Gisoo Shin

Operational effectiveness of blended e-learning program for nursing research ethics:

Background: Since 2006, the Korean Ministry of Education, Science and Technology, and the National Research Foundation of Korea have taken the lead in developing an institutional guideline for research ethics. Objectives: The purpose was to identify the effectiveness of the Good Research Practice program, developed on a fund granted by the National Research Foundation of Korea, for nurses and nursing students whose knowledge and perception of research ethics were compared before and after the implementation of the Good Research Practice program. Research design: This study was conducted to compare the levels of knowledge and perception of research ethics in the participants before and after the program was implemented. Participant and research context: The participants included 45 nurses and 69 nursing students from hospitals, colleges of nursing, and the Korean Nurses Association, located in Seoul, Korea. Ethical considerations: This study was approved by the Institutional Research Board in Korea. Findings: Based on the Analysis, Design, Development, Implementation, and Evaluation model, the Good Research Practice program was made up of a total of 30 h of the blended learning both online and off-line. The results of this study showed that there were statistically significant differences in both knowledge and perception of research ethics in nursing students and nurses before and after the program had been implemented. Discussion: The concepts of professional nursing ethics, moral issues, and bioethics were often confused with one another and not clearly defined. Therefore, the concept and scope of bioethics, moral judgment, and overall nursing ethics should be well defined and conceptualized in the future. Conclusions: This study suggested integrating research ethics education in the nursing curriculum as a required course of study for nursing students and as part of the in-service training program for nurses in order to improve research ethics in nursing research in Korea.

Health Knowledge, Health Promoting Behavior and Factors Influencing Health Promoting Behavior of North Korean Defectors in South Korea

PURPOSE The purpose of this study was to identify health knowledge, health promoting behavior and factors influencing health promoting behavior of North Korean defectors in South Korea. METHODS Participants in this study were 410 North Korean defectors, over 20 years of age residing in Seoul. They were recruited by snowball sampling. Data were collected from April to June, 2010. Health knowledge, health promoting behavior, self-efficacy, perceived barriers to health promoting behavior and social support were measured by structured questionnaires, and perceived physical and mental health status were measured by one item with 10-point numeric rating scale. The data were analyzed using t-test, ANOVA, and multiple regression. RESULTS Health knowledge, health promoting behavior, and perceived barriers to health promoting behavior were moderate while self-efficacy and social support were high. Factors influencing health promoting behavior of the participants were found to be self-efficacy, social support and perceived barrier to health promoting behavior. CONCLUSION The results of this study indicate that nursing intervention programs enhancing self-efficacy, social support and reducing perceived barriers to health promoting behavior need to be developed for North Korean defectors in South Korea.

Mental Health and PTSD in Female North Korean Refugees

This study was conducted to identify mental health status, post-traumatic stress disorder (PTSD), and psychophysiological change in female North Korean refugees. Data were collected using questionnaires and symptom checklists that measured PTSD and the psychosomatic state of the subjects. As many as 97 subjects, who had settled in and around Seoul, South Korea, were selected by snowball sampling. Mental health and PTSD levels of the participants were above a moderate level. We conclude that health care professionals need to provide female North Korean defectors with services to improve mental health and make the sociocultural transition successfully.

Effects of nursing process-based simulation for maternal child emergency nursing care on knowledge, attitude, and skills in clinical nurses

BACKGROUND Since previous studies on simulation-based education have been focused on fundamental nursing skills for nursing students in South Korea, there is little research available that focuses on clinical nurses in simulation-based training. Further, there is a paucity of research literature related to the integration of the nursing process into simulation training particularly in the emergency nursing care of high-risk maternal and neonatal patients. PURPOSES The purpose of this study was to identify the effects of nursing process-based simulation on knowledge, attitudes, and skills for maternal and child emergency nursing care in clinical nurses in South Korea. PARTICIPANTS Data were collected from 49 nurses, 25 in the experimental group and 24 in the control group, from August 13 to 14, 2013. METHODS This study was an equivalent control group pre- and post-test experimental design to compare the differences in knowledge, attitudes, and skills for maternal and child emergency nursing care between the experimental group and the control group. The experimental group was trained by the nursing process-based simulation training program, while the control group received traditional methods of training for maternal and child emergency nursing care. RESULTS The experimental group was more likely to improve knowledge, attitudes, and skills required for clinical judgment about maternal and child emergency nursing care than the control group. Among five stages of nursing process in simulation, the experimental group was more likely to improve clinical skills required for nursing diagnosis and nursing evaluation than the control group. CONCLUSION These results will provide valuable information on developing nursing process-based simulation training to improve clinical competency in nurses. Further research should be conducted to verify the effectiveness of nursing process-based simulation with more diverse nurse groups on more diverse subjects in the future.

Effect of Resistance Band Exercise on Body Composition, Physical Fitness and Health Promoting Behavior in Nursing Students

Purpose: The purpose of this study is to examine the effects of a resistance band training program on body composition, physical fitness, and health promotion behavior in nursing students. Method: This study has a one-group pretest-posttest design to examine the change in body composition, physical fitness, and health-promoting lifestyle profile after participation in the resistance band training program. Training consisted of hands-based exercises using an elastic resistance band for ten weeks. Participants performed the resistance band training two days per week with a sports trainer, and 30 minutes self-training three days per week. The participants were 21 freshmen in nursing. Results: Mean age of the participants was 20.9 years, and 61.9% were not satisfied with their body shape. After the training program, muscle mass, muscular endurance, and balance of the body were significantly improved. In health promoting lifestyle profile, categories of physical activity, health responsibility, and stress management showed a significant increase. Conclusion: Results of this study suggested that exercising with a resistance band improved body composition, physical fitness, and health promoting behavior in the nursing students. We propose that resistance band training should be suitable for those who have the environment with limitation of time and space.

Comparison of the Health Status Between Korean Seniors and Overseas Korean Seniors in China and Japan

Most overseas Korean seniors live in China and Japan due to Koreas historical background. Although Korean seniors living in Korea China and Japan share some similarities, the overseas seniors have become culturally different as they adapted to their countries of residence. Therefore, the aim of this study was to provide basic reference data for future senior health enhancement models by comparing and analyzing the health of Korean and overseas Korea seniors. The number of subjects in this study was 603 people, which was comprised of 231 Korean seniors, 246 overseas seniors in China, and 126 overseas seniors in Japan. The average age of the subjects was 74.4 years old. The Korean seniors displayed higher average health score than the overseas seniors. Therefore, the study believes that cultural elements should be considered in a future senior health enhancement model.

A mobile video intervention for women’s health of North Korean defectors

BACKGROUND The prevalence of North Korean female defectors is increasing in South Korea. Women who leave North Korea are exposed to sexual harassments, abuse, and other threats to their survival, which can have a devastating effect on their health. AIMS In this study, a mobile video intervention program about selected aspects of women`s health was developed specifically for North Korean female defectors; its impact on behavioral change was evaluated. METHODS A one group pre/posttest design was used with 61 female defectors who participated in the mobile video intervention. The program consisted of eight sessions focusing on the prevention and management of vaginitis and cervical cancer. RESULTS The study results showed that knowledge and behavioral confidence on vaginitis and cervical cancer increased significantly among the participants following the intervention. CONCLUSIONS This mobile video intervention program was effective in improving specific health knowledge and behavioral confidence of the participants. The program can be used to improve women`s health in this population.

Effects of Cyberbullying Experience and Cyberbullying Tendency on School Violence in Early Adolescence

Background: School violence in early adolescence, whose frequency and status have recently changed significantly. Objective: This study attempts to detect the cyber bullying inclination of youth in early adolescence when aggressiveness reaches its peak, to identify school violence, and to develop a school violence prevention program. Method: This study was a survey research, investigating participants who were 470 middle school students in South Korea. For the analysis, independent t-test, one-way ANOVA and hierarchical regression analysis. Results: It is suggested that the school violence victimization experience and cyber bullying infliction experience has an influence in the school violence infliction. And the cyber bullying victimization experience and school violence victimization experience variables exert effects. Conclusion: The results of this study suggest that school nurses who are connecting to the community-school-home should take an active part in the development of school violence mediation education program, considering the cultural characteristics of the country.