• Journal of Korean Academy of Nursing
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• v.52 no.5
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• pp.479-498
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• 2022

Purpose: This study aimed to examine effect sizes of leadership styles of nursing managers on turnover intention of hospital nurses. Methods: A systematic review and meta-analysis were conducted in accordance with the PRISMA and MOOSE guidelines. Participants were nurses working in hospitals. The intervention involved nursing managers' leadership styles; the outcome assessed was nurses' turnover intention. This was an observational study design. Eleven databases were searched to obtain articles published in Korean or English. Of the 14,428 articles reviewed, 21 were included in systematic review and meta-analysis. Comprehensive Meta-Analysis and R software programs were used. Results: The total effect size r (ESr) was - 0.25 (95% confidence interval: - 0.29 to - 0.20). Effect sizes of each leadership style on turnover intention were as follows: ethical leadership (ESr = - 0.34), transformational leadership (ESr = - 0.28), authentic leadership (ESr = - 0.23), transactional leadership (ESr = - 0.21), and passive avoidant leadership (ESr = 0.13). Ethical leadership was the most effective style in decreasing turnover intention of hospital nurses. Conclusion: Positive leadership styles of nurse managers effectively decrease turnover intention of hospital nurses, and negative leadership styles of nurse managers effectively increase turnover intention of hospital nurses. The ethical leadership style is the most effective in decreasing turnover intention of hospital nurses; however, it requires careful interpretation as its effects are reported by only two studies. This study contributes to addressing the high turnover rate of hospital nurses and developing positive leadership styles of nurse managers in hospital settings.

• Journal of Korean Academy of Nursing Administration
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• v.13 no.4
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• pp.509-515
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• 2007

Purpose: The purpose of this study was to translate and validate the Korean version of Hall's Professional Inventory(HPI) scale to assess levels of professionalism among Korean registered nurses. Method: The 25 item HPI scale was translated and content review was done by translation panel. After the content review, a bilingual nursing scholar performed the back-translation into English. A semantic equivalence test was conducted with 5 American nursing professors. A pilot study was conducted with a sample of 164 registered nurses in Korea to test the validity and reliability of the translated HPI. Result: The content equivalence for translated version of HPI was validated by a translation panel. The finding of the semantic equivalence test of back-translated version was 72.8%. The Cronbach's alpha for the Korean version of HPI was .820. Conclusions: This study provides information about the issues of translating an instrument such as the HPI. The Korean version of the HPI is a valid and reliable instrument and can have psychometric properties equivalent to those of the original HPI. The translated version could be used for assessing levels of professionalism for other health care professionalism as well as nurses.

• Child Health Nursing Research
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• v.23 no.3
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• pp.300-311
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• 2017

Purpose: There are many forest and outdoor programs being offered but systematic reviews of effects are lacking. This study was done to identify content, format, and strategies of forest therapy programs for elementary school students. Methods: Literature search using keywords in English and Korean was performed using 6 electronic databases in December 2016. Search participants were elementary school students and interventions conducted in the forest. Seventeen forest therapy studies were selected for evaluation. Risk of Bias Assessment tool for non-randomized study was used for quality assessment. Results: All studies were quasi-experimental designs. Forest therapy programs included various activities in forests such as experience of five senses, meditation in the forest, walking in the forest, ecological play, observation of animals and insects. All studies used psychosocial health variables and forest healing programs had positive effects on sociality, depression, anxiety, self-esteem, stress, aggression, anger, and school adjustment. Limitations of these studies were vague reporting of the study, lack of ethical review and rigorous research designs. Conclusion: Forest therapy for elementary school child can be an effective way to improve psychosocial health. Future studies with rigorous study designs are needed to assess long-term effects of forest therapy on physical and psychosocial health.

• Korean Journal of Adult Nursing
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• v.27 no.1
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• pp.117-126
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• 2015

Purpose: Korean women, who have come to the forefront at a risk of cancer, have been notable objects for qualitative nursing research in last a couple of decades. Given the imparity and varieties of those findings, this study was aimed to synthesize the impact of cancer diagnosis and its treatment on Korean women's lives using a qualitative meta-synthesis method. Methods: By searching five English-based databases and four Korean databases, 21 qualitative studies on Korean women's particular experiences of cancer diagnosis and treatment since 2000 were included. Using a meta-synthesis process by Sandelowski & Barroso (2007), the selected studies were synthesized for interpretive integration of the findings. Results: The meta-synthesis elicited three themes: detachment from the usualness, awareness of profound desires, and redefinition of every relation. With destructive experiences of a diagnosis and its treatments, Korean women felt apart from their everyday life, daily roles, and even from their own body. They then grasped a strong desire for life and for beauty, and reconfirmed the sense of mission for being a mother. Those changes made them to reconstruct all relations surrounded them. Conclusion: The findings yield a substantive portrait of the given issue, which could be helpful for health care professionals.

• Research in Community and Public Health Nursing
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• v.31 no.1
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• pp.54-64
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• 2020

Purpose: This study aims to identify related factors of psychological well-being of migrant workers in Korea. Methods: The subjects were 138 migrant workers residing legally in K or B Cities. Data were collected from July 1 to August 31, 2018, using self-report structured questionnaires that were translated into English, Chinese, Vietnamese, and Korean, and were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression. Results: The most important influencing factors on the psychological well-being of migrant workers were social support (β=.36, p<.001), followed by perceived health status (β=.25, p=.001), education (β=-.18, p=.015), and spouse support (β=.16, p=.032). The overall explanatory power was 28.9%. Conclusion: In order to improve the psychological well-being of migrant workers, it is required to develop a nursing approach that may promote the social support, health status, and spouse support, and consider the educational level of migrant workers.

• Child Health Nursing Research
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• v.26 no.3
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• pp.323-328
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• 2020

Purpose: Hope has been identified as a protective factor that contributes to achieving a better quality to life, especially in patients with chronic disease. The purpose of this review was to synthesize current knowledge about the relationship between hope and quality of life among adolescents living with chronic illnesses. Methods: We searched major English-language databases (PsycINFO, PubMed, and CINAHL) for studies from January 1, 2002 to July 12, 2019. Studies were included if they provided data on hope and its relationship with quality of life among adolescents with chronic diseases. Results: In total, five articles were selected from the 336 studies that were retrieved. All five studies reported a positive correlation between hope and quality of life, such that people with a higher level of hope had a better quality of life. Hope was found to have direct and indirect effects on quality of life in adolescents with chronic diseases. Conclusion: Healthcare professionals should make more efforts to enhance hope in adolescents with chronic diseases in order to improve their quality of life. Future studies exploring how hope develops in adolescents with chronic diseases and the long-term impact of hope on quality of life are necessary.

• Korean Journal of Occupational Health Nursing
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• v.29 no.3
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• pp.208-218
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• 2020

Purpose: Nurses' job satisfaction corresponds with personal intrinsic value, and is the strongest predicting turnover and job retention intention. This study identified the effectiveness of job satisfaction interventions related to reinforcing intrinsic motivation (JSI-RIM) for hospital nurses. Methods: This study used four core non-Korean databases (Cochrane Library, CHINHL, EMBASE, PubMed), and five Korean databases to search for RCT and NRCT articles published in English and Korean from inception to June 2019. Meta-analysis was performed using the RevMan 5.3.5 program. Results: Thirteen studies featuring 645 hospital nurses were selected for final analysis. A significant large effect was noted on self-efficacy. The effect size on perceived stress and job satisfaction were moderate; however, the effect on resilience outcomes was not significant. Conclusion: This study generated scientific evidence that would facilitate efficient job adaptation for nurses. Additionally, intrinsic factors, including job identity and meaning of work, need to be included in JSI-RIM.

• 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.

• Korean Journal of Adult Nursing
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• v.23 no.3
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• pp.288-297
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• 2011

Purpose: The purpose of this study was to explore the experiences of Tai Chi in women with osteoarthritis. Methods: Data were collected by face-to-face interview from 14 participants. Theoretical sampling was performed until the concepts were saturated. The main question was "How do you describe your experience of Tai Chi?" Data were analyzed using a grounded theory methodology. All interviews were audio taped and transcribed verbatim. Results: The Phenomenon is 'QI flowing'. The core category was identified with 'inspiring one's life with strength'. This series of processes was categorized into four stages: 'Challenging Tai chi', 'Doing one's best', 'Deplenishing (the word used in English and Tai chi is emptying one's mind) one's mind', 'Taking a Positive view of life'. Conclusion: The finding of this study will offer profound understanding about the reported tai chi's experience. Additional research should be done as to the role of Tai chi as a nursing intervention strategy for osteoarthritis patients.

• Journal of Korean Biological Nursing Science
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• v.22 no.3
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• pp.157-171
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• 2020

Purpose: The purpose of this study was to analyze the characteristics and effects of the forest therapy programs for adult patients. Methods: Six databases (PubMed, Cochrane library, CiNii, PsychoInFO, AGRICOL, EMBASE) and six domestic databases were systematically searched with language restrictions of Korean, English, and Japanese. The systematic review was based on the Preferred Reporting Items Systematic Reviews and Meta-Analysis (PRISMA) flow diagram. Results: Twenty five studies met the inclusion criteria. A systematic review identified adult patients classified as 1) disease of the circulatory system, 2) mental and behavioral disorders, 3) malignant neoplasms, 4) etc. (diabetes mellitus, chronic pain). This integrative review showed a positive effect of the forest therapy program for adult patients on physiological indices such as blood pressure, heart rate, heart rate variability, level of stress hormone, and natural killer cells as well as social·psychological indices such as the Profile of Mood States (POMS), anxiety, depression, and quality of life. Conclusion: The results of this study could be useful key principles in developing and applying the forest therapy programs in nursing intervention. Further research should be conducted to develop the forest therapy programs suitable for each patient group and measure its effectiveness.