PURPOSE: This study was done to examine the relationship between sexual permissiveness, family function and parent-adolescent communication among adolescents. METHOD: A descriptive correlation approach was used and the participants were 956 male and female students. Data were collected by questionnaire survey using convenience sampling. The instruments were the Family APGAR Questionnaire by Smilkstein(1978), PAC by Olson and Barnes(1982), and the Premarital Sexual Permissiveness Questionnaire by Reiss(1967). Data were analyzed using the SPSS 10.0 program with descriptive statistics, Pearson correlation coefficients, t-test, and ANOVA. RESULTS: Family function was significant according to school record, economic status, living arrangement of parent. Parent-Adolescent Communication was significant according to religion, economic status, having a boy/girl friend, and experience of sexual intercourse. Sexual permissiveness was significant for all except economic status. Correlation among the variables showed that parent-adolescent communication was negatively correlated to sexual permissiveness(r=-.127, p=.000) and positively to family function(r=.368, p=.000). CONCLUSION: The findings suggest that parent-adolescent communication and family function are associated with sexual permissiveness, and the findings of this study are expected to make a contribution to creating an ideal sexual culture for youth.
Adolescent* ; Coitus ; Female ; Friends ; Humans ; Male ; Parents ; Permissiveness* ; Residence Characteristics ; Child Health ; Surveys and Questionnaires

PURPOSE: The goal of this study was to explore and describe the process of nursing home placement decision making and adaptation among adult children caregivers of demented parents in Korea and to generate a substantive theory grounded in their experiences. METHODS: The participants were 16 adult children caregivers who had placed their demented elders into nursing homes. Data were collected by in-depth unstructured interviews with individual participants. Data were analyzed by Strauss and Corbin's Grounded Theory methodology. RESULTS: Analysis revealed that the core category of the process of nursing home placement decision making and adaptation among adult children caregivers was accepting the inevitable and reorienting to changes. It consisted of four phases: realizing a dead end, seeking a way out, accepting the inevitable decision, and reorienting to changes. Participants were driven to the corner of making the inevitable decision by the overwhelming care situation and confronted by various challenges in dealing with the decision. But they managed to accept the inevitableness of the decision and further learned to reorient themselves to the changed care situation utilizing various action/interaction strategies. CONCLUSION: The findings of the study provide the basic information for developing proactive strategies to support family caregivers better in the difficult period of nursing home placement.
Adult ; Adult Children ; Caregivers ; Decision Making ; Dementia ; Humans ; Korea ; Nursing Homes ; Parents

PURPOSE: To develop end-of-life care training programs for nurses who provide in a tertiary hospital, we examined the mediating effects of empathy and resilience on the relationship between their stress and job performance. METHODS: This study was conducted with 218 participants at a hospital in B city in South Korea from August 15 through August 30, 2017. Data collected from the participants were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using the IBM SPSS/WIN 21.0 software. RESULTS: Terminal care stress was found to be negatively correlated with empathy competence (r=−0.345, P < 0.001), resilience (r=−0.223, P=0.001) and terminal care performance (r=−0.260, P < 0.001), whereas empathy (r=0.467, P < 0.001) and resilience (r=0.358, P < 0.001) were positively correlated with terminal care performance. Empathy had a complete mediating effect (β=0.409, P < 0.001) on the relationship between terminal care stress and performance, and resilience a partial mediating effect (β=0.294, P < 0.001). CONCLUSION: Based on the findings of this study, development of training programs with a focus on empathy and resilience are highly recommended to improve job performance of nurses who provide terminal care in a tertiary hospital.
Education ; Empathy* ; Korea ; Mental Competency ; Negotiating* ; Terminal Care* ; Tertiary Care Centers* ; Work Performance

Purpose: This study aimed to identify the mediating effect of organizational commitment on the relationship between nurses’ clinical characters and retention intention in small-and medium-sized hospitals. Methods: This descriptive study included 177 nurses frome three small-and medium-sized hospitals in B metropolitan city. Data were collected from August 27 to September 30, 2020 using self-report questionnaires and were analyzed using IBM SPSS Statistics for Windows version 22.0. Results: The significant predictors of retention intention were organizational commitment (β=.43, p<.001), age (β=.21, p=.001), nurses’ clinical characters (β=.16, p=.011), work satisfaction (β=.15, p=.022), and whether they worked in the desired department (β=.13, p=.025). These variables explained 48% of the variance in retention intentions. Additionally, organizational commitment had a mediating effect on the relationship between nurses’ clinical characters and retention intention. Conclusion According to the results, institutional efforts should be made to strengthen organizational commitment and develop educational programs to enhance nurses’ clinical characters among small-and medium-sized hospitals to promote retention intention.

Purpose: This study was to examine the influential factors on patient safety management activities of operating room nurses in general hospitals. Methods: The subject of this study were 133 operating room nurses of seven general hospitals in B metropolitan city. Data were collected from July 23 to August 14, 2020 using self-report questionnaires.For data analysis, a descriptive analysis and stepwise multiple regression were utilized with IBM SPSS Statistics for Windows version 22.0. Results: The significant predictors of patient safety management activities were perception of patient safety culture (β=.73, p<.001) and physical burden (β=-.13, p=.025). These variables were found to contribute 56.3% to the outcomes of patient safety management activities. Conclusion Based on the research results, to promote patient safety management activities of operating room nurses, it is required to establish active and multifaceted strategies and systems at the hospital level to enhance awareness of patient safety culture and reduce physical burden.

Opioids are important drugs for the management of severe cancer pain without a ceiling effect. However, opioid administration leads to dose-limiting complications including drowsiness, hallucinations, delirium, respiratory depression, cognitive impairment, seizure, myoclonus, and hyperalgesia. Opioid-induced hyperalgesia (OIH) is a paradoxical phenomenon as opioid exposure increases pain sensitivity. Reducing or stopping opioids, opioid rotation, or co-administration of N-methyl-D-aspartate (NMDA) antagonists have been suggested for the management of OIH. In this study, we report two clinical cases of successful management of OIH in cancer pain patients that were treated with opioids.
Analgesics, Opioid ; Cognition Disorders ; Delirium ; Hallucinations ; Humans ; Hyperalgesia ; Myoclonus ; N-Methylaspartate ; Pain Management ; Respiratory Insufficiency ; Seizures ; Sleep Stages

PURPOSE: The study was done to investigate psychological spiritual factors related to death anxiety of elderly living at home. METHODS: A descriptive correlation study was conducted. The participants were 494 living at home elderly people conveniently selected in Seoul and Kyunggi province. Data were collected using self-administered questionnaires. Descriptive statistics, t-test, ANOVA, correlation and stepwise multiple regression were used for data analysis. RESULTS: The death anxiety positively correlated with depression and negatively with self-integrity, readiness of death, belief in life after death, and spiritual well-being. The factors influencing death anxiety were self-integrity, readiness of death, depression, and belief in life after death. Those four variables explained 21.6% of death anxiety. CONCLUSION: It is expected to serve as a useful tool for nurses who serve elderly people in the clinical field and local community to help get a better understanding of death, and it is expected to lay a theoretical foundation for the development of strategies geared toward alleviating death anxiety.
Aged* ; Anxiety* ; Depression ; Gyeonggi-do ; Humans ; Surveys and Questionnaires ; Seoul ; Statistics as Topic

PURPOSE: The study was done to investigate psychological spiritual factors related to death anxiety of elderly living at home. METHODS: A descriptive correlation study was conducted. The participants were 494 living at home elderly people conveniently selected in Seoul and Kyunggi province. Data were collected using self-administered questionnaires. Descriptive statistics, t-test, ANOVA, correlation and stepwise multiple regression were used for data analysis. RESULTS: The death anxiety positively correlated with depression and negatively with self-integrity, readiness of death, belief in life after death, and spiritual well-being. The factors influencing death anxiety were self-integrity, readiness of death, depression, and belief in life after death. Those four variables explained 21.6% of death anxiety. CONCLUSION: It is expected to serve as a useful tool for nurses who serve elderly people in the clinical field and local community to help get a better understanding of death, and it is expected to lay a theoretical foundation for the development of strategies geared toward alleviating death anxiety.
Aged* ; Anxiety* ; Depression ; Gyeonggi-do ; Humans ; Surveys and Questionnaires ; Seoul ; Statistics as Topic

PURPOSE: It is known that secondary hyperparathyroidism in end stage renal disease (ESRD) patients is associated with vitamin D receptor (VDR) gene polymorphism, but there is no consensus on its genotype. There is lack of data in Ca, P, calcitriol and VDR polymorphism. METHODS: We measured serum Ca, P, alkaline phosphatase, parathyroid hormone (PTH), and 1,25 (OH)2D3 of the 53 hemodialysis patients. The genotypes of VDR were classified BB, Bb, bb according to restriction patterns in PCR of the patients' DNA using Bsm I restriction enzyme. RESULTS: The patients with BB, Bb, bb type were 0 (0%), 15 (28.3%), 38 (71.7%) respectively. Serum PTH levels were 70.0+/-63.3 pg/mL and 146.9+/-184.9 pg/mL in Bb, bb type respectively, and showed significant statistical difference (p<0.05). Serum 1,25 (OH)2D3 levels were 7.68+/-3.41 pg/mL and 6.59+/-2.67 pg/mL in Bb and bb genotype respectively without statistical significance. And there was no significant statistical differences among the serum levels of calcium, phosphorus, alkaline phosphatase. CONCLUSION: Vitamin D receptor gene polymorphism is associated with secondary hyperparathyroidism in hemodialysis patients, and the b allelle is suggestive of poorer bone mineral metabolism.
Alkaline Phosphatase ; Calcitriol ; Calcium ; Consensus ; DNA ; Genotype ; Humans ; Hyperparathyroidism ; Hyperparathyroidism, Secondary* ; Kidney Failure, Chronic ; Metabolism ; Parathyroid Hormone ; Phosphorus ; Polymerase Chain Reaction ; Receptors, Calcitriol* ; Renal Dialysis* ; Vitamin D* ; Vitamins*

Patchy renal vasoconstriction is one of the reversible renal vasoconstrictions, which usually occur in healthy young men following strenuous anaerobic exercise. Analgesics, viral infection, dehydration were known to be the causes of patchy renal vasoconstriction. We experienced two cases of patchy renal vasoconstriction without antecedent anaerobic exercise. The first case is a 54-year-old woman admitted to a hospital with severe loin pain. On admission, serum creatinine was elevated to 2.2 mg/dL. Patchy areas of delayed contrast enhancement in both kidneys were observed on immediate post-contrast CT and 14 hours delayed image. This severe loin pain was initiated without anaerobic exercise. On the 4th day, her loin pain was relieved and on the 12th day of her illness, serum creatinine was normalized with supportive care. The second case is an 18- year-old man presented with pain in the both flanks. Five days earlier, operation had been performed for treatment of gynecomastia. There had been no preceding anaerobic exercise before the flank pain occurred. On admission to the hospital, laboratory studies revealed a serum creatinine 2.3 mg/dL. Computed tomography showed multiple patchy areas of enhancement in the renal parenchyma. On 12 hours delayed image, there were delayed contrast enhancement. On the sixth day, serum creatinine decreased to 1.4 mg/dl and the loin pain was subsided. Patchy renal vasoconstriction can occur without exercise, and we suggest that patchy renal vasoconstriction should be suspected in the patients suffering from acute renal failure with severe loin pain even without strenuous exercise.
Female ; Male ; Humans