PURPOSE: The purpose of this study was to identify the influencing factors on turnover intention of nurses in long-term care hospitals. METHODS: Data were collected from 210 nurses in 11 long-term care hospitals in B city. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. RESULTS: Turnover intention was significantly correlated with emotional labor(r=.35, p<.001) and job involvement (r=-.38, p<.001). In a multiple regression, emotional labor (beta=.31, p<.001), age (beta=-.27, p<.001), job satisfaction (beta=.24, p<.001), job involvement (beta=-.23, p<.001), and number of patients assigned(beta=.14, p=.009) were associated with turnover intention. These factors attributed to 41.2% of the total variance in turnover intention. CONCLUSION: Considering the results of this study, proactive educational and/or human resource management interventions need to be developed especially for those younger nurses in order to reduce emotional labor as well as to promote job satisfaction and job involvement of nurses in long-term care hospitals.
Humans ; Intention* ; Job Satisfaction ; Long-Term Care*

PURPOSE: This descriptive study was aimed at identifying the relations among geriatric nurses' terminal care performance, death anxiety and self-esteem and the factors that affect nurses' terminal care stress. METHODS: Data were collected using a self-reported questionnaire completed by 212 geriatric hospital nurses working in 10 hospitals in K city and B metropolitan city. RESULTS: The survey results showed that the stress factors were terminal care performance and death anxiety. Significant predictors for terminal care stress were death anxiety and terminal care performance. (And the higher the level of death anxiety and terminal care performance were, the heavier the stress was.) These factors explained 32.5% of the variance in terminal care stress. CONCLUSION: The results of the study suggested that terminal care performance was an important factor of terminal care stress for geriatric nurses. Therefore, it seems that it is necessary to develop an educational intervention program to improve nurses' terminal care performance to reduce their terminal care stress.
Anxiety* ; Attitude to Death ; Self Concept ; Stress, Psychological ; Terminal Care*

PURPOSE: The purpose of the study was to explore and describe hospice palliative nurses' experience of caring for terminal cancer patients. METHODS: Eleven hospice palliative nurses participated in the study. Data were collected through individual in-depth unstructured interviews with participants from November, 2012 to October, 2013. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Corbin and Strauss' 'Grounded Theory Method.' RESULTS: From open coding, 25 sub-categories and 12 categories were identified. Analysis revealed that the core category was 'becoming stepping-stones between life and death enduring burdens', consisting of three phases: the phase of withdrawal, the phase of exertion, and the phase of maturity. Through this process, participants utilized various action/interactional strategies such as 'maintaining a distance', 'sharing intimate daily life', 'being a mediator for a peaceful death', 'grieving and remembering'. The consequences of these strategies were a transcendental perspective towards life and ambivalent feelings toward hospice nursing. CONCLUSION: In-depth understanding of the hospice palliative nurses' experience of caring for terminal cancer patients will guide nurse managers and policy makers to promote effective nursing strategies to better support hospice palliative nurses.
Administrative Personnel ; Clinical Coding ; Hospice and Palliative Care Nursing ; Hospices* ; Humans ; Nurse Administrators ; Nursing ; Patient Care ; Qualitative Research ; Terminal Care

PURPOSE: The purpose of the study was to explore and describe the job experiences of oncology nurse specialists. METHODS: Nine oncology nurse specialists participated in the study. Data were collected through in-depth unstructured interviews with individual participants from February to June, 2014. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Corbin and Strauss's grounded theory method. RESULTS: From open coding, 98 concepts, 24 sub-categories, and 11 categories were identified. Analysis revealed that the core category of the job experiences of oncology nurse specialists was 'tightrope walking of professionalism without safeguards', consisting of four phases: Enthusiastic beginning, conflict, exertion, and internalization. To manage the 'tightrope walking of professionalism without safeguards', participants utilized various action/interactional strategies such as 'keeping the balance point' and 'taking a step forward.' As a result, participants experienced falling into a habitual routine and professional self-actualization. CONCLUSION: In-depth understanding of the job experiences of oncology nurse specialists will guide hospital administrators to promote effective interventions and policies to better support Korean oncology nurse specialists.
Clinical Coding ; Hospital Administrators ; Humans ; Nurse Clinicians ; Oncology Nursing ; Qualitative Research ; Specialization* ; Walking

PURPOSE: The purpose of the study was to explore and describe the experience of adult Korean children who are caregivers for parents institutionalized with dementia. METHODS: Participants were fourteen adult children caregivers of elders institutionalized with dementia. Data were collected through in-depth unstructured interviews with individual participants from August to November, 2012. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Strauss and Corbin's Grounded Theory Method. RESULTS: From open coding, 67 concepts, 29 sub-categories, and 14 categories were identified. Analysis revealed that the core category of the experience of adult children caring for their parents institutionalized with dementia was 'enduring the role of a prop' consisting of four phases: initial turmoil, exploration, role adjustment, and acclimation. To manage the role of a prop, participants utilized various action/interactional strategies such as overcoming the unfamiliarity, overseeing the nursing home care, and counterbalancing the caring roles. As a result, participants experienced ambivalence towards the existence of parents with dementia, changes in family relationships, altered viewpoint towards nursing homes, and restructuring of life. CONCLUSION: In-depth understanding of the experience will guide nurses to promote effective interventions in order to better support the Korean family caregivers of parents institutionalized with dementia.
Adaptation, Psychological ; Adult ; Aged ; Aged, 80 and over ; Asian Continental Ancestry Group ; Caregivers/*psychology ; Dementia/*nursing ; Family Relations ; Humans ; Interviews as Topic ; Middle Aged ; Nursing Homes ; Parents/psychology ; Quality of Life ; Republic of Korea

PURPOSE: The purpose of this study was to identify the influence of spiritual well-being, self-esteem, and perceived social support on post-traumatic growth in breast cancer survivors in Korea. METHODS: Data were collected from March 2 to October 31, 2016 using self-reporting questionnaires from 126 breast cancer survivors who had visited out-patient clinics for follow-up in B city. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. RESULTS: Post-traumatic growth was significantly correlated with spiritual well-being (r=.52, p < .001), self-esteem (r=.54, p < .001), and perceived social support (r=.47, p < .001). In a stepwise multiple regression, spiritual well-being (β=.26, p < .001), self-esteem (β=.23, p < .001), perceived social support (β=.21, p < .001), and presence of spouse (β=.20, p < .001) were associated with posttraumatic growth. These factors attributed to 37.0% of the total variance in post-traumatic growth in breast cancer survivors. CONCLUSION: Considering the results of this study, it is necessary to develop and implement effective nursing strategies that can improve spiritual well-being, and to develop a holistic nursing intervention that takes into account self-esteem, perceived social support, and spousal help, when applicable, in order to promote post-traumatic growth in breast cancer survivors in Korea.
Breast Neoplasms* ; Breast* ; Follow-Up Studies ; Holistic Nursing ; Humans ; Korea ; Nursing ; Outpatients ; Self Concept ; Spirituality ; Spouses ; Stress Disorders, Post-Traumatic ; Survivors*

PURPOSE: This study examined the effects of a hospice palliative education program for adults on their perception of hospice, attitude towards death, and meaning of life. METHODS: This study was a quasi-experimental study with a non-equivalent control group design. Among 43 participants, 22 were assigned to the non-equivalent experimental group and 21 to the control group. The hospice palliative education program comprised 10 three-hour sessions, each given once a week. Data were analyzed by descriptive statistics, t-test and χ2-test using SPSS version 20.0. RESULTS: Significant differences between the experimental and control groups were observed in their perception of hospice (t=6.63, P < 0.001), attitude towards death (t=2.36, P=0.023), and meaning of life (t=5.06, P < 0.001). CONCLUSION: The results indicate that this education program could positively affect the perception of hospice, attitude toward death, and meaning of life in adults. More studies are warranted to explore the effects of this education program for various age groups so that it may help more people get positive understanding of hospice palliative care. The results suggest this program could help improve the negative perception of hospice, negative attitude towards death and meaning of life that are generally held by the public.
Adult* ; Attitude to Death* ; Education* ; Hospice and Palliative Care Nursing ; Hospices* ; Humans ; Non-Randomized Controlled Trials as Topic ; Palliative Care ; Program Development

Purpose: This study aimed to explore young adult donors’ experiences of living donor liver transplantation. Methods: A phenomenological research method was used. The participants were two women and six men. Data were collected through individual in-depth interviews from November 25th, 2019 to June 10th, 2020 and analyzed using Colaizzi’s phenomenological method. Results: Five theme clusters extracted from the young adult donors’ experiences were painful decision of a liver donation, the agony of both mind and body that overpowers youth, the bitter and bare face of reality that a young donor encounters, feeling the power of love that fills up the space of the organ removed, and liver donation becoming priming water for maturity. Conclusion The results of this study provide a deeper understanding of the lives of young adult donors who have experienced unexpected difficulties as well as self growth from the donation. It is expected that the results can be of use for developing and applying customized nursing interventions for management before and after liver donation among young adult donors.

PURPOSE: The purpose of this study was to understand the essence and meaning of the experience of cancer patients receiving spiritual nursing. METHODS: Data were collected by in-depth individual interviews with participants from April to June, 2019. Eight patients from a single Christian hospital participated in this study. Cyclical data collection and analysis were conducted by Collaizzi's phenomenological method. RESULTS: The experience of cancer patients receiving spiritual nursing consisted of four themes: strange spiritual nursing faced with longing, unexpected changes in me, spiritual sympathy leading to trust, and transition to spiritual recovery. CONCLUSION: This study provided an in-depth understanding of the changes cancer patients experience through spiritual nursing interventions. Efforts should be made to verify the effectiveness of this study by developing and applying education programs that can enhance the spiritual nursing capabilities of nurses to better approach cancer patients.
Data Collection ; Education ; Hospitals, General ; Humans ; Methods ; Nursing Care ; Nursing ; Qualitative Research ; Spirituality

Purpose: This study aimed to explore the weight loss experience of highly obese young people who underwent bariatric surgery. Methods: Data were collected, from October 2021 to April 2022, through individual in-depth interviews with eight highly obese young adults who underwent bariatric surgery and analyzed using Colaizzi’s phenomenological method. Results: The following four theme clusters were extracted. First, ‘The unbearable sorrow of obese people’ explains the process of choosing bariatric surgery after fluctuations and frustration despite countless repeated weight loss attempts. Second, ‘The impact aftermath of bariatric surgery’ revealed participants struggling in the face of unexpected changes due to bariatric surgery. Third, ‘Efforts to rebuild a healthy myself’ demonstrated the struggle to regain health by using the surrounding support system to overcome the difficulties of this surgical procedure. Lastly, ‘Facing life by getting rid of the yoke of obesity’ displayed the experiences of the participants who felt ambivalent about their changed appearance, but coping positively with the new life. Conclusion This study provides an in-depth understanding of the weight loss experiences of highly obese adolescents who underwent bariatric surgery and presents a new perspective on clinical practice. The results of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after bariatric surgery.