Asian Nursing Research最新文献_第10页

Validity and Reliability of the Korean Version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients 血液透析患者家庭护理人员护理负担问卷韩文版的有效性和可靠性。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.007

Ji-young Jung , Ji-yeon Kim

Purpose

This study aimed to adapt and validate the Korean version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients, originally developed by Hejazi et al. in 2022, to ensure its applicability and validity in Korea.

Methods

Using both online and offline approaches, this study included 230 family caregivers. Data analysis was performed with SPSS AMOS version 29.0 using the Korean version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients and the Korean version of the Zarit Burden Interview as the primary instruments.

Results

The findings confirmed the high content validity of the questionnaire (scale-level content validity index = .99), and confirmatory factor analysis established its construct validity. Convergent validity was confirmed with average variance extracted values ranging from .43 to .87, and composite reliability scores ranging from .80 to .91. A significant positive correlation with the Korean version of the Zarit Burden Interview (r = .81) demonstrated concurrent validity. The tool consists of 21 items across four factors on a 5-point Likert scale, exhibiting excellent internal consistency (Cronbach's α = .91) and good test-retest reliability (intraclass correlation coefficient = .79).

Conclusion

This study validated a reliable instrument for assessing caregiver burden in families of hemodialysis patients in Korea. This tool accurately measures caregiver challenges and has the potential to enhance societal health and welfare.

目的：本研究旨在改编和验证最初由 Hejazi 等人于 2022 年开发的韩国版血液透析患者家庭护理人员负担问卷，以确保其在韩国的适用性和有效性：本研究采用在线和离线两种方法，共纳入 230 名家庭护理人员。数据分析采用 SPSS AMOS 29.0 版，以韩国版《血液透析患者家庭护理人员负担问卷》和韩国版《Zarit 负担访谈》为主要工具：结果：研究结果证实问卷具有较高的内容效度（量表级内容效度指数=0.99），确认性因子分析证实了问卷的构造效度。平均方差提取值在 0.43 至 0.87 之间，综合信度在 0.80 至 0.91 之间。该工具与韩国版 Zarit 负担访谈（r = .81）之间存在明显的正相关，这也证明了该工具的并发效度。该工具由 21 个项目组成，涉及 4 个因子，采用 5 分制李克特量表，具有良好的内部一致性（Cronbach's α = .91）和测试-再测可靠性（类内相关系数 = .79）：本研究验证了评估韩国血液透析患者家庭照顾者负担的可靠工具。该工具可准确衡量照顾者所面临的挑战，并有望提高社会健康和福利水平。

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引用次数: 0

Validity and Reliability of the Korean Version of the Trauma-Informed Climate Scale-10 韩国版创伤知情氛围量表-10 的有效性和可靠性。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.002

Kyung-Sook Bang , Sungjae Kim , Wooksoo Kim , Sinyoung Choi , Yeseul Jeong , Ji-Hye Choe

Purpose

The Trauma-Informed Climate Scale-10 is a short form developed to efficiently measure staff perceptions of the values of trauma-informed care within the service environment. This study aimed to evaluate the reliability and validity of the Korean version of the Trauma-Informed Climate Scale-10 (K-TICS-10) among Korean nurses.

Methods

The K-TICS-10 underwent a linguistic validation process, including translation, back-translation, and expert committee review. Data were collected from 218 nurses in a tertiary general hospital in South Korea. Internal consistency reliability was assessed using Cronbach's α. Structural validity was tested through confirmatory factor analysis. Convergent validity was examined using Pearson's correlation with affective commitment and burnout. Item-convergent validity was evaluated to examine the internal structure of the scale.

Results

The Korean version of the TICS-10 demonstrated reliable internal consistency, with Cronbach's α of .82. The fitness of the modified model was acceptable (χ2/Df = 2.85, goodness-of-fit index = .92, root mean square error of approximation = .09, standardized root mean square residual = .08, Normed fit index = .88, Tucker–Lewis index = .88, and comparative fit index = .91). Convergent validity of the K-TICS-10 was confirmed by significant correlation with affective commitment (r = .56, p < .001) and burnout (r = −.53, p < .001), respectively. The average extracted variances (.34) and composite reliability (.81) indicated adequate convergent validity of the items.

Conclusion

The findings of this study support the satisfactory psychometric properties of the K-TICS-10, indicating its utility for evaluating the trauma-informed climate within the nursing work environment in Korea.

目的：创伤知情氛围量表（Trauma-Informed Climate Scale-10）是一种简表，用于有效测量员工对服务环境中创伤知情护理价值观的看法。本研究旨在评估韩语版创伤知情氛围量表-10（K-TICS-10）在韩语护士中的信度和效度：方法：K-TICS-10 经过了语言验证过程，包括翻译、回译和专家委员会审核。数据收集自韩国三级综合医院的 218 名护士。通过确认性因子分析检验了结构效度。通过与情感承诺和职业倦怠的 Pearson 相关性检验了聚合效度。对项目-合并效度进行了评估，以检查量表的内部结构：结果：韩国版的 TICS-10 具有可靠的内部一致性，Cronbach's α 为 0.82。修正模型的拟合度是可以接受的（χ2/Df = 2.85，拟合优度指数 = .92，均方根近似误差 = .09，标准化均方根残差 = .08，规范拟合指数 = .88，塔克-刘易斯指数 = .88，比较拟合指数 = .91）。K-TICS-10 与情感承诺的显著相关性（r = .56，p 结论）证实了 K-TICS-10 的收敛有效性：本研究结果表明，K-TICS-10 具有令人满意的心理测量特性，表明其可用于评估韩国护理工作环境中的创伤知情氛围。

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引用次数: 0

Mediation Effects of Self-care Self-efficacy and Health-promoting Behaviors on Fear of Cancer Recurrence and Posttraumatic Growth in Postoperative Patients With Cervical Cancer: A Cross-sectional Study 宫颈癌术后患者的自我保健自我效能感和健康促进行为对癌症复发恐惧和创伤后成长的中介效应：一项横断面研究

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.003

Lin Li , Yanjiao Su

Purpose

High recurrence risks significantly contribute to poor health outcomes among postoperative cervical cancer patients. This study aimed to determine the impact of fear of cancer recurrence (FCR) on the posttraumatic growth (PTG) in postoperative cervical cancer patients and to investigate the mediating effects of self-care self-efficacy and health-promoting behaviors within this relationship.

Methods

A total of 334 cervical cancer patients who had undergone surgery in three tertiary hospitals in Liaoning Province, China, were recruited using a convenience sampling method. Data were collected using the general information questionnaire, the Fear of Progression Questionnaire (FCR), the Post-traumatic Growth Inventory (PTG), the Strategies Used by People to Promote Health (self-care self-efficacy), and the Health-Promoting Lifestyle Profile (health-promoting behaviors). Data analysis was performed using descriptive analysis, Pearson's correlations, and multiple linear regression analysis. A structural equation model was conducted using Amos 24.0 software.

Results

PTG of cervical cancer patients after surgery was significantly and negatively associated with FCR (r = −.54, p < .001), while positively correlated with self-care self-efficacy (r = .51, p < .001) and health-promoting behaviors (r = .59, p < .001). The mediation model revealed that self-care self-efficacy (Boots 95% CI 0.39 ∼ 0.15) and health-promoting behaviors (Boots 95% CI 0.51 ∼ 0.24) independently served as mediating factors, respectively. Self-care self-efficacy and health-promoting behaviors played a significant chain mediating effect between FCR and PTG (Boots 95% CI 0.19 ∼ 0.07), with an indirect effect of 11.6%.

Conclusion

This study demonstrated that self-care self-efficacy and health-promoting behaviors partially mediated the relationship between FCR and PTG in cervical cancer survivors after surgery. Implementing tailored interventions that focus on enhancing self-care self-efficacy and health-promoting behaviors among cervical cancer survivors may help alleviate concerns about cervical cancer recurrence and enhance PTG following surgery.

目的：高复发风险是导致宫颈癌术后患者健康状况不佳的重要原因。本研究旨在确定宫颈癌术后患者对癌症复发的恐惧（FCR）对创伤后生长（PTG）的影响，并探讨自我护理自我效能感和健康促进行为在这一关系中的药效：方法：采用方便抽样法，在辽宁省三家三级甲等医院共招募了 334 名宫颈癌术后患者。采用一般信息问卷、恐惧进展问卷（对癌症复发的恐惧）、创伤后成长量表（PTG）、人们用于促进健康的策略（自我保健自我效能）和健康促进生活方式档案（健康促进行为）收集数据。数据分析采用描述性分析、皮尔逊相关分析和多元线性回归分析。使用 Amos 24.0 软件建立了结构方程模型：宫颈癌患者术后 PTG 与癌症复发恐惧呈显著负相关（r = -.54，P < .001），而与自我保健自我效能（r = .51，P < .001）和健康促进行为（r = .59，P < .001）呈正相关。中介模型显示，自我保健自我效能感（Boots 95% CI [-0.39，-0.15]）和健康促进行为（Boots 95% CI：[-0.51，-0.24]）分别独立地成为中介因素。自我保健自我效能感和健康促进行为在癌症复发恐惧与 PTG 之间具有显著的连锁中介效应（Boots CI：[-0.19, -0.07]），间接效应为 11.6%：本研究表明，自我保健自我效能感和健康促进行为在一定程度上调节了宫颈癌术后幸存者对癌症复发的恐惧与PTG之间的关系。在宫颈癌幸存者中实施有针对性的干预措施，重点提高自我保健自我效能感和健康促进行为，可能有助于减轻对宫颈癌复发的担忧，提高术后PTG。

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引用次数: 0

Health Literacy in Fall-Prevention Strategy: A Scoping Review 预防跌倒策略中的健康素养：范围审查。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.011

Yusun Park , Sung Reul Kim , Hyun-Ju Seo , Jeonghyun Cho

Purpose

Although the significance of health literacy (HL) in fall-prevention strategies is growing, limited knowledge is available regarding the relationship, impact, and role of HL in falls. This scoping review aimed to explore and synthesize the current evidence regarding the role of HL in enhancing fall prevention in hospital and community settings.

Methods

We adhered to the Joanna Briggs Institute manual and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews. PubMed, CINAHL, EMBASE, and the Cochrane Library were searched until November 2023 using Medical Subject Headings and text words. Studies related to HL and falls, regardless of study design, were considered eligible.

Results

We screened 99,249 records, of which 27 were included: 12 interventional studies, seven observational studies, four qualitative studies, and four mixed-methods studies. Two-thirds of the studies were conducted in community-based settings. Four observational studies reported that HL was associated with fall-related outcome including fall incidence. Although intervention studies did not encompass all elements of HL based on the Health Literacy Framework, eight out of 12 intervention studies reported the effect of HL-embedded fall-prevention interventions, and HL was effective in fall-related outcomes including fall incidence in six studies. Three of 14 studies reported the measurement properties of fall-related HL. While HL can be increased through tailored information, verbal debriefing, interactive communication, and culturally adapted interventions, low HL impedes the understanding of education, engaging interventions, and using technological devices in implementing fall-prevention interventions in qualitative and mixed-methods studies.

Conclusion

This scoping review suggests that nurses need to recognize and assess patients’ HL as a potential risk factor for falls and implement fall-prevention interventions based on the HL level of participants. Further research is required to develop culturally adapted and fall-relevant HL measures applicable to various vulnerable populations and settings.

目的：尽管健康素养（HL）在跌倒预防策略中的重要性日益凸显，但有关健康素养与跌倒的关系、影响和作用的知识却十分有限。本次范围界定综述旨在探索和综合当前有关健康素养在医院和社区环境中加强跌倒预防作用的证据：我们遵照乔安娜-布里格斯研究所手册和《系统综述和荟萃分析首选报告项目》扩展版进行范围界定综述。在 2023 年 11 月之前，我们使用医学主题词和文本词对 PubMed、CINAHL、EMBASE 和 Cochrane 图书馆进行了检索。与 HL 和跌倒相关的研究，无论研究设计如何，均被视为符合条件：我们筛选了 99,249 条记录，其中 27 条被纳入：结果：我们筛选了 99,249 条记录，其中 27 条被纳入：12 项干预性研究、7 项观察性研究、4 项定性研究和 4 项混合方法研究。三分之二的研究是在社区环境中进行的。四项观察性研究报告称，HL 与跌倒相关结果（包括跌倒发生率）有关。虽然干预研究并不包括基于健康素养框架的健康素养的所有要素，但在 12 项干预研究中，有 8 项研究报告了嵌入健康素养的跌倒预防干预措施的效果，有 6 项研究报告了健康素养对跌倒相关结果（包括跌倒发生率）的有效性。14 项研究中有 3 项报告了跌倒相关健康素养的测量特性。虽然可以通过有针对性的信息、口头汇报、互动交流和文化适应性干预来提高HL，但在定性和混合方法研究中，低HL阻碍了对教育的理解、参与性干预以及在实施跌倒预防干预中使用技术设备：本范围综述表明，护士需要认识到并评估患者的 HL 是跌倒的潜在风险因素，并根据参与者的 HL 水平实施跌倒预防干预措施。需要开展进一步的研究，以开发适用于各种弱势人群和环境的、适应不同文化并与跌倒相关的 HL 测量方法。

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引用次数: 0

Sensitivity of Fall Risk Perception and Associated Factors in Hospitalized Patients with Mental Disorders 住院精神障碍患者跌倒风险感知的敏感性及相关因素

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.001

Ji Young Kim , Sung Reul Kim , Yusun Park , Jin Kyeong Ko , Eunmi Ra

Purpose

To reduce falls in hospitalized patients with mental disorders, the patients should be sensitive to fall risk perception. This study identified the sensitivity to fall risk perceptions and associated factors, including demographic, clinical, and fall-related factors, among inpatients with mental disorders.

Methods

We used a descriptive, cross-sectional design, recruiting 170 inpatients with mental disorders from two psychiatric hospitals in South Korea. Sensitivity to fall risk perception was classified using fall occurrence and the Fall Risk Perception Questionnaire.

Results

The prevalence of falls was 16.5%. Approximately 47% of falls occurred within 10 days of hospitalization, 67.9% within 1 month, and 85.7% within 2 months. Among the 28 participants who fell, 60.7% had inadequate low sensitivity to fall risk perception. Among the 142 participants who did not fall, 11.3% had inadequate high sensitivity to fall risk perception. A low sensitivity to fall risk perception was related to diagnosis, psychiatric symptoms, and fall history due to the mental disorder. A high sensitivity to fall risk perception was related to age at the onset of the mental disorder, urinary or bowel problems, and fear of falling. The multiple logistic regression analysis found that the diagnosis and fall history due to the mental disorder were associated with inadequate low sensitivity, and age at the onset and fear of falling were associated with inadequate high sensitivity to fall risk perception.

Conclusion

Over 60% of patients who fell had low sensitivity to fall risk perception. Inadequate low and high sensitivity to fall risk perception are related to the demographic, clinical, and fall-related characteristics among inpatients with mental disorders. Therefore, nurses should assess fall risk perception, consider these factors together during this assessment, and manage them appropriately in hospitalized patients with mental disorders.

目的：为减少住院精神障碍患者跌倒，患者应对跌倒风险感知敏感。本研究确定了精神障碍住院患者对跌倒风险认知的敏感度及相关因素，包括人口统计学、临床和跌倒相关因素：我们采用了描述性横断面设计，从韩国两家精神病院招募了 170 名精神障碍住院患者。通过跌倒发生率和跌倒风险认知问卷对跌倒风险认知的敏感性进行了分类：结果：跌倒发生率为 16.5%。约 47% 的跌倒发生在住院 10 天内，67.9% 发生在 1 个月内，85.7% 发生在 2 个月内。在 28 名跌倒的参与者中，60.7% 的人对跌倒风险的敏感度不足。在 142 名没有跌倒的参与者中，11.3% 的人对跌倒风险的感知灵敏度不够高。对跌倒风险感知的低敏感度与诊断、精神症状和精神障碍导致的跌倒史有关。对跌倒风险感知的高敏感度与精神障碍的发病年龄、排尿或排便问题以及对跌倒的恐惧有关。多元逻辑回归发现，精神障碍的诊断和跌倒史与对跌倒风险感知的低敏感度有关，而发病年龄和对跌倒的恐惧与对跌倒风险感知的高敏感度有关：超过 60% 的跌倒患者对跌倒风险感知的敏感度较低。结论：超过 60% 的跌倒患者对跌倒风险的感知灵敏度较低，而对跌倒风险感知灵敏度较高和较低则与精神障碍住院患者的人口、临床和跌倒相关特征有关。因此，护士应评估跌倒风险感知，在评估过程中综合考虑这些因素，并对住院精神障碍患者进行适当管理。

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引用次数: 0

An Explanatory Model of Weight Management Behaviors During Pregnancy: A Cross-sectional Study 孕期体重管理行为的解释模型：一项横断面研究。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.004

Sehee Kim, Sukhee Ahn

Purpose

This study aims to create and validate a model explaining gestational weight gain and management behaviors using Ajzen’s Theory of Planned Behavior, assessing the model’s fit with actual data and examining the influences of various factors.

Methods

Employing a correlational research design, data were collected and analyzed from 396 primigravida who were at least 36 weeks and agreed to participate in the study from April 15, 2022, to August 15, 2022, through an online questionnaire. SPSS 26.0 was used to analyze the general characteristics of participants, descriptive statistics of variables, reliability of tools, and correlation of variables. AMOS 28.0 was used to verify the hypothesis and to assess the fitness of hypothetical models.

Results

The modified model fitness was χ²/df = 3.29, goodness-of-fit index = .93, standardized root-mean-square residual = .06, root- mean -square error of approximation = .08, comparative fit index = .92, Tucker–Lewis index = .88, PNFI = .62. All hypotheses were statistically significant. The more positive attitude toward weight management behaviors (β = .52, p < .001), the higher perceived behavioral control (β = .21, p = .011) and subjective norms (β = .31, p = .034) were shown to have a significant effect on weight management behavioral intentions. They explained 77% of the variance in weight management behavioral intention. Weight management intentions (β = .63, p < .001) and perceived behavioral control (β = .52, p = .003) significantly influenced weight management behaviors, explaining 79% of the behavior variance. Enhanced weight management behaviors significantly reduced gestational weight gain accounting for 31% of the variance in gestational weight gain (β = −.56, p < .001).

Conclusion

Establishing a nursing intervention strategy that addresses attitude, subjective norms, and perceived behavioral control is crucial as these factors enhance weight management intentions and behaviors, thereby facilitating appropriate gestational weight gain and reducing pregnancy complications.

目的：本研究旨在利用Ajzen的计划行为理论建立并验证一个解释妊娠体重增加和管理行为的模型，评估该模型与实际数据的拟合度，并研究各种因素的影响：采用相关研究设计，从 2022 年 4 月 15 日至 2022 年 8 月 15 日，通过在线问卷收集并分析了 396 名至少 36 周且同意参与研究的初产妇的数据。使用 SPSS 26.0 分析参与者的一般特征、变量的描述性统计、工具的可靠性和变量的相关性。使用 AMOS 28.0 验证假设并评估假设模型的适配性：修正模型拟合度为 χ2/df = 3.29，GFI = .93，SRR = .06，RMSEA = .08，CFI = .92，TLI = .88，PNFI = .62。所有假设均具有统计学意义。结果表明，对体重管理行为的态度越积极（β = .52，p < .001），感知行为控制能力越强（β = .21，p = .011），主观规范（β = .31，p = .034）对体重管理行为意向有显著影响。它们解释了体重管理行为意向 77% 的变异。体重管理意向（β = .63，p < .001）和感知行为控制（β = .52，p = .003）显著影响体重管理行为，解释了79%的行为变异。加强体重管理行为可显著减少妊娠体重增加，占妊娠体重增加变异的 31% (β = -.56, p < .001)：制定针对态度、主观规范和感知行为控制的护理干预策略至关重要，因为这些因素可增强体重管理意愿和行为，从而促进适当的妊娠体重增加并减少妊娠并发症。

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引用次数: 0

Premenstrual Symptoms Risk Factors Among Newly Graduated Nurses in Shift Work: A Prospective Longitudinal Study 新毕业轮班护士的经前期症状风险因素：一项前瞻性纵向研究。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.006

Iksoo Huh , Smi Choi-Kwon , Jison Ki , Soyeon Kim , Jihyun Baek

Purpose

The premenstrual symptoms (PMSs) are a common health issue affecting women of reproductive age and are associated with various physiological, psychological, and situational factors. Newly graduated nurses, when suddenly exposed to excessive workloads and shift work, may experience disturbances such as sleep disorders, fatigue, depression, and stress. These factors are related to PMS, and their occurrence varies. Therefore, this study aimed to understand the changes in PMS and its risk factors among newly graduated nurses across shift work periods, and investigate the longitudinal relationships between PMS and its risk factors based on the theory of unpleasant symptoms.

Methods

This study constituted a secondary data analysis and employed a prospective longitudinal design. Newly graduated nurses were assessed three times: before starting shift work, six months after initiating shift work, and 18 months thereafter. Physiological (age, body mass index, alcohol consumption, dietary behavior), psychological (sleep quality, fatigue, depression, stress, life satisfaction), and situational (social support) factors were included as PMS-related factors.

Results

PMS worsened six months after the initiation of shift work compared with those before, and this aggravation persisted even after 18 months of shift work (p < .001). Age (p = .043), sleep quality (p = .004), and fatigue (p < .001) were associated with PMS. An interaction between time and depression that affected PMS was observed (p = .021).

Conclusion

Newly graduated nurses need to pay attention to the exacerbation of PMS after initiating shift work. Interventions to improve sleep quality and reduce fatigue are crucial for novice nurses, irrespective of shiftwork duration. Additionally, it is important to assess depressive symptoms before starting shift work and implement early interventions. Furthermore, the need for interventions addressing depression escalates with the increase in shiftwork duration.

目的：经前期症状（PMS）是育龄妇女常见的健康问题，与各种生理、心理和环境因素有关。新毕业的护士在突然面临过重的工作量和轮班工作时，可能会出现睡眠障碍、疲劳、抑郁和压力等不适症状。这些因素与经前综合征有关，其发生率也不尽相同。因此，本研究旨在了解新毕业护士在不同轮班工作期间经前期综合征及其风险因素的变化，并基于不愉快症状理论研究经前期综合征及其风险因素之间的纵向关系：本研究是一项二手数据分析，采用前瞻性纵向设计。对刚毕业的护士进行了三次评估：开始轮班工作前、开始轮班工作后 6 个月、开始轮班工作后 18 个月。生理因素（年龄、体重指数、饮酒量、饮食行为）、心理因素（睡眠质量、疲劳、抑郁、压力、生活满意度）和情境因素（社会支持）均被列为经前综合征的相关因素：结果：与开始轮班工作前相比，经前综合征在开始轮班工作 6 个月后加重，甚至在轮班工作 18 个月后仍持续加重（p < .001）。年龄（p = .043）、睡眠质量（p = .004）和疲劳（p < .001）与经前综合症有关。观察到时间和抑郁之间的交互作用会影响经前综合征（p = .021）：结论：新毕业的护士需要注意轮班工作后经前期综合征的加剧。无论轮班工作时间长短，改善睡眠质量和减少疲劳的干预措施对新护士都至关重要。此外，在开始轮班工作前评估抑郁症状并尽早实施干预措施也很重要。此外，随着轮班工作时间的延长，对抑郁症干预措施的需求也会增加。

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引用次数: 0

Exploring the Status and Experiences of School Nurses’ Response to the COVID-19 Pandemic: A Mixed Method Study 探索校医应对 COVID-19 大流行的现状和经验：混合方法研究。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.005

Hyojin Park, Juyoung Ha

Purpose

This study aimed to provide a deeper understanding of the response status and school nurses’ experience of the prolonged COVID-19 pandemic in Korea.

Method

Recognizing the limitations of existing tools in capturing prolonged COVID-19 responses, we divided the COVID-19 pandemic into different wave periods and adopted a mixed-methods design enrolling school nurses in elementary, middle, and high schools in Korea to gain a comprehensive view. A quantitative survey was conducted among 153 school nurses nationwide, and in-depth interviews were conducted with nine, using Van Kaam's phenomenological analysis.

Results

In 56.9% of the cases, multiple persons in charge of COVID-19 management were not designated, and there was no significant difference in response by school level. Excessive work, coping with civil complaints, unilateral work burden, difficulties communicating with related organizations, lack of concreteness in manuals, lack of cooperation among school members, and frequent changes in guidelines were continuous difficulties encountered during the pandemic. From the in-depth interviews, we extracted 189 meaningful statements, 22 subthemes, and 8 themes. The eight themes were divided into three categories: beginning of COVID-19 response, process of response to COVID-19, and lessons learned from the COVID-19 response experience.

Conclusion

A specific and systematic infectious disease response manual should be established, as well as an educational and training program to strengthen the capacity of educational personnel to cope with new infectious diseases.

目的：本研究旨在深入了解韩国在 COVID-19 大流行期间的应对状况和学校护士的经验：认识到现有工具在捕捉 COVID-19 大流行长期应对情况方面的局限性，我们将 COVID-19 大流行分为不同的波段，并采用混合方法设计，将韩国小学、初中和高中的校医纳入其中，以获得全面的观点。采用 Van Kaam 的现象学分析方法，对全国 153 名校医进行了定量调查，并对 9 名校医进行了深度访谈：在 56.9% 的案例中，未指定 COVID-19 管理的多位负责人，且不同学校级别的回应无显著差异。工作量过大、应付民间投诉、单方面的工作负担、与相关组织沟通困难、手册不够具体、学校成员之间缺乏合作、指导方针频繁变化是大流行期间遇到的持续性困难。从深度访谈中，我们提取了 189 个有意义的陈述、22 个次主题和 8 个主题。这 8 个主题被分为三类：COVID-19 应对行动的开端、COVID-19 应对行动的过程以及从 COVID-19 应对行动中吸取的经验教训：结论：应制定专门和系统的传染病应对手册，以及教育和培训计划，以加强教育人员应对新传染病的能力。

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引用次数: 0

Experiences of Growing Up with Mothers with Schizophrenia in South Korea: A Qualitative Study 韩国精神分裂症母亲的成长经历：定性研究。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.012

Soyoung Shin , Sungjae Kim

Purpose

The purpose of this study was to explore the experience of living with mothers with schizophrenia from childhood to the present from the perspective of their now-adult child.

Methods

Individual interviews were conducted with 10 adult children of mothers with schizophrenia. The data were collected in South Korea from July 2017 to March 2018 and thematic analysis was employed. Purposive sampling was used.

Results

Four themes were identified: (1) Navigating Childhood Confusion and Isolation Due to Maternal Schizophrenia, (2) Journey Through Loneliness, Resentment, and Emerging Responsibility, (3) Facing real-life difficulties as an adult child with vulnerability, and (4) Satisfaction in well-grown self.

Conclusions

Notwithstanding the real-life difficulties due to the unstable life with their mothers with schizophrenia, the children still had faith and confidence in themselves as well-grown thus far. Reflection on memories with their mothers served as a basis for continued maternal–child relationship and for taking on the role of guardians despite the negative experiences of their mothers’ psychotic symptoms. Mental health nurses and school health professionals should pay attention to the children of mothers with schizophrenia and their difficulties in providing appropriate mental health services.

目的：本研究旨在从精神分裂症母亲的成年子女的角度，探讨他们从童年到现在与母亲共同生活的经历：方法：对 10 名精神分裂症母亲的成年子女进行了个别访谈。数据于 2017 年 7 月至 2018 年 3 月在韩国收集，并采用了主题分析法。采用了目的性抽样：确定了四个主题：(1）因母亲患有精神分裂症而经历童年的困惑和孤独；（2）经历孤独、怨恨和责任感的萌发；（3）作为成年儿童面对现实生活中的困难时的脆弱；（4）对成长中的自己感到满意：尽管由于与患有精神分裂症的母亲生活在一起而面临着不稳定的现实生活困难，但孩子们仍然对迄今已成长为健全人格的自己充满信心和信心。对与母亲的回忆的反思是继续保持母子关系和承担监护人角色的基础，尽管他们的母亲有精神病症状的负面经历。精神卫生护士和学校卫生专业人员应关注精神分裂症母亲的子女及其在提供适当的精神卫生服务方面的困难。

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引用次数: 0

Mediating Effect of Felt Obligation Between Inclusive Leadership and Caring Behavior of Chinese Nurses 感受到的义务在包容性领导与中国护士关爱行为之间的中介效应。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2024-12-01 DOI: 10.1016/j.anr.2024.10.009

Qian Chen , Jingzhang Liang , Siqi Liang , Jiefang Xu , Mengna Liang , Qiaocong Lu

Purpose

It aims to validate the mediating role of felt obligation between inclusive leadership and the caring behavior of clinical nurses using a structural equation model.

Methods

All of the nurses were assessed with the general information questionnaire, caring behavior scale, felt obligation scale and inclusive leadership questionnaire. AMOS 21.0 was used to construct the structural equation model and analyze the mediating effect of felt obligation, and Bootstrap method was used to test the mediating effect model.

Results

The total scores of caring behavior, felt obligation and inclusive leadership were 125.25 ± 18.31, 21.38 ± 3.36 and 62.95 ± 11.95 respectively. Felt obligation played a partial mediating role in the relationship between inclusive leadership and caring behavior of nurses, and the mediating effect accounted for 43.5%.

Conclusions

Felt obligation plays a partial mediating effect between inclusive leadership and caring behavior of nurses. Nursing managers can adopt the leadership concept of inclusive leadership to enhance the level of felt obligation of nurses, so as to better improve the caring behavior of nurses.

目的：采用结构方程模型验证感受到的义务在包容性领导与临床护士关怀行为之间的中介作用：方法：对所有护士进行一般信息问卷、关怀行为量表、义务感量表和包容性领导力问卷调查。使用 AMOS 21.0 构建结构方程模型并分析感受到的义务的中介效应，使用 Bootstrap 方法检验中介效应模型：关爱行为、感受到的义务和包容性领导力的总分分别为（125.25±18.31）、（21.38±3.36）和（38.04±6.56）分。在包容性领导与护士关怀行为的关系中，感受到的义务起到了部分中介作用，中介效应占 43.5%：感受到的义务在包容性领导与护士关怀行为之间起到部分中介作用。护理管理者可以采用包容性领导的领导理念来提高护士的感受义务水平，从而更好地改善护士的关怀行为。

{"title":"Mediating Effect of Felt Obligation Between Inclusive Leadership and Caring Behavior of Chinese Nurses","authors":"Qian Chen , Jingzhang Liang , Siqi Liang , Jiefang Xu , Mengna Liang , Qiaocong Lu","doi":"10.1016/j.anr.2024.10.009","DOIUrl":"10.1016/j.anr.2024.10.009","url":null,"abstract":"<div><h3>Purpose</h3><div>It aims to validate the mediating role of felt obligation between inclusive leadership and the caring behavior of clinical nurses using a structural equation model.</div></div><div><h3>Methods</h3><div>All of the nurses were assessed with the general information questionnaire, caring behavior scale, felt obligation scale and inclusive leadership questionnaire. AMOS 21.0 was used to construct the structural equation model and analyze the mediating effect of felt obligation, and Bootstrap method was used to test the mediating effect model.</div></div><div><h3>Results</h3><div>The total scores of caring behavior, felt obligation and inclusive leadership were 125.25 ± 18.31, 21.38 ± 3.36 and 62.95 ± 11.95 respectively. Felt obligation played a partial mediating role in the relationship between inclusive leadership and caring behavior of nurses, and the mediating effect accounted for 43.5%.</div></div><div><h3>Conclusions</h3><div>Felt obligation plays a partial mediating effect between inclusive leadership and caring behavior of nurses. Nursing managers can adopt the leadership concept of inclusive leadership to enhance the level of felt obligation of nurses, so as to better improve the caring behavior of nurses.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 525-531"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0