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Research Papers
Mediating effect of grit on the influence of nurses’ silence behavior on medication safety competence: a cross-sectional study
Haengsuk Kim, Wanju Park
J Korean Acad Nurs 2025;55(1):81-92.   Published online February 20, 2025
DOI: https://doi.org/10.4040/jkan.24088
AbstractAbstract PDFePub
Purpose
This study investigated the mediating effect of grit in the relationship between silence behavior and medication safety competence among nurses.
Methods
The study included 166 nurses from four university hospitals and general hospitals in Seoul and Gyeonggi-do, South Korea. Data were collected from March 1 to 10, 2024, using self-report questionnaires. Data were analyzed using the t-test, analysis of variance, Scheffé’s test, and Pearson’s correlation coefficients with IBM SPSS Statistics ver. 23.0 (IBM Corp.). A mediation analysis was performed using Hayes’s PROCESS macro model 4 and the bootstrapping method.
Results
Medication safety competence showed significant correlations with silence behavior (r=–.21, p=.008) and grit (r=.43, p<.001). Furthermore, grit partially mediated the relationship between silence behavior and medication safety competence.
Conclusion
This study indicates that grit is a significant mediator in the relationship between silence behavior and medication safety competence. Therefore, an integrated approach that reduces silence behavior and promotes grit is essential for strengthening nurses’ medication safety competence. Ultimately, these strategies will help ensure patient safety by improving medication safety competence.
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The Mediating Role of Psychological Resilience in Chinese Nursing Students’ Professional Identity and Learning Burnout
Liu Zhang, Qin Zhang, ShuWen Li, YuHong Li, GuoCui Wu, Ying Chen, YunNa Zhou
J Korean Acad Nurs 2024;54(4):509-518.   Published online November 25, 2024
DOI: https://doi.org/10.4040/jkan.24044
AbstractAbstract PDFePub
Purpose

This study investigated whether professional identity predicts learning burnout among Chinese nursing students, and whether resilience moderates this relationship.

Methods

This cross-sectional study recruited 635 students from a nursing college at a medical university in Hefei, China. Data were collected using the professional identity questionnaire, learning burnout scale for college students, and 10-item Connor-Davidson Resilience Scale. Pearson’s correlation analysis was used to investigate the relationships between variables. The mediation effect was evaluated using linear regression and the bootstrap method in SPSS.

Results

Nursing students exhibited intermediate learning burnout levels (score: 54.95 ± 10.42). Professional identity was positively correlated with psychological resilience (r = .42, p < . 001), whereas learning burnout was negatively correlated with professional identity (r = - .54, p < . 001) and psychological resilience (r = - .57, p < . 001). Psychological resilience mediated the relationship between professional identity and learning burntout to the tune of 32.8%.

Conclusion

Psychological resilience mediates the relationship between professional identity and learning burnout. Thus, nursing educators can mitigate student burnout by developing their students' professional identities and psychological resilience.

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Association between Resilience, Professional Quality of Life, and Caring Behavior in Oncology Nurses: A Cross-Sectional Study
Jeon, Misun , Kim, Sue , Kim, Sanghee
J Korean Acad Nurs 2023;53(6):597-609.   Published online December 31, 2023
DOI: https://doi.org/10.4040/jkan.23058
AbstractAbstract PDF
Purpose
The degree of caring behavior of oncology nurses is a crucial factor in the care provided to patients with cancer. In this study, we aimed to investigate factors related to oncology nurses’ caring behavior, including their resilience and professional quality of life.
Methods
A cross-sectional descriptive study was conducted with 107 oncology nurses at an urban tertiary hospital from May 18 to 24, 2015. We used a self-report questionnaire to measure resilience, professional quality of life, and degree of caring behavior. Data analysis included descriptive statistics, correlations, and multiple regression analysis using SPSS/WIN 20.0.
Results
Oncology nurses presented with low levels of resilience and caring behavior, and high levels of compassion satisfaction, burnout, and secondary traumatic stress. There was a statistically significant relationship between the degree of caring behavior, resilience (r = .43, p < .001), compassion satisfaction (r = .51, p < .001), and burnout (r = - .42, p < .001), as well as between secondary traumatic stress and burnout (r = .34, p < .001). Factors associated with oncology nurses’ degree of caring behavior were compassion satisfaction (t = 6.00, p < .001) and educational level (t = 3.45, p = .001).
Conclusion
This study demonstrates that oncology nurses’ degree of caring behavior is related to their professional quality of life and education. These findings suggest that enhancing oncology nurses’ healthy coping strategies at both the individual and organizational levels can further develop holistic nursing care. Additionally, it is necessary to examine the factors affecting nurses’ compassion satisfaction and to try to promote this aspect.

Citations

Citations to this article as recorded by  
  • Mindful self-care among oncology nurses in China: a latent profile analysis
    Yan Shi, Peng Wang, Lamei Liu, Mengmeng Li
    BMC Nursing.2024;[Epub]     CrossRef
  • The mediating role of compassion fatigue between perceived organization support and caring behavior among outpatient nurses in China: a cross-sectional study
    Xingxing Liu, Fang He, Tian Tian, Jun Zhang, Yuanjiao Ji, Yuexia Zhong
    BMC Nursing.2024;[Epub]     CrossRef
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A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities
Cho, Youyoung , Kim, Hyeonok
J Korean Acad Nurs 2022;52(4):407-420.   Published online August 31, 2022
DOI: https://doi.org/10.4040/jkan.21235
AbstractAbstract PDF
Purpose
This structural model study was constructed and verified a hypothetical model to examine the effects of parenting stress, social resources, family resources, and positive coping on resilience among mothers of children with developmental disabilities.
Methods
Data were collected using self‐report structured questionnaires, from October 19 to October 30, 2018, with 214 mothers caring for chil-dren with developmental disabilities under the age of 20 years.
Results
In the fitness test results of the hypothesis model, with the fit index χ 2 (p) = 69.27 (< .001), and the normed fit indices (χ 2 = 1.87, GFI = .94, CFI = .97, NFI = .93, and TLI = .95, RMSEA = .06, SRMR = .06), this study satisfies the good fitness in standards. There are seven statistically significant paths among the 10 paths set in the hypotheti-cal model. The explanatory power of parenting stress and social resources, which affects the family resources was 41.4%, the explanato-ry power of parenting stress, social resources, and family resources affecting the positive coping was 58.9%, and the explanatory power of parenting stress, social resources, family resources, and positive coping affecting resilience was 55.5%.
Conclusion
Positive coping, family resources, and social resources of mothers of children with developmental disabilities directly affect their resilience, and parenting stress indirectly affects it. Therefore, to improve the resilience of mothers of children with developmental disabilities, it is necessary to develop a systematic nursing intervention that considers parenting stress, social resources, family resources, and positive coping.
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Development and Evaluation of Resilience Enhancement Program Applying Mindfulness Meditation in Patients with Ileostomy
Shin, Jee Hye , Choi, Ja Yun
J Korean Acad Nurs 2021;51(3):334-346.   Published online June 30, 2021
DOI: https://doi.org/10.4040/jkan.21019
AbstractAbstract PDF
Purpose
The purpose of this study was to develop a resilience enhancement program applying mindfulness meditation (REP-MM) and evaluate the effects of the program on post-traumatic stress (PTS), resilience, and health-related quality of life (HRQoL) in patients with ileostomy.
Methods
The REP-MM was developed by combining the resilience enhancement program with mindfulness meditation according to four patterns. The program was developed through identifying patients’ needs, reviewing relevant literature, developing a preliminary program, and testing content validity and user evaluation. The participants were 55 patients with ileostomy. We conveniently assigned 27 patients to the experimental group and 28 to the control group. The study was conducted in conducted in a hospital from January 22 to May 30, 2019. The REPMM was provided to the experimental group, and conventional ileostomy care was provided to the control group using a nonequivalent control-group pretest-posttest design. Results: ANCOVA revealed that the levels of PTS (F = 321.64, p < .001), resilience (F = 111.86, p < .001), and HRQoL (F = 31.08, p < .001) in the experimental group were higher than those in the control group when comparing pretest to posttest changes.
Conclusion
The REP-MM is effective in PTS, resilience, and HRQoL in patients suffering from post-stoma creation crisis. The REP-MM can induce positive self-recognition changes in patients with ileostomy through dispositional, situational, relational, and philosophical interventions. We suggest nurses reduce PTS and improve resilience and HRQoL in patients with ileostomy.

Citations

Citations to this article as recorded by  
  • Effectiveness of Meditation Techniques in Treating Post-Traumatic Stress Disorder: A Systematic Review and Meta-Analysis
    David W. Orme-Johnson, Vernon A. Barnes, Brian Rees, Jean Tobin, Kenneth G. Walton
    Medicina.2024; 60(12): 2050.     CrossRef
  • The experiences of Chinese colorectal cancer survivors in marital intimacy after ostomy creation: A qualitative study
    Xixi Du, Suchira Chaiviboontham, Bualuang Sumdaengrit
    Belitung Nursing Journal.2024; 10(2): 222.     CrossRef
  • Analysis on effect of psychological nursing combined with extended care for improving negative emotions and self-care ability in patients with colorectal cancer and enterostomy: A retrospective study
    Fang Liu, Kun Yao, Xiaoxiang Liu
    Medicine.2024; 103(21): e38165.     CrossRef
  • Development and Evaluation of a Healthcare Empowerment Program for Patients with Temporary Ileostomy
    Jin Mi Kim, Jeong Sook Park
    Korean Journal of Adult Nursing.2021; 33(6): 616.     CrossRef
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Original Articles
Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator
Kang, Hyun-Jung , Shin, Jaeyong , Lee, Eun-Hyun
J Korean Acad Nurs 2020;50(5):728-736.   Published online October 31, 2020
DOI: https://doi.org/10.4040/jkan.20147
AbstractAbstract PDF
Purpose
This study aimed to identify the relationship between workplace violence and turnover intention, and the mediation effect of resilience on the relationship in hospital nurses.
Methods
This was a cross-sectional study. A total of 237 registered nurses were recruited from three hospitals in South Korea from April to May 2019. Participants were invited to complete self-reported questionnaires that measure workplace violence, turnover intention, resilience, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling).
Results
After controlling demographic covariates, workplace violence significantly accounted for the variance of turnover intention. It was also demonstrated that resilience partially mediated the relationship between workplace violence and turnover intention in hospital nurses. A 73.8% of nurses had experienced workplace violence (such as attack on personality, attack on professional status, isolation from work, or direct attack). Conclusion: Workplace violence directly influences turnover intention of nurses and indirectly influences it through resilience. Therefore, hospital administrators need to develop and provide a workplace violence preventive program and resilience enhancement program to decrease nurses’ turnover intention, and leaving.

Citations

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  • Hemşirelerin İş Yerinde Yaşadıkları Psikolojik Şiddet ile Psikolojik Sağlamlılıkları Arasındaki İlişki
    Fatma GÜNDOGDU, Aybüke ULAŞ, Ecem TAŞ, Vildan ÇARDAK, İrem Yaren ŞANDIR, Muhammed DURMAZ, Mehmet Salim ECER
    Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi.2023; 6(3): 608.     CrossRef
  • The relationship between workplace violence, emotional exhaustion, job satisfaction and turnover intention among nurses during the COVID-19 pandemic
    Özlem Gedik, Refika Ülke Şimdi, Şerife Kıbrıs, Derya Kara (Sivuk)
    Journal of Research in Nursing.2023; 28(6-7): 448.     CrossRef
  • Associations among the workplace violence, burnout, depressive symptoms, suicidality, and turnover intention in training physicians: a network analysis of nationwide survey
    Je-Yeon Yun, Sun Jung Myung, Kyung Sik Kim
    Scientific Reports.2023;[Epub]     CrossRef
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    Lulin Zhou, Arielle Doris Kachie Tetgoum, Prince Ewudzie Quansah, Joseph Owusu‐Marfo
    Nursing Open.2022; 9(6): 2697.     CrossRef
  • The influence of experienced violence and the clinical learning environment on vocational identity in nursing students
    Mira Lee, Hee Ok Park, Insook Lee
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 321.     CrossRef
  • Factors Affecting on Turnover Intentions of Emergency Department Nurses who have Experienced Verbal Abuse
    Gyoo-Yeong CHO, Mi-Kyung SEO
    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(2): 314.     CrossRef
  • Effects of the Resilience of Nurses in Long-Term Care Hospitals during on Job Stress COVID-19 Pandemic: Mediating Effects of Nursing Professionalism
    Bom-Mi Park, Jiyeon Jung
    International Journal of Environmental Research and Public Health.2021; 18(19): 10327.     CrossRef
  • Nurses' Voices: Autumn 2020
    Jeung-Im Kim
    Journal of Korean Academy of Nursing.2020; 50(5): 644.     CrossRef
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Effect of Emotional Coaching Program for Clinical Nurses on Resilience, Emotional Labor, and Self-efficacy
Ryu, Kyung , Kim, Jong Kyung
J Korean Acad Nurs 2020;50(3):419-430.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19194
AbstractAbstract PDF
Purpose
This study aimed to assess the effect of the emotional coaching program for hospital nurses.
Methods
The study used anon-equivalent control group pretest-posttest design, and participants included 60 nurses (30 in the experimental group and 30 in thecontrol group) who worked at a general hospital. The experimental group attended four sessions, one per week, with each session lastingtwo and a half hours. Collected data were analyzed using descriptive statistics, Fisher’s exact test, x2 test, t-test, paired t-test, and repeatedmeasures ANOVA using SPSS WIN 23.0 program.
Results
Significant differences were shown between the experimental and the controlgroups regarding emotional labor (F=68.40, p<.001), resilience (F=48.77, p<.001), and self-efficacy (F=15.31, p<.001).
Conclusion
Theemotional coaching program for nurses is useful for enhancing nurses’ emotional labor management, resilience, and self-efficacy. In addition,this program may serve as a basis for providing emotional coaching to nurses in the future.

Citations

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  • The Moderating Effect of Nursing Organizational Culture on the Relationship between Resilience and Clinical Competence of New Graduate Nurses
    Hanna Lee, Eun-Jun Park
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 483.     CrossRef
  • Impact of Emotional Labor and Positive Psychological Capital on the Turnover Intention of Nurses Caring for Patients with COVID-19: A Descriptive Survey Study
    Mira Kwon, Yeoungsuk Song, Majd T. Mrayyan
    Journal of Nursing Management.2024; 2024: 1.     CrossRef
  • Mentorship in nursing: A review of approaches to defining the concept in international and Russian publications
    K. V. Kuzmin, L. E. Petrova, V. S. Kharchenko
    Kuban Scientific Medical Bulletin.2024; 31(4): 89.     CrossRef
  • Effects of grit, calling, and resilience on the retention intention of general hospital nurses
    Gi Ran Lee, Imsun Lee, Mihee Chung, Jiyeon Ha
    International Nursing Review.2024; 71(4): 766.     CrossRef
  • Effect of Transition Shock on Intention to Stay in Newly Graduated Nurses : The Mediating Effect of Positive Psychological Capital
    Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
    Journal of Korean Critical Care Nursing.2024; 17(3): 25.     CrossRef
  • Psychological Intervention to Promote Resilience in Nurses: A Systematic Review and Meta-Analysis
    Suk-Jung Han, Young-Ran Yeun
    Healthcare.2023; 12(1): 73.     CrossRef
  • The relationship between secondary traumatic stress and burnout in critical care nurses: The mediating effect of resilience
    Yun Jeong Jeong, Sujin Shin
    Intensive and Critical Care Nursing.2023; 74: 103327.     CrossRef
  • Effects of the Resilience of Nurses in Long-Term Care Hospitals during on Job Stress COVID-19 Pandemic: Mediating Effects of Nursing Professionalism
    Bom-Mi Park, Jiyeon Jung
    International Journal of Environmental Research and Public Health.2021; 18(19): 10327.     CrossRef
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Symptom Distress and Coping in Young Korean Breast Cancer Survivors: The Mediating Effects of Social Support and Resilience
Ji Hyun Lee, Hye Young Kim
J Korean Acad Nurs 2018;48(2):241-253.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.241
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to test the mediating effect of social support and resilience on the relationship between symptom distress and coping in young Korean breast cancer survivors.

Methods

A purposive sample of 209 young breast-cancer survivors (mean age 39.9) was recruited for a cross-sectional survey, and the data were collected between June and October 2015. The instruments used in this study were the Memorial Symptom Assessment Scale-Short Form, the Multidimensional Scale of Perceived Social Support, 10-item Connor-Davidson Resilience Scale, and Cancer Coping Questionnaire. The collected data were then analyzed using the SPSS 23.0 and AMOS 23.0 programs.

Results

Symptom distress was found to have a significant indirect effect on coping (beta=-.32, p=.002), but not a significant direct effect (beta=.06, p=.577). Additionally, based on the values obtained for the squared multiple correlation, symptom distress, social support, and resilience were found to explain 46.4% of the total variance of coping.

Conclusion

Based on the results of this study, it can be suggested that in order to enhance young breast cancer survivors’ ability to cope with the distress they commonly feel, intervention methods that strengthen resilience and provide social support should be developed and made available to them.

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    Sajad Ahmad Salati, Lamees Alsulaim, Mariyyah H Alharbi, Norah H Alharbi, Thana M Alsenaid, Shoug A Alaodah, Abdulsalam S Alsuhaibani, Khalid A Albaqami
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    Xiaoyan Pang, Fangmei Li, Lei Dou, Yichang Tian, Yi Zhang
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    Fitria Endah Janitra, Nur Aini, Anggi Lukman Wicaksana
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    Mi‐ran Lee, Chiyoung Cha
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    Saori Tamura, Kumi Suzuki, Yuri Ito, Akiko Fukawa
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    Ibane Aizpurua-Perez, Joana Perez-Tejada
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    Dan Luo, Manuela Eicher, Kate White
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A Study on the Development of the Korean Family Resilience Scale
In Sook Lee, Young Sook Park, Mi Soon Song, Eun Ok Lee, Hesook Suzie Kim, Youn Hwan Park, Kyong Won Choi, Young Ran Chin, Dae Hee Kim, Hyeon Sook Lee
Journal of Korean Academy of Nursing 2002;32(4):560-569.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.560
AbstractAbstract PDF

PURPOSE: The purpose of this study was to develop an instrument to measure family resilience for Korean families with a chronically ill child, and to test the validity and reliability of the instrument. METHOD: The items of instruments used based on the researchers' previous study of concept analysis of Korean family resilience. Nineteen item scales were developed with five domains. In order to test reliability and validity of the scale, data were collected from 231 families, who had a child with a chronic illness. Data was collected between August and September of 2001 in a 3rd level University Hospital in Seoul, Korea. RESULT: The results were as follows: As a result of the item analysis, 19 items were selected from the total of 37 items, excluding items with low correlation with the total scale. Five factors were evolved by factor analysis, which explained 56.4% of the total variance. The first factor 'Family strength' explained 28.5%, 2nd factor 'Family maturity' 8.7%, 3rd factor 'The ability to use of external resources' 7.0%, 4th factor 'Control' 6.6%, 5th factor 'The driving force for finance' 5.7%. The attributes in these factors were different with those identified by concept analysis of the family resilience in Korean families from the previous study. Cronbach's alphacoefficient of this scale was .8039 and Guttman spilt- half coefficient was .8184. CONCLUSION: The study support the reliability and validity of the scale. Because the main concept of family resilience was family strength, there were distinct differences in dimensions of family functioning scales.

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Concept Development of Resilience
Hyae Sung Kim
Journal of Korean Academy of Nursing 1998;28(2):403-413.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.2.403
AbstractAbstract PDF

The Resilience is described as the personal capacity which brings psychosocial comeback. The role of nursing is to do its best to rehabilitate patients and to explore the individual in order to promote patients psychosocial change. However, as the current nursing is heavily physical nursing oriented, the identity of the nursing would be lost. Therefore this researcher reviewed if the concept of resilience can be applied to the nursing after examining the concept of resilience by Documents and Fieldwork. The methodology of this research is Hybrid Model developed by Schwartz-Bracott and Kim for the concept development and analysis. The process and procedure consist of The Theoretical Phase, The Fieldwork Phase and The Final Analytical Phase in accordance with the Hybrid Model. The followings the summary of the Research. 1. The Concept of Resilience Finally Analyzed by Documents and Fieldwork. (1) The Redefinition of Resilience. The resilience is the latent psychological capacity which minimize the negative emotion and promote the adaptation under adversity. Resilience appears as cognitive, emotional and behavioral response in the course of changing from negative response to positive response through the interaction of the individual and the environments in a given time. Resilience changes and decreases according to time and situation and it can be nurtured. Resilience is the higher concept including hardiness, sense of coherence and self-strength which maintain the health under stress. (2) The Attribute of Resilience. The attribute of resilience was divided into psychological and social dimension. In psychological attributes, there are admission of reality of situation, denial of negative emotion, desire to live, responsibility, confidence, courage, hope, pursuit of positive meaning, identification and pursuit of goal, self-esteem, reception, spontaneity, planning, positiveness, will power, flexibility and creativity. In social attributes, there are a sense of belonging, perception of social support and active social relations. (3) The Process of Resilience. There are 4 resilience phases which were the process minimizing the possibility of the negative chain reactions under adversity, the process minimizing the negative emotion, under adversity, the process gaining the desire to live and the process exposing the active social relations. 2. The Application Possibility of Resilience Concept to Nursing. The resilience concept is the psychosoical capacity with which an individual manages adversity. As many nursing scientists have developed nursing theory based on this capacity and the identification of nursing has been established in this field, resilience is not the new conception in nursing. However, since resilience appears in the attributes related with the resilience process concretely, it would help a lot when nurses execute psychosocial nursing.

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    Mi-Suk Yoon, Hyo-Jung Jung
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Relationship between Depression and Resilience among Children with Nephrotic Syndrome
Dong Hee Kim, Il Young Yoo
Journal of Korean Academy of Nursing 2004;34(3):534-540.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.3.534
AbstractAbstract PDF
Purpose

The purposes of this study were to describe the relationship between depression and resilience and to identify variables associated with depression among children with nephrotic syndrome.

Method

Data was collected from 45 children who were registered at one hospital in Seoul. The criteria for sample selection were 10 to 15 year-old children who were diagnosed at least 6 month prior. The instruments included a self-reported questionnaire on resilience by Kim, CDI by Beck, and MBRI by Kwak. Descriptive, Pearson correlation and multiple regression analyses were done.

Result

The mean score of depression was 11.44 (range:0-54) and resilience was 97.47 (range:32-128). There were significant positive relationships between depression and age (r=0.302, p<.005) and academic achievement (r=-0.318, p<.005). In addition, negative relationships between depression and maternal attitude (r=-0.412, p<.001) and resilience (r=-0.649, p<.001) occurred. The results of multiple regression analysis showed that maternal behavior (β=-0.421, p<.005) and resilience (β=-0.639, p<.001) were related to depression.

Conclusion

Children with higher resilience and with an affectionate mother were less depressed. Thus, it is important to identify strengths of children and help them to increase resilience and implement parenting and counseling programs for parents' of these children. Similar studies with children with other chronic illnesses are needed.

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    Sang-Kyu Kim, Seon-Ha Kim, Min-Woo Jo, Sang-il Lee
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    E. Ha, K. Kim
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    Ji-Hyang Oh, Go-Woon Kim, Seong H. Choi, Jee H. Jeong, Hae R. Na, Jung E. Kim, Duk L. Na, Chang Hee Hong, Eun-Joo Kim
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Factors Influencing Post Traumatic Stress Disorder in Crime Scene Investigators
Seon Mi Nho, Eun A Kim
J Korean Acad Nurs 2017;47(1):39-48.   Published online February 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.1.39
AbstractAbstract PDF
Purpose

The purpose of this study was to verify the relationships among social support, resilience and post traumatic stress disorder (PTSD), and especially to identify factors influencing PTSD in police crime scene investigators.

Methods

A cross-sectional design was used, with a convenience sample of 226 police crime scene investigators from 7 Metropolitan Police Agencies. Data were collected through self-report questionnaires during July and August, 2015. Data were analyzed using t-test, χ2-test, Fisher's exact test, and binary logistic regression analysis with SPSS/WIN 21.0 program.

Results

The mean score for PTSD in police crime scene investigators was 13.69. 11 points. Of the crime scene investigators 181 (80.1%) were in the low-risk group and 45 (19.9%) in high-risk group. Social support (t=5.68, p<.001) and resilience (t=5.47, p<.001) were higher in the low-risk group compared to the high-risk group. Logistic regression analysis showed that resilience (OR=4.74, 95% CI: 1.57~14.35), and social support (OR=2.13, 95% CI: 1.23~3.69) are effect factors for PTSD low group.

Conclusion

For effective improvement of PTSD in police crime scene investigators, intervention programs including social support and strategies to increase should be established.

Citations

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    Ashley Cartwright, Jason Roach
    The Police Journal: Theory, Practice and Principles.2022; 95(1): 109.     CrossRef
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    Hye Gyeong Kim, Ja Yun Choi
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    Moa Lidén
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    Joseph A. Rosansky, Jeffery Cook, Harold Rosenberg, Jon E. Sprague
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    Jee Hye Shin, Hyang Sook So, Eun A Kim
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Effects of a Positive Psychotherapy Program on Positive Affect, Interpersonal Relations, Resilience, and Mental Health Recovery in Community-Dwelling People with Schizophrenia
Jinhee Kim, Hyunjoo Na
J Korean Acad Nurs 2017;47(5):638-650.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.5.638
AbstractAbstract PDF
Abstract Purpose

Recently, the interest in positive psychotherapy is growing, which can help to encourage positive relationships and develop strengths of people. This study was conducted to investigate the effects of a positive psychotherapy program on positive affect, interpersonal relations, resilience, and mental health recovery in community-dwelling people with schizophrenia.

Methods

The research was conducted using a randomized control group pretest-posttest design. A total of 57 adults with schizophrenia participated in this study. The study participants in experimental group received a positive psychotherapy program (n=28) and the participants in control group received only the usual treatment in community centers (n=29). The positive psychotherapy program was provided for 5 weeks (of 10 sessions, held twice/week, for 60 minutes). The study outcomes included positive affect, interpersonal relations, resilience, and mental health recovery. The collected data were analyzed using repeated measures ANOVA for examining study hypothesis.

Results

Results showed that interpersonal relations (F=11.83, p=.001) and resilience (F=9.62, p=.003) significantly increased in the experimental group compared to the control group. Although experimental group showed a slight increase in positive affect, it was not significant.

Conclusion

The study findings confirm that the positive psychotherapy program is effective for improving interpersonal relations and resilience of community-dwelling people with schizophrenia. Based on the findings, we believe that the positive psychotherapy program would be acceptable and helpful to improve recovery of mental health in schizophrenia.

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The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses’ Resilience, Violence Coping, Nursing Competency and Burnout
Seung Min Lee, Kyung Mi Sung
J Korean Acad Nurs 2017;47(3):332-344.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.3.332
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk's middle-range theory of resilience on nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms.

Methods

A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses who worked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimental and control groups, respectively. The experimental group received the VCP twice per week for 8 weeks.

Results

Levels of resilience, F=59.41, p<.001, active coping behavior, c2=33.09, p<.001, and nursing competency, F=59.41 p<.001, increased significantly and levels of passive coping behavior, c2=22.92, p<.001, and burnout, F=52.74, p<.001, decreased significantly in the experimental group.

Conclusion

The results suggest that the VCP could be an effective strategy for reducing burnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms.

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    Nam Hee Chae, Ji Young Kim
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The Structural Equation Model on Resilience of Breast Cancer Patients Receiving Chemotherapy
Jeong Ha Yang, Ok Soo Kim
J Korean Acad Nurs 2016;46(3):327-337.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.327
AbstractAbstract PDF
Purpose

The purpose of this study was to construct and test a structural equation model on resilience of breast cancer patients receiving chemotherapy.

Methods

Participants were 204 patients with breast cancer who received chemotherapy treatment. They participated in a structured interview, which included social support, depression, symptom experience, self-efficacy, hope, resilience, and infection prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 18.0.

Results

Lower depression (γ=-.33, p=.020) and symptom experience (γ=-.31, p=.012) and higher self-efficacy (γ=.32, p=.005) and hope (γ=.48, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (β=-.18, p=.016), higher self-efficacy (β=.49, p=.023), and higher hope (β=.46, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (β=.54, p=.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (β=-.10 p=.013), self-efficacy (β=.27, p=.006) and hope (β=.25, p=.009) with infection prevention behaviors. These predictors explained 24.9% of variance in infection prevention behaviors.

Conclusion

The findings of the study suggest that breast cancer patientsw ith greater resilience who are receiving chemotherapy participate in increased infection prevention behaviors. Further research should be conducted to seek intervention strategies that improve breast cancer patients' resilience.

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    Yoon Jung Shin, Eui Geum Oh
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Development and Application of an Overcoming Compassion Fatigue Program for Emergency Nurses
Yeong Ah Kim, Jeong Sook Park
J Korean Acad Nurs 2016;46(2):260-270.   Published online April 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.2.260
AbstractAbstract PDF
Purpose

This study was conducted to develop a program to help emergency nurses overcome compassion fatigue, and to analyze the effects of the program.

Methods

A nonequivalent control group pretest-posttest design was used. There were 14 participants in the experimental group and 18 subjects in the control group. The program was comprised of five, weekly 80-minute sessions including understanding and assessment of compassion fatigue, enhancing positive affect, balancing work-life, planning self care, training in relaxation techniques and cognitive restructuring, and getting social support. Research variables were ego-resiliency, compassion satisfaction and compassion fatigue of the ProQOL 5, and salivary cortisol. Data were analyzed using Chi-square test, independent t-test, and paired t-test.

Results

The first hypothesis, "There will be a difference in scores for ego resiliency between the experimental group and the control group". was not supported. The second hypothesis, "There will be a difference in scores for compassion satisfaction between the experimental group and the control group" was supported (t=2.15, p=.046). The third hypothesis, "There will be a difference in scores for compassion fatigue between the experimental group and the control group" was not supported.

Conclusion

The first program for emergency nurses to overcome compassion fatigue in Korea was effective in increasing emergency nurses' compassion satisfaction and decreasing salivary cortisol level in the experimental group. Therefore, this program for overcoming compassion fatigue is useful to increase emergency nurses' compassion satisfaction. However replication studies of short-term intensive program reflecting emergency nurses' opinion are needed.

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Predictors of Resilience in Adolescents with Leukemia
Sung Sil Hong, Ho Ran Park
J Korean Acad Nurs 2015;45(4):595-603.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.595
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors.

Methods

From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program.

Results

The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience.

Conclusion

The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.

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    Hyeran An, Sunhee Lee
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Development and Effects of Emotional Intelligence Program for Undergraduate Nursing Students: Mixed Methods Research
Oi Sun Lee, Mee Ock Gu
J Korean Acad Nurs 2014;44(6):682-696.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.682
AbstractAbstract PDF
Purpose

This study was conducted to develop and test the effects of an emotional intelligence program for undergraduate nursing students.

Methods

The study design was a mixed method research. Participants were 36 nursing students (intervention group: 17, control group: 19). The emotional intelligence program was provided for 4 weeks (8 sessions, 20 hours). Data were collected between August 6 and October 4, 2013. Quantitative data were analyzed using Chi-square, Fisher's exact test, t-test, repeated measure ANOVA, and paired t-test with SPSS/WIN 18.0. Qualitative data were analyzed using content analysis.

Results

Quantitative results showed that emotional intelligence, communication skills, resilience, stress coping strategy, and clinical competence were significantly better in the experimental group compared to the control group. According to the qualitative results, the nursing students experienced improvement in emotional intelligence, interpersonal relationships, and empowerment, as well as a reduction in clinical practice stress after participation in the emotional intelligence program.

Conclusion

Study findings indicate that the emotional intelligence program for undergraduate nursing students is effective and can be recommended as an intervention for improving the clinical competence of undergraduate students in a nursing curriculum.

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    Myoung Sook Kim
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    Bogyun Kim, Jia Lee
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Effectiveness of Forgiveness Therapy on Resilience, Self-esteem, and Spirituality of Wives of Alcoholics
Hee Kyung Kim, Mihyoung Lee
J Korean Acad Nurs 2014;44(3):237-247.   Published online June 30, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.3.237
AbstractAbstract PDF
Purpose

In this study the effects of forgiveness therapy on the resilience, self-esteem, and spirituality of wives of men suffering from alcohol abuse was examined.

Methods

The study design was a quasi-experimental design. Forgiveness therapy was conducted once a week for 12 weeks. Data were obtained from March 2012 to December 2013. Participants were chosen from women in two Alcohol Counseling Centers. Of the 29 participants, 16 were assigned to the experimental group and 13 to the control group. Data were analyzed using descriptive statistics, t-test, χ2-test, and repeated measure ANOVA.

Results

There were statistically significantly differences for resilience, self-esteem, and spirituality between the experimental and control groups. Forgiveness therapy improved the resilience, self-esteem, and spirituality in the experimental group compared to the control group (p<.05). In follow-up tests, the experimental group had a statistically significantly increase only in self-esteem.

Conclusion

This study results show that forgiveness therapy is effective in improving resilience, self-esteem, and spirituality in wives of men suffering from alcohol abuse. Therefore, forgiveness therapy can be considered a useful nursing intervention to promote improvements in emotional stability and provide pain relief for these wives.

Citations

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    Feridun Kaya, Hatice Odacı
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    Agli Océane, Bailly Nathalie, Cuervo-Lombard Christine-Vanessa
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    Tut Wuri Tri Lestari, Arthur Huwae
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    Hee Kyung Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(1): 42.     CrossRef
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    Dinu Hafidh Muvariz, Hanifah Nur Fitriani, Indah Nisrina, Fuad Nashori
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Effects of the Family Resilience Enhancement Program for Families of Patients with Chronic Schizophrenia
HeeSu Lim, KuemSun Han
J Korean Acad Nurs 2013;43(1):133-142.   Published online February 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.1.133
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effects of the Family Resilience Enhancement Program (FREP) on family hardiness, family sense of coherence, family problem solving communication, family crisis oriented personal evaluation, and adaptation in families of patients with chronic schizophrenia.

Methods

The study design was a nonequivalent control group prepost test design. Study participants were 17 families in the experimental group and 17 in the control group. Ten sessions of FREP were provided over 5 weeks. The data were analyzed using SPSS 15.0.

Results

There were statistically significant differences in family hardiness, family sense of coherence, family problem-solving communication, family crisis-oriented personal evaluation, social resources, and family adaptation between the experimental group and the control group.

Conclusion

FREP based on the family resilience model developed in this study, shows the effect of leading the families to positive family adaptation.

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Factors Influencing Resilience of Adult Children of Alcoholics among College Students
Hee Kyung Kim, Mi Hyoung Lee
J Korean Acad Nurs 2011;41(5):642-651.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.642
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the resilience of adult children of alcoholics (ACOA) who are college students, and examine factors contributing to their resilience.

Methods

A total of 459 college students from a university in Incheon, participated in this study. Data were collected between April 6 to 30, 2010 using the Korean version of the Children of Alcoholics Screening Test (CAST-K), CAGE, Social Support, Self-Esteem, Family Adaptability and Cohesion, and Resilience measurements. Data were analyzed using the SPSS/WIN 18.0 program.

Results

Overall, ACOA group showed lower scores of resilience, social support, self-esteem and family adaptability and cohesion compared to non-ACOA group. Resilience among the ACOA group showed significant relationships with self-esteem (r=.53, p<.001), social support (r=.43, p<.001), and family adaptability and cohesion (r=.25, p<.013). Multiple regression analysis showed that 45% of the variance for resilience in the ACOA group was accounted for by age, gender, social support, self-esteem, and religion.

Conclusion

The results of the study show that self-esteem and social support are important determinants of resilience in ACOA, thus it is recommend that further resilience training programs for ACOA be developed to enhance their social support and self-esteem, and ultimately to increase their resilience.

Citations

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    Dorine M. van Namen, Sander R. Hilberink, Hein de Vries, Gera E. Nagelhout, AnneLoes van Staa
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Effects of Laughter Therapy on Depression, Quality of Life, Resilience and Immune Responses in Breast Cancer Survivors
Eun A Cho, Hyun Ei Oh
J Korean Acad Nurs 2011;41(3):285-293.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.285
AbstractAbstract PDF
Purpose

In this study, the effects of laughter therapy on levels of depression, quality of life, resilience and immune responses in breast cancer survivors were examined.

Methods

A quasi-experimental nonequivalent control group, pretest-posttest design was used. Participants (n=37) included breast cancer survivors who finished chemotheraphy and radiation therapy: 16 in the experiment group and 21 in the control group. Data were collected from August to November 2009. The experimental group participated in laughter therapy eight times, twice a week for 60 min per session. Questionnaires were used to me-asure pretest and posttest levels of depression, quality of life and resilience. A blood test was used to analyze changes in Total T cell, T helper, T suppressor, Th/Ts ratio, Total B cell, T cell/B cell ratio and NK cell for immune responses.

Results

The results showed that laughter therapy was effective in increasing the quality of life and resilience in breast cancer survivors. but depression and immune responses did not differ significantly between the groups.

Conclusion

The results of the study indicate that laughter therapy may be an effective nursing intervention to improve quality of life and resilience in breast cancer survivors.

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Development of a Questionnaire to Measure Resilience in Children with Chronic Diseases
Dong Hee Kim, Il Young Yoo
J Korean Acad Nurs 2010;40(2):236-246.   Published online April 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.2.236
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and evaluate a Korean questionnaire to measure resilience in children with chronic illness.

Methods

Item construction was drawn from an extensive review of the literature, existing questionnaires and interviews with parents. Content validity was tested by experts. To further refine the questionnaire and test its reliability and validity, data were collected from the 202 children with asthma, diabetes mellitus or nephrotic syndrome. Corrected items were used to total correlation coefficient and test-retest reliability. Questionnaire testing was conducted using factor analysis, Cronbach's α, and correlation coefficients. Validity of the questionnaire was tested using internal consistency, construct validity, and criterion-related validity.

Results

Components of the questionnaire were in three domains; interpersonal characteristics, characteristics of coping, and intrapersonal characteristics. Factor analysis is showed five factors; positive self-understanding, self-reliance, resourcefulness, perception of positive family relationships, and intimacy. The questionnaire showed a high internal consistency. A significant positive correlation with the Numerical Rating Score and negative correlation with the Child Depression Inventory support the validity of the questionnaire.

Conclusion

This instrument demonstrated high reliability and validity. Therefore, this instrument can contribute to the evaluation of resilience of chronically ill children and to any subsequent intervention as well as to develop a theory for resilience.

Citations

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    Mi Ha Chung, Hyojung Park
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    Sabine E. I. van der Laan, Emma E. Berkelbach van der Sprenkel, Virissa C. Lenters, Catrin Finkenauer, Cornelis K. van der Ent, Sanne L. Nijhof
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    Yoshie Shimizu, Takanori Imai, Tsutomu Matsumoto, Kazuo Nonomura, Taro Kamiya, Yuki Okada, Aiko Honda
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    Mi Mi Park, Jee-Won Park
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    Hyun Jung Yun
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Development of a Structural Equation Model for Children's Adaptation in Divorced Families
Sung Hee Shin
J Korean Acad Nurs 2010;40(1):127-138.   Published online February 28, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.1.127
AbstractAbstract PDF
Purpose

This study was designed to develop and test a structural model for children's adaptation in divorced families. The hypothetical model was constructed based on the Family Resilience Model by McCubbin and McCubbin.

Methods

Data were collected using self-report questionnaires from 219 children (3-6th grade) in divorced families. The children attended one of 22 community agencies, 8 after-school programs, 3 elementary schools in three cities in South Korea. The collected data were analyzed using LISREL program to test the hypothetical model.

Results

The modified model was constructed by deleting four paths in accordance with the statistical and theoretical criteria. Compared to the hypothetical model, the revised one had a better fit to the data. Self-esteem, and beliefs about parental divorce had direct effects, and family communication and internal control had indirect effects on children's adaptation in divorced families. These variables explained 56% of the variance in children's adaptation.

Conclusion

The modified model was supported by empirical data. This model could be applied to family nursing interventions with divorced families or any other suffering family transition. When working with children experiencing parental divorce, it is important for nurses to enhance children's self-esteem, family communication and to decrease children's negative beliefs about parental divorce to help in their adaptation.

Citations

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  • Social Support, Self-Concept and Resilience as Protectors Against School Maladjustment During Adolescence
    Lorea Azpiazu, Estibaliz Ramos-Díaz, Inge Axpe, Lorena Revuelta
    School Mental Health.2024;[Epub]     CrossRef
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    Sung Hee Shin, Heeseung Choi, Mi Ja Kim
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    Eun Kyoung Yun, Sung Hee Shin
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Concept Analysis of Resilience in Patients with Cardiovascular Diseases
Su-Jin Shin, Duk-Yoo Jung, Eun-Hee Hwang
J Korean Acad Nurs 2009;39(6):788-795.   Published online December 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.6.788
AbstractAbstract PDF
Purpose

The purpose of this study was to define and clarify the concept of 'resilience' in patients with cardiovascular diseases.

Methods

A hybrid model was used to develop the concept of resilience. The model included a field study carried out in Cheonan, Korea. The participants in this study were 9 patients with cardiovascular diseases who underwent a percutaneous coronary intervention.

Results

The concept of resilience was found to be a complex phenomenon having meanings in two dimensions: the personal-dispositional and interpersonal dimensions. Four attributes and seven indicators were defined.

Conclusion

A resilient person was defined as one who has a positive attitude toward restoration, the power to reconstruct and control his/her disease (personal dimension), and support from a supportive system with supportive persons (interpersonal dimension). In the clinical setting, resilience plays an important role in managing the care plans of cardiovascular patients. Therefore, nurses who work closely with patients suffering from cardiovascular diseases should be aware of the attributes and indicators of resilience to enhance the resilience of their patients.

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    Mi Young Cheon, Jiyeon Kang
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    Nayeon Shin, Younhee Kang
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    Patricia L. Hart, Jane D. Brannan, Mary De Chesnay
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    Kyung Sook Choi, Jung Ae Park, Joohyun Lee
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