Relationship between Social Network Characteristics, Flow in Class, Communication Skills, and Problem-solving Skills of Nursing Students in Simulation Nursing Education: Focusing on Social Network Analysis / 기본간호학회지

Purpose@#The purpose of this study was to investigate the relationship between social network characteristics, flow in class, communication skills, and problem-solving skills of nursing students in simulation. @*Methods@#For this study a descriptive survey design was used. Participants were 100 nursing students who attended in 2 university and completed the self-report questionnaire. Data were collected from October 14 to December 6, 2019 and were analyzed with SPSS 26.0, AMOS 21.0 and Netminer 4 evaluation version. @*Results@#It was confirmed that the task advice network centrality of nursing students fully mediates their communication skills and affects their problemsolving skills and that friendship network centrality completely mediates flow in class and communication skills, and affects problem-solving skills. Task advice network centrality, friendship network centrality, flow in class, and communication skills were found to explain problem solving skills by 51.8%. @*Conclusion@#In order to increase the problem-solving skills of nursing students in simulation nursing education, a strategy to improve their flow in class and communication skills is essential and it suggests the need to make it part of the curriculum. In addition, in order to increase the communication skills of nursing students, it is necessary to be careful when making a team to minimize the team members isolated within the team so that smooth interaction can occur.

The Moderating Role of LeadereMember Exchange in the Relationships Between Emotional Labor and Burnout in Clinical Nurses

PURPOSE: This study aimed to identify the moderating effect of leader—member exchange in the relationship between emotional labor and burnout among clinical nurses. METHODS: A cross-sectional study design was used. Participants were 170 registered nurses working in the general wards of two tertiary hospitals in Seoul, South Korea. The data were collected through convenience sampling using self-report measures of emotional labor, leader—member exchange, and burnout. The data were analyzed using hierarchical multiple regression. RESULTS: Data from 165 nurses (response rate 97.1%) were utilized. The mean age of the participants was 28.42 years (SD = 5.43), and their mean years of experience as a nurse was 5.80 years (SD = 5.51). First, emotional modulation efforts in their profession and patient-focused emotional suppression (both factors of emotional labor) showed significant negative and positive effects, respectively, on burnout. Second, leader—member exchange showed a significant negative effect on burnout. Finally, when controlling for marital status and work unit, leader—member exchange had a moderating effect on the relationship between burnout and the two aforementioned factors of emotional labor. CONCLUSION: The results of this study suggest that as a way to reduce burnout, institutional support to enhance leader—member exchange should be established for nurses who are experiencing emotional labor.

Factors Influencing Nursing Professionalism in Nursing Students: Clinical Learning Environment and Attitude toward Nurse-Physician Collaboration / 기본간호학회지

PURPOSE: This study was done to identify the influence of clinical learning environment and attitude toward physician-nurse collaboration on professionalism in nursing students. METHOD: The sample consisted of 317 nursing students. Data were collected from October 10 to December 20, 2014 and were analyzed using t-test, ANOVA, Pearson correlation and multiple linear regression with IBM SPSS statistics version 19. RESULTS: The mean score for clinical learning environment was 3.15 out of 5. The mean score on the Jefferson scale attitude toward physician-nurse collaboration (JSAPNC) was 3.31 out of 4. The mean score for professionalism was 3.70 out of 5. The predictors of professionalism were major satisfaction, 'care vs cure' for the JSAPNC and 'patient relationship', 'student satisfaction' for clinical learning environment. CONCLUSIONS: Based on these results, educational programs to improve attitude toward physician-nurse collaboration and clinical learning environment should be developed.

Factors Affecting Problem Drinking in Male Nursing Students / 기본간호학회지

PURPOSE: The purpose of this study was to identify factors affecting problem drinking in male nursing students. METHODS: This study was conducted using a cross-sectional survey. A total 126 male nursing students completed a self-report questionnaire to assess alcohol consumption,motives for drinking, and self-efficacy in drinking refusal self-efficacy. The participants were divided into 2 groups, moderate and problem drinkers. Multivariate analysis was used to identify factors affecting problem drinking in these nursing students. RESULTS: Problem drinkers was found to be related to young age (adjusted OR=0.83, 95% CI [0.71, 0.96], coping motives (adjusted OR=1.19, 95%CI [1.00, 1.42], and drinking refusal self-efficacy (OR=0.96, 95% CI [0.93, 0.99]). CONCLUSION: The findings highlight the important role that coping motives and drinking refusal self-efficacy play in the problems in the drinking behavior of male nursing students

Factors Associated with Hemoglobin A1c among Patient Aged 40 years over with Diabetes Mellitus: 2012 Korea Health and Nutrition Examination Survey / 기본간호학회지

PURPOSES: This study was done to identify factors associated with uncontrolled hemoglobin A1c among patient with diabetes mellitus. METHOD: The sample was 412 Koreans with diagnosed diabetes aged 40 years or older who participated in the Fifth Korea Health and Nutrition Examination survey, which was a nationwide, cross-sectional survey. Data was analyzed using logistic regression. Uncontrolled hemoglobin A1c rate was 55%. RESULTS: There was a difference between controlled and uncontrolled group in hemoglobin A1c as follows: duration of diabetes, BMI(Body Mass Index), hypertriglyceridemia, vitamin D, sleep duration. After adjusting for confounding factor, longer duration of diabetes (>7 years vs. or =20)(Adjusted OR=2.487, 95% CI[1.411-4.381]), longer sleep duration (6-8 hours vs >8 hours)(Adjusted OR=6.831, 95% CI [1.877-24.855]) were significantly associated with increased odds of uncontrolled hemoglobin A1c. CONCLUSIONS: Results show that duration of diabetes, hypertriglyceridemia, vitamin D and sleep duration are significantly related to hemoglobin A1c. Therefore, considering these factors it would be helpful to develop strategies to improve blood glucose control in patients with diabetes.