Purpose
A descriptive survey-based study was undertaken to determine how emotional intelligence mediates the relationship between social support and resilience by clinical nurses, thereby providing primary data for improving resilience.
Methods
This study involved a descriptive survey of 202 nurses working in four general hospitals. Using SPSS/WIN 26.0, frequency analysis, descriptive statistics, and multiple regression analyses were conducted.
Results
Social support had a statistically significant positive correlation with emotional intelligence (β=.49, p<.001) and resilience (β=.47, p<.001). Emotional intelligence showed a statistically significant positive correlation with resilience (β=.66, p<.001). Emotional intelligence was found to have a partial mediation effect on the relationship between social support and resilience (z=5.76, p<.001).
Conclusion
The study also discovered that social support and emotional intelligence are factors influencing clinical nurses' resilience. Furthermore, it evident that emotional intelligence has a partial mediating effect on the relationship between social support and resilience. Therefore, it is necessary to consider nurses’ emotional intelligence at the individual level to effectively improve resilience through social support.

Citations

• Effects of Job Stress, Social Support, and Infection Control Fatigue on Professional Quality of Life among Nurses in Designated COVID-19 Hospitals
  Minyoung Shin, Woojoung Joung
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 603.     CrossRef

Purpose
This study aims to provide essential data for measures to enhance the professionalism of nursing experts and improve understanding of the explanationnurse's identity by examining their working experience in depth.
Methods
Data were collected from August 12 through October 07, 2021. Participants were 13 explanation nurses with more than five years of nursing experience. Verbatim transcripts were analyzed using Colaizzi's phenomenological analysis.
Results
Three theme clusters emerged from the data analysis: “Confusion from work that does not affect the identity of an explanation nurse”, “Entirely fulfilling role as a nursing professional”, and “Crave for the organization's support system for independent job performance”.
Conclusion
Earlier in the department change, nurses had difficulty establishing their identity regarding the explanation duties they must perform. Still, they wanted to continue their explanation work after struggling to pioneer and carry out their duties with expertise . Therefore, hospitals must support explanation nurses with a structural system as they begin their role to adapt to their work and strengthen their professionalism so that these nurses may provide a higher level of explanation nursing and patient-centered care.

Citations

• Effects of Shared Decision-Making, Health Literacy, and Self-Care Knowledge on Self-Care Behavior Among Hemodialysis Patients in Korea: A Cross-Sectional Survey
  Hyohjung Lee, Mi-Kyoung Cho
  Healthcare.2025; 13(2): 175.     CrossRef
• Exploring the Difficulties and Educational Needs of Surgical Unit Nurses in Caring for Surgical Patients: A Qualitative Content Analysis
  Ki Nam Kwon, Seon Young Hwang
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 24.     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

Purpose
This study aimed to examine the influence of nurses’ general and job-related characteristics, nursing practice environment, and grit on the intent to stay of operating room nurses.
Methods
This descriptive study focused on 198 operating room nurses employed in university hospitals at Busan metropolitan city and Kyungnam district, with a minimum of six months of experience in the operating room. Data were collected between February 16, 2022 and May 25, 2022, using self-report questionnaires and analyzed using SPSS 21.0.
Results
The average of operating room nurses' intent to stay was 5.01, indicating a high intent to stay. Positive correlations were found between grit(r=.58, p<.001) and nursing practice environment(r=.36, p<.001) with intent to stay. Grit(β=.52, p<.001) and nursing practice environment(β=.13, p=.035) significantly influenced the intent to stay and explained 35% of the variance in the intent to stay.
Conclusion
The findings of this study suggest that strengthening nurses’ grit and providing a healthy practice environment may help increase their intent to stay. Developing a grit-enhancing program, especially one that fosters enthusiasm and perseverance toward long-term goals, can improve operating room nurses’ psychological resources and enhance their willingness to stay.

Citations

• The Influences of Teamwork and Grit on Job Adaptation and Intention to Remain among Advanced Beginner Nurses
  Seon Kyeong Jeong, Kyoung Ja Kim, Eun Ji Choi
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 379.     CrossRef

Purpose
This study aimed to confirm the mediating effect of social responsibility on the relationship between nurses' stress and burnout from coronavirus disease (COVID-19) in tertiary general hospitals.
Methods
For this descriptive cross-sectional study, online survey data from 193 nurses in three tertiary general hospitals were analyzed. Data were collected from March 30 to April 4, 2021. The following statistical analysis were conducted: t-test, ANOVA, Scheffé test, Pearson's correlation coefficient analysis, and Hayes Process Macro Model 4 (to test the mediating effect).
Results
COVID-19 stress was positively associated with burnout (r=.28, p<.001) and social responsibility (r=.22, p=.002). Social responsibility was negatively associated with burnout (r=-.31, p<.001). Furthermore, the mediation analysis indicated that social responsibility mediated the relationship between COVID-19 stress and burnout.
Conclusion
According to the results, the impact of COVID-19 stress on the burnout was mediated by social responsibility. Therefore, to prevent the burnout from COVID-19 of nurses, developing educational programs to enhance social responsibility are recommended.

Purpose
This study aims to identify the factors-along the lines of fatigue, nursing professionalism, and the work environment-that affect the nursing of COVID-19 patients by nurses at a designated COVID-19 hospital in Korea.
Methods
Data were collected from March 7 to March 31, 2022 via structured questionnaires submitted by 162 nurses, and analyzed using t-test, ANOVA, Scheffé test, Pearson correlation, and hierarchical regression analysis.
Results
In model 1, the variables among the general characteristics which significantly affect nursing intention are “6 months to less than 1 year of nursing experience for severe COVID-19 patients” (β=.29, p=.001), “having the volition to provide nursing support for future COVID-19 patients” (β=0.28, p<.001), and the “intention according to the hospital situation”(β=.35, p<.001). In model 2, fatigue (β=-.18, p=.007) and nursing professionalism (β=.43, p<.001) affect nursing intention. The total explanatory power of Model 2 is 47.0% (F=16.93, p<.001, R² =.47).
Conclusion
To increase nursing intention for COVID-19 patients, intervention strategies should reduce nurses’ fatigue and introduce competency-strengthening programs as to improve nursing professionalism.

Citations

• Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals
  Seulki Kim, Yoonju Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 392.     CrossRef

Purpose
Nursing colleges are continuously being expanded to solve the problem of imbalance among regions, but the outflow of the provincial brain-drain to metropolitan regions continues. Therefore, this study aimed to identify the influencing factors on the regional outflow intention of nursing students.
Methods
This study employed a mixedmethod design, and 214 nursing students in the Honam region filled out a self-administered questionnaire. Eight participants recruited through random sampling were interviewed in depth. Data were analyzed using a t-test, x² test and logistic regression.
Results
Among the total respondents, 161 students (75.2%) had intent to regional outflow. Influencing factors were significantly correlated with employment in tertiary general hospitals (OR=3.32, 95% CI=1.35~8.16), perception of job opportunities in the province (OR=0.52, 95% CI=0.31~0.87), intrinsic job values (OR=2.43, 95% CI=1.14~5.22), and voluntary employment preparation behaviors (OR=2.75, 95% CI=1.05~ 7.19). Through the interviews, themes related to regional outflow intentions were drawn into the following three categories: “recognition of working environment by region”, “aspiration for professional growth”, and “expectation for self-development and rich experience”.
Conclusion
This study’s results are expected to be used as strategic data for establishing plans for nurturing regional human resources and improving the local nursing workforce in non-metropolitan areas.

Purpose
This descriptive correlation study was designed to identify the job characteristics of advanced practice nurses (APNs) and the degree of nursing professionalism as factors influencing the political competency of APNs. Additionally, the relationship between these two factors and political competency was analyzed.
Methods
Data were collected through an online survey of 118 APNs from June 16 to September 16, 2021. The data collected were analyzed using descriptive statistics, a t-test, ANOVA, Scheffé ́’s test, Pearson’s correlation, and a multiple regression analysis using SPSS/WIN 25.0.
Results
Statistically significant differences were noted in the political competency of APNs based on age, workplace, position, experience as an APN, political education, and political party membership. Furthermore, political competency positively correlated with job characteristics and nursing professionalism. The factors affecting the political competency of APNs included skill variety, workplace, political education, political party membership, and nursing professionalism.
Conclusion
Findings of this study confirmed the importance of the political competency of APNs. Furthermore, policy efforts to promote independent job development reflecting the job characteristics of APNs and improvement in nursing professionalism are required, and support from professional nursing organizations is needed.

Purpose
This study examined the variations in nursing competence and job satisfaction across different career stages. Additionally, it explored the effect of nursing competence on job satisfaction within each career stages.
Methods
Participants were 468 nurses working at a university hospital in B city. Data collection was conducted using self-report questionnaires from April 1 to 15, 2020. The data were analyzed descriptive statistics, one-way ANOVA, Scheffé test, and multiple regression analysis employing SPSS 23.0.
Results
General nursing competence improved significantly after the proficiency stage. Care execution and critical thinking were improved as nurses progressed from the novice to the advanced beginner stage. Additionally, communication showed progress in the competent stage. Furthermore, responsibility and self-development were improved after the proficiency stage. Among the sub-competencies examined, self-development, care execution, and communication significantly influenced the job satisfaction of a nurse’s career. Moreover, self-development was influential at all stages.
Conclusion
This study shows that there was no substantial improvement in nursing competencies as they progressed through various career stages. Self-development was the most crucial sub-competence impacting job satisfaction, with the effects of the sub-competencies varying across career stages. These results will aid in planning clinical continuing education and formulating policies to enhance nurse competency.

Citations

• The Influences of Teamwork and Grit on Job Adaptation and Intention to Remain among Advanced Beginner Nurses
  Seon Kyeong Jeong, Kyoung Ja Kim, Eun Ji Choi
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 379.     CrossRef

Purpose
This study aimed to examine the relationships between participative decision-making, psychological empowerment, and organizational citizenship behavior of nurses working in hospitals; moreover, we verified the moderated mediating effect of power distance orientation in these relationships.
Methods
A total of 201 nurses working at a university hospital in South Korea responded to the survey. Self-report surveys were used to gather data from July 15-August 15, 2021. SPSS 22.0, AMOS 22.0, and SPSS PROCESS macro were used for data analysis.
Results
Psychological empowerment significantly mediated the relationship between participative decision making and organizational citizenship behavior. Moreover, the moderating effect of power distance orientation on the relationship between participative decision making and psychological empowerment was also significant when the power distance orientation was at a low and average levels. However, the moderated mediating effect of power distance orientation on the relationship between participative decision making, psychological empowerment, and organizational citizenship behavior was insignificant.
Conclusion
Involving nurses with lower power distance orientation in decision making is crucial to elicit positive work performance and different strategies are necessary for those with higher power distance orientation. Finally, further studies are needed to understand the power distance orientation and positive work outcomes of nurses.

Citations

• 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
• Effects of Emotional Labor and Self-efficacy on Psychosocial Stress of Nurses
  Jeong Hee Kim, Young Suk Park
  Journal of Korean Academy of Nursing Administration.2015; 21(1): 111.     CrossRef
• The Effect of Emotional Intelligence on Self-efficacy and Job Stress of Nurses - Mediating Role of Self-efficacy -
  Kyung Hee Lee, Jung Su Song
  Journal of Korean Academy of Nursing Administration.2010; 16(1): 17.     CrossRef

Purpose
The aim of this study was to longitudinally compare novice nurses’ sleep disturbance, sleep hygiene, and physical activity and analyze factors affecting sleep disturbance.
Methods
Data were obtained from three follow-up surveys of 178 novice nurses. The data were analyzed using SPSS 25.0 to calculate descriptive statistics. A repeated measures ANOVA and Cochran’s Q test were performed, and a logistic regression analysis was conducted using generalized estimation equations.
Results
The sleep disturbance rate increased significantly over time in the following order: before the start of shift work, after six months of shift work, and after 18 months of shift work (T=98.67, p<.001). Sleep hygiene significantly deteriorated over time after the start of shift work (F=127.95, p<.001). Arousal behavior (OR=10.34, p<.001) and the sleep environment (OR=1.54, p=.005) in sleep hygiene, significantly influenced sleep disturbance. Stretching exercises were an influencing factor in sleep disturbance (OR=1.71, p=.039).
Conclusion
Sleep disturbance among novice nurses increased after the start of shift work. Sleep hygiene and stretching were influencing factors. Therefore, to prevent and reduce sleep disturbance in novice nurses, efforts are needed to improve sleep hygiene and promote stretching exercises.

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

• The Mediating Role of Patient Safety Perception in the Relationship between Right to Know and Patient Participation among Inpatients
  Sun-Hwa Shin, On-Jeon Baek
  Korean Journal of Adult Nursing.2025; 37(2): 114.     CrossRef
• Intensive Care Experience of Critical Care Patients and Its Related Factors : A Secondary Analysis Study
  Jiyeon Kang, Hyojeong Woo
  Journal of Korean Critical Care Nursing.2023; 16(3): 11.     CrossRef

Purpose
This study is a hypothetical model of the effect of the leader-member exchange relationship on psychological ownership, job engagement, and turnover intention.
Methods
Data collection was conducted for general nurses who have worked for at least 6 months in a university hospital. The collected data were analyzed using the SPSS/WIN 25.0, and AMOS 18.0 program was used to conduct confirmatory factor analysis as well as goodness of fit verification and hypothesis testing for the hypothetical model.
Results
The leader-member exchange had a significant, static effect on psychological ownership. The leader-member exchange relationship did not have a significant effect on job engagement and psychological ownership had a significant, static effect on job engagement. The leader-member exchange relationship did not have a significant effect on turnover intention and psychological ownership and job engagement had significant, negative effects on turnover intention.
Conclusion
Intervention and the development of programs to increase the psychological ownership and job engagement of members are proposed to improve the leader-member exchange relationship through leadership education and training and reduce the turnover intention of nurses.

Citations

• Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
  Younghee Kim, Mi Yu, Jacopo Fiorini
  Journal of Nursing Management.2025;[Epub]     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
• 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

Purpose
This study’s purpose is to examine the effects of nurses' incident reporting attitudes, their perceptions of importance of patient safety management, and patient safety culture on reporting patient safety events.
Methods
We used a cross-sectional design with a convenience sample of 192 nurses with more than three months clinical experience from five provincial hospitals. The data were collected through an online structured self-report questionnaire from September 25 to October 15, 2022. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression.
Results
The most important influencing factors for the level of patient safety event reporting were perceptions of the importance of patient safety management (β=.24, p=.005), followed by patient safety culture (β=.23, p=.019), incident reporting attitude (β=.18, p=.016), and near miss reporting experience (β=.14, p=.022). The explanatory power of the model was 33%.
Conclusion
To increase the level of patient safety incident reporting, differentiated education and standardized work procedures are needed. Also, it is necessary to prepare policies that revitalize patient safety reporting systems at medical institutions as measures to prevent patient safety accidents and recurrences.

Citations

• Relationship between nurses’ critical thinking disposition and patient safety incident reporting: The mediating role of patient safety culture in a comprehensive nursing service ward
  Nam-Yi Kim, Sung-Jung Kwak, Ayman Mohamed El-Ashry
  PLOS ONE.2024; 19(12): e0315679.     CrossRef
• Patient safety management activities and perceived workload of shift‐work nurses, moderated by the perceived importance of patient safety management
  Kyung Jin Hong
  International Nursing Review.2024;[Epub]     CrossRef
• Impacts of Just Culture on Perioperative Nurses' Attitudes and Behaviors With Regard to Patient Safety Incident Reporting: Cross-Sectional Nationwide Survey
  Nara Han, Seok Hee Jeong, Myung Ha Lee, Hee Sun Kim
  Asian Nursing Research.2024; 18(4): 323.     CrossRef
• 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

Purpose
This study aimed to verify the effect of patient safety environment (PSE) and health literacy (HL) on patient safety participation (PSP) and the mediating effect of HL.
Methods
We recruited patients who were hospitalized at a tertiary general hospital in “D” city. A total of 230 people responded to a questionnaire survey we conducted from March 15 to July 10, 2020. The collected data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson’s correlation coefficient analysis, and hierarchical regression using SPSS/WIN 26.0.
Results
PSP was found to be significantly associated with PSE (r=.29, p<.001) and HL (r=.44, p<.001). PSE and HL were found to have a significant effect on PSP (power: 23%). HL was found to have a partial mediating effect (indirect effect: 0.09, 95% CI: 0.04~0.14) between PSE and PSP.
Conclusion
The findings from this study can contribute to developing interventions for patient participation in the PSE and providing directions for offering safe and high-quality medical care to patients.

Citations

• What Factors Influence Patient Measures of Safety Among Adults?
  Yujeong Kim, Eunhee Nam
  Risk Management and Healthcare Policy.2025; Volume 18: 353.     CrossRef
• Factors Influencing the Willingness of Hospitalized Children’s Parents to Engage in Patient Safety: A Cross-Sectional Study
  Yujeong Kim, Mingi Chang
  Risk Management and Healthcare Policy.2025; Volume 18: 53.     CrossRef
• Mediating effects of patient safety perception and willingness to participate in patient safety on the relationship between health literacy and patient participation behavior among inpatients
  Mi Hwa Won, Sun-Hwa Shin
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Influence of patient safety perception and attitude on inpatients’ willingness to participate in patient safety: An observation study
  Mi Hwa Won, In Suk Hwang, Sun-Hwa Shin
  Medicine.2024; 103(29): e39033.     CrossRef

Purpose
This study was conducted to understand the factors influencing the performance of nurses to identify interventions to promote nursing performance. The study focused on workplace bullying, social interaction anxiety, and positive psychological capital.
Methods
Data were collected from 148 nurses who had been working for over six months at four hospitals and analyzed using the SPSS/WIN 21.0 program.
Results
Significant differences were found in nursing performance grades by age (F=3.93, p=.010), marital status (t=-2.52, p=.013), current department experience (F=3.72, p=.013). Nursing performance had a negative correlation with social interaction anxiety (r=-.27, p=.001) and positive psychological capital (r=.61, p<.001). Factors affecting nursing performance were positive psychological capital and age, such that the 40~49-year-old group had a relatively higher influence on nursing performance than the 29-year-old group. The explanatory power of regression analysis was 3% (F=47.65, p<.001).
Conclusion
The results suggest that to improve nursing performance, positive psychological capital based coaching and educational programs would be suitable for nurses and should be applied to the nursing education curriculum.

Citations

• The Influence of Positive Psychological Capital and Mindset on Grit among Nursing Students: A Cross-sectional Survey
  Jinjoo Chang, Eun Jung Bae, Jaewon Joung
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 296.     CrossRef
• Effects of Nurse-Nurse Collaboration and Nurse-Physician Collaboration on Nursing Performance in Nurses: The Mediating Effect of Patient Safety Management Activities
  JaHyun Kim, Seok Hee Jeong, Hee Sun Kim, Sunmi Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 343.     CrossRef