Search

Purpose: This study aimed to evaluate senior baccalaureate nursing students' knowledge and visual differentiation ability for the pressure injury classification system (PICS) and incontinence-associated dermatitis (IAD). Methods: A cross-sectional survey was conducted using a paper-based questionnaire with 120 senior baccalaureate nursing students in South Korea. Data were collected using a knowledge test (KT) and a visual differentiation tool (VDT) based on 21 photographs with clinical information related to PICS and IAD. Results: Students had relatively high KT scores (62.6%), and low VDT scores (35.6%). Critical issues in this study were nursing students' lack of an adequate visual differentiation ability to accurately assess the stage of pressure injury and IAD and their higher level of confusion in identifying unstageable, deep tissue injuries, and IAD compared to stage 1-4 injuries. Satisfaction with education (r=.20, p<.05) and exposure to various teaching methods (r=.21, p<.05) exhibited significant correlations with higher VDT scores. Conclusion: The findings of this study suggest that increasing students' satisfaction with their education and applying various teaching methods can contribute to the improvement of visual differentiation ability in PICS. [ABSTRACT FROM AUTHOR]

Purpose : In this study, we aimed to assess the impacts of grit, patient safety competence, and patient safety culture on the patient safety nursing activities of nurses in comprehensive nursing service wards. Methods : Here, a self-reported survey of 179 nurses from three tertiary hospitals was performed. Data from 171 valid responses were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Pearson's correlation, and stepwise multiple regression analyses. Results : The key sub-factors influencing the patient safety nursing activities were attitude (β=.30, p<.001) and skill (β=.26, p<.001) in the patient safety competence factor and safety environment (β=.26, p<.001) in the patient safety culture factor. The regression model explained 42.7% of the variance in patient safety nursing activities (F=43.29, p<.001). Conclusion : Overall, these findings highlight the importance of improving the nurse attitude and skills related to patient safety as well as the safety environment in hospitals to enhance the patient safety nursing activities in comprehensive nursing service wards. Targeted educational and training programs should be provided along with organizational support to establish a safe and supportive nursing environment in comprehensive nursing service wards. [ABSTRACT FROM AUTHOR]

Purpose: This study examined the influence of patient safety management systems, leadership, and communication types on nurses' patient safety management activities. Methods: Participants were 237 nurses who has been working in medical institutes for over 6 months. Online self-report questionnaires were conducted. Measures included patient safety management systems, transformational leadership, authentic leadership, communication types, and patient safety management activities. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression with SPSS/WIN 24.0. Results: According to the general characteristics, patient safety management activities were higher among nurses who were female (t=4.27, p<.001), charge nurses (t=-2.41, p=.016), had healthcare accreditation experience (t=4.36, p<.001), and worked in nursing units implementing a team nursing method (F=6.26, p=.002) with more than 30 nurses (F=6.28, p=.043). Female nurses (β=.16, p=.015) with high authentic leadership (β=.21, p=.002), low informal communication (β=-.21, p=.004), and high downward communication (β=.19, p=.009) showed higher patient safety management activities. The models' explanatory power was 21.0%. Conclusion: Based on the results of this study, further research is needed to investigate the differences in patient safety management activities according to gender, the number of nurses per ward, and the nursing delivery system. Lowering informal communication and strengthening authentic leadership and downward communication may improve nurses' patient safety management activities. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to explore the fear of cancer recurrence and unmet needs in triple negative breast cancer survivors. Methods: A cross-sectional descriptive design was used for this study. Data were collected from 331 triple negative breast cancer survivors using Fear of Cancer Recurrence Inventory (FCRI) and the Comprehensive Needs Assessment Tool in cancer (CNAT). In addition, descriptive statistics, a t-test, and one-way ANOVA were used for analysis. Results: Among triple-negative breast cancer survivors, 92.7% experienced fear of cancer recurrence, and 59.2% reported a severe fear of recurrence. The severity of fear of cancer recurrence differed significantly according to monthly household income (t=2.25, p=.025), cancer stage (F=4.26, p=.006), and recurrence history (t=-3.79, p<.001). Unmet needs were notably high, particularly in information and psychological problems. Furthermore, there were differences in unmet needs depending on the severity level of fear of cancer recurrence. Conclusion: Most triple-negative breast cancer survivors experience fear of cancer recurrence, but management was found to be inadequate. Therefore, nursing interventions are needed to alleviate this fear. Additionally, unmet needs vary depending on the severity of the fear of cancer recurrence. It will be necessary to assess the fear of cancer recurrence among triple-negative breast cancer survivors and manage unmet needs according to its severity. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to investigate the impact of ethical nursing competence and positive nursing organizational culture on person-centered care among intensive care unit (ICU) nurses. Methods: A cross-sectional research design was adopted for this study. The participants were 156 ICU nurses working at three hospitals in Seoul City and Gyeonggi-do. The data were collected from September 8 to September 30, 2023. The questionnaire consisted of tools for general characteristics, person-centered care, ethical nursing competence, and positive nursing organizational culture. Results: Participants had a mean age of 28.90±5.38 years, and the mean score for person-centered care was 3.65±0.46. Person-centered care was influenced by ethical nursing competence (β=.60, p<.001) and positive nursing organizational culture (β=.21, p=.004). The explanatory power was 32.4% (F=13.36, p<.001, Adj. R2 =.324). Conclusion: Based on the findings of this study, to improve the performance of person-centered nursing by ICU nurses, it is necessary to provide ongoing, systematic education focusing on ethical nursing. This educational initiative should be designed to address the specific ethical challenges encountered in ICU settings. In addition, strengthening managers' active leadership and promoting a positive nursing organizational culture can be expected to improve person-centered nursing performance. [ABSTRACT FROM AUTHOR]