Purpose
This study’s aim was to understand clinical nurses’ patient advocacy and identify factors influencing this based on the Theory of Patient Advocacy.
Methods
The subjects of this study were 173 clinical nurses working in two university hospitals in D city, South Korea. Data were collected using a structured self-report questionnaire. Analysis was conducted using IBM SPSS 26.0 and included descriptive statistics, Mann-Whitney U test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis.
Results
Among the general characteristics, gender was found to be an influencing factor for patient advocacy. As a macrosocial antecedent, the ethical climate of the hospital influenced patient advocacy. For the microsocial antecedents, human rights sensitivity and patient vulnerability influenced nurses’ patient advocacy. This final model explained 35.6% of variance of clinical nurses’ patient advocacy.
Conclusion
Considering the findings of this study, the ethical climate of hospitals must be improved. In addition, programs to strengthen nurses’ human rights sensitivity and to help improve communication with patients must be developed. This could further aid nurse and patient relationships.

PURPOSE
This study was done to analyze the trend of theory application in articles published in the Journal of Korean Academy of Nursing Administration (JKANA) over the last 10 years.
METHODS
Four hundred and eighty-five articles were reviewed to determine the scope of theory-applied research. General characteristics, study design and keywords classification by nursing meta-paradigm were analyzed using established analysis framework.
RESULTS
Twenty-four articles (4.9%) were identified as theory-applied research publications. More than half of the articles (54.2%) stated that a theoretical framework was used; the number of theories used in the 24 articles was 27 including nine nursing theories. The majority of the studies were conducted in hospital settings. In the keyword classification by nursing meta-paradigm, 28 environment-related keywords were identified but only 7 keywords were related to health.
CONCLUSION
The results show that theory application in Korean nursing administration research is very limited. It is necessary to create a positive educational environment for graduate students to learn about nursing theories as well as theories from other disciplines. In addition, different levels of nursing theories should be continuously developed in the field of nursing administration.

Citations

• The Application of Theories in Research on Advance Care Planning (2010~2022): A Scoping Review
  Jeongwon Shin, Sujin Lim, Hwain Kim, Kyunghee Lee, Heejung Jeon
  Korean Journal of Adult Nursing.2024; 36(1): 1.     CrossRef
• Essential Role of Theory in Nursing Research for Advancement of Nursing Science
  Soyoung Yu, Ju-Eun Song
  Journal of Korean Academy of Nursing.2021; 51(4): 391.     CrossRef
• Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
  Bom-Mi Park
  Healthcare.2021; 9(6): 699.     CrossRef
• Trend Analysis of Theory-based Research Published in Asian Oncology Nursing
  Hye-young Lee, Min-Kyeong Kim, Won-jin Seo, Min-jin Lee, Ye-rin Heo, Sanghee Kim
  Asian Oncology Nursing.2019; 19(1): 1.     CrossRef