| Miyoung Kim | 24 Articles |
Purpose
The study aimed to identify the factors impacting nurse unit managers’ knowledge and ability importance of managerial competencies. Methods The participants were 200 nurse unit managers who worked at general hospitals or tertiary care hospitals. Data were collected from February 1 to June 30, 2021, and analyzed using descriptive statistics, independent t-test, paired t-test, ANOVA, and stepwise multiple regression analysis with IBM SPSS/WIN 26.0. Results Nurse unit managers perceived the ability of managerial competencies to be less important than knowledge thereof. Overall, nurse unit managers perceived the importance of human and technical competencies as the most important, while the importance of financial managerial competency as the lowest. The significant predictors of knowledge and ability importance of managerial competencies were ‘nursing environment’ and ‘research experience’, and the input variables explained 34% of knowledge importance and 25% of ability importance. Conclusion Nurse administrators should continue to pay attention to the nursing environment, provide nursing unit managers with opportunities to conduct various research and provide related education.
Purpose
The purpose of this study was to investigate the relationship between patient-centered care and the patient experience according to inpatients. Additionally, the effect of patient-centered care on the patient experience was explored. Methods Using a structured-questionnaire, data were collected from 147 inpatients in a tertiary care hospital for the period October 12-24, 2021. Data were analyzed using descriptive statistics, a t-test, ANOVA, Scheffé’s test, Pearson’s correlation coefficients, and a multiple linear regression using SPSS/WIN 26.0. Results Patient-centered care was positively correlated with the patient experience (r=.66, p<.001), and patient-centered care was found to be a variable affecting the patient experience. Further, explanatory power was assessed at 43%. Conclusion The results of this study indicate that the provision of individualized care must reflect patient-centered care to ensure a positive patient experience, and nurses should not only perform interventions through medication or nursing processes, but also by listening to and interacting with patients based on their needs. Citations Citations to this article as recorded by
Purpose
This study aims to analyze the financial performance research trends in medical institutions and to suggest the necessity and future research direction for financial management from the perspective of nursing organizations. Methods: Financial performance research in medical institutions was extracted by combining the keywords ‘finance’, ‘nursing’, ‘medical’, and ‘hospital’ in three domestic and foreign online databases. 55 studies were finally extracted. Results: Of the 55 studies selected, 41.8% have been published after 2010, and 79.6% have been published in Korea. 83.6% of the studies used financial statements, and 74.5% used the financial ratio. Among the studies on the use of financial statements, 40 balance sheets and 41 profit and loss statements were used. Conclusion: There were some limitations in deriving implications for financial performance management at the level of nursing organization. When establishing strategies for future financial performance improvement, it is recommended to prioritize nursing cost optimization and profitability enhancement at the nursing organization level.
Purpose
This study was to identify how a nursing management practicum was operated during the COVID-19 pandemic in Korea. Methods: This study surveyed instructors teaching the nursing management practicum with a questionnaire covering five domains and 42 items. The data were analyzed using descriptive statistics and content analysis. Results: The practicum was performed mainly by mixed methods (40.8% and 38.5%), in hospitals only (30.8% and 60.4%), online only (19.8% and 1.1%) in 2020 and 2021, respectively. The mixed methods were most frequently used for instructor teaching and conferences (43.9% and 58.3%). and the average teaching time per week was 9.40 and 8.69 hours per week, respectively. Taking charge in one to three core nursing skill items, 87.8% and 90.1% of the respondents each year performed face to face evaluation for the skills. Four to six out of 12 POs were covered by 58.2% and 54.9% of the participants, respectively, in 2020 and 2021. The greatest difficulty under the pandemic was securing students’ hospital assignments. Conclusion: The nursing management practicum needs to adopt various digital technologies, and create new education models including hybrid ones combining both contact and untact methods to improve the educational effect for the post COVID-19 era. Citations Citations to this article as recorded by
Purpose
This study conducted a systematic review and meta-analysis to identify trends in nursing ethics education research for Korean nursing students and nurses. Methods: The data search was conducted in July 2020; domestic and foreign academic journals were targeted for the search. A combination of search terms was entered into major databases, and the year of publishing was limited to the last 10 years (2010~2020). Results: The systematic review analyzed 25 experimental and 13 non-experimental studies, and education methods included lectures, discussions, role play, film-use classes related to nursing ethics, action learning, and case-based learning. The meta-analysis of 12 studies revealed that ethical education has significant differences in effect size of biomedical ethics, critical thinking, moral judgment, and moral sensitivity. A subgroup analysis of education methods showed that in addition to traditional lecture and discussion education methods, there were significant differences in the effect size of sense of biomedical ethics between the following two methods: lecture and discussion including additional methods and lecture and discussion only. Conclusion: Ethics education for nursing students and nurses has been found to be effective in improving ethics-related competencies, and various teaching methods other than lectures and discussions must be utilized. Citations Citations to this article as recorded by
Purpose
This study aimed to develop a strength coaching program and verify its effects on positive psychological capital, coaching leadership, and organizational commitment for front-line nurse managers. Methods: The participants were first-line nursing managers working in two general hospitals, and a total of 25 participants comprised the experimental (n=12) and control (n=13) groups. The strength coaching program was implemented for 6 weeks from November 13 to December 18, 2017, and the intervention group received the strength coaching program for 2 h, once a week. Data were collected pre, post, and after (4 weeks later), and analyzed by repeated measures analysis of variance using the SAS 9.4 program. Results: The strength coaching program was developed as a process of understanding, reflecting, and utilizing the concepts and characteristics of positive psychology and strengths, and applied to nursing managers, but it did not affect their positive psychological capital, coaching leadership, and organizational commitment. Conclusion: The results of this study were not significant, but the study is meaningful in that the strength coaching program was developed and applied to front-line nursing managers, and various methodological aspects to be considered in future studies were presented. Citations Citations to this article as recorded by
Purpose
This study was done to explore the meaning of the intensive care unit (ICU) nurse’s alarm reaction and identify essential structure of the reaction experience. Methods: Data were collected through in-depth interviews with 10 intensive care unit nurses working in higher general hospital. Data collection and analysis were conducted simultaneously by applying Giorgi's phenomenological method. Results: The ICU nurse’s alarm reaction was shown to be in a dynamic structure to recognize and respond to alarms. Medical device alarms were recognized through alarm sounds and the importance of alarms was determined through previous experience of alarms and whether alarms were true or false. The problem solving ability to manipulate the alarm devices increased with reaction to alarms, and the nurses showed flexibility to individualize alarm settings according to patients’ situations, or respond to alarms according to priority considering the degree of emergency of alarms. In addition, nurses resolved alarms while feeling a sense of mutual responsibility among colleagues in emergency situations. Conclusion: The essential structure of ICU nurses’ alarm reaction revealed through this study was the recognition of and reaction to alarms, and the major characteristics explaining this structure were sensitivity, judgment, problem solving ability, flexibility, and mutual responsibility. Citations Citations to this article as recorded by
Purpose
The purpose of this study was to investigate the influence of e-health literacy in patients with chronic diseases on their healthcare provider-patient communication. Methods The participants were 184 patients with chronic illnesses admitted to a general hospital. Using a structured-questionnaire, data were collected from December 1 to 31, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple linear regression with IBM SPSS/WIN 22.0. Results Healthcare provider-patient communication was positively correlated with e-health literacy (r=.87, p <.001). Factors influencing healthcare provider-patient communication were e-health literacy (β=.87, p <.001), subjective health statues (β=.17, p =.011), health concerns (β=-.15, p <.001), number of questions during the hospital treatment (β=.14, p=.003), and education (β=-.14, p =.048). The input variables explained 70.8% of healthcare provider-patient communication. Conclusion The results of this study suggest that healthcare providers should provide reliable online health information to patients and encourage health-oriented attitudes in order to communicate about health information that patients obtained from online. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to investigate the relationship between nursing practice environment, resilience, job stress, communication skills, and managerial competence of frontline nurse managers and identify factors influencing their managerial competence. METHODS A descriptive research was carried out with 148 frontline nurse managers in six general hospitals. From August 16 to October 7, 2016 data were collected using a questionnaire. Data were analyzed with descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression using IBM SPSS/WIN 22.0. RESULTS Managerial competence of frontline nurse managers was positively correlated with nursing practice environment (r=.41 p < .001), resilience (r=.45, p < .001), communication skills (r=.38, p < .001) and was negatively correlated with job stress (r=−.27, p < .001). The factors influencing managerial competence were nursing practice environment (β=.29, p=.002) and resilience (β=.28, p=.007) in that order. The input variables explained 30.8% of managerial competence. CONCLUSION The results suggest that a policy guideline is needed to enhance managerial competence of frontline nurse managers. The policy guideline should include achieving an adequate level of nurse staffing to improve the nursing practice environment and providing frontline nurse managers with educational support and administrative assistance to increase their resilience. Citations Citations to this article as recorded by
PURPOSE
This study was done to evaluate the effects of group art and music therapy on decreasing job stress and increasing resilience of newly hired nurses. METHODS A mixed method design was used. Quantitative data (N=35) were collected through questionnaires from November 2 to December, 5, 2016 and were analyzed using a one-tailed paired t-test by SPSS/WIN 22.0 program. Qualitative data (N=18) were collected through group and individual interviews from November 10, 2016 to February 3, 2017 and were analyzed using a qualitative thematic analysis. RESULTS The first hypothesis “participants will have lower job stress after the art and music therapy†was not statistically supported (t=−1.12, p=.270). The second hypothesis, “participants will have higher resilience after the art and music therapy†was supported (t=−2.13, p=.041). Four main themes were derived from the interviews: ‘looking into myself’, ‘feeling a camaraderie’, ‘healing of my mind and body’, ‘change in the intimidated self,’ CONCLUSION: The findings indicate that art and music therapy for newly hired nurses may positively influence resilience. Hospital organizations should utilize the therapy for newly hired nurses to improve their resilience so that they can realize their own values and increase positive emotion despite job stress. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to elucidate nursing performance to superior's ethical leadership as perceived by nurses and the mediating effect of faith in supervisor. METHODS For this study a descriptive survey design was used. Participants were 258 nurses who worked in general hospital and completed the self-report questionnaire. Data were collected from May 17 to May 31, 2017 and were analyzed using independent t-test, ANOVA, Scheffé test, and Path analysis with SPSS 22.0 and AMOS 21.0. RESULTS Superior's ethical leadership as perceived by the nurses and faith in the supervisor were significant variables predicting the level of nursing performance and accounted for 48.1% of the variance. Faith in the supervisor as a mediator was found to have a partial mediating effect. CONCLUSION In order to improve the nurses' performance, it is important to establish a work environment so that hospital nurses can perform their work with faith in their supervisors, as well as having superiors who are ethical leaders. Citations Citations to this article as recorded by
PURPOSE
The aim of this study was to investigate e-health literacy and self-care agency of nursing students and non-health department women college students. METHODS A descriptive comparative design was used. Participants were 67 nursing students and 67 non-health department women college students between 18 and 25 years old from a university located in Seoul. Data collection was done from September 2 to October 5, 2016 using structured questionnaires. Data were analyzed using independent t-test, χ² test, ANCOVA, ANOVA, Scheffé test, and Pearson's correlation coefficients with SPSS 23.0. RESULTS e-Health literacy had significant difference (F=1.95, p<.018) between nursing students and non-health department women college students. However, self-care agency was not significantly different (F=1.05, p=.426). There were significant positive correlation (r=.63, p<.001) in e-health literacy and self-care agency of nursing students. CONCLUSION The results of this study suggest that education programs should be provided to improve the e-health literacy and self-care agency for women college students. 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
Span of Control defines the scope of the managers' responsibilities to manage nursing staff. This study was done to measure span of control of front-line nurse managers (FLNMs) in Korea hospitals resulting in improvement in their work efficiency. METHODS A sample of 203 FLNMs from five tertiary hospitals was recruited and completed the questionnaires. Data were analyzed using χ²-test, Fisher's exact test, independent t-test, ANOVA, Scheffé, and Pearson correlation coefficient. RESULTS FLNMs had ‘narrow’ (n=8, 4.3%), ‘appropriate’ (n=161, 87.0%), and ‘wide’ (n=16, 8.6%) span of control. Span of control had significant correlations with the number of nurses (r=.63, p<.001), the number of non-nurses (r=.53, p<.001), units (r=.52, p<.001), staff (r=.83, p<.001), and programs (r=.67, p<.001). CONCLUSION The research findings indicate that attention should be given to unit complexity, program diversity, total staff, and skills. Moreover, administrators of hospital and nursing departments need to provide systematic support in accordance with FLNMs’ wide span of control. Citations Citations to this article as recorded by
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This study aimed to identify research trends in the Journal of Korean Academy of Nursing Administration from 2013 to 2015. METHODS For this study, 171 articles were analyzed. Research designs, participants, research settings, sampling, and data analyses methods were reviewed using established analysis criteria. Keyword centrality and clusters were generated by keyword network analysis. RESULTS Most of studies used quantitative methods (82.5%), and sampling mainly focused on nurses (68.8%). The most commonly used data analyses methods were t-test, ANOVA, correlation, and regression. The most central keywords were turnover and empowerment. Network analysis generated four network groups: 1) burnout; 2) turnover; 3) happiness; and 4) nursing professionalism. CONCLUSION The results of this study identify current trends and interests in Korean nursing administration research. The findings from this study suggest that future studies include a variety of research methods and maintain appropriate research ethics. Citations Citations to this article as recorded by
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The aim of this study was to elucidate clinical nurses' ethics germane to information literacy and perception of patient data privacy and thus help nurses to develop more positive and consolidated ethical values. METHODS For this study a descriptive survey design was used. Participants were 142 nurses who worked in a hospital and completed self-report questionnaires. Data were collected from August 1 to 5, 2016 and were analyzed using independent t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise multiple regression with SPSS 22.0. RESULTS Ethical value had a positive correlation with information needs (r=.25, p=.002) in information literacy as well as in direct patient care (r=.27, p=.001), shift work (r=.20, p=.016), patient information management (r=.39, p<.001), and communication (r=.24, p=.004) in perception of patient data privacy. Patient information management, educational background, and age were significant variables predicting the level of ethical values and accounted for 21% of the variance. CONCLUSION Ethical values education with particular emphasize on managing patient information should be encouraged for nurses who are younger and have a lower education level. Findings indicate a need for education programs to guide clinical nurses to utilize appropriate information when solving ethical challenges in every day nursing practice. Citations Citations to this article as recorded by
PURPOSE
This study was conducted to develop a resilience training program for nurses and test its effects. METHODS A non-equivalent experimental group and a control group pretest-posttest study design was used with 56 participating nurses (28 nurses in the experimental group and 28 nurses in the control group). The resilience training program was provided to participants for 4 weeks from August 12 to September 4, 2013. Each session was scheduled for two hours per week. Participants completed the tools for resilience, positive affect, and perceived stress assessment. Data were analyzed using χ² test, Independent t-test, and 2*2 repeated measures multivariate analyses of variance (MANOVAs) with the SPSS/WIN 21.0 program. RESULTS Application of the resilience training program significantly helped nurses enhance their resilience and positive affect to workplace adversity, and reduce their perceived stress. There were significant positive differences for these variables in the experimental group compared to the control group. CONCLUSION The findings indicate that the resilience training program for nurses is effective and can be used as an intervention for a stress management guide for nurses. Citations Citations to this article as recorded by
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The purpose of this study was to develop and test the validity and reliability of the Korean version of nurses' attitudes toward delegation and preparedness to delegate (APD). METHODS The Korean version of APD was developed through forward-backward translation methods. Internal consistency reliability, criterion validity, and construct validity using exploratory and confirmatory factor analysis were conducted using IBM SPSS Statistics 19 and AMOS 20.0. Survey data were collected from 161 nurses working in 2 general hospitals. RESULTS The Korean version of APD showed Cronbach's alphas of .68 and .85. Factor loadings of the 8 attitude items on the 3 subscales ranged from .60 to .86 and the 15 preparedness items on the 4 subscales ranged from .47 to .90. The model of 3 subscales for the Korean nurses' attitude toward delegation and the model of 4 subscales for the Korean nurses' preparedness to delegate were both validated by confirmatory factor analysis(NC<3, CFI>.90, RMSEA<.10). Criterion validity compared to job satisfaction showed significant correlation. CONCLUSION The findings of this study demonstrate that this modified Korean version of APD is applicable for measuring Korean nurses' attitude toward delegation and preparedness to delegate. Citations Citations to this article as recorded by
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This study was done to identify the status of smartphone addiction among nursing students and to examine the mediating effects of Internet ethics on the relationship between smartphone addiction, physical symptoms and psychological well-being. METHODS Data were collected between May 20 and June 23, 2014. Participants were a convenience sample of 214 nursing students of one university in Seoul. Structured questionnaires were used to measure degree of smartphone addiction, physical symptoms, psychological well-being and Internet ethics. Data was analyzed using Independent t-test, One-way ANOVA, Pearson correlation coefficient, multiple hierarchical regression. RESULTS Of the nursing students, 14.5% had high level of risk of smartphone addiction and 16.8% had potential risk. Higher frequency of physical symptoms and lower level of Internet ethics were related to the higher level of smartphone addiction. Voluntary-control in Internet ethics had mediating effects on the relationship between smartphone addiction and physical symptoms. CONCLUSION The results suggest that the level of smartphone addiction may lowered in nursing students by intensifying Internet ethics especially voluntary-control. Based on these findings, Internet ethics program for nursing students should be developed to facilitate the effective use of smartphones. Citations Citations to this article as recorded by
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The purpose of this study was to develop a patient classification system based on nursing care intensity for patients with acute stroke-related symptoms and verify its validity and reliability. METHODS Data were collected between November, 2013 and February, 2014. The verification for content validity of the patient classification system was conducted by a group of seven professionals. Both interrater reliability and concurrent validity were verified at stroke units in tertiary hospitals. RESULTS The intensive nursing care for acute stroke patients consisted of 14 classified domains and 56 classified contents by adding 'neurological assessment and observation' and 'respiratory care': 'hygiene', 'nutrition', 'elimination', 'mobility and exercise', 'education or counselling', 'emotional support', 'communication', 'treatment and examination', 'medication', 'assessment and observation', 'neurological assessment and observation', 'respiratory care', 'coordination between departments', and 'discharge or transfer care'. Each domain was classified into four levels such as Class I, Class II, Class III, and ClassIV. CONCLUSION The results show that this patient classification system has satisfactory validity for content and concurrent and verified reliability and can be used to accurately estimate the demand for nursing care for patients in stroke units. Citations Citations to this article as recorded by
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The purpose of this study was to elucidate the role of Korean women nurses in the independence movement and to examine their activities during the Japanese occupation from 1910 to 1945. METHODS Nurses studied were women nurses referred to as Ganhowon, Ganhobu, Gyeonseupganhobu, Sanpa, and Josanbu at that time. Five participants such as descendents or relatives of nurses who participated in independence movements, were selected for interview to provide oral historical materials. An historical research approach was used and all of the data were analyzed according to period, region, and pattern of the independence movement. RESULTS Throughout the historical literature and oral historical materials, it was found that from 1914 to 1945, thirty-eight women nurses actively participated in various types of independence activities such as mass hurrah demonstrations, raise the spirit of war, red cross activities, enlightenment movement and armed struggle to encourage the public to stand up against Japanese imperialism locally and abroad. CONCLUSION The findings indicate that women nurses, as enlightened women, endeavored to solve social issues with their autonomous volition, and these action can serve as meaningful evidence for enhancing the social status of nurses. Citations Citations to this article as recorded by
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The purpose of this study was to examine the effects of resilience and job satisfaction on organizational commitment in Korean-American registered nurses. METHODS A cross-sectional study was conducted using a structured questionnaire survey with 203 Korean-American registered nurses living in New York State and New Jersey State. Data were collected from May 8 to August 25, 2012. Collected data were analyzed using t-test, ANOVA, Scheffe test and hierarchical multiple regression. RESULTS The mean organizational commitment of Korean-American registered nurses was 3.34+/-0.59 out of a possible 5.00. The resilience and job satisfaction were significant variables predicting the level of organizational commitment among Korean-American registered nurses, accounting for 50% of the variability. CONCLUSION The results of the study indicate that it is necessary to identify factors influencing job satisfaction and develop programs to strengthen personal resilience in order to increase organizational commitment. Citations Citations to this article as recorded by
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This study was done to explore how nurses manage the boundary for work-family balance. METHODS Data were collected through in-depth interviews from February 1 to May 28, 2012. Participants were 13 married nurses with children. The constant comparative method was adapted for data analysis. RESULTS In this study, nurses' work-family boundary management had characteristics of integration, maintenance and control, but it was adjusted and modified over time as the order of priorities was rearranged according to changes in internal cognition and family support. Nurses strategically persuaded their families to understand their work and share housework in an effort to integrate work and family, while controlling them by managing working hours and time for themselves. CONCLUSION The results of the study indicate that nurses' work has an impact on family life due to heavy workload and insufficient time, however the work-family balance can be successfully maintained with the effective separation of the two areas. Citations Citations to this article as recorded by
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This study was conducted to explore the perspectives of gender and role in the family for nurses' work-family balance. METHOD Data were collected through in-depth interviews with 14 married nurses having children, who were selected through convenience sampling and purposive sampling from November 1, 2011 to January 20, 2012. The data were analyzed using qualitative thematic analysis. RESULTS The common themes resulted from data analysis included following traditional gender roles, giving up any expectation of spouse's role, coordinating the division of family roles, and refusing to stick to gender roles. The age of nurse, family background of husband, and social-economic contexts were essential to explain the couple dynamics. CONCLUSIONS Nurses who received private family support were stably leading a work-family balance, yet unable to change the gender structure of spouse for the work-family balance. On the other hand, young nurses who were unable to get any support, had a tendency of cooperating with their spouses and adopting more negotiable and pragmatic approach to work-family balance. Citations Citations to this article as recorded by
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