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Most-cited are based on citations from 2023 ~ 2025.

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Research Papers
Internal Structure of the Health-Related Quality of Life Instrument with 8-Items in a Nationally Representative Population
Lee, Eun-Hyun
J Korean Acad Nurs 2023;53(3):359-369.   Published online June 30, 2023
DOI: https://doi.org/10.4040/jkan.23007
AbstractAbstract PDF
Purpose
This study evaluated the internal structure (structural validity, internal consistency, and measurement invariance) of the Health-Related Quality of Life Instrument with Eight Items (HINT-8), developed to measure Korean people’s health-related quality of life.
Methods
A secondary analysis was conducted using data from the Korea National Health and Nutrition Examination Survey, involving 6,167 adults aged over 18 years. The structural validity of the HINT-8 was assessed using exploratory graph analysis and confirmatory factor analysis. Internal consistency and measurement invariance were analyzed using McDonald’s omega (ω) and multigroup confirmatory factor analysis, respectively.
Results
The HINT-8 had a single dimension and good internal consistency (ω = .804). The one-dimension HINT-8 ex-hibited matric invariance but not scalar invariance across sociodemographic groups (sex, age, education, and marital status). Further, it exhibited scalar or partial scalar invariance across medical condition groups (hypertension, diabetes, depressive symptoms, and cancer).
Conclusion
The study finds that the HINT-8 demonstrated satisfactory structural validity and internal consistency, indicating its suitability for practice and research. However, the HINT-8 scores cannot be compared across different groups regarding sex, age, education, and marital status, as the interpretation varies within each sociodemographic category. Conversely, interpretation of the HINT-8 is consistent for individuals with and without hypertension, diabetes, depressive symptom, and cancer.

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  • The Predictors of Dietary Supplement Use Among Women With Musculoskeletal Disease: A Population-Based Complex Sample Designed Study
    Myoungjin Kwon, Sun Ae Kim, Youngshin Song
    INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2025;[Epub]     CrossRef
  • A Network Analysis of Quality of Life Among Older Adults With Arthritis
    Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim
    International Journal of Older People Nursing.2025;[Epub]     CrossRef
  • Network analysis of quality of life among young and middle-aged Korean cancer survivors
    Yoonjung Kim, Dahee Wi, Eunjin Kim, Jiae Lee
    Asia-Pacific Journal of Oncology Nursing.2025; 12: 100684.     CrossRef
  • Quality of Life Based on the Experience of Psychological Counseling in Adults with Depressive Symptoms
    Jihyeon Seo, Jihye Lim
    Journal of Health Informatics and Statistics.2025; 50(1): 39.     CrossRef
  • Comparison of the health behavior and nutrition status of young-old women according to the vitality in their quality of life: based on the 2019, 2021 Korea National Health and Nutrition Examination Survey
    Jiyoung Jeong, Yoon Jung Yang
    Journal of Nutrition and Health.2023; 56(5): 496.     CrossRef
  • 860 View
  • 33 Download
  • 3 Web of Science
  • 5 Crossref
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Development of the Hospital Nurses’ Silence Behavior Scale
Chung, Soojin , Hwang, Jee-In
J Korean Acad Nurs 2024;54(2):279-295.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23138
AbstractAbstract PDF
Purpose
This study aimed to develop a scale to measure hospital nurses’ silence behavior and examine its validity and reliability.
Methods
A total of 52 preliminary items on hospital nurses’ silence behavior were selected using a content validity test by seven experts on 53 candidate items derived from a literature review and in-depth interviews with 14 nurses. A total of 405 hospital nurses participated in a psychometric testing. Data analysis comprised item analysis, exploratory and confirmatory factor analyses, and convergent and discriminant validity tests. Pearson’s correlation coefficient was used for assessing concurrent validity, and Cronbach’s alpha was used for the reliability test.
Results
The final scale consisted of nine factors with 31 items, exhibiting acceptable model fit indices, convergent validity, and discriminant validity. The score of the entire scale was positively correlated with the ‘Organizational Silence Scale (OSS)-the issues on which nurses remain silent’ (r = .60, p < .001) and ‘OSS-the reasons why nurses remain silent’ (r = .68, p < .001). Cronbach’s α of the scale was .92, and α of each subscale ranged from .71 to .90.
Conclusion
The Hospital Nurses’ Silence Behavior Scale is a useful tool for assessing multifaceted silence behavior among nurses. It can provide basic data for developing better communication strategies among nurses and other hospital staff.

Citations

Citations to this article as recorded by  
  • Mediating effect of grit on the influence of nurses’ silence behavior on medication safety competence: a cross-sectional study
    Haengsuk Kim, Wanju Park
    Journal of Korean Academy of Nursing.2025; 55(1): 81.     CrossRef
  • Mediating Effect of Emotional Labour on the Role Pressure and Silence Behaviour of Nurses
    Lianci He, Jianhua Liu, Rong Sun, Yuan Deng, Ling Tang, Shaochuan Chen
    Evaluation & the Health Professions.2025;[Epub]     CrossRef
  • Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
    Shin Ae Hwang, Haeyoung Min
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 416.     CrossRef
  • Psychometric evaluation and translation of the Persian version of the Organizational Silence Behavior Scale (OSBS-P) for clinical nurses
    Alireza Mirzaei, Mobina Jamshidinia, Mehrzad Aghabarari, Pouya Dolat Abadi, Reza Nemati-Vakilabad, Ehsan Namaziandost
    PLOS ONE.2024; 19(12): e0314155.     CrossRef
  • 821 View
  • 73 Download
  • 3 Web of Science
  • 4 Crossref
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Association between Resilience, Professional Quality of Life, and Caring Behavior in Oncology Nurses: A Cross-Sectional Study
Jeon, Misun , Kim, Sue , Kim, Sanghee
J Korean Acad Nurs 2023;53(6):597-609.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23058
AbstractAbstract PDF
Purpose
The degree of caring behavior of oncology nurses is a crucial factor in the care provided to patients with cancer. In this study, we aimed to investigate factors related to oncology nurses’ caring behavior, including their resilience and professional quality of life.
Methods
A cross-sectional descriptive study was conducted with 107 oncology nurses at an urban tertiary hospital from May 18 to 24, 2015. We used a self-report questionnaire to measure resilience, professional quality of life, and degree of caring behavior. Data analysis included descriptive statistics, correlations, and multiple regression analysis using SPSS/WIN 20.0.
Results
Oncology nurses presented with low levels of resilience and caring behavior, and high levels of compassion satisfaction, burnout, and secondary traumatic stress. There was a statistically significant relationship between the degree of caring behavior, resilience (r = .43, p < .001), compassion satisfaction (r = .51, p < .001), and burnout (r = - .42, p < .001), as well as between secondary traumatic stress and burnout (r = .34, p < .001). Factors associated with oncology nurses’ degree of caring behavior were compassion satisfaction (t = 6.00, p < .001) and educational level (t = 3.45, p = .001).
Conclusion
This study demonstrates that oncology nurses’ degree of caring behavior is related to their professional quality of life and education. These findings suggest that enhancing oncology nurses’ healthy coping strategies at both the individual and organizational levels can further develop holistic nursing care. Additionally, it is necessary to examine the factors affecting nurses’ compassion satisfaction and to try to promote this aspect.

Citations

Citations to this article as recorded by  
  • Burnout among health professionals working in oncology: current evidence and challenges for future research
    Javier Martinez-Calderon, Cristina García-Muñoz
    Current Opinion in Oncology.2025;[Epub]     CrossRef
  • Personal and work-related factors associated with nurse resilience: An updated systematic review using meta-analysis and narrative synthesis
    Fiona Yu, Deborah Raphael, Lisa Mackay, Melody Smith, Ritin Fernandez
    International Journal of Nursing Studies.2025; 166: 105054.     CrossRef
  • Mindful self-care among oncology nurses in China: a latent profile analysis
    Yan Shi, Peng Wang, Lamei Liu, Mengmeng Li
    BMC Nursing.2024;[Epub]     CrossRef
  • The mediating role of compassion fatigue between perceived organization support and caring behavior among outpatient nurses in China: a cross-sectional study
    Xingxing Liu, Fang He, Tian Tian, Jun Zhang, Yuanjiao Ji, Yuexia Zhong
    BMC Nursing.2024;[Epub]     CrossRef
  • 706 View
  • 37 Download
  • 3 Web of Science
  • 4 Crossref
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Effects of a Nursing Simulation Learning Module on Clinical Reasoning Competence, Clinical Competence, Performance Confidence, and Anxiety in COVID-19 Patient-Care for Nursing Students
Kim, Ye-Eun , Kang, Hee-Young
J Korean Acad Nurs 2023;53(1):87-100.   Published online February 28, 2023
DOI: https://doi.org/10.4040/jkan.22130
AbstractAbstract PDF
Purpose
This study aimed to develop a nursing simulation learning module for coronavirus disease 2019 (COVID-19) patient-care and examine its effects on clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient care for nursing students.
Methods
A non-equivalent control group pre- and post-test design was employed. The study participants included 47 nursing students (23 in the experimental group and 24 in the control group) from G City. A simulation learning module for COVID-19 patient-care was developed based on the Jeffries simulation model. The module consisted of a briefing, simulation practice, and debriefing. The effects of the simulation module were measured using clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient-care. Data were analyzed using χ 2 -test, Fisher’s exact test, t-test, Wilcoxon signed-rank test, and Mann– Whitney U test.
Results
The levels of clinical reasoning competence, clinical competence, and performance confidence of the experimental group were significantly higher than that of the control group, and the level of anxiety was significantly low after simulation learning.
Conclusion
The nursing simulation learning module for COVID-19 patient-care is more effective than the traditional method in terms of improving students’ clinical reasoning competence, clinical competence, and performance confidence, and reducing their anxiety. The module is expected to be useful for educational and clinical environments as an effective teaching and learning strategy to empower nursing competency and contribute to nursing education and clinical changes.

Citations

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  • Clinical Judgment Model‐Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial
    Ae Ran Kim, Jeong Hee Hong, Kyeongsug Kim, Yuna Kim, Jung Min Lee, Heejin Lee, Ji Hyun Yoon, Mi Soon Kim
    Research in Nursing & Health.2025; 48(2): 234.     CrossRef
  • The impact of unfolding case studies combined with think-aloud strategies on the clinical reasoning and self-directed learning abilities of postgraduate students: A mixed methods study
    Yuehai Yu, Yuanjing Qiao, Yaoyao Zhu, Hao Pei, Yuting Wang, Qingyang Zhu, Shuo Liu
    Nurse Education in Practice.2024; 80: 104132.     CrossRef
  • Effect of Infection Control Simulation Based on a Negative Pressure Isolation Room Using Mixed Reality
    Kyeng-Jin Kim, Joonyoung Lee, Moon-Ji Choi
    CIN: Computers, Informatics, Nursing.2024; 42(8): 608.     CrossRef
  • Expectations and concerns about transitioning to face-to-face learning among Korean nursing students: A mixed methods study
    Hyeongsuk Lee, Hye Jin Yoo, Chao Gu
    PLOS ONE.2024; 19(1): e0296914.     CrossRef
  • 794 View
  • 34 Download
  • 4 Web of Science
  • 4 Crossref
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The Impact of Self-Efficacy on Nurses’ Well-Being: Does Digital Competence Matter?
Li, Yali , Jing, Qi , Feng, Taiwen , Yang, Xiaoling
J Korean Acad Nurs 2023;53(4):385-396.   Published online August 31, 2023
DOI: https://doi.org/10.4040/jkan.23037
AbstractAbstract PDF
Purpose
Drawing on person–environment fit theory and social cognitive theory, this study aimed to examine how self-efficacy affects nurses’ workplace well-being via person-job fit and the moderating role of digital competence.
Methods
A two-wave survey was conducted to collect data. Data were collected from six hundred and ninety-five nurses at three Chinese hospitals between May 2022 and September 2022. We employed hierarchical regression analysis and bootstrapping to analyze the data.
Results
Self-efficacy positively influenced person-job fit (β = .55, p < .001), which positively affected nurses’ workplace well-being (β = .32, p < .001). Person-job fit mediated the effect of self-efficacy on nurses’ workplace well-being. Additionally, digital competence strengthened the positive impact of self-efficacy on person-job fit (β = .12, p < .001).
Conclusion
Recruiting nurses with both self-efficacy and digital competence benefits hospitals. It is critical for nurses to improve their digital competence for achieving person-job fit and attaining workplace well-being in the post-coronavirus disease 2019 (COVID-19) era.

Citations

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  • Work-family balance mediates self-efficacy and subjective well-being among nurses in Chinese intensive care units: A cross-sectional study
    Lating Zhang, Xianzhen Jin, Na Cheng, Ruhua Wang, Xinhui Liang, Haiyan Fan, Xue Jiang
    Applied Nursing Research.2025; 82: 151932.     CrossRef
  • Translation and psychometric evaluation of the Chinese version of the Digital Competence Questionnaire for clinical nurses
    Zhengang Wei, Hongli Liu, Jicheng Zhang, Yan Chen, Lixia Chang, Huiyu Cheng, Xue Bai, Xiaohua Wang, Su Li
    DIGITAL HEALTH.2025;[Epub]     CrossRef
  • The Effect of Digital Competence on Nurses’ Career Sustainability: A Cross‐Sectional Study
    Zeyu Zhang, Shuang Zhao, Yujiao Shao, Xiaocui Duan, Ping Sun, Lingling Chen, Fei Wang, Changjiang Yuan, Xiumu Yang, Lesley Barr
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • 549 View
  • 27 Download
  • 3 Web of Science
  • 3 Crossref
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Effects of a Modified Six-Sigma-Methodology-Based Training Program on Core Competencies in Rehabilitation Nurse Specialists
Gu, Jiayi , Luo, Lan , Li,, Chengjuan , Ma, Sumin , Gong, Fanghua
J Korean Acad Nurs 2023;53(4):412-425.   Published online August 31, 2023
DOI: https://doi.org/10.4040/jkan.22122
AbstractAbstract PDF
Purpose
Nurses play an important role in ensuring patient rehabilitation and are involved in all aspects of multidimensional rehabilitation. Therefore, strengthening rehabilitation nursing education is vital to ascertain high-quality rehabilitation and optimum outcomes. This study examined the effectiveness of a new teaching reform—a modified Six-Sigma-based training program—against a conventional educational program on rehabilitation specialist nurses’ core competencies, post-training performance, and satisfaction.
Methods
A quasi-randomized controlled trial was conducted to assess the effectiveness of the modified training program. We recruited 56 learners from the 2020 training course at the Hunan Rehabilitation Specialist Nurse Training Base as the control group. Sixty learners from the base’s 2021 training course were recruited as the intervention group. Data were collected in a consistent manner from both groups after the training program was implemented.
Results
Those who underwent the modified training program showed better improvement in all core competencies than those who underwent the conventional training program (p < .05); the scores for theoretical knowledge, clinical nursing lectures, reviews, and nursing case management improved significantly following the teaching reform (p < 0.05). Further, overall satisfaction as well as base management and theoretical teaching satisfaction improved significantly (p < .05).
Conclusion
The modified training program strengthens rehabilitation nurses’ base management abilities; enhances their core competencies; expands their interest in and breadth, depth, and practicability of theoretical courses; and updates the teaching methods.

Citations

Citations to this article as recorded by  
  • Evaluation of the effectiveness of rehabilitation nursing training for clinical nurses based on the Kirkpatrick model
    Manzhou Yang, Xiuying Zhang, Ruiyang Han, Xiao Ding, Runguo Gao, Qi Jing, Weiqin Cai, Anning Ma, Qianqian Gao, Hongmei Li
    BMC Nursing.2025;[Epub]     CrossRef
  • Professional competencies in geriatric nursing for geriatric nurses: a latent profile analysis
    Mengxue Wang, Dongdong Li, Jingjing Li, Xiumei Zhang
    BMC Nursing.2024;[Epub]     CrossRef
  • A longitudinal assessment of factors affecting training transfer among new clinical nurse specialists
    Ardani Latifah Hanum, Qiulan Hu, Wei Wei, Fang Ma
    International Journal of Nursing Sciences.2024; 11(3): 308.     CrossRef
  • 423 View
  • 10 Download
  • 3 Web of Science
  • 3 Crossref
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Effects of Health Education Using Virtual Reality for Adolescents: A Systematic Review and MetaAnalysis
Park, SoMi , Chung, ChaeWeon , Kim, Gaeun
J Korean Acad Nurs 2023;53(2):177-190.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.23003
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of health interventions using virtual reality (VR) on improving knowledge, attitudes, and skills; and inducing behavioral change among adolescents.
Methods
This study is a systematic review and meta-analysis following PRISMA guidelines. We searched Cochrane, MEDLINE, Embase, CINAHL, Scopus, Web of Science, and Korean databases between database inception and April 10, 2021. Based on heterogeneity, a random- or fixed-effects model was used, as appropriate, to calculate effect sizes in terms of the standardized mean difference (SMD) and odds ratio (OR). Studies were selected if they verified the effects of health education using VR on adolescents; there was an appropriate control group; and if the effects of education were reported in terms of changes in knowledge, attitudes, skills, or behaviors.
Results
This analysis included six studies (n = 1,086). The intervention groups showed greater responses in knowledge and attitudes (SMD = 0.57, 95% confidence interval (CI) [0.12 to 1.02]), skills related to health behavior (SMD = -0.45, 95% CI [-0.71 to -0.19]), and behavioral change after 12 months (OR = 2.36, 95% CI [1.03 to 5.41]).
Conclusion
The results confirm the effectiveness of health interventions using virtual reality (VR). Although the analysis include a small number of studies, a case can be made for health interventions using VR to be utilized as educational methods and strategies to prevent risky behaviors among adolescents.

Citations

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  • Development and Evaluation of a Virtual Reality Intervention for Reducing Exposure to Endocrine Disruptors in Female Adolescents: A Pilot Study
    SoMi Park, Yun Jeong Hwang, ChaeWeon Chung
    Journal for Specialists in Pediatric Nursing.2025;[Epub]     CrossRef
  • Chinese nurses’ perspectives on child-friendly healthcare practice assessment: a qualitative study
    Wei Xiao Huang, Mei Chan Chong, Li Yoong Tang, Xiao Xia Liu, Mei Fang, Yun Yun Shen, Xiao Li Guo
    BMC Nursing.2025;[Epub]     CrossRef
  • Implementation of a Childcare-Based Obesity Prevention Program for Vulnerable Families During the COVID-19 Pandemic: Lessons for School Nurses
    Jiyoung Park, Gill ten Hoor, Seohyun Won, Gahui Hwang, Sein Hwang, Siew Tiang Lau
    The Journal of School Nursing.2024;[Epub]     CrossRef
  • 561 View
  • 21 Download
  • 3 Web of Science
  • 3 Crossref
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Association between Visual Impairment and Nutritional Risk among Older Adults with Diabetes: A Population-Based Cross-Sectional Study
Yang, Eunjin , Lee, Kyung Hee
J Korean Acad Nurs 2023;53(2):167-176.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22141
AbstractAbstract PDF
Purpose
Despite the high prevalence of visual impairment caused by diabetic retinopathy and nutritional problems among older adults with diabetes, evidence regarding factors related to nutritional risk in this population is limited. Therefore, this study aimed to identify the correlates of nutritional risk among older adults with diabetes, focusing on visual impairment.
Methods
This study was a secondary data analysis of the 2020 National Survey of Older Koreans aged 65 years and above. The sample comprised 2,376 older adults with diabetes, and complex sample ANOVA and Rao–Scott chi-square tests were used to compare the groups according to visual impairment. Complex-sample logistic regression analyses were conducted to verify the association between visual impairment and nutritional risk.
Results
Older adults with diabetes, who also have severe visual impairment, are more likely to have nutritional risk status than those without impairment after controlling for covariates (odds ratio [OR] = 2.44, 95% confidence interval [CI] 1.16~5.13). Among the covariates, depression (OR = 3.58, 95% CI 2.60~4.94), dependent activities of daily living status (OR = 2.79, 95% CI 1.60~4.86), and experience of hospitalization during the past year (OR = 2.51, 95% CI 1.57~4.03) were strongly associated with nutritional risk.
Conclusion
Severe visual impairment increases the nutritional risk among older adults with diabetes. Therefore, it is essential to prevent visual impairment due to exacerbation of diabetes through appropriate management. Additionally, tailored nutritional interventions for visually impaired older adults with diabetes that consider visual characteristics are required.

Citations

Citations to this article as recorded by  
  • Insights into the associated risk factors of malnutrition among nursing home residents: A longitudinal study
    Johanna de Almeida Mello, Emilie Schoebrechts, Patricia Ann Ivonne Vandenbulcke, Anja Declercq, Jan De Lepeleire, Christophe Matthys, Dominique Declerck, Joke Duyck
    Clinical Nutrition.2024; 43(11): 166.     CrossRef
  • Frailty and Visual Impairment in Elderly Individuals: Improving Outcomes and Modulating Cognitive Decline Through Collaborative Care Between Geriatricians and Ophthalmologists
    Daniel Dinarvand, Johann Panthakey, Ahmed Hassan, Mohamed H. Ahmed
    Diseases.2024; 12(11): 273.     CrossRef
  • Malnutrition Risk in Community-Dwelling Older Adults with Dual Sensory Declines: Focusing on Social Determinants of Health
    Ha Na Jeong
    Research in Community and Public Health Nursing.2024; 35: 325.     CrossRef
  • 459 View
  • 18 Download
  • 2 Web of Science
  • 3 Crossref
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Keyword Network Analysis and Topic Modeling of News Articles Related to Artificial Intelligence and Nursing
Ha, Ju-Young , Park, Hyo-Jin
J Korean Acad Nurs 2023;53(1):55-68.   Published online February 28, 2023
DOI: https://doi.org/10.4040/jkan.22117
AbstractAbstract PDF
Purpose
The purpose of this study was to identify the main keywords, network properties, and main topics of news articles related to artificial intelligence technology in the field of nursing.
Methods
After collecting artificial intelligence-and nursing-related news articles published between January 1, 1991, and July 24, 2022, keywords were extracted via preprocessing. A total of 3,267 articles were searched, and 2,996 were used for the final analysis. Text network analysis and topic modeling were performed using NetMiner 4.4.
Results
As a result of analyzing the frequency of appearance, the keywords used most frequently were education, medical robot, telecom, dementia, and the older adults living alone. Keyword network analysis revealed the following results: a density of 0.002, an average degree of 8.79, and an average distance of 2.43; the central keywords identified were ’education,’ ‘medical robot,’ and ‘fourth industry.’ Five topics were derived from news articles related to artificial intelligence and nursing: ‘Artificial intelligence nursing research and development in the health and medical field,’ ‘Education using artificial intelligence for children and youth care,’ ‘Nursing robot for older adults care,’ ‘Community care policy and artificial intelligence,’ and ‘Smart care technology in an aging society.’ Conclusion: The use of artificial intelligence may be helpful among the local community, older adult, children, and adolescents. In particular, health management using artificial intelligence is indispensable now that we are facing a super-aging society. In the future, studies on nursing intervention and development of nursing programs using artificial intelligence should be conducted.

Citations

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  • Mapping the Landscape of AI-Driven Human Resource Management: A Social Network Analysis of Research Collaboration
    Mehrdad Maghsoudi, Motahareh Kamrani Shahri, Mehrdad Agha Mohammad Ali Kermani, Rahim Khanizad
    IEEE Access.2025; 13: 3090.     CrossRef
  • The Impact of Artificial Intelligence-Assisted Learning on Nursing Students' Ethical Decision-making and Clinical Reasoning in Pediatric Care
    Hyewon Shin, Jennie C. De Gagne, Sang Suk Kim, Minjoo Hong
    CIN: Computers, Informatics, Nursing.2024; 42(10): 704.     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
  • 1,676 View
  • 65 Download
  • 2 Web of Science
  • 3 Crossref
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Impact of Anthropometric Indices of Obesity on the Risk of Incident Hypertension in Adults with Prehypertension: A Secondary Analysis of a Cohort Study
Jang, Se Young , Kim, Jihun , Kim, Seonhwa , Lee, Eun Sun , Choi, Eun Jeong
J Korean Acad Nurs 2024;54(1):18-31.   Published online February 29, 2024
DOI: https://doi.org/10.4040/jkan.23067
AbstractAbstract PDF
Purpose
This study aimed to investigate the impact of anthropometric indices of obesity (body mass index [BMI], waist circumference, waist hip ratio, and body fat percentage) on the incidence of hypertension in adults with prehypertension.
Methods
A longitudinal study design using secondary data form the Korean Genome and Epidemiology Study was employed. The study included 1,838 adults with prehypertension tracked every two years from 2001 to 2018. Statistical analyses, including frequency assessments, number of cases per 1,000 person-years, log-rank tests, Kaplan-Meier curves, and Cox’s proportional hazards regression, were conducted using SPSS version 25.
Results
Over the observation period (15,783.6 person-years), 1,136 individuals developed hypertension. The incidence of hypertension was significantly higher in the obesity groups defined by BMI (hazard ratio [HR] = 1.33), waist circumference (HR = 1.34), waist hip ratio (HR = 1.29), and body fat percentage (HR = 1.31) compared to the non-obese group. These findings indicate an increased risk of hypertension associated with obesity as measured by these indices.
Conclusion
The study underscores the importance of avoiding obesity to prevent hypertension in individuals with prehypertension. Specifically, BMI, waist circumference, waist hip circumference, and body fat percentage were identified as significant risk factors for hypertension. The results suggest the need for individualized weight control interventions, emphasizing the role of health professionals in addressing the heightened hypertension risk in this population.

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  • Investigating the Gut Microbiota Profile in Prehypertensive Individuals Exhibiting Phlegm-Dampness Constitution
    Ning Yu, Yaotang Yang, Guangyun Wang, Yanhong Wang, Mei Feng, Peilin Yang, Shuang Liu, Rui-rui Wang, Lei Zhang
    Frontiers in Cellular and Infection Microbiology.2025;[Epub]     CrossRef
  • Association between body roundness index and psoriasis among US adults: a nationwide population-based study
    Genlong Bai, Yuting Peng, Qian Liu, Xinyi Shao, Yuan Zhan, Aijun Chen, Jingbo Zhang
    Lipids in Health and Disease.2024;[Epub]     CrossRef
  • 565 View
  • 55 Download
  • 2 Web of Science
  • 2 Crossref
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The Effects of the Infant Health Promotion Program for Mothers with Their Firstborn Infants
Yoon, Chae-Min , You, Mi-Ae
J Korean Acad Nurs 2023;53(6):666-677.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23056
AbstractAbstract PDF
Purpose
This study was intended to evaluate the effects of an Infant Health Promotion Program (IHPP) for mothers with their firstborn infants.
Methods
This study employed a non-equivalent control group pretest-posttest design. The participants consisted of 17 mothers with their firstborn infants in the experimental group and 17 in the control group from two women’s hospitals. The experimental group received eight sessions of the program for four weeks. The collected data were analyzed using the chi-square test and repeated-measures ANOVA using an SPSS/WIN ver. 22.0.
Results
The experimental group receiving the program had statistically significant higher levels of infant health promotion knowledge (F = 22.91, p < .001), social support (F = 27.64, p < .001), maternal role confidence (F = 8.25, p = .005) and health promotion behavior for infants (F = 16.85, p < .001) than the control group. The experimental group had a statistically significant lower level of parenting stress than the control group (F = 29.93, p < .001).
Conclusion
The study’s findings indicate that the IHPP is effective in improving health promotion knowledge, social support, and maternal role confidence and decreasing parenting stress among mothers with their firstborn infants. A method of delivering intervention, focused on readily accessible online platforms, coupled with intervention strategies grounded in the theory of self-efficacy, proves to be an advantageous approach for this particular target group.

Citations

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  • The Impact of Mothers’ Smartphone Use, eHealth Literacy, Maternal Role Performance Confidence, and Online Social Support on Health Promotion Behavior for Infants and Toddlers
    Se-Young JUNG, So Yeon PARK
    Korean Journal of Health Promotion.2024; 24(3): 134.     CrossRef
  • A qualitative study on the oral health of mobile platform workers: focus on tooth brushing experience
    Jae-In Ryu, Na-Yeon Tak
    Journal of Korean Academy of Oral Health.2024; 48(2): 40.     CrossRef
  • 298 View
  • 8 Download
  • 2 Crossref
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National Petition Analysis Related to Nursing: Text Network Analysis and Topic Modeling
Ko, HyunJung , Jeong, Seok Hee , Lee, Eun Jee , Kim, Hee Sun
J Korean Acad Nurs 2023;53(6):635-651.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23052
AbstractAbstract PDF
Purpose
This study aimed to identify the main keyword, network structure, and main topics of the national petition related to “nursing” in South Korea.
Methods
Data were gathered from petitions related to the national petition in Korea Blue House related to the topic “nursing” or “nurse” from August 17, 2017, to May 9, 2022. A total of 5,154 petitions were searched, and 995 were selected for the final analysis. Text network analysis and topic modeling were analyzed using the Netminer 4.5.0 program.
Results
Regarding network characteristics, a density of 0.03, an average degree of 144.483, and an average distance of 1.943 were found. Compared to results of degree centrality and betweenness centrality, keywords such as “work environment,” “nursing university,” “license,” and “education” appeared typically in the eigenvector centrality analysis. Topic modeling derived four topics: (1) “Improving the working environment and dealing with nursing professionals,” (2) “requesting investigation and punishment related to medical accidents,” (3) “requiring clear role regulation and legislation of medical and nonmedical professions,” and (4) “demanding improvement of healthcare-related systems and services.” Conclusion: This is the first study to analyze Korea's national petitions in the field of nursing. This study's results confirmed both the internal needs and external demands for nurses in South Korea. Policies and laws that reflect these results should be developed.

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  • Voice of Customer Analysis of Nursing Care in a Tertiary Hospital: Text Network Analysis and Topic Modeling
    Hyunjung Ko, Nara Han, Seulki Jeong, Jeong A Jeong, Hye Ryoung Yun, Eun Sil Kim, Young Jun Jang, Eun Ju Choi, Chun Hoe Lim, Min Hee Jung, Jung Hee Kim, Dong Hyu Cho, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 529.     CrossRef
  • A Study on Internet News for Patient Safety Campaigns: Focusing on Text Network Analysis and Topic Modeling
    Sun-Hwa Shin, On-Jeon Baek
    Healthcare.2024; 12(19): 1914.     CrossRef
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  • 15 Download
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  • 2 Crossref
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Development of Nursing Clinical Judgment Scale
Kwon, Shi Nae , Park, Hyojung
J Korean Acad Nurs 2023;53(6):652-665.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23042
AbstractAbstract PDF
Purpose
This study aimed to develop a nursing clinical judgment scale (NCJS) and verify its validity and reliability in assessing the clinical judgment of nurses.
Methods
A preliminary instrument of the NCJS comprising 38 items was first developed from attributes and indicators derived from a literature review and an in-depth/focus interview with 12 clinical nurses. The preliminary tool was finalized after 7 experts conducted a content validity test based on a data from a preliminary survey of 30 hospital nurses in Korea. Data were collected from 443 ward, intensive care unit, emergency room nurses who voluntarily participated in the survey through offline and online for the verification of the construct validity and reliability of the scale.
Results
The final scale comprised 23 items scored on a 5-point Likert scale. Six factors – integrated data analysis, evaluation and reflection on interventions, evidence on interventions, collaboration among health professionals, patient-centered nursing, and collaboration among nurse colleagues – accounted for 64.9% of the total variance. Confirmatory factor analysis supported the fit of the measurement model, comprising six factors (root mean square error of approximation = .07, standardized root mean square residual = .04, comparative fit index = .90). Cronbach’s α for all the items was .92.
Conclusion
The NCJS is a valid and reliable tool that fully reflects the characteristics of clinical practice, and it can be used effectively to evaluate the clinical judgment of Korean nurses. Future research should reflect the variables influencing clinical judgment and develop an action plan to improve it.

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  • How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
    Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
    PLOS ONE.2025; 20(1): e0316654.     CrossRef
  • Effects of Critical Thinking Disposition, Clinical Judgement, and Nurse–Physician Collaboration on Triage Competency Among Triage Nurses
    Ji-Won Song, Hyung-Ran Park
    Healthcare.2025; 13(4): 405.     CrossRef
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Analysis of ROX Index, ROX-HR Index, and SpO 2 /FIO 2 Ratio in Patients Who Received HighFlow Nasal Cannula Oxygen Therapy in Pediatric Intensive Care Unit
Choi, Sun Hee , Kim, Dong Yeon , Song, Byung Yun , Yoo, Yang Sook
J Korean Acad Nurs 2023;53(4):468-479.   Published online August 31, 2023
DOI: https://doi.org/10.4040/jkan.22152
AbstractAbstract PDF
Purpose
This study aimed to evaluate the use of the respiratory rate oxygenation (ROX) index, ROX-heart rate (ROX-HR) index, and saturation of percutaneous oxygen/fraction of inspired oxygen ratio (SF ratio) to predict weaning from high-flow nasal cannula (HFNC) in patients with respiratory distress in a pediatric intensive care unit.
Methods
A total of 107 children admitted to the pediatric intensive care unit were enrolled in the study between January 1, 2017, and December 31, 2021. Data on clinical and personal information, ROX index, ROX-HR index, and SF ratio were collected from nursing records. The data were analyzed using an independent t-test, χ2 test, Mann–Whitney U test, and area under the curve (AUC).
Results
Seventy-five (70.1%) patients were successfully weaned from HFNC, while 32 (29.9%) failed. Considering specificity and sensitivity, the optimal cut off points for predicting treatment success and failure of HFNC oxygen therapy were 6.88 and 10.16 (ROX index), 5.23 and 8.61 (ROX-HR index), and 198.75 and 353.15 (SF ratio), respectively. The measurement of time showed that the most significant AUC was 1 hour before HFNC interruption.
Conclusion
The ROX index, ROX-HR index, and SF ratio appear to be promising tools for the early prediction of treatment success or failure in patients initiated on HFNC for acute hypoxemic respiratory failure. Nurses caring for critically ill pediatric patients should closely observe and periodically check their breathing patterns. It is important to continuously monitor three indexes to ensure that ventilation assistance therapy is started at the right time.

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  • Can the ROX index predict high‐flow nasal cannula failure in children under 2 with lower respiratory tract infection?
    Pablo Vasquez‐Hoyos, Alvaro L. Jacome‐Orozco, Andrea P. Rodriguez‐Mayorga, Leidy E. Sepulveda‐Forero, Diana P. Escobar‐Serna, Juan S. Barajas, Evelyn Obando‐Belalcazar, Claudia M. Salinas‐Jaimes, Juan J. Peralta‐Palmezano, Alexandra Jimenez‐Chavez, Rafael
    Pediatric Pulmonology.2024; 59(5): 1246.     CrossRef
  • Impact of Surgical Mask Placement Over High-Flow Nasal Cannula on Oxygenation Parameters in COVID-19 Patients Experiencing Hypoxemic Respiratory Failure
    Aadila Coatwala, Mayank Dhir, Sagar Sinha, Dattatray Bhusare
    Cureus.2024;[Epub]     CrossRef
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Development and Validation of a Dignity in Care Scale of Terminally Ill Patients for Nurses
Ahn, Yun Sil , Oh, Pok Ja
J Korean Acad Nurs 2023;53(3):340-358.   Published online June 30, 2023
DOI: https://doi.org/10.4040/jkan.23039
AbstractAbstract PDF
Purpose
This study aimed to develop an instrument to showcase Dignity in Care of Terminally Ill Patients for Nurses and to examine its validity and reliability.
Methods
A total of 58 preliminary items on dignity in care of terminally ill patients for nurses were selected using content validity analysis and expert opinions on 97 candidate items derived through a literature review and qualitative focus group interviews. Questionnaires were administered to 502 nurses caring for terminally ill cancer patients at hospice and palliative care institutions. The data were analyzed using item analysis, exploratory and confirmatory factor analysis, convergent and discriminant validity, and Pearson correlation for criterion validity, reliability was tested using Cronbach’s alpha.
Results
The final instrument consisted of 25 items, with four factors identified through confirmatory factor analysis. Four factors-ethical values and moral attitudes, interaction-based communication, main-taining comfort, professional insight and competence–accounted for 61.8% of the total variance. Cronbach’s ⍺ for total items was .96, and test-retest reliability of intraclass correlation coefficient was .90.
Conclusion
Since its validity and reliability have been verified through various methods, the Dignity in Care Scale of Terminally Ill Patients for Nurses can be used for develop nursing interventions and improve dignity in care of terminally ill patients.

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  • Development and Psychometric Testing of the Nurses’ Professional Dignity Scale
    Michela Piredda, Maddalena De Maria, Rosario Caruso, Anna Marchetti, Giorgia Petrucci, Anna Cerra, Joyce J. Fitzpatrick, Alessandro Stievano
    Nursing Reports.2025; 15(4): 127.     CrossRef
  • Development and Validation of a Dignity in Care Scale of Terminally Ill Patients for Nurses
    Yun Sil Ahn, Pok Ja Oh
    Journal of Korean Academy of Nursing.2023; 53(3): 340.     CrossRef
  • 628 View
  • 33 Download
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Psychometric Properties of the Korean Version of Self-Efficacy for HIV Disease Management Skills
Kim, Gwang Suk , Kim, Layoung , Shim, Mi-So , Baek, Seoyoung , Kim, Namhee , Park, Min Kyung , Lee, Youngjin
J Korean Acad Nurs 2023;53(3):295-308.   Published online June 30, 2023
DOI: https://doi.org/10.4040/jkan.23016
AbstractAbstract PDF
Purpose
This study evaluated the validity and reliability of Shively and colleagues’ self-efficacy for HIV disease management skills (HIVSE) among Korean participants.
Methods
The original HIV-SE questionnaire, comprising 34 items, was translated into Korean using a translation and back-translation process. To enhance clarity and eliminate redundancy, the author and expert committee engaged in multiple discussions and integrated two items with similar meanings into a single item. Further, four HIV nurse experts tested content validity. Survey data were collected from 227 individuals diagnosed with HIV from five Korean hospitals. Construct validity was verified through confirmatory factor analysis. Criterion validity was evaluated using Pearson’s correlation coefficients with the new general self-efficacy scale. Internal consistency reliability and test-retest were examined for reliability.
Results
The Korean version of HIV-SE (K-HIV-SE) comprises 33 items across six domains: “managing depression/mood,” “managing medications,” “managing symptoms,” “communicating with a healthcare provider,” “getting support/help,” and “managing fatigue.” The fitness of the modified model was acceptable (minimum value of the discrepancy function/degree of freedom = 2.49, root mean square error of approximation = .08, goodnessof-fit index = .76, adjusted goodness-of-fit index = .71, Tucker-Lewis index = .84, and comparative fit index = .86). The internal consistency reliability (Cronbach’s α = .91) and test-retest reliability (intraclass correlation coefficient = .73) were good. The criterion validity of the K-HIV-SE was .59 (p < .001).
Conclusion
This study suggests that the K-HIV-SE is useful for efficiently assessing self-efficacy for HIV disease management.

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  • Factors associated with health-related quality of life among people living with HIV in South Korea: Tobit regression analysis
    Gwang Suk Kim, Layoung Kim, SangA Lee, Mi-So Shim, Youngjin Lee, Seoyoung Baek, Claus Kadelka
    PLOS ONE.2024; 19(5): e0303568.     CrossRef
  • Three cycles of mobile app design to improve HIV self-management: A development and evaluation study
    Gwang Suk Kim, Layoung Kim, Seoyoung Baek, Mi-So Shim, SangA Lee, Ji Min Kim, Jong Yae Yoon, Jin Kim, JunYong Choi, Jae-Phil Choi
    DIGITAL HEALTH.2024;[Epub]     CrossRef
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Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
Jang, Se Young , Kim, Hee Sun , Jeong, Seok Hee , Kim, Young Man
J Korean Acad Nurs 2023;53(2):222-235.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22099
AbstractAbstract PDF
Purpose
The aim of this study was to identify the factors explaining protective behaviors against radiation exposure in perioperative nurses based on the theory of planned behavior.
Methods
This was a cross-sectional study. A total of 229 perioperative nurses participated between October 3 and October 20, 2021. Data were analyzed using SPSS/WIN 23.0 and AMOS 23.0 software. The three exogenous variables (attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control) and two endogenous variables (radiation protective intention and radiation protective behaviors) were surveyed.
Results
The hypothetical model fit the data (χ2/df = 1.18, SRMR = .02, TLI = .98, CFI = .99, RMSEA = .03). Radiation protective intention (β = .24, p = .001) and attitude toward radiation protective behaviors (β = .32, p = .002) had direct effects on radiation protective behaviors. Subjective norm (β = .43, p = .002) and perceived behavior control (β = .24, p = .003) had direct effects on radiation protective intention, which explained 38.0% of the variance. Subjective norm (β = .10, p = .001) and perceived behavior control (β = .06, p = .002) had indirect effects via radiation protective intention on radiation protective behaviors. Attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control were the significant factors explaining 49.0% of the variance in radiation protective behaviors.
Conclusion
This study shows that the theory of planned behavior can be used to effectively predict radiation protective behaviors in perioperative nurses. Radiation safety guidelines or education programs to enhance perioperative nurses’ protective behaviors should focus on radiation protective intention, attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control.

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  • Factors related to preventive measures towards PM2.5 exposure: A systematic review
    Jeevan Bhatta, Orapin Laosee, Cheerawit Rattanapan
    Global Transitions.2024; 6: 212.     CrossRef
  • Factors Influencing Radiation Protection Behavior of Nurses in Intensive Care Units
    Seo Jeong Kim, Yun Hee Kim
    Journal of Korean Critical Care Nursing.2024; 17(3): 1.     CrossRef
  • 563 View
  • 32 Download
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Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job DemandsResource Model
Lee, Eun Young , Kim, Eungyung
J Korean Acad Nurs 2023;53(1):129-143.   Published online February 28, 2023
DOI: https://doi.org/10.4040/jkan.22138
AbstractAbstract PDF
Purpose
This study aimed to examine the mediating effects of clinical nurses’ job crafting on organizational effectiveness based on the job demands-resources model proposed by Bakker and Demerouti (2017).
Methods
The participants consisted of 393 nurses working in nursing units of a tertiary general hospital located in Cheongju region. The data, collected using questionnaire from August 9 to August 20, 2021, were analyzed using SPSS 23.0 and AMOS 27.0.
Results
The goodness-of-fit (GoF) test results on the modified model (χ 2 = 2.7, GFI = .94, SRMR = .03, RMSEA = .06, NFI = .92, CFI = .94, TLI = .92, AGFI = .90), indicated that the GoF index satisfied the recommended level. Regarding the effects of each variable on organizational effectiveness, job crafting showed statistically significant direct (β = .48, p < .001), indirect (β = .23, p < .001), and total effects (β = .71, p < .001). Burnout showed statistically significant direct effect (β = - .17, p < .001). Work engagement showed statistically significant direct (β = .41, p < .001) and total effects (β = .41, p < .001). The factors explaining organizational effectiveness were job crafting, burnout, and work engagement, which had an explanatory power of 76.7%.
Conclusion
Nurses’ job crafting is an important mediating factor for enhancing the organizational effectiveness of nursing organizations. Hospitals should develop job-crafting success cases and related education and training programs as a strategy for enhancing the job crafting of nurses and, consequently organizational effectiveness.

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  • Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
    Younghee Kim, Mi Yu, Jacopo Fiorini
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Commitment to Organizational Change in Clinical Nurses: A Structural Model Applying Lewin's Change Theory
    Mihwa Hong, Sujeong Han
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 38.     CrossRef
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Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses
Kim, Min Young , Choi, Su Jung , Kim, Jeong Hye , Leem, Cho Sun , Kang, Young-ah
J Korean Acad Nurs 2023;53(1):39-54.   Published online February 28, 2023
DOI: https://doi.org/10.4040/jkan.22098
AbstractAbstract PDF
Purpose
This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs).
Methods
Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN.
Results
The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks.
Conclusion
To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

Citations

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  • Results of Applying a Ventilator Weaning Protocol Led by an Advanced Practice Nurse for Cardiac Surgery Patients
    YoungJu Eim, Su Jung Choi
    Journal of Korean Critical Care Nursing.2024; 17(2): 42.     CrossRef
  • Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses
    Su Jung Choi, Min Young Kim
    Journal of Korean Academy of Nursing.2024; 54(3): 300.     CrossRef
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Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis
Jeong, Hyesun , Lee, Yesul , Park, Jin Sup , Lee, Yoonju
J Korean Acad Nurs 2024;54(2):162-177.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23136
AbstractAbstract PDF
Purpose
This study aimed to investigate the influence of uncertainty-related factors on the health behavior of individuals with coronary artery disease (CAD) based on Mishel’s uncertainty in illness theory (UIT).
Methods
We conducted a cross-sectional study and path analysis to investigate uncertainty and factors related to health behavior. The study participants were 228 CAD patients who visited the outpatient cardiology department between September 2020 and June 2021. We used SPSS 25.0 and AMOS 25.0 software to analyze the data.
Results
The final model demonstrated a good fit with the data. Eleven of the twelve paths were significant. Uncertainty positively affected danger and negatively affected self-efficacy and opportunity. Danger had a positive effect on perceived risk. Opportunity positively affected social support, self-efficacy, perceived benefit and intention, whereas it negatively affected perceived risk. Social support, self-efficacy, perceived benefit and intention had a positive effect on health behavior. We found that perceived benefit and intention had the most significant direct effects, whereas self-efficacy indirectly affected the relationship between uncertainty and health behavior.
Conclusion
The path model is suitable for predicting the health behavior of CAD patients who experience uncertainty. When patients experience uncertainty, interventions to increase their self-efficacy are required first. Additionally, we need to develop programs that quickly shift to appraisal uncertainty as an opportunity, increase perceived benefits of health behavior, and improve intentions.

Citations

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  • Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis
    Yesul Lee, Yoonju Lee, Jeong Cheon Choe, Hyesun Jeong, Sunyoung Jung
    Korean Journal of Adult Nursing.2024; 36(3): 228.     CrossRef
  • 533 View
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Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
Maeng, Suyoun , Yu, Jungok
J Korean Acad Nurs 2024;54(2):250-265.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23119
AbstractAbstract PDF
Purpose
This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors’ exercise practice, as well as to investigate the program’s effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition.
Methods
This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings.
Results
Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention.
Conclusion
An appbased self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits.

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  • Effects of a mobile health coaching intervention on symptom experience, self-management, and quality of life in breast cancer survivors: A quasi-experimental study
    Jin-Hee Park, Sun Hyoung Bae, Yong Sik Jung, Min Hee Hur, Ji Young Kim, Su Jin Jung
    Medicine.2025; 104(12): e41894.     CrossRef
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Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
Kwak, Eunju , Park, Seungmi
J Korean Acad Nurs 2024;54(2):224-236.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23098
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of a mobile-based breastfeeding promotion program (M-BFGDM) that helps mothers with gestational diabetes.
Methods
Forty-seven mothers participated in the study, of whom 22 were in the experimental group and 25 in the control group. To verify the effects, a lag design before and after the non-equivalence control group was used. The data collection for the experimental group was done before and after the intervention.
Results
In the results, breastfeeding knowledge showed a significant difference in the interaction between measurement period and group (χ2 = 8.14, p = .017), whereas breastfeeding intention did not show a significant difference in the interaction (χ2 = 4.73, p = .094). There was no difference in self-efficacy interaction (F = 0.13, p = .856). The breastfeeding method showed no difference in interaction (F = 0.04, p = .952), whereas cross-analysis showed a significant difference in breastfeeding practice rate between the experimental group and the control group at 1 month postpartum (χ2 = 7.59, p = .006).
Conclusion
A mobile-based breastfeeding promotion program was developed and applied for gestational diabetic mothers, resulting in an increase in breastfeeding knowledge and an improvement in breastfeeding practice rate one month after childbirth. In addition, M-BFGDM managed to create a breastfeeding practice environment with fewer time and place restrictions. A program study that complements motivation is needed to improve breastfeeding in pregnant diabetic mothers in the future.

Citations

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  • Breastfeeding and education in the puerperium
    Elena Alfonso
    Community and Interculturality in Dialogue.2025; 5: 129.     CrossRef
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  • 56 Download
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Factors Influencing the Intention for Continual Fertility Treatments by the Women Undergoing Assisted Reproductive Technology Procedures: A Cross-Sectional Study
Kim, Miok , Kim, Minkyung , Ban, Minkyung
J Korean Acad Nurs 2024;54(1):59-72.   Published online February 29, 2024
DOI: https://doi.org/10.4040/jkan.23095
AbstractAbstract PDF
Purpose
This cross-sectional study aimed to identify factors influencing the intention for continual fertility treatments among women undergoing assisted reproductive technology (ART).
Methods
A total of 197 women were recruited through convenience sample from fertility hospitals in Gyeonggi-do and Busan, South Korea. Data were collected using a self-report questionnaire incorporating measures of uncertainty; Depression Anxiety Stress Scales; Fatigue Severity Scale; Coping Scale for Infertility-Women; spousal support; treatment environment; and intention for continual fertility treatment. Descriptive statistics, chi-square tests, t-tests, and logistic regression analysis were conducted using IBM SPSS 26.0.
Results
As many as 70.6% of the participants expressed an intention for continual fertility treatments. Logistic regression analysis revealed that factors such as uncertainty (odds ratio [OR] = 0.44, 95% confidence interval [CI] 0.20~0.95), active coping (OR = 4.04, 95% CI 1.11~14.71), treatment environment (OR = 2.77, 95% CI 1.26~6.07), and the duration of marriage (OR = 2.61, 95% CI 1.24~5.49) were significantly related with this intention.
Conclusion
These findings underscore the significance of uncertainty management, having proactive coping strategies, having supportive treatment environments, and considering the duration of marriage concerning women’s intention for continual fertility treatment in the context of ART. The implications of these results extend to the development of nursing intervention programs aimed at providing crucial support for women undergoing ART and seeking to continue their infertility treatment.

Citations

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  • Psychiatric Considerations of Infertility
    Yoon Jung Hwang, Junhee Lee, Jihyun Hwang, Hyeonhee Sim, Namwoo Kim, Tae-Suk Kim
    Psychiatry Investigation.2024; 21(11): 1175.     CrossRef
  • 554 View
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Nursing Students’ Experiences of Observing the Use of Physical Restraints: A Qualitative Study
Ha, Sun Mi
J Korean Acad Nurs 2023;53(6):610-621.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23032
AbstractAbstract PDF
Purpose
The purpose of this study was to understand the experiences of final-year undergraduate nursing students in observing the use of physical restraints on patients in the course of clinical practice.
Methods
Three focus group interviews were conducted with 12 Korean nursing students who could provide sufficient information about their observation of physical restraints. The collected data was analyzed through conventional content analysis.
Results
The data were classified into four theme clusters, and nine themes. The four theme clusters included ‘recognized as an unavoidable means,’ ‘experienced problems with the use of physical restraints,’ ‘realized the importance of the nurse's role and efforts,’ and ‘aspire to learn about correct use of physical restraints.’ While nursing students recognized the necessities and problems of using physical restraints in clinical practice, and the importance of nurses’ role and effort, the results found that education related to the use of physical restraints should be more systematic within the nursing curriculum.
Conclusion
This study highlights the necessity of educating nursing students to ensure they acquire accurate knowledge and awareness regarding the use of physical restraints, and suggests the inclusion of systematic guidelines through simulation or extracurricular activities.

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  • Exploring Nurses’ and Nursing Students’ Attitudes Toward Coercive and Technological Measures in Mental Health: A Conceptual Framework and Study Protocol
    Giuliano Anastasi, Roberto Latina, Yari Longobucco, Alessandro Stievano, Stefano Bambi
    Nursing Reports.2024; 14(4): 4129.     CrossRef
  • 1,009 View
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Emotional Intelligence, Academic Motivation, and Achievement among Health Science Students in Saudi Arabia: A Self-Deterministic Approach
Mahrous, Rasha Mohammed , Bugis, Bussma Ahmed , Sayed, Samiha Hamdi
J Korean Acad Nurs 2023;53(6):571-583.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23028
AbstractAbstract PDF
Purpose
This study used a self-deterministic approach to explore the relationship between emotional intelligence (EI), academic motivation (AM), and achievement among health science students.
Methods
A descriptive cross-sectional study was conducted in three cities of Saudi Arabia (Dammam, Riyadh, and Jeddah). A convenience sample of 450 students was incorporated using the multistage cluster sampling technique. The online survey contained three sections: students' basic data and academic achievement level, the modified Schutte self-report inventory, and the Academic Motivation Scale lowercase.
Results
This study revealed moderate overall scores for EI (57.1%), AM (55.6%), and grade point average (GPA) (57.6%). The overall EI score, its domains, and GPA had significant positive correlations with overall AM and intrinsic and extrinsic motivation (p < .01). Amotivation had an insignificant correlation with GPA (p < .05), but it was negatively correlated with EI and its domains (p < .01). Multiple regression analysis proved that EI domains predicted 5.0% of GPA variance; emotions appraisal and expression (β = .02, p = .024), regulation (β = .11, p = .032), and utilization (β = .24, p < .01). EI domains also predicted 26.0% of AM variance; emotions appraisal and expression (β = .11, p = .04), regulation (β = .33, p < .01), and utilization (β = .23, p < .01). Moreover, AM predicted 4.0% of the variance in GPA; intrinsic (β = .25, p = .004) and extrinsic (β = .11, p = .022) motivation. AM also predicted 25.0% of the variance in EI: intrinsic (β = .34, p < .01) and extrinsic motivation (β = .26, p = .026).
Conclusion
EI and AM have a bidirectional influence on each other, significantly shaping the GPA of health sciences students in Saudi Arabia, where intrinsic motivation has a predominant role. Thus, promoting students' AM and EI is recommended to foster their academic achievement.

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  • How to select candidates for an undergraduate degree in psychology? Combining high-school GPA and admission test score
    Angela Sorgente, Giada Pietrabissa, Alessandro Antonietti, Andrea Bonanomi, Gianluca Castelnuovo, Margherita Lanz, Semira Tagliabue, Daniela Traficante
    Asia Pacific Education Review.2024;[Epub]     CrossRef
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Editorial
Ensuring the Use of Effective Interventions in Nursing and Health Science: Implementation Mapping
Ten Hoor, Gill A , Park, Jiyoung , Kok, Gerjo
J Korean Acad Nurs 2023;53(5):497-499.   Published online October 31, 2023
DOI: https://doi.org/10.4040/jkan.23128
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    Isaura Y. A. Wayop, Panagiotis Mallioris, Emely de Vet, Menno van Woerkom, Pim Sanders, Jaap A. Wagenaar, David C. Speksnijder
    Scientific Reports.2024;[Epub]     CrossRef
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Research Papers
Adolescents’ Experiences of Non-Suicidal Self-Injury: An Interpretative Phenomenological Analysis Study
Ko, Jung A , Kim, Ji Young
J Korean Acad Nurs 2023;53(5):538-555.   Published online October 31, 2023
DOI: https://doi.org/10.4040/jkan.23075
AbstractAbstract PDF
Purpose
This qualitative study used interpretative phenomenological analysis and photovoice methods to explore the meaning of non-suicidal self-injury experienced by adolescents.
Methods
Participants were adolescents enrolled in middle and high schools in Gyeonggi-do and Jeollabuk-do who were selected through snowball sampling. Six participants had repeatedly engaged in self-injurious behavior for over a year. Data were collected through in-depth interviews and the photovoice method between November 2020 and July 2021. The collected data were analyzed using six steps of interpretative phenomenological analysis.
Results
The results yielded 5 main themes and 18 subthemes. The main themes were ‘a silent cry to an indifferent world’, ‘a heartache that one endures with scars’, ‘an inescapable cycle’, ‘filling the space in one’s heart’, and ‘healing the wounds’. The study findings revealed that the self-injurious behavior of adolescents began as a consequence of feeling lost and struggling with conflicts at home and school, which helped them relieve tension and pain. Nonetheless, inflicting self-injury only left signs of regret and remorse, which became a trace that the participants wanted to hide. However, the wounds healed after receiving attention and support from others. They were determined to stop engaging in repeated self-injurious behaviors and made efforts to do so.
Conclusion
This study can be used as a basis for the development of educational programs to prevent non-suicidal self-injury in adolescents. Additionally, it can inform nursing interventions that focus on building support systems to help adolescents who attempt self-injury.

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  • Experiences of Male Nursing Students in Women's Health Nursing Practicum: A Mixed-Methods Study Using Photovoice
    Na Won An, Na Kyoung Lee
    Journal of Korean Association for Qualitative Research.2024; 9(2): 104.     CrossRef
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Development of a Reward Scale for Hospital Nurses
Kim, Sun Hee , Kim, Eun-Young
J Korean Acad Nurs 2023;53(5):525-537.   Published online October 31, 2023
DOI: https://doi.org/10.4040/jkan.23057
AbstractAbstract PDF
Purpose
This study aimed to develop and test a reward scale for hospital nurses.
Methods
The initial items were identified through a literature review and focus group interviews with ten hospital nurses. The content validity of the items was evaluated by ten experts. Fifty-one items were derived from the pilot survey. Four hundred eighty-eight nurses participated in the study: 248 for exploratory factor analysis (EFA) and 240 confirmatory factor analysis (CFA). Data were analyzed using item analysis, EFA, CFA, convergent validity, known-group validity, and internal consistency using IBM SPSS Statistics 29.0 and IBM SPSS AMOS 29.0.
Results
The final scale consisted of 31 items and eight factors (decent wage, opportunity to grow and develop, support for special situations, various benefits, flexibility of work, job-related achievement, reflecting career and performance, and recognition), which explained 67.3% of the total variance. The eight-subscale model was validated by CFA. Convergent validity was evaluated by analyzing correlation with intention to leave (r = - .63, p < .001) and job satisfaction (r = .54, p < .001). The known-group validity was evaluated by comparing the reward scales according to age, clinical career, income level and hospital type. The scale was found to be reliable with a Cronbach’s α of .89.
Conclusion
Both the validity and reliability of the reward scale for hospital nurses are verified, which can enhance the understanding of the range of rewards and may assist nurse managers in establishing an effective reward system.

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  • Optimized nursing management in the Central Sterile Supply Department and Gastroenterology Department: a retrospective controlled study
    Dali Wang
    American Journal of Translational Research.2024; 16(12): 7480.     CrossRef
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Effects of Emotional Intelligence on Job Satisfaction of Pediatric Nurses: The Mediating Effect of Communication Skills and Pediatric Nurse-Parent Partnership
Lee, Da Gyeon , Choi, Mi-Young
J Korean Acad Nurs 2023;53(5):514-524.   Published online October 31, 2023
DOI: https://doi.org/10.4040/jkan.23044
AbstractAbstract PDF
Purpose
This study aimed to identify the mediating effects of communication skills and pediatric nurse-parent partnership on the relationship between emotional intelligence and job satisfaction among pediatric nurses.
Methods
A survey was administered to 205 pediatric nurses working in children’s, general, and tertiary hospitals situated in Chungcheong province and Seoul. Data were collected in August and September 2022. The collected data were analyzed using SPSS Statistics version 26.0 along with the PROCESS macro program.
Results
Emotional intelligence had a significant effect, and was a critical factor affecting the job satisfaction of pediatric nurses. Furthermore, communication skills and nurse-parent partnership had a serial double mediating effect.
Conclusion
These findings underscore the significance of conducting job satisfaction improvement programs, including strategies for augmenting emotional intelligence, bolstering communication skills, and fostering nurse-parent partnership.

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  • Factors influencing partnerships between care workers and families in nursing homes in South Korea
    Eun-Yeong Jung, Hye-Young Jang
    Scientific Reports.2025;[Epub]     CrossRef
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Analysis of Media Trends and Social Perceptions on Nursing Law Legislation
Lee, Seung-Hee , Joo, Min-Ho
J Korean Acad Nurs 2023;53(4):439-452.   Published online August 31, 2023
DOI: https://doi.org/10.4040/jkan.23030
AbstractAbstract PDF
Purpose
This study aimed to derive considerations for the enactment of nursing law by analyzing the trends and social perceptions of nursing law mentioned in major daily newspapers, cafes, and blogs.
Methods
Main texts and comments that included nursing law as a keyword were collected from major daily news and online postings from January 2021 to August 2022. The data collected through web crawling were analyzed using a TousFlux program used for big data analysis.
Results
During the period of study, the awareness level around nursing law enactment increased. In particular, public concern over nursing law enactment intensified due to the two political parties' policy pledges related to nursing law in January 2022 and the failure to introduce the nursing law to the national assembly judiciary committee in May 2022. Except in December 2021, public perception of nursing law enactment was generally favorable, with public opinion tilting more in favor of than against enactment.
Conclusion
Public opinion should be considered when drafting and implementing the nursing law to make it easier for the people to understand what the law constitutes. In addition, it is necessary to pay attention to and continuously promote the relationship between medical care and nursing in the nursing law system of developed nations. Lastly, nursing law enactment can enhance nurses' retention intention and provide a sense of efficacy to medical services.

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    Yeon Hee Kim, Bo Kyung Kim, Su Jin Lee, Ha Young Lim, Hyang Ju Jung, Ju Song Cha
    Journal of Korean Association for Qualitative Research.2024; 9(1): 65.     CrossRef
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