Aim To systematically review the characteristics and educational outcomes of existing burn care programs for nurses and nursing students. Design Systematic review. Data sources Five databases (OVID, EMBASE, Cochrane Library, CINAHL, and PsycINFO) were searched with no date restrictions up to February 2025. Grey literature was explored through ProQuest for doctoral dissertations, as well as the reference lists of included studies. Review methods Two reviewers independently screened studies, extracted data, and assessed the risk of bias using validated tools. Discrepancies were resolved through discussion or consultation with a third reviewer. A narrative synthesis was conducted due to methodological heterogeneity. Results Eighteen studies met the inclusion criteria, most published after 2016 and conducted in high-income countries. Most interventions used lecture-based or simulation formats, often delivered in single sessions longer than three hours. Programs largely focused on clinical skills such as wound care, pediatric burn management, and referral systems. While most studies reported positive cognitive and affective outcomes, only eight assessed psychomotor skills, and among them, just three demonstrated improvements. Furthermore, only one study evaluated patient-level outcomes, such as pain and distress levels. Conclusions Burn injuries remain a major global health concern yet burn care education within nursing curricula is fragmented and underprioritized. This review highlights the urgent need for sustained, learner-centered, and efficient programs integrating holistic competencies and validated assessments. Strengthening clinical preparedness through such initiatives, alongside robust policy support, is critical to improving outcomes with regard to burn care education and promoting global health equity.

Purpose: To explore the expanded roles and positive contributions of nurses during a medical doctors’ strike in 2024~2025, focusing on how they sustained patient care in a tertiary hospital and deriving educational implications for preparing nurses for the future.Methods: Data were collected through in-depth, face-to-face interviews with 17 nurses, including advanced practice and specialized nurses, from July 22, 2024 to March 21, 2025. Colaizzi’s phenomenological method was used for the data analysis.Results: During the strike, advanced practice nurses primarily assumed responsibilities typically performed by medical residents, whereas specialized nurses mainly undertook the tasks of medical interns, including medical procedures, critical patient care, and medical documentation. Three major themes emerged: (1) perceived improvement in patient care through nurses’ clinical expertise, (2) perceived enhancement of patients’ and caregivers’ experiences through personalized and emotional care, and (3) perceived optimization of care workflows through documentation practices. These experiential findings highlight the need for structured educational preparations to support nurses who assume expanded roles in crisis contexts.Conclusion: Nurses in expanded roles are crucial for maintaining patient safety and quality of care during medical doctors’ strikes. These findings highlight the need to formalize the scope of practice and prepare nurses for role expansion through nursing education. Competency-based curricula and continuing education should prioritize advanced clinical decision-making, high-risk procedures, documentation competence, and interprofessional communication. Establishing standardized protocols, clear role definitions, and organizational support systems is essential for ensuring safe and sustainable role expansion in future crises.

Purpose: This pilot study aimed to develop a procedural performance-oriented back-table setting simulation program and to preliminarily evaluate its effects on knowledge, self-efficacy, and procedural accuracy among undergraduate nursing students.Methods: A pilot quasi-experimental study using a non-equivalent control group pretest–posttest time-lag design was conducted with third-year nursing students at a university. A total of 54 students were assigned to either the experimental group (n=27) or the control group (n=27). The experimental group participated in the simulation program, whereas the control group received conventional didactic operating room safety education. Data were collected at baseline and one week after the intervention. Knowledge and self-efficacy were measured using researcher-developed questionnaires, and procedural accuracy was assessed by two independent raters using a structured checklist. Analysis of covariance was performed to examine group differences while controlling for baseline scores.Results: After adjusting for baseline differences, no significant difference was found in post-intervention knowledge scores (F=0.28, p=.596). However, the experimental group demonstrated significantly higher self-efficacy (F=75.92, p<.001, partial η²=.60) and procedural accuracy (F=150.66, p<.001, partial η²=.75).Conclusion: A procedural performance-oriented simulation program may be more effective in improving performance-related outcomes than declarative knowledge in perioperative nursing education.

Purpose: This study aimed to understand the experiences of dialysis and their meaning among patients with chronic kidney disease through a meta-synthesis of the existing literature. Since 2010, the prevalence of end-stage renal disease has doubled in South Korea, which has the sixth-highest incidence worldwide. Although most kidney disease patients undergo dialysis to attenuate disease-related symptoms and prolong their lives, the implications of dialysis on their lives, together with the role played by patients'significant others, remain underexplored. Similarly, existing research has not considered both patients with hemodialysis and peritoneal dialysis. Methods: In this meta-synthesis, seven electronic databases (PubMed, CINAHL, EMBASE, PsycINFO, DBpia, KISS, and RISS) were searched for the terms "dialysis" and "qualitative." Thirty qualitative studies were selected for examination. Results: The overriding theme observed in the studies was "I do not have much time left."-navigating the dual realities of one's limited existence, while other key themes were: (1) the inevitable experience of the troubles of dialysis, (2) life is extended, but deteriorating in every aspect, (3) accepting dialysis with a positive outlook for life, and (4) essential support experienced in an exhausting life. Conclusion: These findings are important for the design and delivery of practical and tailored nursing interventions to help patients overcome the various challenges related to dialysis treatment, and improve their quality of life.

BACKGROUND:Specialized burn care education for nursing students appears to be limited globally, especially in countries such as South Korea. Storytelling, recognized for its potential to foster emotional engagement and improve memory retention, presents a promising approach to enhancing burn care competencies. AIM:This study developed and evaluated the effectiveness of a storytelling-based burn care education program (SBEP) in improving nursing students' knowledge, attitudes, performance, and self-efficacy. DESIGN:A mixed-methods design was employed, integrating a randomized controlled trial to assess quantitative outcomes and focus group interviews (FGIs) to gather qualitative insights. SETTINGS:The study was conducted in a nursing college in Seoul, South Korea. PARTICIPANTS:Sixty junior and senior nursing students were randomly assigned to the experimental or control group. FGIs were conducted with 25 students from the experimental group. METHODS:The experimental group participated in an SBEP, while the control group completed an independent study with the provided materials. Quantitative data were collected using pre-and post-tests, and qualitative data were obtained from FGIs. RESULTS:The experimental group showed significant improvements in knowledge (w = 765, p < 0.001), performance (w = 879, p < 0.001), and self-efficacy (t = 3.73, p < 0.001) compared to the control group. Three overarching themes emerged from FGIs: (1) Deepening understanding of burn care through stimulated thinking, (2) strengthening practical skills, and (3) enhancing the quality of learning through emotional engagement. CONCLUSIONS:The SBEP effectively improved nursing students' burn care competencies. By fostering emotional engagement and bridging theoretical knowledge with practical application, storytelling offers a valuable approach to addressing educational gaps and preparing future nurses for specialized, patient-centered care.

Purpose: Colon cancer patients and their spouses face significant physical and emotional challenges. This study aimed to compare caregiver burden, marital intimacy, and sexuality information needs between male and female spouses of colon cancer patients and to explore correlations among these variables. Methods: A survey was conducted with 131 spouses from a tertiary care hospital in Seoul. There were 65 male respondents and 66 female respondents. Data collected from January to September 2018 used tools such as caregiver burden, marital intimacy, and sexual information needs and were analyzed using SPSS 25.0. Results: Key findings include significant gender differences: female spouses were found to have a higher caregiver burden, especially in physical and emotional domains, while male spouses reported higher marital intimacy, including emotional and sexual intimacy. Sexual information needs showed no major gender differences, though male spouses had higher sexual satisfaction. Both male and female spouses demonstrated a negative correlation between caregiver burden and marital intimacy, while female spouses notably showed a positive correlation between marital intimacy and sexual information needs. Conclusion: This study indicates that female spouses need nursing interventions to alleviate physical and emotional stress, possibly through support systems such as volunteer programs. Meanwhile, male spouses require education and communication programs to improve marital intimacy.

Purpose: This study aims to explore the trend of nursing education and major research themes in the Journal of Korean Academic Society of Nursing Education (JKASNE) over 30 years.Methods: A total of 1,026 articles, published in the JKASNE from 1995 to 2023, were analyzed using the Microsoft Excel program for descriptive statistics and NetMiner for a word cloud of Korean keywords.Results: Most research subjects were healthy people (n=841). Education-related research topics (n=619) were categorized into nine domains: educational methods, educational curriculum, study type and methods, knowledge level and contents, psychosocial variables related to knowledge and education, attitude, behavior, development and evaluation of educational programs, and effects of educational programs. Quantitative (n=835) and descriptive studies (n=497) were determined to be the most common research designs. Self-reported questionnaires were the most common method used in surveys (n=581) and experimental studies (n=153). Descriptive statistics, Pearson's correlation coefficient, and other statistical techniques were used. The keywords in the JKASNE reflected various aspects of nursing research. General terms related to nursing education, such as "nursing students," "nurses," and "nursing education," appeared with high frequency, while more specific terms and phrases reflecting educational competencies and characteristics, such as "self-efficacy," "clinical performance ability," and "communication knowledge," were also prominently featured.Conclusion: The JKASNE has published mainly education-focused papers. Analyzing the full set of papers published in JKASNE and examining their characteristics is very meaningful and helpful for the future development of Korean nursing education.

Purpose: Transcatheter Arterial Chemoembolization (TACE) is administered repeatedly throughout all stages of liver cancer, often leading to side effects like nausea, vomiting, and retching. This study aimed to evaluate the clinical impact of P6 acupressure using Sea-Band (R) wristbands on these symptoms following TACE. Methods: From October 2017 to March 2018, 90 liver cancer patients were recruited from a tertiary hospital and divided into three groups: control, placebo, and P6 acupressure. The control group received standard nursing care, while the placebo group underwent SI3 acupressure on the lateral hand, and the P6 acupressure group used Sea-Band (R) wristbands for four days. Symptoms were measured at seven time points using Rhodes' INVR tool. Results: Data analysis with SPSS revealed that the P6 acupressure group had significantly lower total INVR scores, as well as reduced vomiting (F=5.53, p< .001) and retching (F=3.35, p< .032) compared to the placebo and control groups. Nausea scores, however, did not show a significant difference across the groups (F=1.78, p< .090). Conclusion: This study highlights that P6 acupressure is a safe, non-invasive, and cost-effective intervention that effectively reduces vomiting and retching in liver cancer patients post-TACE. It recommends incorporating this intervention into clinical practice, alongside comprehensive nursing education on symptom management.

Objective: Cancer pain significantly impacts the overall quality of life of cancer patients, necessitating proactive management. The manifestations of cancer pain vary individually and require tailored interventions to address each patient's unique characteristics. Therefore, this study aims to develop a nurse navigation program for cancer pain (NNP-CP) tailored to the needs of cancer patients requiring pain control, aiming to establish evidence-based clinical nursing practices and promote effective cancer pain management. Methods: This study is a methodological research into developing a pain management program led by nurses for cancer patients requiring pain control, based on a professional navigation framework. The development of the program relied on three out of the five stages of the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model. Results: A literature review was conducted to select the content and rationale to be included in the intervention program. Publications within the last 10 years in English or Korean were identified and screened based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 literature selection flow, 17 articles were included. Standardized information regarding cancer pain control was based on the 7th edition of 'Cancer Pain Management Guidelines'. The initial draft of the pain management intervention program was developed by organizing and structuring the derived content based on the professional navigation framework. Subsequently, the final intervention program was confirmed through the review by six clinical experts specializing in cancer pain. Conclusions: Cancer pain is a significant factor that profoundly influences the quality of life and survival duration of cancer patients. While appropriate management methods offer the prospect of control, insufficient intervention is the current reality. Through the pain management intervention program based on the expert navigation framework that promotes continuity of care and empowers the recipients, this study anticipates not only pain reduction in cancer patients but also an enhancement in their quality of life.

PURPOSE:End-of-life decision-making, particularly relating to withholding life-sustaining treatment (LST), is a complex and emotionally charged process involving healthcare professionals, patients, and caregivers. METHODS:This qualitative study explored the decision-making process in South Korea, where cultural norms and ethical considerations influence the dynamics of shared decision-making (SDM). In-depth interviews were conducted with healthcare professionals, patients, and caregivers using a grounded theory approach to elucidate the themes and processes underlying SDM for LST. This study used the "6C" framework, which could reflect the intricacies of the SDM process. RESULTS:The results suggest that healthcare professionals face emotional challenges and an ethical dilemma in disclosing prognoses and discussing LST withholding, often deferring such discussions until the condition of patients worsens. Cultural factors, such as collectivist values and societal taboos surrounding death, influence decision-making dynamics, highlighting the need for tailored interventions and cultural competence in healthcare settings. CONCLUSION:The proposed "6C" framework provides insights into addressing current challenges in SDM and emphasizes the importance of cultural norms and ethical obligations in end-of-life decision-making. Further research is warranted to examine the SDM process in diverse cultural contexts and develop interventions to enhance patient and family involvement in the decision-making process for LST.

Purpose: The coronavirus disease 2019 (COVID-19) pandemic has caused patients to suffer from various physical and psychological symptoms and social challenges, but the impact was harder for those COVID19 patients receiving treatment in single-room isolation wards in South Korea. This study aimed to investigate resilience, anxiety, depression, and sleep quality of those patients and the relationships between those variables, and explore the patients' experience of resilience during the COVID-19 treatment in single-room isolation wards. Methods: This study employed a mixed-methods approach, collecting quantitative data through surveys and qualitative data through semistructured interviews conducted between May and October 2022. Quantitative surveys encompassing disease-specific and demographic information, visual analog scales to assess anxiety, depression, and sleep quality, and the Connor-Davidson resilience scale were administered to patients (N = 153). Qualitative thematic analyses were conducted following interviews with a subset of patients (N = 13) belonging to the high-resilience group. Results: Resilience exhibited a negative correlation with anxiety and depression, while showing a positive correlation with sleep quality. Factors affecting resilience include having a spouse, educational attainment, and depression. The qualitative thematic analysis results were categorized into: (1) facing the reality of being isolated in a room; (2) struggling to accept and adapt to isolation; and (3) seeking connections in isolation. Conclusions: This research sheds light on the challenges faced by individuals in isolation and underscores the crucial role of resilience in overcoming such challenges. The resilience observed in these patients is grounded in both interpersonal and profound spiritual connections. These findings underscore the necessity for nurses to develop customized strategies to alleviate the impacts of social isolation. (c) 2024 Korean Society of Nursing Science. Published by Elsevier BV. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Due to a worldwide paradigm shift from a medical-centered system to patient-centered care, there is a need to recognize actual (practical) medical service from laypeople. In South Korea, intrinsic healthcare use characteristics such as the “Herd Behavior” have led to waiting many hours for a short treatment time at metropolitan-based major hospitals. Illustrating individual perceptions of an ideal healthcare system should take precedence when defining this issue. This study aimed to explore and describe laypeople in South Korea’s perceptions of ideal healthcare services based on their utilization of medical services. This qualitative study was conducted with 13 members of the National Participation Committee using semi-structured interviews. Qualitative data were analyzed using the thematic analysis method and visualized through a word cloud generated with MAXQDA software. Six themes were derived from the visualized words and an incremental analysis to explore perceptions of desirable medical services. Participants struggled to find a suitable hospital without expert guidance and felt objectified for their money. They distrusted and didn’t want to speak in front of medical professionals. They wanted their essential needs to be met regardless of their economic status. This study provides a description portrait of laypeople’s experiences related to healthcare services in South Korea, where medical services are predominantly provided by private hospitals with public insurance coverage. Users’ desire for tailored information through an integrated medical system that has a strong emphasis on people-centeredness must be embraced.