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Prediction Model for Demands of the Health Meteorological Information Using a Decision Tree Method.

Asian Nursing Research.2010;4(3):151-162.

PURPOSE: Climate change affects human health and calls for health meteorological services. The purpose of this study is to find the significant predictors for the demands of the health meteorological information. METHODS: This study used a descriptive design through structured self-report questionnaires. Data from 956 participants who were at least 18 years old and living in Busan, Korea, were collected from June 1 to July 31, 2009. The data was analyzed using a decision tree method, one of the data mining techniques by SAS 9.1 and Enterprise Miner 4.3 program. RESULTS: Two hundred and ninety participants (30.3%) demanded the information, and 505 of them (52.8%) perceived the necessity of health meteorological information. From the decision tree method, the predictors related to the demands of the health meteorological information were determined as "the perception of the necessity of health meteorological information," "the coping to the weather warnings" and "the importance of the weather forecasting in daily life." In Particular, the significant different variables in the perception of the necessity of health meteorological information were "female," "aged over 40" and "environmental diseases." Thus, the model derived in this study is considered for explaining and predicting the demands of health meteorological information. CONCLUSIONS: It can be effectively used as a reference model for future studies and is a suggested direction in health meteorological information service and policy development. We suggest health forecasting as a nursing service and a primary health care network for healthier and more comfortable life.
Climate Change ; Data Mining ; Decision Trees ; Forecasting ; Humans ; Information Services ; Korea ; Meteorological Concepts ; Nursing Services ; Phenothiazines ; Policy Making ; Primary Health Care ; Weather ; Surveys and Questionnaires

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Comparison of Catheter-associated Urinary Tract Infection Rates by Perineal Care Agents in Intensive Care Units.

Ihnsook JEONG ; Soonmi PARK ; Jae Sim JEONG ; Duck Sun KIM ; Young Sun CHOI ; Young Soon LEE ; Young Mi PARK

Asian Nursing Research.2010;4(3):142-150.

PURPOSE: This study compared the catheter-associated urinary tract infection (CAUTI) rates resulting from the use of four perineal care agents (soap-and-water, skin cleansing foam, 10% povidone-iodine, and normal saline) among patients in intensive care units (ICUs). METHODS: This four-group experimental study was done with 97 adult patients who had urinary catheters over 2 days in three ICUs between April and July 2008. The patients received one of the four types of perineal care. Data collected included the incidence of CAUTI at baseline (prior to perineal care) and 1 week, 2 weeks, and 4 weeks after beginning perineal care. Patients were divided into UTI and non-UTI groups based on the Centers for Disease Control and Prevention/National Healthcare Safety Network UTI definition to calculate incidence rates. The hazard ratio (HR) and 95% confidence intervals were calculated by Cox's proportional hazard analysis. RESULTS: The cumulative incidence of CAUTIs per 100 urinary catheter days were 3.18 episodes during 1 week with urinary catheter, 3.31 during 2 weeks, and 3.04 during 4 weeks. No statistically significant difference in hazard ratios of CAUTIs for each perineal care agent was evident with reference to soap-and-water at 1 week, 2 weeks, and 4 weeks after beginning perineal care after controlling for age, use of antibiotics, fecal incontinence, consciousness level, fever, and diabetes. CONCLUSIONS: The type of perineal care does not influence the incidence of CAUTIs. Further confirmatory studies with a larger patient population should be conducted, as well as determining perineal agent preference.
Adult ; Anti-Bacterial Agents ; Centers for Disease Control and Prevention (U.S.) ; Consciousness ; Delivery of Health Care ; Detergents ; Fecal Incontinence ; Fever ; Humans ; Incidence ; Critical Care ; Intensive Care Units ; Perineum ; Povidone-Iodine ; Skin ; Urinary Catheterization ; Urinary Catheters ; Urinary Tract ; Urinary Tract Infections

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Nursing Staff Stress From Caregiving and Attitudes Toward Family Members of Nursing Home Residents With Dementia in Korea.

Myonghwa PARK

Asian Nursing Research.2010;4(3):130-141.

PURPOSE: The purpose of this study was to examine nursing staff stress with their caregiving roles and attitudes toward family members of nursing home residents in Korea. METHODS: The sample consisted of 267 nursing staff members from 10 long-term care facilities. Participants completed the Caregiver Stress Inventory and the Attitudes About Family Checklist. RESULTS: The mean score on the total Caregiver Stress Inventory was 4.34 for nurses and 4.53 for nursing assistants (t=-1.42, p=.161). Nursing assistants reported higher stress levels than nurses from caring for the residents with aggressive behaviors (t=-2.28, p=.040). In contrast, nurses reported higher stress levels regarding resources deficiency (t= 2.18, p=.045). The mean score on the data from the Attitudes About Family Checklist was 4.45 for nurses and 3.56 for nursing assistants (t= 2.52, p=.025), indicating that nursing assistants reported more negative attitudes toward family members of residents with dementia. CONCLUSIONS: The findings in this study showed a need for systematic educational programs for staff to enhance their dementia care knowledge, alleviate their stress, and finally change positively their attitudes toward family. As the number of dementia patients in long-term care facilities increases, it will be important for staff members to develop individually satisfying and mutually acceptable caregiving roles.
Attitude of Health Personnel ; Caregivers ; Checklist ; Dementia ; Humans ; Korea ; Long-Term Care ; Nursing Homes ; Nursing Staff

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Knowledge, Behaviors and Prevalence of Reproductive Tract Infections: A Descriptive Study on Rural Women in Hunchun, China.

Chunyu LI ; Hae Ra HAN ; Jong Eun LEE ; Myungken LEE ; Youngja LEE ; Miyong T KIM

Asian Nursing Research.2010;4(3):122-129.

PURPOSE: The aim of the study was to assess the prevalence, knowledge and behavior about reproductive tract infections (RTIs) among rural Chinese women in Hunchun, China. METHODS: The study employed a cross-sectional research design with a convenience sample of 190 participants who had received microfinancing. Data were collected by trained research staff, utilizing face to face interviews and physical examinations. RESULTS: About 1 in 5 participants (20.3%) had had more than 5 pregnancies and 26.7% had had 3 or more abortions. More than half (57.3%) of study participants had an RTI at the time of examination, and 92.3% reported having had at least one RTI symptom. Nearly half (49.6%) of the women who exhibited RTI symptoms reported no utilization of any healthcare services. Age, number of pregnancies, RTI knowledge, and behavior were found to be significant correlates in the sample. CONCLUSIONS: The prevalence of RTI among low-income rural Chinese women were extremely high, indicating the urgent need for effective and culturally sensitive health education, particularly targeted to the poor rural population.
Asian Continental Ancestry Group ; China ; Delivery of Health Care ; Female ; Health Education ; Humans ; Pregnancy ; Prevalence ; Reproductive Tract Infections ; Research Design ; Rural Population

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Psychometric Properties of the Child Feeding Scale in Turkish Mothers.

Sevinc POLAT ; Behice ERCI

Asian Nursing Research.2010;4(3):111-121.

PURPOSE: The objective of this study was to adopt the Child Feeding Scale (CFS) to the Turkish language and culture and to assess the validity and the reliability of the Turkish version of the scale. METHODS: The research was methodological study design. A convenience sample of 158 mothers at a primary health care center completed a structured questionnaire including the CFS for mothers in 2008. RESULTS: In the assessment of construct validity, seven factors were identified; they related to Perceived Responsibility, Perceived Parent Weight, Perceived Child Weight, Concern About Child Weight, Pressure to Eat, Restriction, and Monitoring. The seven factors explained 57.6% of the total variance. The overall internal reliability coefficient of this scale was .75. CONCLUSIONS: The present study provides evidence of the CFS's validity and reliability. The scale has potential applications for use in research. The CFS can be used to assess aspects of child-feeding perceptions, attitudes, and practices and their relationships to children's developing food acceptance patterns, the control of food intake and obesity.
Attitude to Health ; Child ; Eating ; Feeding Behavior ; Humans ; Mothers ; Obesity ; Parent-Child Relations ; Parents ; Primary Health Care ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires

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Corrigendum to Concept Analysis of Empowerment in Old People with Chronic Diseases Using a Hybrid Model Asian Nursing Research 8 (2014) 118-127.

Zahra FOTOUKIAN ; Farahnaz MOHAMMADI SHAHBOULAGHI ; Masoud FALLAHI KHOSHKNAB ; Easa MOHAMMADI

Asian Nursing Research.2014;8(3):239-239. doi:10.1016/j.anr.2014.09.001

The authors regret that one of the coauthor's affiliation in this article was incorrectly printed.

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Effects of a Psychological Adaptation Improvement Program for International Marriage Migrant Women in South Korea.

Won Hee JUN ; Sung Sil HONG ; Soo YANG

Asian Nursing Research.2014;8(3):232-238. doi:10.1016/j.anr.2014.08.003

PURPOSE: This study was conducted to develop and evaluate the Psychological Adaptation Improvement Program (PAIP) for international marriage migrant women in South Korea. METHODS: A total of 43 international marriage migrant women who were enrolled in six rural multicultural family support centers in South Korea were included in this study. They were randomly assigned to the intervention group (n = 21) or to the control group (n = 22). The intervention group received 10 sessions of PAIP, 1 or 2 sessions per week for 8 weeks. The dependent variables were self-esteem, depression and social problem solving ability. The data were analyzed by Fisher's exact test, t test, and repeated measures analysis of variance using SAS program. RESULTS: PAIP was effective in increasing self-esteem and reducing depression, and partially showed significant positive effects on participants' social problem solving ability, suggesting increased levels of positive problem orientation and decreased avoidance style in the social problem solving ability subscales. CONCLUSION: PAIP might be used as an effective intervention to improve psychological adaptation among international marriage migrant women in the rural community of South Korea.
Adaptation, Psychological* ; Depression ; Emigrants and Immigrants ; Female ; Humans ; Korea ; Marriage* ; Problem Solving ; Rural Population ; Self Concept ; Social Problems ; Transients and Migrants*

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Experiences of Caregivers in Healthcare for and Social Support of HIV Positive Children Attending Schools in Bangkok.

Duangkamol WATTRADUL ; Ankana SRIYAPORN

Asian Nursing Research.2014;8(3):226-231. doi:10.1016/j.anr.2014.08.001

PURPOSE: The study was conducted to explore caregivers' experiences and perceptions of barriers to their children receiving appropriate healthcare and support at schools in Thailand. METHOD: A qualitative narrative study was conducted to achieve the aim stated above. Twenty caregivers of children living with HIV/AIDS attending schools in Bangkok were interviewed in depth. The interviews were audiotaped, transcribed and analyzed using narrative analysis. RESULTS: The analysis indicated that caregivers fear discrimination, suffer from stigma and most do not reveal their child's HIV status to schools. Obstacles to children living with HIV/AIDS getting appropriate care and support in schools are persistent. Caregivers need to collaborate with the public health sector to provide HIV education and support for themselves and for teachers; community nurses would be well placed to provide this. CONCLUSION: Our findings can inform the design of systems for educational and social support alongside adequate healthcare for children living with HIV/AIDS attending school. The Thai government needs to establish collaboration between the educational and health sectors to reduce the stigma of HIV, promote acceptance and provide support.
Asian Continental Ancestry Group ; Caregivers* ; Child* ; Cooperative Behavior ; Delivery of Health Care* ; Discrimination (Psychology) ; Education ; HIV* ; Humans ; Public Health ; Thailand

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Work Environment and Workplace Bullying among Korean Intensive Care Unit Nurses.

Seonyoung YUN ; Jiyeon KANG ; Young Ok LEE ; Younghee YI

Asian Nursing Research.2014;8(3):219-225. doi:10.1016/j.anr.2014.07.002

PURPOSE: The purpose of this study was to examine the relationship between perceived work environment and workplace bullying among Korean intensive care units (ICU) nurses. METHODS: This is a descriptive survey research, with 134 ICU nurses from five hospitals in Korea. The work environment was measured by the Korean Nursing Work Environment Scale. Workplace bullying was measured with the Korean version of the Negative Acts Questionnaire-Revised. RESULTS: ICU nurses reported moderate satisfaction with their work environment, with perception of the basic work system receiving the highest scores. A total of 94.0% of ICU nurses have experienced at least one negative act within the past 6 months, and the prevalence of bullying was 17.2% according to operational bullying criteria. The ICU nurses reported that they experienced more work-related bullying than other types of bullying. Significant negative correlations between the nursing work environment and workplace bullying were found. CONCLUSION: These findings indicate that the better the nursing work environment, the less workplace bullying nurses will experience. Further research needs to be done to identify factors that influence bullying in the nurses and to develop an intervention that prevents workplace bullying.
Bullying* ; Intensive Care Units* ; Korea ; Nursing ; Prevalence

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Clostridium difficile Infection: Incidence in an Australian Setting.

Brett G MITCHELL

Asian Nursing Research.2014;8(3):213-218. doi:10.1016/j.anr.2014.07.003

PURPOSE: The aim of this study is to determine the incidence of Clostridium difficile infection (CDI) in an Australian hospital and highlight considerations for other Asian countries that are considering establishing or modifying existing CDI surveillance programs. METHODS: An observational study design with dynamic population was used. Data from all persons hospitalized for more than 48 hours over 4 years in a tertiary hospital in Australia were analyzed. Persons with healthcare associated, healthcare facility onset CDIs were identified. The calculation of the relative risk was performed to compare the occurrence of CDI in different groups. RESULTS: Of the total 58,942 admissions examined, 158 admissions had CDI. The incidence of CDI per 1,000 admissions for the entire study period was 2.68 (95% confidence interval [2.28, 3.13]). There was a statistically significant increase in the incidence of CDI in 2010 compared to that of 2007 (p < .001). The incidence of CDI increased from the 30-39-year age group onwards. CONCLUSION: Comparisons between this study and others are challenging due to the lack of standardized definitions for CDI internationally. Noting the increases of CDI internationally and the associated mortality, there is increasing importance to monitor and report the incidence of this infection worldwide.
Asian Continental Ancestry Group ; Australia ; Clostridium difficile* ; Delivery of Health Care ; Epidemiology ; Humans ; Incidence* ; Infection Control ; Mortality ; Observational Study ; Tertiary Care Centers

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