Influence of Communication Competence and Communication Style on the Nurse-Parent Partnership in Pediatric Nurses / 기본간호학회지

Purpose@#The purpose of this study was to examine the relationship of communication competence and communication style with nurse-parent partnership among pediatric nurses. @*Methods@#This study had a descriptive, correlational design. Data were collected from 169 pediatric nurses in B metropolitan city and Y city, from January 2018 to February 2018. A structured questionnaire was administered. Data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, the Scheffé test, the Kruskal-Wallis test, and multiple regression analysis with SPSS version 23.0. @*Results@#Nurse-parent partnership was correlated with communication competence (r=.59, p<.001), an informative communication style (r=.65, p<.001), an affective communication style (r=.68, p<.001), and an authoritative communication style (r=-.30, p<.001). The factors influencing nurse-parent partnership among the study subjects were an affective communication style, an informative communication style, communication competence, and the nurses’ current position. The overall explanatory power of this model was 61.0%, and the most influential factor was an affective communication style. @*Conclusion@#Nurse-parent partnership showed significant correlations with communication competence and affective and informative communication styles. The study may serve as a basic resource for promoting nurse-parent partnership, which increases the effectiveness of treatment for children in pediatric wards and will ultimately help improve the quality of child care.

A Survey on Undergraduate Nursing Students Safety during Fundamentals of Nursing Practicum / 기본간호학회지

Purpose@#This study was done to investigate the experience of physical and emotional safety in nursing students during fundamentals of nursing practicum. @*Methods@#A descriptive cross-sectional study was conducted from March to September 2019. A total of 553 nursing students, who had completed fundamental nursing laboratories, participated in this study. Data were collected using self-report questionnaires which included questions about general characteristics, physical and emotional safety during fundamental nursing laboratories along with an informed consent given prior to the practicum. @*Results@#Of the students, 26 experienced physical safety accidents, and 18 reported emotional safety accidents. Students' mean stress score for physical safety was 1.95, and the mean score for emotional safety was 1.92. Of the students, more than 59.1% agreed to volunteer as practice models in certain nursing procedures’ training. Of the students, 55.8% were satisfied with using their bodies to train fundamental nursing skills. 61.8% of students reported that informed consent was obtained during the nursing laboratory, and 88.6% of students thought that informed consent needs to be obtained. @*Conclusion@#To prevent safety accidents during the fundamentals of nursing practicum and systematically manage accidents, standardized safety guidelines for nursing practicum should be developed. Establishing various training strategies using advanced models or simulators to increase education efficiency and satisfaction is necessary.

Effects of a video education program for patients with benign uterine tumors receiving high-intensity focused ultrasound treatment

Purpose@#The purpose of this study was to examine the effects of a video education program in women receiving high-intensity focused ultrasound(HIFU) treatment. @*Methods@#This was a quasi-experimental study with a nonequivalent control group non-synchronized design. The participants were 54 patients who had benign uterine tumorsand adenomyosis. The data were collected from June to August 2018. The experimental group was provided a video education program with a question-and-answer session for 10 minutes after viewing the video. A 10-minute video education program on HIFU and post-procedural care was developed based on the literature.The control group received usual care (i.e., verbal instructions on post-procedural care). The questionnaire survey was conducted twice: before the educational program and before being discharged from the hospital. Differences in uncertainty, emotions, and self-efficacyamong patients were analyzed. Data were analyzed using the chi-square test, the t-test, the Shapiro-Wilk test, the paired t-test, and the t-test with SPSS for Windows version 23.0. @*Results@#The participants in the experimental group showed a decrease in uncertainty(t=4.33, p<.001), improvements in anxiety(t=–4.07, p<.001) and depression(t=–3.55,p<.001),and an enhancement ofself-efficacy(t=–4.39,p<.001) compared to the control group. @*Conclusion@#This nursing intervention was effective at reducing uncertainty, improving emotions, and enhancing self-efficacy. We hope that it will be applied to improve nursing practice and that it will be valuable when utilized for helping patients to choose a treatment method.

The Influence of Awareness regarding Particulate Matter, Perceived Respiratory Symptoms, and Physical Activities on Health Promotion Behavior of Elementary School Children / 기본간호학회지

Purpose@#The purpose of this study was to identify the influence of awareness regarding particulate matter, perceived respiratory symptoms, and physical activities on health promotion behavior in elementary school children. @*Methods@#Data were collected from 639 4th~6th grades students from 8 elementary schools in Busan and analyzed using independent t-test and ANOVA, Pearson correlation coefficients and multiple regression analysis. @*Results@#The average for awareness regarding particulate matter was 29.84±5.63, for perceived respiratory symptoms, 0.66±0.95, and for health promotion behavior, 7.85±1.76. The mean amount of time the students spent in sleeping or sitting on an easy chair and/or activity while sitting were 10.71±3.04 and 6.60±2.84 hours a day. Factors influencing health promotion behavior in elementary school children were being a girl (β=.09, p=.015), in 4th grade (β=-.09, p=.025), residence in Busanjingu (β=-.10, p=.005), residence in Bukgu (β=-.12, p=.001), more than 10 years residence period (β=-.09, p=.020) and awareness regarding particulate matter (β=.42, p<.001). The explanation power of these variables was 23% (F=22.21, p<.001). @*Conclusion@#It is recommended that for health education programs, gender, grade, length of residence and area’s air pollution level be considered and education program including guideline for particulate matter be provided continuously to elementary students to increase their level of awareness regarding particulate matter and proper physical activity.

A Study on Breast Cancer Patients’ Commitment to a Plan for Exercise based on Health Beliefs / 기본간호학회지

Purpose@#The purpose of this study was to identify the factors relating to commitment to a plan for exercise in the breast cancer patient following a mastectomy and to examine the relationship between these factors. @*Methods@#This study was a correlational research and the participants were 152 patients with breast cancer. Data were collected using a structured questionnaire from June to October, 2015. @*Results@#The final regression model showed that income, experience of exercise and current exercise were significant predictors related to commitment to a plan for exercise in patients with breast cancer and explained for 65.9% of the variance in commitment to a plan for exercise. @*Conclusion@#The findings indicate that patients in breast cancer-oriented intervention programs have an enhancing experience of exercise. Current exercise should be provided for patients with breast cancer in order to promote health and quality of life.

Adaptation Experience of Nurses who were Transferred to a Long Term Care Hospital from an Acute Hospital / 기본간호학회지

PURPOSE@#The purpose of this study was to explore how supervisory nurses who were transferred to a long-term care hospital from an acute hospital adapted to the new work environment.@*METHODS@#Colaizzi's phenomenological method was applied. Participants were nine nurses working in long-term care hospitals and data were collected through in-depth individual interviews over 1 month. Approval was obtained from the Institutional Review Board (IRB).@*RESULTS@#From this study 12 theme clusters and 5 categories were classified. The 5 categories were; ‘Unacceptable workload’, ‘Unclear job description’, ‘Unreasonable management system of the hospital’, ‘Understanding the characteristic of the long-term care hospital’ and ‘Challenge and self-development’.@*CONCLUSION@#Participants experienced conflict, identity confusion and ambivalence through the relationship with nursing assistants, long-term care workers, administrative staff and the patients’ caregivers. However, they finally understood the characteristics of the long-term care hospital and were positioned as long-term care nurses.

The Effects of Music Intervention on Environmental Stress and Sleep Quality in Patients with Liver Transplantation / 기본간호학회지

PURPOSE: The purpose of this study was to examine effects of music intervention on environmental stress and sleep quality in liver transplant patients who are receiving care in one-person isolation rooms of an ICU. METHODS: The study was a quasi-experimental design pre-and-post nonequivalent control group. Participants were 37 patients (18 in the experimental group and 19 in the control group) who, after receiving liver transplant, were hospitalized in one-person isolation rooms of the ICU. The study covered patients admitted between August 2016 and December 2017. Earplugs and sleep shades were provided as ordinary care to both experimental and control groups, and music intervention was provided to the experimental group three times a day for 30 minutes each from the first day of hospitalization. RESULTS: The first hypothesis, “The experimental group who received music intervention will experience a lower environmental stress level than the control group” was supported (Z=−3.212, p<.001). The second hypothesis, “The experimental group who received music intervention will experience a higher sleep quality than the control group” was also supported (t=3.715, p=.001). CONCLUSION: Findings show that music intervention is an effective nursing intervention to reduce environmental stress and improve sleep quality in liver transplant patients in the ICU.

A Survey on Safety of Fundamentals of Nursing Practicum in Korea / 기본간호학회지

PURPOSE: The purpose of this study is to investigate the safety of nursing students during fundamentals of nursing practicum in Korea. METHODS: This study used a descriptive design. A total of 106 nursing instructors teaching fundamentals of nursing longer than one year participated in this study. Data were collected using self-report questionnaires from July 24 to August 28, 2018. The questionnaires consisted of general characteristics, characteristics of fundamentals of nursing course, physical and emotional safety issues during fundamentals of nursing practicum, and obtaining an informed consent prior to practicum. RESULTS: The average number of physical safety accidents during practicum of fundamentals of nursing in the past 5 years was 1.12±2.44. The most common safety accident was punctured wound. The mean score of the participants' stress on physical safety accidents was 3.53±1.12 out of 5. The average number of emotional safety accidents of fundamentals of nursing practicum in the past 5 years was 1.05±2.72. The mean score of stress on emotional safety accident was 3.00±1.09 out of 5. We found that 47.2% of the participants obtained an oral consent or a written consent for safety of fundamentals of nursing practicum. CONCLUSION: The results of this study indicate that it is necessary to establish safety strategies for fundamentals of nursing practicum for nursing students.

Impact of Psychosocial Wellbeing Status and Self Leadership on the Job Satisfaction of Fire Officers / 기본간호학회지

PURPOSE: The purpose of this study was to examine the relationship of psychosocial wellbeing status and self leadership with job satisfaction of fire officers. The effects of these variables on job satisfaction were also examined. METHODS: The study design was a descriptive, correlational design. For this study, data were collected from 189 fire officers in B metropolitan city, K and Y cities. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and multiple regression analysis with SPSS 21.0 program. RESULTS: The results showed that job satisfaction had a significant correlation with psychosocial wellbeing status (r=-.38, p < .001) and self leadership (r=.26, p < .001). Psychosocial wellbeing status had a significant correlation with self leadership(r=-.47, p < .001). Multiple regression analysis for job satisfaction revealed that the most powerful predictor was psychosocial well-being status followed by self leadership. Pychosocial wellbeing status, self leadership, age, marital status and current job task career explained 25.0% of the variance in job satisfaction. CONCLUSION: Findings indicate that various factors are related to the job satisfaction of fire officers. Based on the results of this study, further development and application of programs to improve fire officers' job satisfaction are needed.

Sexual Desire, Sexual Attitude, and Sexual Desire Coping Behavior in Military Personnel / 기본간호학회지

PURPOSE: The aim of this study was to identify the sexual desire, sexual attitude and sexual desire coping behavior in military personnel, and analyze relationships among these variables. METHODS: Data were collected from February to April, 2015 using a structured questionnaire. Participants in the study were 199 military personnel visiting the military hospital P. RESULTS: The average score for sexual desire was 2.09±0.59, for sexual attitude, 3.15±0.42, and for sexual desire coping behavior, 3.18±0.40. Sexual desire showed a significant difference according to age (F=3.386, p=.023), assignment (F=3.327, p=.038). Sexual attitude was significantly different by religion (F=6.857, p<.001). The sexual desire coping behavior was found to be more active with military service period 5~9 months compared to 11~15 (F=3.621, p=.014) and in private first class compared to rank of private (F=3.165, p=.026). There was a significant positive correlation between sexual desire and sexual behavior, between sexual attitude and sexual desire coping behavior. CONCLUSION: To prevent sex-related accidents and diseases, it is necessary to provide sexual and health education customized for military personnel. For military personnel to cope appropriately with sexual desire, military personnel need to implement alternate measures such as encouraging soldiers to enjoy hobbies or physical exercise programs.

Death Anxiety and Terminal Care Performance of Nurses at Long Term Care Hospitals / 한국호스피스완화의료학회지

PURPOSE: The purpose of this study was to identify the relationships between death anxiety and terminal care performance of nurses at long term care hospitals. METHODS: Data were collected from 148 nurses working at 12 long term care hospitals in Busan from March 16, 2016 through May 16, 2016. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Scheffé test and Pearson's correlation coefficient with SPSS 18.0 for Windows. RESULTS: Terminal care performance was positively correlated with anxiety about other people's death (r=0.310, P≤0.001) and that of their own death (r=0.250, P=0.002). CONCLUSION: It appears necessary to develop a systematical educational program for terminal care nurses of to reduce their death anxiety and improve their terminal care performance.

The Influences of Quality of Sleep and Mood State on Fatigue in Primary Brain Tumor Patients

PURPOSE: The purpose of this study was to identify the influences of sleep quality and mood state on fatigue in primary brain tumor patients. METHODS: The participants were 118 patients with primary brain tumors between May 2015 and March 2016. Data were collected using questionnaires including individual and disease related characteristics, the Pittsburgh Sleep Quality Index, Linear Analogue Self-Assessment scales, and The Fatigue Scale for Cancer Patients developed by Kim Kyeong-hee (2006). Data were analyzed using descriptive statistics, Pearson correlation, and hierarchical multiple regression. RESULTS: Fatigue had significant correlations with sleep quality (r=.55, p<.001) and mood state (r=.74, p<.001). The influencing factors for fatigue were mood state (β=.46, p<.001) was the best predictor of fatigue, followed by age (β=.17, p=.049), and performance status (β=-.19, p=.011). CONCLUSION: The research findings show that understanding of psychological factors such as anxiety, depression, confusion, energy and anger should be given priority for fatigue management in primary brain tumor patients. This study provides base data for managing fatigue in patients with primary brain tumors, and is expected to contribute to the improvement of the health of patients with primary brain tumor.

Recognition of Accreditation for Nursing Education, Job Satisfaction and Intention to Change Teaching Area for Faculty in Fundamentals of Nursing / 기본간호학회지

PURPOSE: This study was done to explore recognition of accreditation for nursing education, job satisfaction and intention to change teaching area for faculty in Fundamentals of Nursing. METHODS: Participants were 104 faculty members teaching Fundamentals of Nursing. Each participant responded to a questionnaire. Data were collected from June 25 to October 25, 2016, and analyzed using SPSS 23.0 for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. RESULTS: The participants' recognition of accreditation in nursing education was 3.45±0.81 out of 5 and in the sub-items, the score for quality improvement in professors in Fundamentals of Nursing was lowest at 3.21±1.03. Job satisfaction was 3.30±5.30, and intention to change teaching area was 2.62±1.00. Attributes related to practice appear to be major reasons why participants intended to change their teaching area and scores for intention to change teaching area were medium or higher. CONCLUSION: Results indicate that it is necessary to develop strategies to improve job satisfaction and reduce intention to change teaching area for faculty with less experience in Fundamentals of Nursing education. Development of strategies, management and support are needed to improve young professors' job satisfaction and reduce intention to change teaching area.

Russian Inpatients' Nursing Service Expectations, Satisfaction and Intention to Revisit Hospital / 기본간호학회지

PURPOSE: The aim of this study was to identify Russian inpatients' expectation and satisfaction with nursing service, and further, to analyze the relationship between these variables. METHODS: A structured questionnaire was used to survey for 81 Russian inpatients. The survey was conducted from January to June, 2014. RESULTS: Empathy and assurance significantly influenced nursing service expectation and satisfaction. Nursing service expectation was statistically significant for the number of visit to Korea, and nursing service satisfaction was statistically significant for gender, monthly income and primary care giver during hospitalization. Revisit intention was significantly different according to religion, medical department and primary care giver during hospitalization. There were positive correlations between nursing service expectation and satisfaction, and between nursing service satisfaction and intention to revisit the hospital. CONCLUSION: The results of this study show that the level satisfaction with nursing service influences Russian inpatients' intention continue using the hospital. Therefore, in order to increase the intention to revisit the hospital Korea hospital employees, especially nurses, need to develop nursing service strategies according to general characteristics, culture and nationality of foreign patients.

Smartphone App Education pertaining to Patient Controlled Analgesia Use and Pain Management after Spinal Anesthesia for Lower Extremity under Orthopedic Surgery / 기본간호학회지

PURPOSE: The purpose of this study was to develop a smartphone app for use in patient controlled analgesia (PCA) education and to identify PCA knowledge and pain management following lower extremity orthopaedic surgery under spinal anesthesia in patients who received smartphone app education. METHODS: Participants were 150 patients in an orthopaedic hospital located in Busan. The measurement variables used in this study were PCA knowledge, pain management and pain level. For data analysis, SPSS/WIN 21.0 program was used in the analysis of the relation of frequencies. In addition, percentage, mean and standard deviation, t-test, ANOVA, Duncan, Pearson's correlation coefficients were also assessed. RESULTS: The score for knowledge regarding PCA was 4.27±1.64. The correlations between knowledge and pain management (button push times

Retrospective Cohort Study on the Administration of Sedative for Delirium in Terminally Ill Cancer Patients and Survival Time / 한국호스피스완화의료학회지

PURPOSE: This study analyzed the difference in survival time of patients with delirium according to sedative medication. METHODS: From January 2012 through December 2013, a retrospective cohort study was performed using the electronic medical records (EMR) of Pusan National University Hospital. Among 900 patients who died from cancer, we selected 240 who suffered delirium based on the EMR. The Nu-DESC delirium screening test was used to diagnose delirium. RESULTS: The median length of delirium period was five days. Delirium characteristics were dominated by inappropriate behaviors (35.0%). Sedatives were administered in 72.1% of the cases. The most frequently used sedative was haloperidol which was used in 59.6% of cases. The delirium period significantly differed by patients' age (F=3.96, P=0.021), cancer type (F=3.31, P=0.010), chemotherapy (t=−3.44 P=0.001). The average survival time was 16.85 days for the sedative medication group and 9.37 days for the non-medication group, which, however, was not significant (t=1.766, P=0.079). CONCLUSION: In this study, the use of sedatives did not affect patients' survival time. Thus, appropriate sedative medication can be positively recommended to comfort terminal cancer patients and their families.

Critical Thinking, Self-Concept and Stress Adaptation of Transfer Nursing Students / 기본간호학회지

PURPOSE: The purpose of this study was to evaluate the effect of critical thinking and self-concept on stress adaptation in transfer nursing students. METHODS: For this study, data were collected from 196 transfer nursing students from Busan and South Gyeongsang Province Data collection was done during the period from September to December, 2015. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients and multiple regression. RESULTS: The results showed that for critical thinking gender (t=2.48, p=.014), age (F=2.90, p=.044) and club activities (t=2.05, p=.041) were significant. Stress adaptation was significant according to academic year (F=3.81, p=.025). Critical thinking, self-concept and stress adaptation had positive correlations. CONCLUSION: Findings indicate that college adjustment for transfer nursing students could be enhanced through the development of programs to promote critical thinking and self-concept in the nursing curriculum.

An Ethnography on Daily Lives of Nurses in Emergency Departments / 기본간호학회지

PURPOSE: This ethnographic study was conducted to explore and understand themeaning of the daily life of nurses in emergency departments. Objectives for this study were to identify and describe the true nature of emergency roomnurses' daily experience and create a theoretical model based on the findings. METHODS: Data were collected through in-depth interviews and participants observation. These data were recorded and transcribed verbatimwith consent of the informants, 10 nurses who had cared for patients in emergency rooms. Data were collected between November 2013 and October 2014. Interviews continued until no new information could be identified from transcripts. Data were analyzed using the taxonomic analysis method developed by Spradley. RESULTS: Based on the data acquired from interviews, nurses' cultural domains were classified as ‘extensity of emergency room nurses’, ‘temporality of emergency room nurses’, ‘relationships among emergency room nurses’ and ‘becoming an emergency roomnurses’. CONCLUSION: The daily culture of emergency room nurses could be summarized as ‘busy daily life amidst confusion’. However, many nurses boosted their self-esteem by taking care of patients' collaboration with fellow nurses. In other words, nurses in emergency room forms a dynamic culture and pursue professionalism, rather than a simple chaotic daily life culture.

Adaptation Experience of Sleep in New Nurses / 기본간호학회지

PURPOSE: This study is a qualitative research to identify new nurses' adaptation experience to sleep changes. METHODS: Grounded theory methodology was utilized. Participants were 10 new nurses from one university hospital. The information was collected and analyzed using the grounded theory of Corbin and Strauss'(2008). RESULTS: Through constant comparative analysis, central phenomenon was identified as 'Shaky daily life due to the sleep change'. A core category emerged as 'In the shaky daily life, go grab my position', Causal conditions were 'Heaviness in shift work', 'Not released after getting off work', and 'Body and mind are exhausted'. Context were 'An environment that does not tolerate mistakes' and 'Clogged breathing due to worries'. Intervening factors were 'Support of colleagues', 'Recovery volition in restoration of altered relationships due to sleep'. Action/Interaction Strategies were 'To strive for a good sleep', 'Require a reasonable duty schedule' and 'Find a breakthrough'. Consequences were 'Become the master of shaky daily life' and 'Accepting the life of a nurse'. CONCLUSION: New nurses experience sleep patterns changes from the hospital shift system. but throughout the process of adaptation, came to accept sleep disorder as part of the life of a nurse.

Clinical Competence and Organizational Socialization according to Communication Style of Preceptors as Perceived by New Nurses / 기본간호학회지

PURPOSE: The purpose of this study was to examine clinical competence and organizational socialization according to communication style of preceptors as perceived by new nurses. METHODS: From May 1 to July 31, 2014, data were collected from 180 new graduated nurses who had been working for 3~12 months in hospitals in Busan and one in Gyungnam. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients. RESULTS: Preceptors's communication style perceived by the new nurses included supportive type, reflective type, emotive type, and directive type in order of precedence. The average score for clinical competence was 2.82+/-0.31, and the average score for organizational socialization was 3.05+/-0.40. There were significant differences in nurses' clinical competence(F=9.087, p<.001) and organizational socialization (F=30.129, p<.001) according to preceptor's communication style. CONCLUSION: Results indicate that supportive and emotive communication styles of preceptors were important factors in the success of the preceptees' clinical competence and organizational socialization.