Factors affecting nursing practice of patient physical restraint among nurses.

BACKGROUND: This study was aimed to identify perception, knowledge, attitude and nursing practice toward use of physical restraints among clinical nurses. METHODS: The research participants were 180 nurses from general hospitals located in Korea. Data were collected using self-report questionnaires regarding perception, attitude, knowledge, and nursing practice on application of physical restraints and analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression. RESULTS: There were significant negative relationships attitudes towards the use of physical restraints with knowledge (r = -.32, p < .001). Knowledge showed a positive correlation with nursing practice (r = .28, p < .001). Factors affecting nursing practice of clinical nurses were identified as knowledge (ß = .23), education experiences on physical restraints (Yes) (ß = .18), and work unit (ICU) (ß = .43). The explanation power of this regression model was 22% and it was statistically significant (F = 7.45, p < .001). CONCLUSION: This study suggests that knowledge, education experiences on physical restraints, and work unit were the strongest predictor on nursing practice toward use of patient physical restraints. Therefore, developing and applying evidence-based educational intervention programs by work unit to reduce the inappropriate use of physical restraints in hospitals are required.

Mediating Influences of the Exchange Relationship with a Preceptor on the Relationship between Burnout and Job Retention Intention among New Nurses in Korea.

The main factor in the turnover of new nurses in Korea is burnout, and a high turnover rate can lead to discontinuation in the nursing profession, due to failure to adapt to the organization. This study aimed to examine the mediating influences of an exchange relationship with the preceptor on the relationship between burnout and job retention intention among new nurses in Korea. Data were collected from 210 new nurses in three general hospitals from 2 May to 30 June 2023. The following statistical analysis were conducted: t-test, ANOVA, the Scheffé test, Pearson's correlation coefficient analysis, and Hayes Process Macro Model 4 (to test the mediating effect). Burnout was negatively associated with job retention intention (r = -0.54, p < 0.001) and the exchange relationship with the preceptor (r = -0.29, p = 0.001). The exchange relationship with the preceptor was positively associated with job retention intention (r = 0.38, p < 0.001). Furthermore, the mediation analysis indicated that the exchange relationship with the preceptor mediated the relationship between burnout and job retention intention. According to the results, the impact of burnout on the job retention intention was mediated by the exchange relationship with the preceptor. Therefore, to increase the job retention intention of new nurses, developing programs to enhance the exchange relationship with the preceptor are recommended.

Reliability and Validity of the Korean Version of the Social Justice Scale in Nursing Students.

The purpose of this study was to translate and adapt a scale to evaluate social justice in nursing students and to examine the validity and reliability within a Korean context. With a survey design, a total of 267 nursing students were recruited, and data were collected using a self-administered study questionnaire to measure their levels of SJS. Using SPSS/WIN 28.0, construct validity, item convergent and discriminant validity, concurrent validity, and internal consistency reliability of the scale was evaluated. Exploratory factor analysis supported the construct validity with a four-factor solution; that explained 55.52% of the total variance. Criterion validity was demonstrated with the Social Issues Advocacy Scale (r = 0.78, p < 0.001). Cronbach's α coefficient for the scale was 0.96. The findings show satisfactory construct and criterion validity and reliability of the Korean version of the SJS for measuring social justice in nursing students.

Effects of health literacy competencies on patient-centered care among nurses.

BACKGROUND: This study aims to identify the relationship between health literacy competencies and patient-centered care by clinical nurses. METHODS: The participants were 180 nurses working at three university hospitals located in G City and J Province, South Korea. Self-evaluation questionnaires were used to collect data that were collected from June 1 to 30, 2021. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression with SPSS 26.0. RESULTS: The mean of health literacy competencies was 3.19 (4 point scale) and the mean of patient-centered care was 3.48 (5 point scale). There were significant positive relationships between health literacy competencies and patient-centered care by clinical nurses (r = .50, p < .001). Factors influencing the health literacy competencies of clinical nurses were identified as education level (university) (ß = .82), education level (masters) (ß = .74), prior health literacy knowledge (ß = .52), and health literacy competencies (ß = .44). The explanatory power of this regression model was 36%, which was statistically significant (F = 17.65, p < .001). CONCLUSION: Clinical nurses' health literacy competencies should be developed to improve patient-centered care. Nursing education programs should emphasize the integration of health literacy into the nursing school curriculum.

Factors influencing knowledge, awareness, and compliance with standard precautions among psychiatric nurses.

This study aimed to assess the level of knowledge, awareness, and compliance with standard precautions and to examine individual factors related to compliance with standard precautions among psychiatric nurses. Data were collected from September 2020 to March 2021. A total of 160 questionnaires were distributed, and a total sample of 134 valid questionnaires was analyzed. Compliance with standard precautions was significantly correlated with knowledge and awareness. Awareness (ß = 0.547, p < .001) was a significant factor of compliance with a total explanatory power of 35.0% (F = 7.27, p < .001). Thus, the current coronavirus disease pandemic has significantly influenced the mental health infection system. These findings highlighted that psychiatric nurse must continue their efforts to improve compliance with infection prevention to prepare for an uncertain future with potential pandemics.

Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses.

This study aimed to examine factors affecting radiation protection behaviors among emergency room nurses by assessing knowledge about radiation protection and attitude towards radiation protection, employing a cross-sectional design. Subjects were a convenience sample of 129 nurses working in the emergency rooms of three advanced general hospitals. Data were collected using self-report questionnaires and analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression. There were significant relations between knowledge about radiation protection and attitude towards radiation protection (r = 0.34, p < 0.001), knowledge about radiation protection and radiation protection behaviors (r = 0.37, p < 0.001), and attitude towards radiation protection and radiation protection behaviors (r = 0.33, p < 0.001). The factors affecting radiation protection behaviors were radiation protection knowledge (ß = 0.12, p = 0.045), attitude towards radiation protection (ß = 0.17, p = 0.009), the experience of radiation protection education (ß = 0.27, p < 0.001), and wearing of protective equipment (ß = 0.29, p < 0.001). The governments, hospital administrators, and radiation protection agencies should strengthen their radiation defense environment to protect emergency room nurses from radiation. Research and development of radiation defense equipment and the medical examination of emergency room nurses should be carried out, radiation defense behavior protocols should be developed, radiation defense education opportunities should be provided, and the use of defense equipment should be encouraged.