Purpose This study aimed to investigate the mediating role of patient safety perception (PSP) in the relationship between the right to know (RtK) and patient participation (PP) among inpatients.
Methods This descriptive study used a convenience sample of inpatients from three small and medium-sized hospitals in October 2023. A total of 231 inpatients completed a self-report questionnaire assessing PP, RtK, and PSP. Data were analyzed using a mediation model with the PROCESS Macro (Model 4), applying 95% bias-corrected bootstrap confidence intervals.
Results The findings revealed significant positive correlations between PP and RtK (r=.78, p<.001) and PSP (r=.83, p<.001). Both RtK and PSP had significant effects on PP. PSP was identified as an important mediator in the relationship between RtK and PP (B=.35, boot standard error=.06, 95% confidence interval=.27–.44). The findings confirm that inpatients’ RtK is associated with improved PSP and increased PP.
Conclusion These findings highlight the critical role of safeguarding patients’ right to information as a strategy for promoting patient safety. To ensure safe and effective care in small and medium-sized hospitals, ongoing support is essential for developing and systematically implementing patient safety education initiatives that actively involve patients.
Purpose The purpose of this study was to develop and validate a tool to evaluate slow nursing performance for older adults in long-term care hospitals. Methods The search period was set from March 2013, when the term "slow nursing" was first used in the literature, to October 2021. A slow nursing tool was developed in two phases: development and verification. In the tool development phase, 29 items were developed through an extensive literature review and in-depth interviews with seven long-term care hospital nurses. Construct validity testing was performed by a 10-member expert panel, and a pilot survey was conducted on long-term care hospital nurses. In the tool validation phase, the construct validity, criterion validity, and reliability of the tool were tested by applying it to 181 nurses in long-term care hospitals . Results The final tool comprised five factors and 23 items, with an overall explanatory power of 56.8%. Construct validity was examined using confirmatory factor analysis, and the model fit was good. Known-group validity was established by the observation of a significant difference in the slow nursing score between intensive care unit and long-term care hospital nurses, and criterion validity was established by a significant correlation between the slow nursing and person-centered assessment scores. Internal consistency reliability was shown by a Cronbach's ⍺ coefficient of .781. Conclusion The concept of slow nursing has been clarified, improving the understanding and implementation of slow nursing care by nurses in long-term care hospitals. The Slow Nursing Tool for Long-term Care Hospital Nurses (SNT-LCHN) is expected to increase interest in and contribute to the effectiveness of slow nursing practices. It will serve as a valuable tool for improving nursing performance in these settings.
Purpose This study aims to confirm the influence of type D personality and health literacy on resilience of patients hospitalized for Cardiovascular Diseases (CVDs), and provide basic information for improving resilience as a post-discharge strategy to promote self-care among patients with chronic diseases.
Methods A questionnaire-based survey was carried out in this cross-sectional study. The subjects were 142 patients who were being treated at a tertiary general hospital for CVDs such as coronary artery disease, arrhythmia, and heart failure. Data were collected from July to October 2022 using a structured questionnaire, and then analyzed using the SPSS program version 26.0.
Results 75.3% of the study subjects (n=107) had type D personalities, and the average health literacy and resilience scores were 48.96±9.13 points and 68.27±13.02 points, respectively, indicating relatively low grades. Following a hierarchical regression analysis, low monthly income (β=-.62, p<.001), current smokers (β=-.23, p=.010), patients with type D personality (β=-.24, p=.001), and patients with low health literacy (β=.27, p<.001) were identified as significant predictors of resilience (Adjusted R2=.57, F=14.32, p<.001).
Conclusion In order to increase the resilience of patients hospitalized for CVD, it is necessary to identify and take into account smokers with low socioeconomic status, poor health literacy, and type D personality. We advise doing a follow-up study to ascertain if the resilience of patients hospitalized for CVD influences post-discharge self-care and clinical outcomes.
Purpose The treatment of chronic kidney disease aims to delay dialysis and prevent progression to end-stage health complications. This study aimed to validate the Korean version of the Chronic Kidney Disease Self-Care (CKDSC-K) scale, which is used to measure self-care behaviors in patients with chronic kidney disease.
Methods Data from 285 participants were collected between August and November 2020. Validity was assessed in terms of content, construct, and concurrence through the content validity index and exploratory and confirmatory factor analyses. The reliability of the CKDSC-K was examined using internal consistency.
Results The final instrument consisted of 15 items across five factors (medication adherence, diet control, exercise, smoking behaviors, and blood pressure monitoring). The content validity index of the CKDSC-K was ≥.80. Confirmatory factor analysis indicated that factor loadings for the five factors ranged from .41 to .99, which explains the total variance of 75.3%. The internal reliability of the instrument was .81.
Conclusion The CKDSC-K scale has demonstrated acceptable reliability and validity and can be utilized to assess self-care behaviours in patients with chronic kidney disease. Additional research is recommended to expand the psychometric evaluation of the CKDSC-K.
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LITERASI KESEHATAN BERHUBUNGAN DENGAN SELF CARE MANAGEMENT PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS Ferlan Ansye Pondaag, Dina Mariana, Musfirah Ahmad JURNAL KEPERAWATAN TROPIS PAPUA.2024; 7(1): 8. CrossRef
Purpose Health behavior is important for the treatment of tuberculosis patients. This study aims to clarify the concept of health behavior in tuberculosis patients. Methods We used Rodger's evolutionary concept analysis method. A literature search was performed using the NDSL, NAL, RISS, PubMed, ProQuest, CINAHL, Web of Science and Cochrane Library published in Korean and English language from January 2015 to April 2021. After applying inclusion and exclusion criteria, a total of 69 articles were selected for final analysis. Results The analysis showed that five attributes determine health behavior concepts: willpower, the choice for every moment, counterbalance, overcoming, and multi-level multi-causal processes. Conclusion This study shows that health behavior in tuberculosis patients has evolved into a patient-centered approach in an evolutionary context. The results of this study will contribute to the development of intervention access and management programs for health care providers, including nurses.
Purpose This study aimed to identify variables influencing the sexual adjustment of patients who underwent radical prostatectomy in order to establish a structural model and intervention strategy for improving patients’ sexual adjustment. Methods Participants were 179 patients who received follow-up care after undergoing radical prostatectomy at two university hospitals in South Korea. Data were collected from July to November, 2017 using structured questionnaires. The exogenous variables were urinary symptoms and age, and the endogenous variables were sexual function, self-esteem, depression, couple intimacy, and sexual adjustment. The collected data were analyzed using SPSS 21.0 and AMOS 21.0. Results The goodness-of-fit measures of the final hypothetical model were satisfactory, as follows: χ2 /df=2.68, GFI=.91, CFI=.90, RMSEA=.09, SRMR=.07. Sexual function, self-esteem, and couple intimacy had direct and total effects on sexual adjustment in patients who underwent radical prostatectomy, and age had only an indirect effect. These variables explained 66.5% of sexual adjustment among patients. Urinary symptoms and depression did not show any significant effects, however. Conclusion To improve sexual adjustment in patients who underwent radical prostatectomy, it is imperative to establish active and effective nursing interventions to strengthen their sexual function, self-esteem, and couple intimacy, considering their age.
Purpose This narrative review aims to provide an introduction and overview of dyadic research within the context of chronic illness. In addition, some methodological considerations and future directions for conducting dyadic research are presented. Methods The focus of this review is on adult participants in dyads and with chronic illness based on the previous studies and literatures on dyadic science. Results Theory of Dyadic Illness Management and Dyadic Regulation-Connectivity Model (DR-CM) may be appropriate for performing dyadic research. At present, there is a lack of qualitative and quantitative knowledge on the dyadic approach for research on chronic diseases. Dyadic health interventions for building collaborative relationships within a dyad may be beneficial to improve dyadic health outcomes. This article addressed some of the challenges regarding recruitment, data collection, and analysis when it comes to planning dyadic research pertaining to chronic illnesses. Conclusion Healthcare professionals should prioritize needs and preferences at the dyadic level when designing effective chronic disease management. Particularly, it is critical to regularly monitor the dyadic relationships or type of dyadic care during illness trajectories. More research should be undertaken on patient-family caregiver dyads in chronic care, considering the various types of chronic diseases and cultural diversities.
Purpose During hospitalization, sleep can be disturbed and the quality reduced. This study investigated the effect of applying white noise on hospitalized patients for improving their sleep quality.
Methods: In a randomized controlled trial design, participants were randomly assigned to an experimental group (n=30) or a comparison group (n=31), enrolled from rehabilitation medicine wards at a university hospital in South Korea. For three days of the intervention, the experimental group listened to white noise for one hour before sleep. The comparison group wore only earplugs before sleep. Sleep quality was assessed by the Verran and Snyder-Halpern (VSH) sleep scale as a subjective measure and the Fitbit ® wrist band monitor as an objective measure. Data were collected pre- and three days post-intervention. Data were analyzed by repeated measures ANOVA using SPSS/WIN 22.0 program.
Results: The white noise group showed positive effects on subjective sleep quality (p<.001) compared to the earplug group.
Among the objective sleep quality measures, sleep time (p<.001) and sleep efficiency (p=.003) were statistically significant, but there were no statistically significant differences in time of awakening, number of awakening, time of restless and number of restless.
Conclusion: Findings indicate that applying white noise could be considered as a useful nursing intervention to improve subjective and objective sleep quality in hospitalized patients.
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PURPOSE The aim of the study was to create a structural model based on Wilson and Cleary's Conceptual Model of Patient Outcomes. Secondly, the intention was to identify variables influencing the health-related quality of life (HRQoL) as reported by patients with thyroid cancer. METHODS A total of 201 patients with thyroid cancer were recruited from an outpatient clinic. Data were collected from June to November, 2015, using a structured questionnaire. The questionnaire included the Quality of Life-Thyroid Scale, Thyroid Stimulating Hormone (TSH), Medical Outcome Study Social Support Survey, MD Anderson Symptom Inventory-Thyroid, the Brief Illness Perception Questionnaire, and general characteristics of patients. The data were analyzed using the SPSS/WIN 21.0, AMOS 21.0, and SmartPLS 3.2.3 programs. RESULTS The fitness of the hypothetical model with the Wilson and Cleary model was satisfactory, showing that the coefficients of determination (R2) were between .101 and .692 and the predictive relevance (Q2) were between .124 and .320. The model explained 69.2% of the HRQoL. Symptom experience, functional status, disease perception, and social support directly and indirectly affected HRQoL. Age and TSH had an indirect influence on the HRQoL with the mediation effect of reported symptom experience. CONCLUSION To improve the quality of life for patients with thyroid cancer, comprehensive nursing interventions need to be developed and applied. Decreasing the reported symptoms, changing the perception of the disease, improving functional status, and increasing social support may contribute to a higher quality of life among patients with thyroid cancer.
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PURPOSE The purpose of this study was to explore the chronic patients' references for care near the end of life. METHODS This is a descriptive survey research, with subjects of 161 outpatients with hypertension, diabetes mellitus or chronic renal failure. RESULTS The majority of the subjects do not want meaningless life sustaining treatment and they report thinking positively about family or health care professional to participate in their end of life decision making process. Subjects reported preferring adequate pain management and spiritual support at the end of life. In regard to advance directives (ADs), those subjects with chronic disease report thinking positively about the necessity of ADs and its institutionalization. However, the subjects report not having the detailed information on the proper time and method of writing their ADs. CONCLUSION Based on these results, educational programs on end of life decision making for chronic patients need to be developed. Also, the nurse should try to reflect the opinion of chronic patients as much as possible when make an end-of-life decision.
PURPOSE This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases. METHODS A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL. RESULTS 80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction (R2=.57), while self esteem in itself explained 45% of variance in depression. CONCLUSION These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.
PURPOSE The purpose of this study was to explore the life experiences of patients with a severe Chronic Obstructive Pulmonary Disease (COPD). METHODS The data were collected through in-depth interviews of six patients suffering from severe COPD. The interviewed data were audio-recorded and transcribed verbatim and checked for accuracy. The Giorgi method of phenomenology was used for analyzing data. RESULTS Eight themes forming the, units of meaning, were: Repeated and Unpredictable Suffering of Dyspnea, Confidence Loss/Exhaustion Life due to non-efficient breathing, Gradually Deprived Liberty, Absolute Being to Sustaining my life, Source of Burden but Significant Person I am in the Family, Endless Tug-of-War-Capability/Endeavor to Breath, Longing for my Life, and Dead-end of breathing. CONCLUSION The study results provide an in-depth understanding of life experiences of patients suffering from severe COPD. The findings will be useful to nurses caring for this population.
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 This study was done to identify the influencing factors of spiritual health in patients suffering from women cancers. METHODS The subjects were 130 in woman patients who were diagnosed with women cancer(breast Ca & uterine Ca) at three university hospitals and one general hospital. Data collection was conducted by using 4 questionnaires. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Pearson's correlation coefficients, stepwise multiple regression. RESULTS Spiritual health score was middle. There were a significant correlation between spiritual health and depression, pain, fatigue and effects of religion. There were significant differences in spiritual health according to the education level, monthly income, meaning of religion or god, Frequency of attendance at worship. The most powerful predictor of spiritual health was depression(27.2%). Altogether depression, effects of religion, pain, and education level explained 46.1% of spiritual health of women cancer patients. CONCLUSION It suggested that concepts of depression, effects of religion, pain, and education level should be considered in developing spiritual health promoting program for women cancer patients.
PURPOSE This study was to identify the level of quality of life in patients with woman cancer across treatment phases. METHODS The research method was a cross-sectional descriptive study. Data was collected by questionnaires from 226 female, who were in- and out-patients. They were diagnosed with breast and uterine cancer from three university hospitals and two general hospitals. The instruments used for this study included, "the Quality Of Life Scale(QOL)". The collected data were analyzed using Frequency, Percentage, ANOVA, Two-Way ANOVA. RESULTS Quality of life of women cancer patients was significantly different according to three treatment phases. Quality of life of women cancer patients was not significantly different according to areas of disease in the three treatment phases. Quality of life of women cancer patients was significantly different according to level of fatigue in the three treatment phases. Quality of life of women cancer patients was significantly different according to level of perceived health status in the three treatment phases(F=60.14, p=.000). Quality of life of women cancer patients was significantly different according to education level(F=3.70, p=.027) & occupation(F=5.67, p=.018) in three treatment phases. CONCLUSION Strategies for intervention are needed to improve the quality of life in women cancer patients across the treatment phases. The significant several characteristics of affecting on quality of life across treatment phases should be considered in sociopsychological nursing intervention.
PURPOSE The purpose of this study were to investigate the self-reported quality of life and family burden and to examine the factors associated with the quality of life in patients with cancer. METHODS 216 patients participated in the cross-sectional study. The European Group of Research and Treatment of Cancer Quality of life Questionnaire (EORTC QLQ-C30) and the Family Burden Scale were sent by mail to 2,000 cancer patients. Two hundred and sixteen patients answered the questionnaire. The stepwise multiple regression was conducted to analyze predictors of overall quality of life. RESULTS All subscales of EORTC QLQ-C30 were significantly correlated with family burden. The regression analysis of patients with cancer revealed some variables as significant predictors; performance, perceived severity, family burden, time since diagnosis, and sex. CONCLUSION The results offer a number of recommendations for future research and nursing practice focused on primary care for patients with cancer and their family for improving quality of life.
PURPOSE The purpose of this study was to propose a theoretical model of hope commonly held by the cancer patients just after surgery, under the assumptions that hope of those patients is not only realistic and disease oriented but in dialectical circulation. METHOD A theoretical model was generated through 4 steps: exploring a hope structure by synthesizing the relevant hope structures expressed in Kim and Tae's studies, in-depth literature review, examining the meanings of the concepts consisted of the structure in use and their causal relations in logical adequacy, proposing a theoretical structure through synthesizing the causal relations, and diagramming the structure. RESULTS The proposed theoretical model involves concepts such as Cancer Related Uncertainty (CRU), Efforts to Find out the Possibility of Cure or Recovery (EFPCR), and Hopefulness or Hopelessness. The 'EFPCR' is stipulated as 'Behaviors Related to Looking for Evidences or Cues (BRLEC)' and 'Formation of Cognitive Schema (FCS)'. In the model, Hopefulness is directly influenced by 'CRU in low', which is affected by 'FCS in good' from the result of EFPCR started with 'CRU in increase' while 'CRU with increase' from the result from EFPCR has direct effect on Hopelessness. CONCLUSION The theoretical model would be used to enhancing hope of the cancer patients in post-operation.
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