Journal of Korean Academy of Nursing

Eun-Hyun Lee

7 Articles

Internal Structure of the Health-Related Quality of Life Instrument with 8-Items in a Nationally Representative Population: Eun-Hyun Lee; J Korean Acad Nurs 2023;53(3):359-369. Published online June 30, 2023; DOI: https://doi.org/10.4040/jkan.23007

Purpose
This study evaluated the internal structure (structural validity, internal consistency, and measurement invariance) of the Health-Related Quality of Life Instrument with Eight Items (HINT-8), developed to measure Korean people’s health-related quality of life.
Methods
A secondary analysis was conducted using data from the Korea National Health and Nutrition Examination Survey, involving 6,167 adults aged over 18 years. The structural validity of the HINT-8 was assessed using exploratory graph analysis and confirmatory factor analysis. Internal consistency and measurement invariance were analyzed using McDonald’s omega (ω) and multigroup confirmatory factor analysis, respectively.
Results
The HINT-8 had a single dimension and good internal consistency (ω = .804). The one-dimension HINT-8 ex-hibited matric invariance but not scalar invariance across sociodemographic groups (sex, age, education, and marital status). Further, it exhibited scalar or partial scalar invariance across medical condition groups (hypertension, diabetes, depressive symptoms, and cancer).
Conclusion
The study finds that the HINT-8 demonstrated satisfactory structural validity and internal consistency, indicating its suitability for practice and research. However, the HINT-8 scores cannot be compared across different groups regarding sex, age, education, and marital status, as the interpretation varies within each sociodemographic category. Conversely, interpretation of the HINT-8 is consistent for individuals with and without hypertension, diabetes, depressive symptom, and cancer.

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The Predictors of Dietary Supplement Use Among Women With Musculoskeletal Disease: A Population-Based Complex Sample Designed Study
Myoungjin Kwon, Sun Ae Kim, Youngshin Song
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2025;[Epub] CrossRef
A Network Analysis of Quality of Life Among Older Adults With Arthritis
Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim
International Journal of Older People Nursing.2025;[Epub] CrossRef
Network analysis of quality of life among young and middle-aged Korean cancer survivors
Yoonjung Kim, Dahee Wi, Eunjin Kim, Jiae Lee
Asia-Pacific Journal of Oncology Nursing.2025; 12: 100684. CrossRef
Quality of Life Based on the Experience of Psychological Counseling in Adults with Depressive Symptoms
Jihyeon Seo, Jihye Lim
Journal of Health Informatics and Statistics.2025; 50(1): 39. CrossRef
Comparison of the health behavior and nutrition status of young-old women according to the vitality in their quality of life: based on the 2019, 2021 Korea National Health and Nutrition Examination Survey
Jiyoung Jeong, Yoon Jung Yang
Journal of Nutrition and Health.2023; 56(5): 496. CrossRef

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Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator: Hyun-Jung Kang, Jaeyong Shin, Eun-Hyun Lee; J Korean Acad Nurs 2020;50(5):728-736. Published online October 31, 2020; DOI: https://doi.org/10.4040/jkan.20147

Abstract PDF

Purpose
This study aimed to identify the relationship between workplace violence and turnover intention, and the mediation effect of resilience on the relationship in hospital nurses.
Methods
This was a cross-sectional study. A total of 237 registered nurses were recruited from three hospitals in South Korea from April to May 2019. Participants were invited to complete self-reported questionnaires that measure workplace violence, turnover intention, resilience, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling).
Results
After controlling demographic covariates, workplace violence significantly accounted for the variance of turnover intention. It was also demonstrated that resilience partially mediated the relationship between workplace violence and turnover intention in hospital nurses. A 73.8% of nurses had experienced workplace violence (such as attack on personality, attack on professional status, isolation from work, or direct attack). Conclusion: Workplace violence directly influences turnover intention of nurses and indirectly influences it through resilience. Therefore, hospital administrators need to develop and provide a workplace violence preventive program and resilience enhancement program to decrease nurses’ turnover intention, and leaving.

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The relationship between workplace violence, emotional exhaustion, job satisfaction and turnover intention among nurses during the COVID-19 pandemic
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Journal of Research in Nursing.2023; 28(6-7): 448. CrossRef
Associations among the workplace violence, burnout, depressive symptoms, suicidality, and turnover intention in training physicians: a network analysis of nationwide survey
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Scientific Reports.2023;[Epub] CrossRef
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Nursing Open.2022; 9(6): 2697. CrossRef
The influence of experienced violence and the clinical learning environment on vocational identity in nursing students
Mira Lee, Hee Ok Park, Insook Lee
The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 321. CrossRef
Factors Affecting on Turnover Intentions of Emergency Department Nurses who have Experienced Verbal Abuse
Gyoo-Yeong CHO, Mi-Kyung SEO
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Effects of the Resilience of Nurses in Long-Term Care Hospitals during on Job Stress COVID-19 Pandemic: Mediating Effects of Nursing Professionalism
Bom-Mi Park, Jiyeon Jung
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Nurses' Voices: Autumn 2020
Jeung-Im Kim
Journal of Korean Academy of Nursing.2020; 50(5): 644. CrossRef

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Measurement Properties of Self-report Questionnaires Published in Korean Nursing Journals: Eun-Hyun Lee, Chun-Ja Kim, Eun Jung Kim, Hyun-Ju Chae, Soo-Yeon Cho; J Korean Acad Nurs 2013;43(1):50-58. Published online February 28, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.1.50

Abstract PDF Supplementary Material

Purpose

The purpose of this study was to evaluate measurement properties of self-report questionnaires for studies published in Korean nursing journals.

Methods

Of 424 Korean nursing articles initially identified, 168 articles met the inclusion criteria. The methodological quality of the measurements used in the studies and interpretability were assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. It consists of items on internal consistency, reliability, measurement error, content validity, construct validity including structural validity, hypothesis testing, cross-cultural validity, and criterion validity, and responsiveness. For each item of the COSMIN checklist, measurement properties are rated on a four-point scale: excellent, good, fair, and poor. Each measurement property is scored with worst score counts.

Results

All articles used the classical test theory for measurement properties. Internal consistency (72.6%), construct validity (56.5%), and content validity (38.2%) were most frequently reported properties being rated as 'excellent' by COSMIN checklist, whereas other measurement properties were rarely reported.

Conclusion

A systematic review of measurement properties including interpretability of most instruments warrants further research and nursing-focused checklists assessing measurement properties should be developed to facilitate intervention outcomes across Korean studies.

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A Psychometric Validation of the Korean Version of Disaster Response Self-Efficacy Scale for Nursing Students
Sung Hae Kim
International Journal of Environmental Research and Public Health.2023; 20(4): 2804. CrossRef
Discharge Readiness Scale for Parents of High-Risk Infants: A Systematic Review
Ki-Eun Kim, Hyejung Lee, Na-Young Jeon
Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 205. CrossRef
Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
Hye Sook Shin, Eunlim Chi, Hae-Ra Han
Journal of Korean Academy of Nursing.2021; 51(6): 769. CrossRef
A Systematic Review of Measurement Properties of Spirituality related Assessment Tools Published in Korean Journals
Il-Sun Ko, Jin Sook Kim, Soyoung Choi
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 133. CrossRef
Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
Go-Un Kim, Ju Hee Lee
Korean Journal of Adult Nursing.2019; 31(4): 337. CrossRef
Reliability and validation of the Korean Compassionate Communication Scale
Hae-Kyung Jo, Sook Kyoung Park, EunJu Song
Frontiers of Nursing.2019; 6(3): 175. CrossRef
An Analysis of Research on Parenting Stress of Unmarried Mothers in Korea
Kyung-Sook Bang, Sungjae Kim, Yeseul Jeong, Min Kyung Song, Gumhee Lee, Jihee Lim
STRESS.2019; 27(4): 287. CrossRef
Measurement Properties of Self-Report Questionnaires Measuring the Social Adjustment for Youth after Treatment of Childhood Cancer: Systematic Review
Su-Mi Oh, Sun-Young Park, Hye-Jung Lee, Ju Hee Lee
Child Health Nursing Research.2018; 24(1): 78. CrossRef
Properties of the Measures to Assess Oxaliplatin-induced Peripheral Neuropathy: A Literature Review
Sang Hui Chu, Yoon Ju Lee, Young Joo Lee, Charles S. Cleeland
Journal of Korean Academy of Nursing.2015; 45(6): 783. CrossRef

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Analysis of Trends and Contents of Nursing Doctoral Dissertations in Korea: Kwang-Ja Lee, Younhee Kang, Mee Ock Gu, Kyunghee Kim, Oksoo Kim, Yeon-Ok Suh, Eunyoung Suh, Soo Yang, Eun-Hyun Lee, Ja Hyung Lee, Myoung-Ae Choe, Yang Sook Hah; J Korean Acad Nurs 2012;42(2):302-309. Published online April 30, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.2.302

Abstract PDF

Purpose

This study aimed to identify contents and trends of Korean nursing doctoral dissertations in terms of research methodology and theoretical characteristics.

Methods

The design of the study was descriptive study and a total of 1,089 quantitative studies completed between 1982 and 2010 were reviewed using the analytical framework developed by the researchers.

Results

The majority of studies utilized the experimental design (51.5%) and the others were survey design (38.8%) and methodological design (5.0%). Study subjects were shown as patients (45%), care givers (11.2%), ordinary persons (40.6%) and others (3.2%). There were growing trends in experimental design and patients as subjects. The prevailing data collection settings were hospitals (45.8%) and community (27.8%). The theoretical frameworks that studies were based on were the existing theories (37%) and a newly developed theoretical framework by a researcher (25.2%). a framework derived from other studies by the researcher (25.2%). Majority of studies (78.5%) employed a single theory as a theoretical framework. However, 31.8% of studies had no theoretical framework based on.

Conclusion

Findings of this study provided the opportunities to shed new light on the current status of Korean doctoral dissertation and to deliberate on the future direction of nursing studies in Korea.

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An Integrative Review of Korean Nursing Studies on Pediatric Tonsillectomy
Kyoung Eun Yu, Jin Sun Kim
Child Health Nursing Research.2017; 23(4): 416. CrossRef
Trend Analysis of Research in the Journal of Korean Gerontological Nursing (2010~2015)
Yerin Cha, Joeun Kwon, Sunhye Kwon, Kyung Hee Lee, Jiyun An
Journal of Korean Gerontological Nursing.2017; 19(2): 92. CrossRef
Analysis of Trends and Contents of Ancestral Ritual Foods of Korean Jong-ga
Changhyeon Lee, Young Kim, Young Hwang, Hyeonmi Kim
Journal of The Korean Society of Food Culture.2016; 31(4): 286. CrossRef
A Historical Trends of Doctoral Nursing Education in Korea
Kasil Oh, Young Sook Park, Ja Hyung Lee, Kyong-Ok Oh, Yang Heui Ahn, Jiyoung Lim
The Journal of Korean Academic Society of Nursing Education.2014; 20(1): 93. CrossRef
An Analysis of Nursing Research on Child Rearing in Korea.
Dong Won Lee, In Soo Kwon
Child Health Nursing Research.2014; 20(4): 264. CrossRef

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Monitoring the Use of Health-Related Quality of Life Measurements in Korean Studies of Patients with Diabetes: Eun-Hyun Lee, Chun-Ja Kim, Soo-Yeon Cho, Hyun-Ju Chae, Sunhee Lee, Eun Jung Kim; J Korean Acad Nurs 2011;41(4):558-567. Published online August 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.4.558

Abstract PDF

Purpose

The purpose of this study was to monitor the use of health-related quality of life (HRQOL) instruments in Korean studies of patients with diabetes.

Methods

Of 86 Korean studies initially identified, 17 studies met the inclusion criteria. For each study, a description of the instrument and its psychometric properties were monitored by the Instrument Review Criteria of the Scientific Advisory Committee. These criteria include conceptual definition, attributes, taxonomy, reliability, validity, responsiveness, administrative mode, and language adaptations.

Results

Five generic and one diabetes specific type questionnaires were identified from the 17 studies. Of those studies, conceptual definitions with the attributes of multi-dimension and subjectiveness were provided for 11 studies (71%). In the analysis of conceptual taxonomy, only 6 studies were classified as HRQOL, while other studies were done as QOL or health status. In monitoring of psychometric properties, reliability, validity, and responsiveness were reported for 88.2%, 64.7%, and 29.4%, respectively. One generic instrument was developed with a Korean population, while the other instruments were developed for Western countries. However, language adaptations were performed for only a few of the instruments.

Conclusion

The psychometric properties including responsiveness of most instruments warrants further research, and the development of diabetes-specific HRQOL measurements should be sought to facilitate intervention outcomes across Korean studies of patients with diabetes.

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The Characteristics related to Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Cross-sectional Study, Data from the Korea National Health and Nutrition Examination Survey 2015-2019.
Kyeongbong Lee
Physical Therapy Rehabilitation Science.2023; 12(3): 229. CrossRef
Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin
Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef
Health-related Quality of Life Instrument With 8 Items for Use in Patients With Type 2 Diabetes Mellitus: A Validation Study in Korea
Juyoung Kim, Hyeon-Jeong Lee, Min-Woo Jo
Journal of Preventive Medicine and Public Health.2022; 55(3): 234. CrossRef
The Effects of the Level of Health Literacy and Self-care Activities on Quality of Life of Patients with Diabetes in Korea
Soo Jin Kang, Chanho Park
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 189. CrossRef
Predictors of Health-Related Quality of Life in Korean Adults with Diabetes Mellitus
Mihyun Jeong
International Journal of Environmental Research and Public Health.2020; 17(23): 9058. CrossRef
Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults
Hye-Sook Lee, Eunok Park
Journal of Korean Academy of Nursing.2016; 46(5): 675. CrossRef
Factors Related to Perceived Health Status in Patients with Type 2 Diabetes
Ang Li Won, Seung Hyun Yoo, Myoung Soon You
Korean Journal of Health Education and Promotion.2014; 31(3): 1. CrossRef
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Chul-Hyun Cho, Young Jae Lim
Journal of the Korean Orthopaedic Association.2013; 48(4): 281. CrossRef
Development and psychometric evaluation of a diabetes-specific quality-of-life (D-QOL) scale
Eun-Hyun Lee, Young Whee Lee, Kwan-Woo Lee, Dae Jung Kim, Soo-Kyung Kim
Diabetes Research and Clinical Practice.2012; 95(1): 76. CrossRef

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Psychometric Evaluation of a Need Scale for Cancer Patients Undergoing Follow-up Care: Eun-Hyun Lee, Seongmi Moon, Soo-Yeon Cho, Young Taek Oh, Mison Chun, Sung Hwan Kim, Jae-Sung Kim, Hye Kyung Kim; J Korean Acad Nurs 2010;40(4):551-560. Published online August 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.4.551

Abstract PDF

Purpose

The purpose of this present study was to develop and evaluate the psychometric properties of a needs scale for patients with cancer undergoing follow-up care (NS-C).

Methods

A preliminary NS-C of 48 was derived from literature reviews and in-depth interviews with patients with cancer. Content validation of the items was established by oncology physicians and nurses. Each item was scored on a five-point Likert scale. The preliminary NS-C and Eastern Cooperative Oncology Group (ECOG) performance status questionnaires were administered to 873 patients with cancer recruited from three university hospitals. The data were analyzed using factor analysis, multidimensional scaling analysis, ANOVA, Pearson correlation coefficients, and Cronbach's alpha.

Results

From the factor analysis, 25 significant items in six subscales were derived. The subscales were named physical symptoms, diet and exercise, support, relationship with health professionals, treatment/prognosis, and keeping mind under control. The NS-C also established item convergent and discriminant validity, and known-groups validity. Cronbach's alpha of the subscales ranged from .90 to .92.

Conclusion

This study suggests that the NS-C is an easy, reliable and valid instrument to measure the needs of patients with cancer. Health professionals may use the NS-C for patients with cancer both in practice and research.

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Reliability and Validity of the Korean Version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire to Assess Chemotherapy-induced Peripheral Neuropathy
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Journal of Palliative Care.2008; 24(4): 240. CrossRef

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Computerized Measurement for Asthma-Specific Quality of Life: Comparison with a Conventional Paper-and-Pencil Questionnaire: Eun-Hyun Lee; J Korean Acad Nurs 2009;39(6):781-787. Published online December 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.6.781

Abstract PDF

Purpose

The purpose of this study was to evaluate a computerized touch-screen version of the asthma-specific quality-of-life (cA-QOL) questionnaire against the conventional paper-and-pencil version (pA-QOL) for equivalence, time for completion, user preference, and ease of use.

Methods

A total of 261 patients were recruited. A randomized cross-over design was used. Patients in group A completed the cA-QOL first while waiting to see a physician, and completed the pA-QOL version after seeing the physician. Patients allocated in group B completed these questionnaires in the reverse order. The patients were asked questions about user preference and ease of use of the cA-QOL. The time taken to complete both versions of the questionnaire was measured.

Results

Weighted kappa coefficients of all items showed almost perfect agreement. The time required to complete the pA-QOL is faster than the time for cA-QOL. The patients who preferred the cA-QOL were 37.5%, while those who preferred the pA-QOL were 29.9%. Most patients reported that the cA-QOL was "easy" or "very easy" to complete.

Conclusion

The cA-QOL is the computerized equivalent of the pA-QOL. The findings herein demonstrate that the cA-QOL can be helpful to nurses in busy practices for assessing, collecting, and evaluating their patients' health related quality of life.

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Author index