Purpose Patients with prostate cancer have high survival rates, but report low Quality of Life (QOL) due to sleep difficulties. This scoping review aimed to explore and identify current publication trends, major concepts, measurements, and interventions regarding sleep disturbance in patients with prostate cancer.
Methods Using the Arksey & O’Malley scoping review method, structured searches for articles published from 2000 to 2021 were conducted on six electronic databases using a combination of the terms “prostate cancer”, “malignant neoplasm of prostate”, “sleep*”, “circadian rhythm”, and “insomnia”.
Results Thirty-one studies were reviewed. The publication rate has increased from 6.5% (2000~2005) to 51.6% (2016~2021). The Insomnia Severity Index (ISI) was the most frequently used subjective measurement. Objective measurements to measure sleep quality or sleep disturbance included actigraphy and Polysomnography (PSG). The incidence of sleep disturbance in patients with prostate cancer was 8.0% to 75.9%, and hormone and radiation therapy, hot flashes, and nocturia were identified as influencing factors. Intervention strategies presented were Cognitive Behavioral Therapy (CBT), Mindfulness-Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT), and qigong or tai chi programs.
Conclusion Interest in sleep disturbance in patients with prostate cancer is increasing. Further studies are expected to measure the prevalence of sleep disturbance using objective and subjective measurements in various ways. Nurses must consider tailored interventions based on the individual characteristics of patients with prostate cancer.
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Purpose The purpose of this study was to describe clinical practice nurse’s role experience working in a university hospital. Clinical practice nurses are a mix of certified and non-certified nurses. They perform some of the duties of physicians in addition to the work they do as nurses. In the future, such nurses may become advanced practice registered nurses.
Methods Focus group interviews were conducted with three groups, each consisting of eight participants. The interview lasted two and a half hours per group. Data were analyzed using a thematic analysis method.
Results The analysis yielded four categories and 14 themes. The four categories were “seeking an escape from the repeated routines as a nurse”, “pioneering and developing new roles as a clinical practice nurse”, “confusion about professional identity due to ambiguity in role boundaries”, and “securing oneself as a team member and establishing a role as a clinical practice nurse”.
Conclusion The scope of advanced practice registered nurses’ roles was meant to have been established in 2020, but this was not achieved. Thus, studying the role experience of clinical practice nurses and their experiences is worthwhile and the results can inform legislation. The results of the study will also help establish a customized curriculum for advanced practice nurses and ultimately improve the quality of nursing services for patients.
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Korean J Adult Nurs 2022;34(1):27-38. Published online February 28, 2022
Purpose The purpose of this study was to construct and test a hypothetical model of clinical nurses’ spiritual nursing care based on the theory of planned behavior.
Methods From May 1 to May 31, 2019, data of 289 nurses working at a university hospital were collected and analyzed.
Results The goodness-of-fit of the final model was at a good level (TLI=.90, CFI=.91, SRMR=.06, RMSEA=.06). The intention toward spiritual nursing was directly affected by attitude, subjective norm, and perceived behavior control toward spiritual nursing. Spiritual nursing care was both directly and indirectly affected by attitude, subjective norm, perceived behavioral control, and intention toward spiritual nursing. These variables accounted for 76.6% of the intention to spiritual nursing and 44.5% of spiritual nursing care.
Conclusion Clinical nurses’ spiritual nursing care can be improved by intention, attitude, subjective norm, and decreased perceived behavioral control toward spiritual nursing. Therefore, it is necessary to improve the job of nursing, create an environment for spiritual nursing, and develop and implement various education programs.
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Purpose This study aimed to identify the prevalence of chronic diabetic complications in patients with type 2 diabetes mellitus.
Methods Data for adults aged over 30 years, who were diagnosed with type 2 diabetes mellitus and who had at least one claim for the prescription of antidiabetic medication were extracted from the National Health Insurance Service-National Health Screening Cohort in Korea from 2002 to 2015. Statistical analyses were performed using R version 3.5.1.
Results In total, 1,407 patients with type 2 diabetes mellitus without complications were extracted from the database. Patients were observed for an average of 10.43 years. The prevalence of chronic diabetic complications was 84.7% and was significantly higher for patients who were older women, who lived in the capital, and had diabetes mellitus for a longer time. The prevalence of eye disease was the highest at 42.4%, and cerebrovascular disease was the lowest at 15.1%. Cardiovascular disease, peripheral vascular disease, neuropathy, and foot ulcers often occurred between two and four years, and eye disease and nephropathy often occurred over eight years after the diagnosis of diabetes. Prior to the occurrence of nephropathy, microvascular complications such as neuropathy, peripheral vascular disease, and eye disease occurred.
Conclusion These findings provide compelling evidence of the prevalence of chronic diabetic complications based on a national database. Since a high incidence of diabetic complications occurs within a short period of time after the diagnosis of diabetes, aggressive interventions are required to prevent diabetic complications in the early stages after diagnosis.
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Purpose The purpose of this study was to examine the mediating effects of uncertainty appraisal and self-care behavior on uncertainty and the physiological indexes of hemodialysis patients.
Methods This study used a descriptive correlation design. The participants were 140 patients receiving hemodialysis treatment. Data were collected from July 16 to August 20, 2020. Measurements included Mishel’s uncertainty in illness scale, the uncertainty appraisal scale, and the self-care behavior scale. Data were analyzed using descriptive statistics. The mediating effects were verified by the bootstrapping method using the PROCESS macro for SPSS.
Results The mean scores for uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, and self-care behavior, respectively, 2.67±0.42 (range 1~5), 1.34±1.02, 2.17±1.12 (range 0~5), 3.58±0.45 (range 1~5). Uncertainty did not have a direct effect on physiological indexes. However, uncertainty opportunity appraisal and self-care behavior had serial mediating effects on the relationship between uncertainty and physiological indexes of serum phosphate and interdialytic weight gain.
Conclusion To the control physiological indexes of hemodialysis patients, it is necessary to develop a nursing intervention program that can lower the this uncertainty and increase self-care behavior by considering uncertainty to be an opportunity.
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Purpose The purpose of this study was to compare and verify the effects of aroma essential oil inhalation and music listening on stress response, vital signs, and bispectral index.
Methods In a randomized controlled trial design, the participants consisted of healthy adults aged 20~50 years who were randomly assigned to the Aroma essential oil inhalation Group (AG), Music Listening Group (MLG), or control group. The AG inhaled aroma essential oil for 10 minutes, the MLG listened to music for 10 minutes, and the control group took a break for 10 minutes. Stressors introduced to the participants included 70 dB of white noise and an arithmetic calculation.
Results The perceived stress was significantly different between three groups at 10 minutes and 30 minutes after the intervention. The stress responses of the AG and MLG were significantly lower than that of the control group. At 10 minutes and 30 minutes after the intervention, there were significant differences in the Bispectral index (BIS) between three groups, and the BIS of the AG and MLG were significantly lower than that of the control group. At 30 minutes after the intervention, the stress index, systolic blood pressure, and heart rate were significantly different between three groups.
Conclusion Aroma essential oil inhalation and music listening are effective nursing interventions as they reduce stress, stabilize vital signs, and have sedative effects in healthy adults who perceive stress.
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Purpose This study aimed to investigate nurses’ burnout working in a hospital for Coronavirus Disease 2019 (COVID-19) patients, and identify factors influencing nurses’ burnout.
Methods We recruited 162 nurses working in a nationally designated hospital for COVID-19 patients. Data were collected on general characteristics, burnout, social support, healthcare safety climate, and job stress using a questionnaire. Data were analyzed using descriptive statistics, an independent t-test, a one-way ANOVA, the Scheffé test, Pearson correlation coefficient, multiple regression, and Cronbach’s α using IBM SPSS Statistics version 26.0 for Windows.
Results The mean scores for burnout, social support, healthcare safety climate, and job stress were 2.96, 3.74, 4.08, and 2.69, respectively. Working department and job stress were significant factors affecting nurses’ burnout and these variables explained 26.0% of burnout variance.
Conclusion To reduce burnout of nurses working in the COVID-19 frontline, efforts are needed to reduce nurses’ job stress. In nursing research, further study on what makes a difference in burnout between intensive care units and medical/surgical wards in current COVID-19 situation are needed. The results will be used as basic data to develop intervention and reduce nurses’ burnout during future infectious disease outbreaks.
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Purpose Anxiety in patients with unruptured intracranial aneurysm is serious. However, the nature and definition of anxiety have not been elucidated so far. This study aimed to analyze the concept of anxiety in patients with unruptured intracranial aneurysm.
Methods: The hybrid model was used to perform a concept analysis of anxiety which reflects disease specificity in patients with unruptured intracranial aneurysm. In the theoretical phase, thirteen pieces of literature were analyzed. In the fieldwork phase, in-depth interviews were conducted with seven patients, who decided to follow up without treatment, and then the content analysis was conducted. In the final analytic phase, attributes were figured out and the definition of anxiety was derived by comprehensively analyzing the results in the theoretical and fieldwork phases.
Results: Thirteen attributes and four categories were identified in anxiety in patients with unruptured intracranial aneurysm. Anxiety in patients with unruptured intracranial aneurysm means a state in which they feel fear of sudden rupture and death, worry about uncertain prognosis, worry about distorted thinking, constraints in carrying out daily activities and work, need to pursue healthy behavior, hunger for information, and occasionally experiencing physical symptoms.
Conclusion: This study clarified the concept of anxiety in patients with unruptured intracranial aneurysm. Concept analysis of anxiety in patients with unruptured intracranial aneurysm can form the basis for intervention and understanding the patients.
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Purpose The purpose of this study was to identify risk factors for nosocomial Vancomycin-Resistant Enterococcus (VRE) infections in patients with hematologic cancer in Korea.
Methods A total of 232 patients (77 in the case group and 155 in the control group) from a tertiary teaching hospital participated in this study from January 2011 to December 2017. Data concerning the disease, treatment, and nursing care were collected from electronic medical records using the coding form.
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