Asian Nursing Research最新文献

{"title":"Association of Sleep Duration with MASLD Status and Hepatic Steatosis Index in Korean Adults: The Indirect Role of Sedentary Behavior.","authors":"Soon Ok Kim, Hyuk Soo Eun","doi":"10.1016/j.anr.2026.10.002","DOIUrl":"https://doi.org/10.1016/j.anr.2026.10.002","url":null,"abstract":"<p><strong>Purpose: </strong>Metabolic dysfunction-associated steatotic liver disease (MASLD) affects nearly three in ten adults globally, while its prevalence in South Korea has risen by approximately 3-4% per year. Although MASLD is linked to lifestyle factors, few studies have examined the associations among sleep duration, MASLD status, and the hepatic steatosis index (HSI). Accordingly, we evaluated the relationship between sleep duration and MASLD status and separately assessed whether sedentary behavior formed an indirect pathway between sleep duration and HSI, an indicator of hepatic steatosis.</p><p><strong>Methods: </strong>The analysis included 26,909 adults aged 20 years or older who participated in the Korea National Health and Nutrition Examination Survey from 2014 through 2021. Logistic regression was used to estimate the relationship of sleep duration with MASLD status. Mediation analysis was conducted using HSI as the outcome variable to examine whether sedentary behavior indirectly linked sleep duration with HSI.</p><p><strong>Results: </strong>MASLD was identified in 23.2% of 26,909 participants. In the adjusted logistic model, MASLD odds were higher among participants sleeping ≤4 hours (OR = 1.44, 95% CI: 1.17-1.78) and those reporting ≥8 hours of sedentary time (OR = 1.17, 95% CI: 1.09-1.25). Correlations of HSI with sleep duration (r = -.06, p < .001) and sedentary behavior (r = .02, p < .001) were small. The mediation model yielded a direct association between sleep duration and HSI (β = -0.21, 95% CI: -0.26 to -0.16), whereas the indirect effect through sedentary behavior was statistically significant but minimal (β = -0.0073, 95% bootstrap CI: -0.0118 to -0.0032).</p><p><strong>Conclusion: </strong>MASLD status was related to both shorter sleep and longer sedentary time. Nevertheless, the very small correlations among sleep duration, sedentary behavior, and HSI offered little empirical support for a meaningful mediation pathway. Longitudinal research is required to establish the direction and timing of these relationships.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Korean Version of the Digital Health Readiness Questionnaire among Community-Dwelling Older Adults in South Korea: A Validity and Reliability Study.","authors":"Ga Eun Park, Yeon-Hwan Park, Hyo Jung Han, Minhwa Hwang, Hae-Ra Han","doi":"10.1016/j.anr.2026.09.003","DOIUrl":"https://doi.org/10.1016/j.anr.2026.09.003","url":null,"abstract":"<p><strong>Purpose: </strong>With the increasing adoption of digital technologies in healthcare, the concept of digital health readiness has emerged as a critical determinant of equitable access to digital health services. This study aimed to translate and validate a Korean version of the Digital Health Readiness Questionnaire (K-DHRQ) for use among community-dwelling older adults in South Korea.</p><p><strong>Methods: </strong>This methodological study was conducted with 307 older adults recruited from an urban senior welfare center in South Korea. The 20-item DHRQ, comprising five domains, was translated into Korean through forward-backward translation and cultural adaptation. The reliability of the K-DHRQ was assessed through internal consistency. Construct validity was evaluated using confirmatory factor analysis (CFA), and concurrent validity was examined by analyzing correlations between the K-DHRQ subscales and the eHealth Literacy Scale (eHEALS). Measurement invariance and known-group validity were examined across age and education groups using multiple group CFA, comparing latent means of the five subscales.</p><p><strong>Results: </strong>The initial 20-item model showed suboptimal fit (χ²/df = 3.32, CFI = .88, TLI = .86, RMSEA = .09, SRMR = .06). After removing Items 2 and 4, the final 18-item model showed modestly improved fit (χ²/df = 3.13, CFI = .91, TLI = .89, RMSEA = .08, SRMR = .06). Concurrent validity was supported by significant correlations between K-DHRQ subscales and eHEALS scores (r = .41 to .75, p < .001). Internal consistency was acceptable to good across subscales (Cronbach's α=.71-.83) Measurement invariance was confirmed across age and education groups, and known-group validity was demonstrated, with older and less-educated participants showing significantly lower latent means across all five subscales (p < .001).</p><p><strong>Conclusions: </strong>The K-DHRQ demonstrated satisfactory internal consistency, concurrent validity, measurement invariance, and known-group validity, though its overall factor structure showed only marginal fit, indicating partially supported construct validity. Overall, the K-DHRQ appears to be a reliable, culturally adapted, and measurement-invariant tool for assessing digital health readiness among older adults, warranting further refinement of its factor structure before broader application.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It Has to Be Done Manually\": A Qualitative Study of Clinical Nursing Information System as Both Enforcer and Barrier in Nursing Work.","authors":"Han Su, Yujiao Zou, Wanwan Fang, Yan Hu, Zheng Yuan, Qi Zhang, Wei Qin","doi":"10.1016/j.anr.2026.09.002","DOIUrl":"https://doi.org/10.1016/j.anr.2026.09.002","url":null,"abstract":"<p><strong>Purpose: </strong>The Clinical Nursing Information System (CNIS) is a cornerstone of nursing informatics, yet its adaptability to the dynamic, context-dependent realities of clinical practice remains inadequately understood. Although existing research has quantitatively evaluated CNIS application outcomes, the ways nurses interact with the system and the adaptive strategies they develop have received insufficient attention. This study explored nurses' lived experiences of CNIS use, examining how they perceive and respond to system functions, adapt their clinical workflows, and develop practical strategies when system design diverges from real-world patient care.</p><p><strong>Methods: </strong>A qualitative study was conducted at a tertiary hospital, involving 22 purposively sampled participants (15 nurses, 7 nurse managers). Semi-structured interviews were analyzed using thematic analysis.</p><p><strong>Results: </strong>Three themes emerged. (1) The system as a tool for rule embedding and enforcement: explicit efficiency gains in standardized care. Structured documentation reduced manual burden, prevented errors, and ensured full-process traceability. (2) The system as a cause of clinical context mismatch: hidden barriers in complex practice. The generic knowledge base was misaligned with specialty-specific needs; poor data integration forced nurses to revert to manual monitoring. (3) Adapting to the system: experience-based adjustments and workarounds. Junior nurses used the system's structured framework as an operational guide, whereas senior nurses actively modified system-generated content based on clinical judgment; manual cross-checking, external notes, and unit-level conventions constituted invisible workarounds.</p><p><strong>Conclusions: </strong>CNIS functions simultaneously as an enforcer of standardization and a barrier to contextualized care. Nurses' workarounds, though essential for patient safety and care continuity, constitute an unquantified hidden workload and signal critical system deficiencies. Future development should move beyond expanding functionality toward a system-adaptation paradigm, using participatory design to integrate nurses' experiential wisdom into flexible, context-responsive functions that support nursing quality and safety.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Process of Entrustment: A Grounded Theory of Leadership Development Among Emerging Nurse Leaders in Clinical Practice.","authors":"Shi Min Charmaine Taye, Karis Kin-Fong Cheng, Yong Shian Goh","doi":"10.1016/j.anr.2026.09.001","DOIUrl":"https://doi.org/10.1016/j.anr.2026.09.001","url":null,"abstract":"<p><strong>Purpose: </strong>This study sought to develop a grounded theory that explains how emerging nurse leaders (ENLs) are prepared for and supported in assuming leadership responsibilities in clinical settings.</p><p><strong>Methods: </strong>A Classical Grounded Theory design was employed. Between December 2020 and November 2022, in-depth individual interviews were conducted with 18 ENLs and 18 senior nurse leaders (SNLs) in a tertiary hospital in Singapore. Data were collected through open-ended interview questions and analyzed using constant comparative methods to generate a theoretical model grounded in participants' experiences.</p><p><strong>Results: </strong>Entrustment emerged as the core category that characterizes how ENLs cultivate leadership capability through the interrelated processes of responsibility, reflection, and relational affirmation. This developmental trajectory unfolded across three cyclical phases: Being positioned, Being exposed, and Being reshaped, each marking a shift in how leadership identity and confidence were negotiated. A concurrent process, withdrawing under pressure, was defined as a temporary withdrawal in response to emotional or contextual strain. Leadership growth occurred through repeated entrusted responsibility, relational support, experiential learning, and reflective recognition.</p><p><strong>Conclusion: </strong>Leadership development among emerging nurse leaders is a trust-mediated, iterative process of being positioned, supported, and transformed. Intentional mentorship structures, relational affirmation, and emotional scaffolding are pivotal for sustaining emerging leadership capacity within clinical organizations.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between tooth loss and cognitive function in middle-aged and elderly people in China: A multiple mediation analysis based on the biopsychosocial model.","authors":"Ting Sun, Mingyan Qing, Bo Li, Yang Wang, Hongyan Wen, Guoxin Zhou, Xiuhong Wang, Li Wang","doi":"10.1016/j.anr.2026.08.002","DOIUrl":"10.1016/j.anr.2026.08.002","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated how tooth loss relates to cognitive function among Chinese middle-aged and older adults, with particular attention to whether nutritional status, depressive symptoms, and social engagement serve as mediating factors in this relationship.</p><p><strong>Method: </strong>Data were drawn from the 2015 wave of the China Health and Retirement Longitudinal Study (CHARLS), comprising 4,386 individuals aged 45 and above. A binary measure of complete tooth loss served as the indicator for dental status. The analysis considered three mediators: the triglyceride-total cholesterol-body weight index (TCBI), depressive symptoms as evaluated by the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10), and a composite index of social engagement. Cognitive performance was quantified on a 0-21 scale encompassing two components: episodic memory and mental status. The R package lavaan was employed to build parallel multiple mediation models, with bootstrap procedures applied to evaluate indirect effects.</p><p><strong>Results: </strong>A direct link was identified between tooth loss and diminished cognitive performance (β = 0.21, P < .001). Regarding the social engagement pathway, tooth loss predicted reduced engagement, which subsequently correlated with worse cognitive outcomes (β = 0.02, P < .010). For the nutritional pathway, tooth loss predicted lower TCBI values, which in turn were linked to diminished cognitive performance (β = 9.40 × 10^-3, P < .001). The combined indirect pathways explained 14.2% of the overall effect (β = 3.40 × 10^-2, P < .001). Although CESD-10-assessed depressive symptoms showed a correlation with cognitive function (r = .18, P < .001), they did not demonstrate a statistically significant mediating role (P = .125).</p><p><strong>Conclusion: </strong>Among Chinese middle-aged and older adults, tooth loss was linked to diminished cognitive performance. Both nutritional status and social engagement emerged as partial mediators of this relationship, while depressive symptoms failed to exhibit a noteworthy mediating influence. These results advocate for incorporating oral health care, nutritional evaluation, and social engagement facilitation into programs aimed at promoting cognitive well-being in aging individuals.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-discharge experiences with home-based medical aid services among medical aid recipients: a hermeneutic phenomenological study.","authors":"Myung Soon Kwon, Moung J A Kim, Myung Sook Baek, Ji Hye Jang, Yeon Jeong Heo","doi":"10.1016/j.anr.2026.08.003","DOIUrl":"10.1016/j.anr.2026.08.003","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the lived post-discharge experiences of medical aid recipients who received home-based medical aid services in Gangwon Province, South Korea, with particular attention to how they made sense of the transition from hospital to home and the meaning of service support in their everyday lives.</p><p><strong>Methods: </strong>A hermeneutic phenomenological design was employed. Twelve medical aid recipients in Gangwon Province, South Korea, who had been discharged and received home-based services for at least three months, were purposively recruited. One or two semi-structured interviews were conducted with each participant, recorded, transcribed verbatim, and analyzed using interpretative phenomenological analysis.</p><p><strong>Results: </strong>Analysis identified six themes: (1) Seeking survival in unfamiliar daily life after discharge and re-experiencing one's existence; (2) Restoring autonomy and achieving physical independence through home-based medical aid services; (3) Re-experiencing the warmth of relationships and recognition of existence through care; (4) Repeated disconnection and the re-encounter with the sense of being \"alone\"; (5) Longing for continuity and stability in care; and (6) Accepting changed life and reframing the self and the system.</p><p><strong>Conclusion: </strong>Home-based medical aid services helped vulnerable medical aid recipients sustain life at home by supporting daily independence, emotional reassurance, relational recognition, and participants' perceptions of quality of life. Nurses and case managers are central to ensuring continuity and stability of care, emphasizing the need for community-integrated approaches to reduce disparities and sustain life at home.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Hybrid Transition Program Combining Face-to-Face and Digital Approaches for Patients Newly Initiated on In-Center Hemodialysis: A Multicenter Quasi-Experimental Study","authors":"Ae Kyung Chang,&nbsp;Ah Young Kim","doi":"10.1016/j.anr.2026.04.003","DOIUrl":"10.1016/j.anr.2026.04.003","url":null,"abstract":"<div><h3>Purpose</h3><div>The global increase in end-stage renal disease has led to more patients initiating hemodialysis. The transition to hemodialysis is a critical period characterized by lifestyle disruption and multidimensional adaptation. A successful transition is essential for sustaining long-term physical and psychological well-being. It requires adapting to new routines, forming supportive relationships, and developing self-management skills. This study evaluated the effectiveness of a hybrid transition program integrating face-to-face and digital components for patients newly initiated on in-center hemodialysis.</div></div><div><h3>Methods</h3><div>A multicenter quasi-experimental study was conducted at two dialysis centers in South Korea. Patients who had received hemodialysis for 36 months or less were recruited between December 2023 and March 2024. A total of 57 participants were retained through the 3-month follow-up (intervention group, n = 30; control group, n = 27). The intervention group participated in an 8-week hybrid program consisting of in-person education and mobile application support, while the control group received usual care. Data were collected at baseline (T0), post intervention (T1), and at 4-week follow-up (T2). The primary outcome was transition to hemodialysis. Secondary outcomes included dialysis symptoms, depression, quality of life, and clinical indicators (serum potassium, serum phosphorus, and interdialytic weight gain). Group-by-time effects were analyzed using repeated-measures analysis of variance and generalized estimating equations.</div></div><div><h3>Results</h3><div>Significant group-by-time interactions were found for transition (<em>p</em> = .013), depression (<em>p</em> = .001), quality of life (<em>p</em> = .038), and interdialytic weight gain (<em>p</em> = .042). The intervention group showed improved transition and quality of life, with reduced depression and interdialytic weight gain. No significant differences were observed for dialysis symptoms or serum electrolyte levels.</div></div><div><h3>Conclusion</h3><div>The hybrid transition program improved patients’ transition to hemodialysis, reduced depressive symptoms, enhanced quality of life, and decreased interdialytic weight gain. These findings suggest that hybrid approaches integrating digital and in-person support can serve as effective nursing strategies to promote successful transition in new hemodialysis patients.</div></div><div><h3>Trial registration</h3><div>Clinical Research Information Service, KCT0009417.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 324-336"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Surgical Ward Nurses During a Healthcare Service Disruption in Korea: A Qualitative Study","authors":"Sehyeon Im,&nbsp;Haeng-Mi Son","doi":"10.1016/j.anr.2026.04.005","DOIUrl":"10.1016/j.anr.2026.04.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to describe the experiences of surgical ward nurses in Korea during a healthcare service disruption—a period of substantial interruption in routine hospital services that occurred in February 2024—and to provide an understanding of the challenges they faced and how they adapted in order to maintain care quality in crises.</div></div><div><h3>Methods</h3><div>A qualitative study using qualitative thematic analysis was conducted through individual in-depth interviews with 12 nurses working in surgical wards at a tertiary hospital. The data were collected between February and March 2025, and recorded interviews were transcribed verbatim. The data were analyzed based on Braun and Clarke's thematic analysis method.</div></div><div><h3>Results</h3><div>Four major themes emerged: (1) Adapting to shifting roles in the midst of the medical service disruption; (2) Psychological pressure under the changed patient reporting system; (3) Burnout under organizational strain; and (4) Professional growth through crisis.</div></div><div><h3>Conclusion</h3><div>This study showed that nurses faced expanded roles, communication challenges, and organizational strain during healthcare service disruption. Clear role definitions, supportive communication systems, and strengthened organizational resources were needed to reduce burden and help nurses sustain patient care quality during future healthcare crises.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 337-343"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Education in the Artificial Intelligence Era: From Resistance to Responsible Engagement","authors":"Kyung Hee Lee","doi":"10.1016/j.anr.2026.06.002","DOIUrl":"10.1016/j.anr.2026.06.002","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 235-236"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148810635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Development and Psychometric Properties of the Korean Version of the Novice Nursing Practitioner Role Transition Scale” [Asian Nurs Res 19 (5) (2025) 462–469]","authors":"Eun Sook Kim,&nbsp;Mi-Kyeong Jeon,&nbsp;Su Jung Choi,&nbsp;Onam Ok,&nbsp;Genehee Lee,&nbsp;Ahyeong Song","doi":"10.1016/j.anr.2026.08.001","DOIUrl":"10.1016/j.anr.2026.08.001","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Page 344"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148810700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}