Effects of Gymnastics-based Nursing Intervention on Stress, Obesity, and Mental Health Confidence in Patients with Chronic Mental Illness / 정신간호학회지

Purpose@#This quasi-experimental study aimed to investigate the effects of gymnastics-based nursing intervention on stress, obesity, and mental health confidence in patients with chronic mental illness. @*Methods@#The study utilized the non-equivalent control group pretest-posttest design and recruited sixty patients with chronic mental illness who were registered at one of the two mental rehabilitation centers in D metropolitan city. Data were collected from May 2017 to August 2017. The experimental intervention was a gymnastics-based program developed by the main investigator based on Bandura’s self-efficacy theory. The program was administered twice a week for a total of 16 sessions. @*Results@#This study showed that subjective stress responses (z=-3.47, p=.001), physiological stress responses (z=-2.90, p=.004), body weight (F=3.55, p=.032), abdominal circumference (t=-2.19, p=.032), and optimism in the mental health confidence domain (t=2.27, p=.027) were significantly different in the experimental group and control group. But, results showed that body fat percentage (F=0.91, p=.406) was not significantly different in the experimental group and control group. @*Conclusion@#The gymnastics-based nursing intervention was effective in reducing stress, body weight, and abdominal circumference, and improving optimism in the mental health confidence domain in patients with chronic mental illness.

Effects of Gymnastics-based Nursing Intervention on Stress, Obesity, and Mental Health Confidence in Patients with Chronic Mental Illness / 정신간호학회지

Purpose@#This quasi-experimental study aimed to investigate the effects of gymnastics-based nursing intervention on stress, obesity, and mental health confidence in patients with chronic mental illness. @*Methods@#The study utilized the non-equivalent control group pretest-posttest design and recruited sixty patients with chronic mental illness who were registered at one of the two mental rehabilitation centers in D metropolitan city. Data were collected from May 2017 to August 2017. The experimental intervention was a gymnastics-based program developed by the main investigator based on Bandura’s self-efficacy theory. The program was administered twice a week for a total of 16 sessions. @*Results@#This study showed that subjective stress responses (z=-3.47, p=.001), physiological stress responses (z=-2.90, p=.004), body weight (F=3.55, p=.032), abdominal circumference (t=-2.19, p=.032), and optimism in the mental health confidence domain (t=2.27, p=.027) were significantly different in the experimental group and control group. But, results showed that body fat percentage (F=0.91, p=.406) was not significantly different in the experimental group and control group. @*Conclusion@#The gymnastics-based nursing intervention was effective in reducing stress, body weight, and abdominal circumference, and improving optimism in the mental health confidence domain in patients with chronic mental illness.

The Health-related Quality of Life for Children with a Mentally Ill Parent

Purpose@#This study is aimed to identify the health-related quality of life for children with a mentally ill parent. @*Methods@#The 13 participants were school-aged children whose parents were registered at the D Regional Mental Health Welfare Center. Data were collected using one-on-one interview with illustration cards and analyzed by content analysis. @*Results@#The participants were living a difficult life in anxiety amid a reversal of parent-child role, such as doing housework and taking care of their parents. The study revealed a love-hate family relationship that the participants wanted parental recognition and attention but they were frustrated by insufficient parental care and sibling conflict. Nevertheless, they only had each other themselves to trust and rely on. Their mixed health awareness and negative emotions were influenced by parents. Some of participants were exposed to dangerous environment such as domestic violence, and they need support system for help in difficult situations. Sometimes they felt happy by satisfying physiological, social, and self-esteem needs. They also showed a positive potential that they were matured more than peers through the experience of overcoming difficulties. @*Conclusion@#Not only were there not enough attention and support for the children with mentally ill people, but they were also exposed to an environment that threatens their physical or mental health. Therefore, to improve their health-related quality of life, there should be some integrated support of the community health system to cope with the challenges they face.

The Health-related Quality of Life for Children with a Mentally Ill Parent

Purpose@#This study is aimed to identify the health-related quality of life for children with a mentally ill parent. @*Methods@#The 13 participants were school-aged children whose parents were registered at the D Regional Mental Health Welfare Center. Data were collected using one-on-one interview with illustration cards and analyzed by content analysis. @*Results@#The participants were living a difficult life in anxiety amid a reversal of parent-child role, such as doing housework and taking care of their parents. The study revealed a love-hate family relationship that the participants wanted parental recognition and attention but they were frustrated by insufficient parental care and sibling conflict. Nevertheless, they only had each other themselves to trust and rely on. Their mixed health awareness and negative emotions were influenced by parents. Some of participants were exposed to dangerous environment such as domestic violence, and they need support system for help in difficult situations. Sometimes they felt happy by satisfying physiological, social, and self-esteem needs. They also showed a positive potential that they were matured more than peers through the experience of overcoming difficulties. @*Conclusion@#Not only were there not enough attention and support for the children with mentally ill people, but they were also exposed to an environment that threatens their physical or mental health. Therefore, to improve their health-related quality of life, there should be some integrated support of the community health system to cope with the challenges they face.

Development of Reinforcement of Resilience and Relation Program for New Nurses / 임상간호연구

Purpose@#The purpose of this study was to develop a program for reinforcing the resilience of new nurses and relation-oriented organizational culture. @*Methods@#An Intervention Research (IR) model was used to develop a program. Literature review, focus group interviews with nurses and need surveys were conducted from August to December 2018. Based on the results of the investigation, the researcher developed the content of a program. The program was revised by nurse managers for the content validation. Results: According to the results of the need surveys, 58.8% of the participants thought relation-oriented culture was the most ideal, and 61.8% of the participants wanted to participate in a program for organizational culture improvement. In the focus group interview, not only new nurses but also wards and nursing organizations should be a target subject of the program. Reinforcement of resilience and relation (3R) program was developed as a one-year course, which includes a ‘mentor-mentee’ program and a ‘thanks’ program. Conclusion: It would contribute to improving the resilience of new nurses and creating a relation-oriented organizational culture by 3R program.The 3R program could play a role as expanded program from an existing pragmatic short-term training program for improving the competencies or communication skills of new nurses.

Influence of Nursing Organization Culture on Resilience in New Nurses / 임상간호연구

PURPOSE: The purpose of this study was to identify the influence of nursing organization culture on resilience of new nurses. METHODS: Participants were 1,033 new nurses with careers of less than 12 months and who were from 43 general hospitals located in Seoul, Incheon, other metropolitan cities and provinces in Korea. The data were analyzed using t-test, ANOVA, Pearson correlation coefficient and multiple regression with SPSS/WIN 24.0 program. RESULTS: Relation-oriented culture was scored highest for perception of organizational culture by new nurses (3.35), followed by hierarchy-oriented culture (3.19), innovation-oriented culture (3.12), and task-oriented culture (2.73). The score for resilience of the new nurses was 3.49, and the first subcategories were interpersonal relationship ability 3.66, self-positivity 3.45, and self-control ability 3.36. Relation-oriented culture (β=.30, p < .001) was the most significant factor influencing resilience of new nurses, followed by innovation-oriented culture (β=.14, p=.001), hierarchy-oriented culture (β=.12, p < .001), task-oriented culture (β=−.10, p=.003) in that order (R2(adj. R2)=.16, F=47.04, p < .001). CONCLUSION: Findings show that for improved resilience in new nurses it is necessary to develop relation-oriented culture to provide a cooperative work environment( friendly interpersonal relation and dialogue) for new nurses and to encourage involvement of these members in the hospital culture.

Parenting Experience of Mother of Teenage Girls with Conduct Disorder: A Parse's Method Study / 정신간호학회지

PURPOSE: The aim of this study was to identify the parenting experience of mothers who have teenage girls with conduct disorders and to identify the meaning and structure of their experiences. METHODS: This study was a qualitative research based on Parse's research method. Participants were 9 mothers who had a daughter diagnosed with conduct disorder at a community hospital in the central region of South Korea. RESULTS: The core concept on the parenting experiences of mothers of teenage girls with conduct disorder were survival against a violent environment, a sense of guilt related to the conduct disorder, confusion and frustration concerning mother's role, and hope for the future. The experiences of these mothers can be defined as the process of human becoming with powering and transforming while connecting-separating and enabling-limiting with valuing. CONCLUSION: This research is expected to contribute to understanding of mothers' suffering and struggling and be useful in developing nursing care for clients with conduct disorder and their mothers.

Influences of Psychological Resilience and Self-control on Suicidal Ideation of Undergraduate Students / 정신간호학회지

PURPOSE: The study was done to examine undergraduate student' suicidal ideation and to identify influences of individual characteristics including psychological resilience and self-control on suicidal ideation. METHODS: Data were collected from 400 students in 11 universities in D city from May 1 to June 30, 2011. Data were analyzed with t-test, one-way ANOVA and Pearson' correlation using SPSS 19.0. RESULTS: Of the students, 11.3% reported suicidal ideation levels higher than average. Woman students and those with high career anxiety, perceived poor health condition and bad relationships showed higher points on suicidal ideation. Suicidal ideation was also negatively correlated with psychological resilience and self-control. CONCLUSION: Over 10.0% of students need careful attention on suicidal ideation, especially counselling service related to suicide prevention for students with poor health, high career anxiety, and bad relationships. Various programs should be developed to promote psychological resilience to improve health and relationships, as well as job guidance for students. It is also suggested the students' experiences be examined to determine how they overcame suicidal ideation.