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Volume 19(2); March 2013

Original Articles
PURPOSE
The purpose of this study was to identify the relationship among followership, organizational commitment, job satisfaction, turnover intention, and customer orientation in hospital nurses.
METHODS
The participants in this study were 210 staff nurses in one university hospital. Data were analyzed using frequency, ANOVA, Pearson correlation analysis, and stepwise multiple regression.
RESULTS
Followership had positive correlations with organizational commitment (r=.46, p<.001), job satisfaction (r=.41, p<.001), customer orientation (r=.47, p<.001). Followership had negative correlation with turnover intention (r=-.23, p<.001). The factor of followership influencing organizational commitment was active engagement, and this factor accounted for 23.3% of explanatory power. The factor of followership influencing job satisfaction was active engagement (F=45.00, p<.001), and this factor accounted for 17.8% of explanatory power. The factor of followership influencing turnover intention was active engagement (F=19.69, p<.001), and this factor accounted for 17.0% of explanatory power. The factors of followership influencing customer orientation were active engagement (F=51.38, p=.004) and independent, critical thinking (F=24.55, p=.011), and these factors accounted for 22.1% of explanatory power.
CONCLUSION
Findings indicate a need to develop followership to promote organizational commitment, job satisfaction, and customer orientation and to decrease turnover intention in nurses.

Citations

Citations to this article as recorded by  
  • The Mediating Role of Authentic Followership in the Relationship Between Job Crafting and Nurses' Quality of Work Life
    Ahmed Farghaly Tawfik, Ayman Mohamed El‐Ashry, Sanaa Hassan Mohamed, Shimaa Abd El‐fattah Mahgoub
    Journal of Advanced Nursing.2025;[Epub]     CrossRef
  • The role of followership on organizational citizenship behavior in the service industry: A double mediation model
    Noermijati Noermijati, Ema Zahra Firdaus, Desi Tri Kurniawati, Masyhuri
    Problems and Perspectives in Management.2024; 22(2): 124.     CrossRef
  • The Influence of Relational Bonds, Followership, and Occupational Stress on Nurses' Organizational Commitment
    Gipeum Choi, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 56.     CrossRef
  • Followership in health care clinicians: a scoping review
    Sulaiman Alanazi, Richard Wiechula, David Foley
    JBI Evidence Synthesis.2023; 21(9): 1764.     CrossRef
  • Reciprocity in Leader and Follower Behavior among Federal Employees: Test of a Nonrecursive Model
    Mark John Somers
    Public Administration Quarterly.2022; 46(1): 23.     CrossRef
  • Customer engagement and purchase intention in live-streaming digital marketing platforms
    Prince Clement Addo, Jiaming Fang, Andy Ohemeng Asare, Nora Bakabbey Kulbo
    The Service Industries Journal.2021; 41(11-12): 767.     CrossRef
  • Effects of the Empowering Leadership by Nurse Managers on Organizational Citizenship Behavior of Nurses: Mediating Effects of Followership
    Kyoung Hwa Kim, Eun-Kyung Kim
    Journal of Korean Academy of Nursing Administration.2019; 25(2): 115.     CrossRef
  • Effect of organizational citizenship behavior on family-centered care: Mediating role of multiple commitment
    Mustafa Mahooti, Parvaneh Vasli, Esmail Asadi, Mojtaba Vaismoradi
    PLOS ONE.2018; 13(9): e0204747.     CrossRef
  • Factors Influencing Nurse Turnover Intention of Senior Convalescence Hospitals in the Metropolitan Area
    Youn Sun Hwang, Eunyoung Cho
    Korean Journal of Occupational Health Nursing.2016; 25(3): 156.     CrossRef
  • A meta-analysis of the variables related to job satisfaction among Korean nurses
    So Eun Choi, Sang Dol Kim
    Contemporary Nurse.2016; 52(4): 462.     CrossRef
  • Effects of Advanced Beginner-Stage Nurses' Sense of Calling, Job Satisfaction and Organizational Commitment on Retention Intention
    Jin Ock Park, Kwuy Im Jung
    Journal of Korean Academy of Nursing Administration.2016; 22(2): 137.     CrossRef
  • Relationships between Personal Traits, Emotional Intelligence, Internal Marketing, Service Management, and Customer Orientation in Korean Outpatient Department Nurses
    Bogyun Kim, Jia Lee
    Asian Nursing Research.2016; 10(1): 18.     CrossRef
  • Effects of Comprehensive Nursing Service on the Nursing Performance, Job Satisfaction and Customer Orientation among Nurses
    Young-Ran Yeun
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(1): 317.     CrossRef
  • Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area
    Youn Sun Hwang, Kyeong Hwa Kang
    Journal of Korean Academy of Nursing Administration.2014; 20(5): 576.     CrossRef
  • Effects of Emotional Labor, Job Satisfaction and Organizational Commitment on Turnover Intention in Nurses
    Jong-Hyun Yang, Kyu-Ho Jeoung
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(12): 7170.     CrossRef
  • A Study on the Structural Impact of Job Stress on the Organizational Commitment and Customer Oriented Boundary Spanning Behavior of Hospital Employees
    Hye-Young Park
    The Journal of Digital Policy and Management.2013; 11(11): 603.     CrossRef
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A Study of Relationships Hardiness, Coping Behaviors and Organizational Commitment of General Hospital Employees
Seo Yeon Hwang, Eun Hui Seo, Seon Il Park
J Korean Acad Nurs Adm 2013;19(2):196-206.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.196
PURPOSE
This descriptive correlation study was done to identify the hardiness, coping behavior, and organizational commitment of general hospital employees and show how these variables affect increases in role performance and problem solving ability to have a positive influence on organizational harmony.
METHODS
A quantitative, descriptive research design was used with a sample of 368 employees working in general hospitals in M and C cities. A survey was used to collect the data.
RESULTS
The score for perception of hardiness of general hospital employees was 2.85, and coping behavior was 2.40, both out of a possible 4 points, and organizational commitment, 3.03 out of a possible 5 points. There were statistically significant positive correlations between hardiness and coping behavior (r=.33, p<.001), also between hardiness and organizational commitment (r=.51, p<.001), and also between coping behavior and organizational commitment (r=.22, p<.001).
CONCLUSION
The results of the study indicate that hardiness, coping behavior, and organizational commitment in general hospital employees have positive correlations, and thus hospital administrators should explore ways of increase individual employee hardiness and coping behavior, and make efforts to harmonize their organizations by enhancing organizational commitment.

Citations

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  • The mediating effects of nurses’ professional values on the relationship between work environment and organizational commitment among long-term care hospital nurses
    Won Hee Jun
    BMC Nursing.2025;[Epub]     CrossRef
  • The Influence of Compassion Fatigue, Compassion Satisfaction, and Hardiness of Burnout in Small and Medium-sized Hospital Nurses
    Gyoo-Yeong CHO, Seo-Jeong PARK
    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2019; 31(2): 510.     CrossRef
  • Mediating Effect of Nursing Professionalism on the Relationship between Nurses' Character and Organizational Commitment of the Nurse
    Sun Young Jung, Hyun Deuk Lee
    Journal of Korean Academy of Nursing Administration.2019; 25(3): 239.     CrossRef
  • A Study on the Structural Impact of Job Stress on the Organizational Commitment and Customer Oriented Boundary Spanning Behavior of Hospital Employees
    Hye-Young Park
    The Journal of Digital Policy and Management.2013; 11(11): 603.     CrossRef
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  • 4 Crossref
No abstract available.

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  • Nursing Tasks and Practice Environment for Nursing Work Perceived by Nurses Working on Comprehensive Wards versus General Wards
    Sung Hee Ahn, Sun Hee Jung, Jung Hwa You, Mi-Aie Lee
    Journal of Korean Academy of Nursing Administration.2018; 24(1): 10.     CrossRef
  • A Convergence Study about Influences of Self-efficacy and Mindfulness on Job Satisfaction on General Hospital Nurses
    Eun-Hwi Kim
    Journal of the Korea Convergence Society.2016; 7(5): 107.     CrossRef
  • Effects of Nursing Practice Environment, Compassion Fatigue and Compassion Satisfaction on Burnout in Clinical Nurses
    Mi Young Han, Min Sook Lee, Ju Young Bae, Young Suk Kim
    Journal of Korean Academy of Nursing Administration.2015; 21(2): 193.     CrossRef
  • Comparison of Patient-Sitter Ward Nurses and General Ward Nurses on Work-Related Musculoskeletal Symptoms, Occupational Stress and Nursing Work Environments
    Mi Ran Bang, Sun Sook Sim, Dong-Suk Lee
    Journal of Korean Biological Nursing Science.2015; 17(2): 169.     CrossRef
  • Influence of Job Stress and Professional Self-concept on Job Satisfaction among Nurses in Rehabilitation Units
    Jung Ok Ko, Eun Ko
    The Korean Journal of Rehabilitation Nursing.2014; 17(2): 81.     CrossRef
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Effect of Changes in Nursing Delivery System on Satisfaction of Nurses and Patients and Direct Nursing Time
Eun Hee Choi, Hyun Su Lee, Jin Hee Kim, Mi Suk Ko, Bok Soon Kim
J Korean Acad Nurs Adm 2013;19(2):217-226.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.217
PURPOSE
Purpose of this research was to identify effects of application of a modified primary nursing system.
METHODS
Measurement was done of direct nursing time and satisfaction of nurses and patients before and after one month of the modified primary nursing system in a surgery unit in C university hospital, Seoul.
RESULTS
There was no statistically significant difference between average for patient satisfaction (4.24) before and (4.11) after application of the modified primary nursing system. Total average for nurse satisfaction with the nursing delivery system was 2.89 before application and, 3.34 after, indicating some significant differences (t=-4.06, p<.001). The KPCS-1 was 10.19 before application of the modified primary nursing system and 9.52 after application. Recalculated into direct nursing time, the average direct nursing time for one patient was 92 minutes before application, and 85.98 minutes after, indicating no significant difference.
CONCLUSION
Through this research an attempt was made to build and test a modified primary nursing system. Results indicate that the most important thing is to clearly regulate office work and safely implement the new system.

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  • Exploring the Subjective Frame of Patient Satisfaction among Patients Admitted to the Comprehensive Nursing Care Service: Q Methodology Application
    Ye-Na Lee, Jeehyoung Kim, Geon Go, Purum Kang
    Journal of Korean Academy of Nursing Administration.2021; 27(5): 323.     CrossRef
  • Compare Value Congruence of Nurse-Patient Assignment with Work Performance in Neonatal Intensive Care Unit
    Hye Min Kim, Dong Yeon Kim, Ji Young Kim, Ga Young Kim, Seol Hee Moon
    Journal of Korean Academy of Nursing Administration.2021; 27(5): 355.     CrossRef
  • Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study
    Rahel Naef, Jutta Ernst, Heidi Petry
    Journal of Advanced Nursing.2019; 75(10): 2133.     CrossRef
  • Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress
    Su Mi Jung, Sook Hee Yoon
    Journal of Korean Academy of Nursing Administration.2017; 23(3): 229.     CrossRef
  • Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital
    Eun-Kyung Kim, Eun Ha Choi
    Journal of Korean Academy of Nursing Administration.2017; 23(3): 301.     CrossRef
  • Nurses' Self-image Perceived by Clinical Nurses: An Application of Q-Methodology
    Eun-Ho Ha, Kyoung Soon Hyun
    Korean Journal of Adult Nursing.2014; 26(1): 117.     CrossRef
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Lived Experiences of New Graduate Nurses
Yeonok Suh, Kyungwoo Lee
J Korean Acad Nurs Adm 2013;19(2):227-238.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.227
PURPOSE
The purpose of this study was to explore the lived experiences of new graduate nurses in personal life and in clinical setting during their first year.
METHODS
Eleven new graduate nurses were interviewed and the data were analyzed using the Giorgi's phenomenological method.
RESULTS
The main results of this research were negative experiences such as poor nursing skills, inability to enjoy personal life, physical exhaustion and health problems, and uncertainty of nursing values. On the other hand, there were some positive aspects on their minds: adjustmental/developmental needs, sense of responsibility, receptive capability, and proficiency with their work. They gradually found themselves being endured and changing to adapt.
CONCLUSION
Transition from students to staff nurses is a very stressful experience for new graduate nurses. It may negatively affect their personal lives as well. However they tried to keep themselves positive to overcome their difficulties. It is necessary for them to be given time, a systematic program, and a supportive environment to adapt.

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  • Mediating Effects of Transition Shock on the Relationships among Grit, Social Support, and Retention Intention for New Graduate Nurses
    Hye Yeong Ji, Haeyoung Min
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 99.     CrossRef
  • Experiences of Generation Z Nurses Adapting to Work in a Tertiary Hospital: A Grounded Theory Study
    Youngji Moon, Sunhee Lee
    Journal of Advanced Nursing.2025; 81(4): 2050.     CrossRef
  • New Graduate Nurses' Experiences by Generation in South Korea: A Qualitative Meta-Synthesis
    Heejin CHUNG, Mihyun PARK
    Journal of Nursing Research.2024; 32(2): e325.     CrossRef
  • Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
    Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 212.     CrossRef
  • Self-reflection of a General Ward Nurses on the Experience of End-of-Life Care for a Patient who Decided to Suspend Life-sustaining Treatment: van Manen's Hermeneutic Phenomenological Approach
    Hee Jung Hong
    Korean Journal of Adult Nursing.2023; 35(3): 273.     CrossRef
  • Sleep Disorder Experience of Shift Work Nurses: A Phenomenological Study
    Yoon-Jung KOO
    THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2023; 35(1): 47.     CrossRef
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    Minjeong Yu, Smi Choi-Kwon, Jison Ki, Kyeongsug Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 278.     CrossRef
  • Capabilities that experienced nurses expect of new nurses in pediatric wards: A research study using Q methodology
    In Ok Sim
    Nurse Education Today.2020; 92: 104511.     CrossRef
  • Effects of the Adversity Quotient on Turnover Intention of New Nurses in General Hospitals: Focusing on the Mediating Effect of Reality Shock
    Youngjin Go, Sujeong Han
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 457.     CrossRef
  • Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study
    Jaftaline Mabala, Annatjie van der Wath, Miriam Moagi
    Journal of Psychiatric and Mental Health Nursing.2019; 26(5-6): 175.     CrossRef
  • Relationship between Preceptors’ Communication Type and Newly Employed Nurses’ Organizational Socialization
    Mi Sun Jang, Jung A Kim
    Business Communication Research and Practice.2019; 2(1): 22.     CrossRef
  • Changes in health behaviours and health status of novice nurses during the first 2 years of work
    Kihye Han, Yeon‐Hee Kim, Hye Young Lee, Hyeonmi Cho, Young Sun Jung
    Journal of Advanced Nursing.2019; 75(8): 1648.     CrossRef
  • Psychometric evaluation of the Environmental Reality Shock-Related Issues and Concerns instrument for newly graduated nurses
    Eun-Young Kim, Jung Hee Yeo, Hyunjeong Park, Kyung Mi Sin, Cheryl B. Jones
    Nurse Education Today.2018; 61: 106.     CrossRef
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    Yeong Ju Ko, Gwi-Ryung Son Hong
    Journal of Korean Academy of Nursing Administration.2018; 24(3): 173.     CrossRef
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    Eun-Young Kim, Jung Hee Yeo, Kyeong Im Yi
    Journal of Korean Academy of Nursing.2017; 47(5): 589.     CrossRef
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    Journal of Korean Academy of Nursing.2017; 47(5): 676.     CrossRef
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    Journal of Korean Academy of Nursing.2016; 46(5): 733.     CrossRef
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    Journal of Korean Academy of Fundamentals of Nursing.2016; 23(1): 21.     CrossRef
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    Young Choon Park, Hyoung Sook Park
    Journal of Korean Academy of Fundamentals of Nursing.2016; 23(1): 42.     CrossRef
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    Kyung Mi Sin, Jeong Ok Kwon, Eun-Young Kim
    Journal of Korean Academy of Nursing Administration.2014; 20(3): 292.     CrossRef
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PURPOSE
This study was done to identify job tasks and task elements of Korean nurse anesthetists according to type of medical institution.
METHODS
A job task scale which consisted of 9 job tasks and 40 task elements was developed. Data were collected from December, 2009 to February, 2010 from 182 nurse anesthetists who were working in medical institutions (response rate: 75.8%).
RESULTS
Forty-eight percent of nurse anesthetists were independent from anesthesiologists in anesthetic practice. Preanesthetic nursing assessment was much more frequent in small hospitals than in general hospitals (p<.05), and anesthetic nursing intervention, administering the anesthetics, monitoring the patient's status during anesthesia, and provision of safety and compliance with anesthetic ethics were much more frequent in general hospitals than medical centers (p<.001). There were no differences among the medical institutions for job tasks in post-anesthetic nursing interventions (p=.229), administering anesthetics (p=.354) and monitoring patients' status during anesthesia (p=.099), providing safe anesthetic environment (p=.896), and management of ancillary personnel/equipment (p=.617).
CONCLUSION
Results indicate that nurse anesthetists contribute significantly to anesthetic practice in small hospitals and general hospitals. Therefore, it recommended that nursing leaders make efforts to enact legal nurse anesthetist-related policies for safe and high quality anesthetic nursing care.

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  • Comparison of the Level and Side Effects of Spinal Anesthesia with Hyperbaric Bupivacaine in the Supine, Lateral, and Prone Positions
    Ji Young Moon, Bo Hwan Kim
    Journal of Korean Biological Nursing Science.2015; 17(2): 114.     CrossRef
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  • 1 Crossref
No abstract available.

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    Journal of Korean Academy of Nursing Administration.2025; 31(1): 120.     CrossRef
  • The Professional Self-Concept and Problem-Solving Ability in Different Career Stages Among Jordanian Registered Nurses
    Tahani R. Al Manaseer, Nidal F. Eshah, Ahmad Rayan, Anas H. Khalifeh
    Hospital Topics.2025; : 1.     CrossRef
  • Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
    Soomi Kim, Chul-Gyu Kim
    Journal of Korean Academy of Nursing.2023; 53(3): 275.     CrossRef
  • Factors Related to Professional Self-Concept of Nursing Students and Nurses: A Systematic Review
    I. Gede Juanamasta, Yupin Aungsuroch, Sunida Preechawong, Joko Gunawan
    Iranian Journal of Nursing and Midwifery Research.2023; 28(6): 642.     CrossRef
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    Szu-Ying Lee, Chieh-Yu Liu, Te-Yu Wu
    Healthcare.2022; 10(8): 1538.     CrossRef
  • Perception of Clinical Ladder System, Professional Self-Concept, Self-Efficacy, and Organizational Commitment by the Level of Clinical ladder among Intensive Care Unit Nurses
    Ji Hyun Lee, Su Jung Choi
    Journal of Korean Critical Care Nursing.2022; 15(3): 51.     CrossRef
  • Individual nurse empowerment: A concept analysis
    Kyla F. Woodward
    Nursing Forum.2020; 55(2): 136.     CrossRef
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    Yo Na Kim
    Journal of Korean Public Health Nursing.2016; 30(1): 83.     CrossRef
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    Se Na Chae, Il Sun Ko, In Sook Kim, Kye Sook Yoon
    Journal of Korean Academy of Nursing Administration.2015; 21(3): 233.     CrossRef
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    Lauretta Luck, Lesley Wilkes, Jennifer O’Baugh
    BMC Nursing.2015;[Epub]     CrossRef
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    The Korean Journal of Rehabilitation Nursing.2014; 17(2): 81.     CrossRef
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Structural Equation Modeling for Humor, Job Satisfaction, Job Stress and Intention to Turnover
Jihyun Kim
J Korean Acad Nurs Adm 2013;19(2):265-272.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.265
PURPOSE
This study was done to identify the effects and relationships of humor, job satisfaction, job stress and intent to turnover for nurses and suggest a theoretical structural path diagram among the variables.
METHODS
Data were collected at 6 hospitals located in Seoul, and Gyeonggi Province, from June to September, 2010. Participants were 275 nurses. Data were analyzed using Amos 19.0 for Structural Equation Modeling.
RESULTS
Humor had significant effects on job satisfaction (beta=.15, t=2.29, p=.022) and indirect effects on the intent to turnover in this model (chi2=44.18, df=23, RMSEA=0.05, TLI=0.97). But humor did not affect job stress unlike results of previous studies (t=-.02, p=.771).
CONCLUSION
Humor may not affect job stress under the very stressful conditions of the health care environment. The model showed the effect of humor contributed to increases in job satisfaction but did not decrease job stress. Higher levels of job satisfaction could decrease the intent to turnover. Consequently, humor would be helpful in increasing job satisfaction to diminish nurse turnover. Further studies are suggested to investigate causal relationships among humor, burnout, and other emotional and organizational variables.

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    Healthcare.2023; 11(18): 2547.     CrossRef
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    Stephanie Kelly, Cheng Zeng, Michael K. Cundall
    International Journal of Business Communication.2023;[Epub]     CrossRef
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    Mihee Chung, Sujeong Han
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    Abira Reizer, Meni Koslowsky, Rivki Antilevich-Steg
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    Paolo Guenzi, Deva Rangarajan, Nawar N. Chaker, Laszlo Sajtos
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    Su Yeon Roh
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    Se-Young Han, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(7): 629.     CrossRef
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    Eunyoung Hong, Young Sook Lee
    International Journal of Nursing Practice.2016; 22(6): 625.     CrossRef
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    Yaozhong Liu, Leqin Wang
    Psychology.2016; 07(10): 1307.     CrossRef
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    Hyun-Jung Kim, Dahye Park
    Journal of Digital Convergence.2016; 14(1): 241.     CrossRef
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    Zhiteng Lin
    Open Journal of Social Sciences.2016; 04(04): 174.     CrossRef
  • The factors affecting on Turnover Intention of Nurses Working in Rehabilitation Hospitals
    Nam Hee Kim, Jung Suk Park
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(6): 4077.     CrossRef
  • Literature Review of Structural Equation Models for Hospital Nurses' Turnover Intention in Korea
    Eunhye Kim, Jinhyun Kim
    Perspectives in Nursing Science.2014; 11(2): 109.     CrossRef
  • An Integrative Review on Nursing Studies Related to Humor.
    Shin Jeong Kim, Sung Hee Kim, Jung Eun Lee, Hye Young Kim, So Young Yoo, Jina Oh
    Child Health Nursing Research.2014; 20(1): 58.     CrossRef
  • Influence of humor sense on job satisfaction and turnover intention in clinical dental hygienists
    Ji-Hyun Jeon
    Journal of Korean society of Dental Hygiene.2014; 14(6): 821.     CrossRef
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Mediating Effect of Challenging Work in the Relationship between Cognitive Style and Creative Action in Clinical Nurses
Myung Suk Koh, Kyeong Deok Jeon
J Korean Acad Nurs Adm 2013;19(2):273-281.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.273
PURPOSE
The purpose of this study was to identify the relationship among cognitive style, creative action, and challenging work and then determine whether challenging work has a mediating effect between cognitive style and creative action.
METHODS
Data were collected from a convenience sample of 275 clinical nurses who graduated from 3-year nursing schools and worked in hospitals in Seoul or Kyungki Province. The questionnaire included measurements of cognitive style, creative action and challenging work. Data were analyzed using descriptive statistics, correlation, T-test, ANOVA, Duncan test, and hierarchical multiple regression.
RESULTS
Mean scores for cognitive style, creative style, and challenging work were 3.28+/-0.42, 3.22+/-0.57, 3.40+/-0.63, respectively. Significant correlations were found between cognitive style and challenging work, cognitive style and creative action, and challenging work and creative action. Cognitive style was significantly different according to years in clinical career, and in hospital size. Challenging work was significantly different according to age and position. Creative action was significantly different according to years in clinical career. Finally challenging work had a mediating effect between cognitive style and creative action.
CONCLUSION
Findings from this study provide a comprehensive understanding of challenging work for clinical nurses and indicate related factors and importance.

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PURPOSE
The purpose of this study was to identify clusters of nursing competency, and investigate the influence of reflective thinking, team learning climate, and learning organization building according to nursing competency clusters.
METHODS
Participants were 244 clinical nurses who worked in 4 general hospitals in Gwangju Metropolitan City. Data were collected by self-report questionnaires during June and July, 2011. Nursing competency, levels of reflection hierarchy, team learning climate, and learning organization building were measured. Data were analyzed using frequencies, means, t-test, one-way ANOVA, Pearson correlation coefficients, and K-means cluster analysis with SPSS/WIN 20.0 version.
RESULTS
Nursing competency correlated positively with intensive reflection, reflection, team learning climate, and learning organization building (p<.001). There were three clusters of nursing competency in a clinical ladder, which were derived from cluster analysis, grouped as high, middle, and low competency. Intensive reflection, reflection, team learning climate, and learning organization building showed significant differences according to grouping of nursing competency.
CONCLUSION
The results indicate that developing intensive reflection, reflection, team learning climate, and learning organization building would be useful strategies for enhancement of nursing competency.

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    Mikyoung Lee, Keum-Seong Jang
    Journal of Korean Academy of Nursing Administration.2019; 25(2): 83.     CrossRef
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    Mi Ok Song, Heeyoung Kim
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    Ae Ri Jang, Keum Seong Jang
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Hospital Nurses' Uses of Evidence, and Barriers to and Enablers of Evidenced-based Practice
Jee In Hwang
J Korean Acad Nurs Adm 2013;19(2):292-303.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.292
PURPOSE
The purpose of this study was to explore nurses' experience of evidence-based nursing practice in general hospitals.
METHODS
Data were collected from 13 nurses through in-depth interviews about their experiences with evidence-based practice. The research questions were "What kind of evidence are you using in your practice?" and "What are the barriers to and enablers of evidence-based practice that you have experienced?" Qualitative data from field and transcribed notes were analyzed using qualitative content analysis methodology.
RESULTS
Major themes of using evidence were identified as 'research as primary valid evidence', 'information from local context and internet as realistic evidence', and 'clinical experience as pragmatic evidence'. Patient experience was not used as evidence in solving nursing problems. Barriers to and enablers of evidence-based practice were linked. They included both external, organizational factors and individual factors. Main issues were 'lack of evidence and poor work environment', and major facilitating factors were 'improving knowledge and skills related to evidence-based practice' and 'communicating and sharing evidence'.
CONCLUSION
The study findings provide useful information for understanding nurses' experience of using external and internal evidence along with their meaning. A multidimensional approach is needed to overcome barriers to and implement evidence-based practice.

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    Eunkyoung Kim, Hyunwook Kang, Nahyun Kim
    Journal of Gerontological Nursing.2017; 43(2): 55.     CrossRef
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    Eui Geum Oh, You Lee Yang, Jae Yong Yoo, Ji Yun Lim, Ji Hyun Sung
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    Myonghwa Park, Mi Hwa Park
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    Seang Ryu, Yun-Sook Kim, Yun Hee Kim
    Journal of Korean Academy of Nursing Administration.2016; 22(5): 448.     CrossRef
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    Mi-Hyang Choi, Young-Hae Kim, Hyun-Mi Son
    The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 274.     CrossRef
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Factors Affecting Burnout among Clinical Nurses according to Positive Psychological Capital
Jeong Ok Ko, Sook Kyoung Park, Myung Ha Lee
J Korean Acad Nurs Adm 2013;19(2):304-314.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.304
PURPOSE
The purpose of this study was to analyze factors affecting burnout among clinical nurses according to Positive Psychological Capital.
METHODS
The study design was a descriptive survey and questionnaires were collected from 412 clinical nurses who worked in a general hospital in "J" city. Data were analyzed using frequency, percentage, mean, standard deviation, independent t-test, One-way ANOVA, Scheffe test, Pearson Correlation, and hierarchical multiple regression.
RESULTS
In Model individual characteristics accounted for 27.8% of the influence on burnout. In model II with the addition of the 4 factors; Self-efficacy, Hope, Resilience, Optimism, individual characteristics accounted for 48.5% of the influence on burnout. Optimism and Resilience of the Positive Psychological Capital sub-variables were statistically useful as factors influencing burnout.
CONCLUSION
The results indicate that it is necessary to develop active human resource management and educational programs to decrease burnout and strengthen the Positive Psychological Capital of the nurses.

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Measuring Patient Safety Culture in Korean Nursing Homes
Sook Hee Yoon, Byungsoo Kim, So Yonug Shin, Xianglian Wu
J Korean Acad Nurs Adm 2013;19(2):315-327.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.315
PURPOSE
The purpose of this study was to investigate the patient safety culture in Korean nursing homes using the Nursing Home Survey Patient Safety Culture (NHS-PC), a valid tool, provided by the Agency for Healthcare Research and Quality (AHRQ) and to compare the results with AHRQ data.
METHODS
Administrators and staff (N=151) of six nursing homes in Seoul, Busan, Kyeonggi Province and Gyeongsangnam Province completed the survey in July, 2010. The data were analyzed using descriptive statistics, positive response rate, t-test, ANOVA, DUNCAN, Cronbach's alpha.
RESULTS
The total mean (SD) positive response rate for patient safety culture was not significantly different from the AHRQ data. For composite levels, the results of 'handoffs' were significantly higher, and the results of 'feedback and communication about incidents' and 'nonpunitive responses to mistakes' were significantly lower than the AHRQ data.
CONCLUSION
More effective strategies related to nonpunitive responses to mistakes and management activities for patient safety are needed to improve patient safety culture in nursing homes.

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    Soon-Ok Kim, JaeLan Shim
    International Journal of Environmental Research and Public Health.2019; 16(16): 2946.     CrossRef
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    Su Youn Kim, Soon Ock Kim
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    Jihyun Jang, Youngji Song, Nahyun Kim, Wonik Lee
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    Young-Sook Seo, Eun-Su Do
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    Sook Hee Yoon, Se Young Kim, XiangLian Wu
    Journal of Korean Academy of Nursing Administration.2014; 20(3): 247.     CrossRef
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