Journal of Korean Academy of Nursing

Seon Young Hwang

15 Articles

Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial: Eun Jin Kim, Seon Young Hwang; J Korean Acad Nurs 2024;54(1):44-58. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23090

Purpose
This study aimed to apply a health partnership program using commercially available mobile health apps to improve cardiovascular risk factors in male employees and verify its effectiveness.
Methods
Using a randomized control group pretest-posttest design, male employees with cardiovascular risk factors from five small and medium-sized workplaces were randomly assigned to an experimental group (n = 32) and a control group (n = 31). The experimental group was encouraged to use three mobile health apps for 12 weeks to acquire the necessary cardiovascular disease-related information and practice strengthening training, walking, and diet management appropriate to their level. They also received feedback on their weekly activities and motivational text messages from health partners. Hypotheses were tested using the SPSS WIN 22.0.
Results
The experimental group showed a significant difference compared to the control group in terms of their perception of mobile health app (p < .05), self-efficacy for exercise and diet, self-management partnership, and cardiovascular disease prevention health behavior (p < .001). In particular, there were significant decreases in the body mass index, ratio, serum fasting blood sugar, total cholesterol, and triglyceride in the experimental group (p < .001); however, there was no significant difference in high-density lipoprotein-cholesterol.
Conclusion
Intervention using mobile apps based on partnership with health managers is effective in improving the objective cardiovascular risk index in male employees; therefore, such intervention should be continuously used as a useful lifestyle modification strategy in the workplace.

Citations

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Adherence to a Heart-Healthy Lifestyle
Yura Shin, Jina Choo, Songwhi Noh
Journal of Cardiovascular Nursing.2025;[Epub] CrossRef

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Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors: So Hee Kang, Seon Young Hwang; J Korean Acad Nurs 2019;49(6):748-759. Published online December 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.748

Abstract PDF

Purpose

This study aimed to examine the effect of spouses participating in health coaching on stage of the change, health behaviors, and physiological indicators among male office workers with cardiocerebrovascular disease (CVD) risk factors and compare the findings with trainers who provided health coaching only to workers.

Methods

A quasi-experimental pretest-posttest design was used. Convenience sampling was used to recruit participants from a manufacturing research and development company in the city of Gyeonggi province. The health coaching program for the experimental group (n=26) included individual counseling sessions according to workers' stage of change, and provision of customized health information materials on CVD prevention to workers and their spouses for 12 weeks through mobile phone and email.

Results

After 12 weeks of intervention, the total score for health behavior, and scores on the sub-areas of exercise and health checkups significantly improved in the experimental group, but there were no significant differences in the scores of stage of the change and physical indicators. The results of a paired t-test showed a significant decrease in the body mass index, abdominal circumference, systolic blood pressure, diastolic blood pressure, total cholesterol and triglyceride values, and a significant increase in the high-density lipoprotein cholesterol value in the experimental group after the intervention.

Conclusion

To improve the health of male workers with CVD risk factors in the workplace, sharing health information with their spouses has proven to be more effective than health coaching for only workers. Therefore, it is important to develop strategies to encourage spousal participation when planning workplace health education for changing health-related behaviors.

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Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial
Eun Jin Kim, Seon Young Hwang
Journal of Korean Academy of Nursing.2024; 54(1): 44. CrossRef
Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
Kyong Sil Park, Seon Young Hwang
Asian Nursing Research.2024; 18(2): 81. CrossRef
An intervention study of a combined intervention of positioning and hand massage in patients undergoing radiofrequency catheter ablation
Yun Kyeong Lee, Mihae Im, Haeryun Cho
Nursing Open.2023; 10(3): 1404. CrossRef

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Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease: Kyung Ae Kim, Seon Young Hwang; J Korean Acad Nurs 2019;49(2):113-125. Published online April 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.2.113

Abstract PDF

Purpose

The purpose of this study was to examine the effects of a daily life-based physical activity enhancement program performed by middle-aged women at risk for cardiovascular disease.

Methods

This study used a randomized control group pretest-posttest design. Middle-aged women aged 45 to 64 were recruited from two outpatient cardiology departments, and randomly assigned to an experimental group (n=28) and a control group (n=30). For the experimental group, after providing one-on-one counseling and education, we provided customized text messages to motivate them in daily life. To monitor the practice of physical activity, they also used an exercise diary and mobile pedometer for 12 weeks. Subjects' physical activities (MET-min/week) were measured using the International Physical Activity Questionnaire (IPAQ). Their physiological data were obtained by blood tests using a portable analyzer, and the data were analyzed using the SPSS 21.0/WIN program.

Results

There were significant differences in exercise self-efficacy, health behavior, IPAQ score, body fat, body muscle, and fasting blood sugar between the two groups. However, there were no significant differences in total cholesterol, hemoglobin A1c, high-density lipoprotein cholesterol, and waist-to-hip ratio.

Conclusion

Strengthening physical activity in daily life without being limited by cost burden and time and space constraints. Therefore, it is essential to motivate middle-aged women at risk for cardiovascular disease to practice activities that are easily performed in their daily lives.

Citations

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Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women
Miseon Seo, Eun-Young Jun, Hyunjin Oh
Frontiers in Public Health.2024;[Epub] CrossRef
Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
Kyong Sil Park, Seon Young Hwang
Asian Nursing Research.2024; 18(2): 81. CrossRef
Effects of Breathing Exercises Using Virtual Reality and Schroth Breathing Exercises on the Lung Function of Adults in Their 20s
Byung-Kon Kim, Wook-Jin Lee
The Journal of Korean Physical Therapy.2024; 36(2): 67. CrossRef
Effectiveness of physical activity monitors in adults: systematic review and meta-analysis
Rasmus Tolstrup Larsen, Vibeke Wagner, Christoffer Bruun Korfitsen, Camilla Keller, Carsten Bogh Juhl, Henning Langberg, Jan Christensen
BMJ.2022; : e068047. CrossRef
Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
Eun Jin Kim, Ju-Hee Nho
Korean Journal of Women Health Nursing.2022; 28(2): 123. CrossRef
Effect and mechanism of tai chi on blood pressure of patients with essential hypertension: a randomized controlled study
Bo LIN, Qiu JIN, Chunhua LIU, Wenhui ZHAO, Runyuan JI
The Journal of Sports Medicine and Physical Fitness.2022;[Epub] CrossRef
The effect of behaviour change interventions on changes in physical activity and anthropometrics in ambulatory hospital settings: a systematic review and meta-analysis
Stephen Barrett, Stephen Begg, Paul O’Halloran, Owen Howlett, Jack Lawrence, Michael Kingsley
International Journal of Behavioral Nutrition and Physical Activity.2021;[Epub] CrossRef
Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
Moon Jung Kang, Jee Seon Yi, Chang Seung Park
Korean Journal of Women Health Nursing.2018; 24(2): 185. CrossRef

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Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy: Yeong Kyong Oh, Seon Young Hwang; J Korean Acad Nurs 2018;48(1):50-58. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.1.50

Abstract PDF

Abstract Purpose

The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients.

Methods

This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis.

Results

Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (b=-.39, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (b=.17, p=.026), social well-being (SWB) (b=.49, p=.010), and functional well-being (FWB) (b=.38, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (b=-.07, p=.024), SWB (b=-.19, p=.008), and FWB (b=-.15, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB.

Conclusion

Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.

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Incertidumbre en mujeres diagnosticadas con cáncer de mama: estudio transversal
Rosa Herminia Pastuña-Doicela, Olivia Inés Sanhueza-Alvarado
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Uncertainty in women diagnosed with breast cancer: a cross-sectional study
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Body change stress, sexual function, and marital intimacy in korean patients with breast cancer receiving adjuvant chemotherapy: A cross-sectional study
Hyesoon Lee, Hyeon Gyeong Yoon
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Factors influencing the supportive care needs of female patients with genital cancer in South Korea
Yu-Jung Son, Keum-Hee Nam, JaeLan Shim
Medicine.2023; 102(51): e36650. CrossRef
An explanatory model of quality of life in high-risk pregnant women in Korea: a structural equation model
Mihyeon Park, Sukhee Ahn
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Impacts of Uncertainty and Social Support on the Quality of Life of Breast Cancer Survivors after Chemotherapy: Based on Self-help Group Participants
Hyenam Hwang, Yoonshin Lee
Asian Oncology Nursing.2023; 23(4): 177. CrossRef
A hermeneutic phenomenological study on the disease experience among young women with breast cancer
Jeonghee Ahn, Kyoung-eun Lee
Asia-Pacific Journal of Oncology Nursing.2023; 10(10): 100310. CrossRef
Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress
Silvia Cerea, Maria Sansoni, Giovanni Scarzello, Elena Groff, Marta Ghisi
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Relationships among sexual function, marital intimacy, type D personality and quality of life in patients with ovarian cancer, with spouses
Ju‐Hee Nho, Sung Reul Kim, Won Ku Choi
European Journal of Cancer Care.2022;[Epub] CrossRef
The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef
The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
Korean Journal of Women Health Nursing.2021; 27(3): 243. CrossRef
Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
International Journal of Environmental Research and Public Health.2020; 17(20): 7532. CrossRef
Effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies
Hye Shin Lee, Sunjoo Boo, Jeong-Ah Ahn, Ju-Eun Song
Korean Journal of Women Health Nursing.2020; 26(1): 72. CrossRef
Impact of Psycho-Social Factors on Fatigue among Breast Cancer Patients Who Are Currently Undergoing Radiotherapy
Hyesun Park, Kisook Kim
International Journal of Environmental Research and Public Health.2020; 17(17): 6092. CrossRef
Health care Utilization of Cancer patient Women at Nursing Hospital
Hye-Sun Park, Kyung-Sook Park
Journal of Digital Contents Society.2018; 19(11): 2139. CrossRef

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Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure: Jae Lan Shim, Seon Young Hwang; J Korean Acad Nurs 2016;46(6):881-893. Published online December 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.6.881

Abstract PDF

Purpose

The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity.

Methods

A randomized control-group pretest-posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0.

Results

At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group.

Conclusion

The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.

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Integrating Generative AI into Clinical Practice Education: Enhancing Personalized Medicine Delivery Skills for Korean Medicine Students
Miso S. Park, Ju Hyun Jeon, Junyoung Hur, Horyong Yoo, Ji-Yeon Lee
Journal of Korean Medicine.2025; 46(1): 87. CrossRef
Development of Core Educational Content for Heart Failure Patients in Transition from Hospital to Home Care: A Delphi Study
Seo-Jin Lee, Bo-Hwan Kim
International Journal of Environmental Research and Public Health.2022; 19(11): 6550. CrossRef
Development of a discharge education program using the teach-back method for heart failure patients
Eui Geum Oh, Hyun Joo Lee, You Lee Yang, Sewon Lee, Young Man Kim
BMC Nursing.2021;[Epub] CrossRef
Effects of a smartphone-based self-care health diary for heart transplant recipients: A mixed methods study
Hye Jin Yoo, Eunyoung E. Suh
Applied Nursing Research.2021; 58: 151408. CrossRef
Validity and Reliability of Revised Version of the Self-Care Behaviors Scale-Korean (SCBS-K19) for Rheumatoid Arthritis Patients
Geungyeong Park, Heeyoung Oh
Korean Journal of Adult Nursing.2021; 33(3): 294. CrossRef
Development of a Mobile App-Based Self-care Health Diary for Heart Transplant Recipients
Hye Jin Yoo, Eunyoung E. Suh
CIN: Computers, Informatics, Nursing.2021; 39(11): 804. CrossRef
Association Between Symptoms of Patients With Heart Failure and Patient Outcomes Based on Electronic Nursing Records
Seung Yeon Baik, Gi Wook Ryu, Hyangkyu Lee, Siwook Lee, Mona Choi
CIN: Computers, Informatics, Nursing.2021; 39(12): 1027. CrossRef
Using Online Self-Management Diaries for Qualitative Research
Seyedehtanaz Saeidzadeh, Stephanie Gilbertson-White, Kristine L. Kwekkeboom, Faezeh Babaieasl, Aaron T. Seaman
International Journal of Qualitative Methods.2021;[Epub] CrossRef
The mediating effect of resilience on the relationship between Type D personality and self‐care behavior in patients with heart failure
Ji Min Heo, Chul‐Gyu Kim
Japan Journal of Nursing Science.2020;[Epub] CrossRef

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Effects of Case-based Small Group Learning about Care of Infected Children for Daycare Center Teachers: Eun Ju Choi, Seon Young Hwang; J Korean Acad Nurs 2012;42(6):771-782. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.6.771

Abstract PDF

Purpose

This study was conducted to develop and implement a case-based small group learning program on the care of children with infectious disease, and to examine its effects on knowledge, attitude and preventive practice behaviors of daycare center teachers compared to a control group.

Methods

Based on the need assessment, the case-based learning program for the management of infectious children was developed. For this quasi-experimental study, 69 teachers were recruited from 14 child daycare centers in a city located in J province. Thirty four teachers were assigned to experimental group and participated in the case-based small group learning once a week for 5 weeks. Data were analyzed using the SPSS 18.0 program to perform χ²-test and t-tests. Analysis of covariance was used to treat the covariate of the number of assigned children between experimental and control groups.

Results

The experimental group showed significantly higher posttest scores in knowledge, attitude and preventive practice behaviors than those of control group (p<.001).

Conclusion

These findings indicate that case-based small group learning is an effective educational strategy for daycare center teachers to learn infection management through the emphasis of self-reflection and discussion.

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A qualitative content analysis based on an extended parallel process model study of daycare center teacher behaviors concerning the eye health of preschool children
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The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 222. CrossRef
Effect of Visiting and a Smartphone Application Based Infection Prevention Education Program for Child Care Teachers: A Non-Randomized Controlled Trial
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Journal of Korean Academy of Nursing.2017; 47(6): 744. CrossRef
The Influence of Case-Based Learning using video In Emergency care of infant and toddlers
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Korean Journal of Adult Nursing.2013; 25(4): 422. CrossRef

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Development and Evaluation of a Small Group-based Cardiocerebrovascular Disease Prevention Education Program for Male Bus Drivers: Eun Young Kim, Seon Young Hwang; J Korean Acad Nurs 2012;42(3):322-332. Published online June 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.3.322

Abstract PDF

Purpose

This study was conducted to examine effects of a small group-based cardiocerebrovascular disease (CVD) prevention education program on knowledge, stage of change and health behavior among male bus drivers with CVD risk factors.

Methods

A non-equivalent control group pretest-posttest design was used. Participants were 68 male bus drivers recruited from two urban bus companies. Participants from the two groups were selected by matching age, education and risk factors. Experimental group (n=34) received a small group-based CVD prevention education program 8 times over 6 weeks and 3 times through telephone interviews at 2-week intervals. Data were collected between December, 2010 and March, 2011, and were analyzed using chi-square test, t-test, and repeated measure analysis of variance with SPSS/Win18.0.

Results

Experimental group showed significantly higher scores in CVD prevention knowledge (p<.001) and health behavior (p<.001) at 6 and 12 weeks after intervention. Participants in pre-contemplation and contemplation stages made progress to contemplation and action. This was significantly better at 6 and 12 weeks after intervention (p<.001).

Conclusion

Results suggest that small group-based education programs for CVD prevention are effective in increasing knowledge, stage of change, and health behavior to prevent CVD among male bus drivers with CVD risk.

Citations

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Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial
Eun Jin Kim, Seon Young Hwang
Journal of Korean Academy of Nursing.2024; 54(1): 44. CrossRef
Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea
Kyong Sil Park, Seon Young Hwang, Bo Youl Choi, June Kim, Sang Il Kim, Woo-Joo Kim, Chun Kang
Epidemiology and Health.2020; 43: e2021002. CrossRef
Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors
So Hee Kang, Seon Young Hwang
Journal of Korean Academy of Nursing.2019; 49(6): 748. CrossRef
Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
Seon Young Hwang, Jin Shil Kim
Asian Nursing Research.2015; 9(4): 291. CrossRef
Effects of a Cardiocerebrovascular Disease Prevention Education Program for Postmenopausal Middle-aged Women
Soo Kyung Choi, In Sook Kim
Journal of Korean Academy of Nursing.2015; 45(1): 25. CrossRef
The Effects of Individual Counseling for Bus-drivers to Cerebrovascular and Cardiovascular Disease Prevention: Secondary Data Analysis
Hye-Sun Jung, Mi-Jung Eum, Insun Jang
Korean Journal of Occupational Health Nursing.2015; 24(4): 281. CrossRef
Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
Won Ju Hwang, Yunhee Park
Journal of Korean Academy of Nursing.2015; 45(6): 857. CrossRef
Knowledge on Cardiovascular Prevention and Nicotine Dependency among Smoking Male College Students
Seon Young Hwang, Kyongok Park
Journal of Korean Academy of Community Health Nursing.2014; 25(2): 75. CrossRef
Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors
Mi-Kyoung Park, Jeong-Hee Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(2): 111. CrossRef
Development and Evaluation of Cardiocerebrovascular Disease Prevention Program for Taxi Drivers
Mi-Yang Jeon, Youngl-SU Song, Hyung-Tae Jung, Jung-Sok Park, Hye-Young Yoon, Eliza Lee
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(9): 4437. CrossRef

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Development and Effects of an e-Learning Program in Operating Room Nursing for Nursing Students: Eun Hee Park, Seon Young Hwang; J Korean Acad Nurs 2011;41(1):36-46. Published online February 28, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.1.36

Abstract PDF

Purpose

This study was conducted to develop an e-Learning program that assists nursing students' clinical practice in operating room nursing and to examine the learning effects.

Methods

Based on content and need analysis, 9 learning modules were developed for nursing care in operating rooms and with operating equipment. To verify the effects of the program, a quasi-experimental pretest-posttest control group design was employed. The participants in this study were 74 third-year nursing students (34 in the experimental and 40 in the control group) from a junior college in G-city, Korea, who were engaged in a one week clinical practicum in an operating unit. Frequencies, χ²-test and t-test with the SPSS program 17.0 were used to analyze the data.

Results

Knowledge was significantly higher in the experimental group compared to the control group (p=.018). However, there was no significant difference between the two groups in self-directed learning. The experimental group had significantly higher motivation toward learning, which was examined posttest only (p=.027).

Conclusion

These results indicate that the implementation of an e-Learning program needs to be continued as an effective educational tool, but more research on the best way to implement e-Learning in students' practicum is needed.

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Evaluating self-directed learning competencies in digital learning environments: A meta-analysis
De-Chih Lee, Ching-Yi Chang
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Sungeun Kim, Mihae Im
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Comparison of Clinical Manifestations and Treatment-Seeking Behavior in Younger and Older Patients with First-time Acute Coronary Syndrome: Seon Young Hwang; J Korean Acad Nurs 2009;39(6):888-898. Published online December 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.6.888

Abstract PDF

Purpose

This study was conducted to examine and compare clinical manifestations and predicting factors for treatment-seeking delay among patients <65 and ≥65 yr with first-time acute coronary syndrome (ACS).

Methods

A total of 288 patients who were diagnosed with ACS were individually interviewed at C university hospital in G-city from November 2007 to December 2008.

Results

Median pre-hospital delays for younger and older patients were 5 and 12 hr, respectively. Younger patients were more likely to be current smokers, heavy drinkers, obese, stressed, and have an unhealthy diet and family history, and to complain of chest pain, left shoulder and arm pain, perspiration, and nausea. Older patients were more likely to have hypertension and diabetes, and to complain syncope and dyspnea. Logistic regression analyses showed that after adjustment for age, gender and education, progressive onset of symptom and no attribution to cardiac problem significantly predicted pre-hospital delay >3 hr in both younger and older patients. Low perceived health status was a significant independent predictor in older patients only.

Conclusion

Health care providers should be concerned with different manifestations between younger and older adults, and educate people at risk for heart attack about symptoms and actions to get immediate help.

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Anti-inflammatory effects of rosuvastatin treatment on coronary artery ectasia patients of different age groups
Cheng-Hui Fan, Ying Hao, Yong-Hua Liu, Xiao-Lin Li, Zhen-Hao Huang, Yu Luo, Rui-Lin Li
BMC Cardiovascular Disorders.2020;[Epub] CrossRef
Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk
Kyung Ae Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2016; 28(4): 424. CrossRef
Gender Differences in Delay Seeking Treatment and Related Experiences in Patients with Acute Myocardial Infarction
Mi-Suk Won, Nah-Mee Shin, Eunsook Kim
Korean Journal of Adult Nursing.2016; 28(4): 459. CrossRef
Cluster dyads of risk factors and symptoms are associated with major adverse cardiac events in patients with acute myocardial infarction
Seon Young Hwang, JinShil Kim
International Journal of Nursing Practice.2015; 21(2): 166. CrossRef
Symptom Clusters in Korean Patients with Acute Myocardial Infarction
Eunjin Park, Jia Lee
Journal of Korean Academy of Nursing.2015; 45(3): 378. CrossRef
Lifestyle Differences between Middle-aged and Old-aged Patients with Acute Myocardial Infarction
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Health and Social Welfare Review.2012; 32(1): 260. CrossRef
Atypical Symptom Cluster Predicts a Higher Mortality in Patients With First-Time Acute Myocardial Infarction
Seon Young Hwang, Young Geun Ahn, Myung Ho Jeong
Korean Circulation Journal.2012; 42(1): 16. CrossRef
Impact of Prodromal Symptoms on Prehospital Delay in Patients With First-Time Acute Myocardial Infarction in Korea
Seon Young Hwang, Julie J. Zerwic, Myung Ho Jeong
Journal of Cardiovascular Nursing.2011; 26(3): 194. CrossRef

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Development and Evaluation of a PBL-based Continuing Education for Clinical Nurses: A Pilot Study: Hee Soon Kim, Seon Young Hwang, Eui Geum Oh, Jae Eun Lee; Journal of Korean Academy of Nursing 2006;36(8):1308-1314. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.8.1308

Abstract PDF

Purpose

The purposes of this study were to develop a PBL program for continuing nurse education and to evaluate the program after its implementation.

Methods

The PBL program was developed in the core cardio-pulmonary nursing concepts through a collaborative approach with a nursing school and a hospital. The PBL packages with simulation on ACLS were implemented to 40 clinical nurses. The entire PBL program consisted of six 3-hour weekly classes and was evaluated by the participants' subjective responses.

Results

Two PBL packages in cardio-pulmonary system including clinical cases and tutorial guidelines were developed. The 57.5% of the participants responded positively about the use of PBL as continuing nurse education in terms of self-motivated and cooperative learning, whereas 20.0% of the participants answered that the PBL method was not suitable for clinical nurses. Some modifications were suggested in grouping participants and program contents for PBL.

Conclusion

The PBL method could be utilized to promote nurses' clinical competencies as well as self-learning abilities. Further research is needed in the implementation strategies of PBL-based continuing education in order to improve its effectiveness.

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Cultural and Ethical Barriers to Cancer Treatment in Nursing Homes and Educational Strategies: A Scoping Review
Cynthia Filteau, Arnaud Simeone, Christine Ravot, David Dayde, Claire Falandry
Cancers.2021; 13(14): 3514. CrossRef

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Comparison of Cardiovascular Risk Profile Clusters Among Industrial Workers: Seon Young Hwang, Ji Hyun Lee; Journal of Korean Academy of Nursing 2005;35(8):1500-1507. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.8.1500

Abstract PDF

Purpose

The purpose of this study was to identify subgroups of the physical and behavioral risk profiles for cardiovascular disease among industrial workers, and to examine predicting factors for the subgroups.

Sample and Methods

Health records of 2,616 male and female workers aged 19-56 years who were employed in an airplane manufacturing industry were analyzed. Data were analyzed using the Latent class cluster analysis.

Results

Four different clusters (two high-risk groups, one low-risk group, and one normal group) were found and these clusters were significantly different by age, gender, and work type (p<.05). The two high-risk groups had higher chances of drinking alcohol, elevated BMI, FBS, total cholesterol, having hypertension, and were significantly older, and had relatively high chances of being day workers rather than other groups. The low-risk group had higher chances of drinking alcohol, higher BMI and total cholesterols compared to normal group, and highest portions of current smokers and shift workers in the four clusters and their mean BP was within prehypertension criteria.

Conclusion

Industrial nurses should guide the lifestyle behaviors and risk factors of the high risk groups for CVD and need to intervene early for behavioral change for the low-risk group who are young and shift workers. Age, and work environment should be considered in planning for targeted preventive interventions for industrial workers.

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Factors Associated with Blue-collar Workers' Risk Perception of Cardiovascular Disease
Won Ju Hwang, OiSaeng Hong, Mi Ja Kim
Journal of Korean Academy of Nursing.2012; 42(7): 1095. CrossRef

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Perception about Problem-based Learning in Reflective Journals among Undergraduate Nursing Students: Seon Young Hwang, Keum Seong Jang; Journal of Korean Academy of Nursing 2005;35(1):65-76. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.65

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Objective

The aim of this study is to explore the variation in perceptions about problem-based learning(PBL) according to the level of academic achievement and learning attitude in the nursing students of a junior college (3-year program).

Method

Students (n=39) learned the respiratory and cardiac system with seven PBL packages and group-based learning for a semester in 2002. Students were asked to write reflective journals that focused on their learning perception after an experience with each learning package. A total of 208 journals were used for analysis.

Result

Students positively perceived that PBL making them increase their sense of responsibility for learning and felt satisfaction with the learning process, and had a confidence in the use of clinical nursing interventions. On the other hand, they negatively perceived that PBL was a burden because it took more time than traditional learning tasks, and they experienced an anxiety about regular tests and felt conflicts and diffidences in the learning process. The negative perceptions were expressed more often from students with a low academic achievement and low learning attitude compared to others.

Conclusion

Students perceived the PBL as effective in understanding the learning concepts in the clinical practice environment. PBL need to be supplemented by feedback-based lecture and facilitative strategies for academically low-achieved students.

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