2021, Vol.11, No.1

Global Health and Nursing 2023 KCI Impact Factor : 0.85

pISSN : 2233-5560 / eISSN : 2671-5554
https://journal.kci.go.kr/rins

Purpose: This study aimed to identify the factors influencing nursing practice for physical restraints among nurses in long-term care hospitals. Methods: This cross-sectional correlational study included 151 nurses working at 14 long-term care hospitals. Data were collected using self-administered questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Scheffé’s test, Pearson correlation coefficients, and multiple regression with the SPSS 25.0 program. Results: The mean score of nursing practice for physical restraints, perception of physical restraints, moral sensitivity, and organizational culture score of the participants were 38.39±3.12 (possible scores=14~42 points), 55.66±10.29 (17~85 points), 132.00±13.28 (34~170 points), and 66.53±8.85 (20~100 points), respectively. Relationship-oriented organizational culture, age, moral sensitivity, and number of patients per registered nurse and nurse aide were significant predictors of nursing practice for physical restraints in nurses accounting for 27% of the variance. Conclusion: This study suggested that relationship-oriented organizational culture, high moral sensitivity of nurses, and optimal nursing staffing may be enhance nursing practice for physical restraints in long-term care hospitals.

Purpose: This study aimed to determine the factors related to the knowledge and attitudes of critical care nurses, pertaining to end-of-life care in the ICU. Methods: A descriptive correlational study using a self-report survey was conducted, and the results were evaluated using the Scale of End-of-Life Care in the ICU (EOL-ICU). The participants were all ICU nurses at a university hospital in Seoul. The response rate was 73%. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression using the SPSS 25.0 statistical program. Results: The EOL-ICU knowledge score was positively correlated with the length of the clinical career (r=.20, p=.017), the length of the ICU career (r=.20, p=.017), and the level of interest in hospice and palliative care (r=.20, p=.023). Moreover, age (r=.23, p=.006), the length of the clinical career (r=.19, p=.025), the length of the ICU career (r=.20, p=.023), and the number of dying patients he or she takes care of per month (t=-2.55, p=.012) were significantly associated with the EOL-ICU attitude score. Conclusion: It is necessary to provide education and training programs to improve knowledge and skills related to end-of life care in ICUs.

Purpose: The study aimed to determine the mediating effect of resilience in the association perception of interpersonal stress, burnout, and job satisfaction among emergency room nurses. Methods: Data were collected from June 15 to July 31, 2018. The study was conducted on 187 emergency room nurses with more than six months of medical care experience and were included in the selection criteria in 10 hospitals in Busan, Yangsan, and Changwon. Four instruments were used: Job stress, Copenhagen Burnout Inventory (CBI), Job satisfaction, and Connor Davidson-Resilience Scale (CD-RISC). Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, Pearson's Correlation, Sobel test, and multiple regression analysis using the IBM SPSS Statistics 21.0 program. Results: It was found that resilience had significant differences according to marital status (t=-2.97, p=.003), religion (t=2.15, p=.033), education level (t=-3.79, p<.001), and monthly income (F=5.13, p=.007). The analysis of the mediating effect of resilience between emergency room nurses' interpersonal stress and burnout showed that resilience had a significant partial mediating effect (Z=2.03, p=.043). The analysis of the mediating effect of resilience between emergency room nurses’ interpersonal stress and job satisfaction showed that resilience had a significant partial mediating effect (Z=-2.47 p=.014). Conclusion: This study proposes developing a program to reduce and manage the interpersonal stress of emergency room nurses by improving resilience by confirming the mediating effect of resilience in the relationship between interpersonal stress and exhaustion and job satisfaction for emergency room nurses.