Systematis Review and Meta-analysis on Fall Prevention Programs in Stroke Patients
뇌졸중 환자의 낙상 예방 프로그램 효과에 관한 체계적 문헌고찰 및 메타분석
홍수민 Hong Sumin , 김은주 Kim Eun Joo , 조명선 Cho Myongsun
31(2) 63-76, 2025
DOI:10.14370/jewnr.2025.31.2.63
홍수민 Hong Sumin , 김은주 Kim Eun Joo , 조명선 Cho Myongsun
DOI:10.14370/jewnr.2025.31.2.63
Abstract
Purpose: This study aimed to systematically review and evaluate the effectiveness of fall prevention programs for stroke patients using a meta-analysis. Methods: Systematic literature search was conducted for studies published between January 1, 2000, and October 31, 2024, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Of the 25 studies included in the systematic review, 20 were analyzed in the meta-analysis. The quality of randomized controlled trials was assessed using RoB 2.0, while non-randomized studies were evaluated using ROBINS-I. Comprehensive Meta-Analysis 4.0 software was used to calculate effect sizes (odds ratios, OR), heterogeneity (I² statistics), and publication bias. Subgroup analyses, funnel plots, Egger’s regression, and the Trim-and-Fill method were performed to assess bias. Results: The meta-analysis showed that fall prevention programs significantly reduced fall incidence among stroke patients, with an OR of 1.362 (95% CI: 1.13~1.64, p=.001). These programs also improved balance and gait. Subgroup analysis showed that rehabilitation and exercise programs had the strongest impact, while educational and assistive device-based programs showed moderate benefits. Conclusion: Fall prevention programs are effective in reducing falls and improving physical function in stroke patients. However, outcomes vary depending on program type and participant characteristics. In nursing practice, this highlights the importance of personalized, multidisciplinary strategies. Nurses play a key role in fall risk assessment, patient education, and intervention planning. Implementing evidence-based, structured fall prevention interventions in nursing care can improve patient safety, promote functional recovery, and enhance quality of life after stroke.
Key Words
Falls, Fall prevention, Stroke, Systematic review, Meta-analysis, 낙상 예방, 낙상 예방 프로그램, 뇌졸중, 체계적 문헌고찰, 메타분석
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Impact of Job-esteem and Organizational Commitment on Turnover Intention among New Nurses Involved in Operation of Dedicated Nurse Educator
교육전담간호사 운영에 참여한 신입간호사의 직업존중감과 조직몰입이 이직 의도에 미치는 영향
정윤정 Chung Yoon Chung , 이화진 Lee Hwa Jin , 김지선 Kim Jisun , 송영혜 Song Young Hye , 윤지영 Yoon Gee Young , 지은선 Ji Eun Sun
31(2) 77-85, 2025
DOI:10.14370/jewnr.2025.31.2.77
정윤정 Chung Yoon Chung , 이화진 Lee Hwa Jin , 김지선 Kim Jisun , 송영혜 Song Young Hye , 윤지영 Yoon Gee Young , 지은선 Ji Eun Sun
DOI:10.14370/jewnr.2025.31.2.77
Abstract
Purpose: This study aimed to examine the impact of job-esteem and organizational commitment on turnover intention among newly employed nurses participating in operation of dedicated nurse educator. Methods: Participants were 142 new nurses at K Hospital who participated in the operation of the nurse educator program. Data were collected through a structured survey from March 1, 2022, to February 28, 2024. Data were analyzed using descriptive statistics, t-tests, ANOVA, Scheffe tests, Pearson's correlation coefficients, and multiple regression analysis with SPSS/WIN 29.0. Results: The results showed that turnover intention was negatively correlated with subdomains of job-esteem: organizational recognition and respect and professional authority and future value. Turnover intention showed a significant negative correlation with organizational commitment. Factors of turnover intention were organizational commitment, age, and stress, accounting for 14.6% of the variance. Conclusion: Based on the results, higher organizational commitment, older age, and lower stress levels were significant predictors of reduced turnover intention among new nurses. This study is significant as an initial study of nurse educators within a hospital system and may serve as a foundation for developing support programs for new nurses and improving nursing workforce management in the future.
Key Words
Residency, Registered nurse, Job satisfaction, Group cohesions, Employee turnover, 신입직원 교육, 간호사, 직업존중감, 조직몰입, 이직 의도
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The effects of Geriatric Nursing Stress, Empathy, and Communication Skills on Geriatric Nursing Practice among Nurses in a Tertiary Hospital
상급종합병원 간호사의 노인간호 스트레스, 공감력, 의사소통능력이 노인간호 실천에 미치는 영향
이지영 Lee Jiyeong , 석소현 Sok Sohyune , 구민경 Gu Minkyung
31(2) 86-94, 2025
DOI:10.14370/jewnr.2025.31.2.86
이지영 Lee Jiyeong , 석소현 Sok Sohyune , 구민경 Gu Minkyung
DOI:10.14370/jewnr.2025.31.2.86
Abstract
Purpose: With the aging population and increasing number of elderly patients, the importance of geriatric nursing practice has become more pronounced. This study aimed to investigate the effects of geriatric nursing stress, empathy, and communication skills on geriatric nursing practice among nurses at a tertiary hospital. Methods: The participants were 156 nurses employed at a university-affiliated hospital in Seoul, and Gyeonggi Province, South Korea. Data collection was conducted from March 4 to March 17, 2025, using validated Google form self-report questionnaires to assess geriatric nursing stress, empathy, communication skills, and geriatric nursing practice. Data were analyzed using SPSS 29.0, employing independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis. Results: Multiple regression analysis revealed that the overall model was significant and explained 38.1% of the variance in geriatric nursing practice. Empathy, communication skills, and current position were significant predictors of geriatric nursing practice. Conclusion: These findings suggest that enhancing empathy and communication skills among tertiary hospital nurses is essential for improving geriatric nursing practice. To achieve this, it is necessary to change nurses’ own perceptions of geriatric patients and to actively implement geriatric nursing strategies.
Key Words
Aged, Stress, Empathy, Communication, Hospitals, 노인, 스트레스, 공감력, 의사소통, 병원
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Experiences of Life Adaptation among Korean Older Adults Living Alone during the COVID-19 Pandemic: A Qualitative Meta-Synthesis
코로나19 팬데믹 시기 독거노인의 삶의 적응경험: 질적 메타 합성
김현경 Kim Hyun Kyung , 김지영 Kim Ji Young
31(2) 95-106, 2025
DOI:10.14370/jewnr.2025.31.2.95
김현경 Kim Hyun Kyung , 김지영 Kim Ji Young
DOI:10.14370/jewnr.2025.31.2.95
Abstract
Purpose: This study aimed to synthesize research on the life adaptation experiences of older adults living alone in Korea during the COVID-19 pandemic, using Roy’s four adaptive modes―physiological-physical, self-concept, role function, and interdependence―as the analytical framework. Methods: A comprehensive literature search was performed from July 4 to July 21, 2025, across nine electronic databases, including four domestic (Research Information Sharing Service, ScienceOn, Koreanstudies Information Service System, Data Base Periodical Information Academic) and five international (PubMed, Web of Science, SCOPUS, CINAHL, and Embase) databases, without publication date restrictions. Of the 1,176 articles initially identified, five met the inclusion criteria. A qualitative meta-synthesis was conducted using Thomas and Harden’s thematic synthesis approach, involving three stages: coding primary study data, developing descriptive themes, and generating analytical (catalytic) themes. Results: Four themes, eight subthemes, and twenty-four codes were identified: (1) minimal efforts to preserve oneself amid bodily decline, (2) sustaining daily life between resignation and compliance, (3) reframing roles amid a constrained daily life, and (4) connections to the outside world within a confined life.’ Conclusion: These results provide a deeper understanding of how older adults living alone adapted to life during the pandemic. The findings offer evidence to inform future research and policy development aimed at enhancing resilience, adaptation, and well-being among this vulnerable population.
Key Words
COVID-19, Aged, Home environment, Psychological adaptation, Qualitative research, 코로나19, 노인, 독거, 적응, 질적연구
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Actor-partner Effect on Job Satisfaction by Preceptor and Preceptee Nurses’ Job Stress, Nursing Professionalism and Burnout
프리셉터와 프리셉티 간호사의 직무스트레스, 간호전문직관, 소진이 직무만족에 미치는 자기효과와 상대방효과
현승주 Hyun Seungju , 이윤신 Lee Yoonshin , 신성희 Shin Sung Hee
31(2) 107-117, 2025
DOI:10.14370/jewnr.2025.31.2.107
현승주 Hyun Seungju , 이윤신 Lee Yoonshin , 신성희 Shin Sung Hee
DOI:10.14370/jewnr.2025.31.2.107
Abstract
Purpose: Preceptors and newly graduated nurses (NGNs) form close professional relationships during preceptorship, influencing each other’s job satisfaction. This study examines the actor-partner effects of job stress, nursing professionalism, and burnout on job satisfaction among preceptor-NGN pairs using the actor-partner interdependence model analysis. Methods: A total of 108 preceptor-NGN dyads (216 participants) were recruited from hospitals implementing preceptorship programs. Data were collected using self-administered questionnaires and analyzed using the actor-partner interdependence model analysis to explore both actor and partner effects. Results: Job stress and nursing professionalism have shown partner effects. Nursing professionalism played a mediating role on burnout and job satisfaction for both preceptors and NGNs. Conclusion: The findings highlight the mutual influence between preceptors and NGNs, emphasizing the importance of dyadic perspectives in improving job satisfaction. Enhancing nursing professionalism may mitigate burnout and promote job satisfaction among both preceptors and NGN during the preceptorship period.
Key Words
Preceptorship, Job satisfaction, Job stress, Nurse, Burnout, 직무스트레스, 간호전문직관, 소진, 직무만족, 프리셉터
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Effects of Auricular Acupressure on Depression, Anxiety, and Stress in Family Caregivers of Patients with Chronic Diseases
귀 지압이 만성질환 환자를 간병하는 보호자의 우울, 불안과 스트레스에 미치는 영향
사경순 Sa Kyung Soon , 이은진 Lee Eun Jin
31(2) 118-127, 2025
DOI:10.14370/jewnr.2025.31.2.118
사경순 Sa Kyung Soon , 이은진 Lee Eun Jin
DOI:10.14370/jewnr.2025.31.2.118
Abstract
Purpose: The purpose of this study was to examine the effects of auricular acupressure on depression, anxiety, and stress among family caregivers of patients with chronic diseases. Methods: A total of 37 family caregivers who provided care for hospitalized patients with chronic conditions were recruited and randomly assigned to either an experimental group (n = 17) or a control group (n = 20). The experimental group received auricular acupressure for two weeks, while the control group did not receive any treatment. Results: Analysis of covariance (ANCOVA), controlling for pre-test scores, revealed that auricular acupressure had a statistically significant effect on reducing anxiety, depression, and stress. Compared to the control group, the experimental group had significantly lower post-intervention DASS-21 total scores, anxiety, depression, and stress. Conclusion: A two-week auricular acupressure intervention effectively reduced depression, anxiety, and stress among family caregivers of patients with chronic diseases.
Key Words
Auricular acupressure, Caregivers, Depression, Anxiety, Stress, 귀 지압, 간병보호자, 우울, 불안, 스트레스
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Effects of Patient Safety Simulation Training Using Virtual Reality on Patient Safety Confidence and Safety Care Performance of Nursing Students
가상현실 활용 환자안전 시뮬레이션 실습교육이 간호학생의 환자안전 수행자신감과 안전간호 수행능력에 미치는 효과
오혜경 Oh Hye Kyung
31(2) 128-134, 2025
DOI:10.14370/jewnr.2025.31.2.128
오혜경 Oh Hye Kyung
DOI:10.14370/jewnr.2025.31.2.128
Abstract
Purpose: The purpose of this study was to investigate the effects of simulation training using virtual reality on patient safety confidence and safety care performance of nursing students. Methods: This study used a one group pretest-posttest design. Among the nursing students enrolled in a nursing practice in one nursing school, the convenience sample of 104 students was recruited. Participants accomplished the simulation training using virtual reality on patient safety for 2 hours once a week for three weeks and completed a self-filled questionnaire. Data were analyzed using a descriptive statistics, paired t-test, and Pearson correlation coefficients. Results: After the simulation training using virtual reality on patient safety, there were a significant difference in patient safety confidence and safety care performance of nursing students. Conclusion: Based on the results of this study, the simulation training using virtual reality on patient safety can be used as an effective learning strategy to improve patient safety nursing performance of nursing students and provided basic data for developing a systematic curriculum necessary for patient safety nursing performance.
Key Words
Virtual Reality, Simulation Training, Patient Safety, 가상 현실, 시뮬레이션 실습교육, 환자 안전
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Characteristics of Welfare Center Users by Mental Disorder Status
정신질환 유무에 따른 복지관 이용자의 특성 비교
남금희 Nam Keum-hee , 이동연 Lee Dongyeon , 표민석 Pyo Minseok , 김민진 Kim Minjin , 이한솔 Lee Hansol , 신동수 Shin Dong-soo
31(2) 135-141, 2025
DOI:10.14370/jewnr.2025.31.2.135
남금희 Nam Keum-hee , 이동연 Lee Dongyeon , 표민석 Pyo Minseok , 김민진 Kim Minjin , 이한솔 Lee Hansol , 신동수 Shin Dong-soo
DOI:10.14370/jewnr.2025.31.2.135
Abstract
Purpose: This study aimed to compare the sociodemographic and health characteristics of welfare center users with and without mental disorders and to identify factors associated with mental disorder status. Methods: A cross-sectional study was conducted at two welfare centers in C City, Korea, from July 17 to August 14, 2025. A total of 167 participants were included, comprising 35 with and 132 without mental disorders. Group differences were analyzed using independent t-tests and chi-square tests, and logistic regression was applied to identify predictors of mental disorder. Results: Participants with mental disorders were younger, used more medications, and had more chronic conditions. They also reported poorer perceived health, lower neighborhood reciprocity, greater loneliness, and lower mental health confidence. Logistic regression analysis revealed that age, number of chronic conditions, and loneliness were significant predictors of mental disorder. Conclusion: Welfare center users with mental disorders demonstrated distinct sociodemographic and psychosocial characteristics. Welfare centers should implement active screening and develop community-oriented integrated nursing programs that address multimorbidity management and loneliness reduction to promote mental health.
Key Words
Mental disorders, Loneliness, Multimorbidity, Welfare center, 정신질환, 복지관, 외로움, 만성질환
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Influencing Factors of Parenting Stress among Postpartum Women: A Prospective Study
출산 여성의 양육 스트레스에 미치는 영향: 전향적 연구
여정희 Yeo Jung Hee , 김민정 Kim Min Jeong
31(2) 142-148, 2025
DOI:10.14370/jewnr.2025.31.2.142
여정희 Yeo Jung Hee , 김민정 Kim Min Jeong
DOI:10.14370/jewnr.2025.31.2.142
Abstract
Purpose: This study aimed to identify the psychological and physical factors influencing parenting stress among postpartum women. Methods: This study was a secondary analysis of longitudinal data collected up to 6 months postpartum from 318 women in their third trimester of pregnancy who visited the outpatient clinics for prenatal care at two women’s specialty hospitals in the Busan area. The first data collection began in March 2023. A total of 149 participants who completed surveys at both time points were included: 4-6 weeks postpartum (measuring postpartum depression, postpartum post-traumatic stress disorder, resilience, and women’s health status) and 6 months postpartum (measuring parenting stress). Data were analyzed using t-tests, chi-square tests, and multiple linear regression analysis. Results: The mean parenting stress score was 5.35 out of 10. Factors significantly influencing parenting stress were postpartum depression, resilience, and maternal health status. Specifically, lower postpartum depression, higher resilience, and better maternal health status were associated with lower levels of parenting stress. Conclusion: The findings indicate that alleviating postpartum depression, enhancing resilience, and maintaining good health status are essential to reducing parenting stress. Therefore, healthcare professionals should perform early screening and continuous management of postpartum depression from the early postpartum period, provide education and support to strengthen resilience, and encourage participation in postpartum education and social support programs to promote good health status.
Key Words
Parenting, Resilience, Health status, Depression, Postpartum, 양육, 회복력, 산후 건강 상태, 산후 우울
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Effects of Myers-Briggs Type Indicator (MBTI) Personality Types, Job Stress, and Resilience of Oncology Ward Nurses on Job Embeddedness
암병동 간호사의 MBTI 성격유형, 직무스트레스, 극복력이 직무착근도에 미치는 영향
김신비 Kim Sinbi , 이지아 Lee Jia
31(2) 149-157, 2025
DOI:10.14370/jewnr.2025.31.2.149
김신비 Kim Sinbi , 이지아 Lee Jia
DOI:10.14370/jewnr.2025.31.2.149
Abstract
Purpose: This study aimed to investigate the influence of Myers-Briggs Type Indicator (MBTI) personality types, job stress, and resilience on job embeddedness among oncology ward nurses. Methods: Data were collected from 129 nurses working in oncology wards at a national cancer hospital between January 21 and February 25, 2025. Structured questionnaires included MBTI personality types, job stress, resilience, job embeddedness and general characteristics. Results: Most oncology ward nurses were identified as introverted, sensing, and feeling types according to the MBTI. Multiple linear regression analysis revealed that job stress was the most significant predictor of job embeddedness, followed by resilience. The model accounted for 30.3% of the variance in job embeddedness. MBTI personality types did not have significant effect on job embeddedness. Conclusion: To strengthen job embeddedness among oncology ward nurses, training programs should prioritize strategies to alleviate job stress and enhance resilience. Furthermore, cancer hospitals should develop organizational initiatives that cultivate a supportive and engaging work environment, thereby promoting stronger commitment to cancer care.
Key Words
Cancer hospital, Nurses, Personality inventory, Stress, Resilience, Job security, 암 병원, 간호사, 성격유형, 스트레스, 극복력, 직무안정성
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