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This study was done to evaluate validity and reliability of the Korean version of the expanded nursing stress scale (ENSS). Methods: Forward-backward translation of ENSS from English to Korean was conducted. The translated instrument was pilot-tested and administrated to 285 nurses who worked in five general hospitals in Korea. Internal consistency reliability was assessed using Cronbach's ⍺ and composite reliability. Validity was evaluated through construct validity with confirmatory factor analysis, convergent and discriminant validity. Results: The Korean version of ENSS showed a reliable internal consistency with Cronbach's ⍺ .95 and composite reliability .99. Model fit indexes for 46 items were validated by confirmatory factor analysis(goodness of fit index .82, Tucker-Lewis index .92, root mean square error of approximation .04), indicating suitable construct validity. Factor loading of the 48 items (.47~.88) and average variance extracted out of nine factors (.52~.71.) indicated satisfactory convergent validity. Some values of square of the correlation coefficient between factors (.12~.89) were higher than average variance extracted values of each factor (.52~.71) so that it partly satisfied discriminant validity. Conclusion: Findings show that the Korean version ENSS has good reliability and suitable validity; therefore, can be used to assess and identify Korean nurses' job stress.

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Purpose: The purpose of this study was to identify correlation between sexual autonomy and self-efficacy and provide preliminary information for use in development of a sex education program for university students. Method: This study employed a descriptive research design. Data were collected from 357 university students. Subjects completed questionnaires on the following: demographics, sexual autonomy, and self-efficacy. Results: A total of 112 subjects (31.3.%) had experienced sexual intercourse and 126 subjects (35.3%) regarded it as an acceptable level of sexual behavior. The mean of sexual autonomy was 3.49 and significant differences were observed in gender, grade, department, and acceptable level of sexual behavior. The mean of self-efficacy was 4.08 and significant differences were observed in gender, department, and acceptable level of sexual behavior. In addition, significant correlation was observed between sexual autonomy and self-efficacy. Conclusion: Development of a sex education program for university students, which includes information on reinforcement of sexual autonomy and self-efficacy, is needed.

AimTo investigate pro‐environmental health perceptions, behaviour and educational needs among pregnant women in Korea.BackgroundBased on concerns about the effects of environmental hazards and pollution on their babies and themselves, pregnant women behave in ways that protect their health. The framework of this study was based on Rogers' protection motivation theory.DesignCross‐sectional survey using questionnaires.MethodThe sample comprised 358 pregnant women recruited from July – August 2018 in South Korea. Participants were recruited from prenatal classes at two healthcare centres and patients receiving prenatal check‐ups at two women's hospitals.ResultsPerceived educational needs were ranked in the following order: particulate matter (23.7%), electromagnetic waves (11.7%), instant food (food additives) (9.0%) and environmental hormones (8.3%). Age (β = 0.17, p = .001), perceived severity (β = 0.19, p = .001) and response efficacy (β = 0.28, p < .001) affected pro‐environmental behaviour, which explained 23.0% of the variance.ConclusionEducational programs are necessary for mitigating environmental risks during pregnancy. Pregnant women engage in pro‐environmental behaviour influenced by pro‐environmental perceptions, especially perceptions of severity regarding environmental diseases and the efficacy of health behavioural responses. Nursing professionals can use these results to promote pro‐environmental health in pregnant women.ImpactThis study demonstrated that pregnant women need environmental health programs in prenatal education. Pro‐environmental perceptions regarding the severity of the environmental diseases and behavioural efficacy preceded the formation of environmental health behaviours. Nurses should support pregnant women's environmental health through educational interventions including air, electromagnetic, food pollution and endocrine disruptors.

The number of quantitative studies was greater than that of qualitative studies. There was a slight increase in the number of qualitative studies and studies including elderly populations, which reflects the recent population trend in Korea. More randomized controlled trials with a low risk of bias were needed to support more evidence-based nursing practice. Concerning the low rate of ethical consideration, stricter application of research ethics needs to be encouraged. Conclusion: The findings of this study suggest the recent trends in nursing research and the direction of nursing research and review in the Journal.

Purpose: The aim of this study was to characterize the network of institutions, journals, and topics of coronavirus disease 2019 (COVID-19) literature by Korean authors in the Web of Science Core Collection. The specific goals were to identify the collaborative relationships between Korean authors and international authors and to explore clusters of institutions, journals, and topics.Methods: Literature was searched in the Web of Science Core Collection on January 30, 2021. The search terms were “SARS-CoV-2” or “COVID” or “novel coronavirus” in the subject field. The search results were limited again to “South Korea” as the country and the publication type of “article.” The measurement tool was Biblioshiny, an app version tool for Bibliometrix.Results: Korean authors published 3.2 times more COVID-19–related articles in journals outside of Korea than in Korean journals. The journals showed three clusters by bibliographic coupling. In contrast, the co-citation network showed four clusters. Only a few journals were included in the clusters in both analyses. The conceptual structure of Keywords Plus by factorial analysis showed two clusters: “pathology and clinical treatment” and “knowledge and attitudes.” Institutions’ collaborative network consisted of four clusters. Korean researchers actively collaborated with international researchers, especially those in the United States.Conclusion: Because only a few Korean journals were included in the journal clusters by both coupling and co-citation network, more active citation of Korean journals is recommended. The identification of human behavior as a distinct theme in COVID-19 research suggests a different focus in this area besides clinical studies.