1.The Effect of Standardized Nursing Terminology Video Education on Intensive Care Unit Nurses’ Knowledge, Perception, Attitude, and Self-Efficacy in Evidence-Based Nursing Practice
Journal of Korean Academy of Fundamental Nursing 2024;31(4):422-434
Purpose:
This study investigated the impact of standardized nursing terminology video education on Intensive Care Unit (ICU) nurses' knowledge, perception, attitude, and self-efficacy in evidence-based practice.
Methods:
ICU nurses with over 1 year of clinical experience participated in the study, with 26 in the experimental group and 27 in the control group. The experimental group received standardized nursing terminology videos, while the control group received pamphlets. Standardized tools were used to measure outcomes before and after the intervention in both groups. The collected data were analyzed using SPSS 28.0. Differences between the experimental and control groups were analyzed using the x2 test, Fisher's exact test, and Independent t-test. Changes within groups for outcome variables were analyzed using paired t-test and Wilcoxon signed-rank test, while group differences were analyzed using Independent t-test and Mann-Whitney U test.
Results:
Standardized nursing terminology education significantly improved perception, attitude, and self-efficacy in evidence-based practice among ICU nurses. Knowledge scores increased from 22.77±6.59 to 27.58±3.61 (p<.001), perception scores from 24.65±5.78 to 28.54±3.84 (p=.001), attitude scores from 63.46±11.85 to 74.27±9.05 (p<.001), and self-efficacy in evidence-based nursing scores from 53.12±10.85 to 58.12±9.51 (p=.007). However, there was no significant difference in knowledge improvement between experimental and control groups.
Conclusion
This research provides evidence supporting the necessity of systematic education on standardized nursing language and its application in clinical practice to improve nurses' perceptions, attitudes, and self-efficacy in evidence-based nursing related to standardized nursing terminology.
2.Provider Perspectives, Barriers, and Improvement Strategies for Hospital Discharge Support Programs: A Focus Group Interview Study in Korea
Jae Woo CHOI ; Aejung YOO ; Hyojung BANG ; Hyun-Kyung PARK ; Hyun-Ji LEE ; Hyejin LEE
Journal of Preventive Medicine and Public Health 2024;57(6):572-585
Objectives:
Transitional periods, such as patient discharge, are notably challenging. This study aimed to explore the perceptions of providers involved in hospital discharge support programs, identify the primary obstacles, and propose strategies for improvement.
Methods:
In this qualitative cross-sectional study, we interviewed 49 healthcare professionals, comprising doctors, nurses, and social workers, who participated in two pilot programs. We organized focus group interviews with 3-6 participants per group, segmented by the type of discharge support program and profession. For data analysis, we employed phenomenological analysis, a qualitative method.
Results:
Participants recognized the importance of the discharge support program and anticipated its benefits. The Rehabilitation Hospital Discharge Patient Support program saw more active involvement from doctors than the Establishment of a Public Health-Medical Collaboration System program. Both programs highlighted the critical need for more staff and better compensation, as identified by the doctors. Nurses and social workers cited the heavy documentation burden, uncooperative attitudes from patients and local governments, and other issues. They also anticipated that program improvements could be achieved through the standardization of regional welfare services and better coordination by local governments serving as welfare service regulators. All groups—doctors, nurses, and social workers—underscored the significance of promoting these programs.
Conclusions
Discharge support programs are crucial for patients with functional impairments and severe illnesses, particularly in ensuring continuity of care. Policy support is essential for the successful implementation of these programs in Korea.
3.The Effect of Standardized Nursing Terminology Video Education on Intensive Care Unit Nurses’ Knowledge, Perception, Attitude, and Self-Efficacy in Evidence-Based Nursing Practice
Journal of Korean Academy of Fundamental Nursing 2024;31(4):422-434
Purpose:
This study investigated the impact of standardized nursing terminology video education on Intensive Care Unit (ICU) nurses' knowledge, perception, attitude, and self-efficacy in evidence-based practice.
Methods:
ICU nurses with over 1 year of clinical experience participated in the study, with 26 in the experimental group and 27 in the control group. The experimental group received standardized nursing terminology videos, while the control group received pamphlets. Standardized tools were used to measure outcomes before and after the intervention in both groups. The collected data were analyzed using SPSS 28.0. Differences between the experimental and control groups were analyzed using the x2 test, Fisher's exact test, and Independent t-test. Changes within groups for outcome variables were analyzed using paired t-test and Wilcoxon signed-rank test, while group differences were analyzed using Independent t-test and Mann-Whitney U test.
Results:
Standardized nursing terminology education significantly improved perception, attitude, and self-efficacy in evidence-based practice among ICU nurses. Knowledge scores increased from 22.77±6.59 to 27.58±3.61 (p<.001), perception scores from 24.65±5.78 to 28.54±3.84 (p=.001), attitude scores from 63.46±11.85 to 74.27±9.05 (p<.001), and self-efficacy in evidence-based nursing scores from 53.12±10.85 to 58.12±9.51 (p=.007). However, there was no significant difference in knowledge improvement between experimental and control groups.
Conclusion
This research provides evidence supporting the necessity of systematic education on standardized nursing language and its application in clinical practice to improve nurses' perceptions, attitudes, and self-efficacy in evidence-based nursing related to standardized nursing terminology.
4.Provider Perspectives, Barriers, and Improvement Strategies for Hospital Discharge Support Programs: A Focus Group Interview Study in Korea
Jae Woo CHOI ; Aejung YOO ; Hyojung BANG ; Hyun-Kyung PARK ; Hyun-Ji LEE ; Hyejin LEE
Journal of Preventive Medicine and Public Health 2024;57(6):572-585
Objectives:
Transitional periods, such as patient discharge, are notably challenging. This study aimed to explore the perceptions of providers involved in hospital discharge support programs, identify the primary obstacles, and propose strategies for improvement.
Methods:
In this qualitative cross-sectional study, we interviewed 49 healthcare professionals, comprising doctors, nurses, and social workers, who participated in two pilot programs. We organized focus group interviews with 3-6 participants per group, segmented by the type of discharge support program and profession. For data analysis, we employed phenomenological analysis, a qualitative method.
Results:
Participants recognized the importance of the discharge support program and anticipated its benefits. The Rehabilitation Hospital Discharge Patient Support program saw more active involvement from doctors than the Establishment of a Public Health-Medical Collaboration System program. Both programs highlighted the critical need for more staff and better compensation, as identified by the doctors. Nurses and social workers cited the heavy documentation burden, uncooperative attitudes from patients and local governments, and other issues. They also anticipated that program improvements could be achieved through the standardization of regional welfare services and better coordination by local governments serving as welfare service regulators. All groups—doctors, nurses, and social workers—underscored the significance of promoting these programs.
Conclusions
Discharge support programs are crucial for patients with functional impairments and severe illnesses, particularly in ensuring continuity of care. Policy support is essential for the successful implementation of these programs in Korea.
5.The Effect of Standardized Nursing Terminology Video Education on Intensive Care Unit Nurses’ Knowledge, Perception, Attitude, and Self-Efficacy in Evidence-Based Nursing Practice
Journal of Korean Academy of Fundamental Nursing 2024;31(4):422-434
Purpose:
This study investigated the impact of standardized nursing terminology video education on Intensive Care Unit (ICU) nurses' knowledge, perception, attitude, and self-efficacy in evidence-based practice.
Methods:
ICU nurses with over 1 year of clinical experience participated in the study, with 26 in the experimental group and 27 in the control group. The experimental group received standardized nursing terminology videos, while the control group received pamphlets. Standardized tools were used to measure outcomes before and after the intervention in both groups. The collected data were analyzed using SPSS 28.0. Differences between the experimental and control groups were analyzed using the x2 test, Fisher's exact test, and Independent t-test. Changes within groups for outcome variables were analyzed using paired t-test and Wilcoxon signed-rank test, while group differences were analyzed using Independent t-test and Mann-Whitney U test.
Results:
Standardized nursing terminology education significantly improved perception, attitude, and self-efficacy in evidence-based practice among ICU nurses. Knowledge scores increased from 22.77±6.59 to 27.58±3.61 (p<.001), perception scores from 24.65±5.78 to 28.54±3.84 (p=.001), attitude scores from 63.46±11.85 to 74.27±9.05 (p<.001), and self-efficacy in evidence-based nursing scores from 53.12±10.85 to 58.12±9.51 (p=.007). However, there was no significant difference in knowledge improvement between experimental and control groups.
Conclusion
This research provides evidence supporting the necessity of systematic education on standardized nursing language and its application in clinical practice to improve nurses' perceptions, attitudes, and self-efficacy in evidence-based nursing related to standardized nursing terminology.
6.Provider Perspectives, Barriers, and Improvement Strategies for Hospital Discharge Support Programs: A Focus Group Interview Study in Korea
Jae Woo CHOI ; Aejung YOO ; Hyojung BANG ; Hyun-Kyung PARK ; Hyun-Ji LEE ; Hyejin LEE
Journal of Preventive Medicine and Public Health 2024;57(6):572-585
Objectives:
Transitional periods, such as patient discharge, are notably challenging. This study aimed to explore the perceptions of providers involved in hospital discharge support programs, identify the primary obstacles, and propose strategies for improvement.
Methods:
In this qualitative cross-sectional study, we interviewed 49 healthcare professionals, comprising doctors, nurses, and social workers, who participated in two pilot programs. We organized focus group interviews with 3-6 participants per group, segmented by the type of discharge support program and profession. For data analysis, we employed phenomenological analysis, a qualitative method.
Results:
Participants recognized the importance of the discharge support program and anticipated its benefits. The Rehabilitation Hospital Discharge Patient Support program saw more active involvement from doctors than the Establishment of a Public Health-Medical Collaboration System program. Both programs highlighted the critical need for more staff and better compensation, as identified by the doctors. Nurses and social workers cited the heavy documentation burden, uncooperative attitudes from patients and local governments, and other issues. They also anticipated that program improvements could be achieved through the standardization of regional welfare services and better coordination by local governments serving as welfare service regulators. All groups—doctors, nurses, and social workers—underscored the significance of promoting these programs.
Conclusions
Discharge support programs are crucial for patients with functional impairments and severe illnesses, particularly in ensuring continuity of care. Policy support is essential for the successful implementation of these programs in Korea.
7.Development and Validation of the Resilience Scale for Kidney Transplantation (RS-KTPL)
Asian Nursing Research 2024;18(2):167-177
Purpose:
This study developed a resilience scale for kidney transplantation (RS-KTPL) and assessed its reliability and validity.
Methods:
During the tool development phase, the concept of resilience in 10 patients who had undergone a kidney transplant was analyzed by integrating results from the theoretical and field research stages. Initial tool items were then derived. These items underwent content validity verification, item review, and a preliminary survey. The validation phase involved two main surveys, conducted using the preliminary 59 items derived from the development phase for data gathering. The first survey had 266 participants, and the second had 205 participants. Using the collected data, the structural validity, convergent validity, discriminant validity, criterion validity, and reliability of the tool items were verified, ultimately establishing the final items.
Results:
The RS-KTPL comprises six factors with 27 items confirmed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) on a 4-point Likert scale: positive thought transition through recovery belief, supportive relationships with others, self-awareness of negative psychological reactions, physical health control, homeostasis control, and supportive relationships with medical staff. The cumulative explanation of the tool was 50.71%. The model fit of the RS-KTPL was represented as follows: GFI 0.88, CFI 0.93, TLI 0.91, RMSEA 0.04, and SRMRI 0.06. Convergent, discriminant, and criterion validity were also secured. The reliability of the tool, measured by Cronbach a was 0.87.
Conclusions
The RS-KTPL can be used to identify the level of resilience in patients who have undergone a kidney transplant, enabling them to recognize their strengths and areas of improvement for enhanced resilience. This tool can be applied in clinical nursing practices to comprehensively assess the resilience of patients with a kidney transplant, providing direction for nursing intervention plans to enhance patient resilience.
8.Corrigendum to: Development and Verification of Time-Series Deep Learning for Drug-Induced Liver Injury Detection in Patients Taking Angiotensin II Receptor Blockers: A Multicenter Distributed Research Network Approach
Suncheol HEO ; Jae Yong YU ; Eun Ae KANG ; Hyunah SHIN ; Kyeongmin RYU ; Chungsoo KIM ; Yebin CHEGA ; Hyojung JUNG ; Suehyun LEE ; Rae Woong PARK ; Kwangsoo KIM ; Yul HWANGBO ; Jae-Hyun LEE ; Yu Rang PARK
Healthcare Informatics Research 2024;30(2):168-168
9.The Effect of Auricular Acupressure on Urinary Incontinence, Quality of Life, and Sleep Quality in Elderly Women with Stress Urinary Incontinence
Journal of Korean Academy of Fundamental Nursing 2024;31(2):203-213
Purpose:
This study aimed to evaluate the effects of auricular acupressure on the severity of urinary incontinence, quality of life, and sleep quality in elderly women with stress urinary incontinence
Methods:
This single-blind, randomized, placebo-controlled study included 53 subjects. The participants were elderly women with stress urinary incontinence. The experimental period was a total of 6 weeks, and four different acupressure sites were applied for each group; the experimental group (n=27) received auricular acupressure on the kidney, bladder, central rim, anterior lobe, whereas the placebo-control group (n=26) received acupressure on the wrist, elbow, helix 2, and helix 3. In order to examine the effects of the auricular acupressure intervention, the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), Incontinence Quality of Life (I-QOL) and Pittsburgh Sleep Quality Index (PSQI) were measured before and after the intervention.
Results:
The ICIQ-UI SF scores and the PSQI scores in the experimental group with auricular acupressure significantly decreased after 6 weeks (p<.001) compared with the scores of the placebo-control group. The I-QOL scores in the experimental group significantly increased after 6 weeks (p<.001) compared with the scores of the placebo-control group.
Conclusion
Auricular acupressure was effective for mitigating the severity of urinary incontinence and improving the quality of life and sleep after 6 weeks. Therefore, auricular acupressure can be used as a non-pharmacological nursing intervention for elderly women with stress urinary incontinence.
10.Development and Verification of Time-Series Deep Learning for Drug-Induced Liver Injury Detection in Patients Taking Angiotensin II Receptor Blockers: A Multicenter Distributed Research Network Approach
Suncheol HEO ; Jae Yong YU ; Eun Ae KANG ; Hyunah SHIN ; Kyeongmin RYU ; Chungsoo KIM ; Yebin CHEGAL ; Hyojung JUNG ; Suehyun LEE ; Rae Woong PARK ; Kwangsoo KIM ; Yul HWANGBO ; Jae-Hyun LEE ; Yu Rang PARK
Healthcare Informatics Research 2023;29(3):246-255
Objectives:
The objective of this study was to develop and validate a multicenter-based, multi-model, time-series deep learning model for predicting drug-induced liver injury (DILI) in patients taking angiotensin receptor blockers (ARBs). The study leveraged a national-level multicenter approach, utilizing electronic health records (EHRs) from six hospitals in Korea.
Methods:
A retrospective cohort analysis was conducted using EHRs from six hospitals in Korea, comprising a total of 10,852 patients whose data were converted to the Common Data Model. The study assessed the incidence rate of DILI among patients taking ARBs and compared it to a control group. Temporal patterns of important variables were analyzed using an interpretable timeseries model.
Results:
The overall incidence rate of DILI among patients taking ARBs was found to be 1.09%. The incidence rates varied for each specific ARB drug and institution, with valsartan having the highest rate (1.24%) and olmesartan having the lowest rate (0.83%). The DILI prediction models showed varying performance, measured by the average area under the receiver operating characteristic curve, with telmisartan (0.93), losartan (0.92), and irbesartan (0.90) exhibiting higher classification performance. The aggregated attention scores from the models highlighted the importance of variables such as hematocrit, albumin, prothrombin time, and lymphocytes in predicting DILI.
Conclusions
Implementing a multicenter-based timeseries classification model provided evidence that could be valuable to clinicians regarding temporal patterns associated with DILI in ARB users. This information supports informed decisions regarding appropriate drug use and treatment strategies.

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