The purpose of this study was to investigate the factors influencing health promoting lifestyles in college women thus providing the basic data necessary to establish a health promoting program. The subjects of this study were 274 college women, living in Seoul, Chung-Buk, and Kangwon, during the period from May 10 to July 15, 2000. The instruments for this study were the health promoting lifestyles scale developed by Bak, Insuk(1995), the self efficacy scale by Sherer et al. (1982), the social support scale by Su, Moonja(1988), the self-esteem scale by Rosenberg(1965) and the perceived health status scale by Lawton et al.(1982). The results of this study are as follows; 1. The average score for health promoting lifestyles was 2.45 on a 4 point scale. The health promoting lifestyles categories 'harmony relationships' (3.04) and 'sanitary life'(3.02) revealed higher scores, whereas scores for 'healthy diet' (2.32), 'exercise & activity' (2.14) and 'professional health management' (1.48) were lower. 2. The mean score for self-efficacy, social support, self esteem and perceived health status was 3.38 (on a 5 point scale), 2.88 (on a 4 point scale), 2.98(on a 4 point scale) and 3.08(on a 5 point scale) respectively. 3. Health promoting lifestyles showed significant positive correlation with self efficacy, social support, self esteem and perceived health status. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting lifestyle was self efficacy. Self efficacy, social support, and perceived health status have significant effects on health promoting lifestyles. These predictive variables of health promoting lifestyles explained 25% of variance. Finally, the result of this study will provide important factors for the development of a nursing intervention program for the promotion of healthy lifestyles in college women.
Female ; Gangwon-do ; Humans ; Life Style* ; Nursing ; Self Concept ; Self Efficacy ; Seoul

PURPOSE: The aim of the study was to identify nursing informatics competencies of nurses working for public health centers in Chungcheongnam-do. METHODS: Data were collected from June 10 to July 25, 2012 using the Nursing Informatics Competencies Questionnaire (NICQ). Data were analyzed by descriptive statistics, t-test, chi2-test, ANOVA and Pearson's correlation coefficient. RESULTS: Nursing informatics competencies of the subjects showed a mean score of 3.3+/-1.0 out of 5. As for scores of individual categories, the score for computer skills competencies was 3.3+/-1.0, informatics knowledge competencies 3.4+/-0.9, and informatics skills competencies 3.0+/-0.9. Nursing informatics competencies were positively correlated with the subjects' ages (r=.65, p<.001), computer usage hours (r=.23, p = .015), levels of demand for informatics knowledge (r=.51, p<.001), and informatics skills education (r=.78, p<.001). CONCLUSION: Nursing informatics is required to be connected with job training or in-service education on account of its growing necessity for public health nurses. It is also essential to develop programs for strengthening informatics competencies reflecting sub-categories of educational needs.
Informatics ; Nursing Informatics ; Public Health ; Public Health Nursing ; Surveys and Questionnaires

PURPOSE: This study was conducted to develop a resilience training program for nurses and test its effects. METHODS: A non-equivalent experimental group and a control group pretest-posttest study design was used with 56 participating nurses (28 nurses in the experimental group and 28 nurses in the control group). The resilience training program was provided to participants for 4 weeks from August 12 to September 4, 2013. Each session was scheduled for two hours per week. Participants completed the tools for resilience, positive affect, and perceived stress assessment. Data were analyzed using χ² test, Independent t-test, and 2*2 repeated measures multivariate analyses of variance (MANOVAs) with the SPSS/WIN 21.0 program. RESULTS: Application of the resilience training program significantly helped nurses enhance their resilience and positive affect to workplace adversity, and reduce their perceived stress. There were significant positive differences for these variables in the experimental group compared to the control group. CONCLUSION: The findings indicate that the resilience training program for nurses is effective and can be used as an intervention for a stress management guide for nurses.
Education* ; Multivariate Analysis

PURPOSE: The purpose of this qualitative study was to explore the meaning of the experience of Korean immigrant nurses working in US hospitals. METHODS: Purposive sampling yielded 15 Korean immigrant nurses who had more than one year of clinical experience in US hospitals. Data were collected from March to August 2012 through in-depth interviews and thematic analysis was conducted using van Manen's hermeneutic phenomenological approach. RESULTS: The findings were classified into eight themes: 'struggling from staff at workplace being territorial to outsiders', 'feeling oppressed due to language barrier', 'accepting rational and horizontal relationships at work', 'staying alert in the environment where lawsuits are rife', 'feeling a sense of stability from the social system that values human dignity', 'maintaining self-confidence from prominent nursing practices and senior Korean nurses' professional reputation', 'performing essential comprehensive nursing care', 'promoting self-development to be equipped with professionalism.' CONCLUSION: The findings indicate that the Korean immigrant nurses were able to excel in their workplace when their clinical experience at US hospitals was combined with the lived space in US politics and environment, lived time of patience, lived body to be alert, and lived others with multi cultural characteristics.
Communication Barriers ; Cultural Characteristics ; Emigrants and Immigrants* ; Humans ; Nursing ; Politics ; Qualitative Research

PURPOSE: Non-Suicidal Self-Injury (NSSI), a highly prevalent behavior in adolescents, refers to the direct destruction of one's body tissue without suicidal intent. To date, the prevalence of adolescent self-injury in South Korea and its associated factors remain unknown. This study aims to determine the prevalence of self-injury in Korean adolescents as well as its associated factors. METHODS: We assessed 717 middle school students by means of an anonymous self-report survey. Information about demographic characteristics, lifestyle, anxiety and depression, self-esteem, and parenting behavior was obtained. Data were analyzed using χ² test, t-test and multiple logistic regression. RESULTS: NSSI was reported by 8.8% of respondents. Univariate analyses showed associations of exposure to alcohol use, anxiety, depression, self-esteem, and parenting methods with self-injury. In multiple analyses, alcohol use, anxiety, and parental abuse were associated with lifetime self-injury. CONCLUSION: The rate of NSSI in the South Korea was found to be lower than those of other countries. As our study suggests that alcohol use, anxiety, and parental abuse are associated with lifetime self-injury, health care providers at school should take these factors into account when developing prevention and intervention programs for adolescents.
Adolescent* ; Anonyms and Pseudonyms ; Anxiety ; Depression ; Drinking ; Health Personnel ; Humans ; Korea ; Life Style ; Logistic Models ; Parenting ; Parents ; Prevalence ; Self-Injurious Behavior ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to elucidate the role of Korean women nurses in the independence movement and to examine their activities during the Japanese occupation from 1910 to 1945. METHODS: Nurses studied were women nurses referred to as Ganhowon, Ganhobu, Gyeonseupganhobu, Sanpa, and Josanbu at that time. Five participants such as descendents or relatives of nurses who participated in independence movements, were selected for interview to provide oral historical materials. An historical research approach was used and all of the data were analyzed according to period, region, and pattern of the independence movement. RESULTS: Throughout the historical literature and oral historical materials, it was found that from 1914 to 1945, thirty-eight women nurses actively participated in various types of independence activities such as mass hurrah demonstrations, raise the spirit of war, red cross activities, enlightenment movement and armed struggle to encourage the public to stand up against Japanese imperialism locally and abroad. CONCLUSION: The findings indicate that women nurses, as enlightened women, endeavored to solve social issues with their autonomous volition, and these action can serve as meaningful evidence for enhancing the social status of nurses.
Arm ; Asian Continental Ancestry Group* ; Female ; History of Nursing ; Humans ; Occupations* ; Qualitative Research ; Red Cross ; Volition

PURPOSE: The purpose of this study was to develop a patient classification system based on nursing care intensity for patients with acute stroke-related symptoms and verify its validity and reliability. METHODS: Data were collected between November, 2013 and February, 2014. The verification for content validity of the patient classification system was conducted by a group of seven professionals. Both interrater reliability and concurrent validity were verified at stroke units in tertiary hospitals. RESULTS: The intensive nursing care for acute stroke patients consisted of 14 classified domains and 56 classified contents by adding 'neurological assessment and observation' and 'respiratory care': 'hygiene', 'nutrition', 'elimination', 'mobility and exercise', 'education or counselling', 'emotional support', 'communication', 'treatment and examination', 'medication', 'assessment and observation', 'neurological assessment and observation', 'respiratory care', 'coordination between departments', and 'discharge or transfer care'. Each domain was classified into four levels such as Class I, Class II, Class III, and ClassIV. CONCLUSION: The results show that this patient classification system has satisfactory validity for content and concurrent and verified reliability and can be used to accurately estimate the demand for nursing care for patients in stroke units.
Classification* ; Humans ; Nursing Care ; Nursing* ; Reproducibility of Results ; Stroke* ; Tertiary Care Centers

PURPOSE: The study was done to explore meanings and essence of the experience in South Korea of men defectors from North Korea. METHODS: Data were collected from March, 2011 to May, 2012, through in-depth interviews with ten men defectors. Data analysis was conducted using the process of hermeneutic phenomenological reflection. RESULTS: Eight essential themes were extracted; 'buoyant expectation for a new life', 'feeling guilty about family left behind in North Korea', 'inability to become acclimatized due to communication difficulties', 'inability to socialize with South Koreans due to different lifestyles', 'finding strength through trustworthy acquaintances', 'continuing reconciliation with oneself while trying to assimilate into South Korean culture', 'self-realization of one's original self', and 'continuing to feel out the possibility of a future in South Korea'. CONCLUSION: The findings indicate that North Korean men who defect to South Korea shape their identity through three phases: forming self-image during escape from North Korea, trying to become accustomed to South Korean society, and finding their own identity by self-realization of their original self. Eventually, the whole process enables them to recover their identity, to feel a sense of belonging, and to discover possibilities for a better future.
Acculturation ; *Adaptation, Psychological ; Adult ; Democratic People's Republic of Korea ; Female ; Humans ; Interviews as Topic ; *Life Change Events ; Life Style ; Male ; Mental Health ; Middle Aged ; Refugees/*psychology ; Republic of Korea ; Social Alienation ; Social Identification

PURPOSE: The purpose of this study was to explore the experience of fluid management in hemodialysis patients by describing how they manage fluid intake and what affects fluid management. METHODS: Purposive sampling yielded 11 patients who have received hemodialysis for one year or longer in one general hospital. Data were collected through in-depth interviews and analysed using Giorgi's phenomenological method. Data collection and analysis were performed concurrently. RESULTS: The findings regarding how hemodialysis patients manage fluid intake were classified into four constituents: 'recognizing the need for fluid control', 'observing the status of fluid accumulation', 'controlling fluid intake and output', 'getting used to fluid management'. The factors that affect fluid management of hemodialysis patients were revealed as 'willpower', 'change in the mindset', 'support system', and 'emotional state'. CONCLUSION: The study results show that hemodialysis patients manage fluid intake through food and exercise as well as interpersonal relationships. These findings suggest that strategies in the development of nursing interventions for hemodialysis patients should be directed at assisting them in familiarization with fluid management based on an understanding of their sociocultural contexts.
Adaptation, Psychological ; Adult ; Aged ; *Drinking ; Emotions ; Female ; Humans ; Interviews as Topic ; Kidney Failure, Chronic/*psychology ; Male ; Middle Aged ; Renal Dialysis ; Self Concept ; Social Support

Purpose: This study aimed to analyze the content and effectiveness of psychosocial support interventions for women with gestational diabetes mellitus (GDM). Methods: The following databases were searched with no limitation of the time period: Ovid-MEDLINE, Cochrane Library, Ovid-Embase, CINAHL, PsycINFO, NDSL, KoreaMed, RISS, and KISS. Two investigators independently reviewed and selected articles according to the predefined inclusion/exclusion criteria. ROB 2.0 and the RoBANS 2.0 checklist were used to evaluate study quality. Results: Based on the 14 selected studies, psychosocial support interventions were provided for the purpose of (1) informational support (including GDM and diabetes mellitus information; how to manage diet, exercise, stress, blood glucose, and weight; postpartum management; and prevention of type 2 diabetes mellitus); (2) self-management motivation (setting goals for diet and exercise management, glucose monitoring, and enhancing positive health behaviors); (3) relaxation (practicing breathing and/or meditation); and (4) emotional support (sharing opinions and support). Psychosocial supportive interventions to women with GDM lead to behavioral change, mostly in the form of self-care behavior; they also reduce depression, anxiety and stress, and have an impact on improving self-efficacy. These interventions contribute to lowering physiological parameters such as fasting plasma glucose, glycated hemoglobin, and 2-hour postprandial glucose levels. Conclusion Psychosocial supportive interventions can indeed positively affect self-care behaviors, lifestyle changes, and physiological parameters in women with GDM. Nurses can play a pivotal role in integrative management and can streamline the care for women with GDM during pregnancy and following birth, especially through psychosocial support interventions.