STRESS

Original Article

The Influence of Role Conflict, Emotional Labor, and Resilience on Burnout in Nurses: A Descriptive Correlational Study: Ahsil Lee, Kuem Sun Han, Soo Kyung Park, Sung Reul Kim, Soo Yeon Lee, Nari Lee, Siyoung Koak; STRESS. 2026;34(1):25-33. Published online March 30, 2026; DOI: https://doi.org/10.17547/kjsr.2026.34.1.25

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Abstract PDF: Background
Nurses frequently experience physical and psychological burnout due to continuous interactions not only with patients and their families but also with various healthcare professionals. Burnout can negatively impact patient care and lead to turnover, making it crucial to identify factors contributing to nurse burnout.
Methods
This study is a descriptive correlational study aimed at examining the effects of nurses’ role conflict, emotional labor, and resilience on burnout. Data collection occurred between July 8 and July 21, 2024, from 134 nurses with at least six months of clinical experience. A structured questionnaire measured role conflict, emotional labor, resilience, and burnout. Statistical analyses included descriptive statistics, independent t-tests, ANOVA, Pearson correlation, and stepwise multiple regression using SPSS 25.0.
Results
Burnout significantly differed by age, work department, and job satisfaction. Nurses in their 30s, those working in general wards or special units, and those with lower job satisfaction showed higher burnout levels. Job satisfaction, resilience, role conflict, emotional labor, and work department were identified as significant factors associated with burnout.
Conclusions
Burnout among nurses is influenced by personal and work-related factors. Strategies to enhance resilience and job satisfaction, along with efforts to reduce emotional labor and role conflict, are essential to prevent and manage burnout and support nurses’ well-being.

Review Articles

Big Data Analysis of Mental Health Trends from the COVID-19 Pandemic into the Endemic Phase: Seo Yeon Lee, Kuem Sun Han, Soo Yeon Lee, Ji Hye Shin, Moon Ju Song; STRESS. 2025;33(3):117-126. Published online September 30, 2025; DOI: https://doi.org/10.17547/kjsr.2025.33.3.117

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Abstract PDF: Background
This study aimed to examine temporal trends in mental health issues in South Korea from the onset of the coronavirus disease (COVID-19) pandemic through to the post-pandemic endemic phase. Using large-scale online data, this study sought to identify key mental health concerns at different stages and offer foundational evidence for future public health policy development.
Methods
A total of 13,797 textual data entries, —comprising 8,664 Naver blog posts and 5,133 news articles, —were collected between January 20, 2020, and April 17, 2024. The data were segmented into five distinct periods based on critical milestones in South Korea’s pandemic response. Text mining and network analysis were employed to extract and examine the following mental health-related keywords: depression, anxiety, and stress.
Results
During the early phase of the pandemic, negative psychological states, such as anxiety, stress, and depression, were highly prevalent, reflecting widespread fear and uncertainty among the public. Although the frequency of these keywords gradually declined, they remained significant even after the transition to the endemic phase. In contrast, the later stages showed an increased frequency of keywords related to recovery and adaptation, such as education, environment, and support, indicating ongoing societal adjustment.
Conclusions
These findings underscore the prolonged psychological effects of COVID-19, with mental health concerns persisting into the endemic phase. Continuous mental health support and adaptive public health strategies are essential to mitigate the enduring impact of global health emergencies.

Non-Contact Nursing Education in Communication and Group Counseling: Current Status and Future Directions: Kuem Sun Han, Soo Yeon Lee, Ji Hye Shin; STRESS. 2023;31(4):149-157. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.149

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2 Citations

Abstract PDF

Background
In nursing, the utilization of diverse therapeutic communication and counseling techniques is crucial for effective nursing care. This study critically evaluated the present state of therapeutic communication and counseling education for nurses so as to explore the applications of non-face-to-face educational methods and to propose potential future directions for nursing education.
Methods
This study targeted academic research published in either English or Korean between 2019 to August 2023 on the topics of communication and counseling education in nursing education.
Results
There were eight studies of non-contact education in communication or counseling published between 2019 and 2023. The review identified various educational interventions currently in use, such as online-based, blended learning, simulation, and role-play education.
Conclusions
Among the various non-contact educational approaches, education based in the Metaverse shows promise due to its ability to offer real-time supervision and a wide range of virtual scenarios. Therefore, we suggest the incorporation of the Metaverse in group counseling education to enrich the learning experience.

Citations

Citations to this article as recorded by

Exploring nursing students' experiences with virtual patient-based health assessment simulation program: A qualitative study
Shinhye Ahn, Hye Won Jeong
Nurse Education Today.2025; 153: 106826. CrossRef
The effect of virtual reality simulation on nursing students’ communication skills: a systematic review and meta-analysis
Mi-Kyoung Cho, Mi Young Kim
Frontiers in Psychiatry.2024;[Epub] CrossRef

Stress Management among Health Professional during COVID-19: Kuem Sun Han, Soo Yeon Lee, Ji Eun Kim, Youn Jung Jang; STRESS. 2022;30(2):53-59. Published online June 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.2.53

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1 Citations

Abstract PDF

Stress and its management among health professionals during the coronavirus disease 2019 (COVID-19) pandemic is a social issue. Stress in health professionals is caused not only by personal events but also by managing patients with COVID-19. The present study aimed to find effective interventions for managing stress related to COVID-19 among health professionals. As a result of a literature search, there were five studies related to interventions for managing stress related to COVID-19 among health professionals between 2020 and 2022. These interventions included mobile phone-based cognitive behavior therapy, music therapy, emotional freedom techniques, and safety group programs for stress management. These interventions were identified as being effective in managing stress related to COVID-19 among health professionals.

Citations

Citations to this article as recorded by

Exploring the Experiences of Managers and Practitioners in Infectious Disease Management Organizations During the COVID-19 Response: A Qualitative Study
Jeehee Pyo, Jiyoon Jeong, Hyeran Jeong, Minsu Ock
Journal of Korean Medical Science.2025;[Epub] CrossRef

Original Articles

Relationship between Maternal Touch, Maternal Self-Confidence, Infant Length, and Feeding Volume in High-Risk Infants: Touch on the Mind: Youn Jung Jang, Kuem Sun Han; STRESS. 2022;30(2):118-128. Published online June 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.2.118

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Abstract PDF: Background
Childbirth is a physical and emotional experience. In particular, mothers of high-risk infants often exhibit low maternal self-confidence. Through interactions in the form of touch, maternal sensory stimulation provides comfort for both mother and baby. This study aims to investigate the association between maternal touch in the early postpartum period and the growth of infants as well as maternal self-confidence.
Methods
Thirty-six mother-infant dyads in a level III-IV Neonatal Intensive Care Unit (NICU) were analyzed. Maternal touch on various body parts (extremities, face/head, and trunk) was observed, and infant length and feeding volume were assessed by direct measurement of the medical records. Maternal self-confidence was assessed using a questionnaire. Along with descriptive statistics, we conducted correlation and Mann-Whitney U tests.
Results
Although maternal self-confidence decreased over time, that of mothers with a high level of contact with the infant’s face/head or extremities decreased significantly less than that of mothers in the low-contact group. For the baby, the feeding volume of infants with a high degree of maternal contact on their extremities or trunk increased significantly compared with that of the low-contact group.
Conclusions
Mothers’ self-confidence may not improve as the infant grows, but can be strengthened by enhanced touch on the infant’s face/head. Touching the infant’s trunk is related to infant feeding. The research findings emphasize the importance of early maternal touch in the NICU environment and recommend the provision of maternal touch to appropriate body parts to achieve the desired objectives.

Factors Affecting Clinical High Risk for Psychosis: Young Eun Jang, Kuem Sun Han; STRESS. 2021;29(3):158-167. Published online September 30, 2021; DOI: https://doi.org/10.17547/kjsr.2021.29.3.158

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File-up Stress, Family Hardiness and Mental Health Status in Family Caregivers Caring for Elderly Dementia: Kuem Sun Han, Hee Su Lim; Korean J Str Res. 2016;24(4):309-316. Published online December 31, 2016; DOI: https://doi.org/10.17547/kjsr.2016.24.4.309

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Abstract PDF: The purpose of this study was to identify file-up stress, family hardiness and mental health status to examine factors influencing file-up stress in family caregivers caring for elderly dementia. Data were collected by questionnaires from 109 family caregivers for elderly dementia at public health center. Data were analyzed using descriptive statistics, Spearman correlation coefficients, and stepwise multiple regression. There was significant and negative correlation between file-up stress and family hardiness, and between family hardiness and mental health status; significant and positive correlation was found between file-up stress and mental health status. Anxiety was predictor of file-up stress. File-up stress, family hardiness, mental status in family caregivers caring for elderly dementia patient, and significant correlation between their relationships. Therefore, this study suggests that in developing interventions to manage for file-up stress, family hardiness and mental health status should be considered in family caregivers caring for dementia patients.

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