1.The effects of academic stress, social network service addiction tendency, and upward social comparison on depression in nursing students
Seungmi PARK ; Jung Lim LEE ; Soo-Young YU
Journal of Korean Academic Society of Nursing Education 2023;29(1):41-50
Purpose:
The aim of this descriptive study was to identify the factors influencing depression risk among South Korean nursing students.
Methods:
The data were collected from nursing students attending two universities through web-based questionnaires that surveyed them about depression, academic stress, social network service (SNS) addiction tendency, and upward social comparison from August 22 to September 4, 2021. The collected data from 196 nursing students were analyzed by t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple linear regression.
Results:
The mean score of depression (using CES-D Korean version) among nursing students was 13.91, which denotes probable depression. Concerning the variance with regard to depression among nursing students, 20.2% was explained by clinical practice period, academic stress, and upward social comparison.
Conclusion
Programs to relieve academic stress and depression should be developed in a simple way and systematically provided at the organizational level so that nursing students secure sufficient support during the initial and continuing period of clinical practicums. Concomitantly, an attempt to reduce the upward social comparison should be highly considered.
2.Prevalence of workplace violence against registered nurses and their perceptions of relevant management systems in acute care hospitals
Seungmi PARK ; Eunju KWAK ; Ye-Won LEE ; Eun-Jun PARK
Journal of Korean Academic Society of Nursing Education 2023;29(3):319-334
Purpose:
This study investigated the prevalence and perceptions of workplace violence against registered nurses (RNs) in hospitals.
Methods:
One thousand RNs replied to a nationwide survey from November 14 to December 22, 2022. They reported their general characteristics, prevalence of and their responses to different types of workplace violence from patients, family caregivers, physicians, and nurse peers, as well as their perceptions of workplace violence management systems.
Results:
A total of 71.1% of the RNs reported that they had experienced workplace violence in the last six months. The violence and sexual harassment experienced from patients and family caregivers were 57.3% and 19.1%, respectively. Furthermore, violence, sexual harassment, and workplace harassment from physicians were experienced by 24.6%, 4.0%, and 7.4%, respectively, of the RNs, and those from nurse peers by 21.4%, 3.1%, and 11.3%, respectively. The RNs stated that they often responded to workplace violence with passive and inactive behaviors, which were more serious toward physicians’ workplace violence or sexual harassment from different perpetrators. Only 69.5% were aware of their hospital’s workplace violence management systems, while only 14.7%~27.4%, according to the type of hospital (p=.471), perceived the systems as effective. Multiple important strategies were identified to prevent workplace violence.
Conclusion
Critical suggestions are discussed for the prevention of workplace violence, including protecting the human rights of healthcare professionals, inter-organizational collaboration, and a culture of person-centered healthcare, and training nurse managers’ competency in managing workplace violence.
3.The effect of a vanishing twin on first- and second-trimester maternal serum markers and ultrasound screening for aneuploidy
Da Rae LEE ; SeungMi LEE ; Se Jin LEE
Obstetrics & Gynecology Science 2023;66(6):477-483
A vanishing twin (VT) is the early demise of a twin fetus. It is estimated to occur in 20-30% of pregnancies associated with assisted reproductive technology. VT becomes increasingly prominent when assisted fertilization is used, because one or more embryos are transferred to the uterus. Maternal serum screening tests during pregnancy can screen for trisomy chromosomes 21, 18, and 13 and are divided into first- and second-trimester tests. In singleton pregnancies, the first trimester screening test is performed at 11-13 weeks and 6 days of gestation. It consists of two serum markers, pregnancy-associated plasma protein A and β-human chorionic gonadotropin (β-hCG), and measures nuchal translucency thickness. The second-trimester screening test was performed at 15-20 weeks and 6 days of gestation. It consists of four serum markers: alpha-fetoprotein, β-hCG, unconjugated estriol, and inhibin A. More effective screening for trisomy 21 in singleton pregnancies is achieved by analyzing cell-free DNA in the maternal blood. A VT includes a demise of the fetus. Although it affects maternal serum markers, it has not been corrected. Five studies examined the effect of VT on maternal serum markers, but the results were controversial. This study aimed to review the patterns of changes in maternal serum markers in VTs, interpret prenatal tests for pregnant women with VTs in clinical practice, and consider what information should be provided.
4.Implementation of a Nurse-Delivered Cognitive Behavioral Therapy for Adherence and Depression of People Living with HIV in Korea
Jung Ho KIM ; Ji Min KIM ; Misuk YE ; Jung In LEE ; Seungmi NA ; Youngjoon LEE ; Duncan SHORT ; Jun Yong CHOI
Infection and Chemotherapy 2022;54(4):733-743
Background:
Cognitive behavioral therapy for adherence and depression (CBT-AD) performed by clinical psychologists is an effective treatment for improving the depression in people living with HIV (PLWH). However, because access to clinical psychologists is limited in most clinics, CBT-AD is rarely performed for PLWH in Korea. This pilot study evaluates whether CBT-AD can be effectively performed by a nurse trained and supervised by a clinical psychologist, with a view to the wider provision of CBT-AD.
Materials and Methods:
One clinical psychologist developed manuals, educated and supervised one nurse. PLWH with depression or adherence to self-reported antiretroviral therapy <90% were enrolled, and CBT-AD was conducted once weekly for 12 sessions. PLWH were assessed for adherence by visual analog scale, Beck depression inventory (BDI) for depression, PozQoL for quality of life, and Berger’s 40-item stigma scale for stigma at baseline, after the 6th, 12th session, at 4-, and 8-months after CBT-AD. Acceptability for PLWH and feasibility for providers were evaluated through surveys.
Results:
Five male PLWH have completed the study protocols (mean age 29.2 years). All study participants showed improving depression (mean BDI at baseline 33.0 ± 7.0, and after the 12th session 13.4 ± 3.5), and the effect was maintained at the 8-month follow-up (BDI 15.4 ± 6.4). Quality of life showed a tendency to improve (mean PozQoL at baseline 28.0 ± 7.7, after 12th session 36.8 ± 4.4, and at the 8-month follow-up 38.2 ± 7.9), but stigma did not show clear improvement (Berger’s 40-item stigma scale at baseline 121.0 ± 3.9, after 12th session 107.6 ± 8.8. and at the 8-month follow-up 107.6 ± 5.0). All study participants received great help from CBT-AD and expressed their desire to continue. All providers agreed that nursedelivered CBT-AD could be implemented in routine clinical practice.
Conclusion
Our findings suggest that a nurse-delivered CBT-AD could be feasible and acceptable for PLWH through structured interventions. It has been shown to have the potential to help PLWH, especially for their depression and quality of life.
5.Research trend analysis of Korean new graduate nurses using topic modeling
Journal of Korean Academic Society of Nursing Education 2021;27(3):240-250
Purpose:
The aim of this study is to analyze the research trends of articles on just graduated Korean nurses during the past 10 years for exploring strategies for clinical adaptation.
Methods:
The topics of new graduate nurses were extracted from 110 articles that have been published in Korean journals between January 2010 and July 2020. Abstracts were retrieved from 4 databases (DBpia, RISS, KISS and Google scholar). Keywords were extracted from the abstracts and cleaned using semantic morphemes. Network analysis and topic modeling were performed using the NetMiner program.
Results:
The core keywords included ‘education’, ‘training’, ‘program’, ‘skill’, ‘care’, ‘performance’, and ‘satisfaction’. In recent articles on new graduate nurses, three major topics were extracted by Latent Dirichlet Allocation (LDA) techniques: ‘turnover’, ‘adaptation’, ‘education’.
Conclusion
Previous articles focused on exploring the factors related to the adaptation and turnover intentions of new graduate nurses. It is necessary to conduct further research focused on various interventions at the individual, task, and organizational levels to improve the retention of new graduate nurses.
6.A study on research trends for gestational diabetes mellitus and breastfeeding: Focusing on text network analysis and topic modeling
Junglim LEE ; Youngji KIM ; Eunju KWAK ; Seungmi PARK
Journal of Korean Academic Society of Nursing Education 2021;27(2):175-185
Purpose:
The aim of this study was to identify core keywords and topic groups in the ‘Gestational diabetes mellitus (GDM) and Breastfeeding’ field of research for better understanding research trends in the past 20 years.
Methods:
This was a text-mining and topic modeling study composed of four steps: 1) collecting abstracts, 2) extracting and cleaning semantic morphemes, 3) building a co-occurrence matrix, and 4) analyzing network features and clustering topic groups.
Results:
A total of 635 papers published between 2001 and 2020 were found in databases (Web of Science, CINAHL, RISS, DBPIA, RISS, KISS). Among them, 3,639 words extracted from 366 articles selected according to the conditions were analyzed by text network analysis and topic modeling. The most important keywords were 'exposure', ‘fetus’, ‘hypoglycemia’, 'prevention' and 'program'. Six topic groups were identified through topic modeling. The main topics of the study were ‘cardiovascular disease' and 'obesity'. Through the topic modeling analysis, six themes were derived: ‘cardiovascular disease’, ‘obesity’, ‘complication prevention strategy’, ‘support of breastfeeding’, ‘educational program’ and ‘management of GDM’.
Conclusion
This study showed that over the past 20 years many studies have been conducted on complications such as cardiovascular diseases and obesity related to gestational diabetes and breastfeeding. In order to prevent complications of gestational diabetes and promote breastfeeding, various nursing interventions, including gestational diabetes management and educational programs for GDM pregnancies, should be developed in nursing fields.
7.Research trend analysis of Korean new graduate nurses using topic modeling
Journal of Korean Academic Society of Nursing Education 2021;27(3):240-250
Purpose:
The aim of this study is to analyze the research trends of articles on just graduated Korean nurses during the past 10 years for exploring strategies for clinical adaptation.
Methods:
The topics of new graduate nurses were extracted from 110 articles that have been published in Korean journals between January 2010 and July 2020. Abstracts were retrieved from 4 databases (DBpia, RISS, KISS and Google scholar). Keywords were extracted from the abstracts and cleaned using semantic morphemes. Network analysis and topic modeling were performed using the NetMiner program.
Results:
The core keywords included ‘education’, ‘training’, ‘program’, ‘skill’, ‘care’, ‘performance’, and ‘satisfaction’. In recent articles on new graduate nurses, three major topics were extracted by Latent Dirichlet Allocation (LDA) techniques: ‘turnover’, ‘adaptation’, ‘education’.
Conclusion
Previous articles focused on exploring the factors related to the adaptation and turnover intentions of new graduate nurses. It is necessary to conduct further research focused on various interventions at the individual, task, and organizational levels to improve the retention of new graduate nurses.
8.A study on research trends for gestational diabetes mellitus and breastfeeding: Focusing on text network analysis and topic modeling
Junglim LEE ; Youngji KIM ; Eunju KWAK ; Seungmi PARK
Journal of Korean Academic Society of Nursing Education 2021;27(2):175-185
Purpose:
The aim of this study was to identify core keywords and topic groups in the ‘Gestational diabetes mellitus (GDM) and Breastfeeding’ field of research for better understanding research trends in the past 20 years.
Methods:
This was a text-mining and topic modeling study composed of four steps: 1) collecting abstracts, 2) extracting and cleaning semantic morphemes, 3) building a co-occurrence matrix, and 4) analyzing network features and clustering topic groups.
Results:
A total of 635 papers published between 2001 and 2020 were found in databases (Web of Science, CINAHL, RISS, DBPIA, RISS, KISS). Among them, 3,639 words extracted from 366 articles selected according to the conditions were analyzed by text network analysis and topic modeling. The most important keywords were 'exposure', ‘fetus’, ‘hypoglycemia’, 'prevention' and 'program'. Six topic groups were identified through topic modeling. The main topics of the study were ‘cardiovascular disease' and 'obesity'. Through the topic modeling analysis, six themes were derived: ‘cardiovascular disease’, ‘obesity’, ‘complication prevention strategy’, ‘support of breastfeeding’, ‘educational program’ and ‘management of GDM’.
Conclusion
This study showed that over the past 20 years many studies have been conducted on complications such as cardiovascular diseases and obesity related to gestational diabetes and breastfeeding. In order to prevent complications of gestational diabetes and promote breastfeeding, various nursing interventions, including gestational diabetes management and educational programs for GDM pregnancies, should be developed in nursing fields.
9.Knowledge and Health Beliefs of Gestational Diabetes MellitusAssociated with Breastfeeding Intention Among Pregnant Women inBangladesh
Youngji KIM ; Jung Lim LEE ; In Sun JANG ; Seungmi PARK
Asian Nursing Research 2020;14(3):144-149
Purpose:
This study aimed to investigate the knowledge of gestational diabetes mellitus (GDM) and thehealth beliefs about GDM management, as well as to investigate the effects of these factors on breastfeedingintention in Bangladesh.
Methods:
This study involved a cross-sectional survey of 358 healthy pregnant women who visitedantenatal clinics in Bangladesh.
Results:
Perceived susceptibility, perceived benefit, and self-efficacy were identified as significant factorsfor breastfeeding intention (p < .05). Participants had a poor understanding and a lack of knowledge ofGDM, which can lead to inadequate health behavior. Health beliefs were significantly associated withparticipants’ breastfeeding intention related to GDM.
Conclusion
Antenatal education for breastfeeding in GDM mothers should focus on providing accurateinformation on GDM and strengthening their health beliefs such as self-efficacy within the context of themothers’ culture.
10.Knowledge and Health Beliefs of Gestational Diabetes MellitusAssociated with Breastfeeding Intention Among Pregnant Women inBangladesh
Youngji KIM ; Jung Lim LEE ; In Sun JANG ; Seungmi PARK
Asian Nursing Research 2020;14(3):144-149
Purpose:
This study aimed to investigate the knowledge of gestational diabetes mellitus (GDM) and thehealth beliefs about GDM management, as well as to investigate the effects of these factors on breastfeedingintention in Bangladesh.
Methods:
This study involved a cross-sectional survey of 358 healthy pregnant women who visitedantenatal clinics in Bangladesh.
Results:
Perceived susceptibility, perceived benefit, and self-efficacy were identified as significant factorsfor breastfeeding intention (p < .05). Participants had a poor understanding and a lack of knowledge ofGDM, which can lead to inadequate health behavior. Health beliefs were significantly associated withparticipants’ breastfeeding intention related to GDM.
Conclusion
Antenatal education for breastfeeding in GDM mothers should focus on providing accurateinformation on GDM and strengthening their health beliefs such as self-efficacy within the context of themothers’ culture.

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