1.Factors Associated with Burnout for Nurses Working in Hematology-oncology Wards.
Jeongsuk KIM ; Gwangsuk KIM ; Mona CHOI ; Hyeonkyeong LEE
Korean Journal of Occupational Health Nursing 2011;20(1):24-34
PURPOSE: The purpose of this study was to examine factors related to burnout of nurses at hemato-oncology wards. METHODS: The participants were 134 nurses working at hematology-oncology wards in three tertiary general hospitals in Seoul and Gyeonggi Province. Data were collected using a structured questionnaire that consisted of personal characteristics, occupational stress, satisfaction and burnout. Using a SPSS/WIN 12.0 program, descriptive statistics, t-test, ANOVA, and stepwise multiple regression procedures were employed. RESULTS: The mean score of burnout reported by the participants was 3.15 +/- 0.50 (range 1~5), showing the highest scores in the area of physical burnout (3.53 +/- 0.57). The satisfaction with nursing profession was found to be the most impact on the burnout of the hematology-oncology ward nurses (beta=-.533), followed by occupational stress (beta=.351) and years of clinical experiences (beta=-.154). CONCLUSION: Given the findings, the sorts of strategies to increase the satisfaction with nursing profession and decrease their occupational stress are required, particularly for newly employed nurses.
Hospitals, General
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Humans
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Surveys and Questionnaires
2.Perception of Recovery, Self-esteem, Role Performance, and Job Satisfaction in Psychiatric Mental Heath Nurse.
Se Ang RYU ; So Hyun MOON ; Jeongsuk CHOI ; Boohee KIM
Journal of Korean Academy of Nursing Administration 2012;18(4):434-441
PURPOSE: The purpose of this study was to identify perception of recovery, self-esteem, role performance, job satisfaction and factors influencing job satisfaction of psychiatric mental heath nurses. METHODS: Data were collected from 161 psychiatric nurses from G city & J province who understood the purpose of the study and agreed to participate. Data were analyzed using descriptive statistics, t-test, Pearson correlation coefficient, and multiple regression with SPSS 18.0. RESULTS: There were significant differences in job satisfaction between upper 25% and lower 25% group for perception of recovery, self-esteem, and role performance. Results from the multiple regression analysis revealed difference in the related factors and in the magnitude of the relationship evaluated by standardized beta coefficients. Significant factors, listed by the magnitude of beta coefficients, were role performance, self esteem, roles and responsibilities in recovery, expectations regarding recovery in perception of recovery. These variables accounted for 16% of job satisfaction. CONCLUSION: Results indicate that to improve psychiatric nurses' job satisfaction, there is a need to develop programs including personal qualities and perception of recovery. Further research is necessary in order to establish consensus on roles of the related factors of job satisfaction.
Consensus
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Humans
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Job Satisfaction
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Self Concept
3.The quick sepsis-related organ failure score has limited value for predicting adverse outcomes in sepsis patients with liver cirrhosis
Jeongsuk SON ; Sunhui CHOI ; Jin Won HUH ; Chae-Man LIM ; Younsuck KOH ; Kang Mo KIM ; Ju Hyun SHIM ; Young-Suk LIM ; Sang-Bum HONG
The Korean Journal of Internal Medicine 2020;35(4):861-872
Background/Aims:
The quick Sepsis-related Organ Failure Assessment (qSOFA) is a newly developed risk stratification tool, which has been presented along with a new sepsis definition, to classify infected patients outside of the intensive care unit (ICU). We evaluated the clinical usefulness of qSOFA for predicting adverse outcomes in sepsis patients with liver cirrhosis.
Methods:
We performed a retrospective cohort study to assess the utility of qSOFA in sepsis patients with liver cirrhosis for whom medical emergency teams (METs) were activated in general wards at an academic tertiary care hospital between March 2008 and December 2015. qSOFA, Systemic inflammatory response syndrome (SIRS), modified early warning score (MEWS), and sequential (sepsis- related) organ failure assessment (SOFA) scores were calculated according to data at MET activation.
Results:
Of 188 patients, 69 (36.7%) had a qSOFA score of 0 or 1 point and 119 (63.3%) had ≥ 2 points. The areas under the receiver operating characteristic curve (AUROC) for ICU transfer on the SOFA (AUROC, 0.691; 95% confidence interval [CI], 0.615 to 0.767) or MEWS (AUROC, 0.663; 95% CI, 0.586 to 0.739) were significantly higher compared to those for qSOFA (AUROC, 0.589; 95% CI, 0.507 to 0.671) or SIRS (AUROC, 0.533; 95% CI, 0.451 to 0.616).
Conclusions
Our findings suggest that qSOFA score may have limited utility in predicting adverse outcomes in sepsis patients with liver cirrhosis at MET activation. Either MEWS or another screening tool is needed for detecting early sepsis in these patients.