Purpose
This study was conducted to identify the influences of critical thinking disposition and perceived nurse managers' leadership style on nurses' competency with evidence based practice in hospitals.
Methods
The participants were 147 nurses working in two university hospitals in Seoul, Korea. Data were collected during February and March in 2017 and were analyzed with Multiple Regression Analysis using SPSS/WIN 18.0.
Results
The most influential factor on nurses' competency of evidence based practice was critical thinking disposition (β=.55, p<.001), followed by transformation (β=.20, p=.011) which together explained their competency of evidence based practice up to 53.0%.
Conclusion
It is necessary to develop intervention programs and curriculum to enhance competence for nurses. It is also necessary to draw plans to develop nursing managers’ transformational leadership. Therefore not only clinical nurses but also throughout the organization, strategies and curriculums should be developed to help nurses perform evidence based practice.

Citations

• The associations of grit, self-leadership, and followership with competency in evidence-based practice among nurses in Korea: a descriptive correlational study
  Ha-young Kim, Jin-il Kim
  Journal of Korean Biological Nursing Science.2025; 27(2): 244.     CrossRef
• Association between Nurses’ Perceptions of Patient Safety Culture, Willingness to Report Near Misses, Critical Thinking Disposition, and Nursing Care Activities for Patient Safety
  Da Eun Lee, Bo Gyeong Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 283.     CrossRef
• Effects of Length of Employment and Head Nurse Leadership Style on the Clinical Competency of Staff Nurses in Taiwan
  Yu-Wen LIN, Chung-Fan NI, Shu-Fen HSU, Shiow-Luan TSAY, Heng-Hsin TUNG
  Journal of Nursing Research.2024; 32(3): e331.     CrossRef
• Influence of Nursing Students’ Competencies Who Participated in Simulation Training on Competency with Evidence-based Practice
  Yeon Jeong Su
  Journal of Korea Society for Simulation in Nursing.2024; 12(1): 33.     CrossRef
• Influence of Job Crafting on Evidence-Based Practical Skills of Dental Hygienists
  Min-ji Kim, Kyu-ri Kim, Yun-ji Kim, Seo-yeon Im, You-bin Cho, Ru-by Choi, Hee-jung Lim
  Journal of Dental Hygiene Science.2023; 23(4): 330.     CrossRef
• The Leadership Experience of Advanced Practice Nurses in a Tertiary Hospital Setting : Focus Group Interview
  Eun Sook Kim, Nayeon Kim, Su Jung Choi, Nari Kim, Young Hee Kim, Jung Yoon Lee, Eun-Hye Kim
  Journal of Korean Critical Care Nursing.2023; 16(3): 48.     CrossRef
• Validity and Reliability of a Korean Version of the ConCom Safety Management Scale
  Mi Young Kwon, Nam Yi Kim
  International Journal of Environmental Research and Public Health.2021; 18(23): 12514.     CrossRef

Purpose
This study was performed to compare the perceived level of trust, collaboration, and teamwork about other healthcare personnel, professionals and assistants between nurses who work on integrated nursing care service wards and general wards.
Methods
Participants were 216 nurses working on integrated nursing care service wards and general wards of 5 general hospitals located in Kyeongido and Kyeongsangbuk-do (integrated nursing wards: 109, general wards: 107). Data were collected using structured questionnaires and analyzed using x ² test, two sample independent t-test and Multivariate Analysis of Covariance (MANCOVA) with SPSS/WIN 23.0 programs. In particular, MANCOVA was conducted after controlling two independent variable covariants which are marital status (p=.045) and work department (p=.022) which had significant differences for both groups and three dependent variables which is trust, collaboration, and teamwork that highly correlated.
Results
There were significant differences in the dependent variables of trust (p=.001), collaboration (p=.014), and teamwork (p<.001) between the two groups of nurses. The mean scores for trust, collaboration, and teamwork with other healthcare personnel as perceived by nurses working on integrated nursing care service wards were significantly lower than that of nurses on general wards.
Conclusion
These findings show that strategies are needed to strengthen the trust, collaboration, and teamwork among nurses working on integrated nursing care service wards and other healthcare personnel.

Citations

• Influences of professional self-concept and job stress of nurses working in Korea dementia care centers on turnover intention
  Mi Young Kim, Minkyung Gu, Nam Kyung Oh, Sohyune Sok
  Frontiers in Public Health.2025;[Epub]     CrossRef
• Influences of communication ability, organizational intimacy, and trust among colleagues on job satisfaction of nurses in comprehensive nursing care service units
  Sue Young Hahm, Minkyung Gu, Sohyune Sok
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Influence of Teamwork, Role Conflict, and Delegation Preparedness on Job Satisfaction among Nurses Working in Integrated Nursing Care Wards
  Deokhyun Lee, Yoonju Lee, Haejung Lee, Sunyoung Jung
  Journal of Korean Academy of Nursing Administration.2023; 29(4): 478.     CrossRef

Purpose
This was a descriptive study aimed at providing basic data on readaptation of hospital nurses after parental leave by exploring levels of parenting stress, co-worker support, and work-life balance and identifying factors affecting work-life balance.
Methods
A survey using a convenience sampling was conducted with 86 nurses who were within their first year reinstatement after parental leave. Structured questionnaires were used, including the above named main variables and other general characteristics. Data were collected from February to May, 2019 from three tertiary hospitals in Seoul. Data were statistically analyzed using independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis.
Results
Work-life balance showed a statistical difference depending on the level of education; it showed negative correlations with commuting time and fatigue and positive correlations with the attitude to job rotation, health status, and quality of sleep. There was a negative correlation between parenting stress and work-life balance and a positive correlation between co-worker support and work-life balance. Work-life balance was influenced by fatigue, parenting stress, health status, and co-worker support in the regression model.
Conclusion
Parenting stress, co-worker support, health status and fatigue of nurses reinstated from parental leave should be improved to enhance their work-life balance.

Citations

• Experiences of Female Nurses’ Parental Leave in Taiwan: A Qualitative Study
  Ya-Hui Tseng, Kuo-Feng Wu, Hung-Ru Lin
  Healthcare.2023; 11(5): 664.     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
• Effects of resilience, burnout, and work-related physical pain on work-life balance of registered nurses in South Korean nursing homes: A cross-sectional study
  Deulle Min
  Medicine.2022; 101(30): e29889.     CrossRef
• Child‐rearing experiences of female nurses working three shifts in South Korea: A qualitative study
  Hye Jin Yoo, JaeLan Shim
  International Nursing Review.2022; 69(3): 318.     CrossRef

Purpose
This study was done to explore research trends on start-up intention of college students in Korea.
Methods
Articles published from 2014 to 2018 were searched. Search term was “start-up intention.” At the first search, 2,137 articles were extracted from academic databases (DB). One hundred forty six articles were used in the systematic review and 88 articles were used in the meta analysis.
Results
There were 384 variables explored in relation to start-up intention. In the correlation and regression analysis, self efficacy and risk taking showed statistical significance in most research. In the meta analysis, career orientation, start-up preparation behavior, and start-up attitude showed statistical significant effect size.
Conclusion
We propose that structural equation model analysis be conducted to find causal relation among variables affecting start-up intention of college students. This will contribute to development of theoretical models for the activation of nursing entrepreneurship.

Citations

• Factors Affecting Entrepreneurial Intention of Clinical Nurses in Korea: A Cross-sectional Study
  Jieon Hong, Yunsoo Kim, Kyu Eun Lee
  Journal of Health Informatics and Statistics.2023; 48(4): 382.     CrossRef

Purpose
The aim of this study was to examine the differences in nurse staffing levels and patient outcomes in long-term care hospitals by region and to identity the effects of nurse staffing level and registered nurse proportion on patient outcomes.
Methods
A secondary analysis of national data that included general characteristics of hospitals and long-term care hospitals’ evaluation results from the Health Insurance Review and Assessment Services was conducted, and 1,205 hospitals were selected.
Results
Results showed that the mean number of patients per nursing staff and registered nurse proportion were 4.27 and 0.43, respectively. The differences in long-term care hospitals’ evaluation results and nurse staffing levels according to region were significant. A logistic regression analysis showed that the number of patients per nursing staff affected the probability of the patient experiencing a decline in daily life activities, as well as a decline in the outcomes of patients who were non-dementia; registered nurse proportion affected the outcomes of patients with dementia.
Conclusion
The findings suggest that implementing policies to improve long-term care hospitals’ nurse staffing level and registered nurse proportion is important. Ensuring mandatory registered nurse staffing levels based on the severity of patients’ diagnoses is also necessary.

Citations

• Factors Affecting Fall Incidents at Long-term Care Hospitals: Using Data from the Korea Patient Safety Reporting and Learning System
  Soojin Chung, Jeongim Lee
  Journal of Health Informatics and Statistics.2025; 50(1): 96.     CrossRef
• Registered Nurse Staffing and Inpatient Outcomes in Korean Long-Term Care Hospitals
  Sujin Shin, Jung Min Yoon, Eun-Ju Moon, Mi-Ji Lee, Jin-Hwa Park
  Healthcare.2024; 12(24): 2509.     CrossRef
• Factors Associated with Patient Safety Incidents in Long-Term Care Hospitals: A Secondary Data Analysis
  Sookhee Yoon, Myungsuk Kang
  Korean Journal of Adult Nursing.2022; 34(3): 295.     CrossRef
• Type D personality, cognitive illness perception, depression, approach coping, and self-management among older adults in long-term care hospitals: Structural equation modeling
  Sunki Kim, Mona Choi, JuHee Lee, Heejung Kim, Kijun Song, Hye-Ja Park
  Geriatric Nursing.2022; 48: 150.     CrossRef

Purpose
To compare actual versus expected nursing hours based on patients’ nursing care needs.
Methods
The nursing care needs of 898 inpatients in 20 wards at 11 hospitals were measured using the 14 items developed by the National Health Insurance Service (NHIS). Nursing activities from 474 nursing personnel were observed every 10 minutes for 24 hours. Actual hours indicated direct care hours per patient day provided by registered nurses according to 3 types: (1) standard hours based on staffing standards approved by the NHIS, (2) scheduled hours excluding overtime hours, and (3) observed hours including overtime. Expected hours were estimated from the linear mixed effect model including hospital type, nursing care need items and their interaction terms.
Results
Standard hours ranged from 0.92 to 2.15; scheduled hours from 0.88 to 1.95; observed hours from 1.00 to 2.40; expected hours from 0.88 to 2.33. Eight hospitals had standard hours not meeting the expected hours and 2 hospitals did observed hours not meeting the expected hours due to nurses’ overtime. In 3 hospitals, all types of actual hours exceeded the expected hours.
Conclusion
Staffing needs to be determined based on patients’ care needs and to be improved to minimize nurses’ overtime work.

Citations

• Factors Affecting the Direct and Indirect Performance of Infection Control for Centrally Inserted Central Catheters Among ICU Nurses
  Yoonjeong Park, Seunghye Choi
  Healthcare.2025; 13(9): 988.     CrossRef
• A comparative analysis of nurses' reported number of patients and perceived appropriate number of patients in integrated nursing care services
  Hyunjeong Kwon, Jinhyun Kim
  Nursing & Health Sciences.2024;[Epub]     CrossRef
• Analysis of the Adequacy of Nurse Staffing Level through the Estimation of Nursing Activity Hours and Implementation of Focus Group Interviews in a Tertiary Hospital: Using a Mixed-Method Design
  Hyun-Joo Kim, Sun-Hee Lee, Jai-Jung Lee, Sun-Suk Seong, Hee Yang, Hyang-Yuol Lee
  Journal of Korean Academy of Nursing.2024; 54(2): 237.     CrossRef
• Comparison of Factors Affecting Delirium Nursing Stress between Nurses in Comprehensive Nursing Care Service Wards and General Wards
  Sumin Gwon, Gaeun Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 517.     CrossRef
• Factors associated with nursing needs and nursing hours in acute care hospital settings: A cross‐sectional study
  Seon Heui Lee, Hanju Lee, Soyoung Yu
  Journal of Nursing Management.2022; 30(6): 2005.     CrossRef
• Patient‐level and organizational‐level factors influencing in‐hospital falls
  Jinhyun Kim, Eunhee Lee, Yoomi Jung, Hyunjeong Kwon, Sunmi Lee
  Journal of Advanced Nursing.2022; 78(11): 3641.     CrossRef
• Development of a Web-Based Solution for Patient Need-Driven Staffing to Determine Nurse Staffing Requirements
  Sung-Hyun Cho, Hyo-Jeong Yoon, Sun Ju Chang, Ji-Yun Lee, Won-Hee Sim, Moon-Sook Kim, Sung-Cheol Yun
  Journal of Korean Academy of Nursing Administration.2022; 28(3): 238.     CrossRef
• The Relationship between Nursing Care Needs and Nurse Staffing in Pulmonology Nursing Units
  Hye-Kyung Jo, Sung-Heui Bae
  Korean Journal of Adult Nursing.2021; 33(3): 236.     CrossRef
• Characteristics of Medication Administration Error Alerts in Application of Mobile Medication System
  Suk-Hee Song, Ju-Won Back, In-Seon Han, Eun-Hye Kim, Nyeon-Im Byun, Eun-Mi Cho, Ta-Sea An, Hui-Joeng Hong
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 149.     CrossRef

Purpose
The purpose of this study was to investigate the moderating mediation effect of health-promoting lifestyle in the relationships between clinical nurses’ job stress, appreciation and mental health problems.
Methods
The participations were 230 clinical nurses working in general hospitals in Seoul City and Gyeonggi Province. Data were collected in November 2019 via an online survey that covered job stress, appreciation, health-promoting lifestyles and mental health problems. The collected data were analyzed using SPSS 25.0, SPSS PROCESS Macro(Model 4, Model 7) and bootstrapping method.
Results
Appreciation had a significant mediation effect in the relationship between job stress and mental health problems. Health-promoting lifestyle had a significant moderation effect in the relationship between job stress and appreciation. Further, health-promoting lifestyle significantly moderated mediation effect of job stress on mental health problems through appreciation.
Conclusion
The results of this study suggest that it is necessary to effectively manage health-promoting lifestyle in the context of clinical nurses’ mental health problems due to job stress. In order to improve clinical nurses’ mental health, it is necessary to provide them with increased appreciation and lead health-promoting lifestyle.

Citations

• Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator
  Eun Hee Kang, Im Sun Seo
  Journal of Korean Academy of Nursing Administration.2022; 28(5): 534.     CrossRef

Purpose
The purpose of this study was to develop and psychometrically test the nursing start-up attitude scale for student nurses.
Methods
The initial items were based on the second analysis of systematic review of previous studies and in-depth interview data with 9 nurse entrepreneurs. In total, 25 items were derived based on the pilot survey. Psychometric testing was conducted with 324 student nurses. Data were analyzed using validity and reliability test methods.
Results
Six factors, including 12 items explaining 74.4% of the total variance, were verified. The factors were opportunity of self actualization, network building, enhacing start-up competencies, outcomes of start-up, preparation for start-ups, and risk taking. Cronbach's ⍺ was .75.
Conclusion
As validity and reliability have been verified through various methods, the developed scale in this study can contribute to assessing student nurses’ attitudes to nursing start-ups.

Citations

• Psychometric properties of the nursing start-up attitude scale in Iranian nursing students
  Iman Jafari, Mehdi Jafari-Oori, Abbas Ebadi
  BMC Nursing.2025;[Epub]     CrossRef

Purpose
This study was conducted to investigate the moderating effect of supervisor's support in relation to violence experience and organizational commitment among staff of special department nurses.
Methods
Participants in this study were nurses working in the emergency, operating and intensive care units of five general hospitals in B city. Data were collected from Aug. 6 to Sep. 14, 2018. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficients and multi-group path-analysis.
Results
The organizational commitment showed a negative correlation with violence experience (r=-28, p<.001) and a positive correlation with supervisor's support (r=.27, p<.001). There was a negative correlation (r=-.37, p<.001) between violence experience and supervisor's support. As a result of verifying the moderating effect of supervisor's support in relation to violence experience and organizational commitment, there was no significant difference in the path between the high and low supervisor's support groups (∆x ² =1.07, p=.300).
Conclusion
There was no buffering effect of supervisor's support in relation to violence experience and organizational commitment of nurses in special departments. Further research is needed to explore variables that show a moderating effect on the relationship between violence experience and organizational commitment.

Citations

• Experience of Clinical Adaptation among Nurses in Intensive Care Unit
  Jin Young Hong, Sue Kyung Sohn
  Journal of Korean Critical Care Nursing.2024; 17(1): 1.     CrossRef
• ICU nurses’ experiences of feeling hurt by medical personnel
  Jung-Hoon Lee, Yeoungsuk Song
  The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 347.     CrossRef

Purpose
This study was done to identify the effects of communication competence and nursing professionalism on job performance among home healthcare nurses.
Methods
The participants were 116 home healthcare nurses working at the hospitals. Data were collected from February 11 to March 22, 2019 and were analyzed with Multiple Regression Analysis.
Results
The most influential factors on job performance were hospital type (β=-.21, p=.006), communication competence (β=.30, p=.001) and nursing professionalism (β=.32, p<.001) which together explained up to 40% of job performance.
Conclusion
To improve nursing performance of home healthcare nurses, it is necessary to develop programs and strategies to enhance communication competence and nursing professionalism.

Citations

• Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
  Saeryun Kim, Younkyoung Kim
  Research in Community and Public Health Nursing.2024; 35: 195.     CrossRef
• Moderating Role of Communication Competence in the Association between Professionalism and Job Satisfaction in Korean Millennial and Generation Z Nurses: A Cross-Sectional Study
  Young Jin Lee, Hyunjin Lee, Eun-Hi Choi
  Healthcare.2023; 11(18): 2547.     CrossRef
• Factors Affecting Political Competency of Advanced Practice Nurses
  Wooyeong Park, Taewha Lee
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 246.     CrossRef
• Effects of Nursing Competence on Job Satisfaction across Career Stages
  Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
• Factors Influencing Nursing Professionalism on the Nursing Performance in Intensive Care Unit Nurses
  Sunyoung Jung, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 451.     CrossRef

Purpose
This study was done to analyze the experience of nurses working in comprehensive nursing care unit, which is an essential task for developing job instructions and guidelines for nurses.
Methods
In total, 161 nurses from comprehensive nursing care units in Seoul, Korea were surveyed from October to November 2018. Differences in work experience according to general characteristics were analyzed by independent t-test. The work experience of the nurses was analyzed by ranking the average by category and item, and the correlation between variables was obtained using Pearson correlation coefficients.
Results
Among the sub-categories of work experience, ‘Advance for Better Nursing’ had the highest rank, while the highest item was ‘Patient classification criteria suitable for the use in comprehensive nursing care units are needed’ (4.39±0.78). ‘Advance for Better Nursing’ was significantly correlated with ‘Distributed Difficulties of Nursing’ (r=.48, p<.001).
Conclusion
To improve the quality of comprehensive nursing care units in small and medium sized hospitals, job instructions and guidelines for comprehensive nursing care should be developed. Furthermore, a system should be implemented along with policies supporting comprehensive nursing care.

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
• Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards
  Yoon Sook Cho, Hyoung Eun Chang, Hyunjung Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(2): 163.     CrossRef
• Comparison of Nurse Work Hours and Nursing Activities Between High‐ and Low‐Staffed General Wards: A Cross‐Sectional Study
  Jiyeong Seong, Sung‐Hyun Cho, Hyo‐Jeong Yoon, Won‐Hee Sim, Moon‐Sook Kim
  Nursing Open.2024;[Epub]     CrossRef
• Factors Influencing Probability and Increase of Patients’ Call Bell Use in Integrated Nursing Care Wards
  Jiyeong Seong, Sung-Hyun Cho
  Journal of Korean Academy of Nursing Administration.2022; 28(3): 273.     CrossRef

Purpose
The purpose of this study was to investigate the effects of head nurses’ authentic leadership, job satisfaction and organizational commitment as perceived by newly licensed nurses and to identify related factors influencing turnover intention.
Methods
A descriptive survey study was conducted with survey data collected between September 9 and 27, 2019 from 190 newly licensed nurses. The data was analyzed using statistical methods including descriptive statistics, frequency analysis, independent t-test, Pearson correlation coefficients, and multiple linear regression employing SPSS 24.0.
Results
The analysis results show that the turnover intention had positive correlations with the total work experience and work experience with a head nurse, while negative correlations were found with job satisfaction and organizational commitment. The factors affecting the dependent variable of turnover intention were analyzed as the total work experience (β=23, p=.014) and organizational commitment (β=-.68, p<.001). In addition, the explanation ability of turnover intention of newly licensed nurses was 48% (F=36.06, p<.001).
Conclusion
The results show that even after their preceptee period, there is a need for systematic long-term job-training programs to enhance the work adaptability and organizational commitment of newly licensed nurses.

Citations

• The mediating effect of job embeddedness on the nursing work environment and transition shock among new nurses: A cross-sectional study
  Siqi Zhou, Jun Ma, Sisi Fan, Honghong Wang, Wenhong An, Lu Li, Tao Xiao
  Nurse Education in Practice.2024; 78: 104034.     CrossRef
• Relationships among basic psychological needs, organizational commitment, perceived authentic leadership and turnover intention in Korean nurses: A cross‐sectional study
  Jina Hwang, Eun Kyeung Song, Sangjin Ko
  Journal of Nursing Management.2022; 30(7): 2176.     CrossRef