Purpose: The purpose of this study was to provide basic data for the development of a health care program to maintain and promote the health of Korean international students. Methods: Participants were 180 Korean students studying at one US state university. Data collection was conducted from January 23 to April 23, 2017. Data were analyzed using descriptive statistics: t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis with the SPSS/WIN 22.0 program. Results: The mean score on health beliefs was $3.49{\pm}0.39$, and the mean social support score was $2.96{\pm}0.54$. The mean health-promoting behavior score was $2.80{\pm}0.37$. Health-promoting behaviors had a statistically significant positive correlation with health beliefs and social support. Additionally, perceived health status, perceived barriers, perceived benefits, cues to action, and social support were related to health-promoting behaviors among Korean students. These five variables explained 47.6% of health-promoting behavior. Conclusion: The results of this study showed that higher health beliefs and social support of Korean international students resulted in better health-promoting behaviors. Additionally, the findings suggested that the health of Korean international students could be maintained and promoted through the development of systematic and practical programs to secure social support.

Purpose: To identify the relationship between emotional labor, self-efficacy, and partnership with parents in nurses working at children's hospital, and to examine the factors that influence partnership of nurses with parents. Methods: Participants were 208 nurses working at nine children's hospitals in D and G metropolitan cities in J province. Data were collected using structured self-report questionnaires. Results: Partnership with parents showed a significant positive correlation with emotional labor (r=.43, p<.001) and self-efficacy (r=.47, p<.001). Furthermore, emotional labor and self-efficacy had influence on partnership with parents. The total explanatory power of this model was of 31.4%. Conclusion: Considering that children's parents and other family members usually stay with them in hospitals, a concrete system needs to be developed to manage the emotional labor of nurses. Ultimately, direct and indirect intervention programs, with emotional labor and self-efficacy at the core, should be developed and implemented to enhance the partnership of nurses and parents.

Purpose: The purpose of this study was to review the literature to explore the relationship between body mass index (BMI) and bone mineral density (BMD) in elderly using an integrative review. Methods: The keywords 'osteoporosis,' 'body mass index,' and 'bone mineral density' were used to search peer-reviewed publications through four databases. Among 1,389 searched articles, eight articles were selected after excluding those that did not meet the inclusion criteria. Results: Seven articles stated that BMI was positively associated with BMD among elderly. In the elderly, the prevalence of osteoporosis was 25-55.7% in women, and 11-13% in men. Conclusion: This study found that high BMI may be helpful to increase BMD among elderly although the mechanism was not clear. It is necessary to identify BMD and fractures in elderly according to body composition in future research.

Purpose: This descriptive study was conducted to identify burnout and factors influencing burnout in clinical nurses. Methods: A cross-sectional survey design was conducted by administering a structured questionnaire to 195 nurses working at hospitals, from August to September 2017. This study used scales to measure burnout (20 items), job satisfaction (16 items), and perfectionism (40 items). Data were analyzed using SPSS 22.0, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis. Results: Burnout of participants was correlated with job satisfaction and perfectionism. Factors identified to have influence on burnout were job satisfaction (${\beta}=-.35$, p<.001), perfectionism-fail avoidance (${\beta}=.26$, p=.001), perceived health status (${\beta}=-.26$, p<.001), and intention of department relocation (${\beta}=-.23$, p<.001). The regression model explained approximately 48% of nurses' burnout. Conclusion: Based on the results of this study, it is necessary to improve job satisfaction and organizational support to decrease dysfunctional perfectionism that could cause burnout in nurses. It is also necessary to establish a psychological support program in hospitals.

Purpose: The aim of this study was to identify how personality characteristics of individuals and organizations influence nurses' job satisfaction and organizational commitment in small-medium sized hospitals. Methods: Subjects were 186 nurses with more than one year working experience. They currently worked in four small-medium sized hospitals specialized in spinal surgery. Data were collected from June 13 to July 12, 2016 using self-recorded questionnaires. The collected data were analyzed using descriptive statistics and multiple regression analysis. Results: Among individual personality characteristics, extroversion significantly affected job satisfaction; on the other hand, extroversion and openness affected organizational commitment. In the meantime, organizational characteristics did not present statistical effects on job satisfaction and organizational commitment. Conclusion: Based on these results, we found that extroversion and openness had statistically significant influences on nurses' job satisfaction and organizational commitment in small-medium sized hospitals. Therefore, when hospitals recruit nurses, we recommend considering their personality traits in order to increase compliance with duties and organizational characteristics.

Purpose: The purpose of this study was to find out lower urinary tract symptoms, daily life inconvenience, and sleep quality in elderly community woman. Methods: Participants were 140 elderly women. Data collection was conducted from September 1 to October 30, 2017. Data were analyzed using descriptive statistics and t-test with the SPSS program. Results: The rate of urge incontinence was 25.0%, stress incontinence 36.4%, unexplained incontinence 15.7%, and nocturnal incontinence 9.3%. Those participants with urge incontinence presented significantly higher daily life inconvenience scores; urge incontinence, stress incontinence, and unexplained incontinence were significantly associated with lower sleep quality scores. Furthermore, frequent urination, nocturia, and incomplete emptying were significantly higher daily life inconvenience scores; and frequent urination, nocturia, hesitancy, straining, intermittent stream, burning, incomplete emptying, bladder pain, and abnormal strength of stream were significantly related to lower sleep quality scores. Conclusion: It is necessary to develop intervention strategies considering incontinence and urination symptoms to reduce daily life inconvenience caused by lower urinary tract symptoms and improve sleep quality in elderly women.

Purpose: The purpose of this study was to compare the efficiency of general ward nurses in hospitals using Data Envelopment Analysis (DEA). Methods: Participants were 30 nurses working at a general ward. Input variables were labor cost and time of direct nursing. Output variables were prevention rate of medication error and bedsores, and patient satisfaction. These variables were extracted using literature review and CVI of an expert group. Data were collected from September 18 to October 7, 2017. Data were analyzed using EMS 3.1 program for DEA and descriptive statistics. Results: The average efficiency score of 30 nurses was 0.986, which was very high over all. In the super-efficiency analysis of 11 nurses, their efficiency ranged from 1.0 to 1.047. In addition, when the current output was fixed, the labor cost of nurses did not affect efficiency. Conclusion: This study attempted a new approach concerning performance evaluation of nurses using DEA. This method was useful during appraisal of nurses. We suggest that various input and output variables that were not considered in this study should be added to develop a integrative performance analysis model for nurses.

Purpose: The purpose of this study was to identify the relationships among emotional intelligence, resilience to burnout, and meaning in life of hospice volunteers. Methods: Data were collected through structured questionnaires from 200 hospice volunteers who were working at hospitals for six months or longer. Data were collected from March 7 to March 31, 2016, and analyzed using descriptive statistics, independent t-tests, ANOVA, Pearson correlation coefficients and stepwise multiple regression with SPSS WIN 22.0. Results: There was a statistically significant correlation between emotional intelligence, resilience to burnout and meaning in life. The significant predictors of hospice volunteers' meaning in life were resilience to burnout(${\beta}=.47$), emotional intelligence(${\beta}=.15$), educational level(college, ${\beta}=.11$), religion(protestant, ${\beta}=.12$; buddhism, ${\beta}=-.15$), and motivation for neighborhood service(${\beta}=.16$). These variables explained meaning in life up to 50.2%. Resilience to burnout was the greatest effective factor on meaning in life. Conclusion: These results suggest a need to develop programs that improve hospice volunteers' emotional intelligence and resilience to burnout. Also, educational level, religion, and service motivation of hospice volunteers should be considered.

Purpose: The purpose of this study was to investigate the condition of feminine hygiene behaviors to identify factors predicting bacterial vaginosis infection. Methods: A self-reporting survey was conducted with 385 female university students in Korea through a descriptive survey. Data were collected on demographics, feminine hygiene behaviors, and bacterial vaginosis infection. Results: The bacterial vaginosis infection rate was 37.9%. Factors predicting bacterial vaginosis infection were grade, age of menarche, history of sexual intercourse, history of sexually transmitted infection, experience of using a bidet, internal douche during menses, over the counter drug anti-itch products, tampons, and tampons/pads combination. Conclusion: To prevent bacterial vaginosis infection among female university students, information and education should be provided to promote positive feminine hygiene behaviors at the university and at home. Results of this study are essential to improve education and practices that will prevent bacterial vaginosis in female university students.

Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.