PURPOSE: Patients on hemodialysis need to manage the stress of having a life-threatening condition. The purpose of this study was to identify factors associated with stress among patients on hemodialysis. METHODS: The research had a cross-sectional, descriptive design using a questionnaire. The participants were 91 adult patients on hemodialysis from four dialysis centers in a large Korean city. Data were analyzed with the SAS 9.2 program using descriptive statistics, t-tests, ANOVA, and multiple regression. RESULTS: There were statistically significant differences in stress by age, dialysis period, and change in employment status. In hemodialysis patients, stress was significantly positive correlated with fatigue and depression, but negatively correlated with self-esteem. Stepwise multiple regression analysis for stress revealed that the most powerful predictor was depression. Depression and fatigue explained 32.5% of the variance. CONCLUSION: The results indicate a need to manage the stress of these patients. The findings also suggest that consideration be given to characteristics of age, dialysis period, and employment status in developing strategies to reduce depression and fatigue and developing programs to manage the stress of patients on hemodialysis.
Adult ; Depression ; Dialysis ; Employment ; Fatigue ; Humans ; Renal Dialysis*

PURPOSE: This ethnography was performed to explore patterns and meanings of healthy life among aged women using senior centers. METHODS: The informants were 21 individuals aged 65 years and older at 2 community-based senior centers. Data were collected from iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods developed by Spradley. Field notes were used with follow-up interviews and dialogue between authors to enhance interpretation. RESULTS: Patterns of healthy life among aged women using senior centers were categorized by age groups within the context of the four cultural elements of taking care of the body, relationality, temporality, and spatiality: active and passive control, maintenance of interdependence and individuality, expansion and maintenance of the daily routine, unity of peer relations and sustenance of family relations, spending time productively and tediously, and complementary and alternative space of the family relations. CONCLUSION: The informants in this study demonstrated healthy life by maintaining and strengthening continuous relationships developed in the senior centers without being isolated from the family and society. Patterns of their healthy life differed across age groups within the socio-cultural context. Therefore, interventions should be tailored to address age groups and community needs.
Anthropology, Cultural* ; Family Relations ; Female ; Follow-Up Studies ; Humans ; Individuality ; Qualitative Research ; Senior Centers* ; Women's Health

PURPOSE: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. METHODS: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. RESULTS: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. CONCLUSION: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.
Acclimatization ; Health Occupations ; Humans ; Kidney* ; Living Donors ; Organ Transplantation ; Qualitative Research ; Tissue Donors* ; Uncertainty

PURPOSE: The purpose of this study was to identify factors associated with performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. METHODS: The research was a cross-sectional, descriptive design using questionnaires. The participants were 99 nurses from five urban recovery rooms. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS WIN 21.0. RESULTS: The performance level of delirium nursing care was low because its mean score was 3.80 out of 5. Performance of nursing care was significantly positively correlated with the importance of nursing care and self-efficacy. Stepwise multiple regression analysis for performance of nursing care revealed that the most powerful predictor was the importance of nursing care. The importance of nursing care and self-efficacy explained 32.3% of the variance. CONCLUSION: The results indicate a need to enhance the performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. The findings also suggest that consideration be given to strategies for improving the importance of nursing care and self-efficacy in developing programs to enhance the performance level of nursing care for elderly patients with postoperative delirium.
Aged* ; Delirium* ; Humans ; Nursing Care ; Postoperative Care ; Recovery Room*

Purpose: This study was performed to develop and evaluate an online self-management program for enhancing hemodialysis-related knowledge, self-efficacy, ways of coping, self-management behavior, physical and mental health-related quality of life in patients with chronic kidney failure undergoing hemodialysis. Methods: The research used a quasi-experimental design with a non-equivalent control group pre-post test design with convenience sampling. The participants were 53 patients (27 in the experimental group and 26 in the control group). A pretest and posttest were conducted to measure the main variables. For the experimental group, the online self-management program, consisting of counseling-centered activities in small groups, was administered for 8 weeks. Data were analyzed using the x2 test, t-test and independent/paired t-test with the SPSS 27 statistics program. Results: Statistically significant increases were found in hemodialysis-related knowledge, self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of life but not in passive ways of coping in the experimental group compared to the control group. Conclusion The results of this study indicate that the online self-management program was effective in increasing hemodialysis-related knowledge, self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of life among patients with hemodialysis. Therefore, it can be safely utilized as a nursing intervention for patients with chronic kidney failure undergoing hemodialysis in pandemic situations with high risk of infection.

Purpose: Rehabilitation motivation is very important for veterans who have had a stroke because they already have primary disabilities they suffered during their official duties. The purpose of this study was to identify factors associated with the rehabilitation motivation of hospitalized veterans after a stroke. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 128 veterans hospitalized following a stroke in five veterans’ hospitals in five major cities in South Korea. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 25.0 program. Results: There were statistically significant differences in rehabilitation motivation according to monthly income and time since duagnosis. The rehabilitation motivation of these veterans showed significant positive correlations with self efficacy and social support, and a significant negative correlation with depression. Multiple regression analysis for rehabilitation motivation revealed that the significant predictors were self efficacy, family support, time since diagnosis and monthly income. These factors explained 35.6% of the variance. Conclusion The results indicate a need to enhance self efficacy and social support to improve the rehabilitation motivation of veterans. The findings also suggest that individual characteristics through time since diagnosis and monthly income should be considered for tailored interventions related to rehabilitation motivation. Furthermore, it is necessary to develop programs enhancing self efficacy and social support to improve the rehabilitation motivation for veterans who have had a stroke.

Purpose: Influenza immunization among health personnel is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. The purpose of this study is to identify factors associated with the influenza vaccination intention among health personnel based on the theory of planned behavior. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 131 health personnel in five general hospitals in two cities in South Korea. The data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 26.0 program. Results: There were statistically significant differences in influenza vaccination intention according to the high-risk group in the family, occupation, length of employment, and influenza vaccination status within a year. The influenza vaccination intention of these health personnel showed significant positive correlations with attitude, subjective norms, and perceived behavioral control towards influenza vaccination. Multiple regression analysis for influenza vaccination intention revealed that the significant predictors were attitude, subjective norms, influenza vaccination within a year and physician in occupation. These factors explained 41.4% of the variance. Conclusion The results suggest a need to strengthen attitude and subjective norms. The findings also suggest that their characteristics through influenza vaccination status within a year and occupation should be considered for tailored interventions related to the intention. Furthermore, it is necessary to develop programs strengthening attitude and subjective norms to enhance influenza vaccination intention among health personnel.

PURPOSE: The purpose of this study was to develop and validate health care providers' counseling manual in mobile application for lifelong health care among patients with chronic hepatitis B. METHODS: The mobile application was developed using a prototyping approach and system developing life cycle method, evaluated by users for their satisfaction with the counseling manual and experts for the quality of the manual. To evaluate application of the counseling manual, knowledge and counselor self-efficacy of the subjects were measured and compared before and after application of the counseling manual. RESULTS: There were statistically significant increases in knowledge and counselor self-efficacy in the user group. A mobile application with high accessibility and applicability including information and counseling factors can promote counseling competence of the nurse as health care provider caring chronic hepatitis B patients. CONCLUSION: The results of this study indicate that the counseling manual in mobile application is effective in increasing knowledge and counselor self-efficacy among nurses to promote lifelong health care among patients with chronic hepatitis B. Therefore, it can be usefully utilized in the field of nursing for patients with chronic hepatitis B as a nursing intervention.
Counseling* ; Delivery of Health Care* ; Health Personnel ; Hepatitis B, Chronic* ; Humans ; Life Cycle Stages ; Mental Competency ; Mobile Applications* ; Nursing ; Program Development ; Program Evaluation

PURPOSE: Anger management is a very important issue for nursing education. However, there is a lack of research identifying related factors. This study examined the mediating effects of social support and a grateful disposition on the relationship between life stress and anger in nursing students. METHODS: The participants were 172 nursing students recruited from two universities in cities in South Korea. Baron and Kenny's regression method and the Sobel test were used to analyze the mediating effects of social support and a grateful disposition on the association between life stress and anger. RESULTS: There were significant correlations between life stress, social support, a grateful disposition, and anger. In addition, social support and a grateful disposition exerted full mediating effects on the relationship between life stress and anger. CONCLUSION: Based on this study's results, enhancing social support and grateful disposition could help nursing students who experience anger resulting from life stress to manage their anger effectively. This finding suggests that, as specific strategies for anger management, nursing educators should encourage nursing students to use sources of social support and to engage in various gratitude activities.
Anger Management Therapy ; Anger* ; Education, Nursing ; Humans ; Korea ; Methods ; Negotiating* ; Nursing* ; Protective Factors ; Stress, Psychological* ; Students, Nursing*

PURPOSE: This study was done to explore recognition of accreditation for nursing education, job satisfaction and intention to change teaching area for faculty in Fundamentals of Nursing. METHODS: Participants were 104 faculty members teaching Fundamentals of Nursing. Each participant responded to a questionnaire. Data were collected from June 25 to October 25, 2016, and analyzed using SPSS 23.0 for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. RESULTS: The participants' recognition of accreditation in nursing education was 3.45±0.81 out of 5 and in the sub-items, the score for quality improvement in professors in Fundamentals of Nursing was lowest at 3.21±1.03. Job satisfaction was 3.30±5.30, and intention to change teaching area was 2.62±1.00. Attributes related to practice appear to be major reasons why participants intended to change their teaching area and scores for intention to change teaching area were medium or higher. CONCLUSION: Results indicate that it is necessary to develop strategies to improve job satisfaction and reduce intention to change teaching area for faculty with less experience in Fundamentals of Nursing education. Development of strategies, management and support are needed to improve young professors' job satisfaction and reduce intention to change teaching area.
Accreditation* ; Education ; Education, Nursing* ; Intention* ; Job Satisfaction* ; Nursing* ; Quality Improvement