Jung Eun Hong

Purpose: To examine the relationships among hospice perception, knowledge of advance directives, and attitudes toward advance directives (attitudes) in long-term care (LTC) visiting nurses. The factors influencing their attitudes were also identified.Methods: Data were collected from 164 LTC visiting nurses across South Korea using a structured online questionnaire. Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression analysis were performed using IBM SPSS version 26.0.Results: The mean scores were 71.75±6.39, 8.37±0.85, and 50.21±4.85 for hospice perception, knowledge of advance directives, and attitudes, respectively. Attitudes differed significantly based on age (F=2.84, p=.040). Attitudes were positively correlated with hospice perception (r=.59, p<.001) and knowledge of advance directives (r=.17, p=.027). However, hospice perception and knowledge of advance directives were not correlated (r=.11, p=.150). Furthermore, hospice perception (β=.58, p<.001) was the only factor that significantly influenced attitudes, explaining 34.6% of the variance. Age and knowledge of advance directives were not significant predictors.Conclusion: Hospice perception is the most significant factor influencing visiting nurses’ attitudes toward advance directives. Accordingly, developing awareness-enhancing programs that incorporate professional knowledge and enable the internalization of the philosophy and values of hospice and palliative care is essential. Such initiatives will ultimately improve the quality of community-based end-of-life care provided by visiting nurses.

Purpose: This study aimed to translate the Young Parent Stigma Scale (YPSS) developed by Rice and colleagues into Korean and examine the validity and reliability of the Korean version (YPSS-K) among young parents in Korea.Methods: A methodological design was used. The YPSS was translated into Korean following the World Health Organization’s translation and adaptation guidelines, and content validity was evaluated by five nursing professors. Data were collected between March and April 2024 from 245 parents aged 24 years or younger. Construct validity was assessed using confirmatory factor analysis (CFA), and item-level convergent validity, item-level discriminant validity, and known-group validity were also examined. Reliability was evaluated using Cronbach’s alpha coefficients.Results: The CFA confirmed a four-factor structure with 21 items, demonstrating acceptable model fit (χ2/df=2.84, CFI=.92, TLI=.90, IFI=.92, SRMR=.09, RMSEA=.09). Convergent validity was supported, with average variance extracted values ranging from .52 to .67 and construct reliability values from .79 to .95. Discriminant validity was established using the Fornell–Larcker criterion. Known-group validity was confirmed by significant differences in stigma scores across income levels (Welch’s F=9.47, p<.001). Cronbach’s alpha for the total scale was .81, and the subscale values ranged from .74 to .95.Conclusion: The YPSS-K demonstrated satisfactory validity and reliability, confirming its potential for systematically measuring the multidimensional stigma experiences of young parents in Korea. This instrument can serve as a foundation for developing targeted interventions and policies to reduce stigma toward young parents.

Background/Objectives: Gestational diabetes mellitus (GDM) affects approximately 12.7% of pregnant women in South Korea. While breastfeeding provides critical health benefits for mothers with GDM and their infants, including improved insulin resistance and reduced Type 2 diabetes risk, no validated GDM-specific breastfeeding knowledge instrument exists. This study aimed to develop and validate a breastfeeding knowledge instrument for women with GDM. Methods: This methodological study employed systematic procedures for the development and validation of knowledge test. Initial item generation yielded 30 items across three domains: postpartum physical characteristics, breastfeeding barriers, and breastfeeding benefits. Content validity was evaluated by six clinical experts and ten experiential experts (women with GDM). An online survey was conducted in October 2022 with 220 women diagnosed with GDM who were either pregnant or within six months postpartum. Item analysis, exploratory factor analysis, and reliability testing were performed. Convergent validity was assessed by calculating the Pearson correlation coefficient with an established breastfeeding knowledge scale. Results: Following expert review and psychometric analysis, the final instrument comprised 14 items across three factors: postpartum physical characteristics (3 items), breastfeeding barriers (2 items), and breastfeeding benefits (9 items). The Kaiser–Meyer–Olkin measure was 0.884, Bartlett’s test was significant (χ² = 838.835, p < 0.001), and factor loadings were satisfactory. The KR-20 reliability coefficient was 0.826, and criterion validity was confirmed. Conclusions: This first validated GDM-specific breastfeeding knowledge instrument enables the identification of knowledge gaps and the development of targeted educational interventions to improve maternal-child health outcomes.

Background/Objectives: Pressure injuries are a significant concern among older adults, particularly in community-based long-term care settings where prolonged immobility is prevalent. This study aimed to identify factors influencing sacral interface pressure in community-dwelling older adults, with an emphasis on support surface usage and clinical risk indicators. Methods: A total of 210 participants aged 65 years and older, all receiving long-term care services in South Korea, were enrolled in this study. Sacral interface pressure was measured in the supine position using a portable pressure mapping device (Palm Q7). General characteristics, Braden Scale scores, Huhn Scale scores, and mattress usage were assessed. Data were analyzed using descriptive statistics, t-tests, chi-square tests, and logistic regression. Results: Mattress non-use was identified as the strongest predictor of elevated sacral interface pressure (OR = 6.71, p < 0.001), followed by Braden Scale scores indicating moderate risk (OR = 4.8, p = 0.006). Huhn Scale scores were not significantly associated with interface pressure. These results suggest that support surface quality and skin condition have a stronger impact on interface pressure than mobility-related risk factors. Conclusions: The findings highlight the importance of providing high-quality pressure-relieving mattresses and implementing standardized nursing assessments to reduce the risk of pressure injuries. Integrating smart technologies and expanding access to advanced support surfaces may aid in developing tailored preventive strategies for vulnerable older adults.

Purpose: This systematic review aimed to evaluate the effects of maternal role support interventions on pregnant adolescents, focusing on exclusive breastfeeding, postpartum depression, parenting environment, and child development. The study sought to inform the development of targeted support programs for adolescent mothers. Methods: Using PRISMA guidelines, we conducted a systematic review of randomized controlled trials published from January 2014 to July 2024 that were sourced from MEDLINE, CINAHL, Embase, RISS, and KISS. Twelve studies involving 4,991 adolescent participants were included. They measured outcomes such as exclusive breastfeeding, postpartum depression (EPDS scores), parenting environment quality (HOME-IT scores), and child development (BSID-III scores). The data were extracted independently and analyzed for pooled effects, with evidence certainty assessed via GRADE. Results: The review found that maternal role support interventions improved breastfeeding knowledge in adolescent mothers but did not significantly increase exclusive breastfeeding rates. Interventions involving family support and professional counseling effectively reduced postpartum depression with sustained effects. Positive changes were also observed in parenting environment factors such as home organization and learning materials. Minor improvements in children’s cognitive and language development were noted, though these were not statistically significant. Conclusion: Maternal role support interventions enhance breastfeeding knowledge, reduce postpartum depression, and improve certain aspects of the home environment for adolescent mothers. However, exclusive breastfeeding rates and child developmental gains require additional multifaceted support. Future interventions should incorporate comprehensive tailored approaches involving family and professional support to address the complex needs of adolescent mothers and their children.

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.

Purpose: The aim of this study was to identify core keywords and topic groups in the “adolescent pregnancy” field of research for a better understanding of research trends in the past 10 years.Methods: Topics related to adolescent pregnancy were extracted from 3,819 articles that were published in journals between January 2013 and July 2023. Abstracts were retrieved from five databases (MEDLINE, CINAHL, Embase, RISS, and KISS). Keywords were extracted from the abstracts and cleaned using semantic morphemes. Text network analysis and topic modeling were performed using NetMiner 4.3.3.Results: The most important keywords were “health,” “woman,” “risk,” “group,” “girl,” “school,” “service,” “family,” “program,” and “contraception.” Five topic groups were identified through topic modeling. Through the topic modeling analysis, five themes were derived: “health service,” “community program for school girls,” “risks for adult women,” “relationship risks,” and “sexual contraceptive knowledge.”Conclusion: This study utilized text network analysis and topic modeling to analyze keywords from abstracts of research conducted over the past decade on adolescent pregnancy. Given that adolescent pregnancy leads to physical, mental, social, and economic issues, it is imperative to provide integrated intervention programs, including prenatal/postnatal care, psychological services, proper contraception methods, and sex education, through school and community partnerships, as well as related research studies. Nurses can play a vital role by actively engaging in prevention efforts and directly supporting and educating socially disadvantaged adolescent mothers, which could significantly contribute to improving their quality of life.