Effects of Nursing Professionalism and Job Stress on the Problem Solving Ability of Community Health Practitioners / 간호행정학회지

Purpose@#The purpose of this study was to examine the influences of nursing professionalism and job stress on problem solving ability of community health practitioners. @*Methods@#The participants were 167 community health practitioners. Data were collected from December 18 to 28, 2019. Self-report questionnaires were administered to collect data regarding general characteristics, degree of nursing professionalism, job stress, and problem solving ability. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients and multiple regression analysis. @*Results@#The factors influencing the degree of problem solving ability of the community health practitioners were professionalism of nursing (β=.29, p<.001), and interpersonal factors (β=-.25, p=.001). It was found that 15% could explain problem solving ability. @*Conclusion@#It is necessary to strengthen the professionalism of nursing and to decrease the interpersonal factors due to job stress for the community health practitioners. The results indicate a need to increase development of educational programs for capacity building of community health practitioners.

Analysis of Effects of Chemotherapy using Failure Mode and Effect Analysis (FMEA) on Patient Safety and Safe Nursing / 간호행정학회지

PURPOSE: This study was done to apply failure mode & effect analysis (FMEA) to chemotherapy in order to reduce prescribing, dispensing and administering errors related to treatment and provide patients with a safe medical environment. METHODS: A one group pre-post test design was used to verify the effects using the tool for FMEA in chemotherapy. RESULTS: There was a statistically significant decrease in prescribing errors from 11.47% to 3.18%; administering errors decreased but they were not statistically significant. In a addition, there was no change in dispensing errors. CONCLUSION: The results show that FMEA removed risk factors that might occur during the process of chemotherapy and that it was an effective tool for prevention of negligent accident occurring in actual patients.

Relationship between handwashing practices and infectious diseases in Korean students / 農村醫學 地域保健

OBJECTIVES: The purpose of this study was to investigate the association between practice and infectious diseases in elementary, middle and high school students. METHODS: In 16 metropolitan cities and province of the Korea, the students who from fourth grade of elementary school to third grade of high school were surveyed by personal interviews and an web-based online survey from 5 to 25 September, 2014. We analyzed data with chi-square test and logistic regression analysis. RESULTS: Common cold, diarrhea, and eye infections were more prevalent among students in higher grade than lower grade. In particular, common cold was more prevalent among girls than boys, using hand sanitizer than washing with soaps, and students who wash the dorsal side of hand than not wash the dorsal side of hand. CONCLUSIONS: Higher-grade students showed low status of hand washing practice. Hand washing was determined as the fact which influences to increase the prevention of communicable disease such as common cold. Considering the fact that youth groups have higher risk of being infected due to their group life, schools are recommended to provide adequate educations regarding proper hand washing practice with soap.

Relationships of Nurses' Perception, Nursing Performance, Job Stress, and Burnout in Relation to the Joint Commission International Hospital Accreditation / 간호행정학회지

PURPOSE: The purpose of this study was to ascertain current status of nurses' perception, nursing performance, job stress, and burnout in relation to the Joint Commission International (JCI) hospital accreditation and to verify the relationships among these variables. METHODS: This cross-sectional study was performed using questionnaires. Data were collected from 220 nurses who worked at one hospital from April 5 to May 4, 2013. RESULTS: The scores for perception, nursing performance, job stress and burnout in relation to the JCI hospital accreditation were(on a five-point Likert scale) 3.23, 4.01, 3.56 and 3.40 respectively. A positive correlation was observed between perception and nursing performance. Burnout was negatively correlated with perception and nursing performance, and positively correlated with job stress. CONCLUSION: These results indicate that developing positive perception and reduced burnout in relation to the JCI hospital accreditation can produce good nursing performance. These findings can be utilized to develop strategies for reducing job stress and burnout in relation to the JCI hospital accreditation.

Mood State, Interaction Anxiety and Quality of Life of Cancer Patients with Chemotherapy-induced Alopecia

PURPOSE: This study was examined to identify the relationship between mood state, interaction anxiety, and quality of life of cancer patients with chemotherapy-induced alopecia. METHODS: The participants were 115 cancer patients. Data were collected from August to December 2012, and analyzed using descriptive statistics, Pearson's correlation coefficients, t-test, ANOVA and Duncan's multiple test. RESULTS: The mean scores of mood state (119.17+/-35.94), interaction anxiety (45.57+/-11.73), and global health status (38.08+/-22.45), functional scales (45.41+/-20.98), symptom scales (57.96+/-18.28) in quality of life were moderate or below. Negative correlations were found between mood state and quality of life, interaction anxiety and quality of life, but positive correlation were found between mood state and interaction anxiety. CONCLUSION: These findings indicate that mood state and interaction anxiety are important factors to improve quality of life of cancer patients with chemotherapy-induced alopecia, And it is meaningful in that this study prepared basic data for development of nursing intervention programs for effective management of chemotherapy-induced alopecia.

Influence of Malnutrition and Social Network on Health-related Quality of Life in Elders / 기본간호학회지

PURPOSE: This study was done to identify the relationship of malnutrition, social network and health-related quality of life and to investigate the main factors influencing health-related quality of life in elders. METHODS: The research design was a descriptive survey design using a convenience sampling. Data were collected by self-report questionnaires from 196 elders. Data analysis was done using SPSS 18.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. RESULTS: The average score for health related quality of life was 3.33 (SD=0.86). Differences in health-related quality of life were statistically significant according to age, gender, occupation, presence of spouse, monthly income, source of income, economic status, medicine, and existence of chronic disease. Health-related quality of life was significantly correlated with malnutrition and social network. Major factors affecting health related quality of life for elders were malnutrition, occupation, age, social network, and economic status which explained 52.0% of the variance in health related quality of life. CONCLUSION: Findings provide a basis for developing nursing interventions to improve health-related quality of life. Future studies are needed a wide variety of variables that might influence health-related quality of life in elders.

Nursing Performance and Organizational Socialization of New Nurses according to Teaching Style of Preceptors and Personality of New Nurses / 간호행정학회지

PURPOSE: In this study, we examined the differences and relationship between teaching style of preceptors, and personality, nursing performance, and organizational socialization of new nurses. METHODS: The participants were 118 new nurses. The data collected from March to May 2011 were analyzed using descriptive statistics, ANOVA, and Pearson correlation coefficients. RESULTS: Teaching style of preceptors was most frequently judgement-initiative, and personality of new nurses was most frequently extraversion. Nursing performance (3.05+/-.59) and organizational socialization (3.05+/-.59) of new nurses were at an average level. Nursing performance and organizational socialization of new nurses were not significantly different according to teaching style of preceptors. Significant correlations were found between personality and nursing performance, and between personality and organizational socialization. CONCLUSION: These findings indicate that changes in perceived teaching style of preceptors and personality of new nurses may be necessary to increase efficiency of preceptorship related to nursing performance and organizational socialization of new nurses. The above-mentioned results should be reflected in the development of effective preceptor training programs.

Differences in Job Stress, and Job Satisfaction according to Teaching Style, and Personality of Preceptors / 간호행정학회지

PURPOSE: In this study, differences and relationship between teaching style, personality, job stress, and job satisfaction among preceptors were examined. METHODS: The participants were 121 preceptors. Data were collected in November and December 2010 and analyzed using descriptive statistics, ANOVA, Scheffe's test, and Pearson correlation coefficients. RESULTS: The most frequent teaching style was judgement-initiative, and personality scores were highest for conscientiousness. Job stress was average (3.05+/-.59), and job satisfaction was below the mid-point level (2.76+/-.39). Job stress and job satisfaction were significantly different according to teaching style. Significant correlations were found between personality and job stress, and personality and job satisfaction. CONCLUSIONS: These findings indicate that changes in perceived teaching style, and personality may be necessary to decrease job stress, and to promote job satisfaction among preceptors. The results of this study should be considered in the development of effective preceptor training programs.

Relationship of Self-leadership, Stress and Satisfaction in Clinical Practice of Nursing Students / 간호행정학회지

PURPOSE: In this study, the relationship between self-leadership, stress, and satisfaction among nursing students in clinical practice was examined. METHOD: The participants were 273 nursing students. Data collected from September to December 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. RESULTS: The mean scores for self-leadership (3.72+/-.41), stress (3.45+/-.59), and satisfaction (3.11+/-.38) in clinical practice were above average. Self-leadership was significantly different according to year, interpersonal relationships, and satisfaction with nursing as a major. Stress in clinical practice was significantly different according to gender, year, and health status. Satisfaction in clinical practice was significantly different according to year, interpersonal relationships, and satisfaction with nursing as a major. Significant correlations were found between self-leadership and satisfaction in clinical practice, and stress and satisfaction in clinical practice. Year, self-leadership, interpersonal relationships, and stress in clinical practice were factors influencing satisfaction in clinical practice (20.0%). CONCLUSION: These findings indicate that there is a need to improve self-leadership, and to lessen stress in clinical practice to improve nursing students' satisfaction with clinical practice. The above-mentioned results should be reflected in the development of effective teaching methods for clinical practice.

Effects of Self-esteem and Health Status on Adaptation of Elderly Residents in Facilities / 성인간호학회지

PURPOSE: This study was designed to identify effects of self-esteem and health status on adaptation of elderly residents in facilities. METHODS: The sample consisted of 151 elderly residents. The data collected from January to April 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Using instruments were self-esteem scale (SES) (Rosenberg, 1965), Korean health status measure for the elderly (KoHSME) (Shin et al, 2002), and nursing home adaptation scale (Lee, 2007). RESULTS: The mean scores of self-esteem (2.90+/-0.71), health status (2.15+/-0.53) and adaptation (2.98+/-0.44) of elderly residents in facilities were above the average. Self-esteem was significantly varied according to religion, economic status and living expenses. Health status was significantly different according to age, disease and motivation of getting into the facilities. Adaptation was significantly different according to religion, satisfaction of facilities and decision maker of getting into the facilities. Significant correlations were found between self-esteem, health status and adaptation. Self-esteem and health status were influencing factors of adaptation (22.6%). CONCLUSION: These findings indicate that perceived self-esteem and health status may be requirements for promoting adaptation of elderly residents in facilities. These results could be utilized in the development of supportive programs for elderly adaptation.

Health Status and Resilience according to Acculturation Types among Chinese Students in Korea / 성인간호학회지

PURPOSE: This study was to identify the health status and reported resilience according to acculturation type among Chinese students in Korea. METHODS: The subjects were 386 Chinese students studying in three universities in Chungnam province. The data were collected by standardized questionnaires and SPSS/WIN 15.0 program was used to analyze the data with descriptive statistics, Chi-square, t-test, and ANOVA. RESULTS: Subjects reported the following Acculturation type: integration (26.7%), assimilation (28.5%), separation (32.4%), and marginalization (12.4%). The reported resilience was significantly different according to economic status. The health status was significantly different according to religion and economic status. Acculturation type was significantly different according to age, educational level, length of stay, type of residency and economic status working style. The health status and resilience were significantly different according to acculturation type. CONCLUSION: The findings suggest that integration of acculturation type is most useful to health status and resilience among Chinese students in Korea. Future studies need to examine acculturation type as coping strategy for foreign students' adaptation.

Predictors of Acculturative Stress among Chinese Students in Korea / 성인간호학회지

PURPOSE: The purpose of this study was to identify the predictors of acculturative stress among Chinese students in Korea. METHODS: Between October and December 2009, two hundred one Chinese students from three universities located in Cungnam province, were included in the current study using a questionnaire survey. Data analysis was done using SPSS/WIN 17.0 program. RESULTS: The average score of acculturative stress was 38.50+/-6.97. There were significant differences in acculturative stress according to educational level, economic status, type of residence, speaking skill in Korean, listening skill in Korean, grade point average, satisfaction for studying abroad, and perceived health status. The acculturative stress was significantly correlated with depression, resilience and social support. The strongest predictor of acculturative stress among Chinese students was depression. CONCLUSIONS: The findings suggest that developing programs to improve psychological health may provide a buffer against acculturative stress experienced by migrating Chinese students. Furthermore, more studies are needed to explore variables that influence on the international students' acculturation in Korea.

Perceived Knowledge, Attitude, and Compliance with Preventive Behavior on Influenza A (H1N1) by University Students / 성인간호학회지

PURPOSE: This study was examined to identify the relationship among knowledge, attitude, and compliance with preventive behavior on influenza A (H1N1) by University students. METHODS: The sample consisted of 101 students. The data were collected from August to September 2009 and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. RESULTS: The mean scores of knowledge (11.89 +/- 1.39), attitude (30.16 +/- 2.87), and compliance with preventive behavior (22.35 +/- 3.51) on influenza A (H1N1) were above the average. The level of knowledge was not significantly different regardless of characteristics. Students' attitude differed according to gender (p<.001), and plan to seasonal influenza vaccination for this year (p=.007). Compliance with preventive behavior was significantly different according to experience of seasonal influenza vaccination during last year (p=.010), experience of obtained information about influenza A (H1N1) (p=.037). Significant correlations were found between knowledge and compliance with preventive behavior (p<.001), attitude and compliance with preventive behavior (p<.001). Knowledge and attitude was a predictor of compliance with preventive behavior (23.4%). CONCLUSION: These findings indicate that perceived knowledge and attitude may be necessary to improve compliance with preventive behavior on influenza A (H1N1) among university students. The results of the study can be utilized in educational programs about preventing the occurrence of influenza among university students.

Perceived Importance, Educational Needs, Knowledge and Performance Concerning Pressure Ulcer Care by Clinical Nurses / 성인간호학회지

PURPOSE: To examine pressure ulcer care from the standpoints of perceived importance, educational needs, knowledge and performance among clinical nurses. METHODS: This descriptive study was conducted with a convenient sample of 289 nurses from four hospitals. Questionnaire data collected from June to August 2008 was analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficients. RESULTS: The mean scores of importance and educational needs concerning pressure ulcer care were high, performance was moderate, and knowledge was low. Knowledge level differed significantly according to career, performance differed significantly according to pressure ulcer care education and the main healer(the person primarily responsible for treatment). Perceived importance differed significantly according to the main healer, and educational needs differed significantly according to working area and the main healer. Significant correlations were evident between performance and importance, performance and educational needs, importance and knowledge, and importance and educational needs. CONCLUSION: Focus on perceived importance and educational needs to clinical nurses about pressure ulcer care may be beneficial to improve knowledge and practice of pressure ulcer care, and should be reflected in the development of effective programs to enhance relevant nursing skills.

Knowledge, Self Efficacy and Self Care Behavior Regarding Foot Care among Elderly Diabetes Mellitus Patients / 성인간호학회지

PURPOSE: This study was to identify the relationship between knowledge, self efficacy, and self care behavior regarding foot care among elderly diabetes mellitus (DM) patients. METHODS: The subjects consisted of 146 elderly with DM. The data collected from February to October 2008 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. RESULTS: The mean scores of knowledge (13.21 +/- 1.99), self efficacy (2.23 +/- 0.54), and self care behavior (2.29 +/- 0.51) regarding foot care were moderate. The level of knowledge was significantly different according to education about DM (p = .012) and drinking (p = .007). Self efficacy was significantly different according to gender (p = .019), educational level (p = .014), spouse (p = .048), disease period (p = .000), admission of DM (p = .000), complication of DM (p = .001), education of DM (p = .023). Self care behavior was significantly different according to educational state (p = .003), disease period (p = .039), and other disease (p = .000). Significant correlations were found between knowledge and self care behavior (p = .001), self efficacy and self care behavior (p = .000), knowledge and self efficacy(p = .012). Knowledge and self efficacy were a predictor of self care behavior (18.2%). CONCLUSION: These findings indicate that perceived knowledge and self efficacy may be necessities to improve self care behavior regarding foot care among elderly DM patients. The above mentioned results will be reflected in developing patient educational programs.

Influenza A (H1N1) Regional Base Hospital Nurse's Knowledge, Awareness and Practice of Infection Control / 성인간호학회지

PURPOSE: This study was to provide baseline data about nurses' Influenza A (H1N1) knowledge, awareness, andpractice of infection control and to identify the significant factor affecting the level of practice. METHODS: The subjects of this study were 144 nurses who worked at Influenza A (H1N1) regional base Hospital in D city. Data were collected by self-reported questionnaires during September 2009. The collected data were analyzed using SPSS/WIN 12.0 program. RESULTS: The knowledge of Influenza A (H1N1) was statistically different according to age, unit, career and experience of seasonal influenza vaccination during the last year. The awareness of infection control was statistically different according to age, career, experience of seasonal influenza vaccination for last year and intention to get seasonal influenza vaccination for this year. The practice of infection control was statistically different according to unit, experience of seasonal influenza vaccination for last year, intention to get seasonal influenza vaccination for this year and intention to get Influenza A (H1N1) vaccination for this year. There was positive correlation among knowledge, awareness and practice (p < .05). Awareness was the significant factor affecting the level of practice. CONCLUSION: An educational program focusing on strategy to change nurse's awareness can be effective for infection control of Influenza A (H1N1) in regional base hospitals.

A Study of Overactive Bladder for the Women Aged over 30 years

PURPOSE: This study was designed to provide the basic data for the development of the management program for overactive bladder by ascertaining its prevalence among Korean women aged over 30 years, and the factors related to its occurrence. MATERIALS AND METHODS: The study was performed by using self-questionnaires through the community-based cross sectional study from May to July, 2000. The subjects consisted of 2869 women, aged over 30 up to 89 years, among those who understood and responded to the questionnaires, and was residing in Seoul, Kyongki Kangwon, Chungchong, YongNam, HoNam, Cheju proinces. They also did not have known neurological problem and diabetes mellitus. The data were analyzed by Student t-test, chi2-test, and multiple logistic regression with using SAS program. RESULTS: The results were as follows ; 1. They all experienced at least one of frequency, urgency, nocturia, urge incontinence for the past one year and 52.3% of the subjects had experienced symptom at least once in 5 voidings. The highest prevalence of overactive bladder was 86.2% in the category for 70 to 89 years, 74.3% for the sixties, 45.3% for the forties, 42.5% for the thirties. In the symptoms of 1499 women among subject, 19.4% of them had nocturia, 18.2% frequency, 10.5% urgency, 9.6% urge incontinence, 9.5% frequency and urgency, 5.9% frequency and nocturia. 2. The age(OR = 1.041, 95% Cl = 1.027, 1.055) and the menopause(OR = 0.696, 95% Cl = 0.527, 0.919) were related to overactive bladder occurrence. CONCLUSIONS: The above findings indicated that about the half of the women aged over 30 years had symptoms for overactive bladder, and the prevalence was higher in old women and the women with menopause. So, the prevention and management programs for overactive bladder are required to be developed, and the primary screening programs based on community shall be developed.