The effect of a loving-kindness and compassion meditation program on the empathy, emotion, and stress of nursing college students / 한국간호교육학회지

Purpose@#This study examined the effects of a loving-kindness and compassion meditation program on the empathy, emotion, and stress of nursing college students. @*Methods@#A pre-posttest experimental design with a non-equivalent control group was applied. The participants were 39 nursing college students (experimental group: 19, control group: 20). The loving-kindness and compassion meditation program for nursing college students took 8 weeks. Data was collected from February 2016 to March 2016, and was analyzed by Chi-square test and independent t-test using IBM SPSS/WIN 19.0. @*Results@#The difference between the experiment group and control group was statistically significant in empathy, negative affect, and perceived stress. @*Conclusion@#The results indicate that the loving-kindness and compassion meditation program was effective for empathy improvement and stress management of nursing college students.

Development and Effects of the Self-determination Improvement Program for Nursing Students' Professional Competence Enhancement / 정신간호학회지

PURPOSE: The purposes of this study were to develop a self-determination improvement program for enhancing nursing students' professional competence and to evaluate effects of the intervention on nursing professionalism, communication skills, and career decision-making autonomy among nursing students. METHODS: The study was in a pre-test, post-test 1, and post-test 2 for a nonequivalent control group design. The participants were 56 students enrolled a nursing school or college (experimental group: 28; control group: 28). The self-determination improvement program was provided in 12 sessions over 4 weeks. Data was collected from August to September 2018. Data were analyzed using SPSS/WIN 25.0 program with χ² test, Fisher's exact test, the independent t-test, and repeated measurement ANOVA. RESULTS: Participants receiving the self-determination improvement program reported increased nursing professionalism, communication skills, and career decision-making autonomy that was significantly different from those in the control group. CONCLUSION: Our study findings suggest that the self-determination improvement program could be effective for enhancing career decision-making autonomy by strengthening nursing students' professionalism and communication skills. Nursing educational program based on self-determination may be helpful for nursing students who need to prepare themselves as competent nurses in future profession.

The Effects of the ‘Becoming Happy I’ Program on Gratitude Disposition, Self-esteem, Flow, and Subjective Happiness in Nursing College Students / 정신간호학회지

PURPOSE: The purpose of this study was to investigate the effects of the ‘Becoming Happy I’ program on gratitude disposition, self-esteem, flow, and subjective happiness in nursing college students.METHODS: Participants in this study were 39 nursing college students (20 in the experimental group and 19 in the control group) at a college of nursing. The research design was a non-equivalent control group pretest-posttest as a quasi-experimental study. Data was collected from February to April in 2011 and analyzed via the SPSS/WIN 18.0 program with the χ² test, Fisher's exact test, repeated measures ANOVA, and Tukey HSD test.RESULTS: There were significant changes in gratitude disposition, self-esteem, flow, and subjective happiness in the experimental group before and after treatment, which was significantly different from the control group, and these effects lasted at a 4-week follow-up.CONCLUSION: The ‘Becoming Happy I’ program was effective in improving gratitude disposition, self-esteem, flow, and subjective happiness for nursing college students. As a result, we recommended that the ‘Becoming Happy I’ program be utilized as an effective intervention for nursing college students to improve gratitude disposition, self-esteem, flow, and subjective happiness.

Associations of Vocational Calling, Emotional Intelligence, and Major Commitment with the Happiness of Nursing Students: Focusing on Mediating Effects of Major Commitment / 정신간호학회지

PURPOSE: The purpose of this study was to determine the impacts of vocational calling, emotional intelligence, and major commitment on nursing college students' happiness. This study also was conducted to explore major commitment's mediating effect on the relationship between vocational calling, emotional intelligence, and major commitment among nursing college students. METHODS: Participants were 346 nursing college students. Data were collected in November, 2017 with self-report questionnaires and were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and regression analysis with IBM SPSS 19.0. RESULTS: The regression model explained 33.0% of variance in nursing college students' happiness (F=41.44, p < .001). Significant factors were emotional intelligence (β=.30, p < .001), grade (β=.20, p < .001), major commitment (β=.18, p=.002), and vocational calling (β=.11, p=.035). Moreover, major commitment showed partial mediating effects on vocational calling and happiness. Major commitment also showed partial mediating effects on emotional intelligence and happiness. CONCLUSION: The results suggest that nursing college students' happiness can be increased through strategies aimed at increasing vocational calling, emotional intelligence, and major commitment.

Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia / 정신간호학회지

PURPOSE: The purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program's effects on patients' psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment. METHODS: This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for χ2 test, Fisher's exact test, independent t-test, and repeated measurement ANOVA. RESULTS: The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight. CONCLUSION: This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.

Mediating Effect of Psychological Flexibility on Quality of Life in Inpatients with Schizophrenia / 정신간호학회지

PURPOSE: This study was conducted to explore psychological flexibility's mediating effect on the relationship between symptoms, social functioning and quality of life among inpatients with schizophrenia. METHODS: Participants were 190 inpatients with schizophrenia from five mental hospitals in three areas. Data were collected from self-report questionnaires administered from June to July 2018. Data were analyzed using Pearson's correlation coefficients and the Baron and Kenny method with IBM SPSS 22.0. RESULTS: Quality of life showed a positive correlation with psychological flexibility (r=.52, p < .001), but a negative correlation with symptoms (r=−.39, p < .001) and social functioning (r=−.42, p < .001). Psychological flexibility had a full mediating effect on the relationship between symptoms and quality of life. Psychological flexibility also showed partial mediating effects on social functioning and quality of life. CONCLUSION: The results suggest that psychological flexibility plays an important role in the quality of life of inpatients with schizophrenia. Therefore, mental health practitioners should focus on interventions to improve their social functioning and psychological flexibility to improve their quality of life.

Impact of Emotional Intelligence and Vocational Calling on Post-traumatic Growth in Police Officers / 정신간호학회지

PURPOSE: Post-traumatic growth in police officers is important. This study was performed to determine the impact of emotional intelligence and vocational calling on post-traumatic growth. METHODS: For this descriptive correlation study, participants were 184 police officers, working in one of eleven police stations. Data were collected from February 15 to February 28, 2017 using self-report questionnaires. Analysis was done using t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression with IBM SPSS 19.0. RESULTS: Emotional intelligence and vocational calling were positively correlated with post traumatic growth. Analysis of the impact of emotional intelligence and vocational calling on post-traumatic growth showed that emotional intelligence was the most significant predictor variable. Moreover, there was a mediating effect of vocational calling in the relationship between emotional intelligence and post-traumatic growth. CONCLUSION: The study results suggest that improvement in police officer's emotional intelligence and vocational calling increases their post-traumatic growth. It is necessary to device strategies which strengthen emotional intelligence and vocational calling in order to improve the post-traumatic growth of police officers.

Impact of Internalized Stigma, Anger Expression Style, and Mental Health Service Satisfaction on Self-esteem in Inpatients with Schizophrenia / 정신간호학회지

PURPOSE: This study was performed to identify how internalized stigma, anger expression style, and mental health service satisfaction impact on the self-esteem of inpatients with schizophrenia. METHODS: For this descriptive correlational study, 191 inpatients with schizophrenia participated. They had been admitted to one of six mental hospitals in three areas of South Korea. Data were collected from August 1 to November 30, 2016 using self-report questionnaires and data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with IBM SPSS 22.0. RESULTS: The significant predictors of self-esteem in inpatients with schizophrenia were internalized stigma, anger expression style, and mental health service satisfaction, explaining 36% of the variance in self-esteem. The most significant predictor of self-esteem in inpatients with schizophrenia was internalized stigma. CONCLUSION: Study findings suggest that a significant reduction in the internalized stigma of inpatients with schizophrenia increases their self-esteem. It is also, necessary to improve adaptive anger expression style and mental health service satisfaction.

Hope Enhancement Program for Increased Hope, Self-Efficacy, and Quality of Life for Mentally Ill Persons in Day Hospitals / 정신간호학회지

PURPOSE: In this study an investigation was done of the effects of a hope enhancement program on hope, self-efficacy, and quality of life for mentally ill persons in day hospitals. METHODS: Research design was a non-equivalent control group pre-post test design as a quasi-experimental study. The participants were selected from mentally ill persons at A day hospital and B day hospital in D city. They were 36 participants (18 in the experimental group and 18 in the control group). The study was conducted from March 17 to April 8, 2014. Data were analyzed using χ² test, Fisher's exact test, t-test, and independent sample t-test with IBM SPSS/WIN 19.0 Program. RESULTS: Participants in the hope enhancement program reported increased hope and higher quality of life scores, which were significantly different from those in the control group. Participants in the hope enhancement program also reported increased self-efficacy but it was not significantly different compared to the control group. CONCLUSION: Findings show that the hope enhancement program is effective in hope and quality of life for mentally ill persons in day hospitals. Therefore, use of the hope enhancement program will contribute as a meaningful nursing intervention for mentally ill persons in day hospitals.

LPS Sensing Mechanism of Human Astrocytes: Evidence of Functional TLR4 Expression and Requirement of Soluble CD14

Among a myriad of pathogen-associated molecular pattern-sensing receptors, toll-like receptors (TLRs) are the principal core sensors of the host. Despite intensive studies for the expression of TLRs and their roles in the central nervous system, controversies remain regarding the expression and the function of TLR4 in human astrocytes. In order to clarify this issue, we attempted to verify functional expression of TLR4 in human astrocytes. Using Reverse transcription-polymerase chain reaction (RT-PCR), we confirmed that the human astrocytes express the TLR4 constitutively. To determine the function of TLR4, astrocytes were treated with TLR4 ligand or lipopolysaccharide (LPS), and then inflammatory cytokines expressions were checked using RT-PCR and enzyme-linked immunosorbent assay. Nuclear factor (NF)-κB activation was checked using electrophoretic mobility shift assay. Treatment of astrocytes with LPS increased tumor necrosis factor (TNF)-α, interleukin (IL)-6 and IL-8 expression and induced NF-κB activation. Neutralizing anti-TLR4 antibody blocked the effect of LPS on cytokine production and NF-κB activation in astrocytes. The effect of LPS on cytokine production and NF-κB activation was shown in the presence of serum but not in the absence of serum. Therefore, we investigated the sensing mechanism of LPS in human astrocytes. Human astrocytes were treated with LPS following neutralizing anti-CD14 antibody treatment in the presence of serum. Neutralizing anti-CD14 antibody treatment abolished the effect of LPS on cytokine expression and NF-κB activation. Additionally, supplement of recombinant CD14 in serum-free media induced LPS effect on cytokine production and NF-κB activation. In these results, we showed that human astrocytes constitutively express functional TLR4 and require soluble CD14 to recognize LPS.

Nurses' Knowledge and Performance of Pain Management at a General hospital / 기본간호학회지

PURPOSE: This study was done to describe level of knowledge and performance of pain management by nurses in general hospitals. METHODS: The study was conducted from August 1 to 28, 2014 with 141 nurses from a general hospital in B city. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficient with SPSS 20.0. RESULTS: Average correct response rate for knowledge was 62.7%, indicating poor knowledge of pain management. Mean score for knowledge of pain management was 31.33+/-3.24 out of 50(general knowledge about pain 14.02+/-2.18 out of 20, knowledge on use of analgesics 9.21+/-1.97 out of 20, knowledge on analgesic classification 8.16+/-1.00 out of 10). Mean score for performance of pain management was 3.19+/-.44 out of 4. There was significant difference in knowledge of pain management by age. Performance of pain management differed significantly according to age and type of working unit. No significant relationship was found between knowledge and performance of pain management. CONCLUSION: These findings show that nurses who have good knowledge do not always have good performance of pain management. Therefore, it is necessary to develop new strategies to promote performance as well as continued pain management education to increase ability of nurses to manage pain.

Impact of Self-leadership and Organizational Commitment on the Intention of Psychiatric Mental Health Nurses to Remain in the Profession / 정신간호학회지

PURPOSE: This study was performed to identify the impact of self-leadership and organizational commitment on intention among psychiatric mental health nurses to remain in the profession. METHODS: For this descriptive correlational study, participants were 177 psychiatric mental health nurses with more .than 3 months of psychiatric mental health experience, working in one of eight hospitals in four areas. Data were collected from December 21, 2015 to February 22, 2016 using self-report questionnaires and were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression with IBM SPSS 19.0. RESULTS: Self-leadership and organizational commitment correlated positively with intention to remain. According to the analysis of the impact of self-leadership and organizational commitment on intention to remain, organizational commitment was the most significant predictor variable. CONCLUSION: Study findings suggest that improvement in the organizational commitment of psychiatric mental health nurses increases their intention remain. It is necessary to come up with a strategy which strengthens organizational commitment in order to improve psychiatric mental health nurses' intention to remain in the profession.

Structural Analysis of Low Level Gambling Behavior in College Students / 정신간호학회지

PURPOSE: In this study the fitness of a path model was examined for relationships among loneliness, motives for gambling, gambling risk factor, self-efficacy to control gambling, and low level gambling behavior in college students. METHODS: Participants were 410 college students selected from 4 universities and data collection was done between September 22 and October 24, 2014 using self-report questionnaires. Data were analyzed using IBM SPSS 19.0 and AMOS 20.0 programs. RESULTS: Motives for gambling, self-efficacy to control gambling, directly affected college students' low level gambling behavior, while loneliness, gambling risk factor, gambling motives affected it indirectly. This study also showed that the modified path model is efficient and appropriate to analyze college students' low level gambling behavior. CONCLUSION: These results suggest that college students' low level gambling behavior can be decreased by reducing loneliness, gambling motives, gambling risk factor and increasing self-efficacy to control gambling. Thus, in order to prevent college students' low level gambling behavior, there is a need to design an intervention program which focuses on reducing loneliness, gambling motives, gambling risk factor, and on reinforcing self-efficacy to control gambling.

Development of Expert Competency Model for Preventing Adolescent Addictive Behavior and Educational Needs of Psychiatric Mental Health Nurses / 정신간호학회지

PURPOSE: This study was conducted to develop an expert competency model for preventing adolescent addictive behavior and to analyze educational needs of psychiatric mental health nurses in Korea. METHODS: The process involved competency modeling using to the expert's delphi construction and analyzing validity using to the development of the expert competency scale. Participants were 441 experts and 137 psychiatric mental health nurses in 2 cities. RESULTS: The expert competency model for preventing adolescent addictive behavior included positive self-worth, capability of adolescents comprehension, environment comprehension capability of adolescent, capability of inner motivation, perception of personal competency, communication skills with adolescent, addiction comprehension capability, and addiction management skills. The developed expert competency scale demonstrates good reliability and validity. Psychiatric mental health nurses' highest educational needs from expert competency scale were addiction management skills and communication skills with adolescents. CONCLUSION: The study findings indicate that the expert competency model for preventing adolescent addictive behavior has good validity and reliability when applied to adolescents. It provides the first step toward developing an education program or guidelines for experts including psychiatric mental health nurses.

Predictors of the Low Level Gambling Behavior in University Students / 정신간호학회지

PURPOSE: The purpose of the study was to investigate the personal, familial, and environmental variables that affect low level gambling behavior in university students. METHODS: The participants were 389 students in 4 universities. Data were obtained from these participants through self-report questionnaires, administered between August 19 and September 13, 2013 and data were analyzed using the SPSS/WIN 19.0 programs. RESULTS: The significant predictors of low level gambling behavior in university students were self-control, family strengths, social motives, amusement motives, number of gambling peers, onset of gambling, irrational gambling beliefs, gambling experience of father, mother and peers, and risk taking. These personal, familial and environmental variables explained 65.5% of the variance in low level gambling behavior. CONCLUSION: The outcomes of this study indicate that, for university students to decrease gambling behavior, intervention programs that manage gambling experience of family and peers should be developed with an emphasis on decreasing irrational gambling beliefs, social motives, amusement motives, and risk taking behavior and increasing self-control and family strengths.

Construction of the Addiction Prevention Core Competency Model for Preventing Addictive Behavior in Adolescents

PURPOSE: This study was done to provide fundamental data for the development of competency reinforcement programs to prevent addictive behavior in adolescents through the construction and examination of an addiction prevention core competency model. METHODS: In this study core competencies for preventing addictive behavior in adolescents through competency modeling were identified, and the addiction prevention core competency model was developed. It was validated methodologically. RESULTS: Competencies for preventing addictive behavior in adolescents as defined by the addiction prevention core competency model are as follows: positive self-worth, self-control skill, time management skill, reality perception skill, risk coping skill, and positive communication with parents and with peers or social group. After construction, concurrent cross validation of the addiction prevention core competency model showed that this model was appropriate. CONCLUSION: The study results indicate that the addiction prevention core competency model for the prevention of addictive behavior in adolescents through competency modeling can be used as a foundation for an integral approach to enhance adolescent is used as an adjective and prevent addictive behavior. This approach can be a school-centered, cost-efficient strategy which not only reduces addictive behavior in adolescents, but also improves the quality of their resources.

Development of a Gambling Addictive Behavior Scale for Adolescents in Korea

PURPOSE: This study was conducted to develop a gambling addictive behavior scale for adolescents. METHODS: The process involved construction of a conceptual framework, initial item search, verification of content validity, selection of secondary items, and extraction of final items. The participants were 299 adolescents from two middle schools and four high schools. Item analysis, factor analysis, criterion validity, internal consistency, and ROC curve were used to analyze the data. RESULTS: For the final scale, 25 items were selected, and categorized into 4 factors which accounted for 54.9% of the total variance. The factors were labeled as loss of control, life dysfunction from gambling addiction, gambling experience, and social dysfunction from problem gambling. The scores for the scale were significantly correlated with addictive personality, irrational gambling belief, and adolescent's gambling addictive behavior. Cronbach's alpha coefficient for the 25 items was .94. Scale scores identified adolescents as being in a problem gambling group, a non-problem gambling group, and a non-gambling group by the ROC curve. CONCLUSION: The above findings indicate that the gambling addictive behavior scale has good validity and reliability and can be used with adolescents in Korea.

The Study on Predictors of Addictive Personality in Adolescents / 정신간호학회지

PURPOSE: The purpose of this study was to identify the predictors of addictive personality in adolescents. METHODS: The participants were 521 adolescents. Data were collected through self-report questionnaires, which were constructed to include personal-familial variables and psychosocial variables. Data were analyzed with the PASW 18.0 programs. RESULTS: The significant predictors of addictive personality in adolescents were school type, parental violent behavior, gender, self-control, impulsivity, and sensation seeking behavior. These personal-familial variables and psychological variables explained 64.1% of the variance in addictive personality. CONCLUSION: These results suggest that addictive personality in adolescents can be changed positively by reducing impulsivity and sensation seeking behavior and increasing self-control.

Unresolved Suffering Lived Experiences of College Students / 정신간호학회지

PURPOSE: This study was done to discover the structure of the lived experiences of unresolved suffering of college students and to gather information to develop therapeutic educational interventions for nursing students. METHODS: The research question, 'What is the structure of the lived experience of unresolved suffering?' was examined based on Parse's Human becoming research method. Twelve nursing students were recruited from K University. From May, 1 to June 30, 2009, Data were gathered from writings and engagement in dialog. RESULTS: The structure found in the college students' lived experiences of suffering was as follows: negative self-concept from being discriminated and ignored by parents, feelings against people and difficulties in interpersonal relations, feelings of isolation, betrayal, guilt, and loss. Their suffering was emotional grief and social withdrawal from damaged human dignity and low self-esteem from psychological trauma. Conceptual integration found to be in process of transferring the enabling-limiting, connecting-separating values. CONCLUSION: It is necessary to develop therapeutic educational interventions for college students for further development as individuals and future health professional by developing awareness of the structure and the meaning of their suffering experience.

Validation of a Path Model to Prevent Sexual Risk Behavior in Adolescents / 정신간호학회지

PURPOSE: In this study the fitness of a path model on sexual risk behavior in adolescents was examined including the relationship of the following sensation seeking, parent-adolescent communication, exposure to pornography, friends' attitudes to sex, attitudes to sexual behavior, sexual permissiveness, perceived behavioral control, and sexual behavioral intention. METHODS: The participants were 354 adolescents. Data were analyzed using the SPSS and AMOS programs. RESULTS: Parent-adolescent communication, exposure to pornography, friends' attitudes to sex, and sexual behavioral intention showed a direct effect on sexual risk behavior in adolescents, while sensation seeking, exposure to pornography, friends' attitudes to sex, attitudes to sexual behavior, sexual permissiveness, and perceived behavioral control showed an indirect effect on sexual risk behavior in adolescents. The modified path model of adolescent's sexual risk behavior had a good fit with the data. CONCLUSION: Based on the outcomes of this study, it is necessary to design intervention programs that emphasize increasing parent-adolescent communication, perceived behavioral control, and sexual behavioral intention and reducing exposure to pornography, friends' attitudes to sex, attitudes to sexual behavior, and sexual permissiveness in order to decrease adolescent's sexual risk behavior.