Purpose
This study was conducted so as to determine a hypothetical model concerning factors affecting breast cancer patients' resilience. Methods: Data were collected via a self-administered questionnaire from 212 patients with breast cancer between July 25 and August 24, 2020. The data were analyzed using SPSS/WIN 20.0 and AMOS 21.0. Results: The model supported 7 of the 11 presented hypotheses for all participants. Test results indicated that “hope”, “uncertainty”, and “symptom experience” all directly affected participants' resilience, and that “uncertainty” also affected participants', “depression” and “hope”. “Spiritual well-being” affected participants' sense of “hope” and “symptom experience”. Of these variables, “hope” had the strongest direct influence on resilience across all participants. “Uncertainty” was found to directly and indirectly affect participants, whereas “spiritual well-being” indirectly affected the resilience of all participants. “Uncertainty” and “spiritual well-being” indirectly affected the resilience of all participants. Conclusion: These results suggest that management strategies to enhance breast cancer patients' resilience should address patients' uncertainty, spiritual well-being, hope, and symptom experience.

Citations

• Resilience-related Breast Cancer: A Concept Analysis
  Fitria Endah Janitra, Nur Aini, Anggi Lukman Wicaksana
  Nurse Media Journal of Nursing.2023; 13(1): 31.     CrossRef

PURPOSE
This study aimed to construct and test the structural relationships between self efficacy and clinical performance among undergraduate nursing students. The model was based on Bandura's self efficacy theory and a review of previous studies. The hypothesized model included emotional intelligence as a personal factor, self efficacy as self efficacy beliefs, problem solving ability as a skill, and clinical performance as a performance.
METHODS
Data were collected from June 23 to August 11, 2014 using structured questionnaires. The study sample was 205 senior nursing students. Data were analyzed using SPSS/WIN 21.0 and AMOS 21.0 programs.
RESULTS
The hypothesized model was shown to be χ2=183.186 (dF=118), Goodness-of- Fit Index (GFI)=.91, Normed Fit Index (NFI)=.91, Comparative Fit Index (CFI)=.96, and Root Mean Squared Error of Approximation (RMSEA)=.05. Self efficacy (β=.29 p=.033) and problem solving ability (β=.42 p=.007) had a direct effect on the clinical performance. Furthermore, self efficacy had mediating effect on the relationship between emotional intelligence and clinical performance.
CONCLUSION
These findings provide that when developing nursing curriculum and intervention programs, self efficacy and problem solving ability should be considered as key factors facilitating the clinical performance of nursing students. Moreover, consideration should be given to the indirect effects of emotional intelligence subscales on clinical performance via self efficacy and problem solving ability.

Citations

• Examining the impact of emotional intelligence on job performance with the mediating role of clinical competence in nurses: a structural equation approach
  Gholamhossein Mehralian, Shima Bordbar, Jamshid Bahmaei, Ali Reza Yusefi
  BMC Nursing.2025;[Epub]     CrossRef
• The relationship between emotional intelligence, self-efficacy, and clinical decision-making among critical care nurses in Jordan
  Mohammed R. AL Btoush, Malakeh Z. Malak, Shaher H. Hamaideh, Ahmed H. Shuhaiber
  Journal of Human Behavior in the Social Environment.2025; 35(3): 454.     CrossRef
• The mediating role of self-efficacy in nursing students’ initial clinical practice experience
  Mensure Turan, Zeliha Cengiz
  Teaching and Learning in Nursing.2025;[Epub]     CrossRef
• Cultural and emotional intelligence correlates with healthy lifestyles
  Keisuke Kokubun, Kiyotaka Nemoto, Yoshinori Yamakawa
  Acta Psychologica.2025; 255: 104854.     CrossRef
• Determinants of Problem‐Solving Skills of Nursing Students: Solution‐Focused Thinking Skills and Emotional Intelligence
  Alime Selçuk Tosun, Nurcan Akgül Gündoğdu, Dilek Avci, Emine Selda Gündüz
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Emotional intelligence in medical education: Its role in professional identity formation: AMEE Guide No. 186
  Shereen El Tarhouny, Amira Hassouna, Tayseer Mansour
  Medical Teacher.2025; : 1.     CrossRef
• Investigating the relationship between happiness and self-esteem with self-efficacy in the clinical performance of midwives working in medical centers and comprehensive health services
  Zahra Mohebbi-Dehnavi, Mahnaz Noroozi
  Journal of Education and Health Promotion.2024;[Epub]     CrossRef
• The relationship between difficulties in emotion regulation and solution-focused thinking in nursing students
  Emre Ciydem
  Nurse Education in Practice.2024; 79: 104088.     CrossRef
• COVID-19 Pandemi Süreci Uzaktan Eğitim Döneminde Hemşirelik Öğrencilerinde Anksiyete ve Klinik Performans Öz-Yeterlilik Algısı İlişkisi
  Yeliz AKKUŞ, Nihal BOSTANCI DAŞTAN
  Sağlık Bilimlerinde Değer.2024; 14(1): 106.     CrossRef
• Exploring the Self-efficacy and Its Influencing Factors of University Nursing Students in Taiwan during the Clinical Practicum
  I-Ju PAN, Pin-Cheng YEN, Yi-Hui Liu
  Journal of Comprehensive Nursing Research and Care.2024;[Epub]     CrossRef
• Relationship between nursing students’ levels of liking children and self-efficacy in paediatric medication administration
  Mehmet Bulduk, Veysel Can, Eda Nur Muhafiz
  BMC Medical Education.2024;[Epub]     CrossRef
• Predicting New Graduate Nurses’ Retention during Transition Using Decision Tree Methods: A Longitudinal Study
  Taewha Lee, Yea Seul Yoon, Yoonjung Ji
  Journal of Nursing Management.2024; 2024: 1.     CrossRef
• THE RELATIONSHIP BETWEEN EMOTIONAL INTELLIGENCE WITH JOB PERFORMANCE AND OCCUPATIONAL STRESS IN NURSES WORKING IN EDUCATIONAL AND MEDICAL CENTERS IN URMIA IN 2022
  Rozita Cheraghi, Laleh Almasi, Vahid Alinejad, Nader Aghakhani, Madineh Jasemi, Samereh Eghtedar
  Nursing and Midwifery Journal.2023; 21(7): 575.     CrossRef
• Factors Influencing Nurses’ Job Performance in Korea and Mongolia: A Cross-Sectional Study
  Zolzaya Bayarsaikhan, YunHee Shin
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 404.     CrossRef
• Emotional Intelligence among Nurses and Its Relationship with Their Performance and Work Engagement: A Cross-Sectional Study
  Fatimah Turjuman, Bayan Alilyyani, Majed Alamri
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• A study on Emotional Intelligence & Empathy in Allied Vision Sciences Students
  Muhammad Shaheer, Asima Rafique, Zahid Kamal Siddiqui, Ummarah Rasheed
  Journal of Rawalpindi Medical College.2023;[Epub]     CrossRef
• Developing nursing students' self-efficacy and problem solving skills via high-fidelity simulation
  Zeliha Cengiz, Züleyha Gürdap, Hatice Oltuluoğlu, Hakime Aslan, Seher Çevik Aktura
  Teaching and Learning in Nursing.2023; 18(4): e167.     CrossRef
• Impact of emotional intelligence on work performance: The mediating role of occupational stress among nurses
  Abdulaziz Mohsen Alsufyani, Ahmad Eissa Aboshaiqah, Fawzeih Ayed Alshehri, Yasir Mohsen Alsufyani
  Journal of Nursing Scholarship.2022; 54(6): 738.     CrossRef
• İlkokul Öğrencilerinde Problem Çözmenin Yordayıcıları Olarak Duygusal ve Psikolojik İyi Oluş ile Yaşam Doyumu
  Mehmet Enes SAĞAR
  Afyon Kocatepe Üniversitesi Sosyal Bilimler Dergisi.2022; 24(4): 1274.     CrossRef
• The Mediating Effect of Self-Regulated Learning on the Relationships Among Emotional Intelligence, Collaboration, and Clinical Performance in Korean Nursing Students
  Sun-Hee KIM
  Journal of Nursing Research.2022; 30(3): e212.     CrossRef
• Nursing students’ confidence in clinical competency and job readiness during the COVID-19 pandemic era
  Kyung-Sook Bang, Jeong Hee Kang, Eun Sook Nam, Mi Yeul Hyun, Eunyoung Suh, Sun-Mi Chae, Heeseung Choi, Da-Ae Shin
  The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 402.     CrossRef

PURPOSE
This study was to explore and describe the reported experiences of elderly spouses who care their bedridden spouse in the home.
METHODS
The participants of this study were 14 male and female elderly spouses who live in B metropolitan city and have provided care for more than six months. Data were collected from July 3 to November 6, 2014. Data analysis was done simultaneously with data collection, using the analytical methods of Strauss and Corbin for Grounded theory.
RESULTS
The core category was identified as ‘ going together bearing a heavy burden of care in old age.’ In this study, the caring process of elderly spouses can be explained in terms of three stages such as ‘ a period of trial and error,’‘ a period of mastering a role,’ and ‘ a period of role transcendence’.
CONCLUSION
The results of this study can provide an intervention framework to reduce the heavy burden of caring for an elderly spouse.

Citations

• Mechanism for meeting the care of older adults in rural China—relying on spouse, offspring or community?
  Ziyue Dong, Jianliang Nie, Dan Li, Yufeng Wu
  BMC Geriatrics.2025;[Epub]     CrossRef
• Understanding the Roles of over 65-Year-Old Male and Female Carers: A Comparative Analysis of Informal Caregiving
  Purificación Ballester, Clara Pérez-Esteve, Alicia Sánchez-García, Eva Gil-Hernández, Mercedes Guilabert, José Joaquín Mira
  Geriatrics.2025; 10(3): 75.     CrossRef
• Validity and Reliability of the Korean Version of the Parkinson’s Disease Questionnaire–Carer
  JuHee Lee, Young H. Sohn, Seok Jong Chung, Sung Hae Kim, Yujin Suh, Jungah Park, Yielin Kim
  Journal of Clinical Neurology.2023; 19(6): 547.     CrossRef

PURPOSE
The purpose of this descriptive study was to gain basic data to develop a self-care protocol for the lymphedema patients.
METHOD
The subjects of this study consisted of 115 patients with lymphedema from 8 hospitals and two community health and welfare centers in Busan and Seoul. The data was collected with questionnaire by self reporting of patients between March 2001 and December 2001. Data was analyzed by mean and percentage.
RESULT
For self-care activities in daily life, compliance of 'use skin care preparations', 'use heat and cold', 'protect from local compression on affected limbs', 'protect from insect biting', 'use aids to protect affected limbs', 'take diuretics and take protein diet' did not reach to 50%. For self-care activities related to complex physical therapy, 28.7% of subjects complied with compression garment, 14.8% with manual lymph drainage, and 13.0% with exercise. 20.0% of subjects tried to treat with acupuncture and 13.9% with heat therapy.
CONCLUSION
From this study, it is suggested that patients need to get a self-care education with correct information about self care activities and health care professionals need to develop more convenience self-care techniques of massage and exercise.

PURPOSE
The purpose of this study was the development of a comprehensive nursing intervention program for the client with acute lymph stasis and stage I lymphedema.
METHOD
The Quasi-experimental design using a non-equivalent control group was used. The subjects were 22 stroke patients with lymph stasis in the control group and 23 patients in the experimental group. The complex physical therapy of Casley-Smith was carried out to the control group for 10 hours, and comprehensive nursing intervention for the experimental group was carried out for 60 minutes. The data for this study was gathered from Feb. 2002 until June 2002 and pertains knowledge about lymphedema, self-care for managing lymphedema, and circumferences of affected limbs. Data was analyzed by mean, standard deviation, x2-test, and t-test.
RESULT
The changes in knowledge about lymphedema, self-care practices, and circumference of affected limbs after nursing intervention did not show significant differences between control group and experiment group.
CONCLUSION
It can be concluded that comprehensive nursing intervention had more efficiency than complex physical therapy in the treatment of edema for stroke patients because of it's simplicity and time saving. Thereby, the comprehensive nursing intervention program developed in this study would be a useful therapy for the clients with lymph stasis and early stage lymphedema.

PURPOSE
The purpose of this study was to identify the relationship of fatigue and quality of sleep in patients with cancer.
METHOD
The data was collected from January to February 2001. Study objects were recruited K university hospital in Busan, Korea. Their fatigue was measured using the Revised Piper Fatigue Scale developed by Piper et. al(1998), and quality of sleep was measured using Quality of Sleep Questionare by Oh et. al(1998).
RESULT
1) The fatigue score was mean 114.80+/-34.88(range: 22-220). The sub dimension that showed behavior/severity score at 33.70+/-13.89, affective score at 24.23+/-3.33, sensory score at 27.74+/-12.51, and cognitive/mood score at 29.11+/-3.71. And sleep quality score was mean 37.32+/-8.18. 2) There was a significant difference in religion(F=4.157, P= .008), present therapy(F=2.536, P= .043), past therapy(F= 6.625, P= .000), major caregiver(F=3.133, P= .028), and change of weight(F=7.965, P= .006), according to general characteristics in the fatigue in patients with cancer. 3) There was a significant difference in present pain(t=-2.103, P= .037) and change of weight(F=5.484, P= .005), according to general characteristics in the sleep quality in patients with cancer. 4) There was a significant negative correlation between fatigue and quality of sleep(r=- .340, P= .000).
CONCLUSION
Patients with cancer experience in fatigue. Increase in fatigue are associated with decreases in quality of sleep. Nurses must provide patients with nursing care about the occurrence of fatigue and interventions to deal with sleep disturbance.

It has been believed that cancer is an omnious factor threatening the future and life itself. Patients having the disease experience anxiety, fear, feeling of weakness, depression and feelings of uncertainty and hopelessness. Most cancer patients, however, have expectations of possible recovery and a better future, very different from the patients who feel hopeless. Therefore. hope allows people to respond effectively to the fatal disease they have and prevents them from detoriorating physically and spiritually, positively influencing their survival, response to treatment and sense of security. Studies previously performed showed that hope is positively correlated with social and family supports, self-esteem, spiritual well-being, responsive action, health promotion behavior and quality of life. Thus, the study attempted to provide basic information on nursing cancer patients by investigating their levels of hope and determining predictive factors which influence hope. For the study 200 cancer patients in two university hospitals located in Pusan were sampled as subjects. Data were collected for twenty nine days from Feburary 1, 1999 to March 1. Instrumets for the study included 10 items from the self-esteem scale by Rosenberg (1965), 39 hope measurements by Kim and Lee(1965), 16 of the social support scale by Tae(1986) and 16 of the general characteristics scale, all of which totaled 81 items. The data were analyzed using the SPSS program. General characteristics of the investigated based on numbers and percentage. Hope, self-esteem and social support were analyzed using means, minimum, maximum and standard deviation. Relations among the foregoing three factors were analyzed using Pearson' correlation coefficient. Levels of hope in cancer patients were determined using t-test, ANOVA and Scheffe test. Predictive factors influencing hope were investigated using multiple stepwise regression analysis. Results of the study are summarized as follows: 1. An average level of hope was 185.55+/-23.39 points(96 min. and 234 max.) 2.Levels of hope showed a significant difference among them according to sex (t=-3.69, P=.000), age(F=4.714, P=.000), job(F=3.247, P=.008), monthly income (F=6.113, P=.003), treatment charge (F=3.796, P=.011), supportive resources (F=10.554, P=.000), diagnosis(F=2.287, P=.029), perceived health status(F=22.184, P=.000), level of pain(F=3.334, P=.021), religion (F=4.911, P=.001) and religion's effect in life (F=11.706, P=.000), 3. For the subjects, self-esteem and social support were 38.32+/-7.21(13 min, and 50 max.) and 52.97+/-8.49points(28 min, 80 max.). Concerning social support, average levels of family support and medical support were found 35.95+/-6.05(18 min, and 40 max) and 27.02+/-4.99 points(20 min and 40 max). The hope the cancer patients showed significant correlations with self-esteem (r=.588, P=.000), family support(r=.224, p=.001) and medical support(r=.221, P=.002). 4.The five variables related to hope (self-esteem, religion's effect in life, perceived health status, social support and age) accounted for 54.2 percent of the hope level; especially, self-esteem was the highest at 34.6%. As shown in the above results, predictive factors which most influence hope in cancer patients were self-esteem and religion's effect of life. Therefore, nursing interventions to increase self-esteem should be developed. Regarding religion's effects, studies on spiritual aspects should be carried out in a way that contributes to promotion of hope.

The purpose of this study was to identify the re lationship of hopelessness and spiritual-need of cancer patients. Subjects for this study were 272 cancer patients sampled from a madical center in Pusan. The data were collected from Feb. 1 to Mar. 10, 1998 using questionnaire method. Hopelessness measured hopelessness scale was the One(1986) modification of Beck(1974) and spiritual -need measured spiritual-need scale by Kim (1986) according to classification of Fish and Shelly. The questionnaire consisted of question regarding hopelessness scale(20 items 5 point) and spiritual-need scale (30 items 5 point scale). The reliability of this instrument was that the hopelessness scale was Cronbach's alpha=0.89 and the spiritual-need was Cronbach's alpha=0.93. The data were analyzed with the SFSS program using mean, standard deviation, frequency and percentage, t-test, ANOVA, Post hok test and Pearson's Correlation Coefficient. The results of this study were as follow : 1. The mean score of the total hopelessness was 2.79 in 1(lowest) -to-5(highest) scoring system. The analysis of the hopelessness according to general characteristics of the cancer patients showed duration of treatment(F=3.77), cognition prognosis(F=2.92) age(F=2.66), religional effect of life(2.48). 2. The mean score of the total spiritual-need was 3.47 in 1(lowest)-to-5 (highest) scoring system. age(F=5.517), sex(F= .919), religion(F=25.89), religional effect of life(F=18.54), diagnosis(F= 7.67), main care giver(F=4.09), cognition of disease(F=2,92), cognition of prognosis (F=331), inspiring source(F= 12.72), acceptioal attitude of present situation(F= 13.52). according to the categoiised paiL were showed to the need for meaning and purpose(9.40), to the need for love and relatedness(7.08), and to the need for being forgiven(6,93). 3. There was significant correlation between the degree of hopelessness and spiritual-need(gamma=.146, P<0.05).

This study was made to identify compliance in self-medication, and factors influencing the self-medication of pulmonary TB patients. Self-medication of pulmonary TB patients is a very important factor for the cure of the patients. In this study, variables were used from three theories of health behavior. These were the Health Belief Model, Health Locus of Control, Theory of Planned Behavior. These were included to examine their effect on self-medication. Data were collected during the period from July 1 to August 20, 1994 using a structured questionnaire. And they were analyzed by mean, standard deviation, ANOVA, Pearson Correlation Coefficient, and Multiple Regression analysis using the SAS program. The result were as follows : 1. The mean on the self-medication scores ranging from 6.0 to 12.0 was 10.93. The mean for the self-evaluation scores of the self-medication ranging from 50.0 to 100.0 was 86.51. 2. There were significant associations between the scores on self-medication and age(F=2.34, p=0.033), and method of treatment(F=4.65, P=0.018). And there were significant associations between the self-evaluation scores of self-medication and age (F=3.79, P=0.000), and presence of TB patients among family(F=4.92, P=0.000). 3. (a) The relationship between the scores on self-medication and perceived barrier in health belief revealed a significant correlation(r=-.2046, p=0.0082). (b) The relationship between the scores on self-medication and other-dependency in LOC revealed a significant correlation(r=0.2322, p=0.0018). (c) The relationship between the self-evaluation score of self-medication and other-dependency in LOC revealed a significant correlation(r=0.1946, p=0.0122). (d) The relationship between the attitude in self-medication of the subjects and the self-evaluation score of self-medication revealed a significant correlation(r=0.2102, p=0.0066). 4. (a) 14.8% of the score of compliance in self-medication of the subjects was explained by five variables : Behavioral Intention, Duration of Treatment, Age, Perceived Sensitivity and Perceived Sensitivity and Perceived Barrier. (b) 8.7% of the score of self-evaluation of self-medication was explained by three variables : Perceived Control, Perceived Sensitivity, and Age. In conclusion : This study provides insights and information which may be valuable for motivation and instruction to improve compliance in self-medication among pulmonary TB patients.