Development and Effectiveness of a Mobile Health Lifestyle Program for University Students

Purpose@#The purpose of this study was to develop a mobile health lifestyle program for university students and to verify its effectiveness. @*Methods@#The program was developed based on Jung’s teaching-learning system design model. The research used a non-equivalent control group pretest-posttest non-synchronized design. Data were collected from October 20 to December 5, 2018. To verify the effects of the program, the knowledge, self-efficacy, and intention to plan health lifestyle and health lifestyle behavior were measured. A two hour health lecture and a mobile health lifestyle program were delivered for 3 weeks to 23 students in the experimental group. 19 students in the control group received only a two hour health lecture. @*Results@#The experimental group showed significantly higher scores on knowledge (F=4.63, p=.038), intention to plan health lifestyle (F=14.44, p<.001), and health lifestyle behavior (F=46.80, p<.001). However, the score on self-efficacy was not significantly different (F=2.65, p=.112). @*Conclusion@#It was confirmed that the mobile health lifestyle program can be useful in increasing the level of knowledge, intention and behavior of health lifestyle among university students. Therefore, the mobile health lifestyle application can be used as a supporting resource to enhance the health promotion for university students.

Analysis of Studies on Nursing Image Performed in Korea from 2003 to 2014 / 간호행정학회지

PURPOSE: This study was done to review and summarize trends in research related to image of nursing in Korea and to explore directions for future research. METHODS: Thirty-five studies published from 2003 to 2014 were reviewed, and the analysis was performed according to criteria adopted from Kim & Lee (2003). RESULTS: There was a three-fold increase in the number of studies compared to a prior analysis study. Of these studies 50% were carried out with nursing students and 71.4% were survey type research. Elementary school students, patients, and guardians had positive images of nursing compare to middle school students and health related personnel. Experience of hospital admission or patient visit did not influence the nursing image of participants. Satisfaction with nursing as a career and clinical practicum were related to nursing image among nursing students and their satisfaction, and their nursing professional value and self-esteem had a positive correlation with nursing image. CONCLUSION: The findings of this study suggest that recent trends of nursing research on nursing image indicate a need for further research to eliminate negative stereotypes and build a more professional image for nursing are recommended.

Effect of School-based Peer Leader Centered Smoking Prevention Program

PURPOSE: The purpose of this study was to develop and evaluate a school-based peer leader centered smoking prevention program. METHODS: Non-equivalent control group with a pre/post-test design was used. Students (n=174) in two boys' junior high schools located in D city, Korea participated with 85 being selected for the experimental group and 89 for the control group. Five sessions were given to the experimental group and a 50 minute lecture to the control group. Knowledge, attitude, non-smoking intention, and non-smoking efficacy were measured for the both experimental and control group at two weeks before the program and one month after the program was completed. Data were analyzed using chi2-test, Fisher's exact test, independent t-test and paired t-test with the SPSS 21.0 program. RESULTS: The experimental group showed higher overall knowledge, negative attitude toward smoking, and higher non-smoking intention and efficacy. After receiving the school based peer leader centered smoking prevention program scores for attitude toward smoking and non-smoking efficacy increased in the experimental group were higher than in the control group. CONCLUSION: The school-based peer leader centered smoking prevention program needs longitudinal evaluation, but from this study, there is an indication that this program can be used with junior high school students and effectively change students' attitude toward smoking and promote non-smoking efficacy.

A Delphi Study to Elicit Policies for Nurse Workforce based on Patient Safety / 간호행정학회지

PURPOSE: This study was done to suggest policies for nurse workforce based on patient safety. METHODS: The two steps in developing the items were items related to what would be desirable policies and items on how the policies should be developed for patient safety regarding nurse workforce. A literature review was done and suggestions from experts through two rounds using the Delphi technique were outlined. The fifteen experts who participated in this study were six representatives of service consumers and nine representatives of service providers (four medical doctors and fives nurses). RESULTS: To guarantee patient safety, accreditation of nursing practice and nursing education were found to be necessary, and to prevent medical and nursing accidents in clinical practice, the professional judgement of the nurses was found to be pivotal to the provision of safe nursing services. CONCLUSION: Polices on nursing for the nurse workforce based on patient safety in clinical settings should be established to ensure that nursing care is provided according to the nurses' clinical judgements based on their professional knowledge and assessment skills.

Influence of Experiences of Witnessing Tobacco Advertising and Preferences of Tobacco Companies' Social Responsibility on Current and Future Smoking Intentions in Adolescents

PURPOSE: To evaluate the influence of experiences of witnessing tobacco advertising and preferences of tobacco companies' social responsibility (CSR) on current and future smoking intentions in adolescents. METHODS: Data were collected from 700 adolescents living in Korea representing 7 metropolitan cities and 8 provinces in the method of proportional random sampling. The Gallup's data collection system was adopted using 1:1 face to face interviews. The witness of tobacco advertising was determined by 'yes', or 'no' responses to three survey items and to four survey items for preferences of tobacco CSR. For statistical analysis, chi2 test, Fisher's exact test and logistic regression were used. RESULTS: 98.4% of the adolescents had experiences of witnessing tobacco advertising. POP (OR=103.44, 95% CI: 8.22~1301.45) and magazine advertisement (OR=6.07, 95% CI: 1.34~22.58) had a significant effect on their current smoking. Also, POP (beta=.24, p<.001) and movie advertisement (beta=.42, p<.001) had a significant effect on their future smoking intentions. As for the preferences of tobacco CSR, cultural-art support activities (beta=.15, p=.025) and environmental purifying campaigns (beta=-.15, p=.034) had a significant effect on their future smoking intentions. CONCLUSION: Witness of tobacco advertising and positive responses to tobacco CSR are associated with current and future smoking intentions in adolescents.

Trends in Nursing Research in Korea: Research Trends for Studies Published from the Inaugural Issue to 2010 in the Journal of Korean Academy of Nursing and the Journals Published by Member Societies under Korean Academy of Nursing Science

PURPOSE: The purpose of this study was to identify trends for studies published in the Journal of Korean Academy of Nursing and journals published by member societies from inaugural issues to 2010. METHODS: A total of 6890 studies were analyzed using descriptive statistics. RESULTS: Quantitative studies accounted for 83.6% while qualitative studies accounted for 14.4%. Most frequently used research designs were quasi-experimental (91.1%) for experimental research and survey (85.2%) for non-experimental research. Most frequent study participants were healthy people (35.8%), most frequent nursing interventions, nursing skills (53.5%), and 39.8% used knowledge, attitude and behavior outcomes for dependent variables. Most frequently used keyword was elderly. Survey studies decreased from 1991 to 2010 by approximately 50%, while qualitative studies increased by about 20%. True experimental research (1.2%) showed no significant changes. Studies focusing on healthy populations increased from 2001-2005 (37.5%) to 2006-2010 (41.0%). From 1970 to 2010, studies using questionnaire accounted for over 50% whereas physiological measurement, approximately 5% only. Experimental studies using nursing skill interventions increased from 1970-1980 (30.4%) to 2006-2010 (64.0%). No significant changes were noted in studies using knowledge, attitude and behavior (39.9% ) as dependent variables. CONCLUSION: The results suggest that further expansion of true experimental, qualitative studies and physiological measurements are needed.

Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis

PURPOSE: This study was done to evaluate the effects of dignity interventions on depression, anxiety and meaning of life in terminally ill patients. METHODS: PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms indicating dignity intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.2.11 program of Cochrane Library. RESULTS: Twelve clinical trials met the inclusion criteria with a total of 878 participants. Dignity intervention was conducted for a mean of 2.2 weeks, 2.8 sessions and an average of 48.7 minutes per session. Effect sizes were heterogeneous and subgroup analysis was done. Dignity interventions had a significant effect on depression (ES= -1.05, p<.001, I2=15%) and anxiety (ES= -1.01, p<.001, I2=0). For meaning of life, dignity interventions were effective (ES= -1.64, p=.005) and effect sizes were still heterogeneous. CONCLUSION: Results support findings that dignity interventions can assist terminal ill patients in reducing emotional distress and improving meaning of life. Further well-designed dignity studies will lead to better understanding of the effects of treatments on spiritual well-being.

Effect of a Smoking Cessation Motivational Program for Adolescents

PURPOSE: In this study an examination was done of the effects of a adolescent smoking cessation motivational program on smoking temptation, internal motivation, stage of smoking cessation and quit rate. The study was done with a nonequivalent control group pretest-posttest design. METHODS: Participants in the experimental group were adolescents who smoked and were referred to the program by their high school teachers. They participated in the smoking cessation motivational program for 60 minutes per session, once or twice a week for six weeks. Participants in the control group were selected from the same age group within the school and the program was provided after the posttest was completed. t-test, Mann-Whitney test, and chi2-test were used to analyze data. RESULTS: The level of smoking temptation, internal motivation and stage of smoking cessation had significant change in comparison to the pretest whereas the control group did not exhibit these changes. CONCLUSION: The results of the study indicate that a smoking cessation motivational program for adolescents is an effective strategy to increase smoking cessation motivation in adolescents, and can be utilized as an effective intervention for adolescents who smoke.

Development of Multimedia Contents on Smoking Cessation Leadership Program for Health Care Professionals / 성인간호학회지

PURPOSE: Health care professionals represent an immediately available resource to promote smoking cessation. However, the content in smoking cessation intervention courses in most institutions is insufficiently covered due to the limited number of class hours. The purpose of this study was to develop a comprehensive tobacco cessation-web-based, multimedia, educational program for a range of medical professionals. METHODS: Based on Jung's Teaching and Learning Structure Plan Model, a development process was proposed comprising four stages: (1) analysis, (2) planning, (3) production, and (4) operation/evaluation. The effectiveness of the program was tested using quasi-experimental design, and the participants in experimental group were required to complete the program. Changes in the level of knowledge and attitude were measured. RESULTS: The educational program developed includes nine topics and 26 sub-topics. A total of 180 storyboards, 15 videos, and 27 pictures were made. After the education, the level of knowledge was significantly increased in the experimental group. CONCLUSION: This web-based program can be recommended as a potential medium for health care professionals to use in counseling smoking cessation. The study findings also indicated that the program may be either offered as a teaching aid or utilized concurrently with lectures for students studying health care-related topics.

Comparison of Antioxidant Level of the Elderly Living in Institutions: Vegetarian and Non-vegetarian Diet / 성인간호학회지

PURPOSE: The purpose of this study was to compare the antioxidant level, serum cholesterol and skin beta-carotene, of female elderly who had been living more then 10 months in institutions which offered either vegetarian or nonvegetarian diet. METHODS: Total of 110 female elderly, 56 from institution serving vegetarian diet and 54 from nonvegetarian diet, were recruited from institutions located in S and N city in Korea. beta-carotene level was measured on their palm using Pharmanex Biophotonic Scanner and annual health evaluation data was utilized for the analysis of serum cholesterol. RESULTS: The subjects on a vegetarian diet had a significantly higher level of phosphorus, carotene, and folic acid. The elderly who were living in an institution offering a vegetarian diet had a lower level of serum cholesterol and higher level of skin beta-carotene, compared to those living in an institution offering a non-vegetarian diet. CONCLUSION: This study reveals that a vegetarian diet is beneficial in increasing skin beta-carotene level, decreasing serum total cholesterol level. The skin beta-carotene measurement appear valuable as a bio-marker of antioxidant intake. Further study on antioxidant food and effective serving strategy for elderly are recommended.

The Effects of Resistance Exercise Program for Elders with Type 2 Diabetes on the Self Care, Stress and HbA1c / 성인간호학회지

PURPOSE: The purpose of this study was to examine the effects of resistance exercise program for elders with type 2 Diabetes on the self care, stress and HbA1c. METHODS: Thirty three elders with type 2 Diabetes(18 experimental and 15 control subjects) were selected conveniently among the aged who had been enrolled in a community senior center. The subjects in experimental group participated in a resistance exercise program for 8 weeks. Data were analyzed using the SPSS/Win 12.0. RESULTS: The resistance exercise program showed a statistical difference in self care(t=-4.39, p=.000) and stress(t=2.22, p=.034). However, there was not a statistical difference in HbA1c (F=.556, p=.557), but experimental group had decreased continuously in HbA1c after the program. CONCLUSION: The resistance exercise program improved self care and reduced the stress in the elders with type 2 Diabetes. Therefore, resistance exercise program can be applied as an effective nursing intervention to promote self care, decrease the stress and to prevent complication for the elders with type 2 Diabetes.

Attitudes to Smoking Cessation Interventions and Importance of Participation in Tobacco Control Policy Among Clinical Nurses / 기본간호학회지

PURPOSE: To describe nurses' attitude to smoking cessation interventions and importance of participation in tobacco control policy. METHOD: The participants were 841 nurses practicing in hospitals of 400 beds or more and 103 members of a professional nurse's academic society. The hospitals were systematically selected to cover the whole country. The questionnaire was adopted from the 'Oncology Nurses' Tobacco Control Survey' and used after translation. RESULTS: Nurses who were older, married, had higher positions, more education, more experience, and who worked in an OPD setting had higher mean score for attitude to the involvement of nurses in smoking cessation interventions. More than 80% of nurses agreed on the importance of nurses' participation and involvement in tobacco control policy. However, only 65.4% of nurses stated that supporting laws to increase cigarette price was important. CONCLUSION: Clinical nurses' attitudes to smoking cessation interventions were positive and participants supported the importance of participation in tobacco control policies.

Analysis of Smoking and Smoking Cessation Related Nursing Research in Korea and its Future Direction / 간호학회지

PURPOSE: The purpose of this study was to analyze the contents and trend of smoking and smoking cessation related nursing research in Korea and to suggest the directions for future research. METHOD: Eight nursing professional Journals published by the Korean Academic Nursing Society and by 7 - adult, community, psychiatric, fundamental, obstetrics, pediatrics, administrative- nursing societies from beginning edition to October 2005 were selected. They were examined for the proportion of published research, participants, research designs, key words, measurement tools, and the intervention outcomes in the case of the experimental research. RESULT: Of the research analyzed, 87 studies were smoking and smoking cessation related research. The Journals, which had published the most number of smoking and smoking cessation research were J of Korean Academic Society, J of Korean Adult Nursing Society, J of Korean Community Nursing Society. The most popular research design was an descriptive design. The major concepts studied were related psychosocial variables. Among 87 studies, only 11 were experimental research. CONCLUSION: Research on smoking and smoking cessation in the nursing discipline are increasing. However more research to test the effectiveness of nursing intervention programs are needed.

The Effect of School Based Smoking Prevention Program for College Freshmen / 성인간호학회지

PURPOSE: This study was conducted to investigate the effects of a school based smoking prevention program for college freshmen. METHOD: The nonequivalent control group, pretest-post-test design was used. Among 16 departments in a University located in S city, students in 8, randomly selected, departments received 6 sessions of smoking prevention program consisted of small group discussion led by smoking cessation leaders, video watching, and lectures from March 15 to June 9, 2004. Students in remaining 8 departments did not receive any education. Student's attitude, intention, stress, temptation, knowledge and self efficacy was measured. RESULT: The level of stress and smoking temptation was significantly decreased in the experimental group over that of the control group. CONCLUSION: It was proven that this school based smoking prevention program was effective for decreasing smoking temptation in college freshmen. In the future, more efforts should be given to college age students to prevent them becoming chronic smokers.

A Survey on Frequencies of Smoking Cessation Intervention for Patients Among Clinical Nurses / 간호학회지

PURPOSE: This study was conducted to 1) find out the characteristic of smoke related characteristics of nurses. 2) find out the frequency of Smoking cessation intervention delivered by nurses. 3) compare the differences in mean scores of smoking cessation interventions by general characteristics. METHOD: The survey questionnaire was mailed out to nurses who were working at the randomly selected hospitals throughout the country from November 28, 2003 to February 15, 2004. RESULT: 0.6% of nurses were current smokers 40.7% of nurses have attended smoking cessation education. Nurses who were older, had masters degree, had oncology experience, higher position, participated in smoking cessation education, and had smoking related disease among family members were variables related to higher frequencies in delivering tobacco interventions. CONCLUSION: Although nurses are in an important position in delivering tobacco interventions and provide resources, their participation in consistent delivery of an intervention is less than desirable. To help nurses to participate in the assessment of tobacco use and interventions for cessation, the development of educational program is necessary.

A Survey on Frequencies of Smoking Cessation Intervention for Patients Among Clinical Nurses / 간호학회지

PURPOSE: This study was conducted to 1) find out the characteristic of smoke related characteristics of nurses. 2) find out the frequency of Smoking cessation intervention delivered by nurses. 3) compare the differences in mean scores of smoking cessation interventions by general characteristics. METHOD: The survey questionnaire was mailed out to nurses who were working at the randomly selected hospitals throughout the country from November 28, 2003 to February 15, 2004. RESULT: 0.6% of nurses were current smokers 40.7% of nurses have attended smoking cessation education. Nurses who were older, had masters degree, had oncology experience, higher position, participated in smoking cessation education, and had smoking related disease among family members were variables related to higher frequencies in delivering tobacco interventions. CONCLUSION: Although nurses are in an important position in delivering tobacco interventions and provide resources, their participation in consistent delivery of an intervention is less than desirable. To help nurses to participate in the assessment of tobacco use and interventions for cessation, the development of educational program is necessary.

Task Analysis of Korean Geriatric Care Managers / 간호학회지

PURPOSE: This study was designed to create a job description for Korean geriatric care managers and examine performance frequency, importance, and difficulty of task elements. METHOD: The sample consisted of 38 geriatric care managers and professors who performed duties related to geriatric care management at community based-facilities in Korea. A survey method was used, and the questionnaire included frequency, importance, and difficulty of task elements in job descriptions using the DACUM method. Using SPSS WIN 10.0, descriptive statistics such as frequency distribution, means, and standard deviation were conducted to examine the subject's general characteristics, frequency, importance, and difficulties of task performance. RESULT: The job descri ption of geriatric care managers revealed 10 duties, 34 tasks, and 105 task elements. On all ten duties, the average performance frequency, importance, and difficulty was 2.55, 2.21 and 2.43 respectively. CONCLUSION: The job description of geriatric care managers includes duty, task, and task elements and the definition of a completed job. Thus we recommend a data based trial to confirm and validate the information gathered.

A Comparison on the Tobacco Control Intervention, Barriers, and Facilitators between Oncology Nurses and General Nurses in Clinical Practice / 성인간호학회지

PURPOSE: This study was conducted to 1) find out the frequency of tobacco control intervention, barriers, and facilitators. 2) compare the differences in tobacco control intervention, barriers, and facilitators between oncology nurses and general nurses. METHOD: A sample was composed of 96 oncology nurses and 284 general nurses. The survey questionnaire was mailed out to nurses who were working at the randomly selected hospitals throughout the country. The questionnaire was adopted from the study of national survey on oncology nurse's tobacco interventions in United States by Sarnar, et al.(2000). RESULTS: Oncology nurses were found to provide tobacco control interventions more frequently comparing to the general nurses. "Patient not motivated to quit smoking", "Lack of time", "Lack of recognition/ rewards", were the most commonly identified barriers. "Patient wants to quit", "Adequate time", "Confidence in ability help people to stop smoking", were the most commonly identified facilitators. CONCLUSIONS: Although oncology nurses are in an important position in delivering tobacco interventions and providing resources, their participation in consistent delivery of a tobacco control intervention was less than desirable. To help nurses participate in the assessment of tobacco use and interventions for cessation, the development of educational program is necessary.

Barriers to Smoking Cessation Intervention among Clinical Nurses / 성인간호학회지

PURPOSE: The specific aims of this study was to find out the barrier to smoking cessation intervention in clinical practice among clinical nurses and compare them in high barrier group with those in the low barrier group. METHOD: The sample of this study consisted of 738 nurses practicing in general hospitals with over 400 beds throughout the country. The questionnaire was adopted from the 'Oncology Nurse's Tobacco Control Survey' used in the United Stated by Sarna et al.(2001). RESULT: Age, marital status, hospital experience, position were the variables related to the mean score of subjective resource insufficiency. The perception that the patient was not motivated to quit smoking was the most commonly identified barrier in low barrier group and the second most common barrier in high barrier group. CONCLUSION: Younger, with less clinical experience, single, staff nurses were the characteristics of nurses in the high barrier group. The smoking cessation educational program should be targeted to these populations. Further research is needed to develope strategies to reduce the perception associated with barriers in delivery of tobacco cessation interventions.

Changes in Smokers' Perception about smoking before and after Participation in a Hospitalized Smoking Cessation Program / 간호학회지

PURPOSE: This study was done to analyze the changes in smokers' subjectivity about smoking before and after participation in a 5-day hospitalized smoking cessation program. Design: Q-methodology, which provides a scientific method on subjectivity, was applied. Findings: Nine types of subjectivity changes about smoking were identified; Type I, Nicotine craving --> Confident of self control for smoking; Type II, Nicotine craving --> Cognition of the link between habituation and smoking, Type III, Nicotine craving --> Nicotine craving, Type IV, smoking as a social behavior --> Cognition of the link between habituation and smoking, Type V, smoking as a social behavior --> Motive to turn away from being addicted to smoking to being healthy, Type VI, Habitual smoking --> Confident of self control for smoking, Type VII, Habitual smoking --> Cognition of the link between habituation and smoking, Type VIII, Habitual smoking --> Motive to turn away from being addicted to smoking to being healthy and Type IX, Denial of the negative effects of smoking --> Confident of self control for smoking CONCLUSION: The types of changes in smokers' subjectivity before and after the smoking cessation program in this study suggest a better tailored intervention for individual smokers. The types of changes on smokers' subjectivity provide insight about which factors of the interventions for smoking cessation are especially valued for a particular group of smokers.