KJCKorea
Journal Central

Research Ethics for the Value of Nursing in the Age of Artificial Intelligence

Purpose: This integrative review aimed to clarify the conceptual differences between reflection and reflective practice through an integrative review of relevant concept analysis studies. Methods: A comprehensive literature search was conducted across international and Korean databases between February 11 and March 23, 2025, with no restrictions on publication year. Search terms included “nurse,” “reflection,” “reflective practice,” and “concept analysis.” Only concept analysis studies of reflection or reflective practice in nursing were included. Out of 1,167 retrieved articles, nine were included in the review. Results: Reflective was primarily characterized as an internal cognitive and metacognitive processes aimed at gaining insight and support learning. In contrast, reflective practice emphasized the application of reflection to professional action, focusing on behavioral adjustment and practice improvement in clinical context. Approaches such as reflective thinking aligned with reflection, whereas reflection-in-action aligned more closely with reflective practice. Conclusion: Findings of this integrative review suggest that reflection can be more relevant in educational settings to foster critical thinking. On the other hand, reflective practice can better support clinical performance through action-based strategies. Promoting effective use of both concepts may involve developing complementary educational strategies tailored to their distinct features, along with institutional efforts to clarify their appropriate application.

Purpose: To inform the development of nursing interventions for enhancing successful dialysis management, this study examined the levels of self-efficacy, grit, and depression and identified predictors of self-management in patients undergoing hemodialysis (HD). Methods: Per the established eligibility criteria, the data were collected from 177 patients who were conveniently sampled from those undergoing HD at one healthcare facility in Metropolitan City U and two facilities in City Y over a period of six weeks (July 14 to August 31, 2024). Structured questionnaires were distributed to participants after informed consent was obtained. Seven incomplete questionnaires were excluded, and 170 completed questionnaires were included in the final analysis. Results: Multiple regression analysis identified depression (β=-.38, p<.001), grit (β=.20, p=.001), self-efficacy (β=.20, p=.004), and interdialytic weight gain(β=-.16, p=.010) as significant predictors of self-management, explaining 44.9% of the variance of self-management. Conclusion: The primary goal of HD is to preserve patients’ current health status and avert further deterioration, underscoring the pivotal role of self-management. The results of this study will serve as a foundational basis for developing strategies to enhance self-management and improve the quality of life for patients receiving HD.