| Eunhee Lee | 6 Articles |
Purpose
To examine the characteristics, core variables, and their correlations in articles published in the Journal of Korean Academy of Nursing Administration (JKANA) from 2012-2021 and suggest future directions for nursing management research. Methods A total of 506 articles were analyzed according to study design, participants and setting, statistical methods, keywords, and core concepts and variables. Results Quantitative research accounted for 73.5%, and most participants were staff nurses (66.8%) and nursing students (9.1%). Furthermore, 318 studies (62.8%) conducted surveys, and settings were mainly acute hospitals(81.5%) and nursing schools (9.7%). Statistical methods for data analysis included independent t-test (81.2%), one-way ANOVA (77.2%), Pearson correlation coefficients (77.2%), post-hoc testing (74.3%), and linear regression(65.9%). Among 2,058 keywords, the most frequent were “nurses” (49.2%), “job satisfaction” (10.7%), and “personnel turnover” (9.1%). The most frequently core concepts were job satisfaction (10.5%), turnover intention(9.5%), organizational commitment (8.5%), and job stress (7.5%). The most frequently variables with significant correlations were turnover intention, work environment, job satisfaction, job stress, burnout, and emotional labor. Conclusion Most JKANA studies examined nursing-related outcomes and performance. Future research should examine the effects of nursing practice and policy on patient outcomes.
PURPOSE
This study was done to evaluate the adequacy of nurse staffing in integrated nursing care. METHODS Statistical data on integrated nursing care from the National Health Insurance Corporation was used in this study. We extracted hospital data and patient data related to patient needs for nursing care. We analyzed the differences in patient needs by staffing level of each type of medical institution. RESULTS Approximately 70% of medical institutions provided nursing care by the mid level of nurse staffing, which was 1:6, 1:10 and 1:12 in the tertiary hospital, general hospital and semi-hospital, respectively. The patients' characteristics were significantly different by hospital type. Especially, the distribution of the main diagnosis was completely different between the tertiary hospital and semi-hospital. In the tertiary hospital, the patient needs measured by severity and activities of daily living dependency were higher at higher staffing level than at lower staffing level. However, the nurse staffing was less relevant to the patient needs in the general hospital and semi-hospital. CONCLUSION To provide high-quality nursing care, accurate workload forecasting is required at the start, and then the standard nurse staffing level can established based on workload forecasting. Citations Citations to this article as recorded by
PURPOSE
This study was done to analyze qualitative research published in the Journal of Korean Academy of Nursing Administration (JKANA). METHODS Selected studies included 38 qualitative studies in which an interview was used and which were published in JKANA from 1995 to 2016 (22 years). Consolidated Criteria for Reporting Qualitative Research (COREQ), a reporting guideline for analysis of qualitative research was employed. RESULTS Items that were included in less than half of the selected studies were as follows: interviewers' credentials, occupation, gender, and relationship established with participants in the 1st domain; non-participants, presence of non-participants, and transcripts returned in the 2nd domain; participant checking in the 3rd domain. CONCLUSION Findings indicate that future challenges face JKANA qualitative researchers. First, the expansion of qualitative research should be ensured to explain complex interaction between humans and the environment. Second, a variety of qualitative research methods should be considered to enhance understanding of nursing fields. Third, research procedures should be described more precisely to increase transparency of research results. Fourth, not only personal information on the researcher but also how subjective opinions of the researcher reflected in the research process should be explained in detail to clarify the relationship between researchers and participants. Citations Citations to this article as recorded by
PURPOSE
This study was done to identify issues surrounding comprehensive nursing care within the national health insurance, analyze results and problems within national health insurance and to suggest new policy directions for stability. METHODS A literature search was performed using RISS, KISS, PUBMED databases. Eighteen studies were analyzed. RESULTS For implementation of comprehensive nursing care, there was improvement in nursing and in facilities. By improvement of structure, this new system showed positive outcomes in term of patient satisfaction and indicators related to patient safety. However, issues related to overload, job stress and evaluation of the system remain. In order to establish this system, staffing levels for nurses and nurse aids need to be adjusted to appropriate levels that reflect requirements for nursing. In addition, range of work needs to be determined clearly. Lastly, regular and systematic evaluation is needed to provide safe quality services to patients and to prevent waste of financial resources. CONCLUSION Comprehensive nursing care needs to be implemented in ways that patients can be provided with safe and high quality service. There is a need to resolve several issues to allow this new system to function. Citations Citations to this article as recorded by
PURPOSE
This study was done to evaluate validity and reliability of the Korean version of the expanded nursing stress scale (ENSS). METHODS Forward-backward translation of ENSS from English to Korean was conducted. The translated instrument was pilot-tested and administrated to 285 nurses who worked in five general hospitals in Korea. Internal consistency reliability was assessed using Cronbach's alpha and composite reliability. Validity was evaluated through construct validity with confirmatory factor analysis, convergent and discriminant validity. RESULTS The Korean version of ENSS showed a reliable internal consistency with Cronbach's alpha .95 and composite reliability .99. Model fit indexes for 46 items were validated by confirmatory factor analysis(goodness of fit index .82, Tucker-Lewis index .92, root mean square error of approximation .04), indicating suitable construct validity. Factor loading of the 48 items (.47~.88) and average variance extracted out of nine factors (.52~.71.) indicated satisfactory convergent validity. Some values of square of the correlation coefficient between factors (.12~.89) were higher than average variance extracted values of each factor (.52~.71) so that it partly satisfied discriminant validity. CONCLUSION Findings show that the Korean version ENSS has good reliability and suitable validity; therefore, can be used to assess and identify Korean nurses' job stress. Citations Citations to this article as recorded by
PURPOSE
This study was done to evaluate the operating status of community-based home health center for revitalization of the centers. METHOD In this study performance data including organization plan and service utilization plan were evaluated according process theory. Target of evaluation was the community-based home health care center. RESULTS The vulnerable part of the organization was the information system and financial resources. The home health center introduced PDA (Personal Digital Assistants) in 2005, however home health care nurses did not make full use of it. This service received full support from Seoul city and local government and there were no other sources of income. The vulnerable part of service utilization was service expansion and standardization due to vulnerability of organizational aspects. CONCLUSIONS The home health care center provides high quality services to underprivileged people. In the future, these services should be provided with equity for continuous health care for this population. Citations Citations to this article as recorded by
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