Journal of Korean Academy of Nursing

Research Paper

A qualitative meta-synthesis of the essence of patient experiences of dialysis: Soyoung Jang, Eunyoung E. Suh, Yoonhee Seok; J Korean Acad Nurs 2025;55(1):119-136. Published online February 19, 2025; DOI: https://doi.org/10.4040/jkan.24102

Abstract PDF ePub: Purpose
This study aimed to understand the experiences of dialysis and their meaning among patients with chronic kidney disease through a meta-synthesis of the existing literature. Since 2010, the prevalence of end-stage renal disease has doubled in South Korea, which has the sixth-highest incidence worldwide. Although most kidney disease patients undergo dialysis to attenuate disease-related symptoms and prolong their lives, the implications of dialysis on their lives, together with the role played by patients’ significant others, remain underexplored. Similarly, existing research has not considered both patients with hemodialysis and peritoneal dialysis.
Methods
In this meta-synthesis, seven electronic databases (PubMed, CINAHL, EMBASE, PsycINFO, DBpia, KISS, and RISS) were searched for the terms “dialysis” and “qualitative.” Thirty qualitative studies were selected for examination.
Results
The overriding theme observed in the studies was “I do not have much time left.”–navigating the dual realities of one’s limited existence, while other key themes were: (1) the inevitable experience of the troubles of dialysis, (2) life is extended, but deteriorating in every aspect, (3) accepting dialysis with a positive outlook for life, and (4) essential support experienced in an exhausting life.
Conclusion
These findings are important for the design and delivery of practical and tailored nursing interventions to help patients overcome the various challenges related to dialysis treatment, and improve their quality of life.

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Review Papers

Factors Related to Emotional Leadership in Nurses Manager: Systematic Review and Meta-Analysis: Jang, Se Young , Park, Chan Mi , Yang, Eun Hee; J Korean Acad Nurs 2024;54(2):119-138. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.24026

Abstract 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.

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Descriptive Review of Patents in Healthcare and Nursing: Based on Network Analysis: Jeon, Misun , Youn, Nayung , Kim, Sanghee; J Korean Acad Nurs 2024;54(1):1-17. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23064

Abstract 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.

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Research Papers

Effects of Health Education Using Virtual Reality for Adolescents: A Systematic Review and MetaAnalysis: Park, SoMi , Chung, ChaeWeon , Kim, Gaeun; J Korean Acad Nurs 2023;53(2):177-190. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.23003

Abstract PDF

Purpose
This study aimed to evaluate the effects of health interventions using virtual reality (VR) on improving knowledge, attitudes, and skills; and inducing behavioral change among adolescents.
Methods
This study is a systematic review and meta-analysis following PRISMA guidelines. We searched Cochrane, MEDLINE, Embase, CINAHL, Scopus, Web of Science, and Korean databases between database inception and April 10, 2021. Based on heterogeneity, a random- or fixed-effects model was used, as appropriate, to calculate effect sizes in terms of the standardized mean difference (SMD) and odds ratio (OR). Studies were selected if they verified the effects of health education using VR on adolescents; there was an appropriate control group; and if the effects of education were reported in terms of changes in knowledge, attitudes, skills, or behaviors.
Results
This analysis included six studies (n = 1,086). The intervention groups showed greater responses in knowledge and attitudes (SMD = 0.57, 95% confidence interval (CI) [0.12 to 1.02]), skills related to health behavior (SMD = -0.45, 95% CI [-0.71 to -0.19]), and behavioral change after 12 months (OR = 2.36, 95% CI [1.03 to 5.41]).
Conclusion
The results confirm the effectiveness of health interventions using virtual reality (VR). Although the analysis include a small number of studies, a case can be made for health interventions using VR to be utilized as educational methods and strategies to prevent risky behaviors among adolescents.

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Development and Evaluation of a Virtual Reality Intervention for Reducing Exposure to Endocrine Disruptors in Female Adolescents: A Pilot Study
SoMi Park, Yun Jeong Hwang, ChaeWeon Chung
Journal for Specialists in Pediatric Nursing.2025;[Epub] CrossRef
Chinese nurses’ perspectives on child-friendly healthcare practice assessment: a qualitative study
Wei Xiao Huang, Mei Chan Chong, Li Yoong Tang, Xiao Xia Liu, Mei Fang, Yun Yun Shen, Xiao Li Guo
BMC Nursing.2025;[Epub] CrossRef
Implementation of a Childcare-Based Obesity Prevention Program for Vulnerable Families During the COVID-19 Pandemic: Lessons for School Nurses
Jiyoung Park, Gill ten Hoor, Seohyun Won, Gahui Hwang, Sein Hwang, Siew Tiang Lau
The Journal of School Nursing.2024;[Epub] CrossRef

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Effect of Digital Health Interventions on Psychotic Symptoms among Persons with Severe Mental Illness in Community: A Systematic Review and Meta-Analysis: Oh, Eunjin , Gang, Moonhee; J Korean Acad Nurs 2023;53(1):69-86. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22121

Abstract PDF

Purpose
This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community.
Methods
A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis.
Results
A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11).
Conclusion
These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.

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A Review of Mobile App-Based Psychosocial Intervention for Personal and Clinical Recovery for People With Psychosis
Dowon You, Narae Jeong
Korean Journal of Schizophrenia Research.2024; 27(1): 1. CrossRef

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Review Papers

Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis: Choi, Sun Yeob , Kim, Yeo Ju , Kim, Bomi; J Korean Acad Nurs 2022;52(1):4-23. Published online February 28, 2022; DOI: https://doi.org/10.4040/jkan.21121

Abstract PDF

Purpose
The aim of this study was to evaluate the effect of auriculotherapy on musculoskeletal pain in adults.
Methods
A total of 885 studies were retrieved from nine databases (PubMed, Scopus, CINAHL, Web of Science, Ovid Medline, Cochrane Library, RISS, KMbase, and KISS). Sixteen studies were selected for meta-analysis, which satisfied the inclusion criteria and the evaluation of risk of bias. Demographic data, auriculotherapy types, intervention characteristics, auricular points, and outcomes related to pain (subjective pain scale, and amount of analgesic) were extracted from all included studies. The effect size of auriculotherapy was analyzed through comprehensive meta analysis 3.0, and the presence of publication bias was analyzed through a funnel plot and Egger’s regression.
Results
The results of the meta-analysis (n = 16) revealed that the auriculotherapy was significantly superior to the control group on present pain in adults (Hedges’ g = - 0.35, 95% Confidence Interval [CI] = - 0.55~- 0.15). According to the results of subgroup analysis, the effect size of auricular acupuncture therapy (Hedges’ g = 0.45, 95% CI = - 0.75~- 0.15) was higher than the auricular acupuncture (Hedges’ g = 0.27, 95% CI = - 0.53~0.00): the longer the intervention period, the greater the effect size.
Conclusion
In this study, auriculotherapy demonstrates a significant reduction in musculoskeletal pain in adults. Therefore, it is necessary to refine the curriculum to include auriculotherapy as a nursing intervention to relieve musculoskeletal pain in adults and encourage its use in clinical settings.

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Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism
Hyunseo Sim, Younghee Park
Holistic Nursing Practice.2025; 39(1): 15. CrossRef
Effects of Auricular Acupressure on Pain and Stress in Nursing College Students With Cervical Pain: A Single-Blind Placebo-Controlled Trial
Yuna Cho, Eunmi Cho, Eunseol Cho, Yeonju Chae, Eunkyung Choi, Hyeongyeong Yoon
Pain Management Nursing.2025; 26(1): e59. CrossRef
Adapting and Evaluating a Theory-Driven, Non-Pharmacological Intervention to Self-Manage Pain
Jennifer Kawi, Chao Hsing Yeh, Lauren Grant, Johannes Thrul, Hulin Wu, Paul J. Christo, Lorraine S. Evangelista
Healthcare.2024; 12(10): 969. CrossRef
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Clasina Smith, Bill Reddy, Charis Wolf, Rosa Schnyer, Korina St John, Lisa Conboy, Jen Stone, Lixing Lao
Journal of Pain Research.2024; Volume 17: 3329. CrossRef
Effect of Auriculotherapy on Stress: A Systematic Review and Meta-Analysis
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Journal of Holistic Nursing.2024;[Epub] CrossRef
The effects of auricular acupressure on blood pressure, stress, and sleep in elders with essential hypertension: a randomized single-blind sham-controlled trial
Bomi Kim, Hyojung Park
European Journal of Cardiovascular Nursing.2023; 22(6): 610. CrossRef

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The Effects of Programs on Body-Image Improvement in Adolescents: A Systematic Review and Meta-Analysis: Yun, Hyun Jung , Seo, Kyoungsan , Han, Dallong; J Korean Acad Nurs 2021;51(5):597-616. Published online October 31, 2021; DOI: https://doi.org/10.4040/jkan.21104

Abstract PDF: Purpose
This study’s objective was to investigate the effects of programs that improve adolescents’ body image, using a systematic review and meta-analysis.
Methods
A literature search was performed in eleven electronic databases, using preferred reporting items for systematic reviews and meta-analysis guidelines. Population characteristics, contents of the programs, and measured outcomes were systematically reviewed from 21 selected studies. To estimate the size of the effects, meta-analysis was conducted using Comprehensive Meta-Analysis software.
Results
The contents of the programs that aimed to improve body image included physical, psychological, interpersonal, and sociocultural interventions. Sixteen studies were meta-analyzed to estimate the effect size of body-image improvement programs. Results showed that the program for body-image improvement had significant effects on body satisfaction (effect size [ES] = 0.56, 95% confidence interval [CI] = 0.23 to 0.89), and body dissatisfaction (ES = - 0.15, 95% CI = - 0.23 to - 0.08).
Conclusion
The program for body image improvement in adolescents includes a combination of physical, psychological, interpersonal relationship, and socio-cultural dimensions. The program that seeks to improve body image appears to be effective at increasing body satisfaction, and at reducing body dissatisfaction in adolescents. Thus, it is necessary to develop and apply multidimensional programs for adolescents to have a positive body image.

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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: Yu, Soyoung , Kim, Jeung-Im , Park, Jin-Hee , Jang, Sun Joo , Suh, Eunyoung E. , Song, Ju-Eun , Im, YeoJin; J Korean Acad Nurs 2020;50(4):501-512. Published online August 31, 2020; DOI: https://doi.org/10.4040/jkan.20167

Abstract 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.

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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

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Review Articles

Trends of Concept Development in Nursing Published in Korean Journals: Lee, Sumi , Lee, Jinhae , Hwang, Yugyeong , Ko, Il Sun; J Korean Acad Nurs 2020;50(2):178-190. Published online April 30, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.2.178

Abstract PDF

Purpose
The purpose of this study was to identify trends of nursing concept development in Korean journal papers to improve accurate understanding of nursing concepts.
Methods
A systematic review of 216 concept development articles published from 1970 to 2018 that met the inclusion criteria was conducted using Research Information Sharing Service (RISS) databases.
Results
The most common method of concept development was Walker and Avant’s concept analysis method, identified in 139 (64.3%) of the 216 studies, followed by 48 examples of hybrid models (22.2%) and 15 examples of evolutionary methods (6.9%). Chinn and Kramer’s method, Norris’s clarification, Wilson’s method, and others were also used. The concepts of “spirituality” and “fatigue” were most frequently analyzed. Among the 139 studies that used Walker and Avant’s concept analysis method, 127 studies (91.4%) applied all the recommended steps; the others applied the recommended steps partially, omitting description of model cases/additional cases, antecedents/consequences, and empirical indicators. Among the studies using the hybrid model, among two (5.7%) did not describe attributes, three (8.5%) did not provide definitions, and 16 (45.7%) did not present empirical indicators in the final stage.
Conclusion
Among concept development studies published in Korean journals, Walker and Avant’s concept analysis method is most commonly used. In case of most studies using Walker and Avant’s method a suitable concept analysis process is applied, but in case of other studies using the other concept development method, a suitable concept analysis process is not applied. Therefore, a suitable concept analysis process must be applied for concept development in nursing research.

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Concept Analysis of Nurses’ Job Crafting
Sujeong Han, Eunha Jeong
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 375. CrossRef
Concept Analysis of Spiritual Distress in Cancer Patients Using a Hybrid Model
Jin Sook Kim, Il-Sun Ko
Korean Journal of Adult Nursing.2021; 33(2): 169. CrossRef

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Factors Related to Persistent Postoperative Pain after Cardiac Surgery: A Systematic Review and Meta-Analysis: Bae, Jaewon , Shin, Sujin; 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

Abstract 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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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
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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

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Effects of Aromatherapy on Sleep Quality: A Systematic Review and Meta-Analysis: Mi-Eun Kim, Ji Hee Jun, Muyng-Haeng Hur; J Korean Acad Nurs 2019;49(6):655-676. Published online December 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.655

Abstract PDF

Purpose

The purpose of this study was to investigate the effects of aromatherapy on sleep quality.

Methods

This is a systematic review of randomized controlled trial studies (PROSPERO registration number CRD42017064519). In this study, the PICO were adults and the elderly, aromatherapy intervention, a comparative intervention with the control and placebo oil groups, and sleep. The selected articles were in English, Korean, and Chinese.

Results

The results of the meta-analysis showed that the effect sizes of the experimental group were 1.03 (n=763, SMD=1.03, 95% CI 0.66 to 1.39) (Z=5.47, p<.001). In the aromatherapy intervention group, the effect size of sleep was statistically significant (Q_B=9.39, df=2, p=.009), with a difference of 0.77 for inhalation, 1.12 for oral intake and 2.05 for massage. A post-analysis showed that the effect of massage on sleep was significantly greater than the inhalation method. The regression coefficient of the intervention period, B=0.01 (Z=1.43, p=.154), also showed that the longer the intervention period, the larger the effect size; however, it was not statistically significant.

Conclusion

A total of 23 literature analyses showed that aromatherapy is effective in improving quality of sleep, and the massage method is more effective in improving quality of sleep than the inhalation method. A meta-ANOVA showed that the aromatherapy intervention affected the high heterogeneity of the effect size. Thus, future research with stricter control in methods and experimental procedures is necessary.

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Changes in Strauss & Corbin's Grounded Theory: Ji Eun Kim; J Korean Acad Nurs 2019;49(5):505-514. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.505

Abstract PDF

Abstract Purpose

This study aimed to introduce and elucidate changes in Strauss and Corbin's grounded theory and discuss its application to the field of nursing in South Korea.

Methods

The changes in grounded theory by Strauss and Corbin were examined through a literature review of grounded theory from its inception.

Results

Strauss and Corbin acknowledged their philosophical backgrounds of symbolic interactionism and pragmatism; however, their methodology based on positivism overwhelmed their epistemology and ontology. This inconsistency has been represented by the coding paradigm and the premise of “emergent from the data.” In the revised version of Basics, Strauss and Corbin modified their theory to weaken the coding paradigm and strengthen the strategies for the development of substantive theory.

Conclusion

Strauss and Corbin's revised grounded theory did not fully address the inconsistency of their epistemology and ontology between their acknowledgement and methodology. However, these changes constitute a meaningful step toward resolving inconsistencies and highlight the development of substantive theory. This has implications for Korean nursing researchers who have utilized methodologies in grounded theory with dogmatic approaches; grounded theory, with its evolving nature, is not a finalized method and calls for open approaches for the development of a grounded theory that fits Korean nursing.

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Effect of Autogenic Training for Stress Response: A Systematic Review and Meta-Analysis: Eunju Seo, Soukyoung Kim; J Korean Acad Nurs 2019;49(4):361-374. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.361

Abstract PDF

Abstract Purpose

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

Methods

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

Results

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

Conclusion

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

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Effectiveness of Telemonitoring Intervention in Children and Adolescents with Asthma: A Systematic Review and Meta-Analysis: Youjin Jung, Jimin Kim, Dong Ah Park; J Korean Acad Nurs 2018;48(4):389-406. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.4.389

Abstract PDF

Abstract Purpose

This review aimed to evaluate the effectiveness of telemonitoring (TM) in the management of children and adolescents with asthma.

Methods

We searched Ovid-MEDLINE, Ovid-EMBASE, CENTRAL (Cochrane Central Register of Controlled Trials), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and 5 domestic databases to identify randomized controlled trials (RCTs) published through December 2017. Two reviewers independently selected relevant studies, assessed methodological quality and extracted data. We performed a meta-analysis of TM versus usual care and summarized the intervention characteristics of included studies.

Results

Of the 3,095 articles identified, 8 RCTs (9 articles) were included in this review. The type of TM intervention of included studies was varying across studies (transmitted data, transmission frequency, data review, etc.). The pooled asthma control score was not significantly different between TM and usual care (standardized mean difference 0.04, 95% confidence interval (CI) -0.20~0.28). Another pooled analysis demonstrated no statistically significant difference in asthma exacerbation between TM and usual care (odds ratio 0.95, 95% CI 0.43~2.09). Overall, the pooled results from these studies revealed that TM did not lead to clinically significant improvements in health outcomes, but some studies in our analysis suggested that TM increased patient medication adherence and intervention adherence.

Conclusion

The current evidence base does not demonstrate any differences between TM intervention and usual care, but TM intervention might be considered a promising strategy for the delivery of self-management support for children and adolescents with asthma. Further well-designed studies are needed to assess the effects on clinical outcomes.

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Effectiveness of eAsthmaCare on Symptoms, Childhood Asthma Control Test, and Lung Function among Asthmatic Children
Tzu-Ning Wen, Hsueh-Chun Lin, Kuo-Wei Yeh, Jing-Long Huang, Li-Chi Chiang
Journal of Medical Systems.2022;[Epub] CrossRef
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How Does Advance Provision of Emergency Contraceptives Affect Contraceptive Use and Sexual Activity Among Adolescents? Systematic Review and Meta-Analysis: Kyungsoon Ryu, Misoon Lee, Younghae Kim, Seonhwa Ban, Mihyang Choi; J Korean Acad Nurs 2018;48(3):255-265. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.3.255

Abstract PDF

Abstract Purpose

The purpose of this study was to analyze the effect of emergency contraceptive pill on adolescent sexuality and contraceptive behaviors through a meta - analysis of intervention studies on advance provision of emergency contraceptives. This study aimed to provide objective data on the transition of general medicines to be discussed in relation to the reclassification of emergency contraceptive pills.

Methods

Using electronic database, 1,820 studies written in Korean or English without limitation of the year were reviewed and for analysis, 5 studies were selected, in which emergency contraceptives were provided to adolescents.

Results

The advance provision of emergency contraceptives has increased their use and shortened the time it takes to take contraceptive pills after unprotected sex. There was no change in the frequency of engaging in sexual intercourse and unprotected sex or in existing contraceptive behavior, pregnancy rates decreased, but there was no increase in sexually transmitted infection.

Conclusion

The results of this study provide objective grounds for the reclassification of emergency contraceptive pills and propose effective interventional programs on contraceptive education, such as on efficacy and side effects of the contraceptive drug and its proper use among the youth who engage in sexual activity, to improve their reproductive health.

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Factors Affecting Condom-Use Behaviors Among Female Emerging Adults in South Korea
Jungmin Lee
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Original Articles

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

Abstract 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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Trend Analysis of Theory-based Research Published in Asian Oncology Nursing
Hye-young Lee, Min-Kyeong Kim, Won-jin Seo, Min-jin Lee, Ye-rin Heo, Sanghee Kim
Asian Oncology Nursing.2019; 19(1): 1. CrossRef
A Study on the Knowledge Structure of Cancer Survivors based on Social Network Analysis
Sun Young Kwon, Ka Ryeong Bae
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The analysis of Trends and Contents of Nursing Intervention Research for Cancer Patients in Korea
Myung Sun Hong, Young Hee Yom, Geun Myun Kim
Asian Oncology Nursing.2012; 12(4): 247. CrossRef

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An Integrative Review of Oncology Nursing Research: 1980-1998: Sun Hae Choi, Young Hwa Nam, Eun Jung Ryu, Myung Wha Baek, Dong Hee Suh, Soon Rim Suh, Gui Yun Choi, Kyung Sook Choi; Journal of Korean Academy of Nursing 1998;28(3):786-800. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.786

Abstract PDF

The purposes of this study were to describe systematically 18 years of oncology nursing research in Korea and suggest it's direction in future. 149 nursing studies published from 1980 to 1998 were selected for the present study. There were examined the source and the design of study, type of subjects, measurement variables, the intervention outcome of experimental research, and theme of qualitative research. The results were as follows : 1. 121 of 149 studies were composed of master thesis and dissertation of graduate school. There were 55 correlations, 30 descriptions, 19 comparisons, 19 qualitative studies and 2 Q-methods as the type of research design. 2. Cancer patients without describing specified diagnose as subjects' characteristic were 44 of total studies. The others had various diagnoses such as gastric cancer, uterine cancer, breast cancer, leukemia, Iymphoma, colorectal cancer, and lung cancer. According to treatment type. patients receiving chemotherapy were the highest number distribution as 53 of all researches. 3. Most measurement instruments used for research were translated it into Korean that developed by foreigners, such as Zung's depression. Spielberg's anxiety, and Wallston's locus of control. 4. Quality of life was shown the most frequently among correlational researches. the next one was depression the third was hope, and so on. 5. There was the most frequent comparison between cancer and non-cancer patients in comparative researches. It was surveyed those variables as diet habits, risk factors, stressful life events, anxiety and depression and self-care capacity between two groups. 6. The subjects were mostly chemotherapy Patients as 15 of 24 experimental studies. Oral care and education were respectively the highest experimental interventions. 7. Qualitative researches about cancer were reported since 1991. Their themes were illness experience, adaptation process, dying experience, family experience, hope. caring, experience of health behavior, meaning of chemotherapy and experience of cancer survivor. Phenomenologic methodology was designed above 50% of qualitative researches. According to the above findings, cancer research had increased since 1990 and done mostly by descriptive design but a few experimental studies. As recommendations for the future, It is necessary to study the comparison of oncology nursing research internationally. the replication to establish the effect of nursing intervention and the family care of cancer patient.

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Hye-young Lee, Min-Kyeong Kim, Won-jin Seo, Min-jin Lee, Ye-rin Heo, Sanghee Kim
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A Study on the Knowledge Structure of Cancer Survivors based on Social Network Analysis
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Journal of Korean Academy of Nursing.2016; 46(1): 50. CrossRef
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Young Sook Kim, Bok Rae Jeong
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Hun Ha Cho, Ji-Won Yoon
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Symptom experience in Korean adults with lung cancer
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Research Priorities of Korean Oncology Nurses
Eun-Hyun Lee, Jin-Sun Kim, Bok Yae Chung, Mi Suuk Bok, Byung Eun Song, Sung Wha Kong, Eun-Ok Lee
Cancer Nursing.2003; 26(5): 387. CrossRef

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Analysis of Research Papers Published in the Journal of Korean Academy of Nursing: Yeon Ok Suh, Jeong Sook Park, Jin Hyang Yang, Hae Won Kim, Min Hyun Suk, Hyun Sook Shin, Hee Jung Jang, Myun Sook Jung, Myung Sill Chung; Journal of Korean Academy of Nursing 2007;37(6):1013-1019. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.6.1013

Abstract PDF

PURPOSE: This study was to determine the current trend of nursing research as exploring both quantitative and qualitative methodologies, and to provide the explicit direction to improve the quality of published papers. METHODS: Total of 366 articles published between 2004 and 2006 was reviewed using the criteria of analysis. RESULTS: There was more number of quantitative studies than qualitative studies. More studies were conducted with subjects who had health problems, and studies that targeted women and elderly population have been significantly increased. In quantitative methodology, utilization of experimental and quasi-experimental designs has been increased, however descriptive study was dominant as yet. In qualitative methodology, studies using grounded theory and phenomenology were frequently published. It was noted that theoretical framework and rational for sample size were rarely presented in quantitative study. Philosophical position and the process of preparation for study, which guided the research, were not clearly described in qualitative study. CONCLUSION: The findings of this review suggest that published studies have been improved and diversified, however, detailed and clear evaluation tool that assesses study process and method should be developed as a way to further improve the quality of published papers.

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Conversation Analysis for Improving Nursing Communication: Myungsun Yi; Journal of Korean Academy of Nursing 2007;37(5):772-780. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.772

Abstract PDF

Purpose

Nursing communication has become more important than ever before because quality of nursing services largely depends on the quality of communication in a very competitive health care environment. This article was to introduce ways to improve nursing communication using conversation analysis.

Methods

This was a review study on conversation analysis, critically examining previous studies in nursing communication and interpersonal relationships.

Results

This study provided theoretical backgrounds and basic assumptions of conversation analysis which was influenced by ethnomethodology, phenomenology, and sociolinguistic. In addition, the characteristics and analysis methods of conversation analysis were illustrated in detail. Lastly, how conversation analysis could help improve communication was shown, by examining researches using conversation analysis not only for ordinary conversations but also for extraordinary or difficult conversations such as conversations between patients with dementia and their professional nurses.

Conclusion

Conversation analysis can help in improving nursing communication by providing various structures and patterns as well as prototypes of conversation, and by suggesting specific problems and problem-solving strategies in communication.

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Associations between Smoking and Depression in Adolescence: An Integrative Review: Sunhee Park, Dan Romer; Journal of Korean Academy of Nursing 2007;37(2):227-241. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.2.227

Abstract PDF

Background

Although research has established the existence of an association between smoking and depression among adolescents, researchers have not reached consensus on the nature of the association.

Objectives

The purpose of this paper is to review the literature, to examine the nature of the relationship between smoking and depression in adolescence, and to suggest future research directions.

Method

A literature search was conducted from the following six databases: (a) Ovid MEDLINE, (b) CINAHL, (c) PubMed Unrestricted, (d) PsycINFO, (e) ERIC, and (f) Sociological Abstracts. The combinations of the words, “depression,” “smoking,” “tobacco,” “adolescent,” and “teen” were used for keyword searches to find relevant articles.

Results

In 47 of 57 studies, significant associations between smoking and depression were found. However, these significant relationships may either be spurious or unrelated to depression because a substantial number of studies did not adjust for confounders or did not use validated instruments to measure depression. Additionally, if the relationship is causal, its direction remains controversial. Five relationships have been suggested: (a) Depression causes smoking, (b) smoking causes depression, (c) there is a bidirectional relationship between smoking and depression, (d) smoking and depression occur due to confounders, and (e) subgroups with different relationships between the two conditions exist.

Conclusions

It is necessary to further explore the relationship between smoking and depression. Future research should consider the need for: (a) longitudinal research designs, (b) more accurate measurement of depression, and (c) the control of confounders between smoking and depression.

Citations

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Phil H. Lee, Brenden Tervo-Clemmens, Richard T. Liu, Maia B. Gersten, Jae-Yoon Jung, Amy C. Janes, Jodi Gilman
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Perceived Occupational Noise Exposure and Depression in Young Finnish Adults
Marja Heinonen-Guzejev, Alyce M. Whipp, Zhiyang Wang, Anu Ranjit, Teemu Palviainen, Irene van Kamp, Jaakko Kaprio
International Journal of Environmental Research and Public Health.2023; 20(6): 4850. CrossRef
Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018
Naifan Hu, Zhenfan Yu, Yurun Du, Jiangping Li
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Soyoon Park, Kang-Sook Lee
Tobacco Induced Diseases.2021; 19(September): 1. CrossRef
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Akinkunmi Paul Okekunle, Jeffery Osahon Asowata, Jung Eun Lee, Onoja Matthew Akpa
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Association Between the Location of Secondhand Smoke Exposure and Depressive Symptoms among South Korean Adolescents
Bich Na Jang, Wonjeong Jeong, Soo Hyun Kang, Sung-In Jang
International Journal of Environmental Research and Public Health.2020; 17(14): 5116. CrossRef
Predictive Association of Smoking with Depressive Symptoms: a Longitudinal Study of Adolescent Twins
Anu Ranjit, Jadwiga Buchwald, Antti Latvala, Kauko Heikkilä, Annamari Tuulio-Henriksson, Richard J. Rose, Jaakko Kaprio, Tellervo Korhonen
Prevention Science.2019; 20(7): 1021. CrossRef
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Review Articles

Effects of Breastfeeding Interventions on Breastfeeding Rates at 1, 3 and 6 Months Postpartum: A Systematic Review and Meta-Analysis: Seol Hui Park, Seang Ryu; J Korean Acad Nurs 2017;47(6):713-730. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.6.713

Abstract PDF

Abstract Purpose

This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates.

Methods

Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software.

Results

A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40).

Conclusion

Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

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Social policies and breastfeeding duration in South Korea: A survival analysis of the national data
Jung Hee Yeo, Eun-Young Kim
Midwifery.2022; 107: 103282. CrossRef
Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration
Eunyoung Lee, Insook Cho, Seong Jin Cho, Eunju Lee
Journal of Korean Academy of Nursing.2021; 51(2): 232. CrossRef
A Structural Model for Breastfeeding Behavior of First-Time Mothers
Seol Hui Park, Seang Ryu
Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 184. CrossRef
The Relationship of Previous Breastfeeding Experiences and Factors Affecting Breastfeeding Rates: A Follow-Up Study
Jun-Yan Li, Yi Huang, Hao-Qi Liu, Jing Xu, Lu Li, Sharon R. Redding, Yan-Qiong Ouyang
Breastfeeding Medicine.2020; 15(12): 789. CrossRef
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Jiyoung Choi, Yunjung Lee, Sunuk Choi, Eunju Park
Journal of Nutrition and Health.2020; 53(5): 445. CrossRef
A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women
Angelos P. Kassianos, Emma Ward, Antonio Rojas-Garcia, Allison Kurti, Fiona C. Mitchell, Dian Nostikasari, Jamie Payton, Julian Pascal-Saadi, Claire Adams Spears, Caitlin Notley
Health Psychology Review.2019; 13(3): 344. CrossRef

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Effects of Aromatherapy on Menopausal Symptoms, Perceived Stress and Depression in Middle-aged Women: A Systematic Review: Shinmi Kim, Ji-Ah Song, Mi-Eun Kim, Myung-Haeng Hur; J Korean Acad Nurs 2016;46(5):619-629. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.619

Abstract PDF

Purpose

This study was a systematic review to evaluate the effects of aromatherapy on menopausal symptoms, perceived stress and depression in middle aged-women.

Methods

Eight databases were searched from their inception September 8, 2015. Two reviewers independently performed the selection of the studies, data abstraction and validations. The risk of bias was assessed using Cochrane criteria. For analysis of the data, a meta-analysis of the studies was performed.

Results

From the electronic databases, 73 articles were selected, and 19 removed due to duplication. After two reviewers read the abstracts of 54 studies, 34 studies were selected. Complete papers for 34 original articles were read and, 12 studies which met selection criteria were reviewed and the effects of aromatherapy on menopausal symptoms, stress and depression analyzed using meta-analysis with RevMan. In the 2 studies which included Randomized Controlled Trials testing of aromatherapy on menopausal symptoms and comparison of control and placebo groups were done. Aromatherapy massage was favorably effective in reducing the menopausal symptoms compared to the control group (n=118, MD=-6.33; 95% CI -11.51 to -1.15), and compared to the placebo group (n=117, MD=-4.14; 95% CI -7.63 to -0.64). Also aromatherapy was effective in reducing stress (n=72, SMD=-0.64; 95% CI -1.12 to -0.17) and depression (n=158, MD=-5.63; 95% CI -10.04 to -1.22).

Conclusion

There is limited evidence suggesting that aromatherapy for middle-aged women may be effective in controlling menopausal symptoms, perceived stress and depression.

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Iranian Journal of Nursing and Midwifery Research.2022; 27(5): 392. CrossRef
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Combination of 3-Dimensional Virtual Reality and Hands-On Aromatherapy in Improving Institutionalized Older Adults’ Psychological Health: Quasi-Experimental Study
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Correlates of Cognitive Impairment of Rheumatic Disease: Systematic Review and Meta-analysis: JinA Mo, JiSuk Park, HyunSoo Oh; J Korean Acad Nurs 2016;46(1):1-18. Published online February 29, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.1.1

Abstract PDF

Purpose

This study was conducted to synthesis the results of research on relationships of cognitive impairment with multi-dimensional correlates of rheumatic disease through a systematic literature review and meta-analysis.

Methods

For the study purpose, 23 studies were selected through a systematic process of searching the literature.

Results

The study results showed that among general characteristics, age and education were the variables having a significant relationship with cognitive impairment. Among health risk factors, obesity appeared to have a significant positive relationship with cognitive impairment. For past history, diabetes and hypertension were shown to have a significant positive relationship with cognitive impairment. It was noted also that aPL, one of the physiological factor, had significant association with cognitive impairment. None of the medication related factors had a significant relationship with cognitive impairment. Results showed that among disease related factors, disease activity had the highest relationship with cognitive impairment. Depression, among psychological factors, was the only variable having a significant relationship with cognitive impairment.

Conclusion

The findings indicate that the variables strongly impacting on cognitive impairment in rheumatic disease are depression and disease activity.

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HyunSoo Oh, JiSuk Park, JiYoung Kim, SungKyung Jang, Yeona Ryu, YeoJu Jeong, SuYeon Kwon, SoHyun Suh, HaYoung Lee, DaHee Choi, HanNa Lee, GaWon Cho, WhaSook Seo
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Effects of Family Support Programs for Caregivers of People with Dementia - Caregiving Burden, Depression, and Stress: Systematic Review and Meta-analysis: Seyeon Park, Myonghwa Park; J Korean Acad Nurs 2015;45(5):627-640. Published online October 15, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.5.627

Abstract PDF

Abstract Purpose

The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depression, and stress in family caregivers of people with dementia.

Methods

A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclusion criteria were reviewed and 38 were found to include relevant outcomes.

Results

Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi-square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge's g= - 0.17, 95% CI= - 0.30~ - 0.04), depression (Hedge's g= - 0.30, 95% CI= - 0.40~ - 0.20), and stress (Hedge's g= - 0.39, 95% CI= - 0.52~ - 0.25).

Conclusion

The review results indicate that a support programs can assist family care-givers in reducing their psycho-emotional distress.

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Olimpia Paun, Dimitra Loukissa, Marianne G. Chirica, Horace M. Nowell
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So Yoon Kim, Seonghee Jeong
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Min-Joo Ham, Hee Kim
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Young Mi Ryu, Mi Yu, Seieun Oh, Haeyoung Lee, Haejin Kim
Journal of Korean Academy of Nursing.2018; 48(5): 601. CrossRef
Effects of a Dementia Family Education Program for Dementia Recognition, Burden, and Depression in Caregivers of Elders with Dementia
Sun-A Lee, Hee-Sook Kim
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Hye-Young Jang, Myungsun Yi
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Factors Influencing Caregiving Satisfaction among Family Caregivers of Patients with Dementia
Yunhee Lee, Myonghwa Park
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A Methodological Quality Assessment of South Korean Nursing Research using Structural Equation Modeling in South Korea: Jung-Hee Kim, Sujin Shin, Jin-Hwa Park; J Korean Acad Nurs 2015;45(2):159-168. Published online April 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.2.159

Abstract PDF

Purpose

The purpose of this study was to evaluate the methodological quality of nursing studies using structural equation modeling in Korea.

Methods

Databases of KISS, DBPIA, and National Assembly Library up to March 2014 were searched using the MeSH terms 'nursing', 'structure', 'model'. A total of 152 studies were screened. After removal of duplicates and non-relevant titles, 61 papers were read in full.

Results

Of the sixty-one articles retrieved, 14 studies were published between 1992 and 2000, 27, between 2001 and 2010, and 20, between 2011 and March 2014. The methodological quality of the review examined varied considerably.

Conclusion

The findings of this study suggest that more rigorous research is necessary to address theoretical identification, two indicator rule, distribution of sample, treatment of missing values, mediator effect, discriminant validity, convergent validity, post hoc model modification, equivalent models issues, and alternative models issues should be undergone. Further research with robust consistent methodological study designs from model identification to model respecification is needed to improve the validity of the research.

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Dysphagia Screening Measures for Use in Nursing Homes: A Systematic Review: Yeon-Hwan Park, Hwal Lan Bang, Hae-Ra Han, Hee-Kyung Chang; J Korean Acad Nurs 2015;45(1):1-13. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.1

Abstract PDF

Purpose

The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia in older adults to identify the 'right tool' for nurses to use in nursing homes.

Methods

A systematic review was done. Electronic databases were searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality and applicability. Tools were evaluated for feasible incorporation into routine care by nurses.

Results

29 tools from 31 studies were identified. Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52% and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometric quality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagia and aspiration of nursing home residents.

Conclusion

Results show that GUSS and SSA are reliable and sensitive tools for screening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identified tools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.

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Original Articles

Effects of Foot Reflexology on Fatigue, Sleep and Pain: A Systematic Review and Meta-analysis: Jeongsoon Lee, Misook Han, Younghae Chung, Jinsun Kim, Jungsook Choi; J Korean Acad Nurs 2011;41(6):821-833. Published online December 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.6.821

Abstract PDF

Purpose

The purpose of this study was to evaluate the effectiveness of foot reflexology on fatigue, sleep and pain.

Methods

A systematic review and meta-analysis were conducted. Electronic database and manual searches were conducted on all published studies reporting the effects of foot reflexology on fatigue, sleep, and pain. Forty four studies were eligible including 15 studies associated with fatigue, 18 with sleep, and 11 with pain. The effects of foot reflexology were analyzed using Comprehensive Meta-Analysis Version 2.0. The homogeneity and the fail-safe N were calculated. Moreover, a funnel plot was used to assess publication bias.

Results

The effects on fatigue, sleep, and pain were not homogeneous and ranged from 0.63 to 5.29, 0.01 to 3.22, and 0.43 to 2.67, respectively. The weighted averages for fatigue, sleep, and pain were 1.43, 1.19, and 1.35, respectively. No publication bias was detected as evaluated by fail-safe N. Foot reflexology had a larger effect on fatigue and sleep and a smaller effect on pain.

Conclusion

This meta-analysis indicates that foot reflexology is a useful nursing intervention to relieve fatigue and to promote sleep. Further studies are needed to evaluate the effects of foot reflexology on outcome variables other than fatigue, sleep and pain.

Citations

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Developmental Direction for Review System of the Journal of Korean Academy of Nursing: Hae Won Kim, Myungsill Chung, Jeong Sook Park, Yeon Ok Suh, Min Hyun Suk, Hyunsook Shin, Jin Hyang Yang, Hee Jung Jang, Myun Sook Jung; Journal of Korean Academy of Nursing 2007;37(3):422-430. Published online April 30, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.3.422

Abstract PDF

Purpose

This study was performed to identify current characteristics of the Journal of Korean Academy of Nursing and to explore a way to elevate it to an international level and to critique the overall review process so as to delineate the advanced, objective paper appraisal in this journal.

Methods

Data was collected using self administered questionnaires to 75 journal reviewers belonging to the Korean academy of nursing and its division academy of nursing from August 15th to September 30th, 2006.

Results

The majority of reviewers pointed out a lack of discrimination between the Journal of Korean Academy of Nursing and other journals. Among the main answers of reviewers, Creativeness(52.3%) and excellence of nursing(38%) will be critical factors to develop in order to elevate to an the journal to an international level. In specific evaluation areas, reviewers preferred a subjective critique method(60%), and the condition of the decision making process regarding paper acceptance as a combination of checklist and subjective evaluation(84%). Subjective evaluation opinions with major categories will occur in the next revised evaluation format. 76% of reviewers agreed with the current objective evaluation form.

Conclusions

The journal review process should be evaluated on a regular basis to elevate the journal level and a mutual agreement of the journal's scope, range, and purpose will be necessary. As a recommendation, an attempt at various approaches in journal reviews and reviewer training should be made.

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Seok Hee Jeong, Taewha Lee, Soyoung Yu, Myoung Hee Seo
Journal of Korean Academy of Nursing Administration.2015; 21(5): 561. CrossRef

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A Review Study on the Strategies for Concept Analysis: Myungsun Yi, So Woo Lee, Kum Ja Kim, Myo Gyeong Kim, Ji Hyun Kim, Kyung Hee Lee, Inok Lee, Jung Sook Lee, Jeong Hee Hong; Journal of Korean Academy of Nursing 2006;36(3):493-502. Published online June 30, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.3.493

Abstract PDF

Purpose

Concept analysis is an essential part of theory development in nursing. Thus, many strategies or methods of concept analysis have been suggested in nursing literature. However, in Korea, only limited strategies were utilized, without much consideration on a wide range of strategies in choosing a method that coincides with the characteristics of each concept to analyze. The purpose of this article was to propose various strategies for concept analysis.

Method

A literature review method was used.

Result

Ten methods of concept analysis were identified in the literature, and they were evaluated for advantages and limitations. In addition to the method by Walker and Avant and a hybrid model, more advanced strategies, such as triangulation method, critical analysis and the feminist approach were introduced and described in detail. The examples used in each concept analysis method were presented in table to provide the extent of utilization of each method.

Conclusion

This article provides a wide range of strategies in identifying, clarifying, or elaborating a concept. It might help in choosing a method that best fits the concept to analyze, thus enhancing quality of concept analysis research.

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Reyhaneh Babanataj, Mohsen Adib Hajbaghery, Maryam Shoja
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Ji Eun Lee, Suk Jeong Lee
Korean Journal of Adult Nursing.2022; 34(1): 85. CrossRef
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Juna Lee, Ju Young Yoon
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Gyeong Hye Choi, Joo Hyun Kim
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Sumi Lee, Jinhae Lee, Yugyeong Hwang, Il Sun Ko
Journal of Korean Academy of Nursing.2020; 50(2): 178. CrossRef
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Seok Hyun Gwon, Suyong Jeong
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Hyeon Ju Kim, Joo Hyun Kim
Journal of Korean Academy of Nursing.2018; 48(6): 637. CrossRef
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Jiyoung Kim, Nayeon Shin
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Journal of Korean Academy of Psychiatric and Mental Health Nursing.2015; 24(4): 279. CrossRef

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Analysis of Review Contents of the Submitted Papers in Journal of Korean Academy of Nursing: Focus: The Submitted Papers in 2003: Kyung Sook Cho, Myung Sun Hyun, Dong Sook Cho; Journal of Korean Academy of Nursing 2006;36(1):197-205. Published online February 28, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.1.197

Abstract PDF

Purpose

The objective of the study is to analyze the review contents of reviewers for the submitted papers in the Journal of Korean Academy of Nursing in 2003.

Method

The review contents of the 165 papers were selected 217 papers that were submitted in 2003. Among those 165 papers, the 21 papers belonged to the ‘Do not publish’ list and 17 papers, ‘Revise manuscript and resubmit’, list and the 94 papers, ‘Publish if revisions are made’ list. There are more than two level differences among the four levels of decision in acceptance of publication in 33 papers.

Results

The analysis of the review contents for the papers were suggested according to review categories : introduction, method, results, discussion and conclusion. In addition, if papers had more than two levels of review they were rated poor accord or inconsistent.

Conclusion

For the quality of the academic journal and development of the nursing science, it is important to disseminate and publish the research paper. Therefore, review of the submitted paper is also important. Implications for the profitable review were suggested in the study.

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Analysis of the Submitted Papers’ Evaluations for the Journal of Korea Society for Simulation in Nursing
Narae Heo, Jiyoung Kim
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Journal of Korean Academy of Child Health Nursing.2011; 17(2): 100. CrossRef

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