PURPOSE Although the patient safety is the first priority in hospitals, the safety strategies and supportive programs for nurses in medium and small-sized hospitals are still insufficient. The purpose of this study was to identify the correlates of patient safety performance related to characteristics of nurses working at small-medium sized hospitals with less than 200 beds. METHODS The study design was a descriptive correlational design. Data were collected from 211 nurses of seven small-medium sized hospitals located in Seoul, Korea. Study variables measured by using survey questionnaires were patient safety performance, safety culture, job satisfaction, and general characteristics. Data were analyzed by multiple regression using SPSS/WIN 22.0 program. RESULTS The strongest factor associated with patient safety performance was communication process (β=.21, p=.002) followed by working environment (β=.21, p=.008), satisfaction on job contents (β=.16, p=.033), and safety management manual in hospital (β=.12, p=.041). Among general characteristics, nurses unmarried, working as staff nurses, having more than 10 years of clinical experience, and working at hospitals with the first nursing grade performed better patient safety performance. CONCLUSION The study findings suggest that the small-medium sized hospitals require strategies for nurses, supportive working environment, clear job contents, and qualitative safety management manuals.
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PURPOSE This study was conducted to evaluate successful aging (SA) in elderly individuals and to determine the factors that influence SA. METHODS The subjects included 207 elderly individuals from D city, Korea. The data were obtained between July 1 and August 30, 2008. The participants were assured of anonymity and confidentiality. For the evaluation, Kim & Shin's SA scale, Lawton's instrumental activities of daily living (IADL) scale, Jon's self-esteem scale, Kee's geriatric depression scale short form-Korean (GDSSF-K), and Hong's productive activities scale were used. The data were analyzed using descriptive statistics, the t-test, analysis of variance (ANOVA), and Pearson correlation coefficients; multiple regression analysis was performed using the SPSS/WIN 10.0 program. RESULTS The maximum score for SA was 34, and the mean score was 22.62. It was found that SA was significantly correlated to IADL, self-esteem, depression, and productive activity. Depression was the most powerful predictor of SA and it accounted for 40.6% of the total variance in SA. Self-esteem, productive activity, living situation, economic status, and age together accounted for 62.1% of the total variation in SA. CONCLUSION Depression, self-esteem, and productive activity were identified as variables that influence SA. On the basis of these results, we conclude that nurses should assist elderly individuals in order to facilitate SA. Moreover, individualized nursing management strategies must be developed in order to facilitate SA.
PURPOSE The purposes of this study were to investigate medical records and to develop care records for management of patients with chest pain in the emergency department. METHOD Retrospective review of the 42 medical chart of patients presented to the emergency department with chest pain were used. The collected data were analyzed with a frequency of items in the medical records. RESULTS In a frequency analysis of recorded items for doctors' chest pain assessment during history taking, the history/risk factors was the highest rank. The following ranks were 'commenced with when/ timing, extra symptoms, place, nature, stay/ radiate, alleviate/aggravate, intensity' in sequence. In a frequency of recorded items in nurse's progress notes according to nursing actions, the 'checking/monitoring' was the highest rank. The following ranks were 'performing, administering/injecting, referring/ arranging, testing, preparing/catheterizing, teaching/informing' in sequence. Chest pain care records for the emergency department was designed, based upon data analysis and literature review. CONCLUSION The designed records can be a rapid and effective approach tool for assessment and recording of patients with chest pain. Further research is necessary for evaluating the designed chest pain care records.
PURPOSE The purpose of this study is to examine the relationship among body image, depression and sexual function in Korean postmenopausal women. METHODS: Subjects were 96 postmenopausal women who have lived in Korea. Data was collected using Semantic Differential scale, CES-D, and FSFI. RESULTS: The level of body image was positive, depression was mild, and sexual function was moderate. There were no significant correlation between depression and sexual function. The subjects who had more positive body image experienced higher sexual function and less depressed mood. CONCLUSION: These findings showed the need for a knowledge development program for nurses regarding women's sexual function. Also, nurses must do counseling with sexual partner's and consider patients' body image when counseling those who complain of sexual dysfunction
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