Background: Barriers to treatment with intravenous thrombolysis (IVT) for patients with acute ischemic stroke (AIS) in South Korea remain incompletely characterized. We analyze a nationwide prospective cohort to determine patient-level features associated with delayed presentation and non-treatment of potential IVT-eligible patients. Methods: We identified consecutive patients with AIS from 01/2011 to 08/2023 from a multicenter and prospective acute stroke registry in Korea. Patients were defined as IVT candidates if they presented within 4.5 hours from the last known well, had no lab evidence of coagulopathy, and had National Institute of Health Stroke Scale (NIHSS) ≥ 4. Multivariable generalized linear mixed regression models were used to investigate the associations between their characteristics and the IVT candidates or the use of IVT among the candidates. Results: Among 84,103 AIS patients, 41.0% were female, with a mean age of 69 ± 13 years and presentation NIHSS of 4 [interquartile range, 1–8]. Out of these patients, 13,757 (16.4%) were eligible for IVT, of whom 8,179 (59.5%) received IVT. Female sex (adjusted risk ratio [RR], 0.90; 95% confidence interval [CI], 0.86–0.94) and lower years of education (adjusted RR, 0.90; 95% CI, 0.84–0.97 for 0–3 years, compared to ≥ 13 years) were associated with a decreased likelihood of presenting as eligible for IVT after AIS; meanwhile, young age (adjusted RR, 1.12; 95% CI, 1.01–1.24 for ≤ 44 years, compared to 75–84 years) was associated with an increased likelihood of being an IVT candidate. Among those who were eligible for IVT, only age was significantly associated with the use of IVT (adjusted RR, 1.09; 95% CI, 1.03–1.16 for age 65–74 and adjusted RR, 0.83; 95% CI, 0.76–0.90 for ≥ 85 years, respectively). Conclusion Most patients with AIS present outside IVT eligibility in South Korea, and only 60% of eligible patients were ultimately treated. We identified increased age, female sex and lower education as key features on which to focus interventions for improving IVT utilization.

Background: Barriers to treatment with intravenous thrombolysis (IVT) for patients with acute ischemic stroke (AIS) in South Korea remain incompletely characterized. We analyze a nationwide prospective cohort to determine patient-level features associated with delayed presentation and non-treatment of potential IVT-eligible patients. Methods: We identified consecutive patients with AIS from 01/2011 to 08/2023 from a multicenter and prospective acute stroke registry in Korea. Patients were defined as IVT candidates if they presented within 4.5 hours from the last known well, had no lab evidence of coagulopathy, and had National Institute of Health Stroke Scale (NIHSS) ≥ 4. Multivariable generalized linear mixed regression models were used to investigate the associations between their characteristics and the IVT candidates or the use of IVT among the candidates. Results: Among 84,103 AIS patients, 41.0% were female, with a mean age of 69 ± 13 years and presentation NIHSS of 4 [interquartile range, 1–8]. Out of these patients, 13,757 (16.4%) were eligible for IVT, of whom 8,179 (59.5%) received IVT. Female sex (adjusted risk ratio [RR], 0.90; 95% confidence interval [CI], 0.86–0.94) and lower years of education (adjusted RR, 0.90; 95% CI, 0.84–0.97 for 0–3 years, compared to ≥ 13 years) were associated with a decreased likelihood of presenting as eligible for IVT after AIS; meanwhile, young age (adjusted RR, 1.12; 95% CI, 1.01–1.24 for ≤ 44 years, compared to 75–84 years) was associated with an increased likelihood of being an IVT candidate. Among those who were eligible for IVT, only age was significantly associated with the use of IVT (adjusted RR, 1.09; 95% CI, 1.03–1.16 for age 65–74 and adjusted RR, 0.83; 95% CI, 0.76–0.90 for ≥ 85 years, respectively). Conclusion Most patients with AIS present outside IVT eligibility in South Korea, and only 60% of eligible patients were ultimately treated. We identified increased age, female sex and lower education as key features on which to focus interventions for improving IVT utilization.

Background: Barriers to treatment with intravenous thrombolysis (IVT) for patients with acute ischemic stroke (AIS) in South Korea remain incompletely characterized. We analyze a nationwide prospective cohort to determine patient-level features associated with delayed presentation and non-treatment of potential IVT-eligible patients. Methods: We identified consecutive patients with AIS from 01/2011 to 08/2023 from a multicenter and prospective acute stroke registry in Korea. Patients were defined as IVT candidates if they presented within 4.5 hours from the last known well, had no lab evidence of coagulopathy, and had National Institute of Health Stroke Scale (NIHSS) ≥ 4. Multivariable generalized linear mixed regression models were used to investigate the associations between their characteristics and the IVT candidates or the use of IVT among the candidates. Results: Among 84,103 AIS patients, 41.0% were female, with a mean age of 69 ± 13 years and presentation NIHSS of 4 [interquartile range, 1–8]. Out of these patients, 13,757 (16.4%) were eligible for IVT, of whom 8,179 (59.5%) received IVT. Female sex (adjusted risk ratio [RR], 0.90; 95% confidence interval [CI], 0.86–0.94) and lower years of education (adjusted RR, 0.90; 95% CI, 0.84–0.97 for 0–3 years, compared to ≥ 13 years) were associated with a decreased likelihood of presenting as eligible for IVT after AIS; meanwhile, young age (adjusted RR, 1.12; 95% CI, 1.01–1.24 for ≤ 44 years, compared to 75–84 years) was associated with an increased likelihood of being an IVT candidate. Among those who were eligible for IVT, only age was significantly associated with the use of IVT (adjusted RR, 1.09; 95% CI, 1.03–1.16 for age 65–74 and adjusted RR, 0.83; 95% CI, 0.76–0.90 for ≥ 85 years, respectively). Conclusion Most patients with AIS present outside IVT eligibility in South Korea, and only 60% of eligible patients were ultimately treated. We identified increased age, female sex and lower education as key features on which to focus interventions for improving IVT utilization.

Background: Barriers to treatment with intravenous thrombolysis (IVT) for patients with acute ischemic stroke (AIS) in South Korea remain incompletely characterized. We analyze a nationwide prospective cohort to determine patient-level features associated with delayed presentation and non-treatment of potential IVT-eligible patients. Methods: We identified consecutive patients with AIS from 01/2011 to 08/2023 from a multicenter and prospective acute stroke registry in Korea. Patients were defined as IVT candidates if they presented within 4.5 hours from the last known well, had no lab evidence of coagulopathy, and had National Institute of Health Stroke Scale (NIHSS) ≥ 4. Multivariable generalized linear mixed regression models were used to investigate the associations between their characteristics and the IVT candidates or the use of IVT among the candidates. Results: Among 84,103 AIS patients, 41.0% were female, with a mean age of 69 ± 13 years and presentation NIHSS of 4 [interquartile range, 1–8]. Out of these patients, 13,757 (16.4%) were eligible for IVT, of whom 8,179 (59.5%) received IVT. Female sex (adjusted risk ratio [RR], 0.90; 95% confidence interval [CI], 0.86–0.94) and lower years of education (adjusted RR, 0.90; 95% CI, 0.84–0.97 for 0–3 years, compared to ≥ 13 years) were associated with a decreased likelihood of presenting as eligible for IVT after AIS; meanwhile, young age (adjusted RR, 1.12; 95% CI, 1.01–1.24 for ≤ 44 years, compared to 75–84 years) was associated with an increased likelihood of being an IVT candidate. Among those who were eligible for IVT, only age was significantly associated with the use of IVT (adjusted RR, 1.09; 95% CI, 1.03–1.16 for age 65–74 and adjusted RR, 0.83; 95% CI, 0.76–0.90 for ≥ 85 years, respectively). Conclusion Most patients with AIS present outside IVT eligibility in South Korea, and only 60% of eligible patients were ultimately treated. We identified increased age, female sex and lower education as key features on which to focus interventions for improving IVT utilization.

Purpose: This study aimed to identify the relationship between nursing competency, professional self-concept, and job satisfaction of outpatient oncology nurses caring for cancer patients and to identify the influencing factors on job satisfaction. Methods: This study was a cross-sectional study to determine the relationship between nursing competency, professional self-concept, and job satisfaction of outpatient oncology nurses. Data were collected from 104 outpatient oncology nurses at a tertiary hospital in Seoul, South Korea, using a self-report questionnaire. Descriptive statistics, Pearson correlations, and multiple regression analyses were conducted using SPSSWIN 27.0. Results: The results showed that the nursing competency mean was 3.89±0.46 out of 5, professional self-concept mean was 2.84±0.36 out of 4, and job satisfaction mean was 3.88±0.57 out of 5. Job satisfaction was significantly positively correlated with nursing competency (r=.70, p<.001) and professional self-concept (r=.63, p<.001). Multiple regression analysis revealed that nursing competency (β=.51, p<.001) and professional self-concept (β= .31, p=.001) were significant predictors of job satisfaction and had an overall explanatory power of 54%. Conclusion In this study, professional self-concept and nursing competency were identified as influential factors in the job satisfaction of outpatient oncology nurses caring for cancer patients.Based on the findings of this study, it is necessary to develop a program to increase professional self-concept and enhance nursing competency to improve the job satisfaction of outpatient oncology nurses.

Purpose: This study aimed to identify the relationship between nursing competency, professional self-concept, and job satisfaction of outpatient oncology nurses caring for cancer patients and to identify the influencing factors on job satisfaction. Methods: This study was a cross-sectional study to determine the relationship between nursing competency, professional self-concept, and job satisfaction of outpatient oncology nurses. Data were collected from 104 outpatient oncology nurses at a tertiary hospital in Seoul, South Korea, using a self-report questionnaire. Descriptive statistics, Pearson correlations, and multiple regression analyses were conducted using SPSSWIN 27.0. Results: The results showed that the nursing competency mean was 3.89±0.46 out of 5, professional self-concept mean was 2.84±0.36 out of 4, and job satisfaction mean was 3.88±0.57 out of 5. Job satisfaction was significantly positively correlated with nursing competency (r=.70, p<.001) and professional self-concept (r=.63, p<.001). Multiple regression analysis revealed that nursing competency (β=.51, p<.001) and professional self-concept (β= .31, p=.001) were significant predictors of job satisfaction and had an overall explanatory power of 54%. Conclusion In this study, professional self-concept and nursing competency were identified as influential factors in the job satisfaction of outpatient oncology nurses caring for cancer patients.Based on the findings of this study, it is necessary to develop a program to increase professional self-concept and enhance nursing competency to improve the job satisfaction of outpatient oncology nurses.

Purpose: This study aimed to identify the relationship between nursing competency, professional self-concept, and job satisfaction of outpatient oncology nurses caring for cancer patients and to identify the influencing factors on job satisfaction. Methods: This study was a cross-sectional study to determine the relationship between nursing competency, professional self-concept, and job satisfaction of outpatient oncology nurses. Data were collected from 104 outpatient oncology nurses at a tertiary hospital in Seoul, South Korea, using a self-report questionnaire. Descriptive statistics, Pearson correlations, and multiple regression analyses were conducted using SPSSWIN 27.0. Results: The results showed that the nursing competency mean was 3.89±0.46 out of 5, professional self-concept mean was 2.84±0.36 out of 4, and job satisfaction mean was 3.88±0.57 out of 5. Job satisfaction was significantly positively correlated with nursing competency (r=.70, p<.001) and professional self-concept (r=.63, p<.001). Multiple regression analysis revealed that nursing competency (β=.51, p<.001) and professional self-concept (β= .31, p=.001) were significant predictors of job satisfaction and had an overall explanatory power of 54%. Conclusion In this study, professional self-concept and nursing competency were identified as influential factors in the job satisfaction of outpatient oncology nurses caring for cancer patients.Based on the findings of this study, it is necessary to develop a program to increase professional self-concept and enhance nursing competency to improve the job satisfaction of outpatient oncology nurses.