Agendas on Nursing in South Korea Media: Natural Language Processing and Network Analysis of News from 2005 to 2022.

BACKGROUND: In recent years, Korean society has increasingly recognized the importance of nurses in the context of population aging and infectious disease control. However, nurses still face difficulties with regard to policy activities that are aimed at improving the nursing workforce structure and working environment. Media coverage plays an important role in public awareness of a particular issue and can be an important strategy in policy activities.

OBJECTIVE: This study analyzed data from 18 years of news coverage on nursing-related issues. The focus of this study was to examine the drivers of the social, local, economic, and political agendas that were emphasized in the media by the analysis of main sources and their quotes. This analysis revealed which nursing media agendas were emphasized (e.g., social aspects), neglected (e.g., policy aspects), and negotiated.

METHODS: Descriptive analysis, natural language processing (NLP), and semantic network analysis were applied to analyze data collected from 2005 to 2022. BigKinds were used for the collection of data, automatic multi-categorization of news, named entity recognition of news sources, and extraction and topic modeling of quotes. The main news sources were identified by conducting a 1-mode network analysis with SNAnalyzer. The main agendas of nursing-related news coverage were examined through the qualitative analysis of major sources' quotes by section. The common and individual interests of the top-ranked sources were analyzed through a 2-mode network analysis using UCINET.

RESULTS: In total, 128,339 articles from 54 media on nursing-related issues were analyzed. Descriptive analysis showed that nursing-related news was mainly covered in social (77.82%) and local (48.56%) sections, whereas economy (7.35%) and political (5.69%) sections lacked comprehensive discussions. Furthermore, 445 sources who had made the top 20 list at least once by year and section were analyzed. Other than "nurse," the main sources for each section were "labor union," "local resident," "government," and "Moon Jae-in." "Nursing Bill" emerged as a common interest among nurses and doctors although the topic did not garner considerable attention from the Ministry of Health and Welfare. Analyzing quotes, nurses were portrayed as heroes, laborers, victims, and perpetrators. The economic section focused on youth and women employment in relation to nurses. In the political section, conflicts between nurses and doctors, which may have caused policy confusion, were highlighted. Policy formulation processes were not adequately reported. Media coverage of the enactment of nursing laws tended to move on confrontations between political parties.

CONCLUSIONS: The media plays a crucial role in highlighting various aspects of nursing practice. However, policy formulation processes to solve nursing issues were not adequately reported in South Korea. This study suggests that nurses should secure policy compliance by persuading the public about their professional perspectives.