Effects of Auricular Acupressure on Low Back Pain and Headache in Nurses 귀 지압이 간호사의 요통과 두통에 미치는 효과
박은미 Park Eun-mee , 조가원 Jo Ga-won , 심숙희 Sim Sug-hee , 최정민 Choi Jong-min , 이은진 Lee Eun-jin
DOI:10.14370/jewnr.2022.28.2.75
Abstract
Purpose: The aim of the study was to examine the effect of auricular acupressure on low back pain and headaches in nurses. Methods: A open-label randomized controlled trial was used. Thirty-nine nurses with low back pain for more than 3 months participated in this study. Auricular acupressure stickers were applied to the participants’s waist, head and Shen men in the experimental group for 2 weeks. The Numeric Rating Scale (NRS), the Visual Analog Scale (VAS), and the Headache Impact Test-6 (HIT-6) were administered to measure participants' pain. Results: The mean differences of the VAS and the HIT-6 were significant in the experimental group at the pre and post-tests. A repeated-measures ANOVA revealed that low back pain and headache measured using NRS in the experimental group decreased significantly compared to the control group at the pre and post-tests over 2 weeks. Conclusion: The results of this study indicated that auricular acupressure could be used as a useful intervention for self-care for nurses with low back pain and headache.
Key Words
Acupressure, Low back pain, Headache, Alternative medicine, Nurse, 지압, 요통, 두통, 대체요법, 간호사
Educational Needs and Knowledge Level of Traditional Korean Nursing among Nurses in Korean Medicine Hospitals 한방병원 간호사의 한방간호 교육요구도와 지식수준
Educational Needs and Knowledge Level of Traditional Korean Nursing among Nurses in Korean Medicine Hospitals 한방병원 간호사의 한방간호 교육요구도와 지식수준
오남경 Oh Nam Kyung , 심정은 Sim Jeongeun
DOI:10.14370/jewnr.2022.28.2.83
Abstract
Purpose: The purpose of this study was to investigate the educational needs and knowledge level of traditional Korean nursing among nurses in Korean medicine hospitals. Methods: A survey design was used. A total of 180 nurses working for more than six months at 10 Korean medicine participated in this study. Data were collected in September of 2019. All data were analyzed by t-test, ANOVA, Scheffe, and paired t-test using SPSS Statistics 25.0 program. Results: The six sub-areas of educational needs for traditional Korean nursing were knowledge of treatments, direct nursing care, types of acupuncture, manipulative therapy, diagnosis, and herbal medicine in order. Average score of the educational needs for nurses in Korean medicine hospitals was 3.77 points out of 5 points. All six sub-areas of the knowledge level were statistically significant. Average score of knowledge level about Korean medicine among nurses was 3.03 out of 5. Conclusion: As a result of this study, it was found that a high level of knowledge is required or Korean medicine education. Knowledge of Korean medicine should be improved through education on thetypes of acupuncture, manipulative therapy, diagnosis, and treatment with relatively low scores. The results of this study can be used as basic data for preparing an educational system to improve the knowledge level of nurses in Korean medicine hospitals.
Key Words
Korean Traditional Medicine, Educational needs, Knowledge, Nurses, 한의학, 교육요구도, 지식, 간호사
A Comparison of Compliance with Standard Precautions for Infection Prevention between Nurses at Accredited Korean Medicine Hospitals and Non-accredited Korean Medicine Hospitals 인증 한방병원과 비인증 한방병원 간호사의 감염예방 표준주의지침 수행도의 차이 비교
A Comparison of Compliance with Standard Precautions for Infection Prevention between Nurses at Accredited Korean Medicine Hospitals and Non-accredited Korean Medicine Hospitals 인증 한방병원과 비인증 한방병원 간호사의 감염예방 표준주의지침 수행도의 차이 비교
심선자 Shim Sean Ja , 박현주 Park Hyunju
DOI:10.14370/jewnr.2022.28.2.91
Abstract
Purpose: The purpose of this study was to compare compliance with standard precautions of infection prevention between nurses at accredited Korean medicine hospitals and non-accredited Korean medicine hospitals. Methods: Data were collected from a total of 138 participants (69 nurses from 3 accredited hospitals and 69 nurses from 3 non-accredited hospitals) in January of 2021 using structured questionnaires. Descriptive statistics, t-test, one-way ANOVA, and multiple regression analyses were carried using the SPSS Statistics 24.0 Program. Results: Results showed that the scores of nurses’ compliance with standard precautions of infection prevention at accredited Korean medicine hospital (40.54±2.74) were significantly higher (p=.002) than the scores of nurses at the non-accredited Korean medicine hospitals (38.94±3.28). After controlling for covariates, the results were same. In addition, we found that scores of compliance with standard precaution for infection prevention in nurses at hospitals belong to university were significantly high compared to those of nurses at private hospitals. We also found that the scores of compliance with standard precaution for infection prevention in nurses with more than 5 years of experience were significantly higher than those of nurses with less than 3 years of experience (p=.039). Conclusion: Nurses working at the accredited Korean medicine hospitals showed higher scores of compliance with standard precaution for infection prevention. Therefore, it is suggested that the participation in the hospital accreditation program should be encouraged for the Korean medicine hospitals.
Key Words
Hospital accreditation, Oriental medicine hospital, Infection prevention, Standard precaution, Nurse, 병원인증제, 한방병원, 감염예방, 표준주의지침, 간호사
Korean Medicine for Women Infertility 여성 난임과 한의학 (다낭성난소증후군으로 인한 난임의 한양방 치료)
Korean Medicine for Women Infertility 여성 난임과 한의학 (다낭성난소증후군으로 인한 난임의 한양방 치료)
황덕상 Hwang Deok-sang
DOI:10.14370/jewnr.2022.28.2.100
Abstract
Korean medicine has traditionally provided a lot of medical care for the treatment of infertility. The combination treatment of Korean medicine and Western medicine can be effective for infertility to improve the problems caused by the extremely low fertility rate and the aging of pregnant women. In relation to female infertility, we reviewed the evidence for Korean medicine treatment for polycystic ovary syndrome, which has recently been increasing interest in female infertility, and the evidence for the collaboration between Korean and Western medicine in the treatment of polycystic ovary syndrome and infertility. Because polycystic ovary syndrome is closely related to metabolic diseases related to endocrine abnormalities, hormone treatment alone has limited therapeutic effects and has side effects.
In domestic and international research, herbal medicine and acupuncture in the treatment of infertility have shown good clinical effects based on the hypothesis of various mechanisms of effect, and many cases of successful pregnancy have been reported. Although continuous research through large-scale randomized clinical studies is needed to prove efficacy, the importance of combined treatment of Korean medicine and Western medicine in infertility treatment is increasing in order to solve the extremely low fertility rate. Combining artificial insemination or in vitro fertilization with Korean medicine treatment is highly likely to be effective in increasing pregnancy success and fertility rates. In women with polycystic ovary syndrome, which is recognized as a metabolic disease due to endocrine abnormalities among the causes of female infertility, Korean medicine treatment can increase the pregnancy rate with herbal medicines and acupuncture, etc. Although well-designed large-scale clinical studies are currently lacking and meta-analysis has not provided sufficient evidence, the combination treatment of Korean medicine and Western medicine is more active to increase the pregnancy rate for solving the problem of low fertility.
Key Words
Korea traditional medicine, Polycystic ovary syndrome, Women, Infertility, 한의학, 다낭성난소증후군, 여성, 난임
1)The Influence of Academic Self-efficacy, Empathy and Communication Skills on Problem Solving Ability in Nursing Students 간호대학생의 학업적 자기효능감, 공감능력과 의사소통능력이 문제해결능력에 미치는 영향
1)The Influence of Academic Self-efficacy, Empathy and Communication Skills on Problem Solving Ability in Nursing Students 간호대학생의 학업적 자기효능감, 공감능력과 의사소통능력이 문제해결능력에 미치는 영향
김미숙 Kim Mi Sook
DOI:10.14370/jewnr.2022.28.2.104
Abstract
Purpose: This study aimed to investigate factors affecting the problem solving ability of nursing students. Methods: The data in this study was collected through structured questionnaires from September 1st to October 30th, 2021. Study participants were 172 fourth grade nursing students at four departments of nursing located in B and K city. IBM SPSS WIN v 21.0. program with t-test, ANOVA, Scheffe' test, Pearson's correlation coefficients, and hierarchical regression was used for data analysis. Results: The mean scores of academic self-efficacy was 3.88±051, empathy was 3.76±0.33, communication skills were 3.94±0.48, and problem solving ability was 3.70±0.40. There were significantly positive correlations between problem solving ability and academic self-efficacy (r=.45, p=<.001), empathy (r=.51, p=<.001), communication skills (r=.52, p=<.001), Factors affecting participants’ problem solving ability were empathy (β=.31, p=<.001), and communication skills (β=.23, p=.006), which explained about 38.4% of the problem solving ability. Conclusion: In this study, it is necessary to develop curricular and non curricular nursing program that can strengthen empathy and good communication skills together when developing programs that increase problem solving ability.
Key Words
Communication, Empathy, Problem solving, Self-efficacy, Students, 의사소통, 공감, 문제해결, 자기효능감, 학생
Purpose: This study aimed to identify the factors related to the organizational citizenship behavior of nurses in the operating room (OR). These factors include positive psychological capital, perceived organizational culture, and job characteristics. Methods: A descriptive correlational study design was used. A total of 185 OR nurses from nine general and advanced general hospitals across three metropolitan areas in South Korea completed the questionnaires. The questionnaires included items on organizational citizenship behavior, positive psychological capital, organizational culture, and job characteristics. Descriptive statistics and multiple regression analysis were conducted using SPSS/WIN 21.0. Results: The mean score for organizational citizenship behavior was 3.62 out of 5. Positive psychological capital, relationship-oriented organizational culture, and feedback on job characteristics were verified as influencing factors of OR nurses' organizational citizenship behaviors. The explanatory power of this regression model was 48.2%. Conclusion: Reinforcement of positive psychological capital of individual OR nurses and organizational efforts to endorse relationship-oriented organizational culture is required. It follows that OR nurses' organizational citizenship behavior can be enhanced based on mutual trust, cohesiveness, and feedback on their work performance.
1)Factors Related to Fear of Falling by Age Group in Community-dwelling Mid to Late-adults 지역사회 중노년기 성인의 연령군별 낙상두려움 관련 요인
이은주 Lee Eun Ju , 이은숙 Lee Eun Sook
DOI:10.14370/jewnr.2022.28.2.122
Abstract
Purpose: This study aimed to identify the factors related to fear of falling (FOF) in different age groups from community-dwelling mid to late-adults. Methods: To identify the factors related to FOF, data of 162,684 adults over 45 years of age from 2019 Community Health Survey was analyzed using logistic regression with complex samples. Results: Factors related to FOF found in all age groups were sex, previous experience of falls, physical activity levels over moderate intensity, subjective health status, number of chronic diseases, stress, depression, and cognitive decline. In the 45-64 age group, the FOF was significantly higher in the groups of low education level and low monthly household income. In the 65-74 and over 75 age groups, the FOF was significantly higher in the groups of not living with spouse and walking not practiced. Conclusion: We suggests that understanding of risk factors and early detection of fall risk patients in each age group are necessary to establish and apply tailored fall prevention programs for prevention and management of the FOF in community-dwelling mid to late-adults.
Key Words
Accidental falls, Fear, Adult, Age groups, 낙상, 두려움, 성인, 연령군
Actual and Perceived Glove Uses Among Nurses in Intensive Care Unit 중환자실 간호사의 실제 장갑 사용과 인지하는 장갑 사용
Actual and Perceived Glove Uses Among Nurses in Intensive Care Unit 중환자실 간호사의 실제 장갑 사용과 인지하는 장갑 사용
안보라 Ahn Bo Ra , 김은정 Kim Eun Jung
DOI:10.14370/jewnr.2022.28.2.132
Abstract
Purpose: This study aimed to investigate intensive care unit (ICU) nurses’ actual and perceived glove uses for preventing healthcare associated infection. Methods: We observed nurses’ donning glove by occasions and adherence to guideline for glove uses in four ICU in a single hospital. Total of 378 cases were observed from August 16 through October 6, 2020. Sixty one nurses of 66 nurses observed responded to a self-reported questionnaire about perceived glove use and knowledge of glove use. Data analysis was performed using descriptive statistics. Results: The number of observed episodes for glove use was 277. Although the highest numbers of occasions of wearing gloves was contact precaution, the compliance rate was 72.1%. The rates of donning gloves were low in the insertion and removal of peripheral venous catheters, blood glucose testing and blood sampling, which were at risk for exposure to blood. We observed misuse of wearing gloves even when they were not required. Results showed that the majority of non-compliance with glove use were a failure of performing hand hygiene before and after glove use and a failure of changing gloves between procedures on the same patient. The participant's knowledge of glove use was high. Conclusion: Based on the results, it is necessary to provide ICU nurses with education and reinforcement of proper glove uses for infection control.
Key Words
Protective gloves, Infection control, Nurses, 장갑 사용, 감염관리, 간호사
Factors Affecting the Role of Nurses Related to Withdrawing Life-sustaining Treatment in a General Hospital 종합병원 간호사의 연명의료중단 역할인식 영향요인
Factors Affecting the Role of Nurses Related to Withdrawing Life-sustaining Treatment in a General Hospital 종합병원 간호사의 연명의료중단 역할인식 영향요인
조재정 Jo Jae Jung , 이지아 Lee Jia
DOI:10.14370/jewnr.2022.28.2.142
Abstract
Purpose: The purpose of this study is to identify the factors affecting the role of nurses with regard to the perception of good death, knowledge of advance directives, and stress and attitude toward withdrawing life-sustaining treatment. Methods: Data were collected from 102 nurses working at a general hospital. Data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficient, and multiple linear regression using the SPSS 28.0.1.0 program. Results: Educational level (β=.37, p=.001 for bachelor; β=.33, p=.005 for master or higher) and good death perception (β=.22, p=.024) were significant factors of the role of nurses associated with withdrawing life-sustaining treatment. Conclusion: Based on the result of this study, information about awareness of good death should be included in development of an educational program in order to strengthen the role of nurses in withdrawing life-sustaining treatment of patients.
Key Words
Nurses, Life-sustaining treatment, Role, Perception, 좋은 죽음 인식, 사전연명의료의향서 지식, 연명의료 스트레스, 연명의료 태도, 연명의료중단 역할인식
Analysis of the Performance and Need of Professional Nursing Care in Nurses: Focusing on the Department of Neurosurgery in a Tertiary Hospital in Gangwon Province 임상간호사의 전문 간호업무 수행도와 필요도 분석 - 강원도 상급병원 신경외과 영역을 중심으로
김현수 Kim Hyun Su , 황주희 Hwang Ju Hee , 이현정 Lee Hyun Jung
Analysis of the Performance and Need of Professional Nursing Care in Nurses: Focusing on the Department of Neurosurgery in a Tertiary Hospital in Gangwon Province 임상간호사의 전문 간호업무 수행도와 필요도 분석 - 강원도 상급병원 신경외과 영역을 중심으로
김현수 Kim Hyun Su , 황주희 Hwang Ju Hee , 이현정 Lee Hyun Jung
DOI:10.14370/jewnr.2022.28.2.151
Abstract
Purpose: This study was conducted to identify the performance and need of professional nursing care among nurses in a neurosurgery department at a tertiary hospital. Methods: This study used a descriptive design using a questionnaire with 77-item. The participants were 58 nurses with more than 3 years of clinical experience in both the neurosurgery intensive care unit and ward at a tertiary hospital in Gangwon province. Data collection was conducted from January to February of 2021. The performance and need for each workforce were analyzed with the mean and standard deviation, and the effectiveness of the difference between the performance and the need were analyzed with a paired t-test using SAS 9.4. Results: The recognition for work performance level was in order of direct nursing activities (3.20±.54), consultation and coordination (3.18±1.15), education (2.55±.85), administration (1.92±.86), and research (1.57±.89). The recognition for need level was in order of consultation and coordination (3.95±.83), education (3.91±.87), direct nursing practice (3.83±.55), research (3.49±.87), and administration (3.45±.54). The results showed a statistically significant differences between work performance and need (p<.001). Conclusion: It is required to hire professional nursing personnel who can bridge the gap between the performance and need of professional nursing workforce in a neurosurgery department at a tertiary hospital. A professional nurse may be a good alternative.
Key Words
Professional practice, Nursing care, Nurses, Work performance, Needs assessment, 전문 업무, 간호 업무, 간호사, 업무 수행도, 필요도
Predictors for Aggressive Behavior of Patients with Mental Illness in a Closed Psychiatric Ward using Zero-Inflated Poisson Regression: A Retrospective Study 영과잉포아송회귀분석을 활용한 안정병동에 입원한 정신질환자의 공격행동 예측요인
Predictors for Aggressive Behavior of Patients with Mental Illness in a Closed Psychiatric Ward using Zero-Inflated Poisson Regression: A Retrospective Study 영과잉포아송회귀분석을 활용한 안정병동에 입원한 정신질환자의 공격행동 예측요인
김정호 Kim Jung Ho , 신성희 Shin Sung Hee
DOI:10.14370/jewnr.2022.28.2.160
Abstract
Purpose: This study was conducted to identify predictors related to aggressive behavior of patients with mental illness admitted to a closed psychiatric ward. Methods: This study adopted a retrospective design which analyzed the hospital medical records of 363 patients with mental illness admitted to the psychiatric closed ward of a university hospital in Seoul, Korea. The collected data were analyzed using SPSS IBM 20.0 and STATA 12.0 SE. ZIP (Zero-Inflated Poisson) and count data analysis were used for the factor influencing the occurrence and frequency of aggressive behavior. Results: The results of ZIP model showed that the factors influencing non-probability of aggressive behavior were anxiety, non-adherence, and frustration. In addition, the factors influencing frequency of aggressive behavior were bipolar disorder and personality disorder trait. Conclusion: We found that bipolar disorder, frustration, and non-adherence are more likely to increase the likelihood of aggressive behavior in patients with mental illness. In particular, patients diagnosed with bipolar disorder were 1.95 times more likely to engage in repetitive aggressive behavior compared to those without a diagnose. However, since the results were different form previous studies, further studies on the traits of anxiety and personality disorders are needed.
Factors Influencing Post-traumatic Stress Disorder in Intensive Care Unit Nurses in Dedicated Hospitals for Coronavirus 19 코로나바이러스 감염증(COVID-19) 전담병원 중환자실 간호사의 외상 후 스트레스 장애 영향 요인
Factors Influencing Post-traumatic Stress Disorder in Intensive Care Unit Nurses in Dedicated Hospitals for Coronavirus 19 코로나바이러스 감염증(COVID-19) 전담병원 중환자실 간호사의 외상 후 스트레스 장애 영향 요인
정현옥 Jeong Hyun Ok , 박혜자 Park Hye-ja
DOI:10.14370/jewnr.2022.28.2.170
Abstract
Purpose: This study aimed to identify the factors influencing post-traumatic stress disorder in intensive care unit nurses in dedicated hospitals for coronavirus disease of 2019 (COVID-19) during the peak of the outbreak. Methods: This study used a cross-sectional correlational design. A total of 100 participants completed questionnaires comprising the Impact of Event Scale-Revised (IES-R), coping strategy indicator, social support, and post-traumatic growth. Post-traumatic stress disorder was classified as normal, mild risk, and high risk. Data were analyzed using χ² test, Fisher's exact test, Kruskal-Wallis test with multiple comparison analysis, Pearson correlation coefficient, and multinominal logistic regression analysis. Results: Fifty seven nurses (57.0%) had a high risk of post-traumatic stress. Higher levels of post traumatic stress were associated with higher levels of social support seeking, and higher levels of avoidance, and lower levels of social support from supervisors. Higher post traumatic growth was correlated with higher social support for seeking coping, and problem solving coping strategies, and social support from supervisors and colleagues. Post-traumatic stress risk was associated with social support seeking and supervisors' social support. In addition, a higher risk of post-traumatic stress was related to COVID-19 work duration and supervisors' social support. Conclusion: Supportive programs, including increasing social support and building coping skills, may be suggested to safeguard the mental health of critical care nurses during the pandemic.
Key Words
COVID-19, Post traumatic stress disorder, Coping strategy, Social support, 코로나-19, 외상후 스트레스, 대처 전략, 사회적지지
Effects of Emotional Labor, Communication Competency, Emotional Intelligence and Social Support on Burnout among Nurses in Outpatient Department 외래 간호사의 감정노동, 의사소통능력, 감성지능 및 사회적 지지가 소진에 미치는 영향
Effects of Emotional Labor, Communication Competency, Emotional Intelligence and Social Support on Burnout among Nurses in Outpatient Department 외래 간호사의 감정노동, 의사소통능력, 감성지능 및 사회적 지지가 소진에 미치는 영향
김지혜 Kim Ji-hye , 장애경 Chang Ae-kyung
DOI:10.14370/jewnr.2022.28.2.179
Abstract
Purpose: Based on the results of Grandey's Emotion Regulation Process Model and previous studies, this study was conducted to identify the relationship between emotional labor, communication competency, emotional intelligence, social support, and burnout, and to identify factors affecting burnout of nurses in outpatient department. Method: The participants were 190 nurses with more than six months of experience working at the outpatient department of a general hospital in Seoul. Data were collected from April 5 to May 28, 2021, and analyzed using SPSS/WIN 25.0. Results: Significant variables affecting burnout were emotional labor, communication competency, emotional intelligence, education, and total clinical experience. Social support showed a statistically significant negative correlation with burnout, but did not affect burnout. Burnout showed a statistically significant a positive correlation with emotional labor, and showed a negative correlation with communication competency, emotional intelligence and social support. We found a negative correlation between burnout and subjective health status. Emotional labor had a positive effect on burnout. Emotional intelligence, clinical experience for more than 10 years, communication competency, and education for masters or higher negatively affected burnout, respectively. They accounted for 49.2% of the total variance of burnout. Conclusion: Based on the results of this study, it is necessary to reduce emotional labor, one of the major predictors of burnout for outpatient care. In order to prevent emotional labor that results in burnout, an integrated program that improves emotional intelligence and communication competency should be developed.
Key Words
Burnout, Emotional labor, Emotional intelligence, Social support, Nurses, 소진, 감정노동, 감성지능, 사회적 지지, 간호사
