Global Health Competencies and Educational Needs for Nursing Students in South Korea.

BACKGROUND: Despite the increasing demand for global health education, relatively few global health courses currently are offered in Korea. METHOD: This mixed-methods study examined the need for global health competency and global health education experience for nursing students. A survey of 208 nursing students was conducted from May 2020 to August 2020, and three focus groups were conducted with 12 nursing students. RESULTS: The average score of global health nursing competencies was 2.8 ± 0.7 on a scale ranging from 1 to 4. Female, higher academic achievement, fluent English, and higher global health education experience had a significant effect on global health competency. The most influential factor was more experience with global health education. Nursing students' perceptions and educational needs related to global health education were classified into four subthemes. CONCLUSION: The development of global health education programs for nursing students is needed. [J Nurs Educ. 2023;62(2):75-82.].

Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions.

PURPOSE: To explore the consequences, challenges, and future directions based on community health nurses' experiences during COVID-19. DESIGN: Qualitative study. Four focus group interviews were conducted with 27 community health nurses. FINDINGS: Three major themes emerged: 1) Coordination of roles and duties, 2) Identifying deterioration of patients' health and increasing demand for visits, and 3) Changing service delivery strategies: a testing ground for new services. CONCLUSIONS: Community health nurses were essential public healthcare providers during the pandemic. The findings are informative for nurses and policy makers who can develop and suggest different services in the post-COVID era.

Experience of School Nurses During Public Health Crises: From 2009 H1N1 Influenza to the COVID-19 Pandemic.

PURPOSE: To elucidate the experiences of school nurses when responding to public health crises in Korea. DESIGN: Phenomenological research. METHODS: One-on-one online in-depth interviews were conducted (N = 10). FINDINGS: Major public health crises considerably affected schools, school nurses, and the revision of the School Health Act. CONCLUSIONS: The experiences of school nurses in responding to periodic public health crises over the few decades have contributed to the advancement of an infectious disease response system in schools. CLINICAL EVIDENCE: The activities of school nurses during public health crises could serve as a foundation to improve the system.

Evaluating attention deficit hyperactivity disorder symptoms in children and adolescents through tracked head movements in a virtual reality classroom: The effect of social cues with different sensory modalities.

Background: Attention deficit hyperactivity disorder (ADHD) is clinically diagnosed; however, quantitative analysis to statistically analyze the symptom severity of children with ADHD via the measurement of head movement is still in progress. Studies focusing on the cues that may influence the attention of children with ADHD in classroom settings, where children spend a considerable amount of time, are relatively scarce. Virtual reality allows real-life simulation of classroom environments and thus provides an opportunity to test a range of theories in a naturalistic and controlled manner. The objective of this study was to investigate the correlation between participants' head movements and their reports of inattention and hyperactivity, and to investigate how their head movements are affected by different social cues of different sensory modalities. Methods: Thirty-seven children and adolescents with (n = 20) and without (n = 17) ADHD were recruited for this study. All participants were assessed for diagnoses, clinical symptoms, and self-reported symptoms. A virtual reality-continuous performance test (VR-CPT) was conducted under four conditions: (1) control, (2) no-cue, (3) visual cue, and (4) visual/audio cue. A quantitativecomparison of the participants' head movements was conducted in three dimensions (pitch [head nods], yaw [head turns], and roll [lateral head inclinations]) using a head-mounted display (HMD) in a VR classroom environment. Task-irrelevant head movements were analyzed separately, considering the dimension of movement needed to perform the VR-CPT. Results: The magnitude of head movement, especially task-irrelevant head movement, significantly correlated with the current standard of clinical assessment in the ADHD group. Regarding the four conditions, head movement showed changes according to the complexity of social cues in both the ADHD and healthy control (HC) groups. Conclusion: Children and adolescents with ADHD showed decreasing task-irrelevant movements in the presence of social stimuli toward the intended orientation. As a proof-of-concept study, this study preliminarily identifies the potential of VR as a tool to understand and investigate the classroom behavior of children with ADHD in a controlled, systematic manner.

Effects of one year of daily face mask wearing on the skin during the coronavirus disease 2019 pandemic.

BACKGROUND: As coronavirus disease 2019 (COVID-19) continues, the long-term daily use of masks is increasing. A full year includes the four seasons of spring, summer, autumn, and winter. Skin may have been affected by the seasons and further affected by the use of masks. In a previous study, we confirmed the short-term and 6-month effects of wearing face masks. In this study, we investigated how certain characteristics of the skin change when wearing a mask for 1 year. Furthermore, we compared skin covered by the mask (mask-skin zone) to skin that was not covered. MATERIALS AND METHODS: The participants were 18 healthy adults (8 men; 10 women) who were asked to wear masks in their daily lives from June 2020 to June 2021. During this period, participants' skin characteristics, such as trans-epidermal water loss, skin hydration, skin elasticity, skin keratin amount, skin pore area, skin temperature, skin redness, and skin color, were measured five times. RESULTS: Trans-epidermal water loss, skin keratin amount, skin pore area, skin color, and skin elasticity changed significantly during the year. Furthermore, trans-epidermal water loss, skin hydration, skin keratin amount, skin pore area, and skin color were significantly different between the mask-wearing and non-mask-wearing areas of the face. CONCLUSION: The skin characteristics of the mask-skin zone can be affected by long-term wearing of a face mask under lifestyle and environmental conditions. During the COVID-19 pandemic, skin care for the mask-skin zone is also necessary for people who do not wear masks on a daily basis.

Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis.

This study aims to investigate research trends concerning job stress among hospital nurses. Articles about job stress among hospital nurses published in English from 2008 to 2018 were searched. In the first search, 2673 articles were extracted from the MEDLINE, EMBASE, KoreaMed, KERIS, KISS, KISTI, and KMbase databases. Altogether, 154 articles were used in the systematic review and meta-analysis. Thirty-nine variables were explored regarding job stress. Among the major variables, insufficient job control, personal conflict, and burnout had a positive correlation. In contrast, intention to stay, job satisfaction, and personal accomplishment had a negative correlation. In the meta-analysis conducted in relation to a specific conceptual framework, the negative-outcome factors showed significant positive correlations with job stress, whereas the positive-outcome factors showed significant negative correlations with job stress. This study identified factors associated with job stress in nurses through a meta-correlation analysis, and the overall correlation coefficient was relatively high at 0.51. Job factors and moderators had significant meta-correlation coefficients. These results can be utilized in clinical practice and research to help develop intervention programs to relieve job stress among nurses.

The effect of college students' learning immersion and self-direction on non-face-to-face learning performance and class satisfaction

This study aims to analyze the status of distance learning in higher education and explore the effects of learning engagement and self-directed learning readiness among variables related to learners on academic performance and course satisfaction in distance learning. It seeks to provide a baseline for other studies to develop strategies for quality online courses in preparation for a prolonged COVID-19 pandemic. An online survey was conducted on 708 students from a four-year University E located in Seongnam, Gyeonggi-do. Each student completed a self-administered questionnaire on a web page, which was created for the survey. The survey used a multiple regression analysis, with the independent variables being student engagement and self-directed learning readiness. With the aim of explaining academic performance and satisfaction for distance learning, the study also adopted a stepwise selection method to select the independent variables. It was found that learner engagement has a greater influence on academic performance than self-directed learning readiness among the independent variables. Additionally, it was found that learners' self-directed readiness did not impact course satisfaction;only learner engagement influenced student satisfaction for online courses. In conclusion, the survey showed that learner engagement and self-directed learning readiness are significant predictor variables of academic performance in online courses. It also found that learner engagement is a significant predictor variable of student satisfaction with online courses. In other words, teaching strategies are important for the promotion of student engagement to improve academic performance and student satisfaction in distance learning.

Effects of a multimodal approach to food art therapy on people with mild cognitive impairment and mild dementia.

BACKGROUND: Food art therapy (FAT) has multiple modalities in which cognition, emotion, and social changes are stimulated. The purpose of this study was to design a multimodal approach to a food art therapy (MM-FAT) program and identify its effects on cognitive ability, daily living functioning, depression, self-esteem, self-efficacy, self-expression, and social functioning in individuals with mild cognitive impairment (MCI) and mild dementia by employing a mixed methods research design. METHODS: The participants included 39 patients from a public dementia care centre in Seoul, Korea. The intervention group, which comprised 20 participants, received 12 MM-FAT sessions 3 times a week for 4 weeks, and the control group, which included 19 participants, received usual care. The MM-FAT program was evaluated based on its effectiveness on cognitive, daily living, emotional, and social functioning outcome measures at three time points using repeated measures analysis of variance. Semi-structured interviews (n = 9) were conducted to evaluate the overall experience of the MM-FAT program and its outcomes. RESULTS: The findings reveal that MM-FAT has a positive effect on the cognitive, emotional, and social functioning of individuals with MCI and mild dementia. However, there were no enhancements in individuals' daily living functioning, and the lasting effects of the intervention could not be assessed. Cognition and depression increased significantly at the end of the MM-FAT program. Self-expression and self-efficacy were significantly higher in the MM-FAT group than in the control group. The semi-structured interviews revealed improvements in participants' behaviour, communication, and interaction. CONCLUSION: This mixed methods study focused on individuals with MCI or mild dementia contributes to an understanding of the effectiveness of a FAT program employing a multimodal approach. Despite the COVID-19 pandemic, the study was able to enrich the effects of MM-FAT on cognitive, emotional, and social functioning through qualitative findings.

Long-term effects of face masks on skin characteristics during the COVID-19 pandemic.

BACKGROUND: Nowadays, face masks are a crucial part of our daily life. Previous studies on their impact on the skin usually focused on the adverse effects of face masks. Few studies have assessed their influence on skin characteristics. In a previous study, we identified the short-term effects of wearing face masks. Herein, we describe the long-term skin effects of face masks, for a period of 6 months. MATERIALS AND METHODS: Healthy volunteers (19 men and women), who wore face masks, participated in the study from June 2020 to December 2020. In all participants, skin characteristics such as trans-epidermal water loss (TEWL), skin hydration, skin elasticity, skin pore area, skin keratin amount, skin temperature, skin redness, skin temperature, skin redness, and skin color were measured three times. RESULTS: TEWL, skin hydration, skin elasticity, skin pore area, skin keratin amount, and skin color changed significantly after 6 months. TEWL, skin hydration, skin pore area, skin keratin amount, and skin color were significantly different between the mask-wearing and non-mask-wearing areas. CONCLUSION: Long-term daily use of face masks can alter skin characteristics. Special care should be focused on the mask-wearing regions.

Evaluation of changes in skin characteristics due to the poor quality of sleep caused by smartphone usage.

BACKGROUND: Blue wavelengths are thought to have an effect on circadian rhythms. Using a smartphone, which emits a 453 nm blue light, can worsen the quality of sleep. AIMS: To study the skin changes caused by poor sleep quality induced by smartphone usage. METHODS: The participants were 22 Korean women aged 20-39 years, with no sleep problems and a Pittsburgh Sleep Quality Index (PSQI) score of <5. The participants used a smartphone for 2 h before normal sleep hours. The measurement points were as follows: after a good sleep (D0), after bad sleep day 1 (D1), after bad sleep day 3 (D3), and after bad sleep day 7 (D7). The sleep time, wake-up time, shallow sleep rate, and sleeping time duration were recorded using a smartwatch. RESULTS: The quality of their sleep deteriorated. The average time of falling asleep extended to 2 a.m., which was about 34 min later. Additionally, their skin moisture content decreased, and sebum content increased. Skin desquamation was increased, and skin gloss, transparency, and elasticity decreased mainly on the skin surface. CONCLUSIONS: Sleep quality decreases with smartphone usage among people who do not usually use their smartphones before going to sleep and do not have any sleep problems. The results showed significant changes in skin optics and surface properties when the quality of sleep was degraded for 7 days.

Effect of face mask on skin characteristics changes during the COVID-19 pandemic.

BACKGROUND: Previous studies have demonstrated the possibility of adverse effects of prolonged wearing of personal protective equipment in healthcare workers. However, there are a few studies about the effects on skin characteristics after wearing a mask for non-healthcare workers. In this study, we evaluated the dermatologic effects of wearing a mask on the skin over time. MATERIALS AND METHOD: Twenty-one healthy men and women participated in the study. All participants wore masks for 6 hours consecutively. Three measurements were taken (a) before wearing the mask, (b) after wearing the mask for 1 hour, and (c) after wearing the mask for 6 hours. Skin temperature, skin redness, sebum secretion, skin hydration, trans-epidermal water loss, and skin elasticity were measured. RESULTS: The skin temperature, redness, hydration, and sebum secretion were changed significantly after 1 and 6 hours of wearing a mask. Skin temperature, redness, and hydration showed significant differences between the mask-wearing area and the non-mask-wearing area. CONCLUSION: Mask-wearing conditions and time can change several skin characteristics. In particular, it is revealed that the perioral area could be most affected.