Nursing Intervention Program Research Articles

Effect of Job Crafting Intervention Program on Harmonious Work Passion and Career Commitment among Nurses: A Randomized Controlled Trial

Aim. This study aimed at evaluating the effects of a job crafting intervention program for nurses on their job crafting behaviors, harmonious work passion, and career commitment. Background. Nurses generally work in suboptimal environments with chronic low resources and high demands. Job crafting may be a cost-effective strategy to deal effectively with such environments. However, its effectiveness as a nursing intervention program remains unclear. Methods. An open-label randomized controlled trial was conducted at a hospital in Port Said, Egypt. The study enrolled 94 nurses. Participants were assigned randomly to the intervention group (n = 47) or the control group (n = 47). The intervention group had a 2-day workshop, 3 weeks of job crafting implementation, and a reflection session, whereas the control group participated in a 1-day workshop. Data were collected at baseline, 2 weeks, and 3 months after the intervention in both groups by using the Job Crafting Scale, Job Crafting Knowledge Questionnaire, Harmonious Work Passion Scale, and Career Commitment Scale. Results. Compared with the control group, the intervention group experienced a higher level of job crafting behaviors and reported a greater improvement in harmonious work passion, but not in career commitment. Conclusion. Nurses can be trained on job crafting behaviors, which can lead to the maximization of job resources, optimization of job demands, and enhancement of nurses’ harmonious work passion. Implications for Nursing Management. Nursing managers should train nurses regularly on how to be job crafters because it is an effective tool that helps nurses deal with limited job resources and increased job demands and makes them more harmoniously passionate about their work.

Design of a Nursing Intervention Program to Prevent Adolescents' Perioperative Anxiety

Introduction Adolescents undergoing surgery have expressed a willingness to obtain information about their surgery and to be involved in the decisions about their health care process. Around 80% of adolescents experience anxiety before undergoing surgery. On the basis of the adolescents' shared experiences, areas of possible nursing intervention have been identified to prevent anxiety and the multitude of adverse effects associated with it. The purpose of this study is to present a nursing intervention program to prevent perioperative anxiety in adolescents (3P2A) designed based on the first phase of the complex intervention's framework. Methods The design of this program followed the updated guidance for developing complex interventions issued by the Medical Research Council and the National Institute for Health Research. Five Portuguese nurses, experts in perioperative nursing, and pediatric specialists evaluated and validated the final version of this program. Results The nursing intervention program to prevent perioperative anxiety in adolescents (3P2A) consists of three phases that correspond to the preoperative, intraoperative, and postoperative periods. The first phase includes conducting a preoperative nursing consultation to identify stressors, providing written and verbal information about the surgery, and applying nonpharmacological interventions to reduce anxiety. In the intraoperative period, nonpharmacological interventions are implemented in the anesthetic induction room immediately before the adolescent falls asleep. Finally, the postoperative period comprises a nursing visit to identify postoperative complications and promote the adolescents' well-being. Discussion The program is structured with specific interventions to be implemented in each of the perioperative periods. Because of its flexibility, it may be fully or partially implemented considering the identified needs, priorities, and resources when caring for an adolescent with anxiety during the perioperative period.

What Determines the Health-related Quality of Life of Vietnamese Migrant Workers in Korea?

Purpose: Over time, the number of migrant workers in Korea has shown a steady increase. Notably, among all migrant workers, those from Vietnam constitute the third largest group in Korea. The main objective of this study was to investigate the factors that influence the health-related quality of life of Vietnamese migrant workers. The study aimed to provide essential data for the development of customized nursing intervention programs and policy preparation in the future. Methods: A total of 220 Vietnamese migrant workers aged between 18 and 64, who were employed in Korea through the Employment Permit System and had been residing in the country for more than 91 days, participated in this study. Results: The study results revealed that physical activity (β=.19, <i>p</i>=.002), hope (β=.50, <i>p</i> <. 001), cohabitation with colleagues (β=.16, <i>p</i> =.003), and sleep hour (β=.11, <i>p</i> =. 031) had a statistically significant impact on health-related quality of life. The findings showed that higher levels of physical activity and hope were positively associated with higher health-related quality of life. Moreover, cohabiting with colleagues and sleeping for more than six hours were also significantly related to higher health-related quality of life. Conclusion: Given these findings, it is imperative to develop programs that encourage physical activity and enhance the health-related quality of life of migrant workers from Vietnam. Policymakers and employers should also consider providing adequate living conditions that facilitate cohabitation with colleagues and sufficient time for sleep to improve the health and well-being of migrant workers.

Characteristics of Early Onset Dementia and Caring Experiences and Service Needs of Family Caregivers: A Mixed Methods Study

Purpose: The purpose of this mixed methods study was to explore the caring experiences of the family caregivers of patients with early-onset dementia, and identify the characteristics of early-onset dementia.Methods: A qualitative study was conducted using Colaizzi‘s phenomenological method to explore the caring experiences and service needs of ten family caregivers. A quantitative study was carried out by secondary data analysis to compare the differences in disease characteristics and comorbidities between early and late-onset dementia.Results: The experiences of the family caregivers of patients with early-onset dementia were ‘Learning about dementia’, ‘Away from everyday life’, ‘Facing dementia’, and ‘Barely managing’. The study also revealed that one out of five dementia patients had early-onset dementia. However, most dementia services are concentrated on late-onset dementia. Thus, the family and caregivers of early-onset dementia patients experience relatively inadequate services.Conclusion: This study’s findings identified the characteristics of early-onset dementia, as well as the caring experiences and service needs of family caregivers from a more holistic perspective, and will contribute to the development of adequate nursing intervention programs and policies in the future.

Effect of Nursing Interventions on Feeding Difficulties of Children with Cerebral Palsy

Context: Cerebral Palsy (CP) is a static non-progressive brain disorder defined as a group of motor disorders resulting from brain damage before, during, or after birth. Children with CP frequently have feeding problems, growth disorders, feeding complications, communication disorders, mental obstruction, seizure disorders, auditory problems, and visual deficiency, which may significantly impact their health.
 Aim: The study aimed to evaluate the effect of nursing interventions on feeding difficulties of children with cerebral palsy.
 Methods: A quasi-experimental (pre/post-test) research design was utilized in this study that was conducted at the Neurologic Specialized Clinic at Children's Hospital affiliated to Ain Shams University Hospitals. A convenient sample of forty-five children with CP having feeding difficulties and their mothers was selected from the previously mentioned setting. Data were collected by using three tools, a structured interview questionnaire and a Children Observation Assessment Record to assess the child's ability and feeding difficulties of the studied children before and after the intervention.
 Results: The study reveals a mother's mean age of 31.33±4.46 and a child's mean age of 6.28±2.91. The children's assessment reveals that 84.4% of cerebral palsy children were hypotonic. Pre and post-test comparisons of children's BMI revealed a statistically significant difference at p=0.018, and feeding difficulties revealed a statistically significant difference in spoon feeding p= 0.007, biting p=0.002, chewing p=0.003, cup drinking p= 0.005, swallowing p=0.001, and drooling during eating p=0.009.
 Conclusion: The study concluded that the supportive nursing intervention program was successful in improving the feeding difficulties as regards spoon feeding, biting, chewing, cup drinking, swallowing, and drooling during eating after the intervention compared to the children's pre-intervention level. The study recommended applying supportive nursing interventions for children with CP having feeding difficulties as a main supportive nursing intervention to overcome feeding difficulties.

The nursing students' experience of COVID-19 confirmation

This study was conducted to prepare the basic data for the development of practical nursing intervention programs for nursing college students who have been confirmed with COVID-19 since its outbreak in Korea. The subjects of this study were 70 nursing students at the University of Nursing located in Seoul, Gangwon-do, and Gyeonggi-do, Chungcheongnam-do. The data were collected from April 1st through April 30th, 2022, and analyzed it using the content analysis method. The experience of the nursing students infected with COVID-19 was classified and analyzed to draw a total of 187 significant statements and 36 categories. When establishing an infectious disease prevention program for nursing students and developing a practical nursing intervention program, it is necessary to focus on the preventive activities that emphasize personal aspects such as infection control, health management, and self-management, and to strengthen social support systems and improve quality of life.

임상간호사가 지각한 윤리적리더십과 윤리적민감성, 윤리적풍토, 간호업무수행에 관한 구조모형

Objectives This study, to construct a model that can predict the ethical climate and nursing performance of clinical nurses, this study establishes a hypothetical model to explain the ethical climate and nursing performance of clinical nurses based on previous studies on ethical leadership and ethical sensitivity. The purpose of this study is to verify the fit of the model and the structural model that tests the hypotheses presented in the model through the collected data. Methods The subjects of the study were three general hospitals with 250 beds or more located in S and Y cities, and filled out a structured questionnaire for 239 clinical nurses as the population as a convenience sample, from September 1 to September 30, 2022. data were collected until For statistical analysis, SPSS 25.0 and AMOS 25.0 programs were used, and structural equation model analysis (SEM) was used. Results There was a statistically significant difference in the ethical climate according to the general characteristics of the study subjects, such as work department, position, and place of nursing ethics education (F=3.307, p<.05). As for the working department, internal medicine ward and other were higher than intensive care unit (F=2.298, p<.05), and the position of other was higher than that of head nurse and chief nurse (F=2.725, p<.05). However, in the places where nursing ethics education was received, the maintenance education was higher than the practical education in the hospital. Ethical climate showed a statistically significant positive (+) correlation with ethical leadership (r=.642, p<.001), and ethical climate showed a statistically significant positive (+) correlation with ethical sensitivity. showed (r=.677, p<.001). Nursing performance showed a statistically significant positive (+) correlation with ethical leadership (r=.510, p<.001), and nursing performance had a statistically significant positive (+) correlation with ethical sensitivity. (r=.667, p<.001), and ethical sensitivity showed a statistically significant positive (+) correlation with ethical leadership (r=.522, p<.001). Conclusions Efficient organizational management and ethical leadership are needed to improve clinical nurses' ethical sensitivity and improve ethical climate and nursing work performance, and various nursing intervention programs are needed to adapt to the organization.

Factors influencing self-care behaviour in patients with heart failure: Grit as a behavioural support factor.

This study aimed to examine the relationship between heart failure knowledge, self-efficacy, social support, grit and self-care behaviour in patients with heart failure and to identify factors associated with patients' self-care behaviour. Most patients with heart failure are not as active in implementing self-care behavioural practices as recommended by the guidelines. This descriptive cross-sectional study was designed based on Bandura's Social Cognitive Theory. This study included 138 patients who were diagnosed with heart failure in an outpatient department of cardiology at a tertiary hospital in Korea. Data were collected between July and October 2020 using a structured questionnaire and electronic medical records. Data were analysed using the SPSS/WIN 27.0 program. Grit had the strongest association with self-care behaviour among patients with heart failure, followed by social support, self-efficacy and heart failure knowledge. These variables accounted for approximately 52% of the variance in self-care behaviour. Health-care professionals should assess patients' grit and develop patient-tailored grit enhancement programmes. Based on the social cognitive theory, nursing intervention programmes that can simultaneously manage cognitive (knowledge and self-efficacy), social and environmental (social support) and behavioural support (grit) factors should be developed and applied to nursing practices to promote self-care.

Effect of nursing intervention program on pregnant woman's knowledge about umbilical cord stem cell banking

The procedure of collecting and storing umbilical cord blood in the days following a baby's birth is known as umbilical cord blood banking. It contains potent stem cells, as well as hematopoietic cells. Aim: To determine the effect of the nursing intervention program on pregnant woman's knowledge about umbilical cord stem cell banking. Design: A quasi-experimental research design was used to achieve the study's aim. Setting: The study was applied in the Antenatal Outpatient Clinic at Minia University Hospital. Subjects: A total of 100 pregnant women were selected from previous settings based on non-probability convenience sampling. Two tools were used: (1) a structured interview questionnaire; which included two parts (1) personal data, (2) obstetric history, and (2) a knowledge assessment questionnaire. Results: The study's findings demonstrated that post-nursing intervention program knowledge of umbilical cord stem cell collecting and banking was statistically significantly higher than pre-nursing intervention program knowledge among the studied pregnant woman. Conclusion: The findings of the study concluded that the nursing intervention program was effective in improving pregnant woman's knowledge regarding umbilical cord stem cell banking.

Eating habits: what foods do children between 12 and 36 months consume?

to identify toddlers' eating habits. a cross-sectional study of quantitative analysis, with a sample of 808 toddlers who attended day care centers in the district of Viseu, Portugal, between November 2018 and September 2019. Data were collected using a questionnaire directed at parents. the prevalence of children who ate six meals a day was 42.8%, and 42.5%, those who ate five meals. It was found that 2.0% of children consumed chocolates, 1.0%, desserts, and 0.4%, carbonated beverages, daily. On average, dairy product (M=5.61; SD=2.62) and meat/fish/egg (M=4.80; SD=3.57) consumption was higher than recommended, while fat (M=0.48; SD=0.40), legume (M=0.49; SD=0.45), vegetable (M=1.18; SD=0.87) and water (M=0 .51; SD=0.29) consumption was lower. there was a higher or lower consumption than recommended for some foods, highlighting the need to implement nursing intervention programs aimed at promoting healthy eating habits in toddlers and families.

Evaluation on the efficacy of nursing intervention based on the self-efficacy theory model in elderly patients undergoing total laparoscopic hysterectomy

The effectiveness of nursing interventions based on the self-efficacy in elderly patients receiving total laparoscopic hysterectomy was assessed. 100 senior patients undergoing total laparoscopic hysterectomy were committed to our hospital from January 2020 to February 2021. Patients were randomized into the study group (n = 51) and control group (n = 49), according to the time of surgery. The control group was given a conventional care plan, while the study group was given conventional care plus a nurse intervention based on a self-efficacy plan. The total post-operative disease uncertainty scores were relatively lower than before surgery both in the control group and the study group (p < 0.05). In particular, the disease uncertainty scale in the post-operative group was reduced in the study group as compared to that in the control group (p < 0.05). The post-operative self-efficacy scale scores of patients in the control group and the study group were increased than that in the pre-operative patients (p < 0.05). In particular, the post-operative self-efficacy scale scores of patients in the study group were higher than that in the control group. Patients in the study group had a lower incidence of post-operative complications than that in the control group. After one year of follow-up, the overall Pelvic Floor Distress Inventory-20 (PFDI-20) scores at 3 months and 12 months were statistically significant higher than pre-operative scores (p < 0.05). In particular, the post-operative patients’ pelvic floor function in the study group were lower than that in the control group. It seems that a self-efficacy-based nursing intervention program applied to elderly patients after laparoscopic total hysterectomy was effective in improving patients’ disease uncertainty and self-efficacy, shortening the length of hospital stay and reducing the incidence of postoperative complications, with little impact on pelvic floor function.

Factors Affecting the Quality of Life in Low-Income Older Adults with Sarcopenia: A Cross-Sectional Study.

This study aimed to identify the factors influencing quality of life (QoL) of low-income older adults (LOAs) with sarcopenia. A convenience sample of 125 older adults was recruited from Jeonbuk Province, South Korea. Data were collected using a self-report questionnaire that included nutritional status, the Depression Anxiety Stress Scale-21, and the World Health Organization Quality of Life Instrument-Older Adults Module. Additionally, grip strength and appendicular skeletal muscle mass, were evaluated, along with the short physical performance battery. Sarcopenia and severe sarcopenia were observed in 43.2% and 56.8% of participants, respectively. Using multiple regression analysis, depression (β = -.40, p < .001), nutritional status (β = .24, p = .003), and anxiety (β = -.15, p = .042) were identified as factors affecting the QoL of the older adults in low-income groups with sarcopenia, the explanatory power of these variables was 44%. The results of this study can be used to develop a nursing intervention program and establish policies to improve depression, anxiety, and nutritional status to enhance QoL of LOAs with sarcopenia.

Effect of Nursing Intervention on Emotional Intelligence, Self-esteem and Empathy of Nursing Students Undergoing Clinical Experience in Paediatric Units-Pilot Study (Part-2)

Background: Nurses working in paediatric settings face a number of challenges. Nurses can be emotionally drained while they see their young patients suffer. Therefore, nurses need to be emotionally intelligent.&#x0D; Objectives: The effect of nursing intervention on emotional intelligence (EI), self-esteem and empathy of baccalaureate nursing students undergoing clinical experience in paediatric units.&#x0D; Materials and Methods: The present study adopted a quasi experimental repeated measures time series design in which 60 third year baccalaureate nursing students undergoing clinical experience in paediatric units were assigned to either the experimental or control groups. Pre testing of emotional intelligence, self-esteem and empathy was done using the EI (Pc-Sc) scale, Rosenberg self-esteem scale and the Toronto Empathy Questionnaire, respectively. The study intervention included a nursing intervention programme offered in 5 two-hour sessions for 5 days. Post-test was conducted on the 30th and 60th day.&#x0D; Statistical Analysis: Two factor repeated measures ANOVA was used for comparison within the group and between the groups.&#x0D; Results: In the experimental group, the mean and standard deviation of the different areas of EI and overall EI score, self-esteem and empathy at post test 2 were higher than the mean and standard deviation at pretest. There was a significant change in the EI, self-esteem and empathy scores in the follow ups in the experimental group, indicating that the nursing intervention was effective in enhancing the EI, self-esteem and empathy of baccalaureate nursing students.&#x0D; Conclusion: Courses to train the emotional intelligence skills, self-esteem and empathy should be included in the nursing curriculum so as to improve nursing standards of both students and nurses in providing quality care to the patients.

STRUCTURAL EQUATION MODELING OF HEALTH-RELATED QUALITY OF LIFE AMONG PEOPLE WITH VISUAL IMPAIRMENT

Abstract Visual impairment can lead to limited accessibility and activities and a decreased quality of life. This study aimed to test a hypothetical model based on the International Classification of Functioning, Disability, and Health to predict the health-related quality of life (HRQOL) of people with visual impairment. Data from 202 people with visual impairment were collected from August 2020 to November 2020 via telephone or e-mail. The overall fitness indices of the model for physical HRQOL (Normed χ2=2.076, GFI=.878, TLI=.900, CFI=.928, RMSEA=.073) and the model for mental HRQOL (Normed χ2=2.232, GFI=.884, TLI=.904, CFI=.932, RMSEA=.078) complied with the recommended criteria of structural equation model fitness, indicating that the models were appropriate for predicting the HRQOL of people with visual impairment. The socioeconomic status, multimorbidity, perceived environmental barriers, and activity limitation/participation restriction directly affected the participants’ physical HRQOL. Moreover, depression, disability identity, and activity limitation/participation restriction directly affected participants’ mental HRQOL. Age, socioeconomic status, depression, social support, and perceived environmental barriers affected the participants’ physical and mental HRQOL by means of activity limitation/participation restriction. The findings of the study suggest that the strategies aimed at increasing the activity/participation of people with visual impairment will be helpful in improving their HRQOL. Based on the results of this study, nursing intervention programs and services for people with visual impairment should be developed and implemented to provide more comprehensive care for this group and expand nursing science.

Effectiveness of Nursing Intervention Program on Body Image, Marital Satisfaction and Quality of Life Among Women Post Bariatric Surgery.

Effectiveness of Nursing Intervention Program on Body Image, Marital Satisfaction and Quality of Life Among Women Post Bariatric Surgery.

POST-PROSTATECTOMY INCONTINENCE AND NURSING CARE: AN INTEGRATIVE REVIEW

Objective: To identify nursing actions corresponding to assistance in post-prostatectomy urinary incontinence (PPUI). Method: This is an integrative review conducted in PubMed Central, ScienceDirect, Scopus and Web of Science, using the English terms “post-prostatectomy incontinence” and “nursing care,” combined with the Boolean operator AND. Articles published as full text or articles in press, within the open access system, without distinction of languages or year of publication, were included. Results: The initial search found 477 papers, but only six met the eligibility criteria. The five types of nursing actions identified were pelvic floor muscle training; urine stream interruption test with Unit Under Test timer; psychological nursing intervention program;telephone nursing support;and continuous post-prostatectomy nursing care, together with the previous interventions. Most studies showed good methodological quality and low risk of bias. Conclusion: The present review allowed the identification of different types of management of PPUI by nursing, even considering that the scenario of studies on the area is still scarce. It is expected that this review may be useful for the development of quality nursing care protocols for PPUI.

The implementation of nUrsiNg DEliRium preventive INterventions in the Intensive Care Unit (UNDERPIN-ICU): A qualitative evaluation

BackgroundDelirium frequently occurs in intensive care unit patients and is associated with worse outcomes. Recently, a multicomponent non-pharmacological nursing intervention program called UNDERPIN-ICU, was implemented in ten Dutch intensive care units. The program was aimed at delirium reduction by optimizing four modifiable risk factors: visual and hearing impairment, cognitive impairment, immobility, and sleep deprivation. Despite its scientific fundament and extensive implementation, this program showed no effect on delirium outcomes. ObjectiveTo explore factors that hindered or facilitated the application of the UNDERPIN-ICU delirium program in daily practice as experienced by healthcare professionals. MethodsSemi-structured focus group interviews were conducted in all participating centers between April and June of 2019. Directed content and thematic analyses were applied. Interviews were coded. Codes were grouped into categories based on factors that hindered or facilitated program application. ResultsIn total, 22 ICU nurses, 3 ICU physicians, 5 local delirium group members and one research manager participated in 10 focus group interviews. We found 41 factors that hindered or facilitated program application, grouped into five categories: interventions; individual healthcare professional; patient; implementation process; capacity for change, incentives and resources. Among the factors identified in this study, the facilitating factors included standardized interventions, a structured implementation, interactive educational meetings and, feedback and support. The hindering factors included doubts about usefulness, feasibility, the extensive number of program components, limited knowledge about the program and a focus on physical care. ConclusionFactors that hindered program application may explain why the UNDERPIN-ICU program did not have positive effects on delirium outcomes. Factors that facilitated application should be strengthened in future non-pharmacological nursing interventions to prevent or reduce delirium in intensive care. RegistrationClinicalTrials.gov Identifier: NCT03002701; registration date December 26, 2016.

Roles and Effects of Peer Recovery Coach Intervention in the Field of Substance Abuse: An Integrative Literature Review

There are ongoing public initiatives to help substance abusers by involving peer recovery coaches (PRCs) in the field of substance abuse worldwide. This study examines the contents and delivery methods of PRC intervention programs and their effects from the participants' standpoint. An integrative literature search was conducted in seven electronic databases using English and Korean search terms. Two researchers independently reviewed the extracted papers and rated their quality based on predetermined inclusion and exclusion criteria, resulting in the selection of nine papers. Research on PRC participation in substance abuse treatment were predominantly US-based, and all articles derived were quantitative studies. The main roles of PRCs included liaising between treatment and community resources, assisting with stress management and coping skills, counseling and case management, and recovery and recurrence prevention education. In addition, the PRC-delivered intervention was tested with various outcome variables. It reduced participants' substance use and enhanced their treatment adherence rates, self-efficacy, quality of life, and stress control. This study confirmed the need to extend existing studies by testing the effects of PRC-delivered intervention through multidisciplinary efforts in more regions and establishing PRCs' role definition and concretization. The results of this study will serve as significant basic data in developing and applying for nursing intervention programs with PRCs in clinical and community nursing settings in the future.

임상간호사의 역할갈등과 조직효과성, 간호업무수행에 관한 연구

Objectives The purpose of this study is to investigate the correlation between role conflict, organizational effectiveness, and differences in nursing job performance and variables according to the general characteristics of clinical nurses. Methods A structured questionnaire was distributed to 520 clinical nurses working at 3 secondary medical institutions with 250 beds or more and 1 tertiary medical institution in U city, and 477 copies of data were used for the final analysis. For data analysis, the SPSS 22.0 program was used for descriptive statistics, independent sample t-test, one-way ANOVA, Scheffe post-test, Person's correlation analysis, and reliability of the tool. Results In the difference in role conflict according to general characteristics, it was found that there was a statistically significant difference according to the current departmental experience and position. 3.340, p&lt;.05), there was no difference between groups in role conflict. In terms of organizational effectiveness, it can be seen that there is a high level of organizational effectiveness with more than 40 years of experience, more than 15 years of total experience, full-time employees, and more than a head nurse, suggesting the importance of role management according to working conditions, careers, and positions. In nursing job performance, the difference in nursing job level improvement according to work type was found to be statistically significant (t=2.085, p&lt;.05), and the improvement of nursing job level was higher than that of having no job change experience. According to educational background, the differences in nursing job performance ability, nursing job performance attitude, nursing job level improvement, nursing support function, and nursing process application were found to be statistically significant. Organizational effectiveness showed a significant negative (-) correlation result with role conflict, and nursing job performance did not show a significant correlation with role conflict, and it was significant with role isolation and role ambiguity, which are sub-factors of role conflict. A negative (-) correlation result was done. Conclusions Effective organizational management and leadership are needed to reduce role conflict of clinical nurses and improve organizational effectiveness and nursing work performance, and it is considered that various nursing intervention programs need to be developed so that they can adapt to the organization.

The Mediating Effect of Self-Efficacy and Coping Strategy in Relation to Job Stress and Psychological Well-Being of Home-Visiting Care Workers for Elderly during the COVID-19 Pandemic.

The purpose of this study was to analyze the mediating effect of self-efficacy and coping strategy in the relationship between job stress and the psychological well-being of care workers. The subjects were 112 home-visiting care workers, and data were collected at four home-visiting nursing centers in a metropolitan city and a small and medium-sized city from July to August 2022. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation co-efficient, multiple linear regression, and Sobel test. The mean score of psychological well-being was 3.33 ± 0.46 out of a possible 5. The subject’s psychological well-being was correlated with self-efficacy (r = 0.64, p < 0.001), problem-solving-focused coping (r = 0.58, p < 0.001), social-support-seeking coping (r = 0.34, p < 0.001), job stress (r = −0.31, p = 0.001), avoidance-focused coping (r = −0.37, p < 0.001). Self-efficacy (Z = −4.92, p < 0.001), problem-solving-focused coping (Z = −2.56, p = 0.010), and avoidance-focused coping (Z = −3.07, p = 0.002) had a mediating effect in the relationship between job stress and psychological well-being of the subjects during the COVID-19 pandemic. Based on these results, the psychological well-being nursing intervention program for home-visiting care workers need to include job stress, problem-solving-focused coping, and avoidance-focused coping.