical model, the results showed that χ 2 (χ ²=258.50, p<.001) was not fit, but standardized χ ² (χ ²/df=2.35) was a good fit for this model. Additionally, absolute fit index RMR=.06, RMSEA=.08, GFI=.86, AGFI=.81 reached the recommended level, but the Incremental fit index TLI=.82, CFI=.85 was not enough to reach to the recommended level. With the path diagram of the hypothetical model, caution (β=-.29 p<.001), patient safety culture (β=-.20, p=.041), and work load (β=.18, p=.037) had a significant effect on the near miss experiences in nurses’ medication error, while fatigue (β=-.06, p=.575) did not affect it. Moreover, the near miss experience had a significant effect on work productivity (β=-.25, p=.001).

Conclusion

These results have shown that to decrease the near miss experience by nurses and increase their work productivity in hospital environments would require both personal and organizational effort.

Citations

Citations to this article as recorded by

The effects of aroma inhalation on the quality of sleep, professional quality of life, and near-misses in medication errors among emergency room nurses on night duty in Korea: a randomized controlled trial
Jungha Son, Chul-Gyu Kim
Journal of Korean Biological Nursing Science.2025; 27(1): 25. CrossRef
The Association of Job Stress, Quality of Sleep, and the Experience of Near-Miss Errors among Nurses in General Hospitals
Seong-Kyeong Kwak, Jin-Soo Ahn, Yeon-Ha Kim
Healthcare.2024; 12(6): 699. CrossRef
Association between Nurses’ Perceptions of Patient Safety Culture, Willingness to Report Near Misses, Critical Thinking Disposition, and Nursing Care Activities for Patient Safety
Da Eun Lee, Bo Gyeong Lee
Journal of Korean Academy of Nursing Administration.2024; 30(3): 283. CrossRef
The associations of psychological burnout and time factors on medication errors in rotating shift nurses in Korea: A cross sectional descriptive study
Cheongin Im, Suyoung Song, Kyoungja Kim
Nursing Open.2023; 10(8): 5550. CrossRef
Clinical nurses’ recovery experiences after adverse events in South Korea: A qualitative study
Hyoung Eun Chang, Haena Jang, Yong Ik Bak
Collegian.2022; 29(4): 456. CrossRef
Development and Validation of a Nursing Work Interruption Scale
Eun-Jeong Yu, Eun-Nam Lee
International Journal of Environmental Research and Public Health.2022; 19(20): 13487. CrossRef
Relationship between Clinical Nurses' Job Stress and Medication Safety Performance: Mediating Effect of Fatigue
Se Yeong Park, Hea Kung Hur
Korean Journal of Adult Nursing.2021; 33(3): 283. CrossRef
A Study on Factors Affecting Near Misses by Nurses in Small-Medium Sized Hospitals
San-Na Lee, Seon-Ha Kim
Journal of Korean Academy of Nursing Administration.2021; 27(2): 75. CrossRef
Impact of Hospital Nurses’ Perception on Clinical Alarms and Patient Safety Culture on Alarm Management Practice
Soo-Joung Lee, Yun-Mi Lee, Eun Ji Seo, Youn-Jung Son
International Journal of Environmental Research and Public Health.2021; 18(8): 4018. CrossRef
Factors causing medication errors in an electronic reporting system
Seonhee Yoon, Kyeongyae Sohng
Nursing Open.2021; 8(6): 3251. CrossRef

406 View
32 Download
7 Web of Science
10 Crossref

Development of the Korean Geriatric Loneliness Scale (KGLS): Si Eun Lee; J Korean Acad Nurs 2019;49(5):643-654. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.643

Abstract PDF

Abstract Purpose

The purpose of this study was to develop and psychometrically test the Korean Geriatric Loneliness Scale (KGLS).

Methods

The initial items were based on in-depth interviews with 10 older adults. Psychometric testing was then conducted with 322 community-dwelling older adults aged 65 or older. Content, construct, and criterion-related validity, classification in cutoff point, internal consistency reliability, and test-retest reliability were used for the analysis.

Results

Exploratory factor analysis showed three factors, including 15 items explaining 91.6% of the total variance. The three distinct factors were loneliness associated with family relationships (34.3%), social loneliness (32.4%), and a lack of belonging (24.9%). As a result of confirmatory factor analysis, 14 items in the three-factor structure were validated. Receiver operating characteristic analysis demonstrated that the KGLS’ cutoff point of 32 was associated with a sensitivity of 71.0%, specificity of 80.2%, and area under the curve of .83. Reliability, as verified by the test-retest intraclass correlation coefficient, was .89, and Cronbach's α was .90.

Conclusion

As its validity and reliability have been verified through various methods, the KGLS can contribute to assessing loneliness in South Korean older adults.

Citations

Citations to this article as recorded by

Effects of the Smawell Mobile App on Psychological and Biological Factors in the Middle Aged and Older Adults Living Alone
Kyung Sook Kim, Miok Kim, Mi Hee Han
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(2): 171. CrossRef
Impact of Frailty, Depression, and Loneliness on Ego-Integrity in Community-Dwelling Elderly
Seon Ju Song, Sung Hee Ko, Ji Young Kim, Hyun Kyung Kim
STRESS.2022; 30(3): 139. CrossRef
A Structural Model of Life Satisfaction for Middle Aged or Older People Living Alone
Kyung Sook Kim, Miok Kim
Journal of Korean Gerontological Nursing.2021; 23(1): 96. CrossRef
Impacts of the Depression among the Elderly in the South Korea Community in COVID-19 Pandemic
Boo Deuk Suh, Kyoung Hee Kwon
Journal of Health Informatics and Statistics.2021; 46(1): 54. CrossRef
Applying Latent Profile Analysis to Identify Lifestyle Profiles and Their Association with Loneliness and Quality of Life among Community-Dwelling Middle- and Older-Aged Adults in South Korea
Kang-Hyun Park, Eun-Young Yoo, Jongbae Kim, Ickpyo Hong, Jae-Shin Lee, Ji-Hyuk Park
International Journal of Environmental Research and Public Health.2021; 18(23): 12374. CrossRef

529 View
27 Download
1 Web of Science
5 Crossref

First
Prev
Page of 1
Next
Last

Previous issues