Purpose: This study aimed to identify the types of perception toward non-face-to-face clinical practice and to characterize the types of students who experienced online clinical practice during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Q-methodology was used in this study, and 270 Q populations were formed based on in-depth interviews with 10 nursing students who had experienced non-face-to-face clinical practice, as well as related literature. Interviews were performed from August 1 to 31, 2022. A total of 42 Q samples were extracted, and Q sorting was performed on 33 nursing students who had experienced non-face-to-face clinical practice. A Q factor analysis was performed using the PC-QUANL program. Results: The nursing students’ perceptions of non-face-to-face clinical practice were classified into the following five types: “future professional competency-focused type,” “realistic convenience priority type,” “task burden awareness type,” “negative critic type,” and “limited experience dissatisfaction type.” Conclusion This study revealed non-face-to-face clinical practice’s positive and negative aspects in nursing education. Moreover, it identified the aspects of clinical practice that cannot be replaced by non-face-to-face clinical practice and the elements of non-face-to-face practice that can complement clinical practice. These findings can be used as fundamental data to establish a stable and efficient system for improving the quality of clinical practice in the post-COVID-19 era and to implement effective non-face-to-face clinical practice according to student types.

Purpose: The purpose of this study was to develop and psychometrically test the nursing start-up attitude scale for student nurses. Methods: The initial items were based on the second analysis of systematic review of previous studies and in-depth interview data with 9 nurse entrepreneurs. In total, 25 items were derived based on the pilot survey.Psychometric testing was conducted with 324 student nurses. Data were analyzed using validity and reliability test methods. Results: Six factors, including 12 items explaining 74.4% of the total variance, were verified. The factors were opportunity of self actualization, network building, enhacing start-up competencies, outcomes of start-up, preparation for start-ups, and risk taking. Cronbach's ⍺ was .75. Conclusion As validity and reliability have been verified through various methods, the developed scale in this study can contribute to assessing student nurses’ attitudes to nursing start-ups.

Purpose: The aim of the study was to conduct a systematic review and meta-analysis of nurses’ turnover intention in existing studies. Methods: A literature search was conducted in two rounds. The first round was performed on December 16, 2018. The search period was from January 1, 2008, to December 16, 2018, and involved seven databases: MEDLINE and EMBASE, which are international academic databases, and KoreaMed, KERIS, KISS, KISTI, and KMbase, which are domestic academic databases. The second search round was performed on July 2, 2022. The search period was from 2019 to 2022. Results: Fifty-three variables associated with turnover intention were identified in articles in the first round, with significantly associated work- and organization-related parameters, including burnout, emotional labor, job stress, role conflict, job satisfaction, and organizational commitment. Thirty-eight variables were identified in the second round, with mental and psychological parameters, including mental health and psychological capital, having a more significant influence. Conclusion The findings of this study can be used to prevent the turnover of hospital nurses and develop strategies for retaining excellent and professional hospital nurses.

PURPOSE: This study was done to examine fatigue in elderly people with chronic pain and identify factors influencing fatigue. METHODS: Participants in the study were 296 elders suffering from pain for more than 6 months. The data were collected by personal interviews using questionnaires and were analyzed using Pearson correlation coefficients, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 15.0 version. RESULTS: The mean score for fatigue was 30.5, and fatigue showed a significant positive correlation with depression (r=.57, p<.001), perceived stress (r=.12, p=.035) and pain disability (r=.52, p<.001), but a negative correlation with social support (r=-.21, p<.001) and ADL (r=-.22, p<.001). Depression was found to be a significant predictor of fatigue. CONCLUSION: The results of this study show that psychological factors like depression have more influence on fatigue in elders than physical activities or daily capability. Therefore, it is important to consider psychological factors which influence fatigue as well as the fatigue itself in order to efficiently control fatigue.
Activities of Daily Living ; Aged* ; Analysis of Variance ; Chronic Pain* ; Depression ; Fatigue* ; Humans ; Motor Activity ; Psychology ; Questionnaires

PURPOSE: The purpose of this study was to identify the characteristics of anger expression in middle-aged Korean women by categorizing their patterns of expression while considering the complexity and multidimensionality of anger, and by investigating the characteristics relative to the patterns. METHODS: The research design was a descriptive design using Q methodology, which is a method of measuring subjectivity. A convenience sample of 42 participants aged 40-60 years and living in the community in Korea was recruited. The PC-QUANL software program (a factor analysis program for the Q technique) was used to analyze the Q-sort data. RESULTS: Four factors were extracted that described different expressions of anger among middle-aged Korean women; these factors explained 50.1% of the total variance. The frames of reference of the four factors were a) direct diversion, b) silent masking with remaining anger, c) self digestion, and d) controlling anger with objectification. CONCLUSION: In this study has identified patterns and characteristics of anger expression among middle-aged Korean women were identified, which will aid the development of effective anger-management programs for controlling anger in this population. In future studies, it would be helpful to investigate how the patterns of anger expression established herein are associated with specific health problems such as cardiovascular disorder and cancer.
Adult ; *Anger ; Asian Continental Ancestry Group ; Expressed Emotion ; Female ; Humans ; Interviews as Topic ; Middle Aged ; *Q-Sort ; Republic of Korea ; Self Concept ; Software ; Women/*psychology

PURPOSE: This study was done to identify factors (pain stress, perceived stress, pain disability, fatigue, depression) strategies used by elders to cope with pain based on their type of pain belief. METHOD: Data were collected from 314 elders in community settings in Seoul from September to December of 2007. Cluster analysis, t-test, and ANOVA were used to analyze data. Result: The types of pain belief were classified as the following groups: Self-blame, Enduring & Mysterious, and Short-term & Understandable. Perceived stress (t=2.36, p=.02), social support (t=2.24, p=.03), extent of pain relief (t=2.39, p=.02), and duration of pain relief (t=2.09, p=.04) were important factors for active and passive coping in the Self-blame group. Pain stress (t=2.39, p=.01) and depression (t=-3.99, p=.00) were significantly related to the active coping in the Enduring & Mysterious group. Perceived stress (t=2.55, p=.01) was an important factor in the passive coping in the Short-term & Understandable group. CONCLUSION: Considering different types of pain belief in elders and factors that are significantly related to different coping strategies, future nursing interventions should be population specific to encourage active coping strategies and to decrease passive coping strategies.
Adaptation, Psychological ; Depression ; Fatigue ; Phosphatidylethanolamines

PURPOSE: This study was done to analyze nursing students' attitudes to life-sustaining treatment by measuring their awareness of biomedical ethics and resulting attitude toward withdrawal of life-sustaining treatment. METHODS: This study was a descriptive research to assess the level of nursing students' awareness of biomedical ethics, attitude toward withdrawal of life-sustaining treatment, and correlations between these variables. After the nursing students signed a consent form they were assessed. Data collection was done from September 1 to October 25, 2016, and analyzed using SPSS 23.0 WIM Program. RESULTS: There was a negative correlation and significant difference between nursing students' awareness of biomedical ethics and attitude toward withdrawal of life-sustaining treatment. There was a significant correlation among attitude toward withdrawal of life-sustaining treatment and medical ethics, mortality ethics. CONCLUSION: The findings in the study indicate that it is necessary to provide nursing students with easy access to continuous education to help them establish an acceptable view of withdrawal of life-sustaining treatment.
Bioethics* ; Consent Forms ; Data Collection ; Education ; Ethics ; Ethics, Medical ; Humans ; Life Support Care ; Mortality ; Nursing* ; Students, Nursing

Purpose: This systematic literature review and meta-analysis explored extended reality (XR)-based pediatric nursing simulation programs and analyzed their effectiveness. Methods: A literature search was conducted between May 1 and 30, 2022 in the following electronic databases: MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL. The search period was from 2000 to 2022. In total, 6,095 articles were reviewed according to the inclusion and exclusion criteria, and 14 articles were selected for the final content analysis and 10 for the meta-analysis. Data analysis was performed using descriptive statistics and the Comprehensive Meta- Analysis program. Results: XR-based pediatric nursing simulation programs have increased since 2019. Studies using virtual reality with manikins or high-fidelity simulators were the most common, with six studies. The total effect size was statistically significant at 0.84 (95% confidence interval=0.50-1.19, z=4.82, p<.001). Conclusion Based on the findings, we suggest developing standardized guidelines for the operation of virtual pediatric nursing simulation education and practice. Simultaneously, the application of more sophisticated research designs for effect measurement and the combined applications of various virtual simulation methods are needed to validate the most effective simulation methodology.

Purpose: The COVID-19 pandemic significantly impacted clinical practicums for nursing students, especially in mental health nursing, resulting in cancellations due to infection risks. In response, online and VR simulations emerged as appealing alternatives that cater to the preferences of digital-native learners. This study aimed to evaluate a VR-based mental health nursing simulation program. Methods: The study utilized a non-equivalent control group pretest-posttest design and was conducted within nursing education institutions. Fifty-four fourth-year nursing students, who had theoretical knowledge but lacked clinical experience, participated after providing informed consent. The program consisted of six thematic modules that simulated real-world scenarios, and its effectiveness was assessed using repeated measures ANOVA. Results: The findings revealed significant improvements in knowledge related to mental health disorders, learning flow, and overall satisfaction. The program successfully bridged the gap between theoretical and practical learning, enhancing students' skills and confidence in patient interactions and therapeutic nursing interventions. Conclusion The simulation education program effectively served as a bridge between theoretical learning and practical application, providing students with a valuable educational experience. By improving students' abilities and confidence in engaging with patients and delivering therapeutic nursing interventions, the program demonstrated its potential to connect classroom learning with real-world clinical practice in mental health nursing.

Purpose: The COVID-19 pandemic significantly impacted clinical practicums for nursing students, especially in mental health nursing, resulting in cancellations due to infection risks. In response, online and VR simulations emerged as appealing alternatives that cater to the preferences of digital-native learners. This study aimed to evaluate a VR-based mental health nursing simulation program. Methods: The study utilized a non-equivalent control group pretest-posttest design and was conducted within nursing education institutions. Fifty-four fourth-year nursing students, who had theoretical knowledge but lacked clinical experience, participated after providing informed consent. The program consisted of six thematic modules that simulated real-world scenarios, and its effectiveness was assessed using repeated measures ANOVA. Results: The findings revealed significant improvements in knowledge related to mental health disorders, learning flow, and overall satisfaction. The program successfully bridged the gap between theoretical and practical learning, enhancing students' skills and confidence in patient interactions and therapeutic nursing interventions. Conclusion The simulation education program effectively served as a bridge between theoretical learning and practical application, providing students with a valuable educational experience. By improving students' abilities and confidence in engaging with patients and delivering therapeutic nursing interventions, the program demonstrated its potential to connect classroom learning with real-world clinical practice in mental health nursing.