Journal of Korean Academy of Nursing

Volume 49(4); August 2019

Review Article

Effect of Autogenic Training for Stress Response: A Systematic Review and Meta-Analysis: Eunju Seo, Soukyoung Kim; J Korean Acad Nurs 2019;49(4):361-374. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.361

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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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
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Effects of Autogenic Training on Pain Modulation in Burning Mouth Syndrome: A Preliminary Study
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A Single Session of Heart Rate Variability Biofeedback Produced Greater Increases in Heart Rate Variability Than Autogenic Training
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Original Articles

A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients: Jung Ran Lee, Pok Ja Oh; J Korean Acad Nurs 2019;49(4):375-385. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.375

Abstract PDF

Abstract Purpose

This study aimed to develop and test a structural model for chemotherapy-related cognitive impairment of breast cancer patients based on a literature review and Hess and Insel's chemotherapy-related cognitive change model.

Methods

The Participants consisted of 250 patients who were ≥19 years of age. The assessment tools included the Menopause Rating Scale, Symptom Experience Scale, Hospital Anxiety and Depression Scale, Everyday Cognition, and Functional Assessment of Cancer Therapy-Breast Cancer. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.

Results

The modified model was a good fit for the data. The model fit indices were χ ²=423.18 (p<.001), χ ²/df=3.38, CFI=.91, NFI=.91, TLI=.89, SRMR=.05, RMSEA=.09, and AIC=515.18. Chemotherapy-related cognitive impairment was directly influenced by menopausal symptoms (β=.38, p=.002), depression and anxiety (β=.25, p=.002), and symptom experiences (β=.19, p=.012). These predictors explained 47.7% of the variance in chemotherapy-related cognitive impairment. Depression and anxiety mediated the relations among menopausal symptoms, symptom experiences, and with chemotherapy related cognitive impairment. Depression and anxiety (β=-.51, p=.001), symptom experiences (β=-.27, p=.001), menopausal symptoms (β=-.22, p=.008), and chemotherapy-related cognitive impairment (β=-.15, p=.024) had direct effects on the quality of life and these variables explained 91.3%.

Conclusion

These results suggest that chemotherapy-related toxicity is highly associated with cognitive decline and quality of life in women with breast cancer. Depression and anxiety increased vulnerability to cognitive impairment after chemotherapy. Nursing intervention is needed to relieve chemotherapy-related toxicity and psychological factor as well as cognitive decline for quality of life in patients undergoing chemotherapy.

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Factors Influencing Oncofertility in Gynecological Cancer Patients: Application of Mixed Methods Study
Minji Kim, Juyoung Ha
Journal of Korean Academy of Nursing.2024; 54(3): 418. CrossRef
Relationships Between Chemotherapy-Related Cognitive Impairment, Self-Care Ability, and Quality of Life in Breast Cancer Survivors: A Cross-Sectional Study
Nan Wu, Ze Luan, Zijun Zhou, He Wang, Shiyuan Du, Yulu Chen, Xinxin Wang, Jiong Li, Xin Peng
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The Effects of Hospitals’ Family Friendly Management on Married Female Nurses’ Retention Intention: Focused on the Mediating Effects of Work-Family Interface: Jin Hwa Lee, Jee-In Hwang; J Korean Acad Nurs 2019;49(4):386-397. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.386

Abstract PDF

Abstract Purpose

This study examined the effect of hospitals’ family-friendly management on married female nurses’ retention intention. The focus was the mediating effects of the work-family interface (work-family conflict, work-family enrichment and work-family balance).

Methods

This study was a cross-sectional study. The participants were 307 nurses working at five public and five private hospitals with more than 200 beds in Seoul. Data were collected using structured questionnaires from September 10 to September 17, 2018 and analyzed with SPSS 24.0. Data were analyzed using an independent t-test, a one-way ANOVA, Pearson's correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation.

Results

There were significant correlations among family-friendly management, the work-family interface, and retention intention. Work-family conflict showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family enrichment showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family balance showed a partial mediating effect on the relationship between family-friendly management and retention intention.

Conclusion

These findings indicate that both hospitals’ family-friendly management and nurses’ work-family interface are important factors associated with nurses’ retention intention. Therefore, hospitals should actively implement family-friendly management for nurses and establish strategies to enhance nurses’ work-family interface for effective human resource management.

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Development of a Quantitative Model on Adolescent Cyberbullying Victims in Korea: A System Dynamics Approach: Mi Jin You, Eun Mi Ham; J Korean Acad Nurs 2019;49(4):398-410. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.398

Abstract PDF: Abstract Purpose
This study used a system dynamics methodology to identify correlation and nonlinear feedback structures among factors affecting adolescent cyberbullying victims (CV) in Korea and to construct and verify a simulation model.
Methods
Factors affecting CV were identified by reviewing a theoretical background in existing literature and referencing various statistical data. Related variables were identified through content validity verification by an expert group, after which a causal loop diagram (CLD) was constructed based on the variables. A stock-flow diagram (SFD) using Vensim Professional 7.3 was used to establish a CV model.
Results
Based on the literature review and expert verification, 22 variables associated with CV were identified and the CLD was prepared. Next, a model was developed by converting the CLD to an SFD. The simulation results showed that the variables such as negative emotions, stress levels, high levels of conflict in schools, parental monitoring, and time spent using new media had the strongest effects on CV. The model's validity was verified using equation check, sensitivity analysis for timestep and simulation with 4 CV adolescent.
Conclusion
The system dynamics model constructed in this study can be used to develop intervention strategies in schools that are focused on counseling that can prevent cyberbullying and assist in the victims’ recovery by formulating a feedback structure and capturing the dynamic changes observed in CV. To prevent cyberbullying, it is necessary to develop more effective strategies such as prevention education, counseling and treatment that considers factors pertaining to the individual, family, school, and media.

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Reliability and Validity of Korean Version of Nursing Students’ Anxiety and Self-Confidence with Clinical Decision Making Scale: Mi Yu, Young Eun, KA White, KyungJa Kang; J Korean Acad Nurs 2019;49(4):411-422. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.411

Abstract PDF

Abstract Purpose

The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM^©) for Korean nursing students.

Methods

Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the NASC-CDM^© were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity.

Results

The Korean version of the NASC-CDM^© (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's α was .93 for self-confidence and .95 for anxiety.

Conclusion

The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students’ clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original NASC-CDM^© version.

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Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study: Myoung Sun Jang, Sungjae Kim; J Korean Acad Nurs 2019;49(4):423-436. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.423

Abstract PDF

Abstract Purpose

The aim of the study was to explore nurses’ experience of person-centered relational care in the context of critical care.

Methods

Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through in-depth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data.

Results

Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced ‘balancing emotions’ and ‘authenticity’ in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee's theory.

Conclusion

The interpretative findings in this study provide deeper understanding of Travelbee's human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.

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Factors Affecting Clinical Practicum Stress of Nursing Students: Using the Lazarus and Folkman's Stress-Coping Model: Sung Hae Kim, JuHee Lee, MiRa Jang; J Korean Acad Nurs 2019;49(4):437-448. Published online August 29, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.437

Abstract PDF

Purpose

This study was conducted to test a path model for the factors related to undergraduate nursing students' clinical practicum stress, based on Lazarus and Folkman's stress-coping model.

Methods

This study utilized a path analysis design. A total of 235 undergraduate nursing students participated in this study. The variables in the hypothetical path model consisted of clinical practicum, emotional intelligence, self-efficacy, Nun-chi, and nursing professionalism. We tested the fit of the hypothetical path model using SPSS/WIN 23.0 and AMOS 22.0.

Results

The final model fit demonstrated a satisfactory statistical acceptance level: goodness-of-fit-index=.98, adjusted goodness-of-fit-index=.91, comparative fit index=.98, normed fit index=.95, Tucker-Lewis index=.92, and root mean square error of approximation=.06. Self-efficacy (β=−.22, p=.003) and Nun-chi behavior (β=−.17, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (β=.20, p=.006) and self-efficacy (β=.45, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (β=.20, p<.001) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (β=.09, p=.005) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. The variables for self-efficacy and nursing professionalism explained 29.1% of the Nun-chi understanding and 18.2% of the Nun-chi behavior, respectively.

Conclusion

In undergraduate nursing education, it is important to identify and manage factors that affect clinical practicum stress. The findings of this study emphasize the importance of Nun-chi, self-efficacy, emotional intelligence, and nursing professionalism in the development of an educational strategy for undergraduate nursing students.

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Motherhood Ideology and Parenting Stress according to Parenting Behavior Patterns of Married Immigrant Women with Young Children: So-Hyun Moon, Miok Kim, Hyeun Na; J Korean Acad Nurs 2019;49(4):449-460. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.449

Abstract PDF

Abstract Purpose

This study aims to provide base data for designing education and counseling programs for child-raising by identifying the types, characteristics and predictors of parenting behaviors of married immigrant women.

Methods

We used a self-report questionnaire to survey 126 immigrant mothers of young children, who agreed to participate, and who could speak Korean, Vietnamese, Chinese, Filipino, or English, at two children's hospitals and two multicultural support centers. Statistical analysis was conducted using descriptive analysis, K-means clustering, χ 2 test, Fisher's exact test, one-way ANOVA, Schéffe's test, and multinominal logistic regression.

Results

We identified three clusters of parenting behaviors: ‘affectionate acceptance group’ (38.9%), ‘active engaging group’ (26.2%), and ‘passive parenting group’ (34.9%). Passive parenting and affectionate acceptance groups were distinguished by the conversation time between couples (p=.028, OR=5.52), ideology of motherhood (p=.032, OR=4.33), and parenting stress between parent and child (p=.049, OR=0.22). Passive parenting was distinguished from active engaging group by support from spouses for participating in multicultural support centers or relevant programs (p=.011, OR=2.37), and ideology of motherhood (p=.001, OR=16.65). Ideology of motherhood was also the distinguishing factor between affectionate acceptance and active engaging groups (p=.041, OR=3.85).

Conclusion

Since immigrant women's parenting type depends on their ideology of motherhood, parenting stress, and spousal relationships in terms of communication and support to help their child-raising and socio-cultural adaptation, it is necessary to provide them with systematic education and support, as well as interventions across personal, family, and community levels.

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Ju-Eun Song, Eun Ha Roh, Youn-Jeong Kim, Jeong-Ah Ahn
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Effectiveness of Health Promotion Program Using Action Planning Strategy for Young Adults: Su Hyun Kim, Min Ji Kim, Sang Hee Kim, So Yeon Kim, Chae Yeon Park, Jee Yun Bang; J Korean Acad Nurs 2019;49(4):461-471. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.461

Abstract PDF

Abstract Purpose

The purpose of this study was to evaluate the effectiveness of a health promotion program utilizing action planning strategy for young adults.

Methods

A non-equivalent control group pre-post-test design was used. One hundred three university students participated in the study. Participants in the experimental group (n=51) were provided the health promotion program utilizing action planning strategy for five weeks. The program consisted of weekly sessions that included action planning and group feedback. The control group (n=52) was provided with health information every week for 5 weeks. Program outcomes, including self-efficacy, physical activity health behaviors, total exercise time per week, daily cigarette consumption, frequency of alcohol drinking per month, nutritional health behaviors, and subjective health status, were assessed at baseline and at follow-up after 5 weeks.

Results

The participants in the experimental group demonstrated significant increases in self-efficacy, physical activity health behaviors, weekly exercise time, and nutritional health behaviors and significant decreases in daily cigarette consumption than those in the control group.

Conclusion

The health promotion program utilizing action planning strategy is a brief and effective intervention to promote health behaviors among young adults. Further investigation is warranted to assess the program's effectiveness among other age groups and populations at high risk for chronic illness.

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E-Questionnaire on health knowledge, attitudes and practices (KAP-Health) for Brazilian students in distance learning
Jane Biscaia Hartmann, Amanda Tribulato Rego, Julia Vieira Khoury, Marcelo Picinin Bernuci, Mirian Ueda Yamaguchi
Global Health Action.2023;[Epub] CrossRef

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3 Crossref

The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy: Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung; J Korean Acad Nurs 2019;49(4):472-485. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.472

Abstract PDF

Abstract Purpose

This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy.

Methods

The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants’ health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0.

Results

Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group.

Conclusion

The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

Citations

Citations to this article as recorded by

The Effect of Group Education Reflecting Unmet Needs on Knowledge of Chemotherapy for Patients and Their Families Undergoing Chemotherapy: A One Group Pre-Post Design
Seyoung Lee, Hoyoung Kim, Nayeon Kim, Misun Yi, Ayoung Lee, Seonmi Cho, Minsun Nam, Juhee Cho
Asian Oncology Nursing.2024; 24(1): 42. CrossRef
Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
Yun-La Hur, Eun-Jeong Hong
Asian Oncology Nursing.2024; 24(3): 155. CrossRef
The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
Jin Hee Jun, Se-Na Lee
Asian Oncology Nursing.2024; 24(3): 103. CrossRef
Effectiveness of teach‐back for chronic kidney disease patient education: A systematic review
Hemamali M. H. Jagodage, Amanda McGuire, Charrlotte Seib, Ann Bonner
Journal of Renal Care.2024; 50(2): 92. CrossRef
Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
Boyeon Lee, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216. CrossRef
Analysis of Telephone Counseling of Patients in Chemotherapy Using Text Mining Technique
Seoyeon Kim, Jihyun Jung, Heiyoung Kang, Jeehye Bae, Kayoung Sim, Miyoung Yoo, Eunyoung, E. Suh
Asian Oncology Nursing.2022; 22(1): 46. CrossRef
Evaluating a theory-based intervention for improving eHealth literacy in older adults: a single group, pretest–posttest design
Sun Ju Chang, Kyoung-eun Lee, Eunjin Yang, Hyunju Ryu
BMC Geriatrics.2022;[Epub] CrossRef
Effects of the teach-back method among cancer patients: a systematic review of the literature
Seonhwa Choi, Jahyun Choi
Supportive Care in Cancer.2021; 29(12): 7259. CrossRef

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8 Crossref

The Effect on Pain of Buzzy^® and ShotBlocker^® during the Administration of Intramuscular Injections to Children: A Randomized Controlled Trial: Birsen Sivri Bilgen, Serap Balcı; J Korean Acad Nurs 2019;49(4):486-494. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.486

Abstract PDF

Abstract Purpose

To investigate the effect of Buzzy^® and ShotBlocker^® on reducing pain induced by intramuscular penicillin injections in children.

Methods

This was a randomized controlled study. A total of 150 Turkish children aged 7~12 years who presented to our pediatric emergency clinic and met the inclusion criteria were recruited. The children were randomly assigned to each group (control=50, Buzzy^®=50, ShotBlocker^®=50). Data were collected using an information form, the State-Trait Anxiety Inventory for Children, Visual Analog Scale, and Faces Pain Scale-Revised.

Results

The children in the control group had significantly higher pain scores during the penicillin injection than the children in the ShotBlocker^® and Buzzy^® groups. The children in the Buzzy^® group had significantly less pain than the children in both the ShotBlocker^® and control groups (p<.001).

Conclusion

Buzzy^® was more effective compared with ShotBlocker^® in this study.

Citations

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Effects of BuzzyⓇ and ShotBlockerⓇ on Pain and Anxiety During Immunization in Children: A Randomized Controlled Trial
Dilek Sari, Hatice Erdem Onder, Nihal Taskiran, Figen Yardimci, Seyma Kislali Tas
Pain Management Nursing.2025;[Epub] CrossRef
Comparison of Different Methods for Reducing Pain during Vaccination: A Randomized Study with Placebo and Control Groups
Zeliha Cengiz, Mürşide Zengin, Emriye Hilal Yayan, Elanur Vicnelioğlu
Etkili Hemşirelik Dergisi.2025; 18(1): 111. CrossRef
Buzzing Away Pain: Efficacy of Buzzy® in Reducing Pain During Canakinumab Treatment for Familial Mediterranean Fever
Nebahat Zeynep Özaslan, Betül Öksel, Nihal Sahin, Hafize E Sönmez
Cureus.2025;[Epub] CrossRef
The effect of Buzzy application on pain and comfort level during heel stick in newborns: a randomized controlled study
Mehmet Bulduk, Nesrullah Ayşin, Veysel Can, Jiyan Tan Ayşin, Yusuf Dilbilir, Emine Kurt Can
Anatolian Current Medical Journal.2025; 7(2): 170. CrossRef
Effectiveness and safety of Buzzy device in needle-related procedures for children under twelve years of age: A systematic review and meta-analysis
Faguang Jin, Xiaofang Wang, Maomao Qi, Wenhua Zhang, Yongfeng Zhang
Medicine.2024; 103(15): e37522. CrossRef
Effect of the Helfer skin tap technique on pain, anxiety, and fear in children undergoing intramuscular injection: An open-label randomized controlled study
Aylin Kurt, Fatma Dinç, Betül Akkoç
Archives de Pédiatrie.2024; 31(2): 148. CrossRef
Utilization of local pressure devices in pain management during injections: scoping review
Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Thiago Lopes Silva, Andréia Cristina Feitosa do Carmo, Luciano Marques dos Santos, Patrícia Kuerten Rocha
Revista Brasileira de Enfermagem.2024;[Epub] CrossRef
The effect of new device on pain and comfort levels in individuals undergoing peripheral intravenous cannula insertion
Tuba Karabey, Şerife Karagözoğlu
The Journal of Vascular Access.2024; 25(2): 432. CrossRef
Comparison of the effect of intramuscular injection from two different sites on pain and fear in children: a randomized controlled study
Öznur Tiryaki, Dilek Menekşe, Öner Özdemir, Nursan Çınar, Bahri Elmas
Revista da Associação Médica Brasileira.2024;[Epub] CrossRef
Utilização de dispositivos de pressão local no manejo da dor durante injeções: revisão de escopo
Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Thiago Lopes Silva, Andréia Cristina Feitosa do Carmo, Luciano Marques dos Santos, Patrícia Kuerten Rocha
Revista Brasileira de Enfermagem.2024;[Epub] CrossRef
Effects of ShotBlocker® and the Helfer skin tap technique on pain and fear experienced during intramuscular injection among children aged 6–12 years in pediatric emergency units: A randomized controlled trial
Duygu Sönmez Düzkaya, Atiye Karakul, İrem Akoy, Senem Andi
International Emergency Nursing.2024; 76: 101502. CrossRef
The Impact of Cold Spray and Ice Application During Intravenous Access on Pain and Fear in Children Aged 7-15 Years in the Pediatric Emergency Unit: A Randomized Controlled Trial
Elif Günal Çelik, Duygu Sönmez Düzkaya
Journal of Emergency Nursing.2024; 50(2): 264. CrossRef
Temporal Dynamics of Pain: Examining the Relationship Between Intramuscular Injection Duration and Pain Perception: A Crossover Randomized Controlled Trial
Yusuf Acarlioglu, Leman Senturan, Saleh Salimi
Cureus.2024;[Epub] CrossRef
Effectiveness of ShotBlocker application on reducing the pain of needle-related procedures in children: A systematic review and meta-analysis
Zahide İyi, Ayşegül İşler, Zeynep Özer
Journal of Pediatric Nursing.2024; 78: e438. CrossRef
Shotblocker or Cold Application; Which One is More Effective in Reducing Anxiety and Pain Associated with the Intramuscular Injection in Children?: A Randomized Controlled Trial
Diler AYDIN YILMAZ, Selen ÖZAKAR AKÇA, Havva Nur PELTEK KENDİRCİ
Bezmialem Science.2024; 12(1): 98. CrossRef
Local anaesthetic to reduce injection pain in patients who are prescribed intramuscular benzathine penicillin G: a systematic review and meta-analysis
Ferruccio Pelone, Bessie Kwok, Sabahat Ahmed, Yakup Kilic, Syed Ahsan Ali, Nida Ahmed, Mahmood Ahmad, Jonathan JH. Bray, Farhad Shokraneh, Miryan Cassandra, David S. Celermajer, Eloi Marijon, Rui Providencia
eClinicalMedicine.2024; 76: 102817. CrossRef
The effect of buzzy®, DistrACTION® cards on reducing pediatric pain and fear during blood collection in the rheumatology polyclinic: A randomized controlled trial
B. Bilgen Sivri, Y.S. Feng, C. Michler, J. Kuemmerle-Deschner, C. Mahler
Journal of Pediatric Nursing.2023; 73: e446. CrossRef
Effects of two different ball types on pain and anxiety during venous blood draw in children: A randomized controlled study
Zeynep Yurdakul, Figen Işık Esenay
Journal of Pediatric Nursing.2023; 72: e201. CrossRef
The Effect of Virtual Reality and Buzzy on First Insertion Success, Procedure-Related Fear, Anxiety, and Pain in Children during Intravenous Insertion in the Pediatric Emergency Unit: A Randomized Controlled Trial
Büşra Güliz Yıldırım, Gülçin Özalp Gerçeker
Journal of Emergency Nursing.2023; 49(1): 62. CrossRef
Comparison of pain levels developed during intramuscular injections to laterofemoral and ventrogluteal regions in children: a randomized controlled study
Serap Balci, Birsen Bilgen Sivri
Revista da Associação Médica Brasileira.2023; 69(1): 85. CrossRef
Effects of applications manual pressure and shotblocker to reduce needle-related pain and fear in children with type 1 diabetes mellitus
Burcu Aykanat Girgin, İlknur Göl, Duygu Gözen, Fatma Çarikçi, Heves Kirmizibekmez
Journal of Pediatric Nursing.2023; 73: 84. CrossRef
The Effectiveness of the Buzzy Device in Reducing Pain in Children Undergoing Venipuncture
Elisa Simoncini, Giulia Stiaccini, Elena Morelli, Elisa Trentini, Diego G. Peroni, Maria Di Cicco
Pediatric Emergency Care.2023;[Epub] CrossRef
The Effect of 3 Methods (Buzzy, ShotBlocker, and DistrACTION Cards) Used While Taking Blood Samples From Children with Pain and Anxiety
Birsen Bilgen Sivri, Serap Balci, Gülümser Dolgun
Pediatric Emergency Care.2023; 39(8): 600. CrossRef
Medical devices, smart drug delivery, wearables and technology for the treatment of Diabetes Mellitus
Daniel A. Domingo-Lopez, Giulia Lattanzi, Lucien H. J. Schreiber, Eimear J. Wallace, Robert Wylie, Janice O'Sullivan, Eimear B. Dolan, Garry P. Duffy
Advanced Drug Delivery Reviews.2022; 185: 114280. CrossRef
Comparison of cold spray and shotblocker to reduce intramuscular injection pain: A randomized controlled trial
Züleyha Gürdap, Zeliha Cengiz
Journal of Clinical Pharmacy and Therapeutics.2022; 47(8): 1249. CrossRef
The Effect of Buzzy Application on Pain Level During Vaccine Injection in Infants
Özge Şıktaş, Gülzade Uysal
Journal of Nursing Care Quality.2022;[Epub] CrossRef
A Comparison of Two Different Tactile Stimulus Methods on Reducing Pain of Children During Intramuscular Injection: A Randomized Controlled Study
Mürşide Zengin, Emriye Hilal Yayan
Journal of Emergency Nursing.2022; 48(2): 167. CrossRef
The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection
Tuba KARABEY, Şerife KARAGÖZOĞLU
Clinical and Experimental Health Sciences.2021; 11(4): 721. CrossRef
Minimizing immunization injection pain in children
Emily Jang, Ekaterina Zhimanov, Bridget Parsh
Nursing.2021; 51(3): 13. CrossRef
Shotblocker Use in Emergency Care
Dilek Yildirim, Berna Dinçer
Advanced Emergency Nursing Journal.2021; 43(1): 39. CrossRef
Pain Control
Janice Selekman, Dawn Lambert
Journal of Pediatric Surgical Nursing.2020; 9(2): 59. CrossRef

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31 Crossref

The Mediating Effects of Learning Motivation on the Association between Perceived Stress and Positive-Deactivating Academic Emotions in Nursing Students Undergoing Skills Training: Wei Wang, Huiying Xu, Bingmei Wang, Enzhi Zhu; J Korean Acad Nurs 2019;49(4):495-504. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.495

Abstract PDF

Abstract Purpose

Nursing students experience a high degree of perceived stress during skills training. The resulting academic sentiment is worthy of research. This study examined the learning motivation as a mediator in the association between perceived stress and positive deactivating academic emotions in nursing students undergoing skills training.

Methods

A survey was conducted on 386 third-year undergraduate nursing students at a university in Changchun, China, in 2017. The survey included the items on perceived stress, learning motivation during nursing skill training, and general academic emotion. There were 381 valid responses (response rate=98.7%). Based on the results of partial correlation and stepwise multiple regression equations, the study examined the mediation model between perceived stress, learning motivation and positive-deactivating academic emotions using process 2.16 (a plug-in specifically used to test mediation or moderation effect in SPSS).

Results

There was a significant negative correlation between students’ perceived stress and learning motivation during nursing skills training and positive-deactivating academic emotions. Nervousness, loss of control, and interest in developing reputation had significant predictive effects on positive-deactivating academic emotions. The mediating model was well supported.

Conclusion

Learning motivation during nursing skills training lessened the damage of perceived stress on positive-deactivating academic emotions. Improving students’ motivation to learn could reduce their perceived stress and build more positive emotions. Positive emotions during learning played an important role in helping nursing students improve skills and enhance their nursing competence.

Citations

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Lili Guo, Danfeng Yan, Junping Yan, Rui Jiao
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Debra Lee, Tracy Burrows, Daphne James, Ross Wilkinson, Yolanda Surjan
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Bander Saad Albagawi, Yasir S. Alsalamah, Abdulqadir J. Nashwan, Rakan Mansuor AL Rawili, Lisa A. Babkair, Sara A. Alkharji, Thamer Alslamah, Mirna Fawaz
BMC Nursing.2024;[Epub] CrossRef
Stress, mental health, and protective factors in nursing students: An observational study
Ma Eugenia Visier-Alfonso, Carmen Sarabia-Cobo, Ana Isabel Cobo-Cuenca, Marta Nieto-López, Rigoberto López-Honrubia, Raquel Bartolomé-Gutiérrez, Ana Rosa Alconero-Camarero, José Rafael González-López
Nurse Education Today.2024; 139: 106258. CrossRef
Investigating The Level of State Anxiety Among Newly Enrolled Undergraduate Female Nursing Students in Karachi, Pakistan
Farhan Ahmed, Yasir Ali, Anwar Ali Malik, Rubina, Ameer Ullah Khan
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Mindfulness for stress and anxiety management in nursing students in a clinical simulation: A quasi-experimental study
Alba Torné-Ruiz, Mercedes Reguant, Judith Roca
Nurse Education in Practice.2023; 66: 103533. CrossRef
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Gunnur Karakurt, Pranaya Katta, Sarah Apte, Jason Choi, Chi Doan, Sarin Gole, Sara Jordan
Journal of Systemic Therapies.2023; 42(1): 74. CrossRef
Effects of a false-positive result in newborn congenital hypothyroidism screening on parents in Guangxi, China
Si-Jing Tu, Yu-Jia Wei, Bu-Tong Chen, Xiao-Fei Zhang, Chao Luo, Bai-Qing Dong
Frontiers in Pediatrics.2023;[Epub] CrossRef
Moral courage, burnout, professional competence, and compassion fatigue among nurses
Mohammed Hamdan Alshammari, Mohammad Alboliteeh
Nursing Ethics.2023; 30(7-8): 1068. CrossRef
Resilience and academic motivation's mediation effects in nursing students' academic stress and self-directed learning: A multicenter cross-sectional study
Daniel Joseph E. Berdida
Nurse Education in Practice.2023; 69: 103639. CrossRef
Understanding the relationship between perceived stress, academic motivation, and physical activity in college students during the coronavirus pandemic
Martina Rahe, Petra Jansen
Frontiers in Education.2022;[Epub] CrossRef
The association between academic stress, social support, and self-regulatory fatigue among nursing students: a cross-sectional study based on a structural equation modelling approach
Zhang Yuhuan, Zheng Pengyue, Chen Dong, Niu Qichao, Pang Dong, Song Anqi, Jiang Hongbo, Di Zhixin
BMC Medical Education.2022;[Epub] CrossRef
The effect of fear of COVID-19 on perceived clinical stress levels in senior nursing students: A cross-sectional study
Emine Iyigun, Emine Arici Parlak, Hatice Ayhan
Teaching and Learning in Nursing.2022; 17(3): 296. CrossRef
The Relationships of Creative Coping and College Students’ Achievement Emotions and Academic Stress: The Mediating Role of Psychological Capital
Chenxin Xu, Qing Wang
Journal of Intelligence.2022; 10(4): 126. CrossRef
English Learning Stress, Self-Efficacy, and Burnout among Undergraduate Students: The Moderating Effect of Mindfulness and Gender
Liling Xu, Huahua Wang, Jiaxin Chen, Yiwen Zhang, Zhiqi Huang, Chengfu Yu
International Journal of Environmental Research and Public Health.2022; 19(23): 15819. CrossRef
Influence of psychological stress and coping styles in the professional identity of undergraduate nursing students after the outbreak of COVID‐19: A cross‐sectional study in China
Yanyan Zhao, Qiang Zhou, Jie Li, Jiage Luan, Bingfei Wang, Yan Zhao, Xinru Mu, Haiying Chen
Nursing Open.2021; 8(6): 3527. CrossRef
Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study
María Dolores Onieva-Zafra, Juan José Fernández-Muñoz, Elia Fernández-Martínez, Francisco José García-Sánchez, Ana Abreu-Sánchez, María Laura Parra-Fernández
BMC Medical Education.2020;[Epub] CrossRef

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