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14 "Soo Yang"
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Original Articles
The Effect of Nurse's Emotional Labor on Turnover Intention: Mediation Effect of Burnout and Moderated Mediation Effect of Authentic Leadership
Soo Yang Na, Hanjong Park
J Korean Acad Nurs 2019;49(3):286-297.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.286
AbstractAbstract PDF
Abstract Purpose

To investigate the effect of nurses’ emotional labor on their turnover intention that was mediated by burnout and to examine the moderated mediation effect of authentic leadership.

Methods

A total of 227 nurses working at two general hospitals in Seoul were recruited from March 21 to May 6 in 2016. Emotional labor including surface acting and deep acting; burnout factors such as emotional exhaustion and personal accomplishment; and turnover intention were assessed. The data were analyzed using SPSS 22.0 and SPSS PROCESS macro.

Results

Surface acting significantly increased emotional exhaustion and reduced personal accomplishment. Deep acting significantly increased personal accomplishment. Emotional exhaustion significantly increased turnover intention. Conversely, personal accomplishment significantly reduced turnover intention. Surface acting had an indirect effect on turnover intention that was mediated by emotional exhaustion. Deep acting had an indirect effect on turnover intention that was mediated by personal accomplishment. Authentic leadership had a moderated mediation effect on the relationship between surface acting and turnover intention that was mediated by emotional exhaustion.

Conclusion

The findings of this study indicate that the establishment of strong authentic leadership by head nurses would help nurses reduce their burnout and turnover intention. Conducting intervention studies would be also important to promote better work environments that would enable nurses to fortify the positive aspect of emotional labor and to reduce their burnout levels.

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A Structural Equation Model for Happiness in Mothers with Young Children
Mijung Yeom, Soo Yang
J Korean Acad Nurs 2019;49(3):241-253.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.241
AbstractAbstract PDF
Abstract Purpose

This study aimed to develop and test a model of the happiness of mothers with young children based on the stress-coping-adaptation model of Lazarus and Folkman.

Methods

The data collection period was from May to July 2016. A self-report questionnaire was used to collect data from 210 mothers with children under 5 years of age living in Seoul, Gyeonggi, and Gangwon provinces. The exogenous variable was parenting stress, and the endogenous variables were parenting alliance, depression, optimism, ways of coping, and happiness. Data from 201 questionnaires were analyzed using the SPSS 22.0 and AMOS 20.0 programs. Data analyses included descriptive statistics, factor analysis, and structural equation modeling.

Results

The final modified model showed a reasonable fit to the data, and out of 25 paths, 13 were statistically significant. This model explained 78.4% of the variance in the happiness of mothers with young children and confirmed that depression, optimism, parenting alliance, and social support-focused coping have a direct effect on the subject's happiness. Parenting stress also influenced happiness through parenting alliance, depression, and optimism.

Conclusion

In order to bolster the happiness of mothers with young children, positive psychological interventions that can minimize psychological vulnerabilities, such as depression, and that can enhance their strengths, such as optimism, may serve as effective ways of coping with and adapting to stress.

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A study on psychological care for hospitalized patients
Sook Ja Yu, Soo Yang
Journal of Nurses Academic Society 1983;13(3):86-94.   Published online April 3, 2017
DOI: https://doi.org/10.4040/jnas.1983.13.3.86
AbstractAbstract

The purpose of this study were to find out the perceived importance of psychological care, to investigate the nurses perception on the quantity of psychological care activities, and the correlation between the structual variables. 206 registered nurses from general wards of 3 university hospitals in Seoul were randormmly sampled. Data were gathered by check-list on the perceived importance and perceived quantity and were analysed by the frequency, percentile, scores, ANOVA and Correlation-coefficient. Results are as follows 1. Majority of subjects(96.6%) responded to the psychological care for hospitalized patients being very, and most important nursing care activity. Two-third(66%) revealed to be give more or less satisfactory amount of psychological care to the hospitalized patients. 2. Heavy work-load(7.9%), personal factors of(33.0%) nurses and the health team and factors of nurse-patient relationship(20.9%) revealed to be the major causes hindering psychological care. 3. To improve quality and the quantity of psychological care, personal and professional development of nurses and the health team(56. 8%), improvement of nurse-patient relationships (49.03) and improvement of nurse patient ratio(45%) were suggested. 4. The perceived quantity of psychological care and the educational status revealed significant correlation (p<. 005). The perceived quantity and position in nursing revealed significant correlation(p<.01). 5. No significant correlation was revealed between the perceived importance and the perceived quantity of the psychological care.

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Analysis of the Nursing Curricula in Graduate Programs in Korea
Eun Sook Park, Soon Ok Yang, So Sun Kim, Soo Yang, Young Joo Park, Na Sun Ha, Kyung Hee Kim
Journal of Korean Academy of Nursing 2002;32(1):100-113.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.1.100
AbstractAbstract PDF

This study was designed to analyze the nursing curricula in graduate programs and suggest the direction of future nursing curricula. Thirty-two nursing curricula for a master's degree and fifteen curricula for a doctoral degree from general graduate programs, fifteen nursing curricula for a master's degree from fifteen educational graduate programs, eight nursing curricula for master degree from eight out of twelve public health graduate programs, three nursing curricula for a master's degree from three administrative graduate programs, and four nursing curricula for a master's degree from four clinical nursing graduate programs, were analyzed. Consequently, It was hard to find a clear difference between the educational goals and objectives, the subjects open in nursing curricula for a master's degree and those for a doctoral degree of graduate programs. The educational graduate programs, public health graduate programs, administrative graduate programs, and clinical nursing graduate programs, each program showed ittle diffrent in each educational goal and objective. However, because the various kinds of subjects open in each program were not based on the core curricula, the quality of the nursing curricula need to be evaluated and develope the curricula to difference are the goal and objective. Accordingly, future studies need to be focused on developing core nursing curricula reflecting the characteristics of each graduate program.

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Physical Health Status and Depression of a Community-Dwelling Elderly Group
Nam Cho Kim, Soo Yang
Journal of Korean Academy of Nursing 2001;31(6):1012-1020.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.6.1012
AbstractAbstract PDF

PURPOSE: The purpose of this study was to describe physical health and depression status, as well as to assessing factors that influence the physical health status.
METHOD
The data was collected from July to August 2000. Study participants were 252 community-dwelling elderly who were recruited from 10 senior centers located in Seoul, Korea. Their physical health status was measured using the Physical Health Status Measurement Scale developed by Choi and Jung (1991), and depression was measured using BDI-II developed by Beck et al. (1996).
RESULTS
1) The physical health status score was 4.00 +/-0.68 (range :1-5). The sub-dimension that showed the highest score was personal hygiene ability at 4.62+/-0.95, and the lowest score was sexual function at 2.20+/-1.38. 2. The depression score was 17.99+9.79 (range : 0-63). Regarding the sub-dimensions, the depression scores were higher in the domain of interest with sexuality, general weakness, difficulty in concentration, and fatigue. 3. Deeper levels of depression were correlated with a declining physical health status. 4. The most influential factor on physical health was depression, and the explaining variance was 31.68%.
CONCLUSION
It is concluded that elder subjects in senior centers had fairly good physical health and self-care ability. Also, they did not have significantly high levels of depression. Therefor, health promotion of elderly, it is recommended that elder individuals should be regarded as a respectful and useful segment of our society. Along with this basic concept, there should be a social milieu that does not snow prejudice. Moreover, health care professionals should give more attention to helping the elderly achieve a minimal level of ALD, and, particularly, to raise sexuality and help energize the lives of elder individuals.

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The Effects of Solution-focused Group Counseling Program for the Families with Schizophrenic Patients
Soon Ah Chung, Soo Yang
Journal of Korean Academy of Nursing 2004;34(7):1155-1163.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1155
AbstractAbstract PDF
Purpose

This study was designed to examine the effects of a solution-focused group counseling program on the family burden, active coping, expressed emotion, and family support in schizophrenic patients and their families.

Method

The subjects consisted of 48 schizophrenic patients and 56 families. Twenty-four schizophrenic patients and 28 families were assigned to both the experimental and control groups. The solution-focused group counseling program was conducted for the families of the experimental group, but not for the control group or the patients of the experimental group.

Result

There was a significant greater decrease in scores of family burden and expressed emotion in the experimental groups than the control groups. There was a larger increase in active coping scores in the experimental groups than the control groups, but it was not significant. There was no significant difference between the two groups in family support scores.

Conclusion

This program may be an effective nursing intervention program for families with schizophrenic members.

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Review Article
Trends in Nursing Research in Korea: Research Trends for Studies Published from the Inaugural Issue to 2010 in the Journal of Korean Academy of Nursing and the Journals Published by Member Societies under Korean Academy of Nursing Science
Myoung-Ae Choe, Nam Cho Kim, Kyung Mi Kim, Sung Jae Kim, Kyung Sook Park, Young Soon Byeon, Sung Rae Shin, Soo Yang, Kyung Sook Lee, Eun Hyun Lee, In Sook Lee, Tae Wha Lee, Myung Ok Cho, Jin Hak Kim
J Korean Acad Nurs 2014;44(5):484-494.   Published online October 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.5.484
AbstractAbstract PDF
Purpose

The purpose of this study was to identify trends for studies published in the Journal of Korean Academy of Nursing and journals published by member societies from inaugural issues to 2010.

Methods

A total of 6890 studies were analyzed using descriptive statistics.

Results

Quantitative studies accounted for 83.6% while qualitative studies accounted for 14.4%. Most frequently used research designs were quasi-experimental (91.1%) for experimental research and survey (85.2%) for non-experimental research. Most frequent study participants were healthy people (35.8%), most frequent nursing interventions, nursing skills (53.5%), and 39.8% used knowledge, attitude and behavior outcomes for dependent variables. Most frequently used keyword was elderly. Survey studies decreased from 1991 to 2010 by approximately 50%, while qualitative studies increased by about 20%. True experimental research (1.2%) showed no significant changes. Studies focusing on healthy populations increased from 2001-2005 (37.5%) to 2006-2010 (41.0%). From 1970 to 2010, studies using questionnaire accounted for over 50% whereas physiological measurement, approximately 5% only. Experimental studies using nursing skill interventions increased from 1970-1980 (30.4%) to 2006-2010 (64.0%). No significant changes were noted in studies using knowledge, attitude and behavior (39.9% ) as dependent variables.

Conclusion

The results suggest that further expansion of true experimental, qualitative studies and physiological measurements are needed.

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Original Articles
Effects of a Family Education Program for Families of Pathological Gamblers
Jungah Hong, Soo Yang
J Korean Acad Nurs 2013;43(4):497-506.   Published online August 30, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.4.497
AbstractAbstract PDF
Purpose

This study was done to examine the intervention effects on the family of a family education program for pathological gamblers based on Community Reinforcement and Family Training (CRAFT).

Methods

A quasi-experimental, nonequivalent control group pretest-posttest design was used. The participants were 44 families of pathological gamblers from G center in Gyung-gi Province and 5 Gam-Anon groups in Seoul City and Gyung-gi Province. The experimental group (n=22) attended the 6 weekly 2 hour-long CRAFT family education program. The control group (n=22) attended the 12-step program of Gam-Anon. Data were collected from November, 2011 to May, 2012.

Results

Compared with the control group, the experimental group showed significant decrease in depression (p=.001) and state anger (p=.039). There were no significant differences between groups in the level of interpersonal communication, trait anger, the mode of anger expression and self-esteem.

Conclusion

Findings from this study suggest that the CRAFT family education program is effective in decreasing depression and state anger in families of pathological gamblers.

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Individual and Environmental Factors Influencing Questionable Development among Low-income Children: Differential Impact during Infancy versus Early Childhood
Gyungjoo Lee, Linda McCreary, Mi Ja Kim, Chang Gi Park, Soo Yang
J Korean Acad Nurs 2012;42(7):1039-1049.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.1039
AbstractAbstract PDF
Purpose

From the holistic environmental perspective, individual and environmental influences on low-income children's questionable development were identified and examined as to differences in the influences according to the child's developmental stage of infancy (age 0-35 months) or early childhood (age 36-71 months).

Methods

This study was a cross-sectional comparative design using negative binominal regression analysis to identify predictors of questionable development separately for each developmental stage. The sample was comprised of 952 children (357 in infancy and 495 in early childhood) from low-income families in South Korea. Predictors included individual factors: child's age and gender; proximal environmental influences: family factors (family health conditions, primary caregiver, child-caregiver relationship, depression in primary caregiver) and institution factors (daycare enrollment, days per week in daycare); and distal environmental influences: income/resources factors (family income, personal resources and social resources); and community factors (perceived child-rearing environment). The outcome variable was questionable development.

Results

Significant contributors to questionable development in the infancy group were age, family health conditions, and personal resources; in the early childhood group, significant contributors were gender, family health conditions, grandparent as a primary caregiver, child-caregiver relationships, daycare enrollment, and personal resources.

Conclusion

Factors influencing children's questionable development may vary by developmental stage. It is important to consider differences in individual and environmental influences when developing targeted interventions to ensure that children attain their optimal developmental goals at each developmental stage. Understanding this may lead nursing professionals to design more effective preventive interventions for low-income children.

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Effects of an Infant/Toddler Health Program on Parenting Knowledge, Behavior, Confidence, and Home Environment in Low-income Mothers
Gyungjoo Lee, Soo Yang, Mi Heui Jang, Mijung Yeom
J Korean Acad Nurs 2012;42(5):671-679.   Published online October 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.5.671
AbstractAbstract PDF
Purpose

This study was conducted to evaluate the effectiveness of a mother/infant-toddler health program developed to enhance parenting knowledge, behavior and confidence in low income mothers and home environment.

Methods

A one-group pretest-posttest quasi-experimental design was used. Sixty-nine dyads of mothers and infant-toddlers (aged 0-36 months) were provided with weekly intervention for seven session. Each session consisted of three parts; first, educating to increase integrated knowledge related to the development of the infant/toddler including nutrition, first aid and home environment; second, counseling to share parenting experience among the mothers and to increase their nurturing confidence; third, playing with the infant/toddler to facilitate attachment-based parenting behavior for the mothers.

Results

Following the programs, there were significant increases in parenting knowledge on nutrition and first aid. A significant improvement was found in attachment-based parenting behavior, but not in home safety practice. Nurturing confidence was not significantly increased. The program led to more positive home environment for infant/toddler's health and development.

Conclusion

The findings provide evidence for mother-infant/toddler health program to improve parenting knowledge, attachment-based parenting behavior and better home environment in low income mothers. Study of the long term effectiveness of this program is recommended for future research.

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Analysis of Trends and Contents of Nursing Doctoral Dissertations in Korea
Kwang-Ja Lee, Younhee Kang, Mee Ock Gu, Kyunghee Kim, Oksoo Kim, Yeon-Ok Suh, Eunyoung Suh, Soo Yang, Eun-Hyun Lee, Ja Hyung Lee, Myoung-Ae Choe, Yang Sook Hah
J Korean Acad Nurs 2012;42(2):302-309.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.302
AbstractAbstract PDF
Purpose

This study aimed to identify contents and trends of Korean nursing doctoral dissertations in terms of research methodology and theoretical characteristics.

Methods

The design of the study was descriptive study and a total of 1,089 quantitative studies completed between 1982 and 2010 were reviewed using the analytical framework developed by the researchers.

Results

The majority of studies utilized the experimental design (51.5%) and the others were survey design (38.8%) and methodological design (5.0%). Study subjects were shown as patients (45%), care givers (11.2%), ordinary persons (40.6%) and others (3.2%). There were growing trends in experimental design and patients as subjects. The prevailing data collection settings were hospitals (45.8%) and community (27.8%). The theoretical frameworks that studies were based on were the existing theories (37%) and a newly developed theoretical framework by a researcher (25.2%). a framework derived from other studies by the researcher (25.2%). Majority of studies (78.5%) employed a single theory as a theoretical framework. However, 31.8% of studies had no theoretical framework based on.

Conclusion

Findings of this study provided the opportunities to shed new light on the current status of Korean doctoral dissertation and to deliberate on the future direction of nursing studies in Korea.

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Educational Needs Assessment on Research Ethics among Nursing Researchers
Ihn Sook Jeong, Mee Ock Gu, Keum Soon Kim, Kwang Ja Lee, Soo Yang
J Korean Acad Nurs 2010;40(4):515-523.   Published online August 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.4.515
AbstractAbstract PDF
Purpose

This study aimed to investigate the educational needs of research ethics among nursing researchers.

Methods

Convenience sample of 161 nursing professors and 262 master or doctoral nursing students participated in the study. Data was collected with self-reported questionnaire from June to August 2009, and analyzed with descriptive statistics using SPSS WIN (version 14.0).

Results

Among 161 nursing professors, about 31.7% has educated nursing ethics in the postgraduate course. The most common course was nursing research or methodology (62.7%), and median education time was 2 hr. Areas that showed difficulty in understanding was the conflict of interest and plagiarism for professors and falsification and fabrication for graduate students. Average knowledge on the research ethics was 75.4 points for professors and 61.6 points for students based on the 100 points.

Conclusion

Educational needs of research ethics among nursing professors and students in the postgraduate course was high. We recommend both basic and advanced research ethics educational programs for the nursing researchers. The basic course should be at least 6 hr and include various cases and something to discuss.

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Survey for Community Attitudes toward People with Mental Illness
Mi-Yeul Hyun, Soo Yang, Gyungjoo Lee
J Korean Acad Nurs 2009;39(1):84-94.   Published online February 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.1.84
AbstractAbstract PDF
Purpose

This study was done to investigate community attitudes towards people with mental illness and to mental health services.

Methods

From August to October of 2006, 474 citizens of Siheung city were asked to give demographic data and their personal attitude toward mental illness and mental health services.

Results

The residents of Siheung community showed slightly negative attitudes, with a mean opinion about mental illness score of 93.38±17.29. According to the study, health professionals and citizens showed a positive attitude to the establishment of day care centers and residential facilities (62.2% and 55.4% respectively). Civil servants showed negative attitudes (40.4%). There were significant differences in attitudes according to gender, age, education level, occupation, religion, and income. Positive attitudes were found for health professionals and negative attitudes for civil servants.

Conclusion

The results of this study indicate a need to provide public information and education for civil servants, and for those who have negative attitudes, in particular, men, people in the younger age group, who have lower education levels, who are Buddhists, monthly renters, who have a monthly income below 1 million won, who have no children and no experience with people who have a mental illness.

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Effects of Listening to Music on Auditory Hallucination and Psychiatric Symptoms in People with Schizophrenia
Hyun-Joo Na, Soo Yang
J Korean Acad Nurs 2009;39(1):62-71.   Published online February 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.1.62
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the effects of listening to music in inpatients diagnosed with schizophrenia, on their auditory hallucinations, and positive and negative symptoms.

Methods

A quasi-experimental research design with 2×2 cross-over trial and convenience sample was used. Eleven patients (Group AB) listened to music followed by a wash out period and then a usual care period, and 12 patients (Group BA) had a usual care period followed by a wash out period and then listened to music. For one week those who were in the experimental period listened to individualized music using an MP3 player whenever they heard hallucinations.

Results

There was a statistically significant decrease in the frequency of auditory hallucinations after listening to the music. There was a decrease in the mean scores for positive symptoms, negative symptoms, and general psychopathology after listening to music, but only negative symptoms showed a statistically significant decrease. The treatment effects on scores for positive symptoms, negative symptoms, and general psychopathology were greater in Group BA than Group AB.

Conclusion

These findings suggest that listening to music may be useful for managing auditory hallucinations in schizophrenia inpatients.

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