Asian Nursing Research最新文献

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 response, 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.

Aim: 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).

Conclusions: 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.

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 hypothesis and to assess the fitness of hypothetical models.

Results: Modified model fitness was χ²/df = 3.29, GFI = .93, SRMR = .06, RMSEA = .08, CFI = .92, TLI = .88, PNFI = .62. All of hypothesis 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).

Conclusions: 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.

Purpose: The 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 medicating effects of self-care self-efficacy and health-promoting behaviors within this relationship.

Methods: A total of 334 cervical cancer patients who 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 (fear of cancer recurrence), 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 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 fear of cancer recurrence (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 fear of cancer recurrence and PTG (Boots CI: [-0.19, -0.07]), with an indirect effect of 11.6%.

Conclusions: This study demonstrated that self-care self-efficacy and health-promoting behaviors partially mediated the relationship between fear of cancer recurrence and PTG in cervical cancer survivors after surgery. Implementing tailored interventions focused 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.

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 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 among nursing work environment in Korea.

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. Low sensitivity to fall risk perception was related to diagnosis, psychiatric symptoms, and fall history due to the mental disorder. High sensitivity to fall risk perception was related to age at onset of the mental disorder, urinary or bowel problems, and fear of falling. The multiple logistic regression found that the diagnosis and fall history due to the mental disorder were associated with inadequate-low sensitivity, and age at onset and fear of falling were associated with inadequate-high sensitivity to fall risk perception.

Conclusions: 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.