This study aimed to identify the relationship between person-centered care competence, empathy, mindfulness, and difficulties in emotional regulation among undergraduate nursing students.

The subjects of this study were 220 undergraduate nursing students from three colleges in Gyeongsangnam-do. Data were analyzed using descriptive statistics, Pearson correlation coefficients, Independent t-test, one-way ANOVA, and Scheffé test with SPSS/WIN 21.0.

The mean scores of person-centered care competence, empathy, mindfulness, and difficulties in emotional regulation were 3.82±0.51, 3.48±0.36, 4.17±0.37, 1.46±0.61, respectively. Empathy (r=.33, p< .001) and mindfulness (r=.14, p=.046) were significantly correlated with person-centered care competence.

The results indicate that variables related to person-centered care competence are empathy and mindfulness. Therefore, educational programs for increasing person-centered care competence should include strategies that can be developed to promote and sustain empathy and mindfulness among nursing students.

The study was undertaken to evaluate the effects of a cognitive-behavioral stress management program on psychosocial stress, mood states, and ways of coping with stress for emergency department (ED) nurses.

The study design was a non-equivalent control group with a pre/post design. The study was conducted from July 1, to September 30, 2016. The sample population comprised nurses who work in ED in Seoul, South Korea. The sample size was 79 which included 39 in the experimental group and 40 in the control group. Seven sessions of a program (50 minutes/session) were provided over 4weeks. Data were analyzed using descriptive statistics: the χ²-test and the t-test with the SPSS/WIN 21.0 program.

There were statistically significant differences in psychosocial stress, mood states, and ways of coping with stress between the experimental group and the control group. However, the sub-hypothesis regarding the degree of using passive coping skills was not supported.

The results of this study indicate that a cognitive-behavioral stress management program for ED nurses is effective in reducing psychosocial stress, changing mood states positively, and improving ways of coping with stress effectively.

Despite the implementation of several communication programs for nurses working in hospitals, no evidence-based systematic review has yet been conducted on their efficacy.

In this systematic review of communication programs for nurses, we searched for literature published between 2011 and 2020 in four foreign databases and one domestic database (PubMed, Embase, CINAHL, PsycINFO, and RISS). The papers identified were evaluated on their quality using Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2). The main search terms included “nurse”, “communication”, “program”, and “intervention.” Thirteen articles were included in the final analysis.

The communication programs utilized various teaching methods – such as simulation, reflection, and debriefing – with a majority of these programs significantly improving participants’ communication skills and performance. However, the overall quality of the studies was low concerning the randomization process and measurement; relatively few studies made use of online education methods. All variables assessed using self-reported measures were significant, but not all showed significant results when using objective measures as assessed by the evaluators.

The study’s findings suggest a need for programs dealing with nurses’ communication with health care providers in diverse clinical settings and online-based simulation programs. Moreover, high-quality literature applying the randomization process and measurement is required. Additionally, it is necessary to use both subjective and objective measures to evaluate the overall communication capacities of nurses and reflect the contextual characteristics of various clinical settings.

The purpose of this study was to investigate the mediating effect of social support and its relationship between workplace violence and depression in nurses.

This was a cross-sectional descriptive study that included 128 registered nurses who had worked at medical institutions, except those who experienced depression without workplace violence in Korea. The data were collected between July and August 2020 using online surveys. The mediating effect was performed using multiple hierarchical regression.

The rate of workplace violence was 82.8% (n=106). According to the type of workplace violence, the rates of verbal violence, physical threat, and physical violence were 79.7%, 67.2%, and 33.6%, respectively. A positive correlation between workplace violence and depression was found (r=.30, p<.001), whereas social support showed negative correlations with workplace violence (r=−.18, p=.045) and depression (r=−.26, p=003). This study found a partial mediating effect between workplace violence and depression.

It is important to develop strategies to improve the social support of nurses who experienced workplace violence and effectively prevent and manage depression.

This is a cross-sectional survey to explore the effect of spiritual well-being and spiritual care competence on performing of spiritual nursing by nurses caring for cancer patients.

The participants were 214 nurses with experience of caring for cancer patients for more than one year. The data were collected by an online survey using the spiritual well-being scale, spiritual care competence scale, and spiritual nursing scale.

The factors influencing the performing of spiritual nursing were communication (β=0.36, p<.001), satisfaction from spiritual nursing (β=0.21, p=.001), importance of religion (β=0.18, p=.013), existential well-being (β=0.18, p=.010), and knowledge acquisition of spiritual nursing (β=0.14, p=.033). The explanatory power of these variables on performing of spiritual nursing was 41.1%. When spiritual nursing was not carried out, 42.6% of nurses felt sorry and pitiful towards the patient; and 46.4% pointed out the difficulties in working environment that posed an obstacle.

We should develop an integrated program on spiritual nursing improvement, focusing on these key factors, to enhance the performance of spiritual nursing for cancer patients and to verify its effectiveness.

This study aimed to evaluate the perceived male friendliness in nursing programs and to identify the relationship of this with gender role stereotype and major satisfaction.

A convenience sample of 193 male nursing students was recruited for the cross-sectional survey design. Data were analyzed using descriptive statistics, Pearson’s correlation coefficients, independent t-test, and one-way ANOVA with the SPSS/WIN 21.0.

The mean scores of male friendliness, major satisfaction, and gender role stereotype were 2.94±0.35, 3.72±0.81, and 2.58±0.53, respectively. Perceived male friendliness in nursing programs was found to be correlated with gender role stereotype (r=−.215, p<.001). Participants who completed maternal nursing courses showed lower male friendliness (t=−4.53, p<.001).

Improving the male friendliness of maternal nursing courses and flexible gender role stereotyping should be considered when developing effective strategies to improve male friendliness in nursing programs.

This study aimed to develop a simulated educational program on conflict management communication skills and to evaluate the effects of the simulated program on nursing students.

The research design was qualitative and made use of surveys to gather data. Study participants included four professors from different nursing colleges, six registered nurses from different university hospitals, and five 4th year students from a nursing college.

A simulated conflict management program scenario was developed to improve communication skills by presenting four consecutive situations involving a patient, doctor, insurance review staff, and head nurse. The appropriateness of the scenario content, flow, level of the scenario, educational objectives, learner activities, and evaluation tools were verified through expert opinion surveys and pilot tests. This simulated communication program enhanced students’ knowledge and confidence, cultivated communication skills, and provided educational satisfaction by creating an opportunity for them to integrate and apply their knowledge about communication through experiencing communication conflict situations that occur frequently in clinical practice.

The results of the simulated conflict management education program can contribute to nursing students’ communication skills and self-efficacy in terms of inter-professional communication.

This study aimed to explore the experience of nurses who work in small-medium sized psychiatric hospitals.

This study used a qualitative descriptive design. Using content analysis, face to face interview data from 10 nurses working in two small-medium sized psychiatric hospitals were analyzed.

Data analysis has been extracted into five domains (i.e., stress, crisis response, resource, support, and communication) and 11 subcategories (i.e., anxiety and tension, exposure to violence, workload, endure by myself, working in pairs principle is not followed, the replacement of a nurse’s vacancy with an assistant, lack of resources in emergencies, lack of compensation, lack of education for empowerment, lack of post-traumatic support, and non-cooperation).

Current research regarding night shift at private mental hospitals is insufficient. Prioritizing more nursing staff is required to improve the working environment. Nurses experienced anxiety, tension, exposure to violence, and excessive workload during the night shift, and endured these crises alone. In addition, an increasing number of nursing staff urgently felt the need to work in pairs and demanded more auxiliary staff for emergencies. Nurses also wanted sufficient compensation, education for empowerment, and post-traumatic support. Ultimately, cooperation with other departments is essential.

The occurrence of nurse burnout, which could affect the quality of nursing, largely depends on the characteristics of a hospital department. An operating room (OR) environment comes with a high possibility of nurses committing errors, and OR nurses respect the value of patient safety and perform their safety management duties as needed. Although patient safety culture in an OR might affect OR nurse burnout, there is insufficient evidence to show such an association.

This cross-sectional study was conducted in a hospital in Seoul, South Korea in 2019. One-hundred and twenty-two OR nurses completed the Safety Attitude Questionnaire Korean version 2 and Maslach Burnout Inventory that measured perceived levels of patient safety culture and burnout, respectively.

Correlation analyses found that lower burnout was significantly associated with better patient safety culture. Through a multiple regression, the predictors of emotional exhaustion in patient safety culture identified were job satisfaction (β=−.524, p=.000) and working conditions (β=−.282, p=.015). Working conditions predicted depersonalization (β=−.323, p=.009), while job satisfaction predicted lack of personal accomplishment (β=−.250, p=.004). Meanwhile, years in the unit (β=−.397, p=.001) predicted lack of personal accomplishment.

These results suggest an important role for two dimensions of patient safety culture in mitigating burnout among OR nurses. It would be effective to improve working conditions in ORs by reducing the nurse-patient ratio, and to enhance job satisfaction among OR nurses by securing resources introduced by the conservation of resources theory.