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 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.

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.

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.

Purpose: It is important to examine the attitudes of future nurses towards adopting a sustainability approach in their nursing practice. This study aimed to test the Sustainability Attitudes in Nursing Survey 2 psychometrically.

Methods: The methodological, descriptive study was conducted in November 2019 on nursing students (n = 286) at a university in Turkey. Data were analysed for reliability and validity tests. Statistics of the linguistic content validity analysis and Exploratory/ Confirmatory Factor Analysis were performed to determine the scale's validity. Cronbach Alpha coefficient, floor and ceiling impacts, Tukey's test, and Hotelling's T² test, test-retest reliability, were determined for the scale's reliability.

Results: The content validity index of the scale, which consists of five items and a one dimension, is .98. Factor loadings were above 0.30, all the fit indices were> 0.95, χ²/df was 1.58 and the root means square error of approximation was 0.045. Cronbach's α was .75. The floor and ceiling impacts were 0.0% and 3.1%. In Tukey's test, F was 3.43 and p was 0.064. In Hotelling's T² test, Hotelling's T² was 265.59 and F was 65.68 (p < .001). Item-total correlation coefficients were between .37- .63. The test-retest correlation coefficient was .39.

Conclusions: The scale is a valid and reliable instrument in the Turkish language. It is advised to use the scale in determining attitudes towards sustainability among nursing students, evaluating the effectiveness of training, and taking student opinions in curriculum revisions. Also, the study allowed cross-country comparisons and it is thought that it can guide studies on the inclusion of sustainability principles in nursing practices.