Search Results (36)

Background/Objectives: Evidence-based practice (EBP) remains limited among clinical nurses worldwide, with Korean healthcare settings facing challenges. This study examined the effectiveness of the research practice ability enhancement program (RPAEP) in strengthening evidence-based practice (EBP) competencies among clinical nurses who had completed master’s coursework without a thesis. Methods: A non-randomized controlled trial was conducted at a tertiary hospital in Korea (June–December 2022). Thirty participants were assigned by convenience sampling to intervention (n = 15) or control (n = 15) groups. The intervention comprised 12 biweekly sessions. The primary outcome was research practice ability (RPA); the secondary outcomes were EBP beliefs (EBPBs), EBP Attitudes (EBPAs), and Nursing Professional Values (NPVs). Analyses employed Wilcoxon signed-rank and Mann–Whitney U tests. The qualitative evaluation used thematic analysis of focus group interviews (FGIs) (n = 12). Results: All participants completed the study. The intervention group showed significant improvements in RPA (within-group: Z = −1.96, p = 0.050, ES = 0.82; between-group: t = −2.39, p = 0.016, ES = 1.02) and EBPBs (t = −3.30, p = 0.005, ES = 0.87). NPVs showed significant between-group differences (t = 2.38, p = 0.024, ES = 0.87), while EBPAs remained unchanged. The FGIs revealed three major themes related to participation in the research practice ability enhancement program: “barriers to research practice,” “guidance for research practice,” and “enhancing research practice ability.” Conclusions: The RPAEP enhanced nurses’ EBP competencies despite the non-randomized design. However, single-site implementation and convenience sampling limit generalizability. Sustained EBP integration requires addressing individual and organizational barriers through comprehensive education with institutional commitment. Full article

Background: Although forest therapy services in South Korea have demonstrated mental and physical effects, there is no established system for forest therapy prescriptions. To this end, it is necessary to devise a systematic model for the introduction of forest therapy prescriptions by linking the existing forest therapy infrastructure and medical services. Therefore, this study aimed to derive the components and application plans needed to devise a forest therapy prescription model for the spread of medical-linked forest therapy services and to secure a forest therapy prescription infrastructure. Methods: To this end, Korean and foreign cases of prescription models and healthcare service provision systems were analyzed to derive the necessary components for prescription models. Subsequently, a Focus Group Interview (FGI) was conducted with eight experts in the fields of forest therapy and welfare, psychiatry, and health and nursing, and opinions were derived regarding the conception and empirical application of the forest therapy prescription model through content analysis. Results: As a result of the study, five components (clear role-sharing and a collaboration system, a continuous system, customized service provision, various technologies and content, and a database-based prescription system) were derived from cases of prescription models and healthcare service provision systems according to field. Furthermore, the FGI identified three primary topics: stakeholders’ scope and role, procedures and effectiveness, and additional considerations. Each was categorized into eight sub-categories relevant to the design of the forest therapy prescription model. Conclusions: These results can be used as basic data for devising a systematic Korean forest therapy prescription model in which forest therapy and medical services are linked, providing a foundation for personalized forest therapy prescriptions to be implemented. Full article

Objectives: This study aims to develop performance indicators for service robotics in senior community-based environments and analyze their impact on independent living and quality of life for older adults. Methods: To achieve this, a sequential exploratory design within the Mixed Methods Research (MMR) framework was employed, integrating qualitative research (Focus Group Interview, FGI) and quantitative research (Analytic Hierarchy Process, AHP). The FGIs were conducted with a panel of six experts over three rounds, leading to the identification of six key performance indicators (KPIs) for service robotics in senior communities: Technical Performance, User-Centered Performance, Social and Psychological Impact, Ethical and Safety Performance, Economic and Operational Performance, and Service Efficiency. Following this, the AHP analysis was conducted with a final sample of 29 participants from an initial 32 respondents. Results: The AHP analysis results revealed that Technical Performance (rank 1, 0.256) was the most critical factor, followed by User-Centered Performance (rank 2, 0.205) and Social and Psychological Impact (rank 3, 0.167). These findings suggest that enhancing a user-friendly, intuitive UI/UX is essential for ensuring ease of use by older adults. Additionally, while Ethical and Safety Performance (rank 3, 0.139), Economic and Operational Performance (rank 4, 0.126), and Service Efficiency (rank 5, 0.105) had relatively lower importance scores, the study highlights the necessity of establishing optimized systems through ethical and safety standards and emphasizes that real-time monitoring systems play a crucial role in enhancing operational efficiency. Conclusions: Enhancing service robotics performance requires prioritizing technical capabilities and user-centered design, along with ethical standards and real-time monitoring. This study proposes a structured evaluation framework to support more effective robotic solutions in senior care environments. Full article

We developed a basic lightweight powered wheelchair model using a participatory action design (PAD). We conducted two types of research to identify users’ desires and satisfaction with wheelchairs: one focused on identifying the problems and needs of manual or powered wheelchair users through focus group interviews (FGIs), and the other focused on capturing users’ post-experience feedback with the developed prototypes through usability testing (UT). We structured scenario-based usability tests and questionnaires to capture the participants’ experiences and needs, with the results indicating that both manual and powered wheelchair users emphasized the product’s lightness, design, cost, and battery and motor performance. This user-focused development resulted in higher satisfaction and usability. The significance of this study lies in the active involvement of wheelchair users throughout the research process, incorporating the obstacles and terrains they encounter in real community environments into the development. Future research should assess the usability of the final lightweight powered wheelchair, aiming to improve its affordability to wheelchair users through public benefits. Full article

This study investigates the perspectives of key stakeholders—teachers, principals, and parents of students with disabilities—regarding the 2022 Revised Curriculum, which integrates sustainability and climate change education into the Creative Experiential Activity (CEA) curriculum in special education. It focuses on their perceptions and needs for improving CEA to reflect hands-on learning and sustainable development goals (SDGs), particularly in areas like ICT integration and social inclusion. Through a focus group interview (FGI) and the KJ method of analysis, key themes were derived and organized into six levels to structure the transcripts. The teacher group identified 69 perceptions and 73 needs, with main themes related to ‘extracurricular operation status’, ‘evaluation of extracurricular activities’, and ‘experience activities’. Their needs highlighted ‘suggestions for the revised curriculum’ and ‘expectations for new activities’. The school expert group recognized 37 issues and expressed 74 needs, focusing on incorporating ICT and SDGs, particularly SDG 4 (Quality Education) and SDG 10 (Reduced Inequalities) into the revised curriculum. The parent group, with 58 recognitions and 56 needs, expressed perceptions of extracurricular activities in terms of ‘related knowledge’, ‘negative emotions’, ‘school status’, and ‘positive attitude toward their child’s participation’. Their primary needs included ‘request for student guidance’, ‘expectation for successful social integration of children (SDG 3: Good Health and Well-being)’, and ‘opportunities for participation in education’. Furthermore, this study addresses gaps previously unexamined in the field of special education by analyzing the distinctive needs of special education settings and proposing concrete solutions to address these unmet needs. The findings underscore the necessity of tailoring educational content to the diverse needs of students with disabilities, promoting inclusive practices that align with SDGs and reflect the evolving educational landscape in special education. Full article

The rapid advancement of digital technology has necessitated a reevaluation of traditional educational methodologies, particularly in literature and visual arts. This study investigates the application of metaverse technology to integrate contemporary poetry and visual arts, aiming to enhance university-level education. The purpose is to develop a convergent teaching method that leverages the immersive and interactive capabilities of the metaverse. The research involves a joint exhibition project with students from Sangmyung University and international participants, incorporating a metaverse-based educational program. A sample of 85 students participated in the program, and their experiences were evaluated through surveys and focus group interviews (FGIs). The findings reveal significant correlations between content satisfaction and method satisfaction, underscoring the importance of engaging and interactive methods. The study also identifies technical challenges and provides insights for optimizing digital platforms for educational purposes. The implications suggest that integrating metaverse technology in arts education can significantly enhance creativity, critical thinking, and interdisciplinary skills, offering a sustainable and innovative approach to modern education. Based on these implications, this paper proposes methods for incorporating the insights gained from case analyses and implications into the design of educational programs. It is anticipated that this approach will contribute to enhancing the quality of convergence education in higher education institutions. Furthermore, it is expected that this program will serve as a starting point for the systematic implementation of integrated education and the use of digital platforms, thereby helping to reduce disparities in integrated education between countries. Full article

In the new normal era, digital nomads are poised to play a pivotal role in driving innovation and revitalizing local economies. Their unique lifestyle and skillset can contribute to positive social and cultural changes, making them valuable assets in shaping the future of work and society. This study explores the characteristics of digital nomads based on remote work and seeks policy ways to attract digital nomads to tourist attractions. Focus group interviews (FGIs) were intended to establish policies related to digital nomads’ tourist sites in the new normal era and to provide implications for strategies to revitalize digital nomads. Each FGI’s panel consists of eight people working for working-level officials, government officials, and public organizations, and it was held three times in about two months, from January to February 2023. FGIs consist of four areas: ‘activating local tourism’, ‘digital transformation’, ‘development of wellness contents’, and ‘creating a settlement environment’. Moreover, eight strategic topics and 24 strategic tasks were derived from each strategic category. Seeking regional attraction strategies for digital nomads is meaningful in responding to paradigm shifts in the new normal era and exploring sustainable local ecosystems. Full article

Nutrition education is a long-term process that should cover various population groups. A special focus should be placed on children, adolescents and their parents. The aim of this research was to find out the opinions of parents of primary school pupils aged 7–12 on their expectations towards school education in the areas of food and nutrition, addressed to both pupils and their parents. The research was conducted among 101 parents of primary school pupils with the use of the Focus Group Interview (FGI) method. It demonstrated that what is most needed are hands-on activities relating to basic theoretical issues. While parents see the need for nutrition education for their children, educating pupils in this area is of interest to only some of the respondents for whom nutrition aspects are quite important. All parents would like formal nutrition education at school, but at the same time, they do not want classes to take up too much of their children’s time, due to the already excessive number of school subjects. It seems appropriate to include everyone in regard to nutrition education, regardless of their declared interest in this issue. The need for consistent presentation of educational content addressed to teachers and parents is very important, so that they can, in a uniform way, shape the attitudes towards food and nutrition of children and adolescents. Full article

Research is increasingly focusing on the health-promoting effects of forest healing programs. A number of different health indicators are in use, necessitating the establishment of standardized health measurement tools and protocols for forest healing. Also, it is necessary to improve the indicators and protocols by incorporating the opinions of program participants and instructors, so we conducted a qualitative analysis based on focus group interviews (FGIs) and in-depth interviews (IDIs). We collected opinions through interviews conducted for about 1 h with 32 participants in the pilot study and three instructors of the forest healing program. We utilized the MAXQDA program, commonly employed for qualitative research, such as coding and analyzing interview transcripts and literature reviews, as part of the qualitative research process. Three researchers coded and categorized the data, and the first author and corresponding author performed the final coding and categorization. Opinions on the five mental health questionnaires, three physical health measures, and exercise behavior measures used in the forest healing program were solicited. Opinions on the measurement protocol were also solicited. Participants faced challenges in completing the mental health questionnaire due to inappropriate terminology, difficulty in providing truthful responses due to repetitive questions, and the complexity of answering exercise-type questions due to the length of the survey and the absence of clear examples. It was identified that improvements are needed in the future. Some participants commented on the need to measure blood circulation and short-term health changes, and others noted that performing measurements in large groups was difficult, such that there was a need to introduce a measurement protocol for groups. This study is the first to qualitatively evaluate the validity of health measurement tools associated with forest therapy programs. It can contribute to the establishment of standardized health indicators and protocols, as well as serve as a valuable reference for selecting measurement tools to evaluate the effectiveness of forest healing interventions. Full article

The article discusses the issue of how potential users perceive automated and autonomous vehicle (AV) technology, emphasizing that its sophistication and reliability are crucial for the safety of driving vehicles with a level of automation starting from the third degree. Safety plays a significant role in determining public acceptance of autonomous vehicles. Without the acceptance of potential users and their willingness to use smart electric vehicles, it is challenging to talk about the rapid implementation of autonomous vehicles, despite their undeniable benefits. The article presents an analysis of survey results regarding public opinion in Poland on this matter. The survey utilized various methods, including CAWI surveys, Focus Group Interviews (FGI), and Individual In-depth Interviews (IDI). The CAWI survey involved 1067 respondents in Poland, with a 95% confidence level and a maximum margin of error of 3%, representing a representative sample of the Polish population aged 16 and above. The article examines issues that illustrate respondents’ acceptance levels concerning perceived security and trust in AVs. The obtained results are compared with opinions from surveys conducted in other countries. Additionally, the article attempts to identify reasons for the low assessment of the technologies among respondents and proposes measures to boost confidence in automated and autonomous vehicles. Full article

The family environment plays a crucial role in creating the health behaviours of children and youth. This study aimed to explore the attitudes of parents with children aged 7–12 who represent an influential environment for creating the eating behaviours of children. A qualitative study was conducted using focus-group interviews (FGI) involving 101 parents from various socioeconomic backgrounds. Three categories of parents were identified based on their level of involvement and awareness of nutrition: ‘aware’, ‘determined’, and ‘relaxed’. Among parents of 10–12-year-old students, an additional category, ‘distanced’ parents, was identified. The study revealed that parents require support in terms of providing compelling arguments and practical recommendations related to meals and reducing or eliminating their children’s consumption of sweets, snacks, fast food, and, in the case of older students, energy drinks. Parents reported that their children had a moderate understanding of the principles of proper nutrition. The majority of respondents viewed this knowledge as primarily theoretical and expressed a need for practical guidance and activities, which they believe should be offered by schools. To achieve positive outcomes in educational activities related to food and nutrition, it is essential to involve children, parents, guardians, teachers, and other school staff in these efforts. Full article

Optimal nutrition is one of the most significant environmental factors affecting human health. The aim of this study was to assess the attitudes of primary school students aged 7–9 towards nutrition considering three fundamental components: knowledge, emotional disposition, and dietary behaviors. The research was conducted using the Focus Group Interview (FGI) technique among 78 children. Considering their attitudes towards food and nutrition, four profiles were identified: “engaged”, “obedient”, “reluctant”, and “indifferent”. Children who were “engaged” and “obedient” due to their parents’ involvement in creating their dietary attitudes exhibited the most alignment with the principles of optimal nutrition. Regardless of profile type, it was observed that children were familiar with recommended and unrecommended food products, as well as the role of water in proper nutrition. It was demonstrated that parents wield the most substantial influence on children’s nutrition. As a result, initiatives promoting the proper nutrition and a healthy lifestyle should commence with parents. Children of nutritionally conscious parents tend to eat more healthily and demonstrate a high nutritional awareness. Conversely, the children of busy parents who lack time for meal preparation more frequently replicate their parents’ nutritional mistakes. These findings emphasize the importance of the family environment in shaping the dietary behaviors of children and youth. Full article

Nonattendance for cervical cancer screening is often understood in terms of a lack of ‘appropriate’ or ‘correct’ knowledge about the risks and prevention of the disease. Few studies have explored how lay persons—the users themselves—interpret and contextualise scientific knowledge about cervical cancer. In this study, we address the following research question: How is the epidemiology of cervical cancer and its prevention discussed among women who are late for cervical cancer screening in Norway? We completed nine focus group interviews (FGIs) with 41 women who had postponed cervical screening. The analyses were both inductive and explorative, aiming to unpack the complexity of lay understandings of cervical cancer. Interactive associations expressed in the FGIs reflected multiple understandings of aetiology and risk factors, screening, and interpretations of responsibility for acquiring cervical cancer. The term ‘candidacy’ was employed to provide an enhanced understanding of lay reasoning about the explanations and predictions of cervical cancer, as reflected in the FGIs. Both interpretations of biomedical concepts and cultural values were used to negotiate acceptable and nuanced interpretations of candidacy for cervical cancer. Uncertainties about risk factors for acquiring cervical cancer was an important aspect of such negotiations. The study’s findings provide an in-depth understanding of the contexts in which screening may be rendered less relevant or significant for maintaining health. Lay epidemiology should not be considered inappropriate knowledge but rather as a productive component when understanding health behaviours, such as screening attendance. Full article

Background: Demand for urban forest programs for the healing of cancer survivors is increasing. To develop a forest healing program for the integrated care of cancer patients, it is necessary to analyze the experiences of forest healing instructors who have conducted programs for cancer patients. Methods: This qualitative study applied focus group interviews (FGIs; four interviews with sixteen participants) to describe and understand the experiences of forest healing instructors who run forest healing programs for cancer patients. Results: Four themes were identified: “prepared encounters and unexpected encounters,” “yearning for healing,” “people who need special care,” and “things to prepare for cancer patient programs.” Conclusion: Forest healing instructors had difficulty facilitating programs for cancer patients owing to prejudice and a lack of knowledge about the characteristics of cancer patients. Moreover, differentiated programs and places that align with the specific needs of cancer patients are needed. It is necessary to develop an integrated care forest healing program for cancer patients and educate forest healing instructors about the needs of cancer patients. Full article

Owing to technological advancements, kiosks have become more prevalent in public places. When using such kiosks, elderly persons and people with disabilities face problems related to accessibility and usability, such as difficulties in kiosk operations such as menu selection and in accessing the kiosk space. Previous studies have usually included accessibility as a subset of usability. However, in this study, we aim to redefine the relationship between these two concepts with a focus on newly emerging kiosk devices. First, we performed a literature review to thoroughly analyze these concepts. Then, we conducted a focus group interview (FGI) targeting people with visual, hearing, and physical impairments to learn about the difficulties that these people face when using kiosks. Finally, we analyzed the characteristics of accessibility and usability related to kiosks and designed a diagram that illustrated the relationship between them. While accessibility and usability shared similarities regarding consistency and user control, they differed deeply regarding their subcategory items; many opinions on accessibility were related to essential functions, whereas many on usability were related to psychological factors such as additional functions or personal preferences. These results can be useful when creating laws and guidelines regarding the accessibility and usability of kiosks or when developing kiosk functions. Full article