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A Structure Model of Clinical Nurses' Silence on Patient Safety

Journal of Korean Academy of Fundamental Nursing.2018;25(1):68-77. doi:10.7739/jkafn.2018.25.1.68

PURPOSE: The aim of this study was to establish a hypothetical model on silence regarding patient safety and to verify the model's goodness of fit and hypotheses. METHODS: The participants in this study were 330 registered nurses working in tertiary hospitals with over 300 beds. Data were collected between July 1, and August 30, 2017, from nurses who agreed to participate. A covariance structure analysis was performed. RESULTS: The model of fit index was χ² =59.54, normed χ² =2.29, GFI=.97, AGFI=.93, SRMR=.05, NFI=.99, CFI=.95 and RMSEA=.05. The organizational culture had an influence on patient safety motivation (β=.26, p=.003) and attitude (β=.43, p < .001). RN-MD collaboration had an influence on patient safety motivation (β=.33, p < .001), attitude (β=.35, p < .001), and patient safety silence (β=−.17, p=.026). Supervisory trust had an influence on patient safety motivation (β=.26, p < .001), attitude (β=.12, p=.036), and patient safety silence (β=−.23, p=.002). Patient safety motivation had an influence on patient safety silence (β=−.33, p=.006). The model of patient safety silence explained 36.0% of the variances. CONCLUSION: This study is meaningful in that it provides basic data for nursing education and program development for rejecting patient safety silence.
Cooperative Behavior ; Education, Nursing ; Humans ; Motivation ; Nurses ; Organizational Culture ; Patient Safety ; Program Development ; Tertiary Care Centers

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Mediating Effect of Communication Skill in the Relationship between Fatigue and Clinical Practice Stress in Nursing Students

Ya Ki YANG

Journal of Korean Academy of Fundamental Nursing.2018;25(1):58-67. doi:10.7739/jkafn.2018.25.1.58

PURPOSE: Fatigue and clinical practice stress can negatively influence nursing students. This study was done to examine of communication skill as mediating effect variable in the relationship between fatigue and stress during clinical practice. METHODS: A cross-sectional study design was employed. Research participants were 124 nursing students from G city and J province. Data were collected from December 1, 2016 to January 30, 2017 using self-report questionnaires. Data were analyzed using Baron and Kenny method. RESULTS: Fatigue had a significant negative correlation with communication skill (r=−.28, p=.001). Fatigue had a significant positive correlation with clinical practice stress (r=.39, p < .001). In addition, communication skill had a mediating effect in the relationship between fatigue and clinical practice stress. CONCLUSION: findings of this study indicate that communication skill plays an important role in reducing clinical practice stress in nursing students. Therefore, in the field of nursing education, a program to improve the communication ability of nursing students should be developed and applied.
Communication ; Cross-Sectional Studies ; Education, Nursing ; Fatigue ; Humans ; Methods ; Negotiating ; Nursing ; Students, Nursing

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Knowledge and Practice of Middle East Respiratory Syndrome Isolation Precaution among Hospital Nurses

Sunju KIM ; Rhayun SONG

Journal of Korean Academy of Fundamental Nursing.2018;25(1):46-57. doi:10.7739/jkafn.2018.25.1.46

PURPOSE: The purposes of the study were to examine the knowledge and practice about Middle East Respiratory Syndrome (MERS) isolation precaution, and to explore influencing factors of the isolation practice among hospital nurses. METHODS: A total of 182 nurses were recruited from four general hospitals where MERS patients had been treated. The knowledge and practice of MERS isolation precaution were measured by the scales developed based on the CDC guidelines. The collected data were analyzed by SPSS/WIN 22 with descriptive statistics, T-test, One-way ANOVA, Pearson correlation coefficients, and hierachical multiple regression analysis. RESULTS: The nurses were 30 years old in average, and half of them had less than 5 years of clinical experience. and knowledge on droplet precautions (β=.171, p=.019) were the significant predictors, explaining 19.6% of variance in the MERS isolation guideline practice. Clinical experience (β=.225, p=.002), working at infection unit (β=−.203, p=.011). CONCLUSION: The knowledge on droplet precaution and general knowledge on MERS were the important modifiable factor to improve the MERS isolation guideline practice among hospital nurses, even after adjusting clinical experience and demographic variables. It is necessary to develop an efficient education program on specific guidelines for prevention and management of infection by improving the knowledge on infectious disease such as MERS as well as droplet precaution which are modifiable factors.
Centers for Disease Control and Prevention (U.S.) ; Communicable Diseases ; Coronavirus Infections ; Education ; Hospitals, General ; Humans ; Middle East ; Weights and Measures

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An Ethnography on Fundamental Nursing Practice Class

Hyo Ja AN ; Hyun Ju PARK

Journal of Korean Academy of Fundamental Nursing.2018;25(1):33-45. doi:10.7739/jkafn.2018.25.1.33

PURPOSE: Objectives of this study were to identify and describe cultural meaning for nursing students in the class in fundamental nursing practice. METHODS: Data were collected from November 2016 to May 2017 included focus group interviews and participants observation. The key informants in this study included 23 nursing students divided into 3 focus groups who had taken the course in fundamental nursing practice in university U and university S in Kyungpook, and university D in Jeonnam. Interviews continued until no new information could be identified from transcripts. Data were analyzed using the taxonomic analysis method developed by Spradley. RESULTS: Based on the data acquired from the interviews, cultural domains in the class “fundamental nursing practice” were classified as ‘community oriented activities’, ‘learning and playing space’, ‘relationship of difference and discrimination’, ‘time for present and future’. CONCLUSION: The culture in the class “fundamental nursing practice” could be summarized as ‘non-standardized learning with team dynamics’. Also nursing students learned about a small society whose members are becoming nurses. Results indicate that it is critical for professors to understand students' values, beliefs and their attitude in order to aid in adjustment to class.
Anthropology, Cultural ; Focus Groups ; Gyeongsangbuk-do ; Humans ; Jeollanam-do ; Learning ; Methods ; Nursing ; Students, Nursing ; Universities

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Knowledge on Blood-borne Infections, Compliance and Barriers on Blood-borne Infection Control among Nurses in Hemodialysis Units

Sun Ae JOUNG ; Kyung Yeon PARK

Journal of Korean Academy of Fundamental Nursing.2018;25(1):22-32. doi:10.7739/jkafn.2018.25.1.22

PURPOSE: The study was done to examine hemodialysis unit nurses' knowledge on blood-borne infections, compliance and barriers to control and predictors of compliance. METHODS: A descriptive correlational study was conducted with 122 nurses from hemodialysis units. Data were collected using a structured questionnaire. The data collection period was May to September, 2017. Data were analysed using descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple linear regression. RESULTS: The mean score for knowledge on blood-borne infections was 15.41±2.01 out of 19 and the compliance with blood-borne infection control was 4.08±0.49 out of 5. Barriers to the performance of blood-borne infections control were lack of time and personal protective devices. Knowledge on blood-borne infection did not correlate with compliance on blood-borne infection control (r=.13, p=.171). Predictors of compliance on blood-borne infections control were 1) infection control education on injuries caused by injection needles (β=.23, p=.010), 2) infection control room (β=.24, p=.006) and 3) blood exposure experience over the past week (β=-.24, p=.005) and explained 22.2% of the variance (F=10.81, p < .001). CONCLUSION: Findings suggest that to improve the performance of blood-borne infectious disease management, customized education for nurses on blood-borne infection and systematic support related to the infection control room should be given priority.
Communicable Diseases ; Compliance ; Data Collection ; Education ; Humans ; Infection Control ; Linear Models ; Needles ; Protective Devices ; Renal Dialysis

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Validity and Reliability of the Self-Reflection and Insight Scale for Korean Nursing Students

Mi Ok SONG ; Heeyoung KIM

Journal of Korean Academy of Fundamental Nursing.2018;25(1):11-21. doi:10.7739/jkafn.2018.25.1.11

PURPOSE: The purpose of this study was to translate the Self-Reflection and Insight Scale (SRIS) into Korean and test its validity and reliability. METHODS: Participants were 340 nursing students who were recruited from 5 nursing colleges in Korea. Data were collected from November 21 to December 20, 2016 and analyzed using the IBM Statistics SPSS 22.0 and AMOS 23.0 programs. Exploratory factor analysis, Confirmatory factor analysis, and concurrent validity analysis were performed. RESULTS: For the Korean-SRIS (K-SRIS) 4 items were deleted from the original SRIS. The final scale consisted of 16 items which were sorted into- the 2 factors: self-reflection (11 items), insight (5 items). The cumulative percent of variance was 50.91%. The statistically significant correlation between K-SRIS scores and the Reflection in Learning Scale (RLS) support the concurrent validity of the K-SRIS. The reliability of the scale, Cronbach's α was .83. CONCLUSION: The finding indicate that the K-SRIS has validity and reliability. Therefore it can be used for measuring and developing reflection ability in nursing students.
Humans ; Korea ; Learning ; Nursing ; Reproducibility of Results ; Students, Nursing

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Effects of Leadership, Critical Thinking Disposition, Professional Self-conception of Nurse on Happiness in Nursing Students

Su Jin KIM

Journal of Korean Academy of Fundamental Nursing.2018;25(1):1-10. doi:10.7739/jkafn.2018.25.1.1

PURPOSE: The purpose of this study was to investigate effects of leadership, critical thinking disposition, and professional self-conception of nurse on happiness in nursing students. METHODS: Data ware collected from 160 nursing students from March to May 2015, using self reported questionnaire. Descriptive statistics, t-test, ANOVA, correlation analysis and multiple regression were used to analyze the collected data. RESULTS: Happiness in nursing students was correlated with leadership (r=.68, p < .001), critical thinking disposition (r=.36, p < .001) and professional self-conception of nurse (r=.57, p < .001). Factors significantly influencing happiness in nursing students were leadership (β=.48, p < .001), professional self-conception of nurse (β=.17, p=.032) and life satisfaction (β=.18, p=.003), with a total explanatory power of 53.0%. CONCLUSION: The results of this study showed that leadership, critical thinking disposition, and professional self-conception of nurse should be promoted to increase happiness of nursing students.
Happiness ; Humans ; Leadership ; Nursing ; Self Report ; Students, Nursing ; Thinking

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Effects of Low Intensity Exercise Training during Hemodialysis on Fatigue, Activity of Daily Living, Positive Psychological Capital, and Blood Pressure

Eui Jeung KIM ; Hyun Suk LEE ; Hee Jeong SHIN ; Mi Jeong HONG ; So Young KIM ; Seon Ae KIM ; Hwasoon KIM

Journal of Korean Academy of Fundamental Nursing.2019;26(1):62-73. doi:10.7739/jkafn.2019.26.1.62

PURPOSE: The purpose of this study was to estimate the effects of a video low intensity exercise program provided during hemodialysis on fatigue, activity of daily living, positive psychological capital and blood pressure of patients being treated. METHODS: A non-equivalent control group pre-post test design was used. Participants were 85 hemodialysis patients assigned to either the experimental group (n=41) or the control group (n=44). The experimental group exercised for about 25 minutes 3 times a week for 8 weeks. Data analyses involved descriptive statistics, χ2 test, t-test, multiple regression and repeated measure ANOVA using SPSS/WIN 23.0. RESULTS: The exercise intervention significantly reduced post hemodialysis fatigue and significantly increased positive psychological capital. There was a significant interaction effect on time by group in blood pressure. Systolic blood pressure changes in the experimental group were stable but, changes in the control group tended to increase gradually. CONCLUSION: To reduce fatigue and increase positive psychological capital for hemodialysis patients, providing exercise during hemodialysis is recommended. Furthermore individualized exercise in terms of intensity, time, duration, etc should be developed and tested. Also, to reduce drastic blood pressure changes during hemodialysis, exercise should be provided.
Blood Pressure ; Evaluation Studies as Topic ; Fatigue ; Humans ; Renal Dialysis ; Statistics as Topic

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Influence of Physical and Psychological Symptoms on Exercise Adherence in Patients with Heart Failure: Focused on the Mediating Effects of Self-efficacy

Hyekyung JIN ; Jong Hyun KIM ; Minju KIM

Journal of Korean Academy of Fundamental Nursing.2019;26(1):52-61. doi:10.7739/jkafn.2019.26.1.52

PURPOSE: The aim of this study was to examine the mediating effect of self-efficacy in the relationship of physical and psychological symptoms to exercise adherence in patients with heart failure. METHODS: The participants in this study were 186 patients with heart failure in two hospitals located in Busan. The measures included questions about general and disease characteristics, physical symptoms, psychological symptoms, self-efficacy for exercise, and exercise adherence. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, simple and multiple regression using Baron and Kenny steps for mediation. RESULTS: There were significant differences in age, gender and comorbidity on exercise adherence. There were also significant correlations among physical and psychological symptoms, self-efficacy for exercise, and exercise adherence. Self-efficacy for exercise showed partial mediating effects in the relationship between physical symptoms and exercise adherence. CONCLUSION: Based on the findings of this study, the enhancement of self-efficacy for exercise may positively affect the exercise compliance of the patients with health failure, even while they are experiencing physical symptoms. Therefore, it is necessary to develop effective strategies to enhance self-efficacy for exercise.
Busan ; Comorbidity ; Compliance ; Heart Failure ; Heart ; Humans ; Negotiating

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Influences of Occupational Stress, Ethical Dilemma, and Burnout on Turnover Intention in Hospital Nurses

Myoung Yi CHOI ; Hyang Sook SO ; Eun KO

Journal of Korean Academy of Fundamental Nursing.2019;26(1):42-51. doi:10.7739/jkafn.2019.26.1.42

PURPOSE: The aim of this research was to identify the relationships between occupational stress, ethical dilemma, burnout and turnover intention and the factors influencing turnover intention in hospital nurses. METHODS: The participants, 215 nurses, were recruited from two university hospitals located in two provinces of Korea. Data were collected through self-report questionnaires. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 22.0. RESULTS: Participants' scores for occupational stress, ethical dilemma, burnout and turnover intention were 3.96±0.45, 2.60±0.39, 3.71±0.70, and 3.50±0.90 respectively. The results show that the higher the score for occupational stress, ethical dilemma, and burnout the higher the score for turnover intention. The most important factor influencing turnover intention was burnout (β=.42, p < .001), followed by position (β=.21, p=.001), educational level (β=.21, p=.007), ethical dilemma (β=.13, p=.020) in that order. These factors explained 43.5% of total variance in turnover intention (F=19.34, p < .001). CONCLUSION: Changes in hospital structural management systems and support strategies should be developed and operated, taking into account burnout, ethical dilemma, and personal characteristics of clinical nurses in order to reduce turnover.
Ethics ; Hospitals, University ; Humans ; Intention ; Korea ; Personnel Turnover

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