ABSTRACT
Purpose@#The purpose of this study was to identify symptom experience, social support, quality of life (QOL), and the influencing factors on QOL of patients with hematologic malignancies undergoing chemotherapy. @*Methods@#A cross-sectional study was conducted on 118 patients diagnosed with hematologic malignancies undergoing chemotherapy who visited an outpatient clinic in the Gyeonggi province. The Functional Assessment of Cancer Therapy-General (FACT-G), MD Anderson Symptom Inventory (MDASI), and the Multidimensional Scale of Perceived Social Support (MSPSS) were used to assess predictors and QOL. The data were analyzed using the Pearson correlation, t-test, ANOVA, and hierarchical multiple regression. @*Results@#The mean score of QOL was (69.32±14.34). The type of hematologic malignancies and patient’s occupation were significantly associated with QOL in terms of demographic and disease/treatment-related characteristics. Symptom severity and symptom influence, and the support of family, friends, and medical staff had a significant association with QOL. The regression analyses showed that symptom severity (β=-.41, p<.001), friend support (β=.27, p=.001), and occupation (β=.14, p=.034) were significantly associated with QOL. @*Conclusion@#The variables of symptom experience and social support must be acknowledged when improving QOL of hematologic malignancy patients undergoing chemotherapy. Greater focus on the reduction of symptom severity and increasing friend support could improve QOL among hematologic malignancy patients.
ABSTRACT
The coronavirus disease 2019 (COVID-19) has emerged as a threat to human health and public safety. People of all ages are susceptible to severe acute respiratory syndrome coronavirus 2 infection. However, the clinical manifestations of this infection differ by age. This study purposes to describe healthcare considerations for special populations, such as children, pregnant and lactating women, and older adults, who may have unique healthcare needs, in the pandemic situation. To realize the research purpose, we conducted a review of the practice guidelines of public documents and qualified studies that were published online/offline during a specific period. The review identified current knowledge on care for newborns, children in schools, pregnant women (from antenatal to postpartum care), and older adults suffering from high-risk conditions. Subsequently, we summarize vaccination guidance for special populations and, finally, discuss the issues currently affecting special populations. Therefore, this current knowledge on care for special populations helps nurses to provide accurate information on vaccinations aimed at preventing COVID-19 and protecting the masses from infection. Currently, the scarcity of information on COVID-19 variants necessitates further research on measures to reduce pandemic spread.
ABSTRACT
Purpose@#: The purposes of this study were to examine the levels of job stress, perceptions of the patient safety culture, and patient safety nursing activities, and to identify factors influencing patient safety nursing activities among intensive care unit (ICU) nurses. @*Methods@#: For this cross-sectional study, data were collected from 161ICU nurses working in two university-affiliated hospitals in Gyeonggi-do between June 30 and July 30, 2020.The data were analyzed with descriptive statistics, an independent t-test, a one-way ANOVA, the Pearsoncorrelation method, and multiple regression using the SPSS program. @*Results@#: The average levels of job stress, perception of patient safety culture, and patient safety nursing activities were 3.48, 3.44, and 4.45 out of 5, respectively. Multiple regression showed that perception of patient safety culture and career in current workplace were found to be statistically significant correlates of patient safety nursing activities. @*Conclusion@#: In order to promote patient safety nursing activities, patient safety culture needs to be incorporated into the education of ICU nurses. Perception of patient safety should be enhanced to improve patients safety nursing activity.
ABSTRACT
Purpose@#This study aimed to investigate the levels of compliance with safe handling of antineoplastic agents, time pressure, knowledge of safe handling of antineoplastic agents, and workplace safety climate, and to identify factors influencing compliance with the safe handling of antineoplastic agents among clinical nurses. @*Methods@#For this cross-sectional study, anonymous written surveys were conducted on a convenience sample of 130 clinical nurses at a university-affiliated hospital between July 10 and 20, 2020. Data were analyzed through descriptive statistics, t-tests, analyses of variance, Pearson’s correlation, and hierarchical multiple regression analysis using SPSS. @*Results@#The average level of compliance with safe handling of antineoplastic agents was 120.81 out of 175. The significant correlates for compliance with safe handling of antineoplastic agents were clinical experience, knowledge of safe handling of antineoplastic agents, and workplace safety climate. These accounted for 38% of the total variance in compliance with the safe handling of antineoplastic agents. @*Conclusion@#The findings suggest that to increase compliance with safe handling of antineoplastic agents, workplace safety climate and knowledge of safe handling of antineoplastic agents should be improved. The development and application of an effective training program on the safe handling of antineoplastic agents would lead to improvements in this area.
ABSTRACT
Purpose@#: The purposes of this study were to examine the levels of job stress, perceptions of the patient safety culture, and patient safety nursing activities, and to identify factors influencing patient safety nursing activities among intensive care unit (ICU) nurses. @*Methods@#: For this cross-sectional study, data were collected from 161ICU nurses working in two university-affiliated hospitals in Gyeonggi-do between June 30 and July 30, 2020.The data were analyzed with descriptive statistics, an independent t-test, a one-way ANOVA, the Pearsoncorrelation method, and multiple regression using the SPSS program. @*Results@#: The average levels of job stress, perception of patient safety culture, and patient safety nursing activities were 3.48, 3.44, and 4.45 out of 5, respectively. Multiple regression showed that perception of patient safety culture and career in current workplace were found to be statistically significant correlates of patient safety nursing activities. @*Conclusion@#: In order to promote patient safety nursing activities, patient safety culture needs to be incorporated into the education of ICU nurses. Perception of patient safety should be enhanced to improve patients safety nursing activity.
ABSTRACT
Purpose@#This study aimed to investigate the levels of compliance with safe handling of antineoplastic agents, time pressure, knowledge of safe handling of antineoplastic agents, and workplace safety climate, and to identify factors influencing compliance with the safe handling of antineoplastic agents among clinical nurses. @*Methods@#For this cross-sectional study, anonymous written surveys were conducted on a convenience sample of 130 clinical nurses at a university-affiliated hospital between July 10 and 20, 2020. Data were analyzed through descriptive statistics, t-tests, analyses of variance, Pearson’s correlation, and hierarchical multiple regression analysis using SPSS. @*Results@#The average level of compliance with safe handling of antineoplastic agents was 120.81 out of 175. The significant correlates for compliance with safe handling of antineoplastic agents were clinical experience, knowledge of safe handling of antineoplastic agents, and workplace safety climate. These accounted for 38% of the total variance in compliance with the safe handling of antineoplastic agents. @*Conclusion@#The findings suggest that to increase compliance with safe handling of antineoplastic agents, workplace safety climate and knowledge of safe handling of antineoplastic agents should be improved. The development and application of an effective training program on the safe handling of antineoplastic agents would lead to improvements in this area.
ABSTRACT
Purpose@#The purpose of this study was to identify factors influencing health behavior compliance in adult patients with moyamoya. @*Methods@#A descriptive correlation study was conducted to investigate the factors influencing health behavior compliance. Participants were 142 adult patients diagnosed with moyamoya disease who were hospitalized or visited an outpatient clinic in the Gyeonggi province. Data were collected from December 16, 2019 to April 14, 2020 using self-report questionnaires and analyzed using the IBM SPSS 26.0 Win software. @*Results@#The hierarchical multiple regression analysis demonstrated that self-efficacy (β = .60, p < .001), social support (β = .13, p = .032), and age (β = .21, p = .005) affected the health behavior of adults with moyamoya disease. These 3 variables explained 62.0% of the variance of health behavior compliance, and the most influential factor was self-efficacy. @*Conclusion@#Based on the results of this study, it concludes that nursing interventions should be focused on self-efficacy and social support to improve health behavior compliance with adult patients diagnosed with moyamoya disease. For that, various strategies to enhance self-efficacy and social support should be developed and actively applied in the clinical setting for adult moyamoya patients.
ABSTRACT
Purpose@#The purpose of this study was to investigate the effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies. @*Methods@#In this correlational survey study, 172 infertile women undergoing assisted reproductive technologies for infertility treatment at M hospital in Suwon participated. Data collection took place at the outpatient department of M hospital using a self-report questionnaire from July to August 2019. Data were analyzed using SPSS for Windows version 28.0. @*Results@#The mean scores for uncertainty, spousal support, and infertility-related quality of life were 28.35 (out of 50), 86.67 (out of 115), and 57.98 (out of 100), respectively. Infertility-related quality of life was positively correlated with spousal support and negatively correlated with uncertainty. According to the regression analysis, infertility-related quality of life was significantly affected by uncertainty, total number of assisted reproductive technology treatments, marriage duration, subjective health status, the financial burden of infertility testing, and the presence of a burdensome person. These variables had an explanatory power of 35.0% for infertility-related quality of life. @*Conclusion@#Uncertainty was an important factor influencing infertility-related quality of life among women undergoing assisted reproductive technologies. It is necessary to develop and implement a nursing intervention program focused on reducing various forms of uncertainty during assisted reproductive procedures and to consider other factors affecting infertility-related quality of life in the clinical setting.
ABSTRACT
Purpose@#The objective of this study was to identify the factors influencing maternal identity in pregnant women. @*Methods@#Using a descriptive research design, a cross-sectional survey was conducted. In total, 127 pregnant women were recruited from a tertiary hospital in Korea from January to April 2019. Measurements included maternal identity, stress, depression, spousal and familial support, and demographic and obstetric characteristics. Data were analyzed by descriptive statistics, the independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS version 25.0. @*Results@#The mean score for maternal identity was 131.15 out of 160, and the mean scores for stress, depression, and spousal and familial support were 14.59 (out of 40), 6.82 (out of 30), and 109.04 (out of 132), respectively. Stress (r=–.38, p<.001), depression (r=–.37, p<.001), and spousal and familial support (r=.37, p<.001) were significantly correlated with maternal identity. In multiple regression analysis, stress (β=–0.27, p=.005) and spousal and familial support (β=0.23, p=.014) were found to be significant factors influencing maternal identity in pregnant women (F=14.17, p<.001). @*Conclusion@#It is necessary to develop effective strategies to mitigate stress and to encourage spousal and familial support in pregnant women. Such strategies could further enable pregnant women to enhance their maternal identity.
ABSTRACT
Purpose@#This year 2020 marks the 50th anniversary of the founding of the Korean Society of Nursing Science (KSNS). This study wasaimed to explore development of caring and describe the 50 years of history of KSNS within the sociocultural context of Korea regardingacademic footsteps, meanings, and implications for the future. @*Methods@#This study used a historical research methodology using a literaturereview and bibliometric analysis. Relevant literature was reviewed and the published abstracts in the Journal of Korean Academy ofNursing (JKAN) were analyzed using VOSviewer. @*Results@#Birth control and family planning in the 1970s was the main research topic. In the1980s, the development of nursing concepts, theories, and philosophies was the mission of KSNS to extend the disciplinary boundary. In the1990s, the progress of KSNS to become one of the woman-dominant healthcare professionals was the mission in the given period. Expandingthe frontiers of KSNS to the extent of global standards was the undertaking of the nursing scholars in the 2000s. Lastly, in the 2010s,the quality and quantity improvement of KSNS and JKAN is expected to make our future even prosperous. The map visualization of the 50years of research accumulation showed the comparable opposition of quantitative vs. qualitative research methodologies, equation modeling,and instrument development. @*Conclusion@#These clusters of research demonstrates the efforts to make nursing evidence by Koreannursing scholars for the last five decades. The growth in the slope of KSNS and outcomes of JKAN are to carry on to an unimaginable extentin the future.
ABSTRACT
Purpose@#The purpose of this study was to analyze articles published in the Journal of the Korean Academy of Nursing (JKAN) between 2010 and 2019, along with those published in three international nursing journals, to improve JKAN’s international reputation. @*Methods@#The overall characteristics of JKAN’s published papers and keywords, study participants, types of nursing interventions and dependent variables, citations, and cited journals were analyzed. Additionally, the keywords and study designs, publication-related characteristics, journal impact factors (JIF), and Eigenfactor scores of International Journal of Nursing Studies (IJNS), International Nursing Review (INR), Nursing & Health Sciences (NHS), and JKAN were analyzed and compared. @*Results@#Among the four journals, JKAN’s score was the lowest in both the journal impact factor and Eigenfactor score. In particular, while the JIF of INR and NHS has been continuously increasing; JKAN’s JIF has remained static for almost 10 years. The journals which had cited JKAN and those which JKAN had cited were mainly published in Korean. @*Conclusion@#JKAN still has a low IF and a low ranking among Social Citation Index (E) journals during the past 10 years, as compared to that of four international journals. To enhance JKAN’s status as an international journal, it is necessary to consider publishing it in English and to continuously improve the conditions of other publications.
ABSTRACT
Purpose@#A convenience-oriented lifestyle in young people is accompanied by greater consumption ofand exposure to endocrine disruptors, which can affect reproductive health, especially in women. Weaimed to identify factors that influence protective behaviors against endocrine disruptors among femalecollege students in South Korea. @*Methods@#Using a cross-sectional survey design, we recruited 199 female college students. A selfadministeredquestionnaire was used, and data were collected at the site. @*Results@#A healthy lifestyle, information utilization, receiving peer advice on avoiding exposure toendocrine disruptors, and a history of environmental illnesses were found to be significant factors,explaining 42.0% of the variance in protective behaviors against endocrine disruptors. @*Conclusion@#Health consequences of environmental hazards and importance of maintaining a healthylifestyle need to be emphasized in young women's healthcare. Health professionals should advocate forand empower women to protect themselves against endocrine disruptors.
ABSTRACT
Purpose@#A convenience-oriented lifestyle in young people is accompanied by greater consumption ofand exposure to endocrine disruptors, which can affect reproductive health, especially in women. Weaimed to identify factors that influence protective behaviors against endocrine disruptors among femalecollege students in South Korea. @*Methods@#Using a cross-sectional survey design, we recruited 199 female college students. A selfadministeredquestionnaire was used, and data were collected at the site. @*Results@#A healthy lifestyle, information utilization, receiving peer advice on avoiding exposure toendocrine disruptors, and a history of environmental illnesses were found to be significant factors,explaining 42.0% of the variance in protective behaviors against endocrine disruptors. @*Conclusion@#Health consequences of environmental hazards and importance of maintaining a healthylifestyle need to be emphasized in young women's healthcare. Health professionals should advocate forand empower women to protect themselves against endocrine disruptors.
ABSTRACT
PURPOSE: To explore trends of women's health in nursing research by analyzing articles on women aged 13 years or older that were published in Korean Journal for Women Health Nursing from 2010 to 2015. METHODS: Seven focus areas were identified and modified to reflect integrative conceptual models of women's health: maternity care, menstrual concerns, health problems in women, gender influences on health risks, social influences on women's health, women and health care policy, and sexual health and violence against women. A total of 383 studies were analyzed according to these seven focus areas. RESULTS: Health problems in women, maternity care, and societal influences on women's health were the most widely studied topics in Korean women's health. There was increased attention to societal influences on women's health and gender influences on health risk. However, these areas are still limited in nursing research. Only 1% of these studies were in area of women's health policy. CONCLUSION: More studies in area of sexual health and violence against women are needed. Studies in area of women and health care policy are also needed to improve women's health in Korea.
Subject(s)
Female , Humans , Delivery of Health Care , Korea , Nursing Research , Nursing , Reproductive Health , Violence , Women's HealthABSTRACT
PURPOSE: The purpose of this qualitative study was to explore the experience of becoming a mother after child-birth of Chinese immigrant women in Korea. METHODS: Ten Chinese immigrant women were recruited from multi-cultural center in the metropolitan area. Qualitative data were collected through in-depth interview from July 2015 to May in 2016. Interview was conducted until the data were theoretically saturated. Data analysis was performed simultaneously with the data collection, and the contents of the interview were analyzed according to the Corbin and Strauss' grounded theory method. RESULTS: In total, 36 concepts were produced through the analysis, and similar concepts were combined to derive 16 categories. Based on the relation between the categories, the core category is analysed as ‘becoming culture integrating mothers’. The attainment process from this procedural approach are described as cultural intimidated stage, cultural conflicting stage, cultural cooperating stage, cultural integrating stage. There are three types of ‘becoming cultural integrating mothers’, integrating type, conflicting type, and intimidated type. CONCLUSION: Based on these results, it is suggested to develop the nursing intervention program including cultural sensitive education and consultation program for helping becoming a mother in each type of the Chinese immigrant women in Korea. In addition, nurse or nursing student education program to enhance the cultural sensitivity is also needed.
Subject(s)
Female , Humans , Asian People , Data Collection , Education , Emigrants and Immigrants , Grounded Theory , Korea , Methods , Mothers , Nursing , Statistics as Topic , Students, NursingABSTRACT
PURPOSE: The purpose of this study was to identify the influencing factors on maternal role adjustment among the primiparous women in the first year after childbirth. METHODS: The study subjects were 210 healthy primiparous women who have delivered at one of four women's health hospitals and revisited the out-patient department for the routine check-up and baby's vaccination during the first year after childbirth. Data were collected by a self-report questionnaire which consisted of general characteristics, maternal role adjustment, spousal rearing support, childcare stress, and postpartum depression. Collected data were analyzed by using the SPSS Win 18.0 program with descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficient and multiple regression. RESULTS: The maternal role adjustment was significantly correlated with spousal rearing support (r=.649, p<.001), childcare stress (r=-.596, p<.001), postpartum depression (r=-.569, p<.001), and subjective health condition (r=.204, p=.003). The multiple regression analysis showed that the maternal role adjustment were significantly affected by spousal rearing support (t=6.542, p<.001). childcare stress (t=-3.268, p=.001), and postpartum depression (t=-2.238, p=.018). CONCLUSION: From these results, it is concluded that the nursing intervention for enhancing spousal support in childcare and decreasing the childcare stress and depression should be developed for improving maternal role adjustment in the first time mother, especially within one year after childbirth.
Subject(s)
Female , Humans , Depression , Depression, Postpartum , Diagnostic Self Evaluation , Maternal Behavior , Mothers , Nursing , Outpatients , Parity , Parturition , Vaccination , Women's HealthABSTRACT
PURPOSE: This study was to explore the postnatal care experiences among first time Chinese immigrant mothers living in Korea. METHODS: Data were collected by focus group interviews with 12 first time Chinese immigrant mothers utilizing 3 focus groups. After obtaining written informed consent from all participants, each session of the focus group was audio-recorded and transcribed verbatim. Data were analyzed by content analysis to identify major themes. RESULTS: Four major themes for postnatal care experiences were extracted from the data as follows. 1) Range over traditional, modern, Korean or Chinese postnatal care, 2) Struggle with newborn care, 3) Another struggle with breastfeeding, and 4) Difficulties in becoming a mother as an immigrant. CONCLUSION: Based on their postpartum care experiences, it is concluded that participants requested more professional practical and individualized education/training for successful breastfeeding and newborn care. Health care providers need to develop and implement integrated support and mentoring programs that include information and peer support system for the first time Chinese immigrant mothers living in Korea. This would decrease the difficulties of becoming a mother.
Subject(s)
Humans , Infant, Newborn , Asian People , Breast Feeding , Emigrants and Immigrants , Focus Groups , Health Personnel , Informed Consent , Korea , Mentors , Mothers , Postnatal Care , Qualitative ResearchABSTRACT
PURPOSE: The purpose of this study was to examine the experiences of Sanhujori facility use among the first time mothers in Korea. METHODS: A qualitative study was conducted, using focus group interview. Data were collected from the 24 first time mothers of 4 focus groups, who had given birth within 6 month and had used one of the Sanhujori facilities located in C province, Korea. After obtaining written informed consent from all participants, each session of the focus group was audio-taped and transcribed into verbatim. Data were analyzed using content analysis in order to identify significant themes. RESULTS: Four major themes that emerged from the data were as follows. 1) Promoting postpartum physical recovery through a enough time with only focusing on herself, 2) Promoting postpartum psychological recovery through emotional and informational support with peer mothers, 3) Experiencing breast feeding difficulties and disappointing with unsatisfied help from health professionals, and 4) Lack of the professional education programs regarding parenting. CONCLUSION: Based on these results, it will be suggested that the various support programs by not only the peer mothers co-resided in Sanhujori facilities but also the health care professionals in the Sanhujori facilities should be developed for helping a "becoming a mother" of the first time mother in the Sanhujori facilities. In addition, qualified education and counseling program, especially for the successful breast feeding, should be provided by the health care professionals for improving mothering ability of the first time mother in the Sanhujori facilities.
Subject(s)
Humans , Breast Feeding , Counseling , Delivery of Health Care , Education , Education, Professional , Focus Groups , Health Occupations , Informed Consent , Korea , Mothers , Parenting , Parents , Parturition , Postpartum Period , Qualitative ResearchABSTRACT
PURPOSE: This study aimed to describe knowledge status of current research related to maternal adaptation of women immigrants by marriage in Korea. METHODS: Eighteen quantitative current researches published from January, 2006 to August, 2014 that met the inclusion and exclusion criteria. These 18 articles finally selected for systemic review from 5,168 articles. All current researches included the mother within one year after childbirth and one variable related to maternal adaptation at least. RESULTS: Variables related to psychological adaptation (48.1%) were mostly studied. In detail, parenting stress (17.3%) and parenting competency (15.4%) were frequently surveyed. Also, social support (7.7%), husband rearing support (5.8%) of relational adaptation, and acculturation (3.8%) of cultural adaptation were importantly studied. In addition, frequently used instruments for each study variable were analyzed and evaluated. As major results, parenting stress and parenting efficacy were significantly influenced by social support or husband rearing support and acculturation, and had an effect on parenting behaviors. Various maternal education programs were effective in improving maternal role confidence or parenting efficacy and decreasing parenting stress. CONCLUSION: Nursing intervention programs for improving maternal adaptation should focus on decreasing parenting stress and increasing parenting efficacy by improving social support and acculturation level of women immigrants by marriage in Korea.
Subject(s)
Female , Humans , Acculturation , Adaptation, Psychological , Education , Emigrants and Immigrants , Korea , Marriage , Mothers , Nursing , Parenting , Parents , Parturition , SpousesABSTRACT
PURPOSE: The purpose of this study is to identify differences in stress levels and stress coping strategies according to the degree of emotional intelligence in nursing students. METHOD: Study participants included 367 nursing students from three universities in Gyeonggi and Chungnam provinces. Data were collected through a self-administered questionnaire in December 2012 and subsequently analyzed via the IBM SPSS 20.0 program with descriptive statistics, independent t-tests, one-way ANOVA and Scheffe tests. RESULTS: The emotional intelligence of nursing students was slightly higher than average. Perceived stress and clinical practice stress among nursing students were high and nursing students used more problem-focused compared to emotion-focused coping strategies. Nursing students who had a higher level of emotional intelligence exhibited lower levels of perceived stress (t=2.26, p=.025) and clinical practice stress (t=9.37, p<.001) and more used problem-focused coping strategies (t=-7.56, p<.001) than those who had a lower level of emotional intelligence. CONCLUSION: These results suggest that nursing interventions to improve the emotional intelligence of nursing students are necessary to manage stress more effectively.