Workplace bullying among Korean registered nurses: A meta-aggregation of qualitative studies / 한국간호교육학회지

Purpose@#This study aimed to conduct a qualitative synthesis of workplace bullying experiences among nurses in Republic of Korea. @*Methods@#Following the PRISMA guideline, a literature search was conducted using seven domestic and three international databases. Studies published in Korean or English from inception to December 31, 2022 were included. A meta-aggregation approach suggested by the Joanna Briggs Institute was used to synthesize the research findings. @*Results@#Fourteen studies were included in this review. As a result of a data analysis of the selected studies, 199 subthemes and supporting illustrations were identified and grouped into 36 related categories. Based on the subthemes and categories, five synthesized findings were developed: (1) the individual and organizational causes of workplace bullying; (2) the various types of physical violence and psychological harassment; (3) the negative impact of workplace bullying and its effect on self-growth; (4) active and passive coping efforts in dealing with bullying; and (5) strategies for preventing bullying incidents. @*Conclusion@#Based on the synthesized findings, four recommendations were made: (1) improving the challenging working conditions for nurses; (2) enhancing educational programs for new nursing graduates; and (3) promoting proactive responses from nursing managers in conjunction with an expansion of resilience training for nursing students. Finally, to address the issue of workplace bullying, (4) multi-center and multi-level research involving nursing organizations needs to be conducted.

Effects of Digital Physical Activity Interventions for Breast Cancer Patients and Survivors: A Systematic Review and Meta-Analysis / 대한의료정보학회지

Objectives@#The benefits of physical activity (PA) for breast cancer (BC) patients and survivors are well documented. With the widespread use of the internet and mobile phones, along with the recent coronavirus disease 2019 pandemic, there has been a growing interest in digital health interventions. This study conducted a systematic review and meta-analysis to evaluate the effects of digital PA interventions for BC patients and survivors in improving PA and quality of life (QoL). @*Methods@#We searched eight databases, including PubMed, CINAHL, Embase, Scopus, Web of Science, Cochrane Central Register of Controlled Trials in the Cochrane Library, RISS, and DBpia. Studies were included if they provided digital PA interventions, assessed PA and QoL among BC patients and survivors, and were published from inception to December 31, 2022. @*Results@#In total, 18 studies were identified. The meta-analysis showed significant improvement in the total PA duration (five studies; standardized mean difference [SMD] = 0.71; 95% confidence interval [CI], 0.25–1.18; I2 = 86.64%), functional capacity (three studies; SMD = 0.38; 95% CI, 0.10–0.66; I2 = 14.36%), and QoL (nine studies; SMD = 0.45; 95% CI, 0.22–0.69; I2 = 65.55%). @*Conclusions@#Digital PA interventions for BC patients and survivors may significantly improve PA, functional capacity, and QoL. Future research should focus on the long-term effects of digital PA interventions, using objective outcome measures.

Nurse educators’ experiences with student incivility: a meta-synthesis of qualitative studies / 보건의료교육평가

This study aimed to synthesize the best available qualitative research evidence on nurse educators’ experiences with student incivility in undergraduate nursing classrooms. A meta-synthesis of qualitative evidence using thematic synthesis was conducted. A systematic search was performed of 12 databases for relevant literature published by March 31, 2019. Two reviewers independently conducted critical quality appraisals using the checklist for qualitative research developed by the Joanna Briggs Institute. Eleven studies that met the inclusion criteria were selected for review. From the pooled study findings, 26 descriptive themes were generated and categorized into the following 5 analytical themes: (1) factors contributing to student incivility, (2) management of student incivility, (3) impact: professional and personal damage, (4) impact: professional growth, and (5) initiatives for the future. Many nurse educators became confident in their role of providing accountability as both educators and gatekeepers and experienced professional growth. However, others experienced damage to their personal and professional life and lost their motivation to teach. Nurse educators recommended the following strategies for preventing or better managing student incivility: institutional efforts by the university, unified approaches for student incivility within a nursing program, a faculty-to-faculty network for mentoring, and better teaching and learning strategies for individual educators. These strategies would help all nurse educators experience professional growth by successfully preventing and managing student incivility.

Effectiveness of the Intervention Programs for Pressure Ulcer Prevention in Intensive Care Units : A Meta-analysis / 중환자간호학회지

PURPOSE: A meta-analysis was conducted to identify the effectiveness of strategies designed to prevent the incidence and prevalence of pressure ulcers in intensive care units (ICUs).METHOD: The search strategy was designed to retrieve studies both published and unpublished between 2007 and 2017 including studies in English across PubMed and CINAHL, as well as in Korean across RISS, DBPia, NDSL, KISS, and NAL. All adult ICU participants were 18 years or over. Inclusion criteria were randomized controlled trials, quasi-experimental and comparative studies. Two independent reviewers conducted quality assessments of the included studies by Scottish Intercollegiate Guidelines Network. A Review Manager 5 was used to analyze effect sizes and to identify possible sources of heterogeneity among the studies.RESULTS: The odds ratio (OR) effect sizes were all statistically significant. The OR of total effect size was 0.30(95% CI: 0.19, 0.47), care bundle was 0.37(95% CI: 0.24, 0.57), position change was 0.45(95% CI: 0.10, 2.08), and a silicone border foam dressing was 0.14(95% CI: 0.07, 0.29).CONCLUSION: The preventive interventions for patients in the ICUs have positive impacts on reducing the incidence of pressure ulcers.

Literature Review of Forest Healing Therapy on Korean Adults

PURPOSE: This study was conducted to ascertain the effectiveness of forest healing therapy by analyzing researches on forest healing therapy applied to Korean adults and to confirm that forest healing therapy can be used as a therapeutic intervention program for elderly nursing or rehabilitation nursing. METHODS: We searched 972 research papers on forest therapy applied to Korean adults. We reviewed appropriate 25 research papers with experimental design among them in the final analysis. RESULTS: Forest healing therapy had physiological and psychosocial effects. First of all, it showed physiological effects to reduce stress index such as heart rate variation. Forest therapy also improved melatonin level in blood of middle-aged women with menopause and increased alpha wave in electroencephalogram and decreased lipid level and superoxide dismutase in blood. Second, forest healing therapy showed psychosocial effects to reduce depression and to improve mental health. But the effects appeared differently depending on the implementing type, period of forest healing therapy, and the professionalism of therapists. Therefore, if forest healing therapy would be applied to nursing, it should be based on its key principle, in other words, its principle of action-interaction-response of forest healing therapy. CONCLUSION: The results of this study could be used to develop a forest healing program as an intervention of nursing.

Geriatric Hospital Nurses' Perceived Barriers to Research Utilization and Empowerment

PURPOSE: The quality of nursing care in geriatric hospitals has been of concern. Nurses need to provide evidence-based nursing using best available research findings in order to maximize the quality of care. Research utilization is a major part of evidence-based nursing practice. Empowerment is an important factor that may influence the context of nursing practice. The purpose of this study was to identify the barriers to research utilization in nursing practice and its relationship to empowerment perceived by registered nurses (RNs) in geriatric hospitals. METHODS: A descriptive, correlational design was used. A total of 147 RNs from six geriatric hospitals in K province of Korea participated. The BARRIERS scale and the Conditions of Work Empowerment Questionnaire-II were administered to identify perceived barriers to the use of research findings and the level of perceived empowerment respectively. RESULTS: Participants rated that research reports being written in English constituted the greatest barrier to the use of research findings. The score was the highest for the Communication domain, suggesting the greatest barrier, and the lowest for the Adopter domain. Subscales of the Conditions of Work Empowerment Questionnaire-II were significant predictors of the Adopter, Organization, and Communication domains of the BARRIERS scale. CONCLUSIONS: This study found that RNs in geriatric hospitals perceived that interpreting and understanding research reports in English was the greatest barrier to the use of research findings. Administrators and nurse managers of geriatric hospitals need to provide RNs with opportunities to participate in research-related activities and to empower RNs in order to facilitate research utilization.

Nursing Needs and Burden of Family Caregivers of Middle-Aged Hepatocellular Carcinoma Patients

PURPOSE: The purpose of this study was to identify nursing needs and burden of family caregivers of middle-aged patients with hepatocellular carcinoma. METHODS: The participants of this study were 101 family caregivers from 3 university hospitals in D city, South Korea. The levels of nursing needs and burden of family caregivers were measured using structured questionnaires from August 1, 2011 to February 29, 2012. The collected data were analyzed using t-tests, ANOVA, Scheffe tests, and Pearson's correlation coefficients. RESULTS: The greatest nursing need was for information about patients' health status. Among subdomains of burden, financial burden had the greatest mean score. Family caregivers with worsened health status since starting caregiving had significantly higher levels of total nursing needs and total burden. Total burden and physical burden scores showed significant correlations with all subdomains of nursing needs as well as total nursing need scores. CONCLUSION: Findings of this study suggest that family caregivers of middle-aged patients with hepatocellular carcinoma need provision of information about patients' health status and treatment plans, and financial support the most. Also maintaining family caregivers' health needs to be considered when providing nursing intervention for patients with hepatocellular carcinoma and their family caregivers.

Never-Smoker Lung Cancer Is Increasing

PURPOSE: Lung cancer has been the leading cause of death in South Korea since the year 2000. Adenocarcinoma became the most frequent type in the national survey of lung cancer since year 2005. MATERIALS AND METHODS: We analyzed 5,456 cases with lung cancer from 2004 to 2012 in a community cancer center. The mean age was 69.9 years, and 78.9% was male. RESULTS: Adenocarcinoma (ADC, 40.8%) was the most frequent type, followed by squamous cell carcinoma (SQC, 36.4%), small cell carcinoma (SCC, 14.8%) and non-small cell lung cancer (NSCLC) not otherwise specified (8.1%). In male patients, SQC was the most frequent type (43.5%), while ADC showed highest incidence in females (72.6%). Anatomic stage at diagnosis in NSCLC was I (10.3%), II (5.8%), IIIA (15.7%), IIIB (19.2%), and IV (49.0%). In SCC, 41.7% was in limited stage and 58.3% was diagnosed in extensive stage. The proportion of never smoker has been increased from 19.1% in 2004~2008 to 25.4% in 2009~2012. Never-smokers are more likely to be female (68.2% vs. 4.0%, p<0.001), have ADC (69.9% vs. 31.3%, p<0.001), and manifest as stage IV disease (58.5% vs. 45.2%, p<0.001), compared to smokers. Among 1,908 cases whose initial treatment was recorded, 42.5% received chemotherapy, 25.7% received radiation treatment, 20.5% received surgery and the remaining 11.3% received supportive cares only or transferred to other health care facilities. CONCLUSION: In conclusion, proportion of lung cancer in never-smoker is increasing. As screening for smokers will miss this growing population, we need to discover biomarkers to find high risk population of lung cancer.

Correlates of Social Engagement in Nursing Home Residents with Dementia

PURPOSE: The social needs of nursing home (NH) residents with dementia are often ignored even though they are capable of expressing their emotions and responding in social interactions. Insufficient social engagement in this population is known to be associated with low quality of life as well as many negative health outcomes, such as mortality, agitation, and functional decline. The purpose of this study was to identify the correlates of social engagement in NH residents with dementia. METHODS: The study used a descriptive, correlational design. A total of 153 older adults with dementia in 17 Iowa NHs participated in this study. Minimum Data Set for NH version 2.0 served as an outcome measure to evaluate social engagement, cognitive and physical functions, depression, and behavioral symptoms. Demographic data were obtained from the participants' medical records. RESULTS: The findings indicated that no significant relationship was found between demographic characteristics and social engagement. There were significant and negative correlations between the degree of social engagement and the levels of cognitive impairment, activities of daily living impairment, depression, and vision. Among these correlates, depression was the most potent predictor of engagement. CONCLUSION: The study provided information about the correlates of social engagement in NH residents with dementia. Future research needs to be conducted to develop nursing interventions to involve these individuals in social activities tailored to functional levels, and depression in more diverse geographic regions.

Comparison of Health Management and Leisure Activities between Korean and Japanese Elderly in Urban-Rural Composite Areas

PURPOSE: The purpose of this study was to compare health management and leisure activities of the Korean and Japanese elderly. METHODS: This study used a cross-sectional descriptive research design. A total of 149 Korean and 140 Japanese older adults living in two urban-rural composite areas participated in this research project. Data were collected using interviews with the participants. t-test and 2 test were used to analyze the data. RESULTS: Eighty eight point two percent of the Japanese perceived that their health status was good whereas 27.3% of the Koreans responded that their health status was poor. There were significant differences in types of leisure activities in art, intellectual, events, and volunteer activities between the two groups. A majority of the Japanese elderly replied that they spent some time and money for leisure activities; however, 20.2% and 27.2% of the Koreans reported that they did not spend time or money at all for leisure activities. CONCLUSION: The number of the Korean elderly participating leisure activities was significantly lower than Japanese participants. Developing nursing strategies using leisure programs would improve the quality of life of older adults and the quality of nursing care.