Ji Hun Joung

Purpose: The purpose of this study was to investigate the effects of organizational communication and grit on nurses’ turnover intention in rehabilitation hospitals. Methods: The subjects of this study included 159 nurses with more than 6 months of experience working in a rehabilitation hospital. The collected data was analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficient, and stepwise multiple regression analysis using SPSS 29.0. Results: The subjects’ organizational communication was 3.34±0.38, grit 2.99±0.31, and turnover intention 2.84±0.57. Turnover intention showed a negative correlation with organizational communication (r=-.38, p<.001) and grit (r=-.41, p<.001). The factors significantly affecting turnover intention included grit (β=-.30, p<.001), the scheduled period of employment (age of retirement; β=-.30, p<.001), organizational communication (β=-.26, p<.001), and salary satisfaction (satisfied to very satisfied; β=-.17, p=.014) in order. These actors explained 38.2% of turnover intention. Conclusion: Based on this study’s findings, reducing nurses’ turnover intention in rehabilitation hospitals requires developing with effective measures to improve grit and organizational communication and allowing them to work as long as possible.

Purpose: This study aims to identify age-related differences in death anxiety and Preferences for Care Near the End of Life among elderly patients in long-term care hospitals, focusing on variations as length of stay increases. Methods: To analyze the differences in general characteristics of elderly individuals in long-term care hospitals based on age, a chi-square test was conducted for cross-analysis. The t-test was used to analyze differences in levels of death anxiety and Preferences for Care Near the End of Life according to age among elderly patients in long-term care hospitals. Results: The difference in death anxiety by age of the subjects was 2.91±0.62 for the elderly under 75 years of age and 3.23±0.29 for the elderly over 75 years of age, showing that death anxiety was higher in the elderly over 75 years of age(p=.002). The difference in Preferences for Care Near the End of Life according to the age of the subjects was 3.03±0.38 for the elderly under 75 years of age and 3.15±0.26 for the elderly over 75 years of age, showing that Preferences for Care Near the End of Life was higher in the elderly over 75 years of age(p=.034). Conclusion: Since elderly people residing in long-term care hospitals have high levels of death anxiety and Preferences for Care Near the End of Life, it is necessary to regularly assess the level of death anxiety and Preferences for Care Near the End of Life among elderly people to provide appropriate management.

Purpose: The purpose of this study was to investigate the factors related to burnout of nurses working at intensive care units. Methods: The subjects of this study included 149 nurses in intensive care units at six general hospitals. The data was analyzed using the SPSS/WIN 23.0 program with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficient, and Stepwise multiple regression analysis were used. Results: The factors significantly affecting burnout included work stress ‘high to very high’ (β=.39, p<.001), communication skill (β=-.24, p=.001), subjective health status ‘normal’ (β=.22, p=.001) and ‘bad to very bad’ (β=.20, p=.002) and problem-driven coping (β=-.19, p=.010) in order, and the explanatory power of these factors to the burnout was 46.3%. Conclusion: Based on the results, effective interventions need to be provided to improve intensive care unit nurses’ health conditions and to relieve their work stress. It is necessary to develop practical strategies to improve nurses’ communication and stress coping skills to reduce their burnout.

Purpose: The purpose of this study was to investigate the effects of death anxiety and social support on the preferences for care near the end of life in older adults staying at long-term care hospitals. By understanding these relationships among the factors, we provide crucial insights for enhancing end-of-life care with respect to patients’ end-of-life care preferences. Methods: This was a cross-sectional study. A total of 155 older adults staying at long-term care hospitals participated in the study. Data collection was performed from January 9, 2023 to March 9, 2023. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression analysis. Results: The results of this study show that death anxiety (β=.23, p=.002), social support (β=.22, p=.003), intensive care transfer (β=.18, p=.022), and severity of illness (β=.16, p=.033) were significantly affecting factors to the care preferences near the end of life in older adults staying at long-term care hospitals. Conclusion: Understanding the end-of-life care preferences of older adults with death anxiety in long-term care hospitals is important. Expressing these preferences in a timely manner requires extensive support from patients, family, and health professionals. Developing an effective program for end-of-life care preferences is continuously needed for future studies.

Purpose: The purpose of this study is to develop a virtual reality simulation education program for nursing students to care for agitation (VRSEPforNSA) in patients with dementia). Method: The VRSEPforNSA was developed using the ADDIE model (analysis, design, development, implementation, and evaluation). Result: Analysis was performed using the nursing journal database from 2017 to 2021 with keyword of virtual reality, nursing, nursing education and program. Design was consisted based on the Jeffries’ 5E learning cycle model. VRSEPforNSA was developed with 3 stages: the assessment and care for agitation in patients with dementia, patient falls to floor, and back to bed in room. The VRSEPforNSA is run for a total of 100 minutes and the module is consisted of a pre-test, VR simulation running, debriefing, nursing record and reflection, and so on. Conclusion: There is a need to apply the VRSEPforNSA for senior nursing students and to test the effects on agitation care performance, self-efficacy and decision making.