1.Exploring research trends in moral resilience using topic modeling
Eun-Jun PARK ; Eunju KWAK ; Seungmi PARK
Journal of Korean Academic Society of Nursing Education 2026;32(1):94-103
Purpose:
This study aimed to identify research trends in moral resilience in healthcare through text network analysis and topic modeling of abstracts published in domestic and international journals and to propose future research directions.
Methods:
A quantitative content analysis was conducted on English abstracts of studies related to moral or ethical resilience in healthcare published through May 2025. Sixty-three papers were selected after removing duplicates, and screening was conducted using eight databases: KISS, RISS, DBpia, KCI, CINAHL, Embase, PubMed, and Web of Science. Texts were analyzed using NetMiner 4.5.1 for keyword co-occurrence network construction and Latent Dirichlet Allocation topic modeling. Core keywords were identified using degree and centrality indices, and topics were named through researcher consensus.
Results:
Research on moral resilience in healthcare began in 2013 and has increased rapidly after 2023, particularly after the coronavirus disease 2019 pandemic. Among 230 extracted keywords, “moral resilience,” “moral distress,” and “care” showed the highest centrality. Five major topics were identified: (1) moral resilience and burnout in practice, (2) moral resilience among nursing students, (3) moral competence and fatigue in practice, (4) moral resilience assessment, and (5) moral injury and secondary traumatic stress among healthcare workers.
Conclusion
Moral resilience reflects the ethical strength that enables healthcare professionals to sustain integrity amid moral adversity. Although the number of international studies has increased, domestic research remains limited. Further work should clarify this concept, develop training programs, and explore organizational strategies to strengthen moral resilience.
2.Reliability and validity of the Korean version of the Social Stigmatization Scale
Seungmi PARK ; Heejung CHOI ; Hye Ok PARK
Journal of Korean Academic Society of Nursing Education 2026;32(1):71-81
Purpose:
This study aimed to translate and culturally adapt Harvey’s Stigmatization Scale to measure social stigma (long and short forms) in Korean and to evaluate its reliability and validity.
Methods:
The translation followed the World Health Organization guidelines, including forward translation, back-translation, and expert review, to ensure both linguistic and conceptual equivalence. Data were collected from 241 participants aged 18~24 (118 female university students and 123 adolescent mothers) between March and May 2024. Internal consistency was assessed using Cronbach’s α. Structural validity was verified using confirmatory factor analysis. Convergent validity was examined using standardized factor loadings (β), statistical significance (p<.05), average variance extracted, and construct reliability. The known-group validity was verified using participant groups with expected differences in social stigma levels.
Results:
The Korean version demonstrated good internal consistency (Cronbach’s α: long form=.94, short form=.89), acceptable model fits (long form: χ²/df=3.35, comparative fit index=.93, Tucker–Lewis index=.92; short form: χ²/df=3.77, comparative fit index=.96, Tucker–Lewis index=.93), and appropriate convergent validity (average variance extracted=.50, construct reliability: long form=.93, short form=.87). Known-groups validity was confirmed, with adolescent mothers showing significantly higher social stigma scores than female university students for both the long (t=5.78, p<.001) and short forms (t=5.35, p<.001).
Conclusion
The Korean version provides a comprehensive tool for measuring individuals’ social stigma experiences in the Korean context, thereby supporting research, policy development, and education. Researchers can select either form based on their objectives.
3.A comparison of the factors influencing suicidal ideation between middle and high school students in South Korea
Seungmi PARK ; Jung Eun HONG ; Eunok PARK
Journal of Korean Academic Society of Nursing Education 2025;31(1):108-116
Purpose:
This study aimed to compare the factors influencing suicidal ideation among middle and high school students in South Korea.
Methods:
Data from the 18th Korea Youth Risk Behavior Web-based Survey conducted in 2022 (n=51,850) were analyzed using a logistic regression to calculate the odds ratios for suicidal ideation risk factors.
Results:
Among middle school students, smoking, drinking, and other delinquent behaviors had higher odds ratios compared to those of high school students. For high school students, depression, loneliness, anxiety, and other mental health issues showed greater odds ratios than in middle school students. The findings highlight developmental differences in suicidal ideation risk profiles between middle and high school students. Targeted prevention and intervention strategies tailored to each age group are recommended.
Conclusion
Despite the narrow age range, this study revealed distinct patterns of suicidal ideation risk factors among adolescents in their early and late teens. Schools and policymakers should consider these differences when designing suicide prevention programs.
4.A comparison of the factors influencing suicidal ideation between middle and high school students in South Korea
Seungmi PARK ; Jung Eun HONG ; Eunok PARK
Journal of Korean Academic Society of Nursing Education 2025;31(1):108-116
Purpose:
This study aimed to compare the factors influencing suicidal ideation among middle and high school students in South Korea.
Methods:
Data from the 18th Korea Youth Risk Behavior Web-based Survey conducted in 2022 (n=51,850) were analyzed using a logistic regression to calculate the odds ratios for suicidal ideation risk factors.
Results:
Among middle school students, smoking, drinking, and other delinquent behaviors had higher odds ratios compared to those of high school students. For high school students, depression, loneliness, anxiety, and other mental health issues showed greater odds ratios than in middle school students. The findings highlight developmental differences in suicidal ideation risk profiles between middle and high school students. Targeted prevention and intervention strategies tailored to each age group are recommended.
Conclusion
Despite the narrow age range, this study revealed distinct patterns of suicidal ideation risk factors among adolescents in their early and late teens. Schools and policymakers should consider these differences when designing suicide prevention programs.
5.A comparison of the factors influencing suicidal ideation between middle and high school students in South Korea
Seungmi PARK ; Jung Eun HONG ; Eunok PARK
Journal of Korean Academic Society of Nursing Education 2025;31(1):108-116
Purpose:
This study aimed to compare the factors influencing suicidal ideation among middle and high school students in South Korea.
Methods:
Data from the 18th Korea Youth Risk Behavior Web-based Survey conducted in 2022 (n=51,850) were analyzed using a logistic regression to calculate the odds ratios for suicidal ideation risk factors.
Results:
Among middle school students, smoking, drinking, and other delinquent behaviors had higher odds ratios compared to those of high school students. For high school students, depression, loneliness, anxiety, and other mental health issues showed greater odds ratios than in middle school students. The findings highlight developmental differences in suicidal ideation risk profiles between middle and high school students. Targeted prevention and intervention strategies tailored to each age group are recommended.
Conclusion
Despite the narrow age range, this study revealed distinct patterns of suicidal ideation risk factors among adolescents in their early and late teens. Schools and policymakers should consider these differences when designing suicide prevention programs.
6.Analysis of papers published in The Journal of Korean Academic Society of Nursing Education over 30 Years
Seungmi PARK ; SuJeong YU ; Kyung Choon LIM ; Subin CHOI ; Eunyoung, E SUH
Journal of Korean Academic Society of Nursing Education 2024;30(4):382-390
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.
7.The influence of knowledge and self-efficacy on the performance of pressure injury care by home visit nursing workers in the long-term care insurance system
Seungmi PARK ; Jiyeon PARK ; Ji Hyun KIM
Journal of Korean Academic Society of Nursing Education 2024;30(4):361-370
Purpose:
The purpose of this study was to examine the effect of knowledge and self-efficacy in pressure injury care on its performance among home visit nursing workers in the long-term care insurance system.
Methods:
This study used a descriptive correlational design and was conducted from March 30 to July 15, 2024. Data were collected through an online survey platform (Google Forms) using self-reported questionnaires. The collected data were analyzed using descriptive statistics, an independent t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis with IBM SPSS 27.0.
Results:
A total of 142 home visit nursing workers employed in the long-term care insurance system participated in the survey. Self-efficacy in pressure injury care was found to be positively and significantly correlated with knowledge of pressure injury care (r=.27, p=.001), and the performance of pressure injury care showed a statistically significant positive correlations with self-efficacy in pressure injury care (r=.33, p<.001). A multiple regression analysis revealed that the factors significantly related to the performance of pressure injury care included previous clinical setting (β=.33, p<.001), and self-efficacy in pressure injury care (β=.27, p=.004).
Conclusion
This study suggests that developing an intervention program to enhance self-efficacy in pressure injury care is necessary to improve the performance of pressure injury care provided by home visit nursing workers in the long-term care insurance system.
8.Analysis of papers published in The Journal of Korean Academic Society of Nursing Education over 30 Years
Seungmi PARK ; SuJeong YU ; Kyung Choon LIM ; Subin CHOI ; Eunyoung, E SUH
Journal of Korean Academic Society of Nursing Education 2024;30(4):382-390
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.
9.The influence of knowledge and self-efficacy on the performance of pressure injury care by home visit nursing workers in the long-term care insurance system
Seungmi PARK ; Jiyeon PARK ; Ji Hyun KIM
Journal of Korean Academic Society of Nursing Education 2024;30(4):361-370
Purpose:
The purpose of this study was to examine the effect of knowledge and self-efficacy in pressure injury care on its performance among home visit nursing workers in the long-term care insurance system.
Methods:
This study used a descriptive correlational design and was conducted from March 30 to July 15, 2024. Data were collected through an online survey platform (Google Forms) using self-reported questionnaires. The collected data were analyzed using descriptive statistics, an independent t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis with IBM SPSS 27.0.
Results:
A total of 142 home visit nursing workers employed in the long-term care insurance system participated in the survey. Self-efficacy in pressure injury care was found to be positively and significantly correlated with knowledge of pressure injury care (r=.27, p=.001), and the performance of pressure injury care showed a statistically significant positive correlations with self-efficacy in pressure injury care (r=.33, p<.001). A multiple regression analysis revealed that the factors significantly related to the performance of pressure injury care included previous clinical setting (β=.33, p<.001), and self-efficacy in pressure injury care (β=.27, p=.004).
Conclusion
This study suggests that developing an intervention program to enhance self-efficacy in pressure injury care is necessary to improve the performance of pressure injury care provided by home visit nursing workers in the long-term care insurance system.
10.Relationship networks among nurses in acute nursing care units
Journal of Korean Academic Society of Nursing Education 2024;30(2):182-191
Purpose:
The purpose of this study was to explore the characteristics of social networks among registered nurses in acute nursing care units.
Methods:
This study used a survey design. Four nursing units from two acute hospitals were selected using a convenience method, and 83 nurses from those nursing units participated in the study in July 2022. The positive influences among nurses included friendship, collaboration, advice, and referent networks, and the negative influences included avoidance and bullying networks. Using the NetMiner program, the k-means clustering technique was applied to create groups of nodes with similar characteristics. The general characteristics of the participants were analyzed by mean, standard deviation, frequency, and ANOVA or chi-squared test.
Results:
As a result of dividing the 83 nurse participants into four clusters, positive influencers, silent peers, unwelcome peers, and active bullies were identified. Positive influence group nurses were frequently mentioned in the friendship, collaboration, advice, and referent networks. On the other hand, nurses in the unwelcome group and the active bullying group were frequently mentioned in the avoidance and bullying networks.
Conclusion
Social networks that have a positive or negative impact on nursing performance are created through different relationships between nurses. Nurse managers can use the findings to create a more supportive and collaborative environment. Further research is needed to develop intervention programs to improve interactions and relationships between fellow nurses.

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