Jiyoung Chun


Sahmyook University


Scopus Publications

Scopus Publications

  • “Meaning in Life” Mediates the Relationship between Loneliness and Depressive Symptoms among Older Adults during the COVID-19 Pandemic
    Chanhee Kim and Jiyoung Chun

    Background: Loneliness was found to be a commonly experienced feeling among older adults during the COVID-19 pandemic and is considered to be a high-risk factor for depressive symptoms. Maintaining meaning in life has been found to be a protective resource for mental health among older adults. The purpose of this study was to examine the mediating effects of an individual’s meaning in life in the relationship between loneliness and depressive symptoms among older Korean adults. Methods: The data were obtained from a sample of 213 community-dwelling older adults aged over 65. The instruments were the UCLA Loneliness Scale, the Center for Epidemiologic Studies Depression Scale, and the Meaning in Life Questionnaire. Results: Loneliness was positively associated with depressive symptoms and negatively associated with the presence of and search for meaning among older adults. The presence of meaning mediated the relationship between loneliness and depressive symptoms but the search for meaning did not. The search for meaning mediated the relationship between loneliness and depressive symptoms through the presence of meaning. Conclusions: Our study findings suggest that efforts to reduce loneliness and improve meaning in life should be undertaken to prevent depressive symptoms among older adults.

  • Healthy lifestyle interventions for childhood and adolescent cancer survivors: a systematic review and meta-analysis
    Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim, Yerin Oh, and Heejin Yoon

    Korean Academy of Child Health Nursing
    Purpose: This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS).Methods: Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software.Results: Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, <i>p</i>=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, <i>p</i>=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, <i>p</i>=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; <i>p</i>=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, <i>p</i>=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, <i>p</i>=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance.Conclusion: Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.

  • Post-Traumatic Growth of Nurses in COVID-19 Designated Hospitals in Korea
    Suk-Jung Han, Ji-Young Chun, and Hye-Jin Bae

    Background: This descriptive survey aimed to identify the factors affecting the post-traumatic growth (PTG) of nurses in COVID-19 designated hospitals on the basis of a PTG model. Methods: A survey of 250 nurses working at three COVID-19 hospitals in Seoul, South Korea, was conducted from May to July 2021. The collected data were analyzed using the IBM SPSS 25 (IBM Inc., Armonk, NY, USA). Results: The participants in this study were mostly women (92.7%), and the average age and career duration were 32.08 and 7.88 years, respectively. The factors that significantly influenced the participants’ PTG were identified as marriage, religion, self-disclosure, deliberate rumination, meaning in life, and resilience. Conclusions: As new infectious diseases emerge, it is necessary to develop a program that can encourage self-disclosure and deliberate rumination, help nurses discover and pursue meaning in life, and enhance their ability to overcome trauma and promote PTG.

  • Initial screening of compassion fatigue in a hospice palliative care team: validation of the silencing response scale
    Jiyoung Chun, Ye Jean Kim, and Kyung-Ah Kang

    Informa UK Limited
    Aims and Objectives: This study aimed to validate a silencing response scale (SRS) for the initial screening of compassion fatigue in hospice palliative care teams (HPCT) members. Background: The silencing response is a defense mechanism that diverts caregivers’ attention from painful and difficult situations. This is an early stage of compassion fatigue. During the silencing response stage, the ability of HPCTs to listen to patients’ requests for assistance decreases, and their professional performance related to tasks and care provision weakens. Design: This study with psychometric evaluation was designed to validate the SRS for the initial screening of compassion fatigue among HPCTs. Methods: After translation-back translation and content validity indexing, 236 HPCT members working in hospice agencies designated by the Korean Ministry of Health and Welfare participated in this survey. The data were analyzed using SPSS and AMOS software. Results: The SRS developed in this study is a self-evaluation tool that employs a five-point Likert scale with 16 items: eight for disinterest, four for situation avoidance, and four for fear. The SRS met the criteria for construct, convergent, and criterion validity. The Cronbach's α for the full SRS was .87. Conclusions: To ensure HPCT well-being, prevention rather than burnout recovery should be prioritized. The SRS developed in this study can be used to screen for compassion fatigue at an early stage to prevent burnout and severe compassion fatigue among HPCT members.

  • Nurse Spiritual Care Therapeutics Scale: Validation Among Nurses Who Care for Patients With Life-Threatening Illnesses in South Korea
    Kyung-Ah Kang, Elizabeth Johnston Taylor, and Jiyoung Chun

    Ovid Technologies (Wolters Kluwer Health)
    Although clinical and empirical literature documents the variety of spiritual care interventions available to palliative care clinicians, the frequency with which they are provided is rarely and inadequately measured. Given the growing interest in implementing spiritual care across Asia, including South Korea, this study sought to cross-culturally validate the Korean version of the Nurse Spiritual Care Therapeutics Scale (NSCTS-K), a scale initially developed in the United States. The World Health Organization process for cross-cultural adaptation of scales and Polit and Yang's process for evaluating validation were implemented. With data from a sample of 252 Korean nurses providing care to patients with life-threatening illnesses, various statistical procedures for evaluating validity and reliability were applied during this cross-sectional, observational study. Exploratory factor analysis for the structural validity of the Korean scale generated 3 factors that accounted for 69.40% of the variance. The Cronbach α was 0.95. The NSCTS-K is one of the few scales available to determine the impact of nurse-provided spiritual care frequency on patient outcomes. Thus, this tool can quantify the frequency of spiritual care better and be used in quality improvement initiatives or palliative care research.

  • Effects of a Patient Experience-Based Virtual Reality Blended Learning Program on Nursing Students
    Hyeon-Young Kim and Jiyoung Chun

    Ovid Technologies (Wolters Kluwer Health)
    When provided with opportunities to view the world from the patients' perspective, nursing students can experience the same practical occurrences and feelings that patients encounter, consequently becoming more aware of their discomfort and pain. This study aimed to evaluate the performance of the patient experience virtual reality blended learning program developed for nursing students. This study is significant in that it presents a program that enables nursing students to not only experience being perioperative patients themselves but also experience their conditions in places other than hospitals, which are generally used as training locations. The analytical results of this study indicated that nursing students who virtually experienced the conditions of perioperative patients through virtual reality blended learning showed increased levels of empathy, positive attitudes toward patient safety treatment, confidence in nursing care, and clinical skill performance. The developed program in this study blended various teaching methods with a virtual reality platform to help junior nursing students with practical and effective perioperative training increase their levels of empathy by simulating the experiences and perspectives of perioperative patients.

  • Web-Based Research Trends on Child and Adolescent Cancer Survivors over the Last 5 Years: Text Network Analysis and Topic Modeling Study
    Hyun-Yong Kim, Kyung-Ah Kang, Suk-Jung Han, and Jiyoung Chun

    JMIR Publications Inc.
    Background Being diagnosed with cancer during childhood or adolescence can disrupt important periods in an individual’s physical, psychosocial, and spiritual development and potentially reduce the quality of life (QOL) after treatment. Research is urgently required to improve the QOL for child and adolescent cancer survivors, and it is necessary to analyze the trends in prior research reported in international academic journals to identify knowledge structures. Objective This study aims to identify the main keywords based on network centrality, subgroups (clusters) of keyword networks by using a cohesion analysis method, and the main theme of child and adolescent cancer survivor–related research abstracts through topic modeling. This study also aims to label the subgroups by comparing the results of the cohesion and topic modeling. Methods A text network analysis method and topic modeling were used to explore the main trends in child and adolescent cancer survivor research by structuring a network of keyword (semantic morphemes) co-occurrence in the abstracts of articles published in 5 major web-based databases from 2016 to 2020. A total of 1677 child and adolescent cancer survivor–related studies were used for data analyses. Data selection, processing, and analyses were also conducted. Results The top 5 keywords in terms of degree and eigenvector centrality were risk, control interval, radiation, childhood cancer treatment, and diagnosis. Of the 1677 studies used for data analyses, cluster 1 included 780 (46.51%) documents under risk management, cluster 2 contained 557 (33.21%) articles under health-related QOL and supportive care, and cluster 3 consisted of 340 (20.27%) studies under cancer treatment and complications. Conclusions This study is significant in that it confirms the knowledge structure based on the main keywords and cross-disciplinary trends in child and adolescent cancer survivor research published in the last 5 years worldwide. The primary goal of child and adolescent cancer survivor research is to prevent and manage the various aspects of the problems encountered during the transition to a normal life and to improve the overall QOL. To this end, it is necessary to further revitalize the study of the multidisciplinary team approach for the promotion of age-specific health behaviors and the development of intervention strategies with increased feasibility for child and adolescent cancer survivors.

  • Hospice palliative care nurses’ perceptions of spiritual care and their spiritual care competence: A mixed-methods study
    Kyung‐Ah Kang, Jiyoung Chun, Hyun Yong Kim, and Hyeon‐Young Kim

    AIMS AND OBJECTIVES To understand hospice palliative care nurses' (HPCNs) perceptions toward spiritual care and their competence to provide spiritual care. BACKGROUND Previous research has shown that many nurses lack a clear understanding of the concept of spirituality and feel inadequately prepared to assess patients' spiritual needs. Studies on competence in spiritual care are mostly descriptive, and the evidence for improving it is limited. DESIGN A mixed methods research design was used. METHODS Quantitative data were collected from 282 nurses in forty Hospice Palliative Care (HPC) institutions in South Korea and analyzed using descriptive statistics, independent t-test, one-way ANOVA with Bonferroni test, and multiple regression. Qualitative data collection involved two stages: first, an open-ended question posed to 282 nurses, and second, focus group interviews conducted with six HPC experts. Both qualitative datasets were analyzed separately using content analysis. This study followed the GRAMMS guidelines. RESULTS Of the six dimensions of spiritual care competence (SCC), the mean scores were highest in "attitude toward the patient's spirituality" and "communication," whereas the "assessment and implementation of spiritual care" and "professionalization and improving the quality of spiritual care" had the lowest mean scores. Through content analysis, 4 themes regarding the meaning of spiritual care, 3 themes regarding requirements for spiritual care, and 2 themes regarding preparedness for spiritual care were revealed. They perceived the needs of the understanding of spiritual care based on the attributes of spirituality, the education in systematic assessments and implementation for spiritual care with standardized terminology, and the opportunity to reflect on nurses' own spirituality. CONCLUSIONS Practical SCC training for HPCNs and the subsequent development of clinical practice guidelines are of vital importance. RELEVANCE TO CLINICAL PRACTICE The results of this study provide a useful resource to develop educational programs for strengthening the SCC of nurses and the entire HPC team.

  • Validation of the disaster preparedness evaluation tool for nurses—the Korean version
    Suk Jung Han and Jiyoung Chun

    (1) Background: The purpose of this study was to validate a Korean version of the disaster preparedness evaluation tool (DPET-K) for nurses and to verify its validity and reliability for use in community healthcare centers and hospitals in South Korea; (2) Methods: In total, 497 nurses (248 for exploratory factor analysis and 249 for confirmatory factor analysis) at public health centers, public health sub-centers, public health clinics, and general hospitals in Seoul and Gyeonggi, Chungcheong, and Gangwon Provinces participated in this study. The tool went through translation and back-translation, content validity verification, a pilot survey, and validity and reliability testing; (3) Results: The DPET-K had 28 items with five factors (disaster education and training, disaster knowledge and information, bioterrorism and emergency response, disaster response, and disaster evaluation). The Cronbach’s α values for internal consistency were 0.766–0.953 for the five subscales of the DPET-K. A structural equation model was built through confirmatory factor analysis for goodness of fit (χ2/df = 2.193, SRMR = 0.060, RMSEA = 0.069, GFI = 0.831, CFI = 0.927, NFI = 0.875); (4) Conclusions: The DPET-K was confirmed to be a useful tool for assessing the disaster preparedness of nurses in Korea.

  • Cross-cultural Validation of the Spiritual Interests Related to Illness Tool-Korean Version
    Kyung-Ah Kang, Iris Mamier, Jiyoung Chun, and Elizabeth Johnston Taylor

    Ovid Technologies (Wolters Kluwer Health)
    Living with a terminal illness, whether as a patient or as the family member of a patient, often involves spiritual challenges. The ability to ascertain and meet the spiritual needs of terminally ill patients and their loved ones is an essential part of providing compassionate and competent whole person care. This study aimed to adapt the original Spiritual Interests Related to Illness Tool (SpIRIT) for use in Korea (SpIRIT-K) and to assess its reliability and validity as a tool to determine the spiritual needs of terminally ill Korean patients and their caregivers. After translation–back-translation and content validity indexing, SpIRIT-K was administered to 106 terminally ill patients and 105 family caregivers in 20 sites across South Korea. SPSS and AMOS were used for evaluating validity and reliability. The 37-item SpIRIT-K consisted of 8 factors (subscales), with each subscale consisting of between 3 and 8 items. Evidence for structural and convergent validity was observed. Internal reliability of the overall scale was 0.95. The findings showed patients and family caregivers reported no significant difference in 7 of the 8 subscales, demonstrating known-groups validity. The rigorous process of establishing cross-cultural validity for this scale provided evidence supporting its validity and reliability. The findings suggest that SpIRIT-K is suitable for research and for clinical purposes in palliative care settings in South Korea. This development also allows for comparisons between Korean and North American cultures in terms of spiritual needs among terminally ill patients and their caregivers.

  • Research trends related to childhood and adolescent cancer survivors in South Korea using word co-occurrence network analysis
    Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, and Hyun-Yong Kim

    Korean Academy of Child Health Nursing
    Purpose: This study analyzed research trends related to childhood and adolescent cancer survivors (CACS) using word co-occurrence network analysis on studies registered in the Korean Citation Index (KCI).Methods: This word co-occurrence network analysis study explored major research trends by constructing a network based on relationships between keywords (semantic morphemes) in the abstracts of published articles. Research articles published in the KCI over the past 10 years were collected using the Biblio Data Collector tool included in the NetMiner Program (version 4), using "cancer survivors", "adolescent", and "child" as the main search terms. After pre-processing, analyses were conducted on centrality (degree and eigenvector), cohesion (community), and topic modeling.Results: For centrality, the top 10 keywords included "treatment", "factor", "intervention", "group", "radiotherapy", "health", "risk", "measurement", "outcome", and "quality of life". In terms of cohesion and topic analysis, three categories were identified as the major research trends: "treatment and complications", "adaptation and support needs", and "management and quality of life".Conclusion: The keywords from the three main categories reflected interdisciplinary identification. Many studies on adaptation and support needs were identified in our analysis of nursing literature. Further research on managing and evaluating the quality of life among CACS must also be conducted.

  • Comparison between Korean and Japanese nursing students in their disaster preparedness
    Suk Jung Han, Chung Min Cho, Young Ran Lee, Kaori Nagasaka, Mie Izummune, Sang Bok Lee, and Ji Young Chun

    Korean Academy of Community Health Nursing
    Purpose: The purpose of this study is to identify differences in disaster awareness, disaster preparedness, and nursing knowledge and practices between Korean and Japanese nursing students. Methods: The study subjects were 4th grade nursing students who completed their nursing education in Korea or in Japan. 359 students from Korea and 135 students from Japan participated in this study. Data were analyzed using IBM SPSS 21.0. The x2 test and the t-test were used to analyze the homogeneity of subjects'' general characteristics and disaster-related characteristics. The comparison between the Korean and Japanese nursing students in disaster awareness, disaster preparedness, and nursing knowledge and practices were conducted using ANCOVA. Results: The Korean nursing students’ disaster awareness, disaster preparedness, and nursing knowledge and practice were different from their Japanese counterparts''. The Korean nursing students recognized that the system of disaster management in Korea was insufficient and the negligence of management was one of the causes of the disaster. They wanted to participate in activities for disaster preparedness education and management. Conclusion: A disaster nursing curriculum dealing with disaster awareness, disaster preparedness, and nursing knowledge and practices, should be developed, implemented, and evaluated particularly for Korean nursing students.

  • The relationships among social discrimination, subjective health, and personal satisfaction of immigrants
    Jiyoung Chun and Insook Lee

    Korean Academy of Community Health Nursing
    Purpose: This study aims to examine the relationships among social discrimination, subjective health, and personal satisfaction based on the country of origin. Methods: The analysis was based on 16,958 immigrants who participated in the National Survey of Multicultural Family 2015 in Korea. This study conducted stratified cross-analysis of social discrimination for the differences in subjective health and personal satisfaction. Multivariate-adjusted odds ratios and 95% confidence intervals for the relationships among social discrimination, subjective health, and personal satisfaction were examined with multivariable logistic regression. Results: There were differences in experience of social discrimination, subjective health status, and personal satisfaction according to the country of origin. Groups without the experience of social discrimination had better subjective health and personal satisfaction than the other groups. Conclusion: This study demonstrates that a discrimination prevention program needs to be developed based on a cultural approach

  • Smartphone addiction level and smartphone use expectation in adults

  • A comparison of health perception, entrapment, suicidal ideation, and care burden of main caregivers of elderly dementia patients according to depression status
    Suk Jung Han and Jiyoung Chun

    Global Vision Press
    With the rapid ageing of Korean society, the number of elderly dementia patients is on a sharp increase. Dementia cannot be cured; so, it has long-term effects not only on patients, but on their main caregivers, too. This descriptive comparative study seeks to analyze differences in the health perception, entrapment, suicidal ideation, and care burden of main caregivers of elderly dementia patients according to depression level and to identify the characteristics of elderly dementia patients. The study subjects are the main caregivers of dementia patients registered in dementia support centers under public health facilities in metropolitan areas. Sixty questionnaire copies were analyzed in this study. The results showed that the main caregivers’ depression status had significant correlations with their entrapment (r=.801), suicidal ideation(r=.495), care burden (.562), health perception(r=-.505), and elderly dementia patients’ hearing (p=.01). Given the study results, prevention and treatment of depression among main caregivers of elderly dementia patients may lower their entrapment, suicidal ideation, and care burden. In addition, since caregivers’ depression is related to elderly dementia patients’ hearing, it is necessary to take into account that relationship.