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: 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 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: 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 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: 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: The purpose of this study was to identify the factors influencing nursing students’ caring efficiency. Methods: This study included 212 nursing students from three University nursing departments in Busan metropolitan city. Data were collected from September 1 to September 29, 2021, using self-report questionnaires. For data analysis, descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression analyses were conducted with SPSS version 24.0. Results: Positive psychological capital and interpersonal competence on the relationship and character of nursing students were positively correlated with caring efficiency. The variables affecting the caring efficiency of the subjects were character (β=.60, p<.001), amount of participation in a character development program (5 times or more) (β=.16, p=.023), levels of stress (moderate β=.13, p=.037; low β=.15, p=.015), motivation to apply to a nursing program (β=.12, p=.024), and volunteer experience (β=.11, p=.038). The total explanatory power of the variables was 50.0% (F=14.69, p<.001). Conclusion Character was one of the biggest influential factors on caring efficiency. In order to improve nursing students' caring efficiency, above all, it is necessary to make efforts to raise the level of individual character.

Purpose: The purpose of the study was to understand the care experiences of the family of living donor liver transplantation (LDLT) patients where the donation had occurred within the family. Methods: Participants were eight family caregivers who cared for recipients and donors of LDLT. Data were collected through individual in-depth interviews from November, 2020 to April, 2021. Data analysis was performed through a cyclical process of data collection and analysis by applying Giorgi’s phenomenological research method. Results: The five main components extracted from the experiences of the family caregivers were: "A double-edged choice to save the family", "The harsh daily life of liver transplantation care", "The yoke of double care on both shoulders", "The power to withstand the adversity of caring", and "The recovery and growth of life pursued by trusting each other". Conclusion The participants tried to do their best in their daily lives, while providing reassurance and care to the LDLT patients in the family; however, they expressed some worry and hardship while doing so. The results of this study provide a deeper understanding of the caring experience of the family caregivers, which may contribute to the development of nursing interventions that will aid these caregivers in providing care to their LDLT family members. Furthermore, the development and application of an integrated management program for LDLT patients in the family is required.

Purpose: This study was performed to explore and describe the overall clinical practice adaptation experiences among nursing students during the COVID-19 pandemic. Methods: This qualitative study applied the grounded theory method by Corbin and Strauss. Data were collected from May to August 2021 through individual in-depth interviews with 14 nursing students from three universities in B metropolitan city. Results: From open coding, 20 sub-categories and 10 categories were identified. Analysis revealed that the core category was the process of “keeping the place of learning while adhering to the restrictions of the era of pandemic” and that it consisted of four phases: confusion, withdrawal, adjustment, and growth. Through this process, participants utilized various action/interactional strategies such as “shifting to positive thinking,” “building a shield to protect oneself,” and “focusing on learning.” The consequences of these strategies were “adapting to the reality of the infectious disease situation” and “strengthening a foothold to grow as a future nurse.” Conclusion An in-depth understanding of nursing students’ experiences of adapting to clinical practice during the COVID-19 pandemic will guide nursing educators to promote effective teaching strategies to better support nursing students in a time of infectious disease crisis.

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*