Purpose: This study aimed to examine the effects of nursing management competency and organizational support perception on the job stress of nurse managers in small and medium-sized hospitals. Methods: A total of 385 nurse managers from hospitals in Seoul, Korea, were surveyed in 2023. Data analysis was performed using SPSS 25.0, and included descriptive statistics, t-tests, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis. Results: Significant predictors of job stress included hospital dissatisfaction (β=.23, p=.001), desire to change jobs (β=-.14, p<.001), nursing management competency (β=.08, p=.047), and organizational support perception (β=-.64, p<.001), The regression model was shown to be statistically significant (F=57.22, p<.001), explaining 56.9% of the variance in job stress. Conclusion Nursing management competency and organizational support perception were significant factors affecting job stress. Enhancing these factors through targeted training and organizational strategies may help reduce stress among nurse managers in small and medium-sized hospital settings.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

BACKGROUND: Sevoflurane is widely used to anesthetize children because of its rapid action with minimal irritation of the airways. However, there is a high risk of agitation after emergence from anesthesia. Strabismus surgery, in particular, can trigger agitation because patients have their eyes covered in the postoperative period. The aim of this study was to determine whether or not esmolol and lidocaine could decrease emergence agitation in children. METHODS: Eighty-four patients aged 3 to 9 years undergoing strabismus surgery were randomly assigned to a control group (saline only), a group that received intravenous lidocaine 1.5 mg/kg, and a group that received intravenous esmolol 0.5 mg/kg and lidocaine 1.5 mg/kg. Agitation was measured using the objective pain score, Cole 5-point score, and Richmond Agitation Sedation Scale score at the end of surgery, on arrival in the recovery room, and 10 and 30 min after arrival. RESULTS: The group that received the combination of esmolol and lidocaine showed lower OPS and RASS scores than the other two groups when patients awoke from anesthesia (OPS = 0 (0-4), RASS = -4 [(-5)-1]) and were transferred to the recovery room (OPS = 0 (0-8), RASS = -1 [(-5)-3]) (P < 0.05). There was no significant difference in the severity of agitation among the three groups at other time points (P > 0.05). CONCLUSIONS: When pediatric strabismus surgery is accompanied by sevoflurane anesthesia, an intravenous injection of esmolol and lidocaine could alleviate agitation until arrival in the recovery room. TRIAL REGISTRATION Clinical Research Information Service, No. KCT0002925; https://cris.nih.go.kr/cris/en/search/search_result_st01.jsp?seq=11532.
Anesthesia ; methods ; Child ; Child, Preschool ; Double-Blind Method ; Humans ; Injections, Intravenous ; Lidocaine ; administration & dosage ; pharmacology ; Propanolamines ; administration & dosage ; pharmacology ; Sevoflurane ; therapeutic use ; Strabismus ; surgery ; Wakefulness ; drug effects

BACKGROUND: Propofol is an intravenous anesthetic which has antioxidant effects due to its similarity in molecular structure to α-tocopherol. It has been reported that α-tocopherol increases osteoclast fusion and bone resorption. Here, we investigated the effects of propofol on signaling pathways of osteoclastogenic gene expression, as well as osteoclastogenesis and bone resorption using bone marrow-derived macrophages (BMMs). METHODS: BMMs were cultured with macrophage colony-stimulating factor (M-CSF) alone or M-CSF plus receptor activator of nuclear factor kappa B ligand (RANKL) in the presence of propofol (0–50 µM) for 4 days. Mature osteoclasts were stained for tartrate-resistant acid phosphatase (TRAP) and the numbers of TRAP-positive multinucleated osteoclasts were counted. To examine the resorption activities of osteoclasts, a bone resorption assay was performed. To identify the mechanism of action of propofol on the formation of multinucleated osteoclasts, we focused on dendritic cell-specific transmembrane protein (DC-STAMP), a protein essential for pre-osteoclastic cell fusion. RESULTS: Propofol increased the formation of TRAP-positive multinucleated osteoclasts. In addition, the bone resorption assay revealed that propofol increased the bone resorption area on dentin discs. The mRNA expression of DC-STAMP was upregulated most strongly in the presence of both RANKL and propofol. However, SB203580, a p38 inhibitor, significantly suppressed the propofol/RANKL-induced increase in mRNA expression of DC-STAMP. CONCLUSION: We have demonstrated that propofol enhances osteoclast differentiation and maturation, and subsequently increases bone resorption. Additionally, we identified the regulatory pathway underlying osteoclast cell-cell fusion, which was enhanced by propofol through p38-mediated DC-STAMP expression.
Acid Phosphatase ; Antioxidants ; Bone Resorption ; Cell Fusion ; Dentin ; Gene Expression ; Macrophage Colony-Stimulating Factor ; Macrophages ; Molecular Structure ; Osteoclasts ; p38 Mitogen-Activated Protein Kinases ; Propofol ; RANK Ligand ; RNA, Messenger

PURPOSE: The purpose of this study was to examine the effects of a stress-management program on stress coping methods, interpersonal relations and quality of life in patients with chronic mental illness. METHODS: A nonequivalent control group pre-posttest design was used for this quasi-experimental study. The study was conducted from May 1 to December 30, 2010. The 41 participants in this study were selected from patients with chronic mental illness (20 for the experimental group and 21 for the control group). Datas were analyzed chi2-test, t-test, paired t-test, and one-way ANCOVA with the SPSS/WIN 15.0 program. RESULTS: There were significant changes in stress coping methods scores, interpersonal relations scores and quality of life scores in the experimental group before and after treatment, which were significantly different from those in the control group. CONCLUSION: The results of the study indicate that the stress-management program resulted in significant improvement in stress coping methods, interpersonal relations and quality of life for patients with chronic mental illness. Therefore, this study shows stress-management programs are useful in clinical practice as effective nursing interventions in patients with chronic mental illness.
Humans ; Interpersonal Relations* ; Nursing ; Quality of Life*

Nuss procedure offers excellent outcome effect in the cosmetic point of view, but the complications such as cardiac perforation, pericardial effusion, constrictive pericarditis, hemothorax, pneumothorax and bar displacement sometimes occur. We experienced a 13-year-old-male, who showed the profound hypotension with bradycardia due to the cardiac perforation and the lung laceration during the pericardiectomy and the removal of pectus bar. Emergent partial cardiopulmonary bypass was initiated and then, ruptured right atrium and lung laceration were repaired without the remarkable complications. In anesthetic management of the pectus excavatum. This case reveals that special attention should be paid to those with cardiac perforation and lung laceration.
Bradycardia ; Cardiopulmonary Bypass ; Funnel Chest* ; Heart Atria ; Hemothorax* ; Humans ; Hypotension ; Lacerations ; Lung ; Pericardial Effusion ; Pericardiectomy* ; Pericarditis, Constrictive* ; Pneumothorax