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Volume 29(2); June 2021
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Original Articles
A Systematic Review of Communication Programs for Nurses Working in Hospitals
Yeseul Jeon, Heeseung Choi
STRESS. 2021;29(2):69-79.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.69
  • 197 View
  • 10 Download
Abstract PDF
Background

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

Methods

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.

Results

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.

Conclusions

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 Influencing Factors of Burnout in Nurses in the COVID-19 Pandemic Disaster
Jeong Yee Bae, Eun-kyung Lee, Bi-Joo Kim, Eun Ju Lee
STRESS. 2021;29(2):80-86.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.80
  • 390 View
  • 30 Download
  • 5 Citations
Abstract PDF
Background

This study aims to identify factors influencing burnout in nurses during COVID-19 disaster situations.

Methods

The research subjects were 131 nurses who had the experience of nursing patients during the COVID-19 pandemic, and were selected through convenience sampling. The collected data were subjected to percentage, mean and standard deviation, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis using the SPSS version 24.0 program.

Results

Burnout in nurses showed a statistically significant correlation with anxiety, PTSD, and depression. It was also confirmed that nurses’ depression and shift work were important factors that had significant effects on burnout.

Conclusions

In preparation for new infectious diseases that are expected to become more frequent in the future, a policy to supply nursing manpower and prevent burnout is necessary. In addition, it is necessary to introduce various work systems and develop and disseminate intervention programs for depression and burnout.

Effectiveness of a Cognitive-Behavioral Stress Management Program on Psychosocial Stress, Mood State, and Ways of Coping for Emergency Department Nurses
Ja-Hyun Kim, Kuem-Sun Han
STRESS. 2021;29(2):87-96.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.87
  • 177 View
  • 11 Download
Abstract PDF
Background

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.

Methods

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.

Results

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.

Conclusion

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.

Relationships among Person-Centered Care Competence, Empathy, Mindfulness and Difficulties in Emotional Regulation among Undergraduate Nursing Students
Hee Kyung Chang, Young Joo Do, Sang Mi Han, Bo Ram Kim
STRESS. 2021;29(2):97-105.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.97
  • 203 View
  • 10 Download
  • 1 Citations
Abstract PDF
Background

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

Methods

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.

Results

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.

Conclusions

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.

Longitudinal Associations of Perceived Social Inequality and Subjective Socioeconomic Status with Anxiety and Depression in University Students
Hae-lim Noh, Eun-Jung Shim
STRESS. 2021;29(2):106-114.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.106
  • 204 View
  • 6 Download
Abstract PDF

본 연구의 목적은 대학생들이 지각하는 사회적 불평등 및 주관적인 사회경제적 지위와 우울 및 불안의 종단적 관계를 확인하는 것이다. 한국의 대학생들을 대상으로 2016년 한 학기 동안 세 시점에 걸쳐 온라인 설문지를 작성하게 하였고, 총 247명의 데이터가 분석에 포함되었다. GEE 분석 결과, 지각된 사회적 불평등이 높아질수록 우울의 위험율도 높아졌으며(OR=1.56), 주관적 사회경제적 지위가 낮을수록 불안(OR=1.39) 및 우울(OR=1.38)의 위험율이 높아졌다. 해당 결과는 치료 장면에서 대학생들의 불안 및 우울을 다룰 때 이들의 불평등 인식 및 주관적 사회경제적 지위도 고려해야함을 시사한다.

The Mediating Effects of Parenting Stress on the Relationship between the Health Problems of Children with Food Allergies and the Perceived Health Status of Parents
Young Il Cho, Hyo Jin Kim, Dong Hee Kim
STRESS. 2021;29(2):115-121.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.115
  • 161 View
  • 4 Download
Abstract PDF
Background

Understanding and managing the health of children diagnosed with food allergies and their families are becoming increasingly important. The purpose of this study was to verify the mediating effect of parenting stress on the relationship between the health problems of children with food allergies and the perceived health status of parents.

Methods

A self-report questionnaire was administered to 80 parents of children diagnosed with allergies to determine the child’s food allergy characteristics, concerns about the child’s health, parents’ health status, and parenting stress, through which the number of allergy-inducing foods, the structural relationship between health concerns about children, parenting stress, and perceived parental health status, and the indirect effects of parenting stress were verified.

Results

Parenting stress statistically significantly mediated the relationship between children’s health problems and perceived health status of parent.

Conclusions

Reducing the parenting stress of parents of children with food allergies can increase parents’ health status. Since parental health is an important factor in child management, it is suggested that parenting stress interventions be included in the comprehensive management of children with food allergies.

Relationships between Self-Criticism, Rejection Sensitivity, Self-Attack, and Non-Suicidal Self-Injury
Jae Hee Kim, Kyung Hyun Suh
STRESS. 2021;29(2):122-129.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.122
  • 168 View
  • 3 Download
Abstract PDF
Background

This study aims to investigate the relationships between self-criticism, rejection sensitivity, self-attack, and non-suicidal self-injury among college students, and to verify a path model to predict non-suicidal self-injury.

Methods

The participants were 239 male and female college students who had experienced self-injury. The psychological tests used in this study were the Inventory of Statement about Self-Injury, Form of Self-Criticizing/Attacking and Self-Reassurance Scale, and the Rejection Sensitivity Questionnaire.

Results

Results showed that self-criticism, rejection sensitivity, and self-attack were positively correlated with non-suicidal self-injury, and that rejection sensitivity was positively correlated with self-criticism and self-attack. A model was adopted that includes a direct path from self-criticism to non-suicidal self-injury, while self-criticism and rejection sensitivity affect non-suicidal self-injury indirectly through self-attack.

Conclusions

It was found that rejection sensitivity indirectly affects non-suicidal self-injury through self-attack, and self-criticism directly affects non-suicidal self-injury and indirectly affects non-suicidal self-injury through self-attack.

The Effect of Ability of Application on Psychological Well-Being in People with Mental Illness: The Moderated Mediating Effects of Empowerment and Anger
Yeun-Joo Hur, Joon-Ho Park, MinKyu Rhee
STRESS. 2021;29(2):130-139.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.130
  • 169 View
  • 3 Download
Abstract PDF
Background

This study was conducted to identify the roles of empowerment and anger in the relationship between ability of application and psychological well-being among the subfactors of Competency to Consent to Treatment.

Methods

The research participants consisted of 191 psychiatric patients who had voluntarily agreed to receive treatment through psychiatric departments in Gyeongsangnam-do and Jeollanam-do. The moderated mediating effects of empowerment and anger were verified.

Results

Empowerment fully mediated the relationship between applicability and psychological well-being, which was moderated by anger regulation levels.

Conclusions

Empowerment must be treated as important to promote psychological well-being in psychiatric patients. Also, intervention for anger regulation is needed.

Effects of Social Support, Pregnancy Stress, and Anxiety on Health-Related Quality of Life in Pregnant Women
Hyun Jung Kim, Hee Sun Kang
STRESS. 2021;29(2):140-148.   Published online June 30, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.2.140
  • 208 View
  • 4 Download
  • 2 Citations
Abstract PDF
Background

The purpose of this study was to identify the relationships between social support, pregnancy stress, and anxiety of pregnant women and to determine their effect on health-related quality of life.

Methods

A total of 202 pregnant women participated in this study. The collected data were analyzed by the frequency and percentage, mean and standard deviation, independent t-test, ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis using the STATA/IC 15.1 program.

Results

As a result of this study, the major factors affecting the health-related quality of life of pregnant women were identified as anxiety, educational level, social support, and marital satisfaction. Social support has a positive effect on the health-related quality of life of pregnant women (β=0.27, p< .001), but anxiety had a negative effect (β=−0.56, p<.001).

Conclusions

When planning nursing interventions to improve the health-related quality of life of pregnant women, strategies for lowering the anxiety and improving the social support of pregnant women should be considered.


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