Development of the Burnout Scale for General Hospital Nurses 종합병원 간호사의 소진 측정도구 개발
이선미 Lee Sun-mi , 신혜숙 Shin Hye Sook
DOI:10.14370/jewnr.2023.29.2.95
Abstract
Purpose: The purpose of this study was to develop a measurement tool for burnout in general hospital nurses and verify its reliability and validity. Methods: Construct factors were extracted through an extensive literature review and in-depth interviews with nurses. Psychometric testing was conducted with 550 nurses in a general hospital. Data were analyzed using validity and reliability testing. Results: As a result of factor analysis, 4 factors and 26 items were selected. The burnout factors of general hospital nurses were professional quality of life, work environment excellence, job satisfaction, and negative emotions. The overall coefficient of determination was 46.38%. These factors were validated through convergent, discriminant and concurrent validity testing. The internal consistency reliability was acceptable (Cronbach’s α=.91). Conclusions: The Burnout Scale for General Hospital Nurses is a valid and reliable tool that contributes to the assessment of burnout in general hospital nurses. This scale is expected to be used in burnout practice and research of general hospital nurses.
Key Words
Burnout, Nurses, Factor analysis, 소진, 간호사, 요인분석
Incidence of Obesity-related Diabetes Mellitus in Adults with Prediabetes: Use of Data from a Prospective Cohort Study 당뇨전단계 성인의 비만이 당뇨병 발생 위험에 미치는 영향: 전향적 코호트 자료의 활용
한나라 Han Nara , 조향순 Cho Hyangsoon , 주정숙 Ju Jeong Suk , 이경미 Lee Kyoung Mee
Incidence of Obesity-related Diabetes Mellitus in Adults with Prediabetes: Use of Data from a Prospective Cohort Study 당뇨전단계 성인의 비만이 당뇨병 발생 위험에 미치는 영향: 전향적 코호트 자료의 활용
한나라 Han Nara , 조향순 Cho Hyangsoon , 주정숙 Ju Jeong Suk , 이경미 Lee Kyoung Mee
DOI:10.14370/jewnr.2023.29.2.106
Abstract
Purpose: The purpose of this study was to identify the impact of obesity on the incidence of diabetes mellitus in adults with pre-diabetes. Methods: This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study. This study used data from a sample of 3,693 adults with prediabetes who were followed every two years from 2001 to 2018. Statistical data analysis for frequency, number of cases per 1,000 person-years, log-rank test, Kaplan-Meier curve, and Cox’s proportional hazards regression analysis was performed using IBM SPSS statistics version 26. Results: During the observation period, there were 1,309 (35.4%) patients with diabetes, and the total number of person-years was 35,342. The incidence of diabetes was higher in the obese group compared to the normal weight group (body mass index [BMI]: hazard ratio=1.57, 95% confidence interval [CI]=1.40~1.77, waist: hazard ratio=1.55, 95% CI=1.38~1.76, waist to hip ratio [WHR]: hazard ratio=1.53, 95% CI=1.24~1.89, body fat [BF] (%): hazard ratio=1.42, 95% CI=1.27~1.61). Conclusion: An increase in BMI, waist circumference, and WHR, which are indicators of obesity, can exacerbate the risk factors for diabetes. Thus, a decrease in BMI, waist circumference, and WHR is necessary to prevent pre-diabetes. In particular, health care professionals should provide individualized weight management program interventions, including adult obesity programs and obesity counseling in partnership with local health departments, to reduce BMI and waist circumference in people at high risk for diabetes.
Construction of a Structural Model on Becoming a Mother: From Women Caring for Their First-Born Infants 영아기 첫 자녀를 둔 여성의 어머니되기 모형 구축
이은주 Lee Eun Ju , 성미혜 Sung Mi Hae
DOI:10.14370/jewnr.2023.29.2.117
Abstract
Purpose: This study aims to develop a structural model for predicting motherhood in women with her first infant child and to contribute to the development of practical and specific nursing interventions to promote successful motherhood. Methods: The subjects of the study were 211 mothers and fathers who had their first child within 12 months and consented to the study. Data collected from June 2, 2022 to January 31, 2023 were analyzed using SPSS 28.0 and AMOS 26.0 programs. Results: The results of this analysis showed that maternal and paternal factors (postpartum depression and paternal attachment) and infantile factor (temperament) influenced the process of becoming a mother for a women with her first child, with postpartum depression being the most influential factor. Conclusion: In order to increase the level of motherhood, it is important to prevent postpartum depression and create a nurturing environment for mothers, and social system support and psychological nursing intervention strategies are necessary.
Key Words
Postpartum depression, Role tension, Paternal attachment, temperament, Becoming a mother, 산후우울, 역할긴장, 부성애착, 기질, 어머니되기
Factors Influencing Suicide Methods in Gyeonggi-do Suicide Deceased: Based on the 5-year (2016~2020) Suicide Death Data Analysis 경기도 자살사망자의 자살방법에 영향을 미치는 요인 - 5개년(2016~2020년) 자살사망자 자료 분석을 바탕으로-
김정숙 Kim Jung Sug , 선민정 Sun Min Jung , 천유진 Chun You Jin
Factors Influencing Suicide Methods in Gyeonggi-do Suicide Deceased: Based on the 5-year (2016~2020) Suicide Death Data Analysis 경기도 자살사망자의 자살방법에 영향을 미치는 요인 - 5개년(2016~2020년) 자살사망자 자료 분석을 바탕으로-
김정숙 Kim Jung Sug , 선민정 Sun Min Jung , 천유진 Chun You Jin
DOI:10.14370/jewnr.2023.29.2.129
Abstract
Objectives: Suicide rate in South Korea is one of the major public health concerns. This study examined the factors influencing the suicide methods of people who committed suicide in Gyeonggi-do, which accounts for one-fourth of the population of South Korea. Methods: This study analyzed the data of a total of 13,945 suicide deaths in Gyeonggi-do over a five-year period (2016-2020) provided by the Statistics Korea and the influence of social and demographic characteristics on the analyzed suicide methods. The differences in suicide methods according to the social and demographic characteristics of suicide victims were compared and analyzed through chi-squared, and items with significant differences in univariate tests were analyzed by multiple logisitic regression analysis. Results: Among suicide deaths, the most common method of suicide was hanging (52.4%). In particular, women, were employed, and stayed at home were higher risk of being hanged. The second most common method of suicide was leaping (17.7%). Women under the age of 30, those with a college degree or higher, those who were not working, time of death (6-12), and those outside the home were more likely to choose to take the leap. The third most common method of suicide was gas poisoning (15.8%). Young people under the age of 65, college graduates or higher, without a spouse, were employed, and spring season were at increased risk of choosing gas poisoning. Conclusions: The results highlight the need for policies that consider risk factors such as gender, age, education, marital status, employments status, time of suicide, and place of suicide in order to block access to suicide methods for suicide victims in Gyeonggi-do.
The Effect of Virtual Reality-Based Anatomy Education Program on Learning Presence, Technology Acceptance, Learning Motivation, and Knowledge for Nursing Students 가상현실(Virtual Reality) 기반 해부학 교육 프로그램이 간호대학생의 학습실재감, 기술수용성, 학습동기 및 해부학 지식에 미치는 효과
김민경 Kim Minkyeong , 송영아 Song Young A , 손동민 Son Dong Min
The Effect of Virtual Reality-Based Anatomy Education Program on Learning Presence, Technology Acceptance, Learning Motivation, and Knowledge for Nursing Students 가상현실(Virtual Reality) 기반 해부학 교육 프로그램이 간호대학생의 학습실재감, 기술수용성, 학습동기 및 해부학 지식에 미치는 효과
김민경 Kim Minkyeong , 송영아 Song Young A , 손동민 Son Dong Min
DOI:10.14370/jewnr.2023.29.2.141
Abstract
Purpose: The purpose of this study was to verify the effects of virtual reality (VR) based anatomy education program on nursing students’ learning presence, technology acceptance, learning motivation, and knowledge. Methods: A nonequivalent control group pre-test and post-test design was employed. The study participants included 113 nursing students (56 in the experimental group and 57 in the control group) from Ansan City. Data collection was conducted from June 1 through 23. Data were analyzed using χ2-test, Fisher’s exact test, and t-test using SPSS 23.0 program. Results: The experimental group had a significant increase in learning presence, technology acceptance, and knowledge before and after the intervention compared to the control group. Conclusion: Virtual reality based anatomy education is an effective learner-centered educational program. From an educational perspective, VR anatomy education programs can improve anatomy knowledge by increasing students’ acceptance of VR technology and increase their motivation to learn by increasing their sense of presence.
Actor and Partner Effects on Parenting Stress and Depression in Couples with ADHD Child: Dyadic Data Analysis ADHD 자녀를 둔 부부의 양육효능감과 배우자 지지가 양육스트레스와 우울에 미치는 효과: 커플관계자료 분석방법 적용
김인정 Kim In Jeong , 장진주 Chang Jin-joo , 신성희 Shin Sung Hee
Actor and Partner Effects on Parenting Stress and Depression in Couples with ADHD Child: Dyadic Data Analysis ADHD 자녀를 둔 부부의 양육효능감과 배우자 지지가 양육스트레스와 우울에 미치는 효과: 커플관계자료 분석방법 적용
김인정 Kim In Jeong , 장진주 Chang Jin-joo , 신성희 Shin Sung Hee
DOI:10.14370/jewnr.2023.29.2.150
Abstract
Purpose: This study aimed to identify the actor and partner effects of parenting efficacy, spousal support on parenting stress and depression in couples with children with attention deficit hyperactivity disorder (ADHD). Methods: A cross-sectional survey design was used. Participants were 103 couples (103 husbands, 103 wives) with children with ADHD visiting child adolescent psychiatry clinic or community mental health center in Seoul, Gyeonggi-do, South Korea. Data were analyzed by SPSS 20.0 and AMOS 20.0 program. Results: The parenting efficacy of husbands and wives had direct actor effect (β=-.69, p=.004; β=-.60, p=.004) and partner effect (β=-.22, p=.007; β=-.18, p=.026) on their parenting stress. In addition, husbands and wives’s parenting efficacy had a direct actor effect (β=-.25, p=.031; β=-.21, p=.025) on their depression and indirect actor effect (β=-.25, p=.004; β=-.34, p=.004) through parenting stress on their depression. However, parenting stress did not show a partner effect on depression. Husband and wife's parenting efficacy had a direct effect (β=.46, p=.004; β=.25, p=.009) on perceived spousal support. The effects of husbands and wives were the same in actor effect size (χ2 differences=0.74, p=.390) and partner effect size (χ2 differences=0.20, p=.652) of parenting efficacy on parenting stress. In addition, the effect sizes of husbands and wives were the same in actor effect size (χ2 differences=0.93, p=.334) and partner effect size (χ2 differences=0.15, p=.704) for parenting stress and depression. Conclusion: The results of this study may provide the foundation for developing a nursing intervention program that can maximize interaction between couples with ADHD children.
Development and Evaluation of a Exposure Prevention Program to Environmental Hazards for Mother with Young Child 영유아 자녀를 둔 여성의 환경유해인자 노출 예방프로그램 개발 및 효과
양은정 Yang Eunjung , 신혜숙 Shin Hyesook , 김주희 Kim Juhee
Development and Evaluation of a Exposure Prevention Program to Environmental Hazards for Mother with Young Child 영유아 자녀를 둔 여성의 환경유해인자 노출 예방프로그램 개발 및 효과
양은정 Yang Eunjung , 신혜숙 Shin Hyesook , 김주희 Kim Juhee
DOI:10.14370/jewnr.2023.29.2.161
Abstract
Purpose: The purpose of this study is to verify the effectiveness of the Environmental Hazards Exposure Prevention Program for Mothers with Young Child (EHEPP-MYC) and to provide basic data for environmental health projects in the community. Methods: EHEPP-MYC was developed based on the protection motivation theory. A quasi-experimental design was applied to evaluate the effectiveness of the program. The number of study participants was 30 in the experimental group and 31 in the control group. The intervention applied to the experimental group consisted of lectures as the main method, current affairs programs, discussions, booklets, animations, and practical training. The program was held twice a week for a total of 4 sessions of 60 minutes each. The effect of applying the program was measured three times through surveys (before, immediately after, and two weeks after the intervention) and analyzed through repeated measures ANOVA. Results: The EHEPP-MYC had significant effects on preventive behavior, perceived severity, perceived vulnerability, self-efficacy, response efficacy, and response costs at three time points. Conclusion: EHEPP-MYC has been shown to be effective in promoting environmental hazards prevention behaviors among mothers of young child. EHEPP-MYC can be used as baseline data for projects developing programs to prevent exposure to environmental hazards and improve the environmental health of communities.
Key Words
Environmental exposure, Health education, Health behavior, Mothers, 환경유해인자 노출, 건강교육, 건강행위, 어머니
Relapse Experience of Patients with Alcohol Use Disorder: Q Methodological Approach 알코올 사용 장애 환자의 재발경험: Q 방법론적 접근
Relapse Experience of Patients with Alcohol Use Disorder: Q Methodological Approach 알코올 사용 장애 환자의 재발경험: Q 방법론적 접근
김진주 Kim Jin Ju , 현명선 Hyun Myung Sun
DOI:10.14370/jewnr.2023.29.2.172
Abstract
Purpose: The purpose of this study was to identify the subjective relapse experiences of patients with alcohol use disorder in one’s life context. Methods: A Q methodology was used to analyze the subjectivity of relapse experiences among 55 participants with alcohol use disorder. Fifty-five Q-statement were derived from interviews and literature review. Q-statements were classified into normally distributed shapes using a 9-point scale. Data were analyzed using the QUANL program. Results: Four types of relapse experiences were identified: failure to self-regulation drinking cravings, fear of relapse and awareness of the need for treatment, drinking as a coping mechanism and defensive coping, and lack of motivation to change drinking behavior. Conclusion: The results of this study suggest that patients with alcohol use disorder need a differential approach based on four types of relapse experiences in the recovery process.
Analysis of News Articles on Child Welfare Policies in South Korea: K-Means Clustering 대한민국 정권별 아동복지정책 관련 뉴스 기사 분석: K-평균 군집 분석
김은주 Kim Eun Joo , 김성광 Kim Seong Kwang , 박빛나 Park Bit Na
DOI:10.14370/jewnr.2023.29.2.185
Abstract
Purpose: The purpose of this study is to analyze changes of child welfare policies and provide insights based on the collection and classification of newspaper articles. Methods: Articles related to child welfare policies were collected from 1990, during the Kim, Young-sam administration, to May 9, 2022, under the Moon, Jae-in administration. K-Means clustering and keyword Term Frequency-Inverse Document Frequency analysis were utilized to cluster and analyze newspaper articles with similar themes. Results: The administrations of Kim, Young-sam, Kim, Dae-jung, Roh, Moo-hyun, and Park, Geun-hye were classified into two clusters, and the Lee, Myung-bak and Moon, Jae-in administrations were classified into three clusters. Conclusion: South Korea’s child welfare policies have focused on ensuring the safety and healthy development of children through diverse policies initiatives over the years. However, challenges related to child protection and child abuse persist. This requires additional resources and budget allocation. It is important to establish a comprehensive support system for children and families, including comprehensive nursing support.
Key Words
Child welfare, Child welfare policies, Clustering analysis, News articles, Text analysis, 아동복지, 아동복지정책, 군집분석, 뉴스 기사, 텍스트 분석
