• Korean Journal of Adult Nursing
• /
• v.27 no.5
• /
• pp.515-526
• /
• 2015

Purpose: The purpose of this study was to describe the illness experience of patients with pressure ulcer. Methods: A phenomenological methodology was used for the study. The data were collected by individual in-depth interview with seven participants with pressure ulcer during 2013~2014. All interviews were audio-taped and verbatim transcripts were made for the analysis. The data were analyzed using Colaizzi's phenomenological method. Results: All participants had underlying disease, such as spinal paralysis and diabetes. Average period of having pressure ulcer was 18 months, ranged from 3 to 36 months. A total of seven theme clusters were derived from the analysis; unexpected wound, inherent vulnerability to infection, reversal of the treatment policy, unpleasant and strange feeling of wound, sweeping fear and helplessness, socioeconomic burden, and healing through specific actions and reflection. The participants faced various contradictory and paradoxical situations in managing their pressure ulcers as well as underlying diseases in their everyday life. However, they slowly overcome these situations by strictly practicing concrete action-oriented strategies that they have learned through suffering and appreciating miraculous wound healing. Conclusion: The results of this study can help developing a patient-specific intervention program with sufficient emotional support by providing insights of the paradoxical illness experience of patients with pressure ulcer.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.9
• /
• pp.5477-5482
• /
• 2013

Background: Communication plays an important role for the well being of patients, families and also health care professionals in cancer care. Conversely, ineffective communication may cause depression, increased anxiety, hopelessness and decreased of quality life for patients, families and also nurses. Objective: This study aimed to explore communication difficulties of pediatric hematology/oncology nurses with patients and their families, as well as their suggestions about communication difficulties. Materials and Methods: It was conducted in a pediatric hematology/oncology hospital in Ankara, Turkey. Qualitative data were collected by focus groups, with 21 pediatric hematology/oncology nursing staff from three groups. Content analysis was used for data analysis. Results: Findings were grouped in three main categories. The first category concerned communication difficulties, assessing problems in responding to questions, ineffective communication and conflicts with the patient's families. The second was about the effects of communication difficulties on nurses and the last main category involved suggestions for empowering nurses with communication difficulties, the theme being related to institutional issues. Conclusions: Nurses experience communication difficulties with children and their families during long hospital stays. Communication difficulties particularly increase during crisis periods, like at the time of first diagnosis, relapse, the terminal stage or on days with special meaning such as holidays. The results obtained indicate that pediatric nurses and the child/family need to be supported, especially during crisis periods. Feeling of empowerment in communication will improve the quality of care by reducing the feelings of exhaustion and incompetence in nurses.

• Journal of Korean Society of Occupational and Environmental Hygiene
• /
• v.26 no.3
• /
• pp.377-387
• /
• 2016

Objectives: The objective of this study was to describe the emotional labor experiences of ward nurses in Korea. Methods: The data were collected through focus group interviews with seven ward nurses. The phenomenological analytic method suggested by Colaizzi was used to analyze the data. Results: Four theme clusters and eleven themes emerged from the analysis. The first theme cluster, 'Terrible working environment' includes changes in the health environment and realities of nursing organization. The second theme cluster, 'Suppressed feelings' includes institutionalized power trip, patient-centered emotion management and burning. The third theme cluster, 'Tired body and mind' includes withdrawal, wounded self-esteem, burnout and turnover desicion. The fourth theme cluster, 'Want to be comforted' includes emotional control and wishing to live as a nurse. Conclusions: The findings of this study provide an understanding of the emotional labor experiences of ward nurses to explain their perceptions and language. The essence of the emotional labor of ward nurses is a negative working environment created by increased competition in the healthcare industry and the nature of nursing organization, and as a result their quality of life has fallen.

• The Korean Journal of Rehabilitation Nursing
• /
• v.20 no.1
• /
• pp.69-78
• /
• 2017

Purpose: This study aimed to identify the relationship among conflict management style, communication competence and nurse-physician collaboration in hospital nurses and physicians. Methods: This is a descriptive study. Using a questionnaire, data were collected from 230 nurses and 107 physicians at a university hospital in D city. With SPSS/WIN 22.0 program, data were analyzed by t-test, ANOVA, $Scheff{\acute{e}}$ test, and Pearson's correlation coefficient. Results: Physicians scored the highest for communication competence in nurse-physician relationship and the lowest in medical decision making, while nurses scored the highest in patient information sharing and the lowest in nurse-physician relationship. Physicians with problem solving tendency scored higher in communication competence than those with avoiding tendency. Among the nurses, those with avoiding tendency scored the lowest. For both physicians and nurses, communication competence showed a significant negative correlation with avoidance. For nurses there was also a significant positive correlation with compromising tendency. Finally, there was a significant correlation between nurse-physician collaboration and communication competence in both groups. Conclusion: This study demonstrates that nurse-physician collaboration and communication competence are correlated with conflict management style. We suggest educational programs at more hospitals in various locations to improve nurse-physician collaboration reflecting conflict management style.

• Asian Oncology Nursing
• /
• v.10 no.2
• /
• pp.129-136
• /
• 2010

Purpose: This study was conducted to examine the relationship between stress and quality of life of family caregivers of patients with lung cancer. Methods: From April 18 to May 4, 2009, data were collected using self-report questionnaires with 95 family caregivers of lung cancer patients in G cancer center. The data were analyzed using descriptive statistics, t-test, ANOVA and pearson's correlation coefficient with SPSS 14.0. Results: The mean score of the stress level was 27.5 (SD=14.77). The mean score of the QOL was 73.0 (SD=17.86). The stress level of family caregiver showed significant difference according to gender (psychological stress p=.011, total level of stress p=.042) and availableness of second caregiver (physical stress p=.023, psychological stress p=.035, total level of stress p=.001). The QOL of family caregivers showed significant difference according to daily caring (positive adaptation p=.045) and financial burden on treatment expense (positive adaptation p=.004, total quality of life p=.043). The negative correlation was found between stress and QOL of family caregivers (r=-.67, p=.032). Conclusion: These results indicate a need to develop nursing intervention programs for family caregivers to reduce stress and improve QOL.

• Asian Oncology Nursing
• /
• v.7 no.2
• /
• pp.150-161
• /
• 2007

Purpose: This study was to assess the degree of infection prevention behaviors at home, and a relationship between those behaviors and barrier factors among cancer patients undergoing chemotherapy. Method: The data were collected from 92 cancer patients who were undergoing chemotherapy with more than two kinds of immunosuppressive agents at G university hospital in J city from February 17 to April 4, 2003. The instruments were the infection prevention behavior scale developed by researchers and the barrier factor scale by Gu et al. (2003). The data were analysed using mean, standard deviation, t-test, ANOVA, and Pearson's correlation coefficient by SPSS program. Results: The mean score of the behaviors for infection prevention was 2.61 of 4. The highest score was on the subscale 'rest and exercise', and the lowest score was on the subscale 'monitoring sign and symptom of infection'. And a negative correlation(r= -.208, p= .023) was found between infection prevention behaviors and barrier factors. The barriers correlated to infection prevention behaviors were mainly 'no habits' and 'no interest'. Conclusion: It seems that the degree of the behaviors for infection prevention was not performed enough to prevent infection among cancer patients. And there was negative relationship between infection prevention behaviors and barriers. We suggest to develop a nursing intervention program to enhance infection prevention behaviors through reducing the barrier factors.

• Journal of Community Nutrition
• /
• v.1 no.2
• /
• pp.133-139
• /
• 1999

The purpose of this survey was to investigate eating habits, life styles and nutritional care of diabetic outpatients and to provide basic data for developing individualized nutritional care and diabetic education programs. This survey was carried out by nutritional counseling with a questionnaire and checking medical record. Information about the general characteristics of the subjects, eating habits, health-related life styles and attitude and perception of subjects to diet therapy was gathered from 200 randomly-sampled diabetic outpatients at a University Hospital located in Inchon. All data were analyzed by Statistical Analysis System(SAS) software. The results are summarized as follows : Female subjects were 63.5% of total subjects and 65.5% of total subjects were 50 years or more. The average Body Mas Index(BMI) of male and female subjects were 23.06kg/㎡ and 25.02kg/㎡ respectively and 44% of all subjects wee obese. Among subjects, type II diabetic patients were 81.0% and 82.5% of subjects had suffered from diabetes for more than one year. Also 41% subjects had diabetic history in their family. More than half of the subjects had nutrition education concerning diabetes. Also 75.5% of them thought that nutrition education was effective. The most important guideline in diet therapy was to eat cooked rice with dietary fiber-rich grains. Therefore, it might be necessary to develop nutrition education program adjusted according to diabetic patient's needs and life styles, which may increase feasibility of self-care and implementation of management guidelines.

• Journal of Korean Public Health Nursing
• /
• v.14 no.2
• /
• pp.203-215
• /
• 2000

The purpose of this study is to identify the effects of the supportive program for arthritis patients. who are attending a rheumatoid arthritis clinic. To achieve this purpose. this study adopted a quasi-experimental. pre- and post-test research design. comparing experimental group with control one. Supportive program was composed of in-depth. 3 times of direct interview and 2 times of advice using telephone for 8 weeks. The object of these interviews and phone was focused on the improvement of patients' preception for health. During this period. the level of pain, hemato-immunologic indices(ESR, CRP). self-efficacy, depression. and perception for health were measured in both grooups. Data were analysed by $x^2-test$, t-test. repeated measures ANOVA and Pearson's correlations. The results were as follows : 1. There were no significant differences in physiological data. 2. The feeling of self-efficacy was significantly increased in experimental group(P=.012), 3. There was no significant differences in depression. 4. The perception for health status was significantly increased in experimental group(P=.002). Thus, the supportive program. which is focused on the close interpersonal communication. proved to be effective. This result justifies the following suggestion that the role of the nursing professionals in out-patient clinic should be extended for more qualified care for the patients.

• Journal of Korean Clinical Nursing Research
• /
• v.23 no.2
• /
• pp.202-210
• /
• 2017

Purpose: In this study an investigation was done of injuries from inpatient falls and diagnostic tests and treatment after falls to identify what factors affect the occurrence of injury from inpatient falls in a tertiary hospital. Methods: Data for this cross-sectional study were retrieved for 428 fall events from data reported between January 1 and December 31, 2015 and were retrieved from the patient-safety reporting system in the hospital's electronic health records. A multivariate logistic regression model was developed with STATA 13.0. Results: Of the patients, 197 (46.0%) had physical injuries due to falls, 119 (27.8%) were given further diagnostic tests, and 358 (83.6%) received treatment including close observation after inpatient falls. Logistic-regression results identified that age, department, and risk factors had significant impact on injuries from falls. Conclusion: Findings indicate that to reduce the severity of injury after inpatient falls, each hospital should regularly evaluate identified factors, design fall-prevention practices specialized for elders and vulnerable patients, and initiate environmental and equipment innovations.

• Journal of Korean Academy of Nursing Administration
• /
• v.10 no.4
• /
• pp.427-436
• /
• 2004

Purpose: The purposes of the study were to describe the prevalence, sources and feelings of verbal and physical violence experienced by nurses and to identify the association of violence episodes and their intent and attempt to turnover. Method: Data were collected from the self reported survey of 589 nurses working in various clinical settings in three different hospitals. SPSSWIN 11.0 program was utilized for data analysis using descriptive statistics and Chi-square test. Result: The findings revealed that the majority of nurses had experienced verbal violence(93.7%) and physical violence(23.4%) at work. The most common sources of violence were by patient's families(61.6%), patients(60.3%), and physicians(48.4%). The most common feeling experienced after an episode of violence were anger(56.6%) and resentment(50.9%). 78.1% of those experienced verbal violence and 86.2% of those experienced physical violence reported that they had intent to turnover after violence episodes. Conclusion: Considering the high prevalence of physical and verbal violence experienced by clinical nurses, organizations must develop administrative support system, preventive education and policy to deal with various causes of violence. This will eventually prevent high turnover rates among clinical nurses related to the violence experiences.