Earticle

본 연구의 목적은 소비자의 품질지각에 영향을 주는 요인을 알아보고 지각된 품질이 구매의도에 어떠한 영향을 주는 가를 알아보는 것이다. 연구모형에서는 지각된 품질의 중재 역할에 초점을 맞추어 가격, 원산지효과 및 브랜드 친숙도 같은 요인이 구매 의도 에 직접적인 영향을 주는지 아니면 지각된 품질을 통하여 구매 의도에 영향을 미치는 가를 알아보는데 중점을 두고 분석하였다. 기존 연구를 바탕으로 가설이 설정되었으며 한국과 사우디아라비아의 여성소비자를 대상으로 현장조사와 온라인조사를 통하여 자 료를 수집하였다. 그 이유는 사드여파로 중국시장에 대한 매력이 감소하면서 중요한 대안으로 떠오른 수출시장의 하나가 중동시장이기 때문이다. 수집된 자료는 SPSS 20 과 AMOS 25를 사용하여 통계분석을 실시하였다. 연구 결과 지각된 품질이 소비자의 구매 의도에 유의미한 영향을 미치는 것으로 나타났고 브랜드친숙도 역시 소비자의 구매 의도에 직접적인 영향을 미치는 것으로 나타났다. 다중 그룹 분석에 따르면 가격 및 원산지 이미지가 소비자의 품질에 대한 인식과 품질에 영향을 미친다는 가설은 사우 디아라비아에서 채택되었음에도 불구하고 지각된 품질과 브랜드친숙도가 구매 의도에 영향을 미친다는 가설은 기각되었다. 따라서 한국 기업이 사우디아라비아 시장에 진출 할 때에는 원산지이미지가 품질지각도보다 더 큰 영향을 미친다는 점을 고려해야한다. 마지막으로 연구의 한계와 앞으로의 연구방향을 제시하였다.

This research article investigates customers’ perceived quality and its impact on brand purchase intention in the cosmetic industry in both Saudi Arabia and South Korea. The study focuses on the mediating role of perceived quality and whether factors such as price, country of origin(COO), and brand familiarity have a direct influence on purchase intentions or if they influence the purchase intention through the perceived quality. the research model and hypothesis are based on the related literature. the data collected was analyzed using SPSS 20 and Amos 25. Structural equation modeling (SEM) was applied to test the research hypothesis and validity of the items. The results of study show that perceived quality has significant impact on purchase intention but familiarity seems to have a direct influence on consumers purchase intention. The multi group analysis has shown the difference between two countries. The study suggests that if Korean company plans on entering the Saudi market they will have to consider that image of country of origin has more influence on perceived quality, which means that Korean cosmetics brand will have to root a better image of Korean cosmetics in the mind of the Saudi consumers. The influencing power of each variables is different from country to country. We also need to be caution of the fact that our findings could not be generalized to all the consumers and countries.

본 연구에서는 편의점 간편식의 지각된 품질과 지각된 가치가 구매의도에 미치는 영향력을 조사하였다. 또한 편의점 간편식의 지각된 품질과 구매의도 간에, 지각된 가치와 구매의도 간에 제품 신뢰가 매개역할을 하는지에 대한 가설검증을 실시하였다. 본 연구의 가설을 검증하기 위 해 편의점에서 간편식을 구매해 본 경험이 있는 성인을 대상으로 2022년 1월 17일부터 1월 28 일까지 온라인 리서치 전문기관에 의해 설문조사를 실시하였다. 수집된 자료는 총230부이며 본 연구의 목적에 부합하지 않는 설문자료를 제외한 214부를 유효자료로 실증분석에 사용하였다. 분석결과는 다음과 같다. 첫째, 편의점 간편식의 지각된 품질과 지각된 가치가 구매의도에 유 의한 영향을 미치는 것으로 나타났다. 둘째, 제품 신뢰는 편의점 간편식의 지각된 품질과 구매 의도 간에 매개역할을 하는 것으로 나타났다. 셋째, 제품 신뢰는 편의점 간편식의 지각된 가치 와 구매의도 간에 매개역할을 하는 것으로 나타났다. 본 연구결과는 편의점 마케터들에게 소비 자들의 편의점 간편식에 대한 지각된 품질과 지각된 가치 뿐만 아니라 제품에 대한 신뢰를 향 상시킴으로써 편의점 간편식의 매출을 증대할 수 있는 전략적 방안을 모색하는데 유용한 자료 를 제공할 수 있을 것이다.

The purpose of this study was to examine the effect of perceived quality and perceived value of convenience store HMR on purchase intention and verify the mediating role of HMR trust. We conducted survey by an online research institute from January 17 to January 28, 2022, targeting adults who had experienced purchasing HMR at a convenience store. 214 surveys were used for empirical analysis. The results are as follows. First, perceived quality and perceived value of convenience store HMR had a significant effect on purchase intention. Second, HMR trust had played a mediating role between the perceived quality of convenience store HMR and purchase intention. Third, HMR trust had played a mediating role between the perceived value of convenience store HMR and purchase intention. We can provide useful data for convenience store marketers to find a strategic plan to increase the sales of convenience store HMR by improving not only the perceived quality and perceived value of convenience store HMR but also HMR trust.

본 연구는 가격할인 상황에서, 가격할인율이 높을수록 소비자들의 지각된 품질이 낮아지는 상황을 주목했다. 품질 추론의 단서가 되는 가격은 강조하는 행위에 따라 바뀔 수 있으 며, 단서가 되는 가격이 변하면 품질지각도 달라진다. 따라서 정상가격을 품질의 단서로 포함시 켜준다면 할인가격만을 강조하는 경우보다 품질지각이 낮아지는 것을 방지해줄 것이다. 연구 1 에서는 가격할인 프레이밍(정상가 초점(“Was $__ Higher”) vs. 할인가 초점(“Now $__ Lower”) vs. 통제집단)에 따른 지각된 품질을 측정하고, 정상가 기억정도의 매개 검증을 시행했다. 연구 1 의 결과, 정상가 초점 프레이밍이 할인가 초점 프레이밍과 통제집단보다 지각된 품질이 더 높음 이 검증되었다. 또한 이러한 효과는 정상가 기억 정도에 의해 매개되었다. 연구 2에서는 초점가 격에 따른 할인 프레이밍이 지각된 품질에 미치는 효과가 해석수준에 의해 달라질 수 있음을 확 인하였다. 가격할인 프레이밍(정상가 초점 vs. 할인가 초점)과 해석수준(높은 vs. 낮은)에 따른 품 질지각을 측정한 결과 초점가격 할인 프레이밍이 지각된 품질에 미치는 효과는 해석수준에 의해 조절됨이 검증되었으며, 구체적으로 정상가 초점 프레이밍의 경우 낮은 해석수준보다 높은 해석 수준에서 지각된 품질이 더 높았다. 반면 할인가 초점 프레이밍의 경우 높은 해석수준보다 낮은 해석수준에서 지각된 품질이 더 높았다. 이를 통해 본 연구는 가격할인 프로모션이 품질지각에 미치는 부정적인 영향을 줄이고, 할인전략이 판매에 미치는 긍정적인 기능을 유지하는 새로운 할인전략을 제공하고자 한다. 이는 구두 판촉, 전단지 및 온라인 광고 등 왕성히 사용되는 가격 할인 전략 진행에 있어 실무적인 시사점을 줄 수 있을 것이다.

This research focused on a price discount situation where consumers’ perceived quality of a product decreases as the discount rate gets higher. According to the way of emphasizing price, consumers may use different kind of price information as a clue for inferring product quality. Therefore, if the original price becomes the cue price, compared to when it is not, consumers’ perceiving low product quality can be prevented. Study 1 examines the effect of price discount framing (original price focus vs. discount price focus vs. control condition) on perceived quality and the mediation effect of original price memory. As result, it was able to examine that original price-focused framing delivers higher perceived quality than discount price-focused framing and control condition. Also, this effect was mediated by original price memory. Study 2 examined whether this effect can be moderated by construal level. As a result, it was able to confirm that moderation effect of construal level do exist. Specifically, in the case of original price-focused framing, higher construal level brought higher perceived quality. On the other hand, in the case of discount price-focused framing, lower construal level brought higher perceived quality. In conclusion, this research proposes new type of discounting strategy to lower the negative effect of discount on perceived product quality and maintain the positive effect of price discount on sale. This contains practical implications on commonly used price discount strategies such as oral sales promotion, flyers, online advertisement and so on.

본 연구는 태권도 전자호구를 체험하는 선수들이 주관적으로 지각하는 품질이 브랜드 태도와 구매의도에 어떠한 영향을 미 치 는지에 대한 관계를 파악하여 전자호구를 개발하는 기업과 세계적인 종목으로서 안정적인 태권도 발전을 위한 이론적인 기초자료로 기여하는데 목적이 있다. 자료 수집을 위하여 2016년 11월 전라남도 강진에서 개최된 전국남녀 우수선수 선발 태권도대회에 참여한 선수와 충청남도 N대학교 태권도선수들에게 총 220부의 설문을 실시하였고, 그 중 202명의 유효표본을 실제 분석에 사용하였다. 자료처리는 SPSSW(Ver. 18.0)을 활용하여 인구통계학적 특성과 탐색적 요인분 석, 신뢰도 검증은 Cronbach’s α 계수, 상관분석, 회귀분석을 실시하여 다음과 같은 결과를 얻었다. 첫째, 태권도 전자호 구 체험으로 지각된 품질은 브랜드태도에 영향을 미치는 것으로 나타났다. 둘째, 태권도 전자호구에 대한 브랜드태도는 구매 의도에 영향을 미치는 것으로 나타났다. 셋째, 태권도 전자호구 체험으로 지각된 품질은 구매의도에 영향을 미치는 것으로 나타났다 .

The purpose of this study was to find the effects of perceived quality on brand attitude and purchase intention by the taekwondo electronic hogu experience . The subjects were taekwondo players who had experience in taekwondo electronic hogu. 202 samples out of 220 samples through convenient sampling method were adopted as a final data. We confirmed the goodness of fit test of the model, utilizing SPSS WIN Ver 18.0, and after which we tested each hypothesis. The results were as follows; First, perceived quality by the taekwondo electronic hogu experience had a significant influence on brand attitude. Second, brand attitude for the taekwondo electronic hogu had a significant influence on brand attitude. Third, perceived quality by the taekwondo electronic hogu experience had a significant influence on purchase intention. This paper attempts to effect relation perceived quality and brand attitude, purchase intention by the electronic hogu experience. Utilizing this relationship, it must establish the research which can growth the taekwondo.

본 연구는 은행산업의 브랜드 자산 구성요소에 관한 연구로서 고객의 지각된 품질이 고객만족과 브랜드 충성도에 미치는 영향을 고찰하고, 이를 통해 향후 은행산업에 대한 브랜드 자산과 고객 관계 연구를 수행함에 있어 활용할 수 있는 학술적 계기를 제공하고자 하였다. 고찰된 지각 된 품질은 광고 지출비, 브랜드 이용가능성 등 전통적인 5가지 구성요소 외에 핀테크 및 IT 등 디지털 기술의 발달과 중요성을 고려하여 디지털 품질을 추가하여 실증분석하였다. 또한 디지털 품질을 시스템 품질, 디지털 정보 품질, 서비스 품질로 세분화하고 이에 대한 측정 지표를 제시하 였으며, 각각의 품질이 고객만족을 통해 브랜드 충성도에 미치는 영향을 연구하였다. 분석방법으로는 은행을 이용하는 고객 258명으로부터 설 문자료를 온라인으로 수집하여 PLS 구조방정식모형으로 분석하였다. 분석결과 지각된 품질 구성요소 중 점포 이미지와 고객 지향성, 디지털 품 질(시스템 품질과 서비스 품질)이 고객만족에 양(+)의 영향을 미치는 것으로 나타났고, 광고 지출비, 브랜드 이용가능성, 물리적 환경 및 디지털 품질(정보품질)에 대한 가설은 지지되지 않았다. 또한 고객만족은 브랜드 충성도에 양(+)의 영향을 미치는 것으로 나타났다. 이러한 분석결과를 바탕으로 은행은 기업의 생존과 발전을 위해 고객의 니즈충족과 문제해결을 위한 세분화·정밀화된 디지털 서비스와 디지털 솔루션을 개선해야 하고, 고객 개개인에 대한 초개인화 맞춤형 서비스를 제공해야 하며, 이에 대한 마케팅 전략을 수립하여야 한다.

As an research on the components of brand equity in the banking industry, this study attempted to examine the effect of perceived quality of customers on customer satisfaction and brand loyalty, and to provide an academic opportunity to conduct future research on brand equity and customer relations. Perceived quality was empirically analyzed by adding digital quality to the development and importance of digital technologies such as fintech and IT in addition to five traditional components such as advertising expenditure, brand availability, store image, customer orientation, and physical environment. In particular, digital quality was subdivided into systemquality, digital information quality, and service quality, and evaluation and measurement indicators were presented, and the effect of each quality on brand loyalty was studied through customer satisfaction. To this end, questionnaires were collected online from 258 customers using banking service and analyzed by employing PLS-SEM. As a result of the analysis, it was found that among the perceived quality components, store image, customer orientation, and digital quality system quality and service quality had a positive effect on customer satisfaction, and hypotheses about advertising expenditure, brand availability, physical environment, and digital quality were rejected.Meanwhile, customer satisfactionwas found to have a positive effect on brand loyalty. Based on these analysis results, banks need to improve detailed and precise digital services and digital solutions for accurate problem-solving of customers, provide hyper-personalized and customized services to individual customers, and establishmarketing strategies.

이 연구의 목적은 배드민턴 브랜딩 강화를 위한 전략 요소들을 분석하기 위하여 브랜드 자산 구성요소들의 관계를 알아보고자 하였다. 이에 배드민턴 동호인들의 자료를 편의표본추출법으로 수집하여 총 246명의 자료를 분석하였다. 자료 분석방법은 SPSS 18.0과 AMOS 18.0을 이용하였으며, 확인적 요인분석을 실시하여 스포츠 브랜드자산의 구성요 소들이 배드민턴 브랜딩 요소로서 타당성을 확인 하였다. 그리고 구조모형분석을 실시하여 다음과 같은 결과를 얻을 수 있었다. 첫째, 브랜드 인지는 브랜드 가치와 마케팅 활동에 긍정적인 영향을 미치는 것으로 나타났다. 둘째, 브랜드 가치는 브랜드 개성과 지각된 품질에 긍정적인 영향을 미치는 것으로 나타났다. 셋째, 마케팅 활동은 브랜드 개성과 지각된 품질 에 긍정적인 영향을 주었으며, 넷째, 브랜드 개성과 지각된 품질은 브랜드 충성도에 긍정적인 영향을 미치는 것으로 나타 났다. 결론적으로 브랜드자산의 구성요소들은 배드민턴 브랜딩 강화를 위한 전략적인 요소로서 역할이 가능함을 확인하였다.

This study was purposed at analyzing the relationship among factor of brand equity to identify strategic elements for strengthening badminton branding. The data of badminton club members were collected using convenience sampling methods and analyzed a total of 246 players. The data analysis method used SPSS18.0 and AMOS 18.0, and confirmed the validity of the factors of sports brand equity as badminton branding. In addition, structural equation modeling analysis was performed to obtain the following results. First, brand awareness was positively affected by brand value and marketing activities. Second, brand value was positively affected by brand personality and perceived quality. Third, marketing activities was positively affected by brand personality and perceived quality, and fourth, brand personality and perceived quality were positively affected by brand loyalty. In conclusion, the factors of brand equity have been confirmed to be capable of playing a role as a strategic factors for badminton branding strengthen.

The purpose of this study is to gain an understanding of the attitudes of male and female customers regarding internet-based brand loyalty and its determinants in the Pakistani garments context. This study proposes that perceived quality, perceived value, customer satisfaction, and brand image both directly and indirectly affects internet-based brand loyalty. A survey questionnaire with a convenience sampling approach was used to collect the primary data and it was collected from 197 customers of garment brands in Bahawalpur, Pakistan. The proposed conceptual model indicated that the perceived quality, perceived value, customer satisfaction, and brand image are important determinants of internet-based brand loyalty. All the hypotheses developed in this study were found statistically significant in the context of males and females. The study applies the regression analysis technique by using SPSS. The differences between male and female examined separately as well as together and the results showed that satisfied female customers have less internet-based brand loyalty than satisfied male customers (male customers are easier to retain as compare to female customers). This is because; loyalty and satisfaction of females are greatly shaped by the higher brand image and perceived quality, whereas male customers become more satisfied and loyal through attaining higher perceived value. The conclusions and the implications for internet-based brand loyalty are discussed.

본 연구에서는 UHDTV서비스 이용의사에 영향을 미치는 요인들에 대해 살펴보았다. 연구방법은 기술수용모델을 중심으로 연구모형을 설계하고 구조방정식 분석을 실시했다. 독립변수로는 인지된 품질, 가격 민감도, 혁신성, 매개변수로는 인지된 유용성과 인지된 사용용이성, 종속변수로는 이용의사를 설정했다. 설문조사는 인터넷과 스마트폰을 통하여 실시하였으며 빈도분석 및 기술통계분석은 SPSS, 연구의 모형 분석과 가설 검증은 PLS를 사용하였다. 연구결과, 독립변수인 인지된 품질과 가격 민감도는 각각 매개변수인 인지된 유용성, 인지된 사용용이성을 통해 UHDTV의 이용의사에 유의미한 정의 영향을 미치는 것으로 나타났다. 그러나 혁신성의 경우, 매개변수인 인지된 사용용이성에는 유의미한 정의 영향을 미치는 반면 인지된 유용성에는 유의미한 영향이 없는 것으로 나타났다. 사용자들은 UHDTV를 혁신적인 신기술 혹은 뉴미디어로 생각하기보다 아직까지 기존 TV의 연장선으로 간주하는 것으로 해석된다. 또 인지된 품질은 다른 요인에 비해 영향력이 큰 편으로, 사용자들의 양질의 UHD콘텐츠 수요를 반영한다.

The goal of this study is to explore the factors that influence on intention to use UHDTV Service. Research problems has been designed to Structural equation model by Technology Acceptance Model. The Perceived quality, Price sensitivity, Innovativeness are adopted as independent variables. And Perceived usefulness, Perceived ease of use are adopted as intervening variables. A result of analysis, Perceived quality and Price sensitivity influenced the Intention to use via Perceived usefulness and Perceived ease of use. But in case of Innovativeness, it did not influence the Perceived usefulness while it influenced the Perceived ease of use. Meanwhile, the influence of Perceived quality to Perceived usefulness had more impact than the other path between the other factors.

본 연구의 목적은 소셜 미디어 광고에 대한 태도와 브랜드 자산이 젊은 소비자 층의 구매의도에 미치는 영향에 대한 실 증적 분석을 통해 젊은 소비자 층의 태도와 구매의도의 관계에 대해 밝혀내고자 한다. 기존의 연구에서 사용한 소셜 미 디어 광고와 브랜드 자산 모델에 따르면, SEM(구조 방정식 모델)을 이용하여 통계적으로 검증되고 제안된 가설들에 기 초하여 개념적 프레임워크가 구성되었다. 한편, 최근 연구가 나타내는 결과들은 소셜 미디어 광고에 대한 태도가 소비자 의 구매의도에 상당한 정(+)의 영향을 미치고 있다는 것을 밝혀냈다. 또한, 추후 연구의 결과들은 소셜 미디어 광고에 대한 태도와 브랜드 자산을 증가시키는 브랜드 가치의 관계에 있어서 긍정적 영향이 있음을 밝혀냈다. 추가적으로, 브랜 드 자산과 구매의도는 긍정적인 영향을 미치는 관계임을 밝혀냈다. 이러한 배경 속에서, 본 연구에서는 다음과 같은 실 증적 시사점을 가진다. 첫째, 젊은 소비자층의 구매의도의 요소들에 대한 이해를 해명하였다. 특히, 소셜 미디어 광고에 대한 태도를 실증 분석하였다. 둘째, 소셜 미디어 광고가 브랜드 자산 모델과 긍정적 관계를 공유한다는 것을 실증적으 로 분석하였다.

The aim of this study is to analyze the attitudes towards social media advertising and effectiveness of brand equity on young consumer’s purchase intention. Following the previous studies in social media advertising and the brand equity model, the conceptual framework has been formulated based on the proposed hypotheses and statistically tested using structural equation model (SEM). The results of the present study indicate that the attitudes towards social media advertising are significantly positive affecting on consumer’s purchase intention. Further result reveals a positive relationship between attitudes towards social media advertising on brand equity dimensions increasing brand equity. In addition, the impacts of brand equity confirm a positive relationship on purchase intention. Therefore, this study has provided some practical contributions. First, it sheds light on understanding the factors of young consumer’s purchasing intention; especially, the attitudes towards social media advertising. Furthermore, social media advertising shares a positive relationship with brand equity model.

This study is another attempt to elucidate the importance of information technologies within tourism industry and emphasize the significance of the smart tourism research. The research is aimed to investigate the relationship between the museum visitors’ perceptions towards corporate social responsibility (CSR) and their word-of-mouth (WOM) intentions from the perspective of technology based eco-innovation. The present study introduces a theoretical model based on the stakeholder’s theory and proposes the positive relationship between technology based eco-innovation, museum visitors’ CSR perceptions and visitors’ WOM intentions. The results of the present research will bring in important theoretical and practical contributions filling gap in the understanding of the antecedents and consequences of CSR and providing more complete knowledge about the possible impact of CSR on the sustainability of the tourism business through exploring the factors determining visitors’ WOM intentions.

This study analyzed the path and strength of the effect that brand awareness and perceived quality influence to brand association, and that brand association influences to brand attitude and brand loyalty, and that brand attitude influences to brand loyalty among component factors of travel agency brand equity through exploratory research. And research method applied covariance structure model analysis through LISREL(8.52). In conclusion, three important facts were deduced as a result of empirical study. First, component factors of travel agency brand equity are composed of multi-dimension, and they form the relation of cause and effect among them. This fact means that travel agency can establish marketing strategy easily, and that travel agency can take approach method to achieve marketing goals, and that travel agency can distribute limited marketing resources efficiently. Second, brand association is influenced by brand awareness and perceived quality, and perceived quality influences more than brand awareness. This fact means that travel agency plans and executes marketing mix such as advertising, publicity, distribution, promotion efficiently in the dimension of total marketing. Especially a travel agency has to minimize the gap between consumer's recognition and evaluation formed from consumption after choosing travel agency and tour programs actually about marketing mix contents that travel agency appeals to consumer. Also travel agency has to plan strategic alternatives to improve and to maintain perceived quality of consumer. Third, brand association influences to brand attitude and brand loyalty as well. In this relation, brand association influences to brand loyalty directly and influences to brand loyalty through path of brand attitude indirectly. But indirect effect appears more than direct effect. This fact means that development of brand association in travel agency and tour programs have to change more consumers-based side than the present.

Lait caille is a traditional fermented milk product in Burkina Faso. The objective of this study was to contribute to consumer acceptance of lait caille . For this purpose, the production practices in rural and urban areas were identified through semi-structured interviews, while the perceived quality of lait caille in urban area was investigated through a survey. Then, microbiological and physico-chemical parameters were analysed on samples from rural and urban sites. Finally, an attempt to improve the hygiene of the traditional processing was proposed by use of Lactococcus lactis and Leuconostoc mesenteroides stains as starter. These were previously isolated from traditional lait caille . The results on the manufacturing processes revealed from the raw milk practices of spontaneous fermentation, backslopping and contact with bacterial biofilms attached to container. The survey on perceived quality indicated that traditional lait caille possessed a niche market which could be enlarged by implementation of good manufacturing practices in the production sites. The microbiota of the end product was characterised by high loads of Enterococcus spp., Enterobacteria and Pichia spp. Fermented milks by starter cultures showed improved hygienic quality and a positive sensory appreciation. However, the use of selected strains might be followed by loss of some features of traditional lait caille , which scientists should work to resolve.

Purpose: Over 10% of intensive care unit (ICU) patients die; however, research aimed at assessing and improving the quality of their deaths remains scarce. This study investigated the impact of communication among healthcare professionals and person-centered care provided by ICU nurses on the quality of dying and death (QODD) experienced by ICU patients. Methods: We measured general characteristics of ICU nurses, interprofessional communication, and person-centered care, and identified their impact on the quality of death for patients who died in the ICU. Participants consisted of 103 ICU nurses employed at two tertiary hospitals in South Korea. Data were collected between January and May 2023. Descriptive statistics, the t-test, analysis of variance, the Mann-Whitney U test, Pearson correlation coefficients, and multiple linear regression analyses were conducted using SPSS version 23.0. Results: The mean QODD score was 44.73±21.26. QODD was positively correlated with openness (nurse-physician), understanding (nurse-physician), satisfaction (nurse-physician), and person-centered care. Factors significantly influencing QODD included nurse-physician communication, specifically understanding (β=.35, p=.010), and person-centered care (β=.19, p=.033), explaining 20.2% of the total variance (F=7.44, p<.001). Conclusion: Improved communication among healthcare professionals and enhanced person-centered care are essential for improving the QODD for ICU patients. To achieve this, educational initiatives focusing on end-of-life care and communication training programs for healthcare professionals should be implemented.

Purpose: This study examined the effects of intentional nursing rounds based on the care model on patients' perceived nursing quality and their satisfaction with nursing services. Methods: The study design was a nonequivalent control group pretest-posttest design. The participants were assigned to the intervention group or the control group in two orthopedic wards of a teaching hospital. A total of 9 rounds (at 7 AM, 9 AM, 12 PM, 3 PM, 5 PM, 8 PM, 10 PM, 2 AM, and 5 AM) were performed every 2 or 3 hours to the experimental group. The intentional nursing rounding intervention was developed through a theoretical development program involving six basic principles which are maintaining belief, knowing, being with, doing for, enabling, and patients' wellness. To evaluate the effects of intentional nursing rounds, data were collected through the Perception of Quality Nursing Care Scale and the Patients' Satisfaction with Nursing Care Quality Questionnaire. Results: The participants were 70 patients (experimental group) and 75 patients (control group). Results of difference-in-difference analysis confirmed that the patient-perceived nursing quality level from the experimental group was 0.85 points (out of 5.00) higher (p ¼ .041) and the satisfaction with nursing services level was 8.28 points (out of 110.00) higher (p < .001) than the control group. Conclusions: These results proposed that intentional nursing rounds based on the care model were effective in improving perception of quality nursing care and patients' satisfaction with nursing care. Structured patient-oriented intentional nursing rounds based on the care model are expected to expand to a variety of clinical settings further.

Purpose: This study examined whether depressive symptoms and health-promoting lifestyle behaviors mediate the association between perceived stress and quality of life (QoL) in university students. Methods: Using a cross-sectional survey, Korean university students (N = 187, Mage = 23.97 years; 54.0% Woman) completed structured questionnaires with psychometric adequacy. A parallel multiple mediation model was used to test the mediating effect of depressive symptoms and health-promoting lifestyle behaviors on the relationship between perceived stress and QoL. Results: Total effect of perceived stress, depressive symptoms, and health-promoting lifestyle behaviors on QoL was -.55. Of these, total indirect mediating effect was -.50, whereas direct effect was only -.05 in the parallel mediation model. In particular, depressive symptoms (indirect effect = -.32) and healthpromoting lifestyle behaviors (indirect effect = -.18) completely mediated the relationship between perceived stress and QoL. Conclusion: The results suggest that effective strategies primarily focusing on improving depressive symptoms along with health behaviors are needed to decrease the negative effect of perceived stress on QoL.

Purpose: This study aimed to examine the influence of lifestyle-related factors, such as sleep quality, eating habits, and perceived stress, on the incidence of thyroid cancer in healthy adults. Methods: This study is a cross-sectional case-control study comparing lifestyle-related factors in thyroid cancer and healthy groups. Outpatients with thyroid cancer were recruited from 2012 to 2013, 3~6 months after thyroidectomy at a tertiary hospital in Seoul, Korea (n=468). For the control group, 935 healthy adults were recruited by propensity score matching on demographic characteristics in a 1:2 ratio from hospital health checkup data. The effect of sleep quality, eating habits, and perceived stress on the incidence of thyroid cancer was determined through multiple logistic regression analysis and backward stepwise variable selection. Results: Sleep disturbance and mild/moderate daytime dysfunction were found to have a 1.22 and 1.66/1.77-fold influence, respectively, in patients with thyroid cancer than in healthy controls (p

Purpose: The objectives of this study were to identify the prevalence and rationales of traditional Chinese pregnancy restrictions and to investigate the relationship between pregnancy restriction, health-related quality of life, and perceived stress level at a two-stage design. Methods: Stage I consisted of exploring the traditional Chinese pregnancy restrictions and their underlying beliefs based on extensive literature review followed by in-depth interviews with 30 pregnant women. Stage II investigated the relationship between pregnancy restrictions, health-related quality of life, and perceived stress among 1,151 women. Self-developed traditional Chinese pregnancy restrictions lists were measured on adherence towards the traditional Chinese pregnancy restriction. Perceived stress and health-related quality of life were measured by the Perceived Stress Scale and the Short Q1 Form-12 (SF-12) Health Survey, respectively. Results: The majority of the women adhered to traditional Chinese pregnancy restrictions in order to protect the unborn child from danger and to avoid the problems associated pregnancy and birth, such as miscarriage, stillbirth, death of the mother, and imperfections in the newborn. Pregnant women who adhered to behavioral restrictions were more likely to associate with poor physical component of healthrelated quality of life. However, there was no significant difference between pregnancy restrictions and Perceived Stress Scale scores. Conclusion: The findings provided cultural rationales of pregnancy restrictions within a Macao context that may assist health professionals to better understand women from different cultures. It is essential in the development of culturally appropriate healthcare to support women in making a healthy transition to motherhood.

Background: Dietary quality, biological health, culture, religiosity, and perceived stress are co-related. However, there is a dearth of research conducted on Asian populations in secularized and harmonious multicultural societies. Methods: This study addresses these gaps by conducting an investigation in the multicultural and multireligious Singapore to examine the parameters of culture and gender and the associations with (1) dietary quality, (2) biological health indicators, (3) religiosity, and (4) perceived stress. One hundred fifty participants (18e60 years old) were recruited, and their blood pressure (BP), body mass index (BMI), and body fat percentage (BF%) were also measured along with a 5-part questionnaire on demographics, dietary practice, food frequency, religiosity, and perceived stress. Results and conclusion: Results showed that cultural differences are associated with certain dietary practices, where the three ethnic groups of Chinese, Malays, and Indians significantly differed in their choices of meal locations such as Western fast food restaurants (H ¼ 12.369, p ¼ .002061*). Our analysis revealed that perceived stress significantly correlated with fat intake (rs ¼ .169, N ¼ 150, p ¼ .03865) and sugar intake (rs ¼ .172, N ¼ 150, p ¼ .03575). On the other hand, biological parameters such as diastolic BP (rs ¼ .0473, N ¼ 150, p ¼ .565), systolic BP (rs¼ .00972, N ¼ 150, p ¼ .906), BMI (rs ¼ .0403, N ¼ 150, p ¼ .6246), and BF% (rs ¼ .110, N ¼ 150, p ¼ .1811) did not have significant correlations with perceived stress. Similarly, religiosity did not significantly correlate with perceived stress (rs ¼ .025, N ¼ 150, p ¼ .7616). In conclusion, our findings provide insights into the changing intersection of food practices mitigated by ethnicity, religiosity, stress, and gender in the harmonious multiracial and multicultural Singapore.

Purpose: The incidence of gynecological cancers is increasing, presenting significant challenges for patient care and outcomes. Perceived stress and negative affect can impede self care behaviors and reduce health-related quality of life (HRQoL). This study examined the mediating effects of negative affect and cancer coping on the relationship between perceived hospital stress and HRQoL among patients with gynecological cancer. Methods: A cross-sectional mediation analysis was conducted with 118 gynecological cancer patients recruited from the outpatient clinic of a university hospital (October 2023 to February 2024). Participants completed validated instruments assessing perceived stress, negative affect, cancer coping, and HRQoL. Data were analyzed using Spearman’s correlations and the PROCESS macro (Model 4) with 95% bootstrap confidence intervals (CIs). Results: Perceived stress was significantly correlated with negative affect (r=.58, p<.001), cancer coping (r=.23, p=.012), and HRQoL (r=?.45, p<.001). Negative affect was correlated with HRQoL (r=?.59, p<.001). Furthermore, negative affect and cancer coping mediated the relationship between stress and HRQoL (B=?0.18, 95% CI=?0.27 to ?0.11 and B=0.04, 95% CI=0.01 to 0.08, respectively). Conclusion: Negative affect and cancer coping significantly mediated the relationship between hospital stress and HRQoL. Targeted interventions aiming to reduce stress and strengthen emotional and coping strategies could enhance HRQoL among gynecological cancer patients.

Purpose: This study aimed to identify the factors affecting the quality of nursing care as perceived by mothers of hospitalized children and provide basic data for the development of nursing care quality improvement programs. Methods: The participants consisted of 167 mothers, each of whom had a child hospitalized at a specific children's hospital. Data were collected from June 22 to August 8, 2019. Results: The factors that affected how mothers perceived the quality of nursing care were the communication ability of nurses (β=.44, p<.001) and the mother-nurse partnership (β=.33, p=.001). The total explanatory power of these factors was 54.1%. Conclusion: To improve the quality of pediatric nursing care, it is necessary to improve the communication abilities of nurses and to promote partnership between nurses and the mothers of hospitalized children.