Purpose: The aim of this study was to identify lifestyle factors related to abdominal obesity and its prevalence in Korean adolescents. Methods: Data from 812 adolescences aged 12 to 18 years who participated in the Korea National Health and Nutrition Examination Survey (2017-2018) were analyzed. Abdominal obesity was defined as a waist circumference above the 90th percentile for sex and age using the 2007 growth chart for Korean children. Multivariate logistic regression analyses were conducted to examine lifestyle factors related to abdominal obesity. Results: The prevalence of abdominal obesity among participants was 11.9%. Weight control efforts and number of days per week with at least 60 minutes of physical activity were lifestyle factors affecting abdominal obesity in Korean adolescents. Conclusion: To prevent and manage abdominal obesity among Korean adolescents, intervention programs that encourage weight control efforts and physical activities are needed.

Purpose: The purpose of this study is to investigate the factors influencing role conflict, nursing professionalism, job satisfaction, and turnover intention of Clinical Nurses with Expanded Roles (CNER) in Korea. Methods: Data were collected from 170 CNER who worked at four general hospitals in Korea. Structured questionnaires were used to assess role conflict, nursing professionalism, job satisfaction, and turnover intention of CNER. The data were analyzed using descriptive statistics, t-tests, ANOVA, Scheffé post hoc analysis, Pearson's correlation coefficient, and hierarchical multiple regression analysis. Results: Role conflict (r=.38, p<.001) had a significantly positive relationship with turnover intention. Age (β=-.21, p=.004), shift work (β=.24, p=.001), and role conflict (β=.40, p<.001) were factors influencing turnover intention. This regression model explained 24% of the variance (F=10.15, p<.001). Conclusion: Important issues include how the role of the CNER is highly conflicted and how intention to change jobs is high, and these issues should be discussed in terms of nurse staff management. Since no related legal system exists in Korea, efforts should be made to solve these problems with CNER by establishing a system of nurse practitioners.

Purpose: The aim of this study was to evaluate the public service motivation of nurses. Methods: Walker and Avant's concept analysis process was used as the framework for this article. We searched Pubmed, CINHAL, Google Scholar, RISS, and DBPia databases using the keywords 'nurse', 'volunteer', 'motivation', 'willingness', and 'public service motivation'. Twenty-five relevant articles were selected. Results: The findings revealed several categories of public service motivation: altruism for public interest, occupational characteristics of nurses, and willingness to participate voluntarily. The antecedents identified were a willingness to work, self-efficacy, a positive perception of service, organizational support, and social atmosphere. The consequences of the public motivation of nurses included growth and development in personal, social, and organizational domains and recognition of the role of nurses. Conclusion: The findings of this study help define public service motivation among nurses based on theoretical evidence. This study will contribute to the development of research tools, educational programs for career development, and efficient nursing staff management systems.

Purpose: The purpose of this study is to develop instructional design for occupational health nursing education using flipped learning. Methods: The instructional design for occupational health nursing developed in this study combined the ADDIE (Analysis, Design, Development, Implementation, Evaluation) and PARTNER (Preparation, Assessment, Relevance, Team activity, Nub lecture, Evaluation, Reflection) models. Results: In the analysis step, course analysis, learner analysis, and environmental analysis are performed. In the design step, chapter lesson-plans, chapter lesson-material development plans, and session-specific lesson plans are included. In the development step, pre-learning materials, lesson materials, and evaluation materials are developed for each session. In implementation, teaching and learning activities are performed for each session of pre-class (preparation, assessment), in-class (relevance, team activity, nub lecture, evaluation), and post-class (reflection). Finally, in the evaluation step, learner evaluation and instructor self-evaluation are conducted. Conclusion: This study provides guidelines and reference materials for occupational health nursing education using flipped learning, as well as for the long-term, future development of nursing education. Therefore, the application and effect of flipped learning in occupational health nursing education should be studied.

Purpose: The aim of this study was to investigate the effect of motivation for change on depression, abstinence self-efficacy, and social support in patients with alcohol use disorder. Methods: The study was performed in closed or opened wards of mental or alcohol clinics in Incheon and Gyeong-gi between July 2 and August 9, 2019. Convenience sampling was used to recruit 185 clinical patients who had been diagnosed with alcohol use disorder based on the DSM-5, the diagnostic criteria of American Psychiatric Association. Data were collected through self-reported questionnaires. Results: Factors influencing subjects' motivation for change were the number of hospitalizations (β=.260, p=.001), age (β=-.193, p=.006), social support (β=.201, p=.014), and abstinence period (β=.168, p=.015). More hospitalizations, younger age, greater social support, and longer abstinence periods led to stronger motivation for change. The rationale was 15.7%. Conclusion: Among patients with alcohol use disorder, social support, the number of hospitalizations, age, and abstinence period affect motivation for change. In addition, repeated hospitalization should not focus on concern regarding recurrence, but should be treated as a facilitating factor.

연구목적: 본 연구의 목적은 임신한 교대근무 간호사의 근로경험을 기술하는 것이다. 연구방법: 본 질적연구에서는 국내의 4개의 상급종합병원에 근무하는 임신한 교대근무 간호사를 대상으로 2016년 1월부터 2017년 3월까지 자료수집을 수행하였다. 눈덩이 굴리기 기법을 이용하여 자료의 포화상태가 이루어질 때까지 18명의 참여자를 대상으로 비구조적이고 개방적인 질문을 통하여 면대면 인터뷰를 수행하였다. 인터뷰 내용은 필사 후 전통적 내용분석 방법을 이용하여 분석하였다. 연구결과: 자료분석 결과 4개의 주제와 10개의 카테고리가 도출되었다. 도출된 주제는 신체적 피로, 죄책감. 동료의 지지, 경력경로의 교차로이다. 결론: 교대근무를 하는 임신한 간호사의 모성보호를 위하여 조직차원의 체계적인 지지체계가 필요하다. 또한 간호사의 임신 및 출산에 맞추어 다양한 복지제도를 제공하여 간호인력이 간호전문직으로서 경력경로를 개발할 수 있도록 기반을 마련하여야 한다.