Journal of Korean Academy of Nursing

Research Paper

A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19: An, Soo Young , Choi, Heejung; J Korean Acad Nurs 2023;53(3):309-323. Published online June 30, 2023; DOI: https://doi.org/10.4040/jkan.22118

Abstract PDF: Purpose
This study aimed to develop and test a model for posttraumatic growth among cured patients with COVID-19. This model was based on Calhoun and Tedeschi’s Posttraumatic Growth model and a literature review.
Methods
The participants comprised 223 patients cured from COVID-19 who were ≥ 19 years of age. The data were collected through an online questionnaire from March 21 to 24, 2022. The assessment tools included the Impact of Event Scale: Revised Korean version, the Connor-Davidson Resilience Scale, the Distress Dis-closure Index, the Multidimensional Scale of Perceived Social Support, the Korean version of the Event-related Rumination Inventory, and the Korean version of the Post-traumatic Growth Inventory. Data were analyzed using the IBM SPSS version 24.0 and IBM AMOS 26.0.
Results
The modified model showed appropriate goodness of fit (χ 2 = 369.90, χ 2 /degree of freedom = 2.09, SRMR = .09, RMESA = .07, CFI = .94, TLI = .93). The post-traumatic growth of cured patients with COVID-19 was explained through distress perception, self-disclosure, and deliberate rumination, with the explanatory power being 70.0%.
Conclusion
This study suggests preparing a disaster psychology program involving experts who can activate deliberate rumination is necessary. Further, this study may serve as basic data for developing a program to enhance the post-traumatic growth of patients cured from COVID-19.

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Original Articles

The Structural Analysis of Variables Related to Posttraumatic Growth among Psychiatric Nurses: Hyun Ju Yeo, Hyun Suk Park; J Korean Acad Nurs 2020;50(1):26-38. Published online January 31, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.1.26

Abstract PDF

Abstract Purpose:

The purpose of this study was to explain a structural model of posttraumatic growth among psychiatric nurses based on existing models and a literature review and verify its effectiveness.

Methods:

Data were collected from psychiatric nurses in one special city, four metropolitan cities, and three regional cities from February to March 2016. Exogenous variables included hardiness and distress perception, while endogenous variables included self-disclosure, social support, deliberate rumination, and posttraumatic growth. Data from 489 psychiatric nurses were analyzed using IBM SPSS Statistics 19.0 and AMOS 20.0.

Results:

The modified model was a good fit for the data. Tests on significance of the pathways of the modified model showed that nine of the 14 paths were supported, and the explanatory power of posttraumatic growth by included variables in the model was 69.2%. For posttraumatic growth among psychiatric nurses, deliberate rumination had a direct effect as the variable that had the largest influence. Indirect effects were found in the order of hardiness, social support, and distress perception. Self-disclosure showed both direct and indirect effects.

Conclusion

A strategy to improve deliberate rumination is necessary when seeking to improve posttraumatic growth among psychiatric nurses. Enhancing psychiatric nurses’ hardiness before trauma would enable them to actively express negative emotions after trauma, allowing them to receive more social support. This would improve deliberate rumination and consequently help promote psychological growth among psychiatric nurses who have experienced trauma.

Citations

Citations to this article as recorded by

Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 in Regional Medical Centers
Jaehwa Bae, Eun Suk Choi
Research in Community and Public Health Nursing.2025; 36: 9. CrossRef
Mediating mechanism of posttraumatic growth as buffers of burnout and PTSD among nurses during the COVID-19 pandemic
Jae-Chang Sim, Sun-Kyung Cha, Sun-Young Im
Frontiers in Public Health.2024;[Epub] CrossRef
The effect of alexithymia on distress disclosure among nurses: the mediating role of resilience
Qianru Liu, Xuetai Jian, Fangyu Peng, Meng Wang, Jiaxin Li, Xinru Deng, Yinglu Wan, Li Geng
Current Psychology.2024; 43(25): 21931. CrossRef
Effects of compassion satisfaction and compassion fatigue on posttraumatic growth of psychiatric nurses: A cross‐sectional study
Li Zeng, Guiling Liu, Fen Feng, Yinong Qiu, Shuping Wang, Meng Yu, Jialin Wang
International Journal of Nursing Practice.2024;[Epub] CrossRef
A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19
Soo Young An, Heejung Choi
Journal of Korean Academy of Nursing.2023; 53(3): 309. CrossRef
Relationship between rumination and post-traumatic growth in mobile cabin hospital nurses: The mediating role of psychological resilience
Jing Liu, Sha Wei, Guohong Qiu, Ni Li, Delin Wang, Xiaohou Wu, Xiangzhi Gan, Hongmei Yi
Preventive Medicine Reports.2023; 34: 102266. CrossRef
Promotion factors of emergency nurses’ post-traumatic growth during the COVID-19 pandemic in Shanghai: a qualitative study
Jinxia Jiang, Peng Han, Yue Liu, Qian Wu, Haiyan Shao, Xia Duan, Yan Shi
BMC Nursing.2023;[Epub] CrossRef
Post-traumatic growth experience of first-line emergency nurses infected with COVID-19 during the epidemic period—A qualitative study in Shanghai, China
Jinxia Jiang, Peng Han, Xiangdong Huang, Yue Liu, Haiyan Shao, Li Zeng, Xia Duan
Frontiers in Public Health.2022;[Epub] CrossRef
Post-Traumatic Growth of Nurses in COVID-19 Designated Hospitals in Korea
Suk-Jung Han, Ji-Young Chun, Hye-Jin Bae
International Journal of Environmental Research and Public Health.2022; 20(1): 56. CrossRef
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Ji Eun Oh, Ju Young Park
Journal of Korean Academy of Nursing Administration.2022; 28(5): 499. CrossRef
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Ju Young Yim, Jung A Kim
Journal of Nursing Management.2022; 30(6): 1940. CrossRef
Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
Journal of Korean Critical Care Nursing.2022; 15(2): 50. CrossRef
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Ae Kyung Chang, Hyejin Yoon, Ji Hyun Jang
Japan Journal of Nursing Science.2021;[Epub] CrossRef
Association of Nursing Work Environment, Relationship with the Head Nurse, and Resilience with Post-Traumatic Growth in Emergency Department Nurses
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International Journal of Environmental Research and Public Health.2021; 18(6): 2857. CrossRef

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Factors Influencing Posttraumatic Growth in Fathers of Chronically ill Children: Mi Young Kim; J Korean Acad Nurs 2015;45(6):890-899. Published online December 15, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.6.890

Abstract PDF

Abstract Purpose

The purpose of this study was to identify the level of distress and posttraumatic growth in fathers of chronically ill children and also, to identify the relation between characteristics of the fathers and children and their posttraumatic growth and to investigate factors that influence posttraumatic growth.

Methods

In this study, 48 fathers who visited a university hospital in Seoul, Korea and who gave written consent completed the questionnaire between September 23 and November 19, 2013. Data were analyzed using Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficient and stepwise multiple regression.

Results

The level of distress in fathers of chronically ill children was relatively high and the majority of them were experiencing posttraumatic growth. Models including the variable (deliberate rumination, religiousness, optimism) explained 64.3% (F=26.38, p< .001) of the variance for posttraumatic growth. Deliberate rumination (β=.59, p< .001) was the most influential factor.

Conclusion

The findings demonstrate that it is essential for nurses to intervene and facilitate continuously so as to promote posttraumatic growth and relieve distress in fathers of chronically ill children. Furthermore, it is also necessary for nurses to find ways to develop ideal interventions to activate deliberate rumination and offer spiritual care and help maintain optimism in these individuals.

Citations

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A sense of coherence (SOC) among the fathers of children with chronic illnesses
Masahiro Haraguchi, Tomoko Takeuchi
Nursing Open.2024;[Epub] CrossRef
Relationship between mental health and stressors among fathers of children with chronic illnesses and cognitive structure of fathers’ stress experiences
Masahiro Haraguchi
Scientific Reports.2023;[Epub] CrossRef
The Relationship between Post-Traumatic Growth, Trauma Experience and Cognitive Emotion Regulation in Nurses
Sook Lee, Mun Gyeong Gwon, YeonJung Kim
Korean Journal of Stress Research.2018; 26(1): 31. CrossRef
Shifting of Centricity: Qualitative Meta Synthetic Approach on Caring Experience of Family Members of Patients with Dementia
Young Mi Ryu, Mi Yu, Seieun Oh, Haeyoung Lee, Haejin Kim
Journal of Korean Academy of Nursing.2018; 48(5): 601. CrossRef
Predictors of the Posttraumatic Growth in Parents of Children with Leukemia
Sungsil Hong, Ho Ran Park, Sun Hee Choi
Asian Oncology Nursing.2018; 18(4): 224. CrossRef
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
Journal of Korean Academy of Nursing.2018; 48(3): 335. CrossRef

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