Purpose: The purpose of the study was to conduct a systematic literature review to understand the prevalence of lower urinary tract symptoms among nurses. Methods: The systematic literature review was conducted as described in the systematic literature review manual on prevalence and incidence from the Joanna Briggs Institute. In order to evaluate the methodological quality of the literature, the Critical Appraisal Checklist for Studies Reporting Prevalence Data tool was used. Results: A total of 14 lower urinary tract symptoms were identified: daytime frequency, urgency, nocturia, incontinence, stress incontinence, urge incontinence, complex urinary incontinence, overactive bladder syndrome, urinary hesitation, abdominal pressure voiding, hepatic colic, weak urination, urgency, and diurnal points. The prevalence varied from 1.5% to 64.2%. Conclusion: The prevalence of lower urinary tract symptoms among nurses was found to be high overall, confirming the severity of the prevalence of lower urinary tract symptoms among nurses.

Purpose: The purpose of this study was to examine the impact of nurses' critical thinking disposition and nursing practice environment on medication safety competency. Methods: A total of 189 nurses who directly performed medication administration at a tertiary referral hospital in Seoul volunteered to participate in this study. Data collection was conducted using online surveys and was analyzed through technical statistics, t-test, one-way ANOVA, Scheffē test, Pearson's correlation coefficient, and multiple linear regression. Results: The results revealed that both critical thinking disposition (β=0.498, p<.001) and nursing practice environment (β=0.212, p=.001) were significant predictive factors of medication safety competency. Conclusion: Critical thinking disposition and nursing practice environment were important factors affecting medication safety competency. Therefore, in order to increase critical thinking disposition, it is necessary to develop various teaching methods and apply them in nurse education programs as a way to indirectly improve medication safety competency. In addition, in terms of nursing practice environment, hospitals will need to improve working conditions and provide sufficient material support to maintain nursing workforce. Likewise, it is necessary to prepare and implement a nursing policy to increase the nursing workforce.

Purpose: This study was performed to gather basic data for measures to increase the efficiency of nursing work by measuring the levels of teamwork, communication, self-leadership, and organizational commitment of nurses and identifying the effects on organizational commitment. Methods: The subjects were 155 nurses with more than one year of experience at Incheon City I Medical Center. The collected data were statistically processed using the SPSS/WIN 26.0 statistical program and were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and multiple regression analysis. Results: Organizational commitment showed a significant difference according to age, clinical experience, and position. Organizational commitment was positively correlated with self-leadership (r=.69, p<.001), communication (r=.59, p<.001), and teamwork (r=.49, p<.001). These same factors influenced organizational commitment [self-leadership (β=.47, p<.001), communication (β=.20, p=.013), and teamwork (β=.17, p=.014)], with an explanatory power of 51.3%. Conclusion: In this study, teamwork, communication, and self-leadership were identified as important factors to increase organizational commitment of nurses. Therefore, it is necessary to develop a program that can increase nurse competency and to introduce a nurse management system that can operate it efficiently.

Purpose: The purpose of this study was to conceptually analyze non-compliance in elderly diabetic patients and its specific attributes. Method: Walker and Avant's process of concept analysis was used. We searched databases using the keywords 'older diabetes', 'patient compliance', and 'treatment non-compliance'. Result: The attributes of non-compliance in elderly diabetic patients were identified as follows: 1) Non-compliance with medication therapy, 2) Non-compliance with lifestyle therapy, and 3) Hospital visit non-compliance. The antecedents of non-compliance in elderly diabetic patients were as follows: 1) Lack of knowledge, 2) Low self-efficacy, and 3) Low social support. The consequences of non-compliance were: 1) Blood sugar control problems and 2) Diabetic complications. Conclusion: This concept analysis defined non-compliance in elderly diabetic patients based on theoretical evidence. The findings of this study will contribute to developing systematic programs to increase compliance in elderly diabetic patients.

Purpose: This study sought conceptual understanding of professional autonomy in nursing science. The underlying ideas and properties of professional autonomy in nursing were analyzed and compared with definitions used in diverse individual studies. Methods: Concepts were analyzed using the conceptual method of Walker & Avant. Results: Four attributes of nurses' professional autonomy were identified: job performance, effective communication, decision-making, and responsibility. The leading factors were 'nursing education and clinical experience from 4 years of nursing school,' 'critical thinking,' and 'insight.' The result factors of this study were 'personal growth,' 'self-leadership,' and 'patient safety'. Conclusion: Professional autonomy as defined in this study is completion of education and training based on the professional knowledge and responsibility of nurses, which support rational decision-making through smooth communication in the performance of nursing tasks.

Purpose: To assess the resilience and decentralization of the healthcare system in Myanmar, especially under the recent Covid-19 and civil disobedience movement contexts. Methods: Literature published in between 2015 to 2022 available in PubMed and GoogleScholar, reports of government and organizations, and news and social media were screened and reviewed. The WHO Six Building Blocks were adapted as a framework. Results: Though the healthcare system of Myanmar has shown the fundamental ingredients needed for resilience, the current system failed to implement its resilience capacity under recent events. The system is highly centralized and the public healthcare system apart from the civil community healthcare system officially dominates healthcare functions both domestically and globally, while the later system plays an important role in healthcare service delivery. Unfortunately, these two systems are currently parallel and have shown little efficiency in terms of collaboration. Nursing is significantly influenced and faces difficulties in developing itself under such a healthcare system. Conclusion: Decentralization of the healthcare system can be the main priority towards strengthening the healthcare system in Myanmar, and nursing leadership can play a part in both the conflict and collaboration of public and civil healthcare systems.