ABSTRACT
PURPOSE: The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life.METHODS: A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital.RESULTS: Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients' suffering, dying with damaged dignity, patients' isolation from family members, regret about choosing life-sustaining treatment, and family members' burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members.CONCLUSIONS: Nurses have better competencies pertaining to understanding patients' responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.
Subject(s)
Humans , Critical Care , Decision Making , Delivery of Health Care , Hospitals, General , MethodsABSTRACT
PURPOSE: This study was to examine the effects of intergenerational social support exchange (providing social support, receiving social support) and self-efficacy on the level of depression among elderly women. METHODS: A cross-sectional survey design was used. The participants were 247 elderly women, over 60, living in Seoul. Data were collected by convenience sampling using self-reported questionnaires that consisted of items on general characteristics, depression, intergenerational social support exchange and self-efficacy. Data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. RESULTS: Self-efficacy had the greatest impact on the level of depression among elderly women, followed by perceived health status and providing social support toward adult children. The model explained 39% of the variance. CONCLUSION: Results of the study suggest that as a way to prevent depression, the health administration needs to develop programs to enhance self-efficacy and to promote the supportive role of elderly women within the family.
Subject(s)
Aged , Female , Humans , Adult Children , Cross-Sectional Studies , Depression , Surveys and Questionnaires , SeoulABSTRACT
PURPOSE: This study was done to identify the mediating effect of emotional dissonance in the relationship between emotional labor and burnout among clinical nurses. METHODS: A cross-sectional survey design was used. The participants were 257 nurses working at three general hospitals located in Seoul and Gyeonggi Province. Data were collected by convenience sampling using self-report questionnaires that consisted of general characteristics, and measures of emotional labor, emotional dissonance and burnout. Data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. RESULTS: The findings of the multiple regression were as follows. First, surface acting of emotional labor showed significant positive effects on emotional dissonance and burnout. Second, when surface acting and emotional dissonance were entered into the regression model at the same time, surface acting showed an insignificant effect on burnout, however, emotional dissonance showed a significant effect. Finally, emotional dissonance had a mediating effect only between surface acting of emotional labor and burnout, not between deep acting and burnout. CONCLUSION: Results of the study suggest that as a way to reduce burnout, nursing administrators should develop educational programs for nurses to perform deep acting of emotional labor instead of surface acting at the moment of truth.
Subject(s)
Humans , Administrative Personnel , Cross-Sectional Studies , Hospitals, General , Negotiating , Nursing , Surveys and Questionnaires , SeoulABSTRACT
PURPOSE: The purpose of this study was to identify university students' willingness to write advance directives and factors related to this willingness. METHOD: A cross-sectional survey design was used and 400 nursing students and 287 non-nursing students participated in the study. Data were collected by convenience sampling using self-report questionnaires. Data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. RESULTS: The mean score for willingness to write advance directives was 4.09. From the multiple regression analysis, predictors of willingness to write advance directives were found to be majoring in nursing, awareness of advance directives, preference for autonomous decision making related to the end of life care, family preference related to the end of life care, and self esteem. CONCLUSION: The study results indicate that various factors are related to willingness to write advance directives and nurses need to consider client characteristics, knowledge, and own values when taking care of issues on advance directives.
Subject(s)
Female , Humans , Advance Directives , Cross-Sectional Studies , Decision Making , Surveys and Questionnaires , Students, Nursing , Terminal CareABSTRACT
PURPOSE: This study was to examine the relationship between recovery experience and the burnout among hospital nurses. METHODS: A cross-sectional survey design was used. The participants were 281 nurses working at three general hospitals located in Seoul and Gyeonggi Province. The data were collected by convenience sampling using self-reported questionnaires that consisted of general characteristics, burnout, recovery experiences, self-efficacy, social support, job demand and organizational system. The data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression. RESULTS: Stepwise multiple regression showed that organizational system had the greatest impact on hospital nurses' burnout, followed by job demand, self efficacy, position and recovery experience. CONCLUSION: Recovery experience is found to be a new factor that influences the burnout among hospital nurses. Therefore, further research is needed for confirming that recovery experience influences the burnout of hospital nurses. Also there is a need to develop a program to increase recovery experience from job stress at the organizational level to reduce hospital nurses' burnout.
Subject(s)
Cross-Sectional Studies , Hospitals, General , Surveys and Questionnaires , Self EfficacyABSTRACT
PURPOSE: This study was to examine the relationship between recovery experience and the burnout among hospital nurses. METHODS: A cross-sectional survey design was used. The participants were 281 nurses working at three general hospitals located in Seoul and Gyeonggi Province. The data were collected by convenience sampling using self-reported questionnaires that consisted of general characteristics, burnout, recovery experiences, self-efficacy, social support, job demand and organizational system. The data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression. RESULTS: Stepwise multiple regression showed that organizational system had the greatest impact on hospital nurses' burnout, followed by job demand, self efficacy, position and recovery experience. CONCLUSION: Recovery experience is found to be a new factor that influences the burnout among hospital nurses. Therefore, further research is needed for confirming that recovery experience influences the burnout of hospital nurses. Also there is a need to develop a program to increase recovery experience from job stress at the organizational level to reduce hospital nurses' burnout.
Subject(s)
Cross-Sectional Studies , Hospitals, General , Surveys and Questionnaires , Self EfficacyABSTRACT
PURPOSE: The purpose of this study was to explore the factors related to physical and affective well-being of taxi drivers. The main factors of interests were workplace hazards and work environment. METHOD: This was a cross-sectional descriptive study. A convenience sampling method was utilized. 181 taxi drivers in Seoul metropolitan area completed survey questionnaires. RESULT: In bivariate analysis, payment system, workplace hazards, and work environment were associated with physical health of taxi drivers. Multiple regression analysis revealed payment system and workplace hazards were significant predictors of physical health. On the other hand, age and workplace hazards, and work environment were significantly associated with affective health in the bivariate analysis. Moreover, workplace hazards and environment were significant predictors of affective health in the multiple regression analysis. CONCLUSION: To improve taxi drivers' health status, it is critical to reform payment system to monthly payment, establish prevention policies of workplace hazards, and encourage employers and taxi drivers to make efforts for better work environment.
Subject(s)
HandABSTRACT
PURPOSE: This study was designed to examine the relationship between nurses' characteristics and perception of seriousness of elder abuse. METHOD: A cross-sectional survey design was used to describe the perception of elder abuse by 301 nurses. Data were collected by convenience sampling. The research instruments utilized in this study were 12 scenarios adapted by Yoo & Kim from the 13 senarios to measure the perception of elder abuse developed by Moon and Williams (1993), a seven item questionnaires related to elder abuse law, and a Semantic Differential Scaling to measure attitudes toward elderly people. Data were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation. RESULTS: The mean score for perceptions of elder abuse was 3.07. Among the types of abuse, sexual abuse was perceived as the most severe type of abuse followed by physical abuse, neglect, financial abuse, and emotional abuse in that order. Education, job position, experience of gerontological nursing course, and education on elder abuse, exposure to elder abuse information, and attitudes toward elders were significantly related to the perception of seriousness on elder abuse. CONCLUSIONS: The results of this study suggest that provision of elder abuse education is needed for nurses, to enable them to identify elder abuse and address their legal and professional responsibilities.
Subject(s)
Aged , Humans , Cross-Sectional Studies , Elder Abuse , Jurisprudence , Moon , Surveys and Questionnaires , Semantic Differential , Sex OffensesABSTRACT
PURPOSE: This study was designed to identify the predictors of elderly women's intention to report elder abuse. METHODS: A cross-sectional survey design was used. The participants were 204 elderly women aged over 60 living in Seoul. Data were collected using self-reported questionnaires by convenience sampling. Data were analyzed with frequencies, chi-square test, t-test and binary logistic regression. RESULTS: Logistic regression analyses showed perception of elderly welfare law, perception of seriousness of elder abuse, subjective economic status, and exposure to elder abuse information were significant predictors of elderly women's intention to report elder abuse. CONCLUSION: The results of study suggest that the provision of information related to elder abuse including elderly welfare law is crucial toward elderly women in preventing elder abuse.
Subject(s)
Aged , Female , Humans , Cross-Sectional Studies , Elder Abuse , Intention , Jurisprudence , Logistic Models , Surveys and QuestionnairesABSTRACT
PURPOSE: This study was designed to identify the predictors of elderly women's intention to report elder abuse. METHODS: A cross-sectional survey design was used. The participants were 204 elderly women aged over 60 living in Seoul. Data were collected using self-reported questionnaires by convenience sampling. Data were analyzed with frequencies, chi-square test, t-test and binary logistic regression. RESULTS: Logistic regression analyses showed perception of elderly welfare law, perception of seriousness of elder abuse, subjective economic status, and exposure to elder abuse information were significant predictors of elderly women's intention to report elder abuse. CONCLUSION: The results of study suggest that the provision of information related to elder abuse including elderly welfare law is crucial toward elderly women in preventing elder abuse.
Subject(s)
Aged , Female , Humans , Cross-Sectional Studies , Elder Abuse , Intention , Jurisprudence , Logistic Models , Surveys and QuestionnairesABSTRACT
No abstract available.