Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM

Purpose@#This study conducted a job analysis of visiting nurses in the process of change. @*Methods@#Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM. @*Results@#Visiting nurses’ job was derived as the theme of present versus transitional roles. The present role was categorized as ‘providing individual- and group-focused services’ and ‘conducting organization management’, while the transitional role was categorized as ‘providing district-focused services’ and ‘responding to new health issues’. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks. @*Conclusion@#The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

Validity and Reliability of Metacognitive Rating Scale for Nursing Students / 정신간호학회지

Purpose@#The aim of this study was to determine the reliability and validity of the metacognition rating scale (MCRS), which is a revised version of the existing metacognition questionnaire (MCQ) with anger and anxiety added. @*Methods@#A survey was conducted on 591 nursing students at colleges in North and South Gyeongsang Provinces, South Korea. The collected data were processed for the reliability and validity of the MCRS through Cronbach’s ⍺ and confirmatory factor analysis using SPSS 26.0. @*Results@#Cronbach’s ⍺ for the reliability of MCRS was calculated at .88, .86, .77, .74, and .66 for five subfactors. Among the five subfactors, the first, second, third, and fifth factors showed high correlation in each of six items. Factor 4 was highly correlated in 5 out of 6 questions. @*Conclusion@#The data confirm that the MCQ revised to include anger and anxiety is both reliable and valid for nursing students. Therefore, this scale can be used to identify the maladaptive metacognition of nursing students in stressful situations.

Validity and Reliability of Metacognitive Rating Scale for Nursing Students / 정신간호학회지

Purpose@#The aim of this study was to determine the reliability and validity of the metacognition rating scale (MCRS), which is a revised version of the existing metacognition questionnaire (MCQ) with anger and anxiety added. @*Methods@#A survey was conducted on 591 nursing students at colleges in North and South Gyeongsang Provinces, South Korea. The collected data were processed for the reliability and validity of the MCRS through Cronbach’s ⍺ and confirmatory factor analysis using SPSS 26.0. @*Results@#Cronbach’s ⍺ for the reliability of MCRS was calculated at .88, .86, .77, .74, and .66 for five subfactors. Among the five subfactors, the first, second, third, and fifth factors showed high correlation in each of six items. Factor 4 was highly correlated in 5 out of 6 questions. @*Conclusion@#The data confirm that the MCQ revised to include anger and anxiety is both reliable and valid for nursing students. Therefore, this scale can be used to identify the maladaptive metacognition of nursing students in stressful situations.

Study of Work-Related Musculoskeletal Pain and Health-related Quality of Life among Hospital Workers

PURPOSE: This study examined the work-related musculoskeletal pain and quality of life of hospital workers.METHODS: Self-reported questionnaires were sent to 350 hospital workers at Seoul and Gyeonggi-do, of which 341 were returned. The questionnaire had four items that covered the demographic information, areas of musculoskeletal problems, pain rating scale, and quality of life. The analysis was completed using descriptive statistic, and the differences between pain and demographic variables were identified using a chi-square test. The differences between the type of occupation and quality of life were analyzed by one-way analysis of variance and a Kruskal-Wallis test.RESULTS: The 12-month prevalence of work-related musculoskeletal pain was 86.1% of physical therapists, 86.5% of occupational therapists, 77.1% of dental hygienists, and 75.8% of nurses. A significant difference in the general and work related variables was observed between the subject with a physical burden and type of occupation. The most affected pain sites of the physical therapist included low back, hand and wrist, shoulder, and neck. The occupational therapists included the hand and wrist, shoulder, neck, but the nurses and dental hygienists reported the shoulder, back, hand and wrist. A significant difference in the quality of life was noted between the subjects in physical therapists and dental hygienists and the subjects in the nurses and occupational therapists (p=0.00).CONCLUSION: These findings show that hospital workers appear to be high risk for work-related musculoskeletal pain, and the quality of life of physical therapists and nurses was higher than that of dental hygienists and occupational therapists.

Retrospective Analysis of Idiopathic Granulomatous Mastitis: Its Diagnosis and Treatment

PURPOSE: Idiopathic granulomatous mastitis (IGM) is a rare disease characterized by noncaseating granulomatous inflammation of unknown origin. Because its clinical features are similar to those of other type of mastitis or breast cancer, accurate diagnosis and adequate treatment are essential to ensuring a short symptom duration and improving the quality of life. METHODS: The clinical, radiologic, pathophysiologic, and treatment data for 43 patients diagnosed with IGM at the Breast Cancer Center of Gachon University Gil Medical Center between 2005 and 2016 were retrospectively reviewed. RESULTS: Forty-one patients (95.34%) were of childbearing age, seven (16.27%) had a history of lactation, and five (11.62%) had a history of oral contraceptive use. In terms of radiologic findings, 30 patients (69.77%) were diagnosed with Breast Imaging-Reporting and Data System category ≥4A lesions. Corticosteroid therapy was administered to 36 patients (83.72%); overall, 18 patients (41.86%) did not require surgery and 25 patients (58.13%) underwent partial or total mastectomy. Twelve patients (27.90%) developed recurrence. CONCLUSION: IGM is a benign disease that can be misdiagnosed as breast cancer because of its similar clinical and radiologic findings. Proper diagnosis and treatment can be difficult, but delays may lead to prolonged pain and cosmetic and socioeconomic problems. Efforts should be aimed at establishing the cause of IGM and developing efficient protocols for its diagnosis and treatment.

Effects of Communication Ability Enhancement Program for Nursing Students in Korea: A Systematic Review and Meta-analysis / 한국간호교육학회지

PURPOSE: This study evaluated the efficacy of a communication ability enhancement program for nursing students in Korea through a systematic review of literature and meta-analysis. METHODS: The researchers searched data-bases, including the Data Base Periodical Information Academic, Research Information Sharing Service, National Digital Science Library and National Assembly Library. The key words used included ‘communication’ and ‘nursing student’. The researchers evaluated articles published up to July 2016. Out of 381 selected articles, 20 clinical trial studies were meta-analyzed. Each article was evaluated in accordance with the Checklist of Scottish Intercollegiate Guideline Network. The effect size of communication ability, self-efficacy and interpersonal relations were synthesized by a random effects model from analysis software (R 3.2.3). The heterogeneity of effect size was analyzed by exploratory and confirmatory moderator analysis. RESULTS: The overall effect size of the program was of a moderate level (SMD=0.78, 95% CI: 0.49~1.07) along with each outcome of self-efficacy (SMD=0.80, 95% CI: 0.23~1.37), and interpersonal relations (SMD=0.47, 95% CI: 0.14~0.80). For heterogeneity, moderator analysis was performed, by grade, and a statistically significant moderator was found. CONCLUSION: It is evident that a communication ability enhancement program for nursing students is moderately effective in improving communication ability, self-efficacy and interpersonal relations.

Social Distance Attitudes of Nursing Students towards Adults with Mental Disorders / 정신간호학회지

PURPOSE: The aim of this study was to explore factors associated with the social distance attitudes of nursing students towards adults with mental disorders. The relationship between social distance and attitudes toward adults with mental disorders was also examined. METHODS: A descriptive research was conducted to describe the characteristics of the population and the data were collected from September 22 to October 2, 2014. The sample included 359 participants. Social distance was measured by a modified version of the Social Distance Scale and CAMI was used to assess attitudes towards adults with mental disorders. RESULTS: Participants showed less authoritarian, more benevolence, less social restrictiveness in attitudes towards adults with mental disorders. The participants also showed a positive community mental health ideology. More importantly, the attitudes towards people with mental disorders was the strongest predictor (β=.67), explaining 35% of the social distance. CONCLUSION: With a deeper understanding of social distance as related to attitudes towards people with mental disorders, it is possible to create targeted interventions with the overall goal of minimizing the social distance and authoritarianism and of facilitating benevolence among nursing students.

Paradigm Consideration for Studies of Women's Mental Health: Focused on Domestic Nursing Academic Journals / 정신간호학회지

PURPOSE: This integrative review was done to explore trends in mental health nursing research on women in terms of a research paradigm, life-cycles of the women, and mental health concepts. METHODS: n this study an examination was done of the literature on mental health of women described in nursing research published in major Korean nursing journal databases from 2000 to 2012. The Journal of Child Health Nursing was excluded. The MeSH search terms included 'nursing' and 'woman' and 282 articles were included in the final review. RESULTS: Postpositivism was the most predominantly used paradigm. Middle aged women were studied more often and older and reproductive aged women were less likely to be studied compared to their percentage of the total population. Researchers focused most on depression, followed by sleep disorders and anxiety disorders. CONCLUSION: The study results indicate a need for rmfjtunursing researchers to utilize various research paradigms when conducting nursing research and demonstrate paradigm utility. Researchers should also pay more attention to older and reproductive aged women, and to anxiety disorders.

Effect of Adolescents' Abuse Experience on Suicidal Ideation: Focused on Moderated Mediation Effect of Self-esteem on Depression and Anxiety

PURPOSE: The purpose of this study was to examine the moderating mediation effect of self-esteem on the relations among adolescents' abuse experiences, depression and anxiety, and suicidal ideation. METHODS: The participants were selected using secondary data from a population in the 2012 Korea Welfare Panel Survey (KOWEPS). Data were analyzed using SPSS 15.0 and SPSS Macro, and bootstrapping and hierarchical regression analysis were performed to analyze multilevel models. RESULTS: First, analysis of the mediating effect of the adolescents' abuse showed that there was significant mediating influence between suicidal ideation and depression and anxiety. Second, hierarchical regression analysis showed that self-esteem had significant mediation effect on depression and anxiety in adolescents' suicidal ideation. Third, SPSS Macro showed that self-esteem also significantly moderated the mediating effect of adolescents' abuse experiences on suicidal ideation through depression and anxiety. CONCLUSION: The study results suggest that in future research on adolescent's abuse experience, the risk of suicide in depression and anxiety scores should be selected through evaluation of each individual's self-esteem scale. Coping strategies with immediate early intervention should be suggested.

Nurses' Perceptions of Patient Safety Culture and Patient Safety Activities in Mental Health Hospitals / 정신간호학회지

PURPOSE: This study was done to provide a basis for safer medical services by describing nurses' perception of patient safety culture and patient safety activities, and analyzing factors that affect patient safety management activities among nurses working in mental health hospitals. METHODS: The study participants included 208 nurses with three months or more experience and who worked in one of 14 mental health hospitals. The instruments were the Hospital Survey on Patient Safety Culture and Patient Safety Management Activities Scale. Collected data were analyzed using mean, t-test, ANOVA, Pearson correlation coefficient and Stepwise multiple regression with the SPSS/WIN 20.0 program. RESULTS: Perceptions of patient safety culture and patient safety management activities were positively correlated. Factors influencing patient safety management activities were communication and procedures, patient safety in the field, frequency of events reported and attitude of supervisor/manager. The explanatory power for patient safety management activities of these variables was 35.0%. CONCLUSION: A systematic approach at the hospital level is needed to ensure the safety of nurses' work environment as well as to develop patient safety culture to increase patient safety management activities by nurses in mental health hospitals.

Development of Empowerment Program for Persons with Chronic Mental Illness and Evaluation of Impact

PURPOSE: This study was done to develop an empowerment program for people with chronic mental illness and to analyze effects of the program on level of empowerment. METHODS: The research was conducted using a nonequivalent control group pretest-posttest design. Participants were 37 people with chronic mental illness (experimental group: 18, control group: 19). The empowerment program was provided for 8 weeks (15 sessions). Data were collected between July 21 and October 17, 2014. Data were analyzed using Chi-square, Fisher's exact test, Sapiro-wilk test, and Repeated measure ANOVA with SPSS/WIN 18.0. RESULTS: Quantitative results show that self-efficacy, interpersonal relationships, attitudes in the workplace, occupational performance capacity, and levels of empowered execute were significantly better in the experimental group compared to the control group. CONCLUSION: Study findings indicate that this empowerment program for persons with chronic mental illness is effective for improving self efficacy, interpersonal skills, attitudes in the workplace, occupational performance capacity, levels of empowered execute.

Factors Influencing Eating Problems among Korean University Women / 기본간호학회지

PURPOSE: The purpose of the study was to investigate factors that influence university women with eating problems. METHODS: Study participants were 307 women from two universities. Self-report questionnaires which included items on eating problems, satisfaction with body shape, self-esteem, body mass index, and weight control methods were used. Data were analyzed using independent t-tests, chi2 tests, and a multiple binary logistic regression. RESULTS: About 20% of the undergraduate women were experiencing eating problems. The problematic eating group showed more dissatisfaction with body shape than the normal eating group, and used more diets, fasting, diet-products, and uretics/laxatives to control body weight. Significant predictors for the problematic eating group were diets, diet-products, BMI, self-esteem and dissatisfaction with body shape. The strongest predictors were diets; risk for women university students who had been on a diet was 15 times higher than their counterparts. CONCLUSION: It is pertinent for health professionals to start intervention programs to educate university women with eating problems. The contents should include information on healthy weight control methods, improving satisfaction with body shape and self esteem, as well as creating social atmosphere about healthy body shape for women.

The Effects of Parental and Peer Attachment, Depression on the Self-Esteem in Adolescents / 한국간호교육학회지

PURPOSE: This study aimed to provide the baseline data for improving self-esteem under the influences of parental and peer attachment and depression in adolescents. METHODS: The data were collected from 200 middle and high school students in D metropolitan city by completing questionnaires from August 19 to August 30, 2013. RESULTS: The results of this study were as follows: The self-esteem was significantly different in academic grades, father's education level and economic status in adolescents. The relation of the variables to self-esteem by the statistical power in order was depression, peer attachment and parental attachment. The more the subjects were depressed, the more self-esteem dropped. The better parental and peer attachment, and household socio-economic status, the higher self-esteem was. Stepwise multiple regression analysis showed the level of parental and peer attachment and depression, which explained 38% of the total variance in self-esteem. CONCLUSION: Adolescents who had high self-esteem could reduce their depression and form good parental and peer attachment that would prevent them from being maladjusted. These results will affect the various activities of adolescent. Therefore, the way in which adolescents can improve their self-esteem should be found.

Validity of Instrument Development Research in Korean Nursing Research

PURPOSE: This integrative review study was done to analyze methods used for validation studies in Korean nursing research. METHODS: In this study, the literature on instrument development in nursing research from Research Information Sharing Service (RISS) and major nursing journal databases in Korea were examined. The MeSH search terms included 'nursing', 'instrument', 'instrument development', 'validation' and 189 articles were included in the review. RESULTS: The most frequently reported validity type was content validity, followed by construct validity, and criterion validity. One third reported a single type of validity, and 15% of the studies demonstrated three kinds of validity at the same time. In about 40% of the studies, both content and construct validity were examined. CONCLUSION: The results of the study indicate that it is necessary to provide a wider variety of evidence to establish whether instruments are valid enough to use in nursing research.

Modification of Severe Violent and Aggressive Behavior among Psychiatric Inpatients through the Use of a Short-Term Token Economy

PURPOSE: Meager research has been carried out to determine the effectiveness of the token economy among patients behaving violently in mental hospitals. The purpose of this study was to examine the effectiveness of the Short-Term Token Economy (STTE) on violent behavior among chronic psychiatric in-patients. METHODS: A nonequivalent control group design method was utilized. Participants in an experimental group (n=22) and control group (n=22) took part in this study from January to April, 2008. Observation on aggressive behavior among male in-patients in one hospital as a baseline was made during the week before the behavior modification program and measurement of aggressive behavior was done using the Overt Aggression Scale (OAS), which includes verbal attacks, property damage and physical attacks. RESULTS: The aggressive behavior scores of the experimental group decreased, those of the control group, scores showed an increase after the eight-week behavior modification program utilizing STTE. CONCLUSION: The results of the study indicate that STTE is effective in reducing the incidence of aggressive behavior among male in-patients in psychiatric hospitals. The outcome of this study should be helpful in reducing the use of coercive measures or psychoactive medication in controlling the violent behavior among in-patients in hospitals.

Job Satisfaction of Psychiatric and Community Mental Health Nurses in Community Mental Health Centers / 한국직업건강간호학회지

PURPOSE: The purpose of this study was to investigate the relationship of psychiatric and community mental health nurses' job satisfaction. METHODS: This was a descriptive and correlational study in which 151 psychiatric and community mental health nurses (PCMHNs) took part between September and October 2009. RESULTS: The mean score for job satisfaction of the participants was 3.25. In job satisfaction, there were significant differences between psychiatric and community mental health nurse practitioner (PCMHNP) and nurse in community mental health center. All variables except role conflict were positively correlated with job satisfaction. As a result, factors influencing job satisfaction were reward system (beta=.46, p<.001), self-esteem (beta=.35, p<.001), leadership (beta=.27, p<.001), career as a PCMHNP (beta=-.12, p<.007), job-related characteristics (beta=.11, p<.24), and career as a nurse in community mental health center (beta=.09. p<.045). These factors explained 70.3% of the total variance. CONCLUSION: The results indicated that the comprehensive understanding of job satisfaction to the independent variables could suggest the way how to increase the job satisfaction for psychiatric and community mental health nurse who are a catalysts promoting mental health in community mental health center.

Job Satisfaction of Psychiatric and Community Mental Health Nurses in Community Mental Health Centers / 산업간호학회지

PURPOSE: The purpose of this study was to investigate the relationship of psychiatric and community mental health nurses' job satisfaction. METHODS: This was a descriptive and correlational study in which 151 psychiatric and community mental health nurses (PCMHNs) took part between September and October 2009. RESULTS: The mean score for job satisfaction of the participants was 3.25. In job satisfaction, there were significant differences between psychiatric and community mental health nurse practitioner (PCMHNP) and nurse in community mental health center. All variables except role conflict were positively correlated with job satisfaction. As a result, factors influencing job satisfaction were reward system (beta=.46, p<.001), self-esteem (beta=.35, p<.001), leadership (beta=.27, p<.001), career as a PCMHNP (beta=-.12, p<.007), job-related characteristics (beta=.11, p<.24), and career as a nurse in community mental health center (beta=.09. p<.045). These factors explained 70.3% of the total variance. CONCLUSION: The results indicated that the comprehensive understanding of job satisfaction to the independent variables could suggest the way how to increase the job satisfaction for psychiatric and community mental health nurse who are a catalysts promoting mental health in community mental health center.

Heart Rate Variability and Metabolic Syndrome in Hospitalized Patients with Schizophrenia

PURPOSE: Reduced heart rate variability significantly increases cardiovascular mortality. Metabolic syndrome increases the cardiac autonomic dysfunction. Recently, increasing cardiovascular mortality has been reported in patients with schizophrenia. This study was done to compare heart rate variability between adults with and without schizophrenia and to compare the relationship of heart rate variability to metabolic syndrome in hospitalized patients with schizophrenia. METHODS: This was a descriptive and correlational study in which 719 adults without schizophrenia and 308 adults with schizophrenia took part between May and June 2008. We measured the following: five-minute heart rate variability; high-frequency, low-frequency, the ratio of low-frequency to high-frequency, and the Standard Deviation of all the normal RR intervals. Data was also collected on metabolic syndrome, abdominal obesity, triglycerides, HDL cholesterol, blood pressure and fasting glucose. RESULTS: The Standard Deviation of all the normal RR intervals values of heart rate variability indices were 1.53+/-0.18. The low-frequency and high-frequency values of heart rate variability indices were significantly higher in hospitalized patients with schizophrenia (3.89+/-1.36; 3.80+/-1.20) than those in the healthy participants (2.20+/-0.46; 2.10+/-0.46). There were no significant differences between the schizophrenic patients with and without metabolic syndrome. CONCLUSION: The results of this study indicate that schizophrenia patients have significantly lower cardiac autonomic control, but they have significantly higher low-frequency and high-frequency values than those of healthy adults. Use of antipsychotic drug may affect the autonomic nervous system in schizophrenic patients. Metabolic syndrome was not associated with cardiac autonomic control in schizophrenia patients.