Purpose: This study aimed to describe nurses’ perceived needs and barriers to pediatric palliative care (PPC). Methods: Mixed methods with an embedded design were applied. An online survey was conducted for nurses who participated in the End-of-Life Nursing Education Consortium- Pediatric Palliative Care (ELNEC-PPC) train-the-trainer program, of whom 63 responded. Quantitative data were collected with a survey questionnaire developed through the Delphi method. The 47 items for needs and 15 items for barriers to PPC were analyzed with descriptive statistics. Qualitative data were collected through openended questions and analyzed with topic modeling techniques. Results: The mean scores of most subdomains of the PPC needs were 3.5 or higher out of 4, and those of PPC barriers ranged from 3.22 to 3.56, indicating the items in the questionnaire developed in this study properly reflect each factor. The needs for PPC were divided into 4 categories: “children and adolescents,” “families,” “PPC management system,” and “community-based PPC.” Meanwhile, PPC barriers were divided into 3 categories: “healthcare delivery system,” “healthcare provider,” and “client.” The keywords derived from the topic modeling were perception, palliative, children, and education for necessities and lack, perception, medical care, professional care providers, service, and system for barriers to PPC. Conclusion In this study, by using mixed-methods, items of nurses’ perceived needs and barriers to PPC were identified, categorized, and weighted, and their meanings were explored. For the stable establishment of PPC, the priority should be given to improving perceptions of PPC, establishing an appropriate system, and training professional care providers.

Background: Dietary intake of n-3 fatty acids have been suggested for their protective role against cardiovascular disease. However, findings from recent studies have been inconsistent. Thus, we investigated the association between dietary intake of n-3 fatty acids and the 10-year risk of cardiovascular disease (CVD). Methods: We analyzed data from 17,390 adults who were aged 30–64 years and free of CVD using the Korea National Health and Nutrition Examination Survey, 2012–2016. Dietary intake of n-3 fatty acids was calculated by using food-frequency questionnaire, and the 10 year risk of CVD was calculated by Framingham general cardiovascular disease risk score (2008) model. We analyzed the odds ratios (ORs) and 95% confidence intervals (CIs) from logistic regression to evaluate the association between dietary intake of n-3 fatty acids and the 10-year risk of CVD. Results: Logistic regression anlaysis showed that dietary intake of n-3 fatty acids was not significantly associated with the 10-year risk of CVD, after adjusting for confounders (OR=0.91; 95% CI, 0.77–1.07). But higher dietary intake of n-3 fatty acids was associated with reduced the 10-year risk of CVD for the female (OR=0.74; 95% CI, 0.58–0.95). Conclusion Our research indicated no significant association between dietary intake of n-3 fatty acids and the 10-year risk of CVD. But the inverse association was observed in the female.

In a prehospital setting, the narrow therapeutic window of epinephrine necessitates its cautious administration to avoid anaphylaxis. In this case, a 46-year-old man presented severe anaphylactic symptoms. Following the standard protocol, the emergency medical technician (EMT) administered intramuscular epinephrine; however, symptoms persisted. Under the oversight of the emergency medical services (EMS) medical director, an additional intravenous bolus of epinephrine was administered, unfortunately leading to atrial fibrillation. This case underscores the potential risks of intravenous epinephrine, which is not typically recommended for anaphylaxis without continuous monitoring. Since 2019, Korea has initiated a pilot program to expand the EMT scope of practice, which gives them the authority to administer epinephrine for anaphylaxis. The ultimate decision regarding epinephrine use for anaphylaxis, emphasizing patient safety, rests with the EMS medical director. Proper training for EMTs, coupled with the EMS medical director’s comprehensive knowledge and meticulous protocol adherence, can ensure patient safety and optimal outcomes.

Purpose: This study aims to explore the trend of nursing education and major research themes in the Journal of Korean Academic Society of Nursing Education (JKASNE) over 30 years. Methods: A total of 1,026 articles, published in the JKASNE from 1995 to 2023, were analyzed using the Microsoft Excel program for descriptive statistics and NetMiner for a word cloud of Korean keywords. Results: Most research subjects were healthy people (n=841). Education-related research topics (n=619) were categorized into nine domains: educational methods, educational curriculum, study type and methods, knowledge level and contents, psychosocial variables related to knowledge and education, attitude, behavior, development and evaluation of educational programs, and effects of educational programs. Quantitative (n=835) and descriptive studies (n=497) were determined to be the most common research designs. Self-reported questionnaires were the most common method used in surveys (n=581) and experimental studies (n=153). Descriptive statistics, Pearson's correlation coefficient, and other statistical techniques were used. The keywords in the JKASNE reflected various aspects of nursing research. General terms related to nursing education, such as "nursing students," "nurses," and "nursing education," appeared with high frequency, while more specific terms and phrases reflecting educational competencies and characteristics, such as "self-efficacy," "clinical performance ability," and "communication knowledge," were also prominently featured. Conclusion The JKASNE has published mainly education-focused papers. Analyzing the full set of papers published in JKASNE and examining their characteristics is very meaningful and helpful for the future development of Korean nursing education.

In a prehospital setting, the narrow therapeutic window of epinephrine necessitates its cautious administration to avoid anaphylaxis. In this case, a 46-year-old man presented severe anaphylactic symptoms. Following the standard protocol, the emergency medical technician (EMT) administered intramuscular epinephrine; however, symptoms persisted. Under the oversight of the emergency medical services (EMS) medical director, an additional intravenous bolus of epinephrine was administered, unfortunately leading to atrial fibrillation. This case underscores the potential risks of intravenous epinephrine, which is not typically recommended for anaphylaxis without continuous monitoring. Since 2019, Korea has initiated a pilot program to expand the EMT scope of practice, which gives them the authority to administer epinephrine for anaphylaxis. The ultimate decision regarding epinephrine use for anaphylaxis, emphasizing patient safety, rests with the EMS medical director. Proper training for EMTs, coupled with the EMS medical director’s comprehensive knowledge and meticulous protocol adherence, can ensure patient safety and optimal outcomes.

Purpose: This study aims to explore the trend of nursing education and major research themes in the Journal of Korean Academic Society of Nursing Education (JKASNE) over 30 years. Methods: A total of 1,026 articles, published in the JKASNE from 1995 to 2023, were analyzed using the Microsoft Excel program for descriptive statistics and NetMiner for a word cloud of Korean keywords. Results: Most research subjects were healthy people (n=841). Education-related research topics (n=619) were categorized into nine domains: educational methods, educational curriculum, study type and methods, knowledge level and contents, psychosocial variables related to knowledge and education, attitude, behavior, development and evaluation of educational programs, and effects of educational programs. Quantitative (n=835) and descriptive studies (n=497) were determined to be the most common research designs. Self-reported questionnaires were the most common method used in surveys (n=581) and experimental studies (n=153). Descriptive statistics, Pearson's correlation coefficient, and other statistical techniques were used. The keywords in the JKASNE reflected various aspects of nursing research. General terms related to nursing education, such as "nursing students," "nurses," and "nursing education," appeared with high frequency, while more specific terms and phrases reflecting educational competencies and characteristics, such as "self-efficacy," "clinical performance ability," and "communication knowledge," were also prominently featured. Conclusion The JKASNE has published mainly education-focused papers. Analyzing the full set of papers published in JKASNE and examining their characteristics is very meaningful and helpful for the future development of Korean nursing education.

In a prehospital setting, the narrow therapeutic window of epinephrine necessitates its cautious administration to avoid anaphylaxis. In this case, a 46-year-old man presented severe anaphylactic symptoms. Following the standard protocol, the emergency medical technician (EMT) administered intramuscular epinephrine; however, symptoms persisted. Under the oversight of the emergency medical services (EMS) medical director, an additional intravenous bolus of epinephrine was administered, unfortunately leading to atrial fibrillation. This case underscores the potential risks of intravenous epinephrine, which is not typically recommended for anaphylaxis without continuous monitoring. Since 2019, Korea has initiated a pilot program to expand the EMT scope of practice, which gives them the authority to administer epinephrine for anaphylaxis. The ultimate decision regarding epinephrine use for anaphylaxis, emphasizing patient safety, rests with the EMS medical director. Proper training for EMTs, coupled with the EMS medical director’s comprehensive knowledge and meticulous protocol adherence, can ensure patient safety and optimal outcomes.

Purpose: This study aims to explore the trend of nursing education and major research themes in the Journal of Korean Academic Society of Nursing Education (JKASNE) over 30 years. Methods: A total of 1,026 articles, published in the JKASNE from 1995 to 2023, were analyzed using the Microsoft Excel program for descriptive statistics and NetMiner for a word cloud of Korean keywords. Results: Most research subjects were healthy people (n=841). Education-related research topics (n=619) were categorized into nine domains: educational methods, educational curriculum, study type and methods, knowledge level and contents, psychosocial variables related to knowledge and education, attitude, behavior, development and evaluation of educational programs, and effects of educational programs. Quantitative (n=835) and descriptive studies (n=497) were determined to be the most common research designs. Self-reported questionnaires were the most common method used in surveys (n=581) and experimental studies (n=153). Descriptive statistics, Pearson's correlation coefficient, and other statistical techniques were used. The keywords in the JKASNE reflected various aspects of nursing research. General terms related to nursing education, such as "nursing students," "nurses," and "nursing education," appeared with high frequency, while more specific terms and phrases reflecting educational competencies and characteristics, such as "self-efficacy," "clinical performance ability," and "communication knowledge," were also prominently featured. Conclusion The JKASNE has published mainly education-focused papers. Analyzing the full set of papers published in JKASNE and examining their characteristics is very meaningful and helpful for the future development of Korean nursing education.

BACKGROUND: Based on scientific evidence, the Korean National Health Examination recommends age 40 as an appropriate time for screening. However, awareness of the health examination itself or of the appropriate age for screening has not been discussed extensively with examinees. This study aims to evaluate the perception about age at the start and end of periodic health examinations (PHE). METHODS: A self-administered survey was completed by 887 subjects who visited either the health promotion center or the outpatient clinic at a university hospital in Korea between February 15 and May 18, 2016. Participants were divided into two groups: 587 were periodic health examinees, and 300 were visitors to the family medicine clinic. Their awareness of PHE was compared using the Chi-square test and multiple logistic regression. RESULTS: Both groups had similar (P>0.05) perceptions regarding the awareness, knowledge and usefulness of the PHE. Both groups preferred to continue taking a PHE with no upper limit on the age when it could be taken. This tendency was more prominent among subjects with higher levels of education and household income. In both groups with individuals under age 50 said that the appropriate age to begin screening is 40 or younger. CONCLUSIONS: The perception regarding the ages at which to start and end the PHE was confirmed according to the subject of visit; a wider range of appropriate ages was preferred than is included in the current recommendations.
Age Factors ; Ambulatory Care Facilities ; Education ; Family Characteristics ; Health Promotion ; Health Services ; Humans ; Korea* ; Logistic Models ; Mass Screening ; Socioeconomic Factors

Purpose: For patients with time-critical acute coronary syndrome, reporting electrocardiogram (ECG) findings is the most importantcomponent of the treatment process. We aimed to develop and validate an automated Fast Healthcare InteroperabilityResources (FHIR)-based 12-lead ECG mobile alert system for use in an emergency department (ED). Materials and Methods: An automated FHIR-based 12-lead ECG alert system was developed in the ED of an academic tertiarycare hospital. The system was aimed at generating an alert for patients with suspected acute coronary syndrome based on interpretationby the legacy device. The alert is transmitted to physicians both via a mobile application and the patient’s electronic medicalrecord (EMR). The automated FHIR-based 12-lead ECG alert system processing interval was defined as the time from ED arrivaland 12-lead ECG capture to the time when the FHIR-based notification was transmitted. Results: During the study period, 3812 emergency visits and 1581 12-lead ECGs were recorded. The FHIR system generated 155alerts for 116 patients. The alerted patients were significantly older [mean (standard deviation): 68.1 (12.4) years vs. 59.6 (16.8)years, p<0.001], and the cardiac-related symptom rate was higher (34.5% vs. 19%, p<0.001). Among the 155 alerts, 146 (94%) weretransmitted successfully within 5 minutes. The median interval from 12-lead ECG capture to FHIR notification was 2.7 min [interquartilerange (IQR) 2.2–3.1 min] for the group with cardiac-related symptoms and 3.0 min (IQR 2.5–3.4 min) for the group withnon-cardiac-related symptoms. Conclusion An automated FHIR-based 12-lead ECG mobile alert system was successfully implemented in an ED.