Asian Nursing Research最新文献

{"title":"Structural Change of Policy Networks and Legislative Breakthrough: A 20-Year Discourse Network Analysis of Nursing Legislation in South Korea","authors":"Young Gyu Kwon,&nbsp;Daun Jeong,&nbsp;Mi Kyung Kim,&nbsp;Chan Woong Kim","doi":"10.1016/j.anr.2026.04.001","DOIUrl":"10.1016/j.anr.2026.04.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The global significance of the nursing workforce is widely recognized; however, in physician-dominated healthcare systems, interprofessional boundary conflicts can limit nursing autonomy and hinder efforts to expand its scope of practice. This study examines discourse network dynamics around nursing legislation in South Korea over two decades, focusing on policy-actor interactions and issue diversification during periods of legislative deadlock and eventual breakthrough.</div></div><div><h3>Methods</h3><div>We conducted a longitudinal discourse network analysis of 2,876 parliamentary speeches from the South Korean National Assembly across three periods: deadlock (2005–2006), transition (2019–2023), and breakthrough (2024). Latent Dirichlet allocation identified eight topics. Two network types were constructed: actor networks based on coparticipation in meetings and issue networks based on topic similarity. Network-level metrics (density and centralization) and node-level centrality measures were calculated.</div></div><div><h3>Results</h3><div>Actor network density increased from 0.545 (deadlock) to 0.663 (breakthrough), while centralization decreased from 0.050 to 0.012 (transition), indicating a shift from concentrated control to distributed connectivity. Betweenness centrality shifted from concentration among experts (deadlock: 0.545) to distribution among legislators (breakthrough: 0.024 for both progressive and conservative parties), indicating structural changes in brokerage patterns. Issue network density remained stable at approximately 0.500 across all periods, suggesting consistent discourse content despite substantial changes in interaction patterns.</div></div><div><h3>Conclusion</h3><div>Policy breakthrough coincided with structural changes in the actor network, characterized by higher density, lower centralization, and distributed brokerage across ideological divides. These findings advance methodology through discourse network analysis of nursing legislation, offer theoretical insights into network restructuring during policy change, and provide practical guidance for healthcare workforce advocacy in contexts of professional boundary conflicts.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 303-312"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678725","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":"Prevalence and Related Factors of Suspected Sarcopenia and Sarcopenic Obesity in Community-Dwelling Older Adults","authors":"Hiroshi Inaba,&nbsp;Kaori Sakurada,&nbsp;Wakako Sato,&nbsp;Tsuneo Konta","doi":"10.1016/j.anr.2026.01.002","DOIUrl":"10.1016/j.anr.2026.01.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Owing to Japan's aging population, increasing healthy life expectancy is a major public health issue, and conditions such as sarcopenia and sarcopenic obesity pose significant health risks. However, few studies have examined their prevalence and related factors in the general older population. This study investigated the prevalence and related factors of sarcopenia and sarcopenic obesity among community-dwelling older adults in Japan.</div></div><div><h3>Methods</h3><div>Data were obtained from 6072 participants aged ≥65 years in the Yamagata cohort study (anonymized for review). Sarcopenia and sarcopenic obesity were determined by a score of ≥4 on the Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls (SARC-F) questionnaire and a body mass index (BMI) ≥ 25 kg/m². Primary demographic data, data regarding lifestyle habits, and physical and mental health information were collected and the associations between these factors and sarcopenia and sarcopenic obesity were assessed.</div></div><div><h3>Results</h3><div>Of the 6072 participants (2680 men and 3392 women; mean age 73.9 ± 4.5 years), 9.5% had suspected sarcopenia. The logistic regression analysis revealed significant associations between suspected sarcopenia and age, BMI, physical and psychological factors, anxiety, depression, and motor function decline for men and women. Hypertension, smartphone use, exercise habits, and social withdrawal were risk factors for women. The prevalence of sarcopenic obesity among the participants with suspected sarcopenia was 35.8% for men and 31.4% for women. Sarcopenic obesity was significantly associated with hypertension among men and women.</div></div><div><h3>Conclusion</h3><div>The prevalence of suspected sarcopenia and sarcopenic obesity was high among community-dwelling older adults and associated with various physical and mental factors. Early detection and multiaspect interventions for suspected sarcopenia and sarcopenic obesity are essential for extending the healthy life expectancy of the general older Japanese adult population.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 262-269"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133575","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":"Validation and Reliability of the Korean Version of the Gaslighting at Work Questionnaire","authors":"Heejeong Kim,&nbsp;Minji Gil,&nbsp;Daeun Kim,&nbsp;Yookyung Choi,&nbsp;Hyegyeong Seo,&nbsp;Suk-Sun Kim","doi":"10.1016/j.anr.2026.03.001","DOIUrl":"10.1016/j.anr.2026.03.001","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to translate the Gaslighting at Work Questionnaire (GWQ) into Korean and to evaluate the psychometric properties of the Korean version (K-GWQ) among Korean employees working under supervisors.</div></div><div><h3>Methods</h3><div>The GWQ was translated and culturally adapted into Korean following World Health Organization’s translation guidelines. Face validity was examined through pretesting with 10 employees. A convenience sample of 440 employees working under supervisors participated in this study. Construct validity was tested using exploratory factor analysis and confirmatory factor analysis (CFA), with convergent validity assessed. Internal consistency reliability was evaluated.</div></div><div><h3>Results</h3><div>Exploratory factor analysis revealed a single-factor structure for the 12-item K-GWQ, representing “workplace gaslighting” and accounting for 67.3% of the total variance. CFA demonstrated acceptable model fit (χ²/df = 2.32, comparative fit index = .93, Tucker–Lewis index = .92, root mean square error of approximation = .08, standardized root mean square residuals = .04). Convergent validity was supported by significant positive correlations with workplace bullying, role conflict and ambiguity, and depression. The K-GWQ showed excellent internal consistency, with a Cronbach's α of .97 and a McDonald’s omega of .95.</div></div><div><h3>Conclusion</h3><div>The K-GWQ was verified as a valid and reliable instrument for assessing workplace gaslighting among Korean employees working under supervisors. This instrument can be used as an assessment and research tool to identify potential gaslighting behaviors and to provide empirical evidence linking emotional manipulation to employee outcomes such as mental health, burnout, and turnover intention.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 286-294"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461071","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":"Spatial Accessibility of Automated External Defibrillator Services in High-Density Older-Adult Areas: A Geographic Information System Analysis","authors":"Dajung Ryu,&nbsp;Hyunsoo Kim,&nbsp;Eunjung Ryu","doi":"10.1016/j.anr.2026.03.002","DOIUrl":"10.1016/j.anr.2026.03.002","url":null,"abstract":"<div><h3>Purpose</h3><div>We aimed to evaluate the accessibility and equity of automated external defibrillators (AEDs) in areas with a high concentration of older adults and to propose evidence-based policy directions using geographic information systems (GIS).</div></div><div><h3>Methods</h3><div>For the secondary analysis, multiple datasets were integrated from the Korea's National Geographic Information Institute, the Ministry of the Interior and Safety, the Suwon Fire Department, and the Suwon Southern Fire Station, including continuous digital topographic maps, demographic statistics, AED locations, road networks, and out-of-hospital cardiac arrest incidence data. The clustering and spatial heterogeneity of AED deployment were examined using kernel density estimation and spatial autocorrelation analysis. Service areas reflecting the walking speeds of older adults were delineated, and equity was assessed using the Gini coefficient. A two-step floating catchment area analysis was used to provide supply-to-demand ratios and accessibility indices.</div></div><div><h3>Results</h3><div>AEDs exhibited clustered patterns centered on public locations, and several areas were identified as potential service blind spots, revealing inequities at the neighborhood level. Several AED sites were insufficient for the local older-adult population, and only a subset of areas demonstrated relatively high accessibility indices.</div></div><div><h3>Conclusion</h3><div>As the population age structure shifts toward older age groups, AED policy criteria should be redesigned to reflect the mobility and accessibility of older adults. Implementing mixed relocation strategies that incorporate age-friendly criteria, conducting periodic policy performance evaluations, and enhancing AED visibility and tailored education that accounts for the cognitive characteristics of older adults will contribute to improving the health of older populations.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 295-302"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678678","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":"Mobile App–based Self-monitoring of Health Behaviors in Middle-aged Men After Myocardial Infarction: A One-year Randomized Controlled Trial","authors":"Sun Hwa Kim,&nbsp;Seon Young Hwang,&nbsp;In Ae Uhm,&nbsp;Hyungdon Kook,&nbsp;Woohyeun Kim,&nbsp;Young-Hyo Lim","doi":"10.1016/j.anr.2026.01.004","DOIUrl":"10.1016/j.anr.2026.01.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Middle-aged men after myocardial infarction (MI), particularly those at risk for heart failure, require sustained health behaviors for effective long-term self-care. This study evaluated the 1-year efficacy of a mobile app–based weekly self-monitoring program grounded in the information-motivation-behavioral skills model.</div></div><div><h3>Methods</h3><div>A single-blind, randomized controlled trial was conducted with 68 post-MI men who underwent percutaneous coronary intervention and had a left ventricular ejection fraction &lt; 50%. Participants were randomly assigned to the experimental group (<em>n</em> = 35), who used <em>With Your Heart</em>, a mobile app developed for this study. The app included a weekly self-monitoring checklist with algorithm-based feedback, and participants additionally received nurse counseling during outpatient visits every 3 months. The control group (<em>n</em> = 33) received standard lifestyle education through a leaflet at the baseline. Outcomes were measured at the baseline, 3 months, 6 months, and 12 months. Data were analyzed using repeated-measures analysis of variance to examine group × time interactions, with Bonferroni correction applied for <em>post hoc</em> comparisons.</div></div><div><h3>Results</h3><div>Average age of the experimental group was 58.01 (±8.52) years and 57.35 (±9.63) years in the control group. Overall, 85.3% experienced a first-time MI, whereas 14.7% had a recurrent MI. Significant group × time interaction effects were found for health behaviors (F = 10.24, <em>p</em>&lt;.001) and illness perception (F = 3.15, <em>p</em> = .026). The experimental group demonstrated sustained improvements in health behaviors across all follow-up points and reduced negative illness perception at 3 and 6 months. Resilience was significantly higher in the experimental group overall, although no interaction effect was observed. Depression decreased over time in both groups, with no between-group differences.</div></div><div><h3>Conclusion</h3><div>Weekly app-based self-monitoring significantly improved health behaviors and favorably influenced psychological outcomes, particularly illness perception and resilience, in middle-aged post-MI men at risk for heart failure. These findings support app-based self-monitoring as a feasible digital healthcare strategy to promote lifestyle modification for at-risk patients during outpatient care.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 270-278"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133569","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":"A Scale Development Study: The Human Papilloma Virus Literacy Scale","authors":"Nihan Türkoğlu,&nbsp;Suna Akpinar Ay","doi":"10.1016/j.anr.2025.12.003","DOIUrl":"10.1016/j.anr.2025.12.003","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to develop and validate a reliable and comprehensive scale to measure human papillomavirus (HPV) literacy, addressing its contribution to public health education and intervention strategies.</div></div><div><h3>Methods</h3><div>A methodological and cross-sectional design study was conducted. Sample consisted of 407 individuals. A HPV literacy scale was developed and psychometric evaluation was conducted including content validity, internal consistency, and exploratory and confirmatory factor analyses.</div></div><div><h3>Results</h3><div>Exploratory factor analysis identified a three-factor structure. The three factors explained 66.9% of the total variance. Confirmatory factor analysis supported the three-factor model and demonstrated acceptable model fit (χ²/df = 4.40, RMSEA = .07, CFI = .94, NFI = .92, AGFI = .87, GFI = .89). The internal consistency coefficients of the subscales ranged from .88 to .95.</div></div><div><h3>Conclusion</h3><div>According to the analysis, the scale is a valid and reliable tool that can be applied to the Turkish society.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 237-243"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144003","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":"Psychological Distress and Related Factors in Patients with Crohn’s Disease: A Path Analysis Based on the Common-Sense Model","authors":"YoonJi Roh,&nbsp;Hye-Ah Yeom","doi":"10.1016/j.anr.2025.12.004","DOIUrl":"10.1016/j.anr.2025.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the associations of disease activity, disease-related knowledge, illness perception, and coping strategies on psychological distress in patients with Crohn's disease, using a path analysis based on the common-sense model.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study. A total of 399 adult patients were recruited from an online support community in Korea between October and December 2024. Data were collected through online self-reported questionnaires, using the Harvey–Bradshaw Index, the inflammatory bowel disease knowledge, the Korean version of the Brief Illness Perception Questionnaire, the Korean version of the Coping Strategy Indicator, and the Korean version of the Kessler Psychological Distress Scale. The data were analyzed using SPSS/WIN 24.0 and AMOS 29.0. Path analysis was used to examine how disease-related knowledge and disease activity influences psychological distress through illness perception and coping strategies.</div></div><div><h3>Results</h3><div>Both disease activity and disease-related knowledge were found to influence psychological distress through a serial mediation effect of illness perception and avoidance coping. The avoidance coping model showed acceptable model fit. (<em>χ</em>²/df = 2.52; AGFI = .96; RMSEA = .06; TLI = .91; CFI = .98; NFI = .97; IFI = .98). Disease activity and disease-related knowledge had a negative effect on avoidance coping. The direct path from disease-related knowledge to avoidance coping showed the strongest effect within the research model (β = -0.29, <em>p</em> &lt; .001). Significant serial indirect effect through illness perception and avoidance coping was identified between disease activity and psychological distress (95% CI: 0.02, 0.07) and between disease-related knowledge and psychological distress (95% CI: -0.02, 0.00).</div></div><div><h3>Conclusions</h3><div>This study demonstrated the need for an integrated approach to reduce disease activity and increase disease-related knowledge as factors to effectively alleviate psychological distress in patients with Crohn's disease.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 244-253"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133055","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":"Beyond Addiction: Exploring Female Call Center Employees’ Smoking Experiences as a Work Tool","authors":"Hyunjin Oh,&nbsp;Bogyeong Lee,&nbsp;Sunjoo Boo","doi":"10.1016/j.anr.2026.01.005","DOIUrl":"10.1016/j.anr.2026.01.005","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to explore the smoking experiences of female call center employees, focusing on the factors that facilitate smoking and the perceived barriers to smoking cessation within their specific occupational context.</div></div><div><h3>Methods</h3><div>Qualitative focus group interviews and thematic analysis were used to examine the experiences of female employees at two call centers.</div></div><div><h3>Results</h3><div>The findings showed that the 25 female call center employees characterized smoking as a functional aspect of their job, suggesting that it is not simply a personal habit but an integral component of workplace dynamics. This perspective revealed the complex role of smoking as a coping mechanism for stress, a facilitator of social engagement, and a contributor to the cultural fabric of the workplace. The analysis delineated three primary themes: (1) “Smoking, a working drug: Indispensable elements at work,” highlighting smoking's necessity for job performance; (2) “Smoking is normal in my life: Daily use of smoking,” indicating its habitual nature; and (3) “Just holding off, not permanently quitting,” describing challenges in achieving lasting cessation.</div></div><div><h3>Conclusion</h3><div>Smoking among female call center employees stems from workplace culture and occupational stress rather than from personal choice.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 279-285"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133600","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":"Group Characteristics by Self-Rated Health Trajectories Among Frail Older Adults: A Group-Based Trajectory Modeling Approach","authors":"Hyuk Joon Kim,&nbsp;Hye Young Kim,&nbsp;Sook Kyoung Park,&nbsp;Shannon D. Simonovich","doi":"10.1016/j.anr.2025.12.005","DOIUrl":"10.1016/j.anr.2025.12.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to identify distinct trajectories of self-rated health (SRH) among frail older adults and examine sociodemographic and health-related factors associated with each trajectory group.</div></div><div><h3>Methods</h3><div>A secondary analysis was conducted using data from Waves 5–9 of the Korean Longitudinal Study of Aging (KLoSA). Of 10,436 participants, 552 community-dwelling adults aged 65 years or older who met the frailty criteria were included. Group-based trajectory modeling was applied to identify SRH trajectories, and multinomial logistic regression was performed to examine predictors of trajectory group membership, with the high-health declining group serving as the reference.</div></div><div><h3>Results</h3><div>Five SRH trajectories were identified: Low-Declining SRH (Group 1), Increasing SRH (Group 2), Decline-Then-Increasing SRH (Group 3), Moderate-Declining SRH (Group 4), and High-Declining SRH (Group 5; reference). Compared with the reference group, Group 1 exhibited lower levels of weekly physical activity (OR = 0.47), social participation (OR = 0.46), and income (OR = 0.59), as well as a higher prevalence of hypertension, diabetes, and denture use. Group 2, which showed linear improvement, included more women (OR = 0.35) and individuals with lower income (OR = 0.52). Group 3 was less likely to receive the Basic Old-Age Pension (OR = 0.31), suggesting relatively higher socioeconomic status. Group 4 demonstrated lower social participation (OR = 0.54) and higher prevalence of hypertension (OR = 1.69).</div></div><div><h3>Conclusion</h3><div>Frail older adults demonstrate heterogeneous SRH trajectories. Social participation, health behaviors, and economic resources are key determinants of SRH patterns. SRH may serve as a practical screening indicator for identifying high-risk groups and informing tailored community-based care strategies.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 254-261"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133084","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":"Exploring the Social Value of Care Robots: Text Mining and Semantic Network Analysis","authors":"Yong Soon Shin,&nbsp;Hye-Young Jang,&nbsp;Jung-A. Kim,&nbsp;Min-Soo Kang","doi":"10.1016/j.anr.2026.04.002","DOIUrl":"10.1016/j.anr.2026.04.002","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to explore the public discourse surrounding care robots and identify their potential social values.</div></div><div><h3>Methods</h3><div>Data related to care robots were collected from major Korean portal sites and social media between January 1, 2021, and December 31, 2023, using TEXTOM. Core keywords were extracted through text mining. Topic modeling and semantic network analysis using UCINET 6.0 were conducted to examine keyword associations and network structure. An analytic framework based on thematic integration was applied to synthesize the findings and derive social value domains.</div></div><div><h3>Results</h3><div>A total of 9724 keywords were extracted from 21,216 documents. High-frequency and central keywords included older adult, companion robot, business, service, and artificial intelligence. Topic modeling identified four major topics: (1) companion robots supporting care to bridge the care gap, (2) care robots leading new economic trends, (3) care robots supporting human care across various sectors, and (4) government-led expansion of social care through care robots. Eight clusters were identified through semantic network analysis. By applying the analytic framework, these clusters were systematically integrated with topic modeling results, and the social values associated with care robots were categorized into four domains: health, labor, economy, and innovation.</div></div><div><h3>Conclusion</h3><div>Care robots have the potential to go beyond functional support by addressing broader social challenges and contributing to care innovation. However, current discourse remains provider driven with limited public engagement. There is a need to enhance communication of care robots’ social value and promote user-centered approaches in nursing and care practice.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 3","pages":"Pages 313-323"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790137","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}