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Volume 17(3); September 2011

Original Articles
Influence of Ego-resilience and Stress Coping Styles on College Adaptation in Nursing Students
Jin Ah Park, Eun Kyung Lee
J Korean Acad Nurs Adm 2011;17(3):267-276.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.267
PURPOSE
The purpose of this study was to investigate the effects of ego-resilience and stress coping styles on college adaptation in nursing students.
METHOD
The sample for this study consisted of 1st and 2nd year students from 3 colleges of nursing, one each, in Jeolla, Chungcheong, and Gyeongsang Provinces. The data were collected from November 5 to 22, 2010. The data were analyzed using t-test, ANOVA, Pearson correlation and multiple regression with SPSS 18.0.
RESULTS
A positive correlation was found for college adaptation with stress coping styles and ego-resilience. The strongest predictor of college adaptation was an optimistic attitude. In addition optimistic attitude, satisfaction with nursing as a major, confidence, academic scores, age, emotional control, and gender accounted for 63.3% of variance in college adaptation.
CONCLUSIONS
The results of this study suggest that development of stress coping and ego-resilience in nursing students is important to college adaptation. Further research in improving ego-resilience and stress coping is warranted.

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Effects on Knowledge and Performance in Clinical Nursing of Education on Nursing Recording Focusing on Legal Aspects
Eun Young Kim, Yeo Jin Yi
J Korean Acad Nurs Adm 2011;17(3):277-283.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.277
PURPOSE
The purpose of this study was to examine the effects on knowledge and performance in clinical nurses who participated in education on nursing recording focusing on the legal aspects.
METHOD
The participants were working in medical departments in one hospital. There were 32 nurses in the experimental group and 25 in the control group. Pre-test was conducted on the two groups before education, and, in order to examine the effects of education, a post-test was conducted after three weeks. For the experimental group, the education on nursing recording focusing on legal aspects was provided as a lecture-led one-to-one training.
RESULTS
Significant differences were found between the experimental and control groups in knowledge (F=15.728, p<.001), and performance (F=42.454, p<.001).
CONCLUSIONS
The results of this study indicate that education on nurse recording enhances the knowledge and performance of the nurses. Thus education on nurse recording focusing on legal aspects should be required in the area of nursing science.

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  • Effects of Discussion-Based Legality-Focused Nursing Record Education on Nursing Students’ Knowledge, Self-Confidence, and Nursing Record Performance
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  • Exploring the Applicability of Artificial Intelligence for the Improvement of Nursing Practice in Korea
    Hanbit Lee, Woojong Moon, Sla Kim, Jinhee Lee, Yuzhu Zhang
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  • Effects of nursing record education focused on legal aspects at small and medium sized hospitals
    Taehee Do, Heejung Kim
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  • Strengthening of Advanced Beginner's Nursing Competence through Concept Mapping: Focus Groups
    Ae Ri Jang, Keum Seong Jang
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The Effect of Hospital SCM on Logistics Performance
Moon Suk Cho, Young Hee Yom
J Korean Acad Nurs Adm 2011;17(3):284-292.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.284
PURPOSE
The purpose of this study was to examine the causal relationships among quality of hospital SCM (system quality, information quality, service quality), perceived usefulness, user satisfaction and logistics performance by hospital staff.
METHODS
A survey using a structured questionnaire was conducted with 276 hospital staff. Analysis of the data was with both SPSS Win 18.0 for descriptive statistics and AMOS 8.0 for the structural equation model.
RESULTS
The hypothetical model yielded Chi-square=8.121 (p=.087), df=4, chi2/df=2.030. GFI=.989, AGFI=.942, RMSEA=.066, NFI=.995, CFI=.997 TLI=.990 and showed good fit indices. Three dimensions of quality of SCM had significant direct effects on perceived usefulness. System and service of quality of SCM had significant direct effects on user satisfaction. Perceived usefulness had significant direct effects on user satisfaction. User satisfaction had significant direct effects on logistics performance.
CONCLUSION
These results suggest that logistics performance can be enhanced by user satisfaction, user satisfaction can be enhanced by perceived usefulness, and perceived usefulness can be enhanced by quality of hospital SCM. Further study with various hospitals and various variables is necessary.

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Time Management Behavior and Self-Efficacy in Nursing Students
Hyun Young Kim, Se Young Kim, Hyang won Seo, Eun Hye So
J Korean Acad Nurs Adm 2011;17(3):293-300.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.293
PURPOSE
This study was done to explore time management behavior and self-efficacy in nursing students and to analyze the correlations between time management behavior and self-efficacy.
METHODS
The data were collected from May 12 to 20 2010 using self-report questionnaires about time management behavior and self-efficacy of nursing students. The data from 508 students were analyzed using descriptive analysis, K-means clustering, and one-way ANOVA.
RESULTS
The mean score for time management behavior was 3.03+/-1.11 out of a possible 5, and self-efficacy was 3.65+/-0.42 out of a possible 6. Four groups were identified according to time management behavior. The four groups were significantly different on self-efficacy total (p=<.05) and self-regulatory efficacy (p=.<005). The group with the highest score for time management had the highest score for self-efficacy.
CONCLUSIONS
The results of the study indicate that time management behavior styles are related to self-efficacy for nursing students. Therefore, time management education programs based on the time management behavior styles are needed to increase self-efficacy in nursing students.

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  • THE RELATIONSHIP BETWEEN TIME MANAGEMENT, SELF-EFFICACY AND ACADEMIC SUCCESS LEVELS OF NURSING AND MIDWIFERY STUDENTS AND VARIOUS VARIABLES
    Ümran ÇEVİK
    Samsun Sağlık Bilimleri Dergisi.2021; 6(1): 128.     CrossRef
  • The Effect of a Time Management Program on Drinking-Habit and Self-Efficacy in College Student With Problematic Drinking
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    Mi Young Jho
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    Young-Shin Song, Eun-Kyong Ahn, Hee-Sook Sim
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Development of a Clinical Ladder System for Operating Room Nurses
Heeyoung Kim, Keum Seong Jang
J Korean Acad Nurs Adm 2011;17(3):301-314.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.301
PURPOSE
This study was a methodological research conducted to develop a clinical ladder system for operating nurses.
METHODS
Participants were 20 OR nurses, working in C Hospital, who had a mean tenure of 6 years and 10 months. Data collection consisted of 4 focus group interviews during May and June 2009. The content analysis method of Kim and Lee (1986) was used to analyze the data. Two clinical expert groups consisting of 16 nurses verified the content validity of the preliminary system from September 16 to 26, 2009 using Kim's tool (1999).
RESULTS
The final clinical ladder system consisted of goals, core values, and 4 domains of practice related to core values, which were defined as professional value, perioperative nursing practice, education/research, and collaboration/leadership. Eleven nursing competencies and 44 behavior indicators were included in accordance with the 4-step ladder. The 4 operation systems for the clinical ladder system were the promotion system, continuous learning system, reward system, and support system.
CONCLUSION
The results indicate that nursing managers need to pay more attention to developing a clinical ladder system for nurses.

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Study on Non-Value-Added Nursing Activities in a Tertiary Hospital
Mi Young Kim, Sung Ae Park
J Korean Acad Nurs Adm 2011;17(3):315-326.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.315
PURPOSE
Purposes of this study were to identify non-value-added nursing activities (NVANAs) and to estimate the amount of time spent on NVANAs among total nursing activities.
METHODS
Non-value-added nursing activities were identified though the use of a focus group. The nurses in the focus group were nurses working in a tertiary hospital. They discussed possible activities that could be NVANAs. Based on the focus group discussion, a pilot study was done to examine the actual occurrence of NVANAs in clinical settings.
RESULTS
The focus group discussion showed that NVANAs occurred in ten categories of nursing performances including communication with physicians, communication with other departments, medications, equipment/supplies, nursing records, tests, admission, discharge, and transfer. Direct nursing activities accounted for 35.5% of total nursing activities while indirect nursing activities accounted for 64.5%. Of indirect nursing activities, 16% were NVANAs. Most NVANAs were related to communication and equipment/supplies.
CONCLUSIONS
To improve the quality and efficiency of nursing activities, it is necessary to identify NVANAs and their causes. Results of this study suggest that improvement in the work process and nursing unit structure, support for equipment/supplies, and effective communication are needed to reduce NVANAs in tertiary hospitals in Korea.

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    Young Ae Song, Hyun Jeong Kim, Hyun Kyong Lee
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The Effects of Medical Staffing Level on Length of Stay
Hanju Lee, Yu Kyung Ko, Mi Won Kim
J Korean Acad Nurs Adm 2011;17(3):327-335.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.327
PURPOSE
The objective of this study was to analyze the effects of medical staffing level as bed-to-medical staff ratio on patient outcomes as length of stay (LOS) among hospitals in Korea.
METHODS
Two hundred and fifty one hospitals participated in the study between January and March 2008. Data for the study was requested by an electronic data interchange from the Health Insurance Review Agency in 2008. In data analysis, SPSS WIN 15.0 program was utilized for descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression.
RESULTS
The mean score for length of stay was 13.6 days. The mean of operating bed-to-nurse ratio was 7.93:1. The predicting factors for LOS were bed-to-nurse's aide ratio, bed-to doctor's ratio, severely ill patient rate, and hospital type. These factors explained 28.9% of the variance in patient outcomes.
CONCLUSION
This study results indicate that the relationship between medical staffing level and patient outcomes is important in the improvement of the quality of patient care. Thus, improvements in the quality of the nurse practice environment could improve patient outcomes for hospitalized patients.

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  • Impact on health outcomes of hemodialysis patients based on the experience level of registered nurses in the hemodialysis department: a cross-sectional analysis
    EunYoung Jeong
    Frontiers in Health Services.2023;[Epub]     CrossRef
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    Yoseb Lee, Jeong Lim Kim, So Hee Kim, Jungmi Chae
    Health Insurance Review & Assessment Service Research.2022; 2(1): 106.     CrossRef
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    Hai-Won Yoo
    Journal of the Korea Convergence Society.2016; 7(4): 59.     CrossRef
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    Hai-Won Yoo, Kyoung-Hoon Kim
    The Korean Journal of Health Service Management.2016; 10(1): 1.     CrossRef
  • A Study on Fitness Evaluation for Major Education of Competency Unit Element by the Development and Application of Subject Contents Based on NCS of Health Majoring Students at Junior Colleges
    Min-Ja Kim, Hee-Jung Yang
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 508.     CrossRef
  • Effect of nurse staffing variation and hospital resource utilization
    Yunmi Kim, Seon‐Ha Kim, Young Ko
    Nursing & Health Sciences.2016; 18(4): 473.     CrossRef
  • A Delphi Study to Elicit Policies for Nurse Workforce based on Patient Safety
    Sung Ok Chang, Byoung Sook Lee, Jong Im Kim, Sung Rae Shin
    Journal of Korean Academy of Nursing Administration.2014; 20(2): 215.     CrossRef
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Development of Telephone Consultation Algorithm for Patient Discharged with Ophthalmic Disease
Hyun Jung Lee, Hyeoun Ae Park
J Korean Acad Nurs Adm 2011;17(3):336-348.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.336
PURPOSE
This methodological study was done to develop a telephone consultation algorithms and practice guidelines for patient discharged with ophthalmic diseases.
METHODS
The ophthalmic problems of the patients were identified and expert knowledge on managing the problems was acquired. Algorithms and practice guidelines were developed based on the expert knowledge. The content validity of algorithms and practice guidelines was evaluated by the experts.
RESULTS
The preliminary algorithms and practice guidelines were developed from 60 detailed signs and symptoms and 45 nursing interventions. The experts agreed that 57 detailed signs and symptoms linked with nursing interventions were valid, with the content validity index over 80%. Meeting with nurse experts and ophthalmologists was convened to review the rest of the 3 detailed signs and symptoms linked with nursing interventions. Finally, 60 detailed signs and symptoms and 46 nursing interventions were confirmed.
CONCLUSION
This study suggests that the algorithms and practice guidelines are effective decision-making tools and utilization of these algorithms and practice guidelines is expected to improve the quality of clinical nursing and patient satisfaction.

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Differences in Job Stress, and Job Satisfaction according to Teaching Style, and Personality of Preceptors
Jeong Sil Choi, Nam Young Yang
J Korean Acad Nurs Adm 2011;17(3):349-356.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.349
PURPOSE
In this study, differences and relationship between teaching style, personality, job stress, and job satisfaction among preceptors were examined.
METHODS
The participants were 121 preceptors. Data were collected in November and December 2010 and analyzed using descriptive statistics, ANOVA, Scheffe's test, and Pearson correlation coefficients.
RESULTS
The most frequent teaching style was judgement-initiative, and personality scores were highest for conscientiousness. Job stress was average (3.05+/-.59), and job satisfaction was below the mid-point level (2.76+/-.39). Job stress and job satisfaction were significantly different according to teaching style. Significant correlations were found between personality and job stress, and personality and job satisfaction.
CONCLUSIONS
These findings indicate that changes in perceived teaching style, and personality may be necessary to decrease job stress, and to promote job satisfaction among preceptors. The results of this study should be considered in the development of effective preceptor training programs.

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PURPOSE
The purpose of this study was to examine the influence of decentralization, participation in decision making, job satisfaction on organizational commitment among hospital nurse managers.
METHODS
The data were derived from the self-reported questionnaire responses of 198 nurse managers from January to March, 2006 at four general hospitals over 900 beds in Seoul and Gyungi province and analyzed by frequency and percentage, t-test, ANOVA and Sheffe's test and stepwise multiple regression.
RESULTS
Mean of decentralization was 3.53+/-0.52, participation in decision making was 5.04+/-0.83, job satisfaction 3.54+/-0.48, and organizational commitment was 5.30+/-0.76. There were significant differences between participation in decision-making and career of manager, field of practice, span of control, especially in staffing decision. A significant correlation was found between organizational commitment and decentralization (r=.22, p<.001), participation in decision making (r=.40, p<.001), job satisfaction (r=.64, p<.001). The job satisfaction has the highest significant predictor of organizational commitment (R2=43%).
CONCLUSIONS
Nursing managers' job satisfaction and organizational commitment will be promoted by granting participation in decision-making.

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