Bohyun Park

Methodological and Thematic Trends in the Korean Journal of Adult Nursing (2015–2024)

This study aimed to evaluate the effects of a health promotion program developed using Community-Based Participatory Research (CBPR) for older adults at risk for developing metabolic syndrome in rural areas of South korea. The methodology of this study is a mixed method using embedded design. A non-random controlled trial (28 in the experimental group and 36 in the control group) for the quantitative study and a qualitative content analysis for the qualitative study were used. After the health promotion program, health promotion behavior (exercise and physical activity, cognitive maintenance function, positive acceptance) and physiological indicators related to metabolic syndrome (fast blood sugar, triglyceride, and body mass index) were significantly improved. At the intrapersonal level, positive changes regarding participants’ bodies, daily life, and emotional satisfaction were noted. At the interpersonal level, participants’ social support and sense of community improved. This health promotion program was based on the Social Ecological Model and was developed using CBPR. Changes in some indicators at the individual and interpersonal levels were identified through the quantitative study, while specific changes at the individual, interpersonal, and community levels were identified in the qualitative study. Manuals and an assessment tool must be developed to encourage wider use of CBPR.

The turnover of new and mid-career nurses has been increasing, leading to challenges in recruiting and retaining nursing staff. Securing and retaining mid-career nurses is crucial for ensuring high-quality care. However, little is known about mid-career nurses' experiences regarding turnover. This study aimed to understand the experiences of mid-career nurses and identify strategies to enable mid-career nurses to maintain long-term employment in health services. Colaizzi's phenomenological methodology was adopted to illuminate the subjective meaning derived from the work-related challenges of mid-career nurses, leading to turnover. Focus group interviews were conducted to delve into the work challenges faced by mid-career nurses. The participants were 23 mid-career nurses working in one tertiary hospital and six secondary hospitals across three Korean cities, recruited using purposive and snowball sampling. The inclusion criteria entailed a minimum of three years of nursing experience and current employment within a designated department or clinical area within the hospital environment, commonly known as a nursing unit. Such units encompassed a range of clinical settings, including medical-surgical units, intensive care units, and emergency rooms. The interview data were transcribed verbatim, and significant statements were extracted from abstract sentences to derive themes through an analytical process. Analysis of the work experiences of 23 mid-career nurses in medical institutions yielded 15 themes and 4 theme clusters derived from 353 meaningful statements. These theme collections were identified as 'Difficulties endured as a mid-career nurse', 'Meaningless and regrettable new graduate nurses' education', 'An inexpressibly poor work environment', and 'Systems and policies needed to remain in the hospital'. Difficulties faced by mid-career nurses including the establishment of an education and career development system, provisions for guaranteed leave, a diverse and flexible work system, opportunities for effective communication, and engagement with the opinions of mid-career nurses should promptly be addressed.

Background This study aimed to evaluate the effects of a health promotion program developed using Community-Based Participatory Research (CBPR) for older adults at risk for developing metabolic syndrome in rural areas. Methods The methodology of this study is a mixed method using embedded design. A non-random controlled trial (26 in the experimental group and 16 in the control group) for the quantitative study and a qualitative content analysis for the qualitative study were used. Results After the health promotion program, health promotion behavior (exercise and physical activity, cognitive maintenance function, positive acceptance) and physiological indicators related to metabolic syndrome (fast blood sugar, triglyceride, and body mass index) were significantly improved. At the intrapersonal level, positive changes regarding participants’ bodies, daily life, and emotional satisfaction were noted. At the interpersonal level, participants’ social support and sense of community improved. Conclusions This health promotion program was based on the Social Ecological Model and was developed using CBPR. Changes in some indicators at the individual and interpersonal levels were identified through the quantitative study, while specific changes at the individual, interpersonal, and community levels were identified in the qualitative study. Manuals and an assessment tool must be developed to encourage wider use of CBPR.

문정은, et al. J Korean Acad Nurs Adm. 2024 Dec;30(5):439-450. https://doi.org/10.11111/jkana.2024.30.5.439

Objective. This study aimed to explore the influencing factors to the practice of cardiovascular disease (CVD) preventive behaviors among rural residents based on socio-ecological model (SEM). Methods. We used a mixed-methods research using the sequential explanatory design. From a total of 109 participants, quantitative data including CVD preventive behavior, self-efficacy, social support, and sense of community were collected using previously developed measurement tools. For quantitative research, descriptive statistics and Pearson correlation analysis were conducted. For quantitative research, descriptive statistics and Pearson correlation analysis were conducted. Questions for qualitative research were constructed based on SEM for the three subareas identified in quantitative research. Qualitative content analysis was conducted on qualitative data collected through focus group interviews from 14 participants. Results. According to quantitative research results, participants had a low level of practice in physical exercise, stress management, and self-checking among seven subdomains. At the individual level, self-efficacy was positively correlated with sleep management, and at the interpersonal level, family support was positively correlated with smoking cessation and support from significant others was positively correlated with stress management. On the other hand, at the community level, sense of community did not show significant correlation with the practice of cardiovascular disease prevention. Next, according to qualitative research results, 8 themes were identified in three levels as obstacles. At the personal level, overwork, loneliness, and lack of knowledge about CVD; at the interpersonal and community level, decreased activities with residents due to increased individualistic tendencies and decreased sense of community; and at the community environmental level, inconvenience of sidewalks, lack of community space, and insufficient functioning of village health clinics. Conclusion. In order to reduce obstacles to health behavior practice to prevent cardiovascular disease, multidimensional efforts are needed in terms of socio-ecological aspects.

Purpose: This study was aimed to explore the effects of emotional labor and workplace violence on the somatic symptoms of customer service employees in department stores. Methods: Data from a total of 218 subjects were collected from July 21, 2021 to August 10, 2021, using a self-report questionnaire. The data were analyzed using descriptive statistics, X2-test, and logistic regression. Results: Among 4 sub-scales of workplace violence, a factor affecting the possibility of the moderate or high severity of somatic symptoms was found to be a risk group in "Experience of psychological and sexual violence from customer” (OR: 2.94). On the other hand, emotional labor did not show a statistically significant effect. In addition, education level, monthly income, subjective health status, and working hours per week were also factors affecting somatic symptoms. Conclusion: In order to reduce the somatic symptoms of customer service employees in department stores, it is necessary to raise the awareness of employers and customers first, and follow-up research is necessary on the development of strategy and systems for the establishment of active and diverse protective devices to protect workers at the organizational level.

Aim: This study aimed to calculate the total daily nursing workload and the optimal number of nurses per general unit based on the nursing intensity.Design: This study was conducted using a cross‐sectional study.Methods: Three units at one general hospital were investigated. Patient classification according to nursing needs was performed for over 10 days in each unit in September 2018. The direct and non‐direct nursing time and nursing intensity scores were analysed using descriptive statistics.Results: For the internal medicine unit, the average direct nursing time per patient was 1.0, 1.5, 2.2 and 2.9 h for Groups 1, 2, 3 and 4, respectively. For the surgical unit, the average direct nursing time per patient was 0.9, 1.4, 2.1 and 2.6 h for Groups 1, 2, 3 and 4, respectively. 5 and 9 additional nurses were needed in the internal medicine and surgical nursing units.Patient Contribution: This study confirmed that the optimal number of nurses was not achieved and that the nursing intensity was very high. Long‐term efforts, such as improving the nursing environment, should be made to ensure an optimal number of nurses in various nursing units.

This scoping review analyses the literature on community-based participatory research (CBPR)–based cardiovascular disease (CVD) management programmes, examining the key elements of their development and implementation and exploring their effectiveness. This scoping review’s methodology had six stages: 1) identifying the research question; 2) identifying relevant studies—search strategy; 3) study selection; 4) charting the data; 5) collating, summarising, and reporting the results; and 6) consultation exercise. The databases used were PubMed, Cochrane, and CINAHL, for the period from 4 March to 3 April 2022. We selected studies 1) published after 2000; 2) targeting community residents over 18 years old; and 3) proposed a CBPR-based CVD management programme, described its development, and evaluated its effects based on its application. Data were extracted independently by each of the two researchers, using a standardised form. Among the key aspects of such programmes were the many cases where community organisations led establishment of partnerships and cases where a decision-making committee was formed. Regarding application of the CBPR principles, community partners participated only in executing the research, not in analysing and interpreting research results. In addition, among the 21 studies selected were 6 randomised controlled trials, all of which showed a significant positive effect in experimental groups compared to control groups. Improvement strategies are needed to allow implementation of CBPR principles in a CBPR-based CVD management programme. Moreover, further verification of programme evaluation research methods is needed. This protocol has been registered to the OSF registries. 0000000204460911. Key Elements and Effects of Cardiovascular Disease Management Programs Based on Community-based Participatory Research: Protocol for a Scoping Review’. OSF, 4 Sept. 2020. Web.