So Hyun Park

The progressive integration of extracorporeal membrane oxygenation (ECMO) into critical care practice has substantially intensified the scope and complexit

Intensive care unit (ICU) nurses should prioritize patient dignity, but modern ICUs often prioritize efficiency, increasing patients’ psychological d

Aim: To develop and evaluate the psychometric properties of the Forensic Nursing Competency Scale‐Short Form (FNCS‐SF) for hospital nurses. Background: Nurses who care for victims of sexual abuse, domestic violence and elder or child abuse require forensic nursing competencies. However, few valid and reliable tools exist to assess these competencies in hospital settings. Design: A cross‐sectional study. Methods: The study was conducted in two phases. Phase 1 involved the development and refinement of the FNCS‐SF with input from 10 nurses. Phase 2 tested the tool's psychometric properties. A total of 420 nurses from two tertiary hospitals in South Korea participated. Participants were divided into two groups: Study 1 ( n = 200) for exploratory factor analysis and Study 2 ( n = 220) for confirmatory factor analysis. Results: The FNCS‐SF consists of 27 items across six factors: awareness of the medicolegal problem, evidence‐based practice in forensic nursing, collaborative forensic nursing with community partners, safety and security, professional career development and multidisciplinary integrated knowledge. An item analysis revealed significant correlations between each item and the total scale score. Criterion validity was supported by significant correlations between the FNCS‐SF and attitudes and beliefs towards forensic nursing and the performance of the forensic nursing role. Confirmatory factor analysis supported a six‐factor model with good fit indices. Cronbach's alpha indicated strong internal consistency. Conclusion: The FNCS‐SF is a valid and reliable tool for assessing hospital nurses' forensic nursing competencies, which can improve patient safety and treatment outcomes. Further validation in diverse clinical settings is recommended. Impact: The FNCS‐SF can be used to improve forensic nursing competency through professional development. Patient or Public Contribution: None. Implications for Clinical Practice: The FNCS‐SF provides a standardised framework to evaluate nurses' forensic competency, guiding education and practice to enhance clinical preparedness and deliver victim‐centred care. Reporting Methods: STROBE guidelines.

Assessing the nutrition risk of preschoolers is crucial for promoting their healthy growth and development. This study aimed to develop a Korean version of NutriSTEP^® by assessing its feasibility, validity, and reliability. A quantitative cross-sectional study was conducted with parents of preschoolers aged 3-6 years. Five scholars independently translated the English version of NutriSTEP^® into Korean. One-on-one online cognitive interviews were conducted with 10 parents, and an expert panel review with the five scholars was conducted using an item content validity index. A total of 201 parents participated in an online survey, and the criterion validity of NutriSTEP^® was assessed using receiver operating characteristic (ROC) curves. Construct validity was examined through item analysis using the Rasch model and known-groups validity, while internal consistency was assessed using the test-retest reliability. Eight items were revised to improve cultural acceptability and comprehensibility. Each item of NutriSTEP^® had an Item-content validity index (I-CVI) of 1.0, and the area under the curve for the ROC curve was 90.5%. A cut-point of NutriSTEP^® score to determine moderate risk (> 25) had a sensitivity of 90.5% and specificity of 71.7%, compared to the moderate nutrition risk (≥ 5). The Korean version of NutriSTEP^® was unidimensional, and scores varied significantly based on parents' income levels (F = 11.154, p < .001) and children's physical activity levels (t = -4.107, p < .001). The test-retest reliability was .661. This study confirms that NutriSTEP^® is a valid and reliable tool for assessing Korean preschooler's nutrition risk. Using NutriSTEP^® could offer valuable insights for promoting healthy dietary behaviors in preschoolers.

Background: With the increasing frequency and severity of disasters, retaining skilled nurses is essential for sustaining healthcare systems in times of crisis. Given that behavior is largely influenced by intention, a predictive model for nurses’ intent to stay (ITS) is needed. Aim: This study aimed to develop and validate a comprehensive structural model explaining clinical nurses’ ITS during disasters. This model addresses the critical need to understand and enhance nurse retention during crises. Methods: In this cross‐sectional study, 549 nurses who worked during the COVID‐19 pandemic participated. The data were collected through a web‐based self‐report survey from March 5 to 15, 2024. Factor analysis, model fit confirmation, and path significance were analyzed using SPSS/WIN 23.0 and AMOS 28.0. A two‐step approach was employed to validate the hypothetical model. Results: Group cohesion significantly impacted organizational commitment, empowerment, and job satisfaction. Adequate staffing and resources were crucial in influencing moral distress and organizational commitment. Both job satisfaction and organizational commitment directly affected the ITS, with group cohesion exerting an indirect effect. Path analysis demonstrated that adequate staffing and resources notably influenced organizational commitment, while adaptive leadership, adequate staffing, and disaster nursing competency significantly impacted job satisfaction. The model explained 71.4% of the variance in nurses’ intention to stay during disasters. Conclusion: The study highlights that organizational commitment is the strongest predictor of clinical nurses’ intent to remain during disasters. Implications for Nursing and/or Health Policy: To ensure a stable and skilled nursing workforce in disaster situations, it is essential to foster organizational commitment. Strategies should focus on enhancing group cohesion, providing adequate staffing and resources, and supporting organizational commitment among clinical nurses.

Summary: Background: Parents play a substantial role in improving adolescent dietary behaviours.Objectives: To examine the interdependent relationships between motivations (autonomous and emotional motivation) and dietary behaviours (fruit and vegetable [F/V] and junk food and sugar‐sweetened beverage [JF/SSB] intake) within parent–adolescent dyads.Methods: This secondary data analysis was conducted on 1522 parent–adolescent dyads using a cross‐sectional Family Life, Activity, Sun, Health, and Eating (FLASHE) study. The ratio of boys to girls among the adolescents was approximately equal, and 74% of the parents were mothers. The adolescents were between 12 and 17 years old, and 85.5% of the parents were between 35 and 59 years old. Parents and adolescents completed an online survey on dietary motivations and behaviours. Actor–partner interdependence models were performed within parent–adolescent dyads.Results: F/V and JF/SSB intake was influenced by parents' or adolescents' autonomous motivation (actor‐only pattern), except among adolescents with obesity. A dyadic pattern was found in the relationship between autonomous motivation and F/V and JF/SSB intake, but only among adolescents with normal weight. No relationship was found between F/V and JF/SSB controlled motivation and F/V or JF/SSB intake among adolescents with overweight or obesity.Conclusions: Autonomous motivation had a significant relationship with F/V and JF/SSB intake for both parents and adolescents, but the association varied depending on the adolescents' weight. Personalized programmes that foster autonomous motivation to change dietary behaviours should be provided based on the adolescents' weight status.