Research in Community and Public Health Nursing

Original Articles

Influencing Factors for Sleep Quality among Firefighters: Based on Objective and Subjective Evaluation: Ye Seul Jeon, Hee Seung Choi; J Korean Acad Community Health Nurs. 2022;33(4):396-407. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.396

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Abstract PDF: Purpose
The purpose of this study was to assess insomnia and the quality of sleep, investigate the concordance between objective and self-report sleep patterns, and identify physiological, psychological, and situational factors influencing insomnia and sleep quality among firefighters. Methods: A descriptive, cross-sectional study was conducted with 103 firefighters in Korea. The collected data were analyzed using SPSS 23.0. Descriptive statistics, the independent t-test, and hierarchical logistic regression analysis were performed. Results: Insomnia was found in 66 (64.1 %) of the total subjects, and the average quality of sleep (PSQI) was 5.65 (SD=2.57). Total sleep time (401.00 minutes) and sleep latency (21.60 minutes) measured using self-reported scales were longer than the ones measured using objective measurements by approximately 48.70 and 17.10 minutes, respectively. Factors related to insomnia included the role as a paramedic (OR=4.28, 95% CI: 1.02~17.92), anxiety (OR=1.12, 95% CI: 1.01~1.24), and sedentary lifestyle (OR=0.85, 95% CI: 0.78~0.94), and factors related to sleep quality were physical illness status (OR=5.17, 95% CI: 1.53~17.51) and social support (OR=0.86, 95% CI: 0.78~0.95). Conclusion: The results show a high prevalence of insomnia, poor quality of sleep and the discrepancy between objective and subjective sleep patterns among firefighters. To promote sleep quality and health, early screening and treatment of anxiety and physical illness are required. It is necessary to conduct further studies examining the relationship between physical activity level and sleep.

The Mediating Effect of Perceived Appraisal Support on the Relationship between Neuroticism and Occupational Stress in Firefighters: Yoon Jung Kim; J Korean Acad Community Health Nurs. 2021;32(3):396-403. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.396

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Abstract PDF: Purpose
The purpose of this study was to investigate the mediating effect of perceived appraisal support between neuroticism and occupational stress in firefighters.
Methods
The subjects of this study were 156 firefighters who worked at three fire stations in G province in Korea. The collected data were analyzed by t-test, ANOVA, and multiple regression analysis using Baron and Kenny’s method for mediation.
Results
There were significant relationships between neuroticism and perceived appraisal support (r=.30, p<.001), neuroticism and occupational stress (r=.42, p<.001), and perceived appraisal support and occupational stress (r=.36, p<.001). Perceived appraisal support showed partial mediating effects in the relationship between neuroticism and occupational stress.
Conclusion
The impact of neuroticism in firefighters was mediated by perceived appraisal support for occupational stress. This suggests that strategies for enhancing perceived appraisal support in fire fighters should be considered when developing neuroticism management interventions for decreasing their occupational stress.

The Structural Equation Model for Posttraumatic Growth of Firefighter: Based on the Calhoun and Tedeschi's model of posttraumatic growth: Yeo Ju Jeong, Mi Yang Jeon; J Korean Acad Community Health Nurs. 2020;31(4):459-471. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.459

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3 Citations

Abstract PDF

Purpose
The purpose of this study is to construct and validate a posttraumatic growth structural model for firefighters based on Calhoun and Tedeschi’s model (2006).
Methods
The research data was collected from 200 firefighters working in Gyeongsang-do, Jeolla-do, and Gyeonggi-do. The participants completed an anonymous survey asking about ego-resilience, active coping, family support, organizational support, self-exposure, deliberate rumination, posstraumatic stress and posttraumatic growth.
Results
The model selected as a final model was the one that supports 10 hypotheses out of 13 hypotheses. In the final model, deliberate rumination (β=.59, p<.001) had a significant effect in the posttraumatic growth of firefighters. Active coping, organizational support, self-exposure, ego-resilience and posttraumatic stress had a significant indirect effect. The explanatory power of these variables was 36.0%.
Conclusion
The results of the survey show that it is important to develop a strategy to strengthen deliberate rumination. In addition, encouraging deliberate rumination through organizational support and self-exposure can promote posttraumatic growth of firefighters.

Citations

Citations to this article as recorded by

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
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
Factors Associated with Post-Traumatic Growth in Patients with Breast Cancer Based on a Model of Post-Traumatic Growth
Hee Yeon Park, Ja Yun Choi
Asian Oncology Nursing.2022; 22(2): 65. CrossRef

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