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Volume 20(4); September 2014

Original Articles
Impact of 12-hour Shifts on Job Satisfaction, Quality of Life, Hospital Incident Reporting, and Overtime Hours in a Pediatric Intensive Care Unit
Eun Young Lim, Ju Yeon Uhm, Eun Ji Chang, Na Yeon Kim, Eun Joo Ha, Sun Hee Lee, Hee Kyung Kim, Yeon Hee Kim
J Korean Acad Nurs Adm 2014;20(4):353-361.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.353
PURPOSE
The aim of this study was to compare job satisfaction, quality of life (QOL), incident report rate and overtime hours for 12-hour shifts and for 8-hour shifts in a pediatric intensive care unit (PICU).
METHODS
A descriptive survey was conducted with a convenience sample of 36 staff nurses from a PICU in a regional hospital in Korea. Data were collected using self-administrated questionnaires regarding job satisfaction and QOL at 6 months before and after the beginning of 12-hour shifts. Incident report rate and overtime hours for both 12-hour and 8-hour shifts were compared. Comparisons were made using chi2-test, paired t-test and Mann-Whitney U test.
RESULTS
After 12-hour shifts were initiated, job satisfaction significantly increased (t=3.93, p<.001) and QOL was higher for nurses on 12-hour shifts compared to 8-hour (t=7.83, p<.001). There was no statistically significant change in incident report rate (chi2=0.15, p=.720). The overtimes decreased from 36.3+/-34.7 to 17.3+/-34.9 minutes (Z=-8.91, p<.001).
CONCLUSION
These results provide evidence that 12-hour shifts can be an effective ways of scheduling for staff nurses to increase job satisfaction and quality of life without increasing patient safety incidents or prolonged overtime work hours.

Citations

Citations to this article as recorded by  
  • Scheduled Naps Improve Drowsiness and Quality of Nursing Care among 12-Hour Shift Nurses
    Kihye Han, Heejeong Hwang, Eunyoung Lim, Mirang Jung, Jihye Lee, Eunyoung Lim, Sunhee Lee, Yeon-Hee Kim, Smi Choi-Kwon, Hyang Baek
    International Journal of Environmental Research and Public Health.2021; 18(3): 891.     CrossRef
  • The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: A quasi-experimental study
    Lois James, Nathaniel Elkins-Brown, Marian Wilson, Stephen M. James, Elizabeth Dotson, Charles D. Edwards, Laura Wintersteen-Arleth, Kevin Stevens, Patricia Butterfield
    International Journal of Nursing Studies.2021; 123: 104041.     CrossRef
  • Comparison of Fatigue, Quality of Life, Turnover Intention, and Safety Incident Frequency between 2-Shift and 3-Shift Korean Nurses
    Jeonghee Hong, Misoon Kim, Eunyoung E. Suh, Sangwoon Cho, Soyoung Jang
    International Journal of Environmental Research and Public Health.2021; 18(15): 7953.     CrossRef
  • The Influence of Dementia Attitude, Empathy, and Burden Related to Behavioral and Psychological Symptoms in Dementia Patients on Job Satisfaction of Long-Term Care Hospital Nurses
    Yun-Suk Lee, Hwasoon Kim
    Journal of Korean Gerontological Nursing.2020; 22(3): 205.     CrossRef
  • Comparison of Shift Satisfaction, Sleep, Fatigue, Quality of Life, and Patient Safety Incidents Between Two-Shift and Three-Shift Intensive Care Unit Nurses
    Min Jin Chae, Su Jung Choi
    Journal of Korean Critical Care Nursing.2020; 13(2): 1.     CrossRef
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Validity and Reliability of a Service Orientation Scale for Health Care Organization
Myung Ha Lee, Sook Kyoung Park, Ok Joo Lee
J Korean Acad Nurs Adm 2014;20(4):362-372.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.362
PURPOSE
The purpose of this research was to develop and test the validity and reliability of the Service Orientation Scale for Health Care Organization.
METHODS
The Service Orientation Scale for Health Care Organization, SERV*OR, was developed through forward-backward translation methods. Internal consistency and reliability, construct and criterion validity were calculated using SPSS Statistics WIN 17.0. Survey data were collected from 283 clinical nurses in a general hospital in J province.
RESULTS
The Service Orientation Scale for Health Care Organization showed reliable internal consistency with Cronbach's alpha's for the total scale ranging from .85~.91. Factor loading of the 30 items on four sub-scales ranged from .67~.83. The sub scales were named service leadership, service system, customer focus, and service control. Item convergent and discriminant validity were also established for the Service Orientation Scale for Health Care Organization. Criterion validity showed a significant correlation with customer orientation.
CONCLUSION
The findings of the study demonstrate that the Service Orientation Scale for Health Care Organization has satisfactory construct and criterion validity, and reliability and can be used to measure service orientation.
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Effect of Empathy, Resilience, Self-care on Compassion Fatigue in Oncology Nurses
Ho Jin Cho, Myun Sook Jung
J Korean Acad Nurs Adm 2014;20(4):373-382.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.373
PURPOSE
The purpose of this study was to analyze the effects of empathy, resilience and self-care on compassion fatigue in oncology nurses.
METHODS
The study design was a descriptive survey and questionnaires were collected from December 1 to 15, 2013. Participants were 171 oncology nurses caring for cancer patients. Data was analyzed using independent t-test, Scheffe test, one-way ANOVA, Pearson correlation coefficient and hierarchical multiple regression with the SPSS/WIN 18.0 program.
RESULTS
Seventy two percent of the participants reported a moderate to high level of compassion fatigue. Empathy was positively correlated with compassion fatigue, whereas, resilience and self-care had negative correlations with compassion fatigue. Finally, empathy, resilience, self-care and age accounted for 30% of the variance in compassion fatigue.
CONCLUSION
Results indicate that empathy, resilience and self-care are factors influencing compassion fatigue. Therefore, it is necessary to develop and make available programs embracing personal factors in the prevention and reduction of compassion fatigue.

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    Shauna L. Rohner, Aileen N. Salas Castillo, Alan Carr, Myriam V. Thoma
    Frontiers in Psychology.2022;[Epub]     CrossRef
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    Jaehee Yi, Min Ah Kim, Kwonho Choi
    Sage Open.2021;[Epub]     CrossRef
  • Effects of Clinical Nurses’ Workplace Bullying, Empathic Ability, and Resilience on Job Satisfaction
    Mi Young Lee, Youngrye Park
    Journal of Korean Critical Care Nursing.2021; 14(2): 57.     CrossRef
  • Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic
    Leodoro J. Labrague, Janet Alexis A. de los Santos
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    Min Ah Kim, Jaehee Yi, Jen Molloy, Kwonho Choi
    Journal of Social Service Research.2021; 47(5): 634.     CrossRef
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    Ho Sun Jeong, So Young Choi
    Journal of Korean Academy of Nursing Administration.2020; 26(2): 142.     CrossRef
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    Marielle Diaw, Jordan Sibeoni, Emilie Manolios, Jean-Marc Gouacide, Cloé Brami, Laurence Verneuil, Anne Revah-Levy
    Cancer Nursing.2020; 43(3): 200.     CrossRef
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    So Li Kim, Young Suk Park
    Stress.2020; 28(1): 33.     CrossRef
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    Dan-Bi Yoo, Hye-Ja Park, Phill-Ja Kim
    The Korean Journal of Rehabilitation Nursing.2019; 22(1): 27.     CrossRef
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    Gyoo-Yeong CHO, Seo-Jeong PARK
    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2019; 31(2): 510.     CrossRef
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    Mahdieh Sabery, Mansoureh Zagheri Tafreshi, Meimanat Hosseini, Jamileh Mohtashami, Abbas Ebadi
    Journal of Nursing Measurement.2019; 27(2): E62.     CrossRef
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    Ji Young Seo, Myungsun Yi
    Asian Oncology Nursing.2017; 17(1): 55.     CrossRef
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    Young Kyoung Kim, Suhye Kwon
    Journal of Korean Gerontological Nursing.2017; 19(3): 203.     CrossRef
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    Hyekyung Jo, Sunah Kim
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    Myung-Ock Chae
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 95.     CrossRef
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    Kathleen Ledoux
    Journal of Advanced Nursing.2015; 71(9): 2041.     CrossRef
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    Oi Sun Lee, Mee Ock Gu, Mi Jung Kim
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(6): 3902.     CrossRef
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    Sun-A Park, Seung-Hee Ahn
    Asian Pacific Journal of Cancer Prevention.2015; 16(13): 5463.     CrossRef
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    Yeo Won Jeong, Jung A Kim
    Korean Journal of Adult Nursing.2015; 27(6): 644.     CrossRef
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Influence of Workplace Bullying and Leader-Member Exchange on Turnover Intention among Nurses
Mi Ra Han, Jeung Ah Gu, Il Young Yoo
J Korean Acad Nurs Adm 2014;20(4):383-393.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.383
PURPOSE
The purpose of this descriptive study was to identify the impact of workplace bullying and LMX (Leader-Member Exchange) on turnover intention among nurses.
METHODS
The participants were 364 nurses from the Seoul metropolitan area who were attending a continuing education program. A structured questionnaire was used for data collection and data were analyzed using the SPSS/Window program. Hierarchical multiple regression analysis was performed to verify the effect of variables on turnover intention.
RESULTS
Higher workplace bullying was associated with higher turnover intention. Workplace bullying was negatively correlated with leader-member exchange. The most influential factors for turnover intention were LMX (beta=-7.22, p<.001), work load (beta=2.96, p=.003), and workplace bullying (beta=2.64, p=.009). These factors accounted for 28% of the variance in turnover intention.
CONCLUSION
The study results indicate that there is need to develop strategies to prevent workplace bullying and cultivate a good relationship between nursing managers and nurses to lower nurses' turnover intention.

Citations

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  • Workplace Bullying and Its Impact on Nurses’ Turnover Intentions: A Cross-Sectional Study
    Mehmet Akif Erişen, Fatma Özlem Yılmaz, Emel Filiz, Cemile Karataş
    International Journal of Bullying Prevention.2025;[Epub]     CrossRef
  • The Influence of Leader-Member Exchange Relationship, Perceived Organizational Support, and Work-Life Balance on Tertiary Hospital Nurses’ Retention Intention
    Ji Hoe Yoon, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 13.     CrossRef
  • The Effect of Nurses’ Perceived Leader-Member Exchange on Psychological Ownership, Job Engagement, and Turnover Intention
    Eun Ah Cho, Myun Sook Jung, Eun Ju Heo
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 298.     CrossRef
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    Jihyun Kim, Yaki Yang
    Healthcare.2023; 11(18): 2575.     CrossRef
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    Joohee Kim, Young Ko
    Journal of Korean Academy of Community Health Nursing.2022; 33(4): 432.     CrossRef
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    Youngji Kim, Jeong Sil Choi
    Nursing & Health Sciences.2021; 23(3): 715.     CrossRef
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    Mi Young Lee, Youngrye Park
    Journal of Korean Critical Care Nursing.2021; 14(2): 57.     CrossRef
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    Zohreh Nabizadeh-Gharghozar, Mohsen Adib-Hajbaghery, Shahnaz Bolandianbafghi
    Journal of Caring Sciences.2020; 9(3): 154.     CrossRef
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    Journal of Nursing Management.2019; 27(6): 1108.     CrossRef
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    Younju Lee
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 479.     CrossRef
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A Concept Mapping Study on Clinical Stress for Nursing Students during Clinical Practice
Hee Kyoung Hyoung, Youn Sook Ju, Shin Il Im
J Korean Acad Nurs Adm 2014;20(4):394-404.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.394
PURPOSE
The purpose of this study was to identify the conceptual structure of stressors experienced by nursing students during clinical practice.
METHODS
Ten men and 10 women nursing college students were interviewed. The results were 208 ideas. By synthesizing and editing these ideas, the final statement was trimmed down to 39 questions. The next step was to have the participants classify these 39 final questions. They were asked to rate stress scores using a five-point scale. Through multidimensional scaling analysis and hierarchical cluster analysis yielded dimensions and clusters.
RESULTS
Results of the study showed 2 dimensions which were classified as 'interpersonal relationship-practice system' and 'identity-practice environment'. It also yielded 8 clusters which were classified as 'role confusion', 'gender discrimination', 'attitudes of medical personnel and patients', 'comparison between fellow students', 'difference between theory and practice', 'disestablishing the role of practice guide', 'interference with training', and 'problems of the practice environment'. Further, stress factors and stress levels were differentiated depending on the gender of the student.
CONCLUSION
The results of the study indicate that educators who are developing clinical practice programs and clinical practitioners should consider stressors during clinical practice and the educational implications to nursing students.

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  • Development and psychometric testing of the reality shock scale for nursing students
    Cennet Çiriş Yildiz, Berna Kahveci Ceylan, Yasemin Ergün, Mustafa Mete
    Nurse Education Today.2025; 153: 106795.     CrossRef
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    Ji Won Han, Sun Young Jung
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 338.     CrossRef
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    Hye Young Cho, Kyoung Ah Kang
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 433.     CrossRef
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    Soo-Yeon Kim, Yeong-Ju Ko
    Healthcare.2023; 11(20): 2789.     CrossRef
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A Review of Practical Use and Research Trends on Nursing Management Minimum Data Sets (NMMDS)
Myun Sook Jung, Jung In Park, Connie W Delaney, Bonnie L Westra
J Korean Acad Nurs Adm 2014;20(4):405-413.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.405
PURPOSE
The purpose of this study was to review articles on Nursing Management Minimum Data Sets (NMMDS) and to suggest strategies to improve practical use of NMMDS in nursing management.
METHODS
A systematic search for articles published until 2013 was undertaken using the following biomedical databases: CINAHL, PubMed, and Google scholar. Seventeen articles were fully reviewed.
RESULTS
The results showed that studies were related to updating NMMDS reflecting current EHR use, mapping NMMDS to standardized national databases, and validating, translating and evaluating NMMDS for international uses. NMMDS has three dimensions and was developed reflecting the needs of nurse managers.
CONCLUSION
The study findings provide a summary of recent trends in NMMDS. These results can serve as basic information to promote practical use of NMMDS in the healthcare organization to provide nursing management data for nurse managers.
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Comparison of Hospital Nurses' Recognition of the Team System and Effects on the Nursing Organizational Team System
Kwang Ok Park, Sung Hee Park, Mi Yu
J Korean Acad Nurs Adm 2014;20(4):414-425.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.414
PURPOSE
The purpose of this study was to identify hospital nurses' recognition of the team system and the effectiveness of the team system as an organizational structure.
METHODS
A self-report questionnaire was used to collect data from 247 general hospital nurses during 4 months in 2013. Analysis was done using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and factor analysis with SPSS 18.0. program.
RESULTS
There was no significant difference in nurses' recognition of team structure (t=2.06, p=.153) or effect of team structure (t=0.36, p=.549) according to use of team system. In hospitals with a team system, there were positive correlations between recognition of the effect of the team system and age (r=.25, p=.033), and total clinical career (r=.26, p=.012). In hospitals not using a team system, nurses' recognition of team structure as an organizational system (r=.31, p<.001), nurses' recognition of team structure, total (r=.30 p<.001) correlated significantly with the effects of team system.
CONCLUSION
Results of this study provide a retrospection view of the team system in nursing organizational systems. The nursing team system's ultimate goal needs to be confirmed for complementary nursing care. Also, more studies on nurses' perceptions of, and effectiveness of the team system are necessary.
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Effects of Empowerment and Job Satisfaction on Nursing Performance of Clinical Nurses
Ji Yeon Choi, Eun Kyung Kim, Se Young Kim
J Korean Acad Nurs Adm 2014;20(4):426-436.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.426
PURPOSE
This study was conducted to identify factors that affect nursing performance; Those factors are personal characteristics, sub-categories of empowerment and job satisfaction of clinical nurses.
METHODS
Data were collected from November 24, 2012 to March 11, 2013, and participants were 451 hospital nurses in 6 hospitals. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and stepwise multiple regression were used for data analysis.
RESULTS
Nurses who were older, married, highly educated, in the position of charge nurse, and with longer clinical careers showed relatively higher empowerment, higher job satisfaction, and higher nursing performance than others. Also, there were strong correlations between nursing performance and empowerment (r=.576)/job satisfaction (r=.617). Factors predicted nursing performance were relationship with coworkers (beta=.398), duty (beta=.181), promotion system (beta=.134), and turnover intention (beta=-.109). Factors predicting job satisfaction were competency of empowerment (beta=.249), and clinical career (beta=.151). These 6 factors explained 55.2% of the variance in nursing performance (F=93.37, <.001).
CONCLUSION
Regarding human resource management, relationship with co-workers is a changeable factor. Therefore nursing organizations should apply these factors in human resource management to enhance nursing performance and achieve organizational goals.

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    Se Ryoung Jung, Hae Young Min
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    Bo Bae Kim, Soyoung Yu
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Effects of Head Nurses' Managerial Competencies and Professional Nurse Autonomy in Nursing Performance
Young Soon Kim, Yong Sook Eo, Nae Young Lee
J Korean Acad Nurs Adm 2014;20(4):437-445.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.437
PURPOSE
The aim in this study was to identify head nurses' nursing performance according to their managerial competencies and professional nurse autonomy.
METHODS
From January 15 to January 31, 2013 a survey was distributed to 200 head nurses working in 5 tertiary hospitals in B city and J city. The response rate was 80% (160 responses). The survey content included the Managerial Competencies Scale (MCS), Schutzenhofer professional nurse autonomy Scale (SPNA), and Nursing Performance Scale (SPNA).
RESULTS
The score for MCS was 4.53, for SPNA, 177.05, and for SPNA, 4.62. Nursing performance was related to managerial competencies (beta=0.741; p<.001; SE=0.059) and professional autonomy (beta=0.135; p=.010; SE=0.001). These factors accounted for 64.8~67.3% of the variability in nursing performance.
CONCLUSION
Results indicate that head nurses' performance would be improved through increased nursing managerial competencies and expansion of professional autonomy suggesting a need to develop work systems designed to achieve high managerial competency and professional autonomy in head nurses.

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PURPOSE
The purpose of this study was to identify the relationships between emotional intelligence, organizational citizenship behavior, organizational commitment and organizational performance of clinical nurses in Korea.
METHODS
The participants were 453 nurses, working in three general hospitals in Seoul, and data were collected from December 15, 2012 to February 2, 2013. Data were analyzed using PASW (SPSS ver. 20.0) and SPSS/WIN 19.0 (SPSS INC, Chicago, IL, USA), and AMOS ver. 20.0.
RESULTS
The results were as follows: organizational performance is positively influenced by emotional intelligence. Organizational citizenship behavior is positively influenced by emotional intelligence, organizational commitment is positively influenced by organizational citizenship behavior, and organizational performance is positively influenced by organizational commitment.
CONCLUSION
The results of this study demonstrate and help in understanding the relationship between the research concepts and the direction of nursing organizations. We recommend that various educational programs should be developed to improve clinical nurses' emotional intelligence.

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Women Nurses' Independence Movement during the Japanese Occupation: A Historical Research Study
Li Hua Jin, Miyoung Kim
J Korean Acad Nurs Adm 2014;20(4):455-467.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.455
PURPOSE
The purpose of this study was to elucidate the role of Korean women nurses in the independence movement and to examine their activities during the Japanese occupation from 1910 to 1945.
METHODS
Nurses studied were women nurses referred to as Ganhowon, Ganhobu, Gyeonseupganhobu, Sanpa, and Josanbu at that time. Five participants such as descendents or relatives of nurses who participated in independence movements, were selected for interview to provide oral historical materials. An historical research approach was used and all of the data were analyzed according to period, region, and pattern of the independence movement.
RESULTS
Throughout the historical literature and oral historical materials, it was found that from 1914 to 1945, thirty-eight women nurses actively participated in various types of independence activities such as mass hurrah demonstrations, raise the spirit of war, red cross activities, enlightenment movement and armed struggle to encourage the public to stand up against Japanese imperialism locally and abroad.
CONCLUSION
The findings indicate that women nurses, as enlightened women, endeavored to solve social issues with their autonomous volition, and these action can serve as meaningful evidence for enhancing the social status of nurses.

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    Na Zhang, Dingxin Xu, Jingjing Li, Zhenxing Gong
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