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"간호사"

Original Articles
Reemployment Experience in Civilian Hospital of Retired Military Nurse Officer: A Phenomenological Study
Hye-Kyung Lee, Mi Yu
J Korean Acad Nurs Adm 2025;31(2):214-226.   Published online March 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.2.214
Purpose
This study employs Giorgi's descriptive phenomenological approach to explore the experiences of retired military nurse officers transitioning to civilian hospitals and to identify the essential meanings and underlying structures of this transition.
Methods
Eleven participants with over two years of military hospital experience, now employed in civilian hospitals, were recruited via snowball sampling. Data were collected through in-depth interviews conducted between December 2023 and March 2024.
Results
Analysis using Giorgi’s four-stage method identified 257 meaning units, 37 central meanings, 12 themes, and six general structures: 1) Positive perceptions of the nursing profession, 2) Confusion due to lack of information, 3) Difficulty in adapting due to differences between military and civilian hospitals, 4) Self-blame for a lack of competence, 5) Struggles in finding a position suitable for one’s career, and 6) Satisfaction with freedom and a stable life.
Conclusion
These findings emphasize the need for tailored transition programs, including job placement support, skill development, and cultural adaptation training. Socialization and communication programs can further aid integration and contribute to the professional growth. Additionally, a positive perception of nursing significantly influenced the decision to return to the workforce, highlighting the importance of fostering professional identity and confidence among transitioning military nurses.
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Concept Analysis of Quiet Quitting among Nurses
Eun Ju Lee, Kyung Hyun Kim
J Korean Acad Nurs Adm 2025;31(2):200-213.   Published online March 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.2.200
Purpose
This concept analysis aimed to deepen the understanding of Quiet Quitting among nurses by identifying its antecedents, defining attributes, and consequences.
Methods
This study employed Walker and Avant’s conceptual analysis framework.
Results
Quiet Quitting among nurses is defined as “a state in which individuals pursue harmony between their work and personal lives by performing only the minimum required tasks, rejecting workplace initiatives, and expressing passive resistance to organizational and job dissatisfaction.” Key antecedents include “fatigue resulting from changes in the healthcare environment”, “lack of managerial competence”, “role stress”, “toxic organizational culture”, “financial problem” and “Generation Z’s evolving perspective on work”. The analysis highlight five primary concerns: a decline in nursing care quality, increased likelihood of job turnover, conflicts with colleagues and supervisors, reduced job satisfaction, and a diminished personal competency.
Conclusion
This study provides a clear definition of Quiet Quitting among nurses and establishes a theoretical basis for addressing the issue. Additionally, it underscores the need for further research, including the development of measurement tools, to better understand and mitigate this phenomenon.
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Purpose
To examine the impact of reading the text of the Nightingale Pledge aloud at the beginning of the shift on nursing workplace spirituality, organizational commitment, and job satisfaction among hospital nurses.
Methods
We used a non-randomized controlled trial design. Forty-four nurses from four wards with similar work environments at M General Hospital in B City were enrolled. The data were analyzed using a x2 test, t-test, and generalized estimating equations.
Results
In both groups, we observed a significant group and time interaction effect for nursing workplace spirituality (Wald x2=4.50, p=.015) and organizational commitment (Wald x2=11.33, p=.001). Nursing workplace spirituality was significantly higher in the experimental group than in the control group at eight weeks after the intervention (t=-3.41, p=.001). Likewise, organizational commitment was significantly higher in the experimental group than in the control group at four and eight weeks after the intervention (Z=-1.97, p=.049; Z=-2.71, p=.007, respectively). Job satisfaction did not significantly before and after the intervention.
Conclusion
Despite the short time commitment, reading aloud the text of the Nightingale Pledge at the beginning of shift had positive effects on hospital nurses’ nursing workplace spirituality and organizational commitment.
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Purpose
This study investigated the effects of newly graduated nurses’ perceived readiness for nursing practice, resilience, and preceptors’ teaching behaviors on turnover intention.
Methods
A survey was conducted among 168 newly graduated nurses between August 7 and 31, 2023. The data were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis.
Results
The factors that significantly affected turnover intention included preceptors' teaching behavior (β=-.29, p=.001) and resilience (β=-.21, p=.026). This model explained 32.0% of the variance.
Conclusion
Newly graduated nurses’ resilience and their initial training environment are key factors influencing turnover intention. Therefore, nursing managers should develop strategies to enhance the resilience of newly graduated nurses and improve training systems. Additionally, efforts should be made to promote positive teaching behaviors among the educators responsible for training newly graduated nurses.

Citations

Citations to this article as recorded by  
  • Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses
    Mi-Aie Lee, Hye-Jin Cho, Sung-Hee Ahn, Hyo-Ju Kim
    Journal of Korean Academy of Nursing Administration.2015; 21(5): 519.     CrossRef
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  • 1 Crossref
Purpose
This study aimed to investigate the relationship between socio-cognitive mindfulness, job stress, social support, and turnover intention among general hospital nurses and identify the factors influencing nurses’ turnover intention.
Methods
A descriptive survey was conducted among 218 nurses from five general hospitals located in G metropolitan city. The participants completed a questionnaire measuring the study variables, and the data were analyzed using t-tests, ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression analysis in SPSS/WIN 28.0.
Results
Significant differences were found in turnover intention by gender (t=-2.12, p=.036), family type (t=-3.09, p=.002), work department (F=7.01, p<.001), and work type (t=2.55, p=.011). Socio-cognitive mindfulness was positively related to social support (r=.331, p<.001), and turnover intention was positively related to job stress (r=.347, p<.001). The factors influencing nurses’ turnover intention included job stress (β=.317, p<.001), work department (artificial kidney room: β=-.287, p=.004; emergency room: β=-.219, p=.015), social support (β=-.183, p=.005), and work type (shift work: β=.170, p=.036), respectively. These factors explained 23.4% of the variance.
Conclusion
The findings indicate the need to develop programs to effectively cope with job stress and implement mentoring systems or psychological support programs to reduce turnover intention among nurses at the organizational level.
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Mediating Effects of Resilience between Nurse's Character and Happiness for Nurses in General Hospitals
Sujeong Han, Jaewoo Oh, Boyun Huh, Hyewon Kim
J Korean Acad Nurs Adm 2020;26(1):22-30.   Published online January 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.1.22
PURPOSE
This study was done to identify the mediating effect of resilience on the relationship between nurse's character and happiness for nurses in general hospitals.
METHODS
Participants were 139 nurses working in general hospitals. A survey was used and data were collected in April 2019. Data were analyzed using the IBM SPSS/WIN 22.0 program.
RESULTS
The significant predictors for the happiness of nurses were nurse's character (β=.56) and resilience (β=.80). These variables explained 67% of the variance in happiness of nurses. Also, resilience had a total mediating effect on the relationship between nurse's character and happiness.
CONCLUSION
Findings indicate that nurse's character and resilience are important factors for the happiness of nurses in general hospitals.

Citations

Citations to this article as recorded by  
  • The Effects of Compassion Competence, Clinical Nursing Character, and Nursing Professionalism on Nursing Service Quality of Long-term Care Hospital Nurses
    Young Moon Cho, Hyun O We
    The Korean Journal of Rehabilitation Nursing.2024; 27(1): 11.     CrossRef
  • The relationship between secondary traumatic stress and burnout in critical care nurses: The mediating effect of resilience
    Yun Jeong Jeong, Sujin Shin
    Intensive and Critical Care Nursing.2023; 74: 103327.     CrossRef
  • Perspectives of the Value in Life among Nursing Professionals: A Q-methodology Study
    Misoon Jeon, Eun Sil Jang, Eun Ja Yeun
    Sage Open.2022;[Epub]     CrossRef
  • Relationship between information sources, and resilience, with anxiety during the COVID-19 pandemic: an online investigation
    Ali Montazeri, Azadeh Tavoli, Farzaneh Maftoon, Mansoureh Farhangnia, Fatemeh Naghizadehmoghari, Melika Nourani, Negar Tashakkori, Hoorie Hoorie Hassanpour
    Health Monitor Journal of the Iranian Institute for Health Sciences Research.2022; 21(5): 513.     CrossRef
  • Mediating Effects of Happiness between Gratitude Disposition and Psychological Well-being among Clinical Nurses
    Ji-Ah Song, Hyejin Yang
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 227.     CrossRef
  • Moderating Effect of Nurse’s Character on the Relationship between Attitudes toward Nursing Care of the Dying and Performance of Terminal Care in South Korea
    Kawoun Seo
    Healthcare.2021; 9(9): 1195.     CrossRef
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  • 6 Crossref
Conflicts Experienced by the Nurses in Hospital Nursing Organizations
Sung Bok Kwon, Hwa Young Ahn, Myung Hee Kwak, Suk Hyun Yun
J Korean Acad Nurs Adm 2019;25(5):499-509.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.499
PURPOSE
The present research was done to examine the fundamental significance and structure of conflict experience of nurses in hospital nursing organizations.
METHODS
This qualitative research was conducted by analyzing data collected through in-depth interviews based on Colaizzi's (1978) method of analysis, one of the phenomenological methods of analysis.
RESULTS
Statements from the 12 study participants demonstrate two key topics “accumulation of conflicts” and “manifestation of new conflicts” as well as seven sub-topics including “being forced to comply”, “Lack of respect and consideration”, “unsatisfactory conflict management by the leaders”, “continuous and overwhelming vicious cycle”, “prevalence of self-defensive egotism”, “difficult to accept differences”, and “incapable of responding to the structural changes of nursing workforce”.
CONCLUSION
Resolving the dysfunctional conflicts in hospital nursing organizations requires not only improvement in the organizational culture of individuals and nursing organizations, but also legal and institutional measures in addition to new attempts to integrate education and research findings from relevant fields of studies.

Citations

Citations to this article as recorded by  
  • The Mediating Effect of Work Friendship on the Relationship between Grit and Work Engagement among Millennial and Generation Z Nurses in Korea
    Dain Park, Hyunjin Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 45.     CrossRef
  • Acuquisition of Professional Nursing Intuition: A Grounded Theory Approach
    Hwa-Young Ahn, Sung-Bok Kwon
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 1.     CrossRef
  • Factors associated with critical reflection competency among clinical nurse educators
    Sujin Shin, MiJi Lee, Eunmin Hong
    Teaching and Learning in Nursing.2024; 19(4): e630.     CrossRef
  • Development of Colleague Solidarity Scale for Nurses
    Moon Yeon Kong, Nah-Mee Shin
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 504.     CrossRef
  • Differences in occupational values, communication types, job satisfaction, and organisational commitment among clinical nurses across generations
    Seul A. Lee, Jungmin Lee
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • Impact of Nursing Organizational Culture and Nursing Practice Environment on Generational Conflict in Organization among Hospital Nurses
    Jieun Kwon, Eun-Young Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 45.     CrossRef
  • Experience of Interpersonal-Conflict Between Nurse Colleagues of Mid-Career Hospital Nurses
    Namyee Koo, Suhye Kwon
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 421.     CrossRef
  • Burnout and Its Influencing Factors among Hospital Nurses: A Cross-Sectional Study
    Kyeoung Ae Lee, Hye-Ja Park
    Journal of Health Informatics and Statistics.2023; 48(2): 157.     CrossRef
  • Development of Critical Reflection Competency Scale for Clinical Nurses
    Sujin Shin, Eunmin Hong, Jiyoung Do, Mee Sun Lee, Youngsun Jung, Inyoung Lee
    International Journal of Environmental Research and Public Health.2022; 19(6): 3483.     CrossRef
  • Interpersonal skills mediate the relationship between communicative and clinical competencies among nursing students: A descriptive study
    Kyoungah Kang, Mijung Lee, Hyeyoung Cho
    Nurse Education Today.2021; 99: 104793.     CrossRef
  • Emergency nurses’ experience of coping with moral distress
    Na Kyoung Lee, Jee-In Hwang
    The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 176.     CrossRef
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A Survey on Nurses' Perception, Satisfaction, and Needs related to Continuing Education
Keum Seong Jang, Eun A Kim, Heeyoung Kim, Seon Young Hwang
J Korean Acad Nurs Adm 2019;25(2):125-135.   Published online March 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.2.125
PURPOSE
This study was conducted to investigate perception, satisfaction and needs for continuing education for nurses in Korea.
METHODS
Participants were selected 1,106 using disproportional stratified sampling for the 110,601 members of the 10 affiliated organizations of the Korean Nurses Association and 873 nurses participated in the online survey. Data were collected from February 2 to 27, 2015, and analyzed using the SPSS/WIN 24.0 program. Descriptive statistics, independent t-test, One-way ANOVA, and Scheffé test were conducted.
RESULTS
The perception of continuing education averaged 0.69 on a scale of 1, satisfaction with continuing education was 3.66 out of 5, and need for continuing education was 4.33 out of 6. Perception, satisfaction and needs for continuing education showed significant differences depending on age, marriage, education, work department, type of work and clinical career, while perception and satisfaction differed more among type of institution and the affiliated groups.
CONCLUSION
For the development of continuing education for nurses, it is necessary to establish an integrated information system for nurse continuing education and to develop various education programs for career development.

Citations

Citations to this article as recorded by  
  • A Study on the Need for Continuing Professional Ethics Education for Optometrists
    Se-Eun Ju, Ji-Hee Jang, Hyun-Sung Leem, Mi-A Jung
    The Korean Journal of Vision Science.2024; 26(3): 177.     CrossRef
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  • 1 Crossref
PURPOSE
The objective of this study was to verify a mediating effect of followership in the relationship of organizational citizenship behavior and nurse managers' empowering leadership as perceived by nurses.
METHODS
The study was a descriptive research involving 222 nurses working on nursing units in a university hospital. Data were analyzed using independent t-test, one way ANOVA, Mann-Whitney U, Scheffé test, Pearson correlation coefficients, and simple and multiple regression techniques with the SPSS 23.0 program. Mediation analysis was performed according to the Baron and Kenny method and Sobel test.
RESULTS
Nurse managers' empowering leadership and followership showed a positive correlation (r=.22, p=.001), and a significantly positive correlation with organizational citizenship behavior (r=.32, p<.001). Also, followership and organizational citizenship behavior showed a positive correlation (r=.52, p<.001). The results of the study verified that nurses' followership had a mediating effect on organizational citizenship behavior in nurse unit managers' empowering leadership, a positive effect on organizational citizenship behavior and ultimately an increase in organizational achievement.
CONCLUSION
Nurse managers need to be aware of the importance of empowering leadership, and endeavor to enhance it further. As for the organizational level, support to strengthen empowering leadership is required.

Citations

Citations to this article as recorded by  
  • Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
    Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 212.     CrossRef
  • The role of followership on organizational citizenship behavior in the service industry: A double mediation model
    Noermijati Noermijati, Ema Zahra Firdaus, Desi Tri Kurniawati, Masyhuri
    Problems and Perspectives in Management.2024; 22(2): 124.     CrossRef
  • Followership in health care clinicians: a scoping review
    Sulaiman Alanazi, Richard Wiechula, David Foley
    JBI Evidence Synthesis.2023; 21(9): 1764.     CrossRef
  • Effect of Authentic Leadership to Organizational Citizenship Behavior of Nurses Mediated by Team Trust
    Eungju Kim, Eungyung Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 451.     CrossRef
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Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital
Heeyoung Kim, Younghee Han, Okkyung Kim
J Korean Acad Nurs Adm 2018;24(5):466-478.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.466
PURPOSE
This study was done to establish a clinical ladder system for nurses in a small and medium-sized hospital in Korea.
METHODS
The study was carried from July, 2016 to May, 2018. Data collection was done in a general hospital with 250 beds located in Gyeonggi Province. The clinical ladder system was developed and operated according to the value system of small and medium-sized hospital. Focus group interviews and a satisfaction survey were conducted for evaluation. Collected quantitative data were analyzed using the SPSS/WIN 22.0 program and qualitative data underwent content analysis.
RESULTS
The clinical ladder system is a 5-step ladder that includes 3 domains, 5 nursing competencies and 25 nursing behavioral indicators related to core values of the hospital. The operating system were promotion review system, education system and support/reward system. After conducting a pilot clinical ladder system, satisfaction of nurses was 2.86, out of a possible 4. Nurses who participated in the clinical ladder system experienced improvement in motivation, job performance, self-esteem, professionalism, recognition and were able to develop a goal in their minds.
CONCLUSION
The results indicate that the clinical ladder system can be used as a strategy for professional development for nurses in small and medium-sized hospitals.

Citations

Citations to this article as recorded by  
  • Training Priority for Managerial Competence of Nurse Managers in Small and Medium-Sized Hospitals: Focusing on the Management Level
    MunHee Jun, Wonjung Noh
    SAGE Open Nursing.2023;[Epub]     CrossRef
  • Nurses' perceptions of career ladder systems, job satisfaction and turnover intention: A cross‐sectional study
    Young Seon Ahn, Jeong Sil Choi
    Nursing Open.2023; 10(1): 195.     CrossRef
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  • 2 Crossref
Win-Win Partnership in the Clinical Setting: Female Nurses' Adaptive Experience to Male Nurses
Hyunsu Kim, Eun Jin Lee
J Korean Acad Nurs Adm 2018;24(5):423-434.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.423
PURPOSE
The present study was done to provide understanding of how female nurses adapt to male nurses and to derive an entity concept that explains the experience process for female nurses.
METHODS
Data were collected through in-depth interviews with 16 female nurses who had work experience with male nurses. Collected data were analyzed using the grounded theory methodology of Strauss and Corbin.
RESULTS
The core category found in the adjustment experience of female nurses to male nurses was “win-win partnership with male nurses who struggle to keep up in the clinical setting”. The central phenomenon was “unprepared meeting with male nurses who are different from us”. The action/interaction strategies the participants used were “recognition of differences,”, “positive approach,” and “acceptance as a colleague.” CONCLUSION: The results showed that female nurses tried to have a win-win partnership with male nurses by using several strategies. This result broadened the range of understanding of female nurses' adjustment to male nurses and provides new information on their adaptation to practical work.

Citations

Citations to this article as recorded by  
  • Seroprevalence of measles, mumps, rubella, and varicella-zoster antibodies in new female nurses in the Republic of Korea
    Yeongjae Yoo, Won-Ju Park, Seunghyeon Cho, Dae-Young Lim, Suwhan Kim, Wonyang Kang, Hyeonjun Kim, Jai-Dong Moon
    Annals of Occupational and Environmental Medicine.2021;[Epub]     CrossRef
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  • 1 Crossref
Effectiveness of Interventions for Workplace Bullying among Nurses: A Systematic Review
Sun Young Park, Hana Shin, Yeuok Cho, Sue Kim
J Korean Acad Nurs Adm 2018;24(4):339-351.   Published online September 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.4.339
PURPOSE
The aim of this study was to evaluate the effectiveness of interventions for workplace bullying among nurses.
METHODS
First, risk factors of workplace bullying were categorized in order to create analysis criteria. A search of 8 databases, and manual searching resulted in the identification of 3,096 relevant articles. Three of the authors did article selection, data extraction, and quality assessment using the Risk of Bias (RoB) and the Risk of Bias for Nonrandomized studies (ROBANS).
RESULTS
Interventions in workplace bullying were classified as individual, interactions, and organizational approach. Twelve intervention studies (10 individual interventions, 1 team approach, 1 multi-level approach) were selected. Four of the individual interventions decreased bullying, but three had no effect. One multi-level intervention reported that bullying did not occur. Individual interventions improved bullying awareness in four articles, decreased turnover intention in two articles, and increased skill and knowledge of bullying management in five articles. One team approach increased nurse interactions and group cohesion. The quality of selected articles was low overall.
CONCLUSION
Individual interventions have a possibility to improve awareness and knowledge about bullying, but there is a lack of evidence on preventing bullying. Further research is required on multi-levels interventions with well-designed controlled trials.

Citations

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  • Factors Influencing Hospital Nurses’ Workplace Bullying Experiences Focusing on Meritocracy Belief, Emotional Intelligence, and Organizational Culture: A Cross‐Sectional Study
    Insil Jang, Sun Joo Jang, Sun Ju Chang, Miyuki Takase
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • The Influence of Nurses’ Workplace Bullying, Social Interaction Anxiety and Positive Psychological Capital on Nursing Performance
    Hyang Mi Kim, Sun Hee Jang
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 331.     CrossRef
  • A Pilot Study to Examine the Effects of a Workplace Cyberbullying Cognitive Rehearsal Mobile Learning Program for Head Nurses: A Quasi-Experimental Study
    Mijeong Park, Ok Yeon Cho, Jeong Sil Choi
    Healthcare.2023; 11(14): 2041.     CrossRef
  • Development and Evaluation of a Workplace Bullying Cognitive Rehearsal-Based Nursing Simulation Education Program: A Mixed-Methods Study
    Mijeong Park, Jeong Sil Choi
    International Journal of Environmental Research and Public Health.2023; 20(6): 4974.     CrossRef
  • Workplace bullying among Korean registered nurses: A meta-aggregation of qualitative studies
    Eun-Jun Park, Hyunwook Kang, Ji Woon Ko
    The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 450.     CrossRef
  • Psychometric qualities of measurement tools used to determine workplace horizontal violence: A rapid review
    Noelleen Kiprillis, Richard Gray, Lisa McKenna
    Journal of Evaluation in Clinical Practice.2022; 28(4): 653.     CrossRef
  • Intervention types and their effects on workplace bullying among nurses: A systematic review
    Sun Joo Jang, Youn‐Jung Son, Haeyoung Lee
    Journal of Nursing Management.2022; 30(6): 1788.     CrossRef
  • Dis-eases of Korean nurses: a women’s health perspective
    Moon Jeong Kim
    Korean Journal of Women Health Nursing.2021; 27(4): 268.     CrossRef
  • Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator
    Hyun-Jung Kang, Jaeyong Shin, Eun-Hyun Lee
    Journal of Korean Academy of Nursing.2020; 50(5): 728.     CrossRef
  • A Systematic Review of Workplace Interventions for the Mental Health of Workers
    Young Joo Lee, Eun Hee Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(2): 155.     CrossRef
  • Response Patterns of Nursing Unit Managers regarding Workplace Bullying: A Q Methodology Approach
    Jin Kyu Choi, Byoungsook Lee
    Journal of Korean Academy of Nursing.2019; 49(5): 562.     CrossRef
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Adequacy of Nurse Staffing Level in Integrated Nursing Care
Jinhyun Kim, Sungjae Kim, Jinhee Park, Euntae Park, Suyong Jeong, Eunhee Lee
J Korean Acad Nurs Adm 2018;24(4):288-297.   Published online September 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.4.288
PURPOSE
This study was done to evaluate the adequacy of nurse staffing in integrated nursing care.
METHODS
Statistical data on integrated nursing care from the National Health Insurance Corporation was used in this study. We extracted hospital data and patient data related to patient needs for nursing care. We analyzed the differences in patient needs by staffing level of each type of medical institution.
RESULTS
Approximately 70% of medical institutions provided nursing care by the mid level of nurse staffing, which was 1:6, 1:10 and 1:12 in the tertiary hospital, general hospital and semi-hospital, respectively. The patients' characteristics were significantly different by hospital type. Especially, the distribution of the main diagnosis was completely different between the tertiary hospital and semi-hospital. In the tertiary hospital, the patient needs measured by severity and activities of daily living dependency were higher at higher staffing level than at lower staffing level. However, the nurse staffing was less relevant to the patient needs in the general hospital and semi-hospital.
CONCLUSION
To provide high-quality nursing care, accurate workload forecasting is required at the start, and then the standard nurse staffing level can established based on workload forecasting.

Citations

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  • Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
    Hye Jin Kim, Eunjoo Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     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
  • Relationship between Nurse Staffing and Critical Nursing Activities in Intensive Care Units : Analysis of National Health Insurance Claims Data from 2009 to 2020
    U Ri Go, Sung-Hyun Cho
    Journal of Korean Critical Care Nursing.2024; 17(2): 25.     CrossRef
  • Analysis of Factors Affecting the Inpatient Satisfaction in Integrated Nursing Care Service Wards using a Healthcare Service Survey Database
    Young Shin Cho, Jiwon Hong
    Journal of Korean Critical Care Nursing.2024; 17(3): 76.     CrossRef
  • Comparison of Nursing Needs and Nursing Performance Perceived by Patients and Nurses in Integrated Nursing Care Service Wards in Small and Medium-Sized Hospitals: A Cross-Sectional Descriptive Study
    Hee-Sun Choi, Young Shin Cho
    Korean Journal of Adult Nursing.2023; 35(3): 234.     CrossRef
  • Calculating the optimal number of nurses based on nursing intensity by patient classification groups in general units in South Korea: A cross‐sectional study
    Yukyung Ko, Bohyun Park
    Nursing Open.2023; 10(6): 3982.     CrossRef
  • Analysis of Nursing Task in Integrated Nursing Care Wards by Hospital Type
    Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
    Journal of Korean Academy of Nursing Administration.2022; 28(2): 131.     CrossRef
  • Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
    Jinseon Yi, Jinhyun Kim
    Journal of Nursing Management.2022; 30(7): 3457.     CrossRef
  • Influences of Emotional Labor and Work-Life Balance on Organizational Commitment among Nurses in Comprehensive Nursing Care Service Wards
    Young-Yi Yoon, Hye-Young Jang
    Journal of Korean Academy of Nursing Administration.2022; 28(2): 100.     CrossRef
  • An Analysis of Tasks of Nurses Caring for Patients with COVID-19 in a Nationally-Designated Inpatient Treatment Unit
    Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park
    Journal of Korean Academy of Nursing.2022; 52(4): 391.     CrossRef
  • Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals
    Ju-Young Park, Jee-In Hwang
    Journal of Korean Academy of Nursing.2021; 51(1): 27.     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
  • Outcomes sensitive to critical care nurse staffing levels: A systematic review
    Pamela J.L. Rae, Susie Pearce, P. Jane Greaves, Chiara Dall'Ora, Peter Griffiths, Ruth Endacott
    Intensive and Critical Care Nursing.2021; 67: 103110.     CrossRef
  • Factors Associated with the Utilization of Comprehensive Nursing Services in Hospitals among Elderly Inpatients after Surgery
    Dasom Son, Heejung Kim
    Journal of Korean Gerontological Nursing.2020; 22(4): 358.     CrossRef
  • Analysis of Nurses' Work Experience in Comprehensive Nursing Care Units of Small and Medium-sized Hospitals
    Mi Ryeong Song, Su Hyang Ryu
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 419.     CrossRef
  • Korean nurses' participation in health care policy reform: A phenomenological study
    NamKyung Han
    Journal of Nursing Management.2020;[Epub]     CrossRef
  • Effects of structural empowerment and professional governance on autonomy and job satisfaction of the Korean nurses
    Sujin Choi, Miyoung Kim
    Journal of Nursing Management.2019; 27(8): 1664.     CrossRef
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Effects of Labor Intensity and Fatigue on Sleep Quality of Clinical Nurses
Mi Jin Seol, Byoung Sook Lee, Soo Kyoung Lee
J Korean Acad Nurs Adm 2018;24(4):276-287.   Published online September 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.4.276
PURPOSE
The purpose of this study was to determine the effects of labor intensity and fatigue on the sleep quality of clinical nurses and provide basic data for preparation of nursing interventions to improve sleep quality.
METHODS
Data were collected from 198 nurses in 2 general hospitals with more than 500 beds in D-city. Data analysis was performed using stepwise regression with the SPSS/WIN 22.0 program.
RESULTS
The significant factors influencing sleep quality of the clinical nurses were fatigue, absolute labor intensity, and shift type. Explanatory power was 66% in the regression model.
CONCLUSION
Findings indicate that nurses with higher level of fatigue, and greater absolute labor intensity which implies extended work hours, had lower sleep quality for all the three shifts. To improve the sleep quality of clinical nurses, an intervention program for fatigue management is needed. In addition, hospitals should establish an internal legal standard to compensate overtime work with breaks. At the same time, as shift work is inevitable for nurses, it is necessary to develop a work system that can minimize the disturbance of daily rhythms.

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    Bin Wang, Wenshu Yang, Yu Wang, Xu Chen, Dongmei Liu, Bao Yin, Haidong Bao, Dong Wang, Surui He
    Scientific Reports.2025;[Epub]     CrossRef
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    Hee Jung Jang, Oksoo Kim, Sue Kim, Mi Sun Kim, Jung Ah Choi, Bohye Kim, Hyunju Dan, Heeja Jung
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    Junekyu Kim, Yeoungsuk Song, Soon Rim Suh
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    Tao-Hsin Tung, Ming-Chon Hsiung
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    Young Eun Ahn
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    Changhun Lee, Sunyoung Park
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    Minjeong Yu, Smi Choi-Kwon
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Lived Experiences toward Harmful Work Environment among Clinical Nurses: Phenomenological Approach
Yeong Ju Ko, Gwi Ryung Son Hong
J Korean Acad Nurs Adm 2018;24(3):173-181.   Published online June 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.3.173
PURPOSE
This study was conducted to expand nurse's experience of harmful work environments.
METHODS
Data were collected through in-depth dividual interviews and analyzed using Colaizzi phenomenological analysis methodology.
RESULTS
Harmful work environments experienced by nurses were categorized as followed: ‘Neglect concerning infections’, ‘Being thrown into a violent working environment’, ‘The hard times of being alone’, ‘Struggling with the harmful work environments’.
CONCLUSION
The results of this study provide a deep understanding of the harmful work environments. It is necessary to create safe work environments and it is important to improve awareness in the system of organizations as well as individuals. Also, it is necessary to develop tools to measure work environment including risk factors.

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    Jang mi Park, Jung Suk Park
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  • Development and Evaluation of Nursing Work Environment Scale of Clinical Nurses
    Yeong Ju Ko, Gwi-Ryung Son Hong
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 576.     CrossRef
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Psychometric Properties of Korean version of Nurse Emotional Labor Strategy Scale (K-NELSS)
Heejung Choi, Miyeon Kim
J Korean Acad Nurs Adm 2018;24(2):161-170.   Published online March 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.2.161
PURPOSE
Purposes of this study were to develop a Nurse Emotional Labor Strategy Scale in Korean (K-NELSS) and to evaluate its psychometric properties.
METHODS
The 14 items Emotional Labor Strategy Scale (ELSS) was translated into Korean and modified to apply to nurses. Two hundred and fifty nurses working in various units completed the questionnaire. Factor validity using confirmatory factor analysis, construct validity using correlation with burn-out, and criterion validity using correlation with Korean-Emotional Labor Scale (K-ELS) were identified. Reliability was tested by Cronbach's α.
RESULTS
K-NELSS has 3 domains: surface acting, deep acting, and expression of naturally felt emotions. Confirmatory factor analysis showed moderate goodness of fit (RMSEA=.80, SRMR=.07, CFI=93, TFI=.92). Correlation between surface acting and burn-out was r=.37 (p < .001), and between K-NELSS and K-ELS were r=.57 (p < .001) in surface action and r=.62 (p < .001) in deep acting. Cronbach's αs for surface acting, deep acting, and expression of naturally felt emotions were .89, .88, .84, respectively.
CONCLUSION
Psychometric properties of K-NELSS indicate that it is a useful and reliable tool to assess emotional labor of Korean nurses. In addition, with a small number of items, it is relatively easy to use.

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Role Adaptation Process of Hospice Nurses
Su Young Kwak, Byoung Sook Lee
J Korean Acad Nurs Adm 2018;24(2):149-160.   Published online March 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.2.149
PURPOSE
This study was performed to identify the role adaptation process of hospice nurses and suggest a model for the process.
METHODS
Grounded theory methodology was used. Twenty nurses participated in individual in-depth interviews. Data were collected until saturated. Questions for the interviews were about phenomenon, conditions, action/interaction strategies, and consequences in the process. Data were analyzed by applying open, axial and selective coding proposed by Strauss and Corbin.
RESULTS
Core category of the role adaptation process was ‘building up real capabilities’. Phenomenon of the role adaptation was oppressive feelings when caring for dying patients. Contextual conditions were lack of knowledge, experience and belief about hospice and hospice care being regarded as penance. Intervening conditions were expansion of horizons in understanding life and expansion of social comprehension about hospice. Action/interaction strategies included ‘reflecting on oneself as a hospice nurse’, ‘using oneself with feelings of a calling’ and ‘striving for self-management’. Consequence of the process was being a caring expert for peaceful death.
CONCLUSION
The role adaptation process of hospice nurses for the participants was the process of building up real capabilities leading them to become caring experts for peaceful death through overcoming oppressive feeling when caring for dying patients.

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    Jin Young Hong, Sue Kyung Sohn
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    Sinyoung Kwon, Kyoung Hee Kim
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    Young-Hee Jeong, Kyung Ja June
    The Korean Journal of Hospice and Palliative Care.2019; 22(3): 125.     CrossRef
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