Objectives: The purpose of this study was to investigate the influencing factors of perceived safety culture, nursing work environment, and professional self-concept on patient safety care activities of nurse in small-medium sized hospitals.Methods: A cross-sectional survey was used. Participants were 186 nurses in seven small-medium sized hospitals of a metropolitan city, in Korea. Data were analyzed using multiple linear regression analysis.Results: The influencing factors of the patient safety care activities were perceived patient safety culture and professional self-concept. These two factors explained for 15.1% of the patient safety acre activities.Conclusions: Based on the result of this study, it is necessary to build a good patient safety culture and to develop a positive professional self-concept. The establishment of a positive safety culture should be prioritized to quickly recognized and sensitively accept problems related to patient safety and actively carry out patient safety nursing activity. In order to improve the professional self-concept, it is necessary to increase the social performance for voluntary cooperation and to recognize the self-categorization that the group to which one belongs is distinguished from other groups.

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Aim Post‐embolization syndrome is a common adverse event following trans‐arterial chemoembolization, which negatively impacts the daily life of the patients involved. This study examined whether perceptions around post‐embolization syndrome and symptom interference among nurses affect their comfort care performance toward patients who have undergone this procedure. Design A descriptive cross‐sectional study. Methods One hundred and fifty registered nurses were surveyed from September to November 2020. Perceived post‐embolization syndrome, symptom interference, and comfort care (including physical, psychospiritual, sociocultural, and environmental dimensions) were measured. Data were analyzed using t‐tests, analysis of variance, Pearson's correlation, and a multivariate analysis of variance. Results There were no individual effects found of perceived post‐embolization syndrome or symptom interference on nurses' comfort care performance. However, statistically significant interaction effects were found in terms of their sociocultural and environmental care. Conclusion Nurses who recognized both high post‐embolization syndrome and symptom interference among their patients were found to provide greater sociocultural and environmental care. As such, nurses should improve their early symptom and symptom interference detection protocols based on current care guidelines and provide physical, psychospiritual, sociocultural, and environmental comfort care.

Intubated patients in intensive care units (ICUs) too frequently contract ventilator-associated pneumonia or Candida infections. Oropharyngeal microbes are believed to play an important etiologic role. This study was undertaken to determine whether next-generation sequencing (NGS) can be used to simultaneously analyze bacterial and fungal communities. Buccal samples were collected from intubated ICU patients. Primers targeting the V1-V2 region of bacterial 16S rRNA and the internal transcribed spacer 2 (ITS2) region of fungal 18S rRNA were used. V1-V2, ITS2, or mixed V1-V2/ITS2 primers were used to prepare an NGS library. Bacterial and fungal relative abundances were comparable for V1-V2, ITS2, or mixed V1-V2/ITS2 primers, respectively. A standard microbial community was used to adjust the relative abundances to theoretical abundance, and NGS and RT-PCR-adjusted relative abundances showed a high correlation. Using mixed V1-V2/ITS2 primers, bacterial and fungal abundances were simultaneously determined. The constructed microbiome network revealed novel interkingdom and intrakingdom interactions, and the simultaneous detection of bacterial and fungal communities using mixed V1-V2/ITS2 primers enabled analysis across two kingdoms. This study provides a novel approach to simultaneously determining bacterial and fungal communities using mixed V1-V2/ITS2 primers.

Objectives: The purpose of this study is to develop program contents for healthy dietary lifestyle in patients with type 2 diabetes and pre-diabetes using continuous glucose monitoring and to analyze their feasibility using the RE-AIM plan evaluation framework.Methods: Data were collected from November 2020 to February 2021. The program was developed through the process of analysis-design-development-implementation and evaluation. It consisted of diabetes-diet education, dietary feedback, individual coaching, and group coaching. Twenty three patients participated the intervention for 4 weeks. Participation rate, achievement level of intervention, health outcome, and accuracy of performance were evaluated.Results: In terms of reach, 77.8% of the participants sent pictures of their meal during 4 weeks. In terms of effectiveness, fat intakes (Z = -1.96, <i>p</i>= 0.049) and BMI (Z = -2.33, <i>p</i>= 0.020) increased significantly after the intervention. Coaching times on the adoption side were 127.5 min per week. Participants and coaching providers showed 100% adherence.Conclusions: These results suggest that dietary coaching program deserves to be applied to community practice for diabetes management.