KJCKorea
Journal Central

Purpose: This study aimed to develop and evaluate a simulation training program on nursing for pregnant trauma patients. Methods: This study used the ADDIE model: Analysis, Design, Development, Implementation, and Evaluation. An 170-minute trauma nursing simulation training program for pregnant women using a high-fidelity simulator was provided to 16 cadets in the experimental group. The 15 cadets in control group were provided with a 60 minute case study of pregnant trauma patients. We measured the cadets’ clinical performance ability, educational satisfaction, and learning immersion. Results: There was no difference in the homogeneity test between the control and experimental groups. In the experimental group, the improvement of clinical performance ability was statistically significant immediately after the intervention. In addition, the control and experimental groups had a statistically significant difference in educational satisfaction and learning immersion. Conclusion: The simulation program developed in this study will contribute to strengthening both cadets' and nursing officers' trauma nursing competency for pregnant cases which are complex and less frequently encountered in clinical settings. It is necessary to develop simulation based education program considering a multidisciplinary approach.

Purpose: This study aimed to explore the factors associated with health-promoting behaviors among Republic of Korea Navy personnel. Methods: A cross-sectional descriptive study was conducted with 213 active-duty Navy personnel recruited through quota sampling based on rank from three types of naval units: shipboard, submarine, and shore-based units. Data were collected between September 25 and November 7, 2023, using structured questionnaires measuring predisposing, enabling, need factors, as well as health-promoting behaviors of participants based on Andersen’s behavioral model. Of the 213 participants, complete data from 201 participants were included in the analysis. Descriptive statistics, independent t-tests, one-way ANOVA, χ²-test, and multiple linear regression were performed. Results: The factors positively associated with health-promoting behaviors included social support of military colleagues (β=0.02, p=.022), self-rated health status (β=0.49, p<.001), and participation in an obesity management program (β=0.18, p=.001). Conclusion: This study highlights the need of health-promoting interventions, which address the factors associated with health-promoting behaviors identified in this study.

Purpose: This study aimed to explore the reality shock experiences of junior army combat officers and to understand how they psychologically adapt and adjust within the military organization. Methods: A qualitative study was conducted using a phenomenological approach. A purposive sampling strategy was employed to recruit ten junior army combat officers with less than three years of service. Data were collected through in-depth, semi-structured interviews conducted from June 15 to August 6, 2024. The collected data were analyzed using Colaizzi’s phenomenological method to identify essential themes and meanings. Results: Four main themes were derived from the analysis: ‘the burden faced in the gap between expectations and reality,’ ‘the inescapable cycle of duty,’ ‘finding meaning in given circumstances,’ and ‘possibilities for change revealed within an incomplete system.’ Participants experienced psychological distress due to mismatches between training and actual duties, excessive workloads, and a rigid organizational culture. However, they also described efforts to adapt, sought personal meaning in their roles, and emphasized the importance of institutional support for junior officers, the next-generation leaders. Conclusion: This study underscores the need for structural improvements in military leadership training, psychological support systems, and tailored mentoring programs to enhance the adaptation and retention of junior officers.