Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.5.448
Seo-yeong Yeom, Youngran Yang, J. Kang
Purpose: This meta-analysis was conducted to analyze the effect of Diabetes Mellitus (DM) on the risk of Parkinson Disease (PD). Methods: Original prospective observational studies were searched through PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest, Web of Science, Science Direct, Koreanstudies Information Service System (KISS), and DBpia published up to March 2020. The Relative Risks (RRs) were calculated using the random-effects model. Results: An integrated analysis of ten large population-based cohort studies, involving 10,730,117 participants, showed that patients with DM had a 30% higher risk of PD than those without DM (pooled RR=1.30, 95% Confidence Interval [CI]=1.14~1.48). Subgroup analyses based on the characteristics of the studies were conducted, and the association between DM and PD was significant in studies conducted in Asia (RR=1.30, 95% CI=1.01~1.69) and Europe (RR=1.45, 95% CI=1.09~1.94), and for patients with DM durations less than ten years (RR=1.31, 95% CI=1.27~1.37) and stroke (RR=1.16, 95% CI=1.03~1.31). Each study included in the analysis had methodologically good quality and showed no evidence of publication bias. Conclusion: DM resulted in a significantly increased risk of PD; therefore, prevention and early detection of PD in patients with DM should be encouraged.
目的:本荟萃分析旨在分析糖尿病(DM)对帕金森病(PD)风险的影响。方法:通过PubMed、护理和相关健康文献累积索引(CINAHL)、ProQuest、Web of Science、Science Direct、Koreanstudies Information Service System (KISS)和DBpia检索截至2020年3月发表的原始前瞻性观察性研究。采用随机效应模型计算相对危险度(rr)。结果:对10项大型人群队列研究的综合分析，涉及10,730,117名参与者，显示DM患者患PD的风险比非DM患者高30%(合并RR=1.30, 95%置信区间[CI]=1.14~1.48)。根据研究的特点进行亚组分析，在亚洲(RR=1.30, 95% CI=1.01~1.69)和欧洲(RR=1.45, 95% CI=1.09~1.94)以及DM持续时间小于10年的患者(RR=1.31, 95% CI=1.27~1.37)和卒中患者(RR=1.16, 95% CI=1.03~1.31)进行的研究中，DM和PD之间存在显著相关性。纳入分析的每项研究在方法学上都具有良好的质量，没有证据表明存在发表偏倚。结论:DM可显著增加PD发病风险;因此，应鼓励糖尿病患者预防和早期发现PD。
{"title":"Effects of Diabetes Mellitus on the Risk of Parkinson Disease: An Updated Meta-Analysis with Cohort Studies","authors":"Seo-yeong Yeom, Youngran Yang, J. Kang","doi":"10.7475/kjan.2021.33.5.448","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.5.448","url":null,"abstract":"Purpose: This meta-analysis was conducted to analyze the effect of Diabetes Mellitus (DM) on the risk of Parkinson Disease (PD). Methods: Original prospective observational studies were searched through PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest, Web of Science, Science Direct, Koreanstudies Information Service System (KISS), and DBpia published up to March 2020. The Relative Risks (RRs) were calculated using the random-effects model. Results: An integrated analysis of ten large population-based cohort studies, involving 10,730,117 participants, showed that patients with DM had a 30% higher risk of PD than those without DM (pooled RR=1.30, 95% Confidence Interval [CI]=1.14~1.48). Subgroup analyses based on the characteristics of the studies were conducted, and the association between DM and PD was significant in studies conducted in Asia (RR=1.30, 95% CI=1.01~1.69) and Europe (RR=1.45, 95% CI=1.09~1.94), and for patients with DM durations less than ten years (RR=1.31, 95% CI=1.27~1.37) and stroke (RR=1.16, 95% CI=1.03~1.31). Each study included in the analysis had methodologically good quality and showed no evidence of publication bias. Conclusion: DM resulted in a significantly increased risk of PD; therefore, prevention and early detection of PD in patients with DM should be encouraged.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.4.360
Suk-Jeong Lee, Young Man Kim, E. Oh
{"title":"Korean Undergraduate Nursing Education: Current Status and Developmental Strategies as Perceived by Nursing Educators and Nurses","authors":"Suk-Jeong Lee, Young Man Kim, E. Oh","doi":"10.7475/kjan.2021.33.4.360","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.4.360","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.2.169
Jin Sook Kim, I. Ko
Purpose: This study was intended to clarify the concept of spiritual distress in cancer patients using the hybrid model of Schwarz-Barcott and Kim. Methods: The hybrid model was used to clarify the dimension, attributes, and definition of spiritual distress. In the theoretical phase, a systemic literature review of nursing and other disciplines was conducted. In the fieldwork phase, individual in-depth interviews were held with six cancer patients. In the final analytic phase, the results of the theoretical and fieldwork phases were integrated after comparing and reviewing. Results: The concept of spiritual distress was analyzed in three domains: a changed relationship with God, a changed relationship with the self, and a changed relationship with others. Also, 10 attributes were clarified. The changed relationship with God domain had two attributes: “low connectedness in relationship with God” and a “feeling of guilt”. The changed relationship with the self domain had five attributes: “loss of self-identity”, “changed meaning of life”, “loss of inner peace”, “dwelling on the cause of unsloved suffering”, and “avoidance of confronting death”. The changed relationship with others domain had three attributes: “shrunk relationships”, “the feeling of being unloved and unforgivable”, and “burden on family”. Conclusion: The concept of spiritual distress in patients with cancer encompasses multidimensional domains and 10 attributes. To assess spiritual distress in patients with cancer based on the findings of this study, it is necessary to develop a suitable spiritual distress assessment scale.
{"title":"Concept Analysis of Spiritual Distress in Cancer Patients Using a Hybrid Model","authors":"Jin Sook Kim, I. Ko","doi":"10.7475/kjan.2021.33.2.169","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.2.169","url":null,"abstract":"Purpose: This study was intended to clarify the concept of spiritual distress in cancer patients using the hybrid model of Schwarz-Barcott and Kim. Methods: The hybrid model was used to clarify the dimension, attributes, and definition of spiritual distress. In the theoretical phase, a systemic literature review of nursing and other disciplines was conducted. In the fieldwork phase, individual in-depth interviews were held with six cancer patients. In the final analytic phase, the results of the theoretical and fieldwork phases were integrated after comparing and reviewing. Results: The concept of spiritual distress was analyzed in three domains: a changed relationship with God, a changed relationship with the self, and a changed relationship with others. Also, 10 attributes were clarified. The changed relationship with God domain had two attributes: “low connectedness in relationship with God” and a “feeling of guilt”. The changed relationship with the self domain had five attributes: “loss of self-identity”, “changed meaning of life”, “loss of inner peace”, “dwelling on the cause of unsloved suffering”, and “avoidance of confronting death”. The changed relationship with others domain had three attributes: “shrunk relationships”, “the feeling of being unloved and unforgivable”, and “burden on family”. Conclusion: The concept of spiritual distress in patients with cancer encompasses multidimensional domains and 10 attributes. To assess spiritual distress in patients with cancer based on the findings of this study, it is necessary to develop a suitable spiritual distress assessment scale.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.4.387
O. Baek, Sun-Hwa Shin
{"title":"The Moderating Effect of Patient Safety Knowledge in the Relationship between Patient Experience and Patient Safety Perception for Patients in Primary Care Institutions","authors":"O. Baek, Sun-Hwa Shin","doi":"10.7475/kjan.2021.33.4.387","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.4.387","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.5.498
Su-Yeon Hong, Y. Yoo
{"title":"Symptom Clusters and Quality of Life in Patients with Type 2 Diabetes Mellitus","authors":"Su-Yeon Hong, Y. Yoo","doi":"10.7475/kjan.2021.33.5.498","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.5.498","url":null,"abstract":"","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.6.649
Ekan Faozi, S. Fadlilah, Yusup Dwiyanto, Listyana Natalia Retnaningsih, Paulinus Deny Krisnanto, Sumarni
Faozi, Ekan · Fadlilah, Siti · Dwiyanto, Yusup · Retnaningsih, Listyana Natalia · Krisnanto, Paulinus Deny · Sumarni Lecturer, Nursing Programme Study Universitas Kusuma Husada Surakarta, Indonesia Lecturer, Nursing Programme Study Universitas Respati Yogyakarta, Indonesia Postgraduate Student, Magister Nursing Programme Study Universitas Muhammadiyah Jakarta, Indonesia Lecturer, Nursing Programme Study Poltekkes Kemenkes Semarang, Indonesia
{"title":"Effects of a Multimodal Sensory Stimulation Intervention on Glasgow Coma Scale Scores in Stroke Patients with Unconsciousness","authors":"Ekan Faozi, S. Fadlilah, Yusup Dwiyanto, Listyana Natalia Retnaningsih, Paulinus Deny Krisnanto, Sumarni","doi":"10.7475/kjan.2021.33.6.649","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.649","url":null,"abstract":"Faozi, Ekan · Fadlilah, Siti · Dwiyanto, Yusup · Retnaningsih, Listyana Natalia · Krisnanto, Paulinus Deny · Sumarni Lecturer, Nursing Programme Study Universitas Kusuma Husada Surakarta, Indonesia Lecturer, Nursing Programme Study Universitas Respati Yogyakarta, Indonesia Postgraduate Student, Magister Nursing Programme Study Universitas Muhammadiyah Jakarta, Indonesia Lecturer, Nursing Programme Study Poltekkes Kemenkes Semarang, Indonesia","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.4.322
Kyung-In Cheon, H. Hur
Purpose: The purpose of this study was to identify the moderating effect of teaching effectiveness and students ’ anxiety in the relationship between simulation design characteristics and clinical reasoning competence among nursing students. Methods: The participants were 123 nursing students who underwent simulation practice. Data were collected from September 1 to October 30, 2020 using self-report questionnaires. The collected data were analyzed using descriptive statistics, independent t-test, Pearson ’ s correlation coefficient, and SPSS PROCESS Macro program (to study the multiple additive moderation effect). Results: Significant positive correlations were observed between clinical reasoning competence and simulation design characteristics (r=.57, p < .001), clinical reasoning competence and teaching effectiveness (r=.49, p < .001), while negative correlations were observed between clinical reasoning competence and students ’ anxiety (r=-.33, p < .001). Teaching effectiveness and students ’ anxiety had a multiple additive moderating effect on the relationship between simulation design characteristics and clinical reasoning competence among the nursing students (F=15.10, p < .001). Conclusion: The relationship between simulation design characteristics and clinical reasoning competence differed depending on the students ’ anxiety. To improve the clinical reasoning competence of nursing students in simulation practice, developing interventions and techniques to manage students ’ anxiety levels are important.
目的:本研究旨在探讨教学效能和学生焦虑在护理学生模拟设计特征与临床推理能力关系中的调节作用。方法:以123名护生为研究对象，进行模拟实习。数据收集时间为2020年9月1日至10月30日，采用自我报告问卷。采用描述性统计、独立t检验、Pearson相关系数和SPSS PROCESS Macro程序(研究多重加性调节效应)对收集到的数据进行分析。结果:临床推理能力与模拟设计特征呈显著正相关(r=。57, p < .001)，临床推理能力和教学效果(r=。49, p < .001)，而临床推理能力与学生焦虑呈负相关(r=-。33, p < 0.001)。教学效果和学生焦虑对护生模拟设计特征与临床推理能力的关系有多重加性调节作用(F=15.10, p < .001)。结论:模拟设计特征与临床推理能力的关系因学生焦虑程度的不同而不同。为了提高护生在模拟实习中的临床推理能力，制定干预措施和技术来管理学生的焦虑水平是很重要的。
{"title":"Relationship between Simulation Design Characteristics and Clinical Reasoning Competence: Multiple Additive Moderating Effects of Teaching Effectiveness and Students' Anxiety on Nursing Students","authors":"Kyung-In Cheon, H. Hur","doi":"10.7475/kjan.2021.33.4.322","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.4.322","url":null,"abstract":"Purpose: The purpose of this study was to identify the moderating effect of teaching effectiveness and students ’ anxiety in the relationship between simulation design characteristics and clinical reasoning competence among nursing students. Methods: The participants were 123 nursing students who underwent simulation practice. Data were collected from September 1 to October 30, 2020 using self-report questionnaires. The collected data were analyzed using descriptive statistics, independent t-test, Pearson ’ s correlation coefficient, and SPSS PROCESS Macro program (to study the multiple additive moderation effect). Results: Significant positive correlations were observed between clinical reasoning competence and simulation design characteristics (r=.57, p < .001), clinical reasoning competence and teaching effectiveness (r=.49, p < .001), while negative correlations were observed between clinical reasoning competence and students ’ anxiety (r=-.33, p < .001). Teaching effectiveness and students ’ anxiety had a multiple additive moderating effect on the relationship between simulation design characteristics and clinical reasoning competence among the nursing students (F=15.10, p < .001). Conclusion: The relationship between simulation design characteristics and clinical reasoning competence differed depending on the students ’ anxiety. To improve the clinical reasoning competence of nursing students in simulation practice, developing interventions and techniques to manage students ’ anxiety levels are important.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.6.588
Haejung Lee, Gaeun Park, Hyekyung Jin, K. Chun, Jong Hyun Kim
Purpose: Patients with heart failure report low levels of physical activity and quality of life, both of which are important predictors of patient prognosis. This study aimed to investigate the effects of nurse-led motivational interviewing on self-efficacy for exercise, engagement in regular exercise, exercise capacity, and quality of life among patients with heart failure. Methods: A randomized controlled trial design was used, and 66 Korean participants (i.e., 38 in a control group and 28 in an intervention group) aged 40~80 years who were diagnosed with heart failure were recruited between May 2012 and September 2013. The intervention group received telephone-based motivational interviews twice a week for one month. All participants were assessed for exercise regularity, levels of exercise, exercise capacity, and quality of life at baseline, one month, and three months. The data were analyzed using independent t-tests, repeated measures ANOVA, and nonparametric tests. Results: At one month, there were significant group differences in exercise regularity ( x 2 =6.10, p =.013) and levels of exercise (Z=-2.56, p =.024). There was a significant group-by-time effect on the quality of life (F=3.76, p =.044). Conclusion: Nurse-led motivational interviewing was effective in increasing exercise levels and quality of life in patients with heart failure. In the future, we propose a study with a larger number of participants and a long-term follow-up study with additional contact to maintain the intervention effect.
目的:心力衰竭患者报告低水平的身体活动和生活质量，这两者都是患者预后的重要预测因素。本研究旨在探讨护士引导的动机访谈对心力衰竭患者运动自我效能感、定期运动参与、运动能力和生活质量的影响。方法:采用随机对照试验设计，于2012年5月至2013年9月招募年龄40~80岁的韩国心力衰竭患者66例(对照组38例，干预组28例)。干预组接受为期一个月、每周两次的电话激励访谈。在基线、1个月和3个月时，对所有参与者的运动规律、运动水平、运动能力和生活质量进行评估。采用独立t检验、重复测量方差分析和非参数检验对数据进行分析。结果:1个月时，两组在运动规律(x2 =6.10, p = 0.013)和运动水平(Z=-2.56, p = 0.024)方面存在显著差异。分组时间对生活质量有显著影响(F=3.76, p = 0.044)。结论:护士引导的动机性访谈对提高心力衰竭患者的运动水平和生活质量是有效的。在未来，我们建议进行更大规模的研究，并进行长期随访研究，增加接触，以维持干预效果。
{"title":"The Effects of Nurse-Led Motivational Interviewing on Exercise and Quality of Life among Koreans with Heart Failure: A Randomized Controlled Trial","authors":"Haejung Lee, Gaeun Park, Hyekyung Jin, K. Chun, Jong Hyun Kim","doi":"10.7475/kjan.2021.33.6.588","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.6.588","url":null,"abstract":"Purpose: Patients with heart failure report low levels of physical activity and quality of life, both of which are important predictors of patient prognosis. This study aimed to investigate the effects of nurse-led motivational interviewing on self-efficacy for exercise, engagement in regular exercise, exercise capacity, and quality of life among patients with heart failure. Methods: A randomized controlled trial design was used, and 66 Korean participants (i.e., 38 in a control group and 28 in an intervention group) aged 40~80 years who were diagnosed with heart failure were recruited between May 2012 and September 2013. The intervention group received telephone-based motivational interviews twice a week for one month. All participants were assessed for exercise regularity, levels of exercise, exercise capacity, and quality of life at baseline, one month, and three months. The data were analyzed using independent t-tests, repeated measures ANOVA, and nonparametric tests. Results: At one month, there were significant group differences in exercise regularity ( x 2 =6.10, p =.013) and levels of exercise (Z=-2.56, p =.024). There was a significant group-by-time effect on the quality of life (F=3.76, p =.044). Conclusion: Nurse-led motivational interviewing was effective in increasing exercise levels and quality of life in patients with heart failure. In the future, we propose a study with a larger number of participants and a long-term follow-up study with additional contact to maintain the intervention effect.","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.7475/kjan.2021.33.2.134
Jin-Yeong Ahn, Young Eun
Purpose: This study aims to explore the mediating effect of burnout and the moderating effect of nursing work environment in the relationship between nursing competence and patient-centered care among nurses caring for patients with chronic disease. Methods: This study uses a cross-sectional descriptive research design. The participants were 150 nurses at a general hospital. The data were collected from February 10 to May 10, 2020. The questionnaire consisted of measuring tools for general characteristics, patient-centered care, nursing competency, nursing work environment, and burnout. The SPSS/25.0 program was used to analyze the data using descriptive statistics, Pearson ’ s correlation coefficient, independent t-test, one-way ANOVA, Scheffe ́ test, and hierarchical multiple regression. Results: The average score of patient-centered care was found to be 3.75 ± 0.44. Nursing competency had a mean score of 3.64 ± 0.44, nursing work environment of 3.04 ± 0.43, and burnout of 2.91 ± 0.68. Patient-centered care was significantly associated with nursing competency, nursing work environment, and burnout. In the relationship between nursing competency and patient-centered care, burnout had a partial mediating effect. The relationship between nursing competency and patient-centered care showed that nursing work environment had no moderating effect. Conclusion: The results revealed that patient-centered care was performed well if nursing competency was high. It is necessary to lower burnout and increase nursing competency such that patient-centered care can be performed better. In addition, since nursing work environment has a significant effect on nursing competency and patient-centered care, it is necessary to improve nursing work environment to improve nursing competency and patient-centered care
{"title":"The Effect of Nursing Competence on Patient-Centered Care among Nurses Caring for Patients with Chronic Disease: The Mediating Effect of Burnout and the Moderating Effect of Nursing Work Environment","authors":"Jin-Yeong Ahn, Young Eun","doi":"10.7475/kjan.2021.33.2.134","DOIUrl":"https://doi.org/10.7475/kjan.2021.33.2.134","url":null,"abstract":"Purpose: This study aims to explore the mediating effect of burnout and the moderating effect of nursing work environment in the relationship between nursing competence and patient-centered care among nurses caring for patients with chronic disease. Methods: This study uses a cross-sectional descriptive research design. The participants were 150 nurses at a general hospital. The data were collected from February 10 to May 10, 2020. The questionnaire consisted of measuring tools for general characteristics, patient-centered care, nursing competency, nursing work environment, and burnout. The SPSS/25.0 program was used to analyze the data using descriptive statistics, Pearson ’ s correlation coefficient, independent t-test, one-way ANOVA, Scheffe ́ test, and hierarchical multiple regression. Results: The average score of patient-centered care was found to be 3.75 ± 0.44. Nursing competency had a mean score of 3.64 ± 0.44, nursing work environment of 3.04 ± 0.43, and burnout of 2.91 ± 0.68. Patient-centered care was significantly associated with nursing competency, nursing work environment, and burnout. In the relationship between nursing competency and patient-centered care, burnout had a partial mediating effect. The relationship between nursing competency and patient-centered care showed that nursing work environment had no moderating effect. Conclusion: The results revealed that patient-centered care was performed well if nursing competency was high. It is necessary to lower burnout and increase nursing competency such that patient-centered care can be performed better. In addition, since nursing work environment has a significant effect on nursing competency and patient-centered care, it is necessary to improve nursing work environment to improve nursing competency and patient-centered care","PeriodicalId":38646,"journal":{"name":"Korean Journal of Adult Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71353439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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