Purpose: This study aimed to investigate the psychosocial factors that affect resilience, social support, uncertainty, and depression on rehabilitation adherence in post-acute stroke patients. Methods: Data were collected from 2019 September 2 to 2020 February 4 using structured questionnaires. Participants were 124 patients who visited a university-affiliated hospital in C city. Using SPSS/WIN 21.0 program, the data were analyzed with independent t-test, one-way ANOVA, Scheffé ́ test, Pearson’s correlation coefficient, and stepwise multiple regression. Results: Rehabilitation adherence among stroke patients was positively correlated with resilience (r=.38, p<.001), social support (r=.43, p<.001), and negatively correlated with uncertainty (r=-.28, p=.002). The most influencing factor of rehabilitation adherence among stroke patients was inconvenience in daily life (β=.29, p=.001), resilience (β=.25, p=.012), social support (β=.23, p=.021), activities of daily living (β=.17, p=.038), and uncertainty (β=-.22, p=.017). The relevant variables have a 30.6% influence (F=11.85, p<.001) on the rehabilitation adherence of stroke patients. Conclusion Nursing professionals should pay attention to providing personalized and targeted approaches to maximize stroke patients’ resilience and social support and reduce their uncertainty. There is a need to provide and activate integrated programs that identify and link family and community support systems.

Purpose: The purpose of this study was to evaluate health-related quality of life (HRQoL) and associated factors among Korean elderly with diabetes mellitus using nationally representative data. Methods: This study was a retrospective cross-sectional study using secondary data analysis. Data for 432 elderly 65 years and older with diabetes from the Korea National Health and Nutrition Examination Survey 2019 were included. HRQoL was measured using the HINT-8 (Health-related quality of life instrument with 8 items) questionnaire for Korean.Independent variables were demographics and health-related characteristics. Factors associated with HRQoL were analyzed using hierarchical linear regression analysis. Results: HRQoL was significantly different according to sex, age, educational level, living alone, house income, economic activity, stress perception, depression mode, subjective health status, activity limitation, days of walking, aerobic exercise, and drinking. Lower house income, higher stress perception, and poor subjective health status were significantly related to lower HRQoL in Korean elderly with diabetes. Conclusion House income, stress perception level, and subjective health status should be considered in older adults with diabetes to improve their HRQoL.

Purpose: The purpose of this study was to compare fatigue, depression, and psychosocial well-being according to level of care dependency in stroke patients. Methods: 140 stroke patients participated in this descriptive correlation study. Data were collected from July 12, 2019, to March 25, 2020. The data collected using a structured questionnaire on care dependency, fatigue, depression, psychosocial well-being. To analyze the data, mean, standard deviation, x2 test, ANCOVA, and Pearson's correlation coefficients were used. Results: Stroke patients with moderate to high level of care dependency showed higher fatigue compared to patients with low care dependency. The patients with high care dependency presented significantly higher depression than the patients with low and the moderate care dependency patients did. Low care dependency group had higher psychosocial well-being scores compared to moderate care dependency group, while moderate care dependency group had higher psychosocial well-being scores compared to high care dependency group. Conclusion The results of this study showed that stroke patients with high care dependency presented high fatigue and depression in addition to low well-being. Therefore, it is necessary to develop and apply nursing interventions to reduce fatigue and depression and to promote psychosocial well-being for the patients with high level of care dependency.

Purpose: The purpose of this study is to identify awareness and needs on augmentative and alternative communication (AAC) in critical care nurses. Methods: 316 critical care nurses from five hospitals participated in the survey. Data were collected using self-reported questionnaires consisting of AAC knowledge, needs, and experience via Google Forms from January to April 2022. The data were presented in frequency and percentage. Results: 28.9% of critical care nurses answered that they knew about AAC, indicating low awareness of AAC. Among critical care nurses, intensive care unit nurse showed high awareness of AAC. The most frequently encountered AAC method was written methods using paper, board, and whiteboard, which took more time compared to other methods. The nurses reported educational needs on AAC interventions and strategies as well as support for AAC devices. Conclusion The results of this study showed that awareness on AAC in critical care nurses were low. Considering that communication problems can reduce patient safety and treatment satisfaction, it is suggested to improve awareness on ACC by providing educational intervention programs. In addition, institutional support for ACC is needed.

Purpose: The purpose of this study was to identify factors influencing on intention to use mobile application (app) for health promotion in middle-aged women aged 40 to 64 years. Methods: A total of 586 women participated in the self-report questionnaires through an online survey. Data were collected from February 10 to 16, 2021. Data were analyzed using x 2 test and logistic regression analysis with SPSS/WIN 22.0. Results: 429 (73.2%) participants had intention to use mobile app for health promotion. Factors influencing on intention to use mobile app in this study were perceived usefulness (odds ratio [OR]=5.62, 95% confidence interval [CI]=3.45~9.14, p<.001), perception of health risks (OR=1.45, 95% CI=1.09~1.81, p=.012), no experience of mobile app use (OR=0.57, 95% CI=1.09~2.59, p=.018), and obesity (OR=2.93, 95% CI=1.76~4.87, p<.001). Conclusion This study suggests that it is important to improve awareness about usefulness of mobile apps and health risks as a strategy to increase the intention to use app for health promotion in addition to develop mobile apps for weight management in middle-aged women. In addition, mobile app interventions at public health centers are required to manage the middle-aged women’s health as an active community-based health management.

Purpose: The purpose of this study is to identify e-health literacy, job-esteem, self-efficacy and health promoting behaviors and to identify affecting the health promoting behaviors among of nurses in small and medium-sized hospital based on the IMB Model. Methods: The research design for this study was a descriptive survey using convenience sampling. Data collection was done using online questionnaires completed by 121 nurses in small and medium-sized hospital in D,C and S cities. The data were analyzed using percentage, mean, standard deviation, t-test, ANOVA, Scheffé ́ test, Pearson correlation analysis and hierarchical multiple regression with the SPSS/WIN 23.0 Program. Results: The mean score of health promoting behaviors was 3.65±0.55 out of a possible 5. Health promoting behaviors showed a significantly positive correlation with e-health literacy (r=.39, p<.001), job-esteem (r=.62, p<.001) and self-efficacy (r=.31, p=.001). In the hierarchical multiple regression analysis, job-esteem (β=.47, p<.001), self-efficacy (β=.18, p=.010) and e-health literacy (β=.15, p=.049) were significant predictors and explained 44% of health promoting behaiviors. Conclusion The results of the study showed factors that influence health promoting behaviors in nurses in small and medium-sized hospital. Based on the results of the study, health promoting behaviors improvement program need to include factors that e-health literacy, job-esteem and self-efficacy.

Purpose: This study aimed to determine relationships among handgrip strength (HGS), blood pressure, dialysis adequacy, dialysis symptoms, and depression in hemodialysis patients. Methods: Data from 150 subjects were obtained and analyzed, following a descriptive approach. Results: The average grip strength of the subjects was lower than the standard value for both men and women, and the grip strength differed significantly according to age, gender, education level, monthly income, and BMI. The physiological indicators that showed significant results with the study variables were hemoglobin, serum calcium, and serum phosphorus. The average dialysis adequacy (Kt/V) of the subjects was higher than the normal standard, and there were significant differences according to age, gender, education level, monthly income, dialysis period, number of accompanying diseases, and BMI. The subject's depression score had a significant negative correlation with dialysis adequacy, and the dialysis symptom score and depression score had a significant positive correlation. Conclusion General characteristics, dialysis-related characteristics, and physiological indicators of hemodialysis patients were analyzed in detail, and differences between these characteristics and grip strength, blood pressure, dialysis adequacy, dialysis symptoms, and depression were also examined. It is necessary to provide delicate nursing according to the individual characteristics of the patient.

Purpose: The purpose of this study was to examine the level of turnover intention and identify factors affecting turnover intention in nurses working at a tertiary hospital in Korea. Methods: A descriptive study was conducted. A total of 239 clinical nurses were recruited using a convenient sampling method. The standardized questionnaires was used to assess fatigue, nursing professionalism, and compassion satisfaction. Data were analyzed using SPSS software. Descriptive statistics were computed to describe the sample and study variables. Logistic regression analyses was performed to identify factors affecting turnover intention in clinical nurses working at a tertiary hospital. Results: Among the 239 clinical nurses, a mean age of participants was 28.80±5.08 years. Most of participants were female (n=228, 95.4%) and single (n=183, 76.6%) and achieved bachelor’s degree (n=186, 77.8%). Approximately 43.5% of them intended to turnover their current job. The findings showed that turnover intentions were significantly higher among clinical nurses who were younger (OR=0.93, 95% CI=0.86~0.99), worked in ICU or ER (OR=3.64, 95% CI=1.04~12.70), had higher fatigue (OR=1.02, 95% CI=1.01~1.04), and had lower professionalism (OR=0.98, 95% CI=0.96~0.99). It explained 23.7% of the variance in turnover intention. Conclusion The findings indicated that nurse administrators need to develop and provide customized intervention program to decrease fatigue and increase nursing professionalism to prevent turnover intention in clinical nurses working at a tertiary hospital.

Purpose: The purpose of this study is to identify the relationship between career identity, major satisfaction, and nursing professionalism among undergraduate students who experienced the COVID-19 pandemic in nursing. Methods: A total of 341 nursing students who experienced the COVID-19 pandemic were recruited from four universities. The data were analyzed using SPSS 21.0 with real number, percentage, mean, t-test, ANOVA, Pearson's correlation, and multiple regression analysis. Results: The average age of the study participants was 21.09±1.98 years. Career identity was 2.64±0.41 points, major satisfaction was 3.87±0.50 points, and nursing professionalism was 3.70±0.48 points. Nursing professionalism showed a statistically significant positive correlation with career identity (r=.25, p<.001) and major satisfaction (r=.60, p<.001). Career identity and major satisfaction explained 35% of nursing professionalism. Conclusion This study found that nursing professionalism among nursing students experiencing the COVID-19 pandemic was reduced compared to studies conducted before the COVID-19 situation. The possibility of a repeat of the pandemic situation caused by COVID-19 or other similar infectious diseases cannot be ruled out. In order to accept and respond to changes, it is necessary to understand the characteristics of undergraduate students who are prospective nurses in the post-corona era from various aspects.

Purpose: This study comprehensively examined the experiences of breast cancer survivors' while accessing healthcare facilities for developing nursing intervention programs to enhance and maintain patients' health. Methods: As part of this qualitative study, focus group interviews were conducted with six breast cancer survivors from December 30, 2020, to April 30, 2021. Results Qualitative data analysis revealed four themes and nine sub-themes using a medical institution after diagnosis in breast cancer survivors. Four themes were ‘burden that individuals still have to bear’, ‘hospital situation that is not patient-centered’, ‘alternative ways to get information and support from the other resources’, and ‘the journey of long-term treatment and management’. Discussion: To improve the quality of life in breast cancer survivors, it is vital to establish medical services that consider the characteristics of each stage of the disease, in addition to support hospitals and social policy programs that can address the unmet needs of the survivors.