PURPOSE: This study aimed to explore professional autonomy, nursing work environment, and clinical decision making ability and to determine predictors of clinical decision making ability among clinical nurses. METHODS: A cross-sectional design was used in this study and 263 clinical nurses were selected from advanced-level hospitals with over 500 beds located in D metropolitan city. Independent t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analyses were done with the SPSS/WIN 20.0 program. RESULTS: Clinical nurses reported moderate levels of professional autonomy, nursing work environment and clinical decision making ability. Marital status, professional autonomy and nursing work environment accounted for 25% of variance in clinical decision making ability required in various clinical settings. Importantly, being married, higher level of professional autonomy, and greater satisfaction with work environment were significantly associated with better decision making ability. CONCLUSION: Findings indicate that improving the quality of decision making in the healthcare settings requires awareness of the multiple effects of individual, occupational and environmental features. Nurses' ability to make effective clinical decisions may rely on personal characteristics, the degree of autonomy in their job, and nurses' satisfaction with their work environment.
Decision Making* ; Delivery of Health Care ; Humans ; Marital Status ; Nursing* ; Professional Autonomy*

PURPOSE: The aim of the study was to investigate associations of spiritual well-being, attitude toward death, and quality of life among Alcoholics Anonymous (AA). METHODS: This study was cross-sectional and descriptive in design. The data was collected from August to September 2018 with 133 AA members drawn from two provinces of South Korea. The data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Turkey tests, Pearson's correlation coefficients, and hierarchical multiple linear regression analyses using SPSS/WIN 20.0 program. RESULTS: The existential spiritual well-being (β=.52, p<.001), attitude toward death (β=.24, p<.001), dual diagnosis (β=−.17, p=.003), occupation (β=.12, p=.035) of the participants were significant factors, which explained 63.7% of the variance of quality of life. CONCLUSION: The study findings highlight the need to develop psychological nursing strategies to enhance the spiritual well-being and improve a positive attitude toward death based on the job and dual diagnosis among AA members to improve their better quality of life.
Alcohol-Related Disorders ; Alcoholics Anonymous ; Alcoholics ; Attitude to Death ; Diagnosis, Dual (Psychiatry) ; Humans ; Korea ; Linear Models ; Nursing ; Occupations ; Quality of Life ; Spirituality ; Turkey

PURPOSE: The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D). METHODS: Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency. RESULTS: The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p < .001). Cronbach's alpha for the total scale was .88. CONCLUSION: The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.
Dementia ; Mental Competency ; Models, Theoretical ; Reproducibility of Results ; Surveys and Questionnaires

Purpose: The aim of the study was to identify the influencing factors for job satisfaction among forensic psychiatric nurses.
Methods: A descriptive correlational study design was used. Participants were 90 forensic psychiatric nurses from a national forensic psychiatric institution. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation, and multiple regression analysis with SPSS statistics 23.0 program.
Results: Significant influencing factors for job satisfaction were administration (β=-.29, p<.001), role conflict as a profession (β=-.32, p=.004), conflict with the supervisor (β=-.34, p=.002), and psychological burnout (β=-.33, p=.004). These factors explained 57.0% of job satisfaction.
Conclusion These findings indicate that strategies to reduce job stress and burnout should be developed to improve job satisfaction among forensic psychiatric nurses.

Purpose: The aim of the study was to identify the influencing factors for job satisfaction among forensic psychiatric nurses.
Methods: A descriptive correlational study design was used. Participants were 90 forensic psychiatric nurses from a national forensic psychiatric institution. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation, and multiple regression analysis with SPSS statistics 23.0 program.
Results: Significant influencing factors for job satisfaction were administration (β=-.29, p<.001), role conflict as a profession (β=-.32, p=.004), conflict with the supervisor (β=-.34, p=.002), and psychological burnout (β=-.33, p=.004). These factors explained 57.0% of job satisfaction.
Conclusion These findings indicate that strategies to reduce job stress and burnout should be developed to improve job satisfaction among forensic psychiatric nurses.

PURPOSE: This study aimed to explore professional autonomy, nursing work environment, and clinical decision making ability and to determine predictors of clinical decision making ability among clinical nurses. METHODS: A cross-sectional design was used in this study and 263 clinical nurses were selected from advanced-level hospitals with over 500 beds located in D metropolitan city. Independent t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analyses were done with the SPSS/WIN 20.0 program. RESULTS: Clinical nurses reported moderate levels of professional autonomy, nursing work environment and clinical decision making ability. Marital status, professional autonomy and nursing work environment accounted for 25% of variance in clinical decision making ability required in various clinical settings. Importantly, being married, higher level of professional autonomy, and greater satisfaction with work environment were significantly associated with better decision making ability. CONCLUSION: Findings indicate that improving the quality of decision making in the healthcare settings requires awareness of the multiple effects of individual, occupational and environmental features. Nurses' ability to make effective clinical decisions may rely on personal characteristics, the degree of autonomy in their job, and nurses' satisfaction with their work environment.
Decision Making ; Delivery of Health Care ; Humans ; Marital Status ; Nursing ; Professional Autonomy

PURPOSE: The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D). METHODS: Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency. RESULTS: The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p < .001). Cronbach's alpha for the total scale was .88. CONCLUSION The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Purpose: The purpose of this study was to evaluate the reliability and validity of the Korean short version of the Perspectives on Caring for Older Patients (PCOP) scale. Methods: The PCOP scale was translated from English to Korean through forward and backward translation. The participants were 313 nurses and nursing students in U & D cities. The construct reliability and validity of the Korean short version of the PCOP scale were analyzed using item analysis as well as exploratory and confirmatory factor analysis, and in terms of internal consistency using SPSS and AMOS 23.0. Results: The final scale consisted of eight items and two factors that were found to explain 65.9% of the variance. Confirmatory factor analysis indicated that the Korean short version of the PCOP scale satisfied all goodness-of-fit parameters. Cronbach’s ⍺ for this scale was .78. Conclusion The findings show that the Korean short version of the PCOP scale is a reliable and valid instrument for evaluating the perspectives of nurses and student nurses in Korea in terms of caring for older patients. However, further research is needed to test the content validity and criterion-related validity of the scale.

No abstract available.
Adult ; Brain/diagnostic imaging ; Bronchoscopy ; *Chromosomes, Human, Pair 9 ; Death, Sudden, Cardiac/*etiology ; Gene Duplication ; Humans ; Karyotyping ; Male ; Mental Disorders/*complications/genetics/pathology ; Tomography, X-Ray Computed ; Tracheomalacia/diagnostic imaging ; Ventricular Fibrillation/complications

OBJECTIVES: The purpose of this study was to examine the determinants of sterilization in South Korea. METHODS: This study was based on the data from the Korea National Fertility Survey carried out in the year 2000 by the Korea Institute of Health and Social Affairs. The subjects of the analysis were 4,604 women and their husbands who were in their first marriage, in the age group of 15-49 years. The data were analyzed by multiple logistic regression analysis. RESULTS: Consistent with the findings of previous studies, the woman's age and the number of total children increased the likelihood of sterilization. In addition, the year of marriage had a strong positive association with sterilization. Interestingly, the number of surviving sons tended to increase the likelihood of sterilization, whereas the woman's education level and age at the time of marriage showed a negative association with sterilization. Religion, place of residence, son preference, and the husband's education level, age and type of occupation were not significant determinants of sterilization. CONCLUSIONS: The sex of previous children and lower level of education are distinct determinants of sterilization among women in South Korea. More studies are needed in order to determine the associations between sterilization rate and decreased fertility.
Adolescent ; Adult ; *Decision Making ; Female ; Health Surveys ; Humans ; Korea ; Male ; Middle Aged ; Spouses/psychology/*statistics & numerical data ; *Sterilization, Reproductive