PURPOSE: This study was performed to identify the effects of self-leadership and job involvement on clinical competence in general hospital nurses. METHODS: The participants in this study were 443 staff nurses working in general hospitals and having more than 6 months of nursing experience. Data were collected using self-administered questionnaires. RESULTS: There were significant positive correlations between nurses' self-leadership and job involvement, and between nurses' self-leadership and clinical competence. In the multiple regression analysis, clinical career, type of department and self-leadership were significant predictors in explaining nurses' clinical competence and accounted for 28% of the variance in nurses' clinical competence. CONCLUSION: Study findings suggest that nurses' self-leadership is defined as having an important influence on nurses' clinical competence. In order to strengthen nurses' clinical competence, there is a need to develop education programs to increase nurses' self-leadership.
Clinical Competence ; Hospitals, General

Purpose: : This study aimed to verify the validity and reliability of the Korean version of the nurses’ attitude scale toward advance directives of patients. Methods: : We translated and back-translated the original tool consisting of 20 questions and tested and verified its content validity. Questions for which its content validity has been verified, a preliminary investigation was conducted among 20 nurses working in ICU, followed by the actual investigation. Data were analyzed using SPSS version 24.0 for Windows and Mac and AMOS version 24.0. To verify the validity, an item analysis was conducted for all 398 samples, and then an exploratory factor analysis for 200 samples that were randomly selected, followed by a confirmatory factor analysis for the remaining 198 samples. Results: : Korean version of advance directives attitude scale (K-ADAS) consisting of 14 questions – 7 questions on ‘patient rights,’ 4 questions on ‘role of a nurse,’ and 3 questions on ‘ethical judgment’ – was verified its validity and reliability. Conclusion : In this study, the validity and reliability of the K-ADAS have been verified. We expect the verified tool to be useful in various fields that measuring the nurses’ attitude toward advance directives of patients.

Purpose: : The purpose of this study was to understand the relationship between workplace bullying, empathic ability, resilience, and job satisfaction to provide basic data for the development of programs and education aimed at improving nurses’ job satisfaction. Methods: : Data were collected through a structured questionnaire disseminated to nurses working in general hospitals. A total of 226 questionnaires were used for the analysis. We analyzed the data using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson’s correlation coefficient, and a stepwise multiple regression analysis. Results: : Nurses’ job satisfaction showed a significant positive correlation with empathic ability and resilience and a significant negative correlation with workplace bullying. Additionally, resilience, workplace bullying, empathic ability, religion, and the hope of moving to another department were significant factors affecting job satisfaction. The explanatory power of these variables for job satisfaction was 41.0%. Conclusion : To improve job satisfaction, a strategy to lower workplace bullying and increase empathic ability and resilience is necessary. The results of this study suggest the need for further research to develop educational programs for nurses to strengthen their empathic ability and resilience.

Purpose: : The purpose of this study was to understand the relationship between workplace bullying, empathic ability, resilience, and job satisfaction to provide basic data for the development of programs and education aimed at improving nurses’ job satisfaction. Methods: : Data were collected through a structured questionnaire disseminated to nurses working in general hospitals. A total of 226 questionnaires were used for the analysis. We analyzed the data using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson’s correlation coefficient, and a stepwise multiple regression analysis. Results: : Nurses’ job satisfaction showed a significant positive correlation with empathic ability and resilience and a significant negative correlation with workplace bullying. Additionally, resilience, workplace bullying, empathic ability, religion, and the hope of moving to another department were significant factors affecting job satisfaction. The explanatory power of these variables for job satisfaction was 41.0%. Conclusion : To improve job satisfaction, a strategy to lower workplace bullying and increase empathic ability and resilience is necessary. The results of this study suggest the need for further research to develop educational programs for nurses to strengthen their empathic ability and resilience.

Purpose: The purpose of this study was to identify factors influencing on intention to use mobile application (app) for health promotion in middle-aged women aged 40 to 64 years. Methods: A total of 586 women participated in the self-report questionnaires through an online survey. Data were collected from February 10 to 16, 2021. Data were analyzed using x 2 test and logistic regression analysis with SPSS/WIN 22.0. Results: 429 (73.2%) participants had intention to use mobile app for health promotion. Factors influencing on intention to use mobile app in this study were perceived usefulness (odds ratio [OR]=5.62, 95% confidence interval [CI]=3.45~9.14, p<.001), perception of health risks (OR=1.45, 95% CI=1.09~1.81, p=.012), no experience of mobile app use (OR=0.57, 95% CI=1.09~2.59, p=.018), and obesity (OR=2.93, 95% CI=1.76~4.87, p<.001). Conclusion This study suggests that it is important to improve awareness about usefulness of mobile apps and health risks as a strategy to increase the intention to use app for health promotion in addition to develop mobile apps for weight management in middle-aged women. In addition, mobile app interventions at public health centers are required to manage the middle-aged women’s health as an active community-based health management.

PURPOSE: The aim of this study was to investigate factors affecting suicidal ideation in elders who lived in their own home. METHODS: A correlative research design was used. Survey was conducted in Jeonbuk province in Korea. Data were collected from July 1 to 30, 2013. Descriptive statistics, Pearson correlation coefficients, and multiple regressions with SPSS 18.0 program were used for data analysis. RESULTS: The major findings are summarized as follows: (1) Meaning in life had a positive relation to gratitude and a negative relation to depression and suicidal ideation. Gratitude had a negative relation to depression and suicidal ideation. Depression had a significantly positive relation to suicidal ideation. (2) The significant factors affecting suicidal ideation were depression, residential area, subjective economic level, and subjective health status which together explained 36% of the variance. The results indicate that depression was a significant factor associated with suicidal ideation among elders. CONCLUSION: In order to decrease suicidal ideation among elders, active intervention for depression is needed. Nurses should consider individual conditions of the client - residential area, subjective economic level, and subjective health status. Also nurses should consider mental, as well as physical health when caring for elders.
Depression ; Jeollabuk-do ; Korea ; Research Design ; Statistics as Topic ; Suicidal Ideation*

PURPOSE: Most undergraduate students are in the phase of gaining mental and physical autonomy from their parents as they expand their worlds. The ways that sexual ethics are established during this time may have an important influence on healthy lifestyles and the maintenance of social order. This study aims to determine a typology of undergraduate students' sexual ethics and the characteristics that compose the types. METHODS: Q methodology, which analyzes the subjectivity of each type of attitude, was used. The 44 selected Q statements from 43 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analyzed using the PC-QUANL program. RESULTS: The results revealed three discrete groups of students with respect to sexual ethics: traditional absolute purity type, open-minded compromise type, and rational responsibility type. CONCLUSIONS: The results of this study indicate that different approaches to educational programs on sexual ethics are recommended for undergraduate students based on the three types studied.
Attitude to Health ; Consensus ; Female ; Healthy Lifestyle ; Humans ; Male ; Republic of Korea ; Sex Education/statistics & numerical data ; Sexuality/*ethics ; Social Responsibility ; Students/*psychology ; Young Adult

PURPOSE: The purpose of this study was to provide basic data for the development of a life habit improvement program, designed to prevent occurrence of lung cancer for adults, by comparing various factors related to cancer outbreak. METHODS: The study was designed to be a retrospective comparison survey study of the lung cancer patient group and healthy adult group. 91 lung cancer patients visited J university hospital and 105 conveniently-selected healthy adults were recruited from October 2011 to August 2012. Data were analyzed using descriptive statistics, chi2-test/t-test and logistic regression with the SPSS program. RESULTS: Active smoking, secondhand smoking and frequency of meat consumption emerged as risk factors of lung cancer occurrence for adults. CONCLUSION: As a result of comparative analysis of lung cancer patients and healthy adults' various lifestyle-related cancer risk factors, non-smoking, avoiding secondhand smoke and reducing meat consumption were suggested as a means of preventing the occurrence of lung cancer.
Adult* ; Economics ; Humans ; Life Style* ; Logistic Models ; Lung Neoplasms* ; Lung* ; Meat ; Retrospective Studies ; Risk Factors ; Smoke ; Smoking ; Tobacco Smoke Pollution

PURPOSE: The aim of this study was to examine the validity and reliability of the Korean Version of the Spiritual Care Competence Scale (K-SCCS). METHODS: A cross-sectional study design was used. The K-SCCS consisted of 26 questions to measure spiritual care competence of nurses. Participants, 228 nurses who had more than 3 years'experience as a nurse, completed the survey. Confirmatory factor analysis was used to examine the construct validity and correlations of K-SCCS and spiritual well-being (SWB) were used to examine the criterion validity of K-SCCS. Cronbach's alpha was used to test internal consistency. RESULTS: The construct and the criterion-related validity of K-SCCS were supported as measures of spiritual care competence. Cronbach's alpha was .95. Factor loadings of the 26 questions ranged from .60 to .96. Construct validity of K-SCCS was verified by confirmatory factor analysis (RMSEA=.08, CFI=.90, NFI=.85). Criterion validity compared to the SWB showed significant correlation (r=.44, p<.001). CONCLUSION: The findings suggest that K-SCCS serves as an appropriate measure of spiritual care competence with validity and reliability. However, further study is needed to retest the verification of the factor analysis related to factor 2 (professionalisation and improving the quality of spiritual care) and factor 3 (personal support and patient counseling). Therefore, we recommend using the total score without distinguishing subscales.
Cross-Sectional Studies ; Humans ; Mental Competency* ; Reproducibility of Results* ; Spirituality

PURPOSE: The purpose of this study was to identify the perception on hospice, attitudes toward death and needs of hospice care between the patients with cancer and family. METHODS: This study used descriptive research design. The participants were 118 patients with cancer hospitalized and 118 family caregivers of patients with cancer. The data collected by questionnaires from October to December, 2013. RESULTS: There was significant difference in perception on hospice (recognition of hospice term and definition of hospice) and needs of hospice care between patients and family. Among the categories of the needs, 'medical needs' was the highest in patients and 'emotional care' was the highest in family. But there was no significant difference in attitudes toward death. There correlation between attitudes toward death and needs of hospice care was significant only in patients. CONCLUSION: Hospice care must be provided considering the death attitudes and needs of patients with cancer and family based on the understanding of perception on hospice, attitudes toward death of the patients with cancer and family.
Caregivers ; Hospice Care* ; Hospices* ; Humans ; Research Design