The moderating effect of cultural competence educational needs on the relationship between transcultural self-efficacy and cultural competence in Korean public health nurses.

BACKGROUND: In an increasingly multicultural society, cultural competence and transcultural self-efficacy of public health nurses is important for providing culturally congruent care for client from diverse cultural background. To improv this, it is needed tailored and effective educational program based on the cultural competence educational needs. This study investigated the moderating effect of cultural competence educational needs on the relationship between transcultural self-efficacy and cultural competence. METHODS: This cross-sectional study recruited 217 public health nurses in Korea using convenience sampling from August 2018 to January 2019. A direct questionnaire was used to collect data. Study variables were analyzed using descriptive statistics, correlation, and the Hayes PROCESS macro (Model 1) moderation model. RESULTS: The mean scores for transcultural self-efficacy, cultural competence educational needs, and cultural competence were 62.33 ± 11.08, 58.19 ± 15.08, and 97.96 ± 17.09, respectively. Transcultural self-efficacy and cultural competence educational needs were positively associated with cultural competence. In the tested model, cultural competence educational needs had a conditional moderating effect on the relationship between transcultural self-efficacy and cultural competence. The positive association between transcultural self-efficacy and cultural competence was significant at low, medium, and high levels of cultural competence educational needs and stronger for those with high needs. CONCLUSIONS: Cultural competence educational needs may be an important determinant of cultural competence among public health nurses. To effectively increase cultural competence, transcultural self-efficacy should be increased by education programs tailored by cultural competence educational needs.

Professional Self-Concept, Job Stress, and Triage Competency Among Emergency Nurses: Secondary Data Analysis of a Cross-Sectional Survey.

INTRODUCTION: This study aimed to evaluate the indirect relationship of job stress with triage competency through professional self-concept among emergency nurses in Korea. METHODS: A secondary data analysis of survey data from 132 questionnaires was used. A convenience sample of emergency nurses working in regional or local emergency centers in 2 Korean cities was recruited for the survey. Study variables were analyzed using descriptive statistics, correlation, and a model tested using the Hayes PROCESS macro (Model 4) mediation model. RESULTS: Job stress alone was not associated directly with triage competency (ß = 0.01, P = .74). An indirect pathway was observed between job stress and triage competency through professional self-concept (F = 5.85, P < .001, R2 = 0.33). In the tested model, job stress was associated with professional self-concept (ß = -0.05, P < .05) and professional self-concept was associated with triage competency (ß = 0.79, P ≤ .001). CONCLUSION: Professional self-concept may be an important determinant of triage competency among emergency nurses. To increase triage competency among emergency nurses, individual nurse and management efforts are recommended to foster professional self-concept and reduce emergency nurse job stress.

The frequency of impairments in everyday activities due to the overuse of the internet, gaming, or smartphone, and its relationship to health-related quality of life in Korea.

BACKGROUND: This study aimed to investigate the relationships between the frequency of impairments in daily activities due to the overuse of the Internet, gaming, or smartphones (IGS) and sociodemographic characteristics, social relationships (including family) & activities, psychosocial characteristics, health status, and health-related quality of life (HRQoL) of Korean adults. METHODS: Secondary data from the 2017 Community Health Survey, a large-scale sample survey conducted yearly in South Korea, were analyzed for 190,066 adults over 19 years of age. Three categories were created for impairment groups due to IGS overuse: No Impairment, Mild Impairment, and Moderate-to-Severe groups. And between-group differences were examined using a one-way ANOVA for health status measured with the EQ-5D-3 L and chi-square tests for all categorical dependent variables, which included sociodemographic characteristics, social relationships & activities, and psychosocial factors. The association between frequencies of daily activity impairments due to IGS overuse and the dependent variables were examined using a multivariate logistic regression analysis and a linear regression model. RESULTS: Approximately 21,345 (11.23%) of the 190,066 participants reported experiencing impairments in daily activities due to IGS overuse at least once in the previous year and the impairments were more severe in males than females. Participants experiencing impairments in daily activities contacted their friends a significantly higher number of times (4 times or more per month) and engaged in leisure activities more frequently (more than once per month) than those without impairments. There was also a significant positive relationship between IGS overuse and stress, depression, suicidal ideation, and suicide attempts. Among participants aged 19-64, impairments in daily activities due to IGS overuse were associated with a lower HRQoL. Conversely, for those aged 65 and over, mild and moderate-to-severe impairments due to IGS overuse were associated with a significantly higher HRQoL. CONCLUSIONS: Increased impairments in daily activities due to IGS overuse may negatively affect mental health. However, among older adults, the frequency of such impairments was positively associated with HRQoL. This finding could be considered to apply interventions with Internet usage or ICT devices for older adults to enhance their quality of life.

Factors influencing beliefs about intimate partner violence among adults in South Korea.

OBJECTIVES: This study aimed to identify factors influencing beliefs about intimate partner violence among Korean adults. DESIGN AND SAMPLE: This is a cross-sectional descriptive study that analyzed data from 466 adults. MEASURES: Beliefs about intimate partner violence were measured using a self-report questionnaire with a total of 28 items consisting of four subscales: perpetrator's justification for beating women, blaming women for violence against them, perpetrator's responsibility for violence, and giving help to victims. RESULTS: Men and women had significantly different beliefs about intimate partner violence (t = -7.19, p < .001). Some characteristics were identified that led to unhealthy beliefs about intimate partner violence. Four variables-gender, age, educational level, and witnessing parental violence-had an explanatory power of 20% with regard to beliefs about IPV (F = 10.50, p = .000). CONCLUSIONS: In South Korea, men, older individuals, and those with less formal education or who have witnessed parental violence need education to foster healthier beliefs about intimate partner violence. Nurses can play a vital role in efforts to decrease intimate partner violence.

Risk factors affecting intimate partner violence occurrence in South Korea: Findings from the 2016 Domestic Violence Survey.

This study aimed to identify factors affecting the occurrence of intimate partner violence (IPV) in Korean adults aged 19 years and older. Specifically, we identified the factors in women's victimization in and men's perpetration of IPV. This study adopted a cross-sectional and correlational design in conducting secondary data analysis of the 2016 Domestic Violence Survey in Korea. Men (N = 1,272) and women (N = 2,689) with partner were included in the analysis. The ecological model was used as a conceptual framework. Multiple logistic regression analyses were conducted to identify factors affecting women's victimization in and men's perpetration of IPV. The results showed that the prevalence of IPV against female partner was 12.1%. IPV occurrence was higher among women (Odds ratios (OR) = 2.92, Confidence intervals (CI): 1.84-4.63) and men (OR = 2.64, CI: 1.62-4.32) who experienced witnessing inter-parental violence in childhood, and among women (OR = 2.25, CI: 1.40-3.61) and men (OR = 2.68, CI: 1.59-4.52) with a tolerant attitude toward IPV. The occurrence was higher among women who experienced childhood maltreatment by the parents (OR = 1.70, CI: 1.03-2.82) and women whose income was 2 million Korean Won(KRW) to 3 million KRW compared with women whose income was above 4 million KRW (OR = 1.97, CI: 1.10-3.55). The occurrence was lower among women with office jobs compared with other jobs (OR = 0.47, CI: 0.26-0.84). Based on the results of this study, early intervention in abusive families to reduce the negative impact of abuse experiences and witnessing inter-parental violence in childhood, and education and publicity for changing attitudes toward IPV are necessary at the individual and societal levels. The formation of policies for the stable workplace and income of women are required.

Changes in the Levels of Stress Perception, Experiencing Depressive Symptoms and Health-Related Quality of Life of Residents after the 2016 Gyeongju Earthquake.

BACKGROUND: The aim of this study was to evaluate the impact of the 2016 Gyeongju Earthquake on the stress perception, depressive symptoms, and health-related quality of life (HRQoL) among Gyeongju residents. METHODS: This study was a secondary analysis of the 2015-2017 Korean Community Health Survey undertaken in the disaster area, Gyeongju, and in controlled areas, Sangju and Yangju, which had varying seismic intensities. Pearson's chi-square test, ANCOVA and two-way ANOVA were performed. RESULTS: The stress perception rate and anxiety/depression in the 5th dimension of the EuroQul-five-dimensions three-level version (EQ-5D-3L) in Gyeongju was significantly higher in 2017 than in 2016. As for the HRQoL, the controlled regions showed a tendency to increase in 2017 rather than in 2016, while Gyeongju had no significant differences during 2015 and 2017. As a result, Gyeongju had the lowest HRQoL in 2017. CONCLUSION: Mental health in the disaster area after the 2016 earthquake was worse, and the HRQoL of Gyeongju residents was relatively lower than the control regions. Based on the results of the study, government agencies should remain interested in developing a post-disaster psychological support program for disaster survivors at a community level.

The Psychometric Properties of the Midlife Women's Symptom Index.

OBJECTIVE: To evaluate the psychometric properties of the Midlife Women's Symptom Index (MSI) among four racial/ethnic groups of midlife women in the United States. DESIGN: A secondary data analysis. SETTING: Internet communities/groups. PARTICIPANTS: A total of 494 midlife women with symptoms of menopause who self-reported using an Internet survey and completed all sections of the MSI questionnaire. METHODS: Data were collected from January 1, 2008 to December 31, 2010. The psychometric properties of the MSI were evaluated using measures of internal consistency, item-total correlation coefficients, and discriminant validity. RESULTS: There were statistically significant differences in marital status, employment, income, religion, country of birth, level of education, diagnosed disease, and self-reported health status across the four racial/ethnic groups. The Kuder-Richardson Formula 20 (KR-20) coefficients for the three subscales of the MSI prevalence section (i.e., physical, psychological, and psychosomatic) ranged from 0.58 (psychosomatic symptoms in Whites) to 0.91 (psychological symptoms in Asian Americans). The Cronbach's alpha coefficients for the three subscale scores ranged from 0.60 (psychosomatic symptoms in Whites) to 0.93 (psychological symptoms in Asian Americans). The mean scores of the MSI differed significantly by race/ethnicity among midlife women of each menopausal status, except for the prevalence section of the psychosocial symptoms. CONCLUSION: The MSI has demonstrated an acceptable reliability and appropriate discriminant validity across the four racial/ethnic groups, except in the domain of psychosomatic symptoms. Health care providers as well as researchers could use the MSI to assess the symptoms of menopause of midlife women from diverse racial/ethnic backgrounds.

[Grounded theory approach to health care of older adults at a doctorless farm village].

PURPOSE: The purpose of this study was to explore how older adults kept their health good at a doctorless farm village. METHOD: Data was collected through in-depth interviews with 32 participants who were over 65 years old and analyzed in terms of Strauss and Corbin's (1990) grounded theory methodology. RESULT: The Core Category of health care of older adults was identified as "enduring physical changes by themselves". The process of this could be divided into 4 stages : the stage of bearing, the stage of managing daily living activities, the stage of passively collecting information and the stage of minimally utilizing health care services. Older adults accepted the aging process positively but health sources limitation passively, so they managed daily living activities and used natural food for health. In addition, they collected information related to health care and used health care services minimally. CONCLUSION: We found that participants managed their health passively because of negative attitudes toward active health behaviors of older adults by themselves and the difficulty of access to health care services. Therefore, various community health services for older adults need to be developed to empower older adults in the community.

[The effects of a cognitive enhancement group training program for community-dwelling elders].

PURPOSE: In this study a cognitive enhancement group training program of 10 sessions was provided for community-dwelling elders and the effects on cognitive function, depression and quality of life were tested. METHODS: A quasi-experimental study using a nonequivalent control group, pre-post design was used. The participants were 87 elders whose cognitive function was within the normal range. Of these elders, 45 were assigned to the experimental group and 42 to the control group. The intervention was conducted once a week for 10 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data. RESULTS: After the program, the cognitive function (t=-2.85, p=.006), depression (z=2.82, p=.005) and quality of life (t=2.79, p=.007) of the experimental group was significantly better than those of the control group. Especially, immediate recall (z=2.45, p=.014) and concentration (z=2.58, p=.010) in the subcategory of cognitive function were significantly better than that of the control group. CONCLUSION: The findings indicate that the cognitive enhancement group training program was effective in enhancing the cognitive function, depression and quality of life for elders and could therefore be considered as a positive program for emotional and cognitive support for community-dwelling elders.

Experience of home health nursing personnel in actual and simulated case finding of wife abuse in Korea.

OBJECTIVES: The purpose of this study was to examine the experience of home health nursing personnel (HHNP) in identifying wife abuse and intervening with victims during home health visits, and to analyze responses to a what-if scenario involving visiting a woman who implies her husband is abusive. DESIGN: A cross-sectional, descriptive design with a questionnaire survey was used and included the public health nurse's practice response to women who are abused (PHNR). SAMPLE: From 243 public health centers nationwide, 373 HHNPs participated. RESULTS: Over the past year, 31.6% had identified abused women (average of 2.2 victims per HHNP) and 12.3% had intervened. The mean score for the PHNR was 55.76 (out of a possible 80), indicating higher value on thoughts, feelings, and actions to support abused women. Significant differences were found in the mean scores for age and position (nurse or nurse aide). The mean percentage of correct PHNR responses was 70.4%. The results showed a low level of competency and difficulty in initiating the topic of abuse, and a higher level of understanding methods to approach abused women. Time limit was not a hindrance to intervention. CONCLUSIONS: The findings indicate the need for education programs to increase self-efficacy and promote effective recognition and interventions for these women.