Purpose
This study describes the attitudes toward Personal Protective Equipment (PPE), physical discomfort with wearing PPE, obsession with Coronavirus Disease 2019 (COVID-19), and perceived psychosocial stress among operating room nurses during the COVID-19 pandemic and identifies factors affecting perceived psychosocial stress.
Methods
This study used a descriptive, cross-sectional design to evaluate physical discomfort experienced when wearing PPE, attitudes toward PPE, and obsession with COVID-19. We collected the data between December 2020 and January 2021. The participants were 127 nurses who worked in operating rooms at three hospitals in South Korea. Perceived psychosocial stress was assessed using the Psychosocial Well-being Index Short Form. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple linear regression.
Results
Having a bachelor's degree (β=.28, p=.031), attitude toward PPE (β=-.22, p=.011), experiencing shortness of breath while wearing PPE (β=.26, p=.008), and obsession with COVID-19 (β=.23, p=.006) were identified as factors affecting the psychosocial stress of nurses who wore PPE and participated in surgery.
Conclusion
Nurses who had a negative attitude toward PPE, experienced shortness of breath while wearing it, and had a high level of obsession with COVID-19 had higher psychosocial stress. To reduce the psychosocial stress of nurses who wear PPE and participate in surgery, we suggest research on education that can reduce repetitive thinking about infectious diseases, such as obsession with COVID-19. Additionally, support is needed to improve positive attitudes toward PPE and alleviate physical discomfort.

Purpose
This study was conducted to investigate the moderating effect of physical activity on the relationship between perceived stress and depression in patients newly diagnosed with ischemic heart disease. Methods: This study had a cross-sectional design. Data were collected using a structured self-report questionnaire, which covered demographic characteristics, perceived stress, depression, and physical activity. Multiple linear regression was used to determine whether perceived stress and physical activity influenced depression, after controlling for demographic characteristics. The moderating effect of physical activity on the relationship between perceived stress and depression was analyzed using model 1 of the PROCESS macro (bootstrap sample size=5,000). Results: The findings revealed that the level of depression was higher in women (p=.003), individuals without a spouse (p=.004), and those with an average monthly income of less than 3 million won (p=.045). The regression results showed that perceived stress was associated with a significant increase in the level of depression (β=.53, p<.001), and low physical activity was also a significant predictor of depression (β=.16, p=.013). The moderating effect of physical activity on the relationship between perceived stress and depression was confirmed, indicating that when physical activity was high, the impact of perceived stress on depression was weaker than when physical activity was low (B=-0.37, p=.038). Conclusion: The findings suggest the need to implement a nursing program that can enhance physical activity and early screening for stress and depression in patients with ischemic heart disease.

Purpose
Anxiety in patients with unruptured intracranial aneurysm is serious. However, the nature and definition of anxiety have not been elucidated so far. This study aimed to analyze the concept of anxiety in patients with unruptured intracranial aneurysm. Methods: The hybrid model was used to perform a concept analysis of anxiety which reflects disease specificity in patients with unruptured intracranial aneurysm. In the theoretical phase, thirteen pieces of literature were analyzed. In the fieldwork phase, in-depth interviews were conducted with seven patients, who decided to follow up without treatment, and then the content analysis was conducted. In the final analytic phase, attributes were figured out and the definition of anxiety was derived by comprehensively analyzing the results in the theoretical and fieldwork phases. Results: Thirteen attributes and four categories were identified in anxiety in patients with unruptured intracranial aneurysm. Anxiety in patients with unruptured intracranial aneurysm means a state in which they feel fear of sudden rupture and death, worry about uncertain prognosis, worry about distorted thinking, constraints in carrying out daily activities and work, need to pursue healthy behavior, hunger for information, and occasionally experiencing physical symptoms. Conclusion: This study clarified the concept of anxiety in patients with unruptured intracranial aneurysm. Concept analysis of anxiety in patients with unruptured intracranial aneurysm can form the basis for intervention and understanding the patients.

Citations

• Illness Uncertainty of the Patients With Unruptured Intracranial Aneurysms Treated by Coil Embolization
  JiEun Lee, SukJeong Lee, O-Ki Kwon
  Journal of Neuroscience Nursing.2023; 55(5): 150.     CrossRef
• Self-Efficacy and Self-Care Behavior in Patients with Unruptured Intracranial Aneurysm after Treatment with Coil Embolization
  Hyun Song Shin, Jeong Hye Kim
  Korean Journal of Health Promotion.2023; 23(2): 94.     CrossRef

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.

Citations

• Effects of Discussion-Based Legality-Focused Nursing Record Education on Nursing Students’ Knowledge, Self-Confidence, and Nursing Record Performance
  Dohye Kim, Kyoungrim Kang, Jeongyeong Jeon
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 14.     CrossRef
• Factors Influencing Self-Confidence and Educational Needs in Electrocardiographic Monitoring Among Emergency Room and Intensive Care Unit Nurses
  Miji Kim, Jaeyong Yoo
  Healthcare.2025; 13(3): 277.     CrossRef
• Assessing Needs for Practical Training in Intensive Care Unit to Enhance Nursing Education: A Focus Group Interview
  Sunah Park, Bokyoung Kim
  Journal of Korean Critical Care Nursing.2024; 17(2): 55.     CrossRef
• A Systematic Review and Meta-Analysis of Studies on Psychiatric Nursing Simulation Program-Focused on Scenario
  Geun Myun Kim, Eun Joo Kim, Ji Young Lim, Soo Jung Chang, Ok Kyun Lee, Seong Kwang Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(2): 150.     CrossRef
• Simulation-Based Education for Recognizing and Responding to Deteriorating Patients in Korean Nursing Curricula: A Scoping Review
  Yi Kyung Ha, Hye Jin Kang
  Korean Journal of Adult Nursing.2024; 36(4): 261.     CrossRef
• Social support for nursing students: A concept analysis study
  Mi-Young Choi, Sunghee Park, Gie Ok Noh
  Nurse Education Today.2024; 132: 106038.     CrossRef
• Efficacy of an error reporting-based education program on nursing students’ skill confidence, immersion, and satisfaction
  Youngsook Lim, Sunae Kim, Ohsoon Yoon, SunJung Park
  International Journal of ADVANCED AND APPLIED SCIENCES.2023; 10(10): 200.     CrossRef
• The Need for and Perceptions of Interprofessional Education and Collaboration Among Undergraduate Students in Nursing and Medicine in South Korea
  Hee-Young Song, Kyoung A Nam
  Journal of Multidisciplinary Healthcare.2022; Volume 15: 847.     CrossRef
• Nursing students' motivational and self‐regulated learning during the COVID‐19 pandemic: A cross‐sectional study
  Sunhee Cho, Sun Joo Jang
  Nursing & Health Sciences.2022; 24(3): 699.     CrossRef

PURPOSE
This study aimed to determine the impact of an empowerment program on the self-management, self-efficacy, and quality of life on patients in stages 2~4 of chronic kidney disease that exhibited poor self-management.
METHODS
This study utilized a quasi-experimental design and was carried out from March to September 2014. Participants were assigned conveniently to the experimental (n=26) and the control group (n=27). The empowerment program for the experimental group included two sessions of disease management education, four small group discussions, and four telephone counseling sessions over a three-month period. It was conducted in the context of a self-regulatory process and designed to promote self-management and problem-solving skills. The control group received usual care. The outcome variables were obtained using questionnaires before and after the intervention in both groups. The self-management score of the experimental group was lower than that of the control group at the baseline, so it was set as covariate and analyzed by analysis of covariance.
RESULTS
There was a significant improvement in the experimental group compared to the control group in terms of their pre-to post-intervention changes in overall self-management (F=9.21, p=.004), self-efficacy (F=5.81, p=.020), and quality of life.
CONCLUSION
The present empowerment program was found to be appropriate for patients with poor self-management. It led to an improvement in the study outcomes in the short-term. The empowerment of patients with renal insufficiency should be considered to prevent the aggravation of their health-related problems and quality of life.

Citations

• Strategies to Promote Empowerment Status of Breast Cancer Women
  Mohammad Amin Bahrami, Shahrzad Tabari, Sedigheh Tahmasebi, Vahid Zangouri, Ramin Ravangard, Mubashir Mintoo
  International Journal of Breast Cancer.2024; 2024: 1.     CrossRef
• Caring for Patients With Advanced Chronic Kidney Disease: Dietary Options and Conservative Care Instead of Maintenance Dialysis
  Kamyar Kalantar-Zadeh, Vincenzo Bellizzi, Giorgina B. Piccoli, Yunying Shi, Soo Kun Lim, Sumira Riaz, Rocio Urbina Arronte, Wai Pooi Lau, Denis Fouque
  Journal of Renal Nutrition.2023; 33(4): 508.     CrossRef
• Factors Affecting Hyperphosphatemia in Patients with Chronic Renal Failure Undergoing Hemodialysis
  Jihyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 247.     CrossRef
• Interventions to empower cardiorenal patients: A systematic review
  Noelia Ania‐González, Maddi Olano‐Lizarraga, Mónica Vázquez‐Calatayud
  Journal of Advanced Nursing.2022; 78(2): 363.     CrossRef
• Patients’ and healthcare professionals’ beliefs, perceptions and needs towards chronic kidney disease self-management in China: a qualitative study
  Hongxia Shen, Rianne M J J van der Kleij, Paul J M van der Boog, Wenjiao Wang, Xiaoyue Song, Zhengyan Li, Xiaoping Lou, Niels Chavannes
  BMJ Open.2021; 11(3): e044059.     CrossRef
• Meaning of empowerment in peritoneal dialysis: focus groups with patients and caregivers
  Amanda Baumgart, Karine E Manera, David W Johnson, Jonathan C Craig, Jenny I Shen, Lorena Ruiz, Angela Yee-Moon Wang, Terence Yip, Samuel K S Fung, Matthew Tong, Achilles Lee, Yeoungjee Cho, Andrea K Viecelli, Benedicte Sautenet, Armando Teixeira-Pinto, E
  Nephrology Dialysis Transplantation.2020; 35(11): 1949.     CrossRef
• Exploring patient empowerment
  Adelaide Ippolito, Francesco Smaldone, Margherita Ruberto
  The TQM Journal.2019; 32(1): 92.     CrossRef
• Weight reduction program with continuous psychological support in obese patients
  Hiroshi Bando, Nakamura T, Narita A, Dobashi M, Kawashima T
  Advances in Obesity, Weight Management & Control.2019; 9(1): 16.     CrossRef
• Effective Nutritional Guidance for Obesity by Low Carbohydrate Diet (LCD)
  Nakamura T, Kawashima T, Dobashi M, Narita A, Bando H
  Asploro Journal of Biomedical and Clinical Case Reports.2019; 2(S1): 16.     CrossRef

PURPOSE
This study investigated the effectiveness of simulation training with a hybrid model of student nurses' performance ability and reported self confidence.
METHODS
A nonequivalent control group with pre-posttest was designed. Data collection was done during the first semester in 2012 at a college of nursing in Seoul. Nursing performance ability and reported self confidence related to taking care of patients with urinary problems were evaluated. The treatment group (n=96) received simulation training of a catheterization procedure with a hybrid model involving standardized patients and a mannequin. Nursing students in the comparison group (n=84) did not receive the simulation training but would receive it prior to their next clinical practicum's.
RESULTS
The treatment group showed a significantly higher performance ability and reported self confidence than that of the comparison group. The perceived helpfulness and contentment of the simulation training in experimental group was high.
CONCLUSION
The findings of this study demonstrated that simulation with a hybrid model was effective in teaching skills prior to the clinical experience which suggests that skill development is not dependent on the actual clinical situation. Nurse educators should consider simulation training as a tool beyond that of clinical practicum.

PURPOSE
This study examined the effects of spirituality promoting intervention for the stomach and colon cancer patients.
METHOD
A quasi-experimental design was used. Data collection was carried out from April 2004 to June, 2004 at a cancer center in Korea. The intervention included pray, meditation, group education and discussion for coping with cancer. The experimental group were received a 1-hour intervention per week for 6 weeks, while the control group received usual care. Data collection was done at pre and post intervention. The degree of spirituality was measured by the Korean version of WHOQOL-SRPB pilot test(WHO Quality of Life-Spirituality, Religiousness and Personal Beliefs pilot test) Module, and social support was measured using scores on a PRQ 85(Personal Resources Questionnaire). Fighting spirit was measured by the scores of MAC(Mental Adjustment to Cancer) scale.
RESULTS
The experimental group showed significant increase in the scores of social support and fighting spirit compared to those in the control group after the intervention. There were no significant changes in terms of the spirituality score compared to the baseline score in the experimental group and the control group.
CONCLUSION
This intervention appeared to be effective in increasing social support and fighting spirit, which considered to be very helpful in cancer adjustment.

PURPOSE
The purpose of this study was to examine the relationship between spirituality and a fighting spirit among the patients with cancer. METHODS: The participants were 223 patients diagnosed stomach, colorectal or breast cancer, and who were in chemotherapy or follow up care. The study design was cross-sectional at the time of the data collection. The degree of spirituality was measured by the Korean version of WHOQOL Spirituality, Religiousness and Personal Beliefs (SRPB) Pilot Test Module, and fighting spirit was measured by the scores of Mental Adjustment to Cancer(MAC) scale. RESULTS: The score of love appeared to be higher in the patients with follow up care than the patients with treatment(p<0.05) and the score of believing was much higher in patients with recurrence than the patients without (p<0.05). There was a statistically significant correlation among hope, believing, love, forgiveness and acceptance, and fighting spirit. In the multiple regression analysis, hope and believing explained much variance of the fighting spirit. CONCLUSION: These finding showed that the more hopeful and believing patients with cancer had higher scores of fighting spirit, which was known to be one of the most active coping style in adjusting to cancer.