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Structural Equation Modeling on Clinical Decision Making Ability of Nurses
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Min Kyoung Park, Soukyoung Kim
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J Korean Acad Nurs 2019;49(5):601-612. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.5.601
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 Abstract
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- Abstract
Purpose
The purpose of this study was to construct and test a hypothetical model of clinical decision-making ability of nurses based on the Decision Making Process model and the Cognitive Continuum theory.
Methods
The data were collected from nurses working at 11 hospitals in Busan, Daejeon, and South Gyeongsang Province from June 30 to August 1, 2017. Finally, the data from 323 nurses were analyzed.
Results
The goodness-of-fit of the final model was at a good level (χ 2/df=2.46, GFI=.87, AGFI=.84, IFI=.90, CFI=.90, SRMR=.07, RMSEA=.07) and 6 out of 10 paths of the model were supported. The clinical decision-making ability was both directly and indirectly affected by task complexity and indirectly affected by experiences, autonomy, and work environment. Specifically, it was strongly directly affected by analytical competency but was insignificantly affected by intuitive competency. These variables accounted for 66.0% of clinical decision-making ability.
Conclusion
The nurses’ clinical decision-making ability can be improved by improving their analytical competency. Therefore, it is necessary to organize nursing work, create a supportive work environment, and develop and implement various education programs.
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Citations
Citations to this article as recorded by  - Development of a Korean clinical decision-making ability scale for hospital nurses
Sunyoung Oh, Minkyung Gu, Sohyune Sok
BMC Nursing.2025;[Epub] CrossRef - Emotional Touch Nursing Competencies Model of the Fourth Industrial Revolution: Instrument Validation Study
Sun-Young Jung, Ji-Hyeon Lee
Asian/Pacific Island Nursing Journal.2024; 8: e67928. CrossRef - The Mediating Effect of Nursing Professionalism in the Relationship between Critical Thinking Disposition and Medication Safety Competency of Peri-Anesthesia Nurses
Won Mi Son, Jung Suk Park
Journal of Korean Academy of Nursing Administration.2024; 30(5): 543. CrossRef - The Relationships among communication competence, professional autonomy and clinical reasoning competence in oncology nurses
Suyeon Noh, Younhee Kang
Nursing Open.2024;[Epub] CrossRef - Development and Effects of a Virtual Reality Simulation Nursing Education Program Combined With Clinical Practice Based on an Information Processing Model
Eunju Lee, Gyuli Baek
CIN: Computers, Informatics, Nursing.2023; 41(12): 1016. CrossRef - Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals
Min Young Kim, Jeong Hye Kim, Su Jung Choi
Journal of Korean Critical Care Nursing.2022; 15(2): 27. CrossRef - Factors Influencing Clinical Nurses’ Medication Safety Competence
Ga-Hyun Kim, Hyun-Ju Lee
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 237. CrossRef
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Effect of Autogenic Training for Stress Response: A Systematic Review and Meta-Analysis
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Eunju Seo, Soukyoung Kim
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J Korean Acad Nurs 2019;49(4):361-374. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.4.361
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Abstract
PDF
- Abstract
Purpose
This study was conducted to evaluate the effectiveness of autogenic training on stress responses through a systematic review and meta-analysis.
Methods
A systematic search was conducted using eight core electronic databases (Embase, CENTRAL, Medline, CINAHL, PsycInfo, DBpia, KISS, and RISS). To estimate the effect size, a meta-analysis of the studies was performed using RevMan 5.3.5 program.
Results
A total 21 studies out of 950 studies were included in the review, and 11 were included for meta-analysis. These studies showed that autogenic training decreased anxiety and depression, and increased the high frequency of heart rate variability. Calculations to understand the effect of autogenic training on anxiety, through a meta-analysis, observed a reduction effect of anxiety score by 1.37 points (n=85, SMD=-1.37: 95% CI -2.07 to -0.67), in the studies on short-term intervention targeting healthy adults. On the other hand, similar calculations to understand the effect of autogenic training on depression observed, a reduction effect on the depression score by 0.29 point (n=327, SMD=-0.29: 95% CI -0.50 to -0.07), in the studies on long term intervention targeting the patient group.
Conclusion
Autogenic training is effective for adults’ stress management, and nurses will be able to effectively perform autogenic training programs for workers’ stress relief at the workplace.
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Citations
Citations to this article as recorded by - A peer-led group intervention based on relaxation (soRELAX) to improve well-being and mental health in nursing students: A mixed method pilot study
Maria Pilar Ramirez Garcia, Jérôme Leclerc-Loiselle, Christine Genest, Etienne Paradis-Gagné, Caroline Larue, Marikim Poitras-Crête, Sylvie Corbeil, Camille Saseville
Journal of Professional Nursing.2025; 57: 8. CrossRef - Effects of Autogenic Training on Pain Modulation in Burning Mouth Syndrome: A Preliminary Study
Keita Takizawa, Kana Ozasa, Kohei Shimizu, Noboru Noma
Cureus.2025;[Epub] CrossRef - Strengthening psychological resilience: The effectiveness of autogenic training of community pharmacists
Dragana Jocic
Vojnosanitetski pregled.2024; 81(11): 696. CrossRef - Ampliación del Informe de Sanidad: Evidencia Sobre la Seguridad y Eficacia del Entrenamiento Autógeno
Juan Manuel Guiote, Miguel Angel Vallejo Pareja, Blanca Mas
Papeles del Psicólogo - Psychologist Papers.2024; 45(3): 172. CrossRef - Autogenic Training in Mental Disorders: What Can We Expect?
Dagmar Breznoscakova, Milana Kovanicova, Eva Sedlakova, Maria Pallayova
International Journal of Environmental Research and Public Health.2023; 20(5): 4344. CrossRef - The effects of online enactive education on secondary school students
Deborah R. Vivo
The Journal of Educational Research.2023; 116(4): 230. CrossRef - Self-reported symptom burden in postural orthostatic tachycardia syndrome (POTS): A narrative review of observational and interventional studies
Iris Knoop, Federica Picariello, Emma Jenkinson, Nicholas Gall, Claudia Chisari, Rona Moss-Morris
Autonomic Neuroscience.2023; 244: 103052. CrossRef - Efficacy of Individualized Sensory-Based mHealth Interventions to Improve Distress Coping in Healthcare Professionals: A Multi-Arm Parallel-Group Randomized Controlled Trial
Hannes Baumann, Luis Heuel, Laura Louise Bischoff, Bettina Wollesen
Sensors.2023; 23(4): 2322. CrossRef - The Effect of Autogenic Training in a Form of Audio Recording on Sleep Quality and Physiological Stress Reactions of University Athletes—Pilot Study
Kamila Litwic-Kaminska, Martyna Kotyśko, Tadeusz Pracki, Monika Wiłkość-Dębczyńska, Błażej Stankiewicz
International Journal of Environmental Research and Public Health.2022; 19(23): 16043. CrossRef - Combined effect of autogenic relaxation and aerobic exercise on postmenopausal hypertension: A randomized clinical trial
Shreen R Aboelmagd, Afaf M Botla, Hossam ELdine Hussein, Sahar M. Ali, Nehad A. Abo-Zaid
International journal of health sciences.2022; 6(S10): 2314. CrossRef - Temporomandibular Myofascial Pain Syndrome—Aetiology and Biopsychosocial Modulation. A Narrative Review
Paulina Golanska, Klara Saczuk, Monika Domarecka, Joanna Kuć, Monika Lukomska-Szymanska
International Journal of Environmental Research and Public Health.2021; 18(15): 7807. CrossRef - To stress or not to stress: Brain-behavior-immune interaction may weaken or promote the immune response to SARS-CoV-2
Eva M.J. Peters, Manfred Schedlowski, Carsten Watzl, Ulrike Gimsa
Neurobiology of Stress.2021; 14: 100296. CrossRef - Non‐pharmacologic treatment of insomnia in primary care settings
Laura Hrehová, Kamal Mezian
International Journal of Clinical Practice.2021;[Epub] CrossRef - A Single Session of Heart Rate Variability Biofeedback Produced Greater Increases in Heart Rate Variability Than Autogenic Training
I-Mei Lin, San-Yu Wang, Sheng-Yu Fan, Erik Peper, Sui-Pi Chen, Ching-Yu Huang
Applied Psychophysiology and Biofeedback.2020; 45(4): 343. CrossRef - A Multimodal Stress-Prevention Program Supplemented by Telephone-Coaching Sessions to Reduce Perceived Stress among German Farmers: Results from a Randomized Controlled Trial
Marita Stier-Jarmer, Cornelia Oberhauser, Dieter Frisch, Götz Berberich, Thomas Loew, Carina Schels-Klemens, Birgit Braun, Angela Schuh
International Journal of Environmental Research and Public Health.2020; 17(24): 9227. CrossRef
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