• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.168-176
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• 2020

Objectives : Loneliness and poor sleep quality are common phenomena in old age and are associated with negative physical and mental health. However, little is known regarding the relation between loneliness and sleep quality. The aim of this study was to examine the association of loneliness and sleep quality among the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,090 subjects who are the community-residing elderly living alone. Sociodemographic status, medical condition, cognition, mood disorder, sleep quality and levels of loneliness were collected using a self-administered questionnaire and a specific semi-structured interview conducted by trained nurses. Descriptive statistics were used to analyze data regarding sociodemographic variable and loneliness. Univariate and Multivariate regression analyses were applied to examine the association between loneliness and sleep quality after adjustment for multiple confounding variables. Results : The Pittsburgh Sleep Quality Index (PSQI) mean score of "lonely group" (9.2±4.2) was significantly higher than that of "not lonely group" (7.3±3.7) (student-t test, p<0.001). Loneliness was significantly associated with PSQI (standardized β=0.065, p=0.025), sleep disturbance (standardized β=0.086, p=0.005), use of sleep medication (standardized β=0.065, p=0.034) after adjustment for possible confounding variables including sex and mood disorder. Conclusions : Loneliness was associated with sleep disturbance and this finding implied negative impact of loneliness on sleep quality of older adults. Public health promotion efforts to reduce loneliness may improve sleep quality and mental health in the elderly living alone.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.2
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• pp.115-125
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• 2016

Purpose: The purpose of this study was to use meta-analysis to evaluate factors and variables related to the emotional labor of hospital nurses. Method: The study included variables obtained from 66 recently published studies, doctoral dissertations, and master's theses. Results: The related variables were categorized into five factor groups: internal character factor, nursing care related factor, environmental factor, emotional response, and job response. For the defensive variable, job related response (effect size [ES]=-.17), environment (ES=-.14), internal character (ES=-.08), nursing care (ES=-.06), and emotional response (ES=-.06) showed significant effect size among the five categorized variable groups. For the risk variable, internal character (ES=.44), emotional response (ES=.46), environment (ES=.27), job related response (ES=.27), and nursing care (ES=.19) showed significant effect size among the five categorized variable groups. Conclusion: The results of this study identified defensive and risk variables related to emotional labor of hospital nurses. Self-efficacy, social support, leaders' care, and communication are important factors for managing emotional labor of hospital nurses.

• Journal of Korean Academy of Nursing
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• v.19 no.3
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• pp.259-272
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• 1989

This study was designed to measure the degree of work stress perceived by clinical nurses working in psyciatric ward, and to identify the factors influencing the difference of work stress. The survey method was used and the subjects of this study consisted of 135 psyciatric nurses from 7 university hospitals and 4 provincial general hospitals. The data were collected from August 1 to 20, 1988. The instrument used for this study was PNOSS(Psychiatric Nurse Occupational Stress Scale) which was developed by Bai(1989). The confidence verification of this instrument was computed and the Cronbach $\alpha$ was 0.94050. Data were analysed by t-test and ANOVA on 5% significant level with SPSS program. The results of study were summerized as follow : 1) The degree of perceived stress among psychiatric nurses was considerably high(4.32 out of 6.00). 2) Among the stressors, inadequate staffing(5.04), hospital administrational problems (4.7) and the conflict of nurse-patient relationship were identified as the stress factors with high rank of degree of stress. 3) There was significant relationship between the degree of stress and the demographic variables of nurses such as the marital status, educational level, and the motivation of working in psychiatric ward. 4) There was significant relationship between the job-related variables such as the working duration, the motivation of working and nurse's attitude toward the psychiatric patients. 5) The relationship between several stress factors and some of the demographic and the job-related variables were significantly identified.

• The Journal of Korean Academic Society of Nursing Education
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• v.14 no.1
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• pp.108-116
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• 2008

Purpose: The purpose of this study was to identify the experiences of Team-Spirit training in new nurses. Method: Data was collected through open-ended and self-reported questionnaires which were received from 47 new nurses who had finished team-spirit training for 2 days. The content analysis method was used to derive the core-category, categories and concepts of Team-Spirit training for new nurses. Result: The care category identified in new nurses trained in Team-Spirit was upgrade myself and our team. The following 4 categories also emerged; companion, interdependency, importance of community, and future growth of myself and our community. The derived 12 subcategories were intimacy, importance of companions, binding, partaking in difficulties, empowerment, observing rules, cooperation, consensus, self-pledge as a subordinator, motivating vision formation, developing professionalism, contribution and devotion. The 34 concepts were derived from the new nurses' statements. Conclusion: These results imply that Team-Spirit Training for nurses could contribute to companionship, interdependency, importance of community, and future growth of oneself and the hospital team.

• Journal of Korean Academy of Nursing
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• v.46 no.2
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• pp.168-182
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• 2016

Purpose: The purpose of this qualitative study was to evaluate the experience of role adaptation from nurse to member of the nursing faculty. Methods: Data were collected from 13 members of a nursing faculty through in-depth interviews. The main question asked was "Could you describe your experience from being a nurse to becoming a member of the nursing faculty?" Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core experiential category of role adaptation from nurse to member of the nursing faculty was 'striving for survival from culture shock'. The participants used the following three interactional strategies: 'recognizing everything and entering the school environment', 'self-reflection on being a professor and integration of experiences', and 'finding a way of adapting'. Conclusion: The participants tried to adapt to life as a professor and reflected on and integrated their experiences into their new life on the faculty. College faculty need to understand the impact of changes and challenges faced by new professors during role adaptation and to support this adaptation through mentorship and organized orientation programs.

• Korean Journal of Occupational Health Nursing
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• v.32 no.1
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• pp.30-38
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• 2023

Purpose: This study aimed to investigate the effect of positive psychological capital, empathy ability, and stress coping style on psychiatric ward nurses' compassion fatigue. Methods: Data were collected using structured questionnaires for 140 psychiatric ward nurses. The data were analyzed using t-test, one-way ANOVA, and hierarchical regression. Results: The variable predictors of compassion fatigue were as follows: positive psychological capital (β=-.35, p<.001), empathy ability (β=.32, p<.001), and passive coping (β=.25, p=.004). These factors explained 27% of compassion fatigue, and psychological capital was found to have the greatest influence among these variables. Conclusion: Positive psychological capital, empathy ability, and passive coping are important factors influencing nurses' compassion fatigue in psychiatric wards. It is necessary to develop interventions and appropriate coping styles that strengthen positive psychological capital to prevent and reduce nurses' compassion fatigue in psychiatric wards. In addition, it is necessary to identify the required level of empathy ability to maintain a therapeutic relationship.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.3
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• pp.2038-2046
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• 2015

The objective of this study was to the effects of emotional labor and nursing organizational culture on the empowerment among psychological nurses. The subjects of this study were the psychological nurses working at 3 mental hospitals in C city. The self-reported questionnaires were administered to 162 psychological nurses and data were analyzed with SPSS 19.0. The result was following: There was a significant relationship between empowerment and nursing organizational culture(r = .38, p = .001). Nursing organizational culture(${\beta}=0.32$, p < .001), age(${\beta}=0.21$, p < .05), education level (${\beta}=0.94$, p < .05) and type of duty(${\beta}=2.11$, p < .05) had an influence on empowerment. The explanation power was shown to be 23.1%. The findings suggested that the empowerment intervention program should be developed in order to improve psychological support, manage nursing organizational culture among psychological nurses.

• Journal of Korean Academy of Nursing
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• v.47 no.1
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• pp.49-59
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• 2017

Purpose: The purpose of this study was to identify non-psychiatric nurses' difficulties in caring for patients with mental illness. Methods: Data were collected from eighteen general medical-surgical nurses working at a university hospital in Seoul, Korea. This study involved two focus group discussions and three in-depth individual interviews. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. Results: General medical-surgical nurses experienced difficulties in 3 categories, 9 subcategories, 27 codes. The three categories were 'nurse' related factors, 'patient' related factors, 'resource' related factors. The nine categories were 'unpreparedness', 'nursing barriers due to stigma', 'undervaluing and avoidance of psychiatric nursing', 'eroding into the trap of a vicious cycle', 'facing unapproachable patients', 'dealing with unhelpful family members', 'burdening already overburdened staff', 'obstructive environment', and 'isolation of staff with heavy responsibilities'. Conclusion: The results of this study indicate the need to develop psychiatric mental health education programs for non-psychiatric nurses. Education about psychiatric mental health and support from institutions for non-psychiatric nurses can reduce their negative attitude toward psychiatric patients and difficulties in caring for psychiatric patients.

• Journal of Industrial Convergence
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• v.17 no.2
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• pp.63-70
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• 2019

This study was conducted to identify the empathy ability of nursing college students and prejudice and discriminatory behavior against the mentally ill and to analyze the relationship between them. The study included 281 nursing college students located on K province. Studies show that the empathy of nursing college students is positive for prejudice and discrimination behavior, negative correlation, prejudice and discriminatory behavior and that there are differences in empathy depending on whether they have experience in volunteer activities. Discriminatory behavior differed depending on the age and grade of the subjects. In order to reduce discriminatory behavior and prejudice among nursing college students, it will be necessary to increase direct and indirect experience opportunities to improve empathy and also to require systematic education and practical courses considering the characteristics of the subjects. This will contribute to improving the awareness and attitude of nursing college students as future professional nurses.

• Korean Journal of Psychosomatic Medicine
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• v.26 no.2
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• pp.172-178
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• 2018

Objectives : This study aimed to describe the use of over-the-counter (OTC) drugs and to identify predictors for their use in the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,099 subjects. Data regarding socio-demographic status, medical condition, cognition, mood disorder and use of OTC drugs were collected using self-administered questionnaire and from a specific semi-structured interview by a trained nurse. Data regarding use of OTC drugs were analyzed using descriptive statistics. Logistic regression analysis was applied to examine factors associated with the use of OTC drugs. Results : The use of OTC drugs were reported by 35.4% of the subjects. Analgesics (13.6%) was the most frequent drugs. Depression (OR=1.10, 95% CI=1.10-1.87) and comorbidities measured by cumulative illness rating scale (CIRS) (OR=1.08, 95% CI=1.03-1.12) were significantly associated with the use of OTC drugs in the elderly living alone. Conclusions : Depression and severity of underlying medical conditions could be a predictor of the use of OTC drugs in the elderly living alone. The clinicians should be vigilant regarding the potential use of nonprescription medications in the elderly.