Factors Influencing Nurses' Intention to Stay in General Hospitals / 산업간호학회지

PURPOSE: This study aimed to investigate the factors affecting general hospital nurses' intention to stay in their jobs. METHODS: A descriptive research design was used with a convenience sample of 286 nurses. Data were collected from March 15 to April 14, 2017using self-reported questionnaires and analyzed by descriptive statistics, t-test, analysis of variance, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 21.0 program. RESULTS: The mean scores for intention to stay, resilience, and emotional labor were 5.28 out of 8, 57.40 out of 100, and 3.23 out of 5, respectively. Intention to stay was positively correlated with overall career (r=.30), workplace (r=.18), shift work (r=−.20), position (r=.28), salary (r=.13), job satisfaction (r=.51), hospital satisfaction (r=.46), and resilience (r=.41). Factors influencing the intention to stay were job satisfaction and resilience, which explained 28% of the variance. CONCLUSION: Overall career, job satisfaction, and resilience are critical factors affecting general hospital nurses' intention to stay. Based on the findings of this study, efforts to improve nurses' job satisfaction and resilience should be implemented to mitigate the loss of this expert group among healthcare professionals.

Factors Influencing Nurses' Intention to Stay in General Hospitals / 한국직업건강간호학회지

PURPOSE@#This study aimed to investigate the factors affecting general hospital nurses' intention to stay in their jobs.@*METHODS@#A descriptive research design was used with a convenience sample of 286 nurses. Data were collected from March 15 to April 14, 2017using self-reported questionnaires and analyzed by descriptive statistics, t-test, analysis of variance, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 21.0 program.@*RESULTS@#The mean scores for intention to stay, resilience, and emotional labor were 5.28 out of 8, 57.40 out of 100, and 3.23 out of 5, respectively. Intention to stay was positively correlated with overall career (r=.30), workplace (r=.18), shift work (r=−.20), position (r=.28), salary (r=.13), job satisfaction (r=.51), hospital satisfaction (r=.46), and resilience (r=.41). Factors influencing the intention to stay were job satisfaction and resilience, which explained 28% of the variance.@*CONCLUSION@#Overall career, job satisfaction, and resilience are critical factors affecting general hospital nurses' intention to stay. Based on the findings of this study, efforts to improve nurses' job satisfaction and resilience should be implemented to mitigate the loss of this expert group among healthcare professionals.

Conservative management of cervical pregnancy with H2O2 irrigation of cervical canal / 대한산부인과학회지

Prevent vaginal bleeding before and after conservative management of cervical pregnancy is the important part of the treatment. We can choose two methode for the conservative management of cervical pregnancy. One is curettage and bleeding control, and the other is using fetocidal agent. Most frequently used fetocidal agent is methotrexate. But additional treatment would be needed after single dose of MTX, and for multiple dosage of MTX, one should be hospitalized about 7 to 10 days. We have used H2O2 intracervical irrigation through enema syringe for conservative management of cervical pregnancy, which is very useful and has no risk of consequent bleeding. So we report it with brief review of literatures.

Macular Hemodynamics before and after Retinal Photocoagulation in Branch Retinal Vein Occlusion using Heidelberg Retina Flow meter(HRF )

To investigate the pathogenesis of macular edema in branch retinal vein occlusion(BRVO)and its attributing factors, we measured the macular circulation using HRF(Heidelberg Retina Flowmeter)before, 1 hour, 1 day, and 1 month after grid laser photocoagulation in 12 patients. After laser photocoagulation, the macula circulation significantly increased in 8 eyes(group 1), and remained unchanged in 4 eyes(group 2). Mean postoperative macular circulation of group 1 was blood volume 136.2%, blood flow 148.0%, and blood velocity 144.4%. And mean postoperative macular circulation of group 2 was blood volume 103.8%, blood flow 97.8%, and blood velocity 98.8%. The mean age of the patient was higher in group 1(group1:mean age 59.0, group 2:mean age 43.5, p=0.0008)and the interval between the onset of BRVO and photocoagulation was longer in group 1 than in group 2(group 1:12.4 months, group 2:4.3 months, p=0.0233). Our results suggest that retinal autoregulation may play an important role in the resolution of macular edema in BRVO after grid photocoagulation. Therefore the evaluation of retinal autoregulation using HRF is important in determining the treatment guide line and the prognosis of photocoagulation.

Clinical Result of 105 Cases Overcorrected Temporally after LASIK: 6 Months follow-up

This study aimed to evaluate the refractive and visual results of the cases temporally overcorrected after laser in situ keratomileusis (LASIK). Among 582 myopic eyes that underwent LASIK using VISX STAR from March 1997 to October 1998, 105 eyes were overcorrected more than one diopter (D) one week after LASIK. 105 eyes were divided into three groups according to their spherical equivalent (SE) at one week: Group l (> or = 3D, 9 eyes), group ll (2-2.9D, 14 eyes), and group lll (1-1.9D, 82 eyes).Uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), SE, and complications were studied one day, one week, two months, and six months after LASIK. The mean preoperative SE was -11.17 +/-2.57D in group l,-9.40 +/-2.91D in group lland -8.09 +/-1.92D in group lll. At 6 months, the mean SE was 1.81 +/-1.61D, 0.04 +/-0.43D and -0.37 +/-0.76D in group l, ll and lll, respectively. The mean regression of SE from one day to six months was 1.85D, 2.27D and 1.73D in group l,ll and lll, respectively (p>0.05). The proportion of eyes that lost two or more lines of UCVA after LASIK compared to preoperative BCVA was 33.3% in group l, 10% in group ll, and 9.2% in group lll. There were central island (5 eyes), capsular wrinkling (3 eyes), free cap (1 eye), subepithelal metalic debris (1 eye), epithelial ingrowth (1 eye)as complications in all groups. With these results it might be concluded that hyperopia less than 3D one week after LASIK is temporary and disappears 6 months after surgery without any additional treatment, whereas hyperopia equal or more than 3D one week after LASIK still showed hyperopic refraction even after 6 months. Therefore, these eyes need further evaluation for the correction of hyperopia.

Results of Combined Procedures versus Two-Stage Operation using Small Incision in Patients with Cataract and Glaucoma

To compare the result of small-incision combined procedure with that of two-stage procedure, the authors retrospec- tively reviewed 21 patients (23 eyes) who underwent small-incision combined cataract and glaucoma surgery (group 1) and 21 patients (23 eyes) who underwent small-incision cataract surgery after trabeculectomy (group 2). Intraocular pressure (IOP), visual acuity, bleb status, antiglaucoma medications and complications were analyzed.The mean follow-up period was 12.9 (2.3~30.1) months in group 1 and 13.9 (2.1~35.9) months in group 2. The mean preoperative IOP was 21.1 +/-6.6mmHg in group 1 and 26.6 +/-9 .3 mmHg in group 2. The mean postoperative IOP was 14.3 +/-3 .7 mmHg and 15.8 +/-3.1 mmHg in group 1 and 2, respectively. At last visit,13 eyes (56.5%) in group 1 and 12 eyes (52.2%)in group 2 had functioning blebs, and 21 eyes (91.3%) in group 1 and 17 eyes (73.9%) in group 2 had well controlled postoperative IOP without antiglaucoma medications.Rupture of posterior capsule,bleb site leakage, hypotony occurred in both groups; button hole (1 eye in group 1) and hyphema (2 eyes in group 2) were observed. These results indicate that the small-incisioncombined cataract and glaucoma surgery may be as safe and effective as the two-stage procedure.

Effect of Cataract Surgery through Clear Corneal Incision in Glaucomatous Eyes with Filtering Blebs

The small-incision cataract surgery by phacoemulsification with foldable posterior chamber lens implantation have recently permitted new options for combined trabeculectomy with cataract extraction. In the present study, we performed phacoemulsification and foldable intraocular lens implantation using small clear corneal incision in 20 patients with 22 glaucomatous eyes who had previously undergone trabeculectomy and determined its effects on visual acuity, intraocular pressure, the number of medications applied, and status of the filtering blebs. The mean follow-up period was 10.1 months and the mean time interval between the two surgeries was 14.7 months. The mean best corrected visual acuity was 0.19 preoperatively and 0.60 postoperatively and the postoperative visual acuity had improved in 19 eyes(86.4%). The mean(+/-standard deviation, SD) preoperative IOP was 16.7+/-5.88 mmHg and the mean(+/-SD) postoperative IOP at final visit was 15.5+/-4.07 mmHg. Postoperatively, the IOPs remained well controlled in 20 eyes(90.9%) without additional ocular hypotensives and required additional medications for control in 2 eyes(9.09%). And the funictioning bleb failures occurred in 5 eyes(22.7%). We found the procedure to be effective in restoring vision while controlling intraoperative pressure and preserving the filtering blebs.

Comparison of Effects of Topical, Pinpoint and Retrobulbar Anesthesin in Cataract Surgery using Clear Corneal Incision

In order to evaluate the efficacy of topical anesthesia as an alternative to pinpoint or retrobulbar anesthesia in clear corneal cataract surgery, ninety patients were randomly assigned to the topical(n=30), pinpoint(n=30), or retrobulbar(n=30) anesthesia groups prospectively. All procedures including CCC, phacoemulsification, and foldable IOL implantation were performed using a temporal clear corneal approach by one surgeon(Joo). visual rehabilitation, change of astigmatism, degree of pain, comfortability, cooperation, and intraoperative and postoperative complications were compared. Intraocular pressure was higher in pinpoint anesthesia than in topical anesthesia at the beginning point of operation(p<0.05). Four hours after surgery, topical of pinpoint anesthesia group had significantly better visual acuity than retrobulbar anesthesia group(p<0.05). Pain score in topical anesthesia was marginally higher than that in retrobulbar anesthesia during the phacoemulsification. Comfortability was prominent in topical anesthesia group. There was no difference among the groups in change of astigmatism, cooperation and risk of serious complicatins. With these results it was found that topical anesthesia would be a safe, effective alternative to pinpoint or retrobulbar anesthesia in cataract surgery using clear corneal incision.