1.The Effects of Rehabilitation Nursing Interventions for Improving Activities of Daily Living and Motor Functions of Stroke Patients with Hemiplegia: A Scoping Review
Daun LEE ; Sunhee SONG ; Gyeongeun LEE ; Jaemin SONG
Korean Journal of Rehabilitation Nursing 2024;27(1):21-37
Purpose:
This scoping review aims to provide established basic data on the characteristics and the effects of rehabilitation nursing interventions for improving the daily living ability and motor functions of stroke patients with hemiplegia to suggest the future direction of rehabilitation nursing interventions.
Methods:
The study population, concept and context were as of the following: ‘patients with hemiplegia’, ‘improvement of daily living abilities and motor functions’, and ‘published literature on the effects of rehabilitation nursing interventions’. Databases including PubMed, Embase, CINAHL, Cochrane Library, and DBpia were searched.
Results:
A total of 14 articles published within the past 5 years were identified. This review summarizes 1) the general characteristics of the reviewed literature (authors, year of publication, research method, research subjects), 2) the characteristics of the identified rehabilitation nursing interventions (interventionist, intervention type, period, measurement tool), 3) the effects of the rehabilitation nursing interventions, and the academic and clinical implications.
Conclusion
This scoping review provides theoretical basis for the future development of rehabilitation nursing interventions for stroke patients with hemiplegia.
2.The Effects of Compassion Competence, Clinical Nursing Character, and Nursing Professionalism on Nursing Service Quality of Long-term Care Hospital Nurses
Korean Journal of Rehabilitation Nursing 2024;27(1):11-20
Purpose:
This study is a descriptive research study to understand the effect of compassion competence, clinical nursing character, and nursing professionalism on nursing service quality provided by long-term care hospital nurses.
Methods:
The participants were 187 nurses working in six long-term care hospitals. Data were collected from October 30 to December 5, 2023, and analyzed using the SPSS/WIN 26.0 program (descriptive statistics, one-way ANOVA, independent t-test, Scheffé test, Pearson’s correlation coefficients, and Multiple regression analysis).
Results:
As a result of this study, the nursing service quality of nursing hospital nurses was positively correlated with compassion competence (r=.59, p<.001), clinical nursing character (r=.67, p<.001), and nursing professionalism (r=.52, pp<.001). The factors affecting nursing service quality were clinical nursing character, nursing professionalism, and compassion competence. Also, the explanatory power of the model was 52.3% (F=69.09, p<.001, Adj R2 =.52).
Conclusion
The result of this study is meaningful in that they identified the factors affecting the quality of nursing service of long-term care hospital nurses and provided basic data for improving the quality of nursing services.
3.Factors Affecting Students' Patient Safety Competencies of Nursing College Students before Graduate
Korean Journal of Rehabilitation Nursing 2024;27(1):38-47
Purpose:
This exploratory study aims to investigate the factors affecting the patient safety competencies of nursing college students before graduation.
Methods:
This study surveyed 188 senior nursing students in U city using a structured self-report questionnaire analyzed using the SPSS 25.0 software.
Results:
The average scores for knowledge of patient safety, attitude toward patient safety, confidence in performance of patient safety, patient safety management behavior, and patient safety competency were 7.68, 3.90, 4.28, 4.61, and 4.29, respectively.There were significant differences in patient safety competency according to confidence in performance of patient safety. The most significant factors were confidence in performance of patient safety (β=.39, p<.001), and patient safety management behavior (β=.37, p<.001). These variables accounted for 51.3% of the total variance in patient safety competency.
Conclusion
Considering our findings, it is necessary to repeat this study with a larger sample size. We propose that future research should develop programs for patient safety and verify their effectiveness. We also propose research to develop new tools for assessing patient safety competencies in response to the changes of the times.
4.Risk Factors for Falls or Fractures in Stroke Patients: An Analysis of 2020 Patient Sample Data
Korean Journal of Rehabilitation Nursing 2024;27(1):58-67
Purpose:
This study aims to identify risk factors for falls or fractures in patients with stroke.
Methods:
In this secondary data analysis study, data were extracted from the 2020 patient sample dataset provided by the Health Insurance Review and Assessment Service (HIRA). The independent variables were categorized into 4 characteristics: 3 general characteristics, 13 diagnostic characteristics, 8 medication characteristics, and 5 treatment characteristics. The data were analyzed using SAS for Windows version 9.4 software. The frequencies of the independent variables were examined, and x 2 tests were conducted to determine whether there were significant differences between falls or fractures and the independent variables. To identify the risk factors for falls or fractures, Cox proportional hazards regression analysis was performed to determine hazard ratios.
Results:
Among 13,629 patients with stroke, 925 (6.78%) experienced falls or fractures. Eight risk factors for falls or fractures in patients with stroke were identified: elderly patients aged 75 years and above, degenerative arthritis, osteoporosis, opioid medication, antidepressant medication, fluid treatment, a history of surgery, and no specialized rehabilitation therapy
Conclusion
It is necessary to develop fall prevention education programs based on the identified eight risk factors, and to conduct studies to validate their effectiveness.
5.A Systematic Review on the Effects of Prophylactic Swallowing Exercise in Patients with Head and Neck Cancer Undergoing Radiotherapy
Korean Journal of Rehabilitation Nursing 2024;27(1):1-10
Purpose:
This study aims to analyze the effects of prophylactic swallowing exercise (PSE) applied to head and neck cancer patients undergoing radiotherapy to utilize the characteristics of the interventions used in the research as a basis for application in clinical practice.
Methods:
The systematic searches were conducted up to November 15, 2023, from four databases (PubMed, EM base, Cochrane, CINAHL). The included studies were assessed using the Revised Cochrane Risk-of-Bias tool, and we followed the Preferred Reporting Items Systematic Reviews and Meta-Analysis guidelines.
Results:
Seven randomized controlled trials meeting criteria were identified. These trials applied various interventions. Some studies demonstrated statistical significance in intake status, swallowing function status, videofluoroscopic swallow study and quality of life, but they could not specify the characteristics of the most effective intervention for the participant.
Conclusion
The prophylactic and individualized swallowing exercises are crucial. Strategies to increase compliance rates should be explored. Additionally, diverse research related to this topic should be conducted.
6.Functional Status and Health Service Accessibility of the Disabled Children in Dar es Salaam, Tanzania
Eunyoung JEON ; Taehi HA ; Hye-Kyung OH
Korean Journal of Rehabilitation Nursing 2024;27(1):48-57
Purpose:
This study aimed to evaluate the functional status and health service accessibility of the disabled children in Dar es Salaam, Tanzania.
Methods:
The research design for this study was a descriptive survey using convenience sampling using questionnaires. A total of 184 subjects were used to analysis. Data were analyzed using SPSS program version 22.0 to conduct independent t-tests, one-way ANOVA tests, χ2 tests, and multiple regressions.
Results:
The disabled children had more difficulty accessing health services compared to those without any disabilities. Factors negatively influencing health service accessability were inadequate drugs or medical equipment (t=2.18, p=.031), inability to afford transportation(t=3.00, p=.003), and inability afford the medical costs (t=2.54, p=.012). Also, Mother’s anxiety (β=-.50, p<.001) and child’s education experience (β=.22, p=.029) were identified as the influencing factors on the barriers to health care services. The relevant variables showed 30.5% influence (F=16.60, p<.001) on the barriers to health care services in disabled children.
Conclusion
The findings indicate that in order to enhance the disabled children‘s accessibility to health services, governmental support for transportation and medical costs are needed. In addition, it is necessary to promote the mental health of mothers raising children with disabilities.
7.Experiences of the Healthcare Disparities in the Acquired Vision Impairments
Taehi HA ; Eunyoung JEON ; Naeun KIM ; Minchae KIM ; Jiyoung PARK ; Ga Young LEE ; Eunyoung CHOI
Korean Journal of Rehabilitation Nursing 2024;27(2):108-120
Purpose:
The purpose of this study was to explore the experiences of healthcare disparities in the individuals with acquired vision impairments.
Methods:
This study is a qualitative research using thematic analysis. Data were collected from January to March 2024 through one-on-one semi-structured interviews with a total of 11 individuals with acquired vision impairments.
Results:
The analysis revealed 5 main themes and 19 subthemes. The identified main themes were physical injury and aggravation, psychological tension, difficulty maintaining a healthy lifestyle, mastery of self-management and emergence of social requirements.
Conclusion
The findings of this study contribute to a deep understanding of the health management experiences of individuals with acquired vision impairments. Additionally, this study identifies their healthcare needs and provides directions for rehabilitation nursing and health promotion behaviors. It is necessary to explore methods for developing tailored health care programs for individuals with acquired vision impairments and to address their needs for physical environments and social systems.
8.The Effects of Nursing Sudents' AI Literacy and Nursing Information Literacy Competence on their Problem Solving Process
Korean Journal of Rehabilitation Nursing 2024;27(2):78-87
Purpose:
This study aimed to identify the impact of nursing students' artificial intelligence (AI) literacy and nursing information literacy competence on their problem solving process, providing foundational data to enhance these skills.
Methods:
Data were collected from nursing students between June 1 and June 30, 2023, with a total of 248 responses analyzed.
Results:
The results indicated that nursing students’ AI literacy (r=.56, p<.001) and nursing information literacy competence (r=.78, p<.001) showed a significant positive correlation with their problem solving process. However, only nursing information literacy competence (β=.78, p<.001) was found to be a factor influencing the problem-solving process, with an explanatory power of 75%.
Conclusion
To improve nursing students' problem solving process, it is essential to develop and implement educational programs that enhance understanding of AI technology and information literacy competence. Furthermore, it is necessary to develop tools to measure AI literacy competence and conduct further research to identify the factors influencing the problemsolving process.
9.Factors Influencing the Caring Ability of Clinical Nurses
Korean Journal of Rehabilitation Nursing 2024;27(2):69-77
Purpose:
The study aimed to identify the effects of nurses’ moral sensitivity and empathy on their caring ability.
Methods
Totally, 139 nurses from U city and B city completed a self-report questionnaire. Statistical analysis was performed using SPSS/WIN 23.0 software. Results: The mean scores for moral sensitivity, empathy, and caring ability were 4.86, 3.59, and 4.06, respectively. There were significant differences in caring ability according to age, marital status, professional position, career status, and job satisfaction. Cognitive empathy (β=.36, p<.001), professional responsibility (β=.26, p=.001), and position (β=.20, p=.010) were identified as significant factors influencing caring ability. These variables accounted for 27% of the total variance in caring ability. Cognitive empathy emerged as the most important variable. Conclusion: Organizational-level educational and program-development studies are recommended to increase empathy and caring abilities in nurses . The findings specifically advocate for replicating the study using various tools that measure empathy, the most influential variable influencing caring ability.
10.A Qualitative Study on the Self-Transcendence Experience of Middle-aged Working Women Participating in Self-transcendence and Health Program
Korean Journal of Rehabilitation Nursing 2024;27(2):88-99
Purpose:
This study developed a Psychoeducational Approach to Transcendence and Health Program (PATH) for middle-aged women in Korea, focusing on five key areas of self-transcendence: introspection, relationships, contemplation, spirituality, and creativity. The exploratory qualitative study aimed to investigate participants' experiences by analyzing self-transcendence records they had written.
Methods:
The PATH program involved pairs of participants who met weekly for three weeks to engage in intensive discussions on two topics for 60 minutes each. Participants were also asked to write down weekly tasks in a notebook for 10-15 minutes each day. Content analysis was conducted in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.
Results:
Participants (n=29) had a mean age of 52.5 years. Analysis revealed themes in self-transcendence: Introspection: "patient egoist" and "chameleon in the battlefield," reflecting maturity; Relationships: "solving the puzzle of relationships" and "things still to share," emphasizing empathy; Contemplation:"full of problems but trusting myself" and "I am a winner," showcasing insights; Spirituality: "curious about the afterlife" and "preparing for death," demonstrating a sense of absoluteness; Creativity: "finding happiness in growth," representing aesthetics.
Conclusion
The PATH program effectively promotes successful aging for middle-aged working women by fostering self-transcendence in five key areas.

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