Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis / 기본간호학회지

PURPOSE: This study was a descriptive survey research to identify the factors that influence sick role behavior compliance in patients on hemodialysis. METHODS: Structured surveys were used to collect data from 170 patients who are on hemodialysis three times a week through outpatient care at a university hospital located in G City using tools measuring resilience, family support, and sick role behavior compliance. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and Stepwise multiple linear regression. RESULTS: The results showed that factors that influenced sick role behavior compliance in the subjects were in the order of family support (β=.27, p < .001), age (β=.27, p < .001), and resilience (β=.23, p=.003). Resilience, family support, and sick role behavior compliance were positively correlated. Factors influencing hemodialysis patients' sick role behavior compliance included family support, age, and resilience. These variables explained 30.2% of the variance in sick role behavior compliance. CONCLUSION: Based on these results, care intervention and the development of a training program that involves family in the treatment plan and process to support and encourage patients are needed to increase the sick role behavior compliance in patients on hemodialysis.

The Effects of an Empowerment Education Program for Kidney Transplantation Patients

PURPOSE: This study was conducted to develop an Empowerment Education Program (EEP) for kidney transplant patients and to test the program's effects on uncertainty, self-care ability, and compliance. METHODS: The research was conducted using a nonequivalent control group with a pretest-posttest design. The participants were 53 outpatients (experimental group: 25, control group: 28) who were receiving hospital treatment after kidney transplants. After the pre-test, patients in the experimental group underwent a weekly EEP for six weeks. The post-test was conducted immediately after, and four weeks after the program's completion in the same manner as the pre-test. For the control group, we conducted a post-test six and ten weeks after the pre-test, without and program intervention. A repeated measure ANOVA was performed to compare the change scores on main outcomes. RESULTS: Uncertainty was significantly lower in the experimental group than in the control group, both immediately after (t=-3.84, p=<.001) and 4 weeks after (t=-4.51 p=<.001) the program, whereas self-care ability (t=5.81, p=<.001), (t=5.84, p=<.001) and compliance (t=5.07, p=<.001), (t=5.45, p=<.001) were significantly higher. CONCLUSION: Kidney transplant patients who underwent an EEP showed a decrease in uncertainty and an improvement in self-care ability and compliance. Thus, our findings confirmed that an EEP can be an independent intervention method for improving and maintaining the health of kidney transplant patients.

Affecting Factors on Stress of Clinical Practice in Nursing Students / 간호행정학회지

PURPOSE: This descriptive study was done to identify factors that influence stress related to clinical practice for nursing students. METHODS: Structured questionnaires were used to collect data from 278 students from two nursing colleges located in G metropolitan city and one nursing college in C region. RESULTS: The factors that most influenced stress for the nursing students during their clinical practice were critical thinking disposition, clinical competence, year, and gender. Especially, the result showed that higher critical thinking disposition and clinical competence correlated with lower stress in clinical practice. CONCLUSION: The results indicate that improving nursing students' critical thinking ability and clinical competence would help to relieve stress during clinical practice and increase the ability to cope with stress efficiently. The development of a variety of teaching and learning strategies and education in both theoretical and clinical practice education would be necessary to achieve this goal.

The Influence of Self-resilience and Academic Self-concept on Test Anxiety in Undergraduates / 기본간호학회지

PURPOSE: This study was conducted to investigate the relationship of self-resilience, academic self-concept and test anxiety in undergraduates. METHOD: The participants were 403 undergraduates in H, C University in G City, and K University in S City. Data were collected from March 1 to April 30, 2012, and analyzed using SPSS/WIN 18.0. RESULTS: The mean score per item for self-resilience was 2.77. The mean academic self-concept score was 3.17 and the mean score for test anxiety was 2.38. Self-resilience showed a negative correlation with test anxiety (r=-.186, p<.001) and a positive correlation with academic self-concept (r=.312, p<.001). Academic self-concept showed a negative correlation with test anxiety (r=-.353, p<.001). CONCLUSION: The findings of this study indicate that self-resilience and academic self-concept enhancement programs should be developed to reduce test anxiety in undergraduates and that further study should be done on the effects of such programs.

The Impact of Clinical Nurses' Terminal Care Attitude and Spiritual Health on Their Terminal Care Stress / 한국호스피스완화의료학회지

PURPOSE: This descriptive study is aimed at understanding how clinical nurses' terminal care attitude and spiritual health affect their terminal care stress. METHODS: Data were collected from self-reported questionnaire filled by 238 nurses at a general hospital in G Metropolitan City. RESULTS: The study showed that nurses' attitudes toward terminal care, spiritual health, marital status, and clinical experience largely affect their terminal care stress. In particular, the higher they scored on terminal care attitudes, the lower they scored on terminal care stress. These variables accounted for 52.3% of the total variance. CONCLUSION: The study shows terminal care attitude is an important factor for terminal care stress perceived by clinical nurses. Therefore, it is necessary to develop an educational intervention program to improve nurses' terminal care attitudes and spiritual health, which in turn would lower their terminal care stress or help them effectively cope with it.

The Mediating and Moderating Effect of Professional Self-concept in Relationship between Emotional Labor and Burnout of Organ Transplantation Coordinators / 기본간호학회지

PURPOSE: To determine the mediating as well as moderating effect on both the emotional labor and burnout of professional self-concept perspective organ transplantation coordinators (OTC)'. METHODS: A self-report questionnaire was collected from 86 OTCs nationwide. The data were analyzed using t-test, ANOVA, Scheffe' test, Pearson' Correlation Coefficients, AMOS 20.0, and multiple regression. RESULTS: For effects of professional self-concept on emotional labor and burnout, higher emotional labor was related to higher burnout. When professional self-concept was mediated, emotional labor had a greater effect on burnout however, a partial mediating effect was detected. From the regression analysis with the independent variables of emotional labor (A) and professional self-concept (B), adding relation of both variables (AxB) increased the explained variance to 56.3% (p<.05). It was confirmed that professional self-concept had a moderating effect on emotional labor and burnout. CONCLUSION: The results of this study indicate that, when professional self-concept was mediated emotional labor of an OTC decreased, and burnout decreased when professional self-concept was high. Also, by controlling professional self-concept, emotional labor and burnout decreased. Therefore, it's necessary to map out the environment and develop strategies to reduce emotional labor and burnout in organ transplantation coordinators.

A University Hospital Employee's Knowledge, Attitude Toward, and Practice of Hospital Infectious Wastes / 성인간호학회지

PURPOSE: This study was to provide baseline data to arrange systematic management for the infectious waste. METHODS: This data was collected by self-reported questionnaires from a total of 419 subjects, ie nurses, nurse's aides and laboratory technicians working at a university hospital located in G city. The collected data were analyzed by t-test or ANOVA, Tukey test, Pearson's correlation, and multiple regression analysis using SPSS/WIN 12.0. RESULTS: The knowledge of the infectious waste was statistically significant in type of staff and level of education. Attitude was statistically significant in type of staff, age group, level of education, working period, and marital status. And also the practice of the subject was statistically significant in type of staff, age group, education level, the working periods, and marital status. There was positive association between attitude and practice(r=.63, p< 001). By means of multiple stepwise regression analysis, total variance explained by the attitude towards infectious wastes, single employee, and the working periods less than ten years was 44% of the practice of infectious wastes. CONCLUSION: An educational program focusing on strategy to change employee's attitude can be effective for building a well-organized management system.

Analysis of Nursing Researches about Organ Donation and Transplantation in Korea / 성인간호학회지

PURPOSE: This study analyzes the trends of nursing researches about organ donation and transplantation, and recommends the direction of future nursing studies in Korea. METHODS: Ninety-nine researches based upon organ donation and transplantation in Korea were analyzed by descriptive statistics. RESULTS: Among them 58 papers were master's theses and 9 were doctoral dissertations. Articles about organ beneficiaries were seventy. The 47 articles among them were for kidney transplantation. By the types of research design, there were 73 quantitative studies, 19 qualitative studies, and 9 methodological studies. In correlation studies, the quality of life of subjects were evaluated the association with stress, social support, self-efficacy, and compliance. In experimental studies, the independent variables were self efficacy promotion exercise, steroid medication, educational programs regarding an organ transplantation and a brain death, Danjeon breathing exercise, and telephone counseling. The methods of qualitative studies were based on the grounded theory, phenomenology, interpretive phenomenology, and ethnography. The dominant concepts of qualitative researches were experiences of a decision-making of donors and of recipients for organ transplantation. CONCLUSION: Descriptive surveys or correlation studies were predominant on the nursing research about organ transplantation. Qualitative studies were conducted to some extent. It is recommended to conduct clinically applicable interventional researches with the experimental design.