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8 "Coping Behavior"
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Research Paper
Effects of Second Victim Experiences after Patient Safety Incidents on Nursing Practice Changes in Korean Clinical Nurses: The Mediating Effects of Coping Behaviors
Jeong, Seohee , Jeong, Seok Hee
J Korean Acad Nurs 2021;51(4):489-504.   Published online August 31, 2021
DOI: https://doi.org/10.4040/jkan.21089
AbstractAbstract PDF
Purpose
This study was investigated the mediating effect of coping behaviors in the relationship between the second victim experiences after patient safety incidents and the nursing practice changes.
Methods
A cross-sectional survey was performed using structured questionnaires. Participants were 218 clinical nurses in general tertiary hospitals in South Korea. Data were collected through an online survey and snowball sampling from August 11 to September 6 2020. Data were analyzed using SPSS 23.0 program. A mediation analysis was performed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval.
Results
The mean scores of second victim experiences was 3.41/5. Approach coping (β = .55, p < .001) and the avoidant coping (β = - .23, p = .001) showed mediation effects in the relationship between second victim experiences and constructive change in nursing practice. Avoidant coping (β = .29, p < .001) showed a mediation effect in the relationship between second victim experiences and defensive change in nursing practice.
Conclusion
Coping behaviors has a mediating effect on the relationship between second victim experiences and nursing practice changes. To ensure that nurses do not experience second victim, medical institutions should have a culture of patient safety that employs a systematic approach rather than blame individuals. They also need to develop strategies that enhance approach coping and reducing avoidant coping to induce nurses’ constructive practice changes in clinical nurses in experiencing second victims due to patient safety incidents.
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Original Articles
Perception on Parental Coping on Unintentional Injury of Their Early Infants and Toddlers: Q Methodological Approach
Da In Lee, Ho Ran Park, Sun Nam Park, Sungsil Hong
J Korean Acad Nurs 2018;48(3):335-348.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.335
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to identify parental coping strategies in the face of early infant and toddler injury, and to provide basic data for a parental education program and the most desirable directions it should take.

Methods

A Q-methodology to analyze the subjectivity of each item was used. Thirty-four Q-statements were derived from a literature review and interviews. Forty-seven parents were classified into a shape of normal distribution using a 9-point scale. Collected data were analyzed by the pc-QUANL program.

Results

Five types of parental coping in early infant and toddler injury were identified. Type I was “hospital treatment focused”, type II was “Improving the safety of the child's environment”, type III was “expression of negative emotion”, type IV was “taking the lead in problem solving”, and type V was “Interrogating the person in charge of the situation in which the injury occurred”.

Conclusion

The results of this study indicate that different approaches to educational programs can be used for parents in early childhood injury.

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The Effects of a Stress Management Program on Mental Health and the Coping Behavior for the Children of Alcoholics
Seung Hee Yang, Pyung Sook Lee
Journal of Korean Academy of Nursing 2005;35(1):77-86.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.77
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a stress management program on mental health and coping behavior for children of alcoholics.

Method

Data was collected from January to February, 2003. The subjects were 20 adolescents from 13 to 18 years old. Data was analyzed using descriptive statistics, chi-square test, and t-test with the SAS program.

Result

There were statistically significant differences in mental health, active coping, positive cognitive restructuring, and support-seeking for problem solving between the experimental group and the control group.

Conclusion

The stress management program helped children of alcoholics by enhancing self-esteem, providing information about alcohol, and improving emotional and problem focused coping abilities. This eventually enhanced mental health.

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Effects of an Empowerment Program on the Burden of Mothers Having a Child with Cerebral Palsy
Yong Sook Eo
Journal of Korean Academy of Nursing 2005;35(1):154-164.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.154
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an empowerment program as a nursing intervention for mothers who care for a child with cerebral palsy at home and to determine the effects of the program on those mothers' self efficacy, coping behavior and burden.

Method

An non-equivalent control group pretest-posttest design was used in this study. An Empowerment program was developed based on Dunst & Trivette's model. Using the program, the study was carried out from Dec. 13, 2003 to Jan. 17, 2004, mothers whose children, aged 1 to 6, were outpatients of the Dept. of Rehabilitation Medicine, at P University Hospital or registered at educational institutions for early disabled children. The experimental group of subjects were included in the new empowerment program which was held for two and half hours every week for 6 times.

Results

After treatment with the Empowerment Program, the experimental group was found to be significantly increased in score for self efficacy(t=4.55, p<.01), coping behavior(t=5.54, p<.001), objective burden(t=-3.96, p<.01) and subjective burden(t=-5.05, p<.01), in comparison to the control group.

Conclusion

The Empowerment Program is very effective in increasing self efficacy and coping behavior of mothers having a child with cerebral palsy and decreasing their burden. Finally, this study would recommend that an empowerment program should be extended to community facilities such as public health offices and welfare centers.

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Symptoms, Depression, and Coping Behaviors of University Students
Mi Kyoung Choi
Journal of Korean Academy of Nursing 2003;33(3):433-439.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.3.433
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the relationship among subjective symptoms, depression, and stress coping behavior of university students.

Method

The survey was carried out on a convenience sample of 298 university students. The questionnaire consisted of each scale for symptoms, depression, and stress coping behaviors. Data analysis procedure included the factor analysis for stress coping behaviors, and the correlation analysis describing a relationship among symptoms, depression, and stress coping behaviors.

Result

There were significant correlations between depression and the three types of symptoms : general, psychological, and somatic symptom. Subjects using the negative-emotional-response coping and the self-control coping showed a more severe depression, and those using the problem-solving reappraisal coping and the positive-emotional-response coping showed a milder depression. Subjects using the negative-emotional-response coping complained of all 3 types of symptoms severely, and those using the positive-emotional-response coping complained of general symptoms mildly. Of five stress coping methods, the negative-emotional-response and the positive-emotional-response coping methods were related to both symptoms and depression significantly.

Conclusion

This study suggests that the emotional-oriented coping method has more important role for university student's depression and their subjective symptoms than the problem-oriented coping or social supports seeking coping. Further study needs to be conducted to help students effective coping mechanism for good mental health. Also it is necessary for university students to recognize that their symptoms are associated with depression.

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Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants
Min Hee Kim, Eun Sun Ji
J Korean Acad Nurs 2016;46(1):79-89.   Published online February 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.1.79
AbstractAbstract PDF
Purpose

This paper reports the results of a hospital centered follow-up program on parenting stress, parenting efficacy and coping for mothers with very low birth weight (VLBW) infants.

Methods

The follow-up program consisted of home visiting by an expert group and self-help program for 1 year. A non-equivalent control group pre-post quasi-experimental design was used. Participants were 70 mothers with low birth weight infants and were assigned to one of two groups, an experimental groups (n=28), which received the family support program; and a control group (n=27), which received the usual discharge education. Data were analyzed using χ2-test, t-test, and ANCOVA with IBM SPSS statistics 20.0.

Results

Mothers' parenting stress (F=5.66, p=.004) was significantly decreased in the experimental group. There were also significant increases in parenting efficacy (F=13.05, p<.001) and coping (F=8.91, p=.002) in the experimental group.

Conclusion

The study findings suggest that a follow-up program for mothers with VLBW infants is an effective intervention to decrease mothers' parenting stress and to enhance parenting efficacy and coping.

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Development of a Coping Scale for Families of Patients with Schizophrenia
Ji Min Seo, Eun Kyung Byun, Kyung Yeon Park, So Hee Kim
J Korean Acad Nurs 2012;42(5):738-748.   Published online October 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.5.738
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and evaluate a coping scale for families of patients with schizophrenia(CSFPS).

Methods

Item construction was derived from literature reviews and interviews with family members and psychiatric nurses. Content validity was tested by experts. Each item was scored on a four-point Likert scale. The preliminary questionnaire was administered to 188 family members of patients with schizophrenia. The data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's alpha.

Results

From the factor analysis, 32 items in five factors were derived. The factors were named active coping strategies, avoidance coping strategies, hospital treatment-oriented coping strategies, emotional coping strategies, and suppressive coping strategies for problematic behaviors. The five factors explained 49.7% of the total variance, Cronbach's alpha of the total items was .83 and the factors ranged from .66 to .86.

Conclusion

The results of this study suggest that CSFPS is a reliable and valid instrument to measure coping in families of patients with schizophrenia.

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Violent Experiences and Coping among Home Visiting Health Care Workers in Korea
In Sook Lee, Kwang Ok Lee, Hee Sun Kang, Yeon-Hwan Park
J Korean Acad Nurs 2012;42(1):66-75.   Published online February 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.1.66
AbstractAbstract PDF
Purpose

The purpose of this study was to explore violent experiences of home visiting health care workers in Korea.

Methods

This study was a cross-sectional survey. Data were collected using self-report questionnaires from 1,640 health care workers. Data collection was done between September 1, 2009 and June 30, 2010.

Results

Of the respondents, 70.6% had experienced work-related violence. Shouting (51.9%) was the most common verbal violence, followed by verbalizing sexual remarks to the health care workers (19.0%) and touching the hands (16.5%), the most common acts relating to sexual harassment. Of the respondents who had experienced violence, 50.9% told their peers about the incidents. However, the major reasons why they did not report these incidents was due to the fact that they felt it was useless to file reports and that they expected such incidents to occur as part of their job. The majority of the respondents (86.4%) wanted education on how to deal with such violence at work.

Conclusion

The results of this study indicate that efforts should be made to increase awareness and to minimize violence in the workplace. Also, educational programs should be designed to improve knowledge and to prevent workplace violence.

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