Journal of Korean Academy of Nursing

Research Paper

Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration: Lee, Eunyoung , Cho, Insook , Cho, Seong Jin , Lee, Eunju; J Korean Acad Nurs 2021;51(2):232-244. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20280

Purpose
This study aimed to identify the modifiable factors affecting breastfeeding planning and duration among healthy mothers and their use of breastfeeding information resources.
Methods
A cross-sectional survey was conducted in a community setting. Four hundreds participants were recruited at five pediatric clinics and three community health centers located in Paju-si and Goyang-si, Gyeonggi-do, between January and May 2019. Based on the breastfeeding decision-making model, driven by Martens and Young’s work, the survey items consisted of demographics, childbirth and breastfeeding characteristics, and breastfeeding information resources. In the analysis, 389 responses were used in the t-test, ANOVA, and logistic regression. Information resource networks were compared before and after childbirth including a subgroup analysis depending on the breastfeeding duration.
Results
The modifiable factors affecting breastfeeding planning and duration were antenatal and postpartum breastfeeding education and the provision of information in the hospital. The frequency of Internet use and websites visited were notable and potentially modifiable factors, which were also observed in the networks showing different relationship patterns according to participant subgroups and times. The childbirth event increased the centralization of the network in the planned group, while the network of the non-planned group was more diffused after childbirth. The network of the short-term breastfeeding group was characterized by a more centralized pattern and the resources of high betweenness centrality than the long-term group.
Conclusion
Breastfeeding education is a consistent factor that affects breastfeeding behavior. A well-designed internet-based approach would be an effective nursing intervention to meet the needs of women seeking breastfeeding information and changing their behaviors.

Citations

Citations to this article as recorded by

Survey on the Status of Breastfeeding in Korean Medical Institution Workers
Tae Hyeong Kim, Sung-Hoon Chung, Jun Hwan Kim, Youngmin Ahn, Son Moon Shin, Woo Ryoung Lee, Eui Kyung Choi, Juyoung Lee, Hye-Jung Shin, Euiseok Jung, Ju Sun Heo, Jin A Lee, Soon Min Lee, Seong Phil Bae, Jeonglyn Song, Chae-Young Kim, Dae Yong Yi
Journal of Korean Medical Science.2022;[Epub] CrossRef
A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea
Yong-Sung Choi, Sung-Hoon Chung, Eun Sun Kim, Eun Hee Lee, Euiseok Jung, So Yeon Lee, Wooryoung Lee, Hye Sun Yoon, Yong Joo Kim, Ji Kyoung Park, Son Moon Shin, Ellen Ai-Rhan Kim
Neonatal Medicine.2022; 29(1): 28. CrossRef
Breastfeeding Success Experience of Primiparas
Sun Ok Lee, Sung Soon Na, Hee Sook Kim, Kyung Eui Bae, Mi Sun Youn, Eun Ju Oh
Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 254. CrossRef
Breastfeeding experiences of women with gestational diabetes
Seungmi Park, Soo-Young Yu
The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 274. CrossRef

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Original Articles

Home Health Resource Utilization Measures Using a Case-Mix Adjustor Model: Sun Ju You, Hyun Sook Chang; Journal of Korean Academy of Nursing 2005;35(5):774-786. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.5.774

Abstract PDF: Purpose
The purpose of this study was to measure home health resource utilization using a Case-Mix Adjustor Model developed in the U.S.
Method
The subjects of this study were 484 patients who had received home health care more than 4 visits during a 60-day episode at 31 home health care institutions. Data on the 484 patients had to be merged onto a 60-day payment segment. Based on the results, the researcher classified home health resource groups (HHRG).
Result
The subjects were classified into 34 HHRGs in Korea. Home health resource utilization according to clinical severity was in order of Minimum (C0) < ‘ Low (C1) < ‘ Moderate (C2) < ‘ High (C3), according to dependency in daily activities was in order of Minimum (F0) < ‘ High (F3) < ”Medium (F2) < ”Low (F1) < ”Maximum (F4). Resource utilization by HHRGs was the highest 564,735 won in group C0F0S2 (clinical severity minimum, dependency in daily activity minimum, service utilization moderate), and the lowest 97,000 won in group C2F3S1, so the former was 5.82 times higher than the latter.
Conclusion
Resource utilization in home health care has become an issue of concern due to rising costs for home health care. The results suggest the need for more analytical attention on the utilization and expenditures for home care using a Case-Mix Adjustor Model.

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Structural Equation Modeling of Self-Management in Patients with Hemodialysis: Jieun Cha; J Korean Acad Nurs 2017;47(1):14-24. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.14

Abstract PDF

Purpose

The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective.

Methods

Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed.

Results

The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (β=.84), hope and cognitive illness representation (β=.37 and β=.27) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome.

Conclusion

This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment.

Citations

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Predictive Model of Self‐Management and Quality of Life for Patients on Hemodialysis Using Information‐Motivation‐Behavioral Skills Model: A Cross‐Sectional Study
Sung Reul Kim, Hye Young Kim, Eun Ko, No Eul Kang, Kang Sun Lee
Nursing & Health Sciences.2025;[Epub] CrossRef
Effects of self-care intervention using a mobile instant messenger on hemodialysis patient’s knowledge, self-efficacy, self-care behavior and physiological index
Yu Kyung Shin, Mi Young Kim
Journal of Korean Biological Nursing Science.2024; 26(2): 123. CrossRef
WeChat peer education on self-management behavior of hemodialysis patients
Jun Wang
International Journal of Research Studies in Management.2023;[Epub] CrossRef
Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
Jinhyang Yang, Myung-Ok Cho, Haeok Lee
Applied Nursing Research.2022; 65: 151584. CrossRef
The Effect of Nonpharmacological Integrated Care Protocols on Patients with Fatigue Undergoing Hemodialysis: A Randomized Controlled Trial
Manhua Zuo, Na Zuo, Jinrong Lin, Jing Zhuo, Xinghui Jing, Jun Tang, Liaqat Ali
Computational and Mathematical Methods in Medicine.2022; 2022: 1. CrossRef
Development and Effectiveness of Emotional Intelligence Promotion Program for Schizophrenia
Min Young Jung, Jeongyee Bae
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(4): 505. CrossRef
Effect of Self‐Determination Theory on Knowledge, Treatment Adherence, and Self‐Management of Patients with Maintenance Hemodialysis
Rui Wu, Sifang Feng, Hongli Quan, Yun Zhang, Rong Fu, Hong Li, Mohammad Farukh Hashmi
Contrast Media & Molecular Imaging.2022;[Epub] CrossRef
Exploring demands of hemodialysis patients in Taiwan: A two-step cluster analysis
I-Chen Yu, Ji-Tseng Fang, Yun-Fang Tsai, Andrew Carl Miller
PLOS ONE.2020; 15(2): e0228259. CrossRef
Mediating Effect of Stress on the Relationship between Illness Perception and Sleep in Patients at Risk of Metabolic Syndrome
Hyun-E Yeom, Jee-Won Shin
Korean Journal of Adult Nursing.2019; 31(4): 449. CrossRef
The Impact of Physical, Psychological, Social Factors on Illness Burden of Long-term Hemodialysis Patients in South Korea
Jieun Cha
Journal of Health Informatics and Statistics.2018; 43(3): 159. CrossRef
Validity and Reliability Test of the Korean Version of the Hemodialysis Self-Management Instrument (HDSMI-K)
Jieun Cha, Jiyoung Kang
Journal of Health Informatics and Statistics.2017; 42(2): 153. CrossRef

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Relationship between Resource Utilization and Long-term Care Classification Level for Residents in Nursing Homes: Min Kyung Lee, Eun-Kyung Kim; J Korean Acad Nurs 2010;40(6):903-912. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.903

Abstract PDF

Purpose

This study was conducted to examine whether the level of classification for long-term care service under long-term care insurance reflects resource utilization level for residents in nursing homes.

Methods

From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period.

Results

Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance.

Conclusion

The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

Citations

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Comparison of resource utilization by physical function, cognitive function, and behavioral symptoms of residents in long-term care facilities: A cross-sectional study
Eun-Jeong Han, Seonhwa Lee, JungSuk Lee, Myonghwa Park
Journal of Korean Gerontological Nursing.2023; 25(4): 432. CrossRef
Comparison of Utilized Resource Volumes by Grade of Seniors in Long-Term Care Facilities
Eun-Jeong Han, Seonhwa Lee, Rahil Hwang
Journal of Korean Gerontological Nursing.2022; 24(1): 96. CrossRef
Research on Disability Grading Based on ICF Functional Framework: Empirical Evidence From Zhejiang Province, China
Huan Liu
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The Journal of Korean Academy of Physical Therapy Science.2020; 27(3): 12. CrossRef
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BMC Geriatrics.2019;[Epub] CrossRef
Does long‐term care insurance reduce the burden of medical costs? A retrospective elderly cohort study
Jae Woo Choi, Eun‐Cheol Park, Sang Gyu Lee, Sohee Park, Hwang‐Gun Ryu, Tae Hyun Kim
Geriatrics & Gerontology International.2018; 18(12): 1641. CrossRef
Factors Influencing Care Behavior of Certified Care Assistants for Older Adults with Dementia
Ji-yeon Kim, Sunghee H Tak
Journal of Korean Gerontological Nursing.2018; 20(3): 185. CrossRef
Demand and willing to pay for oral hygiene service in long-term care insurance of elderly
Han-Nah Kim, Gi-Yon Kim, Hie-Jin Noh, Nam-Hee Kim
Journal of Korean Academy of Oral Health.2018; 42(4): 204. CrossRef
Incidence of Pressure Ulcers During Home and Institutional Care Among Long-Term Care Insurance Beneficiaries With Dementia Using the Korean Elderly Cohort
Juyeong Kim, Young Choi, Jaeyong Shin, Suk-Yong Jang, Kyeong Hee Cho, Jin Young Nam, Eun-Cheol Park
Journal of the American Medical Directors Association.2017; 18(7): 638.e1. CrossRef
Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care
Woon-Sook Jung, Eun-Shil Yim
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 388. CrossRef
Cognitive Function, Behavioral Problems, and Physical Function in Long‐Term Care Insurance Beneficiaries with Dementia in South Korea: Comparison of Home Care and Institutional Care Services
Tae Wha Lee, Eunsil Yim, Eunhee Cho, Jane Chung
Journal of the American Geriatrics Society.2014; 62(8): 1467. CrossRef
Cognitive Function and Activity of Daily Living of Older Adults Using Long-term Care Service
Hyun-Sook Chang, Hung Sa Lee
Korean Journal of Health Policy and Administration.2012; 22(4): 522. CrossRef

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