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Ahn S, Shin S, Joung J. A model for the involvement of service users as instructors into the psychiatric nursing curriculum in Korea: A qualitative study on participation experience. Int J Ment Health Nurs 2024. [PMID: 38235938 DOI: 10.1111/inm.13292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 11/30/2023] [Accepted: 01/09/2024] [Indexed: 01/19/2024]
Abstract
For many years, attempts have been made to incorporate service users into psychiatric nursing education, particularly in European countries and Australia. In Asian countries, however, concrete examples of this are notably scarce, and the limited instances of implementation lack the necessary systematic organisation and long-term sustainability. This study systematically planned and implemented a psychiatric nursing curriculum that integrated service users in Korea. It explored the experiences of 14 nursing students and four service users (who participated as instructors) who participated in these classes. Content analysis was performed on the results of focus group interviews with the participants. Owing to the participation of service users in the programme, students focused more on the patients as human beings, with the contexts of their individual lives, rather than on their diseases. The process facilitated a deeper grasp of person-centred psychiatric nursing and heightened student engagement in the learning process. The service users' experiences as instructors breathed new meaning into their psychiatric distress as an opportunity for new possibilities and helped them view themselves in a positive light, as members of society with self-esteem. They made great efforts to perform well in their role as instructors. These findings provide substantial evidence to support the expanded and sustained implementation of service user participation in future psychiatric nursing education. Establishing a national consortium to foster and support service user instructors could greatly improve psychiatric nursing education and related outcomes.
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Affiliation(s)
- Suyoun Ahn
- Department of Nursing, Seoyeong University, Paju, Republic of Korea
| | - Soyoung Shin
- Samsung Medical Center, Seoul, Republic of Korea
| | - Jaewon Joung
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Republic of Korea
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Shin S, Joung J. COVID-19 coping experiences of individuals with schizophrenia: A grounded theory approach in Korea. Int J Ment Health Nurs 2023; 32:1713-1723. [PMID: 37522422 DOI: 10.1111/inm.13197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 06/22/2023] [Accepted: 07/12/2023] [Indexed: 08/01/2023]
Abstract
Humankind has responded to the profound medical, economic, social, and cultural consequences of coronavirus disease 2019 (COVID-19) by employing various strategies. However, although individuals with mental disorders, including schizophrenia, have suffered more challenges from the infectious disease spread, they have received inadequate attention and care. Hence, this study aimed to explore the experiences of individuals with schizophrenia coping with COVID-19; one-to-one interviews were conducted with 17 individuals diagnosed with schizophrenia in Korea. The data were analysed using grounded theory methodology. The results showed that individuals with schizophrenia became distanced from the routine care they received before COVID-19, faced a dual threat from their mental illness and the emerging infectious disease, and experienced inequity and paradoxical situations. Nevertheless, they strived to live their daily lives by utilizing non-face-to-face access, seeking support from mental health professionals, and devising self-help measures. Moreover, reflecting on their lives throughout the pandemic after returning to their regular daily lives provided an opportunity for healing and growth. This study's results can provide evidence for treating individuals with schizophrenia and other mental disorders during subsequent infectious disease spread. Practical policies and interventions tailored to their vulnerabilities are required.
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Affiliation(s)
| | - Jaewon Joung
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea
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Shin S, Ahn S, Joung J, Kim S. Parents' lived experiences of losing adolescent children in the Korean Ferry Sewol disaster: Lessons through a qualitative meta-synthesis. Death Stud 2023; 48:584-599. [PMID: 37672392 DOI: 10.1080/07481187.2023.2253764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/08/2023]
Abstract
This study meta-synthesized qualitative studies on the parents' experiences of losing their adolescent children due to the human-made disaster, Ferry Sewol disaster in Korea, 2014. Five Korean and five international electronic databases were searched. Twenty-one studies were selected and critically appraised. Thematic analysis was employed. Four themes (with 10 subthemes) were derived: screaming in excruciating pain at the unbelievable deaths of children, family love evolving amidst pain and deepening into higher value, relationships collapsed and reformed while experiencing various social perspectives, and transitioning from a life of holding on to a life of progress. Bereaved parents experience psychological, physical, social pain for a long time, but gradually tried not to waste their children's death, forming new values and life goals. There is pressing need to devise sustained recovery strategies that account for distinct characteristics and needs of affected population groups.
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Affiliation(s)
- Soyoung Shin
- College of Nursing, Seoul National University, Seoul, South Korea
| | - Suyoun Ahn
- Department of Nursing, Seoyeong University, Paju, South Korea
| | - Jaewon Joung
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, South Korea
| | - Sungjae Kim
- College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, South Korea
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Joung J, Oh E, Lee EJ. The experiences of counselors caring for children and adolescents with problematic smartphone use. Sci Rep 2023; 13:12297. [PMID: 37516788 PMCID: PMC10387100 DOI: 10.1038/s41598-023-39494-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 07/26/2023] [Indexed: 07/31/2023] Open
Abstract
This study examines field experts' experiences to ascertain the actual circumstances and strategies to increase the efficacy of intervention programs for children and adolescents with problematic smartphone use. Three focus group interviews were conducted via video conferencing. The data were grouped into three major themes: (1) the screening and inflow phase, which included the inaccuracy of the screening tests, barriers in the inflow process, and the importance of school cooperation; (2) the intervention phase, which included the necessity of developing a program tailored to the target audience, the importance of parental participation, and concerns about the vulnerable; and (3) the maintenance phase, which included the lack of a long-term strategy, the need to re-establish the purpose of the counseling/intervention programs, and the need for systematic maintenance of the system. To improve the reliability of the screening test for children and adolescents with problematic smartphone use, it is necessary to improve the measurement tools and environment. To increase parental involvement, education should be provided on perceiving the severity of problematic smartphone use, and program running hours should be varied. The findings offer information necessary for improving counseling and interventions for children and adolescents with problematic smartphone use.
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Affiliation(s)
- Jaewon Joung
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju-si, 54896, Jeollabuk-do, Korea
| | - Eunhee Oh
- Department of Nursing, Hyejeon College, Hongseong, Korea
| | - Eun Jee Lee
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju-si, 54896, Jeollabuk-do, Korea.
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Abstract
This study examined the experiences of South Korean nursing students in a psychiatric nursing class with consumer involvement. Data on 98 nursing students were collected in June 2021 and analysed using content analysis of participants' journals. Our qualitative study design adheres to the COREQ checklist for qualitative studies. Four main categories and subcategories were identified: (1) reflection, (2) learning, (3) preparation for the future, and (4) requirements. The findings demonstrated that applying consumer involvement to psychiatric nursing education is an innovative and effective strategy to correct negative prejudices among nursing students against people with mental illness.
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Affiliation(s)
- Kyung Im Kang
- College of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of Korea
| | - Soyoung Shin
- Psychiatric Mental Health Department, Samsung Medical Center, Seoul, Republic of Korea
| | - Jaewon Joung
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Republic of Korea
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Joung J, Shin S. Challenges Experienced by Family Caregivers of Individuals With Severe Mental Illness During the COVID-19 Pandemic: An Integrative Review. J Psychosoc Nurs Ment Health Serv 2023:1-8. [PMID: 36720066 DOI: 10.3928/02793695-20230110-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Family caregivers of individuals with severe mental illness (SMI) faced increasing challenges during the coronavirus disease 2019 (COVID-19) pandemic; however, empirical evidence on the general challenges they experienced is lacking. Thus, the purpose of the current integrative review was to explore family caregivers' challenges during the COVID-19 pandemic. A total of nine relevant studies were included. Family caregivers experienced greater care burdens, physical and mental health problems, and limited access to health care services due to the pandemic. It is necessary to develop mental health policies and appropriate interventions to help individuals with mental illness and their family caregivers in the event of future crises. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].
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Abstract
In Korea, virtual simulation is currently replacing clinical practical training for psychiatric nursing due to the COVID-19 pandemic. This study aimed to explore the virtual simulation experiences of nursing students through focus-group interviews. Three categories were derived: 'glad that the patients were not real people', 'bridge between the text world and the real world', and 'supplementations needed for virtual simulation to replace clinical practice'. Although virtual simulation helped acquire knowledge and skills related to psychiatric nursing practice in a safe environment, there were limitations to replacing clinical practice. To overcome this, a diverse approach between students and professors is required.
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Affiliation(s)
- Jaewon Joung
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Republic of Korea
| | - Kyung Im Kang
- College of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of Korea
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Han JW, Joung J, Kang JS, Lee H. A Study of the Educational Needs of Clinical Nurses Based on the Experiences in Training Programs for Nursing COVID-19 Patients. Asian Nurs Res (Korean Soc Nurs Sci) 2022; 16:63-72. [PMID: 35202832 PMCID: PMC8861127 DOI: 10.1016/j.anr.2022.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 01/03/2022] [Accepted: 02/07/2022] [Indexed: 02/01/2023] Open
Abstract
PURPOSE This study aimed to explore the experience of clinical nurses regarding training programs for critically ill patients with coronavirus disease 2019 (COVID-19) and their educational needs. METHODS Qualitative data were analyzed using content analysis, and quantitative data were analyzed according to Borich's formula. Data for the study were collected in March 2021 from 16 nurses who had completed a nursing program for critically ill patients with COVID-19 and were working at three hospitals designated for COVID-19. RESULTS Participants' experiences were classified into three major categories, namely "Participation experiences and perceptions of the training program," "Recommendations for improving the training program," and "Perceptions of working in an infectious environment," and 10 subcategories. According to Borich's formula, the most pressing educational needs in respiratory and non-respiratory nursing, respectively, were for "nursing care for patients on extracorporeal membrane oxygenation" and "application of continuous renal replacement therapy and caring for patients." CONCLUSION To prepare for the periodic emergence of communicable infectious diseases throughout the world and cultivate nursing staff to care for critically ill patients, it is necessary to develop nursing education programs with content corresponding to nurses' needs. This study can be used as base data for cultivating nursing staff for critically ill patients with communicable infectious diseases in keeping with clinical nurses' educational needs and basic educational materials for nursing students. TRIAL REGISTRATION CRIS, KCT0006359. Registered 20 July 2021 - Retrospectively registered, https://cris.nih.go.kr/cris/.
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Affiliation(s)
- Jeong-Won Han
- College of Nursing Science, Kyung Hee University, Republic of Korea
| | - Jaewon Joung
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Republic of Korea
| | - Ji-Soon Kang
- Department of Nursing, Hansei University, Republic of Korea
| | - Hanna Lee
- Department of Nursing, Gangneung-Wonju National University, Republic of Korea.
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Wadhwa M, Kang HN, Thorpe R, Knezevic I, Aprea P, Bielsky MC, Ekman N, Heim HK, Joung J, Kurki P, Lacana E, Njue C, Nkansah E, Savkina M, Thorpe R, Yamaguchi T, Wadhwa M, Wang J, Weise M, Wolff-Holz E, Allam M, Bahaa H, Sayed M, Al-Oballi A, Alshahrani A, Baek D, Kim J, Chua H, Gangakhedkar J, Jagtap MP, Lyaskovsky T, Okudaira S, Ondee W, Sotomayor P, Ricra JS, Uviase J, Ahmed F, Rajendran Y, Defendi HT, Cho SO, Qu A, Acha V, Gencoglu M, Ho K, Baldrighi M, Schiestl M, Watson K, Spitzer E, Chong S, Fukushima A, Kang HN, Knezevic I, Pante G, Simao M. WHO informal consultation on revision of guidelines on evaluation of similar biotherapeutic products, virtual meeting, 30 June – 2 July 2021. Biologicals 2022; 76:1-9. [PMID: 35466023 PMCID: PMC9109723 DOI: 10.1016/j.biologicals.2022.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 02/28/2022] [Accepted: 03/29/2022] [Indexed: 11/26/2022] Open
Abstract
The WHO informal consultation was held to promote the revision of WHO guidelines on evaluation of similar biotherapeutic products (SBPs) adopted by the Expert Committee on Biological Standardization (ECBS) in 2009. It was agreed in the past consultations that the evaluation principles in the guidelines are still valid, but a review was recommended to provide more clarity and case-by-case flexibility. The opportunity was therefore taken to review the experience and identify areas where the current guidance could be more permissive without compromising its basic principles, and where additional explanation could be provided regarding the possibility of reducing the amount of data needed for regulatory approval. The meeting participants applauded the leading role taken by the WHO in providing a much-needed streamlined approach for development and evaluation of SBPs which will provide efficient and cost-effective product development and increase patient access to treatments. It was recognized that the principles as currently described in the draft WHO guidelines are based on sound science and experience gained over the last fifteen years of biosimilar approvals. However, since these guidelines when finalised will constitute the global standard for biosimilar evaluation and assist national regulatory authorities in establishing revised guidance and regulatory practice in this complex area, it was felt that further revision and clarity on certain perspectives in specific areas was necessary to dispel uncertainties arising in the current revised version. This report describes the principles in the draft guidelines, including topics discussed and consensus reached. WHO guidelines serve as a basis for the development of national regulatory framework for biosimilars. Revision of guidelines is to provide more flexibility and clarification on data required for regulatory approval. Revised guidelines would contribute to improving consistency on regulatory decision and patient access to treatments.
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Joung J, Kim B, Choi DJ, Kim E, Kim J, Shin Y, Kim S. Transformation from Marginalization to Society's Agent: A Narrative Inquiry on Experiences of Art Activity among People with Mental Illness. Issues Ment Health Nurs 2022; 43:60-67. [PMID: 34232803 DOI: 10.1080/01612840.2021.1943084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Using in-depth interviews, this study identified the experiences of five people with mental illness who participated in art activities. Findings indicated that the life journey that led to the participants' art activities and the impact of these activities in their lives were different and unique. The voices of the individuals with mental illness who participated in this study provided deeper understanding of how art activities have changed their lives. In addition, it was confirmed that art activities in which people with mental illness participate, bring positive inner changes and have the potential to improve their interpersonal relationships and social interactions.
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Affiliation(s)
- Jaewon Joung
- Department of Nursing, Semyung University, Jecheon-si, Chungbuk, Korea
| | - Byunghee Kim
- College of Nursing, Seoul National University, Jongno-gu, Seoul, Korea
| | - Dug Ja Choi
- College of Nursing, Seoul National University, Jongno-gu, Seoul, Korea
| | - Eunha Kim
- College of Nursing, Seoul National University, Jongno-gu, Seoul, Korea
| | - Jandi Kim
- College of Nursing, Seoul National University, Jongno-gu, Seoul, Korea
| | - Youjin Shin
- College of Nursing, Seoul National University, Jongno-gu, Seoul, Korea
| | - Sungjae Kim
- College of Nursing, The Research Institute of Nursing Science, Seoul National University, Jongno-gu, Seoul, Korea
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Kang KI, Lee N, Joung J. Nursing students' experience of online peer tutoring based on the grow model: A qualitative study. Nurse Educ Today 2021; 107:105131. [PMID: 34509028 PMCID: PMC9756855 DOI: 10.1016/j.nedt.2021.105131] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 08/20/2021] [Accepted: 09/02/2021] [Indexed: 05/25/2023]
Abstract
BACKGROUND With the drastic change in the nursing education environment due to the coronavirus pandemic, several attempts have been made in Korea to help nursing students better adapt to the new learning environment. OBJECTIVE This study aimed to explore nursing students' experience of online peer tutoring based on the Goal-Reality-Options-Will (GROW) model. DESIGN A qualitative study using content analysis. SETTINGS This study was conducted in the department of nursing at two universities in South Korea. PARTICIPANTS The participants were 14 nursing students who participated as tutors and tutees in the online peer tutoring. METHODS Three focus group interviews were conducted with the 14 students. Data were transcribed and analyzed using content analysis. RESULTS Three categories and nine subcategories were extracted. Online peer tutoring allowed participants to learn using a new approach, promoted their efficiency of studying in multiple aspects, and encouraged them to persevere and advance in academics, thus proving its usefulness as an auxiliary strategy to enhance the efficiency of online learning. CONCLUSIONS Structured online peer tutoring can be a useful tool for enhancing the effectiveness of non-face-to-face education for nursing students. This study's results can serve as meaningful basic data for planning and composing learning activities optimized for the future online nursing education environment.
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Affiliation(s)
- Kyung Im Kang
- Department of Nursing, College of Nursing, Dongguk University, Gyeongju, Republic of Korea
| | - Nayoon Lee
- Department of Nursing, College of Nursing, Catholic University of Pusan, Busan, Republic of Korea.
| | - Jaewon Joung
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Republic of Korea
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Joung J, Kang KI, Yoon H, Lee J, Lim H, Cho D, Cha M, Choi B. Peer mentoring experiences of nursing students based on the caring perspective: A qualitative study. Nurse Educ Today 2020; 94:104586. [PMID: 32932060 DOI: 10.1016/j.nedt.2020.104586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 07/20/2020] [Accepted: 08/25/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Care competency is a critical aspect required of nursing students who want to become nurses. Peer mentoring is a useful way to experience the natural care process. OBJECTIVES This study aimed to explore from the caring perspective the experiences of nursing students who have participated in peer mentoring as mentors and mentees. DESIGN This was a qualitative study; individual interviews were conducted and content analysis was performed to explore and describe peer mentoring experiences. SETTINGS This study was conducted in the department of nursing at a university in the Republic of Korea. PARTICIPANTS The participants were nine students in their second to fourth year who participated as mentors and mentees in the peer mentoring program organized by the department of nursing. METHODS Data on participants' experiences of mentoring were collected through individual interviews. The transcribed content was analyzed using content analysis, and the categorized content was reorganized through the framework of the theory of caring. RESULTS The results of the content analysis revealed five categories that formed a sequential process of caring, which became the cycle of another process of care. CONCLUSIONS This study's findings regarding peer mentoring experiences of nursing college students indicate that the program can be effective in improving care competencies related to nursing. Peer mentoring in nursing education could be a useful method to develop students' professional competencies.
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Affiliation(s)
- Jaewon Joung
- Department of Nursing, Semyung University, Jecheon, Republic of Korea
| | - Kyung Im Kang
- Department of Nursing, Dongguk University, Gyeongju, Republic of Korea.
| | - Hyeonhye Yoon
- Department of Nursing, Semyung University, Jecheon, Republic of Korea
| | - Jaeyoung Lee
- Department of Nursing, Semyung University, Jecheon, Republic of Korea
| | - Hyeokjune Lim
- Department of Nursing, Semyung University, Jecheon, Republic of Korea
| | - Daehee Cho
- Department of Nursing, Semyung University, Jecheon, Republic of Korea
| | - Minju Cha
- Department of Nursing, Semyung University, Jecheon, Republic of Korea
| | - Boyeong Choi
- Department of Nursing, Semyung University, Jecheon, Republic of Korea
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Lee SM, Joung J, Shin SH. Effects of Fumanet exercise on Korean older adults with mild dementia. Jpn J Nurs Sci 2019; 17:e12286. [PMID: 31347294 DOI: 10.1111/jjns.12286] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2018] [Revised: 05/24/2019] [Accepted: 06/17/2019] [Indexed: 12/30/2022]
Abstract
AIM This study aimed to examine the effects of Fumanet exercise on cognitive function, walking ability, and depression in older adults with mild dementia. METHODS A quasi-experimental pre- and post-test design with a non-equivalent control group was used. Participants were 45 patients with mild dementia (experimental group = 22, control group = 23). In the experimental group, Fumanet exercise was performed 60 minutes per day, once per week for 8 weeks. Data were analyzed using descriptive statistics, t test, Chi-square, Fisher's exact test, and two-way repeated measures analysis of variance. RESULTS Gait ability in the experimental group was significantly improved compared with the control group (F = 9.08, P = .004). There were no significant differences in cognitive function or depression between the experimental and control groups. Although the intervention did not show a reduction in depression, participants exhibited a high participation rate and brighter mood with increasing sessions. CONCLUSIONS It was confirmed that Fumanet exercise is an effective nursing intervention to improve gait ability among older adults with mild dementia.
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Affiliation(s)
- Sun Mi Lee
- Seongbuk Center for Dementia, Seoul, South Korea
| | - Jaewon Joung
- Department of Nursing, Semyung University, Jecheon, South Korea
| | - Sung Hee Shin
- College of Nursing Science, Kyung Hee University, Seoul, South Korea
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Joung J, Kim S. [Effects of a Relapse Prevention Program on Insight, Empowerment and Treatment Adherence in Patients with Schizophrenia]. J Korean Acad Nurs 2017; 47:188-198. [PMID: 28470156 DOI: 10.4040/jkan.2017.47.2.188] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2016] [Revised: 09/19/2016] [Accepted: 11/04/2016] [Indexed: 11/09/2022]
Abstract
PURPOSE The purpose of this study was to develop a relapse prevention program (RPP) and examine the effects of the RPP on insight, empowerment, and treatment adherence in patients with schizophrenia. METHODS A non-equivalent control group pretest-posttest design was used. Participants were 54 inpatients who had a diagnosis of schizophrenia (experimental group: 26, control group: 28). The study was carried out from February 7, 2012 to February 6, 2013. Over a 10-day period prior to discharge each participant in the experimental group received three one-hour sessions of RPP a one-to-one patient-nurse interaction. Data were collected using Assess Unawareness of Mental Disorder (SUMD), Empowerment Scale, and Insight and Treatment Attitude Questionnaire (ITAQ) and analyzed using PASW 18.0 with chi-square test, independent t-test, Mann-Whitney U test, and ANCOVA. RESULTS The experimental group had a significant increase in insight and treatment adherence compared to the control group. However, there was no significant difference in empowerment between the two groups. CONCLUSION Findings indicate that the RPP for patients with schizophrenia was effective in improving insight and treatment adherence. A longitudinal study is needed to confirm the persistence of these effects of RPP in patients with schizophrenia.
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Affiliation(s)
- Jaewon Joung
- College of Nursing, Seoul National University, Seoul, Korea
| | - Sungjae Kim
- College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
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Joung J, Jang MY, Shim J, Ko Y, Shin SH. Difficulties in Caring for Psychiatric Patient as Experienced by Non-Psychiatric Nurses. J Korean Acad Nurs 2017; 47:49-59. [DOI: 10.4040/jkan.2017.47.1.49] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Revised: 09/19/2016] [Accepted: 11/04/2016] [Indexed: 11/09/2022]
Affiliation(s)
- Jaewon Joung
- Department of Nursing, Kyung Hee University Medical Center, Seoul, Korea
| | - Mi Young Jang
- Department of Nursing, Kyung Hee University Medical Center, Seoul, Korea
- College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea
| | - Jihyun Shim
- Department of Nursing, Kyung Hee University Medical Center, Seoul, Korea
| | - Yoonhi Ko
- Department of Nursing, Kyung Hee University Medical Center, Seoul, Korea
| | - Sung Hee Shin
- College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea
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Joung J, Song I, Joung D. The safety and efficacy of the intravenous recombinant tissue plasminogen activator for the ischemic stroke patients in community based hospital. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Jeong D, Park J, Joung J, Yang Y, Choi Y, Rho H. 97. Values of needle electromyography as a surrogate for the essential tremor. Clin Neurophysiol 2012. [DOI: 10.1016/j.clinph.2011.11.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bading JR, Alauddin MM, Fissekis JD, Shahinian AH, Joung J, Spector T, Conti PS. Blocking catabolism with eniluracil enhances PET studies of 5-[18F]fluorouracil pharmacokinetics. J Nucl Med 2000; 41:1714-24. [PMID: 11038003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Abstract
UNLABELLED Noninvasive methods for measuring the pharmacokinetics of chemotherapeutic drugs such as 5-fluorouracil (FU) are needed for individualized optimization of treatment regimens. PET imaging of [18F]FU (PET/[18F]FU) is potentially useful in this context, but PET/[18F]FU is severely hampered by low tumor uptake of radiolabel and rapid catabolism of FU in vivo. Pretreatment with eniluracil (5-ethynyluracil) prevents catabolism of FU. Hypothesizing that suppression of catabolism would enhance PET/[18F]FU, we examined the effects of eniluracil on the short-term pharmacokinetics of the radiotracer. METHODS Anesthetized rats bearing a subcutaneous rat colorectal tumor were given eniluracil or placebo and injected intravenously 1 h later with [18F]FU or [3H]FU. In the 18F studies, dynamic PET image sequences were obtained 0-2 h after injection. Tumors were excised and frozen at 2 h and then analyzed for labeled metabolites by high-performance liquid chromatography. Biodistribution of radiolabel was determined by direct tissue assay. RESULTS Eniluracil improved tumor visualization in PET images. With eniluracil, tumor standardized uptake values ([activity/g]/[injected activity/g body weight]) increased from 0.72 +/- 0.06 (mean +/- SEM; n = 6) to 1.57 +/- 0.20 (n = 12; P < 0.01), and tumor uptake increased by factors of 2 or more relative to plasma (P < 0.05) and bone, liver, and kidney (P < 0.01). Without eniluracil (n = 5), 57% +/- 4% of recovered radiolabel in tumor at 2 h was on catabolites, with the rest divided among FU (2% +/- 1%), anabolites of FU (38% +/- 7%), and unidentified peaks (4% +/- 2%). With eniluracil (n = 8), catabolites, FU, and anabolites comprised 2% +/- 1%, 41% +/- 5%, and 57% +/- 4%, respectively, of the recovered radiolabel in tumors. CONCLUSION Eniluracil increased tumor accumulation of 18F relative to host tissues and fundamentally changed the biochemical significance of that accumulation. With catabolism suppressed, tumor radioactivity reflected the therapeutically relevant aspect of FU pharmacokinetics--namely, uptake and anabolic activation of the drug. With this approach, it may be feasible to measure the transport and anabolism of [18F]FU in tumors by kinetic modeling and PET. Such information may be useful in predicting and increasing tumor response to FU.
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Affiliation(s)
- J R Bading
- Department of Radiology, University of Southern California, Los Angeles, USA
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