Share Of Services Research Articles

온라인을 활용한 한국어교육 평가 연구 동향 분석

This paper attempted to examine the part of the evaluation of online Korean language education that took place during the pandemic when non-face-to-face classes were activated and to identify the trends and trends of research at the same time. Research on online Korean language education evaluation began in 2006, when the influx of foreigners was active, and various big data analysis methods were used to draw conclusions and gain insight into educational research trends. 88 academic papers were searched through the RISS (Research Information Sharing Service), and the extracted word parts were limited to nouns, and frequency analysis, centrality analysis (degree centrality, close centrality, betweenness centrality), and topic modeling were conducted to derive results and discuss them.

CTIVA: Censored time interval variable analysis.

Traditionally, datasets with multiple censored time-to-events have not been utilized in multivariate analysis because of their high level of complexity. In this paper, we propose the Censored Time Interval Analysis (CTIVA) method to address this issue. It estimates the joint probability distribution of actual event times in the censored dataset by implementing a statistical probability density estimation technique on the dataset. Based on the acquired event time, CTIVA investigates variables correlated with the interval time of events via statistical tests. The proposed method handles both categorical and continuous variables simultaneously-thus, it is suitable for application on real-world censored time-to-event datasets, which include both categorical and continuous variables. CTIVA outperforms traditional censored time-to-event data handling methods by 5% on simulation data. The average area under the curve (AUC) of the proposed method on the simulation dataset exceeds 0.9 under various conditions. Further, CTIVA yields novel results on National Sample Cohort Demo (NSCD) and proteasome inhibitor bortezomib dataset, a real-world censored time-to-event dataset of medical history of beneficiaries provided by the National Health Insurance Sharing Service (NHISS) and National Center for Biotechnology Information (NCBI). We believe that the development of CTIVA is a milestone in the investigation of variables correlated with interval time of events in presence of censoring.

Determining Optimal Cut-Off Value of Pancreatic-Cancer-Induced Total Cholesterol and Obesity-Related Factors for Developing Exercise Intervention: Big Data Analysis of National Health Insurance Sharing Service Data.

This study aimed to examine the effects of multiple parameters on the incidence of pancreatic cancer. We analyzed data from 1,108,369 individuals in the National Health Insurance Sharing Service Database (NHISS DB; birth to death; 2002 to 2015) and identified 2912 patients with pancreatic cancer. Body mass index, systolic/diastolic blood pressure, and fasting blood glucose and total cholesterol concentrations were lower in women with than without pancreatic cancer (p < 0.01). Fasting blood glucose and total cholesterol concentrations were significantly different between men with and without pancreatic cancer (p < 0.05). In the logistic regression analysis, the total cholesterol concentration (odds ratio (OR), 1.007; 95% confidence interval (CI), 1.005-1.010) was significantly higher in men than women with pancreatic cancer (p < 0.05). Pancreatic cancer rates were highest in men who smoked for 5-9 years or more (OR, 5.332) and in women who smoked for 10-19 years (OR, 18.330). Daily intensive exercise reduced the risk of pancreatic cancer by 56% in men (95% CI, 0.230-0.896). Receiver operating characteristic curve analysis revealed a total cholesterol concentration cut-off point of 188.50 mg/dL (p < 0.05) in men with pancreatic cancer, with a sensitivity and specificity of 53.5% and 54.6%, respectively. For women, the cut-off values for weight and gamma glutamyl transpeptidase concentration were 58.5 kg and 20.50 U/L, respectively. The sex-specific differences in patients with pancreatic cancer identified herein will aid in the development of individualized evidence-based prognostic and preventive programs for the treatment of pancreatic cancer.

Social support for nursing students: A concept analysis study

ObjectivesThis study aimed to analyze the concept of social support in nursing students. DesignA concept analysis method was used. Data sourcesArticles on concept analysis, published from 2000 to 2022, were examined. Science Direct, Cumulative Index to Nursing and Allied Health Literature, and Google Scholar were searched to identify international articles, and Research Information Sharing Service, Korean Studies Information Service System, and Database periodical information academic were searched to identify Korean articles. In total, 27 articles were examined. ResultsThe following attributes of social support were found: 1) structural (social integration and social support network); 2) educational (academic support and support of a role model); 3) psychosocial (emotional, positive appraisal, and self-esteem supports); and 4) instrumental (informational and material supports). Furthermore, social support was found to have the following antecedents: 1) stress and crisis, 2) personal need, 3) social network, and 4) social climate. The consequences of social support were as follows: 1) improved mental health and 2) quality of life. ConclusionsSocial support among nursing students includes both structural and functional attributes. Structural attributes are social integration and support networks, and functional attributes are educational, psychosocial, and instrumental. Based on the results, we recommend developing a tool to measure social support for nursing students in the future.

텍스트마이닝 기법을 활용한 국내 음악교육 연구 동향 분석: 4차 산업혁명이 음악교육 분야에 미친 영향을 중심으로

The purpose of this study is to understand the impact of the Fourth Industrial Revolution on music education by analyzing research trends in the field. To this end, we extracted research papers from the Research Information Sharing Service (RISS) using keywords such as 'Fourth Industrial Revolution,' 'Artificial Intelligence,' 'Big Data,' 'Virtual Reality,' 'Augmented Reality,' and 'Deep Learning.' After collecting the titles, abstracts, and keywords of these papers, we performed text-mining analyses, including keyword analysis, network centrality analysis, and LDA topic modeling. The results of this study are as follows: First, in the TF and TF-IDF analyses, 'Artificial Intelligence' and 'Music' were identified as the most influential keywords, and 'Program-Development' emerged as the most frequently co-occurring keyword combination. Second, the centrality analysis revealed that the keywords 'Music,' 'Education,' and 'Artificial Intelligence' had nearly equal importance. Third, the topics extracted through LDA topic modeling included subjects such as AI-based music education programs, content development, and the future direction of music education in relation to AI platform technologies.Further research is needed to explore the measures and effectiveness of practical applications that link various technologies of the Fourth Industrial Revolution with teaching and learning.

Understanding prospective and actual users of campus-based electric moped sharing from a behavioral reasoning perspective – Insights from Taiwan

Shared transportation services using electric two-wheelers have been appearing in cities worldwide. They have the potential to reduce the burden of private, fossil-fueled vehicles on urban areas. Residents' acceptance and adoption behavior needs to be understood by policymakers, planners, and operators in order to promote such services. Campus-like settings, such as universities, can serve as nuclei for these new services. Taiwan has one of the highest moped densities in the world. Young people are the largest user segment of electric moped sharing, which is under researched. The purpose of this research is to investigate the subjective barriers and facilitators that drive the formation of (continued) usage intentions. Empirical and qualitative data from 443 users and non-users of an electric moped sharing in Kaohsiung are collected. This facilitates an investigation using structural equation modelling and multi-group analysis. We find different groups of respondents have different reasons for and against adoption intentions based on their mode use habits, demographic features, and word associations. Some modes habits are associated with higher usage intentions, while others are not. The results and insights may prove useful for policymakers or operators seeking to increase uptake of electric moped sharing services.

Impact of meteorological factors on the incidence of hand-foot-mouth disease in Yangzhou from 2017 to 2022: a time series study.

Hand, foot, and mouth disease (HFMD) is a significant public health issue in China, and numerous studies have indicated a close association between HFMD incidence and meteorological factors. This study aims to investigate the relationship between meteorological factors and HFMD in Yangzhou City, Jiangsu Province, China. HFMD case reports and meteorological data from Yangzhou City between 2017 and 2022 were extracted from the National Notifiable Infectious Disease Surveillance System and the Meteorological Data Sharing Service System, respectively. A generalized additive model (GAM) was employed to assess the exposure-response relationship between meteorological factors and HFMD. Subsequently, a distributed lag nonlinear model (DLNM) was used to explore the exposure-lag-effect of meteorological factors on HFMD. HFMD in Yangzhou City exhibits obvious seasonality and periodicity. There is an inverted "U" shaped relationship between average temperature and the risk of HFMD, with the maximum lag effect observed at a temperature of 25°C with lag 0 day (RR = 2.07, 95% CI: 1.74-2.47). As the duration of sunshine and relative humidity increase, the risk of HFMD continuously rises, with the maximum lag effect observed at a sunshine duration of 12.4 h with a lag of 14 days (RR = 2.10, 95% CI: 1.17-3.77), and a relative humidity of 28% with a lag of 14 days (RR = 1.21, 95% CI: 1.01-1.64). There is a "U" shaped relationship between average atmospheric pressure and the risk of HFMD, with the maximum effect observed at an atmospheric pressure of 989 hPa with no lag (RR = 1.45, 95% CI: 1.25-1.69). As precipitation increases, the risk of HFMD decreases, with the maximum effect observed at a precipitation of 151 mm with a lag of 14 days (RR = 1.45, 95% CI: 1.19-2.53). Meteorological factors including average temperature, average atmospheric pressure, relative humidity, precipitation, and sunshine duration significantly influenced the risk of HFMD in Yangzhou City. Effective prevention measures for HFMD should be implemented, taking into account the local climate conditions.

Acupoint catgut embedding for simple obesity in animal studies: a systematic review and Meta-analysis.

To assess the efficacy of acupoint catgut embedding (ACE) for simple obesity in preclinical animal experiments. We searched the following 14 electronic databases: PubMed, Cochrane Library, EMBASE, Oriental Medicine Advanced Searching Integrated System, KoreaMed, Korean Studies Information Service System, Science-on, Research Information Sharing Service, Korea Citation Index, Korea Traditional Knowledge Portal, China Network Knowledge Infrastructure Database, Wanfang Database, Chinese Science and Technology Journal Database, and Chinese Biology Medicine Database, from inception to November 2021 without language limitation. The assessment was performed according to the guidelines of Animal Research: Reporting of experiments; and Meta-analysis was performed using Reviewer Manager 5.4.1 software. Twenty-four studies involving 813 animals were selected. Meta-analysis showed that ACE was beneficial for weight control [ 40, = -50.63, 95% (－57.59, －43.67), 0.000 01, = 0%] and reduced the Lee index [ 40, = －18.79, 95% (－20.01, －17.57), 0.000 01, = 0%]. However, when efficacy of ACE was compared with that of manual acupuncture, electroacupuncture, or oilistat therapy, statistical difference was not observed between the two groups. This systematic review suggests that ACE may be efficacious in treating obesity. Moreover, the analyses highlighted the necessity to perform well-designed, higher-quality experiments.

Bioterrorism-Related Training Programs for Healthcare Workers: A Systematic Review

This study determined the status and outcomes of bioterrorism-related training programs for healthcare workers. While media-based education/training uses simulations, games, and web-based programs, evidence of their effectiveness and relevant systematic reviews remain scarce. This systematic review focused on articles published in PubMed, EMBASE, CINAHL, PsycINFO, Cochrane Library, and Research Information Sharing Service between January 1, 1990 and September 17, 2023. Among 2,592 identified articles, literature quality was assessed in 12 articles. In the most articles, bioterrorism-related knowledge and problem-solving ability significantly increased following interventions. However, quality assessment results provided insufficient evidence regarding improvement in healthcare workers’ preparedness to face bioterrorism after undergoing bioterrorism-related training programs. Developing easily accessible and regularly implemented bioterrorism training programs for healthcare workers could enhance their preparedness toward terrorism and provide high-quality evidence for effective bioterrorism responses.

The alleviative effect of acupuncture combined with cognitive behavioral therapy on anxiety of accounting personnel

BackgroundThis study aims to investigate the alleviating effect of Acupuncture combined with Cognitive-Behavioral Therapy (CBT) on anxiety disorders among accounting professionals in the financial sharing services model. Anxiety disorders are prevalent among accounting professionals due to the high-pressure work environment, and effective interventions are essential to mitigate their negative impact.Subjects and MethodsA total of 120 accounting professionals working in the financial sharing services model were recruited for this study. They were randomly divided into three groups: the Acupuncture combined with CBT group (n=40), the CBT alone group (n=40), and the control group (n=40). The participants’ anxiety levels were measured using the Stanford Acute Stress Response Questionnaire (SASRQ) and the 3-min Confusion Assessment Scale (3D-CAM). The intervention was conducted over a period of six weeks, with regular sessions once a week.ResultsStatistical analysis using SPSS23.0 revealed a significant reduction in anxiety levels in both the Acupuncture combined with CBT group and the CBT alone group compared to the control group (P&lt;0.001). However, the Acupuncture combined with CBT group exhibited a more substantial decrease in anxiety symptoms compared to the CBT alone group (P&lt;0.05), as measured by the SASRQ and 3D-CAM. These results suggest that the combination therapy has a more significant effect on alleviating anxiety disorders among accounting professionals.ConclusionsThis study demonstrates the efficacy of acupuncture combined with CBT in reducing anxiety disorders among accounting professionals in the financial shared service model. These findings highlight the importance of combining complementary therapies, such as acupuncture, with established psychological interventions to achieve more comprehensive treatment outcomes.AcknowledgementThe 2017 Shaanxi Provincial Department of Education project (No. 17JK0942); The 2021 Xi’an Social Science Planning Fund project (No. JX163); The 2022 Shaanxi International Business School Science and Technology Innovation Team Construction Project (No. 2022KYTD05).

텍스트마이닝을 활용한 작업관련성 근골격계질환 연구동향 분석

Domestic musculoskeletal disorders have been on the rise since the 1997 IMF crisis, as rapid changes in work environments and practices, such as mechanization, automation, and specialization, have been implemented by various companies to enhance productivity. Furthermore, with increasing awareness and concern among workers, the government has been conducting harmful factor and causal investigations related to musculoskeletal disorders caused by burdensome work tasks through the amendment of Article 39 of the Industrial Safety and Health Act since 2003.&#x0D; To ensure the proactive prevention of work-related musculoskeletal disorders and minimize work-related losses for workers' safety, there is a continuous need for systematic and comprehensive research. To address this, the present study conducted a trend analysis to explore new perspectives for preventing industrial accidents.&#x0D; The literature collection comprised a total of 653 domestic theses and academic papers from 2003 to 2022 that included the keyword 'musculoskeletal disorder,' gathered through search engines such as the Korean Citation Index (KCI) and the Research Information Sharing Service (RISS). The data were categorized into two periods: the first period from 2003 to 2012 and the second period from 2013 to 2022. Text mining was employed to analyze the frequency (TF) and network connections, which were subsequently visualized.&#x0D; The results revealed that the top keywords in work-related musculoskeletal disorder research throughout the entire period (2003 to 2022) were 'work,' 'musculoskeletal disorder,' and 'symptoms,' consistently recognized as essential research topics in both the first and second periods. In the first period, the most frequently discussed factors influencing workers' musculoskeletal disorders included 'posture,' 'physical condition,' 'environment,' 'job stress,' 'time,' 'age,' and the term 'survey' was prominent among the top keywords. In the second period, keywords like 'comparison,' 'development,' 'measurement,' 'method,' and 'investigation' emerged.&#x0D; N-Gram analysis indicated that the simultaneous occurrence of the 'musculoskeletal disorder-symptoms' keyword was the most frequent throughout the entire period, followed by high frequencies of 'musculoskeletal disorder,' 'pain,' 'awareness,' and 'burden.' In the first period, body part-related keywords like 'hand-wrist,' 'shoulder-back,' 'wrist-finger,' and 'back-leg' were prominent. In the second period, keywords such as 'workload,' 'safety-health,' 'factor-investigation,' 'risk-assessment,' and 'occupational accident-insurance' were observed.&#x0D; This study attempted the first analysis of theses and academic papers on work-related musculoskeletal disorders using text mining, a big data analysis method. The findings contribute to suggesting future research directions on work-related musculoskeletal disorders, holding significant implications for the field.

RETRACTED ARTICLE: Financial Shared Service, Digital Transformation and Corporate Value Creation

The trend of Chinese enterprises has defied the hard-hit international investment and trade activities of recent years. The scale and globalization of local enterprises continue to develop, and the enterprise management efficiency has become increasingly prominent. This paper delves into the strategic importance of FSSC in augmenting corporate value, and examines the link between digital transformation and the formation of FSSC. The introduction of FSSC and its accompanying digital technology marks a new juncture for corporate reform. Based on RBV and DCV, this paper studies the strategic significance of FSSC to enhance corporate value, and deconstructs the relationship between digital transformation and the development process of financial shared service centers. Based on the time-varying DID, 335 listed companies were selected for a quasi-natural experiment. The results showed that: (1) financial shared service centers can significantly promote the improvement of corporate value. (2) Digital transformation can promote the establishment and development of financial sharing service centers, thus promoting the improvement of corporate value. (3) The effects of FSSC and digital transformation are characterized by heterogeneity. The worth of financial shared service centers for non-state-owned and manufacturing companies is substantial. Digital transformation has a noteworthy positive moderating effect on them but has no considerable moderating effect on state-owned and non-manufacturing companies. The government ought to bolster policy direction, keep up the digital transformation of businesses, and aid them in achieving rapid financial transformation; senior executives should remain cognizant of their strategic position and strive to execute a satisfactory job of both internal and external coordination, as the research findings suggest.

An Integrative Review of the Influence on Human Papillomavirus Vaccination Adherence among Adolescents.

To enhance the vaccination rate of adolescents against HPV, understanding their current vaccination intentions and identifying the factors that influence their decision to vaccinate are imperative. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used to search for relative literature. Five electronic databases (CINAHL, PubMed, Web of science, Research Information Sharing Service (RISS) and Korea Citation Index (KCI)) were searched from 2007 to 2022, and 19 studies were selected for final review. The Mixed Methods Assessment Tool (MMAT) was used as a critical appraisal tool to evaluate the quality for various types of research designs. This integrative review revealed three themes, including facilitators (personal characteristics and environmental factors), barriers (lack of awareness and knowledge about HPV, concerns about side effects, and the burden of costs), and ways to increase vaccination uptake (knowledge promotion and HPV vaccines coverage by public insurance). To encourage HPV vaccine uptake, it is essential to enhance public knowledge, create compelling advertisements, and ensure that the vaccines are covered by public insurance. Moreover, providing educational programs that emphasize the effectiveness and significance of HPV vaccines to adults who can influence the vaccination decisions of adolescents is vital.

The Effect of Fenugreek in Type 2 Diabetes and Prediabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Fenugreek is a widely used herbal medicine as a complementary therapy for diabetes mellitus. Lots of clinical trials have proved its beneficial effect on glycemic control parameters and lipid profiles. Thus, we conducted a systematic review and meta-analysis to evaluate the effectiveness and safety of fenugreek as a treatment for type 2 diabetes mellitus. We searched PubMed, Embase, Cochrane, China Knowledge Resource Integrated Database (CNKI), Korean studies Information Service System (KISS), Research Information Sharing Service (RISS), and ScienceON to select RCTs which used fenugreek targeting hyperglycemia with a control group. We used either a random effect model or a fixed model in a meta-analysis of Fasting blood glucose (FBG), 2 h plasma glucose during a 75 g oral glucose tolerance test (OGTT) (2-hPG), homeostatic model assessment for insulin resistance (HOMA-IR), glycosylated hemoglobin (HbA1c)/total cholesterol (TC), triglyceride (TG), high density lipoprotein (HDL-C), low density lipoprotein (LDL-C), body mass index (BMI). After screening, a total of 10 studies (706 participants) remained. Fenugreek significantly reduced FBG, 2-hPG, and HbA1c, but it did not significantly decrease HOMA-IR. Moreover, it significantly improved TC, TG, and HDL-C, while there were no significant differences in LDL-C and BMI. Hepatic or renal toxicity was not observed, and there were no severe adverse events associated with fenugreek despite mild gastrointestinal side effects in some studies. In conclusion, fenugreek improves overall glycemic control parameters and lipid profile safely.

Research on the Digital Transformation Construction of Human Resource Shared Service Centers

The deep integration of new generation information and communication technology with human resource management activities has triggered a significant innovation in the digital transformation of human resource management. At present, the effectiveness, depth, and width of the transformation of human resources digital sharing service centers have not achieved the expected results. Therefore, we must have precise analytical abilities in practice, so that enterprises fully understand the implementation process, progress, and content of the transformation. In addition, we should promote the basic elements of digital transformation, implement the basic logic of digital transformation, as well as possible transformation models and implementation paths, in order to continuously empower the digital management of human resources in enterprises and enhance their core competitiveness.

The Risk of Neuropsychiatric Adverse Events With Use of Leukotriene Receptor Antagonists in Patients With Asthma: Analysis of Korea’s National Health Insurance Sharing Service Database

Montelukast, a selective leukotriene receptor antagonist, is a commonly prescribed allergy medication but its potential association with neuropsychiatric adverse events is concerning. To analyze Korea's National Health Insurance System claims records to identify the risk of neuropsychiatric adverse events in patients with asthma treated with montelukast. This retrospective population-based study analyzed the National Health Insurance claims records of the entire Korean population between 2008 and 2015. We compared the risk of neuropsychiatric adverse events among patients with asthma using inhaled corticosteroids and/or long-acting β2-agonists with montelukast or pranlukast and those not using leukotriene receptor antagonists (control group). There was no increased risk of the composite outcome of all measured neuropsychiatric adverse events in patients with asthma who were prescribed montelukast or pranlukast compared with those who were not. However, montelukast use was associated with an increased risk of hallucinations (inverse probability treatment weighting hazard ratio, 1.45; 95% CI, 1.07-1.96) and attention problems (inverse probability treatment weighting hazard ratio, 1.24; 95% CI, 1.01-1.52). Significant negative hazards for disorientation, anxiety, stress reactions, and somatic symptoms were observed in the montelukast group. When grouped by sex, the risk of hallucinations and attention problems was higher in men prescribed montelukast compared with the controls. We did not observe an increase in all neuropsychiatric adverse events in the leukotriene receptor antagonist-treated group; however, an increased risk of hallucinations and attention problems was observed in those taking montelukast, regardless of the medication administration period.

A Study on the Influencing Factors of Continuous Use of Car Sharing Service

A Study on the Influencing Factors of Continuous Use of Car Sharing Service

Healthcare utilization of lung cancer patients associated with exposure to fine particulate matter: A Korean cohort study.

Higher concentrations of particulate matter (PM) have been shown to cause deterioration of the symptoms of respiratory and cardiovascular disease in several regional studies. Here, we aimed to investigate the healthcare utilization of lung cancer patients associated with short-term exposure to PM at the national level in Korea. We extracted the data of 210 558 subjects over a period of 3 years (2015-2017), who were diagnosed with lung cancer before 2015 and benefited from the National Health Insurance Sharing Service. We performed the interpolation method using the geographic information system to calculate the estimated mean PM2.5 and PM10 concentrations by regions and classified three groups as high (upper 10%), intermediate (10%-90%), and low (bottom 10%) based on the mean PM mass concentrations of the month. The monthly average number of outpatient visits was significantly increased in high PM2.5 urban areas (46.296 vs. 50.646, p = 0.015). In high PM2.5 nationwide regions, the monthly average number of emergency admission was significantly increased (0.528 vs. 0.785, p = 0.001). The outpatient visits tended to change with PM2.5 concentration and correlated with PM10 /PM2.5 concentrations in urban and nationwide areas. In high PM2.5 urban regions, there was a significant increase in bronchodilator prescriptions (3.102 vs. 3.758, p = 0.008). Concerning high PM2.5 nationwide regions, there were significantly increased prescriptions of antibiotics, steroids, bronchodilators, antihistamines, and mucolytics. This study suggests that exposure to PM2.5 is significantly associated with hospital utilization and drug prescription in lung cancer patients.

Properties of Patient-Reported Outcome Measures for Post-Traumatic Stress Disorder in North Korean Defectors: A Scoping Review.

Posttraumatic stress disorder (PTSD) is highly prevalent among North Korean defectors. This scoping review aimed to appraise the measurement properties of patient-reported outcome measures (PROMs) that assess PTSD among North Korean defectors. A systematic search was conducted using Research Information Sharing Service, ScienceON, PubMed, and Embase from their inception up to September 15, 2022. Each measurement properties of the included PROMs were evaluated using COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) methodology. First, the methodological quality of each study on measurement properties was evaluated using the COSMIN Risk of Bias checklist. Second, the result of each single study on a measurement property was rated against the updated criteria for good measurement properties. After screening the articles, nine instruments from 40 studies were included. Among these instruments, Impact of Event ScaleRevised was the most frequently used (13 studies [38.1%]), followed by the Trauma Scale for North Korean Refugees, PTSD Checklist, and Posttraumatic Diagnostic Scale. The theoretical basis of all PROMs was secure in terms of content validity. The most frequently tested characteristics in measurement properties for internal structure were internal consistency, criterion validity, and convergent validity. No study reported sufficient structural validity as confirmatory factor analysis results with a model fit. There is insufficient evidence to support the recommendation of a specific PROM for use among North Korean defectors with PTSD.

Effectiveness of SBAR-based simulation programs for nursing students: a systematic review

BackgroundSituation, background, assessment, and recommendation (SBAR) has been extensively used in clinical and nursing education. A structured communication program increases effective communication, positivity, and education satisfaction during inter-professional collaboration among nursing students. This systematic review aimed to identify and synthesize evidence on the effectiveness of SBAR-based simulation training for nursing students.MethodsA research protocol was developed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. The protocol for this study was registered in PROSPERO (CRD42021234068). Eight bibliographical databases were searched for studies published between 2001 and 2021, using relevant search terms. Searches were conducted in PubMed, Embase, Cumulative Index to Nursing and Allied Health, and Cochrane Central Register of Controlled Trials for literature in English, and DBpia, Research Information Sharing Service, Korean Studies Information Service System, and Korea Institute of Science and Technology Information for literature in Korean. After screening titles, abstracts, and full-text papers, pertinent data were extracted, and critical appraisals of the retrieved studies were performed. Data were analyzed using the framework approach, and the findings were presented in a narrative summary. The Effective Public Health Practice Project “Quality Assessment Tool for Quantitative Studies” was used to assess the quality of the included studies.ResultsTwelve studies were included: 3 randomized controlled trials and 9 quasi-experimental studies. Two overarching themes were noted, namely communication clarity and critical thinking. The results of six out of 12 studies produced significant results in favor of SBAR-based simulation in terms of communication clarity. Divergent results were obtained regarding communication ability, critical thinking, confidence, learning self-efficacy, and attitude toward patient safety. The results of these studies highlight that communication clarity ultimately leads to positive results in terms of nursing students’ behaviors related to patient safety.ConclusionsThis review provides a comprehensive update of the literature on the effectiveness of SBAR-based nursing simulation programs for nursing students. These programs were found to have positive learning outcomes because of clear and concise communication. Further studies on the effectiveness of various learning outcomes derived from SBAR-based programs are required.