PURPOSE: The purpose of this study was to examine the effects of nursing workplace spirituality and self-efficacy on patient safety management activities of nurses. METHODS: A purposive sample of 212 nurses from two general hospitals was recruited for the cross-sectional survey design. During March and April, 2017, data were collected through structured self-administered questionnaires. The assessment tools were Patient Safety Management Activities Scale, Nursing Workplace Spirituality Scale and Self-efficacy Scale. Data were analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficients, and hierachical multiple regression analyses with SPSS 22.0 and AMOS 22.0 programs. RESULTS: The mean score for patient safety management activities by nurses was 4.29. A mean score of 4.49 was found for nursing workplace spirituality and a mean of 3.43 for the degree of self-efficacy. The results of the hierarchical multiple analysis revealed that self-efficacy (β=.31, p<.001) and nursing workplace spirituality (β=.27, p<.001) were predictive of patient safety management activities (R2=.18, p<.001). CONCLUSION: These results suggest that self-efficacy and nursing workplace spirituality are highly associated with patient safety management activities by nurses. Intervention programs are needed to promote self-efficacy as well as nursing workplace spirituality.
Cross-Sectional Studies ; Hospitals, General ; Humans ; Nursing ; Patient Safety ; Spirituality

OBJECTIVES: The purpose of this study was to identify and compare the difference and related factors with general characteristic and health behaviors, a experience of diagnosis and treatment of chronic diseases between rural and urban among elderly in Korea. METHODS: We used the data of Community Health Survey 2017 which were collected by the Korean Center for Disease Control and Prevention. The study population comprised 67,835 elderly peopled aged 65 years or older who participated in the survey. The chi-square test, univariate and multivariate logistic regression analysis were used to analyze data. RESULTS: We identified many significant difference of health behaviors, an experience of diagnosis and treatment with chronic diseases between rural and urban. Compared to urban elderly, the odds ratios (ORs) (95% confidence interval) of rural elderly were 1.136 (1.092–1.183) for diagnosis of diabetes, 1.278 (1.278–1.386) for diagnosis of dyslipidemia, 0.940 (0.904–0.977) for diagnosis of arthritis, 0.785(0.736–0.837) for treatment of arthritis, 1.159 (1.116–1.203) for diagnosis of cataracts, and 1.285(1.200–1.375) for treatment of cataracts. In the experience of diagnosis and treatment of chronic diseases, various variables were derived as contributing factors for each disease. Especially, there were statistically significant difference in the experience of diabetes diagnosis, arthritis diagnosis, cataract diagnosis and dyslipidemia except for hypertension diagnosis (p<0.01) between urban and rural elderly. There were statistically significant differences in the experience of treatment for arthritis and cataract (p<0.01), but there was no significant difference in the experience of treatment for hypertension, diabetes, dyslipidemia between urban and rural elderly. CONCLUSION Therefore, it would be necessary to implement a strategic health management project for diseases that showed significant experience of chronic diseases with diagnosis and treatment, reflecting the related factors of the elderly chronic diseases among the urban and rural areas.

OBJECTIVE: To determine the efficacy of ultrasonogram in the detection of cornual pregnancy and the factors that might be affected on early diagnosis. METHOD: We studied 26 cases which were diagnosed as a cornual pregnancy from Jan, 1, 2000 to Dec, 31, 2004 at department of Obstetrics and Gynecology, St. Vincent's Hospital, the Catholic University of Korea. We compared two groups about clinical characteristics and outcomes. One group (A group) was diagnosed as cornual pregnancy before beginning of treatment, another group (B group) was not diagnosed as cornual pregnancy until operation. RESULTS: A group was 8 cases (30.8%) and B group was 18 cases (69.2%). There were no significant differences in age (33.0+/-6.21 years : 31.0+/-5.82 years), duration of amenorrhea (7.32+/-1.07 weeks : 8.90+/-5.44 weeks), previous cesarian section history (25.0% : 27.8%), present myoma (12.5% : 11.1%) and abdominal pain (50% : 77.78%), vaginal bleeding (50% : 55.6%), shock (0% : 27.8%) between two groups. There were significant differences in parity (1.63+/-0.74 : 1.0+/-0.77, p=0.032), number of abortions (2.25+/-1.16 : 1.11+/-1.18, p=0.016), previous history of ectopic pregnancy (37.5% : 0%, p=0.022). Of the method of treatments, only cornual resection (50% : 94.4%) showed significant differences between two groups. CONCLUSION: 30.8% of cornual pregnancy was early diagnosed by ultrasonogram. The important early detective factors for cornual pregnancy might be parity, previous ectopic pregnancy history and abortion history. Therefore if the patient has the previous ectopic pregnancy and abortion history, she can visit early to the hospital and the doctors do pay attention to the possibility of cornual pregnancy.
Abdominal Pain ; Abortion, Induced ; Amenorrhea ; Early Diagnosis ; Female ; Gynecology ; Humans ; Korea ; Myoma ; Obstetrics ; Parity ; Pregnancy* ; Pregnancy, Ectopic ; Shock ; Ultrasonography ; Uterine Hemorrhage