Purpose
The purpose of this study was to determine the levels of medication adherence in patients with heart failure and explore the factors related to it.
Methods
Cross-sectional and descriptive surveys were conducted in 107 patients with heart failure who visited C Hospital in D City. Data were collected from patients using self-report questionnaires between May 2015 and November 2016, and their medical records were identified. Data were analyzed using independent t-test, one-way ANOVA, and correlation and hierarchical multiple regression analyses using SPSS.
Results
The mean score of medication adherence was 10.23±2.70. Patients with long-term adverse effects showed worse medication adherence than those without long-term adverse effects (t=2.55, p=.012). Medication adherence positively correlated with depression (r=.34, p=.001) and barriers (r=.48, p=.001) but negatively correlated with attitude (r=-.39, p=.001). The hierarchical multiple regression analysis showed that the model with two independent variables of long-term adverse effects (β=-.23, p=.008) and barriers (β=.37, p<.001) explained the 29.6% in medication adherence (F=11.93, p<.001).
Conclusion
To improve medication adherence, a nursing strategy to reduce long-term adverse effects and barriers accompanied by continuous monitoring is required.

Citations

• A predictive model for medication adherence in older adults with heart failure
  Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
  European Journal of Cardiovascular Nursing.2024; 23(6): 635.     CrossRef
• One‐year trajectories of self‐care behaviours and unplanned hospital readmissions among patients with heart failure: A prospective longitudinal study
  Youn‐Jung Son, Insil Jang
  Journal of Clinical Nursing.2023; 32(17-18): 6427.     CrossRef
• The Role of Depression on Treatment Adherence in Patients with Heart Failure–a Systematic Review of the Literature
  Valentina Poletti, Francesco Pagnini, Paolo Banfi, Eleonora Volpato
  Current Cardiology Reports.2022; 24(12): 1995.     CrossRef

Purpose
This study aimed to examine the effect of pain, anxiety, depression, perception dignity, and spiritual well-being on hospice patients’ attitudes toward dignified death. Methods: A total of 130 terminal cancer patients admitted to hospice ․ palliative care institutions in Korea participated in the study. Data were collected using self-report questionnaires and analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using SPSS Statistics 26.0. The assessment tools were the Brief Pain Inventory, Hospital Anxiety and Depression Scale, Perception of Dignity Scale, Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, and Attitudes toward Dignified Death Scale.
Results
The mean scores were as follows: 5.25 for pain, 11.98 for anxiety, 14.56 for depression, 22.12 for spiritual well-being, 14.38 for perception of dignity, and 93.12 for attitudes toward dignified death. The results of the hierarchical multiple analysis revealed that spiritual well-being (β=.36, p<.001) was predictive of the attitudes toward dignified death (R² =.13, p<.001).
Conclusion
Spiritual well-being is associated with hospice patients’ attitudes toward dignified death. The results highlight the necessity to develop effective nursing intervention programs that promote spiritual well-being for hospice patients’ attitudes toward dignified death.

Purpose
This study aimed to identify the incidence, characteristics, and risk factors associated with Medical Device-Related Pressure Injuries (MDRPIs) in neurosurgery patients. Methods: Participants were 160 adult patients who underwent neurosurgery under general anesthesia from September 17, 2019 to August 11, 2020. Data were analyzed using SPSS 20 program. Descriptive statistics were used for general characteristics, clinical characteristics, surgical characteristics, MDRPIs incidence, and medical device related. Independent t-test and x² test were used for differences in general characteristics, clinical characteristics, and surgical characteristics according to the occurrence of MDRPIs.
Results
Among 160 participants, MDRPIs occurred in 72 patients (45.0%). The result of the logistic regression analysis showed that the risk factors associated with MDRPIs were operation time (Odds Ratio [OR]=1.03, 95% Confidence Interval [CI]=1.01~1.04, p=.003), intraoperative blood loss (OR=1.02, 95% CI=1.01~1.03, p=.043).
Conclusion
Of the 160 patients who underwent neurosurgery, 72 (45%) developed MDRPIs. Additionally, the longer the operation time and anesthesia time and the higher the amount of blood loss, the higher the incidence of MDRPIs. Therefore, strategies to increase risk assessment and preventive actions against MDRPIs should be established.

Citations

• Nurses' knowledge, attitude and practice in preventing medical device-related pressure injuries and its influencing factors: A cross-sectional study
  Pingping Fang, Wanfan Deng, Xi Zhu, Ying Cao
  Journal of Tissue Viability.2024; 33(4): 738.     CrossRef

Purpose
This study aimed to examine the relationship between nursing care needs and nurse staffing in pulmonology units.
Methods
This was a descriptive study that used a retrospective design. In total, 2,622 patient medical records from a tertiary hospital were analyzed. Variables were collected from Clinical Data Warehouse and Electronic Medical Records.
Results
The study found a difference in nursing care needs and nurse staffing by shift among units. In unit A (general unit), nurses were assigned according to nursing care needs and the proportion of severe patients. However, in unit B (general unit), higher nursing needs could lead to an increase in the number of patients per nurse on night duty (r=.23, p<.001). In unit C (comprehensive nursing care service unit), the number of patients per nurse during the day increased as nursing needs increased. The higher the proportion of “greater than two points in nursing activities”, the higher the number of patients per nurse during the day (r=.13, p=.010) and evening (r=.12, p=.018). However, the higher the proportion of “greater than three points in activities of daily living”, the lower the number of patients per nurse during the night shift (r=-.28, p<.001).
Conclusion
Patients’ nursing care needs should be considered in the management of nurse staffing. We should develop a nurse staffing program that considers variation in daily nursing care needs to establish efficient staffing guidelines.

Purpose
This study aimed to construct and test the Actor and Partner Interdependence Mediation Model (APIMeM) of aging anxiety of middle-aged couples based on Social Cognitive Theory and the “Crossover” concept.
Methods
Couples’ data were collected from 192 middle-aged couples.
Results
Actor effects and partner effects were supported in the two APIMeM models. Regarding the wives' aging anxiety, the actor effect of their climacteric symptoms and their cognition (husband climacteric symptoms) was mediated by their self-efficacy. Similarly, the partner effect of the husbands' cognition (wife climacteric symptoms) was also mediated by their husbands' self-efficacy. Considering the husbands' aging anxiety, the actor effect of the husbands' climacteric symptoms and the husbands' cognition (wife climacteric symptoms) was mediated by the wives' self-efficacy. The partner effect of the wives' climacteric symptoms and their cognition (husband climacteric symptoms) was mediated by the husbands' self-efficacy.
Conclusion
To reduce the aging anxiety of middle-aged couples and to reach a healthy old age, it is essential for a wife and husband to realize this together. It is considered that the aging anxiety of middle-aged couples will be more effectively prevented by implementing an interactive program to enhance self-efficacy, which has been identified as an important parameter of the actor-partner effect.

Purpose
This study aimed to identify subjective health status and specific self-efficacy, and their mediating effects on the relationship between health literacy and self-care behavior in stomach cancer patients following gastrectomy.
Methods
A descriptive survey design was used. Data were collected from 131 gastric cancer patients between 17 February and 10 September, 2020 at a cancer center in Gyeonggi-Do. The participants responded to a self-reporting questionnaire. Data were analyzed using descriptive statistics and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program.
Results
The mean score for self-care behavior was 66.78±8.36. Self-care behavior was significantly associated with health literacy, subjective health status, and specific self-efficacy. The mediating effect of specific self-efficacy on the impact of health literacy on self-care behavior was confirmed.
Conclusion
The impact of health literacy on self-care behavior was mediated by specific self-efficacy in stomach cancer patients following gastrectomy. Further, the results suggest that specific self-efficacy needs to be considered in developing nursing interventions to enhance health literacy and improve self-care behavior for stomach cancer patients after gastrectomy.

Citations

• Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
  Yun-La Hur, Eun-Jeong Hong
  Asian Oncology Nursing.2024; 24(3): 155.     CrossRef
• Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
  Boyeon Lee, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216.     CrossRef
• The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional survey
  Sohee Mun, Hyojung Park
  Korean Journal of Women Health Nursing.2022; 28(4): 296.     CrossRef
• Effect of Self-Care Education using a QR-Code on Self-Efficacy, Self-Care Performance, and Education Satisfaction among Discharged Pneumothorax Patients
  Dae Hwan Moon, Kye-Ha Kim
  Korean Journal of Adult Nursing.2022; 34(5): 512.     CrossRef

Purpose
Long-Term Care Facilities (LTCF) are places where older adults who require help managing dementia, stroke, and other senile diseases live. The facilities provide convenience for meals, medical and nursing care, and daily life. Therefore, since the actual consumers are older adults rather than the young, it is important to understand the perceptions of older adults about LTCF. This study aimed to identify subjective perceptions toward LTCF in home-dwelling older adults.
Methods
The Q methodology systematic research method, which investigates participants’ subjective viewpoints and perceptions of certain issues, was used. Forty Q-statements were derived from the Q population and arranged in rank order by 50 participants (over 65 years old) into a normal distribution grid (from -4 to +4). A pc QUANL program was used to analyze the collected data.
Results
Three types of subjective perceptions toward LTCF were revealed: “demand for LTCF management improvement (viewpoint of management first, use after)”, “support for LTCF admission (viewpoint of essential use)”, and “distrust of using LTCF (viewpoint of opposition to use)”.
Conclusion
The results of this study can be helpful in developing nursing strategies to ensure better understanding of LTCF among home-dwelling older adults. It is also necessary to develop individualized nursing intervention programs reflecting the three types of subjective perceptions derived in this study.

Citations

• Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
  Eun Young Kim, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2022; 24(1): 33.     CrossRef
• A Meta-Synthesis Study of Person-Centered Care Experience from the Perspective of Nursing Home Residents
  Eun-Young Kim, Sung-Ok Chang
  International Journal of Environmental Research and Public Health.2022; 19(14): 8576.     CrossRef

Purpose
This study aimed to identify the mediating effect of fatigue in the relationship between clinical nurses’ job stress and medication safety performance.
Methods
For this cross-sectional study, 122 registered nurses were recruited through convenience sampling. The results were collected from August to September 2020 using self-reported structured questionnaires, analyzed with IBM SPSS Statistics 25.0 and using descriptive statistics, independent t-tests, one-way analysis of variance and Pearson correlation coefficient, and hierarchical multiple regression analysis. The mediating effect was analyzed using PROCESS macro with a 95.0% bias-corrected bootstrap confidence interval (5,000 bootstraps re-sampling).
Results
Significant positive correlation was observed between job stress and fatigue (r=.57, p<.001). Significant negative correlations were observed between job stress and medication safety performance (r=-.27, p=.003), fatigue, and medication safety performance (r=-.55, p<.001). Fatigue has a mediating effect between job stress and medication safety performance in nurses (indirect effect=-0.11, 95% Boot confidence interval=-0.16~-0.07).
Conclusion
To improve the medication safety performance of clinical nurses who experience job stress and fatigue, early detection and periodic observation of nurses’ job stress and fatigue should be made. Moreover, job stress and fatigue should be considered together in devising relevant interventions.

Citations

• Factors influencing job stress in pediatric nurses during the pandemic period: Focusing on fatigue, pediatric nurse−parent partnership
  Bo Yeong Jeon, Sun Jeong Yun, Hye Young Kim
  Journal for Specialists in Pediatric Nursing.2024;[Epub]     CrossRef
• Comparison of methods for testing mediation effects under structural equation modeling framework: Percentile bootstrap and bias-corrected bootstrap
  Mikyung Sim, Youngsuk Suh, Su-Young Kim
  The Korean Journal of Psychology: General.2022; 41(2): 103.     CrossRef

Purpose
This study aims to evaluate the Korean revised version of the Self-Care Behaviors Scale’s (SCBS-K19) validity and reliability.
Methods
The data of 203 rheumatoid arthritis patients at a university hospital in D metropolitan city in South Korea were collected from July to August 2020, using a convivence sampling method. The SCBS-K19 was analyzed utilizing SPSS 26.0 and AMOS 23.0 programs. The SCBS-K19’s content validity, structure validity, item-convergent/discriminant validity, convergent validity, and internal consistency and reliability were evaluated.
Results
Among the items in original version, the items with a ceiling or floor effect of 30% or more were deleted, thus, resulting in a revised version with five sub-areas and 19 questions. The confirmatory factor analysis’ results showed adequate model fit indices (c2/df=2.29, GFI=.85, RMR=.06, RMSEA=.08, CFI=.91, TLI=.89, IFI=.91). The items’ convergence and discrimination validity were verified using the extracted mean variance (.52~.66) and composition reliability (.80~.90). The convergent validity was satisfactory as shown by its correlation with the Self-as Carer Inventory (SCI) (r=.60, p<.001). The Cronbach’s ⍺ for the overall scale was .88, and that of five subscales ranged from .77 to .90.
Conclusion
The SCBS-K19 is a valid and reliable instrument. Therefore it is expected that this tool can be used to measure the level of self-care in Korean patients with rheumatoid arthritis.

Citations

• The Turkish version of the self-care behaviors scale for rheumatoid arthritis patients: cross-cultural adaptation and psychometric evaluation
  Öznur Erbay Dallı, Seda Pehlivan, Salim Mısırcı, Nilhan Toyer Şahin, Yavuz Pehlivan
  BMC Health Services Research.2025;[Epub]     CrossRef