Purpose This study aimed to examine the direct and indirect effects of general characteristics, basic psychological needs, health promoting behaviors, and emotional status on sleep quality of the older adults with low back pain.
Methods: We conducted a cross-sectional correlational study in B and Y cities between August and September 2020. A total of 217 older adults participated in the study and their general characteristics (age, gender, duration of back pain, pain intensity, disability, perceived health status, risk for malnutrition), basic psychological needs (autonomy, competence, relatedness), health promoting behavior (physical activity, self care), emotional status (depression, quality of life), and sleep quality were measured. Data were analyzed through descriptive analysis, independent t-test, ANOVA with Scheffé post-hoc test, hierarchical multiple regression, and path analysis using SPSS/WIN 22.0 and AMOS 22.0.
Results: The mean age of the participants was 70.31±5.39 years, the pain intensity was 6.40±1.09, and the duration of back pain was 6.69±6.46 years. The significant factors influencing sleep quality were depression (β=.45, p=.001), gender (β=-.22, p=.001), disability (β=.21, p=.003), perceived health status (β=-.21, p=.001), duration of back pain (β=-.20, p=.001), self care on back pain (β=-.15, p=.009), basic psychological needs (β=-.15, p=.001), and risk for malnutrition (β=.03, p=.028).
Conclusion: The findings of this study suggest that special attention is required for older women with high levels of depression and disability due to back pain, especially those with pain duration of less than 5 years or greater than 10 years.
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Purpose The purpose of this study was to identify the moderating effect of teaching effectiveness and students’ anxiety in the relationship between simulation design characteristics and clinical reasoning competence among nursing students.
Methods: The participants were 123 nursing students who underwent simulation practice. Data were collected from September 1 to October 30, 2020 using self-report questionnaires. The collected data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, and SPSS PROCESS Macro program (to study the multiple additive moderation effect).
Results: Significant positive correlations were observed between clinical reasoning competence and simulation design characteristics (r=.57, p<.001), clinical reasoning competence and teaching effectiveness (r=.49, p<.001), while negative correlations were observed between clinical reasoning competence and students’ anxiety (r=-.33, p<.001). Teaching effectiveness and students’ anxiety had a multiple additive moderating effect on the relationship between simulation design characteristics and clinical reasoning competence among the nursing students (F=15.10, p<.001).
Conclusion: The relationship between simulation design characteristics and clinical reasoning competence differed depending on the students’ anxiety. To improve the clinical reasoning competence of nursing students in simulation practice, developing interventions and techniques to manage students’ anxiety levels are important.
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Purpose The purpose of this study was to construct and test a hypothetical model of exercise behavior in patients with Heart Failure (HF) based on the Information-Motivation-Behavioral skills (IMB) model, and the IMB model including depression (IMBD).
Methods: Data collection was conducted from February 1 to March 15, 2019. A total of 306 patients who were diagnosed with HF and were receiving outpatient treatment at the D University hospital and S hospital located in B city were included in the final analysis. The collected data were analyzed using SPSS 24.0 and AMOS 25.0 program.
Results: The IMB model (x2 /df=2.45, SRMR=.07, RMSEA=.07, GFI=.98, AGFI=.94, TLI=.93, CFI=.97) and IMBD model (x2 /df=0.79, SRMR=.02, RMSEA=.003, GFI=.99, AGFI=.97, TLI=.98, CFI=.97) were a good fit for the data. In the exercise behavior IMB model, exercise behavior was explained by 55.1% by information, personal motivation, and behavioral skills. In the exercise behavior IMBD model, exercise behavior was explained by 60.4% by information, personal motivation, behavioral skills, and depression.
Conclusion: The IMBD model showed high predictive power of exercise behavior. Therefore, in order to improve HF patients’ exercise behavior, it is necessary to identify and manage patients who experience depression. The development and application of integrated interventions to provide appropriate information, motivation, and confidence in exercise can be an effective strategy in increasing exercise compliance, and ultimately contribute to improving the health outcomes of patients with HF.
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Purpose This study aimed to examine health-promoting behaviors among Vietnamese students in Korea and identify the factors affecting these behaviors.
Methods: A survey using self-administered questionnaires was employed. Data were collected between October 2020 and May 2021 from 260 Vietnamese students whose stay in Korea has been for longer than six months and who agreed to participate in the study. Variables included health-promoting behaviors (physical activity, nutrition, stress management, and health risk behavior), self-esteem, acculturative stress, and social support. A multiple regression analysis was performed to assess the factors that might influence health-promoting behaviors.
Results: Of the total participants, 56.9% were women, and the mean age was 24.60±2.58 years. The mean score of the participants on total health-promoting behaviors was 2.64±0.36, on self-esteem 2.96±0.35, on acculturative stress 2.39±0.15, and on social support 2.53±0.24. Self-esteem, acculturative stress, social support, length of stay in Korea, and education level were found to affect healthpromoting behaviors, and these variables explained 76.2% of the variance.
Conclusion: There is a need to develop intervention strategies for promoting self-esteem and social support programs and coping strategies for managing acculturative stress to increase health-promoting behaviors among Vietnamese students.
Purpose The aims of this study are to identify current problems of nursing education as perceived by nursing educators and nurses, and to suggest developmental strategies for effective undergraduate nursing education in Korea.
Methods: This study is a descriptive study to investigate how nursing education is perceived by nursing educators and nurses, including the performance of core competencies, and curriculum improvement points, and gaps between the two. We surveyed 71 faculties in nursing colleges, and 282 nurses with less than three years of clinical experience in general and tertiary hospitals. Statistical analyses were conducted using descriptive statistics, independent two-sample t-test, and Importance-Performance Analysis (IPA).
Results: According to the majority of nursing educators (91.4%), there is a necessity of curriculum reform toward an integrated curriculum based on concepts (58.9%), and the keywords for future nursing education are professionalism, leadership, and ethics. They also impressed upon the necessity of information technology as an additional field of education (73.2%). Nurses responded that the most helpful theoretical and practical subjects were adult nursing (35.5%), and simulation practicum (35.4%), respectively. Both nursing educators and nurses expressed the necessity of high-fidelity simulation. The IPA results showed that performance was low compared to importance in all items. The statistically significant gaps between nursing educators and nurses were core knowledge and technical skill.
Conclusion: Based on the findings of this study, future undergraduate nursing education should consider a concept-based curriculum, field-oriented clinical practice, learner-centered education, competency-based curriculum, information technology education, and inter-professional education to respond preemptively to future healthcare environments.
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Purpose The purpose of this study was to determine the factors related to nurses’ intentions toward Coronavirus Disease 2019 (COVID-19) patients.
Methods: The participants were 227 nurses, from three hospitals in Seoul and Gyeonggi-do, Korea, who cared for patients directly. Based on the theory of planned behavior, nursing intention, key factors, and belief factors were measured using the modified nurses’ intention to care for patients with severe acute respiratory syndrome. Anxiety was measured using the State-Trait Anxiety Inventory, and depression by the Korean-Beck Depression Inventory. Data were collected via an online survey and analyzed using multiple regression.
Results: The mean of the nursing intention scores for COVID-19 patients was 0.54±1.41. The predictors of nursing intention were perceived behavioral control (β=.38), attitude toward behavior (β=.28), and normative beliefs (β=.13) (Adj. R2 =.49, F=27.89, p<.001). However, anxiety and depression did not affect nursing intentions.
Conclusion: To effectively manage the current COVID-19 pandemic, institutional and educational strategies must be developed to help nurses enhance their nursing practices and adopt a positive attitude toward the care of patients infected with COVID-19.
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Purpose The aim of this study was to confirm the relationship between patient experience, patient safety knowledge, and patient safety perception and prepare basic data to help initiate patient safety activities and patient safety education in primary care institutions.
Methods: The participants were 252 patients who had used primary care institutions in the Gyeonggi area within six months prior to the study. Data were collected from February 16 to March 15, 2021 using a structured online questionnaire on patient experience, patient safety knowledge, and patient safety perception. The data were analyzed using SPSS 25.0, and hierarchical regression analysis was performed to analyze the moderating effect of patient safety knowledge.
Results: Patient experience had a significant positive correlation with patient safety perception. In the relationship between patient experience and patient safety perception, patient safety knowledge had a significant moderating effect. In particular, among the sub-factors of the patient experience, doctors and the hospital environment significantly affected patient safety perception, and in this process, patient safety knowledge acted as a moderating variable.
Conclusion: Patients with low safety knowledge have a higher perception of safety when they have positive experiences through doctors. Therefore, medical staff should make continuous efforts to establish a safe hospital environment and earn patients’ trust to increase their safety perception. It is necessary to develop mandatory patient safety education programs by identifying potential patient safety problems and accidents in primary care institutions.
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Korean J Adult Nurs 2021;33(4):406-414. Published online August 31, 2021
Purpose The purpose of this study was to assess the research performance during Coronavirus Disease 2019 (COVID-19) pandemic among nursing researchers.
Methods: A cross-sectional online survey was conducted for Korean Society of Adult Nursing where 103 subjects participated from April 15 to May 14, 2021. The survey tool developed by researchers had 32 items including difficulties in performing research activities, perception of the impact of COVID-19 on research validity, and three open-ended questions.
Results: In the research planning phase, 88 subjects (90.7%) reported difficulties in the recruitment plan and 83 subjects (89.3%) reported difficulties selecting a research design. In the recruitment and data collection phase, 85 subjects (88.6%) had difficulties accessing data collection site and 78 subjects (85.7%) had difficulties in face-to-face data collection. In the provision of intervention phase (for experimental study), 26 subjects (66.7%) reported that they should have changed the method of delivery of intervention. In research administration and manpower management, 62 subjects (75.6%) reported difficulties in face-to-face meeting. In research outcome management, 65 subjects (85.5%) reported that they should have changed the way of research-related events. Lastly, 80 subjects (81.6%) perceived that difficulties caused by COVID-19 impacted research validity.
Conclusion: Majority of participants perceived that the difficulties in research activities may decrease research validity. To ensure research quality during COVID-19 pandemic, we should recognize potential threats to research validity and actively pursue adaptable innovations of research designs and data collection methods.
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