PURPOSE: The purpose of this study is to explore the balance of work-life and parenting experience of nurses. METHODS: This qualitative study used the phenomenological methodology proposed by Giorgi. In-depth interviews were conducted on a total of 10 participants working at hospitals in Seoul and Gyeongnam province in 2017 to collect data. RESULTS: Four main issues were deduced: “complex situation between work and parenting,” “conflict situation of being in a double bind between work and parenting,” “the power to endure both work and parenting,” and “finding hope between work and parenting. CONCLUSION: The findings in this study provide an in-depth understanding on the work-life balance and parenting experience of nurses. These findings should help in the development of solutions to the conflict between work and family for nurses and enable them to develop effective strategies.
Hope ; Humans ; Parenting ; Parents ; Qualitative Research ; Seoul

PURPOSE: The purpose of this study is to explore the balance of work-life and parenting experience of nurses. METHODS: This qualitative study used the phenomenological methodology proposed by Giorgi. In-depth interviews were conducted on a total of 10 participants working at hospitals in Seoul and Gyeongnam province in 2017 to collect data. RESULTS: Four main issues were deduced: “complex situation between work and parenting,”“conflict situation of being in a double bind between work and parenting,”“the power to endure both work and parenting,” and “finding hope between work and parenting. CONCLUSION The findings in this study provide an in-depth understanding on the work-life balance and parenting experience of nurses. These findings should help in the development of solutions to the conflict between work and family for nurses and enable them to develop effective strategies.

PURPOSE: The aim of this study is to examine a path model on the relationship among social capital, physical activity and subjective health status in the community indwelling elderly. METHODS: The study was conducted utilizing the 2014 Seoul Survey, in the method of analyzing cross-sectional design and secondary data. Among 45,497 participants in total, the data of 4578 adults aged 65 or above was analyzed. Social capital was measured by social trust and social participation. Physical activity was measured by regular exercise. Additionally, a numerical rating scale was used to assess subjective health status. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and path analysis. RESULTS: Social participation and physical activity showed a direct effect on subjective health status in community indwelling elderly while social trust and physical activity showed an indirect effect on their subjective health status. The hypothetical path model of community indwelling elderly's subjective health status was proved correct. CONCLUSION: Findings from this study indicate that health-promoting intervention for community indwelling elderly should consider social trust and participation.
Adult ; Aged ; Diagnostic Self Evaluation ; Humans ; Methods ; Motor Activity ; Seoul ; Social Capital ; Social Participation

PURPOSE: The purpose of this study was to investigate the expected family involvement of family members of elderly residents in nursing homes. METHODS: This study utilized a descriptive design with a survey research method. Data were collected using the Expect Family Involvement Questionnaire Scale, which was completed by 112 family caregivers of older adults in nursing homes in Seoul and Gyeong-gi Province. The collected data were analyzed using descriptive statistics. RESULTS: Responses to the questionnaire indicated the highest value was recorded for the item, ‘use of a room for family privacy’ with 2.41±0.43 points, followed by the item, ‘staff calling family for advice with resident problems’ with 2.38±0.38 points and ‘education about nursing home programs’ with 2.32±0.42 points. CONCLUSION: In order to promote family involvement in long-term care facilities, various approaches, interventions, and government supports with the respective of the family are required. The nursing home placement process should include understanding discuss on the importance of the role of family, and should help promote positive relationships between the elderly residents and their families. Staffs and administrators of nursing home are to consider the family as a partner rather than visitor.
Administrative Personnel ; Adult ; Aged ; Caregivers ; Humans ; Long-Term Care ; Methods ; Nursing Homes ; Nursing ; Seoul

OBJECTIVE: Circulating cell-free tumor DNA (cfDNA) is the DNA released by apoptotic and necrotic cells of the primary tumor into the blood during the period of tumor development. The cfDNA reflects the genetic and epigenetic alterations of the original tumor. TP53 mutations are a defining feature of high-grade serous ovarian carcinoma. We optimized the methods for detecting TP53 mutations in cfDNA from blood samples. We confirmed the correlation of TP53 mutation in primary ovarian cancer tissue and it in cfDNA using digital polymerase chain reaction (dPCR). METHODS: We found 12 frequent mutation sites in TP53 using The Cancer Genome Atlas and Catalogue of Somatic Mutations in Cancer data and manufactured 12 primers. The mutations in tissues were evaluated in fresh-frozen tissue (FFT) and formalin-fixed paraffin-embedded tissue (FFPET). We performed a prospective analysis of serial plasma samples collected from 4 patients before debulking surgery. We extracted cfDNA and calculated its concentration in blood. dPCR was used to analyze TP53 mutations in cfDNA, and we compared TP53 mutations in ovarian cancer tissue with those in cfDNA. RESULTS: Ten primers out of 12 detected the presence of TP53 mutations in FFT, FFPET, and cfDNA. In FFT and FFPET tissue, there were no significant differences. The average cfDNA concentration was 2.12±0.59 ng/mL. We also confirmed that mutations of cfDNA and those of FFT were all in R282W site. CONCLUSION: This study developed detection methods for TP53 mutations in cfDNA in ovarian cancer patients using dPCR. The results demonstrated that there are the same TP53 mutations in both ovarian cancer tissue and cfDNA.
Biomarkers ; DNA* ; Epigenomics ; Genome ; Humans ; Ovarian Neoplasms* ; Plasma ; Polymerase Chain Reaction ; Prospective Studies

The Acknowledgements was published incorrectly.

PURPOSE: The purpose of this study was to identify factors influencing psychosocial well-being in family caregivers of patients with amyotrophic lateral sclerosis (ALS). METHODS: A descriptive correlational design was used. The transactional model of stress and coping was used to investigate the psychosocial well-being of 137 family caregivers of patients with ALS. Data were collected through self-reported questionnaires from January to November 2016. Data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis with the SPSS WIN 21.0 program. RESULTS: The regression model had an adjusted R2 of .49, which indicated that meaning-focused coping, social support, ALS patient-family caregiver relationship (especially a spousal relationship), and tracheostomy were significant predictors of caregivers' psychosocial well-being. CONCLUSION: Meaning-focused coping and social support significantly influenced caregivers' psychosocial well-being. Therefore, interventions to improve caregivers' psychosocial well-being must focus on increasing meaning-focused coping and social support resources.
Adaptation, Psychological ; Amyotrophic Lateral Sclerosis* ; Caregivers* ; Humans ; Social Adjustment ; Tracheostomy

PURPOSE: This paper is a report on the concept analysis of family-centered care for hospitalized children. METHODS: The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword ‘family centered care’ or ‘family centered nursing’ combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19). RESULTS: The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the ‘willingness of family to participate’, ‘competency and willingness of staff,’ and ‘institution policy and system.’ Additionally, family-centered care does significantly impact ‘the health of the children’, ‘family empowerment’ and ‘work satisfaction and self-confidence of staff’. CONCLUSION: Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.
Child ; Child, Hospitalized* ; Cooperative Behavior ; Humans ; Information Dissemination ; Pediatric Nursing ; Walkers

PURPOSE: The objective of this study was to investigate the relations among psycho-social factors regarding child neglect and abuse using the data from the 2013 Korea National Survey on Children and Youth. METHODS: Data from a sample of 1,062 primary caregivers with young children were analyzed with the SPSS and AMOS programs to examine the interrelationships among depression, parenting stress, marital satisfaction, parent-child attachment, and child neglect or maltreatment. RESULTS: Depression, stress, and attachment had a direct influence on child neglect and abuse. Satisfaction with marital relationship, parenting stress, and attachment were found to play mediating roles in accounting for child neglect and abuse, explaining 12% of the variance. The results of multi group path analysis showed that some coefficients were different according to the age group of the children. For caregivers with infants, parenting stress did not predict either attachment or child maltreatment, whereas for caregivers with toddlers, depression did not have a significant effect on attachment. CONCLUSION: In order to prevent child maltreatment, efforts should be made to develop community-based psycho-social support interventions focused on marital relationship as well as parent-child dyads and to provide practical child care support.
Adolescent ; Caregivers* ; Child ; Child Abuse* ; Child Care ; Child* ; Depression ; Humans ; Infant ; Korea ; Marriage ; Negotiating ; Parent-Child Relations ; Parenting ; Parents

PURPOSE: The aim of this study was to evaluate the validity and reliability of the Korean version of the Person-centered Care Assessment Tool (P-CAT). METHODS: The English P-CAT was translated into Korean with forward and backward translation. Survey data were collected from 458 staff in 17 long-term care facilities in Korea. Construct validity and criterion related validity were evaluated. Cronbach's alpha was used to assess reliability. RESULTS: The Korean version of P-CAT was shown to be valid homogeneously by factor, item and content analysis. Internal consistency reliability was satisfactory in which the values of factor 1, factor 2 and the total scale were .84, .77 and .86 respectively. Exploratory factor analysis supported the construct validity with a two-factor solution. Factor loadings of the 13 items ranged in .34~.80. Criterion validity to the Person-centered Climate Questionnaire-staff (PCQ-S) was .74 (p<.001). CONCLUSION: The Korean version of the P-CAT was found to be an applicable instrument with satisfactory reliability and validity for further use in measuring successful person-centered care in long-term care facilities for older persons.
Adult ; Female ; Humans ; *Long-Term Care ; Male ; Middle Aged ; Nursing Staff, Hospital/*psychology ; *Program Evaluation ; Reproducibility of Results ; Republic of Korea ; Surveys and Questionnaires ; Translating