Research in Community and Public Health Nursing

From articles published in Research in Community and Public Health Nursing during the past two years (2021 ~ ).

Original Articles

Experiences of Public Officials for the COVID-19 Response in the Community Health Center: Haeng Mi Son, Hye Ryun Yang, Bo Hyun Park; J Korean Acad Community Health Nurs. 2021;32(4):578-592. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.578

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Purpose
The purpose of this study was to examine the experiences of public officials working for the Coronavirus Disease-19 (COVID-19) response in community health centers in South Korea. Methods: A qualitative thematic analysis was conducted using data collected from three focus groups and two individual interviews. Results: The participants performed quarantine tasks in a poor working environment with several problems, such as significant workload, lack of manpower, and inappropriate compensation system. Participants experienced obstacles in performing quarantine works, which had the lack of the detailed quarantine guidelines, work support and cooperation system. Participants suffered from civil complaints. Participants endured sacrifices in their personal lives while partaking in COVID-19 response work without holidays, and subsequently experienced health problems. And also participants said that it was necessary to secure expertise and effective communication for infectious disease management. Conclusion: The study results suggest that policies are required that are aimed to improve the working environment and the recruitment of experts in infectious diseases. In addition, the job stress related to the COVID-19 response by public officials in community health centers must be evaluated, and the relation of their job stress to physical and mental problems, as well as psychosocial stress, must be examined.

Citations

Citations to this article as recorded by

Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef
Identifying required competencies for public officials in the public health centers: Results from focus group interviews
Kyung Hee Yi, Sookja Choi, Myungwha Jang
Korean Journal of Health Education and Promotion.2023; 40(2): 31. CrossRef
Mental Health and Quality of Life for Disaster Service Workers in a Province under COVID-19
Ji-Won Na, Chan-Mo Yang, Sang-Yeol Lee, Seung-Ho Jang
Journal of Clinical Medicine.2022; 11(6): 1600. CrossRef
Awareness of the epidemiological investigation tasks of the nurse in charge of COVID-19 epidemiological investigations
Haeng-Mi Son, Won-Hee Choi, Hye-Ryun Yang, Young-Hui Hwang
The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 433. CrossRef
The COVID-19 Correspondence Work Experience of Community Health Practitioners
Jae-Hyun Ha, Hyun-Ju Lee
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 139. CrossRef
Student nurse experiences in public healthcare clinical practice during the COVID-19 pandemic: A qualitative study
Yun-Jung Choi, Youn-Joo Um
Nurse Education Today.2022; 119: 105586. CrossRef

The Changed Parenting Experiences of Mothers of Elementary School Students in the Face of the COVID-19 Pandemic: Seol Hwa Moon, Eun Mi Oh, Sun Young You; J Korean Acad Community Health Nurs. 2021;32(2):162-174. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.162

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Abstract PDF

Purpose
The purpose of this qualitative study is to explore the changed parenting experiences of mothers of elementary school kids living in the aftermath of the COVID-19 outbreak in Korea. Methods: From July to August in 2020, 10 mothers parenting elementary school students under the COVID-19 were interviewed in depth. For data analysis, a phenomenological research methodology suggested by Colaizzi was used.
Results
According to the analysis, the experiences of mothers consisted of four categories: the ‘pain from the uncontrollable COVID-19’, ‘the problem of family relations due to the COVID-19 pandemic situation’, ‘standing firm against the drastic changes’, and ‘accepting the world changed by the COVID-19’.
Conclusion
The findings in this study vividly represent the parenting experiences of mothers of elementary school students after the outbreak of COVID-19. As the pandemic persists, mothers parenting elementary school students feel complex emotions and experience exhaustion, but in the process, they found family members growing positively and trying to adjust to each other to overcome the crisis. To support positive adaptation to catastrophic situations, an institutional and political foundation is needed to develop a systematic crisis management program customized for mothers and families of elementary school students. The results of this study can be used as basic data when establishing national policies and support systems so that mothers parenting elementary school students can better adapt to and overcome crisis situations.

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The Effects of Depression and Fear in Dual-Income Parents on Work-Family Conflict During the COVID-19 Pandemic
Gijung Jung, Ji Sun Ha, Mihyeon Seong, Ji Hyeun Song
SAGE Open.2023; 13(1): 215824402311576. CrossRef
Care-related Topic Trends during COVID-19 on an Online Parenting Forum: Topic Modeling by Family Life Cycle
You Rok Do
Journal of Families and Better Life.2023; 41(1): 29. CrossRef
A Case Study on the Parenting Experience of Mothers with Infants During the COVID-19 Pandemic
Minji Lee, Jihyeon Oh
The Korean Journal of Community Living Science.2022; 33(2): 295. CrossRef
Association Among Mothers’ Loneliness, Cognitive Flexibility, and Children’s Social Competence: Moderated Mediating Effect of Mothers’ Perceived Impact of COVID-19 on Daily Lives
Yea-Ji Hong
Korean Journal of Child Studies.2022; 43(2): 125. CrossRef
Mothers’ experience of caring for home-quarantined children after close contact with COVID-19 in Korea: an exploratory qualitative study
Hyeyeon Lee, Mihui Kim, Ocksim Kim, Sue Kim, Seongmi Choi
Korean Journal of Women Health Nursing.2021; 27(3): 220. CrossRef

Factors Influencing Influenza Vaccination Intention among Health Personnel in General Hospitals: An Application of the Theory of Planned Behavior: Ji Young You, Jin Hyang Yang; J Korean Acad Community Health Nurs. 2021;32(2):175-185. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.175

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Purpose
Influenza immunization among health personnel is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. The purpose of this study is to identify factors associated with the influenza vaccination intention among health personnel based on the theory of planned behavior. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 131 health personnel in five general hospitals in two cities in South Korea. The data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 26.0 program.
Results
There were statistically significant differences in influenza vaccination intention according to the high-risk group in the family, occupation, length of employment, and influenza vaccination status within a year. The influenza vaccination intention of these health personnel showed significant positive correlations with attitude, subjective norms, and perceived behavioral control towards influenza vaccination. Multiple regression analysis for influenza vaccination intention revealed that the significant predictors were attitude, subjective norms, influenza vaccination within a year and physician in occupation. These factors explained 41.4% of the variance.
Conclusion
The results suggest a need to strengthen attitude and subjective norms. The findings also suggest that their characteristics through influenza vaccination status within a year and occupation should be considered for tailored interventions related to the intention. Furthermore, it is necessary to develop programs strengthening attitude and subjective norms to enhance influenza vaccination intention among health personnel.

Citations

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Factors Associated With Airline Cabin Crews’ Influenza Vaccination Intention in the Workplace-based Setting
Layoung Kim, Gwang Suk Kim, Kyung Hee Lee, Jungha Kim
Workplace Health & Safety.2023; 71(5): 245. CrossRef
Factors influencing COVID-19 vaccination intention among parents of children aged 5-11 years in South Korea: a cross-sectional study
Jung Hwa Kang, Yunsoo Kim
Child Health Nursing Research.2023; 29(3): 237. CrossRef
Factors Influencing the COVID-19 Vaccination Intentions in Nurses: Korea, February 2021
Ju Young Park, Jiyeon Ha
Journal of Korean Academy of Nursing.2021; 51(5): 537. CrossRef

The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes: Ka Woun Seo; J Korean Acad Community Health Nurs. 2021;32(1):86-94. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.86

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Purpose
This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants’ education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.

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“Shame on Me”: Exploring the Role of Self-Stigma in Psychological Outcomes Among Type 2 Diabetes Patients in Hong Kong
Nelson C. Y. Yeung, Eric Kam Pui Lee, Alice Pik Shan Kong, Maria Kwan Wa Leung
International Journal of Behavioral Medicine.2023;[Epub] CrossRef
Type 2 diabetes stigma and its association with clinical, psychological, and behavioral outcomes: A systematic review and meta-analysis
Samuel Akyirem, Emmanuel Ekpor, Diana Namumbejja Abwoye, Janene Batten, LaRon E. Nelson
Diabetes Research and Clinical Practice.2023; 202: 110774. CrossRef
The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
Hyesun Kim, Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef

Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home: Hee Sang Yoon, Eun A Hwang; J Korean Acad Community Health Nurs. 2021;32(1):51-63. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.51

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Purpose
This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a x ² test, Fisher’s exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors’ comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.

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Distress among Korean Cancer Survivors: A Latent Profile Analysis
Kwang-Hi Park, Min Kyung Song
International Journal of Environmental Research and Public Health.2022; 19(3): 1613. CrossRef
Introduction to methodology for the development of an integrative medical service model
Moon Joo Cheong, Myeung Su Lee, Min Cheol Joo, Sang-Yeol Lee, Jung-Han Lee, Jong-Min Yun, Yeonseok Kang, Myeong Soo Lee, Hyung Won Kang
Integrative Medicine Research.2022; 11(2): 100840. CrossRef
Community-Based Oncology Nursing: Status and Prospects
Jeong Sook Park
Asian Oncology Nursing.2022; 22(4): 203. CrossRef

Latent Classes of Depressive Symptom Trajectories of Adolescents and Determinants of Classes: Eun Joo Kim; J Korean Acad Community Health Nurs. 2022;33(3):299-311. Published online September 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.3.299

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Purpose
Untreated depression in adolescents affects their entire life. It is important to detect and intervene early depression in adolescence considering the characteristics of adolescent’s depressive symptoms accompanied by internalization and externalization. The aim of this study was to identify latent classes of depressive symptom trajectories of adolescents and determinants of classes in Korea. Methods: The three time-point (2018~2020) data derived from the Korean Children and Youth Panel Survey 2018 were used (N=2,325). Latent Growth Curve Modeling (LGCM) was conducted to explore the depressive symptom trajectories in all adolescents, and Latent Class Growth Modeling (LCGM) was conducted to identify each latent class. Multinomial logistic regression analysis was performed to confirm the determinants of each latent class. Results: The LGCM results showed that there was no statistically significant change in all adolescents' depressive symptoms for 3 years. However, the LCGM results showed that four latent classes showing different trajectories were distinguished: 1) Low-stable (intercept=14.39, non-significant slope), 2) moderate-increasing (intercept=19.62, significantly increasing slope), 3) high-stable (intercept=26.30, non-significant slope), and 4) high-rapidly decreasing (intercept=26.34, significantly rapidly decreasing slope). The multinomial logistic regression analysis showed that the significant determinants (i.e., gender, self-esteem, aggression, somatization, peer relationship) of each latent class were different. Conclusion: When screening adolescent’s depression, it is necessary to monitor not only direct depression symptoms but also self-esteem, aggression, somatization symptoms, and peer relationships. The findings of this study may be valuable for nurses and policy makers to develop mental health programs for adolescents.

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Factors Influencing Depression in Adolescents Focusing on the Degree of Appearance Stress
Mihye Lim, Myoungjin Kwon
Nursing Reports.2023; 13(1): 518. CrossRef
How final year high school students’ depression develop during COVID-19 in China? A latent class growth modeling analysis
Xinyu Zhang, Guangdong Zhou
Current Psychology.2023;[Epub] CrossRef

Factors Influencing on Core Competencies in Disaster Nursing by University Hospital Nurses’ Experiences of Caring for Patients with COVID-19: Bo Won Choi, Yeong Mi Ha; J Korean Acad Community Health Nurs. 2022;33(2):247-258. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.247

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Purpose
Considering that nurses perform critical roles for caring for patients during the COVID-19 pandemic, it is important to investigate core competencies in disaster nursing. This study aimed to identify influencing factors on core competencies in disaster nursing by examining relationships between attitudes toward disaster management, disaster preparedness, and core competencies in disaster nursing in university hospital nurses’ experiences of caring for patients with COVID-19. Methods The participants were nurses working in two university hospitals who had either experiences of caring for patients with COVID-19 or no experiences. A questionnaire was distributed to 198 participants between October and November 2021. Results The findings of multiple regression analysis demonstrated that the factors related to core competencies in disaster nursing in the participants were disaster preparedness (β=.80, p<.001) and nurses’ experiences of caring for patients with COVID-19 (β=.11, p=.007). Specifically, the factors related to core competencies in disaster nursing in those having experiences of direct caring for patients with COVID-19 were disaster preparedness (β=.84, p<.001) and marital status (β=.16, p=.001). The factors related to core competencies in disaster nursing in those with indirect caring for patients with COVID-19 were disaster preparedness (β=.75, p<.001) and an intention to participate in disaster response (β=.16, p=.037). Conclusion Based on this study, it is important to develop disaster nursing education programs focusing on the full spectrum of disaster management including disaster preparedness, disaster response, and disaster recovery training.

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Influences of Nursing Professionalism and Nursing Intention on Disaster Nursing Competency among Nurses when a Disaster Occurs in a Community: Response to COVID-19
Hyun-Jung JANG, Yoon-Jung KOO, Sun-Yeon HONG, Jeong-Eon PARK, Soo-Jin BAE, Suk-Jin PARK
THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2023; 35(2): 276. CrossRef
The Influence of Infection Control Fatigue and Compassion Competence on Disaster Nursing Core Competencies of Nurses at COVID-19 Designated Hospitals
Jae-Hyun Ha, Hyun-Ju Lee, Ki-Ryeon Kim
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 461. CrossRef

Perceived Social Support of Family Caregivers for People with Dementia: Concept Analysis: Aeri Kim, Jeong Yeon Kim, Kyung Mi Woo; J Korean Acad Community Health Nurs. 2021;32(4):540-554. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.540

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Purpose
Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.

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Examining Characteristics and Service Utilization of South Korean Home Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary Hospital
Hana Lee, Aeri Kim, Hyunsook Heo, Jisoo Lee, Kyungmi Woo
Home Health Care Management & Practice.2023; 35(1): 21. CrossRef
Experience of family caregivers using dementia management programs for patients with dementia during COVID-19: Based on focus group interviews
Doonam Oh, Jeonghae Hwang, Seonghee Jeong
Korean Journal of Health Education and Promotion.2022; 39(5): 101. CrossRef

Health Management Experience of Residents through Participation in the Community Based Hypertension and Diabetes Registry Program: Mi Kyoung Park, Hyeung Keun Park, Hyun Ju Kim, Ok Jin Kim, Moon Yeon Gong; J Korean Acad Community Health Nurs. 2021;32(4):518-528. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.518

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Purpose
This study was conducted to explore the healthcare experience of residents participating in the CommunityBased Hypertension and Diabetes Registry Program.
Methods
This study used qualitative content analysis. Data were collected from in depth interviews of fifteen participants, who either participated in the program hosted by the Training Center for Hypertension and Diabetes for more than two years or participated in an intensive one-on-one education program.
Results
The results showed that the core theme in healthcare of participants was ‘Proactive healthcare with attention and systematic guidance of experts’. The positive reinforcement of staffs and the improvement of self-efficacy through effective close management were found to be positive influencing factors of participation. The theme consisted of the following categories: ‘Participation in the program with positive expectations on healthcare’, ‘Interest in body and health’, ‘Vitality in life’, ‘Confidence in dealing with disease’, ‘Thankfulness for close care and attention’, and ‘Desire for continuous care’.
Conclusion
When establishing policies on managing chronic diseases, a strategy that reflects the results of the study is required. It is necessary to build up emotional relationship among stakeholders, and expand opportunities for close healthcare such as one-on-one customized training, and mutual cooperation with various organizations in the local community.

Citations

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Public–Private Partnership: Participants’ Experiences of the Web-Based Registration-and-Management System for Patients with Hypertension and Diabetes Mellitus
Seonah Lee, Nanyoung Song, Suhyun Kim
Healthcare.2023; 11(9): 1297. CrossRef
Changes in daily physical activities by income level according to the prevalence of hypertension and diabetes during the COVID-19 pandemic: The 2020 Community Health Survey
Minsun Yoon, Hyunsuk Jeong, Boyoung Bae, Nayoung Hong, Hyeon Woo Yim
Korean Journal of Health Education and Promotion.2022; 39(2): 15. CrossRef

Social Determinants of Health of Multicultural Adolescents in South Korea: An Integrated Literature Review (2018~2020): You Lim Kim, Hyeon Kyeong Lee, Hye Yeon Lee, Mi Kyung Lee, Soo Kyung Kim, Diema Konlan Kennedy; J Korean Acad Community Health Nurs. 2021;32(4):430-444. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.430

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Purpose
This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea.
Methods
An integrative review was conducted according to Whittemore & Knafl’s guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program.
Results
The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified.
Conclusion
Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.

Citations

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A Study on the Factors Influencing Smoking in Multicultural Youths in Korea
Jin-Hee Park, Mi-Jin Kim, Hee-Joo Lee
Healthcare.2023; 11(10): 1437. CrossRef
Factors Influencing Smoking among Multicultural Adolescents
Jin-Hee Park, Mi-Jin Kim, Sung-Eun Kim
International Journal of Environmental Research and Public Health.2022; 19(18): 11219. CrossRef

Associated Factors of Depression and Suicidal Behaviors among Korean Adolescents: Web-based Survey of the Korea Youth Risk Behavior in 2015~2017: Hyun A Choi, Hye Jin Yang; J Korean Acad Community Health Nurs. 2021;32(3):292-302. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.292

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Purpose
Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents.
Methods
The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis.
Results
The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives’ home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52).
Conclusion
The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

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Predictors of suicide ideation among South Korean adolescents: A machine learning approach
Hayoung Kim Donnelly, Yoonsun Han, Suna Kim, Dong Hun Lee
Journal of Affective Disorders.2023; 329: 557. CrossRef
The influences of mental health problem on suicide-related behaviors among adolescents: Based on Korean Youth Health Behavior Survey
Eunok Park
The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 98. CrossRef

Concept Analysis of Parents’ Treatment Adherence for an Epileptic Child or Adolescent: Juna Lee, Ju Young Yoon; J Korean Acad Community Health Nurs. 2021;32(2):205-219. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.205

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Purpose
This concept analysis was conducted to clarify ‘parents’ treatment adherence for an epileptic child or adolescent’.
Methods
The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically.
Results
The concept, ‘parents’ treatment adherence for an epileptic child or adolescent’ was defined as parents’ voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child’s health condition.
Conclusion
This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept ‘treatment adherence’ differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

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Development of a parent questionnaire to assess treatment adherence for a child or adolescent with epilepsy
Juna Lee, Ju Young Yoon
Epilepsy & Behavior.2023; 140: 109112. CrossRef
Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis
Jisu Park, Eun Kyoung Choi
Child Health Nursing Research.2022; 28(2): 154. CrossRef

Occupational Accident Compensation Insurance Coverage and Occupational Accidents for Special-type Delivery Workers: Min Ji Kim, Eun Suk Choi; J Korean Acad Community Health Nurs. 2021;32(1):64-72. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.64

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Purpose
The purpose of this study is to analyze occupational accident compensation insurance coverage and occupational accidents incidence for special-type delivery workers. Methods: The data for occupational accident compensation insurance coverage and occupational accidents from 2012 to 2017 were analyzed through descriptive statistics. Results: Rates of occupational accident compensation insurance coverage of special-type delivery workers decreased gradually from 43.4% in 2012 to 28.5% in 2016, and 29.0% in 2017. Rates of occupational illnesses death per ten thousand workers increased gradually from 2.1‱ in 2013 to 3.1‱ in 2016, and 8.6‱ in 2017. All occupational illness deaths were due to cerebro-cardiovascular diseases. Road traffic accidents and slips accounted for the largest proportion of occupational accidents. Conclusion: Special-type delivery workers have a high risk of industrial accidents, so it is necessary to raise industrial accident insurance coverage and provide professional and systematic occupational safety and health services.

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Approval status and characteristics of work-related musculoskeletal disorders among Korean workers in 2020
Eun-woo Cha, Sae-mi Jung, Il-ho Lee, Dae Hwan Kim, Eui Hyek Choi, In-ah Kim, Yong-kyu Kim, Kyung-joon Lee, Yang Won Kang, Ho-gil Kim, Young-ki Kim
Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef
Assistive Delivery Robot Application for Real-World Postal Services
Daegyu Lee, Gyuree Kang, Boseong Kim, D. Hyunchul Shim
IEEE Access.2021; 9: 141981. CrossRef

Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review: Jung Mi Chae, Hyun Kyoung Kim; J Korean Acad Community Health Nurs. 2021;32(1):116-129. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.116

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Purpose
This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials.
Methods
An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as ‘parenthood education’, ‘*natal education’, ‘*birth intervention’, ‘internet-based intervention’, ‘randomized controlled trial’. The inclusion criteria were peerreviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed.
Results
Internetbased education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence.
Conclusion
This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.

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Determinants of Access to Health Information on the Internet by Indonesian Women (2017 IDHS Analysis)
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The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea: Hye Sun Kim, Ka Woun Seo; J Korean Acad Community Health Nurs. 2022;33(4):446-455. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.446

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Purpose
This study investigated the mediating effects of acceptance action on the relationship between diabetes distress and self-stigma in older adults with diabetes. Methods: A descriptive research approach was adopted using 187 patients diagnosed with diabetes mellitus by an endocrinology doctor. The data were collected from 26 to 31 March, 2020 and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and hierarchical multiple regression. Results: The mean scores for diabetes distress, self-stigma, and acceptance action were 2.98±0.64, 2.54±0.74, and 4.16±0.35, respectively. Acceptance action partially mediated the relationship between diabetes distress and self-stigma (z=1.98, p=.024), with an explanatory power of 51.0%. Conclusion: To reduce diabetes self-stigma among old adults in diabetes distress situations, it is necessary to improve their acceptance action and develop step-by-step differentiated acceptance action enhancement programs through multidisciplinary collaborations.

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The relationship between stigma and psychological distress among people with diabetes: a meta-analysis
Xiajun Guo, Sijia Wu, Haishan Tang, Yuanyuan Li, Wanglin Dong, Guangli Lu, Shuang Liang, Chaoran Chen
BMC Psychology.2023;[Epub] CrossRef

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