Purpose The study aim was to examine Korean TV documentaries featuring nurses and to understand how the image of nurses has changed over time. Methods: Forty-one Korean documentaries featuring nurses were selected. The qualitative content analysis method of Elo and Kyngäs (2008) was used to identify the images of nurses. Results: Three themes emerged: “emphasis on the image of being a doctor’s assistant and caring person,” “image of kindness prevailing among the diverse roles of nurses,” and “reports on the poor labor conditions behind the positive images of nurses.” The image of nurses has gradually changed from performing a passive and auxiliary role to functioning as health care professionals. Amid the COVID-19 pandemic, documentaries suggested that the poor labor conditions of nurses should be improved. Conclusion: Active publicity of nurses and nursing communities is needed using documentaries as a resource to inform the public of the various roles of nurses and promote the image of nurses as professionals.
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Purpose This study aimed to assess the influence of job embeddedness, professional self-concept, and work-life balance on clinical nurses’ workplace retention intention. Methods A descriptive cross-sectional survey was conducted from July 27 to August 2, 2022, involving 296 nurses at a university hospital in Seoul. The questionnaire-based data collected were analyzed using t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple regression. Results The mean score for intention to stay is 4.92±1.05 out of 8. The mean scores for job embeddedness, professional self-concept, and work-life balance were 2.91±0.48 out of 5, 2.61±0.28 out of 4, and 3.10±0.71 out of 5, respectively. Job embeddedness (β=.17, p=.002) and professional self-concept (β=.42, p<.001) were significantly associated with clinical nurses’ intention to stay in their workplace. Specifically, the “community suitability” subfactor of job embeddedness (β=.16, p=.003) and the “satisfaction” subfactor of professional self-concept (β=.58, p<.001) were significantly related to nurses’ intention to stay. No significant relationship was found between work-life balance and intention to stay. Conclusion Nurses’ job embeddedness and professional self-concept significantly affected their intention to stay. Therefore, fostering community bonding outside the organization and increasing professional satisfaction are suggested to increase clinical nurses’ intentions to stay.
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Purpose This study’s aim was to understand clinical nurses’ patient advocacy and identify factors influencing this based on the Theory of Patient Advocacy. Methods The subjects of this study were 173 clinical nurses working in two university hospitals in D city, South Korea. Data were collected using a structured self-report questionnaire. Analysis was conducted using IBM SPSS 26.0 and included descriptive statistics, Mann-Whitney U test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis. Results Among the general characteristics, gender was found to be an influencing factor for patient advocacy. As a macrosocial antecedent, the ethical climate of the hospital influenced patient advocacy. For the microsocial antecedents, human rights sensitivity and patient vulnerability influenced nurses’ patient advocacy. This final model explained 35.6% of variance of clinical nurses’ patient advocacy. Conclusion Considering the findings of this study, the ethical climate of hospitals must be improved. In addition, programs to strengthen nurses’ human rights sensitivity and to help improve communication with patients must be developed. This could further aid nurse and patient relationships.
Purpose This study aimed to examine the differences in COVID-19 work-related characteristics, workload, anxiety, stress, and burnout between nurses working in the COVID-19 designated units and those in the general units caring for both COVID-19 and non-COVID-19 patients and to identify factors related to burnout in these two nurse groups. Methods The study was conducted using data from 192 nurses in the COVID-19 designated units and 340 nurses in the general units from two general hospitals. The data were collected using self-report, structured questionnaires.
Independent t-test, chi-squared test, and logistic regression analysis were performed. Results There were no significant differences observed in workload and burnout between the two groups. For nurses in the general units, workload, stress, adequacy of the number of patients assigned, and the experience of temporary, floating staff were significant factors associated with burnout, while only clinical experience in the current unit was a significant factor among those in the COVID-19 units. Conclusion Findings indicate significant differences in factors related to burnout between the two nurse groups. Thus, substantial support and strategies tailored to the working environments of each nursing unit are required to prevent burnout among nurses caring for COVID-19 patients.
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Purpose This study examined hospital nurses’ perception of work-life balance, nursing work environment, nursing organizational culture, and job satisfaction before turnover, and compared differences in variables between current clinical nurses and non-clinical nurses. Methods This descriptive study involved 172 nurses with over six months experience, who changed jobs within the last 5 years in G Province. Data were collected from September 5th-22nd, 2022, and analyzed through independent t-test, one-way ANOVA, and Pearson correlation coefficient using SPSS/WIN 25.0 program. Results Total work-life balance (t=3.85, p<.001), work-family balance (t=4.79, p<.001), work-leisure balance (t=2.96, p=.004), work-growth balance (t=3.01, p=.003), and overall work-life balance (t=2.95, p=.004) in work-life balance, the role of professionalism (r=2.05, p=.042) and interpersonal relationships (t=2.59, p=.011) in job satisfaction, the relationship-oriented nursing organizational culture (t=2.68, p=.008), and the nurse-doctor relationship within the nursing work environment (t=2.51, p=.013) were all significantly higher among current clinical nurses than non-clinical nurses. Conclusion Hospital-level interventions should be established and implemented to improve work-life balance, the relationship-oriented nursing organizational culture, and job satisfaction through interprofessional relationships to retain hospital nurses.
Purpose This study investigated the mediating effect of patient participation culture in the relationship between ethical leadership and performance in patient-engaged nursing services. Methods This study employed a cross-sectional descriptive online survey design. The sample comprised 104 nurses from small- and middle-sized Korean hospitals.
Data were collected between May 10 and September 10, 2019 using the Smart Patient Engagement Assessment Checklist, Korean versions of the Patient Participation Culture Tool for healthcare workers, the Ethical Leadership Scale, and a questionnaire about nurses' demographic and work characteristics. A mediation analysis was conducted using multiple regression and a simple model applying the PROCESS macro using SPSS/WINdows software version 26.0. Results Ethical leadership directly affected (c'=0.28, p<.001) performance in patient-engaged nursing services. Patient participation culture partially mediated the relationship between ethical leadership and performance in patient-engaged nursing services (a ․ b=0.51×0.20=0.10, 95% Boot CI=0.18~0.20). Conclusion Optimizing the patient participation culture and adherence to ethical leadership among hospital administrators and managers can improve nurses' performance in patient-engaged nursing services. Nurse managers' ethical leadership should be strengthened, and patient participation culture should be encouraged at policy levels through systematic nurse education on patient safety and engagement to enhance performance-engaged nursing services.
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Purpose This study investigated the effects of nursing unit managers' authentic, transformational, and transactional leadership styles on positive psychological capital and turnover intention in advanced beginner-stage nurses (ABNs). Methods The study included 157 nurses with clinical experience ranging form more than one year to less than 3 years in three general hospitals. Data analysis was conducted using the SPSS/WINdows software version 26.0. Results Authentic, transformational, and transactional leadership styles of nursing unit managers increased the positive psychological capital of ABNs, thereby lowering their turnover intention. Additionally, the turnover intention of ABNs was negatively correlated with the authentic, transformational, and transactional leadership styles of a nursing unit manager and positive psychological capital. Positive psychological capital showed a mediating effect in the relationship between authentic, transformational, and transactional leadership styles of nursing unit manager and turnover intention of ABNs. Conclusion To reduce ABNs turnover, medical institutions and nursing organizations should focus on enhancing nursing unit managers’ transformational and authentic leadership styles. Moreover, as transactional leadership has been found to decrease the turnover intention among ABNs, nursing unit managers should carefully consider their responsibilities and resources allocation to provide conditional compensation support to nurses.
Purpose This study explored and characterized the interpersonal conflict experiences among mid-career nurses working together. Methods Data were collected from May 2021 to February 2022 through individual in-depth interviews of eight mid-career nurses with conflict experience among nurse colleagues in their work place. The transcribed data were analyzed using Colaizzi's phenomenological method. Results Four categories were identified: experiencing discomfort in relationships as reverse discrimination; bearing the heavy burden of being pushed up and down; adopting self-rescue measures to cope with the current situation; and navigating a workplace where resignation and expectation coexist. Conclusion This study provided an in-depth exploration of interpersonal conflict experiences among mid-career nurses’ working together. Thus, shedding light on the need for proactive educational and policy initiatives to effectively manage and mitigate such conflicts among nurse colleagues in this career stage.
Purpose This study explores nursing students’ perception and experience of injustice in clinical practice and to devise ways to improve the quality and increase satisfaction with clinical practice. Methods This study was conducted from December 9-28, 2021 among 22 nursing students with clinical practice experience attending two universities in Jeollabuk-do. Focus group interviews were used for collecting data that were analyzed using qualitative content analysis. Results A total of four main analysis units were derived from 220 statements comprising, the original data, and 30 concepts were identified through 112 meaningful statements. The injustice that nursing students perceived during clinical practice consisted of four categories: ‘not respected,’ ‘not guaranteed safety,’ ‘not protected by the system,’ ‘not resolved structural problems in clinical practice.’ Each category was derived from a statement based on the 'injustice in clinical practice' perceived by nursing students in the course of clinical practice. Conclusion To maintain quality in clinical practice and promote nursing students’ satisfaction with clinical practice, continuous problem analysis and multilateral efforts of clinical and educational institutions are considered necessary.
Purpose This study aimed to not only examine the changes in working hours and labor intensity, but also investigate their effects on sleep difficulties of shift work nurses. Methods Data from the 3rd (2011) to the 6th (2020) Korean Working Condition Surveys were analyzed, and the final sample included data of 514 nurses. Working time was measured considering nurses’ weekly working hours, number of night shifts, and number of days in a month when they worked more than 10 hours a day. Labor intensity included labor density, emotional labor, and work interruption. Sleep difficulty was measured using three items in 5th and 6th surveys. Results Weekly working hours, and long working days tended to decrease with the flow of the year, while work density, emotional labor, and work interruption tended to increase. Number of long working days, work density, and work interruption were found to produce a sleep difficulty effect in nurses. Conclusion To avoid sleep difficulties in nurses, adequate nurse staffing is required to prevent long working hours, and work density and work interruption need to be considered when determining the nurses’ workload.
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Purpose This study aimed to investigate the relationship between' perceived ethical climate, workplace bullying, and turnover intention among hospital nurses. Methods This study was conducted with 190 full-time nurses working in hospitals in Korea as participants. Data were collected from online communities using Google Docs from July 22 to July 25, 2022. Results Average values were as follows: ethical climate was 3.79±0.60, workplace bullying was 2.31±0.77, and turnover intention was 3.79±0.60. While turnover intention had no correlation with ethical climate, it had a positive relationship with workplace bullying. Workplace bullying was influenced by verbal aggression (β=.48, p=.001), inappropriate task assignment (β=.26, p=.006), monthly salary (β=.18, p=.001), and working department (β=-.13, p=.012). These four variables may explain 60.0% of hospital nurses' turnover intention. Conclusion To prevent turnover of hospital nurses, nursing managers should establish nursing career development programs to ensure adequate retention of experienced nurses. The need to provide nurses with communication skills training to prevent verbal attacks and bullying in the workplace has been identified.
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Purpose The purpose of this study was to identify the mediating effect of work engagement and job crafting on the relationship between nurses’ Grit on nursing performance. Methods The data were collected using structured questionnaires through online surveys from 142 clinical nurses in five hospitals. Data were analyzed using SPSS 24.0, Hayes’s SPSS Process Macro 4.0 version program. Results Nursing performance was significantly associated with Grit, work engagement and job crafting. The mediating effect of job crafting on the Grit on nursing performance was confirmed. Conclusion These results suggest that it is necessary to develop an intervention program that focuses on improving job crafting. Further, job crafting needs to be considered in developing nursing interventions to nurses' Grit and improve nursing performance for nurses.
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Purpose This study aimed to identify the factors influencing job satisfaction among nurses working in integrated nursing care wards. Methods The study participants were 196 nurses working in integrated nursing care wards at four general hospitals and one tertiary hospital. Data were collected using structured questionnaires from April 11 to 25, 2022, through an online survey. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation, and stepwise multiple regression with SPSS/WIN 26.0. Results The factors influencing job satisfaction of participants were team structure (β=.32, p<.001), role conflict regarding nursing practice (β=-.24, p<.001), mutual support (β=.23, p<.001), master's degree or higher(β=.16, p=.004), and spousal presence (β=.15, p=.005). Conclusion The findings of this study suggest that the tasks and roles of team members should be clarified, and a supportive team culture of mutual cooperation should be fostered to improve the job satisfaction of nurses working in the integrated nursing ward. In addition, it is necessary to reduce role conflict by providing support focused on allocating tasks that can strengthen the role of professional nurses.
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Purpose This study examined the effect of missed nursing care on nursing sensitive indicators. Methods A nationwide cross-sectional survey was conducted using structured questionnaires. Data of 174 clinical nurses employed in general or tertiary hospitals were collected through proportional quota sampling; the quota used was the location of a working hospital in South Korea. Data were collected through an online survey and snowball sampling from July 16 to July 20, 2022. The collected data were analyzed using IBM SPSS 26.0. Results Missed nursing care had statistically significant negative correlations with patient safety management activity and job satisfaction, and significant positive correlation with turnover intention. Significant correlation was not found between missed nursing care and adverse event experiences. Hierarchical multiple regression analysis revealed that missed nursing care explained an additional 21%p of patient safety management activity, 14%p of job satisfaction, and 3%p of turnover intention. Thus, missed nursing care was found to be a statistically significant predictor of patient safety management activity, job satisfaction, and turnover intention. Conclusion Missed nursing care significantly affects nursing sensitive indicators. To improve positive outcomes and decrease negative outcomes, nurses and nursing managers must make efforts to minimize missed nursing care.
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