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
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
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
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
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
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
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
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
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
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
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.
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.
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
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
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.
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
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
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
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
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
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
Influencing Factors of Parenting Stress among Postpartum Women: A Prospective Study 출산 여성의 양육 스트레스에 미치는 영향: 전향적 연구
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
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
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
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
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
Experiences of Young Unmarried Women with Uterine and Ovarian Diseases: A Qualitative Content Analysis 자궁 및 난소 질환이 있는 젊은 미혼 여성의 경험: 질적 내용분석
이세영 Lee Seyoung , 박지원 Park Jiwon , 조유진 Jo Yujin , 황은숙 Hwang Eun Suk , 정재원 Joung Jaewon
Experiences of Young Unmarried Women with Uterine and Ovarian Diseases: A Qualitative Content Analysis 자궁 및 난소 질환이 있는 젊은 미혼 여성의 경험: 질적 내용분석
이세영 Lee Seyoung , 박지원 Park Jiwon , 조유진 Jo Yujin , 황은숙 Hwang Eun Suk , 정재원 Joung Jaewon
DOI:10.14370/jewnr.2025.31.2.158
Abstract
Purpose: This study aimed to explore the meanings of uterine and ovarian disease experiences among young unmarried women and to understand how these experiences influence their identity, psychological well-being, and social relationships within a sociocultural context. Methods: A qualitative content analysis was conducted with seven unmarried women aged 20-39 who had been diagnosed with a uterine or ovarian disease for at least one year. Data were collected through individual in-depth interviews and analyzed using Hsieh and Shannon’s conventional content analysis approach to identify key themes and categories. Results: Data analysis yielded 27 codes, 11 subcategories, and 3 main categories: “living with a strange body that appeared without warning,” “wanting treatment but finding obstetrics and gynecology difficult to approach,” and “overcoming strangeness and reconstructing life.” Participants initially experienced confusion and distrust toward their bodies, perceiving illness as an unfamiliar disruption. They faced psychological and sociocultural barriers to seeking gynecological care due to stigma and discomfort but gradually accepted their condition and sought balance through self-care and social support. These findings indicate that young women’s reproductive health experiences extend beyond physical symptoms to encompass identity reconstruction and psychological adaptation. Conclusion: Nursing interventions should address not only symptom management but also identity restoration, emotional support, and stigma reduction. Enhancing healthcare providers’ gender sensitivity and communication skills, as well as facilitating peer-support networks, may promote psychological safety and resilience among young women with reproductive health conditions.
Factors Influencing Embitterment in Hospital Nurses 병원간호사의 울분에 영향을 미치는 요인
김도연 Kim Doyeon , 정재원 Joung Jaewon
DOI:10.14370/jewnr.2025.31.2.169
Abstract
Purpose: This study aimed to examine the level of embitterment and to identify its influencing factors, focusing on workplace incivility, organizational justice, and resilience among hospital nurses in South Korea. Methods: A cross-sectional correlational design was employed with 200 hospital nurses who had at least one year of clinical experience. Data were collected via an online self-administered questionnaire between April 12 and 19, 2024. The instruments used were the Korean version of the Post-Traumatic Embitterment Disorder Self-Rating Scale, the Nursing Incivility Scale, the Organizational Justice Scale, and the Korean version of the Connor-Davidson Resilience Scale. Data were analyzed using descriptive statistics, chi-square test, independent t-tests, and binomial logistic regression. Results: The mean embitterment score was 1.77 (SD = 0.89), and 56.0% of participants were classified into the embitterment group. Among the subdomains of incivility, incivility from doctor recorded the highest scores. Logistic regression analysis indicated that incivility was a significant predictor of embitterment. Although organizational justice and resilience differed significantly between groups, they were not significant predictors in the final model. Conclusion: Embitterment was highly prevalent among hospital nurses and was strongly associated with workplace incivility, particularly from patients and caregivers. These findings underscore the need for organizational strategies to cultivate a respectful workplace culture, establish reporting and support systems for incivility, and strengthen nurses’ emotional resilience through structured training and ethical leadership initiatives.
Curriculum Development for Patient Support Teams in Long-term Care Hospitals 요양병원 환자지원팀 역량강화를 위한 교육 과정 개발
신동수 Shin Dong-soo , 가혁 Ga Hyuk , 서동민 Seo Dongmin , 이은영 Lee Eun-young , 정덕유 Jung Dukyoo , 이한솔 Lee Hansol
DOI:10.14370/jewnr.2025.31.2.178
Abstract
Purpose: This study aimed to develop an educational program designed to strengthen the competencies of patient support teams that facilitate hospital-to-community transitions for patients in long-term care hospitals. Methods: The program was developed through a literature review, analysis of existing curricula, and needs assessments involving patient support team members, family caregivers, and experts. Educational needs were analyzed using the Borich Needs Assessment Model and the Locus for Focus Model. Results: The final curriculum included six core competencies and 27 subjects, consisting of eight common courses and 19 elective courses tailored to each professional category. Conclusion: Patient support teams require education across medical, nursing and social care domains to accurately identify complex patient needs and support safe transitions to community living. Nurses play a key role in addressing addressing the health needs of older adults. Further studies are needed to evaluate educational outcomes and competency improvement following program implementation.
Key Words
Older adults, Long-term care hospital, Patient support teams, Curriculum development, 노인, 요양병원, 퇴원환자지원팀, 교육과정 개발
Factors Influencing Person-Centered Nursing of Delivery Room Nurses 분만실 간호사의 인간중심간호에 영향을 미치는 요인
Factors Influencing Person-Centered Nursing of Delivery Room Nurses 분만실 간호사의 인간중심간호에 영향을 미치는 요인
권현주 Kwon Hyun Ju , 김주희 Kim Ju Hee
DOI:10.14370/jewnr.2025.31.2.188
Abstract
Background: Person-centered nursing (PCN) is fundamental to providing high-quality, holistic care in labor and delivery settings. Understanding the factors that influence PCN among labor and delivery nurses is essential for enhancing nursing practice and maternal outcomes. Purpose: This study aimed to identify factors influencing PCN among labor and delivery nurses. Methods: A descriptive cross-sectional study was conducted with 202 nurses from secondary and tertiary hospitals in South Korea. Data were collected from August 13-18, 2024, using structured questionnaires and analyzed with SPSS/WIN 28.0 for descriptive statistics, t-tests, one-way ANOVA, Pearson’s correlation, and multiple regression analyses. Results: The mean scores were 4.43±0.34 for PCN, 4.25±0.39 for nursing professional values, and 4.13±0.57 for work environment. Person-centered nursing differed significantly by academic background, work experience, and hospital size. Person-centered nursing was positively correlated with nursing professional values and work environment. Multiple regression analysis identified nursing professional values and work environment as significant predictors, explaining 41.3% of the variance. Conclusion: Labor and delivery nurses with stronger professional values and more favorable perceptions of their work environment are more likely to practice PCN. Interventions and organizational strategies that strengthen professional values and optimize the work environment are recommended to foster PCN in labor and delivery settings.
Key Words
Person-Centered nursing, Labor and delivery nurses, Work Environment, Nursing professional values, 인간중심간호, 분만실 간호사, 근무환경, 간호전문직관
