PURPOSE The purpose of this study was to investigate predictors of violent behavior by patient or caregiver of patient in the emergency department. METHODS Subjects of the study were 447 residents who have visited the emergency department in community P Metropolitan City during the past year. The data collecting period was from June 1, 2012 to August 31, 2012. Data was collected using self-reported questionnaires. RESULTS Predictors of violent behavior in the emergency department were divided into personal and institutional factors. Personal factors included relationship with patients, presence of alcohol, reports of discontent during and past treatment and responses to deterioration in patient's conditions, institution factors included perceived attitudes toward medical workers' explanations and proficiency of medical workers, and delay in medical treatment hours. CONCLUSION Knowledge of personal and institutional factors may permit emergency staff to minimize or prevent potential violence in the emergency department.
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PURPOSE The purpose of this study was to investigate the emotional response of family members of physically restrained patients in the intensive care units (ICUs). METHODS The study subjects were 200 family members of ICU patients who had been on physical restraints in two university hospitals. Data were collected using the "Instrument of family's emotional response toward physically restrained patients". RESULTS The mean score of familial emotional response was 2.69 out of a possible 5. The subcategory of acceptance was the highest with 3.56 points followed by depression (3.02), helplessness (2.94), anxiety (2.87), shock (2.74), avoidance (2.64), and grudge (2.08). Multiple stepwise regression analysis indicated that the age of family members, side effects of restraints, and information provision were the variables influencing on negative emotional response of family. CONCLUSION Family members showed slightly negative emotional response toward the physical restraints. This finding could be influenced by their limited knowledge of the need for the restraints. Educational programs or fact sheets to be given to family members may be helpful.
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The Conditions for Ethical Application of Restraints Parker Crutchfield, Tyler S. Gibb, Michael J. Redinger, Daniel Ferman, John Livingstone Chest.2019; 155(3): 617. CrossRef
A Study on Caregiver's Perception of Restraints Hye-kyung Kang Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 452. CrossRef
Perceptions and Intention of Nurses in Using Physical Restraints for Dementia Patients in Geriatric Hospitals Hyunju Lee, Kye Ha Kim Journal of Korean Gerontological Nursing.2016; 18(3): 159. CrossRef
Evidence-Based Practice Guideline: Changing the Practice of Physical Restraint Use in Acute Care Helen W. Lach, Kathy M. Leach, Howard K. Butcher Journal of Gerontological Nursing.2016; 42(2): 17. CrossRef
Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293. CrossRef
PURPOSE The purpose of the study was to describe psychosocial difficulties experienced by cancer patients. METHODS Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory. RESULTS As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society. CONCLUSION The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.
PURPOSE The purpose is to explore the illness experience of Korean women with breast cancer using feminist phenomenology. METHODS Data were collected by individual in-depth interviews from ten women with total mastectomy. The data were analyzed using Colaizzi's method from feminist perspective to reveal implicit socio-cultural norms that oppress women with breast cancer. RESULTS Two categories and seven major themes emerged: cancer-related experience (1) unfairness of having breast cancer; (2) being confined to the gaze of the others; patriarchy-related experience (3) hardness of being daughter-in-law; (4) struggling to keep on being good mother; (5) continued housework as duty; (6) recognizing self as precious wife, and (7) awakening of true self. All participants felt it was very unfair to get breast cancer because they had done their best for roles of mother, wife, and daughter-in-law. They struggled to free themselves from the social disgrace like the roles imposed by the patriarchal society. By awakening their true selves, they could manage a balance between other-oriented life and self-oriented life. CONCLUSION Oncology nurses need to provide psychosocial support for women with breast cancer in finding their true selves in a traditional patriarchal society where women are oppressed and breast cancer is stigmatized.
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