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Volume 29(1); January 2023

Original Articles
Effects of Organizational Silence and Organizational Justice on Bullying among Hospital Nurses at Work
Mi-Aei Lee, Bi-Joo Kim
J Korean Acad Nurs Adm 2023;29(1):1-11.   Published online January 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.1.1
Purpose
This study aimed to investigate the effects of organizational silence and organizational justice on bullying among hospital nurses in their workplace. Methods: This study was a cross-sectional survey conducted on 235 full-time nurses in Korea. Data were collected online using Google Docs from 14 June to 9 July 2021. Results: Nurses who were male, below 30 years of age, unmarried, had less than five years of clinical experience, had worked in special departments, and had no prior experience with workplace bullying were more vulnerable to workplace bullying than nurses with other characteristics. Workplace bullying of hospital nurses was positively correlated with their acquiescent silence and defensive silence, and negatively correlated with their procedural justice and interactional justice. Factors influencing workplace bullying of hospital nurses were defensive silence, bullying experience (have), distributive justice, acquiescent silence, gender (male), and marital status (single). These six variables explained 55% of workplace bullying in hospital nurses. Conclusion: Based on the results of this study, it could be concluded that nursing managers should keep organizational silence low, organizational justice high, and pay more attention to nurses who are vulnerable to bullying in their workplace.

Citations

Citations to this article as recorded by  
  • Development of the Hospital Nurses’ Silence Behavior Scale
    Soojin Chung, Jee-In Hwang
    Journal of Korean Academy of Nursing.2024; 54(2): 279.     CrossRef
  • Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
    Nayeop Lee, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
  • Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
    Shin Ae Hwang, Haeyoung Min
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 416.     CrossRef
  • Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
    Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 457.     CrossRef
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Improving Patients’ Perception of the Quality of Nursing Services and Nurses’ Perception of Nursing Rounds through Purposeful and Timely Nursing Rounds
Yun Sook Kim, Dong Yeon Kim, Na Young Kim, Jinsuk Kim, Young Eun Yang, Youmin Jeong, Hee Young Choi, Eun Oh
J Korean Acad Nurs Adm 2023;29(1):12-21.   Published online January 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.1.12
Purpose
This descriptive study aimed to identify the effects of purposeful and timely nursing rounds on patients' perception of the quality of nursing services and nurses' perception of nursing rounds.
Methods
Intentional nursing rounds were conducted by communicating patients’ questions on pain, position, pump, potty, and possessions. A total of 144 nurses and 149 patients participated, and data were collected using self-report questionnaires. The independent t-test, x 2 test, and Wilcoxon’s rank-sum test were used to analyze the data with SPSS version 24.0.
Results
Although intentional nursing rounds improved the nurses’ perception of nursing rounds, there was no significant difference. The nurses’ benefit had the lowest score (3.36), and the benefit of communication with patients had the highest score (3.79). Intentional nursing rounds significantly improved the patients’ perception of the quality of nursing services in the intervention group. Among the factors of empathy (Z=4.98, p<.001) related to the quality of nursing services as perceived by the patient, assurance (Z=5.50, p<.001), reliability (Z=4.43, p<.001), and responsiveness (Z=5.02, p<.001) significantly increased.
Conclusion
Intentional nursing rounds positively affected patients’ perception of the quality of nursing service. It is important to improve intentional nursing rounds to enhance nurses’ perceptions of them.

Citations

Citations to this article as recorded by  
  • Associations of perceptions of patient safety culture, job crafting, and perceptions of patient rounding with patient safety management activities among tertiary hospital nurses
    Saet-Byeol Kim, Yun-Hee Kim
    Journal of Korean Biological Nursing Science.2024; 26(3): 259.     CrossRef
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  • 1 Crossref
Purpose
This study aimed to identify the effects of empowering leadership and job crafting on work engagement among nurses. Methods: Data were collected from 161 hospital nurses. Data were analyzed using the independent t-test, Mann-Whitney U test, one-way ANOVA, Pearson correlation coefficient and Hayes's PROCESS macro method for the mediation effect. Results: Empowering leadership and job crafting showed a significantly positive correlation with work engagement. Furthermore, job crafting had a mediating effect on the relationship between empowering leadership and work engagement. Conclusion: A strategy that enhances task job crafting and cognitive job crafting of members by strengthening manager's empowering leadership can lead to work engagement and have a positive effect on organizational performance.

Citations

Citations to this article as recorded by  
  • Nurses’ job crafting, work engagement, and well-being: a path analysis
    Sujeong Han
    BMC Nursing.2023;[Epub]     CrossRef
  • Influence of Job Crafting on Evidence-Based Practical Skills of Dental Hygienists
    Min-ji Kim, Kyu-ri Kim, Yun-ji Kim, Seo-yeon Im, You-bin Cho, Ru-by Choi, Hee-jung Lim
    Journal of Dental Hygiene Science.2023; 23(4): 330.     CrossRef
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  • 2 Crossref
The Experiences of Overcoming Turnover Intention among Experienced Nurses
Min Jeong Kwon, Kyung Mi Sung
J Korean Acad Nurs Adm 2023;29(1):32-44.   Published online January 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.1.32
Purpose
The purpose of this study was to explore the experiences through which nurses overcame turnover intention when first joining the field. Methods: Study subjects included 10 nurses, each of whom had four to six years of work experience at a general hospital. The experiences of overcoming turnover intentions were analyzed from the perspectives of beginner and experienced nurses, using qualitative contents analysis as a method of deduction. Results: The subjects’ turnover intention was low, with an average score of 2.25±0.35. Five themes and 15 sub-themes were extracted from their experiences. The five themes included: “gaining an understanding of the nursing scene”, “experiencing a support system”, “being satisfied with my job”, “developing into a skilled nurse”, and “overcoming and growing”. Conclusion: Subjects maintained low levels of turnover intention, and they were able handle difficulty and grow into their careers as nurses. These findings may inform the development of programs to overcome turnover intention, specifically in terms of factors affecting norvice nurses’ positive achievement factor.

Citations

Citations to this article as recorded by  
  • The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
    Inhee Choo, Milim Cho, Eunha Kim
    Journal of Korean Gerontological Nursing.2024; 26(4): 392.     CrossRef
  • Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder
    Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 31.     CrossRef
  • Experiences of Career Nurses Balancing Clinical Nursing with Ongoing Studies
    Yunhyung Kim, Yeonsook Joo, Eun Hee Kang, Jeong Hye Kim
    Journal of Korean Association for Qualitative Research.2024; 9(3): 215.     CrossRef
  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
    Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
  • Examining the experiences of mid-career nurses in hospitals: a phenomenological study
    Yukyung Ko, Soyoung Yu, Bohyun Park
    Contemporary Nurse.2024; 60(4): 333.     CrossRef
  • 69 View
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  • 5 Crossref
Purpose
This study aimed to identify the impact of nursing organizational culture and nursing practice environment on generational conflict in organization among hospital nurses. Methods: This study utilized a cross-sectional design. The participants consisted of 214 nurses working at two tertiary general hospitals, which were located in B city. Data were collected from January 15 to January 31, 2022, using self-report questionnaires. Data were analyzed by descriptive statistics, one-way ANOVA, independent t-test, Pearson's correlation coefficient and multiple regression analysis using IBM/SPSS 28.0 for Windows. Results: The mean generational conflict in organization was 2.60±0.74 points on a 5-point scale. Multiple regression indicated that the factors influencing generational conflict in organization included relation-oriented nursing organizational culture (β=-.29, p<.001), hierarch-oriented nursing organizational culture (β=-.29, p<.001), hierarch-oriented nursing organizational culture (β=.17, p=.006) and clinical career, and these variables explained 23.0% of generational conflict in organization. Conclusion: The findings of this study suggest that it is necessary to improve relation-oriented nursing organizational culture and avoid hierarch-oriented nursing organizational culture to decrease generational conflict in organization.

Citations

Citations to this article as recorded by  
  • The Effect of Work Value, Psychological Ownership and Nursing Working Environment on Intention of Retention in Hospital Nurses
    Ji Hey Kim, Yoon Ju Cho, So Eun Jang
    Journal of Korean Critical Care Nursing.2023; 16(3): 62.     CrossRef
  • Effects of Nursing Competence on Job Satisfaction across Career Stages
    Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
  • Workplace bullying among Korean registered nurses: A meta-aggregation of qualitative studies
    Eun-Jun Park, Hyunwook Kang, Ji Woon Ko
    The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 450.     CrossRef
  • 80 View
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  • 3 Crossref
Purpose
This study aimed to investigate factors affecting prevention performance of catheter-associated urinary tract infection (CAUTI) among long-term care hospital nurses. Methods: The participants were 162 nurses in 11 long-term care hospitals. Data were collected from May 21 to June 4, 2021, using structured questionnaires. The collected data were analyzed with an independent t-test, Mann-Whitney U test, a one-way ANOVA, Pearson’s correlation, and multiple regression analysis. All analyses were performed using SPSS/WIN 26.0. Results: The factors influencing the prevention performance of CAUTI were formal learning (β=.22, p=.003) and prevention knowledge on CAUTI (β=.17, p=.029). These variables explained 13% of the prevention performance of CAUTI. Conclusion: In this study, it is necessary for long-term care hospitals to develop infection prevention educational programs for CAUTI based on nursing evidence and ensure that nurses apply the knowledge obtained through these educational programs.
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Purpose
This study aims to examine the mediating effects of psychological contracts and subjective career success and the effect of organizational justice on organizational citizenship behavior among hospital nurses. Methods: The data were collected using structured questionnaires through online surveys from 200 nurses in hospitals located in P metropolitan city and J city from February 9 to March 8, 2022. Data were analyzed using SPSS 26.0, Hayes’s SPSS Process Macro 4.0 version program, and bootstrapping. Results: The paths of organizational justice to psychological contract, psychological contract to subjective career success, and subjective career success to organizational citizenship behavior were significant. The double mediating effects of psychological contract and subjective career success were significant in the relationship between organizational justice and organizational citizenship behavior. Conclusion: Based on this study, nursing managers should enable nurses to positively perceive organizational justice and the psychological contract. For this, efforts should be made to secure a transparent and fair system. For subjective career success, it is necessary to establish a career management system and provide opportunities for career development such as relevant education at the organizational level. This will be a motivating process that can induce organizational citizenship behavior.
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Research Trends Review of Financial Performance in Hospitals
Wonjung Noh, Ji Young Lim, Gyeong Ae Seomun, Miyoung Kim, Soyoung Yu, Yoomi Jung, Youngjin Lee
J Korean Acad Nurs Adm 2023;29(1):76-87.   Published online January 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.1.76
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.
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