Mediating Effect of Job Satisfaction on the Relationship between Nursing Practice Environment and Turnover Intention of Nurses in a National Forensic Psychiatic Hospital / 정신간호학회지

Purpose@#The purpose of this study was to examine job satisfaction as a mediator of the relationship between nursing practice environment and turnover intention of nurses in a national forensic psychiatric hospital. @*Methods@#This study used a descriptive design. All participants were nurses (n=102) working at a national forensic psychiatric hospital. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and PROCESS macro (version 4.1) with SPSS 26.0 program. @*Results@#Turnover intention showed a significant negative correlation with the nursing practice environment (r=-.37, p<.001) and job satisfaction (r=-.46, p<.001). Job satisfaction had a mediating effect on the relationship between nursing practice environment and turnover intention. @*Conclusion@#The results of the study confirmed the completely mediating effect of job satisfaction on the relationship between nursing practice environment and turnover intention. In order to prevent turnover, it is necessary to improve the nursing practice environment and job satisfaction in consideration of forensic patients and hospital environment.

Factors Influencing Grip Strength of Depressed Patients: Using Data from the National Health and Nutrition Examination Survey (2018~2019) / 정신간호학회지

Purpose@#This study aimed to identify factors influencing hand grip strength of community-dwelling patients with depression. @*Methods@#This was a secondary data analysis of the Korea Health and Nutrition Examination Survey (2018~2019), which utilized a complex, multistage probability sample design. A total of 297 participants were included. Hand grip strength was assessed using a digital hand dynamometer. To evaluate factors influencing hand grip strength, a complex-samples general linear model was used. @*Results@#Factors influencing hand grip strength were demographic factors such as gender (male: t=12.58, p<.001), age (19~44 years: t=7.37, p<.001; 45~64 years: t=5.61, p<.001), and education (≤elementary school: t=-2.36, p=.019; middle school to high school: t=-2.13, p=.034), body mass index (<18.5: t=-3.39, p=.001; 18.5-24.9: t=-2.51, p=.013), sedentary time per day (t=-2.19, p=.030), sleep time per day (t=-1.98, p=.049), and depression (t=-3.31, p=.001). @*Conclusion@#Grip strength can predict the current health status in depressed patients.

Effect of Digital Health Interventions on Psychotic Symptoms among Persons with Severe Mental Illness in Community: A Systematic Review and Meta-Analysis

Purpose@#This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community. @*Methods@#A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis. @*Results@#A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11). @*Conclusion@#These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.

Influence of Health Literacy and Insight on Medication Adherence in Mental Illness / 정신간호학회지

Purpose@#The purpose of this study was to identify the influence of health literacy and insight on medication adherence in mental illness. @*Methods@#A cross-sectional, descriptive correlational study design was used. Participants were 135 adults diagnosed with mental disorders and living in D city. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation, and hierarchical multiple regression with SPSS 26.0. @*Results@#On multiple regression analysis, clinical insight (β=.32, p @*Conclusion@#In order to enhance medication adherence, strategies and programs are needed to improve the insight and health literacy among patients with severe mental illness.

Factors Influencing Job Satisfaction among Forensic Psychiatric Nurses / 정신간호학회지

Purpose@#The aim of the study was to identify the influencing factors for job satisfaction among forensic psychiatric nurses. @*Methods@#A descriptive correlational study design was used. Participants were 90 forensic psychiatric nurses from a national forensic psychiatric institution. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation, and multiple regression analysis with SPSS statistics 23.0 program. @*Results@#Significant influencing factors for job satisfaction were administration (β=-.29, p @*Conclusion@#These findings indicate that strategies to reduce job stress and burnout should be developed to improve job satisfaction among forensic psychiatric nurses.

Influence of Health Literacy and Insight on Medication Adherence in Mental Illness / 정신간호학회지

Purpose@#The purpose of this study was to identify the influence of health literacy and insight on medication adherence in mental illness. @*Methods@#A cross-sectional, descriptive correlational study design was used. Participants were 135 adults diagnosed with mental disorders and living in D city. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation, and hierarchical multiple regression with SPSS 26.0. @*Results@#On multiple regression analysis, clinical insight (β=.32, p @*Conclusion@#In order to enhance medication adherence, strategies and programs are needed to improve the insight and health literacy among patients with severe mental illness.

Factors Influencing Job Satisfaction among Forensic Psychiatric Nurses / 정신간호학회지

Purpose@#The aim of the study was to identify the influencing factors for job satisfaction among forensic psychiatric nurses. @*Methods@#A descriptive correlational study design was used. Participants were 90 forensic psychiatric nurses from a national forensic psychiatric institution. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation, and multiple regression analysis with SPSS statistics 23.0 program. @*Results@#Significant influencing factors for job satisfaction were administration (β=-.29, p @*Conclusion@#These findings indicate that strategies to reduce job stress and burnout should be developed to improve job satisfaction among forensic psychiatric nurses.

Influence of Resilience and Workplace Bullying on Depression of Hospital Nurses / 정신간호학회지

Purpose@#The purpose of this study was to identify the influence of workplace bullying and resilience on depression of hospital nurses. @*Methods@#A cross-sectional, descriptive correlational study design was used. Participants were 134 nurses from three general hospitals in two provinces. Data were collected July 20-August 29, 2019. Collected data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with the Sheff’s test, Pearson's correlation coefficient, and hierarchical multiple regression using SPSS/WIN 20.0 program. @*Results@#Multiple regression analysis revealed that workplace bullying (β=.43, p<.001), resilience (β=-.33, p<.001) of participants were significant factors with explanation power approximately 38% of the variance on depression. @*Conclusion@#The findings suggest that it is necessary to develop the strategies to prevent workplace bullying for fostering the safe psychosocial work environments and to improve the individual resilience of hospital nurses to reduce their depression.

Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia

PURPOSE@#The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D).@*METHODS@#Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency.@*RESULTS@#The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p < .001). Cronbach's alpha for the total scale was .88.@*CONCLUSION@#The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia

PURPOSE: The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D). METHODS: Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency. RESULTS: The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p < .001). Cronbach's alpha for the total scale was .88. CONCLUSION: The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Associations of Spiritual Well-being, Attitude toward Death and Quality of Life among Alcoholics Anonymous / 정신간호학회지

PURPOSE: The aim of the study was to investigate associations of spiritual well-being, attitude toward death, and quality of life among Alcoholics Anonymous (AA). METHODS: This study was cross-sectional and descriptive in design. The data was collected from August to September 2018 with 133 AA members drawn from two provinces of South Korea. The data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Turkey tests, Pearson's correlation coefficients, and hierarchical multiple linear regression analyses using SPSS/WIN 20.0 program. RESULTS: The existential spiritual well-being (β=.52, p<.001), attitude toward death (β=.24, p<.001), dual diagnosis (β=−.17, p=.003), occupation (β=.12, p=.035) of the participants were significant factors, which explained 63.7% of the variance of quality of life. CONCLUSION: The study findings highlight the need to develop psychological nursing strategies to enhance the spiritual well-being and improve a positive attitude toward death based on the job and dual diagnosis among AA members to improve their better quality of life.

Factors Influencing on Mental Health of Adults Who Have Experienced Bereavement / 정신간호학회지

PURPOSE: The aim of this study was to identify factors influencing on the mental health in bereaved adults. METHODS: A descriptive and correlational study was conducted in 160 adults who had experienced bereavement. The collected data was analyzed using descriptive statistics, Pearson's correlation, and hierarchical multiple linear regression analyses with SPSS 26.0. RESULTS: The participants' mental health showed a positive correlation with complicated grief (r=.31, p<.001) and a negative correlation with grief and meaning reconstruction (r=−.30, p<.001). Sex, sleeping time, intimacy with the deceased, grief reaction, and grief and meaning reconstruction were significant factors influencing on the mental health. The total explanatory power of these variables was 31.8%. CONCLUSION: It is necessary to explore the persistent and impairing grief after experiencing bereavement. Our study findings will be fundamental evidence to develop nursing interventions to improve adult mental health dealing with bereavement and grief.

Review of Meta-analysis Research on Exercise in South Korea

PURPOSE: The purpose of this study was to evaluate the quality of meta-analysis regarding exercise using Assessment of Multiple Systematic Reviews (AMSTAR) as well as to compare effect size according to outcomes. METHODS: Electronic databases including the Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, HAKJISAand RISS4U for the dates 1990 to January 2014 were searched for 'meta-analysis' and 'exercise' in the fields of medical, nursing, physical therapy and physical exercise in Korea. AMSTAR was scored for quality assessment of the 33 articles included in the study. Data were analyzed using descriptive statistics, t-test, ANOVA and chi2-test. RESULTS: The mean score for AMSTAR evaluations was 4.18 (SD=1.78) and about 67% were classified at the low-quality level and 30% at the moderate-quality level. The scores of quality were statistically different by field of research, number of participants, number of databases, financial support and approval by IRB. The effect size that presented in individual studies were different by type of exercise in the applied intervention. CONCLUSION: This critical appraisal of meta-analysis published in various field that focused on exercise indicates that a guideline such as the PRISMA checklist should be strongly recommended for optimum reporting of meta-analysis across research fields.

Impact of Professional Autonomy and Nursing Work Environment on Clinical Decision Making of Clinical Nurses / 한국직업건강간호학회지

PURPOSE: This study aimed to explore professional autonomy, nursing work environment, and clinical decision making ability and to determine predictors of clinical decision making ability among clinical nurses. METHODS: A cross-sectional design was used in this study and 263 clinical nurses were selected from advanced-level hospitals with over 500 beds located in D metropolitan city. Independent t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analyses were done with the SPSS/WIN 20.0 program. RESULTS: Clinical nurses reported moderate levels of professional autonomy, nursing work environment and clinical decision making ability. Marital status, professional autonomy and nursing work environment accounted for 25% of variance in clinical decision making ability required in various clinical settings. Importantly, being married, higher level of professional autonomy, and greater satisfaction with work environment were significantly associated with better decision making ability. CONCLUSION: Findings indicate that improving the quality of decision making in the healthcare settings requires awareness of the multiple effects of individual, occupational and environmental features. Nurses' ability to make effective clinical decisions may rely on personal characteristics, the degree of autonomy in their job, and nurses' satisfaction with their work environment.

Effect of the Group Music Therapy on Brain Wave, Behavior, and Cognitive Function among Patients with Chronic Schizophrenia

PURPOSE: The purpose of the study was to examine the effect of group music therapy on brain waves, behavior, and cognitive function among patients with chronic schizophrenia. METHODS: A quasi-experimental pretest-posttest design was used with nonequivalent control group. The potential participants were recruited from inpatients in a psychiatric facility in a metropolitan city, assigned either to the experimental group (n = 28) or to the control group (n = 27) according to their wards to avoid treatment contamination. The experimental group participated in the group music therapy for 13 sessions over 7 weeks while continuing their standard treatment. The control group only received a standard treatment provided in the hospitals. The outcome measures include brain wave by electroencephalography, behavior by Nurses' Observation Scale for Inpatient Evaluation, and cognitive function by Mini-Mental State Examination. RESULTS: After participating in 13 sessions of the group music therapy, alpha waves measured from eight different sites were consistently present for the experimental group (p = .006e.045) than the control group, revealing that the participants in the music therapy may have experienced more joyful emotions throughout the sessions. The experimental group also showed improved cognitive function (F = 13.46, p = .001) and positive behavior (social competence, social interest & personal neatness) while their negative behaviors was significantly less than those of the control group (F = 24.04, p < .001). CONCLUSION: The group music therapy used in this study was an effective intervention for improving emotional relaxation, cognitive processing abilities along with positive behavioral changes in patients with chronic schizophrenia. Our results can be useful for establishing intervention strategies toward psychiatric rehabilitation for those who suffer from chronic mental illnesses.

Impact of Professional Autonomy and Nursing Work Environment on Clinical Decision Making of Clinical Nurses / 산업간호학회지

PURPOSE: This study aimed to explore professional autonomy, nursing work environment, and clinical decision making ability and to determine predictors of clinical decision making ability among clinical nurses. METHODS: A cross-sectional design was used in this study and 263 clinical nurses were selected from advanced-level hospitals with over 500 beds located in D metropolitan city. Independent t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analyses were done with the SPSS/WIN 20.0 program. RESULTS: Clinical nurses reported moderate levels of professional autonomy, nursing work environment and clinical decision making ability. Marital status, professional autonomy and nursing work environment accounted for 25% of variance in clinical decision making ability required in various clinical settings. Importantly, being married, higher level of professional autonomy, and greater satisfaction with work environment were significantly associated with better decision making ability. CONCLUSION: Findings indicate that improving the quality of decision making in the healthcare settings requires awareness of the multiple effects of individual, occupational and environmental features. Nurses' ability to make effective clinical decisions may rely on personal characteristics, the degree of autonomy in their job, and nurses' satisfaction with their work environment.

Factors Affecting the Mental Health related Quality of Life in Adults across the Lifespan / 재활간호학회지

PURPOSE: The purpose of this study was to identify the influencing factors on mental health related quality of life (MHRQoL) in adults across the lifespan. METHODS: A total of 688 Korean adults aged 19 years and older were selected. Data were collected by personal interviews or self report using structured questionnaires. For data analysis, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression were used. RESULTS: Mental health related quality of life (MHRQoL) differed significantly according to life cycle, especially showing a lower score in the elderly than others. In addition, elderly adulthood reported the highest stress and depression. The most significant predictors of MHRQoL in young and middle aged people were stress, depression, and subjective health status. Predictors of MHQoL in the elderly were stress and religion. CONCLUSION: The results indicate that MHRQoL of adult is associated with stress and depression. When the programs are developed to enhance mental health in elderly adulthood, religion should be considered as well as stress.

Activity of Daily Living, Interpersonal Relationship, Depression and Health-related Quality of Life in Patients with Hand Microsurgery / 산업간호학회지

PURPOSE: The purpose of this study was to explore status of activity of daily living, interpersonal relationship, depression and health-related quality of life in patients with traumatic hand injury and identify factors that influence health-related quality of life. METHODS: The participants were 104 outpatients with impending hand microsurgery from D city. The data were analyed using Pearson's correlation, t-test, ANOVA, and hierarchical regression with SPSS/WIN 12.0. RESULTS: There were statistically significant differences in HRQoL to gender, age, marital state, and level of pain. HRQoL had significant correlations with ADL, IADL, relationship change, and depression. In regression analysis, depression, marital state, ADL, and level of pain explained 48% of the HRQoL. CONCLUSION: Findings of this study allow a comprehensive understanding of patients with traumatic hand injury. It is necessary to develop nursing intervention program for improving the health-related quality of life in patients with traumatic hand injury by considering psychological care for depression as well as physical care.

Critical Thinking Disposition and Self-esteem of Psychiatric Mental Health Nurses / 정신간호학회지

PURPOSE: The purpose of this study was to identify the critical thinking disposition and self-esteem of psychiatric nurses and to identify factors that influence critical thinking disposition. METHODS: A cross-sectional study design was used in this study. The participants for this study were 158 psychiatric nurses from D city & C province. The instruments were the California Critical Thinking Disposition Inventory (CCTDI) and Self-Esteem Scale (SES). The collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficients and multiple regression with the SPSS/WIN 11.5 program. RESULTS: The mean scores for critical thinking disposition and self-esteem were 186.4+/-13.96 and 30.5+/-3.95 respectively. A significant positive correlation between critical thinking disposition and self-esteem was found (r=.33, p<.001). In regression analysis, types of certification, education, work place and self-esteem explained 57% of the variance in critical thinking disposition for these nurses. CONCLUSION: Participants who had higher levels of critical thinking disposition tend to exhibit a positive self-concept. It is necessary to provide interventions program to improve the critical thinking disposition and self-concept of psychiatric nurses.