Mediating Effects of Perceptions Regarding the Importance of Patient Safety Management on the Relationship between Incident Reporting Attitudes and Patient Safety Care Activities for Nurses in Small- and Medium-sized General Hospitals / 중환자간호학회지

PURPOSE: The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities.METHODS: This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software.RESULTS: Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (β=.409, p < .001) on the relationship between incident reporting attitudes and patient safety care activities.CONCLUSION: Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.

The Experience of Uncertainty in Cancer Patients Undergoing Chemotherapy

PURPOSE: The purpose of this study was to investigate the experience of uncertainty in cancer patients undergoing chemotherapy in South Korea. METHODS: Data were obtained from in-depth interviews with ten cancer patients conducted from Mar. 21 to Nov. 11, 2017. The data were collected until saturation and analyzed via Colazzi's phenomenological method. RESULTS: In this study, 6 categories were extracted: Four categories contributed to uncertainty including ‘Confusion about cancer and course of treatment’, ‘Inner conflicts’, ‘Being overwhelmed by treatment’, and ‘Unknown future’. Two categories facilitated coping with uncertainty including ‘Seeking knowledge’ and ‘Need for spiritual peace’. CONCLUSION: Uncertainty experiences for cancer patients undergoing chemotherapy in different societies is largely similar. However, some experiences seemed unique to Korean patients. Also, there is a great deal of uncertainty about the treatment outcomes and loss of treatment opportunities in cancer patients undergoing chemotherapy. The results of this study will help oncology professionals develop patient-centered psychological interventions by improving understanding of the uncertainty of cancer patients undergoing chemotherapy.

Mediating Effects of Empathy and Resilience on the Relationship between Terminal Care Stress and Performance for Nurses in a Tertiary Hospital / 한국호스피스완화의료학회지

PURPOSE: To develop end-of-life care training programs for nurses who provide in a tertiary hospital, we examined the mediating effects of empathy and resilience on the relationship between their stress and job performance. METHODS: This study was conducted with 218 participants at a hospital in B city in South Korea from August 15 through August 30, 2017. Data collected from the participants were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using the IBM SPSS/WIN 21.0 software. RESULTS: Terminal care stress was found to be negatively correlated with empathy competence (r=−0.345, P < 0.001), resilience (r=−0.223, P=0.001) and terminal care performance (r=−0.260, P < 0.001), whereas empathy (r=0.467, P < 0.001) and resilience (r=0.358, P < 0.001) were positively correlated with terminal care performance. Empathy had a complete mediating effect (β=0.409, P < 0.001) on the relationship between terminal care stress and performance, and resilience a partial mediating effect (β=0.294, P < 0.001). CONCLUSION: Based on the findings of this study, development of training programs with a focus on empathy and resilience are highly recommended to improve job performance of nurses who provide terminal care in a tertiary hospital.