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Purpose: Based on a literature review of artificial intelligence (AI) applications within nursing tasks, this study delves into the feasibility of employing AI to improve nursing practice in Korea. Methods: We used "nursing" and "artificial intelligence" as keywords to search academic databases, resulting in 96 relevant studies from an initial pool of 940. After a detailed review, 35 studies were selected for analysis based on nursing process stages. Results: AI improves nursing assessment by enhancing pain diagnosis, fall detection, and movement monitoring in older adults. It aids nursing diagnosis through clinical decision support, risk prediction, and emergency patient triage. Further, it expedites the creation of precise plans utilizing predictive models in nursing planning. AI also forecasts medication errors and reduces the nursing documentation burden for nursing implementation. Additionally, it manages (re)hospitalization risks by assessing patient risk and prognoses in nursing evaluation. Conclusion: AI in Korean nursing can enhance assessment and diagnosis accuracy, promote a prevention-focused paradigm through risk prediction, and ease the burden of nursing practice amidst human resource shortages. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to provide a theoretical basis for career anchors of nurses by defining and organizing its concept. Methods: Using the Walker and Avant concept analysis, a total of 29 articles were analyzed through a literature search in this study. Results: The career anchors of nurses are individual career choice motives, a self-concept where in competency and values are harmonized, which act as a desire for growth and development in nursing, and are actions that maintain careers. Additionally, they indicate the direction for achieving individual career goals and act as a core value expected of nurses by nursing organizations, indicating continuous and integrated professional growth and development of the nursing profession. Conclusion: The career anchors of nurses identified in the results contribute to securing patient safety, providing quality care through policies, institutionalizing bases for career development, preventing nurse turnover, and retaining skilled nurses. [ABSTRACT FROM AUTHOR]

Purpose: It is difficult to determine whether a comprehensive and systematic community-based cancer care project is properly carried out. The purpose of this article is to present the current status and prospects of community-based oncology nursing by reviewing related literature. Methods: A new cancer care model is established through the analysis of existing cancer care models and literature review of community-based cancer prevention, cancer screening, cancer survivor care, cancer patient hospice care. Results: The Comprehensive Cancer Care Model (CCCM) was presented. The CCCM arranges the periods of cancer treatment and the cancer journey on the horizontal axis, and public health centers, oncology hospitals, cancer convalescent hospitals, primary care physicians, and prayer centers on the vertical axis, and describes levels of care participation of human resources in institutions and the degree of interconnection. Conclusion: It is expected that CCCM will be used for holistic, sustainable, and cost-effective cancer management. In community-based oncology nursing, health promotion team nurses of public health centers are in charge of population- based cancer prevention and early detection programs, and visiting health management team nurses of public health centers are in charge of individual-based cancer survivor and hospice programs. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to identify the mediating effects of team trust on the relationship between the authentic leadership of the nursing unit manager as perceived by the nurses and the nurses' organizational citizenship behavior (OCB). Methods: Data were collected from 276 nurses working over six months at a university hospital. The research model was designed based on the PROCESS Macro model 4 and analyzed using the SPSS 26.0 program. Results: The results show that authentic leadership and team trust had strong correlations with nurses' organizational citizenship behavior. Nursing unit managers' authentic leadership had a direct effect on team trust and organizational citizenship behavior. Team trust had a direct effect on organizational citizenship behavior. There was a mediation effect of team trust between authentic leadership and the organizational citizenship behavior of nurses. Conclusion: To increase team trust in nursing units, the institution should provide systematic support such as education and training program to enhance the authentic leadership of nursing unit managers. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of the study was to re-evaluate Florence Nightingale's achievements celebrating the 200th anniversary of Nightingale's birth and to reflect on her legacy. Methods: We conducted an extensive literature review with key words in Korean and English using 9 electronic databases, related data, books, articles, websites, and secondary literature. Results: As a result of this study, the five legacy of Nightingale as a social reformer were examined. First, founding nursing in response to social needs. Second, reform of the health care system. Third, a practical social activist who promoted social change for the public good. Fourth, first adoption of health statistics. Fifth, emancipation of women. Nightingale's legacy as a social reformer has had an considerable influence on our society so far. Conclusion: Nightingale was a pioneer in nursing, but she was a social reform activist who successfully transformed the medical systems and even the whole social system based on her keen insight, religious vocation, profession vision, and personal competency. In the middle of World's chaos and uncertainty due to the COVID-19 pandemic, it seems more necessary than ever to embody the legacy of Nightingale as a social reformer, and put it into practice. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of the study was to re-evaluate Florence Nightingale's achievements celebrating the 200th anniversary of Nightingale's birth and to reflect on her legacy. Methods: We conducted an extensive literature review with key words in Korean and English using 9 electronic databases, related data, books, articles, websites, and secondary literature. Results: As a result of this study, the five legacy of Nightingale as a social reformer were examined. First, founding nursing in response to social needs. Second, reform of the health care system. Third, a practical social activist who promoted social change for the public good. Fourth, first adoption of health statistics. Fifth, emancipation of women. Nightingale's legacy as a social reformer has had an considerable influence on our society so far. Conclusion: Nightingale was a pioneer in nursing, but she was a social reform activist who successfully transformed the medical systems and even the whole social system based on her keen insight, religious vocation, profession vision, and personal competency. In the middle of World's chaos and uncertainty due to the COVID-19 pandemic, it seems more necessary than ever to embody the legacy of Nightingale as a social reformer, and put it into practice. [ABSTRACT FROM AUTHOR]

Purpose: This study was intended to clarify the concept of spiritual distress in cancer patients using the hybrid model of Schwarz-Barcott and Kim. Methods: The hybrid model was used to clarify the dimension, attributes, and definition of spiritual distress. In the theoretical phase, a systemic literature review of nursing and other disciplines was conducted. In the fieldwork phase, individual in-depth interviews were held with six cancer patients. In the final analytic phase, the results of the theoretical and fieldwork phases were integrated after comparing and reviewing. Results: The concept of spiritual distress was analyzed in three domains: a changed relationship with God, a changed relationship with the self, and a changed relationship with others. Also, 10 attributes were clarified. The changed relationship with God domain had two attributes: "low connectedness in relationship with God" and a "feeling of guilt". The changed relationship with the self domain had five attributes: "loss of self-identity", "changed meaning of life", "loss of inner peace", "dwelling on the cause of unsloved suffering", and "avoidance of confronting death". The changed relationship with others domain had three attributes: "shrunk relationships", "the feeling of being unloved and unforgivable", and "burden on family". Conclusion: The concept of spiritual distress in patients with cancer encompasses multidimensional domains and 10 attributes. To assess spiritual distress in patients with cancer based on the findings of this study, it is necessary to develop a suitable spiritual distress assessment scale. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to test a structural model for patient safety culture of clinical nurses focusing on organizational policy and interpersonal factors. Methods: A descriptive structural equation model design was used. Participates in this study were 385 clinical nurses. The variables of safety management system, authentic leadership, team effectiveness, and patient safety culture were measured to test the hypothetical model. SPSS 25.0 and AMOS 21.0 were used to analyze descriptive statistics and path analysis. Results: The final model fit satisfied goodness-of-fit and all path were significant. Authentic leadership (β=.54, p=<.001) was reported as the most influencing factor, followed by team effectiveness (β=.24, p<.001) and safety management system (β=.21, p<.001). Safety management system (β=.38, p=.002) and authentic leadership (β=.12, p=.002) had indirect effects on patient safety culture as well. Conclusion: The findings of this study show the importance of authentic leadership, team effectiveness, and safety management system to develop patient safety culture. The health care organization should develop the programs to increase these influencing factors. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue and pregnancy stress, blood pressure, and neonatal birth weight, using Cox's interaction model of client health behavior for overweight and obese women. Methods: This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52 patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study; they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women's hospital in J province. The lifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, and professional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017. Results: This study showed differences in the appropriate weight gain rate (Χ²=6.17, p=.013), suppression of an increase in fatigue (t=-2.32, p=.012), and an increase in pregnancy stress (t=-1.87, p=.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birth weight (p>.05) were found. Conclusion: The study findings indicate that this program could be an effective intervention for the control of appropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox's interaction model of client health behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women. [ABSTRACT FROM AUTHOR]

Purpose: This study was to investigate the structural relationship between nurses' motivation and effectiveness in their occupations using the Job Crafting model. This study was identified that the nurses' occupational motivation affected task, cognitive, and relational crafting. The factors affecting job effectiveness, organizational commitment and job embeddedness were also identified. Methods: The survey was conducted with 596 participating nurses working in common general hospitals and tertiary hospitals within South Korea. A structural equation model was constructed to verify the fitness of this model. Data was analyzed using SPSS 23.0 and AMOS 21.0 programs. Results: The identified factors affecting occupational motivation was positive affectivity job crafting. Cognitive crafting had a significant impact on task and relational crafting, but task crafting had no significant influence on organizational commitment. Organizational commitment was found to have a significant impact on job embeddedness. As a result of comparing by size of the hospital, the Job Crafting model validated in this study showed higher fitness at tertiary hospitals than in common general hospitals. Conclusion: We found that nurses' job crafting behavior and occupational motivation cause them to have a significant influence on organizational commitment and job embeddedness, which are factors of job effectiveness. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to analyze the concept of social support of nursing students using a hybrid model and to derive a definition and attributes of social support through theoretical, fieldwork, and final analysis stages. Methods: Twenty-nine studies were analyzed in the theoretical stage. Seventeen in-depth interviews were conducted with nursing students in the fieldwork stage. In the final analysis stage, the concept of social support was defined and the attributes were derived by integrating the theoretical and fieldwork stages. Results: The attributes of social support of nursing students identified in the final analysis consisted of two dimensions and eight attributes. The two dimensions were structural and functional support. The eight attributes were social network, educational, emotional, informational, economic, positive evaluation, self-esteem support, and support by providing a role model provision. The structural dimension included the social network support attribute. The functional dimension included the remaining seven attributes. Educational support and support by providing of a role model provision were newly derived attributes that reflected specific characteristics of nursing students. Conclusion: Based on the results of this study, we suggest that researchers should attempt to develop a scale to measure the social support of nursing students. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to examine the effect of multidisciplinary lifestyle modification program in overweight or obese middle-aged women. Methods: This study was conducted from January 2 to June 5, 2018 at Jeonju city in South Korea. A non-equivalent control group quasi-experimental design was used. A total of 46 women were assigned to the experiment group (n=22) or the control group (n=24). The multidisciplinary lifestyle modification program for this study consisted of physical activity, nutritional management, stress management, health counseling, lifestyle monitoring, and affective support based on King's goal attainment theory, which was implemented for eight weeks. Results: Significant group differences were found in health- promoting behavior (p<.001), depression (p<.001), anxiety (p=.018), stress (p=.001), weight loss (p=.002) and reproductive symptoms (p=.020) among overweight and obese middle-aged women. Conclusion: Multidisciplinary lifestyle modification program is effective in improving health-promoting behavior, depression, anxiety, stress, weight loss and reproductive symptoms. Therefore, healthcare providers should develop strategies to expand and provide multidisciplinary lifestyle modification program through interaction and transaction for overweight or obese middle-aged women. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory. Methods: The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed. Results: The goodness-of-fit of the final model was at a good level (χ² /df=2.46, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability. Conclusion: The nurses' clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to identify the significance and structure of the painful experience of primary decision-makers regarding the Do-Not-Resuscitate (DNR) instruction. Methods: This study was a qualitative research based on Parse's qualitative research method. Participants were 7 family members who were primary decision-makers for regarding DNR instruction for the family member from July 28, to October 6, 2018. Results: The core concepts of the difficulties of the participants were Distress emerging from the pitiful condition of the patient, guilt, sadness and regret, Seeking comfort for loved ones, Uncertainty of DNR decision, Planning the resumption of daily life and decision about own DNR. The painful experience of participants can be defined as the process of empowering the patient through verbal communication with them, by valuing them, and by enabling them to overcome their limitations. Conclusion: The result of this study is expected to contribute to a deep understanding of primary DNR decision-makers' suffering and developing guidelines for nursing care for health care professionals and primary DNR decision-makers who provide end-of-life care to the patients. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to identify factors associated with oncology nurses' adherence to Chemotherapy-Induced Neutropenia (CIN) guidelines based on Pender's Health Promotion Model (HPM). Methods: For this cross-sectional descriptive study, 187 nurses who worked at the oncology department of Channam National University Hawsun Hospital responded to self-administered questionnaires. A tool for CIN guideline adherence was developed through systematic search, synthesis, translation, and content validation. Data collection was conducted by a trained research assistant from September 18 to September 26, 2017. Data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: Stepwise multiple regression showed that guideline adherence was associated with CIN education (β=.26, p<.001), self-efficacy (β=.17, p=.018), perceived benefits (β=.16, p=.026), interpersonal factors (β=.16, p=.043), and educational level (β=.14, p=.030). Conclusion: The findings of this study could be used to develop interventions focusing on CIN education and for the strengthening oncology nurses' self-efficacy and beliefs to promote adherence to CIN guidelines. In addition, repeated studies would be needed to verify application of Pender's HPM to explain nurses' adherence. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to explore the experience of hope of terminal cancer patients in Korea. Methods: Seven participants receiving hospice care were interviewed about hope experiences based on Parse's research methodology. Results: Practical propositions derived from the structure of the hope experience were: Terminal cancer patients are beings newly recognizing the value of their lives by maintaining their hopes while they are experiencing powerlessness due to feelings of loss and distress. Ways of truly being with them are accepting their experience of distress, understanding the existence of paradoxical relationships, active symptom management, and finding hope in the current situation. Through these processes, the patients restructure their remaining lives for peaceful death by changing their perceptions about death. This structure can be interpreted as 'the hope experience of terminal cancer patients is a process of changing the value of life, overcoming fear of death, enhancing meaning, and transcending.' Conclusion: The concept of 'true presence' applied in this study was proved to be an effective nursing practice improving quality of life of the patients. Parse's Human Becoming Methodology may be applied to terminal cancer patients in the future. [ABSTRACT FROM AUTHOR]

Purpose: Patient-centered care is a widely utilized concept in nursing and health care. However, the key components of patient-centered nursing have not yet been reported. Moreover, previous studies on patient-centered care have mostly focused on components of nursing rather than organizational factors. Therefore, a comprehensive understanding of influential factors of patient-centered care is required. Methods: The purpose of this study was to develop a theoretical model based on person-centered care theory, and the relevant literature and to test the developed model with covariance structure analysis in order to determine the causal paths among the variables. Results: The model fit indices for the hypothetical model were suitable for the recommended level (goodness of fit index=.87, standardized root mean residual=.01, root mean square error of approximation=.06, Tucker-Lewis index=.90, comparative fit index=.92, parsimonious normed fit index=.75). In this study, five of the six paths established in the initial hypothetical model were supported. The variables of teamwork, self-leadership, and empathy accounted for 56.4% of hospital nurses' patient-centered care. Among these, empathy was the strongest predictor of patient-centered care. Conclusion: These results suggest that it is necessary to use strategies to improve self-leadership and empathy. In addition to enhancing the personal factors of nurses, nursing organizations should strive for effective multidisciplinary cooperation with active support for patient-centered care and openness to change. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to develop a sexual abuse prevention education program for elementary school students. Methods: Orem's Self-Care Theory (1995) and Seels & Richey's ADDIE model (1994) for developing learning materials were applied to develop this program Results: The development progress of the program consisted of 5 distinct phases: analysis, design, development, implementation, and evaluation. The contents was classified into 6 categories: the definition of sexual abuse, how to deal with sexual abuse, the situational reaction, areas with a high risk for sexual abuse, related organizations, and a wrap-up quiz. The app was easily accessible for elementary school students. Conclusion: A sexual abuse prevention program using a hybrid app may be an effective way to reach elementary students, and further research for children of various ages is required. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to evaluate the effectiveness of a sleep improvement program combined with an aroma-necklace on sleep, depression, anxiety, and blood pressure in elderly women living at home. Methods: A program consisting of a four-week (one hour per week) sleep improvement intervention plus use of an aroma-necklace, was developed based on Cox's Interaction Model of Client Health Behavior. 70 elderly women were assigned to the experimental (n=35) or control group with no intervention (n=35). Data from 62 participants (32 in the experimental and 30 in the control) were analyzed using the SPSS 21.0 program. Women in the experimental group were instructed to constantly wear the aroma necklace filled with marjoram and orange oil until the program was completed. Sleep quality, sleep duration, sleep satisfaction, depression, anxiety, and blood pressure were measured to identify the effectiveness of the program. Results: Significant group differences were found in sleep quality (t=-5.10, p<.001), sleep duration (z=-3.10, p=.002), sleep satisfaction (z=-4.13, p=<.001), depression (t=2.53, p=.015), and anxiety (z=-2.47, p=.014). No differences were found in the systolic or diastolic blood pressure. Conclusion: The results indicate that a sleep improvement program combined with an aroma-necklace was effective in improving sleep disturbances in elderly women living at home. Nurses may contribute to improving sleep among elderly women by applying this program to aged women living in various environments. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was the evaluation of a Home Nursing Care based Respiratory Management Program (HHNbRMP) on health care ability, respiratory and psychological status and quality of life (QoL) of patients with Amyotrophic Lateral Sclerosis (ALS). The management program utilizes a home mechanical ventilator (HMV) in the home. Methods: A non-randomized controlled experimental design was employed. HHNbRMP based on Cox’s Interaction Model which includes cognitive assent (education, specialized medical care, case management), internal motivation (airway clearance, thoracic exercise, air accumulated exercise) and psychological response (meditation & active listening). These variables were measured first for a base line reading and then at four, twelve, and twenty-four weeks. The data were analyzed by t-test/ANOVA and Repeated Measures ANOVA/ANCOVA. Results: Only respiratory difficulty among the variables showed a significant difference at twelve and twenty-four weeks (F=7.52, p=.009; F=7.58, p=.009). Conclusion: The Home Health Nursing Management program was effective in managing respiratory difficulty. The patients were satisfied with this program. Applying this program tailored to patients’ condition, their respiratory health parameters would be improved. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to examine the effects of a group counseling program based on goal attainment theory on self-esteem, interpersonal relationships, and school adjustment of middle school students with emotional and behavioral problems. Methods: Forty-four middle school students with emotional and behavioral problems (22 in the experimental group and 22 in the control group) from G city participated in this study. Data were collected from July 30 to September 24, 2015. The experimental group received the 8-session program, scheduled once a week, with each session lasting 45 minutes. Outcome variables included self-esteem, interpersonal relationship, and school adjustment. Results: There were significant increases for self-esteem (t=3.69, p=.001), interpersonal relationship (t=8.88, p<.001), and school adjustment (t=4.92, p<.001) in the experimental group compared to the control group. Conclusion: These results indicate that the group counseling program based on goal attainment theory is very effective in increasing self-esteem, interpersonal relationship, and school adjustment for middle school students with emotional and behavioral problems. Therefore, it is recommended that the group counseling program based on goal attainment theory be used as an effective psychiatric nursing intervention for mental health promotion and the prevention of mental illness in adolescents. [ABSTRACT FROM AUTHOR]

Purpose: This study was done to develop and test a structural model on smoking cessation intention in technical high school men. The conceptual model was based on the theory of reasoned action and health promotion model. Methods: From May 29 to April 13, 2015, 413 technical high school students who smoked completed a structured questionnaire. Data were analyzed to calculate the direct and indirect effects of factors affecting smoking cessation intention. The SPSS WIN 20.0 and AMOS 21.0 programs were used. Results: The hypothetical model was a good fit for the data. The model fit indices were χ² /df=2.36, GFI=.95, AGFI=.92, NFI=0.97, and RMSEA=.05. Self-esteem had direct and indirect effects on smoking cessation intention. Attitude, subjective norm, and self-efficacy had direct effects on smoking cessation intention. Smoking knowledge and environmental factor had indirect effects on smoking cessation intention. This model explained 87.0% of the variance in smoking cessation intention. Conclusion: These results indicate that technical high school students' intention to stop smoking can be improved through an increase in self-esteem, negative environmental factors, attitude toward smoking cessation, subjective norm about smoking cessation, and self-efficacy for smoking cessation. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to construct and test a structural equation model of health-related quality of life (HRQoL) among hospitalized patients with pulmonary tuberculosis (PTB). Methods: Participants were 256 patients with PTB who were 20 years or older and admitted in two national tuberculosis hospitals. The patients participated in pulmonary function testing and responded to structured questionaries. Results: The goodness-of-fit statistics of the final hypothetical model were as follows: χ²/df=2.19, RMSEA=.07, SRMR=.05, GFI=.95, NFI=.95, CFI=.96, TLI=.92, and PCFI=.52. Symptoms and general health perception had significant direct effects, and subjective economic status, social support and stigma had significant indirect effect on HRQoL of hospitalized patients with PTB. These variables explained 64% of variance in the prediction model. Conclusion: Findings suggest that strategies and intervention for physical symptoms and depressive symptoms are crucial to improve the quality of life in hospitalized patients with PTB. The development of various social support programs is also recommended. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective. Methods: Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed. Results: The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (β=.84), hope and cognitive illness representation (β=.37 and β=.27) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome. Conclusion: This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to identify turnover experiences of men in nursing and to derive a substantive theory on the turnover experience of men who are nurses. Methods: Data were collected through in-depth interviews with 13 men who had worked as a nurse for 1 year or more, and had a turnover experience during that period. Collected data were analyzed on the basis of Strauss and Corbin's grounded theory. Results: The core category in the turnover experiences of the respondents was 'seeking a stable place for me'. In the analysis of the core category, types of 'contentment', 'seeking', 'survival' and 'confusion' were identified. The sequential stages of these nurses' turnover experience were 'confrontation', 'incertitude', 'retrying' and 'realization'. However, when a problem arose in the process, they returned to the stage of confusion. Thus, these stages could occur in a circular fashion. Conclusion: These findings provide a deep understanding of the turnover experience of men in nursing and offers new information about how they adapt to nursing practice. The findings should be useful as foundational data for men who hope to become nurses and also for managers responsible for nurses who are men. [ABSTRACT FROM AUTHOR]

Purpose: This ethnographic study was conducted to explore and understand the meaning of the daily life of nurses in emergency departments. Objectives for this study were to identify and describe the true nature of emergency room nurses' daily experience and create a theoretical model based on the findings. Methods: Data were collected through in-depth interviews and participants observation. These data were recorded and transcribed verbatim with consent of the informants, 10 nurses who had cared for patients in emergency rooms. Data were collected between November 2013 and October 2014. Interviews continued until no new information could be identified from transcripts. Data were analyzed using the taxonomic analysis method developed by Spradley. Results: Based on the data acquired from interviews, nurses' cultural domains were classified as 'extensity of emergency room nurses', 'temporality of emergency room nurses', 'relationships among emergency room nurses' and 'becoming an emergency room nurses'. Conclusion: The daily culture of emergency room nurses could be summarized as 'busy daily life amidst confusion'. However, many nurses boosted their self-esteem by taking care of patients' collaboration with fellow nurses. In other words, nurses in emergency room forms a dynamic culture and pursue professionalism, rather than a simple chaotic daily life culture. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to analyze students experiences during clinical practice in nursing management. Methods: Assessing through computerized databases, self-reflection reports of 57 students were analyzed. Text network analysis was applied to examine the research. The keywords from each student's reports were extracted by using the programs, KrKwic and NetMiner. Results: The results of the keyword network analysis of what students learned in the nursing process included 27 words. The keyword network analysis of what students learned from the problem solving process included 23 words and the keyword network analysis of improvements in Clinical Practice of Nursing included 31 words. Conclusion: Studies related to clinical practice have been increasing, and themes of the studies have also become broader. Further research is required to investigate factors affecting clinical practice specifically in nursing management. Further comparative studies are necessary to define differences in clinical practice systems related to improving nursing students competency. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to generate a grounded substantive theory of the adaptation process of nurses who return to work after taking parental leave. Methods: Individual in-depth interviews with 13 participants were conducted between June and September 2014. Participants were interviewed 1~3 times; interviews were continued until the data became saturated. Data were analyzed using Strauss and Corbin's grounded theory method. Results: The core category of experience of the process of adaptation as a nurse who returned to work after parental leave was 'trying to regain one's previous position'. Participants used five interactional strategies: 'preparing in advance', 'initiating relationships with colleagues', 'keeping a positive attitude', 'understanding parenting helpers', 'Taking burden off one's mind'. Conclusion: The results of this study provide a theoretical basis for the adaptation process of nurses returning to work after taking parental leave. The importance of improving nurses' attitudes to their co-workers who take parental leave is highlighted along with the necessity of providing a family-friendly work environment. These results can be used to develop supportive policies and programs for nurses who return to their work after parental leave. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to examine the effect of lifestyle intervention on the development of fatigue, nutritional status and quality of life of patients with gynecologic cancer. Methods: A nonequivalent control group quasi-experimental design was used. Participants were 49 patients with gynecologic cancer. They were assigned to the experiment group (n=24) or the control group (n=25). The lifestyle intervention for this study consisted of physical activity, nutritional education, telephone call counseling, health counseling, monitoring for lifestyle, and affective support based on Cox's Interaction Model of Client Health Behavior and was implemented for six weeks. Results: Significant group differences were found for fatigue (p =.037), nutritional status (p =.034) and social/family well-being (p =.035) in these patients with gynecologic cancer. Conclusion: Results indicate that this lifestyle intervention is effective in lessening fatigue, and improving nutritional status and social/family well-being. Therefore, nurses in hospitals should develop strategies to expand and provide lifestyle interventions for patients with cancer. [ABSTRACT FROM AUTHOR]

Purpose: This study was done to develop a reproductive health program to improve reproductive health of women immigrants. Methods: The participants in the study were 58 immigrant women who lived in Vietnam, China, Philippines, or Cambodia before marriage. They were assigned to the experiment group (n=29) or the control group (n=29). The reproductive health program for this study consisted of reproductive health education, health counseling, phone monitoring, and emotional support based on Cox (1982)’s Interaction Model of Client Health Behavior and was implemented for four weeks. Results: There were significant differences in reproductive health knowledge (t=9.78, p<.001), reproductive health attitude (t=6.59, p<.001), and reproductive health behavior (t=5.11, p<.001) within and between groups after the reproductive health program. But there were no significant differences in clinical indicators between the two groups. Conclusion: The results of this study indicate the that reproductive health program for the women immigrants is effective in terms of reproductive health knowledge, reproductive health attitude and reproductive health behaviors. Therefore, nurses in public and private facilities, such as multicultural centers and public health centers in each community, should develop strategies to expand and provide reproductive health programs for women immigrants. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to construct and test a structural equation modeling on burnout of clinical nurses based on CS-CF model. Methods: A survey using a structured questionnaire was conducted with 557 clinical nurses. Data were analyzed using structural equation modeling. Results: The modified hypothetical model yielded the following χ2 =289.70, p<.001, RMSEA=.09, GFI=.93, TLI=.91, CFI=.94, PCFI=.65, AIC=363.21, SRMR=.05 or less and showed good fit indices. Nursing work environment, patient safety culture and resilience showed indirect effects on burnout while compassion fatigue and compassion satisfaction had direct effects. Conclusion: Results of this study suggest that compassion fatigue must be decreased and compassion satisfaction has to be increased, while burnout is lowered by enhancing the clinical nursing work environment, patient safety culture and resilience. In addition, more variables and longitudinal studies are necessary to validate the clear cause-and-effect relationship between the relevant variables. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to identify the process of overcoming the intention toward turnover experienced by career nurses. Methods: Data were collected from 10 career nurses though in-depth interviews about their experiences. The main question was "How do you describe your experience of the process of overcoming intention to turnover as a career nurse?" Qualitative data from field and transcribed notes were analyzed using Strauss & Corbin's grounded theory methodology. Results: From the participants' statement, 127 concepts, 34 subcategories and 13 categories were extracted through the open coding process. The core category was discovered to be 'back to the original place'. Phenomenon was identified as 'reached the threshold that cannot be withstood' and this series of process was categorized as having four stages: 'conflict', 'meditation', 'discovery' and 'conquest'. There were three types of overcoming turnover intention in career nurses, 'adjustment', 'compromise', 'self-led'. Conclusion: The results of this study produced useful information about the needs of career nurses during the process of overcoming turnover intention based on their stage and overcoming types of turnover intension. Ultimately this study may help decrease the turnover intention of career nurses. [ABSTRACT FROM AUTHOR]

Purpose: This study was performed to propose an ontology methodology based on standardized nursing process as framework in obstetric and gynecologic nursing practice. Methods: The instrument used in this study was based on the nursing diagnosis classification established by North American Nursing Diagnosis Association (NANDA) (2009-2011), fifth edition of the Nursing Interventions Classification (NIC) (2008), forth edition of the Nursing Outcomes Classification (NOC) (2008) developed by Iowa State University and systematized nomenclature of medicine clinical terms (SNOMED CT). The nursing records data were collected from electronic medical records of one hospital from August to October 2010. Results: One hundred and forty-one nursing diagnosis statements used in obstetric and gynecologic nursing unit were linked standardized nursing classifications and constructed nursing diagnosis ontology including interoperability. Conclusion: Not only will this result be helpful to complete nurse's lack of knowledge and experience, it will also help to determine nursing diagnosis logically by using standardized nursing process. It will be utilized as the method to construct ontology including interoperability in other nursing units. It will be presented nursing interventions according to nursing diagnosis and thus will be easier to establish nursing planning. This can provide immediate feedback of the nursing process application. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was propose and test a predictive model that could explain and predict factors influencing the sexual satisfaction of women with diabetes mellitus. Method: The conceptual frame for this study was formed as a hypothesized model based on Roy's adaptation model. Participants for this study were 240 out-patient women from P university hospital in Y city. The data were analyzed using SPSS 18.0 and AMOS 19.0 program. Results: The paths that had direct effects on sexual satisfaction, and were statistically significant were showing intimacy with spouse, and sexual function. The explanatory power of these variables for sexual satisfaction was 64%. Conclusion: The results of the study suggest that it is necessary for enhancement of sexual satisfaction for women with diabetes to increase intimacy with husband, and that sexual function, frequency of exercise, adequate glycemic control be maintained, and depression decreased. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to provide a basis for non-humidified low flow oxygen by nasal cannula and to provide a guide for consistent care in nursing practice. Methods: A methodological study on the development of guidelines with experts' opinions on collected items, framing PICO questions, evaluating and synthesizing texts which were searched with the key words (low flow oxygen, nasal cannula, humidification of oxygen, guideline) from web search engines. Results: Of the 45 researched texts on the web, 9 texts relevant to the theme were synthesized and evaluated. All patients with humidified or non-humidified oxygen therapy reported that they had no discomfort. Conclusion: The results indicate that there are no tangible grounds for patients' perceived differences between the humidified and non-humidified oxygen under 4L/min supplied by nasal cannula. with oxygen. Therefore, non-humidification oxygen therapy is strongly advised when suppling under 4L/min oxygen by nasal cannula (recommended grade A). [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to develop a tool for measuring the intra-operative caring as perceived by regional anesthesia patients. Methods: A preliminary instrument with 54 questions, based on a literature review and semi-structured interviews with 11 regional anesthesia patients, was developed. A group of experts revised individual questions, and 34 questions were finally selected. This tool was tested with 137 regional anesthesia patients admitted to D university hospital in B city from August to October 2008. Results: The validity and reliability of the tool were tested using factor analysis. After item analysis, one question with a correlation coefficient under .30 was discarded After performing factor analysis on the final 33 questions, 7 factors were identified; holistic needs fulfillment, consideration, protective environment, cautiousness, concern, information, physical comfort. The total variance shown in the test was 73.5%. A Cronbach alpha of 0.96 showed the reliability of the instrument. Conclusion: Results of this study indicate that the tool is statistically reliable and valid to measure the intraoperative caring perceived by regional anesthesia patients. This tool can be utilized usefully in assessing the effects of nursing interventions for regional anesthesia patients. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to verify effects of the Active Parenting Today (APT) program based on King's Goal Attainment Theory on parenting stress, parenting behavior, and parenting satisfaction in mothers of school-age children. Methods: This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants were 39 mothers of school-age children (19 in the experiment group and 20 in the control group) who were registered at two community children centers in G city. The experimental group received the APT program (2 hours/session/week) and telephone counseling (2 times/week) for 8 weeks. Data were analyzed using X²-test, t-test, Fisher exact probability test, and ANCOVA with the SPSS/Win15.0 program. Results: Parenting stress was significantly lower in the experimental group than in the control group. Positive parenting behavior and parenting satisfaction were significantly higher in the experimental group than in the control group. However, negative parenting behavior was not significantly different between the two groups. Conclusion: The results of this study indicate that the APT program based on King's Goal Attainment Theory is useful in reducing parenting stress, creating positive parenting behavior change, and promoting parenting satisfaction in mothers of school-age children. [ABSTRACT FROM AUTHOR]