Purpose
This study aimed to identify the factors that affect post-traumatic growth among frontline nurses during a COVID-19 pandemic. Methods: This study included 187 nurses working in nationally designated infectious disease hospitals as participants. Data were collected from January 11 to March 2, 2021 using structured questionnaires. Independent t-tests, one-way ANOVA, Pearson correlation coefficients, and hierarchical multiple regressions were performed to examine influencing factors of post-traumatic growth. Results: Posst-traumatic growth was positively correlated with traumatic event experience (r=.26, p<.001), post-traumatic stress (r=.32, p<.001), supervisor support (r=.39, p<.001), and colleague support (r=.36, p<.001). Factors affecting post-traumatic growth were emotional support of supervisors (β=.76, p<.001) and evaluative support of colleagues (β=.46, p<.018). Overall, approximately 40.0% of the variability in post-traumatic growth was explained by these two variables. Conclusion: To increase emotional support of supervisors and evaluative support of colleagues, the most influential factors for post-traumatic growth of frontline nurses who fought against COVID-19, a positive culture must be established. This includes horizontal communication, a safe working environment, and securing of appropriate nurse to patient ratio.

Citations

• Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 in Regional Medical Centers
  Jaehwa Bae, Eun Suk Choi
  Research in Community and Public Health Nursing.2025; 36: 9.     CrossRef

Purpose
This study is qualitative study using phenomenology approach of Colazzi, to identify meaning and essential structure of the hospitalization with Complex Regional Pain Syndrome (CRPS). Methods: Experiential data were collected through in-depth interviews with 10 patients who had been hospitalized in hospital rehabilitation medical wards. The main question was ‘Could you describe your hospitalization experience with CRPS? Results: Five categories obtained were ‘Experience despair in the swamp of long suffering’, ‘A hospital system that only adherence to treatment procedures’, ‘There are aggravating factors all over the hospital environment’, ‘Finding support to cover the disease’, and ‘Cross the tunnel of pain with the medical staff’. Conclusion: Patients with complex pain syndrome experienced extreme pain and sudden pain even after hospitalization, and were more aggravated due to treatment procedures and regulation systems. It is thought that multidisciplinary team approach nursing intervention is necessary to improve this situation.

Citations

• Experiences of diagnosis and treatment for upper limb Complex Regional Pain Syndrome: a qualitative analysis
  Grace S Griffiths, Bronwyn L Thompson, Deborah L Snell, Jennifer A Dunn
  Pain Medicine.2023; 24(12): 1355.     CrossRef

Purpose
This descriptive study investigated the influence of married nurses’ self-efficacy, parenting stress, and organizational culture on their health-promoting behaviors. Methods: Data were collected from 173 married nurses in G and B metropolitan city; the study was conducted from August to September 2019. Data were analyzed using the independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression with SPSS 18.0. Results: The most significant influencing factors on the health-promoting behavior of the subject were self-efficacy (β=.38, p<.001), followed by parenting stress (β=-.21, p=.002), education (β=-.20, p=.001), perceived health status (β=.19, p=.003) and the overall explanatory power was 42.0%. Conclusion: Based on the results, an intervention program that can increase their self-efficacy and reduce parenting stress is needed, considering education level of married nurses and their perceived health status to be developed.

Purpose
The purpose of this study was to identify the relationship between job stress and turnover intention and the mediating effect of job embeddedness on the relationship among hospital nurses in rural areas. Methods: This is a descriptive study. A total of 277 registered nurses were enrolled in the study from three hospitals in rural areas of South Korea from April 29 to May 10, 2019. The participants completed self-reporting questionnaires, which measured job stress, turnover intention, and job embeddedness, and collected demographic information. The data were analyzed using IBM SPSS Statistics 25.0, for multiple regression, and a simple mediation model applying the Hayes PROCESS macro with a 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results: Job stress had a direct effect (c’=0.35, p<.001) on turnover intention. It was also demonstrated that job embeddedness partially mediated the relationship between job stress and turnover intention among the hospital nurses (a ․ b=-0.40 × -0.58=0.23, 95% Boot C). Conclusion: The job stress and turnover intention of nurses in rural areas are not higher than those in large cities. Nevertheless, hospital administrators need to provide a nursing workforce policy to increase job embeddedness and reduce nurses’ turnover intention.

Purpose
The aim of this study was to explore the causes and effects of burnout experienced by insurance review nurses working in hospitals. Methods: Data were collected from April to May, 2021, using focus group interviews. The study enrolled 19 insurance review nurses with at least one year of experience. Data were analyzed using the content analysis method. Results: Causes of burnout were divided into three categories: eight subcategories (feeling of insufficient competence in an insurance review, closed mind in a limited working space, incompetency from other departments, harsh words and deeds that exclude me, insurance cuts controlling my work performance, cloudy mind chased by the billing date, ineffective hospital information systems, and question with no answer) and 23 causes. The impact of burnout was divided into three categories: six subcategories (experiencing mental and physical symptoms, projecting one’s feelings into family or neglecting them, withdrawing myself, wearing a mask, decreased work performance, and desiring to leave one’s work), and 14 concepts. Conclusion: This study provides basic data for strategy development to prevent and solve burnout problems among insurance review nurses. It is important to develop programs and policies to solve the burnout problem of insurance review nurses in the future.

Citations

• Demand for Simulation Education to Strengthen Patient Safety Competency of Graduated Nursing Students and New Nurses: Qualitative Content Analysis
  Jung Min Park, Sangeun Jun
  Journal of Korea Society for Simulation in Nursing.2024; 12(2): 17.     CrossRef
• Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
  Song Hwa Nam, Eun A Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 588.     CrossRef

Purpose
This study aimed to investigate the influence of role conflict, head nurses’ super leadership and nursing organizational culture on organizational commitment among male nurses. Methods: This cross-sectional study included 221 male nurses who had worked for more than six months in university hospitals, general hospitals, and clinics. Data were collected using structured, self-administered questionnaires on role conflict, head nurse super leadership, nursing organizational culture, and organizational commitment. The data obtained were analyzed using descriptive analysis, independent t-test, analysis of variance, Scheffé test, Pearson’s correlation coefficients, and regression analysis. Results: Organizational commitment had a significant positive correlation with head nurse super leadership, innovation-oriented culture, and relation-oriented culture; however, it had a significant negative correlation with role conflict and task-oriented culture. Among the general characteristics, the significant factors influencing organizational commitment among male nurses were number of beds and departments. Furthermore, among the main variables, innovation-oriented culture, task-oriented culture, role conflict, and head nurse super leadership influenced organizational commitment. Conclusion: To increase male nurses’ organizational commitment, it is necessary to create an innovative organizational culture, reduce role conflicts, and improve head nurse super leadership.

Citations

• Organizational Culture and Resulting Leadership Behaviors: Empirical Evidence from Social Workers in Kuwait
  Hamad Adel Alaslawi
  Human Service Organizations: Management, Leadership & Governance.2024; 48(5): 582.     CrossRef
• “I’d Rather Do It Single-Handed”—Nursing Students’ Struggles with Group Assignments: A Qualitative Study
  Aimei Mao, Pak-Leng Cheong, Iat-Kio Van, Hon-Lon Tam
  Education Sciences.2023; 13(10): 1053.     CrossRef

Purpose
The purpose of this study is to confirm the mediating effect of group efficacy in the relationship between transformational leadership and servant leadership of nursing managers recognized by new nurses and organizational socialization of new nurses. Methods: Survey data from 121 new nurses were analyzed. The independent variables were transformational and servant leaderships, the dependent variable was the organizational socialization, and the mediating variable was the collective efficacy. The mediating effect of group efficacy in the relationship between transformational leadership, servant leadership, and organizational socialization was analyzed by hierarchical multiple regression analysis. Furthermore, the Sobel test was conducted to verify the effectiveness of the pathway. Results: In the relationship between transformational leadership, servant leadership, and organizational socialization, the collective efficacy showed partial mediating effect. Conclusion: To promote organizational socialization of new nurses, it is necessary to organize a nursing delivery system or induce an organizational atmosphere that allows the employees to perform together effectively. It is believed that managers and nurses should work co-operatively and create a model system that helps them achieve their common goals that correspond with the aims, values, and beliefs of the organization.

Purpose
This study aimed to develop a nursing work environment scale for clinical nurses and to verify its validity and reliability. Methods: The initial items comprised individual interviews with eleven clinical nurses. The content validity of the initial items was evaluated twice by nine experts, while 37 preliminary items were reviewed through pilot tests with 20 nurses and cognitive interviews with five nurses. The survey data were collected from 353 clinical nurses working at general hospitals. Results: In the exploratory factor analysis, the number of factors was determined through parallel analysis, scree test, and cumulative variance ratio. Consequently, 23 items and three factors were thus composed, yielding a total cumulative variance ratio of 91.3%. The finalized 20 items of the final three factors were subjected to a confirmatory factor analysis, which led to the validation of the three subscales model. The three sub-factors were composed of nurse manager competency, nurse safety management system, and a nurse support system. Conclusion: This scale is expected to be useful for evaluating the nursing work environment of clinical nurses by verifying its reliability and validity through various methods.

Citations

• Development and Validation of the Patient-Centered Communication Competency Scale for Dental Hygienists
  Da-Eun Kim, Jong-Hwa Jang
  Healthcare.2025; 13(11): 1241.     CrossRef
• Influence of Critical Thinking Disposition, Clinical Reasoning Competence, and Nursing Practice Environment on Medication Safety Competence of Hospital Nurses
  Jeong An Oh, Eun A Kim, Hae Ran Kim
  Healthcare.2025; 13(5): 542.     CrossRef
• Factors Influencing Person-Centered Care Among Psychiatric Nurses in Hospitals
  Ji Su Lee, Mi Heui Jang, Min Jung Sun
  Healthcare.2024; 12(22): 2269.     CrossRef
• Influence of Clinical Nursing Competency and Nursing Working Environment of Psychiatric Nurses on Person-Centered Care
  Pan Heui Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 229.     CrossRef
• Structural Equation Modeling of Advanced Beginner-Stage Nurses' Intention to Continue Employment
  Seung-Hee Lee, Hwasoon Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 517.     CrossRef

Purpose
This study aimed to identify the factors that affect intention of retention of hospital nurses by examining correlations between positive psychological capital, job crafting, job satisfaction and intention of retention based on the expanded Job Demand-Resources Model. Methods: A total of 198 nurses with more than 6 months of clinical experience were recruited from a university hospital. Data on positive psychological capital, job crafting, job satisfaction and intention of retention were collected from September to October 2021 using self-report questionnaires. Results: Hierarchical regression analysis demonstrated that the factors affecting hospital nurses’ intention to retain were marital status (β=.15, p=.035) in Model 1, positive psychological capital (β=.18, p=.037), and job crafting (β=.29, p=.001) in Model 2, and job satisfaction (β=.55, p<.001) explained by 35% in Model 3. Conclusion: Based on our findings, employer and nursing leaders should provide job satisfaction programs including offering career growth opportunities and building supportive nursing culture for retention among nurses.

Citations

• Influence of Nurses' Moral Distress and Ethical Nursing Competence on Retention Intention
  Ji-Hyun Choi, Mi-Jin Byun, Thi Ninh Do
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 36.     CrossRef
• Effect of Transition Shock on Intention to Stay in Newly Graduated Nurses : The Mediating Effect of Positive Psychological Capital
  Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
  Journal of Korean Critical Care Nursing.2024; 17(3): 25.     CrossRef
• The Influence of Positive Psychological Capital, Perceived Value of Work, and Nurse Practice Environment on Retention Intention in Small-Medium Sized Hospital Nurses
  Su Hye Kwon, Miseon Bang, Young Kyoung Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 189.     CrossRef
• Affecting factors of clinical dental hygienists’ intention on retention
  Hye-Jin Lee, Hee-Hong Min
  Journal of Korean Society of Dental Hygiene.2024; 24(1): 27.     CrossRef
• Commitment to Organizational Change in Clinical Nurses: A Structural Model Applying Lewin's Change Theory
  Mihwa Hong, Sujeong Han
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 38.     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

Purpose
This study aimed to identify the changes in dietary behavior of shift work nurses and its influencing factors over time. Methods: This was a secondary data analysis study based on the Shift Work Nurses’ Health and Turnover study. Data of 165 shift work nurses, who were followed for three-time points [before shift work (T0), after 6 months (T1), and after 18 months(T2) of shift work], were analyzed. Dietary behavior, level of stress, fatigue, depressive symptoms, and the amount of physical activity were measured. SPSS 28.0 was used to analyze the data to acquire descriptive statistics, repeated-measures ANOVA, and multiple linear regression with generalized estimating equations (GEE). Results: Dietary behavior of shift work nurses was poorer at T1 and T2 as compared to T0. As a result of GEE, shift work duration, level of stress, fatigue, and depressive symptoms were found to have negative impacts on dietary behavior. Conclusion: Dietary behavior deteriorated and remained poor over time since shift work began. Shift work, along with stress, fatigue, and depressive symptoms, were the factors influencing their dietary behavior. Thus, to improve shift work nurses’ dietary behavior, efforts to decrease stress, and alleviate fatigue and depressive symptoms are urgently required.

Citations

• Dietary behavior and its influencing factors among experienced shiftwork nurses: a secondary analysis
  Soyeon Kim, Jison Ki, Ji Yun Choi, Woan Heui Choi, Smi Choi-Kwon
  Korean Journal of Women Health Nursing.2023; 29(1): 32.     CrossRef

Purpose
This study aimed to investigate the influences of teamwork and job burnout on patient safety management activities (PSMA) among operating room nurses. Methods: We collected cross-sectional data from 144 operating room nurses with at least 1 year of clinical experience. Teamwork had five subscales (team structure, leadership, situation monitoring, mutual support, and communication) and burnout had two subscales (exhaustion and disengagement). We used descriptive statistics, t-tests, analysis of variance, Pearson’s correlation coefficients, and multiple linear regression. Results: PSMA had significant positive correlations with all subscales of teamwork and had a significant negative correlation with disengagement. Multiple regression analysis revealed that gender, clinical career in operating room, number of patient safety education, accreditation evaluation experience, team structure, and situation monitoring were associated with PSMA. Specifically, we found significant positive associations of team structure (β=.31, p<.001) and situation monitoring (β=.23, p=.039) with PSMA. Disengagement was not associated with PSMA after adjusting for confounders despite a significant correlation. Conclusion: To improve operating room nurses’ PSMA, it is important to improve their awareness of the team structure and their ability to monitor the operating room situation.

Citations

• Putting Patients at Risk: The Effect of Health Care Provider Burnout on Patient Care in the Operating Room. A Narrative Review
  Juan Antonio Hueto Madrid, Judith Hargreaves, Beata Buchelt
  Journal of Patient Safety.2025;[Epub]     CrossRef
• Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study
  Jieun Shin, Nam-Yi Kim
  Risk Management and Healthcare Policy.2024; Volume 17: 715.     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
• The Effects of a Simulation-Based Patient Safety Education Program on Compliance with Patient Safety, Perception of Patient Safety Culture, and Educational Satisfaction of Operating Room Nurses
  OkBun Park, MiYang Jeon, MiSeon Kim, ByeolAh Kim, HyeonCheol Jeong
  Healthcare.2023; 11(21): 2824.     CrossRef