Experiences of Inpatients Living with Lung Cancer in South Korea

Purpose@#This study aimed to examine the processes of adaptation lung cancer patients undergo by examining their social interactions with medical staff, families, and other patients during hospitalization. @*Methods@#Data were collected from February 2017 to January 2018 for a qualitative research study based on in-depth interviews with 10 participants who were inpatients at a cancer treatment hospital. Data were analyzed using the grounded theory of Corbin and Strauss. @*Results@#Through comparative analysis, we identified the central phenomenon of the study was, ‘living in a body that is not related to one's own will.’ The causal conditions were, ‘hit by a bolt out of the blue’ and ‘a disease that I do not want to inform others of.’ The contextual conditions were, ‘an encounter with reality’ and ‘breaking down the wall of fear.’ The intervention conditions included, ‘finding comfort in adversity,’ ‘a loaf of bread is better than the song of many birds,’ and ‘the communion of the same situation.’ Action/interaction strategies included ‘sharing information,’ ‘a word of encouragement,’ and ‘accepting the wave of change.’ Finally, the perceived consequences were ‘life redesign’ and ‘a life journey with limited time.’ @*Conclusion@#This study describes the processes underlying how patients find meaning in their lives after a diagnosis of lung cancer. Based on their experiences, it is necessary to offer nursing interventions including admission rooms, equipment, and instruments to meet the unique needs of patients. The findings indicate that inpatient treatment for lung cancer needs more meaningful and effective management.

Knowledge and Attitude about Drugs and the Current Status of Self-medication of Nursing Students / 의료커뮤니케이션

BACKGROUND: Nursing college students are exposed to information about diseases or drugs, and are likely to have a distorted perception of drug knowledge or behavior. The study aimed to identify knowledge and attitude about drugs and current status of self-medication among nursing students.METHODS: The subjects were 172 nursing students from a university in Busan. Data were collected with structured questionnaires and analyzed using descriptive analysis, t-test, and one-way ANOVA using SPSS 23.0.RESULTS: Nursing students had a high level of knowledge about drugs, but attitudes toward drugs were relatively low. 83.7% of patients had experience of self-medication. The methods to acquire information for self-administration were 29.9% by smart phone and 27.1% by internet. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) among self-medication drugs was the highest. The most common reason for self-medication was ‘I thought it to be a mild disease’, and the pharmacists were the most affected by choice of self-medication. The knowledge about drugs was statistically significant according to grade, school life satisfaction and subjective health status. The attitudes about medication were statistically significant according to grade and self-medication experience.CONCLUSION: Nursing college students need drug safety education to improve awareness and practice of correct drug use.

Effect of Personality and Resilience on Satisfaction with Major in Nursing Students / 간호행정학회지

PURPOSE: This study was conducted to examine personality, resilience and satisfaction with nursing major and to explore their influences on nursing students' satisfaction with their major. METHODS: From March 15 to 30, 2018, self-report questionnaires were distributed and collected from 308 of nursing students in 2 colleges located in P-metropolitan city and K-province. Data were analyzed using SPSS/WIN 22.0. program. RESULTS: The mean score for personality was 3.71±0.45, for resilience, 3.28±0.36, and for satisfaction with major, 3.69±0.53. Satisfaction with major was positively correlated with personality (r=.44, p < .001) and resilience (r=.37 p < .001). Personality was positively correlated with resilience (r=.68 p < .001). The factors associated with satisfaction with major were personality (β=.34, p=.006), satisfaction with college life as ‘bad’ (β=−.25, p < .001), ‘moderate’ (β=−.19, p < .001), and ‘employment’ (β=−.14, p=.028) as motivation for nursing. CONCLUSION: The results of this study suggest that personality, satisfaction with college life, and motivation for nursing were related to satisfaction with nursing as a major in nursing students. To increase the satisfaction with major for nursing students, it is necessary to build effective strategies to focus on promoting their personality, satisfaction with college life, and motivation for nursing.

Deep Vein Thrombosis in Patients with Pulmonary Embolism: Prevalance, Clinical Significance and Outcome

PURPOSE: Deep venous thrombosis (DVT) and pulmonary embolism (PE) are considered as similar disease entities representing different clinical manifestations. The objectives of this study were: 1) to determine the prevalence and outcome of DVT in patients with PE; 2) to identify additional risk factors for PE-related unfavorable outcome and 30-day all-cause mortality; and 3) to establish the clinical importance of screening for concomitant DVT. MATERIALS AND METHODS: From January 2013 to December 2015, a total of 141 patients with confirmed PE were evaluated. The prevalence and outcome of DVT in patients with PE was determined. Furthermore, the potential risk factors for PE-related unfavorable outcome and 30-day all-cause mortality were also analyzed. RESULTS: The prevalence of concomitant DVT was 45.4%. PE-related unfavorable outcome was observed in 21.9% of all concomitant DVT, with all-cause mortality of 21.9%. There was no significant relationship between the presence of concomitant DVT and the development of PE-related unfavorable outcome or all-cause mortality. Our results indicated that heart rate >100/min and peripheral oxygen saturation <90% were independent predictors for PE-related unfavorable outcome. Regarding all-cause mortality, active malignancy and hypotension or shock were significant risk factors. CONCLUSION: Our findings demonstrate that approximately half of patients with PE possess DVT. However, this study failed to establish any clinical significance of concomitant DVT for PE-related unfavorable outcome and all-cause mortality. Tachycardia and hypoxemia were identified as significant predictors for PE-related unfavorable outcome along with active malignancy and hypotension or shock as significant risk factors of all-cause mortality.

The Disagreement of Discourse and Power Through the Experiences of Nursing for Caring of Long-term Hospitalized Patients / 성인간호학회지

PURPOSE: This critical ethnography was performed to explore the experiences of nurses who are working with patients in an industrial disaster hospital. During the research process, I focused on the experiences of conflict in caring patients. METHODS: Data for the study came from 13 informants with their corresponding patients through interview and observation from March 2002 to February 2004. The data was examined line by line; then compared and contrasted based on a critical discourse analysis. RESULTS: Nurses' conflicts came from discrepancies of the world views from that of the patients. Such conflicts arose because of various issues as follows: Worker as an individual vs patients, nurse as young women vs the medical profession, hospital as an extended home vs health care setting, and hospitalization as a means to enhance work capacity vs a means of treatment. CONCLUSION: We need more study on the development of adaptive strategy for the nurses to overcome conflicts during their nursing career. Developing a nurses' and patient role intervention program is needed.

Experience of Job Satisfaction in Clinical Nurses: Application of Focus Group Methodology / 간호학회지

PURPOSE: The purpose of this study was to describe the experiences of job satisfaction in clinical nurses. METHODS: Data was collected from three focus groups composed of 17 hospital nurses. Each focus group had an interview for an average of two and a half hours with the guidance of researchers. The main question was "how do you describe your lived experience of job satisfaction as a clinical nurse?" Qualitative data from the field notes and transcribed notes were analyzed using a grounded theory methodology developed by Strauss and Corbin. RESULTS: The core category of experience of job satisfaction in clinical nurses was identified as "Finding success." Supportive interpersonal relationships and environment affected this category. In the process of attaining job satisfaction through finding success, the participants were using four interactional strategies such as giving meaning, finding self-esteem, extending the horizon of life, and strengthening self-capability. The dimensions of job satisfaction in clinical nurses were the sense of achievement, stability, and pride. CONCLUSION: The results of this study yields very useful information for nursing mangers to design a program which enhances job satisfaction of clinical nurses based on interactional strategies.

A case of Lupus Nephritis

Lupus nephritis is one of major complications of systemic lupus erythematosus, which determine the outcome of the disease. A case of lupus nephritis was admitted to our pediatric department and renal biopsy was done, which reveraled membranophroliferative type in electron-microscopy. He was treated with prednisone only and responded well in urinary findings. Now, he is maintained with low dose prednisone.

A Clinical Study of Recurrent Intussusception

No abstract available.