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Research Papers
Mediating effect of grit on the influence of nurses’ silence behavior on medication safety competence: a cross-sectional study
Haengsuk Kim, Wanju Park
J Korean Acad Nurs 2025;55(1):81-92.   Published online February 20, 2025
DOI: https://doi.org/10.4040/jkan.24088
AbstractAbstract PDFePub
Purpose
This study investigated the mediating effect of grit in the relationship between silence behavior and medication safety competence among nurses.
Methods
The study included 166 nurses from four university hospitals and general hospitals in Seoul and Gyeonggi-do, South Korea. Data were collected from March 1 to 10, 2024, using self-report questionnaires. Data were analyzed using the t-test, analysis of variance, Scheffé’s test, and Pearson’s correlation coefficients with IBM SPSS Statistics ver. 23.0 (IBM Corp.). A mediation analysis was performed using Hayes’s PROCESS macro model 4 and the bootstrapping method.
Results
Medication safety competence showed significant correlations with silence behavior (r=–.21, p=.008) and grit (r=.43, p<.001). Furthermore, grit partially mediated the relationship between silence behavior and medication safety competence.
Conclusion
This study indicates that grit is a significant mediator in the relationship between silence behavior and medication safety competence. Therefore, an integrated approach that reduces silence behavior and promotes grit is essential for strengthening nurses’ medication safety competence. Ultimately, these strategies will help ensure patient safety by improving medication safety competence.
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Formative versus reflective measurement models in nursing research: a secondary data analysis of a cross-sectional study in Korea
Eun Seo Park, Young Il Cho, Hyo Jin Kim, YeoJin Im, Dong Hee Kim
J Korean Acad Nurs 2025;55(1):107-118.   Published online February 19, 2025
DOI: https://doi.org/10.4040/jkan.24095
AbstractAbstract PDFePub
Purpose
This study aimed to empirically verify the impact of measurement model selection on research outcomes and their interpretation through an analysis of children’s emotional and social problems measured by the Pediatric Symptom Checklist (PSC) using both reflective and formative measurement models. These models were represented by covariance-based structural equation modeling (CB-SEM) and partial least squares SEM (PLS-SEM), respectively.
Methods
This secondary data analysis evaluated children’s emotional and social problems as both reflective and formative constructs. Reflective models were analyzed using CB-SEM, while formative models were assessed using PLS-SEM. Comparisons between these two approaches were based on model fit and parameter estimates.
Results
In the CB-SEM analysis, which assumed a reflective measurement model, a model was not identified due to inadequate fit indices and a Heywood case, indicating improper model specification. In contrast, the PLS-SEM analysis, assuming a formative measurement model, demonstrated adequate reliability and validity with significant path coefficients, supporting the appropriateness of the formative model for the PSC.
Conclusion
The findings indicate that the PSC is more appropriately analyzed as a formative measurement model using PLS-SEM, rather than as a reflective model using CB-SEM. This study highlights the necessity of selecting an appropriate measurement model based on the theoretical and empirical characteristics of constructs in nursing research. Future research should ensure that the nature of measurement variables is accurately reflected in the choice of statistical models to improve the validity of research outcomes.
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Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students
Se-Young Jung, Eun-Young Kim
J Korean Acad Nurs 2024;54(4):563-576.   Published online October 14, 2024
DOI: https://doi.org/10.4040/jkan.24054
AbstractAbstract PDFePub
Purpose

This study aimed to develop and verify a progressive simulation education program aimed at enhancing nursing students’ medication safety competency.

Methods

A non-equivalent control group pretest-posttest design was adopted. The participants were 40 third-year nursing students with no prior simulation education experience, comprising 20 each in the experimental and control groups. The experimental treatment utilized a hybrid simulation approach incorporating both full-body mannequins and standardized patients and was, conducted over three sessions with durations of 65, 80, and 95 minutes for the first, second, and third sessions, respectively, for a total of 240 minutes. The program was constructed based on Jeffries’ simulation model.

Results

The levels of medication safety competencies, communication self-efficacy, learning self-efficacy, and problem-solving abilities of the experimental group were significantly higher than that of the control group.

Conclusion

Our results confirm that the program effectively improves nursing students’ medication safety competence, communication self-efficacy, learning self-efficacy, and problem-solving ability. Therefore, this program can serve as a basis for developing educational strategies related to medication safety for nursing education institutions. Furthermore, the program is anticipated to have a positive impact on novice nurses’ education and practice in clinical settings.

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Concept Analysis of Social Intelligence of Nurses Using Hybrid Model
Lee, Kyung Ran , Lee, Na Kyoung , Oh, Hee , Park, Kyoung Ae
J Korean Acad Nurs 2024;54(3):459-474.   Published online August 31, 2024
DOI: https://doi.org/10.4040/jkan.23121
AbstractAbstract PDF
Purpose
The purpose of this study was to conduct a concept analysis of social intelligence in nurses so that applying social intelligence to the nursing field.
Methods
In this study, we followed the hybrid model procedure, involving the following steps: First, in the theoretical stage, the attributes and definitions of the concept of social intelligence were determined through literature review. Second, the concepts’ reality was confirmed during fieldwork. In the final analysis stage, the results confirmed in the theoretical and fieldwork stages were compared and analyzed to confirm the properties and definition of the concept.
Results
Nurses’ social intelligence consists of three dimensions: social cognitive nursing competency, human-centered social evolution, and skills for solving complex nursing situations. Nurses’ social intelligence is a professional nursing competency that flexibly coordinates complex nursing situations, developed through accumulating experiences of continuous reflection and relationship expansion based on receptive listening and social sensitivity in clinical interpersonal relationships.
Conclusion
Nurses’ social intelligence is widely used in clinical practice and is shown to have a significant direct and indirect impact on clinical nursing. To effectively apply social intelligence in the clinical context, individual and organizational efforts are required to share and transfer knowledge and capacity-building methods through collective intelligence and education.
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Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
Kim, Soomi , Kim, Chul-Gyu
J Korean Acad Nurs 2023;53(3):275-294.   Published online June 30, 2023
DOI: https://doi.org/10.4040/jkan.22109
AbstractAbstract PDF
Purpose
This study aimed to develop an evidence-based extracorporeal membrane oxygenation (ECMO) nursing protocol for critically ill patients receiving ECMO treatment by using an adaptation process, and to verify the effects of the protocol.
Methods
The protocol was developed according to the adaptation guidelines. A non-randomized controlled trial was conducted to test the protocol’s effects. Data were collected between April 2019 and March 2021. The differences in physiological indicators and complication rates between the two groups were investigated using a chart review to evaluate patient outcomes. The nurses’ outcome variables were evaluated using a questionnaire.
Results
First, after reviewing 11 guidelines by appraisal of the guidelines for research and evaluation collaboration II, 5 guidelines with a standardization grade of over 50 points were selected. An ECMO nursing protocol was developed based on these guidelines. Second, there were no statistically significant differences in physiological indicators between the two groups of patients. However, the experimental group showed a statistically significant decrease in the infection rate (p = .026) and pressure injury rates (p = .041). The levels of satisfaction with ECMO nursing care, and empowerment and performance of the nurses who used the ECMO nursing protocol were higher than those of nurses who did not (p < .001).
Conclusion
This protocol may help prevent infections and pressure injuries in patients, and improve nurses’ satisfaction and empowerment. The nursing protocol developed for critically ill patients receiving ECMO treatment can be utilized in evidence-based nursing practice.
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Associations between the Frequency and Quantity of Heated Tobacco Product Use and Smoking Characteristics among Korean Smoking Adolescents
Lee, Haein , Lee, Bo Gyeong
J Korean Acad Nurs 2023;53(2):155-166.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22125
AbstractAbstract PDF
Purpose
Although heated tobacco product (HTP) use among adolescents is an emerging public health problem, little is known about the frequency and quantity of HTP use. Thus, we investigated the associations between the frequency and quantity of HTP use and smoking characteristics (i.e., combustible cigarette [CC] and electronic cigarette [EC] use, and attempts to quit smoking) among CC-smoking adolescents.
Methods
We analyzed nationally representative data from 2,470 Korean adolescents who were current CC smokers. To investigate our aim, we conducted multinomial logistic and logistic regression analyses.
Results
We found that daily and heavier CC users had greater likelihoods of more frequent and heavier HTP use. In addition, dual users of CCs and ECs were more likely to use HTPs more frequently and heavily than CC users who did not use ECs. Moreover, daily EC users had the highest risk of frequent and heavy HTP use. The frequency and quantity of HTP use were not associated with attempts to quit smoking. Compared to CC-only use, dual use of CCs and HTPs was not associated with quitting attempts, and triple use of CCs, ECs, and HTPs was associated with a lower likelihood of quitting attempts.
Conclusion
HTP use was less likely to displace CC use and promote attempts to quit smoking. Thus, strict regulations are required to prevent the promotion of HTPs as a substitute for CCs or as a means of quitting smoking. Additionally, health professionals should consider preventive interventions for HTP, as well as CC and EC use among adolescents.

Citations

Citations to this article as recorded by  
  • A Scoping Review of Behavioural Studies on Heated Tobacco Products
    Ian M Fearon, Sarah F Cordery, Martin Fitzpatrick, Sarah Weaver, Matthew Stevenson, Erika Grandolfo, Layla Malt, Keith Thompson, Thomas Nahde
    Cureus.2024;[Epub]     CrossRef
  • 258 View
  • 10 Download
  • 1 Web of Science
  • 1 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
AbstractAbstract 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.

Citations

Citations to this article as recorded by  
  • 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
  • 501 View
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  • 1 Crossref
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Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study
Chung, Su Kyoung , Kim, Jinsook , Bhandari, Pratibha
J Korean Acad Nurs 2023;53(2):145-154.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22087
AbstractAbstract PDF
Purpose
This study investigated clinical competency, COVID-19-related anxiety, coping strategies, self-efficacy, and perceived stress among graduating nursing students during the COVID-19 pandemic.
Methods
We conducted a cross-sectional survey. Participants were recruited from universities located in four major cities in South Korea. General demographic information, clinical competency, self-efficacy, perceived stress, COVID-19-related anxiety, and coping strategies were assessed using reliable questionnaires. Descriptive statistics, correlations, and multiple regression tests were used to analyze the data.
Results
The mean clinical competency, self-efficacy, perceived stress, adaptive coping, and maladaptive coping were 138.16 ± 18.34, 83.85 ±14.02, 21.37 ± 5.79, 53.15 ± 4.64, and 30.98 ± 6.73, respectively. COVID-19-related anxiety was reported by 4.3% of participants. Clinical competency was significantly positively correlated with self-efficacy (r = .44, p < .001) and adaptive coping (r = .20, p = .035) and was significantly negatively correlated with maladaptive coping (r = .20, p = .035). The predictors of clinical competency were self-efficacy (β = .434, p < .001) and adaptive coping (β = .173, p < .039), which explained 23% of the variance in clinical competency.
Conclusion
Self-efficacy and adaptive coping strategies are significant predictors of clinical competence during the pandemic. Planning and implementing various curricular and non-curricular activities to increase senior students' self-efficacy and adaptive coping strategies will help prepare competent nursing graduates for the pandemic when they enter the nursing workforce.
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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

Citations to this article as recorded by  
  • 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
  • 755 View
  • 32 Download
  • 4 Web of Science
  • 4 Crossref
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Validity and Reliability of Korean Version of Self-Care Chronic Obstructive Pulmonary Disease Inventory (SC-COPD) and Self-Care Self-Efficacy Scale (SCES-COPD)
Choi, Ja Yun , Yun, So Young
J Korean Acad Nurs 2022;52(5):522-534.   Published online October 31, 2022
DOI: https://doi.org/10.4040/jkan.22062
AbstractAbstract PDF
Purpose
This study examined the validity and reliability of the Korean version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory (SC-COPDI) and the Chronic Obstructive Pulmonary Disease Self-Care Self-Efficacy Scale (SCES-COPD). The SC-COPDI consists of the Self-Care Maintenance Scale (SCMES), Self-Care Monitoring Scale (SCMOS), and Self-Care Management Scale (SCMAS).
Methods
The original tool was translated using a back-translation process. Participants were 241 patients with COPD at the Chonnam National University Hospital in Korea. The construct validity was verified through confirmatory factor analysis, and reliability was verified using Cronbach’s α.
Results
The SCMES consisted of 10 items of three factors―one of four factors was deleted from the original tool. In the SC-MOS, there were six items of two factors after two items were deleted from the original tool. The SCMAS consisted of the original 10 items of three factors. The SCES-COPD consisted of six items of two factors, with one item removed from the original tool. The model fit indices of all tools were good, and the construct validity was confirmed. Cronbach’s α of SCMES was .72, SCMOS was .90, SCMAS was .81, and SCES-COPD was .85.
Conclusion
The Korean version of SC-COPDI and SCES-COPD are valid and reliable instruments for measuring selfcare in people with COPD. These instruments can be used in self-care studies of COPD patients in Korea.

Citations

Citations to this article as recorded by  
  • Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses
    Chennet Phonphet, Jom Suwanno, Chonchanok Bunsuk, Wanna Kumanjan, Ladda Thiamwong
    International Journal of Nursing Sciences.2024; 11(4): 473.     CrossRef
  • 414 View
  • 20 Download
  • 1 Web of Science
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Review Paper
Knowledge Structure of Chronic Obstructive Pulmonary Disease Health Information on HealthRelated Websites and Patients’ Needs in the Literature Using Text Network Analysis
Choi, Ja Yun , Lim, Su Yeon , Yun, So Young
J Korean Acad Nurs 2021;51(6):720-731.   Published online December 31, 2021
DOI: https://doi.org/10.4040/jkan.21086
AbstractAbstract PDF
Purpose
The purpose of this study was to identify the knowledge structure of health information (HI) for chronic obstructive pulmonary disease (COPD).
Methods
Keywords or meaningful morphemes from HI presented on five health-related websites (HRWs) of one national HI institute and four hospitals, as well as HI needs among patients presented in nine literature, were reviewed, refined, and analyzed using text network analysis and their co-occurrence matrix was generated. Two networks of 61 and 35 keywords, respectively, were analyzed for degree, closeness, and betweenness centrality, as well as betweenness community analysis.
Results
The most common keywords pertaining to HI on HRWs were lung, inhaler, smoking, dyspnea, and infection, focusing COPD treatment. In contrast, HI needs among patients were lung, medication, support, symptom, and smoking cessation, expanding to disease management. Two common sub-topic groups in HI on HRWs were COPD overview and medication administration, whereas three common sub-topic groups in HI needs among patients in the literature were COPD overview, self-management, and emotional management.
Conclusion
The knowledge structure of HI on HRWs is medically oriented, while patients need supportive information. Thus, the support system for self-management and emotional management on HRWs must be informed according to the structure of patients’ needs for HI. Healthcare providers should consider presenting COPD patient-centered information on HRWs.

Citations

Citations to this article as recorded by  
  • Development of pictogram‐based content of self‐management health information for Korean patients with chronic obstructive pulmonary disease
    Ja Yun Choi, Eui Jeong Ryu, Xin Jin
    International Journal of Older People Nursing.2024;[Epub]     CrossRef
  • Identification of the feature genes involved in cytokine release syndrome in COVID-19
    Bing Yang, Meijun Pan, Kai Feng, Xue Wu, Fang Yang, Peng Yang, Salman Sadullah Usmani
    PLOS ONE.2024; 19(1): e0296030.     CrossRef
  • Content Analysis of Feedback Journals for New Nurses From Preceptor Nurses Using Text Network Analysis
    Shin Hye Ahn, Hye Won Jeong
    CIN: Computers, Informatics, Nursing.2023; 41(10): 780.     CrossRef
  • 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
  • A Qualitative Meta-Synthesis of Self-management Experiences of Patients with Chronic Obstructive Pulmonary Diseases
    Euna PARK, Jeong-Soo KIM
    THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2022; 34(5): 794.     CrossRef
  • 497 View
  • 5 Download
  • 3 Web of Science
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Research Papers
Job Analysis of Nurse Care Coordinators for Chronic Illness Management in Primary Care Settings: Using Developing a Curriculum Process
Hwang, Ju-Hee , Choi, Yong-Jun , Kim, Mi-Sook , Yi, Seng-Eun , Park, Yong-Soon , Kim, Ji-Hyang , Yoon, Ju-Young , Shin, Dong-Soo
J Korean Acad Nurs 2021;51(6):758-768.   Published online December 31, 2021
DOI: https://doi.org/10.4040/jkan.21065
AbstractAbstract PDF
Purpose
This study aimed to conduct a job analysis of nurse carecoordinators and to identify the frequency, importance and difficulty of each task of their job.
Methods
A committee for developing a curriculum (DACUM) was formed and members of the committee defined nurse care coordinators’ jobs and enumerated the duties, tasks and task elements by applying the DACUM technique. Then nurse care coordinators enrolled in the pilot project evaluated the frequency, importance and difficulty of each task.
Results
From the job descriptions of nurse care coordinators, we identified 12 duties and 42 tasks. Each task comprised 1~5 task elements. Among tasks, ‘assess the patient’s general health status’ was carried out most frequently. Nurse care coordinators perceived that ‘check vital signs’ and ‘strengthen patient competence to promote health behaviors’ were more important than all other tasks. The most difficult task was ‘develop professionalism as a nurse care coordinator’.
Conclusion
The nurse care coordinators' roles developed in this study will serve as the key guidelines for human resource management of care coordinators. Further, job specifications for nurse care coordinators need to be developed, which is necessary for designing education and training programs. We also need to integrate primary health care as an essential component in nursing education.

Citations

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  • Job Analysis of Nurses Working at Dementia Care Centers Using DACUM
    Yong-Sun Shin, Jong-Eun Lee
    Research in Community and Public Health Nursing.2025; 36: 21.     CrossRef
  • Job analysis of vaccination health workers at public health centers and sub‐centers
    No‐Yai Park, Chung‐Min Cho, Eun‐Hyun Lee, Jeong‐Mo Park, Young‐Ran Lee, Jeong‐Ik Hong, Geun‐Yong Kwon
    Public Health Nursing.2024; 41(4): 723.     CrossRef
  • Development and Analysis of the Job Description for Dementia Care Center Nurses in Korea Using Developing a Curriculum (DACUM)
    Hana Ko, SuJung Jung
    Journal of Gerontological Nursing.2023; 49(10): 29.     CrossRef
  • Analysis of flow rate and pressure in syringe-based wound irrigation using Bernoulli's equation
    Hanna Lee, Ye-kyung Lee, Ji-Yun Park, Jeong-won Han
    Scientific Reports.2022;[Epub]     CrossRef
  • A Preliminary Study for the Curriculum Development of Community Care Coordinators: Educational Needs Analysis
    Han Nah Park, Ju Young Yoon, Soong-Nang Jang, Hye Jin Nam
    Journal of Korean Academy of Community Health Nursing.2022; 33(2): 153.     CrossRef
  • 456 View
  • 18 Download
  • 4 Web of Science
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Factors Influencing the COVID-19 Vaccination Intentions in Nurses: Korea, February 2021
Park, Ju Young , Ha, Jiyeon
J Korean Acad Nurs 2021;51(5):537-548.   Published online October 31, 2021
DOI: https://doi.org/10.4040/jkan.21110
AbstractAbstract PDF
Purpose
This study aimed to identify the factors influencing COVID-19 vaccination intentions in nurses.
Methods
The participants were 184 nurses in Korea. Data were collected using a Google Form online survey method in February, 2021, and analyzed using an independent t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis with the SPSS/WIN 26.0 program.
Results
COVID-19 vaccination intention in nurses was correlated significantly with vaccine hesitancy (r = .58, p < .001), risk perception of COVID-19 (r = .22, p = .003), perception of vaccination as a professional duty (r = .59, p < .001), and attitude towards workplace infection control policies (r = .20, p = .007). Vaccine hesitancy (β = .40, p < .001) and the perception of vaccination as a professional duty (β = .44, p < .001) significantly influenced COVID-19 vaccination intention. The model developed in this study explained 50% of the variation in COVID-19 vaccination intention.
Conclusion
Improving the perception of vaccination as a professional duty and lowering vaccine hesitancy may enhance nurses’ COVID-19 vaccination intention. Above all, it is necessary to provide programs to encourage voluntary recognition of vaccination as a professional duty and develop strategies to reduce hesitancy toward COVID-19 vaccinations.

Citations

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  • COVID-19 Vaccine Acceptance and Associated Factors among General Population
    Jung-Whan Lee
    Journal of Health Informatics and Statistics.2024; 49(1): 19.     CrossRef
  • Nurses' vaccination acceptance and related factors in the initial stage of COVID-19 vaccination in Korea: a cross-sectional study
    Kyoung Ha Kim, Jae Sim Jeong
    Journal of Korean Biological Nursing Science.2024; 26(3): 240.     CrossRef
  • Factors Influencing the COVID-19 Vaccination Intentions in Parents for Their Children Aged 5~11: Korea, April 2022
    In Suk Choi, Eun A Kim
    Journal of Korean Academy of Nursing.2023; 53(2): 208.     CrossRef
  • Factors influencing COVID-19 vaccination intention among parents of children aged 5-11 years in South Korea: a cross-sectional study
    Jung Hwa Kang, Yunsoo Kim
    Child Health Nursing Research.2023; 29(3): 237.     CrossRef
  • Nurses’ Intentions for COVID-19 Vaccination in South Korea in 2022
    Byung Yun Song, Sun Hee Choi, Dong Yeon Kim
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 125.     CrossRef
  • The Reliability and Validity of the Korean Version of the 5C Psychological Antecedents of Vaccination Scale
    SuYeon Bae, HeeJu Kim
    Journal of Korean Academy of Nursing.2023; 53(3): 324.     CrossRef
  • Adapting and Validating the COVID-19 Vaccine Hesitancy and Vaccine Conspiracy Beliefs Scales in Korea
    Hyesung Ock, Mihyeon Seong, Insook Kim
    Healthcare.2022; 10(11): 2274.     CrossRef
  • Factors Influencing Clinical Nurse’s Intention for Acquiring Coronavirus Disease 2019 Vaccination
    YeonHui Choe, Jieun Cha
    Journal of Health Informatics and Statistics.2022; 47(1): 48.     CrossRef
  • Confidence in a Vaccine against COVID-19 among Registered Nurses in Barcelona, Spain across Two Time Periods
    David Palma, Anna Hernández, Camila A. Picchio, Glòria Jodar, Paola Galbany-Estragués, Pere Simón, Montserrat Guillaumes, Elia Diez, Cristina Rius
    Vaccines.2022; 10(6): 873.     CrossRef
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Validity and Reliability of Korean Version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale
Kim, Sook-Nam , Lee, Hyun-Ju , Kim, So-Young , Lee, Nayoon
J Korean Acad Nurs 2021;51(5):617-629.   Published online October 31, 2021
DOI: https://doi.org/10.4040/jkan.21069
AbstractAbstract PDF
Purpose
The aim of this study was to examine the validity and reliability of the Korean version of the self-efficacy for managing chronic disease 6-item scale (SECD-6-K).
Methods
The English version of the Self-Efficacy for Managing Chronic Disease 6-item Scale first underwent forward and backward translation procedures. The SECD-6-K was then used to collect data from 350 adults diagnosed with chronic diseases. Content, construct, convergent, discriminant, and criterion validity were all evaluated. Reliability was assessed using Cronbach’s α. SPSS 25.0 and the data were analyzed using AMOS 26.0 software.
Results
The SECD-6-K consists of six items in two domains: disease management and health behavior. The results for construct, convergent, and discriminant validity were good. Exploratory factor analysis produced eigen values between 2.27 and 3.28, with factors total explained cumulative variance of 91.1%. Confirmatory factor analysis supported goodness of fit and reliability for the modified SECD-6-K model. The criterion validity also showed significant correlation with both the Patient Health Questionnaire and 12-item Short-Form Health Survey version 2. Finally, reliability was found to be excellent.
Conclusion
This study identified the high reliability and validity of SECD-6-K. The SECD-6-K is an appropriate tool for determining Korean patients’ self-efficacy in managing their chronic conditions. Therefore, this scale may be used in clinical settings as well as in educational and research settings.

Citations

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  • Development and Validation of the Short Form of Core Competencies Scale of Nursing Care for Cancer Patients Undergoing Chemotherapy
    Sung Hae Kim, Seyong Lee, Sang Hee Kim, Jung Ok Choi, Gie Ok Noh
    Asian Oncology Nursing.2024; 24(4): 184.     CrossRef
  • Factors influencing self-management behaviors in older people with multiple chronic conditions based on the individual and family self-management theory: A cross-sectional study
    Youngji Seo, Sunyoung Jung
    Journal of Korean Gerontological Nursing.2024; 26(3): 332.     CrossRef
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Associations between Cigarette and Electronic Cigarette Use and Sleep Health in Korean Adolescents: An Analysis of the 14th (2018) Korea Youth Risk Behavior Surveys
Lee, Bo Gyeong , Lee, Haein
J Korean Acad Nurs 2021;51(3):380-389.   Published online June 30, 2021
DOI: https://doi.org/10.4040/jkan.21034
AbstractAbstract PDF
Purpose
This study aimed to understand the relationship between cigarette and electronic cigarette (e-cigarette) use and sleep health among Korean adolescents.
Methods
Using the 14th Korea Youth Risk Behavior Survey, we included 52,928 adolescents who responded to sleep satisfaction and sleep duration. Participants were classified into four groups: non-users, cigarette-only users, e-cigarette-only users, and dual users of both products. To examine the associations between cigarette and e-cigarette use and sleep health, data were analyzed using complex samples cross tabulation and complex samples logistic regression.
Results
Of the four groups, dual users reported the lowest level of sleep satisfaction and sleep duration; 57.0% and 86.9% of dual users were not satisfied with their sleep and have insufficient sleep duration, respectively. The proportion of students who were not satisfied with their sleep was higher among cigarette-only users compared to e-cigarette-only users (52.7% vs. 45.8%), but the two groups reported similar rates of insufficient sleep duration (84.2% vs. 84.3%). Compared to non-users, cigarette-only users, e-cigarette-only users, and dual users were more likely to not be satisfied with sleep (odds ratios [ORs] were 1.49, 1.36, and 1.75, respectively) and had significantly higher odds of experiencing insufficient sleep duration (ORs were 1.85, 2.06, and 2.34, respectively).
Conclusion
E-cigarette-only use and dual use as well as cigarette-only use were associated with poor sleep health. Therefore, to improve adolescent sleep health, health professionals should provide sleep intervention strategies considering the association between smoking and sleep health.

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    Bo Gyeong Lee, Haein Lee, Namhee Kim, Ghobad Moradi
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Review Article
Continuity of Care in Chronic Diseases: A Concept Analysis by Literature Review
Hu, Jingjing , Wang, Yuexia , Li, Xiaoxi
J Korean Acad Nurs 2020;50(4):513-522.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.20079
AbstractAbstract PDF
Purpose
This study aimed to utilize concept analysis to obtain a better understanding of the concept of “continuity of care” in chronic diseases.
Methods
The concept of continuity of care was analyzed using the Walker and Avant method. Covering literature in English from 1930 to 2018, the data sources included CINAHL Complete, Academic Search Complete, MEDLINE, PsyARTICLES, Health Source: Nursing/ Academic Edition, Google Scholar, Science Direct, and the Cochrane Library.
Results
A comprehensive definition of concept of continuity of care was developed based on a systematic search and synthesis. The key defining attributes were identified as (a) care over time, (b) the relationship between an individual patient and a care team, (c) information transfer, (d) coordination, and (e) meeting changing needs. The antecedents of continuity of care were having a chronic disease, inexperienced with disease management, a poorly coordinated healthcare system, and medical care limitations. The consequences of continuity of care were decreasing hospital admissions, reducing costs, reducing emergency room visits, improving the quality of life, improving patient satisfaction, and delivering good healthcare.
Conclusion
The thorough concept analysis provides insight into the nature of “continuity of care” in chronic diseases and also helps ground the concept in healthcare.

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  • KRONİK HASTALIĞI OLAN YETİŞKİN BİREYLERİN 6 ŞUBAT 2023 KAHRAMANMARAŞ MERKEZLİ DEPREMLER SONRASI HASTALIK YÖNETİMİNE İLİŞKİN DENEYİMLERİ: NİTEL BİR ARAŞTIRMA
    Uğur Doğan, Murat Tamer
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  • Sårbar sammenheng i helse- og omsorgstjenesten til eldre pasienter
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Original Articles
Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study
Ahra Jo, Heeyoung Oh
J Korean Acad Nurs 2019;49(6):713-723.   Published online December 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.6.713
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the impact of cigarette smoking and alcohol consumption on the incidence of colon cancer in adults with metabolic syndrome.

Methods

This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study (KoGES). The data of a sample of 2,327 adults with metabolic syndrome tracked every two years from 2001 to 2014 were used in this study. Statistical data analyses of the frequency, number of cases per 100,000 person-years, log-rank test, Kaplan-Meier curve, and Cox's proportional hazards regression were performed using IBM SPSS statistics version 24.

Results

During the observation period, the number of colon cancer cases was 46, and the total person-years were 252,444. The incidence of colon cancer was higher in current, over 10 pack-year smokers when compared to non-smokers (hazard ratio=3.38, 95% confidence interval=1.09~8.42).

Conclusion

Excessive and long-term smoking should be avoided to prevent colon cancer, especially in adults with metabolic syndrome, since it might exacerbate the risk factors of colon cancer. Particularly, health professionals need to provide individualized smoking cessation interventions to those at high risk of colon cancer.

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    Ihn-Sook Jeong, Chan-Mi Kang
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    Yoon-Sun Jung, Seok-Jun Yoon
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    Qi Gao, Caifeng Zhang, Zhichao Dong, Yan Guo, Li Zhang, Sudipta Roy
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Factors Affecting Clinical Practicum Stress of Nursing Students: Using the Lazarus and Folkman's Stress-Coping Model
Sung Hae Kim, JuHee Lee, MiRa Jang
J Korean Acad Nurs 2019;49(4):437-448.   Published online August 29, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.437
AbstractAbstract PDF
Purpose

This study was conducted to test a path model for the factors related to undergraduate nursing students' clinical practicum stress, based on Lazarus and Folkman's stress-coping model.

Methods

This study utilized a path analysis design. A total of 235 undergraduate nursing students participated in this study. The variables in the hypothetical path model consisted of clinical practicum, emotional intelligence, self-efficacy, Nun-chi, and nursing professionalism. We tested the fit of the hypothetical path model using SPSS/WIN 23.0 and AMOS 22.0.

Results

The final model fit demonstrated a satisfactory statistical acceptance level: goodness-of-fit-index=.98, adjusted goodness-of-fit-index=.91, comparative fit index=.98, normed fit index=.95, Tucker-Lewis index=.92, and root mean square error of approximation=.06. Self-efficacy (β=−.22, p=.003) and Nun-chi behavior (β=−.17, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (β=.20, p=.006) and self-efficacy (β=.45, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (β=.20, p<.001) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (β=.09, p=.005) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. The variables for self-efficacy and nursing professionalism explained 29.1% of the Nun-chi understanding and 18.2% of the Nun-chi behavior, respectively.

Conclusion

In undergraduate nursing education, it is important to identify and manage factors that affect clinical practicum stress. The findings of this study emphasize the importance of Nun-chi, self-efficacy, emotional intelligence, and nursing professionalism in the development of an educational strategy for undergraduate nursing students.

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    Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim
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    Heejung Heo, Yeoungsuk Song
    The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 190.     CrossRef
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    Yoomi Jung, Myungja Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 214.     CrossRef
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    Jung Hyun Park, Ji Young Kim, Hyeon Ok Kim
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    Yidi Chen, Jianhui Wu, Jinjin Ma, Huanya Zhu, Wenju Li, Yiqun Gan
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    Soomin Hong, JuHee Lee, Yeonsoo Jang, Yoonju Lee
    International Journal of Environmental Research and Public Health.2021; 18(13): 6833.     CrossRef
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Development of the Patient Caring Communication Scale
Myoung Lyun Heo, Sook Bin Im
J Korean Acad Nurs 2019;49(1):80-91.   Published online February 28, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.1.80
AbstractAbstract PDF
Purpose

This study attempted to develop a scale that measures the level of patients' recognition of the nurses' care, based on Watson's caring theory, and confirmed its reliability and validity.

Methods

The items were developed through a literature review and an expert content validity test. The questionnaires were administered to 285 inpatients of internal medicine and surgical units at two general hospitals. Construct validity was tested using exploratory and confirmatory factor analysis, and reliability was tested using Cronbach's alpha.

Results

This process resulted in a preliminary scale composed of 34 items; We used item analysis and five exploratory factor analyses, and consequently selected 14 items composed of three factors (respect, genuineness, and relationality). The confirmatory factor analysis verified the model fit and convergent and discriminant validity of the final items; criterion validity was confirmed with the positive correlation with the measurement scale of the patient-perceived quality of nursing . The overall scale reliability had a Cronbach's alpha of .92, which indicated internal consistency and reliability.

Conclusion

The developed scale showed content, construct, and criterion validity, and reliability, as well as convergent validity for each item and discriminant validity between the factors. This makes it suitable for use in a diverse range of future studies on nurse communication using structural equation models.

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    Cho Rong Gil, Kyung Mi Sung
    The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 148.     CrossRef
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    Anabela Fonseca Pereira, Joaquim Escola, Vitor Rodrigues, Carlos Almeida
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    Myoung Soo Kim, Eun-Jung Bae, Ju-Yeon Uhm
    Asia-Pacific Journal of Oncology Nursing.2022; 9(4): 210.     CrossRef
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    Sook-Nam Kim, Hyun-Ju Lee, So-Young Kim, Nayoon Lee
    Journal of Korean Academy of Nursing.2021; 51(5): 617.     CrossRef
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    Ji Young Lim, Geun Myun Kim, Eun Joo Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 388.     CrossRef
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    SookBin IM, MiKyoung CHO, MyoungLyun HEO
    Journal of Nursing Research.2020; 28(2): e80.     CrossRef
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Structural Equation Modeling on Clinical Decision Making Ability of Nurses
Min Kyoung Park, Soukyoung Kim
J Korean Acad Nurs 2019;49(5):601-612.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.601
AbstractAbstract PDF
Abstract Purpose

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

Methods

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

Results

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

Conclusion

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

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  • Development of a Korean clinical decision-making ability scale for hospital nurses
    Sunyoung Oh, Minkyung Gu, Sohyune Sok
    BMC Nursing.2025;[Epub]     CrossRef
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    Sun-Young Jung, Ji-Hyeon Lee
    Asian/Pacific Island Nursing Journal.2024; 8: e67928.     CrossRef
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    Won Mi Son, Jung Suk Park
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    Suyeon Noh, Younhee Kang
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    Eunju Lee, Gyuli Baek
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    Min Young Kim, Jeong Hye Kim, Su Jung Choi
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    Ga-Hyun Kim, Hyun-Ju Lee
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 237.     CrossRef
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Development and Evaluation of Electronic Health Record Data-Driven Predictive Models for Pressure Ulcers
Seul Ki Park, Hyeoun-Ae Park, Hee Hwang
J Korean Acad Nurs 2019;49(5):575-585.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.575
AbstractAbstract PDF
Abstract Purpose

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

Methods

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

Results

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

Conclusion

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

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  • Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
    Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
    Korean Journal of Adult Nursing.2024; 36(3): 191.     CrossRef
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    Moonsook Kim, Se Yeon Park, Meihua Piao, Earom Lim, Soon Hwa Yoo, Minju Ryu, Hyo Yeon Lee, Hyejin Won
    International Wound Journal.2023; 20(1): 201.     CrossRef
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    Yinji Jin, Ji‐Sun Back, Sun Ho Im, Jong Hyo Oh, Sun‐Mi Lee
    Journal of Clinical Nursing.2023; 32(19-20): 7273.     CrossRef
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    Eunji Ko, Seunghye Choi
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    Jie Zhang, Tongguang Ni
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Reliability and Validity of Korean Version of Nursing Students’ Anxiety and Self-Confidence with Clinical Decision Making Scale
Mi Yu, Young Eun, KA White, KyungJa Kang
J Korean Acad Nurs 2019;49(4):411-422.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.411
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM©) for Korean nursing students.

Methods

Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the NASC-CDM© were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity.

Results

The Korean version of the NASC-CDM© (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's α was .93 for self-confidence and .95 for anxiety.

Conclusion

The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students’ clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original NASC-CDM© version.

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    Sedat Kaya, Gizem Kubat Bakir
    Perioperative Care and Operating Room Management.2024; 37: 100416.     CrossRef
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    Daniel Medel, Tania Cemeli, Krista White, Williams Contreras-Higuera, Maria Jimenez Herrera, Alba Torné-Ruiz, Aïda Bonet, Judith Roca
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    Sun-Hwa Lee, Jeong-Sil Choi
    Healthcare.2024; 12(4): 419.     CrossRef
  • Development and evaluation of a collaborative reflection-based debriefing strategy for simulation-based education using virtual simulations in practical nursing: A randomized controlled trial
    Ji-Ah Yun, In-Soon Kang
    Nurse Education in Practice.2024; 81: 104170.     CrossRef
  • Constructing a Mixed Simulation With 360° Virtual Reality and a High-Fidelity Simulator
    Sun Kyung Kim, Youngho Lee, Younghye Go
    CIN: Computers, Informatics, Nursing.2023; 41(8): 569.     CrossRef
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    Minsook Park, Minkyung Gu, Sohyune Sok
    Journal of Clinical Nursing.2023; 32(7-8): 1343.     CrossRef
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    Min Kyung Song, Ji‐Soo Kim
    International Journal of Nursing Practice.2023;[Epub]     CrossRef
  • Factors Related to the Problem-solving Ability of Nursing Students Who Experienced Simulation Training
    Ji-Won Han
    Journal of Korea Society for Simulation in Nursing.2023; 11(2): 17.     CrossRef
  • A Concept Analysis of Nurses’ Clinical Decision Making: Implications for Korea
    Sunyoung Oh, Minkyung Gu, Sohyune Sok
    International Journal of Environmental Research and Public Health.2022; 19(6): 3596.     CrossRef
  • The Korean version of the Virtual Patient Learning System Evaluation Tool: Assessment of reliability and validity
    Hae Jeong An, Jung Suk Choi, Min Roh, Hyun Mi Cho, Eun Ju Choi
    Nurse Education Today.2021; 106: 105093.     CrossRef
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Review Article
Effect of Autogenic Training for Stress Response: A Systematic Review and Meta-Analysis
Eunju Seo, Soukyoung Kim
J Korean Acad Nurs 2019;49(4):361-374.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.361
AbstractAbstract PDF
Abstract Purpose

This study was conducted to evaluate the effectiveness of autogenic training on stress responses through a systematic review and meta-analysis.

Methods

A systematic search was conducted using eight core electronic databases (Embase, CENTRAL, Medline, CINAHL, PsycInfo, DBpia, KISS, and RISS). To estimate the effect size, a meta-analysis of the studies was performed using RevMan 5.3.5 program.

Results

A total 21 studies out of 950 studies were included in the review, and 11 were included for meta-analysis. These studies showed that autogenic training decreased anxiety and depression, and increased the high frequency of heart rate variability. Calculations to understand the effect of autogenic training on anxiety, through a meta-analysis, observed a reduction effect of anxiety score by 1.37 points (n=85, SMD=-1.37: 95% CI -2.07 to -0.67), in the studies on short-term intervention targeting healthy adults. On the other hand, similar calculations to understand the effect of autogenic training on depression observed, a reduction effect on the depression score by 0.29 point (n=327, SMD=-0.29: 95% CI -0.50 to -0.07), in the studies on long term intervention targeting the patient group.

Conclusion

Autogenic training is effective for adults’ stress management, and nurses will be able to effectively perform autogenic training programs for workers’ stress relief at the workplace.

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    Maria Pilar Ramirez Garcia, Jérôme Leclerc-Loiselle, Christine Genest, Etienne Paradis-Gagné, Caroline Larue, Marikim Poitras-Crête, Sylvie Corbeil, Camille Saseville
    Journal of Professional Nursing.2025; 57: 8.     CrossRef
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    Keita Takizawa, Kana Ozasa, Kohei Shimizu, Noboru Noma
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    Dragana Jocic
    Vojnosanitetski pregled.2024; 81(11): 696.     CrossRef
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    Juan Manuel Guiote, Miguel Angel Vallejo Pareja, Blanca Mas
    Papeles del Psicólogo - Psychologist Papers.2024; 45(3): 172.     CrossRef
  • Autogenic Training in Mental Disorders: What Can We Expect?
    Dagmar Breznoscakova, Milana Kovanicova, Eva Sedlakova, Maria Pallayova
    International Journal of Environmental Research and Public Health.2023; 20(5): 4344.     CrossRef
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    Deborah R. Vivo
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    Hannes Baumann, Luis Heuel, Laura Louise Bischoff, Bettina Wollesen
    Sensors.2023; 23(4): 2322.     CrossRef
  • The Effect of Autogenic Training in a Form of Audio Recording on Sleep Quality and Physiological Stress Reactions of University Athletes—Pilot Study
    Kamila Litwic-Kaminska, Martyna Kotyśko, Tadeusz Pracki, Monika Wiłkość-Dębczyńska, Błażej Stankiewicz
    International Journal of Environmental Research and Public Health.2022; 19(23): 16043.     CrossRef
  • Combined effect of autogenic relaxation and aerobic exercise on postmenopausal hypertension: A randomized clinical trial
    Shreen R Aboelmagd, Afaf M Botla, Hossam ELdine Hussein, Sahar M. Ali, Nehad A. Abo-Zaid
    International journal of health sciences.2022; 6(S10): 2314.     CrossRef
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  • To stress or not to stress: Brain-behavior-immune interaction may weaken or promote the immune response to SARS-CoV-2
    Eva M.J. Peters, Manfred Schedlowski, Carsten Watzl, Ulrike Gimsa
    Neurobiology of Stress.2021; 14: 100296.     CrossRef
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    Laura Hrehová, Kamal Mezian
    International Journal of Clinical Practice.2021;[Epub]     CrossRef
  • A Single Session of Heart Rate Variability Biofeedback Produced Greater Increases in Heart Rate Variability Than Autogenic Training
    I-Mei Lin, San-Yu Wang, Sheng-Yu Fan, Erik Peper, Sui-Pi Chen, Ching-Yu Huang
    Applied Psychophysiology and Biofeedback.2020; 45(4): 343.     CrossRef
  • A Multimodal Stress-Prevention Program Supplemented by Telephone-Coaching Sessions to Reduce Perceived Stress among German Farmers: Results from a Randomized Controlled Trial
    Marita Stier-Jarmer, Cornelia Oberhauser, Dieter Frisch, Götz Berberich, Thomas Loew, Carina Schels-Klemens, Birgit Braun, Angela Schuh
    International Journal of Environmental Research and Public Health.2020; 17(24): 9227.     CrossRef
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Original Articles
Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia
Jihye Lee, Moonhee Gang
J Korean Acad Nurs 2019;49(1):1-13.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.1.1
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D).

Methods

Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency.

Results

The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p<.001). Cronbach's alpha for the total scale was .88.

Conclusion

The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Citations

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  • The influence of socio-cognitive mindfulness, moral sensitivity and dementia communication behaviors on dementia nursing performance of nurses in long-term care hospitals: a cross-sectional study
    Hyun Ju Bong, Mikyoung Lee
    BMC Nursing.2024;[Epub]     CrossRef
  • Factors influencing shared decision-making in long-term care facilities
    Da Eun Kim, Min Jung Kim
    BMC Geriatrics.2023;[Epub]     CrossRef
  • Nursing students' experiences as dementia partners in volunteer activities: An inductive content analysis
    Dooree Kim, Yunhee Park
    The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 146.     CrossRef
  • 455 View
  • 18 Download
  • 3 Web of Science
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A Structural Model on the Nursing Competencies of Nursing Simulation Learners
Soo Jin Park, Eun Sun Ji
J Korean Acad Nurs 2018;48(5):588-600.   Published online October 31, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.5.588
AbstractAbstract PDF
Purpose

The purpose of this study was to test a model of nursing competencies of nursing simulation learners. The conceptual model was based on the theory of Jeffries's simulaton theory.

Methods

Data collection was conducted in October 2017 for 310 students from two nursing universities in Kyungbuk area for 20 days. Data analysis methods were covariance structure analysis using SPSS 21.0 and AMOS 22.0 statistical programs.

Results

The hypothetical model was a good fit for the data. The model fit indices were comparative fit index=.97, normed fit index=.94, Tucker-Lewis Index=.97, root mean square error of approximation=.44, and standardized root mean square residual=.04. Teacher factors were directly related to simulation design characteristics, and it was confirmed that the curriculum, classroom operation and teaching method of the instructors were important factors. Learner factors were found to have a direct effect on nursing competence, self-confidence, and clinical performance that belong to nursing capacity. In particular, the results of this study indicate that the simulation design characteristics have a partial mediating effect on learner factors and clinical performance, and a complete mediating effect on learner factors and clinical judgment ability.

Conclusion

In order to improve the learner's clinical performance and clinical judgment ability, it is necessary to conduct practical training through nursing simulation besides preparing the learner and the educator.

Citations

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  • The mediating role of flow in the relationship between simulation design and simulation educational satisfaction in korean nursing students: a cross-sectional study
    Eun-Kyung Lee, Eun-Joo Ji
    BMC Nursing.2024;[Epub]     CrossRef
  • Factors Influencing Students’ Self-confidence in Simulation Learning Based on National League for Nursing/Jeffries Simulation Framework
    Jung-Suk Kim
    Journal of Korea Society for Simulation in Nursing.2024; 12(1): 73.     CrossRef
  • The Development and Evaluation of the Online Respiratory Infectious Disease Nursing Simulation Course for Nursing Students
    Jisu Lee, Hye Won Yoon
    Journal of Korea Society for Simulation in Nursing.2023; 11(2): 91.     CrossRef
  • Does a preterm labor-assessment algorithm improve preterm labor-related knowledge, clinical practice confidence, and educational satisfaction?: a quasi-experimental study
    Hee-Young Choi, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2023; 29(3): 219.     CrossRef
  • Relationship between Simulation Design Characteristics and Clinical Reasoning Competence: Multiple Additive Moderating Effects of Teaching Effectiveness and Students' Anxiety on Nursing Students
    Kyung-In Cheon, Hea Kung Hur
    Korean Journal of Adult Nursing.2021; 33(4): 322.     CrossRef
  • Development and Effects of Leukemia Nursing Simulation Based on Clinical Reasoning
    Aeri Jang, Miok Song, Suhyun Kim
    International Journal of Environmental Research and Public Health.2021; 18(8): 4190.     CrossRef
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    So Young Yun, Ja Yun Choi
    Journal of Korean Academy of Nursing.2019; 49(1): 92.     CrossRef
  • 459 View
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Prediction Modeling on Family Life Satisfaction of Old Adults Living at Home
Young Mi Huh, Sohyune Sok
J Korean Acad Nurs 2018;48(5):534-544.   Published online October 31, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.5.534
AbstractAbstract PDF
Purpose

This study was conducted to construct and test a structural model on family life satisfaction of aged individuals living at home. The conceptual model was based on Bandura's self-efficacy and social cognitive theories (1977; 1986) and Bowen's (1976) family systems theory.

Methods

From January 25 to March 5, 2016, 227 older adults living at home completed a structured questionnaire. Data were analyzed to calculate the direct and indirect effects of factors affecting family life satisfaction. SPSS WIN 20.0 and AMOS 20.0 were used.

Results

The hypothetical model was a good fit for the data. The model fit indices were χ2=78.05, χ2/df=1.35, RMSR=.02, GFI=.98, AGFI=.96, NFI=.94, CFI=.98, and RMSEA=. 05. Family life satisfaction was positively affected by perceived collective family efficacy, status of physical health, family communication, and family support. Depression resulted in a significant negative effect. Family differentiation had a significant indirect effect on family life satisfaction. The model explained 76% of variance in family life satisfaction.

Conclusion

Perceived collective family efficacy, status of physical health, depression, family differentiation, family communication, and family support were significant factors explaining family life satisfaction among older adults staying at home. Further research should be conducted to seek intervention strategies to improve family life satisfaction among older adults living at home by focusing on the respective contributing factors.

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  • The Effect of Pain Catastrophizing on Depression among Older Korean Adults with Chronic Pain: The Mediating Role of Chronic Pain Interference and Sleep Quality
    Kyoung-eun Lee, Hyunju Ryu, Sun Ju Chang
    International Journal of Environmental Research and Public Health.2020; 17(23): 8716.     CrossRef
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Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension
Eunha Gil, Heeyoung Oh
J Korean Acad Nurs 2018;48(5):521-533.   Published online October 31, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.5.521
AbstractAbstract PDF
Purpose

The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model.

Methods

Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0.

Results

The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively.

Conclusion

This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.

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  • Effectiveness of Self Care Education on Knowledge and Behavior Among Android-based Hypertension Patients at Yogyakarta Health Center
    Tatik Pujiastuti, Musheer A. Aljaberi, Tukimin Sansuwito, Bibi Florina Abdullah, Ruma Poddar
    Malaysian Journal of Medicine and Health Sciences.2023; 19(s9): 1.     CrossRef
  • Linking Health Literacy to Self-Care in Hypertensive Patients with Physical Disabilities: A Path Analysis Using a Multi-Mediation Model
    Hye Jin Nam, Ju Young Yoon
    International Journal of Environmental Research and Public Health.2021; 18(7): 3363.     CrossRef
  • Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients
    Bo Eun Kim, Ju-Eun Song
    Journal of Korean Academy of Nursing.2021; 51(1): 80.     CrossRef
  • Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
    Hyun Ju Lee, Jiyoung Park
    Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef
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Chronically Ill Patients' Perception of Hospital Nurses
Byoung-Sook Lee, Mi-Aie Lee, Yong-Sook Eo
J Korean Acad Nurs 2018;48(3):311-322.   Published online June 30, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.311
AbstractAbstract PDF
Purpose

The purpose of this qualitative research was to investigate chronically ill patients' perception of hospital nurses.

Methods

Individual in-depth interviews and qualitative content analysis were used for data collection and analysis respectively. Participants were 13 chronically ill hospitalized patients or outpatients in three universities hospitals. All interviews were recorded and transcribed verbatim. Data were analyzed using the qualitative content analysis suggested by Graneheim and Lundman (2004).

Results

Three themes emerged from the 10 sub-themes, which were categorized from the 21 condensed meaning units by interpreting the underlying meanings. The three themes were “person giving comfort and support by caring”, “person facilitating the process of healing”, and “person taking the initiative in power relations”. Two themes involved positive experiences of patients and the other included negative ones.

Conclusion

The results showed that the participants perceived the hospital nurses as devoted to caring for patients and facilitating treatments, but authoritative in performing their duty. Based on these results, it is recommended that hospital nurses improve their nursing knowledge, skills and humanistic attitude.

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  • Significado de la cronicidad para el cuidador y la persona cuidada: una revisión integrativa
    Claudia Andrea Ramírez-Perdomo, Claudia Patricia Cantillo-Medina, Alix Yaneth Perdomo-Romero , María Elena Rodríguez-Vélez, Lili Andrea Buitrago Malaver, Ana Ligia Escobar Tobón
    Avances en Enfermería.2023;[Epub]     CrossRef
  • Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
    Eun Young Kim, Sung Ok Chang
    Journal of Korean Gerontological Nursing.2022; 24(1): 33.     CrossRef
  • The Effect of Nursing Competence on Patient-Centered Care among Nurses Caring for Patients with Chronic Disease: The Mediating Effect of Burnout and the Moderating Effect of Nursing Work Environment
    Jin-Yeong Ahn, Young Eun
    Korean Journal of Adult Nursing.2021; 33(2): 134.     CrossRef
  • Perceptions Related to Nursing and Nursing Staff in Long-Term Care Settings during the COVID-19 Pandemic Era: Using Social Networking Service
    Juhhyun Shin, Sunok Jung, Hyeonyoung Park, Yaena Lee, Yukyeong Son
    International Journal of Environmental Research and Public Health.2021; 18(14): 7398.     CrossRef
  • 344 View
  • 3 Download
  • 4 Crossref
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Effects of Communication Empowerment Program Based on Situated Learning Theory for Nursing Students
Soo Jin Kim, Boyoung Kim
J Korean Acad Nurs 2018;48(6):708-719.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.708
AbstractAbstract PDF
Abstract Purpose

This study was conducted to examine the effects of a communication empowerment program based on situated learning theory for nursing students.

Methods

A non-equivalent control group pretest-posttest design was used. The study participants were 61 nursing students (31 in the experimental group and 30 in the control group) from G city. Data were collected from November 3, 2015 to December 10, 2015. The experimental group received eight sessions of the program, which were scheduled twice a week, with each session lasting two hours. The data were analyzed using chi-square test, Fisher's exact test, and an independent t-test using SPSS/WIN 20.0.

Results

There were significant increases in self-efficacy for communication (t=2.62, p=.011), emotional intelligence (t=2.66, p=.010), and interpersonal communication competence (t=2.87, p=.006) in the experimental group compared to the control group.

Conclusion

Based on the findings, our study suggests a need to include content from communication curricula or clinical communication training programs for improving undergraduate nursing students’ communication skills in practice settings.

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  • Virtual reality education for preventing safety incidents in pediatric hospital settings: Quasi-experimental design pre-post-testing
    Raim Hyeon, Won-Oak Oh
    Journal of Pediatric Nursing.2025; 80: 56.     CrossRef
  • Therapeutic Communication Using Mirroring Interventions in Nursing Education: A Mixed Methods Study
    Seung Hee Lee, Hye Jin Yoo
    Asian Nursing Research.2024; 18(5): 435.     CrossRef
  • Validation of the Korean Version of Patient-Centered Care Tool: For Outpatients
    Yeo Ju Kim, Gunjeong Lee, Sunyeob Choi
    Patient Preference and Adherence.2023; Volume 17: 1525.     CrossRef
  • Development and evaluation of a neonatal intensive care unit medication safety simulation for nursing students in South Korea: a quasi-experimental study
    Mi Seon Son, Minyoung Yim, Eun Sun Ji
    Child Health Nursing Research.2022; 28(4): 259.     CrossRef
  • Patient handover education programme based on situated learning theory for nursing students in clinical practice
    Jung Hee Kim, Jong Mi Lim, Eun Man Kim
    International Journal of Nursing Practice.2022;[Epub]     CrossRef
  • Effects of Situation-Based Flipped Learning and Gamification as Combined Methodologies in Psychiatric Nursing Education: A Quasi-Experimental Study
    Haeran Kim, Boyoung Kim
    Healthcare.2022; 10(4): 644.     CrossRef
  • Cyberbullying in the University Setting. Relationship With Emotional Problems and Adaptation to the University
    María Carmen Martínez-Monteagudo, Beatriz Delgado, José Manuel García-Fernández, Cecilia Ruíz-Esteban
    Frontiers in Psychology.2020;[Epub]     CrossRef
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Development and Psychometric Testing of the Clinical Nursing Competency Scale for Clinical Preceptor Use (CNCS-CP)
Eunmi Kwak, Heeyoung Oh
J Korean Acad Nurs 2018;48(4):419-431.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.4.419
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to develop and establish the psychometric properties of a clinical nursing competency evaluation tool to be utilized by clinical preceptors.

Methods

The initial items were identified through in-depth literature review and field interviews based on a hybrid model. Content validation of the items was evaluated through three rounds of content validity testing. Participants were 34 clinical preceptors and 443 nursing students participating in clinical practice. Data were analyzed using exploratory and confirmatory factor analysis, convergence and discriminant validity, internal consistency and inter-rater reliability.

Results

The final scale consisted of 23 items and four factors, fundamental nursing skills performance, critical thinking skills based on the nursing process, basic nursing knowledge, and professional attitude; these factor explained 69.7% of the total variance. The analysis with multi-trait/multi-item matrix correlation coefficients yielded 100.0% and 95.7 % convergence and discriminant validity, respectively. Cronbach's alpha for the total items was .95. The four subscale model tested by confirmatory factor analysis was satisfactory. Inter-rater reliability ranged from .912 to .967.

Conclusion

This scale was found to be a reliable and valid instrument that clinical preceptors can apply for evaluating the clinical nursing competency of nursing students in clinical settings.

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    Jianliang Zhou, Huixin Zhou, Zaoli Yang
    Mathematical Problems in Engineering.2022; 2022: 1.     CrossRef
  • Development of Core Competency Scale for clinical nursing student educators
    Hyun Sook Park, Eun Hee Choi, Gyung Duck Kim, Young Hee Kim, Mi Yang Jeon, Hyenam Hwang
    The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 345.     CrossRef
  • Development and Validation of a Self-Efficacy Scale for Nursing Educators’ Role in Sri Lanka
    Shyamamala S. Weerasekara, Jina Oh, Haeryun Cho, Mihae Im
    International Journal of Environmental Research and Public Health.2021; 18(15): 7773.     CrossRef
  • Effects of Clinical Practice Satisfaction on Major Satisfaction Based on the Survey of Satisfaction of Clinical Laboratory Science Students on Clinical Practice
    Kyung A Shin, Hyo Shin Kim, Sun Kyung Lee
    The Korean Journal of Clinical Laboratory Science.2019; 51(2): 252.     CrossRef
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