Research in Community and Public Health Nursing

Original Articles

[English] Digital Ageism and Ageism Among Middle-Aged and Older Adults and the Mediating Role of Expectations Regarding Aging: A Cross-Sectional Study: Gahye Kim, Aeri Jung; Res Community Public Health Nurs. 2026;37(3):403-412. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01809

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Abstract PDF: Purpose
This study examined whether expectations regarding aging mediate the relationship between ageism and digital ageism among middle-aged and older adults and whether this indirect effect differs by age group.
Methods
A cross-sectional design was employed to analyze the data of 300 South Korean adults aged 45 years or older, recruited via an online research panel through sampling stratified by age and gender. Ageism, expectations regarding aging, and digital ageism were assessed using validated self-report scales. Mediation and moderated mediation were tested using Hayes’ PROCESS Models 4 and 14 with bias-corrected bootstrapping.
Results
Digital ageism was positively correlated with ageism (r=.41, p<.001) and negatively correlated with expectations regarding aging (r=-.37, p<.001). Expectations regarding aging partially mediated the relationship between ageism and digital ageism (B=0.22; 95% boot CI=0.11-0.35). Middle-aged adults showed higher digital ageism than older adults (t=2.90, p=.004); however, the mediating pathway did not differ by age group.
Conclusions
The findings suggest that expectations regarding aging may play a mediating role in the association between ageism and digital ageism. Interventions to reduce digital ageism should target both ageist beliefs and negative expectations regarding aging and should be implemented starting in midlife rather than focusing exclusively on older adulthood.

[English] The Mediating Effect of Depressive Symptoms on the Relationship between Activity Engagement and Cognitive Function among Older Adults: Da Eun Kim, Bokyoung Kim; Res Community Public Health Nurs. 2025;36(3):328-338. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01179

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Abstract PDF: Purpose
Engaging in activities in later life is beneficial for maintaining cognitive function. This study examined whether depressive symptoms mediate the relationship between activity engagement and cognitive function among older adults. Methods: A secondary data analysis was conducted using the 2022 Health and Retirement Study (HRS), including 2,741 participants aged 65 years and older. Mediation analyses were performed using SPSS PROCESS Macro Model 4 with bootstrapping. Results: A partial mediating effect of depressive symptoms was identified in the relationship between different types of activity engagement (e.g., physical, cognitive, and social activities) and cognitive function. The standardized indirect effects of depressive symptoms were β=.02 (95% boot CI=0.01 to 0.03) for physical activity, β=.01 (95% boot CI=0.01 to 0.02) for cognitive activity, and β=.02 (95% boot CI=0.01 to 0.03) for social activity. Conclusion: These findings suggest that activity engagement may enhance cognitive function by reducing depressive symptoms among older adults. The results highlight the importance of developing and strengthening community-based physical, cognitive, and social activity programs that incorporate depressive symptom management as practical strategies to prevent cognitive decline in older adults.

[English] Factors Affecting the Performance of Infection Control of Multi-drug Resistant Organisms in Intensive Care Unit Nurses of General Hospitals based on the Theory of Planned Behavior: The Mediating Effect of Intention: Nam-Sook Kim, So-Eun Choi; Res Community Public Health Nurs. 2023;34(3):183-195. Published online September 27, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00150

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6 Citations

Abstract PDF

Purpose
The purpose of this study is to analyze the factors that affect the performance of infection control of multidrug-resistant organisms (MDROs) by nurses in intensive care units (ICU) in general hospitals.
Methods
Participants were 105 ICU nurses from 6 general hospitals. The questions for the survey performed were based on the theory of planned behavior, such as attitude towards infection control of MDROs, subjective norms, perceived behavioral control, intention, and performance.
Results
In the relationship between subjective norms towards infection control of MDROs and performance, intention showed a significant complete mediating effect; and in the relationship between perceived behavioral control and performance, intention showed a partial mediating effect. The attitude towards infection control of MDROs was excluded from the mediating effect verification because there was no significant correlation between intention and performance.
Conclusion
The results of this study suggest that department atmosphere and perceived behavior control promotion programs should be developed to enhance subjective norms in order to promote the performance of infection control of MDROs.

Citations

Citations to this article as recorded by

Infection Control and Prevention Awareness Among Intensive and Cardiac Care Nurses: Implications for Managers and Policymakers
Ibrahim Naif Alenezi, Fathia A. Mersal, Taghreed H. Aboelola
Nursing Open.2026;[Epub] CrossRef
Incidence and factors associated with carbapenem-resistant Enterobacterales infection among hospitalized internal medicine patients in Korea: a retrospective observational study
Soo-Yeon Park, Hyunjung Kim
Journal of Korean Biological Nursing Science.2026; 28(2): 365. CrossRef
Infection Prevention and Control in the Intensive Care Unit
Maimuna Jatta, Lauren McDaniel, Elizabeth Nowak, Ellen M. Harvey
Critical Care Nursing Clinics of North America.2026; 38(3): 335. CrossRef
Caring for patients with multidrug-resistant bacteria in a pandemic: A qualitative, longitudinal focus group study of nurses’ experiences
Marte Johanne Tangeraas Hansen, Heidi Syre, Marianne Storm, Anne Marie Lunde Husebø
Nordic Journal of Nursing Research.2025;[Epub] CrossRef
Causal Model of Factors Influencing Adherence to Standard Precautions Practices Among Chinese Emergency Nurses: A Cross-sectional Study
Yanfang Huang, Wanchai Lertwatthanawilat, Pimpaporn Klunklin, Akeau Unahalekhaka
Pacific Rim International Journal of Nursing Research.2024; 28(3): 525. CrossRef
Nurses in Iraq Show Alarmingly Low Infection Control Adherence
Alyaa H. Ali
Academia Open.2024;[Epub] CrossRef

[English] Factors Affecting Suicidal Ideation in Multicultural Adolescents: The Mediating Role of Happiness: Kyung Ah Nam, Hun Ha Cho; J Korean Acad Community Health Nurs. 2022;33(2):228-236. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.228

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2 Citations

Abstract PDF

Purpose
The purpose of this study is to demonstrate the mediating effect of happiness in the relationship between internet addiction, depression and suicidal ideation among adolescents from multicultural families. Methods 1,065 adolescents from multicultural families who participated in the 16th (2020) Adolescent Health Behavior Survey were selected as the final subjects for the study, and were analyzed with descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression. Results There was a fully mediating effect of happiness in the relationship between internet addiction and suicidal ideation of the adolescents from multicultural families (F=6.65, p<.001). There was a partial mediating effect of happiness in the relationship between depression and suicidal ideation of the adolescents from multicultural families (F=10.01, p<.001). Conclusion To mitigate the suicidal ideation of adolescents from multicultural families, it is necessary to develop and apply a positive psychological treatment program that enhances happiness for adolescents from multicultural families who are experiencing internet addiction and depression.

Citations

Citations to this article as recorded by

Risk Factors for Suicide Among Adolescents with Migration Backgrounds: A Secondary Data Analysis from the 2024 Korea Youth Risk Behavior Survey
Sejin Kang, Moonhee Gang
Journal of Korean Academy of psychiatric and Mental Health Nursing.2026; 35(1): 9. CrossRef
Factors influencing suicidal ideations among late adolescents in the era of the COVID-19 pandemic: a cross-sectional study from the Korea community health survey
Jiyoung Song, Min Gi Kim
BMC Public Health.2025;[Epub] CrossRef

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