Purpose: Despite being preventable, diabetes is a major non-communicable disease with a steadily increasing premature mortality rate. Diabetes can cause various complications if not properly managed; therefore, it is necessary to consistently implement management strategies, such as diet and exercise. However, in reality, there are several difficulties. Among these, a lack of motivation, which is a psychological factor, is a major barrier. Therefore, this study aimed to analyze intervention studies based on motivational and self-determination theories for patients with type 2 DM to seek solutions and present future directions. Methods: We searched and analyzed studies utilizing motivational and self-determination theories from 2013 to 2023 using the PubMed database. Results: One study applied Motivational Theory only, whereas the other two applied self-determination theory only. Most studies have utilized theories other than motivational and self-determination theories. As an intervention method, there were many studies that used group sessions of 4~6 or more times and used communication devices such as cell phones to convey, check, or encourage implementation of the mediation content. Among the quantitative studies, only 10 applied Motivational Theory to measure physiological variables. Nine of these studies tested HbA1c levels and reported effective results. In addition, four studies measured physical activity (three reported that it was effective) and seven studies measured socio-psychological variables, reporting that it improved diabetes knowledge and self-efficacy and reduced depression. Conclusion: According to the results of this study, it is beneficial to develop programs in the future by incorporating theories that have been confirmed to be significant, in addition to motivational and self-determination theories. Furthermore, the newly developed intervention program should be structured to increase implementation by providing four to six small group education sessions and forming networks between educators and subjects, as well as providing continuous management through communication tools such as social media and fostering a solid psychological foundation through religious and spiritual experiences so that patients can actively manage themselves(diet control and exercise management).

Purpose: This qualitative study aimed to explore and interpret the meaning and essence of end-of-life care as experienced by nurses in internal medicine wards caring for patients who had completed advance directives (AD). It sought to understand the psychological conflicts, ethical dilemmas, and evolving perceptions of care encountered by nurses during the end-of-life process. Additionally, the study focuses on providing foundational data to support the clinical implementation of the AD system, thereby contributing strategies that improve the quality of end-of-life care and uphold patients' rights and dignity in hospital settings. Methods: A qualitative content analysis was conducted using in-depth, semi-structured interviews with 12 nurses from internal medicine wards in tertiary hospitals located in Seoul and surrounding metropolitan areas. Participants had direct experience in providing end-of-life care for patients with ADs. Interviews focused on capturing nurses’ real-life experiences and reflections related to such care. Data were analyzed systematically following the eight-step qualitative content analysis method proposed by Downe and Wamboldt, allowing for the identification of meaningful categories, themes, and patterns. Results: Analysis revealed five major themes and 16 subthemes. The major themes included: (1) Experiences of repeated end-of-life care and advance directives in internal medicine wards, reflecting the frequent encounters of nurses with terminally-ill patients and their ADs; (2) Multifaceted experiences of end-of-life care based on ADs, suggesting the complexities of care shaped by the presence or absence of ADs; (3) Limitations and dilemmas in AD implementation, highlighting the ethical conflicts arising from low public awareness and inconsistent clinical practices; (4) Shifts in perceptions of life and death, including the development of practical attitudes towards death through repeated exposure to dying patients, illustrating the evolving views of nurses; and (5) Hopes for improving end-of-life care in internal medicine wards, emphasizing the need for enhanced care environments, educational support, and institutional backing. Conclusion: The findings underscore the importance of increasing awareness and improving the clinical application of ADs. Establishing systematic support structures is essential to respect patient autonomy and enhance the quality of end-of-life care in internal medicine wards.

Purpose: This study aims to examine the effect of 'debate education using generative artificial intelligence (AI)' on 'debate efficacy' targeting elementary school students in the 5th and 6th grades. Through this, we aim to provide valuable information on debate classes using generative AI to field teachers and researchers in debate-related studies. This study aimed to provide students with a positive communication experience by allowing them to articulate their arguments, engage with peers, and persuade others. Additionally, it sought to serve as a foundation for fostering students' collaborative communication skills and digital language literacy. Furthermore, in alignment with the introduction of the “Media” domain in the 2022 Revised Korean Language Education Curriculum, this study aimed to offer pedagogical implications for teachers regarding debate education using generative AI. Lastly, it sought to expand the scope of Korean language education by preparing students to actively adapt to the rapidly evolving communication environment of the future society. Methods: To achieve this, a triangulation study combining quantitative and qualitative research methods was conducted. The quantitative research compared and analyzed the pre-post debate self-efficacy of the participants, while the qualitative research explored the effects of debate classes using generative AI by analyzing portfolios generated by the participants. Descriptive statistics and the Wilcoxon signed-rank test were used to analyze quantitative data. As some of the response data from the participants did not satisfy the assumption of normality, the pre-and post-test changes in debate efficacy among the participants were analyzed using a nonparametric Wilcoxon signed- rank test (p<.05). The reliability of this study was verified through Cronbach’s ⍺ value. Portfolio analysis was employed for the qualitative data analysis. Results: The “Debate Self-Efficacy” of the participants was measured pre- and post-intervention using the Wilcoxon Signed-Rank Test. The results showed a significant improvement in all subcomponents of debate self-efficacy, including Emotional Self-Efficacy, Cognitive Self-Efficacy, and Social Self-Efficacy. In particular, significant improvements were observed in the components of Emotional Self-Efficacy, namely ‘expectation,’ ‘persistence,’ and ‘emotion regulation.’ Furthermore, the analysis of portfolios composed of activity sheets developed for this study revealed that engaging in debate activities using Generative AI positively enhanced the debate self-efficacy of the participants. Conclusion: This study demonstrates through action research and empirical analysis that Korean language debate classes utilizing generative AI are effective in enhancing students' debate efficacy. This study hopes to serve as a stepping stone for fostering Inclusivity and enhancing Communication Competence among learners, thereby contributing to the strengthening of their Debate Self-Efficacy. Furthermore, it is expected that this research will contribute to the activation of Debate Education Using Generative AI in school.

Purpose: This study explored teachers’ experiences of practicing character education focusing on Juingonggwanbeop in elementary schools. The goal was to provide universal Juingong-gwanbeop character education programs for schools. Methods: This study used one-on-one in-depth interviews to collect data from teachers working at different elementary schools regarding their character education experiences. The collected data were analyzed using qualitative content analysis. Results: 5 themes and 16 sub-themes were derived from the analysis. The five themes included “Starting Juingong-gwanbeop character education for various reasons”, “Feeling joy when seeing students changing through Juingong-gwanbeop character education”, “Difficulties in managing Juingong-gwanbeop character education”, “Development and dissemination of standardized Juingong-gwanbeop character education programs”. Conclusion: The findings showed that both students and teachers experienced positive changes and growth in their school lives through Juingong-gwanbeop character education. The participants expressed a strong desire to develop universal programs and materials for teachers who have not been exposed to Juingong-gwanbeop.

Purpose: This study aimed to explore the experiences of instructors who participated in and operated a parent education program utilizing the Juingong-gwan practice at the H Science Institute, and to understand the meaning and essence of this program. Methods: This study employed a qualitative content analysis. In-depth individual interviews were conducted with six instructors who participated in the parental education program at H Science Institute. Data were collected over three months from July to September 2023. Results: Seven main themes were identified from the instructors’ experiences in the parent education program at the H Science Institute. The main themes include “Participation with various motivations,” “The essense of parent education: team discussions,” “Feeling compassion and responsibility,” “Challenges in creating lectures,” “Realizing the possibility of mutual change,” “Growth and Transformation through instructor and helper roles,” and “Hope to spread awareness.” Conclusion: This study confirmed that the parent education program utilizing the Juingong-gwan practice at H Science Institute promotes positive changes for both parents and instructors. It also suggests the need for program development, including the use of online platforms, the introduction of step-by-step advanced courses, the provision of follow-up programs, and the expansion of programs that support both teachers and parents.

모기류는 흡혈을 통해 원충, 바이러스, 사상충 등 다양한 병원체를 보유하며 말라리아, 일본뇌염, 웨스트나일열, 뎅기열 등을 사람에게 매 개하는 위해성이 있는 위생해충이다. 이번 연구에서는 해외유입 모기류 감시를 위해 경상남도 고성군에 스마트 고공포집기를 설치하여 2022년 부터 2023년까지 모기류들을 모니터링하였다. 조사기간 동안, 총 3속 5종 43개체가 채집되었으며, 이중 삼일열말라리아를 매개하는 벨렌얼룩날 개모기(Anopheles belenrae)를 경남 지역에서 처음으로 발생함을 확인하였다. 본 연구에서는 스마트 고공포집기를 통해 해외에서 유입가능한 모 기류에 대한 실시간 모니터링이 가능함을 확인하였다.

Purpose: This study aims to explore the in-depth experiences of participating in a parent education program at the H Science Institute and understand the meaning and essence of their experiences. Methods: This study employed qualitative content analysis. Data were collected from June 20 to 30, 2023. Participants were a total of 28 people who could provide detailed experiences of participation in the parent education program at the H Science Institute. Focus-group interviews were conducted with 28 participants. Results: The qualitative content analysis revealed six themes: “Exploring the genuine path to become a parent”, “Precious experiences acquired through education that is not easily accessible”, “Discovering the transformed self through education”, “I believe that there had been a change in family relationships”, “Improvements are required in a few contents”, and “I look forward to the program with more extended outreach”. Conclusion: Efforts are required to understand the current status of parent education, verify its empirical effectiveness, and provide parents with awareness of the necessity to observe and control their minds.

Purpose: This study aims to not only understand the meaning and essence of patients’experiences visiting the Raphael Nanum Homeless Clinic but also explore what kind of healthcare programs they would like to have in the future by appraising patients’experiences in depth. Methods: This study employed a qualitative content analysis method. The data were collected from June 11, 2023, to June 25, 2023. A total of 17 patients who could provide detailed experiences of their visit to the Raphael Nanum homeless clinic participated in this study. We conducted a focus group interview with 6 patients and in-depth one-on-one interviews with the remaining 11 patients. Results: The qualitative content analysis result revealed five themes: “visiting a free clinic for various paths,” “positive experiences at the free clinic,” “negative experiences at the free clinic,” “dissatisfaction with the clinic site,” and “anticipation for the future of the free clinic.” Conclusion: To ensure the right to health and survival of marginalized populations in the future, it is necessary to establish comprehensive healthcare support measures, which include enhancing the facilities of the free clinic and expanding the range of available medical specialties.

이 연구는 2022 개정 교육과정에서 신설된 고등학교 ｢금융과 경제생활｣의 개발 절차, 기본적인 개발 방향과 주안점 등을 다루고 있다. 개발 과정에서 연구진 내부 회의는 물론 각론 조정팀, 현장 교사, 전문가의 검토 과정, 폭넓은 여론 수렴 등의 과정을 거쳤다. 주요 개발 방향은 학생들의 삶과 연계한 교육과정 구성, 성취기준 및 학습량 적정화, 안정된 금융 생활에 필요한 역량 강화로 잡았고, 개발의 주안점은 사회적 변화를 반영한 맞춤형 금융교 육, 범교과 학습 주제 및 국가·사회적 요구 사항 반영, 융합 선택 과목의 취지를 반영한 통합적 접근 및 중복성 배제였다.

Purpose: This study explored illness experiences and the demands for a health-related program tailored to individuals with chronic disease at one of the Korean Seon Centers. It also utilized this information as foundational data for developing a program tailored to their needs. Methods: The study utilized focus group interviews to collect data from members of one of the Korean Seon centers who have chronic disease, regarding their illness experiences and their expectations for disease management programs. The collected data was then analyzed using the qualitative content analysis method. Results: The analysis yielded five overarching themes and 14 subthemes. These themes included opposing responses to disease diagnosis, reflections on the causes of disease, efforts toward disease recovery, obstacles to disease recovery, and the need for a customized disease management program. Conclusion: The findings highlighted the challenges the participants faced in their disease recovery process. They expressed a strong desire for a comprehensive management program that incorporates in-depth information, experience sharing, and education. Such a program would empower individuals to take control of their physical and mental well-being.

Purpose: This qualitative study aimed to understand and describe teachers' experiences of early childhood sex education. Methods: For data collection, in-depth interviews were conducted with 18 early childhood teachers working at daycare centers until the data were saturated. Recorded interviews were transcribed verbatim. The data were analyzed using the qualitative thematic analysis method suggested by Braun and Clarke. Results: Although early childhood teachers recognized the necessity of sex education for children, they experienced difficulties in imparting sex education in daycare centers. Teachers lacked confidence because they themselves had not received proper education related to teaching sex education. It was confirmed that sex education methods and materials were lacking and outdated, and the support of educational institutions was insufficient. Teachers emphasized the importance of communication and cooperation with parents when sexual behavior problems occur in children. Conclusion: Systematic education for teachers and parents is required to raise awareness of sex education and to communicate smoothly among them.

Purpose: This study aimed to identify and understand the experience of entering graduate school in an advanced practice nursing program in the COVID-19 situation. Methods: This qualitative study used content analysis. The data collection using the focus group and in-depth interviews was conducted from February 11 to September 2, 2022. Results: Six themes and 27 subthemes emerged through the qualitative content analysis. The themes included: “Graduate school: The next step”. “Concerns prior to attending grauate school”, “Learning in the COVID-19 era: Differences between expectations and reality”, “Overcoming the challenges of graduate school”, “Education: A stepping stone to becoming a specialist”, “Changes in self and others’ perceptions”. Conclusion: This study confirmed the growth and change of nurses through the experience of entering an advanced practice nursing program in the COVID-19 era.

Purpose: This study aimed to gain an in-depth understanding by analyzing and exploring the work experience of infection control nurses (ICNs) in response to the prolonged COVID-19 pandemic. Methods: Data were collected from 14 ICNs, (two in in-depth interviews and 12 in groups of six) from February 19, 2021, to March 20, 2021, and were analyzed according to the content. Results: In the prolonged COVID-19 pandemic, ICNs took the lead in responding to infectious diseases, where they felt pressure in doing everything. In addition, they were confused by a lack of workforce and undetailed job plans. ICNs have been exhausted by insufficient support and system, such as the lack of support in the hospital, communication with health authorities, and difficulties with patients and visitors. However, ICNs settle with the help and encouragement of those around them. For example, pride in the work that only ICN can do, change in the cooperation of hospitals, and development of ICNs’ unique method of perseverance. Conclusion: During the COVID-19 pandemic, ICNs experienced structural, physical, and mental difficulties at work. Nevertheless, the study found that a driving force enabled ICNs to endure, and that to efficiently respond to new infectious diseases in the future, it is necessary to secure ICNs and strengthen them.

Purpose: The purpose of this study was to explore the nurses’ experience of the side effects of COVID-19 vaccination and understand its meaning. Methods: This study was a qualitative study using the content analysis method. The data collection period using a focus group was from October 26, 2021 to January 23, 2022. Results: The themes included: “Pressure from mandatory COVID-19 vaccination”, “Feeling relieved because the side effects are mild”, “Severe vaccine side effects cause negative emotions”, “Tolerating side effects and coping personally”, “Confusion and alienation about insufficient coping of side effects”, “Feeling skeptical about the COVID-19 vaccination policy”, “Thinking about how to build trust in the COVID-19 vaccine”. Conclusion: In the future, it is considered important to establish scientific evidence through continuous monitoring and data collection of the side effects of COVID-19 vaccination and to build trust in vaccines through transparent information disclosure.

In weapon assignment studies to defend against threats such as ballistic missiles and long range artillery, threat assessment was partially lacking in analysis of various threat attributes, and considering the threat characteristics of warheads, which are difficult to judge in the early flight stages, it is very important to apply more reliable optimal solutions than approximate solution using LP model, Meta heuristics Genetic Algorithm, Tabu search and Particle swarm optimization etc. Our studies suggest Generic Rule based threat evaluation and weapon assignment algorithm in the basis of various attributes of threats. First job of studies analyzes information on Various attributes such as the type of target, Flight trajectory and flight time, range and intercept altitude of the intercept system, etc. Second job of studies propose Rule based threat evaluation and weapon assignment algorithm were applied to obtain a more reliable solution by reflection the importance of the interception system. It analyzes ballistic missiles and long-range artillery was assigned to multiple intercept system by real time threat assessment reflecting various threat information. The results of this study are provided reliable solution for Weapon Assignment problem as well as considered to be applicable to establishing a missile and long range artillery defense system.

Purpose: This study explored and described the lived experiences of nurses in taking care of patients during COVID-19 pandemic in Korea. Methods: Data were collected through individual in-depth interviews with 10 nurses who involved in COVID-19 patient care. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis. Results: Qualitative data analysis revealed three categories: ‘standing in front of the pandemic’, ‘harsh experience of caring for COVID-19 patients’, and ‘finding a way for better COVID-19 patients care’. The lived experience of nurses in caring of patients with COVID-19 infection was ‘finding the best way to provide proper care in unfamiliar and difficult pandemic situation’. Conclusion: The results illustrated the motivation, meaning, and value of pandemic care from the nurses’ perspective. Nurses felt proud of being a part of dedicated hard-working team but distressed by crumbling death without dignity and pressured by being thrown at the front-line in the COVID-19 battle. The advanced practice nurses’ hidden supports and advices were helpful for them to reinforce nursing capacity for optimal care. Nursing professionalism should be enhanced by establishing the scope of practices and providing systematic support with appropriate rewards.

Purpose: The purpose of this study was to understand the forest healing instructor's experiences of providing a forest healing program. Methods: The participants were 12 forest healing instructors who experienced managing a forest healing program at B mountain in C city. Data were collected using focus group interviews and individual in depth interviews and data were analyzed using qualitative content analysis method. Results: As the results of this study, 5 themes and 18 sub-themes were derived. The derived 5 themes were as follows; 1. Choosing a new path as a turning point in life 2. Ambiguity as a new forest healing instructor, 3. Feeling a reward as a forest healing instructor and feeling self-healing. 4. Facing difficulties in operating forest healing programs, 5. Having on-going tasks for the establishment of forest healing programs. Conclusion: In order to provide good forest healing program, we need to develop additional education programs for enhancing professionality as a forest healing instructor and continous long term economical supports and investment for forest healing instructors by the Korea Forest Service.

Purpose: The purpose of this study is to understand the general nurses's experiences of missing patient identification. Methods: Participants were 12 nurses who experienced missing patient identification in general wards in hospitals. Data were collected with focus group interviews and individual in-depth interviews and data were analyzed using qualitative content analysis. Results: As the results of this study, 128 statements, 4 themes and 13 sub-themes were derived. The four themes derived were ‘Situations that we had not to check patient identification properly’, ‘Fear and pressure from the result of missing patient identification’, ‘Feeling guilty to the results of missing patient identification’and ‘Efforts to reassuring patient identification’. Conclusion: In order to prevent the failure of patient identification, we need specialized programs to cultivate patient safety culture not only for nurses, also patients and caregivers, and all departments of hospital. We also need institutional efforts and effective hospital investment and supports for accomplishing the goal.

Purpose: This study was aimed to analyze the research trends by investigating the nursing theories used in research articles in Journal of Korean Academy of Nursing for the last 10 years. Methods: Among the research articles published in the Journal of Korean Academy of Nursing for the past 10 years from 2010 to 2019, the research trends was analyzed by investigating the nursing theories used in the studies. Results: As the results of a survey of 847 papers published in the Journal of Korean Academy of Nursing from 2010 to 2019, 139 studies applied to the theory were extracted. As for the theory, one Grand Theory, Roy’s adaptation model, and 6 Middle Range Theories including Kolcaba’s comfort theory, Pender's health promotion model, King's goal attainment theory, Watson's human caring theory, Reed's self-transcendence theory, Mishel's uncertainty in illness theory. Conclusion: In nursing, more use of nursing theories in research is necessary in the future, not only in quantitative research methods but also in qualitative research.

Purpose: The purpose of this study was to explore and analyze the education experiences of nursing graduate students in training simulation educators. Methods: Data were collected using a focus group method with a total of 13 nursing graduate students who ever participated in simulation education for nursing college students. Results: Four theme clusters and 15 sub-themes were emerged through qualitative content analysis. The core theme was “Flapping wings as a novice simulation educator”. The four theme clusters include ‘Confronting myself where expectations and worries coexist’, ‘Experience a new world untrained in the hospital’, ‘Limitation of simulation hard to reach the reality’, ‘Way to become an expert in simulation education’. Conclusion: Nursing graduate students found that the experiences of novice learners as a simulation educator was rewarding and helpful in increasing their self-confidence prior to being placed in an educational setting. Creating a simulation experience for college students could be a daunting task for educators in nursing. Therefore, continued and sustainable efforts are mandated by developing the curriculum for training simulation educators.