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.

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.