The influence of social support and health promotion behaviors on nursing work performance among nurses / 한국간호교육학회지

Purpose@#The purpose of this study was to examine the predicting factors of nursing work performance. @*Methods@#The participants in this study were 148 nurses working in S university hospital in P city. The scales included social support, health promoting lifestyle profile-Ⅱ (HPLP-Ⅱ), and nursing work performance. A descriptive analysis and stepwise multiple regression were used for data analysis. @*Results@#Significant correlations were found among social support, health promotion behaviors and nursing work performance. The significant predictive factors of nursing work performance were the emotional support subscale of social support (β=.31, p<.001) and the interpersonal relations subscale of health promotion behaviors (β=.32, p<.001). These two subscales explained 27% of nursing work performance. @*Conclusion@#Nursing education programs should include an emphasis on developing methods of emotional support and interpersonal relations in order to improve nursing work performance among clinical nurses.

The influence of social support and health promotion behaviors on nursing work performance among nurses / 한국간호교육학회지

Purpose@#The purpose of this study was to examine the predicting factors of nursing work performance. @*Methods@#The participants in this study were 148 nurses working in S university hospital in P city. The scales included social support, health promoting lifestyle profile-Ⅱ (HPLP-Ⅱ), and nursing work performance. A descriptive analysis and stepwise multiple regression were used for data analysis. @*Results@#Significant correlations were found among social support, health promotion behaviors and nursing work performance. The significant predictive factors of nursing work performance were the emotional support subscale of social support (β=.31, p<.001) and the interpersonal relations subscale of health promotion behaviors (β=.32, p<.001). These two subscales explained 27% of nursing work performance. @*Conclusion@#Nursing education programs should include an emphasis on developing methods of emotional support and interpersonal relations in order to improve nursing work performance among clinical nurses.

A Correlational Study on the Knowledge, Stress and Self-care Performance among Tuberculosis Patients / 한국간호교육학회지

PURPOSE: This study was conducted to analyze the correlations among the knowledge, stress, and self-care performance in tuberculosis patients. METHODS: The participants consisted of 140 outpatients who had been diagnosed with tuberculosis in S University Hospital. Data were derived from self-report questionnaires and analyzed by SPSS 22.0. Statistical analysis included descriptive statistics and Pearson's correlation coefficients analysis. RESULTS: Means of stress and self-care performance were 1.76 and 3.21, respectively. Percentage of correct answer of knowledge about tuberculosis was 71.8. Knowledge about tuberculosis was significantly different according to age (F=21.81, p<.001), marital status (F=13.79, p<.001), education (F=36.63, p<.001), and monthly income (F=16.23, p<.001). Stress was significantly different according to gender (t=3.58, p<.001). Self-care performance was significantly different according to age (F=5.74, p=.004), marital status (F=8.79, p<.001), education (F=9.15, p<.001), monthly income (F=7.87, p=.001), and attendance of tuberculosis education (t=2.34, p=.020). Self-care performance had significant correlation with knowledge about tuberculosis and stress. CONCLUSION: This study suggests that knowledge about tuberculosis and stress had significant correlations with self-care performance. Therefore, the nursing strategies of increasing knowledge about tuberculosis and decreasing stress which improve self-care performance should be developed for tuberculosis patients.

A Mediator Effect of Social Support in the Association between Stress for College Life and Depression among Nursing Students / 한국간호교육학회지

PURPOSE: This study was conducted to determine the mediator effect of social support in the association between stress for college life and depression among nursing students. METHODS: The participants of the study were 201 university students in A and C cities. Self-report questionnaires were used to measure the variables. In the data analysis, the SPSSWIN 25.0 program was utilized for descriptive statistics, Pearson's correlation, Sobel test and multiple regression analysis. RESULTS: Mean scores of stress for college life, depression and social support were 2.56, 4.12 and 0.61, respectively. Stress for college life and depression showed a significant positive correlation (r=.60, p < .001), while depression and social support showed a significant negative correlation (r=-.46, p < .001). Lastly, stress for college life and social support showed a significant negative correlation (r=-.55, p < .001). The analysis of the mediator effect of social support in the association between stress for college life and depression showed that social support had a significant mediator effect. CONCLUSION: Among nursing students, social support may be a mediator in the association between stress for college life and depression. Therefore, strategies for nursing intervention to improve social support should be developed for nursing students

A Study on the Stress and Adjustment to College Life among Nursing Students / 한국간호교육학회지

PURPOSE: This study was conducted to investigate the correlation between stress and adjustment to college life among nursing students. METHODS: The sample consisted of 183 university students in C & S cities. Self-report questionnaires were used to measure the variables. In data analysis, SPSSWIN 23.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. RESULTS: The mean scores of stress and adjustment to college life were 2.55 and 3.24. Stress was significantly different according to grade (F=7.30, p < .001), economic state (F=14.39, p < .001), perceived health state (F=6.66, p < .001). In regression analysis, stress for college life, perceived health state, and college life satisfaction were significant predictors of adjustment to college life explaining 68%. CONCLUSION: This study suggests that perceived health state was a significant factor on adjustment to college life among nursing students. Therefore, the strategies of nursing intervention which improve perceived health state must be developed for college students.

Weight Changes according to the Period of Chemotherapy Treatments for Breast Cancer

PURPOSE: This study aimed to evaluate weight changes in women during the period of TAC (docetaxel-doxorubicin-cyclophosphamide) chemotherapy after breast surgery and the differences in weight changes by disease characteristics among Korean women with breast cancer. METHODS: The design of this study was retrospective survey research. The subjects of this study were 130 patients with fully completed TAC chemotherapy between January 2012 and April 2015. Body weight before their operation, and at 3 weeks, 6 weeks, 9 weeks, 12 weeks, 15 weeks, and 18 weeks after surgery, as well as general and disease characteristics, were reviewed via their medical charts. RESULTS: The mean age of the patients was 51.2 years. The preoperative (baseline) mean weight was 59.4±8.44. Significant weight losses were observed in the initial (1st 3 week) period of TAC chemotherapy compared to the baseline and significant weight losses were observed with the exception of the period 6 weeks after breast surgery. There were significant differences in mean weight changes according to the stage of breast cancer, radiotherapy, and hormone therapy among disease characteristics. CONCLUSION: It is necessary to study weight changes after breast surgery for the long periods of TAC chemotherapy. Through the accumulated results of studies, nursing programs for breast cancer patients must be developed for the prevention of weight gain in the periods of TAC chemotherapy.

A Study on the Anxiety and Mastery among Mothers of Hospitalized Young Children / 한국간호교육학회지

PURPOSE: This study was conducted to investigate the correlation between anxiety and mastery in hospitalized young children's mothers. METHODS: The subjects were 118 mothers of young children who were hospitalized in a pediatric unit. Self-report questionnaires were used to measure the variables of anxiety and mastery. In the data analysis, SPSSWIN 23.0 was used for descriptive statistics, Pearson's correlation coefficients and multiple regression. RESULTS: The reliability of instruments were found to have a Cronbach's alpha of .84 to .92. Anxiety correlated negatively with mastery (r=-.43, p<.001) and positively with duration of hospitalization (r=.26, p=.004). In multiple regression, mastery and duration of hospitalization were significant predictors of anxiety in hospitalized young children's mothers, explaining 24.0%. CONCLUSIONS: Anxiety and mastery were significant variables in hospitalized young children's mothers. A strategy of nursing intervention which decreases anxiety in mothers must be developed by increasing the level of mastery in mothers of hospitalized young children.

A Design for and Evaluation of a Critical Thinking Class for New Community Health Practitioners / 한국간호교육학회지

PURPOSE: This study was carried out to describe the process and evaluation of a critical thinking class for new community health practitioners. METHODS: The case study design was used to develop and evaluate a critical thinking class for 46 participants in the community health practitioners training program. The class was held two hours a week for 8 weeks. Critical thinking disposition was tested before and after the class and critical skill was graded according to the final test score. Data analysis was performed using descriptive statistics and paired t-tests using SPSS WIN 20.0. RESULTS: Clinical critical thinking competences were identified through the literature review. The case situations with questions guiding the problem-solving process were developed and used for group discussion. Critical thinking disposition of participants was determined to have increased slightly after having taken the class. 17.4% of the participants had a competency level high enough to solve a problem and half of them stayed at the level of understanding of critical thinking. Compared with the class's satisfaction with the relevance to their jobs, the satisfaction with the learning method and instructor was high. CONCLUSION: The findings of this research will serve as the basis for developing critical thinking classes for community health nurses in order to improve their critical thinking competence.

Effects of Music Therapy on the Heart Rate and Respiration Rate in Premature Infants

PURPOSE: This study was to evaluate the effects on the heart rate and respiration rate of preterm infants when providing auditory stimulation on them. METHODS: The design of this study was a nonequivalent control group pretest-posttest design in a quasi experimental study. Forty preterm infants were assigned to experimental and control groups : 20 in the auditory and 20 in the control group. The data were collected from May 2014 to October. The auditory stimulation was created by using an audio music tape provided 20-minute per day for 7 consecutive days. In data analysis, SPSS WIN 21.0 program was utilized for descriptive statistics, repeated measurement anova and Mann-Whitney. RESULTS: General characteristics of the two groups showed no significant differences, thus two groups were found to be homogenous. There were no significant differences in heart rate and respiration rate between the auditory and control groups. CONCLUSION: The effect of auditory stimulation for 7 days was not effective in decreasing heart rate or respiration rate in premature infants. Therefore, the type and length of music therapy must be developed for the improvement of vital signs in preterm infants who were hospitalized in a neonatal intensive care unit.

Development and Evaluation of Health Care Providers' Counseling Manual in Mobile Application for Lifelong Health Care among Patients with Chronic Hepatitis B / 한국간호교육학회지

PURPOSE: The purpose of this study was to develop and validate health care providers' counseling manual in mobile application for lifelong health care among patients with chronic hepatitis B. METHODS: The mobile application was developed using a prototyping approach and system developing life cycle method, evaluated by users for their satisfaction with the counseling manual and experts for the quality of the manual. To evaluate application of the counseling manual, knowledge and counselor self-efficacy of the subjects were measured and compared before and after application of the counseling manual. RESULTS: There were statistically significant increases in knowledge and counselor self-efficacy in the user group. A mobile application with high accessibility and applicability including information and counseling factors can promote counseling competence of the nurse as health care provider caring chronic hepatitis B patients. CONCLUSION: The results of this study indicate that the counseling manual in mobile application is effective in increasing knowledge and counselor self-efficacy among nurses to promote lifelong health care among patients with chronic hepatitis B. Therefore, it can be usefully utilized in the field of nursing for patients with chronic hepatitis B as a nursing intervention.

Influencing Factors in Self-Efficacy among College Students / 한국간호교육학회지

PURPOSE: The purpose of this study was to investigate influencing factors in self-efficacy among college students. METHODS: The sample consisted of 553 college students in C & K cities. Self-report questionnaires were used to measure the variables. In data analysis, SPSS WIN 20.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. RESULTS: The mean score for Self-Efficacy was 66.62. Self-Efficacy was significantly different according to gender(t=2.076, p=.038), grade(F=11.077, p<.001), religion(F=4.666, p=.003), major(F=19.598, p<.001), economic status(F=6.570, p<.001), perceived health status(F=6.168, p<.001), and self-rated knowledge about health(F=12.936, p<.001). Multivariate analysis showed that major, self-rated knowledge about health, economic status, and perceived health status were significant predictors of self-efficacy and could explain 15.9% of total variability in this model. CONCLUSION: This study suggests that perceived health status and self-rated knowledge about health are significant factors in self-efficacy among college students. Therefore, the strategies of nursing intervention which improve these variables must be developed for college students.

A Correlational Study on Uncertainty, Mastery and Appraisal of Uncertainty in Hospitalized Children's Mothers / 간호학회지

PURPOSE: This study was conducted to investigate the correlation among uncertainty, mastery and appraisal of uncertainty in hospitalized children's mothers. METHOD: Self report questionnaires were used to measure the variables. Variables were uncertainty, mastery and appraisal of uncertainty. In data analysis, the SPSSWIN 12.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. RESULT: Reliability of the instruments was cronbach's alpha=.84~.94. Mastery negatively correlated with uncertainty(r=-.444, p=.000) and danger appraisal of uncertainty(r=-.514, p=.000). In regression of danger appraisal of uncertainty, uncertainty and mastery were significant predictors explaining 39.9%. CONCLUSION: Mastery was a significant mediating factor between uncertainty and danger appraisal of uncertainty in hospitalized children's mothers. Therefore, nursing interventions which improve mastery must be developed for hospitalized children's mothers.

The Effects of Respiratory Rehabilitation Training on Respiratory Functions of Cervical Spinal Cord Injury Patients / 재활간호학회지

PURPOSE: This study was to investigate the effects of respiratory rehabilitation training on the respiratory functions of hospitalized cervical spinal cord injury patients. METHODS: One group pre and post test design was used. Subjects were 20 cervical spinal cord injury inpatients of the national rehabilitation center. Training program consisted of air cumulation training, manual assisted coughing training, and abdominal breathing. Trained rehabilitation nurse implemented 20 minutes program twice a day for 4 weeks. Respiratory function was measured as peak coughing flow rate, and perceived respiratory difficulty after activity on wheel chair for 30 minutes and during speaking and singing. Perceived respiratory difficulty was measured with modified Borg scale. Also content analysis was done with the result of open ended question about subjective feeling about training. All variables were measured 3 times before, 2weeks and 4 weeks after the program. RESULTS: Peak coughing flow rate significantly improved after compared to before training. Also all three perceived respiratory difficulty variables decreased significantly after training. In the content analysis, 'it's easier to cough up phlegm' was the most frequent answered subjective feeling. 'Sound at speaking and coughing became louder', 'respiratory volume increased', and 'comfortable chest feeling' were frequent answered subjective feeling, in order. CONCLUSION: Although it is preliminary since no control group, respiratory rehabilitation training was found to be effective to improve respiratory function in terms of peak coughing flow rate, perceived respiratory difficulty, and subjective feeling. It is necessary further systemic research to investigate the effects of respiratory rehabilitation training.

A Study on Uncertainty, Anxiety and Nursing Needs in Mothers of Hospitalized Children / 기본간호학회지

PURPOSE: This study was conducted to investigate uncertainty, anxiety and nursing needs in mothers of hospitalized children. METHOD: Self report questionnaires were used to measure the variables. Variables were uncertainty, anxiety and nursing needs. In data analysis, SPSSWIN 12.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. RESULTS: Cronbach's alphas of .84 to .97 indicate reliability of the instruments. Uncertainty positively correlated with anxiety (r=.624, p<.001) and nursing needs (r=.147, p<.05), and anxiety positively correlated with nursing needs (r=.262, p<.01). In regression analysis of anxiety, uncertainty, nursing assessment of nursing needs and duration of hospitalization were significant predictors, explaining 45.1% of variance. CONCLUSION: Uncertainty was a significant predictor of anxiety in mothers whose children were hospitalized. Therefore, nursing interventions which decrease uncertainty must be developed for these mothers.

A Correlational Study on the Mastery and Depression in Chronic Arthritis Patients / 재활간호학회지

PURPOSE: The purpose of this study was to investigate the relationship between the level of mastery and depression in chronic arthritis patients. METHOD: The subjects for this study were 100 patients registered in S University Hospital, and the period of data collection was from June 20, 2006 to August 30, 2006. RESULTS: The cronbach's alpha of the research instruments were .70-.86. In data analysis, SPSSWIN 12.0 program was used for descriptive statistics. The results were as follows. 1) The range of total mastery scores was from 11 to 28 and the mean score of the depression in chronic arthritis patients was 17.88. 2) The range of total depression scores was from 20 to 72 and the mean score of the depression in chronic arthritis patients was 39.99. 3) The level of mastery was significant correlation with the level of depression in chronic arthritis patients(r=-.466, p<.01). CONCLUSION: Mastery had significant correlation with depression in patients who have chronic arthritis. Therefore, the strategy of nursing intervention which improve mastery must be developed for patients who have chronic arthritis.

The Nationwide Surveillance Results of Nosocomial Infections along with Antimicrobial Resistance in Intensive Care Units of Sixteen University Hospitals in Korea, 2004 / 병원감염관리

BACKGROUND: This study was to evaluate a nationwide nosocomial infection rate and antimicrobial resistance in intensive care units(ICUs) in Korea. METHODS: The study was carried out at 16 university-affiliated teaching hospitals from July through October 2004. We performed a prospective multicenter study to investigate nosocomial infection rates, device-associated infection rated, and causative pathogens and their antimicrobial resistance. RESULTS: The urinary tract was the most commonly involved site. Nosocomial infection rate was 12.48 in medical. ICU (MICU), 9.59 in medical surgical ICU (MSICU), 14.76 in surgical ICU (MSICU), and 11.60 in other lCU. Device-associated infection rates were as follow: 1) rates of urinary catheter-associated urinary tract infection were 4.26 in MICU, 3.17 in SICU, 4.88 in MSICU, and 5.87 in other ICU; 2) rates of central line-associated bloodstream infection were 3.24 in MICU, 1.56 in SlCU, 2.36 in MSICU, and 1.78 in other ICU; 3) rates of ventilator-associated pneumonia were 3.61 in MlCU, 13.05 in SICU, 1.68 in MSICU, and 4.84 in other lCU. Staphylococcus aureus was the most frequently identified microorganism in this study; 93% of S. aurues were resistant to methicillin; 17% of Pseudomonas aeruginosa isolated were resistant to imipenem; 11% of Enterococcus faecium and 18% of Enterococcus faecalis showed resistance to vancomycin. Over a half of Acinetobacter spp, Stenotrophomonas maltophilia, Klebsiella pneumoniae, and Escherichia coli showed resistant to fluoroquinolone. Conclusion: This study shows the seriousness of antimicrobial resistance and the importance of infection control in the lCU in Korea. This study should provide a theoretical strategy to enforce the infection control.

A Study on the Pain, Fatigue Perceived by Rheumatoid Arthritis Patients / 재활간호학회지

PURPOSE: The purpose of this study was to investigate the relationship between the level of pain and fatigue in rheumatoid arthritis patients. METHOD: The subjects for this study were 120 patients registered in S University Hospital, and the period of data collection was from June 20, 2005 to October 15, 2005. RESULTS: The research instruments used in this study were the Graphic Rating Scale of Pain and Fatigue, and the cronbach's alpha of Fatigue scale was .90. In data analysis, SPSSWIN 12.0 program was used for descriptive statistics. The results were as follows. 1) The range of total pain scores was from 10 to 100 and the mean score of the pain in rheumatoid arthritis patients was 53.70. 2) The range of total fatigue scores was from 20 to 58 and the mean score of the fatigue in rheumatoid arthritis patients was 36.04. 3) There was a significant difference in pain according to duration of disease(F=3.934, p<.05). 4) There was a significant difference in fatigue according to duration of disease(F=3.442, p<.05). 5) The level of fatigue was significant correlation with the level of pain in rheumatoid arthritis patients(r=.217, p<.01). CONCLUSION: The level of fatigue was significant correlation with the level of pain in rheumatoid arthritis patients. Therefore nursing interventions decreasing the pain perceived by rheumatoid arthritis patients are needed to decrease there fatigue levels.

The Effects of Massage on Stress Hormone in Premature Infants / 아동간호학회지

PURPOSE: This study was done to evaluate the effects of massage on the level of stress hormone in the urine in preterm infants. METHOD: The design was a nonequivalent control group pretest-posttest design quasi experimental study. Fifty-eight preterm infants were assigned to the experimental(31) or control group(27). The data were collected from March 2002 to August 2003. The massage stimulation was provided to infants in the experimental group for 15-minutes twice a day for 10 days. On day 1 and day 10 of the study, a 24 hour-urine sample was collected for norepinephrine, epinephrine, and cortisol assays. In data analysis, SPSSWIN 10.0 program was utilized for descriptive statistics, ANOVA and t-test. RESULTS: General characteristics of the two groups showed no significant differences, thus the two groups were found to be homogenous. The 24 hour-urine cortisol of the massage group (t=4.61, p=.000) was significantly reduced compared to the control group after 10 days. CONCLUSIONS: The results suggest that the massage stimulation can be used to reduce 24 hour-urine cortisol in preterm infants. Therefore, massage provided in the incubator is recommended for reduction of stress in preterm infants who are hospitalized in neonatal intensive care units.

The Analysis on Research in the Korean Journal of Rehabilitation Nursing / 재활간호학회지

PURPOSE: The purpose of this study was to analyze research in the Korean Journal of Rehabilitation Nursing and to suggest further perspective for rehabilitation nursing research. METHOD: In this study we reviewed the contents of 134 articles published in this journal from its beginning year 1998 to 2004. RESULTS: The majority of subjects were adult patients. The type of disease were Cerebrovascular Accident, Neuromuscular disease, Cancer patients, Urogenital disease such as Chronic Renal Failure, Spinal cord injury. Domain of research almost was client, type of research were survey (34.3%), quasi experimental study (20.9%), correlation study (19.4%). Nursing intervention of experimental study was exercise (39.0%), education (17.1%). Place of data collection was hospital (58.2%), position of researcher was professor (67.2%), method of data collection was questionnaire (50.7%). CONCLUSION: There has been a lack of written consent, child rehabilitation, measurement tool development, qualitative research. More studies about rehabilitation nursing are needed to extend the role and fields for professional nursing.

Rehabilitation Need on-Hospital with Disabilities / 재활간호학회지

PURPOSE: The purpose of this study were to investigate the health status, the currency of rehabilitation therapy, and the patient learning needs on hospital with disabilities. METHOD: The subjects consisted of 87 disabled adults on hospital. Data was collected from February until to June 2005, where they asked structured questionnaires. A descriptive survey design was used and the SPSS 12.0 program was used for data analysis, which included t-test, ANOVA and Duncan's multiple comparison test. RESULT: There are a lot of patient through the transfer from the general hospital and the rehabilitation hospital. Their heath status changed good after hospital admission. Patients took exercise therapy the most, which is one of the rehabilitation therapy. But they need to enough physical therapy because patients have limited time for treatment. The education-need-level was high on hospital with disabilities, especially the need of support and care are the highest on the subscale of patient learning need. There are significant patient learning need differences in income and admission location (p< .05). CONCLUSION: Disabled persons on hospital needs to help and learning exercise by nurses. There should be rehabilitation programs for patients who are ready to leave the hospital. After discharging, there needs to be various rehabilitation services, support and care for the community based rehabilitation.