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Volume 35(2); May 2023

Original Articles
Validation of Prediction Models for Postoperative Pulmonary Complications after Lung Resection: A Retrospective Study
Suji Jung, Sun-Kyung Hwang
Korean J Adult Nurs 2023;35(2):85-96.   Published online May 31, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.2.85
Purpose
This study aimed to verify the potential use of postoperative pulmonary complications prediction models in patients with lung resection.
Methods
In this retrospective study, 1,160 patients were selected among the admitted patients who underwent lung resection surgery. The predictive validity of the Assess Respiratory Risk in Surgical Patients in Catalonia Tool (ARISCAT) and the Pulmonary Complications Risk Score (PCRS)-lung resection model were assessed based on the sensitivity, specificity, positive and negative predictive values, and Area Under the receiver operating characteristic Curve (AUC).
Results
Of the patients, 420 (36.2%) developed postoperative pulmonary complications after lung resection surgery within 30 days. The sensitivity, specificity, positive predictive values, and negative predictive values were 52.2%, 70.6%, 49.0%, and 74.0%, respectively, for the ARISCAT (cut-off point of 47), and 53.8%, 78.5%, 15.3%, and 95.9%, respectively, for the PCRS-lung resection model (cut-off point of 147). The AUCs were 0.65 (ARISCAT) and 0.70 (PCRS-lung resection model).
Conclusion
The findings indicate that the predictive validity values of the ARISCAT was sufficient, and the PCRS-lung resection model was good. However, the clinical usefulness of the models should be verified in future studies.
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Purpose
This descriptive survey study aimed to identify the influences of person-centered perioperative nursing and patient safety competency on patient safety management activities among operating room nurses.
Methods
Data were collected from June 14 to July 14, 2021, covering 158 operating room nurses working at six general hospitals. Data were analyzed using hierarchical multiple regression to identify the influencing factors of patient safety management activities.
Results
The mean scores of person-centered perioperative nursing, patient safety competency, and patient safety management activities were 3.86, 3.88, and 4.55, respectively. These scores increased with increased age and clinical experience. Person-centered perioperative nursing (β=.22, p=.014) and patient safety competency (β=.22, p=.014) influenced patient safety management activities.
Conclusion
Therefore, to improve the patient safety management activities of operating room nurses, an efficient nursing work environment must be created along with systematic and continuous education and programs to enhance person-centered perioperative nursing and patient safety competency.

Citations

Citations to this article as recorded by  
  • Impact of Delirium-Related Stress, Self-Efficacy, Person-Centred Care on Delirium Nursing Performance Among Nurses in Trauma Intensive Care Units: A Cross-Sectional Descriptive Survey Study
    Ga-Hee Seong, Hyung-Ran Park
    Healthcare.2025; 13(11): 1243.     CrossRef
  • Novice Perioperative Nurses’ Perceptions of Nursing Competence and Strategies Used to Enhance Competence: A Phenomenographic Study
    Seo Jin Kwon, Sung Ok Chang, Boo Hyo Park
    AORN Journal.2025; 121(3): 186.     CrossRef
  • Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities
    Subin Lee, Sujin Shin
    Journal of Korean Critical Care Nursing.2023; 16(3): 87.     CrossRef
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Purpose
According to the Ministry of Health and Welfare, the turnover rate of nurses working at regional trauma centers is 27.6%, which is almost double the turnover rate of 13.8% of all nurses in 2018. The turnover of nurses lowers the morale of the remaining nurses and increases their workload, negatively affecting hospital operation. This study aimed to investigate the mediation effect of grit on the relationship between the working environment and intention to stay at work among regional trauma center nurses, to reduce the turnover rate and improve their intention to stay at work.
Methods
The participants were 185 nurses with more than six months of clinical experience working at 16 regional trauma centers in South Korea. The data were collected using structured questionnaires from July 1, 2022 to July 31, 2022, and analysis was conducted using SPSS/WIN 25.0 programs.
Results
The intention to stay at work among regional trauma center nurses was different depending on age (F=6.32, p=.002), marital status (F=-3.66, p<.001), education level (F=5.29, p=.006), and total clinical experience (F=4.22, p=.007). Grit was found to have a complete mediating effect on the relationship between work environment and intention to stay at work (Z=4.49, p<.001).
Conclusion
To lower the turnover rate of trauma nurses and increase their intention to stay at work, it is necessary to subdivide the intervention program for various ages and clinical career, and to develop a mediation program that can improve nurses' grit by improving the working environment.

Citations

Citations to this article as recorded by  
  • Role of violence exposure on altruistic behavior and grit among emergency nurses in rural hospitals
    Mohamed Hussein Ramadan Atta, Shimmaa Mohamed Elsayed, Heba Emad El‐Gazar, Naglaa Gamal Eldien Abdelhafez, Mohamed Ali Zoromba
    International Nursing Review.2025;[Epub]     CrossRef
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The Effects of Professional Autonomy, Job Satisfaction, and Perceived Patient-Safety Culture on Nurses' Patient-Safety Management Activities: A Cross-Sectional Study
Bokja Koak, Junglim Seo, Eunji Song, Haneul Shin, Jaehee Jeon
Korean J Adult Nurs 2023;35(2):117-126.   Published online May 31, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.2.117
Purpose
This study aims to confirms the relationship between nurses' professional autonomy, job satisfaction, perceived patient-safety culture, and patient-safety management activities; it also identifies factors that influence their patient-safety management activities.
Methods
A cross-sectional study design was adopted. The participants were 164 nurses from at five hospitals in two G provinces, Korea, who participated in the study voluntarily. Data were collected between November and December 2022 via a 120-question structured questionnaire and analyzed using SPSS/WINdows software version 25.0. The data were measured by frequency, percentage, and mean and standard deviation, using an independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis.
Results
The average age of the participants was 35.54±8.42 years; 143 (87.2%) were women. The following factors influenced their patient-safety management activities: level of education (β=.16, p=.018), experience of patient-safety education (β=.15, p=.014), and perceived patient-safety culture (β=.56, p<.001). The explanatory power of the nurses' patient-safety management activities was 44.0%.
Conclusion
Hospital managers should enable nurses to carry out patient-safety procedures competently by providing continuous patient-safety education; they should also revise regulations and systems to promote good patient-safety management practices and create an environment that supports patient safety. In addition, a program should be designed and implemented to improve nurses' perceived patient-safety culture.

Citations

Citations to this article as recorded by  
  • Patient Safety Culture and Perceived Self-Efficacy in Nurses from Two Health Institucions in Lima-Peru
    Paola Barbara Pinedo Albines, Monica Elisa Meneses-La-Riva
    Journal of Lifestyle and SDGs Review.2025; 5(4): e05994.     CrossRef
  • The relationship between attitudes towards professional autonomy and nurse–nurse collaboration: A cross‐sectional study
    Merve Tarhan
    International Nursing Review.2025;[Epub]     CrossRef
  • Standardizing Clinical Nursing Practice and Delivery Method for the Management of United States-Bound Refugees in Uganda
    Shanna Miko, Sarah J. Hoffman, Mathika Thongkhamkitcharoen, Susan B. Dicker, Warren Dalal, Alexander Klosovsky, Erin M. Mann, MPH, Michelle Mathiason, Shailey Prasad
    Journal for Nurses in Professional Development.2025; 41(2): 108.     CrossRef
  • Job satisfaction among hospital nurses: An updated literature review
    Yang Zhao, Hong Lu, Xiu Zhu, Guihua Xiao
    International Journal of Nursing Studies.2025; 162: 104964.     CrossRef
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Purpose
This study was conducted to identify factors affecting person-centered care among tertiary hospital nurses caring for patients with COVID-19.
Methods
Study participants comprised 152 tertiary hospital nurses with experience caring for patients with COVID-19. Data were collected from September 1 to October 5, 2022 and analyzed using independent t-test, correlation coefficient, and hierarchical multiple regression with SPSS/WIN 26.0.
Results
Person-centered care showed a statistically significant positive correlation with the nursing work environment (r=.46, p<.001) and teamwork (r=.49, p<.001). Hierarchical multiple regression analysis revealed that the variables of position (β=.20 p=.014) in model 1 (F=6.20, p=.014), teamwork (β=.47 p<.001) in model 2 (F=24.94, p<.001), and teamwork (β=.33 p=.002) in the final model influenced person-centered nursing (F=18.19, p<.001), and the explanatory power was 25.5%.
Conclusion
The significance of nurses' teamwork has been emphasized because of the COVID-19 pandemic. Teamwork can be promoted by reviewing protocols for responding to severely ill patients with infectious diseases, which were revised during the COVID-19 period, and establishing appropriate systems to follow.
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Purpose
This study aimed to evaluate the validity and reliability of the revised Korean version of the Nurses' Ethical Behaviors for Protecting Patient's Rights Scale (NEBPPRS-K25).
Methods
The participants in this study consisted of 311 nurses employed at university hospitals located in D, S, or U cities. Data were collected from July 1 to August 31, 2022. The collected data were analyzed utilizing SPSS and AMOS version 28.0.
Results
The statistical analysis led to the exclusion of three items from the original version, resulting in five subscales encompassing a total of 25 items. Confirmatory factor analysis demonstrated satisfactory model fit indices (normed χ2 =2.56, p<.001, RMR=.05, RMSEA=.07, GFI=.84, CFI=.86, TLI=.85, IFI=.87). The items' convergent and discriminant validity were verified using confirmed through the extracted mean variance (.54~.65) and composite reliability (.78~.90). The Cronbach's ⍺ value for the overall NEBPPRS-K instrument was .89, while the Cronbach's ⍺ value for each individual subscale ranged from .66 to .85.
Conclusion
The NEBPPRS-K25 is a valid and reliable scale, making it suitable for widespread use in measuring nurses' ethical behaviors to safeguard patient rights.

Citations

Citations to this article as recorded by  
  • Psychometric evaluation of the Vietnamese version of nurses’ ethical behaviors for protecting patient rights scale (V-NEBPPRS): a methodological study
    Ninh Do Thi, Gunjeong Lee, Dian Susmarini
    BMC Nursing.2024;[Epub]     CrossRef
  • Development of Ethical Competence Self-assessment Tool for Korean Physical Therapists
    JiYeon Cheon, MyungChul Kim, HaeIn Kim, Hyunsuk Kim
    The Open Public Health Journal.2024;[Epub]     CrossRef
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Effects of Vitamin Intake on Blood Glucose in Cancer Pati
Ji Yeong Kim, Kyung Hee Lim
Korean J Adult Nurs 2023;35(2):148-157.   Published online May 31, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.2.148
Purpose
This study's purpose was to identify the relationship between daily vitamin intake and blood glucose in cancer patients undergoing chemotherapy and identify factors affecting blood glucose.
Methods
This descriptive study included 134 cancer patients undergoing chemotherapy at a university hospital. Data were analyzed with descriptive statistics, independent T-test, one-way analysis of variance, Pearson's correlation coefficients, and stepwise multiple regression analysis using SPSS/WIN 27.0 version.
Results
The average blood glucose of the subjects was 128.13±37.34 mg/dL and 30.6% of the subjects had readings of over 140 mg/dL. Blood glucose varied significantly by sex, age, education level, exercise frequency, and comorbidity. Vitamins A, E, and C, thiamin, riboflavin, niacin, vitamin B6, folate, and biotin were negatively correlated with blood glucose. Factors affecting blood glucose were exercising 7 times a week (β=-.61, p<.001), 4 to 6 times a week (β=-.41, p<.001), 1 to 3 times a week (β=-.38, p<.001), age (β=.18, p=.016), and vitamin A intake (β=-.16, p<.043), with a total explanatory power of approximately 31.5%.
Conclusion
Nurses should provide patients undergoing chemotherapy with lifestyle interventions including exercise at least 3 days a week and appropriate vitamin A intake, especially for older patients, to prevent hyperglycemia.
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Purpose
This study aims to identify factors affecting the Health-Related Quality of Life (HRQoL) in patients with atrial fibrillation.
Methods
The study subjects were 158 outpatients with atrial fibrillation at a university hospital in Metropolitan City B. Data were collected from March 18, 2022 to July 1, 2022 and were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression with SPSS 22.
Results
Self-management behaviors (β=.27, p<.001), self-efficacy (β=.30, p<.001), and grit (β=.33, p<.001) were found to have statistically significant effects on HRQoL. Hierarchical regression analysis showed that age, employment status, and monthly household income explained 23.6% of the variance in HRQoL, while subjective health status and perceived stress added 18.6% of the variance. Self-management behaviors, self-efficacy, and grit had an explanatory power of 32.4%, and the overall explanatory power was 74.6%.
Conclusion
Self-management behaviors, self-efficacy, and grit were identified as factors affecting HRQoL in patients with atrial fibrillation. These results will be used as important fundamental data to develop nursing interventions in order to improve the HRQoL of patients with atrial fibrillation.
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Purpose
This study identified and compared the pain and associated symptoms of stable coronary artery diseases and acute coronary syndrome.
Methods
The study participants comprised 180 patients with stable coronary artery diseases and acute coronary syndrome. The data were collected from August 25, 2020, to October 30, 2020.
Results
We found that 77.2% of participants had pain and associated symptoms, and 85.6% had one or more associated symptoms. In the associated symptoms, patients with acute coronary syndrome expressed squeezing, and patients with stable coronary artery diseases expressed expanding. Patients with stable coronary artery diseases reported increased pain during exercise. Moreover, although there was no statistically significant difference, drinking, eating, and cold weather often exacerbated pain in patients with acute coronary syndrome. The average pain intensity of patients with stable coronary artery diseases was moderate (4.09±2.79). The average pain intensity of acute coronary syndrome patients was severe (5.68±3.34). Patients with acute coronary syndrome mainly reported cold sweat and loss of consciousness. Palpitations and dizziness were prevalent complaints in patients with stable coronary artery diseases.
Conclusion
Based on this study's results, a nursing assessment can be performed when managing patients with coronary artery disease. In addition, a nursing assessment protocol could be developed based on the analysis results regarding pain and associated symptoms in patients with stable coronary artery diseases and acute coronary syndrome.

Citations

Citations to this article as recorded by  
  • BATF alleviates ox-LDL-induced HCAEC injury by regulating SIRT1 expression in coronary heart disease
    Bei Tian, Jingyu Ji, Can Jin, Antoine Fakhry AbdelMassih
    PLOS ONE.2024; 19(12): e0306514.     CrossRef
  • Development of an Initial Screening Scale to Detect Patients With Chest Pain From Acute Coronary Syndrome in the Emergency Department
    Kyeongmin Jang, Kwisoon Choe
    Journal of Clinical Nursing.2024;[Epub]     CrossRef
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Purpose
The objective of this study was to ascertain the level of life satisfaction among baby boomers in South Korea, as well as the factors that influence it.
Methods
We conducted a secondary analysis and descriptive research using data from the 2020 Korea National Survey of Elderly. From a total of 10,097 individuals, we analyzed the responses of 605 who provided feedback on life satisfaction, applying sample weights for accuracy. Data analysis was performed using hierarchical multiple regression in the SPSS/WIN 23.0 program.
Results
The study's participants comprised 61.8% women, 80.2% individuals with a living spouse, and 54.8% high school graduates, and the participants had an average subjective health status score of 3.77 points. Hierarchical regression analysis revealed several significant factors impacting life satisfaction. These included the presence or absence of a spouse (p<.001), education level (p<.001), subjective health status (p<.001), experience of suicidal thoughts after the age of 60 (p=.004), and use of a smartphone or tablet (p=.037), degree of social respect (p<.001) and the degree of preparation for death (p=.001). The overall explanatory power for life satisfaction was 57.5%.
Conclusion
The life satisfaction of baby boomers did not differ greatly from that of previous generations of older adults. A future longitudinal study should observe changes in older adults' life satisfaction. Additionally, it is important to explore variations in life satisfaction across different age groups, especially given the increasing longevity of older adults.

Citations

Citations to this article as recorded by  
  • Deficits in facial emotion recognition and cognitive function among baby boomers
    Hyunsan Cho, Hee-Jin Park, Yoon Hee Park, Intae Hwang, Hyo Jin Kang
    Acta Psychologica.2025; 253: 104738.     CrossRef
  • Purposes of Internet Use and Its Impacts on Physical and Psychological Health of Korean Older Adults
    Gyeong-Suk Jeon, Kyungwon Choi
    Healthcare.2024; 12(2): 244.     CrossRef
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