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Objectives@#Portal sites have become places to share queries about performing nursing and obtain expert know-how. This study aimed to analyze topics of interest in the field of infusion nursing among nurses working in clinical settings. @*Methods@#In total, 169 user query data were collected from October 5, 2018 to December 25, 2021. This exploratory study analyzed the semantic structure of posts on the nurse question-and-answer board of an infusion nursing-related internet portal by extracting major keywords through text data analysis and conducting term frequency (TF) and term frequency-inverse document frequency (TF-IDF) analysis, N-gram analysis, and CONvergence of iteration CORrelation (CONCOR) analysis. Word cloud visualization was conducted utilizing the “wordcloud” package of Python to provide a visually engaging and concise summary of information about the extracted terms. @*Results@#“Infusion” was the most frequent keyword and the highest-importance word. “Infusion→line” had the strongest association, followed by “vein→catheter,” “line→change,” and “peripheral→vein.” Three topics were identified: the replacement of catheters, maintenance of the patency of the catheters, and securement of peripheral intravenous catheters, and the subtopics were blood sampling through central venous catheter, peripherally inserted central catheter management, evidence-based infusion nursing, and pediatric infusion nursing. @*Conclusions@#These findings indicate that nurses have various inquiries in infusion nursing. It is necessary to re-establish the duties and roles of infusion nurses, and to develop effective infusion nursing training programs.
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Stable posterior occlusal support is crucial for adequate masticatory function and facial aesthetics. In elderly patients over the age of 65, masticatory ability has a significant impact on nutritional intake and overall health. This case report presents a prosthetic treatment of an elderly patient with edentulous maxilla and bilateral posterior edentulous mandible. The upper jaw was restored with a complete denture to establish an ideal occlusal plane, and the three-dimensional positions of the mandibular implants were determined accordingly. The implants were placed through computer-guided implant surgery and were immediately loaded with fixed provisional restorations. The implant-fixed zirconia final restorations were inserted in the lower posterior region, and the occlusal surface of posterior artificial teeth in the upper denture was substituted with cobalt-chrome alloy to resist occlusal wear. The patient’s posterior occlusal support and masticatory function were promptly restored through this treatment process, and long-term stability against wear was also obtained.
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Background@#The purpose of this study was to investigate the knowledge and attitude regarding the care of the elderly with hearing loss among nurses. @*Methods@#This study used a cross-sectional descriptive design. Participants were 228 nurses who have experienced in caring the elderly with hearing loss. Data were collected from February 21 to March 21, 2022 using self-report questionnaires including 30 items of knowledge regarding the care of the elderly with hearing loss and 20 items of attitude regarding the care of the elderly with hearing loss. The data were analyzed by using the SPSS version 23.0 program (IBM Corp, Armonk, NY, USA). @*Results@#The subjects’ average age was 33.35±7.79, and the average clinical career was 10.29±7.83. Nurses’ knowledge regarding the care of the elderly with hearing loss was the average score 62.9 out of 100.0. Nurses’ attitude regarding the care of the elderly with hearing loss was the average score of 85.4 out of 100.0. The relationship between nurses´ knowledge and attitude regarding the care of the elderly with hearing loss was statistically significant (r=0.17; P=0.008). @*Conclusions@#The findings of this study show that the nurses have a positive nursing attitude regarding the care of the elderly with hearing loss. It is suggested to develop an educational/training program that can help the nurses accumulate experience and improve their knowledge on the elderly with hearing loss.
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Purpose@#: This retrospective study aims to provide basic data for intervention to improve clinical outcomes and identify the characteristics of the rebound hyperthermia (RHG) and non-rebound hyperthermia (NRHG) groups by checking body temperature in patients with post-cardiac arrest syndrome.Method : The study involved 118 patients who completed target temperature management (TTM) in an acute-care unit. Data were analyzed for frequency, percentages, mean, standard deviation, median, and quartiles, and compared using the chi-squared test and Mann–Whitney U-test. @*Results@#: Rebound hyperthermia (RH) was observed in 74 (62.7%) patients, predominantly male (69.5%), with an average age of 64.54 ± 15.98, and a body mass index of 23.22 ± 4.75kg/m2 (overweight). Hypertension (50%) was the most common co-morbidity, followed by diabetes and heart disease (33.1%). Neuron-specific enolase levels were higher in the NRHG 24, 48, and 72 hours after recovery of spontaneous circulation (p = .037, p＜ .001, p= .008). The APHCHE Ⅳ was also higher in the NRHG (p＜ .001). RH occurred 25.49 (7.28–52.96) hours after TTM completion, lasting for 2 (1–3) hours. Temperature reduction strategies included notifying doctors, administering antipyretics, and nursing intervention, with the latter being the most common at 94.6%. Half of the subjects in the RHG and 77.3% in the NRHG fell into cerebral performance categories 3, 4, and 5 (p= .003). @*Conclusion@#: RH is more likely a body mechanism related to CPR and TTM than a result of pathogenic infection. Therefore, we require an active intervention for hyperthermia, and a patient-specific nursing intervention protocol.
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Background@#The purpose of this study was to investigate the levels of attitude and practice regarding sexual health care in patients with cancer among nurses. @*Methods@#This study used a cross-sectional descriptive design. Participants were 152 nurses who care patients with cancer at a general hospital in Gangwon province. Data were collected from November 7 to 10, 2016 using self-report questionnaire including each 17 item of sexual health care scale-practice and attitude. @*Results@#The subjects’ average age was 29.8±6.3 years, and oncology nursing experience was 7.3±6.2 years. Nurses’ attitude was the average score of 26.6 out of 51. Practice was 2.63 out of 21. Formal education about sexual health care (t=2.01, P=0.048) had significant influenced on nurses’ attitude and age (F=4.45, P=0.013) and working site (F=3.28, P=0.013) on nurses’ practice. The relationship between nurses´attitude and practice toward cancer patients´ sexual health nursing was statistically significant (r=0.33, P=0.001). @*Conclusions@#The findings of this study indicate that it is imminent for nurses to acquire various information about sexual problems with patients during cancer treatment. Educational programs for sexual health care for nurses need to be developed to provide cancer patients to improve their sexual health.
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Purpose@#This study was conducted to identify the nurses’ positive psychological capital and adaptation of job rotation and to examine their relationship. @*Methods@#This cross-sectional study was conducted from March 23, 2021 to March 31, 2021, the study participants were 160 nurses who worked at a general hospital in Seoul.The collected data were analyzed using the IBM SPSS/WIN 24.0 program with descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. @*Results@#The positive psychological capital of nurses scored an average of 3.30±0.43 out of 5. Nurses’ adaptation of job rotation scored an average of 3.00±0.35 out of 5. Positive psychological capital and adaptation of job rotation showed a significant positive correlation (r=.70, p<.001). @*Conclusion@#This study shows that the greater level of positive psychological capital was associated with the increased adaptation of job rotation among nurses. It is necessary to develop an practical program to help nurses, who have recently experienced job rotation, adapt to the changed job by improving the positive psychological capital.
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Objectives@#It is important that inflammatory bowel disease (IBD) patients adhere to their prescribed medication regimens to avoid the repeat exacerbations, complications, or surgeries associated with this disorder. However, there are few studies on medication adherence in patients with IBD, especially in Asian populations. So, we analyzed the factors associated with medication adherence in Korean IBD patients. @*Methods@#Patients who had been diagnosed with Crohn’s disease (CD) or ulcerative colitis (UC) more than 6 months previously and receiving oral medications for IBD were enrolled. Medication adherence was measured using the Medical Adherence Reporting Scale (MARS-5), a self-reported medication adherence measurement tool. @*Results@#Among 207 patients in the final study population, 125 (60.4%) had CD and 134 (64.7%) were men. The mean age was 39.63 years (SD, 13.16 years) and the mean disease duration was 10.09 years (SD, 6.33 years). The mean medication adherence score was 22.46 (SD, 2.86) out of 25, and 181 (87.4%) patients had score of 20 or higher.In multiple linear regression analysis, self-efficacy (β=0.341, P<0.001) and ≥3 dosing per day (β=–0.192 P=0.016) were revealed to be significant factors associated with medication adherence. Additionally, there was a positive correlation between self-efficacy and medication adherence (r=0.312, P<0.001). However, disease related knowledge, depression, and anxiety were not significantly associated with medication adherence. @*Conclusion@#To improve medication adherence among patients with IBD, a reduction in the number of doses per day and an improved self-efficacy will be helpful.
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Background@#The purpose of this study was to investigate nurses' knowledge and performance ability of Defibrillator. @*Methods@#The participants in this study were 121 nurses who have been working in a general hospital located in G region. The measuring tools of this study were developed on the basis of guidelines from American Heart Association and Korea Association of Cardiopulmonary Resuscitation. The knowledge of defibrillator was measured by self-report questionnaire, and the performance ability of defibrillator was measured by observation of the participants. The period of collected date was from May 15 to June 15 in 2016. The collected data were analyzed by using SPSS 19.0 program. @*Results@#The mean score about knowledge of defibrillator was 2.79±2.42. The mean score about performing ability of defibrillation was 6.44±3.39. The knowledge of defibrillator was a significant difference with age, working area, working carrier, experience of using defibrillator. The performance ability of defibrillator was a significant difference with age, working area, working carrier, experience of using defibrillator. There was a significant positive correlation between knowledge and performance ability of defibrillator. @*Conclusions@#The finding suggests developing the knowledge and the performance ability of defibrillator on going refresher courses and training programs, including the related nursing practice guidelines to improve the knowledge and performance ability of defibrillator.
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Background@#The purpose of this study was to investigate nurses' knowledge and performance ability of Defibrillator. @*Methods@#The participants in this study were 121 nurses who have been working in a general hospital located in G region. The measuring tools of this study were developed on the basis of guidelines from American Heart Association and Korea Association of Cardiopulmonary Resuscitation. The knowledge of defibrillator was measured by self-report questionnaire, and the performance ability of defibrillator was measured by observation of the participants. The period of collected date was from May 15 to June 15 in 2016. The collected data were analyzed by using SPSS 19.0 program. @*Results@#The mean score about knowledge of defibrillator was 2.79±2.42. The mean score about performing ability of defibrillation was 6.44±3.39. The knowledge of defibrillator was a significant difference with age, working area, working carrier, experience of using defibrillator. The performance ability of defibrillator was a significant difference with age, working area, working carrier, experience of using defibrillator. There was a significant positive correlation between knowledge and performance ability of defibrillator. @*Conclusions@#The finding suggests developing the knowledge and the performance ability of defibrillator on going refresher courses and training programs, including the related nursing practice guidelines to improve the knowledge and performance ability of defibrillator.
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Background@#The purpose of this study is to identify the factors influencing nurses' perception of just culture, and to provide basic data for the establishment of just culture. @*Methods@#A questionnaire survey was conducted from April 8, 2020 to April 23, 2020 for 168 nurses at hospital in Seoul. The research tools were Petschonek’s JCAT, modified by the researchers and Korean version of practice environment scale of nursing work index (K-PES-NWI). @*Results@#The average age of the participants was 30.5 years, and total clinical career was 7.10 years. The perception of nursing work environment and just culture perception were 2.91±0.50 out of 5 and 4.91±0.72 out of 7, respectively. Through regression analysis with 33.0% of accountability, it was found that the perception of just culture was associated with nursing work environment (β=0.726, P<0.001). @*Conclusions@#Study findings suggest that intervention for the improvement of nursing work environment can be effective to increase the perception of just culture, additionally, the program to improve just culture perception should be developed and applied, and verify its effectiveness.
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Purpose@#In 2018, the Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life was implemented and the scope of official recognition for terminally ill patients was expanded. The purpose of this study was to investigate the decisions made by patients with end-stage liver disease about their life-sustaining treatment in a clinical setting. @*Methods@#The subjects of this study were patients with endstage liver disease hospitalized at a tertiary hospital in Seoul, Korea who wrote physician orders for life-sustaining treatment (POLST). Data collection was done using patients’ electronic medical records, and a retrospective analysis of POLST was conducted. @*Results@#Among 101 patients, 18.8% were female and 81.2% were male, and their mean age was 61.8 (±10.61) years. Sixty-three patients (62.4%) wrote their POLST by themselves. Three patients withdrew the POLST, of whom two did so for liver transplantation, and one did so for chemotherapy. @*Conclusion@#This study shows that sufficient consideration of liver transplantation is needed for end-stage liver disease patients before making decisions on life-sustaining treatment. The self-determination of patients must be respected and effective guidelines are urgently needed.
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Background@#Ambulatory care represents the first point of contact between the patient and the hospital.Kindness is strongly emphasized for ambulatory care nurses in customer-centered medical services. The purpose of this study was to investigate the relationship among surface acting, deep acting, and emotional dissonance of emotional labor and to identify the influencing factors on emotional dissonance of ambulatory care nurses in a tertiary hospital. @*Methods@#This study is a correlational study. The data was collected using emotional labor scales from 163 nurses in March 2017. @*Results@#The surface acting, deep acting of emotional labor, and emotional dissonance were 3.71±0.69, 3.76±0.57, and 3.36±0.90 respectively in the ambulatory care nurses. The result of the multiple regressions indicates that surface (β=0.77,P<0.001) and deep acting (β=0.12, P=0.009) of emotional labor predict 67.6% (F=188.99,P<0.001) in emotional dissonance of ambulatory care nurses. @*Conclusions@#To improve emotional dissonance for ambulatory care nurses, it is necessary to develop and utilize emotional labor management program and effective emotional labor management.
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Background@#Post-liver transplantation diabetes mellitus (PLTDM) is common and occurs in approximately 5-7% of patients. There is a trend toward an increase in mortality with PLTDM. Therefore, it is important that nurses carefully monitor and treat for hyperglycemia. The purpose of this study is to examine nurses’ knowledge and attitude toward PLTDM, with a specific focus on nurses who care for liver transplant patients. @*Methods@#Data were collected from 104 nurses working at a tertiary hospital in Seoul from March 15, 2019 to March 31, 2019. Knowledge and attitude toward PLTDM was measured using PLTDM knowledge and attitude tool. @*Results@#The average age of the participants was 30.3 years, with 52.9% of the participants (n=55) having between 1 to 3 years of clinical experience. Knowledge and attitude toward PLTDM scored 16.28±3.60 out of 25 and 115.62±7.57 out of 155, respectively. There was a significant positive correlation between PLTDM knowledge and attitude (r=0.21, P=0.027). @*Conclusions@#Study findings suggest a need for an educational program specialized in PLTDM specifically in regards to identifying risk factors as this demonstrated the lowest score in PLTDM knowledge. Further, when designing the educational program, a strategy is called for in order to encourage nurses to voluntarily participate in the program.
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Nutrition care is important for patients’ well-being. With legislation for reimbursement for nutrition support team activities from the Korea Ministry of Health and Welfare, this has increased the importance of nurses’ role in nutrition. Nutrition support nurses (NSNs) focus on the optimization of nutritional health and prevention of nutrition-related illness and injury. NSN performs as an advanced practice nurse, a core member of a nutrition support team, an educator or consultant, a policy maker in nutrition care, and a researcher or a member of quality improvement. NSNs should develop their core competency to fulfill their roles in nutrition care and the need to participate in qualified nutrition support education programs. Further, the tasks and duties of NSNs should be specifically identified so that NSNs can fulfill their roles.
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Purpose@#The purpose of this study was to identify factors influencing the Radiation Protection(RP) behaviors of endoscopy nurses during endoscopic interventional radiology. @*Methods@#A total of 188 endoscopy nurses working at 30 tertiary or general hospitals participated in this questionnaire-based study. The questionnaire included items on general and job related characteristics, RP knowledge, RP attitude, RP behavior, self-efficacy, and safety climate. Data were collected through online surveys from March 22 to April 10, 2019. @*Results@#Multivariate analysis revealed that RP attitude (β=.65, p<.001), safety climate (β=.12, p=.035), self-efficacy (β=.14,p=.009), and existence of RP protocols (β=.11,p=.038) were significant predictors of better RP behavior. @*Conclusion@#The findings showed that the RP behavior of endoscopy nurses was at high levels and the continuing education for endoscopy nurses and development of a radiation safety management education program were important to improve RP behavior.
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The purpose of these practice guidelines is to offer and share strategies for preventing extravasation and measures for handling drugs known to cause tissue necrosis, which may occur even with the most skilled experts at intravenous (IV) injection. Herein, general knowledge about extravasation is first described, including its definition, incidence, risk factors, diagnosis, differential diagnosis, and extravasation injuries. Management of extravasation includes nursing intervention and thermal application. At the first sign of extravasation, nursing intervention with following steps is recommended: stop administration of IV fluids immediately, disconnect the IV tube from the cannula, aspirate any remaining drug from the cannula, administer drug-specific antidote, and notify the physician. Local thermal treatments are used to decrease the site reaction and absorption of the infiltrate. Local cooling (ice packs) aids in vasoconstriction, theoretically limiting the drug dispersion. Although clear benefit has not been demonstrated with thermal applications, it remains a standard supportive care. The recommended application schedule for both warm and cold applications is 15 to 20 minutes, every 4 hours, for 24 to 48 hours. For prevention of extravasation, health professionals should be familiar with the extravasation management standard guidelines. They should regularly check the extravasation kit, assess patients’ sensory changes, tingling or burning, and always pay attention to patients’ words. The medical team’s continuous education on extravasation is essential. With the practical use of these guidelines, it is expected to reduce the occurrence rate of extravasation and contribute to patient care improvement.
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Purpose@#This study aimed to compare nurses’ perceptions of self-reported pain, the recorded pain score, and pain treatment according to the patient’s facial expression. @*Methods@#In this descriptive cross-sectional survey, the participants were 482 nurses working at a tertiary hospital in Seoul, Korea. A self-report questionnaire presented nurses with a smiling patient complaining of acute post-surgical pain and a grimacing patient with cancer pain, both of whom reported a pain level of 8 out of 10, and asked nurses to indicate their perception of the pain intensity, the pain score that they would record, and the medication that they would provide for each patient. @*Results@#The pain intensity perceived by nurses for the grimacing patient was significantly higher than that for the smiling patient (P<0.001). The recorded pain score was likewise significantly higher for the grimacing patient than for the smiling patient (P<0.001). There was a significant difference in the amount of morphine chosen by the nurses for pain interventions between the smiling and grimacing patients (P=0.040). Higher perceived pain intensity and score were associated with higher administered doses of morphine. @*Conclusion@#These findings suggest that nurses might be affected by patients’ facial expressions when treating pain. A pain management program should be developed that trains nurses to accurately recognize pain hidden in patients’ faces and provides them with the knowledge of how to appropriately assess and manage patients’ pain.
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Purpose@#The purpose of this study was to identify factors influencing the Radiation Protection(RP) behaviors of endoscopy nurses during endoscopic interventional radiology. @*Methods@#A total of 188 endoscopy nurses working at 30 tertiary or general hospitals participated in this questionnaire-based study. The questionnaire included items on general and job related characteristics, RP knowledge, RP attitude, RP behavior, self-efficacy, and safety climate. Data were collected through online surveys from March 22 to April 10, 2019. @*Results@#Multivariate analysis revealed that RP attitude (β=.65, p<.001), safety climate (β=.12, p=.035), self-efficacy (β=.14,p=.009), and existence of RP protocols (β=.11,p=.038) were significant predictors of better RP behavior. @*Conclusion@#The findings showed that the RP behavior of endoscopy nurses was at high levels and the continuing education for endoscopy nurses and development of a radiation safety management education program were important to improve RP behavior.
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The purpose of these practice guidelines is to offer and share strategies for preventing extravasation and measures for handling drugs known to cause tissue necrosis, which may occur even with the most skilled experts at intravenous (IV) injection. Herein, general knowledge about extravasation is first described, including its definition, incidence, risk factors, diagnosis, differential diagnosis, and extravasation injuries. Management of extravasation includes nursing intervention and thermal application. At the first sign of extravasation, nursing intervention with following steps is recommended: stop administration of IV fluids immediately, disconnect the IV tube from the cannula, aspirate any remaining drug from the cannula, administer drug-specific antidote, and notify the physician. Local thermal treatments are used to decrease the site reaction and absorption of the infiltrate. Local cooling (ice packs) aids in vasoconstriction, theoretically limiting the drug dispersion. Although clear benefit has not been demonstrated with thermal applications, it remains a standard supportive care. The recommended application schedule for both warm and cold applications is 15 to 20 minutes, every 4 hours, for 24 to 48 hours. For prevention of extravasation, health professionals should be familiar with the extravasation management standard guidelines. They should regularly check the extravasation kit, assess patients’ sensory changes, tingling or burning, and always pay attention to patients’ words. The medical team’s continuous education on extravasation is essential. With the practical use of these guidelines, it is expected to reduce the occurrence rate of extravasation and contribute to patient care improvement.
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Purpose@#This study aimed to compare nurses’ perceptions of self-reported pain, the recorded pain score, and pain treatment according to the patient’s facial expression. @*Methods@#In this descriptive cross-sectional survey, the participants were 482 nurses working at a tertiary hospital in Seoul, Korea. A self-report questionnaire presented nurses with a smiling patient complaining of acute post-surgical pain and a grimacing patient with cancer pain, both of whom reported a pain level of 8 out of 10, and asked nurses to indicate their perception of the pain intensity, the pain score that they would record, and the medication that they would provide for each patient. @*Results@#The pain intensity perceived by nurses for the grimacing patient was significantly higher than that for the smiling patient (P<0.001). The recorded pain score was likewise significantly higher for the grimacing patient than for the smiling patient (P<0.001). There was a significant difference in the amount of morphine chosen by the nurses for pain interventions between the smiling and grimacing patients (P=0.040). Higher perceived pain intensity and score were associated with higher administered doses of morphine. @*Conclusion@#These findings suggest that nurses might be affected by patients’ facial expressions when treating pain. A pain management program should be developed that trains nurses to accurately recognize pain hidden in patients’ faces and provides them with the knowledge of how to appropriately assess and manage patients’ pain.