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Original Articles
Development of a Quantitative Model on Adolescent Cyberbullying Victims in Korea: A System Dynamics Approach
Mi Jin You, Eun Mi Ham
J Korean Acad Nurs 2019;49(4):398-410.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.398
AbstractAbstract PDF
Abstract Purpose

This study used a system dynamics methodology to identify correlation and nonlinear feedback structures among factors affecting adolescent cyberbullying victims (CV) in Korea and to construct and verify a simulation model.

Methods

Factors affecting CV were identified by reviewing a theoretical background in existing literature and referencing various statistical data. Related variables were identified through content validity verification by an expert group, after which a causal loop diagram (CLD) was constructed based on the variables. A stock-flow diagram (SFD) using Vensim Professional 7.3 was used to establish a CV model.

Results

Based on the literature review and expert verification, 22 variables associated with CV were identified and the CLD was prepared. Next, a model was developed by converting the CLD to an SFD. The simulation results showed that the variables such as negative emotions, stress levels, high levels of conflict in schools, parental monitoring, and time spent using new media had the strongest effects on CV. The model's validity was verified using equation check, sensitivity analysis for timestep and simulation with 4 CV adolescent.

Conclusion

The system dynamics model constructed in this study can be used to develop intervention strategies in schools that are focused on counseling that can prevent cyberbullying and assist in the victims’ recovery by formulating a feedback structure and capturing the dynamic changes observed in CV. To prevent cyberbullying, it is necessary to develop more effective strategies such as prevention education, counseling and treatment that considers factors pertaining to the individual, family, school, and media.

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Development and Evaluation of Online Aging and Health Management Education for Undergraduate Students
Myonghwa Park
Journal of Korean Academy of Nursing 2007;37(4):540-548.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.540
AbstractAbstract PDF
Purpose

The purpose of this study was to develop online aging and health management education for undergraduate students and to evaluate its effects analyzing the differences in knowledge and attitude toward aging and the elderly.

Method

An Online aging and health management education program was established through analysis, planning, content framing and production, program application, and evaluation stages. The study sample consisted of 98 undergraduate students in one university in D city. The instruments used were FAQ I for knowledge of aging and a 20 item semantic differential scale for attitude toward aging and the elderly.

Results

The results of this study were as follows. First, undergraduate students' knowledge level was low and attitudes were negative at the baseline. Second, after the class, knowledge scores improved significantly from 14.44 to 20.12. In addition, the attitudes toward elderly and aging changed from negative to a more positive way showing a 23.57 point difference.

Conclusion

This study shows that the online aging and health management education program was an effective educational method to improve knowledge and attitude of aging for the young generation such as college students.

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Non-linear System Dynamics Simulation Modeling of Adolescent Obesity: Using Korea Youth Risk Behavior Web-based Survey
Hanna Lee, Eun Suk Park, Jae Kook Yu, Eun Kyoung Yun
J Korean Acad Nurs 2015;45(5):723-732.   Published online October 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.5.723
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a system dynamics model for adolescent obesity in Korea that could be used for obesity policy analysis.

Methods

On the basis of the casual loop diagram, a model was developed by converting to stock and flow diagram. The Vensim DSS 5.0 program was used in the model development. We simulated method of moments to the calibration of this model with data from The Korea Youth Risk Behavior Web-based Survey 2005 to 2013. We ran the scenario simulation.

Results

This model can be used to understand the current adolescent obesity rate, predict the future obesity rate, and be utilized as a tool for controlling the risk factors. The results of the model simulation match well with the data. It was identified that a proper model, able to predict obesity probability, was established.

Conclusion

These results of stock and flow diagram modeling in adolescent obesity can be helpful in development of obesity by policy planners and other stakeholders to better anticipate the multiple effects of interventions in both the short and the long term. In the future we suggest the development of an expanded model based on this adolescent obesity model.

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Model for Unplanned Self Extubation of ICU Patients Using System Dynamics Approach
Yu Gil Song, Eun Kyoung Yun
J Korean Acad Nurs 2015;45(2):280-292.   Published online April 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.2.280
AbstractAbstract PDF
Purpose

In this study a system dynamics methodology was used to identify correlation and nonlinear feedback structure among factors affecting unplanned extubation (UE) of ICU patients and to construct and verify a simulation model.

Methods

Factors affecting UE were identified through a theoretical background established by reviewing literature and preceding studies and referencing various statistical data. Related variables were decided through verification of content validity by an expert group. A causal loop diagram (CLD) was made based on the variables. Stock & Flow modeling using Vensim PLE Plus Version 6.0b was performed to establish a model for UE.

Results

Based on the literature review and expert verification, 18 variables associated with UE were identified and CLD was prepared. From the prepared CLD, a model was developed by converting to the Stock & Flow Diagram. Results of the simulation showed that patient stress, patient in an agitated state, restraint application, patient movability, and individual intensive nursing were variables giving the greatest effect to UE probability. To verify agreement of the UE model with real situations, simulation with 5 cases was performed. Equation check and sensitivity analysis on TIME STEP were executed to validate model integrity.

Conclusion

Results show that identification of a proper model enables prediction of UE probability. This prediction allows for adjustment of related factors, and provides basic data do develop nursing interventions to decrease UE.

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Effect of an On-line Health Promotion Program connected with a Hospital Health Examination Center on Health Promotion Behavior and Health Status
Jeong Sook Park, Sang-min Kwon
J Korean Acad Nurs 2008;38(3):393-402.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.393
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effect of an On-line health promotion program connected with a hospital health examination center.

Methods

Based on contents developed, the www.kmwellbeing.com homepage was developed. The research design was a one group pretest-posttest design. Seventy-three clients participated in this study. The data were collected from January 3 to June 30, 2005. As a way of utilizing the homepage, this paper attempted to measure the change of pre and post program health promotion behavior and health status (perceived health status, objective health index-blood pressure, pulse, total cholesterol, blood sugar, waist flexibility, grip strength and lower extremity strength). Data were analyzed by descriptive statistics and paired t-test with the SPSS/Win 12.0 program.

Results

There were significant differences of perceived health status, systolic BP, waist flexibility and grip strength. However, there were no significant differences in health promotion behavior, diastolic BP, pulse, lower extremity strength, blood sugar and total cholesterol between pre program and post program.

Conclusion

It is expected that an on-line health promotion program connected with a hospital health examination center will provide an effective learning media for health education and partially contribute to client's health promotion. A strategy, however, is needed to facilitate the continuous use of the on-line health promotion program for adult clients.

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