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Review Paper
Research trends in generative artificial intelligence in nursing: a scoping review
Myung Jin Choi, Myoung Hee Seo, Jihun Kim, Sunmi Kim, Seok Hee Jeong
J Korean Acad Nurs 2025;55(3):468-487.   Published online August 5, 2025
DOI: https://doi.org/10.4040/jkan.25006
AbstractAbstract PDFePub
Purpose
Generative artificial intelligence (AI) has yet to be comprehensively analyzed in the nursing literature. This study aimed to identify research trends in generative AI within the nursing field through a scoping review and propose strategies for its effective utilization in nursing.
Methods
A scoping review was conducted following Arksey and O’Malley’s six-stage framework. The inclusion criteria included: (1) studies conducted in nursing; (2) research related to generative AI; and (3) original research articles, theses, communications, editorials, letters, or commentaries published in academic journals. Database used PubMed, Embase, CENTRAL, CINAHL, KMbase, KoreaMed, KISS, ScienceON, RISS, DBpia, and 27 nursing-specific journals.
Results
In total, 403 studies were initially identified, and 58 were included in the final analysis. In the care domain, strengths included rapid information retrieval and improved nurse-patient communication, while limitations included the irreplaceable human element and low reliability. The administration domain had no relevant studies. In the research domain, generative AI exhibited strengths such as enhanced efficiency in the paper writing process and improved dissemination speed, but its weaknesses included lack of ethical and legal accountability and a risk of inaccurate or biased information. In the education domain, generative AI was effective in saving time in educational design and implementation, as well as supporting content creation, but challenges included algorithmic bias and risks of plagiarism.
Conclusion
This study identified potential benefits and limitations of generative AI across nursing domains. For effective application, it is essential to develop comprehensive guidelines and policies, provide user education and support, and create opportunities for nurses, educators, and students to learn about strengths and risks of generative AI.

Citations

Citations to this article as recorded by  
  • Nursing Students' Perspectives on the Use of Artificial Intelligence in Psychiatric Nursing Education: A Qualitative Meta-Synthesis
    Sukyung Son, Eunyoung Park
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2025; 34(Special Is): 9.     CrossRef
  • 6,476 View
  • 459 Download
  • 1 Crossref
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Research Papers
The Effects of a Self-Efficacy Theory-Based Exercise Program for Patients Undergoing with Total Knee Arthroplasty
Kyung-Hye Park, Hee-Young Kang
J Korean Acad Nurs 2024;54(4):547-562.   Published online October 22, 2024
DOI: https://doi.org/10.4040/jkan.24027
AbstractAbstract PDFSupplementary MaterialePub
Purpose

This study was performed to develop a self-efficacy theory-based exercise program for total knee arthroplasty (TKA) and to test the program’s efficacy in ameliorating knee pain and restoring function as measured by lower extremity muscle strength, 3 meter walking time, Korean Western Ontario McMaster Index (WOMAC), exercise self-efficacy, and length of hospital stay for TKA patients.

 Methods

This quasi-experimental study incorporating a non-equivalent control group and pretest-posttest non-synchronized design non-synchronous design was applied to assess self-efficacy reinforcement strategies based on self-efficacy theory. The exercise program consisted of the following steps: TKA, education to prevent postoperative complications, and muscle strength exercises. Respective exercise and control groups included 29 and 27 participants. The experimental group received eight sessions of the program from three weeks before TKA to four weeks after TKA. Collected data were analyzed using the chi-square test, Mann–Whitney U test, and ranked ANCOVA and t-tests using IBM SPSS Statistics 23.

 Results

Experimental group showed significant improvement in lower extremity muscle strength (F = 8.63, p = .005), 3 meter walking time (z = - 5.02, p < .001), WOMAC index (z = - 2.22, p = .027), self-efficacy for exercise (z = - 3.29, p = .001), and length of hospital stay (t = - 2.11, p = .040) compared to the control group. No significant differences in knee pain and range of motion were observed.

 Conclusion

These findings indicate that a self-efficacy theory-based exercise program can be an effective exercise strategy that patients undergoing TKA can easily follow at home without assistance. It is thus recommended as an exercise intervention for TKA patients.

Citations

Citations to this article as recorded by  
  • Self-efficacy and implementation intentions in home rehabilitation of stroke patients: the parallel mediating role of recurrence risk perception and outcome expectations
    Xiaowen Jiang, Qiuxue Sun, Rong Tang, Shuxian Liu, Xi Chen, Yumei Lv
    Frontiers in Psychology.2025;[Epub]     CrossRef
  • Factors Influencing Decision-Making and Rehabilitation Among Older Women Who Underwent Total Knee Replacement: A Qualitative Study in Taiwan
    Ching Han Huang, Yun Yee Chen, Shu Wen Chen, Chen Ti Wang, Mei Hsiang Lin
    Patient Preference and Adherence.2025; Volume 19: 3931.     CrossRef
  • 3,044 View
  • 267 Download
  • 2 Web of Science
  • 2 Crossref
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The Influence of Diversity Management of Nursing Organization on Organizational Commitment: Double Mediating Effect of Diversity Sensitivity Orientation and Positive Nursing Organizational Culture
Hwi Gon Jeon, Keum Seong Jang, Eun A Kim
J Korean Acad Nurs 2024;54(3):403-417.   Published online August 31, 2024
DOI: https://doi.org/10.4040/jkan.23120
AbstractAbstract PDF
Purpose
The aim of this study was to identify the double mediating effect of effect of diversity sensitivity orientation and positive nursing organizational culture between diversity management and organizational commitment.
Methods
Participants were 245 nurses working in six tertiary hospitals located in 3 different regions. Data collection was conducted from February 13, 2023 to March 6, 2023 through online self-reported questionnaire. The data were analyzed by IBM SPSS Statistics 27 and SPSS PROCESS Macro 4.2 program.
Results
The direct effect of diversity management on organizational commitment was significant (β = .21, p < .001). The indirect effect of diversity management on organization commitment was .34 (95% confidence interval [CI] = .23~.47). The double mediating effect of diversity sensitivity orientation and positive nursing organizational culture in the relationship between diversity management and organizational commitment was .02 (95% CI = .00~.05).
Conclusion
Diversity sensitivity orientation and positive nursing organizational culture show double mediating effect on the relationship between diversity management and organizational commitment. Education program and human resource management strategy for enhancing diversity management, diversity sensitivity orientation and positive nursing organizational culture should be provided to improve organizational commitment, and which are needed active support of the association and nursing organization.

Citations

Citations to this article as recorded by  
  • Impact of Resilience, Emotional Exhaustion, and Communication Competency on Organizational Commitment Among Nurses in a Tertiary Hospital Setting in South Korea: A Cross-Sectional Study
    Ho Young Kim, Hee Jeong Kim, Eun Ja Yeun
    Sage Open.2025;[Epub]     CrossRef
  • Organizational commitment of nursing staff: Definition of the concept and specifics of measurement (review of foreign publications)
    K. V. Kuzmin, L. E. Petrova, V. S. Kharchenko
    Kuban Scientific Medical Bulletin.2025; 32(5): 96.     CrossRef
  • 1,963 View
  • 160 Download
  • 1 Web of Science
  • 2 Crossref
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Review Papers
Factors Related to Emotional Leadership in Nurses Manager: Systematic Review and Meta-Analysis
Se Young Jang, Chan Mi Park, Eun Hee Yang
J Korean Acad Nurs 2024;54(2):119-138.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.24026
AbstractAbstract PDF
Purpose
This study aimed to identify research trends related to emotional leadership among nurse managers by conducting a systematic literature review and meta-analysis. This study sought to derive insights that could contribute to improving emotional leadership in nursing practice.
Methods
A systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and Meta-Analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. Databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Research Information Sharing Service, Koreanstudies Information Service System, Korean Medical Database, KoreaMed, ScienceON, and DBpia were searched to obtain papers published in English and Korean. Literature searches and screenings were conducted for the period December 1, 2023 to December 17, 2023. The effect size correlation (ESr) was calculated for each variable and the meta-analysis was performed using the statistical software SPSS 29.0, R 4.3.1.
Results
Twenty-five (four personal, six job, and fifteen organizational) relevant variables were identified through the systematic review. The results of the meta-analysis showed that the total overall effect size was ESr = .33. Job satisfaction (ESr = .40) and leader-member exchange (ESr = .75) had the largest effect size among the job and organizational-related factors.
Conclusion
Emotional leadership helps promote positive changes within organizations, improves organizational effectiveness, and increases member engagement and satisfaction. Therefore, it is considered an important strategic factor in improving organizational performance.

Citations

Citations to this article as recorded by  
  • Emotional leadership in health care: A dire need illuminated by pivotal resource cuts
    Jacqueline Hoare
    South African Journal of Science.2025;[Epub]     CrossRef
  • 3,593 View
  • 186 Download
  • 1 Web of Science
  • 1 Crossref
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Descriptive Review of Patents in Healthcare and Nursing: Based on Network Analysis
Misun Jeon, Nayung Youn, Sanghee Kim
J Korean Acad Nurs 2024;54(1):1-17.   Published online February 29, 2024
DOI: https://doi.org/10.4040/jkan.23064
AbstractAbstract PDF
Purpose
The significance of the healthcare industry has grown exponentially in recent years due to the impact of the fourth industrial revolution and the ongoing pandemic. Accordingly, this study aimed to examine domestic healthcare-related patents comprehensively. Big data analysis was used to present the trend and status of patents filed in nursing.
Methods
The descriptive review was conducted based on Grant and Booth’s descriptive review framework. Patents related to nursing was searched in the Korea Intellectual Property Rights Information Service between January 2016 to December 2020. Data analysis included descriptive statistics, phi-coefficient for correlations, and network analysis using the R program (version 4.2.2).
Results
Among 37,824 patents initially searched, 1,574 were selected based on the inclusion criteria. Nursing-related patents did not specify subjects, and many patents (41.4%) were related to treatment in the healthcare delivery phase. Furthermore, most patents (56.1%) were designed to increase effectiveness. The words frequently used in the titles of nursing-related patents were, in order, “artificial intelligence,” “health management,” and “medical information,” and the main terms with high connection centrality were “artificial intelligence” and “therapeutic system.” Conclusion: The industrialization of nursing is the best solution for developing the healthcare industry and national health promotion. Collaborations in education, research, and policy will help the nursing industry become a healthcare industry of the future. This will prime the enhancement of the national economy and public health.
  • 2,260 View
  • 81 Download
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Research Papers
Development of Nursing Clinical Judgment Scale
Shi Nae Kwon, Hyojung Park
J Korean Acad Nurs 2023;53(6):652-665.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23042
AbstractAbstract PDF
Purpose
This study aimed to develop a nursing clinical judgment scale (NCJS) and verify its validity and reliability in assessing the clinical judgment of nurses.
Methods
A preliminary instrument of the NCJS comprising 38 items was first developed from attributes and indicators derived from a literature review and an in-depth/focus interview with 12 clinical nurses. The preliminary tool was finalized after 7 experts conducted a content validity test based on a data from a preliminary survey of 30 hospital nurses in Korea. Data were collected from 443 ward, intensive care unit, emergency room nurses who voluntarily participated in the survey through offline and online for the verification of the construct validity and reliability of the scale.
Results
The final scale comprised 23 items scored on a 5-point Likert scale. Six factors – integrated data analysis, evaluation and reflection on interventions, evidence on interventions, collaboration among health professionals, patient-centered nursing, and collaboration among nurse colleagues – accounted for 64.9% of the total variance. Confirmatory factor analysis supported the fit of the measurement model, comprising six factors (root mean square error of approximation = .07, standardized root mean square residual = .04, comparative fit index = .90). Cronbach’s α for all the items was .92.
Conclusion
The NCJS is a valid and reliable tool that fully reflects the characteristics of clinical practice, and it can be used effectively to evaluate the clinical judgment of Korean nurses. Future research should reflect the variables influencing clinical judgment and develop an action plan to improve it.

Citations

Citations to this article as recorded by  
  • How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
    Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
    PLOS ONE.2025; 20(1): e0316654.     CrossRef
  • Effects of Critical Thinking Disposition, Clinical Judgement, and Nurse–Physician Collaboration on Triage Competency Among Triage Nurses
    Ji-Won Song, Hyung-Ran Park
    Healthcare.2025; 13(4): 405.     CrossRef
  • Effectiveness of a virtual reality nursing simulation for pediatric pneumonia care: a Korean pilot study using a single-group pre-post test design
    Eun Joo Kim, Seong Kwang Kim, Sung Sook Song
    Child Health Nursing Research.2025; 31(4): 198.     CrossRef
  • The Influence of Clinical Nurses' Clinical Judgment, Nursing Work Environment and Ethical Nursing Competence on Patient Safety Nursing Activities
    Eunseo Hong, Hyojung Park
    Journal of Korean Public Health Nursing.2025; 39(3): 368.     CrossRef
  • 4,697 View
  • 276 Download
  • 2 Web of Science
  • 4 Crossref
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Analysis of ROX Index, ROX-HR Index, and SpO 2 /FIO 2 Ratio in Patients Who Received HighFlow Nasal Cannula Oxygen Therapy in Pediatric Intensive Care Unit
Sun Hee Choi, Dong Yeon Kim, Byung Yun Song, Yang Sook Yoo
J Korean Acad Nurs 2023;53(4):468-479.   Published online August 31, 2023
DOI: https://doi.org/10.4040/jkan.22152
AbstractAbstract PDF
Purpose
This study aimed to evaluate the use of the respiratory rate oxygenation (ROX) index, ROX-heart rate (ROX-HR) index, and saturation of percutaneous oxygen/fraction of inspired oxygen ratio (SF ratio) to predict weaning from high-flow nasal cannula (HFNC) in patients with respiratory distress in a pediatric intensive care unit.
Methods
A total of 107 children admitted to the pediatric intensive care unit were enrolled in the study between January 1, 2017, and December 31, 2021. Data on clinical and personal information, ROX index, ROX-HR index, and SF ratio were collected from nursing records. The data were analyzed using an independent t-test, χ2 test, Mann–Whitney U test, and area under the curve (AUC).
Results
Seventy-five (70.1%) patients were successfully weaned from HFNC, while 32 (29.9%) failed. Considering specificity and sensitivity, the optimal cut off points for predicting treatment success and failure of HFNC oxygen therapy were 6.88 and 10.16 (ROX index), 5.23 and 8.61 (ROX-HR index), and 198.75 and 353.15 (SF ratio), respectively. The measurement of time showed that the most significant AUC was 1 hour before HFNC interruption.
Conclusion
The ROX index, ROX-HR index, and SF ratio appear to be promising tools for the early prediction of treatment success or failure in patients initiated on HFNC for acute hypoxemic respiratory failure. Nurses caring for critically ill pediatric patients should closely observe and periodically check their breathing patterns. It is important to continuously monitor three indexes to ensure that ventilation assistance therapy is started at the right time.

Citations

Citations to this article as recorded by  
  • Non-invasive SpO2/FiO2 ratio (SFR) as surrogate for PaO2/FiO2 ratio (PFR): A scoping review
    Madhura Reddy, Malavika Kulkarni, Sushma Thimmaiah Kanakalakshmi, Laxmi Shenoy, Rama Rani KrishnaBhat
    The Journal of Critical Care Medicine.2025; 11(3): 221.     CrossRef
  • Can the ROX index predict high‐flow nasal cannula failure in children under 2 with lower respiratory tract infection?
    Pablo Vasquez‐Hoyos, Alvaro L. Jacome‐Orozco, Andrea P. Rodriguez‐Mayorga, Leidy E. Sepulveda‐Forero, Diana P. Escobar‐Serna, Juan S. Barajas, Evelyn Obando‐Belalcazar, Claudia M. Salinas‐Jaimes, Juan J. Peralta‐Palmezano, Alexandra Jimenez‐Chavez, Rafael
    Pediatric Pulmonology.2024; 59(5): 1246.     CrossRef
  • Impact of Surgical Mask Placement Over High-Flow Nasal Cannula on Oxygenation Parameters in COVID-19 Patients Experiencing Hypoxemic Respiratory Failure
    Aadila Coatwala, Mayank Dhir, Sagar Sinha, Dattatray Bhusare
    Cureus.2024;[Epub]     CrossRef
  • 5,552 View
  • 160 Download
  • 2 Web of Science
  • 3 Crossref
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Assessment of Risk Factors for Postoperative Delirium in Older Adults Who Underwent Spinal Surgery and Identifying Associated Biomarkers Using Exosomal Protein
Wonhee Baek, JuHee Lee, Yeonsoo Jang, Jeongmin Kim, Dong Ah Shin, Hyunki Park, Bon-Nyeo Koo, Hyangkyu Lee
J Korean Acad Nurs 2023;53(4):371-384.   Published online August 31, 2023
DOI: https://doi.org/10.4040/jkan.22146
AbstractAbstract PDF
Purpose
With an increase in the aging population, the number of patients with degenerative spinal diseases undergoing surgery has risen, as has the incidence of postoperative delirium. This study aimed to investigate the risk factors affecting postoperative delirium in older adults who had undergone spine surgery and to identify the associated biomarkers.
Methods
This study is a prospective study. Data of 100 patients aged ≥ 70 years who underwent spinal surgery were analyzed. Demographic data, medical history, clinical characteristics, cognitive function, depression symptoms, functional status, frailty, and nutritional status were investigated to identify the risk factors for delirium. The Confusion Assessment Method, Delirium Rating Scale-R-98, and Nursing Delirium Scale were also used for diagnosing deliri-um. To discover the biomarkers, urine extracellular vesicles (EVs) were analyzed for tau, ubiquitin carboxy-terminal hydrolase L1 (UCH-L1), neurofilament light, and glial fibrillary acidic protein using digital immunoassay technology.
Results
Nine patients were excluded, and data obtained from the remaining 91 were analyzed. Among them, 18 (19.8%) developed delirium. Differences were observed between partici-pants with and without delirium in the contexts of a history of mental disorder and use of benzodiazepines (p = .005 and p = .026, respectively). Tau and UCH-L1—concentrations of urine EVs—were comparatively higher in participants with severe delirium than that in partici-pants without delirium (p = .002 and p = .001, respectively).
Conclusion
These findings can assist clinicians in accurately identifying the risk factors before surgery, classifying high-risk patients, and predicting and detecting delirium in older patients. Moreover, urine EV analysis revealed that postoperative delirium following spinal surgery is most likely associated with brain damage.

Citations

Citations to this article as recorded by  
  • Emerging biomarkers of postoperative delirium at the intersection of neuroinflammation and neurodegeneration
    Kun Leng, Mervyn Maze, Odmara L. Barreto Chang
    Frontiers in Aging Neuroscience.2025;[Epub]     CrossRef
  • 1,854 View
  • 65 Download
  • 1 Web of Science
  • 1 Crossref
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Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
J Korean Acad Nurs 2023;53(2):222-235.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22099
AbstractAbstract PDF
Purpose
The aim of this study was to identify the factors explaining protective behaviors against radiation exposure in perioperative nurses based on the theory of planned behavior.
Methods
This was a cross-sectional study. A total of 229 perioperative nurses participated between October 3 and October 20, 2021. Data were analyzed using SPSS/WIN 23.0 and AMOS 23.0 software. The three exogenous variables (attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control) and two endogenous variables (radiation protective intention and radiation protective behaviors) were surveyed.
Results
The hypothetical model fit the data (χ2/df = 1.18, SRMR = .02, TLI = .98, CFI = .99, RMSEA = .03). Radiation protective intention (β = .24, p = .001) and attitude toward radiation protective behaviors (β = .32, p = .002) had direct effects on radiation protective behaviors. Subjective norm (β = .43, p = .002) and perceived behavior control (β = .24, p = .003) had direct effects on radiation protective intention, which explained 38.0% of the variance. Subjective norm (β = .10, p = .001) and perceived behavior control (β = .06, p = .002) had indirect effects via radiation protective intention on radiation protective behaviors. Attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control were the significant factors explaining 49.0% of the variance in radiation protective behaviors.
Conclusion
This study shows that the theory of planned behavior can be used to effectively predict radiation protective behaviors in perioperative nurses. Radiation safety guidelines or education programs to enhance perioperative nurses’ protective behaviors should focus on radiation protective intention, attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control.

Citations

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  • Health Protective Behavior in Occupational Health Practice: A Concept Analysis
    Fenggang Liu, Juanjuan Wang, Weeraporn Suthakorn, Li Liao
    Health Science Reports.2025;[Epub]     CrossRef
  • Factors related to preventive measures towards PM2.5 exposure: A systematic review
    Jeevan Bhatta, Orapin Laosee, Cheerawit Rattanapan
    Global Transitions.2024; 6: 212.     CrossRef
  • Factors Influencing Radiation Protection Behavior of Nurses in Intensive Care Units
    Seo Jeong Kim, Yun Hee Kim
    Journal of Korean Critical Care Nursing.2024; 17(3): 1.     CrossRef
  • A Review of the Relationship between Health Behaviors and Career Adaptability among University Students
    Dongming Jia, Xia Yuan
    Journal of Medicine and Health Science.2024; 2(4): 43.     CrossRef
  • 2,520 View
  • 94 Download
  • 2 Web of Science
  • 4 Crossref
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Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study
Su Kyoung Chung, Jinsook Kim, Pratibha Bhandari
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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  • Exploring Educational Stress and Competence of Intern Nurses' Following Two Years of Online Education: A Cross-Sectional Study
    Fatma Dursun Ergezen, Ayşe Yacan Kök, Emine Kol
    Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi.2026; 9(1): 83.     CrossRef
  • The Effect of Internship Length on Self‐Efficacy and Clinical Competence: Accelerating Entry Into the Nursing Workforce in Saudi Arabia
    Sitah S. Alshutwi, Majed Alamri
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • 2,815 View
  • 62 Download
  • 1 Web of Science
  • 2 Crossref
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Review Paper
Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis
Yunjeong Cho, Seok Hee Jeong, Hee Sun Kim, Young Man Kim
J Korean Acad Nurs 2022;52(5):479-498.   Published online October 31, 2022
DOI: https://doi.org/10.4040/jkan.22039
AbstractAbstract PDF
Purpose
This study aimed to examine effect sizes of leadership styles of nursing managers on turnover intention of hospital nurses.
Methods
A systematic review and meta-analysis were conducted in accordance with the PRISMA and MOOSE guidelines. Participants were nurses working in hospitals. The intervention involved nursing managers’ leadership styles; the outcome assessed was nurses’ turnover intention. This was an observational study design. Eleven databases were searched to obtain articles published in Korean or English. Of the 14,428 articles reviewed, 21 were included in systematic review and meta-analysis. Comprehensive Meta-Analysis and R software programs were used.
Results
The total effect size r (ESr) was - 0.25 (95% confidence interval: - 0.29 to - 0.20). Effect sizes of each leadership style on turnover intention were as follows: ethical leadership (ESr = - 0.34), transformational leadership (ESr = - 0.28), authentic leadership (ESr = - 0.23), transactional leadership (ESr = - 0.21), and passive avoidant leadership (ESr = 0.13). Ethical leadership was the most effective style in decreasing turnover intention of hospital nurses.
Conclusion
Positive leadership styles of nurse managers effectively decrease turnover intention of hospital nurses, and negative leadership styles of nurse managers effectively increase turnover intention of hospital nurses. The ethical leadership style is the most effective in decreasing turnover intention of hospital nurses; however, it requires careful interpretation as its effects are reported by only two studies. This study contributes to addressing the high turnover rate of hospital nurses and developing positive leadership styles of nurse managers in hospital settings.

Citations

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  • The effect of organizational communication and grit on turnover intention of rehabilitation hospital nurses: A cross-sectional correlation study
    Inji Ha, Heeok Park, Ji Hun Joung
    Journal of Korean Gerontological Nursing.2025; 27(1): 35.     CrossRef
  • Influence of Leadership Styles on Turnover Intentions in Technology Startups
    Sheeza Fayyaz, Saima Majeed
    Journal of Professional & Applied Psychology .2025; 6(1): 36.     CrossRef
  • Protecting Workers From Rude Customers to Enhance Organizational Identification in Emotional Labor Environments: A Study With Call Center Agents
    Hyojeong Kim, Nagesh N Murthy, Anurag Agarwal, Kwangtae Park
    Production and Operations Management.2025; 34(10): 3250.     CrossRef
  • Humanistic nursing care management strategies: from formulation to implementation
    Jing Lv, Yajie Su, Hongmei Tang, Xiaolin Jiang, Xiaojuan Chen
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • When Leadership Drives Nurses Away: Empirical Research Qualitative on High Turnover Rates Reasons
    Saleem Al‐Rjoub
    Nursing Open.2025;[Epub]     CrossRef
  • Relationship between different leadership styles of nursing managers and nurses’ turnover intention in hospitals: an integrative review
    Alicia Jimenez-Caceres, Anna Agusti-Boada, Conxi Caro-Benito, Olga Monistrol
    BMC Nursing.2025;[Epub]     CrossRef
  • Structured Subjective Readiness in Situational Leadership: Validating the 4D Model as an Associative Predictor
    Dino Giergia, Nikola Drašković, Mario Fraculj
    Administrative Sciences.2025; 15(12): 488.     CrossRef
  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
    Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
  • Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
    Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 212.     CrossRef
  • Investigation of the relationship between nurses' perception of toxic leadership and their organizational trust levels and turnover intentions
    Sultan Türkmen Keskin, Meltem Özduyan Kiliç
    Journal of Advanced Nursing.2024; 80(5): 1859.     CrossRef
  • The structural relationship of job stress, job satisfaction, organizational commitment, and turnover intention among youth sports education leaders in Korea
    Myung Kyu Jung, Tae Gyeom Jung, Min Woo Jeon, Ji Hae Lee
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
    Eunji Lee, Haejung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
  • Nursing-sensitive Indicators in East Asian Hospitals: A Scoping Review
    Jae Jun Lee, Won Jin Seo, Dong Ah Park, Hwa Yeong Oh, Seung Eun Lee
    Quality Improvement in Health Care.2024; 30(2): 88.     CrossRef
  • Factors Influencing Nurses Turnover in Saudi Arabia: A Systematic Review
    Abdulmajeed M. Albalawi, Glezzeelyne P. Pascua, Sameer A. Alsaleh, Walaa Sabry, Sitti Nursa Ahajan, Jeseela Abdulla, Amal Abdulalim, Suad S. Salih, Sulaiman Al Sabei
    Nursing Forum.2024;[Epub]     CrossRef
  • Effects of Nursing Unit Managers’ Authentic Leadership, Transformational Leadership, and Transactional Leadership on Turnover Intention in Advanced Beginner Nurses: Mediation Effects of Positive Psychological Capital
    Eun Jeong Kim, Eungyung Kim, Son Ja Lee
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 409.     CrossRef
  • Factors related to the organizational silence of Korean nurses: A systematic review and meta-analysis
    Kyungja Kang, Jeong-Hee Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 302.     CrossRef
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Research Paper
Effect of Patient Safety Training Program of Nurses in Operating Room
Peijia Zhang, Xin Liao, Jie Luo
J Korean Acad Nurs 2022;52(4):378-390.   Published online August 31, 2022
DOI: https://doi.org/10.4040/jkan.22017
AbstractAbstract PDF
Purpose
This study developed an in-service training program for patient safety and aimed to evaluate the impact of the program on nurses in the operating room (OR).
Methods
A pretest–posttest self-controlled survey was conducted on OR nurses from May 6 to June 14, 2020. An in-service training program for patient safety was developed on the basis of the knowledge–attitude–practice (KAP) theory through various teaching methods. The levels of safety attitude, cognition, and attitudes toward the adverse event reporting of nurses were compared to evaluate the effect of the program. Nurses who attended the training were surveyed one week before the training (pretest) and two weeks after the training (posttest).
Results
A total of 84 nurses participated in the study. After the training, the scores of safety attitude, cognition, and attitudes toward adverse event reporting of nurses showed a significant increase relative to the scores before the training (p < .001). The effects of safety training on the total score and the dimensions of safety attitude, cognition, and attitudes toward nurses’ adverse event reporting were above the moderate level.
Conclusion
The proposed patient safety training program based on KAP theory improves the safety attitude of OR nurses. Further studies are required to develop an interprofessional patient safety training program. In addition to strength training, hospital managers need to focus on the aspects of workflow, management system, department culture, and other means to promote safety culture.

Citations

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  • Implementation strategies by leaders and health professionals to improve the safety climate in the operating room: a scoping review
    Rosilene Alves Ferreira, Eduardo José Ferreira Santos, Olga Maria Pimenta Lopes Ribeiro, Danielle Mendonça Henrique, Flavia Giron Camerini, Andressa Aline Bernardo Bueno, Soraia Cristina de Abreu Pereira, Vivian Schutz, Marcia Valeria Rosa Lima, Cintia Si
    BMJ Open.2026; 16(1): e109055.     CrossRef
  • Correlation analysis of satisfaction with subspecialty management model in operating rooms: a cross-sectional survey in China
    W. Wang, J. Shen, Y. Ma, Y. Chen, R. Gong, Q. Qian, Y. Sun
    BMC Nursing.2025;[Epub]     CrossRef
  • Effect of Counting Error Prevention Training on Operating Room Nurses’ Counting Error Prevention Awareness and Perceptions of Patient Safety
    Myung Jin JANG, Mi Kyung HONG, Mi Jeong LEE, Kyung A LEE, Yang Ok KIM, Jin A JEON, Hana KO
    Korean Journal of Health Promotion.2024; 24(1): 20.     CrossRef
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  • 187 Download
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  • 3 Crossref
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Review Papers
Effects of Early Oral Feeding versus Delayed Oral Feeding on Bowel Function, Gastrointestinal Complications and Surgical Recovery after Cesarean Section under Regional Anesthesia: Systematic Review and Meta-Analysis
HyoJin Kim, YeongKyung Jeon, SoYoung Yoon, GeumMoon Lee
J Korean Acad Nurs 2021;51(6):732-745.   Published online December 31, 2021
DOI: https://doi.org/10.4040/jkan.21127
AbstractAbstract PDF
Purpose
This study aimed to assess combined effects of early oral feeding after Cesarean section (C/S) under regional anesthesia on bowel function, gastrointestinal complications and surgical recovery.
Methods
A systematic literature search was conducted using KISS, RISS, PubMed, CINAHL, EMBASE, CENTRAL and Google Scholar to identify randomized clinical trials comparing early oral feeding (EOF) with delayed oral feeding (DOF) after C/S. Outcome variables were bowel function and gastrointestinal complications and surgical recovery. Effect size was calculated using weighted mean differences (WMDs) and relative risks (RRs), with 95% confidence intervals (CIs).
Results
Seven studies involving 1,911 patients from 568 studies, 7 studies were included in meta-analysis. EOF was significantly associated with shorter time to recover bowel movement compared with DOF (WMD, - 2.50; CI, - 3.50~- 1.50). EOF was not associated with nausea (RR, 1.15; CI, 0.87~1.53) and vomiting (RR, 0.96; CI, 0.65~1.42), but lower incidence of abdominal distension (RR, 0.70; CI, 0.50~0.98). EOF was significantly associated with shorter time to discontinuation of intravenous fluids (WMD, - 8.88; 95% CI, - 16.65~- 1.11) and removal of urinary catheter (WMD, - 15.23; CI, - 25.62~- 4.85).
Conclusion
This meta-analysis provides evidence that EOF after C/S under regional anesthesia not only accelerates return of bowel function and surgical recovery but also reduces gastrointestinal complications. These results suggest that EOF should be offered to women who have undergone C/S to improve the recovery experience and reduce overall medical costs.

Citations

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  • Coffee Intake to Enhance Gastrointestinal Recovery Following Cesarean Delivery
    Nour A El-Goly, Ahmed M Maged, Sally A El-Attar, Doaa Turki, Aimy Essam
    Maternal-Fetal Medicine.2026; 8(1): 80.     CrossRef
  • Effect of Early vs Delayed Oral Feeding Following Cesarean Delivery: A Randomized Controlled Trial
    Anuradha Murugesan, Dharani Saravanan, Karthiga Prabhu, Shanmugapriya Chandrasekaran, Prithiv Raj
    Journal of South Asian Federation of Obstetrics and Gynaecology.2025; 16(S3): S158.     CrossRef
  • Evidence-based medical procedures to optimise caesarean outcomes: an overview of systematic reviews
    Virginia Diaz, Celina Gialdini, Mónica Chamillard, Julia Pasquale, Guillermo Carroli, Maria Regina Torloni, Ana Pilar Betran
    eClinicalMedicine.2025; 83: 103212.     CrossRef
  • Effect of oral feeding following elective caesarean section on paralytic ileus among participants in a tertiary institution in Southern Nigeria
    Kpoobari Bema, Esther I. Nonye-Enyidah Esther, Leesi Sapira-Ordu, Elizabeth Bozibe Bema, Iwo-Amah Rose Sitoama, Ikiroma Sokeipirim Erasmus
    International Journal of Reproduction, Contraception, Obstetrics and Gynecology.2025; 14(10): 3246.     CrossRef
  • Effect of nurse-led informational video on cesarean section-induced anxiety, satisfaction, and recovery among the patients admitted at tertiary care hospital, Uttarakhand: A quasi-experimental study
    Prerna Mishra, Anupama Bahadur, Maneesh Sharma, Prasuna Jelly
    Journal of Integrative Nursing.2025; 7(3): 155.     CrossRef
  • Comparison of Operation Time, Vital Signs, Bleeding Tendency, and Recovery Time Based on Anesthesia Methods in Patients Undergoing Hip Fracture Surgery
    Je Bog Yoo, Woo Young In, Chang Ok Pyo, Jeung Hee Kwon, Min Ji Lee, Kwang Hee Kim, Kyoung Ok Kim, Mi Yu
    Journal of PeriAnesthesia Nursing.2025;[Epub]     CrossRef
  • The awareness of enhanced recovery after surgery (ERAS) cesarean delivery guidelines among anesthesiology and reanimation assistants in Turkey; a questionnaire study
    Zeliha Dedebagı, Eyyüp Sabri Özden, Mustafa Soner Özcan, Filiz Alkaya Solmaz, Pakize Kırdemir
    BMC Anesthesiology.2024;[Epub]     CrossRef
  • Factors affecting gastrointestinal function recovery after cesarean section among Chinese mothers: A cross-sectional study
    Yi Liu, Jie Xiang, Jianhua Ren, Li Gu, Yu Wang, Xiuping Liu, Jiao Wen
    Medicine.2023; 102(38): e35200.     CrossRef
  • 1,985 View
  • 71 Download
  • 3 Web of Science
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A Meta-Analytic Path Analysis on the Outcome Variables of Nursing Unit Managers’ Transformational Leadership: Systemic Review and Meta-Analysis
Sunmi Kim, Seok Hee Jeong
J Korean Acad Nurs 2020;50(6):757-777.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20205
AbstractAbstract PDF
Purpose
The purpose of this study was to identify the outcome variables of nursing unit managers’ transformational leadership and to test a hypothetical model using meta-analytic path analysis.
Methods
A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines. Data analysis, conducted using R version 3.6.2 software, included 49 studies for the meta-analysis and 119 studies for meta-analytic path analysis.
Results
In the meta-analysis, four out of 32 outcome variables were selected. These four variables were empowerment, nursing performance, job satisfaction, and organizational commitment, which showed larger effect sizes than the median and more than five k. The hypothetical model for the meta-analytic path analysis was established by using these four variables and transformational leadership. A total of 22 hypothetical paths including nine direct effects and 13 indirect effects were set and tested. The meta-analytic path analysis showed that transformational leadership had direct effects on the four variables. Finally, eight direct effects, 12 indirect effects, and six mediating effects were statistically significant, and the hypothetical model was verified.
Conclusion
Nursing unit managers can use the transformational leadership to improve empowerment, nursing performance, job satisfaction, and organizational commitment of nurses. This study empirically showed the importance of transformational leadership of nursing managers. This finding will be used as evidence to develop strategies for enhancing transformational leadership, empowerment, nursing performance, job satisfaction, and organizational commitment in nursing science and practice.

Citations

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  • Strategies Employed by Nursing Managers Within a Transformational Approach: A Qualitative Study
    Gholamhossein Mahmoudirad, Ayob Akbari, Suja P. Davis
    Nursing Research and Practice.2025;[Epub]     CrossRef
  • Using Behaviour Diagnostics to Identify Enablers and Barriers to Optimise Nurse and Midwife Manager Leadership Time
    Julie Considine, Philippa Blencowe, Naida Lumsden, Jordana Schlieff, Judy Currey, Abdulqadir J. Nashwan
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Leadership Development in Undergraduate Nursing Students: A Scoping Review
    Patrícia Costa, Joana Pereira Sousa, Tiago Nascimento, Paulo Cruchinho, Elisabete Nunes, Filomena Gaspar, Pedro Lucas
    Nursing Reports.2025; 15(5): 160.     CrossRef
  • Effect of Nursing Managers’ Ethical Leadership on Clinical Nurse Empowerment, Performance, and Organizational Commitment
    Jihun Kim, Seok Hee Jeong, Hee Sun Kim, Myung Ha Lee
    Journal of Nursing Research.2025; 33(4): e400.     CrossRef
  • Transformational Leadership, Psychological Empowerment, and Organizational Citizenship Behaviors among Nursing Workforce: A Single Mediation Analysis
    Ibrahim Abdullatif Ibrahim, Ahmed Hashem El-Monshed, Marwan Altheeb, Mohamed Gamal El-Sehrawy, Abdulqadir J. Nashwan
    Journal of Nursing Management.2024; 2024: 1.     CrossRef
  • Personal and organisational attributes that support transformational leadership in acute healthcare: scoping review
    Julie Considine, Jenny Dempster, Nga Man Wendy Wong, Noelleen Kiprillis, Leanne Boyd
    Australian Health Review.2024; 48(3): 274 .     CrossRef
  • Leadership styles and transformational leadership skills among nurse leaders in Qatar, a cross‐sectional study
    Amer Al‐Thawabiya, Kalpana Singh, Badriya Abdulla Al‐Lenjawi, Albara Alomari
    Nursing Open.2023; 10(6): 3440.     CrossRef
  • Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis
    Yunjeong Cho, Seok Hee Jeong, Hee Sun Kim, Young Man Kim
    Journal of Korean Academy of Nursing.2022; 52(5): 479.     CrossRef
  • Patient Safety Management Activities of Korean Nurses: A Meta-Analytic Path Analysis
    Seohee Jeong, Seok Hee Jeong
    Journal of Korean Academy of Nursing.2022; 52(4): 363.     CrossRef
  • Nurses' ethical leadership and related outcome variables: Systematic review and meta‐analysis
    Sunmi Kim, Seok Hee Jeong, Myoung Hee Seo
    Journal of Nursing Management.2022; 30(7): 2308.     CrossRef
  • 2,657 View
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  • 10 Web of Science
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Characteristics of Aerobic Exercise as Determinants of Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-Analysis
Sun Hee Lee, Young Ran Chae
J Korean Acad Nurs 2020;50(6):740-756.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20169
AbstractAbstract PDF
Purpose
The purpose of this study was to evaluate the effect on blood pressure (BP) and heart rate (HR) according to aerobic exercise characteristics in adults with hypertension using a systematic review and meta-analysis.
Methods
The related researches were selected from PubMed, EMBASE, Cochrane library, CINAHL, PsycINFO, SPORTDiscus and 5 domestic databases up to September 4, 2019. To estimate the effect size, random effect models were used to derive weighted mean differences (WMD) and their 95% confidence intervals (CI) of aerobic exercise on BP and HR.
Results
A total of 37 RCTs with 1,813 samples were included. Aerobic exercise was found to significantly reduce systolic BP (WMD, - 8.29 mmHg; 95% CI, - 10.12 to - 6.46), diastolic BP (WMD, - 5.19 mmHg; 95% CI, - 6.24 to - 4.14) and HR (WMD, - 4.22 beats/min; 95% CI, - 5.36 to –3.09). In detail, systolic BP and diastolic BP were significantly decreased in all groups of exercise types, frequency and duration. Systolic BP and diastolic BP were significantly decreased in the moderate and vigorous-intensity group. Exercise characteristics with the most dramatical change in systolic BP were water-based training, moderate-intensity, 3 times a week and 8 to 11 weeks of duration. In diastolic BP, the greatest effect size was over 24 weeks of exercise.
Conclusion
Moderate aerobic exercise, especially water-based exercise can be an important part of lifestyle modification for hypertensive patients. Also, it can be recommended in a variety of clinical settings for lowering BP and HR. However, there is insufficient evidence that low-intensity exercise is effective in lowering BP.

Citations

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  • Thermogenic supplement attenuates post-exercise hypotension after aerobic exercise in normotensive young adults without affecting heart rate variability
    Douglas Cavalcante Silva, Reabias de Andrade Pereira, Gustavo da Silva Félix, Marizângela Ferreira de Souza, Glêbia Alexa Cardoso, George Celso Souza Côrtes de Araújo, Marcos Antonio Pereira dos Santos, Alexandre Sérgio Silva
    Sport Sciences for Health.2025; 21(4): 3317.     CrossRef
  • Improving cardiovascular autonomic function in postmenopausal women with hypertension: a pilot study of supervised versus home-based aerobic exercise
    Cengizhan Gungor, Ezgi Akyildiz Tezcan, Önder Murat Özerbil, Abdullah Tuncez
    Blood Pressure Monitoring.2025;[Epub]     CrossRef
  • Analysis of 17 Factors Potentially Related to Hypertension Control in the Siberian Urban Sample
    A. N. Ryabikov, E. V. Mazdorova, E. S. Mazurenko, D. V. Malyutina, M. Yu. Shapkina
    Kardiologiia.2025; 65(8): 31.     CrossRef
  • Effect of exercise based on ACSM recommendations on blood pressure and heart rate in hypertensive patients: A systematic review and meta-analysis of randomized controlled trials
    Jiu Chen, Wenlai Cui, Jun Xie, Ratko Peric
    PLOS Global Public Health.2024; 4(12): e0003743.     CrossRef
  • Physical Activity Intensity and Risk of Dementia
    Angelique G. Brellenthin, Duck-chul Lee, Elizabeth C. Lefferts, Wesley K. Lefferts, Ryan J. Dougherty, Youngwon Kim
    American Journal of Preventive Medicine.2024; 66(6): 948.     CrossRef
  • Effects of aerobic exercise on blood pressure in patients with hypertension: a systematic review and dose-response meta-analysis of randomized trials
    Bahareh Jabbarzadeh Ganjeh, Sheida Zeraattalab-Motlagh, Ahmad Jayedi, Mojtaba Daneshvar, Zahra Gohari, Reyhane Norouziasl, Shadi Ghaemi, Maryam Selk-Ghaffari, Navid Moghadam, Ramin Kordi, Sakineh Shab-Bidar
    Hypertension Research.2024; 47(2): 385.     CrossRef
  • The Western and Chinese exercise training for blood pressure reduction among hypertensive patients: An overview of systematic reviews
    Kelvin Tsoi, Amy Lam, Joshua Tran, Ziyu Hao, Karen Yiu, Yook‐Chin Chia, Yuda Turana, Saulat Siddique, Yuqing Zhang, Hao‐Min Cheng, Ji‐Guang Wang, Kazuomi Kario
    The Journal of Clinical Hypertension.2024; 26(12): 1327.     CrossRef
  • Does regular exercise help significantly reduce blood pressure in adults diagnosed with hypertension within the general population?
    Jesse Schmidt, Nikhil Vatti, Nicole Tenegra
    Evidence-Based Practice.2023; 26(3): 25.     CrossRef
  • Physical Activity and Hypertension
    Peter Hayes, Alexandra Ferrara, Aoife Keating, Kathryn McKnight, Andrew O'Regan
    Reviews in Cardiovascular Medicine.2022;[Epub]     CrossRef
  • 5,287 View
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  • 7 Web of Science
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Invited Paper
Analysis of Research Topics and Trends in the Journal of Korean Academy of Nursing to Improve Its International Influence
Soyoung Yu, Jeung-Im Kim, Jin-Hee Park, Sun Joo Jang, Eunyoung E. Suh, Ju-Eun Song, YeoJin Im
J Korean Acad Nurs 2020;50(4):501-512.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.20167
AbstractAbstract PDF
Purpose
The purpose of this study was to analyze articles published in the Journal of the Korean Academy of Nursing (JKAN) between 2010 and 2019, along with those published in three international nursing journals, to improve JKAN’s international reputation.
Methods
The overall characteristics of JKAN’s published papers and keywords, study participants, types of nursing interventions and dependent variables, citations, and cited journals were analyzed. Additionally, the keywords and study designs, publication-related characteristics, journal impact factors (JIF), and Eigenfactor scores of International Journal of Nursing Studies (IJNS), International Nursing Review (INR), Nursing & Health Sciences (NHS), and JKAN were analyzed and compared.
Results
Among the four journals, JKAN’s score was the lowest in both the journal impact factor and Eigenfactor score. In particular, while the JIF of INR and NHS has been continuously increasing; JKAN’s JIF has remained static for almost 10 years. The journals which had cited JKAN and those which JKAN had cited were mainly published in Korean.
Conclusion
JKAN still has a low IF and a low ranking among Social Citation Index (E) journals during the past 10 years, as compared to that of four international journals. To enhance JKAN’s status as an international journal, it is necessary to consider publishing it in English and to continuously improve the conditions of other publications.

Citations

Citations to this article as recorded by  
  • Ten-year trends in research designs and keywords: a bibliometric comparison of the Journal of Korean Academy of Nursing and leading international nursing journals
    Jin-Hee Park, Hyun Kyoung Kim, Gaeun Kim, Sun Hyoung Bae
    Journal of Korean Academy of Nursing.2025; 55(4): 557.     CrossRef
  • Commemorating the 50th Anniversary of Korean Society of Nursing Science and Contemplating Direction to Move Forward
    Kyung-Sook Cho
    Journal of Korean Academy of Nursing.2020; 50(5): 641.     CrossRef
  • 2,321 View
  • 27 Download
  • 2 Web of Science
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Original Articles
External Validation of Carbapenem-Resistant Enterobacteriaceae Acquisition Risk Prediction Model in a Medium Sized Hospital
Su Min Seo, Ihn Sook Jeong
J Korean Acad Nurs 2020;50(4):621-630.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.20137
AbstractAbstract PDF
Purpose
This study was aimed to evaluate the external validity of a carbapenem-resistant Enterobacteriaceae (CRE) acquisition risk prediction model (the CREP-model) in a medium-sized hospital.
Methods
This retrospective cohort study included 613 patients (CRE group: 69, no-CRE group: 544) admitted to the intensive care units of a 453-beds secondary referral general hospital from March 1, 2017 to September 30, 2019 in South Korea. The performance of the CREP-model was analyzed with calibration, discrimination, and clinical usefulness.
Results
The results showed that those higher in age had lower presence of multidrug resistant organisms (MDROs), cephalosporin use ≥ 15 days, Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 21 points, and lower CRE acquisition rates than those of CREP-model development subjects. The calibration-in-the-large was 0.12 (95% CI: - 0.16~0.39), while the calibration slope was 0.87 (95% CI: 0.63~1.12), and the concordance statistic was .71 (95% CI: .63~.78). At the predicted risk of .10, the sensitivity, specificity, and correct classification rates were 43.5%, 84.2%, and 79.6%, respectively. The net true positive according to the CREP-model were 3 per 100 subjects. After adjusting the predictors’ cutting points, the concordance statistic increased to .84 (95% CI: .79~.89), and the sensitivity and net true positive was improved to 75.4%. and 6 per 100 subjects, respectively.
Conclusion
The CREP-model’s discrimination and clinical usefulness are low in a medium sized general hospital but are improved after adjusting for the predictors. Therefore, we suggest that institutions should only use the CREP-model after assessing the distribution of the predictors and adjusting their cutting points.

Citations

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  • Risk factors for the colonization of carbapenem-resistant Enterobacteriaceae in patients transferred to a small/medium-size hospital in Korea: a retrospective study
    Misun Lee, Hyunjung Kim
    Journal of Korean Biological Nursing Science.2023; 25(4): 285.     CrossRef
  • Improving the Rapidity and Accuracy of Carbapenem-Resistant Enterobacteriaceae Detection by Shortening the Enrichment Duration
    Miyoung Lee
    Microbiology and Biotechnology Letters.2022; 50(4): 584.     CrossRef
  • Validation Study of the Estimated Glycemic Load Model Using Commercially Available Fast Foods
    Miran Lee, Haejin Kang, Sang-Jin Chung, Kisun Nam, Yoo Kyoung Park
    Frontiers in Nutrition.2022;[Epub]     CrossRef
  • Development of a Nomogram for Carbapenem-Resistant Enterobacteriaceae Acquisition Risk Prediction Among Patients in the Intensive Care Unit of a Secondary Referral Hospital
    Su Min Seo, Ihn Sook Jeong, Ju Yeoun Song, Sangjin Lee
    Asian Nursing Research.2021; 15(3): 174.     CrossRef
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Development and Validation of the Self-Care for Aspiration Pneumonia Prevention Scale in the Community Dwelling Elderly with Risk of Dysphasia
Eun Young Yang, Shin-Young Lee
J Korean Acad Nurs 2020;50(3):474-486.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.20041
AbstractAbstract PDF
Purpose
The purpose of this study was to develop and validate a Korean version of the Self-Care for Aspiration Pneumonia Prevention(SCAPP-K) scale in older adults at risk of dysphasia.
Methods
The Hertz and Baas model of scale development and validation was used. Inthe development stage, items were generated via literature review and interviews with medical experts, older adults, and caregivers. Tenexperts assessed the items for content validity. Subsequently, 12 older adults participated in a pilot test to determine the comprehensibilityand appropriateness of the SCAPP-K scale. The validation stage involved a cross-sectional survey with 203 older adults for exploratoryfactor analysis (EFA) and 200 older adults for confirmatory factor analysis (CFA) and to determine convergent and discriminant validity. Totest the validity and reliability of the scale, EFA using principal component analysis with varimax rotation and CFA were conducted, andconvergent and discriminant validity as well as internal consistency reliability were determined.
Results
As a result of EFA, three self-carefactors (knowledge, resources, behaviors) with 21 items were validated. The CFA and convergent and discriminant validity indicated theapplicability of the three-factor self-care scale. The reliability of the SCAPP-K scale was acceptable, with Cronbach’s a=.87~.91.
Conclusion
The SCAPP-K scale has acceptable validity and reliability and can contribute to clinical practice, research, and education to improveself-care for the prevention of aspiration pneumonia in older adults at risk of dysphasia.

Citations

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  • Cause-specific mortality in Korea during the first year of the COVID-19 pandemic
    Jinwook Bahk, Kyunghee Jung-Choi
    Epidemiology and Health.2022; 44: e2022110.     CrossRef
  • Translation of the Chinese version of the Self‐Care for Aspiration Pneumonia Prevention Scale and its validation among Chinese community dwelling elderly with risk of dysphasia
    Zhen Yang, Fengmin Chen, Yibo Zhang, Sien Pan, Yingying Lu, Huijun Zhang
    Nursing Open.2022; 9(3): 1902.     CrossRef
  • Development and validation of a self-care scale for older adults undergoing hip fracture surgery: the HFS-SC
    Eun-Jeong Jeon, Kyeong-Yae Sohng, Hye-Ah Yeom
    BMC Nursing.2022;[Epub]     CrossRef
  • Study on the characterization, biocompatibility and efficacy of sponge brush products for oral care
    Song-Yi Yang, Ji-Won Choi, Sang-Hwan Oh
    Korean Journal of Dental Materials.2021; 48(1): 27.     CrossRef
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  • 70 Download
  • 3 Web of Science
  • 4 Crossref
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Review Article
Factors Related to Persistent Postoperative Pain after Cardiac Surgery: A Systematic Review and Meta-Analysis
Jaewon Bae, Sujin Shin
J Korean Acad Nurs 2020;50(2):159-177.   Published online April 30, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.2.159
AbstractAbstract PDF
Purpose
This study aimed at identifying factors related to persistent postoperative pain after cardiac surgery and estimating their effect sizes.
Methods
The literature search and selection was conducted in four different databases (CINAHL, Cochrane Library, PubMed, and PQDT) using the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement. A total of 14 studies met the inclusion criteria and were systematically reviewed. For the meta-analysis, R was used to analyze 30 effect sizes of for both individual and operative factors as well as publication biases from a total of nine studies.
Results
The meta-analysis revealed that persistent postoperative pain after cardiac surgery was related to one individual factor (gender) and two operative factors (acute postoperative pain and use of the internal mammary artery). Operative factors (OR=5.26) had a larger effect size than individual factors (OR=1.53).
Conclusion
Female gender, acute pain after surgery, and use of the internal mammary artery are related factors to persistent postoperative pain. The development of interventions focusing on modifiable related factors, such as acute postoperative pain, may help to minimize or prevent PPP after cardiac surgery.

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  • Pain-Friendly Strategies: Nursing Intervention in Postoperative Myocardial Revascularization
    Debora Milena Alvarez Yañez, Gloria Carvajal Carrascal
    Revista de Investigación e Innovación en Ciencias de la Salud.2025; 8(1): 1.     CrossRef
  • Prognostic factors for chronic post‐surgical pain after lung and pleural surgery: a systematic review with meta‐analysis, meta‐regression and trial sequential analysis
    P. R. D. Clephas, S. E. Hoeks, P. M. Singh, C. S. Guay, M. Trivella, M. Klimek, M. Heesen
    Anaesthesia.2023; 78(8): 1005.     CrossRef
  • Regional anesthesia in coronary artery bypass grafting: a narrative review
    Viktor A. Koriachkin, Maksim A. Dzhopua, Beka S. Ezugbaia, Vaagn A. Avetisian, Dmitriy V. Zabolotskiy, Vladimir A. Evgrafov
    Regional Anesthesia and Acute Pain Management.2023; 17(3): 161.     CrossRef
  • 1,520 View
  • 28 Download
  • 1 Web of Science
  • 3 Crossref
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Original Articles
Hermeneutic Phenomenological Study on the Experiences of Employment of Married North Korean Women Defectors Rearing Children
Hyun Mee Cho, Eun Joung Choi
J Korean Acad Nurs 2020;50(1):39-51.   Published online January 31, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.1.39
AbstractAbstract PDF
Abstract Purpose:

This study aimed to understand the experiences of married North Korean women’s child-rearing, working lives, and their home and work environment in depth.

 Methods:

This study adopted van Manen’s hermeneutic phenomenological method to qualitatively analyze data. The participants were 8 married North Korean women defectors. Data were collected through in-depth interviews and observations from July 4 to August 20, 2018.

 Results:

Nine essential themes emerged: more personal challenges after overcoming a life-threatening crisis; hopes of firmly settling in this land; the wound from the north, which chased them here; a body that becomes stronger through hardship; being stuck in a past full of anxiety and pain; the present is full of hope; hope for the future; sense of alienation from coworkers that cannot be overcome; and sense of power to endure an exhausting work life.

 Conclusion

This study provided a broader understanding of the life and experiences of married women from North Korea. It highlights the need for nurses to recognize their importance in nursing care. The study also suggests that academic and practical approaches for nursing, and basic data for a nursing intervention for married women from North Korea be provided. The study findings can be used as a basis for preparing a national policy that will help North Korean defectors to find employment and gain stability.

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The Effect on Pain of Buzzy® and ShotBlocker® during the Administration of Intramuscular Injections to Children: A Randomized Controlled Trial
Birsen Sivri Bilgen, Serap Balcı
J Korean Acad Nurs 2019;49(4):486-494.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.486
AbstractAbstract PDF
Abstract Purpose

To investigate the effect of Buzzy® and ShotBlocker® on reducing pain induced by intramuscular penicillin injections in children.

 Methods

This was a randomized controlled study. A total of 150 Turkish children aged 7~12 years who presented to our pediatric emergency clinic and met the inclusion criteria were recruited. The children were randomly assigned to each group (control=50, Buzzy®=50, ShotBlocker®=50). Data were collected using an information form, the State-Trait Anxiety Inventory for Children, Visual Analog Scale, and Faces Pain Scale-Revised.

 Results

The children in the control group had significantly higher pain scores during the penicillin injection than the children in the ShotBlocker® and Buzzy® groups. The children in the Buzzy® group had significantly less pain than the children in both the ShotBlocker® and control groups (p<.001).

 Conclusion

Buzzy® was more effective compared with ShotBlocker® in this study.

Citations

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The Effect of the Intergenerational Exchange Program for Older Adults and Young Children in the Community Using the Traditional Play
Min-Jung Choi, Kyeong-Yae Sohng
J Korean Acad Nurs 2018;48(6):743-753.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.743
AbstractAbstract PDF
Abstract Purpose

This study aimed to explore the effects of a community-based first and third Intergenerational Exchange Program (IGEP) on older adults’ health-related quality of life (HRQoL), loneliness, depression, and walking speed, and on 4~5-year-old preschool children's learning-related social skills.

 Methods

This study employed a non-equivalent control group pre-post-test design. The experimental group included 42 older adults and 42 children who participated in the IGEP for 8 weeks, and the control group included 39 older adults. The experimental group participated in the IGEP once a week for 8 weeks. It comprised a traditional play program based on the intergroup contact theory.

 Results

Compared to the control group, there was a significant increase in scores on the HRQoL-Visual analogue scale (VAS) and a decrease in loneliness and depression in older adults in the experimental group (p<.05). Children who participated in the IGEP showed an improvement in their learning-related social skills (p<.001).

 Conclusion

These results confirm that the IGEP is an effective intervention to improve HRQoL-VAS, loneliness, and depression among older adults and learning-related social skills among preschool children in the community.

Citations

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  • Effectiveness of Intergenerational Interaction on Older Adults Depends on Children’s Developmental Stages; Observational Evaluation in Facilities for Geriatric Health Service
    Rie Fukuoka, Shinji Kimura, Toru Nabika
    International Journal of Environmental Research and Public Health.2023; 20(1): 836.     CrossRef
  • Intergenerational Taekwondo Program: A Narrative Review and Practical Intervention Proposal
    Yongseop Kim, Junhyoung Kim, Jung-Min Lee, Dong-Chul Seo, Hyun Chul Jung
    International Journal of Environmental Research and Public Health.2022; 19(9): 5247.     CrossRef
  • A Qualitative Study Exploring Negative Affect in Older Adults Residing in Long-Term Care Facilities
    Zhen Chen, Hongxia Zhang, Jinhua Zhang, Suqing Li, Yanmei Zhao
    Research and Theory for Nursing Practice.2022; 36(3): 301.     CrossRef
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  • 44 Download
  • 3 Web of Science
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Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach
Jin Nam Kim, Seok Hee Jeong
J Korean Acad Nurs 2018;48(6):679-691.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.679
AbstractAbstract PDF
Abstract Purpose

This study was aimed at identifying the types of perceptions of ethical issues among perioperative nurses.

 Methods

Q-methodology focusing on individual subjectivity was used with data collected in November 2016. Thirty-four Q-statements were selected and scored by the 35 participants on a 9-point scale with normal distribution. Participants were perioperative nurses working in advanced general hospitals and general hospitals. The data were analyzed using the PC-QUANL program.

 Results

A total of 35 perioperative nurses were classified into 4 factors based on the following viewpoints: self-centered (type 1), onlooking and avoiding (type 2), patient-centered (type 3), and problem-centered (type 4). The 4 factors accounted for 57.84% of the total variance. Individual contributions of factors 1, 2, 3, and 4 were 41.80%, 7.18%, 5.20%, and 3.66%, respectively.

 Conclusion

The major contribution of this study is the clarification of perioperative nurses’ subjective perceptions of ethical issues. These findings can be used in formulating effective strategies for nursing educators, professional nurses, and nursing administrators to improve ethical decision-making abilities and to perform ethical nursing care by the appropriate management of ethical issues in everyday nursing practice.

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    Heejung Jeon, Sanghee Kim, Yuha Shon
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Effect of Breathing Exercise Using Panflutes on the Postoperative Compliance, Pulmonary Infections and Life Satisfaction in Elderly Patients Undergoing Spinal Surgery
Hyun Mi Jo, Hyunsook Shin
J Korean Acad Nurs 2018;48(3):279-288.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.279
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of breathing exercises performed using panflutes in elderly patients undergoing spinal surgery.

 Methods

The study design was a nonequivalent control group non-synchronized pre-post test. The study included 24 patients in both the experimental group and the control group. The experimental group completed a daily breathing exercise regimen using panflutes for 30minutes after meals, whereas the control group was provided standard preoperative education, including breathing exercises using incentive spirometers. After the exercise regimen, breathing exercise compliance, pulmonary infections, and life satisfaction were measured in both groups, and the data were analyzed using the SPSS/WIN program.

 Results

The compliance rate of breathing exercises was significantly higher in the experimental group. The experimental group presented no pulmonary infections in the later period, whereas the control group presented higher pulmonary infection rates in the same period. In addition, the life satisfaction score in the experimental group significantly increased.

 Conclusion

The breathing exercise program using panflutes for elderly patients undergoing spinal surgery enhanced their breathing exercise compliance and their daily life satisfaction in addition to reducing their pulmonary infection rates.

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  • Pranayama and Breathing Exercises - Types and Its Role in Disease Prevention & Rehabilitation
    Naresh Kumar Satyanarayan Dhaniwala, Venkatesh Dasari, Mukunda Naresh Dhaniwala
    Journal of Evolution of Medical and Dental Sciences.2020; 9(44): 3325.     CrossRef
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Patterns and Influential Factors of Inter-Regional Migration of New and Experienced Nurses in 2011~2015
Bohyun Park, Se Young Kim
J Korean Acad Nurs 2017;47(5):676-688.   Published online October 31, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.5.676
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze the migration patterns of new nurses and experienced nurses and to identify the factors influencing inter-regional migration for solving regional imbalances of clinical nurses in South Korea.

 Methods

This study involved a secondary analysis of data from the Health Insurance Review and Assessment Service (HIRA). Data were analyzed using descriptive statistics and multiple logistic regression analysis.

 Results

New nurses tended to migrate from Kyunggi to Seoul. However, experienced nurses tended to migrate from Seoul and Chungchung to Kyunggi. Significant predictors of inter-regional migration among new nurses were location and nurse staffing grade of hospitals. Significant predictors of inter-regional migration among experienced nurses were location, hospital type, nurse staffing grade, ownership of hospitals and age of nurses.

 Conclusion

Inter-regional migration occupied a small portion of total hospital movement among clinical nurses. The regional imbalances of nurses were not caused by the migration from non-metropolitan areas to Seoul. Nurse shortage problems in the small and medium hospitals of the non-metropolitan area can be solved only through improvement of work environment.

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    Purum Kang, A Young Han
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    Jinseon Yi, Jinhyun Kim
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    Yunmi Kim, Hyun-Young Kim
    International Journal of Environmental Research and Public Health.2021; 18(19): 10013.     CrossRef
  • Emotional Labor Strategies, Stress, and Burnout Among Hospital Nurses: A Path Analysis
    Ji‐Soo Kim
    Journal of Nursing Scholarship.2020; 52(1): 105.     CrossRef
  • Nursing stress factors affecting turnover intention among hospital nurses
    Eun‐Kyoung Lee, Ji‐Soo Kim
    International Journal of Nursing Practice.2020;[Epub]     CrossRef
  • The Influence of Organizational Justice, Organizational Culture and Emotional Intelligence on Intention of Retention in Reemployed Nurses
    Yu Ri Jung, So Young Choi
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 501.     CrossRef
  • Intention to leave among staff nurses in small‐ and medium‐sized hospitals
    Jeong Hye Park, Min Jung Park, Hye Young Hwang
    Journal of Clinical Nursing.2019; 28(9-10): 1856.     CrossRef
  • Why newly graduated nurses in South Korea leave their first job in a short time? A survival analysis
    Eunhee Lee
    Human Resources for Health.2019;[Epub]     CrossRef
  • Factors Influencing Nursing Students' Choices of a Place of Employment
    Sun Ju You, Jong Kyung Kim, Myun Sook Jung, Se Young Kim, Eun Kyung Kim
    Korean Journal of Health Promotion.2018; 18(4): 184.     CrossRef
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An Integrative Review and Meta-analysis of Oncology Nursing Research: 1985-1997.2
Sun Ock Lim, Eun Yung Hong
Journal of Nurses Academic Society 1997;27(4):857-870.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.4.857
AbstractAbstract PDF

The purpose of this study were to describe 12 years of patient-related oncology nursing research in Korea, identifying various nursing interventions, and assessing the effectiveness of the interventions, through analysis and synthesis of the accumulated research papers. One hundred and seventy-nine studies were selected fro this study and these were mostly descriptive in design(69.2%). Of the 179 studies, 25 met the criteria for meta-analytic treatment. Twenty-five experimental studies were found in theses and dissertations(68%), 92% used convenience sample, and the median sample size was 40. Subjects were predominantly in treatment and rehabilitation(76%). Most studies(68%) were not derived from a theory base, with only 8% reporting use of a nursing theory. Results of the meta-analysis are as follows. The effect size of the nursing intervention type was found to be significantly effective. The standardized mean difference ranged from a high positive of 2.55 to a low negative of -0.22. Direct personal nursing intervention method was more effective than indirect group method. Two nursing intervention methods were more effective than one. The greatest effect size was thyxical intervention. The greatest mean effect size was scalp hypothermia technique. Teaching was a frequent intervention after 1990, although a wide range of treatments were studied. Effect size of intervention for symptom management was largest in relieving pain Effective intervention method for relieving anxiety was exercise.

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    Myung Sun Hong, Young Hee Yom, Geun Myun Kim
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The Effect of Preparatory Information on the State Anxiety Depending on Coping Styles of Patients Undergoing Cardiac Catheterization
Cho Ja Kim, Gi Yon Kim
Journal of Nurses Academic Society 1997;27(3):648-659.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.648
AbstractAbstract PDF

The Purpose of this study was to study what effect providing the patient with preparatory concrete information had on the state anxiety depending on coping styles of patients undergoing cardiac catheterization. State Anxiety scores for 32 patients who had cardiac catheterization were examined after information was provided about the test using and audio tape. The state anxiety of patients who had a high trait anxiety level was compared to that of those who had a low trait anxiety level. The state anxiety of those who had a monitor type were compared to those of patients who had blunter type. The Trait and State Anxiety Scale of Spielberger Miller's Behavioral Style Scale, and Krantz's Health Opinion Survey and Visual Analog Scale(I, II) were used. Findings were as follows : 1. Among the demographic characteristics, gender difference of the patients was significantly different for the trait anxiety level. Female patients had higher trait anxiety level than male patients. 2. Analysis of state anxiety scores indicated that the mean score of the state anxiety prior to the test was higher than mean score of the state anxiety examined after the test. The difference was statistically significant. 3. Among the patients, 14 patients (43.7%) used monitor type, while 18 patients(56.3%) used blunter type. The means of preference for information measured on the Krantz' subscale was 2. 45. 4. The study results indicate that the state anxiety level of those who a low trait anxiety level was lower than that of those who had a high trait anxiety level. 5. State anxiety levels depending upon the kind of coping style which patients used during the test were not significantly different. This study did not identify the influence of preparatory concrete information on the state anxiety depending on coping styles, and there fore a quasi-experimental study using a large sample according to different types of information, and the amount of information, coping styles is recommended.

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Effect of Regular Exercise During Dexamethasone Injection on the Body Weight, Weight of Hindlimb Muscle and Adrenal Gland in Young Rats
Myoung Ae Choe, Jung Ae Choi, Gi Soo Shin
Journal of Nurses Academic Society 1997;27(3):510-519.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.510
AbstractAbstract PDF

The purpose of this study was to determine the effect of regular exercise during dexamethasone injection on the body weight, weight of hindlimb muscles and adrenal gland in young rats. 80-100g Wistar rats were divided into control, exercise, dexamethasone injection(dexa), and exercise during dexamethasone injection(D+E) group. The dexa group received daily subcutaneous injection of dexamethasone at a dose of 5mg/kg body weight for 10 days. The exercise group ran on a treadmill for 60min/ day(20 minutes every 4 hour at 10m/ min and a 10degrees grade. The control group received daily subcutaneous injection of normal saline at a dose of 5mg/kg body weight for 10 days. The D+E group ran on a treadmill for 60min/day(20 minutes every 4hour) at 10m/min and a 10degrees grade. Body weight of both control and exercise group increased significantly until 10 days, the of both dexa and D+E group decreased significantly, resulting in 79.47 and 78.75% decrease respectively compared to the first day of experiment. Body weight and muscle weight of the soleus, plantaris and gastrocnemius decreased significantly with dexamethasone injection. Relative weight of the dexa group decreased significantly compared to that of the control group. Body weight and muscle weight of the soleus and plantaris of the D+E group showed a tendency to increase, and muscle weight of the gastrocnemius increased significantly compared to the dexa group. The Relative weight of the plantaris was comparable to the control group and that of the soleus and gastrocnemius tended to increase, in the exercise group. Body weight and muscle weight of the soleus and plantaris of the D+E group showed a tendency to increase, and muscle weight of the gastrocnemius increased significantly compared to the dexa group, The Relative weight of the soleus and gastrocnemius tended to increased and that of the plantaris of the D+E group increased significantly compared to the dexa group. Body weight, muscle weight and relative weight of the soleus, plantaris and gastrocnemius of the D+E group increased significantly compared to the dexa group Adrenal gland weight of the dexa and D+E group tended to increase, and that of the exercise group increased significantly. From these results. it can be suggested that regular exercise during dexamethasone injection might attenuate the decrease of body weight and hindllimb muscle weight induced by the dexamethasone injection.

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A Comparative Study of the Effect of Two Analgegic Administration Methods on Post Operative Pain
Jong Hwa Lee
Journal of Nurses Academic Society 1997;27(2):401-410.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.401
AbstractAbstract PDF

An acute pain is the common experience following surgery. Pain is a most miserable experience in person and most preoperative patients have fear of postoperative pain. In nursing, it is very important to understand and relieve the pain between group of Patient Controlled Analgesia and group of traditional Muscular Injection in surgical patients. This information can be utilized as data of understanding nursing care and treatment planning for pain in surgical patients. The subjects in this study were 45 post-hysterectomy patients in Gynecology ward in C.N.U.H., in Taejon. Data was collected from May 12 to June 27,1996. The instruments used for this study were subjective Visual Analog Scale, Objective nonverbal pain scale composed of Facial Appearance, Vocal Sound Change. and Sweating score, and the Melzack's Mcgill pain Questionnaire, nine Items of Developmental pain Intensity Scale by Lee Eun Ok. Analysis of data was done by using S.P.S.S. percentage, t-test, x2-test, ANOVA, and Repeated measure ANOVA. Results were obtained as follows. 1. Hypothesis 1 : There was very highly statistically significant difference in subjective self-report pain score(Visual Analog Scale) between PCA Group and IM Group(P=0.0001). 2. Hypothesis 2 : There was very highly statistically significant difference in muscle strength score(Visual Analog Scale) between PCA Group and IM group(P=0.0001). 3. Hypothesis 3 : There was very highly statistically significant difference in facial appearance score between PCA Group and IM group(P=0.0001). 4. Hypothesis 4 : There was very highly statistically significance difference in vocal sound change score between PCA Group and IM group(P=0.0001). 5. Hypothesis 5 : There was no statistically significant difference sweating scores between PCA group and IM group(F=2.50, P=.1220). But, post-operation time of 12, 24 was statistically difference between two groups(P=0.0001) So, it was partially supported. 6. Hypothesis 6 : There was very highly statistically significant difference in vocabulary pain score between PCA Group IM group. 7. Hypothesis 7 : There was very highly statistically significant difference in amounts of total analgesic between PCA Group and IM group. There was very highly statistically significant difference in Visual Analog Pain Score, Facial Appearance Score, amounts of total analgesic between PCA group and IM group. So, It is verified to asses of postoperative pain with, VAS, Checklist of facial appearance, vocal sound change, and sweating, and Vocabulary Scale.

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Predictors of health Promoting Lifestyle for the Korean Immigrants in the U.S.A
Myung Ja Kim, Hyo Jeong Song
Journal of Nurses Academic Society 1997;27(2):341-352.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.341
AbstractAbstract PDF

The study was to examine the relationships among health promoting lifestyle, level of anxiety, and perceived health status and to reveal those variables affecting health promoting lifestyle in Korean immigrants in the United States. The subjects were 425 adults chosen from Korean religious and social organizations located in New York from April 25th through July 5th, 1996. Data analyses were conducted by using pearson correlation coefficients, t-test, ANOVA, and stepwise multiple regression. The results were as follows : Health promoting lifestyle was significantly different according to age, religion, occupation, and the length of residence in the US. Those insured and those with no chronic conditions revealed a significantly higher score in health promoting lifestyle. Significant differences in the level of anxiety were found according to education, marital status, occupation, family income, and the length of residence. Those with no chronic conditions experienced a significantly lower level of anxiety. In the subscales of the health promoting lifestyle profile, self-actualization and interpersonal relationship revealed higher scores, whereas the scores of stress management, health responsibility, and exercise were lower. Those subjects whose perceived health status was very good, showed the lowest level of anxiety and the highest score on the health promoting lifestyle profile. Negative correlations were observed between the health promoting lifestyle profile and the level of anxiety, and between the perceived health status and the level of anxiety. Health promoting lifestyle was significantly predicted by the level of anxiety(22.0%), age(2.0%), health insurance(1.1%), respectively.

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  • Effects of yoga exercise on maximum oxygen uptake, cortisol level, and creatine kinase myocardial bond activity in female patients with skeletal muscle pain syndrome
    Min-Sung Ha, Yeong-Ho Baek, Jong-Won Kim, Do-Yeon Kim
    Journal of Physical Therapy Science.2015; 27(5): 1451.     CrossRef
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Effect of an Integrated Stress Management program on the Stress Symptoms on the Stress Symptoms, Progressive Muscle Relaxation Method
Kuem Sun Han
Journal of Nurses Academic Society 1997;27(2):289-302.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.289
AbstractAbstract PDF

The main purpose of this study was to identify the effects of integrated stress management program on the stress symptoms of psychophysiological patients, especially patients with peptic ulcer. The study employed a quasi -experimental design using two different experiential groups. The samples in the integrated stress management program participated in autogenic training with biofeedback, discussions on effective coping method, cognitive, behavioral, and emotional management. They were also provided with an educational booklet on stress management and an tape on progressive muscle relaxation. Exch session lasted one hour and the program consisted of seven sessions over four weeks. The other group was only given an tape on progressive muscle relaxation. The data were collected from May 20 to september 25, 1996 A total 47 patients from ore university hospital located in Seoul participated, experiment group 1 (integrated stress management training) had 23 subjects and experiment group 2(progressive muscle relaxation training) had 24 subjects. The effects of these programs were measured by the stress symptom scale developed by Kogan(1991) which was translated by Lee(1892) and the healing status of the ulcer evaluated by a physician The data were analyzed using Chi-square test, t-test, ANOVA, repeated measure ANOVA. The result are as follows : 1. The integrated stress management group reported a significantly lower stress symptom score than the group given the progressive muscle relaxation only. 2. The integrated stress management group showed a significantly improved ulcer status as compared to the group given a progressive muscle relaxation only. In conclusion, it was found that the integrated stress management program was more effective in decreasing self-reported stress and physiological symptoms among patients with peptic ulcer as compared to the progressive muscle relaxation group. Based on this finding, the following suggestions can be made. 1. It is necessary to broaden the scope of nursing Practice for psychophysiological patients so nurses can include stress management as part of Patient care. 2. It is necessary to develop stress management Program for other patients whose symptoms are know to be related to stress. 3. It is necessary to replicated this study with a larger sample in different settings.

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Effect of Endurance Exercise Prior to Occurrence of Muscle Atrophy on the Mass, Myofibrillar Protein Content and Fiber Crossectional Area of Atrophied Hindlimb Muscles of Rats
Myoung Ae Choe
Journal of Nurses Academic Society 1997;27(1):96-108.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.1.96
AbstractAbstract PDF

The purpose of this study was to determine the effect of endurance training prior to occurrence of muscle atrophy on the mass, myofibrillar protein content and fiber crossectional area of atrophied hindlimb muscles of rats. Adult female Wistar rats were trained prior to occurrence of muscle atrophy induced by hindlimb suspension. Training began on the lst day for 10min/day at 15m/min on a 0% grade, training exercise increased daily in time and intensity so that by the 4th week rats were running 60min/day, at 34m/min on a 13.5% grade. Wet weight and relative weight of soleus, plantaris and gastrocnemius muscle decreased significantly after seven days of hindlimb suspension. Wet weight and relative weight of soleus tended to increase and that of plantaris and gastrocnemius tended to decrease in the exercise group as compared to the control group. Myofibrillar protein content of soleus and gastrocnemius tended to in crease and that of plantaris tended to decrease in the endurance trained group as compared to the control group. Fiber crossectional area of Type I, II fiber in soleus and plantaris muscle tended to increase in the exercise group as compared to the control group. Wet weight and relative weight of soleus, plantaris and gastrocnemius decreased significantly, myofibrillar protein content of soleus, plantaris and gastrocnemius increased in hindlimb suspended rats following endurance training as compared to the control group. There was no change in fiber type percentage and crossectional area of type I and II fiber in soleus muscle and that of type I and II fiber in plantaris muscle decreased in the hindlimb suspended rats following endurance training as compared to the control group. Wet weight and relative weight of soleus and plantaris tended to increase, that of gastrocnemius increased significantly, myofibrillar protein content of soleus and plantaris muscle increased significantly and that of gastrocnemius tended to increase in the hindlimb suspended rats following endurance training as compared to sedentary rats following endurance training. Crossectional area of type I fiber of soleus muscle tended to increase, that of type I fiber of plantaris muscle increased significantly and that of type II fiber tended to increase in hindlimb suspended rats following endurance training as compared to sedentary rats following endurance training. The results suggest that endurance training prior to occurrence of muscle atrophy can attenuate the decrease of mass, myofibrillar protein content and fiber crossectional area induced by hindlimb suspension.

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Use of Hand Massage with Presence to Increase Relaxation in Korean: American Elderly
Kyung Sook Cho, Mariah Snyder
Journal of Nurses Academic Society 1996;26(3):623-631.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.3.623
AbstractAbstract PDF

No abstract available.

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  • Effects of hand massage and game activity on the loneliness, comfort and the psychological well-being levels in older people
    Aysun Kazak Saltı, Sevilay Hintistan
    Geriatric Nursing.2025; 65: 103482.     CrossRef
  • Endocrinological Evaluations of Brief Hand Massages in Palliative Care
    Iwao Osaka, Yukie Kurihara, Keiko Tanaka, Hisayoshi Nishizaki, Shigeru Aoki, Isamu Adachi
    The Journal of Alternative and Complementary Medicine.2009; 15(9): 981.     CrossRef
  • Effects of hand massage on anxiety in cataract surgery using local anesthesia
    Man Soo Kim, Kyung Sook Cho, Heung-Myong Woo, Jae Ho Kim
    Journal of Cataract and Refractive Surgery.2001; 27(6): 884.     CrossRef
  • The effect of expressive physical touch on patients with dementia
    E.J Kim, M.T Buschmann
    International Journal of Nursing Studies.1999; 36(3): 235.     CrossRef
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The Effect of Walking Exercise Program on Cardiorespiratory Function and Flexibility in Elderly Women
Yun Hee Shin, Young Hee Choi
Journal of Nurses Academic Society 1996;26(2):372-386.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.2.372
AbstractAbstract PDF

Recently, the ratio of elderly in the population are fastly growing due to socio-economical development and the better medical service. Proportionally, the health problems in elderly are increasing, too. Medical professionals must try so that the elderly have the better life through health promotion and disease prevention as well as disease treatment. This study evaluated the effect of walking exercise program on the cardiorespiratory function and the flexibility in the elderly women. The design of research was one group pretest -posttest design. The subjects were eleven elderly women over sixty years old to live in K-city, Kyonggi-do. The type of exercise was walking, which was the most popular exercise in questionnaire. The exercise intensity was 40%~60% of the target heart-rate by Karvonen's method and maintained by the heart-rate monitor. The exercise period was five weeks and the exercise frequency was three times per week. The exercise duration was forty minites at first and gradually increased up to a hour. In order to evaluate the effect of walking exercise, we measured VO2 max, resting heart-rate, systolic/diastolic blood pressure, FVC, FEV1, the flexibility before and after the five week's exercise program. The data are analyzed by the paired t-test and Wilcoxon signed rank test using SAS package. The results are as follows: 1) The hypothesis that cardiorespiratory function will be improved was partly supported. In VO2 max(p=0.0001), resting heart-rate(p=0. 0030), systolic/diastolic blood-pressure (p=0.0387/p=0.0024), there was significant difference. FVC and FEV1 were increased after the exercise, but there were no significant difference. 2) The hypothesis that the flexibility will be improved was supported. There was significant difference in the flexibility (p=0.0140). As the further study, it is necessary to reevaluate the effect with more refined design. We also need to try meta-analysis about the results of previous studies obtained in the experimental setting and compare our result obtained in the field setting with them.

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  • 여성 노인과 여가 스포츠
    재윤 배
    The Korean Journal of Physical Education.2024; 63(3): 403.     CrossRef
  • Effect of a Home-based Exercise Program on Elderly Women’s Health
    Hyo-Lyun Roh, Dae-Hee Lee
    Journal of Physical Therapy Science.2012; 24(5): 449.     CrossRef
  • The Effects of Aerobic Exercise Therapy on Physical Functions in the Elderly
    Sook Hee Jung, Kyung Hee Chung
    Journal of Korean Academy of Community Health Nursing.2010; 21(2): 252.     CrossRef
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Effect of Periodic Walking on the Type II Muscle of Growing Suspended Rats
Myoung Ae Choe
Journal of Nurses Academic Society 1996;26(2):271-280.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.2.271
AbstractAbstract PDF

The purpose of this study was to determine the effect of periodic walking during hindlimb suspension on the mass, relative weight, fiber type distribution and cross-sectional area of Type I and II fibers in the developing Type II plantaris muscle. To examine the effectiveness of periodic walking on mass and fiber size, the hindlimbs of young female Wistar rats were suspended(HS group) and half of these rats walked on a treadmill for 45 min/day(15 min every 4 hours) at 5 meters/min at a 15 degree grade(HS-W group) After seven days of hindlimb suspension, the plantaris muscle wet weight was 28.40% significantly smaller (P<0.005) and relative plantaris muscle weight was 26.97% smaller compared with those of control rats(P<0.05). The plantaris muscle wet weight and the relative plantaris muscle weight increased by 46.60% and 49.23% respectively with periodic walking, moreover, the plantaris muscle wet weight and the relative plantaris muscle weight of the HS-W rats recovered to the level of the control rats. No change was observed in fiber type percentage of the developing plantaris muscle following one week of hindlimb suspension or periodic walking during hindlimb suspension. Type I and II fiber cross-sectional areas of the developing plantaris muscle were 42.51% and 43. 68% lower in the HS group than in the control group(p<0.0001), Type I and II fiber cross-sectional areas of the developing plantaris were 30.82% and 45.97% greater in the HS ?W group than in the HS group(p<0.0001), whereas Type I and II fiber cross-sectional area of HS-W group were less than those of the control group(P<0.0001) The results suggest that periodic walking can attenuate developing plantaris muscle atrophy induced by hindlimb suspension.

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A Study on Postoperative Pain Perception by Effects of the Video Program as Preoperative Nursing Intervention
Mee Kyung Joo
Journal of Nurses Academic Society 1995;25(2):210-221.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1995.25.2.210
AbstractAbstract PDF

The purpose of this study was to identify relationships between a preoperative video program as nursing intervention and the perception of postoperative pain. The subjects consisted of an experimental group of 17 children and a control group of 13 children, for a total of 30 patients who were admitted the ENT Department for tonsilectomies. Data were collected from August 1, 1993 to September 31. The video program was made by the pediatric operating theater nursing staff. Postoperative pain was measured using the Face Pain Rating Scales devised by Beyer in 1984. The data were analyzed by a SPSS using frequencies, means, percentages, t-test and ANOVA to analyze the variables and demographic characteristics. The results of this study are as follows: The hypothesis, "Score of the experimental group which was shown the preoperative video program as a nursing intervention will be lower than the control group which did not see the video in postoperative pain perception." was rejected by t= -.42, p>.05. No significant difference was found between the experimental group and the control group according demographic characteristics. From the above findings, this study suggests the following: 1. Further studies as randomized control-group pretest-posttest design are needed to control the extraneous variables. 2. A review will be suggested to be done by the preoperative video program as nursing intervention and an exploration to improve preoperative nursing care for pediatric patients with the inclusion such activities as preoperative visiting, operation theater tour etc.

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Patient-Nurse Collaboration in Nursing Practice: A Korean Study
Dal Sook Kim, Young Eun, Hesook Suzie Kim
Journal of Korean Academy of Nursing 2002;32(7):1054-1062.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.7.1054
AbstractAbstract PDF

INTRODUCTION: Consumerism is prevailing value in Korean society, while there has been little concern about it especially in Korean nursing society even though there has been an increasing emphasis on patients' participation in decisions concerning health care and nursing as an ideal in the literature. OBJECTIVES AND METHODS: The study with survey method was carried out to examine the nature of collaboration between patient and nurse in nursing practice in Korea through a replication of the studies carried out in US, Norway, Finland, an Japan (Kim et al., 1993) and to revise and test Kim's explanatory model of collaborative decision making in nursing practice from the Korean perspectives. RESULTS & CONCLUSIONS: Both patients and nurses as groups exhibited pro-consumerist attitudes regarding collaboration in health care, while there were significant differences in attitudes and perceptions of patients and nurses. These findings are similar to those of Kim et al.' s study carried out in US, Norway, Finland, and Japan. Nurses as a group compared to patients held stronger health-care consumerist attitudes and beliefs in general. However, the Korean nurses seem to hold a weaker attitude for challenging professional authority. And the Korean patients compared to the nurses seem to hold stronger belief in the patient's right to information, as found in US, Finland, and Japan. Regarding the nurse patient collaborative attitude in decision making, it revealed that one third or more of the patients as a group believe in the patients' right to be informed of decisions that nurses make for their patients, while another one third or more of them believe in the patients' right for advisory role and joint role in nursing care decision making. This result for the patients is very similar as those found in US, Norway, Finland, and Japan. However, the attitude for the nurses held stronger agreement with patients' to be informed of decision making that nurses make than the patients' right for advisory and joint role. The nurses have weaker belief in patients' self determination on their care than the patients. The results of path analyses confirmed the explanatory models that tested two explanatory models examining the factors contributing to the differences in the attitudes of patients and nurses. The path model for nurses identified nurses' lengths of experience as the important factor explaining attitudes regarding challenging professional authority and the patient's rights for information. The path model for patients identified the level of education as the most significant factor that explains patients' attitudes regarding the rejection of general authority, challenging professional authority, and the patient's right for participation in decision making.

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  • Perceptions and practices of medical ethics and laws among health professionals in Abu Dhabi, United Arab Emirates
    Emad Abdel Rahim Dahiyat, Ammar Abdulrahman Jairoun, Faris El-Dahiyat
    Humanities and Social Sciences Communications.2025;[Epub]     CrossRef
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Reconstruction of Professional Identity in Clinical Nurses
Hyun Sook Kang, Kyoul Ja Cho, Nam Hee Choe, Won Ock Kim
Journal of Korean Academy of Nursing 2002;32(4):470-481.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.470
AbstractAbstract PDF

PURPOSE: This study was carried out to identify and re-establish the professional identity in clinical nurses. METHOD: From Dec. 1999, for 4 months, the study had been conducted by narrative analysis method based on hermeneutic principles. Subjects were ten nurses with 3-4 years of nursing experience at a university hospital. The data were collected and transcribed through narrative interviews. RESULT: As a result, the maternal role was identified as the most dominant discourse in which nurses formed their identity. Subjects felt that a maternity is socio-culturally needed in case of nursing. Reconstruction of professional identity consists of 3 stages, Telling, Retelling and Rebuilding. At first, nurses felt confused by skeptism of the profession, interpersonal difficulties, and heavy work loads. However, during the interviews, nurses recognized that nursing is not regarded as significant, effort to make nursing meaningful were small, and there was a lack of understanding others. From this new insight, they re-established a new image of nursing "through better understanding of others, seeking knowledge, and making positive efforts towards qualified nursing". CONCLUSION: The above narrative interviews may help nurses reflect and contextually interpret themselves, so that a new identity could be established. Furthermore researchers can obtain new insight from the subjects, while the subjects form a new nursing image from self-reflection.

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    Eun Kook Kim, Hyejin Hyun, Yeon Jeong Heo
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    Seonghyun Yoo, Myoung Soo Kim, Hyoung Sook Park
    Journal of Health Informatics and Statistics.2019; 44(4): 339.     CrossRef
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    Hyun-Ju Lee, Jae-Hyun Ha, Yun-Seo Jung, Jungmi Yun
    Journal of Korean Academy of Nursing Administration.2019; 25(5): 424.     CrossRef
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    Ha-na Lee, Joo-Hyun Kim
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 292.     CrossRef
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    Journal of East-West Nursing Research.2015; 21(1): 10.     CrossRef
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    Myungsun Yi, Young Mi Ryu, Jieun Cha
    Perspectives in Nursing Science.2014; 11(1): 39.     CrossRef
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    Hyoung-Sook Park, Su-Jung Ha, Jung-Ha Park, Ji-Hyoung Yu, Sang-Hwa Lee
    Journal of Korean Academy of Nursing Administration.2014; 20(3): 281.     CrossRef
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    Ha Yoon Cheong, Sun Hee Yun
    Journal of Korean Academy of Nursing Administration.2013; 19(3): 414.     CrossRef
  • Factor Analysis of Core Values of Professionalism in Physical Therapy
    Eun-Young Park, Won-Ho Kim, Kwan-Woo Lee
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(12): 5901.     CrossRef
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Ways of Assessing Post-operative Pain
Sung Ok Chang, Hesook Suzie Kim, Bjorn Sjostrom, Donna Swartz-Barcott
Journal of Korean Academy of Nursing 2001;31(7):1189-1196.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.7.1189
AbstractAbstract PDF

The incidence of reported acute pain is still high which indicates a lack of knowledge in clinical pain assessment and management. This study was carried out to investigate strategies of post-operative pain assessment in terms of patterns of criteria adopted and how these are influenced by prior experience. The research approach, phenomenography, was adopted in data analysis. The subjects of this study consisted of 10 nurses from post-operative care units from a University Hospital in Seoul, Korea. Findings revealed that the nurses mostly relied on "how it usually is" and "how the patient looks" as strategies of post operative pain assessment and "I have learned the typology of patients" as a frame of reference of post operative assessment.

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  • An ethnography of pain assessment and the role of social context on two postoperative units
    Laurie M. Lauzon Clabo
    Journal of Advanced Nursing.2008; 61(5): 531.     CrossRef
  • Strategies in assessing post operative pain—A South African study
    Hester Klopper, Helena Andersson, Maria Minkkinen, Cecilia Ohlsson, Björn Sjöström
    Intensive and Critical Care Nursing.2006; 22(1): 12.     CrossRef
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A Structural Model for Health Promoting Behaviors in Patients with Chronic Respiratory Disease
Young Joo Park, So In Kim, Pyoung Sook Lee, Soon Yong Khim, Sook Ja Lee, Eun Sook Park, Ho Shin Ryu, Sung Ok Chang, Kuem Sun Han
Journal of Korean Academy of Nursing 2001;31(3):477-491.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.3.477
AbstractAbstract PDF

PURPOSE: This study was designed to construct a structural model for health promoting behavior in patients with chronic respiratory disease. A hypothetical model was developed based on the literature review. METHOD: Data was collected by questionnaires from 235 patients with chronic respiratory disease in a General Hospital in Seoul. Data analysis was done using SAS 6.12 for descriptive statistics and the PC-LISREL 8.13 Program for Covariance Structural Analysis. RESULT: The results are as follows : 1. The fit of the hypothetical model to the data was moderate. It was modified by excluding 2 path and including free parameters and 3 path to it. The modified model with path showed a good fitness to the empirical data(X2=80.20, P=0.05, GFI=0.95, AGFI=0.88, NNFI=0.95, NFI=0.96, RMSR=0.01, RMSEA =0.06). 2. The perceived benefits, self-efficacy, and a plan of action were found to have significant direct effects on the health promoting behavior in patients with chronic respiratory disease. 3. The health perception, self-esteem, and activity related to affect were found to have indirect effects on the health promoting behavior in patients with chronic respiratory disease. CONCLUSION: The modified model of this study is considered appropriate in explaining and predicting health promoting behavior in patients with chronic respiratory disease. Therefore, it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

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  • A Predictive Model of Health Promotion Behavior in Obese School-Age Children
    Mi Suk Jeon, Hyeon-Ok Kim
    Journal of Korean Academy of Nursing.2010; 40(2): 264.     CrossRef
  • Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis
    Yun Hee Shin, Hea Kung Hur, Nola J. Pender, Hee Jung Jang, Moon-Sil Kim
    International Journal of Nursing Studies.2006; 43(1): 3.     CrossRef
  • Test of the health promotion model as a causal model of commitment to a plan for exercise among Korean adults with chronic disease
    YunHee Shin, SangKyun Yun, Nola J. Pender, HeeJung Jang
    Research in Nursing & Health.2005; 28(2): 117.     CrossRef
  • Using methodological triangulation for cultural verification of commitment to a plan for exercise scale among Korean adults with chronic diseases
    YunHee Shin, Nola J. Pender, SangKyun Yun
    Research in Nursing & Health.2003; 26(4): 312.     CrossRef
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The Study on the Effects of a Respiratory Rehabilitation Program for COPD Patients
Ae Kyung Kim
Journal of Korean Academy of Nursing 2001;31(2):257-267.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.2.257
AbstractAbstract PDF

It is known that a pulmonary rehabilitation program improves dyspnea and exercise tolerence in patients with chronic obstructive pulmonary disease. However, it is also known that although it does not improve pulmonary function. This study was performed to evaluate the effect of a 4 week pulmonary rehabilitation on pulmonary function, gas exchange, and exercise tolerance in patients with chronic obstructive pulmonary disease. The pulmonary rehabilitation programs included breathing exercises, such as pursed-lip breathing and diaphragmatic breathing, upper-limb exercises, and inspiratory muscle training. These activities were performed for 4 weeks in twenty one patients with chronic obstructive pulmonary disease. Pre and post-rehabilitation pulmonary function and exercise capacities were compared after the 4 week period. Results are as follows: 1) Before the rehabilitation, the predicted value of FVC and FEV1 of the patients were 70.3+/-16.7% and 41.1+/-11.9% respectively. These pulmonary functions did not change after pulmonary rehabilitation. 2) Aloility of walking a 6 minute distance (325.29+/-122.24 vs 363.03+/-120.01 p=.01) and dyspnea (p=.00) were significantly improved after rehabilitation. Thus showing that pulmonary rehabilitation for 4 weeks can improve exercise performance and dyspnea in patients with chronic obstructive pulmonary disease.

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  • An intelligent case-based knowledge management system for quality improvement in nursing homes
    King Lun Tommy Choy, Kai Yuet Paul Siu, To Sum George Ho, C.H. Wu, Hoi Yan Lam, Valerie Tang, Yung Po Tsang
    VINE Journal of Information and Knowledge Management Systems.2018; 48(1): 103.     CrossRef
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Correlation Among Waist to Hip Ratio, Body Fat, BMI, Weight and Serum Lipids in Obese College Women
HeaSook Kim, RanHee Hwang
Journal of Korean Academy of Nursing 2000;30(7):1768-1777.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1768
AbstractAbstract PDF

The purpose of this study was to investigate the waist to hip ratio, body fat, BMI(Body Mass Index), weight, serum lipids and to examine the correlation between waist to hip ratio, body fat, BMI(Body Mass Index), weight and serum lipids in obese college women. The subject were 52 college women with a score above 25 on the BMI, between March and May of 2000 at G Women's University. Data has been analyzed by SPSS/PC using frequency, percentage, mean, standard deviation, and Pearson Correlation Coefficient. The result of this study are as follows : 1. The mean of body weight and height of the subjects were 72.38kg, 160.23cm. 2. The mean of waist to hip ratio was 0.88, body fat was 38.88%, BMI(Body Mass Index) was 28.15, the level of total cholesterol was 174.88mg/dl, triglyceride was 104.29mg/dl, HDL-cholesterol was 50.83mg/dl, LDL-cholesterol was 104.23mg/dl. 3.Waist to hip ratio was more significantly correlated to triglyceride(r=.34, P<.05) and BMI(Body Mass Index) was more significantly correlated to triglyceride(r=.30, P<.05).

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Hospital Breastfeeding Policies and Practices in South Korea: A Comparison with the WHO/UNICEF Ten Steps
Andrea Crivelli Kovach, Heasook Kim
Journal of Korean Academy of Nursing 2000;30(7):1752-1767.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1752
AbstractAbstract PDF

BACKGROUND: The purpose of this study was to describe breastfeeding policies and practices among hospitals in South Korea and the degree to which the hospitals are implementing the WHO/UNICEF Baby Friendly Hospital Initiative.
METHODS
A cross-sectional survey of 34 hospitals was used to collect data. Quantitative and qualitative information and insights into current breastfeeding policies and practices were derived from responses of maternal and child health personnel at each hospital. One questionnaire per hospital was completed with personnel from all sections of maternity services, labor and delivery, nursery, and postpartum, contributing information needed to create a composite picture of the hospital's breastfeeding policies and practices.
RESULTS
Most hospitals were classified as either high or moderately high implementers on four of the Ten Steps: printed information distributed to breastfeeding mothers, oral breastfeeding instruction given to mothers, infant supplementation, and infant feeding schedules. The remaining steps, including key practices like staff instruction, breastfeeding initiation, rooming-in, and hospital postpartum support are being partially implemented by the majority of hospitals in this study.
CONCLUSIONS
Areas identified as needing the greatest attention by hospitals were health care staff training, breastfeeding initiation, supplementation, rooming-in, breastfeeding policy, and postpartum support for the breastfeeding mother.

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An Analysis of Interrupting Factors in Collaboration between Medical Professionals in Home Health Service
Seon Hye Woo
Journal of Korean Academy of Nursing 2000;30(7):1729-1742.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1729
AbstractAbstract PDF

The propose of this study is to give a theoretical basis for better home health service by looking at the subjective structure the collaboration between the home health nurse and doctor and at how collaboration can be improved. There are at least three types of recognition that can help the collaboration. The first type is to put more weight on the relationship between doctors and home health care nurses. This means that doctors and home health care nurses should make an effort to improve, their collaboration. The second type is to put more weight on the reward for doctors' participation. Reward will help collaboration. The third type is to put more weight on organization support. Organization support will bring about trust between doctors and home health care nurses The following conclusion were reached: 1) Trust should exist between doctors and home health care nurses. 2)Doctors should maintain an equal relationship with home health care nurses and accept them as professionals. 3) Appropriate reward should be given to doctors for their participation. 4)Home health care nurses should reinforce their skills through education, training, and professionalization. 5) Home health care nurses should cooperate with doctors by building a system that centers on patients. 6) Collaboration between doctors and home health care nurses is important because it is useful to recognize patients and their families in a broader light. 7) Doctors and home health care nurses need to be more concerned about patients. 8)More active support of hospital administrators and systems is needed to enhance collaboration between doctors and home health care nurses. 9) The present legal system for collaboration between doctors and home health care nurses can be a factor. The nine nursing strategies above will help doctors and home health care nurses build more positive relations and get closer to their patient, more effective home healthcare will get closer to people who want quality medical service.

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Preliminary Analysis for Predicting Changes in Pain and Depression after Implementing the Rheumatoid Health Promotion Program
Hyun Soo Oh, Wha Sook Seo
Journal of Korean Academy of Nursing 2000;30(7):1615-1626.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1615
AbstractAbstract PDF

This study was performed to evaluate the effect of 7-week comprehensive health promotion program for RA patients (CHPPRA) on changes in pain and depression. In addition, it was also examined that this effect was generated by changes in patients' health promoting strategies (positive self-image, positive thinking, problem solving, communication, pain management, stress management, exercise, and knowledge about RA) learned through CHPPRA. Twenty-eight out-patients of RA clinic in a university hospital participated for this study. The results are as followers. Changes in exercise, self-concept, positive thinking, problem solving, depression, and pain management were significant predictors to explain relieving pain level. Since all of these variables had positive standardized beta weights (betas), it can be interpreted that increasing level of these health promoting strategies may induce pain improvement. Changes in positive thinking, communication skill, exercise, self-concept, pain management, and knowledge about the disease were significant predictors to explain positive change in depression. Since all of the significant variables except the change in knowledge about the disease had positive standardized beta weights (betas), it can be interpreted that increasing level of these health promoting strategies may induce improving depression level. However, our results showed that the higher level of the knowledge about the disease was, the worse depression was.

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Major Effect Models of Social Support and Its Statistical Methods in Korean Nursing Research
Eun Hyun Lee, Jin Sun Kim
Journal of Korean Academy of Nursing 2000;30(6):1503-1520.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.6.1503
AbstractAbstract PDF

The purpose of the present study is 1) to explain major effect models (main, moderating, and mediating) of social support and statistical methods for testing the effect models and 2) to analyze and evaluate the consistency in the use of the effect models and its statistical methods in Korean nursing studies. A total of 57 studies were selected from Journal of Korean Academy of Nursing, Journal of Korean Academic Society of Adult Nursing, Journal of Korean Women's Health Nursing Academic Society, Journal of Fundamentals of Nursing, Journal of Korean Community Nursing, Journal of Korean Psychiatric and Mental Health Nursing Academic Society, and Journal of Korean Pediatric Nursing Academic Society published in the year of 1990-1999. In results, most studies on social support performed in Korea Nursing Society were about a main effect model. There are few studies on moderating or mediating model of social support. Thus, it was difficult to find research findings how, why, under what conditions social support impacted on health outcomes. Most studies on the moderating or mediating effect model of social support used statistical methods for testing main effect model rather than for testing moderating or mediating effect model. That is, there are inconsistency between effect models of social support and its statistical methods in Korean nursing researches. Therefore, it is recommended to perform studies on moderating or mediating effect model and use appropriate statistical methods.

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  • Social support for nursing students: A concept analysis study
    Mi-Young Choi, Sunghee Park, Gie Ok Noh
    Nurse Education Today.2024; 132: 106038.     CrossRef
  • Measurement Properties of Self-report Questionnaires Published in Korean Nursing Journals
    Eun-Hyun Lee, Chun-Ja Kim, Eun Jung Kim, Hyun-Ju Chae, Soo-Yeon Cho
    Journal of Korean Academy of Nursing.2013; 43(1): 50.     CrossRef
  • A Structural Model of Caring Behavior of Mothers of Disabled Children
    Ae-Ran Lee
    Journal of Korean Academy of Nursing.2009; 39(5): 673.     CrossRef
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Effects of Postpartum Massage Program on Stress response in the Cesarean section Mothers
Sung Hee Lee
Journal of Korean Academy of Nursing 2000;30(2):488-497.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.488
AbstractAbstract PDF

The purpose of this study was to explore the effect of a postpartum massage program on stress response in the Cesarean section mothers. The study focused on evaluating the effect of postpartum massage program on mood, anxiety, skin temperature and concentration of saliva and breast milk immunoglobulin A in the Cesarean section mothers. This study was designed as a nonequivalent control group pretest-posttest quasi-experimental study. Twenty-eight Cesarean section mothers were selected as experimental group, whereas twenty- seven were control group. The postpartum massage program consisted of 20 minutes of warm-up, massage and ending phases and used once a day. During each program, there were 4 minutes of warm-up, 14 minutes of massage on back, axillary and breasts, and 2 minutes of ending. Massage were used for the experimental group by the same investigator 20 times per minute. The massage technique used were efflurage, petrissage, accupressure, kneading and vibration. Skin temperature was monitored with YSI Tele-thermometer(Simpson electric Co., USA) before and after massage program. The concentration of immunoglobulin A in saliva and breast milk was analyzed by immunoturbididimeter assay(Cobas INTEGRA, Roche, Swiss) before and after massage program. Also at this time mood and anxiety were measured by self-report. The data were analyzed using SPSS version 7.5 and hypothesis was tested with ANCOVA analysis and Pearson coefficient correlation. The results were as follows : 1) Score of mood increased significantly after use of postpartum massage program. 2) Level of anxiety decreased significantly after use of postpartum massage program. 3) Skin temperature increased significantly after use of postpartum massage program. 4) Concentration of saliva immunoglobulin A increased significantly after use of postpartum massage program. 5) Concentration of breast milk immunoglobulin A did not change significantly after use of postpartum massage program. 6) After use of postpartum massage program, there was significant correlation between psychological stress response and physiological stress response. The results suggest that postpartum massage program can be effective nursing intervention to reduce stress response in the postpartum mothers under stress.

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  • Effects of Meridian Acupressure Massage on Body Composition, Edema, Stress, and Fatigue in Postpartum Women
    Geum-Sook Jung, In-Ryoung Choi, Hee-Young Kang, Eun-Young Choi
    The Journal of Alternative and Complementary Medicine.2017; 23(10): 787.     CrossRef
  • Effects of Laughter Therapy on Immune Responses in Postpartum Women
    Kyung Hee Ryu, Hye Sook Shin, Eun Young Yang
    The Journal of Alternative and Complementary Medicine.2015; 21(12): 781.     CrossRef
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Comparative Study of the Nursing Education Systems In China and South Korea
Chun Yu Li
Journal of Korean Academy of Nursing 2000;30(1):39-46.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.1.39
AbstractAbstract PDF

This study, was done to compare the nursing education systems of China and South Korea (Korea), then, on the basis of this comparison, to examine the direction of nursing education in China. The results the study are as follows: 1. Nursing education in Korea was influenced by social change, political policy, but as it was established, nurses in Korea, were able actively involved in presenting nursing education development proposals to the government, and in developing nursing education through their own efforts. Nursing education in China developed through the political policy of a socialist Country. During the period of modernization after 1977, a nursing education developed very quickly, In 1983, the first baccalaureate nursing education program was established and, in 1992, the first masters program was opened. 2. In Korea, there are two nursing education systems; diploma and baccalaureate, and there is only one entry level, high school graduation. In China today, on the other hand, there are three types of nursing education systems; technical, diploma, and baccalaureate, and they have middle school and high school graduation as the two levels of entry. 3. There are similarities between China and Korea in curriculums for nursing education which include the major nursing concepts. But in descriptions of the education objectives, China the emphasis is on training the 'expert' in clinical nursing which is not consistent with their educational philosophy. Korea differs from China in that the focus is on training for 'multiple ability' to be used in both clinical and community environments. 4. In Korea, the curriculum is organized with the theoretical and clinical experience combined. The curriculum is oriented to the life cycle and human developmental process. In China, however, the curriculum is organized so that after finishing the theoretical part of the curriculum, the students begin a one year intensive field experience in which the major clinical field is the hospital, and the focus is on disease oriented care and research ability. 5. In order for nurses to be proposed to address nursing education system needs follows : to change as The new nursing education system should be baccalaureate education in order to improve the education level in all nursing education programs, to develop doctoral programs, to open nurse specialist programs, and to develop a new curriculum based nursing philosophy and health delivery system change. New nursing curriculum for health care in China in the 21st century should be directed by a framework based on nursing philosophy, objectives and nursing content. In conclusion, the study will contribute China nursing education system revolution for policy develop and curriculum research. According to these results, in the future, nurses in China should be more actively involved in research and in a nursing education revolution, Also they should be involved in building information networks and in developing long term projects in nursing education.

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  • Professionalism: the major factor influencing job satisfaction among Korean and Chinese nurses
    J.‐I. Hwang, F. Lou, S.S. Han, F. Cao, W.O. Kim, P. Li
    International Nursing Review.2009; 56(3): 313.     CrossRef
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Correlations Between Waist-Hip Ratio, Body Fat, BMI (Body Mass Index), Relative Body Weight and Serum Lipids by Men and Women
Hee Seung Kim
Journal of Korean Academy of Nursing 1999;29(3):596-604.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.596
AbstractAbstract PDF

This study aims at examining the correlations between waist-hip ratio, body fat, BMI, relative body weight and serum lipids by men and women in 40's and 50's. The subjects were 412 adults, who had regular health examinations between January and December of 1996 at S-Hospital in Seoul. The data were analyzed using unpaired t-test and Pearson correlation coefficient. The results were as follows: 1. The group of men had higher levels in waist-hip ratio, BMI, body weight, triglyceride, total cholesterol / HDL-cholesterol ratio, LDL-cholesterol / HDL-cholesterol ratio than the group of women. The group of women had higher levels in body fat and HDL-cholesterol than the group of men. 2. In the group of men, waist-hip ratio more significantly correlated to serum lipids than body fat and BMI. In the group of women, body fat, BMI and relative body weight was more significantly correlated to serum lipids than waist-hip ratio.

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  • The Association between Total Body Fat and Serum Lipids Concentrations in College Students
    Jun-Ho Lee
    The Korean Journal of Clinical Laboratory Science.2017; 49(3): 233.     CrossRef
  • Health Promotion Lifestyle According to Self-Perception of Obesity and Objective Status Measured by Bioelectric Impedance Analysis in College Women
    Eun Young Chang, Jeong Sun Kim, Su Jin Shin
    Journal of Korean Academy of Nursing.2009; 39(5): 693.     CrossRef
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Health Care Status of First Generation Korean Immigrants in New Zealand
Eun Sook Lee
Journal of Korean Academy of Nursing 1999;29(1):183-195.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.183
AbstractAbstract PDF

The purpose of this study is to describe the health care status of Korean Immigrants in New Zealand. The sample consisted of 155 Koreans who were randomly selected from the Korean Immigrants telephone book in Auckland, N.Z. They had health problems that required health management both physically(50.3%) and psychologically(70.3%). During the previous year, the average rate of medical contact with a general practitioner was 1+/-1.29 times. Korean immigrants who had health problems first attempted to resolve the problem through self medication rather than utilize health care services. They would only visit a general practitioner if they had severe subjective symptoms or no relief from self medication. Even if they think they need to visit the health care service, 41.9% of the subjects did not go back for follow-up care. Generally, the person who demonstrated positive health care behaviors was male, a college level graduate or higher, lived in N.Z. longer than 2 years, had a high score on health status by self assessment, and he placed few demands on health care services. Barriers to a healthy lifestyle are communication difficulties in expressing subjective symptoms, understanding the physician's treatment and medication plans, difficulty in accessing the appointment system, ant the high cost of service.

Citations

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  • Depression and the Influencing Factors in Korean American Immigrants.
    Jeongyee Bae, Hyunjoo Park
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2010; 19(1): 67.     CrossRef
  • Embracing New Lives as Korean Immigrants in Canada: A Grounded Theory
    Jeongyee Bae, Rosel L. Panuncio
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(4): 466.     CrossRef
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