Effects of a Spouse’s Aromatherapy Hand Massage on Fatigue, Stress, and a Couple’s Relationship in Pregnant Women

Purpose@#The purpose of this study was to investigate the effect of a spouse’s aromatherapy hand massage on fatigue, stress, and a couple’s relationship in pregnant women. @*Methods@#A nonequivalent control group pretest-posttest design was used. Pregnant women were selected as participants on prenatal education program of 2 health centers. For the experimental group, 28 pregnant women were selected from 1 health centers. Thirty-two pregnant women were assigned to a control group from another. Bergamot, lavender, and sandalwood oil were mixed at a ratio of 1:1:1 and diluted to 1% in a jojoba carrier oil. This oil was used for aromatherapy and had already been identified as not being hazardous to pregnant women. Participants received an aroma hand massage from their spouses 5 times a week for 4 weeks, a total of 20 times. Pre and post written survey were collected from both groups. The data were analyzed by χ2 test, independent t-test, paired t-test and analysis of covariance using IBM SPSS Statistics ver. 25.0 program.Result: There was a statistically significant difference in stress (F=17.39, p<0.001) and the couple’s relationship (F=18.87, p<0.001) between the experimental group and the control group. Fatigue was not significantly different between the 2 groups (F=2.61, p=0.112), but there was a difference pre and post the experimental group (t=-5.30, p<0.001). @*Conclusion@#These findings indicate that a spouse’s aroma hand massage is effective as a nursing intervention for pregnant women to relieve fatigue and stress, and improve the couple’s relationship.

Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms / 임상간호연구

Purpose@#This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. @*Methods@#A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. @*Results@#Safety nursing activity was significantly different in relation to nurses’ level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. @*Conclusion@#To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.

Factors Related to Positive Psychological Capital among Korean Clinical Nurses: A Systematic Review and Meta-Analysis / 임상간호연구

PURPOSE@#The purpose of this study was to systematically review and identify factors relevant to the positive psychological capital of clinical nurses.@*METHODS@#These was no limit on year of publication. Articles related to Korean clinical nurses were retrieved from computerized database using a manual search. A systematic review was conducted based on the PRISMA flow. The total correlational effect size (ESr) for each related factor was calculated from Fisher's Zr. Funnel plots, fail-safe numbers, and Egger regression tests were used to evaluate publication bias in meta-analysis studies. The correlational effect size of 25 studies was analyzed through meta-analysis using Comprehensive Meta-Analysis software 3.0 (CMA).@*RESULTS@#The review included 25 studies. In the systematic review, 14 demographic factors and 46 organizational factors were found to be influential. Eleven factors (6 demographic factors and 5 organizational factors) were appropriate for meta-analysis. The overall effect size was .26. The demographic total correlation effect size of related factors was .20 and the total effect size of organization was .46. Organizational commitment (ESr=.38) and job satisfaction (ESr=.54) were statistically positively related variables. Negative variables were burnout (ESr=−.61), turnover intention (ESr=−.41) and workplace bullying (ESr=−.33). The total effect size of the organizational factors was larger than the demographic total effect size. There was no publication bias except for demographic variables.@*CONCLUSION@#Organizational factors and adjustable variables have a significant impact on positive psychological capital. The results of this study support the need for development of interventions focusing on organizational factors.

Concept Analysis of Married Immigrant Women Acculturation to Korean Culture

PURPOSE@#The purpose of this study is to clarify attributes, antecedents, and consequences of married immigrant women acculturation to Korean culture.@*METHODS@#According to the procedure that Walker and Avant presented, the concept of married immigrant women's acculturation to Korea culture is analyzed.@*RESULTS@#The defining attributes of married immigrant women acculturation to Korean culture are good communication, family and social support, mothers parenting capacity, and acceptance of mutual culture. The antecedents are interracial marriage, moving to Korea and prejudice against married immigrant women. The consequences are psychological well-being and satisfaction with family life.@*CONCLUSION@#The cultural adaptation process for the stable settlement of married women in Korean society has 4 attributes: good communication, family and social support, mothers parenting capacity, and acceptance of mutual culture. Therefore, this application will help people in the cultural adaptation process especially when they approach married women.

Impacts of Symptom Clusters, Performance and Emotional Status on the Quality of Life of Patients with Gynecologic Cancer

PURPOSE: To determine impacts of symptom clusters, performance and emotional status on the quality of life of gynecologic cancer patients. METHODS: Subjects completed questionnaires consisting of four measurements: symptom cluster, performance and emotional status, and the quality of life. A total of 104 completed data sets were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and a multiple regression analysis using the SPSS 21.0 program. RESULTS: Fatigue was identified as the most prevalent symptom (77.9%) and sweating (2.08) as the most severe and uncomfortable symptom (1.80). Six symptom clusters, performance status, anxiety and depression were negatively correlated with quality of life. Four symptom clusters were positively correlated with performance status, and six symptom clusters were positively correlated with anxiety and depression. Factors affecting quality of life were abdominal discomfort cluster (β=−0.23, p=0.005), performance status (β=−0.20, p=0.020), and depression (β=−0.42, p < 0.001). The model was statistically significant explaining 42.5% of variance (F=26.369, p < 0.001). CONCLUSION: The findings supported that symptom clusters and depression negatively influence the quality of life and need to be addressed as we are caring for patients and promoting quality of life.

A Model for Role Transition of Older Mothers with Preschool Children

PURPOSE: The purpose of this study was to construct a model to explain the parenting satisfaction associated with the role transition of older mothers with preschool children. METHODS: The participants of this study were mothers of 3– to 6–year–old children who gave birth after 35 years of age, and were drawn from 16 child care centers and 8 kindergartens in 4 administrative districts of B city. Data were analyzed using SPSS for Windows version 22.0 and AMOS for Windows version 22.0. RESULTS: Parental stress, mother-child interactions, parental beliefs regarding personality, and socioeconomic status(income, education, and occupation) had direct effects on parenting satisfaction. Social support also showed direct and indirect effects. Among the sub factors of child temperament, sociability had a significant effect. These variables explained 57.4% of the variation in parenting satisfaction. CONCLUSION: The results of this study will contribute to the development of effective programs to enhance the parenting satisfaction of older mothers, and will help older mothers through the role transition necessary for the growth of their children.

Development and Evaluation of a School Adjustment Model for Juvenile Delinquents

PURPOSE: The aim of this study was to develop and evaluate a structural model including relevant factors to identity the variables that affect school adjustment in juvenile delinquents. On the basis of a review of the literature on school adjustment of juvenile delinquents and on Bronfenbrenner's bio-ecological model, a hypothetical model was developed by setting home environmental factors (e.g.,economic conditions, parent child communication, parenting attitudes, peer relationships, and academic stress) as exogenous variables, and personal factors (e.g., ego identity and psychological well-being) as endogenous variables. METHODS: Data were collected from January 29 to March 3, 2015 by a survey of 206 students attending junior high and high schools in City B. The collected data were analyzed using the SPSS and Amos 22.0 software. RESULTS: The verification of the hypothetical model indicated a good fit for the model: χ²=0.009 df=13, χ²/df=2.161, GFI=0.97, AGFI=0.90, RMESA=0.07, CFI=0.98, TLI=0.95, and RMR=0.01. CONCLUSION: The results suggest that ego identity and parent-child communication do not directly affect school adjustment of juvenile delinquents but influence it depending on the psychological well-being of delinquents. High levels of psychological well-being, better economic conditions, better parent-child communication, and low academic stress were abserved to contribute to better school life. Therefore, to improve the school adjustment of juvenile delinquents, appropriate measures need to be taken and programs need to be designed for improving ego identity and parent-child communication, thus promoting psychological well-being.

Effects of Providing Animated Information on Anxiety and the Nursing Satisfaction of Children who have Received Strabismus Surgery and their Guardians

PURPOSE: This study was designed to test the effects of providing animated information on preoperative anxiety and postoperative nursing satisfaction of children who had received strabismus surgery as well as any effects on their guardians. METHODS: The subjects of the study consisted of hospitalized school-aged children and their guardians who were waiting for strabismus surgery in the P university hospital in B metropolitan city. There were 20 pairs of experimental groups and 20 pairs of control groups. The animated information was provided twice before and after the surgery. The data was analyzed using χ2-test, t-test and ANCOVA using the SPSS program. RESULTS: The preoperative anxiety of children and their guardians was significantly improved in the experimental group compared to those in the control group. Postoperative nursing satisfaction was also significantly increased in the experimental group. CONCLUSION: These results suggest that providing such animated information may reduce preoperative anxiety and increase nursing satisfaction after the performance of strabismus surgery operations on children as well as effects on their guardians. Therefore, animated information is recommended for use in clinical fields for children who are to receive strabismus surgery child in addition to their guardians as an efficient nursing intervention.

Analysis of Research Trends in Papers Published in the Journal of Korean Academy of Child Health Nursing (2005-2009)

PURPOSE: The purpose of this study was to analyze papers published in the Journal of Korean Academy of Child Health Nursing (JKACHN) to identify the current state of child health nursing research and recommend directions for future research. METHODS: Using analysis criteria developed by the researchers, 233 papers published in JKACHN between 2005 and 2009 were reviewed. RESULTS: Both quantity and quality of these papers showed significant improvement compared to before 2005. The number of published papers, the proportion of intervention studies, and studies that involved children directly as participants had increased. However, published papers still leave much to be desired. Quantitative studies were dominant (91.4%) and many of these studies were survey designs (65.7%). Children, especially young children were still less likely to be direct participants. All experimental studies were quasi or pre-experimental studies. There were few qualitative research studies. CONCLUSION: Findings of this study indicate that strengthening peer review according to review guidelines will improve the quality of published papers and promote JKACHN as an international journal. Instead of proxy accounts from parents or nurses, research involving direct accounts by children is needed. Child-friendly data collection methods need to be developed and used by child health nurse researchers.

Relationship between Goodness-of-Fit for Mother-Preschool Child and Parenting Stress in Mother

PURPOSE: This study was done to identify the relationship between goodness-of-fit for mother-preschool child dyads and parenting stress experienced by the mother. METHODS: Study participants were 500 mothers who had children aged 3 to 5 who attended one of ten kindergartens or infant schools in M City or B City. Descriptive statistics and Pearson's correlation coefficients were calculated using the SPSS program. RESULTS: Comparison of goodness-of-fit scores for mother-preschool child dyad according to the characteristics of the participants, showed a significant difference according to child's age, gender, and birth order, mother's education and occupation, father's age and education, family income, and the chief caregiver in the family. There was a positive correlation between goodness-of-fit scores for mother-child dyad and parenting stress scores for mothers. CONCLUSION: The findings of the study indicate a need to identify differences between children's behavioral problems and parenting styles according to the degree of discord in the mother-child temperaments. It is also necessary to develop and apply nursing programs to promote harmonizing of temperaments, programs in which the characteristics of the child and the mother are considered.