• Korean Journal of Health Education and Promotion
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• v.32 no.4
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• pp.93-108
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• 2015

Objectives: The purpose of this study was to investigate the current state of health literacy research and to explore the directions of improvement health literacy in Korea. Methods: A review of literature was conducted via an electronic database and citation tracking reference. A total of 173 articles were identified, where and then 41 articles were selected for review that met the inclusion criteria. Two authors independently reviewed the articles using the matrix table and together examined together the three aspects of the studies: research methods, health literacy instrument, and results. Results: Most of the articles were descriptive-correlation studies, but there were one intervention study and six methodology studies that were developing health literacy measures and instrument related items and etc. More troubling sufficient samples and sampling methods were lacking at the population level. The validity of the used health literacy instruments was not sufficient reported. Conclusions: Health literacy instruments need to be validated in various population and contexts. Additionally, effective strategies to improve health literacy included teach-back, pictogram, and decision aids need to be tested in Korean health care system.

• Korean Journal of Clinical Pharmacy
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• v.25 no.1
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• pp.27-33
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• 2015

Background: Since November 2012, some of over-the-counter (OTC) medications have been sold in convenience store without pharmacist' s supervision. We purposed to examine if the product labels of OTCs provide sufficient information that is appropriate for consumers who may have low health literacy. Methods: We compared the difficulty of words that are utilized in pharmaceutical product labels of interest (intervention) with those in the $6^{th}$ grade textbook (control). Pharmaceutical products of interest were comprised of 13 OTCs which have been sold currently in convenience stores. We grouped words into the 4 levels of difficulty based on the Korean Vocabulary Classification for Education, and statistically tested words frequency in each level between OTCs and control. Results: The 13 OTC labels included lay language (easier or equal to language used in primary school) about 10% less; professional language about 10% more (p < 0.001 in all). Labels for analgesics had the longest and most difficult information, followed by common cold preparations, muscle pain relievers as plaster or cataplasma and digestives. Conclusion: The 13 OTC labels might fail to provide appropriate information for safety use by consumers in terms of the difficulty level of words. The improvement of labels of OTC medications and consumer education strategies are called for safety use of OTC medications sold in convenience stores.

• Child Health Nursing Research
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• v.22 no.2
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• pp.87-96
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• 2016

Purpose: This study was done to identify the level of knowledge and practice of self-management on asthma of school-aged children and to provide data for the development of an intervention program to improve self-management on asthma Methods: The participants were 100 school-aged children who were treated currently for asthma in J city located in G province. Data were collected from 25th August to 30th October 2014. Results: The mean scores were 14.37 of 20 for self-management knowledge (percentage of correct answer 71.9%), 21.65 of 30 for self-management practice. There were significant differences in knowledge according to grade, diagnosed age, food allergy, education on asthma and hardship in school life, and in practice according to gender and economic status, hardship in school life and experience of first-aid on asthma. There were positive correlations between knowledge and practice. Conclusion: Results indicate that school-aged children' knowledge and practice in self-management of asthma were not sufficient enough to perform accurate management of asthma. Therefore, to improve self-management ability of school-aged children to manage effectively asthma, educational strategies that focus on increasing knowledge need to be developed.

• The Journal of Korean Academic Society of Nursing Education
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• v.10 no.2
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• pp.271-277
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• 2004

Purpose: The purpose of this study was to identify the relationship of clinical competency and self-directed learning in nursing students. Method: This study was conducted at two nursing colleges with students in a 2 year undergraduate nursing program. Data were collected from 182 students by means of self reporting questionnaires from October 1 to October 8, 2004. The data were analyzed by SPSS 10.0 PC programs using descriptive statistics, one-way ANOVA, Pearson correlation coefficient. Result: The questionnaire of students' clinical competency consisted of nineteen items based on a five point summated rating scale and was categorized into six subscales by factor analysis. The six subscales are nursing process, major nursing intervention, education for clients, observation and physical examination, and fundamental nursing. The more adaptable to major, the higher clinical competency (F= 3.406, p= .035) and self-directed learning (F= 7.444, p= .001). There was a positive correlation between students' clinical competency and self-directed learning (r= .367, p= .001). Conclusion: we concluded that future research should explore strategies for the development of self-directed learning to improve clinical competency of nursing students.

• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.1
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• pp.47-59
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• 2014

Purpose: The purpose of this study was to review articles and theses on Korean nursing students' stress, identifying overall research trends regarding such stress and suggesting strategies for stress management and nursing education system. Methods: The subjects for this study were 31 articles selected from three databases according to specific inclusion criteria. Results: Twenty-seven articles described survey research and four articles reported on experiments. Twenty-two studies related to stress from clinical practice among nursing students. Thirty-one articles reported on 40 regions and 44 colleges. Seventeen types of tools were used to measure nursing students' stress. The reported reliability of tools ranged from .76 to .96, and the mean score for nursing students' stress fell between 1.98 and 3.95. Conclusion: The findings from this review article indicate that nursing students exhibit different levels of stress as a result of school. Thus, they must learn to cope with stress to support their physical and psychological health. Moreover, finding ways to help student nurses handle job-related stress will require research related to the overall school, the curriculum, learning, and the life of nursing students, as well as stress intervention.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.2
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• pp.343-352
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• 2012

Purpose: The purpose of this study was to identify the factors influencing Health Promotion Lifestyle Profile of women college students. Methods: The sample consisted of 248 women college students in P city. Self report questionnaires were used to measure the variables. In data analysis, SPSSWIN 20.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. Results: The mean score for Health Promotion Lifestyle Profile was 2.27. In the the highest subcategories, the highest degree of performance was interpersonal relationships and the lowest degree was health responsibility. Health Promotion Lifestyle Profile was significantly different according to religion (F=3.48, p=.017), economic state(F=3.01,p=.031), perceived health state(F=8.07, p<.001), exercise frequency (F=16.02, p<.001), and self-rated knowledge about health (F=21.08, p<.001). In regression of analysis, perceived health state, exercise frequency, and self-rated knowledge about health were significant predictors explaining 30.5%. Conclusion: This study suggests that perceived health state, exercise frequency, and self-rated knowledge about health are significantly influencing factors in Health Promotion Lifestyle Profile in women college students. Therefore, the strategies of nursing intervention which improve these variables must be developed for women college students.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.4
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• pp.495-503
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• 2016

Purpose: The purpose of this study was to examine effects of a positive psychology program for improving positive thinking, ego resilience and stress coping of in nursing students. Methods: A non-equivalent control group pretest-posttest design was used. The subjects for the study were 78 students in G city(experimental group=41, control group=37). The positive psychology program was provided for 4 weeks (8 sessions, 16 hours). Positive thinking, ego resilience, and stress coping were measured with using self-report structured questionnaires. This study collected data between November 23, 2014 and January 9, 2015, and which were analyzed using SPSSWIN 20.0. Results: The positive psychology program was effective in increasing positive thinking, ego resilience and stress coping. Conclusions: The results of this study should contribute as baseline data for positive intervention strategies and planning ability of potentials and strengths in nursing students.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.4
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• pp.504-513
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• 2016

Purpose: The purpose of this study was to identify the mediating effect of self-efficacy in the relationship between emotional intelligence and clinical performance in nursing students. Methods: Data were collected through structured questionnaires between March 1 and March 25, 2016. Study participants were 223 fourth year nursing students in B and K metropolitan city. Data were analyzed using t-test, ANOVA, Scheffe' test, Pearson's correlation coefficients, and hierarchical multiple regression with SPSS WIN v 18.0. Results: The mean scores of emotional intelligence was $3.85{\pm}0.43$, self-efficacy was $3.25{\pm}0.40$, and clinical performance was $3.63{\pm}0.51$. There were significant positive correlations between emotional intelligence, self-efficacy and clinical performance. There were partial mediating effect of self-efficacy in the relationship between emotional intelligence and clinical performance. Conclusion: In order to enhance nursing students' clinical performance, strategies for intervention development such as stimulating emotional intelligence and motivation by self-efficacy are necessary.

• Journal of Korean Clinical Nursing Research
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• v.21 no.2
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• pp.234-242
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• 2015

Purpose: The purpose of this study was to investigate the levels of knowledge and medication adherence to hormonal therapy (HT) and to identify the factors influencing medication adherence for patients with breast cancer. Methods: Data were collected from 136 patients undergoing adjuvant HT for breast cancer in 3 general hospitals from July 1 to August 14 in 2014 using self-report questionnaires. Data were analyzed using descriptive statistics, independent t-test, ANOVA, $Scheff{\grave{e}}$ test, and multiple regression. Results: The average of knowledge about HT was $5.15{\pm}2.22$ (Max 9), and that of medication adherence was $5.76{\pm}1.65$ (Max 8). Younger age, shorter duration of HT, more active participation in decision making for treatment, positive perception for impacts of HT, and stronger belief in cure were influencing factors on higher adherence level. Age, duration of HT, and perception on the impacts of hormonal therapy, and belief in cure explained 25.2% of the adherence. Conclusion: To improve the treatment adherence to hormonal therapy, patient education and involvement in decision making, and the tailored intervention for the patients with older age, and long treatment period of HT are needed. Additionally, the strategies for diminishing unintentional forgetting is necessary to be developed.

• Journal of Korean Biological Nursing Science
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• v.17 no.3
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• pp.219-227
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• 2015

Purpose: This study was conducted to review physiological mechanisms of internet addiction and to construct a theoretical framework for cognitive behavioral therapy for internet addicts. Methods: We searched for relevant literature in the PubMed and RISS databases using the terms "internet addiction", "internet game addiction", "internet abuser", and "online game". Only English, full-text articles published from 2000 to 2015 were included in this review of physiological indicators of internet addiction. Finally, 12 articles were selected for review. Results: The theoretical framework developed based on the review proposes that excessive internet use itself may induce physiological stress responses with an increase of stress-related hormones and neurotransmitters. Prolonged abnormal responses of these physiological features produce negative structural and functional changes in the prefrontal cortex, which is mainly involved in cognitive and executive functions. These changes may result in decreased cognitive function. As a stressor, excessive internet use leads to transforming voluntary use into involuntary, habitual use and thus promotes the development of internet addiction. Conclusion: The proposed theoretical framework encompasses cognitive processes that may contribute to the effects of internet use-induced physiological stress on internet addiction. We believe that this framework has important implications for developing cognitive behavioral strategies for internet addicts.