OBJECTIVES: The purpose of this study was to examine the function, health status, and efficacy effects of a combined exercise program using an iPad among older women in Korea, a tech-savvy country. METHODS: The study employed a pretest and posttest experimental design with a control group. The experimental group of subjects comprised 16 female older adults and the control group comprised 10 who were aged 65 years or older. The experimental group participated in a supervised group-based exercise program and an individualized home-based exercise program that involved the use of an iPad. The combined group and home-based exercise program consisted of group exercise, which took place in a senior center for 30 minutes weekly, and a home-based iPad exercise program, which the subjects followed at least 3 times a week. The collected data were analyzed using the Statistical Analysis System (SAS ver. 9.3 TS Level 1M0) program, which utilized a chi-square test, a Fisher exact test, a t-test, and a repeated-measures ANOVA. RESULTS: The results showed that cognitive status changed significantly over time, and there was an interaction between group and time. Further, self-efficacy for exercise and outcome expectations for exercise changed significantly over time. CONCLUSIONS: Exercise programs using iPad interventions may be useful for the management of cognitive functioning and the integration of functional physical abilities in older adults.
Adult* ; Equipment and Supplies ; Female ; Humans ; Korea ; Physiology ; Research Design ; Self Efficacy ; Senior Centers

BACKGROUND: As aging is a process that everyone must experience, life expectancy is getting longer and living standards are getting better. But aging can be successful or unsuccessful. Middle-aged adults experience an existential crisis of physical burdens and middle-aged crises, thereby changing the quality of life in old age. The purpose of this study was to identify the factors affecting successful aging in middle-aged adults. METHODS: This is a cross sectional descriptive study design was used to examine the association among middle-age crisis, perceived health status, self-esteem, social support and successful aging in late middle-aged adults. RESULTS: Perceived health status and social support had a statistically significant effect on successful aging, and middle-aged crisis and self-esteem were not significant. The factors' determination value was 63.6%. CONCLUSIONS: The perceived health status and social support of middle-aged adults may help the successful aging of middle-aged adults. Therefore, it is necessary to develop education for health promoting activities and social support programs with various materials.
Adult ; Aging ; Education ; Humans ; Life Change Events ; Quality of Life ; Socioeconomic Factors

BACKGROUND: As aging is a process that everyone must experience, life expectancy is getting longer and living standards are getting better. But aging can be successful or unsuccessful. Middle-aged adults experience an existential crisis of physical burdens and middle-aged crises, thereby changing the quality of life in old age. The purpose of this study was to identify the factors affecting successful aging in middle-aged adults. METHODS: This is a cross sectional descriptive study design was used to examine the association among middle-age crisis, perceived health status, self-esteem, social support and successful aging in late middle-aged adults. RESULTS: Perceived health status and social support had a statistically significant effect on successful aging, and middle-aged crisis and self-esteem were not significant. The factors' determination value was 63.6%. CONCLUSIONS The perceived health status and social support of middle-aged adults may help the successful aging of middle-aged adults. Therefore, it is necessary to develop education for health promoting activities and social support programs with various materials.

Purpose: This study aimed to clarify the concept of resilience and identify its characteristics in people with acquired physical disabilities. Methods: The researchers conducted a concept analysis using the eight-step method proposed by Walker and Avant and searched databases such as PubMed, CINAHL, PsycINFO, RISS, and KISS using relevant keywords. Ultimately, nine articles were selected for this study. Results: The defining attributes of resilience include optimism, acceptance of disability, and social connectedness. These attributes are influenced by the antecedent adverse life events. Furthermore, resilience significantly impacts positive adaptation. Conclusion The identified attributes of resilience can be applied to develop measurement tools for assessing resilience in people with acquired physical disabilities. Additionally, these findings can inform the development of nursing intervention programs to increase resilience in patients and their families.

Purpose: This study aimed to clarify the concept of resilience and identify its characteristics in people with acquired physical disabilities. Methods: The researchers conducted a concept analysis using the eight-step method proposed by Walker and Avant and searched databases such as PubMed, CINAHL, PsycINFO, RISS, and KISS using relevant keywords. Ultimately, nine articles were selected for this study. Results: The defining attributes of resilience include optimism, acceptance of disability, and social connectedness. These attributes are influenced by the antecedent adverse life events. Furthermore, resilience significantly impacts positive adaptation. Conclusion The identified attributes of resilience can be applied to develop measurement tools for assessing resilience in people with acquired physical disabilities. Additionally, these findings can inform the development of nursing intervention programs to increase resilience in patients and their families.

Purpose: This study aimed to clarify the concept of resilience and identify its characteristics in people with acquired physical disabilities. Methods: The researchers conducted a concept analysis using the eight-step method proposed by Walker and Avant and searched databases such as PubMed, CINAHL, PsycINFO, RISS, and KISS using relevant keywords. Ultimately, nine articles were selected for this study. Results: The defining attributes of resilience include optimism, acceptance of disability, and social connectedness. These attributes are influenced by the antecedent adverse life events. Furthermore, resilience significantly impacts positive adaptation. Conclusion The identified attributes of resilience can be applied to develop measurement tools for assessing resilience in people with acquired physical disabilities. Additionally, these findings can inform the development of nursing intervention programs to increase resilience in patients and their families.

OBJECTIVES: This study was carried out to determine nutritional status of elderly patients in a long-term care hospital according to meal type and eating ability. METHODS: Subjects were 47 female patients aged over 65 (79.3 +/- 7.1 years) who resided in a long-term care hospital in Seoul. Thirty seven patients who ate diet orally were grouped according to meal type (27 general diet and 10 soft diet) and eating ability (26 eating by oneself and 11 eaten with help) and 10 were on tube feeding. Nutritional status was determined by food consumption and mid-arm circumference. RESULTS: The mean adequacy ratios (MARs) of 12 nutrients (protein, calcium, phosphorus, zinc, vitamin A, vitamin B1, vitamin B2, vitamin B6, niacin, folic acid, vitamin C) were 0.687 for general diet, 0.565 for soft diet, 0.680 for eating by oneself and 0.677 for eaten with help, which were significantly lower than 0.982 for tube feeding (p < 0.05 or p < 0.01). The patients on tube feeding had significantly lower % arm circumference compared to those who ate general diet (84.0% vs. 95.4%, respectively, p < 0.05). Nutrients intakes, nutrient adequacy ratio (NAR) and index of nutritional quality (INQ) were not different between meal types as well as eating ability. The most insufficiently consumed nutrients by the patients on diet were folic acid, vitamin B2, and calcium (NAR 0.334~0.453, 0.515~0.539, and 0.516~0.533, respectively). CONCLUSIONS: The results suggested that regardless of meal type or eating ability, the subjects who were on diets in this study might have inadequate intake of folic acid as well as vitamin B2, and calcium, which need to be reflected on menu planning. The measurement of mid-arm circumference presented more risk of malnutrition of patients on tube feeding than those on diets, despite apparently better nutrient consumption.
Aged* ; Arm ; Calcium ; Diet ; Eating* ; Enteral Nutrition ; Female ; Folic Acid ; Humans ; Long-Term Care* ; Malnutrition ; Meals* ; Menu Planning ; Niacin ; Nutritional Status* ; Nutritive Value ; Phosphorus ; Riboflavin ; Seoul ; Thiamine ; Vitamin A ; Vitamin B 6 ; Vitamins ; Zinc

The research was conducted by center for children's foodservice management in Hanam-si. In order to improve job satisfaction, a survey was carried out by working conditions and job satisfaction in children foodservice employees working at child daycare centers registered from January to April. Ninety-five surveys out of 120 were collected, and 76 surveys were analyzed. Job satisfaction consisted of four elements, working environment, welfare, human relationships, and job-itself, analyzed by general characteristics. Pearson's correlation was carried out between job satisfaction and intention to change job by Likert 5 scales using SPSS statistic program. The percentages of child daycare centers owned by civilians was 52.6%, high school education level was 65.8%, permanent workers was 68.4%, and less than 1 year of foodservice was 34.2%. Average scores of job satisfaction were as follows: working environment scored 20.6 out of 25 points, welfare scored 10.3 out of 15 points, human relationships scored 17.5 out of 20 points, and job-itself scored 13.2 out of 15 points. The lowest job satisfaction average was 'I get paid fairly regarding the working hours and the amount of work' with a score of 3.6 points. Job satisfaction based on facility type, age, education level, and working period did not show significant differences, whereas hired status, numbers of foodservice children, and intention to change jobs showed significant differences. Hired status showed significant differences with welfare satisfaction (P<0.05). Numbers of children showed a significant difference with welfare and human relationship satisfaction (P<0.01, P<0.05). Intention to change job showed a significant difference with four elements of job satisfaction (P<0.05, P<0.01, P<0.01). In conclusion, to improve job satisfaction of children foodservice employees, working conditions and welfare satisfaction should be increased.
Child Day Care Centers ; Child* ; Education ; Humans ; Intention ; Job Satisfaction* ; Weights and Measures

OBJECTIVE: The Empathy Quotient (EQ) is a self-reported test developed by Baron-Cohen et al. (2004) to measure the cognitive and affective aspects of empathy. The purpose of this study was to develop a Korean version of EQ and to establish its psychometric properties based on a representative Korean sample. METHODS: The Korean version of EQ and its correspondence with another popular measure of empathy, the Korean version of the Interpersonal Reactivity Index (IRI), were evaluated in a sample of 478 volunteers (156 men, 322 women; mean age, 27.2 years). A test-retest study was conducted at 1 month on a selected sample of 20 subjects from the original sample. Correlation and confirmatory factor analyses were conducted. RESULTS: The test-retest reliability was good, and the internal consistency was acceptable (Cronbach's alpha=0.78). Positive correlations were found between the EQ and three subfactors of the IRI, perspective taking, empathic concern, and fantasy, and the total EQ score was negatively correlated with the personal distress subscale. The confirmatory analyses suggested that the three-factor structure offered a good fit to the data. CONCLUSION: These findings support the reliability and validity of the Korean version of the EQ.
Child ; Autism Spectrum Disorder ; Empathy ; Fantasy ; Humans ; Male ; Psychometrics ; Reproducibility of Results

PURPOSE: This study was conducted to test a path model for the factors related to undergraduate nursing students' clinical practicum stress, based on Lazarus and Folkman's stress-coping model. METHODS: This study utilized a path analysis design. A total of 235 undergraduate nursing students participated in this study. The variables in the hypothetical path model consisted of clinical practicum, emotional intelligence, self-efficacy, Nun-chi, and nursing professionalism. We tested the fit of the hypothetical path model using SPSS/WIN 23.0 and AMOS 22.0. RESULTS: The final model fit demonstrated a satisfactory statistical acceptance level: goodness-of-fit-index=.98, adjusted goodness-of-fit-index=.91, comparative fit index=.98, normed fit index=.95, Tucker-Lewis index=.92, and root mean square error of approximation=.06. Self-efficacy (β=−.22, p=.003) and Nun-chi behavior (β=−.17, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (β=.20, p=.006) and self-efficacy (β=.45, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (β=.20, p<.001) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (β=.09, p=.005) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. The variables for self-efficacy and nursing professionalism explained 29.1% of the Nun-chi understanding and 18.2% of the Nun-chi behavior, respectively. CONCLUSION: In undergraduate nursing education, it is important to identify and manage factors that affect clinical practicum stress. The findings of this study emphasize the importance of Nun-chi, self-efficacy, emotional intelligence, and nursing professionalism in the development of an educational strategy for undergraduate nursing students.
Education, Nursing ; Emotional Intelligence ; Humans ; Nursing ; Preceptorship ; Professionalism ; Stress, Psychological ; Students, Nursing