Journal of Korean Academy of Nursing

Research Papers

Factors Influencing Clinical Nurses’ Perception of Structural and Content Career Plateau: Ji Hye Kim, Ji Yun Lee; J Korean Acad Nurs 2024;54(4):534-546. Published online October 23, 2024; DOI: https://doi.org/10.4040/jkan.24002

Abstract PDF ePub: Purpose
This study was intended to provide basic data for reducing the career plateaus of clinical nurses.
Methods
The participants were 288 clinical nurses who worked at five hospitals, general hospitals, and tertiary hospitals in Seoul, Gyeonggi, and Chungcheong provinces and had more than one year of clinical experience. The research data were collected from December 26, 2022, to April 7, 2023, using structured questionnaires and analyzed using SPSS software. The study conducted mean, standard deviation, percentage, t-test, ANOVA, Pearson‘s correlation coefficient, and hierarchical regression analysis.
Results
Perceived organizational support was identified as the factor influencing structural career plateaus. Factors influencing content career plateaus included growth needs, skill variety, organizational justice, and perceived organizational support.
Conclusion
The above research results suggest that to increase the motivation of clinical nurses and reduce career plateaus, it is necessary to improve awareness and systems of human resource management at the organizational level.

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Effects of Nursing Work Environment on Intention to Stay of Hospital Nurses: A Two-Mediator Serial Mediation Effect of Career Motivation and Job-Esteem: Lee, Yu Na , Kim, Eungyung; J Korean Acad Nurs 2023;53(6):622-634. Published online December 31, 2023; DOI: https://doi.org/10.4040/jkan.23038

Abstract PDF: Purpose
This study aimed to identify the mediating effects of career motivation and job-esteem and the effect of the nursing work environment on intention to stay among hospital nurses.
Methods
Data were collected from 289 nurses working at an advanced general hospital. The research model design was based on the PROCESS macro proposed by Hayes and analyzed using SPSS 24.0 program.
Results
The results showed a positive correlation between intention to stay and nursing work environment (r = .19, p = .001), career motivation (r = .34, p < .001), and job-esteem (r = .37, p < .001). Nursing work environment (B = 0.34 [.09~.59]) and job-esteem (B = 0.27 [.04~.49]) had a direct effect on intention to stay. There was a two-mediator sereal mediation effect of career motivation and job-esteem. The nursing work environment showed a significant effect on the intention to stay among hospital nurses through career motivation and job-esteem.
Conclusion
In order to increase the retention rate of hospital nurses, it is suggested that government and medical institutions provide multifaceted support that can increase nurses’ motivation for career development and recognition of the nursing profession through improvement of the nursing work environment.

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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

Abstract 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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Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease: Jang, Jun Hee , Min, Hye Sook; J Korean Acad Nurs 2023;53(2):191-207. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.22093

Abstract PDF

Purpose
This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey.
Methods
A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated-measures ANOVA.
Results
The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status.
Conclusion
The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.

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Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Enhee Jo, Ju-Young Park, Young Jun Jang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 315. CrossRef

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A Prediction Model of Exercise Level in Patients with Ankylosing Spondylitis: Kim, Moon Ja , Lee, Eun Nam; J Korean Acad Nurs 2022;52(2):157-172. Published online April 30, 2022; DOI: https://doi.org/10.4040/jkan.21238

Abstract PDF

Purpose
This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise levels in patients with ankylosing spondylitis based on the self-determination theory. A conceptual framework was constructed assuming that autonomy support by health care providers would satisfy the three basic psychological needs of patients, which would increase their autonomous motivation for exercise, resulting in its initiation and continuation.
Methods
This cross-sectional study included 221 patients with ankylosing spondylitis who were visiting rheumatology clinics in two tertiary hospitals. Health Care Climate Questionnaire-exercise regularly, Basic Psychological Needs Satisfaction scale, Behavior Regulation in Exercise Questionnaire-2, and exercise level were used to collect data.
Results
The fitness of the hypothetical model met the recommended level (χ2/df ≤ 3, SRMR ≤ .08, RMSEA ≤ .08, GFI ≥ .90, AGFI ≥ .85, NFI ≥ .90, TLI ≥ .90, CFI ≥ .90). The model effect analysis revealed that autonomy support by health care providers had a positive effect on patients' autonomy, competence, relatedness, autonomous motivation, and exercise level. Competence and relatedness had positive effects on autonomous motivation and exercise level, respectively. Autonomous motivation had a positive effect on exercise level.
Conclusion
The predictive factors of exercise level in patients with ankylosing spondylitis were autonomous motivation, health care providers' autonomy support, competence, and relatedness. Considering these factors, we recommend the development of an effective program for improving exercise levels in these patients.

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A Structural Equation Model for Low Back Pain Management Behavior in Patients With Spinal Disease
Raewan Kim, Aekyung Kim
Pain Management Nursing.2025; 26(1): e107. CrossRef
Exercise and adults with hemophilia: a systematic review and meta-analysis
Doo Young Kim, Mi Yang Jeon, Young Eun, Da In Jeong
Journal of Korean Biological Nursing Science.2024; 26(1): 1. CrossRef

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Effectiveness of Drinking Reduction Program Focused on Self-Determination Enhancement for College Students with Problematic Drinking: Ma, Jin-Kyoung , Yoo, Moon-Sook; J Korean Acad Nurs 2021;51(3):265-279. Published online June 30, 2021; DOI: https://doi.org/10.4040/jkan.20247

Abstract PDF

Purpose
This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits.
Methods
This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher’s exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0.
Results
The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.

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Effects of an intervention based on self-determination theory on self-health management capabilities of middle-aged women in rural areas through the concept of leisure cafeteria
Yang Jun Park, Heui Sug Jo, Hyang Hee Hwang, Yukyung Park
Korean Journal of Health Education and Promotion.2022; 39(1): 59. CrossRef
Development and Effects of a Self-Determination Improvement Program for Preventing Non-Suicidal Self-Injury in Adolescents: A Pilot Study
Jae Woon Lee, In Sook Kim, Ji Won Kim
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 506. CrossRef

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Motives for Empathy among Clinical Nurses in China: A Qualitative Study: Zhu, Yu , He, Ming-Mei , Zhu, Ji-Min , Huang, Li , Li, Bai-Kun; J Korean Acad Nurs 2020;50(6):778-786. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20123

Abstract PDF

Purpose
This study aimed to explore the motives of clinical nurses for experiencing empathy with patients and their families based on a self-determination theory framework.
Methods
Semi-structured face-to-face interviews with twenty-one nurses at four tertiary hospitals in Anhui, China, were conducted, recorded and transcribed. A content analysis with a directed approach was performed.
Results
An analysis of the interview transcripts revealed three categories of empathy motivation: autonomous motivation, controlled motivation and a lack of empathy motivation. Autonomous motivation included personal interests, enjoyment and a sense of value, pure altruism, assimilation, and recognition of the importance of empathy. Controlled motivation highlighted pressures from oneself and others, the possibility of tangible or intangible rewards, and avoidance of adverse effects. Finally, a lack of empathy motivation referred to a lack of intention for empathy and denial of the value of empathy.
Conclusion
This study provides a deep understanding of the motives underlying empathy in nurses. The results reveal the reasons for empathy and may support the development of effective strategies to foster and promote empathy in nurses.

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Reframing Burnout: Measuring “Altruistic Execution” to Understand Nurse Burnout
Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L. Johnson
Western Journal of Nursing Research.2024; 46(11): 941. CrossRef
Perception and experience of altruism in graduate nursing students
Xinyu Gu, Yanxia Yang, Hao Gong, Luojing Zhou
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Original Articles

Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis: Kim, Jung-Suk , Kim, Chun-Ja; J Korean Acad Nurs 2020;50(2):271-285. Published online April 30, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.2.271

Abstract PDF

Purpose
This study examined the effects of a physical activity promoting program based on the Information-Motivation-Behavioral Skills (IMB) model on physical activity and health outcomes among obese older adults with knee osteoarthritis.
Methods
This study utilized a randomized controlled trial with a convenience sample of 75 obese older adults with knee osteoarthritis in a university hospital. The older adults in the intervention group participated in a 12-week program involving weekly group sessions and monitoring calls with education booklets and video clips for exercise dances, while those in the control group received an usual care. Outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. The intervention effects were analyzed using Mann-Whitney U test and ANCOVA.
Results
The mean age of participants was 74.9 years with 84.0% women. The intervention group at 12 weeks showed significantly greater improvements in self-efficacy for physical activity (F=81.92, p <.001), physical activity amounts (Z=-2.21, p =.044), knee joint function (F=15.88, p <.001), and health-related quality of life (F=14.89, p <.001) compared to the control group. Among obese-metabolic outcomes, the intervention group at 12 weeks showed a significant decrease in visceral fat mass (F=7.57, p =.008) and improvement in high-density level cholesterol (F=9.51, p =.003) compared to the control group.
Conclusion
Study findings support the need for an IMB based physical activity program for promoting physical activity, knee function and health outcomes in obese older adults with knee osteoarthritis. Longitudinal studies are warranted to confirm the persistence of obese-metabolic effects in clinical settings.

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Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta‐Analysis
Belinda J. Lawford, Rana S. Hinman, Libby Spiers, Alexander J. Kimp, Andrea Dell'Isola, Alison R. Harmer, Martin Van der Esch, Michelle Hall, Kim L. Bennell
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Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis
Sang-woo Yoon, Suhn-yeop Kim
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A predictive model for medication adherence in older adults with heart failure
Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
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Exercise for osteoarthritis of the knee
Belinda J Lawford, Michelle Hall, Rana S Hinman, Martin Van der Esch, Alison R Harmer, Libby Spiers, Alex Kimp, Andrea Dell'Isola, Kim L Bennell
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Development and Evaluation of a Web-Based Self-Management Program for Korean Adult Patients with Irritable Bowel Syndrome Based on the Information–Motivation–Behavioral Skills Model
Seohyeon Hwang, Woori Na, Dayoung Oh, Cheongmin Sohn
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Chun-Hsia Huang, Shu Yu, Caroline Chou, Tze-Fang Wang
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The effectiveness of exercise with behavior change techniques in people with knee osteoarthritis: A systematic review with meta‐analysis
Takashi Ariie, Hiroshi Takasaki, Ryota Okoba, Hiroki Chiba, Yusuke Handa, Takahiro Miki, Shunsuke Taito, Yusuke Tsutsumi, Masaharu Morita
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Siqi Yan, Song Luo, Xiaoxia Yang, Lidan He, Xinyi Chen, Guoying Que
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The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model
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Patient Preference and Adherence.2023; Volume 17: 3503. CrossRef
Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
Yun Bock Kwak, Ji Young Kim
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Outcomes addressed in randomized controlled lifestyle intervention trials in community‐dwelling older people with (sarcopenic) obesity—An evidence map
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Given According to Knowledge, Motivation and Behavioral Skills (IMB Model) The Effect of Diabetes Education on Self-Care
Bahar İNKAYA, Tuba YILMAZER, Hilal TÜZER, Elif Yeter ERBİL
Turkish Journal of Diabetes and Obesity.2022; 6(3): 241. CrossRef
[Retracted] Effects of Physical Exercise on Physical Fitness and Mental Health of Obese Students
Junfang Wu, Shao Liang
Journal of Environmental and Public Health.2022;[Epub] CrossRef

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The Mediating Effects of Learning Motivation on the Association between Perceived Stress and Positive-Deactivating Academic Emotions in Nursing Students Undergoing Skills Training: Wei Wang, Huiying Xu, Bingmei Wang, Enzhi Zhu; J Korean Acad Nurs 2019;49(4):495-504. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.495

Abstract PDF

Abstract Purpose

Nursing students experience a high degree of perceived stress during skills training. The resulting academic sentiment is worthy of research. This study examined the learning motivation as a mediator in the association between perceived stress and positive deactivating academic emotions in nursing students undergoing skills training.

Methods

A survey was conducted on 386 third-year undergraduate nursing students at a university in Changchun, China, in 2017. The survey included the items on perceived stress, learning motivation during nursing skill training, and general academic emotion. There were 381 valid responses (response rate=98.7%). Based on the results of partial correlation and stepwise multiple regression equations, the study examined the mediation model between perceived stress, learning motivation and positive-deactivating academic emotions using process 2.16 (a plug-in specifically used to test mediation or moderation effect in SPSS).

Results

There was a significant negative correlation between students’ perceived stress and learning motivation during nursing skills training and positive-deactivating academic emotions. Nervousness, loss of control, and interest in developing reputation had significant predictive effects on positive-deactivating academic emotions. The mediating model was well supported.

Conclusion

Learning motivation during nursing skills training lessened the damage of perceived stress on positive-deactivating academic emotions. Improving students’ motivation to learn could reduce their perceived stress and build more positive emotions. Positive emotions during learning played an important role in helping nursing students improve skills and enhance their nursing competence.

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Lili Guo, Danfeng Yan, Junping Yan, Rui Jiao
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Structural Equation Modeling of Self-Care Behaviors in Kidney Transplant Patients Based on Self-Determination Theory: Hye Won Jeong, Hyang Sook So; J Korean Acad Nurs 2018;48(6):731-742. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.6.731

Abstract PDF

Abstract Purpose

The purpose of this study was to test a hypothesis explaining direct and indirect relationships among the factors affecting self-care behaviors of kidney transplant patients, based on self-determination theory.

Methods

Data were collected from 222 outpatients with kidney transplantation. The endogenous and exogenous variables of the hypothetical model consisted of healthcare provider's autonomy support, duration after kidney transplantation, basic psychological need satisfaction, autonomous and controlled motivation, depression, and self-care behaviors. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0.

Results

The hypothetical model demonstrated a good fit: RMSEA=.06, SRMR=.04, TLI=.94, CFI=.97. Statistically significant explanatory variables for the self-care behaviors of kidney transplant patients were duration after transplantation and basic psychological need satisfaction. Healthcare provider's autonomy support was indirectly significant, while autonomous motivation, controlled motivation and depression were not statistically significant for self-care behaviors. The variables accounted for 59.5% of the self-care behaviors of kidney transplant patients.

Conclusion

It is necessary to develop an autonomy support program for healthcare providers to enhance the self-care behaviors of kidney transplant patients. Preventing the deterioration of self-care behaviors will be possible by conducting this program at one year and six years post-transplantation. In addition, the results suggest the need to developing personalized autonomy support programs for healthcare providers that can meet the basic psychological need satisfaction of kidney transplant patients.

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Effects of Motivation-Enhancing Program on Health Behaviors, Cardiovascular Risk factors, and Functional status for Institutionalized Elderly Women: Rhayun Song, Kyung Ja June, You Ja Ro, Chun Gill Kim; Journal of Korean Academy of Nursing 2001;31(5):858-870. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.5.858

Abstract PDF

This study was to compare changes in health behaviors, motivational factors, cardiovascular risk factors, and functional status (SIP) after implementing the 6-month motivation-enhancing program to institutionalized elderly women.
METHODS
Sixty-four elderly women participated. Face to face interviews with blood sampling and anthropometric assessment were conducted at the pretest, 10 weeks and 6 months during the program.
RESULTS
1. The program participants showed significantly better health behaviors over 6 months. The mean motivational level was also significantly improved, especially for perceived benefits, perceived barriers, and emotional salience. 2. The mean of cardiovascular risk factors for the participants was 21.8 at the level of low to moderate risk. After completing the program, total risk score was significantly decreased to 18.7 at 10 weeks, and further to 17.7 at 6 months. A significant reduction was also found in HDL and LDL-cholesterol levels, blood pressure, obesity, inactivity, and stress. 3. The functional status (SIP) was 11% at the baseline and significantly changed in positive direction at 10 weeks (M=9.3) and at 6 month (M=6.3). The significant improvement was also found in physical and psychosocial dimensions and sleep/rest dimension.
CONCLUSION
The motivation enhancing program was effective to reduce cardiovascular risks and to improve the functional status of institutionalized elderly women by motivating them to perform better health behaviors.

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The Study on the Effect of Stage Based Exercise Motivational Intervention Program for the Elderly: Pyoung Sook Lee, Sung Ok Chang; Journal of Korean Academy of Nursing 2001;31(5):818-834. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.5.818

Abstract PDF

PURPOSE: This study aims at confirming exercise effects on obesity, mobility, self-efficacy, process of change, and decisional component by stage based exercise motivational intervention program for the elderly. The stage based exercise intervention program was constructed based on Transtheoretical Model.
METHODS
The design of this study is nonequivalent control group with repeated measuring by quasi-experimental study. The subjects of this study, composing of experimental group of 32 and control group of 28 were selected at one institution for the aged in Seoul.
RESULTS
1) The body fat (weight, BMI and circumference of waist), of the intervention group was significantly decreased than the control group. 2) The mobility of the intervention group was not significantly increased than control group. 3) The self-efficacy, Pros, Process of Change for exercise of the intervention group was not significantly increased than the control group. 4) The Cons for exercise of intervention group was not significantly decreased than the control group.
CONCLUSION
The above result have informed us that a stage-based exercise motivational intervention program for the elderly has the effect of decreasing old persons' body fat and has value as an effective means of nursing for the elderly.

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Effects of the Inpatient Cardiac Rehabilitation Program on Behavioral Modification and Quality of Life in Patients with Coronary Artery Disease: Rha Yun Song, Hae Jung Lee; Journal of Korean Academy of Nursing 2000;30(2):463-475. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.2.463

Abstract PDF

The purpose of the study was to identify the effects of inpatient cardiac rehabilitation programs on motivation, the performance of health behavior, and quality of life in patients with coronary artery disease. The subjects consisted of 31 patients who participated in the rehabilitation program during their hospital stay, and were compared with 34 patients who did not participate. The study results are as follows: 1. The mean of cardiac risk factor scores for the subjects was 22.5 (SD = 5.5) at the level of low to moderate risk with some possibility to improve. The physiological and behavioral risk factors for the subjects were also in the normal range or slightly above the normal range. 2. The motivation level to preform health behaviors for both groups was improved after discharge. Also, perceived self-efficacy was significantly higher for the program participants than for the comparison group at the post-test. 3. The performance of cardiac related health behaviors improved for both groups after discharge, but there were no significant differences between the two groups. The program participants reported better performance in most health behaviors at the post-test, but the results failed to reach a statistical significant level. 4. As for motivation and health behavior, the subjects in the both groups showed an improved quality of life after the discharge. In addition, the program participants produced significantly higher scores in health and functioning dimension than the comparison group during the post-test. In conclusion, the study partially supported the effects of the inpatient cardiac rehabilitation program to motivate and improve the quality of life, and provide the need to apply early rehabilitation interventions for the patients after cardiac events. Further study with a longitudinal design is also suggested to verify the effect of cardiac rehabilitation program from hospitalization to discharge and subsequently to fully recover to the level of pre-hospitalized state.

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Effects of a Sun-style Tai Chi Exercise on Arthritic Symptoms, Motivation and the Performance of Health Behaviors in Women with Osteoarthritis: Rhayun Song, Eun Ok Lee, Paul Lam, Sang Cheol Bae; Journal of Korean Academy of Nursing 2007;37(2):249-256. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.2.249

Abstract PDF

Purpose

Tai Chi exercise, an ancient Chinese martial art, has drawn more and more attention for its health benefits. The purpose of the study was to identify the effects of a Sun-style Tai Chi exercise on arthritic symptoms (joint pain and stiffness), motivation for performing health behaviors, and the performance of health behaviors among older women with osteoarthritis.

Methods

Total of 72 women with the mean age of 63 years old were recruited from outpatients clinic or public health centers according to the inclusion criteria and assigned randomly to either the Tai Chi exercise group or the control. A Sun-style Tai Chi exercise has been provided three times a week for the first two weeks, and then once a week for another 10 weeks. In 12 weeks of study period, 22 subjects in the Tai Chi exercise group and 21 subjects in the control group completed the posttest measure with the dropout rate of 41%. Outcome variables included arthritic symptoms measured by K-WOMAC, motivation for health behavior, and health behaviors.

Results

At the completion of the 12 week Tai Chi exercise, the Tai Chi group perceived significantly less joint pain (t=-2.19, p=0.03) and stiffness (t=-2.24, p=0.03), perceived more health benefits (t=2.67, p=0.01), and performed better health behaviors (t=2.35, p=0.02), specifically for diet behavior (t=2.06, p=0.04) and stress management (t=2.97, p=0.005).

Conclusion

A Sun-style Tai Chi exercise was found as beneficial for women with osteoarthritis to reduce their perceived arthritic symptoms, improve their perception of health benefits to perform better health behaviors.

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A Professional Nursing Practice Environment and Its Impact on Nurses' Task Motivation: So Young Kang, Young Rhan Um, Sung Suk Han; Journal of Korean Academy of Nursing 2005;35(2):353-361. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.353

Abstract PDF

Purpose

This study was aimed at (a) describing professional nursing practice environments embedded in nursing care units and (b) examining its relationships to nurses' task motivation.

Method

Using the Nursing Work Index Revised (NWI-R) and the Work Preference Inventory (WPI), a descriptive study was conducted with a sample of 320 registered nurses on 26 nursing care units in one University hospital in Korea.

Result

Mean scores were 12.9 on a 5-20 score range of an autonomous environment scale, 7.3 on a 3-12 score range of a collaborative environment, and 15.8 on a 7-28 score range of control over nursing practice. Nurses' age, educational level, job position, working period at the hospital and employment status were significantly related to the degree of a professional practice environment. The extent to which a professional practice environment accounted for task motivation was 19.5%.

Conclusion

There is a certain degree of professionalism in the workplace environment that nurses perceived within the nursing care units. When nurses care for patients, the degree of task motivation depends on the work environment supporting the professional nursing practice.

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The Effects of Self Development Training on the Human Relationship and Intrinsic Motivation of the First-Line Nurse Managers: Myung Suk Koh; Journal of Korean Academy of Nursing 2003;33(1):130-137. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.1.130

Abstract

Purpose

The purpose of this study was to examine the effects of Self-Development training on the Human Relationship and Intrinsic Motivation for first-line nurse managers.

Method

This was an empirical study on the Human Relationship and Intrinsic Motivation of Self Development Training. The researcher developed a new Self-Development Training Program, and the two-hour long training session εwas performed twice a week for each group. The program was performed for 4 session in two weeks. The subjects consisted with 24 nurse managers from C University Hospital in Seoul, Korea. The subjects were divided into two groups for the training. Two weeks before and 4 weeks after the training, subjects completed questionnaires that measured Human Relationship and Intrinsic Motivation. Analysis was completed by using SPSS PC 10.0 for percentile, mean, standard deviation and paired t-test.

Result

The results of this study showed that Self-Development Training Program resulted in a significant effects on the Human Relationship. But the Intrinsic Motivation was not significantly affected by the program.

Conclusion

This Self-Development training program had a positive effect on the Human Relationship and Intrinsic Motivation.

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The Role Adaptation Process of The Executive Director of Nursing Department
Sung-Ye Kang, Kwang-Ok Park, Jong-Kyung Kim
Journal of Korean Academy of Nursing.2010; 40(6): 785. CrossRef

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Development and Evaluation of a Motivational Interviewing Program for Exercise Improvement in Persons with Physical Disabilities: Jeong Hee Jeong, Ihn Sook Jeong; J Korean Acad Nurs 2017;47(3):406-419. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.3.406

Abstract PDF

Abstract Purpose

The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilities and to examine the effect of this motivational interviewing intervention.

Methods

The study employed a nonequivalent control group pretest and posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruited from 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduled once a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention, 2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise, stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using the c²-test, Fisher's exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18.

Results

The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001), and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differences between the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (c²=26.61, p<.001).

Conclusion

The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.

Citations

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SOSYAL HİZMET PERSPEKTİFİNDEN MOTİVASYONEL GÖRÜŞME TEKNİĞİNE BAKIŞ
Aliye Beyza Bayyar
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The Effects of Nurse-Led Motivational Interviewing on Exercise and Quality of Life among Koreans with Heart Failure: A Randomized Controlled Trial
Haejung Lee, Gaeun Park, Hyekyung Jin, Kook Jin Chun, Jong Hyun Kim
Korean Journal of Adult Nursing.2021; 33(6): 588. CrossRef
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Yasmina Nasstasia, Amanda L. Baker, Terry J. Lewin, Sean A. Halpin, Leanne Hides, Brian J. Kelly, Robin Callister
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The Effect of a Movie-Based Nursing Intervention Program on Rehabilitation Motivation and Depression in Stroke Patients: Hye Kyung Kwon, Sook Ja Lee; J Korean Acad Nurs 2017;47(3):345-356. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.3.345

Abstract PDF

Abstract Purpose

The aim of this study was to develop and measure the effect of a movie-based-nursing intervention program designed to enhance motivation for rehabilitation and reduce depression levels in stroke patients.

Methods

The study used a quasi-experimental, nonequivalent control group and a pretest-posttest design. The 60 research subjects were assigned to the experimental (n=30) or control group (n=30). The movie-based nursing intervention program was provided for the experimental group during 60-minute sessions held once per week for 10 weeks. The program consisted of patient education to strengthen motivation for rehabilitation and reduce depression, watching movies to identify role models, and group discussion to facilitate therapeutic interaction.

Results

After 10 weeks of participation in the movie-based nursing intervention program, the experimental group's rehabilitation motivation score was significantly higher, F=1161.54 (within groups df=49, between groups df=1), p<.001, relative to that observed in the control group. In addition, the experimental group's depression score was significantly lower relative to that observed in the control group, F=258.97 (within groups df=49, between groups df=1), p<.001.

Conclusion

The movie-based nursing intervention program could be used for stroke patients experiencing psychological difficulties including reduced motivation for rehabilitation and increased depression during the rehabilitation process.

Citations

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[Retracted] Clinical Promotion of Comfort Nursing Combined with Comprehensive Nursing in the Treatment of Severe Stroke Patients with Diabetes in ICU
Haiqin Zhang, Hongmei Chu, Xiaoli Qian, Yan Zhang, Qiuping Wang, Xiaotong Yang
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Integrative Medicine Research.2022; 11(2): 100840. CrossRef
Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea
Moon Joo Cheong, Yeonseok Kang, Hyung Won Kang
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Ji Eun Kim, Hwee Wee
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Min-Young Seo, Jinhyang Yang
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Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients
Hsiao-Mei Chen, Hsiao-Lu Lee, Fu-Chi Yang, Yi-Wen Chiu, Shu-Yuan Chao
International Journal of Environmental Research and Public Health.2020; 17(8): 2755. CrossRef

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Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus: Hye-Yeon Kang, Mee Ock Gu; J Korean Acad Nurs 2015;45(4):533-543. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.533

Abstract PDF

Purpose

This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus.

Methods

A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0.

Results

For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group.

Conclusion

The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

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Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents: Young Sun Ha, Yeon Hee Choi; J Korean Acad Nurs 2015;45(3):347-356. Published online June 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.3.347

Abstract PDF

Purpose

In this study, the effectiveness of a motivational interviewing smoking cessation YOU-TURN program for adolescents was examined. The program was based on the self-determination theory.

Methods

The study was carried out with a nonequivalent control group pretest-posttest design. Participants in the present study were 136 high school students living in D city. The students were assigned to the experimental group (n=52) who participated in the motivational interviewing smoking cessation YOU-TURN program based on self-determination theory, or to the control group (n=84) who participated in a general smoking cessation program. Data were collected from September 1, 2013 through April 30, 2014. Collected data were analyzed using SPSS PC+ 21.0 with Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test, Repeated Measures ANOVA, and MANOVA-Wilk's Lambda.

Results

The experimental group had a significant increase in basic psychological needs, and duration of quitting-smoking in comparison with the control group. The experimental group had a significant decrease in cigarettes smoked per day and cotinine in urine in comparison with the control group.

Conclusion

The motivational interviewing YOU-TURN program, when delivered to adolescents who smoked, was effective in discouraging smoking, and can be utilized as an effective nursing intervention for adolescents who smoke.

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Jun Hee Jang, Hye Sook Min
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Jae Woon Lee, In Sook Kim, Ji Won Kim
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Jin-Kyoung Ma, Moon-Sook Yoo
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Myung Soon Kwon, Jeong Soon Yu
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Myung Soon Kwon, Juhye Jin
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Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high school
Niyom Junnual, Chulaporn Sota, Anun Chaikoolvatana
Journal of Health Research.2019; 33(5): 366. CrossRef
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Nicola Lindson, Tom P Thompson, Anne Ferrey, Jeffrey D Lambert, Paul Aveyard
Cochrane Database of Systematic Reviews.2019;[Epub] CrossRef
Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
Jung Hee Kim, Yeon Hee Choi
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Thomas R Fanshawe, William Halliwell, Nicola Lindson, Paul Aveyard, Jonathan Livingstone-Banks, Jamie Hartmann-Boyce
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Effectiveness of a Motivational Interviewing Smoking Cessation Program on Cessation Change in Adolescents: Young Sun Ha, Yeon Hee Choi; J Korean Acad Nurs 2012;42(1):19-27. Published online February 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.1.19

Abstract PDF

Purpose

This study examined the effectiveness of an Adolescent Motivational Interviewing Cessation program on smoking cessation change. The study was done with a nonequivalent control group pretest-posttest design.

Methods

The participants were 39 high school students from G city, who were in school from September 1 to October 30, 2009. The students were assigned to the experimental group (20) and participated in the motivational interviewing cessation program or to the control group (19) who did not participate. Data analyses involved χ²-test, independent t-test, Repeated Measures ANOVA, and utilized the SPSS program.

Results

The experimental group had significantly less daily smoking, nicotine dependence and smoking temptation in comparison to the control group. The experimental group had significantly higher stage of change in comparison to the control group.

Conclusion

The results of the study indicate that a motivational interviewing cessation program delivered to adolescents who smoke is an effective method of encouraging cessation, and can be utilized as an effective nursing intervention for adolescents who smoke.

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An interventional study to assess the impact of behavior modification therapy on motivation level for tobacco cessation among adult tobacco users in a resettlement colony of South Delhi
Richa Gautam, Yasir Alvi, Farzana Islam, Nitesh Kumar, Rambha Pathak, Rashmi Agarwalla, Meely Panda, Ekta Gupta, Mamta Parashar, Rashmi Prakash Dayal
Journal of Education and Health Promotion.2024;[Epub] CrossRef
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Yi-Seul Kim, Soon-Ryun Lim
Journal of Dental Hygiene Science.2024; 24(4): 274. CrossRef
Smoking cessation and its significant role in the Indian scenario
Raj Kumar, Manoj Kumar, Sukriti Raj, Dileep Kumar Arisham, Anil Kumar Mavi, Kamal Singh
Monaldi Archives for Chest Disease.2023;[Epub] CrossRef
A Prospective Study to Assess the Outcome of Motivational Interviewing Among Male Students of Haryana, India: A Strive Towards Smoking Cessation in the Youth
Virinder S Gill, Neha Chaudhary, Avneet Randhawa, Manisha Verma, Gurleen K Rai, Shradha Mishra
Cureus.2022;[Epub] CrossRef
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Filiz Taş, E. Ümit Seviğ, Zeynep Güngörmüş
Journal of Substance Use.2020; 25(6): 639. CrossRef
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Nicola Lindson, Tom P Thompson, Anne Ferrey, Jeffrey D Lambert, Paul Aveyard
Cochrane Database of Systematic Reviews.2019;[Epub] CrossRef
Affecting Nicotine Dependence of Social Psychological Variables in Smoking middle school
Young-Mun Cho, Mi-Young Woo
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Karen R. Heslop, Calum Ross, John Berkin, Dianne Wynaden
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Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents
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The effectiveness of a Autonomous Regulation Improvement Smoking Cessation Program on the Amount of Daily Smoking, Perceived Motivation, Cotinine in Saliva, and Autonomous Regulation for Girls High School Students who Smoked
Young-Sun Ha, Yeon-Hee Cho
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Hye Kyeong Kim, Ji Yeon Park, Eun Joo Kwon, Seung Hee Choi, Han-Ik Cho
Korean Journal of Health Education and Promotion.2013; 30(5): 61. CrossRef
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Young Mi Yoon, Eun Kyung Yang, Sung Rae Shin
Korean Journal of Adult Nursing.2012; 24(5): 520. CrossRef

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A Predictive Model on Self Care Behavior for Patients with Type 2 Diabetes: Based on Self-Determination Theory: Yeong Mi Seo, Won Hee Choi; J Korean Acad Nurs 2011;41(4):491-499. Published online August 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.4.491

Abstract PDF

Purpose

The study was conducted to develop and test a hypothetical model which explains self-care behavior in patients with type 2 diabetes was established based on the Self-Determination Theory.

Methods

The participants were 218 patients with type 2 diabetes mellitus enrolled in an outpatient clinic of one endocrine center in Korea. The data were collected using questionnaires from April 5 through May 7, 2010. The descriptive and correlation statistics were analyzed using the SPSS/WIN 15.0 and the structural equation modeling procedure was performed using the AMOS 7.0 program.

Results

The results of this study showed that competence and autonomous motivation were the strong factors influencing self-care behavior in patients in this sample. Support from health provider for autonomy was a significant indirect factor on self-care behavior. These factors explained 64.9% of variance in the participants' self care behavior. The proposed model was concise and extensive in predicting self-care behavior of the participants.

Conclusion

Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting self-care behavior in patients with type 2 diabetes.

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The Effects of Case-Based Learning Using Video on Clinical Decision Making and Learning Motivation in Undergraduate Nursing Students: Moon-Sook Yoo, Jin-Hee Park, Si-Ra Lee; J Korean Acad Nurs 2010;40(6):863-871. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.863

Abstract PDF

Purpose

The purpose of this study was to examine the effects of case-base learning (CBL) using video on clinical decision-making and learning motivation.

Methods

This research was conducted between June 2009 and April 2010 as a nonequivalent control group non-synchronized design. The study population was 44 third year nursing students who enrolled in a college of nursing, A University in Korea. The nursing students were divided into the CBL and the control group. The intervention was the CBL with three cases using video. The controls attended a traditional live lecture on the same topics. With questionnaires objective clinical decision-making, subjective clinical decision-making, and learning motivation were measured before the intervention, and 10 weeks after the intervention.

Results

Significant group differences were observed in clinical decision-making and learning motivation. The post-test scores of clinical decision-making in the CBL group were statistically higher than the control group. Learning motivation was also significantly higher in the CBL group than in the control group.

Conclusion

These results indicate that CBL using video is effective in enhancing clinical decision-making and motivating students to learn by encouraging self-directed learning and creating more interest and curiosity in learning.

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