Sangjin Ko

Background: Person‐centred care (PCC) recognises patients as unique individuals and provides care through person‐centred communications. Aim: This study aimed to examine the combined associations of nursing competency (prerequisite), positive organisational culture (care environment) and delirium care burden (contextual barrier) with PCC among intensive care unit (ICU) nurses, based on McCormack and McCance's Person‐Centred Nursing Framework. Study Design: This descriptive cross‐sectional study included nurses working in the ICUs of a university hospital in South Korea. The data were collected between 30 June and 17 July 2023. The survey assessed general characteristics, nursing competency, positive organisational culture, delirium care burden and PCC. Data were analysed using descriptive statistics, independent t‐tests, one‐way analysis of variance, Pearson's correlation coefficients and multiple regression analysis. Results: PCC was significantly and positively correlated with nursing competency ( r = 0.37, p < 0.001) and positive organisational culture ( r = 0.46, p < 0.001). Multiple regression analysis revealed that positive organisational culture ( β = 0.39, p < 0.001) and nursing competency ( β = 0.27, p < 0.001) were significantly associated with PCC, whereas delirium care burden was not significantly associated with it. Conclusions: To enhance PCC in ICUs, it is essential to strengthen nursing competency (prerequisite) and foster a positive organisational culture (care environment). The lack of a significant association between delirium care burden and PCC suggests that ICU nurses maintain person‐centred practices despite care strains. Relevance to Clinical Practice: To improve nursing competency and organisational culture, competency development programmes tailored to the professional characteristics of ICU nurses are necessary, along with adequate resource allocation and human resource management. Furthermore, organisational‐level efforts such as improving policy and reward systems are required to create a supportive care environment.

This study aimed to examine the collective associations of teamwork, communication skills, and organizational silence on the perioperative competence of op

Background: Near‐miss reporting intention is essential for patient safety; however, reporting rates among nurses remain low. Nurses’ silence behavior—the intentional withholding of work‐related concerns—is a key barrier to reporting. While authentic leadership is known to promote nurses’ voice behavior, research examining the relationships between authentic leadership, nurses’ silence behavior, and near‐miss reporting intention remains limited. Therefore, this study aimed to examine the abovementioned relationships and to test the mediating role of nurses’ silence behavior. Methods: A predictive correlation design was used. Data were collected from 171 nurses at three general and tertiary hospitals in South Korea between August 20 and September 15, 2022. The mediating effect of silence behavior on the relationship between authentic leadership and near‐miss reporting intention was tested using the PROCESS macro (Model 4). Results: Authentic leadership was negatively associated with nurses’ silence behavior ( B = −0.27, p < 0.001), and silence behavior was negatively associated with near‐miss reporting intention ( B = −0.65, p = 0.008). Authentic leadership did not have a significant direct effect on near‐miss reporting intention ( B = 0.36, p = 0.142) but had a significant indirect effect through the mediator ( B = 0.18, 95% CI = 0.03–0.37). Conclusion: Authentic leadership is indirectly linked to higher near‐miss reporting intentions through lower individual silence behavior among nurses. To enhance reporting intentions, it is necessary to mitigate situational constraints associated with silence and foster an environment conducive to open communication. Implications for Nursing Management: Nurse managers should consistently practice authentic leadership to dismantle rigid hierarchical atmospheres and cultivate an open communication climate. This targeted strategy may help reduce nurses’ silence behavior and encourage active participation in patient safety–strengthening behaviors, thereby creating a secure healthcare setting.

Purpose: Cancer survivors frequently experience chemotherapy-related cognitive impairment (CRCI), which contributes to difficulties in memory and thinking. Effective rehabilitation programs are therefore essential to help survivors manage CRCI and improve quality of life.Methods: A systematic search of CINAHL, Cochrane Library, PubMed, and Embase identified studies that met predefined criteria based on participant, intervention, comparison, outcome, and study design. The primary outcome was analyzed using a random-effects model with statistical significance set at p<.05. Heterogeneity was assessd using the I2 statistic.Results: Of 10,288 screened studies, 10 met the inclusion criteria. Neurocognitive rehabilitation programs showed a small but statistically significant overall effect on cognitive function (Hedges' g=0.45, 95% CI=0.29~0.61, Z=5.57, p<.001). Subgroup analyses indicated significant effects for both overall cognitive function and specific cognitive domains (p<.001).Conclusion: Neurorehabilitation programs are effective in enhancing cognitive function among cancer survivors, with optimal outcomes observed in interventions delivered for one to two hours per session over five to seven weeks.

Purpose: The coronavirus disease 2019 pandemic has led to significant societal changes such as a rapid shift toward online learning, including college classes moving to virtual platforms. This study investigated the relationship between face-to-face communication time, digital burnout, social intelligence, and loneliness among college students during the pandemic.Methods: This descriptive correlation study was conducted with 172 college students who participated in an online survey from July 1 to July 9, 2022. Face-to-face communication time, digital burnout, social intelligence, and loneliness were measured. Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation, and regression analysis were used to analyze the collected data.Results: Digital burnout (β= -.21, p=.011) and loneliness (β= -.46, p<.001) were significantly associated with social intelligence (F=15.04, p<.001), whereas face-to-face communication time did not show a significant association with social intelligence (β= -.01, p=.922). Digital burnout (β=.41, p<.001) and social intelligence (β= -.33, p<.001) were significantly associated with loneliness (F=18.34, p<.001); however, face-to-face communication was not significantly associated with loneliness (β= -.06, p=.314).Conclusion: These findings suggest that digital burnout is significantly associated with both social intelligence and loneliness. This study emphasizes the need for interventions to address digital burnout and promote healthy online habits to improve the social well-being of college students.

To examine the mediating role of coping flexibility in the relationship between traumatic experiences and attitudes toward organ donation among healthcare workers involved in organ procurement surgery. This was a cross-sectional study. Data were collected from 170 healthcare workers with experience in organ procurement surgeries for brain-dead patients at 4 hospitals in South Korea between June 16 and September 30, 2021. The study utilized questionnaires assessing traumatic experience, coping flexibility and attitude toward organ donation. Data were analyzed using the PROCESS macro (IBM SPSS Statistics 28.0). Coping flexibility significantly mediated the relationship between traumatic experiences and attitudes toward organ donation. Traumatic experiences related to organ procurement surgery negatively influenced coping flexibility, while higher coping flexibility was associated with more positive attitudes toward organ donation. Developing educational programs to enhance coping flexibility and regularly assess psychological well-being may improve healthcare workers’ attitudes toward organ donation and support their mental health after trauma exposure.

Lifestyle habits and genetic factors of cancer survivors can lead to recurrence or development of new cancers. Obesity in cancer survivors increases the risk of cancer recurrence and affects mortality. This study aimed to analyze the relationship between health-related characteristics and related factors in cancer survivors by classifying obesity according to body mass index. This study is a secondary data analysis research study using 5-year data, including 3-year (2016–2018) and 2-year data (2019–2020) from the 7th and 8th Korea National Health and Nutrition Examination Survey, respectively. This study targeted 4,553,669 cancer survivors who had completed past or early cancer management, did not have active cancer, or were receiving treatment for advanced cancer but were not in the terminal stage. Data were analyzed with complex sample descriptive statistics, cross-tabulation analysis and chi-square test and t-test. Lastly, complex sample multivariable linear regression analysis using IBM SPSS software. Demographic factors such as gender (t = -4.07, p <.001), marital status (t = 4.20, p <.001), and economic activity (t = -3.27, p =.002); health factors such as hypertension (t = 9.07, p <.001) and hemoglobin level (t = 5.29, p <.001); and nutrition-related characteristics such as frequency of breakfast (t = -6.49, p <.001), sodium intake (t = 2.41, p =.17), vitamin D intake (t = 3.02, p =.003), and vitamin C intake (t = -3.43, p =.001) were significant factors influencing cancer survivors’ BMI. The results of this study are significant as they confirm the relationship between health-related characteristics and BMI in cancer survivors. The study comprehensively identified and presented various factors related to BMI in the lives of cancer survivors. To control BMI in cancer survivors, it is necessary to assess risk factors and change health behaviors and eating habits. Based on these results, developing and applying health intervention programs to prevent BMI increases and managing obesity in cancer survivors is essential. Promoting health strategies and studying the relationship with BMI in the future will contribute to increasing the healthy survival rate of cancer survivors.

Objectives: With the development of treatment technology, the percentage of cancer survivors has continued to increase. However, the cognitive decline these patients experience has been overlooked because it is not related to survival. This study investigated factors related to memory problems in patients with cancer.Methods: Using data from the 2019 Korea National Health and Nutrition Examination Survey (KNHANES), this secondary data analysis study attempted to identify factors related to memory problems in cancer survivors. Of the 8,110 survey participants, there were 6,296 adults, aged 19 years or older. Of these, 357 were diagnosed with cancer. Four participants were excluded due to missing values for occupation, income, and body mass index (BMI). Finally, 353 subjects were included in the research analysis. The data were statistically analyzed using IBM SPSS version 28.0.Results: 218 (61.8%) of the cancer survivors reported memory problems. Having a lower-than-average individual income (odds ratio, OR = 2.16, 95% confidence interval, CI = 1.31-3.53, p= 0.003), smoking (OR = 3.19, 95% CI = 1.16-8.72, p= 0.024), and depression (OR = 6.06, 95% CI = 1.33-27.57, p= 0.020) were significant potentiating factors. In contrast, having a job (OR = 0.18, 95% CI = 0.05-0.67, p= 0.011), drinking (OR = 0.26, 95% CI = 0.09-0.81, p= 0.021), and walking three to four days per week (OR = 0.15, 95% CI = 0.03-0.81, p= 0.027) decreased memory problems.Conclusions: Our findings suggest that it is necessary to develop cognitive rehabilitation programs for cancer survivors.

Objectives: Due to the prolonged COVID-19, the current society is experiencing increased anxiety and confusion about health care. In spite of this pandemic situation, nursing students are participated in practical training in the medical field to complete the curriculum. The purpose of this study was to determine the influencing factors of nursing students’ anxiety in participating in clinical practices during the COVID-19 pandemic.Methods: This was a cross-sectional study. A total of 172 nursing students participated in the online self-questionnaire. The collected data were analyzed by descriptive statistics, Pearson’s correlation coefficient, independent t-test, and multiple linear regression analysis using the SPSS software version 28.0.Results: There were significant differences in only anxiety according to gender (t=-4.42, p<0.001). Also, Anxiety showed a statistically significant negative correlation with attitude (r=-0.16, p=0.037) and preventive practice (r=-0.16, p=0.036). Results of regression analysis, gender (β=0.33, p<0.001) and attitude (β=0.18, p=0.026) were significant factors for the anxiety, and explanatory power was 16% (F=4.45, p<0.001).Conclusions: The results of this study can be used to develop nursing interventions that reduce anxiety and promote preventive practice for COVID-19 among nursing students.

Background: Burnout negatively impacts the personal and professional life of nurses. Job stress and resilience have been determined to be associated with nurse burnout. Given the importance of communication competence in operating room (OR) nurses, the associations of job stress, resilience, and communication competence with burnout have not been examined. Purpose: To determine the relationships of job stress, resilience, and communication competence to burnout of OR nurses in South Korea. Methods: This was a cross-sectional, descriptive study of 146 OR nurses. A series of self-reported questionnaires was used to assess job stress, resilience, communication competence, and burnout. Pearson correlation coefficient and a hierarchical linear regression were used for data analysis. Results: Communication competence was correlated with resilience (r = 0.65, p < .001) and burnout (r = -0.44, p < .001), and resilience was correlated with burnout (r = -0.48, p < .001). Resilience (β = -0.22, p = .027) and communication competence (β = -0.33, p < .001) were associated with burnout of OR nurses in a hierarchical linear regression (F = 6.28, p < .001). Conclusions: Increased resilience and communication competence were associated with lower burnout of perioperative nurses. To prevent and reduce burnout of OR nurses, it is necessary to develop and implement a program targeting for communication competence and resilience. Implications for nursing management: Nurse leaders should provide programs fostering communication competence and resilience to OR nurses and encourage them to actively participate in such job trainings.