The moderating effect of resilience in the relationship between traumatic event experience and turnover intention of nurses in intensive care units / 한국간호교육학회지

Purpose@#The present study utilizes a descriptive research design to investigate the moderating effect of resilience on the relationship between the experience of traumatic events and turnover intention among intensive care unit (ICU) nurses. @*Methods@#The participants were 161 hospital nurses who voluntarily agreed to participate in this study. Traumatic event experience, turnover intention, and resilience were assessed. The data were analyzed with hierarchical multiple regression using the SPSS 26.0 software program. @*Results@#The experience of traumatic events had a statistically significant positive correlation with turnover intention (r=.17, p=.037), whereas it had a statistically significant negative correlation with turnover intention and resilience (r=-.37, p<.001). Resilience had a moderating effect on the relationship between the experience of traumatic events and turnover intention (β=-.20, p=.007). @*Conclusion@#The results of this study found that the experience of traumatic events among ICU nurses was a significant factor in turnover intention and that resilience moderated the strength of the relationship between such experiences and turnover intention. Therefore, to prevent ICU nurses’ experience of a traumatic event from leading to their leaving nursing, it is necessary to formulate preventive measures and interventions for traumatic events, while enhancing resilience among ICU nurses.

Workplace Health and Safety Risk Factors and Management Plan for Female Workers / 한국직업건강간호학회지

Purpose@#In Korea, the proportion of female workers among occupational injury is steadily increasing. The purpose of this study was to identify the workplace risk factors that threaten the safety and health of the female workers. @*Methods@#Qualitative study was conducted, using focus group interview. Data were collected from five focus groups of eighteen female workers who were working in the manufacturing, health service, and educational service industries. @*Results@#The seven themes of occupational safety and health risks of women workers are as follows: 1) Workplace with various risks; 2) Sliding, falling, burning, and cutting accidents; 3) Chronically lasting musculoskeletal symptoms; 4) Chemicals that may be harmful to workers; 5) Unprotected infectious disease; 6) Psychological safety accidents(Relationship conflict and emotional labor); 7) Loud, hot, stuffy, scary, and tired. @*Conclusion@#The Occupational Safety & Health (OSH) Act should be rearranged gender sensitively and women's participation in the OSH decision-making process should be guaranteed. OSH education should be properly implemented in the field, and support should be provided for women workers in small businesses. A supportive organizational culture for marriage, pregnancy and childbirth should be established, and the working environment should be provided safely, taking into account gender differences.

A Structural Equation Model of Nurses' Patient Safety Management Activities / 간호행정학회지

PURPOSE: The purpose of this study was to build and test a model outlining the factors related to nurses' patient safety management activities. The exogenous variables were personal factor, job factor and organizational support. The endogenous factors were safety-related recognition, patient safety culture and patient safety management activities. METHODS: A survey using a structured questionnaire was conducted among 500 nurses in Korea. The collected data were analyzed using PASW Statistics 18.0 and AMOS 20.0 programs. RESULTS: Personal factors, job factors, safety-related recognition, and patient safety culture significantly affected nurses' patient safety management activities. CONCLUSION: These results suggest that patient safety accidents can be prevented by increasing the safety culture and safety related recognition. To improve the safety culture and safety related recognition, measures should be taken to reduce the turnover rate of career nurses and provide sufficient manpower allocation, education and policies.

Structural Equation Modeling on Clinical Decision Making Ability of Nurses

PURPOSE@#The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory.@*METHODS@#The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed.@*RESULTS@#The goodness-of-fit of the final model was at a good level (χ²/df=2.46, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability.@*CONCLUSION@#The nurses' clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs.

Effect of Autogenic Training for Stress Response: A Systematic Review and Meta-Analysis

PURPOSE@#This study was conducted to evaluate the effectiveness of autogenic training on stress responses through a systematic review and meta-analysis.@*METHODS@#A systematic search was conducted using eight core electronic databases (Embase, CENTRAL, Medline, CINAHL, PsycInfo, DBpia, KISS, and RISS). To estimate the effect size, a meta-analysis of the studies was performed using RevMan 5.3.5 program.@*RESULTS@#A total 21 studies out of 950 studies were included in the review, and 11 were included for meta-analysis. These studies showed that autogenic training decreased anxiety and depression, and increased the high frequency of heart rate variability. Calculations to understand the effect of autogenic training on anxiety, through a meta-analysis, observed a reduction effect of anxiety score by 1.37 points (n=85, SMD=−1.37: 95% CI −2.07 to −0.67), in the studies on short-term intervention targeting healthy adults. On the other hand, similar calculations to understand the effect of autogenic training on depression observed, a reduction effect on the depression score by 0.29 point (n=327, SMD=−0.29: 95% CI −0.50 to −0.07), in the studies on long term intervention targeting the patient group.@*CONCLUSION@#Autogenic training is effective for adults' stress management, and nurses will be able to effectively perform autogenic training programs for workers' stress relief at the workplace.

Structural Equation Modeling on Clinical Decision Making Ability of Nurses

PURPOSE: The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory. METHODS: The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed. RESULTS: The goodness-of-fit of the final model was at a good level (χ²/df=2.46, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability. CONCLUSION: The nurses' clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs.

Effect of Autogenic Training for Stress Response: A Systematic Review and Meta-Analysis

PURPOSE: This study was conducted to evaluate the effectiveness of autogenic training on stress responses through a systematic review and meta-analysis. METHODS: A systematic search was conducted using eight core electronic databases (Embase, CENTRAL, Medline, CINAHL, PsycInfo, DBpia, KISS, and RISS). To estimate the effect size, a meta-analysis of the studies was performed using RevMan 5.3.5 program. RESULTS: A total 21 studies out of 950 studies were included in the review, and 11 were included for meta-analysis. These studies showed that autogenic training decreased anxiety and depression, and increased the high frequency of heart rate variability. Calculations to understand the effect of autogenic training on anxiety, through a meta-analysis, observed a reduction effect of anxiety score by 1.37 points (n=85, SMD=−1.37: 95% CI −2.07 to −0.67), in the studies on short-term intervention targeting healthy adults. On the other hand, similar calculations to understand the effect of autogenic training on depression observed, a reduction effect on the depression score by 0.29 point (n=327, SMD=−0.29: 95% CI −0.50 to −0.07), in the studies on long term intervention targeting the patient group. CONCLUSION: Autogenic training is effective for adults' stress management, and nurses will be able to effectively perform autogenic training programs for workers' stress relief at the workplace.