Relationship Between the Factors of Spirituality and Self-Esteem in Nurses Working in Palliative Care Wards: A Cross-Sectional Study in the Chugoku Region

Author(s):  
NAGAISHI KIYOKO ◽  
Sasaki Hidemi ◽  
Maenobu Yumi

Abstract BackgroundSpirituality in nurses is considered an important aspect of nursing care today. Often, the palliative care ward environment teaches nurses the philosophies of life of dying patients but can leave them feeling powerless from the impact of facing death, which can place them in a state of crisis. However, there are no existing studies that have examined the relationship between the factors of spirituality and self-esteem in nurses working in palliative care wards. This study thus aimed to investigate the relationship between spirituality and self-esteem and to identify the factors of spirituality in nurses working in a palliative care ward.MethodsA survey was conducted on 300 nurses working in a palliative care ward in the Chugoku Region[1]. This study is a cross-sectional study using an anonymous self-administered questionnaire. Higa’s spirituality rating scale A (SRS-A) and a self-esteem scale was used. Data were analyzed using the Mann–Whitney U test and Spearman’s rank correlation. ResultsThe nurses surveyed and analyzed had long experience as nurses and all demonstrated motivation in palliative care and were highly interested in spirituality. Among SRS-A subscales, they scored highest for “motivation (M = 9.41 ± 2.04),” and they were strongly affected by items “I want to fulfill my dreams and wishes” about self-realization and “I can choose the way I live.” There were significant differences in transfer to the palliative care ward (self-requested or ordered) (p < 0.01) and whether they had training (p < 0.05). Moreover, there was a positive correlation between spiritual and self-esteem (r = .518, p < 0.01).ConclusionsThe survey outcomes suggested that the important factors of spirituality intrinsic to nurses working in palliative care wards were a sense of purpose and will to envision self-realization; motivation, which is the source of energy; self-esteem, which increases self-affirmation and self-acceptance; and “educational support,” which translates “experience” into experiential knowledge. Nurses working in palliative care words possess the viewpoints on mortality and life developed through a wealth of experiences in palliative care. Educational support should aim to allow nurses to integrate their experiential knowledge with theoretical knowledge. [1] Chugoku Region: a region of Japan located in the western part of Honshu with area ‎31,921.87 km2, population = ‎7,251,351, and 30 facilities with palliative care wards (as of June 1, 2020).

2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Udi Wahyudi ◽  
Bram Burnamajaya

Bullying merupakan perilaku negatif yang dilakukan secara berulang-ulang oleh seseorang atau sekelompok orang yang bersifat menyerang karena adanya ketidakseimbangan kekuatan antara pihak yang terlibat.Tindakan bullying dapat berdampak buruk bagi korban maupun pelakunya di masa depannya. Dampak tersebut meliputi kesepian, pencapaian akademik yang buruk, kesulitan penyesuaian (adaptasi), meningkatnya risiko penggunaan zat, keterlibatan dalam tindakan kriminal dan kerentanan gangguan mental emosional seperti cemas, insomnia, penyalahgunaan zat, depresi, mempunyai self-esteem rendah, kesulitan interpersonal, gangguan konsep diri, dan depresi (ketidakberdayaan). Tujuan penelitian ini adalah untuk mengetahui hubungan antara konsep diri dan ketidakberdayaan dengan risiko bunuh diri pada remaja yang mengalami bullying di SMA Negeri 7 Kota Bogor. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode cross-sectional study dengan bentuk pendekatan rancangan correlation study. Sampel dalam penelitian ini berjumlah 183 orang didapat dari teknik randomsampling. Hasil penelitian menunjukkan bahwa berdasarkan hasil uji hubungan dengan menggunakan Chi-Square antara konsep diri dengan ketidakberdayaan didapatkan nilai ρ (0,000) lebih kecil daripada nilai α (0,05), sedangkan uji hubungan antara konsep diri dengan risiko bunuh diri didapatkan nilai ρ (0,013) lebih kecil daripada nilai α (0,05). Dengan demikian bahwa ada hubungan antara konsep diri dan ketidakberdayaan dengan risiko bunuh diri pada remaja yang mengalami bullying di SMA Negeri 7 Kota Bogor. Kata kunci: bullying, konsep diri, ketidakberdayaan, risisko bunuh diri SELF-CONCEPT AND INEQUALITY CONNECTED WITH RISK OF SELF-SUFFICIENT IN ADOLESCENTS WHO HAVE BULLYING ABSTRACTBullying is a negative behavior that is carried out repeatedly by a person or group of people who are attacking because of an imbalance of power between the parties involved. Bullying actions can have a negative impact on victims and perpetrators in the future. These impacts include loneliness, poor academic achievement, adaptation difficulties, increased risk of substance use, involvement in criminal acts and susceptibility to mental emotional disorders such as anxiety, insomnia, substance abuse, depression, low self-esteem, interpersonal difficulties, disturbances self concept, and depression (helplessness). The purpose of this study was to determine the relationship between self-concept and powerlessness with the risk of suicide in adolescents who experienced bullying in SMA Negeri 7 Kota Bogor. This research is a quantitative study using a cross-sectional study method with a correlation study design approach. The sample in this study amounted to 183 people obtained from random sampling techniques. The results showed that based on the results of the relationship test using Chi-Square between self-concept and powerlessness, the value of ρ (0,000) was smaller than the value of α (0.05), while the test of the relationship between self-concept and risk of suicide obtained a value of ρ (0.013 ) is smaller than the value of α (0.05). Thus that there is a relationship between self-concept and powerlessness with the risk of suicide in adolescents who experience bullying in SMA Negeri 7 Kota Bogor. Keywords: bullying, self-concept, helplessness, suicide risk


2021 ◽  
Author(s):  
Naim Fanaj ◽  
Sevim Mustafa ◽  
Erika Melonashi

Numerous studies have investigated the impact of self-esteem and intelligence on academic achievement. The findings are generally inconsistent. The aim of this study was to understand the relationship between intelligence, self-esteem and academic achievement among young people in Kosovo. It was a quantitative cross-sectional study. The sample consisted of 1856 participants, aged 10-18 years old (Mage = 15.29, SD = 1.76). Participants completed the Rosenberg Self-Esteem Scale and The Raven Standard Progressive Matrices. Grade Point Average (GPA) was used to measure academic achievement. Data processing was done with SPSS 21.0 and Microsoft Excel 2013. Participants according to self-reported academic achievement were classified as follows: fail (0.1%), sufficient (2%), good (15.6%), very good (26.7%) and excellent (55.7%). As regards self-esteem participants were classified as follows: low self-esteem (26.9%), and normal self-esteem (73.1%). A significant positive correlation was found between academic achievement and intelligence (r = .31; p = .00) but not between achievement and self-esteem. This significant correlation resulted for both genders separately. The Mann-Whitney test found significant differences in academic achievement between genders and between groups with high intelligence and those with normal intelligence. Intelligence, but not self-esteem revealed a significant relationship with academic achievement. Future studies on the topic might focus on explanatory factors or the possibility of interaction of other variables related to academic achievement.


2013 ◽  
Vol 6 ◽  
pp. CMAMD.S11481 ◽  
Author(s):  
J Al-Bishri ◽  
SM Attar ◽  
Nawal Bassuni ◽  
Yasser Al-Nofaiey ◽  
Hamed Qutbuddeen ◽  
...  

Comorbid conditions play a pivotal role in rheumatoid arthritis management and outcomes. We estimated the percentage of comorbid illness among rheumatoid arthritis patients and explored the relationship between this comorbidity and different prescriptions. A cross-sectional study of patients with rheumatoid arthritis in three centers in Saudi Arabia was carried out. Comorbidity and antirheumatoid medication regimens prescribed were recorded on a specially designed Performa. The association between comorbidity and different drugs was analyzed. A total of 340 patients were included. The most comorbidities were hypertension 122 (35.9%), diabetes 105 (30.9%), osteoporosis 88 (25.8%), and dyslipidemia in 66 (19.4). The most common drug prescribed was prednisolone in 275 (80.8%) patients followed by methotrexate in 253 (74.4%) and biological therapy in 142 (41.5%) patients. Glucocorticoids were prescribed considerably more frequently in hypertensive and diabetic patients as well as in patients with osteoporosis and dyslipidemia. Most patients with rheumatoid arthritis suffered from comorbid diseases.


Author(s):  
María Torres Serrano

The emerging phenomenon of FoMO has received the attention of a number of researchers. Studies have sought to establish the relationship between this phenomenon and the rise of social networks, and they have examined FoMO’s effects on the users of these networks. This paper continues this research in the form of a cross-sectional study aimed at establishing the relationships between fear of missing out, the use of the social network Instagram, narcissism and self-esteem. The sample consisted of 364 individuals, out of whom 301 participants were selected. Their ages ranged from 18 to 30 years old. For the purposes of this study, an ad hoc questionnaire was used for the variables related to Instagram use.   Data were also gathered via the  FoMO-E scale, the HSNS (to measure narcissism) and the Rosenberg self-esteem scale. The results show a positive correlation between the variables measuring Instagram use and FoMO, as well as between FoMO and narcissism. Meanwhile, there is a negative correlation between FoMO and self-esteem. Thus, the study’s initial hypotheses are confirmed. The study also has yielded new information on the studied constructs and their links to the use of social networks, specifically Instagram.


2006 ◽  
Vol 40 (3) ◽  
pp. 489-496 ◽  
Author(s):  
Andréa Poyastro Pinheiro ◽  
Elsa Regina Justo Giugliani

OBJECTIVE: To examine the prevalence of body dissatisfaction and associated factors in 8- to 11-year-old schoolchildren. METHODS: A cross-sectional study including children aged 8- to 11-years enrolled in public and private schools in Porto Alegre, Southern Brazil, was carried out from August to December, 2001. A total of 901 subjects were selected through cluster sampling. Participants answered a questionnaire aimed at measuring body dissatisfaction and self-esteem and questions about family and social pressures on weight change. Height and weight were measured. The relationship between body dissatisfaction and the variables studied was measured by logistic regression. RESULTS: The prevalence of body dissatisfaction was 82%. Fifty-five percent of the girls wanted a thinner body size, and 28% desired a larger one; the estimates for the boys were 43% and 38%, respectively. Children with the lowest self-esteem (OR=1.80; 95% CI: 1.13-2.89) and who thought their parents (OR=6.10; 95% CI: 2.95-12.60) and friends (OR=1.81; 95% CI: 1.02-3.20) expected them to be thinner showed a higher chance of presenting body dissatisfaction. CONCLUSIONS: Body dissatisfaction was highly prevalent among the evaluated schoolchildren, especially in those with lower self-esteem and who thought their parents and friends expected them to be thinner.


2018 ◽  
Vol 59 (4) ◽  
pp. 330-332
Author(s):  
Hasanein A. Jawad ◽  
Eman A. Al-kaseer ◽  
Jawad KA Al-Diwan

number of neonatal mortality rate (NMR). This study was conducted to clarify the relationship between conflict and neonatal mortality in Baghdad, Iraq.Objective: Throw a light on the impact of conflicts on neonatal mortality in Iraq.Methods: This cross-sectional study was carried out in two hospitals in Baghdad that were chosen randomly. All deceased newborns in neonatal intensive care units from January 2012 to December 2016 in the mentioned hospitals were included in this study.Results: The admissions were increased during the period of the study by 1.3 times. There was a decrease in admission by 0.9 in 2016 than 2015. There was an increase in NMR during the period of the study by 1.4 times, from 60/1000 in 2012 to 85/1000 in 2016.Conclusions: There has been an observed increase in neonatal mortality in Iraq due to the impact of conflicts that have led to deterioration in the neonatal health status. الخلفية: ربطت تقارير عديدة بين انتشار العنف والنزاعات المسلحة وزيادة معدلات وفيات حديثي الولادة. اجريت هذه الدراسة لتوضيح العلاقة بين النزاعات ووفيات الاطفال حديثي الولادة في بغداد، العراق. الاهداف: بيان مدى تأثير النزاعات على وفيات الأطفال حديثي الولادة في بغداد، العراق. الطرائق: أجريت هذه الدراسة المقطعية في مستشفيين في بغداد تم اختيار بشكل عشوائي. وقد شملت هذه الدراسة جميع المواليد حديثي الولادة في وحدات العناية المركزة لحديثي الولادة من كانون الثاني / يناير 2012 إلى كانون الأول / ديسمبر 2016 في المستشفيات المذكورة. النتائج: ازداد ادخال المواليد الجدد الى العناية المركزة بمقدار ١٫٣ مرة خلال فترة الدراسة. قل ادخال المواليد بمقدار ٠٫٩ في ٢٠١٦ عن السنة السابقة. نسبة وفيات المواليد الجدد ازدادت بمقدار ١٫٤ مرة خلال فترة الدراسة. نسبة وفيات المواليد الجدد كانت ٦٠ لكل ١٠٠٠ ولادة حية في العام ٢٠١٢ وأصبحت ٨٥ لكل ١٠٠٠ ولادة حية في العام ٢٠١٦. الاستنتاج: حدثت زيادة ملحوظة في وفيات المواليد الجدد في العراق بسبب تأثير النزاعات التي أدت إلى تدهور الوضع الصحي لحديثي الولادة.  


Author(s):  
Éva Gál ◽  
István Tóth-Király ◽  
István Szamosközi ◽  
Gábor Orosz

The present research, by using cross-sectional (Study 1, N = 413) and daily diary methods (Study 2, N = 95) aimed to investigate the way intelligence mindset influences students’ self-esteem and emotional experiences when they are confronting academic adversities (i.e., failures and difficulties). Although fixed intelligence mindset showed no association with students’ daily positive or negative emotions, results consistently indicated that fixed intelligence mindset moderated the effect of academic failures (Study 1) and daily difficulties (Study 2) on their self-esteem. Academic adversities reduced students’ self-esteem, and fixed intelligence mindset amplified this effect.


2020 ◽  
pp. bmjspcare-2020-002528
Author(s):  
Cristina Lasmarías ◽  
Lourdes Guanter ◽  
Pamela Turrillas ◽  
Judith Peñafiel ◽  
Xavier Gómez-Batiste

ObjectiveTo assess the impact after 20 years of a Master’s degree in palliative care (MsPC) on the participants’ educational outcomes in terms of educational needs satisfaction, motivation, applicability and professional development (PD) in the palliative care (PC) field.MethodsA cross-sectional study was conducted between October 2016 and February 2017. Participants were students of the MsPC from 13 editions. An ad hoc survey comprising closed-end questions was provided. Variables such as sociodemographic and learning outcomes, based on Kirkpatrick’s model, were included.ResultsRespondents were 76.6% women, and 60% were between 30 and 50 years of age. Over half of participants were physicians (57.4%), with >15 years of experience (52%). 77% (n=152) reported previous work experience (PWE) in PC, and 23% (n=45) had no PWE. After completing the MsPC, 49% of those without PWE were hired to work in a PC unit, while 84,2% with PWE continued work in a PC-related position. 51.6% professionals with PWE were currently working in other PC areas, such as training or research. High scores were observed on expectations, training needs, motivation in professional practice, PD, applicability and satisfaction, in both groups. Data have shown statistically significant differences on the perceived value of the MsPC to obtain work in the PC field (p=0.006).ConclusionsThis MsPC training programme improves educational outcomes, and promotes PD, regardless of PWE in PC. Interdisciplinary training for all professionals who care for PC individuals is required. To ensure the quality of education in PC programmes, a systematic process of continuous evaluation is needed.


Author(s):  
Prankit Siripichitsupapol ◽  

Cyberbullying, a form of bullying with the use of digital technologies, has become increasingly common among teenagers. It can take place on social media, messaging platforms, gaming platforms, and previous studies provide several lines of evidence that no relationship is found between cyberbullying and the influences of introversion and extraversion. To further investigate the impact of cyberbullying, this research was conducted with the aim of finding relationship between introversion, extraversion and cyberbullying among teenagers in Bangkok, the capital city of Thailand. A cross-sectional study was conducted using an online survey questionnaire that contained questions for assessing both the cyberbullying behavior and the personality of participants. Eysenck’s Personality Inventory (EPI)1 was used in this survey to assess the type of personality in teenagers. The results showed that there was no correlation between cyberbullying and personality.


2019 ◽  
Vol 4 (4) ◽  
pp. 151-155
Author(s):  
NIKETA THAKUR ◽  
Sushmita Ghoshal

Background: While treating patients with the advanced disease it becomes very challenging for the clinicians to decide as to when the active treatment is justified and when should palliative care be introduced in patient's treatment. American Society of Clinical Oncology (ASCO) suggested that patients with advanced cancer, regardless of patient or outpatient, should receive dedicated palliative care services, early in the disease course, simultaneous with active treatment. Similar recommendations have been proposed by the European Society of Medical Oncology (ESMO). Keeping in view this background, we aimed to do this study. Aim: To study the impact of the introduction of early palliative care into routine oncological management on patient's survival.Methods: This retrospective cross-sectional study is based on hospital data for patients who died in the hospice between the year 2017 and 2018. The complete information including age, gender, date of death, diagnosis, procedures, and medical interventions, as well as the date of documentation, was obtained of each patient.Results: A total of 27 patients were enrolled in this study. The mean age at presentation was 50.3 years. 11 (40.7%) patients received oncological treatment integrated with palliative care in the last month of life. The median duration of survival from diagnosis till death was 7 months in the patients who received only palliative care and 10 months in patients who received integrated onco-palliative care in the last month of life (P=0.452). 14 (51.8%) patients received early palliative care. The median survival of the patients who received early palliative care and of those who were offered palliative care towards the end of life was 8.5 months and 7 months respectively (P=0.040).Conclusion: Based on our results, we strongly believe that early palliative care when integrated into standard oncological treatment in advance stage cancer patients can prolong patient's survival.


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