The 5E learning cycle model has shown a positive effect on student learning in science education, particularly in courses with theory and practice components. Combining problem-based learning (PBL) with the 5E learning cycle was suggested as a better option for students’ learning of theory and practice. The purpose of this study was to compare the effects of the traditional learning method with the 5E learning cycle model with PBL. The control group ( n = 78) was subjected to a learning method that consisted of lecture and practice. The experimental group ( n = 83) learned by using the 5E learning cycle model with PBL. The results showed that the experimental group had significantly improved self-efficacy, critical thinking, learning attitude, and learning satisfaction. Such an approach could be used in other countries to enhance students’ learning of fundamental nursing. [ J Nurs Educ. 2013;52(12):681–689.]

Background and objectives: Identifying factors that affect self-care according to low, middle, and high self-care levels among elderly patients with diabetes is the best way to prevent various life-threatening complications, and this can be accomplished by using an individualized approach to improve self-care. A quantile regression model is beneficial for estimating such factors because it allows the consideration of the entire conditional distribution of a dependent variable as it relates to independent variables. The objective of this study was to identify factors that affect self-care among elderly patients with diabetes using quantile regression. Materials and Methods: A cross-sectional survey of elderly patients with diabetes was conducted using the Self-Care Scale and six other related scales at three medical health centers in South Korea. Results: In the 10% quantile, the factors affecting self-care were age, smoking within the past six months, being educated about diabetes, depression, knowledge related to diabetes, self-efficacy, diabetes distress, and family support. Additional factors were as follows: age, smoking within the past six months, self-efficacy, and diabetes distress in the 25% quantile; age, self-efficacy, perceived health status, and diabetes distress in the 50% quantile; age, self-efficacy, perceived health status, and diabetes distress in the 75% quantile; and self-efficacy and perceived health status in the 90% quantile. Conclusions: Based on the results of this study, suggestions include providing education for sub-groups incapable of self-care, teaching stress management strategies, and increasing family support. In addition, for individuals capable of self-care, simplified programs that consist of self-efficacy improvement and stress control strategies are necessary.

Objective: Return to work is known to have a positive effect on the quality of work life of cancer survivors, including the nurse cancer survivors, along with other factors, such as workplace spirituality. The aim of this study was to identify the effect of workplace spirituality and its constituent concepts on the quality of work life of nurse cancer survivors. Methods: A cross-sectional survey comprising the nursing workplace spirituality (NWS) and quality of nursing work life (QNWL) scales was completed by 130 cancer survivor nurses between October 15, 2018, and May 15, 2019, in two general hospitals in metropolitan areas, and snowball sampling was used in parallel. The data were analyzed using SPSS 22 software, determining descriptive statistics, and conducting an independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. Results: The average scores for all NWS and QNWL subdomains were medium. Age, nursing tenure, and the factors of NWS were positively correlated with QNWL, especially the harmony between the workplace and the individual (r = 0.65, P < 0. 001). In the second hierarchical regression, controlling general characteristics, harmony between the workplace and the individual (β = 0.38, P ≤ 0.001), and relationship with colleagues (β = 0.19, P = 0.031) were significant predictors of QNWL explaining 59.0% of the variance. This model was found to be suitable (F = 16.29, P ≤ 0.001). Conclusions: Effective and practical organizational systems and intervention programs based on organizational support, including colleagues' support for increasing the quality of work life for nurse cancer survivors, are required.

This study aimed to investigate the mediating effect of workplace spirituality in the relation between job stress and job satisfaction as well as the level of job stress, job satisfaction, and workplace spirituality of cancer survivors returning to work. A total of 126 cancer survivors who returned to work more than six months prior to the research participated in this study. Participants were recruited through snowball sampling; they were visiting the outpatient clinic at two general hospitals located in a metropolitan city and their clinical stage was stage 0 or stage 1. The collected data were analyzed using SPSS 22.0. Job stress, workplace spirituality, and job satisfaction had a negative correlation, whereas workplace spirituality and job satisfaction had a positive correlation. The Sobel test was performed to verify the significance of the mediating effect size of workplace adaptation, the results confirmed a partial mediating effect of workplace spirituality on the relation between job stress and job satisfaction (Z = –4.72, p < 0.001). This study confirmed the mediating effect of workplace spirituality in the relation between job stress and job satisfaction. A systematic program needs to be developed to enhance workplace spirituality, a spiritual approach, to relieve job stress and increase job satisfaction.