Purpose: The study aimed to identify the effects of nurses’ moral sensitivity and empathy on their caring ability. Methods Totally, 139 nurses from U city and B city completed a self-report questionnaire. Statistical analysis was performed using SPSS/WIN 23.0 software. Results: The mean scores for moral sensitivity, empathy, and caring ability were 4.86, 3.59, and 4.06, respectively. There were significant differences in caring ability according to age, marital status, professional position, career status, and job satisfaction. Cognitive empathy (β=.36, p<.001), professional responsibility (β=.26, p=.001), and position (β=.20, p=.010) were identified as significant factors influencing caring ability. These variables accounted for 27% of the total variance in caring ability. Cognitive empathy emerged as the most important variable. Conclusion: Organizational-level educational and program-development studies are recommended to increase empathy and caring abilities in nurses . The findings specifically advocate for replicating the study using various tools that measure empathy, the most influential variable influencing caring ability.

Purpose: The study aimed to identify the effects of nurses’ moral sensitivity and empathy on their caring ability. Methods Totally, 139 nurses from U city and B city completed a self-report questionnaire. Statistical analysis was performed using SPSS/WIN 23.0 software. Results: The mean scores for moral sensitivity, empathy, and caring ability were 4.86, 3.59, and 4.06, respectively. There were significant differences in caring ability according to age, marital status, professional position, career status, and job satisfaction. Cognitive empathy (β=.36, p<.001), professional responsibility (β=.26, p=.001), and position (β=.20, p=.010) were identified as significant factors influencing caring ability. These variables accounted for 27% of the total variance in caring ability. Cognitive empathy emerged as the most important variable. Conclusion: Organizational-level educational and program-development studies are recommended to increase empathy and caring abilities in nurses . The findings specifically advocate for replicating the study using various tools that measure empathy, the most influential variable influencing caring ability.

Purpose: The study aimed to identify the effects of nurses’ moral sensitivity and empathy on their caring ability. Methods Totally, 139 nurses from U city and B city completed a self-report questionnaire. Statistical analysis was performed using SPSS/WIN 23.0 software. Results: The mean scores for moral sensitivity, empathy, and caring ability were 4.86, 3.59, and 4.06, respectively. There were significant differences in caring ability according to age, marital status, professional position, career status, and job satisfaction. Cognitive empathy (β=.36, p<.001), professional responsibility (β=.26, p=.001), and position (β=.20, p=.010) were identified as significant factors influencing caring ability. These variables accounted for 27% of the total variance in caring ability. Cognitive empathy emerged as the most important variable. Conclusion: Organizational-level educational and program-development studies are recommended to increase empathy and caring abilities in nurses . The findings specifically advocate for replicating the study using various tools that measure empathy, the most influential variable influencing caring ability.

Purpose: The study aimed to identify the effects of nurses’ moral sensitivity and empathy on their caring ability. Methods Totally, 139 nurses from U city and B city completed a self-report questionnaire. Statistical analysis was performed using SPSS/WIN 23.0 software. Results: The mean scores for moral sensitivity, empathy, and caring ability were 4.86, 3.59, and 4.06, respectively. There were significant differences in caring ability according to age, marital status, professional position, career status, and job satisfaction. Cognitive empathy (β=.36, p<.001), professional responsibility (β=.26, p=.001), and position (β=.20, p=.010) were identified as significant factors influencing caring ability. These variables accounted for 27% of the total variance in caring ability. Cognitive empathy emerged as the most important variable. Conclusion: Organizational-level educational and program-development studies are recommended to increase empathy and caring abilities in nurses . The findings specifically advocate for replicating the study using various tools that measure empathy, the most influential variable influencing caring ability.

Purpose: The study aimed to identify the effects of nurses’ moral sensitivity and empathy on their caring ability. Methods Totally, 139 nurses from U city and B city completed a self-report questionnaire. Statistical analysis was performed using SPSS/WIN 23.0 software. Results: The mean scores for moral sensitivity, empathy, and caring ability were 4.86, 3.59, and 4.06, respectively. There were significant differences in caring ability according to age, marital status, professional position, career status, and job satisfaction. Cognitive empathy (β=.36, p<.001), professional responsibility (β=.26, p=.001), and position (β=.20, p=.010) were identified as significant factors influencing caring ability. These variables accounted for 27% of the total variance in caring ability. Cognitive empathy emerged as the most important variable. Conclusion: Organizational-level educational and program-development studies are recommended to increase empathy and caring abilities in nurses . The findings specifically advocate for replicating the study using various tools that measure empathy, the most influential variable influencing caring ability.

Purpose: This study investigated the influence of nursing practice readiness and, resilience on the nursing performance of new nurses. Methods: Participants were 234 new nurses with 6-24 months of working experience at the wards in university and general hospitals in the B area and C areas. The collected data were analyzed using SPSS/Win 24.0, and frequency percentage, mean, and standard deviation were calculated, Mann-Whitney U test, Kruskal-Wallis test, analysis of variance, Pearson's correlation coefficients, and multiple regression analyses were performed, and the variable selection method was set as stepwise. Results: Nursing performance significantly differed by weekly job-related education (Z=10.01, p=.007) and salary satisfaction (Z=13.04, p=.001). The nursing performance of new nurses was positively correlated with nursing practice (r=.70, p<.001) and resilience (r=.51, p<.001). The significant predictors of nursing performance were nursing practice readiness (β=.61, p<.001), resilience (β=.16, p=.003), and job training hours (β=.11, p=.02). The explanatory power of these factors was 52.0% of the variance. Conclusion To enhance the nursing performance of new nurses, it is necessary to improve nursing practice readiness, provide job training, and strengthen resilience. In addition, it is necessary to support programs at the institutional level for nursing performance.

Background: Chronic kidney disease (CKD) has a negative impact on growth and development in children and is a risk factor for neurocognitive impairment; however, there is limited research on the cognitive function of children and adolescents with CKD. This study therefore aimed to investigate the mean intelligence and risk factors for low intelligence in children and adolescents with CKD. Methods: Eighty-one patients with CKD under 18 years old were included in the KoreaN cohort study for Outcomes in patients With Pediatric Chronic Kidney Disease (KNOW-Ped CKD). Participants completed either the Wechsler Intelligence Scale for Children (6–16 years), or Wechsler Adult Intelligence Scale (> 16 years). Results: The mean full-scale intelligence quotient (IQ) was 91 ± 19; 24.7% of participants scored a full-scale IQ below 80. Participants with a short stature (height Z scores < −1.88), failure to thrive (weight Z scores < −1.65), more severe CKD stage (≥ IIIb), longer duration of CKD (≥ 5 years), and those who were Medicare or Medicaid beneficiaries, had significantly lower mean full-scale IQs. Conclusion On linear regression analysis, the association between the full-scale IQ, and longer duration of CKD and growth failure, remained significant after controlling for demographic and clinical variables. It is therefore necessary to investigate cognitive impairment in pediatric patients with CKD who exhibit growth failure or for a longer postmorbid period. It is believed that early interventions, such as kidney transplantation, will have a positive effect on IQ in children with CKD, as the disease negatively affects IQ due to poor glomerular filtration rate over time.

Background: Chronic kidney disease (CKD) has a negative impact on growth and development in children and is a risk factor for neurocognitive impairment; however, there is limited research on the cognitive function of children and adolescents with CKD. This study therefore aimed to investigate the mean intelligence and risk factors for low intelligence in children and adolescents with CKD. Methods: Eighty-one patients with CKD under 18 years old were included in the KoreaN cohort study for Outcomes in patients With Pediatric Chronic Kidney Disease (KNOW-Ped CKD). Participants completed either the Wechsler Intelligence Scale for Children (6–16 years), or Wechsler Adult Intelligence Scale (> 16 years). Results: The mean full-scale intelligence quotient (IQ) was 91 ± 19; 24.7% of participants scored a full-scale IQ below 80. Participants with a short stature (height Z scores < −1.88), failure to thrive (weight Z scores < −1.65), more severe CKD stage (≥ IIIb), longer duration of CKD (≥ 5 years), and those who were Medicare or Medicaid beneficiaries, had significantly lower mean full-scale IQs. Conclusion On linear regression analysis, the association between the full-scale IQ, and longer duration of CKD and growth failure, remained significant after controlling for demographic and clinical variables. It is therefore necessary to investigate cognitive impairment in pediatric patients with CKD who exhibit growth failure or for a longer postmorbid period. It is believed that early interventions, such as kidney transplantation, will have a positive effect on IQ in children with CKD, as the disease negatively affects IQ due to poor glomerular filtration rate over time.

BACKGROUND/AIMS: Optimized regimen has not yet been established for failures of multiple Helicobacter pylori (H. pylori) eradication. Hence, we aimed to evaluate the efficacy of rifabutin-based rescue therapy, at least after three eradication failures. METHODS: Twelve patients, who failed in the treatment for H. pylori eradication at least three times, were consecutively enrolled between 2007 and 2015 at Seoul National University Bundang Hospital. The rifabutin-based rescue regimen was consisted of proton pump inhibitor (PPI), rifabutin (150 mg b.i.d.), and amoxicillin (1 g b.i.d.), given for 7 or 14 days. MIC concentration test by the agar dilution method was performed on six patients prior to rifabutin-based rescue therapy. RESULTS: One patient did not take this regimen, and per-protocol (PP) analysis was performed in 11 patients. The overall eradication rate by intention-to-treat and PP analysis with rifabutin-based rescue therapy was 50.0% (6/12 patients) and 54.5% (6/11 patients), respectively. There was no difference of the eradication rate depending on the underlying disease, smoking, alcohol, number of previous eradication failures, and CYP2C19 genotype. All of the six patients were susceptible to rifabutin, but only three of them succeeded in eradicating with H. pylori. Side effects occurred in two patients (18.2%), and compliance was 90.9%. CONCLUSIONS: Even the eradication rate of rifabutin-based rescue therapy was not very good. Rifabutin-based rescue therapy could be considered as a rescue therapy, perhaps as the fourth or the fifth-line treatment option. No correlation of rifabutin sensitivity with eradication success rate of H. pylori suggests that frequent administration of high dose PPI and amoxicillin might be important.
Agar ; Amoxicillin ; Compliance ; Cytochrome P-450 CYP2C19 ; Genotype ; Helicobacter pylori* ; Helicobacter* ; Humans ; Methods ; Proton Pumps ; Rifabutin ; Salvage Therapy ; Seoul ; Smoke ; Smoking

BACKGROUND: There is a need for investigating the analgesic method as part of early recovery after surgery tailored for laparoscopic colorectal cancer (LCRC) surgery. In this randomized trial, we aimed to investigate the analgesic efficacy of an inverse ‘v’ shaped bilateral, subfascial ropivacaine continuous infusion in LCRC surgery. METHODS: Forty two patients undergoing elective LCRC surgery were randomly allocated to one of two groups to receive either 0.5% ropivacaine continuous infusion at the subfascial plane (n = 20, R group) or fentanyl intravenous patient controlled analgesia (IV PCA) (n = 22, F group) for postoperative 72 hours. The primary endpoint was the visual analogue scores (VAS) when coughing at postoperative 24 hours. Secondary end points were the VAS at 1, 6, 48, and 72 hours, time to first flatus, time to first rescue meperidine requirement, rescue meperidine consumption, length of hospital stay, postoperative nausea and vomiting, sedation, hypotension, dizziness, headache, and wound complications. RESULTS: The VAS at rest and when coughing were similar between the groups throughout the study. The time to first gas passage and time to first rescue meperidine at ward were significantly shorter in the R group compared to the F group (P = 0.010). Rescue meperidine was administered less in the R group; however, without statistical significance. Other study parameters were not different between the groups. CONCLUSIONS: Ropivacaine continuous infusion with an inverse ‘v ’ shaped bilateral, subfascial catheter placement showed significantly enhanced bowel recovery and analgesic efficacy was not different from IV PCA in LCRC surgery.
Analgesia ; Analgesia, Patient-Controlled ; Anesthetics, Local ; Catheters ; Colorectal Neoplasms* ; Colorectal Surgery ; Cough ; Dizziness ; Fentanyl ; Flatulence ; Headache ; Humans ; Hypotension ; Laparoscopy ; Length of Stay ; Meperidine ; Methods ; Passive Cutaneous Anaphylaxis ; Postoperative Nausea and Vomiting ; Wounds and Injuries