"Untold and unexpected clinical practice stress," nursing students' experience of disgust: A phenomenological approach.

BACKGROUND: In the clinical learning environment, nursing students often face situations that cause physical disgust. Previous studies have shown that more than half of the students experienced disgust, and that high disgust sensitivity in students was related to negative results in terms of academic and caring behavior. OBJECTIVES: This study aims to understand the experience of disgust felt by nursing students in a clinical learning environment. DESIGN: A qualitative study using phenomenological method. METHODS: In-depth, one-on-one interviews were conducted with 18 nursing students at a university in South Korea. The data obtained through the interviews were used to explore the essential structure and meaning of disgust using phenomenological analysis. RESULTS: This study derived four categories, nine theme clusters, and twenty-one themes. The four categories were "fear that stimulates the senses," "untold and unexpected clinical practice stress," "ambivalence towards myself and patients," and "struggling to become a nursing professional." CONCLUSIONS: Nurse educators must be aware that nursing students may feel disgust in clinical settings and are therefore under stress. They must also assist students so that their concerns caused by emotions that they cannot easily reveal do not affect their nursing careers.

Patient safety awareness, knowledge and attitude about fire risk assessment during time-out among perioperative nurses in Korea.

AIM: This study aims to investigate the relationship between patient safety awareness, knowledge (risk-Knowledge) and attitude about fire risk assessment during time-out (risk-Attitude) of perioperative nurses. DESIGN: A cross-sectional study. METHODS: Perioperative nurses (N = 158) from 22 small- and medium-sized hospitals participated in the study. Participants' characteristics, knowledge and attitude about fire risk assessment were investigated using structured questionnaires. RESULTS: Patient safety awareness, risk-Knowledge and risk-Attitude scores were high among nurses who received frequent patient safety education or fire preparedness training, while patient safety awareness partially mediated the effect of risk-Knowledge on risk-Attitude. To increase perioperative nurses' risk-Attitude, it would be effective to increase not only their risk-Knowledge but also overall patient safety awareness.

Emotional Labor and Burnout of Public Health Nurses during the COVID-19 Pandemic: Mediating Effects of Perceived Health Status and Perceived Organizational Support.

The purpose of this study was to identify the mediating effects of perceived health status (PHS) and perceived organizational support (POS) in the association between emotional labor and burnout in public health nurses (PHNs). The participants were 207 PHNs convenience sampled from 30 public health centers and offices in Jeju, Korea. Data regarding emotional labor, PHS, POS, and burnout were collected between February and March 2021 using a structured questionnaire. Collected data were analyzed by Pearson's correlation coefficient and multiple regression analysis. Burnout of PHNs was positively correlated with emotional labor (r = 0.64, p < 0.001) and negatively correlated with PHS (r = -0.51, p < 0.001) and POS (r = -0.51, p < 0.001). In the association between emotional labor and burnout, PHS (B = -1.36, p < 0.001) and POS (B = -0.42, p = 0.001) had a partial mediating effect. Reduction of burnout among PHNs requires not only effective management of emotional labor but also personal and organizational efforts to improve PHS and POS.

Association between sleep quality, anxiety and depression among Korean breast cancer survivors.

AIM: This study aimed to examine the sleep pattern of breast cancer survivors and anxiety and depression associated with sleep quality to provide evidence-based information for the development of interventions to improve sleep disorders in these survivors. DESIGN: A cross-sectional study. METHODS: The subjects were 266 breast cancer survivors in South Korea. Structured questionnaires regarding sleep quality, anxiety and depression were used. The data were analysed using t test, ANOVA and multiple regression analysis. RESULTS: Sleep duration and sleep disturbance were found to affect anxiety, whereas sleep latency and subjective sleep quality were found to affect depression. These results suggest that various factors affecting sleep quality should be considered when providing care for anxiety and depression in breast cancer survivors.

[Comparison of quality of life and related factors according to premature menopause using the Korea National Health and Nutrition Examination Survey (2014-2017)]. / 조기폐경 여부에 따른 삶의 질 ê´€ë ¨ 요인: 국민건강영양조사 자료(2014-2017ë „) 분석.

Purpose: The purpose of this study was to compare the health-related quality of life of premature menopausal women with that of normal postmenopausal women and to identify factors related to quality of life in these two groups. Methods: A secondary analysis was conducted of a sample of 5,910 postmenopausal women drawn from women aged 19-79 years, using raw data from the Korea National Health and Nutrition Survey between 2014 and 2017. Quality of life was compared between premature menopausal women and normal postmenopausal women using the t-test and chi-square test, and factors related to quality of life were analyzed by multivariate logistic regression using SAS version 9.4. Results: There was no significant difference in quality of life between premature menopausal women and normal postmenopausal women. Subjective health status and symptoms of depression were identified as factors related to quality of life in women with premature menopause, while engaging in aerobic physical activity, subjective health status, stress, and symptoms of depression were found to be related to quality of life among normal postmenopausal women. Conclusion: It is necessary to support self-care measures for both premature and normal menopausal women to adapt to changes caused by menopause, and multidimensional strategies should be developed considering postmenopausal women's subjective health status and symptoms of depression to improve their quality of life.

Academic ethical awareness among undergraduate nursing students.

BACKGROUND: Academic ethical awareness is an important aspect especially for nursing students who will provide ethical nursing care to patients in future or try to tread the path of learning toward professional acknowledgement in nursing scholarship. PURPOSE: The purpose of this study was to explore academic ethical awareness and its related characteristics among undergraduate nursing students. METHODS: This study commenced the survey with cross-sectional, descriptive questions and enrolled convenient samples of 581 undergraduate nursing students from three universities in South Korea. It was investigated with structured questionnaires including general characteristics and academic ethical awareness related. ETHICAL CONSIDERATIONS: This study was reviewed and approved by the Institutional Review Board at National University. FINDINGS: Academic ethical awareness was the highest regarding behaviors violating the respect or confidentiality of patients and cheating on exams, while it was the lowest for inappropriate behaviors in class. From the result of general characteristics difference, male students showed higher score than female students in relative; first-year students showed higher score than other year students; the higher score was rated from students who were highly satisfied with their major than the other not satisfied with their major; and students with low academic stress showed higher ethical awareness score than persons with higher stress. CONCLUSION: Personal behaviors were rated with low ethical awareness in relative, but items related to public rules and actual effects on patients or others were rated with higher score. Nursing satisfaction and academic stress are main factors on ethical awareness. To improve overall ethical awareness level of nursing students, it is required to provide more education about the importance of personal behaviors in class and need to improve the understanding of how it will be connected with future situation and effect.

Factors Influencing Lower Urinary Tract Symptoms in Advanced Cancer Patients With Chemotherapy-Induced Peripheral Neuropathy.

PURPOSE: This study aimed to investigate the severity of lower urinary tract symptoms (LUTS) and to identify factors that influenced LUTS in advanced cancer patients with chemotherapy-induced peripheral neuropathy (CIPN). METHODS: This cross-sectional study included a total of 158 advanced cancer patients with CIPN. A structured questionnaire including the International Prostate Symptom Score and the Functional Assessment of Cancer Therapy/Gynecology Oncology Group/Neurotoxicity scale was used. Data were analyzed using the Pearson correlation coefficient and multiple regression analysis. RESULTS: Nocturia was the most prevalent LUTS. A positive relationship was found between CIPN symptoms and LUTS. The duration of cancer diagnosis and the severity of CIPN were key factors that influenced LUTS. CONCLUSION: The severity of CIPN symptoms was the most important predictor of LUTS. Nurses' care for advanced cancer patients should incorporate a comprehensive health assessment, which includes a history of treatment and physical neuropathic symptoms, for any patient complaining of CIPN symptoms.

Development and validation of an eye care educational programme for intensive care unit nurses.

AIMS AND OBJECTIVES: To develop and validate an eye care educational programme for intensive care unit nurses. BACKGROUND: Eye care guidelines and protocols have been developed for increasing eye care implementation in intensive care units. However, the guidelines lack consistency in assessment or intervention methodology. DESIGN: This was a one-sample pre/postprogramme evaluation study design for testing the effects of the eye care educational programme, developed for and applied to intensive care unit nurses, on their levels of knowledge and awareness. METHODS: The eye care educational programme was developed based on literature review and survey of educational needs. Thirty intensive care unit nurses served as subjects for the study. RESULTS: The levels of eye care-related knowledge, awareness and practice were enhanced following the implementation of the educational programme. Moreover, satisfaction with the educational programme was high. CONCLUSION: It is necessary to intensify eye care education aimed at new nurses who are inexperienced in intensive care unit nursing and provide continuing education on the latest eye care methods and information to experienced nurses. RELEVANCE TO CLINICAL PRACTICE: The eye care educational programme developed in this study can be used as a strategy to periodically assess the eye status of patients and facilitate the appropriate eye care.

Impact of Ego-resilience and Family Function on Quality of Life in Childhood Leukemia Survivors.

BACKGROUND: This study aimed to examine the impact of ego-resilience and family function on quality of life in childhood leukemia survivors. METHODS: This study targeted 100 pediatric leukemia survivors, who visited the Pediatric Hemato-Oncology Center in South Korea from Aug to Dec 2011. A structured questionnaire of ego-resilience, family function and quality of life used to collect data through direct interview with the pediatric patients and their parents. The correlation between the study variables analyzed using the Pearson's correlation coefficient, and the impact on quality of life analyzed using a stepwise multiple regression. RESULTS: Ego-resilience (r = 0.69, P<0.001) and family function (r =0.46, P< 0.001) had a positive correlation with quality of life and all the sub-categories of quality of life. Ego-resilience was a major factor affecting quality of life in childhood leukemia survivors, with an explanatory power of 48%. The explanatory power for quality of life increased to 53% when age and family function were included. CONCLUSION: Ego-resilience, age, and family function affect quality of life in childhood leukemia survivors. Hence, strategies are required to construct age-matched programs to improve quality of life, in order to help restore the necessary ego-resilience and to strengthen family function in childhood leukemia survivors.

The Effect of Comprehensive Care Program for Ovarian Cancer Survivors.

This study was done to investigate the effects of comprehensive care program on cardiopulmonary function, muscle strength, immune response, and quality of life in ovarian cancer survivors. Participants were 40 ovarian cancer survivors, 20 in the experimental group and 20 in the control group, at C university hospital gynecological cancer center from May 2009, to December 2010. The treatment was a comprehensive care program for 8 weeks consisting of group education and self-help group support, home-based exercise, and relaxation. Data were analyzed by t test and repeated-measures ANOVA. Cardiopulmonary function, measured by 12-min walk distance; muscle strength, measured by the chair-stand test; and quality of life were more increased in the experimental group. But immune response was not statistically significant. These results indicate that the comprehensive care program is an effective nursing intervention to improve cardiopulmonary function, muscle strength, and quality of life in ovarian cancer survivors.

Symptom clusters of ovarian cancer patients undergoing chemotherapy, and their emotional status and quality of life.

PURPOSE: We conducted a descriptive study to identify the symptoms, emotional status, and quality of life experienced by hospitalized ovarian cancer patients undergoing chemotherapy, and influencing the factors of symptom clusters on their quality of life. METHODS: A total of 192 patients who had been diagnosed with ovarian cancer and received adjuvant chemotherapy after surgery more than once from 2 university hospitals with over 800 beds located in the Seoul and Gyeonggi areas of South Korea were included in this study. Using a structured questionnaire, the symptoms, emotional status, and quality of life by these patients were investigated from May 2012 to June 2013. RESULTS: We identified the following 7 symptom clusters among ovarian cancer patients undergoing chemotherapy: psychological distress, fatigue-pain, abdominal discomfort, flu-like symptoms, fluid accumulation, and peripheral neuropathy. Patients with a high level of anxiety or depression experienced all symptoms at a higher level, and the 7 symptom clusters influenced all aspects of the patients' quality of life. CONCLUSIONS: This study provides to need interventions for the quality of life of ovarian cancer patients need to include the management of not only the physical symptoms and treatment-related side effects, but also the changes in their emotional status and daily lives.

Comparison of parent-child communication patterns and parental role satisfaction among mothers with and without breast cancer.

PURPOSE: This study compared parent-child communication (PCC) patterns and parental role satisfaction (PRS) between women with breast cancer and healthy women. BACKGROUND: A limited number of studies have examined PCC and the impact of PRS between cancer patients and their children. METHODS: It was a descriptive survey design comprising the Parent-Adolescent Communication Scale and a PRS measure. Data from 202 participants in total were analysed with two-way analyses of variance and t-tests. RESULTS: Closed communication was higher in both groups than open communication, but higher still in children of women with breast cancer than in children of healthy women. PRS was lower in women with breast cancer than in healthy women. Educational programs should be developed to support parents and children during the post-treatment adjustment period for mothers with breast cancer. CONCLUSION: Such programs should take a practical approach toward increasing open parent-child communication while considering personal characteristics and cultural backgrounds.

Relationship between Fatigue, Sleep Disturbance, and Gestational Stress among Pregnant Women in the Late Stages.

PURPOSE: The objective of this study was to investigate the relationship between fatigue, sleep disturbance, and gestational stress in women during late stage of pregnancy. METHODS: This study was conducted with 113 healthy pregnant women at gestational age greater than 27 weeks who were registered at community health centers and received prenatal care. A structured questionnaire regarding fatigue, sleep disturbance, and gestational stress was used. The data was analyzed using a t-test, an ANOVA, and Pearson correlation coefficients. RESULTS: The subjects with unplanned pregnancies and irregular exercise patterns showed a higher level of fatigue than those with planned pregnancies and regular exercise patterns. Pregnant women with caffeine intake manifested higher levels of gestational stress and sleep disturbance than those without. The levels of sleep disturbance and gestational stress increased as the fatigue levels increased. The fatigue levels increased with increased levels of sleep disturbance. CONCLUSION: Planned pregnancy, regular exercise patterns, and caffeine intake were related with fatigue, sleep disturbance, and gestational stress in women during late stages of pregnancy. Fatigue, sleep disturbance, and gestational stress had close associations to each other. In the future, such results should guide development of nursing intervention programs for women in late stages of pregnancy.