{"title":"Addendum: Clinical trial registration number for interventional health studies.","authors":"","doi":"10.4069/kjwhn.2022.12.21","DOIUrl":"https://doi.org/10.4069/kjwhn.2022.12.21","url":null,"abstract":"","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 4","pages":"358"},"PeriodicalIF":0.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10547406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender issues in nursing research.","authors":"Cheol-Heui Yun","doi":"10.4069/kjwhn.2022.09.19","DOIUrl":"https://doi.org/10.4069/kjwhn.2022.09.19","url":null,"abstract":"Sex and gender-based analysis (SGBA) is a recommended framework and methodology that enhances critical accuracy in research. Scientific research aims to create objective and universally valid knowledge that transcends cultural constraints in terms of methods, experimental techniques, and epistemology. However, when it comes to gender, race, and other social concepts, science is not value-neutral. When taking a scientific approach, the act of identifying correlations between scientific concepts and gender-related social structures can expand the scope of typical critical research pursued in scientific studies. SGBA begins by including women in studies of human subjects as well as evaluating sex and gender differences in basic scientific research. Health status and treatment outcomes related to biological (sex) and sociocultural (gender) differences will not only improve our understanding of the health and well-being of men and women but also enhance our healthcare environment and direction of future research. In medical research, sex and gender biases and imbalances are typically caused by flawed sampling methods when designing and conducting experiments. It is well-known that the results of studies involving only men are often assumed to apply equally to women under the premise that women are equivalent to men. The inconvenient truth, however, is that studies that consider both men and women or only women are often considered impractical, too expensive, and/or potentially unsafe. Consideration of women’s hormonal cycles is often thought to complicate research design and analysis and result in unnecessary research expenses, constituting a methodological problem [1]. As such, the results of studies on men (diagnosis, preventive measures, and treatment) are often erroneously applied to women. As a result, drug side effects occur 1.5 to 2 times more frequently in women. If a different sampling method that considers sex and/or gender were applied, problems due to bias in existing medical and health research could be reduced. Therefore, there is an increasing demand for the development of a standard method that entails the inclusion of an appropriate proportion of women and minorities. Sex and gender are recognized as important determinants of health and well-being and both should be thought of as ethically important considerations in nursing research. In addition to the simple biological sex-based distinction between male and female, researchers should be mindful that gender encompasses the roles, behaviors, and identities of various members of society, and gender issues influence how people interact and perceive each other [2]. As such, gender issues are highly significant since they open up a diverse and extensive research environment related to nursing in terms of the social, cultural, political, and economic aspects of reIssues & Perspectives","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"169-173"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of maternal-child nursing clinical practicum using virtual reality on nursing students' competencies: a systematic review.","authors":"Sungwoo Hwang, Hyun Kyoung Kim","doi":"10.4069/kjwhn.2022.09.13","DOIUrl":"10.4069/kjwhn.2022.09.13","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the effects of virtual reality used in maternal-child nursing clinical practicums on nursing students' competencies through a systematic review.</p><p><strong>Methods: </strong>The inclusion criteria were peer-reviewed papers in English or Korean presenting analytic studies of maternal-child nursing practicums using virtual reality. An electronic literature search of the Cochrane Library, CINAHL, EMBASE, ERIC, PubMed, and Research Information Sharing System databases was performed using combinations of the keywords \"nursing student,\" \"virtual reality,\" \"augmented reality,\" \"mixed reality,\" and \"virtual simulation\" from February 4 to 15, 2022. Quality appraisal was performed using the RoB 2 and ROBINS-I tools for randomized controlled trials (RCTs) and non-RCTs, respectively.</p><p><strong>Results: </strong>Of the seven articles identified, the RCT study (n=1) was deemed to have a high risk of bias, with some items indeterminable due to a lack of reported details. Most of the non-RCT studies (n=6) had a moderate or serious risk of bias related to selection and measurement issues. Clinical education using virtual reality had positive effects on knowledge, skills, satisfaction, self-efficacy, and needs improvement; however, it did not affect critical thinking or self-directed learning.</p><p><strong>Conclusion: </strong>This study demonstrated that using virtual reality for maternal-child nursing clinical practicums had educational effects on a variety of students' competencies. Considering the challenges of providing direct care in clinical practicums, virtual reality can be a viable tool that supplements maternal-child nursing experience. Greater rigor and fuller reporting of study details are required for future research.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"174-186"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Marking the inclusion of the Korean Journal of Women Health Nursing in PubMed Central and strategies to be promoted to a top-tier journal in the nursing category.","authors":"Sun Huh","doi":"10.4069/kjwhn.2022.08.19","DOIUrl":"10.4069/kjwhn.2022.08.19","url":null,"abstract":"I heard from Dr. Sue Kim, the editor-in-chief of the Korean Journal of Women Health Nursing (KJWHN), that the PubMed Central (PMC) Full-Participation Agreement and PMC banner for the journal were dispatched to PMC, and PMC received them on July 30, 2022. I was thrilled to hear the news because this is the first case of PMC accepting a non-English life science journal published in Korea. Seeing a Korean-language journal be accepted by PMC has always been my goal since August 2006, when I succeeded in producing PMC XML files [1]. It is also an event worth celebrating because it is the second of more than 20 nursing journals in Korea to be included in PMC. The first journal was Child Health Nursing Research, which only publishes in English [2].","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"165-168"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and effects of a webtoon education program on preventive self-management related to premature labor for women of childbearing age: a randomized controlled trial.","authors":"Sun-Hee Kim","doi":"10.4069/kjwhn.2022.09.22","DOIUrl":"10.4069/kjwhn.2022.09.22","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to develop a webtoon education program on preventive self-management related to premature labor (PSM-PL) for women of childbearing age, to evaluate its effects, and to assess the usability of webtoon education for women of childbearing age.</p><p><strong>Methods: </strong>The study design was a stratified randomized trial with repeated measures. The participants were Korean women of childbearing age (between the ages of 19 and 49 years), with 49 participants each. The preventive health management self-efficacy related to premature labor (PHMSE-PL) scale, the preventive self-management knowledge related to premature labor (PSMK-PL) scale, and usability of webtoon education were assessed. The intervention group read six episodes of the PSM-PL webtoon within 2 days after clicking an online link. The control group did not receive anything but was given the webtoon after the last measurement. To test the effect of the repeatedly measured variables, a generalized estimating equation model was used.</p><p><strong>Results: </strong>The experimental group had statistically significantly greater increases in PHMSE-PL and PSMK-PL scores from baseline to immediately after and 2 weeks later than the control group. The average score for usability of webtoon education was high (4.52; standard deviation, 0.62) on a scale of 1-5.</p><p><strong>Conclusion: </strong>This webtoon education program on PSM-PL was a feasible and acceptable program that increased self-efficacy and knowledge of preventive health management of premature labor in women of childbearing age. Future studies that adopt a webtoon format can be beneficial for childbearing women with other risk factors.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"250-263"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10383197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A menopausal transition model based on transition theory.","authors":"Jisoon Kim, Sukhee Ahn","doi":"10.4069/kjwhn.2022.08.16","DOIUrl":"10.4069/kjwhn.2022.08.16","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women's menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables.</p><p><strong>Methods: </strong>With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0.</p><p><strong>Results: </strong>The model fit indices were considered acceptable: χ2 /degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths-from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life-were significant. The explanatory power of the menopause transition model was 63.6%.</p><p><strong>Conclusion: </strong>Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"210-221"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Informed choice of pregnant women regarding noninvasive prenatal testing in Korea: a cross-sectional study.","authors":"Hyunkyung Choi","doi":"10.4069/kjwhn.2022.09.10","DOIUrl":"https://doi.org/10.4069/kjwhn.2022.09.10","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the degree to which pregnant women in Korea made informed choices regarding noninvasive prenatal testing (NIPT) and investigated factors influencing whether they made informed choices.</p><p><strong>Methods: </strong>In total, 129 pregnant women in Korea participated in a web-based survey. Multidimensional measures of informed choice regarding NIPT and decisional conflict were used to measure participants' levels of knowledge, attitudes, deliberation, uptake, and decisional conflict related to NIPT. Additional questions were asked about participants' NIPT experiences and opinions.</p><p><strong>Results: </strong>All 129 pregnant women were recruited from an online community. Excluding those who expressed neutral attitudes toward NIPT, according to the definition of informed choice used in this study, only 91 made an informed choice (n=63, 69.2%) or an uninformed choice (n=28, 30.8%). Of the latter, 75.0% had insufficient knowledge, 39.3% made a value-inconsistent decision, and 14.3% did not deliberate sufficiently. No difference in decisional conflict was found between the two groups. A significant difference was found between the two groups in the reasons why NIPT was introduced or recommended (p=.021). Multiple logistic regression analysis showed that pregnant women who were knowledgeable (odds ratio [OR], 4.77; 95% confidence interval [CI], 2.17- 10.47) and deliberated (OR, 0.74; 95% CI, 0.57-0.98) were significantly more likely to make an informed choice.</p><p><strong>Conclusion: </strong>The results of this study help healthcare providers, including nurses in maternity units, understand pregnant women's experiences of NIPT. Counseling strategies are needed to improve pregnant women's knowledge of NIPT and create an environment that promotes deliberation regarding this decision.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"235-249"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of health behaviors of adult women in Korea before and during the COVID-19 pandemic: secondary analysis of the Korea National Health and Nutrition Examination Survey 2019-2020.","authors":"Mijong Kim, Hyunju Chae","doi":"10.4069/kjwhn.2022.08.22","DOIUrl":"https://doi.org/10.4069/kjwhn.2022.08.22","url":null,"abstract":"Purpose This study investigated the changes in the health-related behaviors of adult women in Korea during the coronavirus disease 2019 (COVID-19) pandemic. Methods Data from the eighth Korea National Health and Nutrition Examination Survey (2019–2020) were analyzed. The participants were 4,848 women aged 19 to 64 years in 2019 and 2020. Data analysis using the complex sampling design was performed using SPSS 20.1. Results Positive changes during the pandemic compared to before the pandemic in Korean adult women were found for improved subjective oral health perceptions (odds ratio [OR], 1.77; p<.001), increased moderate-intensity exercise in work and leisure activities (OR, 1.75; p<.001 and OR; 1.29, p=.004), and a decrease in secondhand smoke exposure at the workplace and in public places (OR, 0.64; p=.004 and OR, 0.60; p<.001). However, the following negative health behavior changes were found: decreased frequency of walking 5 days a week (OR, 0.81; p=.011) and an increase in unhealthy daytime sleep durations (OR, 1.40; p=006). Conclusion Compared to before the COVID-19 pandemic, Korean adult women perceived their subjective dental health more positively during the COVID-19 pandemic, decreased their exposure to secondhand smoke at work and in public places, decreased walking, and increased sleep duration during the week. Since this study only compared data between 1 year before and after the start of the pandemic, it is necessary to investigate a longer period of time in the future. A future study should attempt to identify the factors related to changes in health behaviors caused by the pandemic.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"222-234"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10383199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors associated with levels of health-related quality of life in elderly women: secondary data analysis of the Korea National Health and Nutrition Examination Survey 2019.","authors":"Miseon Son","doi":"10.4069/kjwhn.2022.06.17","DOIUrl":"https://doi.org/10.4069/kjwhn.2022.06.17","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate factors related to the levels of health-related quality of life (HRQoL) in elderly women based on Wilson and Cleary's HRQoL model.</p><p><strong>Methods: </strong>This study analyzed data from the eighth Korea National Health and Nutrition Examination Survey 2019 on 868 women over the age of 65 years. Based on the HRQoL model, parameters were categorized as personal, environmental, and physiological characteristics; symptom status; functional status; and perception of health status. The data were analyzed by quantile regression.</p><p><strong>Results: </strong>The overall level of HRQoL was 0.87. Factors related to HRQoL in the 10% quantile were higher education level, higher economic status, economic activity, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Factors related to the 25% quantile of HRQoL were more walking days, fewer diseases, less activity limitation, and higher perceived health status. Factors related to the 50% quantile were age, economic activity, more walking days, fewer disease, lower stress, less activity limitation, and higher perceived health status. Factors related to the 75% quantile of HRQoL were smoking, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status.</p><p><strong>Conclusion: </strong>While differing parameters were identified according to the level of HRQoL of elderly women in Korea, there were five common factors. Interventions that focus on increasing walking, mitigating diseases, stress, and activity limitations, and improving perceived health status can improve HRQoL.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"187-196"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea?: a cross-sectional study.","authors":"Minkyung Kim, Sukhee Ahn","doi":"10.4069/kjwhn.2022.08.03","DOIUrl":"10.4069/kjwhn.2022.08.03","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate family functioning among spouses of gynecologic cancer patients in Korea. McCubbin and McCubbin's Family Resilience Model (1993) guided the study focus on burden of care, family resilience, coping, and family functioning.</p><p><strong>Methods: </strong>An online survey collected data from 123 spouses of gynecologic cancer patients through convenience sampling from online communities for gynecologic cancer patients in Korea. Burden of care, family resilience (social support, family hardiness, and family problem-solving communication), coping, and family functioning were measured by self-report.</p><p><strong>Results: </strong>The patients (44.7%) and their spouses (47.2%) were mostly in the 41 to 50-year age group. Stage 1 cancer was 44.7%, and cervical cancer was the most common (37.4%) followed by ovarian cancer (30.9%) and uterine cancer (27.6%) regarding the cancer characteristics of the wife. Family function, burden of care, family resilience, and coping were all at greater than midpoint levels. Family functioning was positively related with social support (r=.44, p<.001), family hardiness (r=.49, p<.001), problem-solving communication (r=.73, p<.001), and coping (r=.56, p<.001). Multiple regression identified significant factors for family functioning (F=25.58, p<.001), with an overall explanatory power of 61.7%. Problem-solving communication (β=.56, p<.001) had the greatest influence on family function of gynecologic cancer families, followed by coping (β=.24, p<. 001) and total treatment period of the wife (β=.17, p=.006).</p><p><strong>Conclusion: </strong>Nurses need to assess levels of family communication and spousal coping to help improve gynecologic cancer patients' family function, especially for patients in longer treatment.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 3","pages":"197-209"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10383195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}