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"간호"

Original Articles

The Korean Version of Health Work Environment Assessment Tool for Clinical Nurses: A Validation and Reliability Study
Im Sun Seo, Mihyun Park
J Korean Acad Nurs Adm 2025;31(5):483-492.   Published online December 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.0056
Purpose
This study was conducted to evaluate the validity and reliability of the Korean version of the Healthy Work Environment Assessment Tool (K-HWEAT), originally developed by the American Association of Critical-Care Nurses. Methods: The study was conducted among nurses working at three university hospitals located in metropolitan areas between May 29 and October 10, 2019. A total of 543 nurses participated. Data were analyzed using AMOS version 26.0 to assess the construct validity of the K-HWEAT. Results: Confirmatory factor analysis initially failed to meet acceptable model fit indices. Model fit improved after reassigning item 1 from factor 1 to factor 2 and item 12 from factor 4 to factor 6, as well as allowing correlated error terms based on high modification indices. Following these adjustments, standardized root mean square residual remained unchanged (0.05 to 0.05) and root mean square error of approximation decreased from 0.09 to 0.07, whereas goodness of fit index increased from 0.88 to 0.91, adjusted goodness of fit index from 0.83 to 0.86, Normed Fit Index from 0.85 to 0.89, and comparative fit index from 0.88 to 0.92. The K-HWEAT demonstrated a moderate correlation with the Korean version of the Practice Environment Scale of the Nursing Work Index (r=.60, p<.001), supporting criterion validity. The overall Cronbach’s α was .92, with the six factors showing internal consistency coefficients ranging from 0.62 to 0.74. Conclusion: These findings support the reliability and validity of the K-HWEAT. However, further conceptual refinement of individual items may be necessary to enhance construct clarity.
  • 585 View
  • 26 Download
Factors Influencing Nursing Care Left Undone by Cancer Ward Nurses
Chung Hee Woo, Yeon Joo Kim
J Korean Acad Nurs Adm 2025;31(5):594-603.   Published online December 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.0047
Purpose
This study aimed to investigate the effects of communication clarity, workplace friendship, and performance of calling on nursing care left undone among oncology nurses. Methods: Data were collected from 159 oncology nurses with more than one year of experience working in cancer wards between September 11 and September 30, 2024. Statistical analyses included descriptive statistics, the independent t-test, one-way analysis of variance, the Scheffé post hoc test, Pearson’s correlation coefficients, and hierarchical multiple regression analysis, all conducted using IBM SPSS Statistics version 29.0. Results: Communication clarity, workplace friendship, and performance of calling were significantly correlated with nursing care left undone. Hierarchical multiple regression analysis identified communication clarity (β=-.37, p<.001) and being aged 30–39 years (β=-.24, p<.001) as the main factors influencing nursing care left undone, collectively explaining 37% of the total variance. Conclusion: Communication clarity was the most influential factor affecting nursing care left undone in cancer wards. To reduce the incidence of nursing care left undone and ensure high-quality nursing services in oncology units, strategies aimed at enhancing communication clarity are essential. Institutions should consider implementing simulation-based training or ongoing education tailored to their organizational context. Further research is warranted to examine the effects of communication clarity on nursing care left undone.
  • 150 View
  • 11 Download
Effects of Teaching Efficacy, Perceived Organizational Support, and Occupational Stress on Burnout among Preceptor Nurses
Hyun Jin Kim, Yoon Jeong Choi
J Korean Acad Nurs Adm 2025;31(5):584-593.   Published online December 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.0035
Purpose
This study aimed to investigate the effects of teaching efficacy, perceived organizational support, and occupational stress on burnout among preceptor nurses. Methods: Participants included 156 nurses who had at least one month of preceptor experience within the past year. Data were collected using a structured self-report questionnaire and analyzed with SPSS version 27.0. Descriptive statistics, independent sample t-tests, one-way analysis of variance with Scheffé post-hoc tests, Pearson’s correlation analysis, and multiple regression analysis were performed. Results: Occupational stress (β=.36, p<.001) and teaching efficacy (β=-.17, p=.017) were significant predictors of burnout among preceptor nurses, jointly explaining 36.0% of the variance. Conclusion: Occupational stress and teaching efficacy were identified as key determinants of burnout in preceptor nurses. Effective burnout prevention strategies should focus on reducing occupational stress through workload management and strengthening teaching efficacy via continuous training and organizational support.
  • 182 View
  • 10 Download
Purpose
This study aimed to identify the influence of nursing professionalism, the nursing work environment, and compassion competence on person-centered care among nurses working in comprehensive nursing care units. Methods: An online survey using structured self-report questionnaires was administered to 190 nurses in comprehensive nursing care units at three tertiary general hospitals. The collected data were analyzed using descriptive statistics, the independent t-test, the Mann-Whitney U-test, one-way analysis of variance, Pearson’s correlation coefficient, and multiple linear regression using SPSS version 29.0 program. Results: The average score for person-centered care was 3.70±0.49, nursing professionalism was 3.56±0.51, the nursing work environment was 2.53±0.46, and compassion competence was 4.01±0.47. Person-centered care demonstrated significant positive correlations with nursing professionalism (r=.636, p<.001), the nursing work environment (r=.542, p<.001), and compassion competence (r=.743, p<.001). Factors influencing person-centered care included compassion competence (β=.56, p<.001), nursing professionalism (β=.21, p<.001), and the nursing work environment (β=.20, p<.001), with an explanatory power of 65.2% (F=118.84, p<.001). Conclusion: To improve person-centered care among nurses in comprehensive nursing care units, it is necessary to strengthen nurses’ compassion competence and professionalism, as well as enhance the nursing work environment. The findings of this study may be used as foundational evidence for developing programs to promote person-centered care in comprehensive nursing care units.
  • 139 View
  • 7 Download
The Effects of Nurses’ Dispatch Work Characteristics on Job Embeddedness, Organizational Commitment, and Turnover Intention
Eejee Jung, Gunjeong Lee
J Korean Acad Nurs Adm 2025;31(5):560-571.   Published online December 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.0033
Purpose
This study examined the effects of dispatch work experience on job embeddedness, organizational commitment, and turnover intention among nurses. Methods: A cross-sectional survey was conducted among 130 nurses working at a tertiary hospital in Seoul. Data were analyzed using IBM SPSS version 28.0 with descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple linear regression. Results: Overall, 62.3% of participants reported improved competency following dispatch work experience, whereas 80.7% perceived pre-training as insufficient. Nurses with prior interaction with dispatch unit staff demonstrated significantly higher job embeddedness (F=10.37, p=.002) and organizational commitment (F=5.87, p=.017), along with significantly lower turnover intention (F=4.98, p=.027). Multiple regression analysis showed that job embeddedness was positively associated with prior interaction with dispatch unit staff (β=.170, p=.031) and perceiving dispatch operations as appropriate (β=.297, p<.001). Organizational commitment was significantly influenced by the perception of dispatch operations as appropriate (β=.209, p=.013). No dispatch-related factors were significantly associated with turnover intention. Conclusion: Positive perceptions of dispatch work and prior interaction with dispatch unit staff contribute to job embeddedness and organizational commitment. Improvements such as enhanced pre-interaction opportunities, practice-based training, and consideration of dispatch preferences are needed to optimize dispatch work experiences.
  • 196 View
  • 15 Download
The Influences of Positive Psychological Capital and Nursing Work Environment on Job Embeddedness among Advanced Beginner Nurses
Eunhye Gil, Mi-Ae You, Ji Yea Lee, Sunjoo Boo
J Korean Acad Nurs Adm 2025;31(5):549-559.   Published online December 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.0032
Purpose
This study aimed to investigate the factors influencing job embeddedness among advanced beginner nurses, with particular emphasis on the roles of positive psychological capital and the nursing work environment. Methods: This cross-sectional study included 216 advanced beginner nurses from two university-affiliated hospitals. Data were obtained using standardized questionnaires and analyzed with descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis. Results: The average score for job embeddedness was 3.34±0.54, for positive psychological capital was 4.00±0.67, and for the nursing work environment was 2.67±0.39. Multiple regression analysis showed that positive psychological capital and the nursing work environment significantly predicted job embeddedness, accounting for 59.3% of its variance. Conclusion: The findings suggest that enhancing positive psychological capital and improving the nursing work environment are essential for promoting job embeddedness among advanced beginner nurses. These results provide empirical support for the development of targeted interventions that facilitate their transition toward becoming competent nurses.
  • 153 View
  • 8 Download
Effects of Self-leadership on Job Performance Competency and Organizational Commitment of Insurance Review Nurses: A Nationwide Survey
Ju Eun Oh, Seok Hee Jeong, Young Hee Mun, Hee Sun Kim
J Korean Acad Nurs Adm 2025;31(5):537-548.   Published online December 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.0028
Purpose
This study aimed to determine the effects of self-leadership on job performance competency and organizational commitment among insurance review nurses. Methods: A nationwide online survey was conducted using structured questionnaires. Participants included 189 insurance review nurses working in advanced general hospitals and general hospitals in South Korea. Data were collected through self-administered questionnaires between August 19 and September 17, 2021. Data analysis was performed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation coefficients, and hierarchical multiple regression with IBM SPSS version 23.0. Results: The mean score for self-leadership was 3.64±0.43 out of 5, for job performance competency was 3.10±0.68 out of 5, and for organizational commitment was 4.38±1.09 out of 7. Statistically significant positive correlations were observed among self-leadership, job performance competency, and organizational commitment in insurance review nurses. Hierarchical multiple regression analysis showed that self-leadership explained an additional 13.9 percentage points of variance in job performance competency and an additional 5.3 percentage points in organizational commitment. Self-leadership emerged as a statistically significant predictor of both job performance competency and organizational commitment. Conclusion: This study empirically demonstrates that self-leadership has significant effects on job performance competency and organizational commitment among insurance review nurses. These findings provide empirical evidence relevant to human resource management strategies for insurance review nurses.
  • 209 View
  • 13 Download
Purpose
This study investigated the influence of organizational justice on junior nursing officers’ intent to stay in their positions and explored the mediating roles of job satisfaction and organizational commitment. Methods: A descriptive correlational design was employed, and data were analyzed using SPSS 29.0 software. Statistical analyses included descriptive statistics, the t-test, one-way analysis of variance, Pearson’s correlation coefficients, and multiple linear regression. The mediating effects of job satisfaction and organizational commitment were evaluated following Baron and Kenny’s three-step mediation procedure, and significance was confirmed through the bootstrapping method. Results: Organizational justice, job satisfaction, organizational commitment, and intent to stay were all significantly positively correlated. The mediating effects of job satisfaction and organizational commitment on the relationship between organizational justice and intent to stay were confirmed. Conclusion: Based on the findings of this study, job satisfaction and organizational commitment were found to fully mediate the relationship between organizational justice and intent to stay. Therefore, to enhance the intent to stay among junior nursing officers, it is considered necessary to develop supportive measures and establish systems within the military and nursing corps that strengthen organizational justice for junior nursing officers.
  • 160 View
  • 7 Download
Purpose
This study examined the double mediating effects of positive psychological capital and work engagement on the relationship between nurse unit managers’ empowering leadership and nurses’ patient safety nursing activities. Methods: Data were collected from 217 ward nurses employed at a tertiary hospital. Statistical analyses were conducted using SPSS version 29.0. Differences between groups were tested using independent t-tests, one-way analysis of variance, and the Duncan method. When normality assumptions were violated, the Mann–Whitney U and Kruskal–Wallis tests with Bonferroni correction were applied. Pearson correlation coefficients were computed, and mediation analysis was performed using Hayes’ PROCESS macro model 6. Results: Empowering leadership among nurse unit managers had a significantly positive effect on ‘nurses’ patient safety nursing activities. Furthermore, positive psychological capital and work engagement demonstrated significant double mediating effects on the relationship between empowering leadership and patient safety nursing activities. Conclusion: Enhancing patient safety nursing activities requires the establishment of a safety culture and institutional framework, the development of leadership training programs, and provision of systematic education.
  • 180 View
  • 22 Download
Factors Influencing the Retention Intention of Female Nurses Raising Young and School-Age Children during the COVID-19 Pandemic
Ha Neul Lee, Suyon Baek
J Korean Acad Nurs Adm 2025;31(5):504-515.   Published online December 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.0014
Purpose
This study aimed to examine the factors influencing the retention intention of female nurses raising young and school-age children during the COVID-19 pandemic. Methods: In total, 131 female nurses working in hospitals with 30 or more beds who remained employed throughout the pandemic participated in this cross-sectional descriptive study. Data were collected using a structured self-report questionnaire in July 2023 and analyzed using descriptive statistics, correlation analysis, and multiple regression analysis with IBM SPSS 29.0. Results: The mean score for retention intention was 3.98 out of 5. Parenting stress averaged 3.02, family support 4.08, family-friendly policies 1.83 (out of 4), family-friendly organizational culture 2.98, and social responsibility 3.56. Regression analysis identified a monthly salary over 4 million KRW (β=.28, p=.005), parenting stress (β=–.20, p=.049), and social responsibility (β=.19, p=.036) as significant factors influencing retention intention, with an explanatory power of 19.2% (F=4.43, p<.001). Conclusion: Retention intention among nurses with young children during the COVID-19 pandemic was associated with financial stability, reduced parenting stress, and a strong sense of social responsibility. To enhance nurse retention during future public health crises, policies should incorporate practical childcare support and strengthen professional social responsibility.
  • 255 View
  • 10 Download
The Relationship of Medication Safety Competence, Second Victim Experiences, Second Victim Support, and Negative Work Outcomes among Clinical Nurses
Ahlim Chang, Youngjin Lee, Minkyung Kang, Ji Yea Lee
J Korean Acad Nurs Adm 2025;31(5):493-503.   Published online December 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.0009
Purpose
This study aimed to identify clinical nurses’levels of medication safety competence, second victim experience, second victim support, and negative work outcomes, and to examine the interrelationships among these variables. Methods: A cross-sectional study was conducted with 142 nurses working in university or general hospitals in Gyeonggi-do, South Korea, using self-administered questionnaires collected between June 10 and July 5, 2024. Data were analyzed with IBM SPSS statistics 29.0 using descriptive statistics and Pearson correlation analysis. Results: The mean scores were as follows: medication safety competence (4.10±0.43), second victim experience (3.37±0.61), second victim support (3.12±0.30), and negative work outcomes (2.68±0.72). Medication safety competence was negatively correlated with negative work outcomes (r=-.17, p=.047) and positively correlated with psychological distress, a subdomain of second victim experience (r=.21, p=.013). Second victim experience was positively correlated with both second victim support (r=.53, p<.001) and negative work outcomes (r=.56, p<.001). Conclusion: This study demonstrated that nurses with greater medication safety competence experienced fewer negative work-related outcomes but higher levels of psychological distress. Strengthening medication safety competence may improve patient safety and occupational performance; however, the associated psychological burden must not be overlooked. Initiatives to enhance competence should therefore be accompanied by strategies designed to mitigate psychological distress.
  • 227 View
  • 19 Download
Effects of Nurse Staffing and Parents’ Caregiving Burden on Patient Experiences in Pediatric Wards
Sung-Hyun Cho, U Ri Go, Su In Jung, Eunhye Kim
J Korean Acad Nurs Adm 2025;31(4):469-481.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0022
Purpose
This study examined how nurse staffing and parental caregiving burden influence patient experiences in pediatric wards. Methods: The sample included 326 parents of pediatric patients at a tertiary children’s hospital. Nurse staffing was measured using parent-perceived staffing adequacy (4-point scale) and registered nurse hours per patient day (RN HPPD). Parent experiences were evaluated using the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS), with items rated on 3-, 4-, or 11-point scales and subsequently converted to scores on a 0–100 scale. Parents also reported their caregiving burden experienced during their child’s hospitalization. Results: Among the Child HCAHPS domains, nurse–parent communication received the highest score, while lower scores were reported in child-specific domains, including teen involvement, quietness, and child comfort. Most parents (80.4%) stayed at the hospital either all or nearly all the time, and 63.5% perceived caregiving as burdensome. Commonly reported burdens included economic and work-related challenges, physical and psychological stressors, and responsibilities related to caring for other children. Higher levels of parent-perceived staffing adequacy and greater RN HPPD were significantly associated with better patient experiences. Conclusion: Improving nurse staffing may alleviate parental caregiving burden and improve patient and parent experiences in pediatric wards.
  • 782 View
  • 46 Download
The Influence of Clinical Practice Nurses' Self-Leadership, Role Conflict, and Practice Environment on Patient Safety Competency
Jeong Hwa Heo, Ji Hyun Sung
J Korean Acad Nurs Adm 2025;31(4):458-468.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0018
Purpose
This study aimed to examine the relationships among self-leadership, role conflict, practice environment, and patient safety competency, and to identify factors influencing patient safety competency in clinical practice nurses. Methods: A total of 152 clinical practice nurses from four university hospitals participated in this cross-sectional study. Data were collected using a structured questionnaire and analyzed to identify key predictors of patient safety competency. Results: Patient safety competency was positively associated with self-leadership, the practice environment, and the presence of regular educational programs tailored for clinical practice nurses. Self-leadership and the practice environment were identified as significant predictors, explaining 30% of the variance in patient safety competency. Conclusion: The findings underscore the importance of fostering self-leadership and enhancing the practice environment to improve patient safety competency among clinical practice nurses. Tailored education and training programs aimed at strengthening self-leadership skills should be developed. Additionally, organizational efforts to optimize the clinical practice environment are essential to support safe and effective nursing practice.
  • 1,263 View
  • 65 Download
Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
J Korean Acad Nurs Adm 2025;31(4):446-457.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0013
Purpose
This study investigates the mediating effect of job embeddedness in the relationship between nursing professionalism and turnover intention among clinical nurses. Methods: A nationwide online survey was conducted using a structured questionnaire. Participants included 204 clinical nurses from tertiary hospitals in South Korea. Data on general characteristics, nursing professionalism, job embeddedness, and turnover intention were collected through self-reported questionnaires from March 19 to March 22, 2024. The analysis involved descriptive statistics, independent t-tests, one-way analysis of variance, Scheffé test, Pearson's correlation coefficients, multiple linear regression analysis, and bootstrapping, using SPSS/WIN version 29.0 and the SPSS PROCESS macro 4.2 version programs. Results: The mean score of nursing professionalism was 3.48±0.45 out of 5, job embeddedness was 3.13±0.52 out of 5, and turnover intention was 2.80±1.00 out of 5. Nursing professionalism did not directly impact turnover intention (B=-0.07, p=.649). Job embeddedness acted as a mediating factor in the relationship between nursing professionalism and turnover intention (B=-0.46, p<.05). Conclusion: These findings suggest that increasing job embeddedness can reduce nurses' turnover intention. Therefore, to decrease nurses' turnover intention, it is essential to enhance nursing professionalism while simultaneously promoting job embeddedness.
  • 1,421 View
  • 54 Download

Review Article

Factors Influencing Burnout of Nurses in Comprehensive Nursing Care Service Wards: Focusing on Positive Psychological Capital, Role Conflict, and Authentic Leadership
Jung Wha Park, Kyoung Ja Kim, Ji Young Im, Ji Young Kim
J Korean Acad Nurs Adm 2025;31(4):345-357.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0010
Purpose
This study aimed to identify the influence of positive psychological capital, role conflict, and authentic leadership on burnout among nurses working in comprehensive nursing care service wards of general hospitals. Methods: A descriptive cross-sectional survey was conducted with 208 nurses from four general hospitals. Data were collected using structured questionnaires between September 26, 2024, and October 18, 2024, and were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression analysis. Results: Burnout showed a correlation with role conflict (r=.45, p<.001), positive psychological capital (r=-.62, p<.001) and authentic leadership (r=-.24, p<.001). In the regression analysis, the factors significantly associated with burnout included conflict with patients/guardians (β=.24, p<.001) and conflict regarding nursing practices (β=.22, p<.001), which are subdomains of role conflict. Among the components of positive psychological capital, optimism (β=-.37, p<.001) was identified as a significant protective factor against burnout. However, authentic leadership was not found to be a statistically significant predictor. Conclusion: To effectively manage nurse burnout, it is essential to develop strategic programs that focus on enhancing optimism. Furthermore, establishing clear delegation guidelines between nurses and nursing assistants is recommended.
  • 1,729 View
  • 158 Download

Original Articles

Predictors of Nurses' Reporting Level by the Types of Patient Safety Incidents
Ju-Hee Kang, Yeojin Yi
J Korean Acad Nurs Adm 2025;31(4):434-445.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0008
Purpose
This study aimed to examine the predictors of nurses’ incident reporting by dividing the level of patient safety incident (near miss, no harm, harmful incident) reporting into upper and lower level groups. Methods: Data were collected from 208 nurses working in a hospital from March 29 to April 6, 2022. Logistic regression analysis was used to determine the predictors of nurses’ reporting level. Results: Predictors of the upper level group of near miss reporting were belief in improvement (odds ratio [OR], 2.40; 95% confidence interval [CI], 1.27-4.53), reporting intention (OR, 2.00; 95% CI, 1.15-3.47), patient safety knowledge (OR, 2.16; 95% CI, 1.16-4.01). Predictors of the upper level group no harm incidents reporting were reporting training (OR, 1.38; 95% CI, 1.01-1.90), belief in improvement (OR, 2.00; 95% CI, 1.01-3.95), patient safety knowledge (OR, 2.41; 95% CI, 1.17-4.98). In the case of harmful incident reporting, the predictor was patient safety attitude (OR, 9.32; 95% CI, 2.77-31.38). Conclusion: The reporting level varies depending on the type of patient safety incidents. Managing nurses' individual characteristics, such as their beliefs in improvement, patient safety knowledge, and attitude is a key strategy for enhancing incident reporting level. Nursing managers should be aware that not all harmful incidents are being reported.
  • 981 View
  • 65 Download
Development and Effectiveness of the Silver Hour End-Of-Life Program for New Nurses: Based on Quint’s Model of Nursing Care for the Dying
Se Yeong Park, Jin Hwa Choi, Seung Ah Hong, Hyang Ok Choi, Sunyoung Moon
J Korean Acad Nurs Adm 2025;31(4):421-433.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0007
Purpose
To evaluate the effectiveness of a Silver Hour End-Of-Life (SHEOL) program in enhancing end-of-life care performance among new nurses. Methods: A nonequivalent control group pre-post test design was adopted. A total of 34 new nurses working at a tertiary general hospital participated in the study. The experimental group (n=17) participated in the SHEOL program, which was delivered through hybrid simulation (180 minutes), while the control group (n=17) received a theoretical lecture on end-of-life care (90 minutes). The intervention and data collection were conducted from August 8 to September 30, 2024. Results: Compared to the control group, the experimental group showed a significant reduction in fear of death (χ2=11.69, p=.003) and significant improvements in attitudes toward end-of-life care (χ2=6.99, p=.030), self-efficacy of end-of-life care (χ2=6.51, p=.039), and performance of end-of-life care (χ2=20.07, p<.001) both immediately and 4 weeks after the intervention. Conclusion: These findings suggest that the SHEOL program can be effectively used to alleviate fear of death, improve attitudes and self-efficacy regarding end-of-life care, and enhance end-of-life care performance among new nurses.
  • 1,588 View
  • 48 Download
Non-Value-Added Activities and Non-Nursing Tasks Affecting Nursing Task Efficiency: A Scoping Review
Mi Ha Chung, Yongah Kim, Na Yeong Kim, Min Ju Kim, Hyeon Jin Kim, Ju Hee Park, Ji In Park, Su Yeon Bae, Heajin Bae, Eunjeong Lee, Min Young Jeon, Suyoung Choi
J Korean Acad Nurs Adm 2025;31(4):405-420.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0006
Purpose
This study explored the literature on non-value-added (NVA) activities and non-nursing tasks (NNT). We analyzed domestic and international research trends and examined the types and characteristics of nursing tasks to improve efficiency. Methods: A comprehensive literature search was conducted using RISS, DBpia, PubMed, CINAHL, Medline, and Embase. Relevant studies published up to 2024 were identified using keywords such as “non-value-added activity,” “non-value-added nursing activity,” “non-nursing tasks,” and “nursing.” Results: Analysis of 25 studies revealed that 11 studies focused on NVA activity and 14 on NNT. Direct nursing tasks were classified into eight categories; indirect tasks were classified into seven categories. NVA activities were grouped into five main categories: “personal,” “waste,” “documentation,” “necessary activities,” and “unit-related,” with overlapping subcategories such as “interruption” and “duplicating.” Similarly, NNT were categorized into eight types, including “admission,” “equipment,” and “administrative activities.” Although conceptually distinct, NVA activities and NNT often overlap. Reducing tasks unrelated to essential nursing care significantly improves job satisfaction, patient outcomes, and work efficiency. These findings provide valuable insights for optimizing nursing workflows and enhancing the quality of care. Conclusion: Identifying and reducing NVA activities and NNT enhance nursing efficiency and provide foundational data for improving clinical practice and patient safety.
  • 1,598 View
  • 65 Download
The Mediating Effect of Self-Transcendence on the Relationship between Job Stress and Wellness among Nurses
Sung Mi Kim, Da Eun Kim
J Korean Acad Nurs Adm 2025;31(4):394-404.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0003
Purpose
This study aimed to explore the mediating role of self-transcendence in the relationship between job stress and wellness among nurses based on self-transcendence theory. Methods: A descriptive cross-sectional design was adopted, and data were collected via an online survey using Google Forms from July 22 to August 20, 2024. This study analyzed data from 290 nurses working in 10 hospitals. Correlation and multiple regression analyses were conducted, alongside simple mediation analysis with bootstrapping, to evaluate the mediating role of self-transcendence. All statistical analyses were performed using Jamovi software. Results: Positive correlations were identified among job stress, self-transcendence, and wellness in nurses. Regression analyses revealed that self-transcendence was positively associated with wellness (β=.62, p<.001), while job stress had no significant association with wellness. Mediation analysis demonstrated that self-transcendence significantly mediated the relationship between job stress and wellness (β=.22, p<.001). Conclusion: The findings highlight the influence of self-transcendence on the relationship between job stress and wellness among nurses. This underscores the importance of designing interventions to enhance self-transcendence as a strategy to promote wellness among nurses.
  • 1,480 View
  • 56 Download

Review Articles

Leadership of Novice and Advanced Beginner Nurses: A Systematic Review and Meta-Analysis
Sunmi Kim, Myoung Hee Seo, Seok Hee Jeong
J Korean Acad Nurs Adm 2025;31(4):371-384.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2024.0062
Purpose
This study aimed to conduct a systematic review to explore leadership-related variables among nurses in the novice and advanced beginner stages, identify research trends, and analyze effect sizes to provide evidence for developing a nursing leadership program. Methods: A systematic review and meta-analysis were conducted according to PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and NECA (National Evidence based Healthcare Collaborating Agency) guidelines. Literature was searched from February 26 to April 26, 2024 using databases including KISS, KMbase, RISS, KoreaMed, Science ON, CINAHL, CENTRAL, Embase, PubMed, Web of Science, and Korean nursing journals. Meta-analysis was performed using R version 3.6.2. Results: From 589 articles, five studies were selected. Self-leadership was most frequently studied topic (80.0%). Leadership antecedents with k≥2 included preceptor’s clinical teaching behavior (correlation effect size [ESr], 0.34). For leadership outcomes, effect size analyses for cases with k≥2 indicated resilience (ESr, 0.72), nursing performance (ESr, 0.69), and organizational socialization (ESr, 0.31), with resilience demonstrating the largest effect. Conclusion: Preceptor’s clinical teaching behavior, resilience, nursing performance, and organizational socialization were identified as critical factors in leadership of the nurses at novice and advanced beginner stage. Enhancing leadership requires preceptor support, which can improve resilience and help early-career nurses overcome challenges. Therefore, strategies for leadership development must include specific measures to ensure preceptor support.
  • 2,094 View
  • 75 Download
A Systematic Review and Meta-Analysis of Information Literacy Competencies and Associated Variables among Korean Nursing Students
Shin Hyang Kim, Jong Mi Lim
J Korean Acad Nurs Adm 2025;31(4):358-370.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2024.0061
Purpose
The purpose of this study is to provide academic basic data by quantitatively integrating variables related to information literacy competence of Korean nursing students. Methods: This study is a meta-analysis study to systematically review the research on information literacy competence of Korean nursing students and related variables to identify the effectiveness of each variable group. The selection criteria for the analysis subjects were determined using the PICOS framework in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) systematic review reporting guidelines. Theses and journal articles published from September 1, 2024, to September 30, 2024, were searched. Results: The effect sizes of the sub-variables of each variable group showed that the personal thinking competence group showed the largest effect size in the order of problem-solving ability (Fisher’s Z=.90) and critical thinking ability (Fisher’s Z=.57); the professional competence group showed evidence-based practice (Fisher’s Z=.84), clinical performance (Fisher’s Z=.65), learning engagement (Fisher’s Z=.51), communication ability (Fisher’s Z=.49), and academic achievement (Fisher’s Z=.45); and the professional competence group showed privacy awareness (Fisher’s Z=.51), professionalism (Fisher’s Z=.42), and ethical awareness (Fisher’s Z=.41). Conclusion: Based on the results of this study, it is necessary to develop a program to strengthen the information literacy competence of nursing students. Furthermore, there is a need to develop curricula and teaching-learning strategies to enhance information utilization capabilities, along with sustained attention to practice-based educational models tailored to AI and digital environments.
  • 1,704 View
  • 58 Download
Original Articles
Purpose
This study investigated the effect of new nurses' metacognition on their retention intention and the dual mediating effect of job satisfaction and organizational commitment in the relationship between those two variables. Methods: Participants included 154 new nurses with 12 months or less of clinical experience working in general hospitals in Seoul. Using a structured questionnaire, data were collected from September 30 to October 29, 2024 and analyzed using IBM SPSS version 29.0 and the Process Macro 4.2 program. Results: Metacognition had a positive effect on job satisfaction (B=0.60, p<.001). Job satisfaction had significant positive effects on organizational commitment (B=0.84, p<.001) and retention intention (B=1.31, p<.001), while organizational commitment had a significant positive effect on retention intention (B=0.65, p=.016). The sequential mediating effect of job satisfaction and organizational commitment was confirmed within the relationship between metacognition and retention intention in new nurses (effect=0.33, 95% confidence interval: 0.03-0.71). Conclusion: The results of this study suggest the presence of a causal structure in which higher metacognition is associated with greater job satisfaction in new nurses; this leads them to commit to the organization, eventually increasing their retention intention.
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  • 62 Download
Development and Validation of the Clinical Nurses' Job Crafting Scale
Eunha Jeong, Sujeong Han
J Korean Acad Nurs Adm 2025;31(3):333-343.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0017
Purpose
The study was to develop a Clinical Nurses' Job Crafting Scale (CN-JCS) and examines its validity and reliability. Methods: Data were collected from 423 clinical nurses working in general hospitals. The CN-JCS was developed according to DeVellis’s step sclae development guidelines. The CN-JCS was assessed for content validity, construct validity, item convergence/discrimination, convergent validity, and internal consistency. Results: In the exploratory factor analysis, five factors and 20 items were selected. Construct validity was examined using confirmatory factor analysis, and the model fit was good. The Conceptual reliability was greater than .70 and average variance extracted value was greater than .50, indicating discriminant validity. Convergent validity was confirmed through correlations between the CN-JCS, psychological empowerment and work engagement. The scale’s reliability was established with a Cronbach's alpha of .90. The CN-JCS employs a 5-point Likert scale across 20 questions, gauging aspects such as giving meaning to work, changing the structure of work, exploring and communicating, pursuing relationship change, and positive attitude toward change. Conclusion: The CN-JCS can be used to accurately assess the job craft of clinical nurses, and the measured level can be used as baseline data to improve awareness and education of nurses’ job craft.
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Role Transformation and Adaptation of Physician Assistants during the 2024 Medical Workforce Shortage: A Phenomenological Study
Tae Yeong Yang, Nahyun Lee
J Korean Acad Nurs Adm 2025;31(3):259-268.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0016
Purpose
This study explored the lived experiences of physician assistants (PAs) in Korea during the 2024 medical workforce shortage, focusing on how they perceived and adapted to their rapidly changing roles. The study investigated both the challenges PAs faced and the professional growth they experienced throughout the adaptation process. Methods: A phenomenological qualitative design was applied using Colaizzi’s method. In-depth interviews were conducted with 15 PAs at a tertiary hospital in Seoul between September 25, 2024 and February 1, 2025. Data were analyzed thematically. Results: Four major theme clusters emerged: changes in work environment and quality of life, role conflict and ambiguity in professional identity, dual aspects of role expansion including autonomy and burnout, and coping strategies and structural policy demands. Participants reported physical and emotional strain, but also described greater involvement in care decisions, improved patient relationships, and a stronger sense of professional identity. Conclusion: Amid the medical staffing crisis, PAs adapted to their expanded responsibilities and became key healthcare providers. While facing substantial burdens, they simultaneously experienced personal and professional growth. Institutional and legal support is essential to stabilize their roles and improve long-term healthcare outcomes.

Citations

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  • The Effects of Emotional Intelligence and the Practice Environment on the Job-Esteem of Physician Assistant Nurses in University Hospitals
    Yoonjung Cho, Yeoungsuk Song
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(4): 488.     CrossRef
  • 2,849 View
  • 188 Download
  • 1 Crossref
Effects of Role Conflict, Work Environment, and Meaning of Work on Job Embeddedness among Physician Assistants
Kwang Hoon Seo, Tae Yeong Yang, Nam Gyu Park, Jung Eun Park
J Korean Acad Nurs Adm 2025;31(3):249-258.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0011
Purpose
This study examined the effects of role conflict, work environment, and meaning of work on job embeddedness among physician assistants to provide foundational data for their retention and professional development. Methods: A descriptive survey was conducted with 180 physician assistants from six tertiary hospitals in Seoul and Chungcheong Province. Data were collected from July to November 2022. Role conflict, work environment, meaning of work, and job embeddedness were measured using validated scales. Data were analyzed using SAS Enterprise Guide 7.1 with descriptive statistics, the independent t-test, ANOVA, Pearson correlation coefficients, and multiple regression analysis. Results: Job embeddedness correlated positively with meaning of work (r=.28, p<.001) and work environment (r=.22, p=.002) and weakly with role conflict (r=.14, p=.045). Multiple regression identified meaning of work (B=0.32, p<.001), role conflict (B=0.13, p=.005), work environment (B=0.14, p=.018), and work type (B=-3.95, p=.004) as significant predictors (Adj. R²=19.8%). Meaning of work had the greatest impact. Conclusion: Enhancing job embeddedness among physician assistants requires improving the work environment, clarifying professional roles, and strengthening professional recognition and organizational support.
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  • 152 Download
Purpose
This study examined factors influencing patient safety nursing activities in integrated nursing care units. Methods: A survey was conducted with 134 nurses from hospitals (100~300 beds) in Busan using self-administered questionnaires (August 17–September 15, 2024). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analysis. Results: The mean score for patient safety nursing activities was 4.31±0.55. Positive correlations were found with grit, teamwork, communication, and patient safety culture awareness. The predictor variables explained 46.0% of the variance in patient safety nursing activities. Significant factors included communication (β=.31, p=.032) and leadership (β=.29, p=.035) within teamwork, incident reporting frequency (β=.24, p<.001) within patient safety culture awareness, and experience in patient safety education (β=.17, p=.018). Conclusion: The findings of this study highlight the importance of enhancing teamwork, particularly in leadership and communication, and creating a safety culture that promotes incident reporting and education to strengthen patient safety nursing practices. Improving patient safety training, developing systematic evaluation and feedback mechanisms, and establishing structured support systems through campaigns and workshops will boost staff involvement and elevate the quality of patient safety practices.
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  • 189 Download
The Effects of Presenteeism, Burnout, and Nursing Performance on Retention Intention among Nurses at an Intensive Care Unit
Na Rin Kim, Seung-Hee Lee
J Korean Acad Nurs Adm 2025;31(3):269-279.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2024.0058
Purpose
This study aimed to explore the effects of presenteeism, burnout, and nursing performance on intention to retention among nurses of an intensive care unit in one tertiary hospital.
Method
The data were collected from from July 1 to July 31, 2023, from 172 nurses at intensive care units. Data were analyzed using the SPSS/WIN 26.0 program.
Results
A four-step hierarchical regression model, including control variables, presenteeism, burnout, and nursing performance, accounted for 44.9% of the factors influencing intention to retention. Burnout (β=-.54, p<.001), nursing performance (β=.21, p=.002), health problem (β=-.07, p=.040), and experience of turnover (β=-.16, p=.008) were identified as the significant predictor of intention to retention. Model III, which adds burnout, has a significant 23.5%p increase in explanatory power over Model II, indicating that burnout has the strongest impact on intention to retention.
Conclusion
For enhancing the intention to retention of the intensive care nurses, it is necessary to provide a systematic strategy and support to increase the performance of nurses and to try to reduce the burnout and health problems of nurses.
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  • 143 Download
Influences of Generation Z Characteristics on Job Embeddedness and Turnover Intention
Su Hyun Kim, Chae Yeon Park, Seung Mok Shin, Seung Hun Shin, Grace Choe, Da Yeong Hwang, Young Hee Chae, Geun-Hee Kim
J Korean Acad Nurs Adm 2025;31(3):291-301.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2024.0050
Purpose
This study explored how Generation Z characteristics—specifically work–life balance, growth needs, and individualism—along with work environment, emotional labor, and interpersonal skills, affect job embeddedness among newly graduated nurses. It also examined whether job embeddedness mediates the relationship between these factors and turnover intention. Methods: A correlational descriptive study was conducted by analyzing survey data collected from 131 clinical nurses born between 1995 and 2000, who had less than three years of nursing work experience in South Korea. Hierarchical multiple regression analysis was employed to identify the independent effects of Generation Z characteristics on job embeddedness, over and above the effects of work environment, emotional labor, and interpersonal skills. Path analysis using bootstrapping method was conducted to examine the mediating role of job embeddedness in turnover intention. Results: Needs for growth and work environment were significant predictors of job embeddedness among newly graduated nurses. Furthermore, the effects of needs for growth and work environment on turnover intention were significantly mediated by job embeddedness. Conclusion: Understanding the characteristics of Generation Z, particularly their needs for growth, along with the work environment, is essential for enhancing job embeddedness among newly graduated nurses. Strengthening job embeddedness can effectively reduce their turnover intention.
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Effects of Grit and Nursing Work Environment on Work Engagement in Clinical Nurses
Young Ju Kim, Hye Young Cho
J Korean Acad Nurs Adm 2025;31(3):312-321.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2024.0049
Purpose
This study aimed to identify the impact of clinical nurses’ grit and nursing work environment on job enthusiasm and provide basic data for system improvement to maintain and secure nursing personnel. Methods: Data were collected online from July to August 2022 targeting 210 clinical nurses at three general hospitals located in Jeollabuk-do. Data analysis was performed using the IBM SPSS 26.0 program. Results: Job enthusiasm exhibited statistically significant differences according to age (F=5.20, p=.006) and presence of children (F=0.95, p<.001). Furthermore, job enthusiasm showed statistically significant positive correlations with grit (r=.64, p<.001) and the nursing work environment (r=.49, p<.001). The following factors were found to affect job enthusiasm: having children (β=.26, p<.001), grit (β=.46, p<.001), nursing work environment (β=.33, p<.001), and age over 40 (β=.16, p<.001). Conclusion: Based on the results of this study, it is recommended that an internal motivation strengthening program that promotes grit should be developed and applied to increase work enthusiasm among clinical nurses. Additionally, hospital organizations should prepare various policies to improve the nursing work environment.
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Factors Influencing the Perception of Decent Work by Nurses
Chung Hee Woo, Yu Jin Lee
J Korean Acad Nurs Adm 2025;31(3):227-236.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2024.0042
Purpose
To identify the factors influencing the perception of “decent work” by nurses. Methods: Data were collected from 208 nurses who had worked in hospitals for over six months, from January 23 to February 11, 2024. The collected data were analyzed using descriptive statistics, t-tests, analysis of variance, Pearson's correlation, and hierarchical multiple regression analysis using IBM SPSS Statistics 29.0. Results: Statistically significant positive correlations were observed among “decent work,” “work volition,” “living a calling,” and “social comparison orientation.” The core factors that significantly affected the perception of “decent work” by nurses were ‘work volition” (β=.30, p<.001), shift type (β=-.28, p<.001), aged in their 40s (β=-.22, p=.003), “living a calling” (β=.18, p=.012), and “social comparison orientation” (β=.14, p=.021). These variables explained 32% of the variance in the perception of “decent work.” Conclusion: The study results confirmed that, in addition to “work volition” and “living a calling’,” “social comparison orientation” also plays a significant role in how nurses perceive “decent work.” To understand the “decent work” conditions in nursing, it is necessary to explore the relationship between these factors and the variables that reflect professionalism or social recognition.
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  • 179 Download
Purpose
This study aimed to identify factors influencing communication competence among hospital nurses. Methods: The participants were 136 nurses working at five general or tertiary hospitals with over 100 beds in Busan, Ulsan, and Geoje Island. Data were collected using structured self-report online questionnaires from July 18 to August 31, 2023. The data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, the Scheffé test, Pearson's correlation coefficients, and stepwise regression analysis using IBM SPSS version 25.0. Results: Self-awareness (β=.43, p<.001), a relationship-oriented organizational culture (β=.34, p<.001), working in a surgical ward (β=.19, p=.003), communication efficacy (β=.17, p=.011), hierarchy-oriented organizational culture (β=.16, p=.011), and working in a special unit (β=-.14, p=.023) were factors that significantly influenced nurses' communication competence. The model explained 52% of the variance in communication competence (F=28.43, p<.001) Conclusion: To improve communication competence in hospital nurses, healthcare institutions should provide learning opportunities to improve nurses’ self-awareness and communication efficacy. It is also essential to establish rules and order within a hierarchy-oriented organizational culture, while simultaneously promoting a relationship-oriented organizational culture based on trust and respect among colleagues.
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  • 168 Download
The Effect of Job Characteristics and Professional Self-concept on Competency of Forensic Nursing among Perioperative Nurses
Yeo-Jin Jeon, Bu Kyung Park
J Korean Acad Nurs Adm 2025;31(3):302-311.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2023.0073
Purpose
This study aimed to investigate the effects of job characteristics and professional self-concept on competency in forensic nursing among operating room nurses at university hospitals. Methods: Data were collected from 164 operating room nurses employed at university hospitals. The collected data were analyzed in SPSS 23.0, using the mean, standard deviation, independent t-test, one-way analysis of variance, Scheffé post-hoc test, Pearson correlation coefficients, and multiple regression analysis. Results: Professional self-concept showed a statistically significant positive correlation with forensic nursing competency (r=.60, p<.001). The following factors significantly influenced forensic nursing competency among operating room nurses: professional self-concept (β=.69, p<.001), total career lengths of <5 years (β=.21, p=.006) and 5-9 years (β=.20, p=.011), and job characteristics (β=.19, p=.007). A three-step regression model was statistically significant (F=29.74, p<.001) and the total explanatory power of the regression model was 41.4%. Conclusion: This study identified that professional self-concept, total career years, and job characteristics as the most significant factors influencing operating room nurses' forensic nursing competency. Therefore, it will be necessary to develop educational programs to improve professional self-concept and job characteristics.
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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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  • 40 Download
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

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  • 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
  • 3,782 View
  • 233 Download
  • 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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  • 80 Download
Purpose
This study aimed to identify the effects of shared leadership, communication skills, and team effectiveness, as perceived by nurses and nursing assistants in comprehensive nursing service units.
Methods
A cross-sectional research design was adopted, and the sample included 306 nurses, nurse assistants, and caregivers working in nine hospitals with fewer than 500 beds in two South Korean cities. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s correlation coefficient, and four-step hierarchical regression analysis.
Results
The factors influencing team effectiveness in the hierarchal multiple regression analysis were shared leadership (β=.57, p<.001) and communication skills (β=.18, p<.001). These factors explained 49% of the total variance.
Conclusion
To enhance team effectiveness in compressive nursing service units, educational programs focusing on shared leadership and communication skills among nurses, nursing assistants, and caregivers must be developed.

Citations

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  • Effects of Shared Leadership, Role Conflict, and Organizational Commitment on Patient-Safety Competency Among Clinical
    Hye-Jeong Hwang
    Journal of Digital Contents Society.2025; 26(7): 1821.     CrossRef
  • 3,612 View
  • 193 Download
  • 1 Crossref
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

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  • 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
  • 644 View
  • 13 Download
  • 6 Crossref
The Analysis of Trends in Domestic Nursing Research on Integrated Nursing Care Service
Hyun Ju Choi
J Korean Acad Nurs Adm 2019;25(5):510-525.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.510
PURPOSE
The purpose of this study was to explore and analyze the latest trends in domestic research related to integrated nursing care service and to present a practical direction for future research.
METHODS
This study was focused on domestic nursing research related to integrated nursing care service as published in journals until March 20, 2019. After reviewing the quality of the papers, 34 papers were finally selected for analysis. In order to analyze the overall trends, the analysis was reviewed by year, source, research design, and subjects, and content analysis was used to identify trends by topic.
RESULTS
From the content analysis, the top categories were divided into nurses' view and patients' view, with both nurses' view and patients' view for the subcategories of ‘input’, ‘process’ and ‘output’ respectively. From both the nurse and patient view, the sub-category ‘input’ included ‘service environment’, ‘process’ and ‘service throughput’ and for the ‘output’ subcategory, three subjects, ‘performance’, ‘service-related perception change’ and ‘social psychological change’ were derived from the nurses' view, and two subjects ‘performance’ and ‘service-related perception change’ were derived from the patients' view.
CONCLUSION
In order for future studies to provide practical basic data for stable settlement and improvement of integrated nursing care service, it is necessary to develop and study various aspects without bias, and in a balanced and integrated manner.

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  • Predictors of Adverse Drug Reaction Monitoring Practices Among Hospital Nurses
    Anyeong Kim, Duckhee Chae
    JONA: The Journal of Nursing Administration.2025; 55(5): 267.     CrossRef
  • 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
  • Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes
    Sung-Heui Bae
    Journal of Nursing Care Quality.2025;[Epub]     CrossRef
  • 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
  • Exploring the Subjective Frame of Patient Satisfaction among Patients Admitted to the Comprehensive Nursing Care Service: Q Methodology Application
    Ye-Na Lee, Jeehyoung Kim, Geon Go, Purum Kang
    Journal of Korean Academy of Nursing Administration.2021; 27(5): 323.     CrossRef
  • Evaluating the Correlation Between Nursing Practice and Electronic Nursing Records Using Importance-Performance Analysis
    Hyunbong Park, Soyoung Yu, Seon Heui Lee
    CIN: Computers, Informatics, Nursing.2021; 39(9): 492.     CrossRef
  • Nurses' Experience with Inpatients in Comprehensive Nursing Care Service: A Phenomenological Approach
    Purum Kang, Jiwon Kang
    Journal of Korean Academy of Nursing Administration.2021; 27(3): 149.     CrossRef
  • 1,029 View
  • 14 Download
  • 7 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.

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  • 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
  • Effects of Organizational Cynicism and Socialization on Nurses’ Job Burnout: A Career‐Stage‐Based Analysis
    Hee Jin Kim, Hae Jeong An, Soo-hyun Nam, Jungmin Lee, Maria Engström
    Journal of Nursing Management.2025;[Epub]     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
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    Jieun Kwon, Eun-Young Kim
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    Namyee Koo, Suhye Kwon
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    Kyeoung Ae Lee, Hye-Ja Park
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    Sujin Shin, Eunmin Hong, Jiyoung Do, Mee Sun Lee, Youngsun Jung, Inyoung Lee
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    Na Kyoung Lee, Jee-In Hwang
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Factors Influencing Intentional Rounding Performance of Tertiary General Hospital Nurses
Jaeseon Han, Yunhee Kim
J Korean Acad Nurs Adm 2019;25(5):437-447.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.437
PURPOSE
The purpose of this study was to examine the effects of perceptions of patient rounding, self-leadership and nursing organization culture on intentional rounding performance.
METHODS
The participants for this study were 210 nurses who had the experience of patient rounding care in general hospitals in B and Y cities. Data were collected from February 5th to 22nd, 2018. Collected data were analyzed using descriptive statistics, χ² test, and independent t-test. Logistic regression analysis was performed to identify factors influencing intentional rounding performance.
RESULTS
It was found that intentional rounding performance was carried out by 20.0% of the day shift nurses, 18.1% of the evening shift nurses, and 19.5% of the night shift nurses. The significant factors influencing intentional rounding performance were the recommended rounding time interval in wards and the use of rounding protocol in the wards (p < .050).
CONCLUSION
It is expected that nurses will be able to provide more advanced and efficient patient rounding by promising a systematic patient rounding time for intentional rounding and developing appropriate protocols for each ward.

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    Heejung Choi, Jong Sun Ok, Eun-Young Noh, Young Hye Song, Jin Yi Choi
    The Journal of Korean Academic Society of Nursing Education.2025; 31(3): 223.     CrossRef
  • Associations of perceptions of patient safety culture, job crafting, and perceptions of patient rounding with patient safety management activities among tertiary hospital nurses
    Saet-Byeol Kim, Yun-Hee Kim
    Journal of Korean Biological Nursing Science.2024; 26(3): 259.     CrossRef
  • Development of an intentional rounding protocol for nursing undergraduates to apply in clinical practice
    Sueun Kim, Jong Sun Ok, Jin Yi Choi, Heejung Choi
    The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 381.     CrossRef
  • Improving Patients’ Perception of the Quality of Nursing Services and Nurses’ Perception of Nursing Rounds through Purposeful and Timely Nursing Rounds
    Yun Sook Kim, Dong Yeon Kim, Na Young Kim, Jinsuk Kim, Young Eun Yang, Youmin Jeong, Hee Young Choi, Eun Oh
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 12.     CrossRef
  • 880 View
  • 37 Download
  • 4 Crossref
The Moderating Effect of Social Support on the Relationship between Emotional Labor and Nursing Performance in General Hospital
Hee Sug Park, Yang Gyeong Yoo
J Korean Acad Nurs Adm 2019;25(2):136-145.   Published online March 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.2.136
PURPOSE
The present study was conducted to determine the influence of social support on the relationship between emotional labor and nursing performance of general hospital nurses.
METHODS
Data collection was conducted at three general hospitals in Jeollabuk-do from August 10 to 25, 2017. Collected questionnaires (188 nurses) were analyzed based on percentages, means, SD, t-test, ANOVA, Scheffé, Pearson correlation analysis, and moderated regression analysis using SPSS Statistics 24.0 software.
RESULTS
Social support was found to moderate the influence of nurses' emotional labor on nursing performance. That is, high level of social support can reduce the negative effect of emotional labor on nursing performance.
CONCLUSION
Based on findings in the present study, it can be said that establishing positive organizational culture through harmonious social support at the work site is necessary to improve nursing performance. In addition, measures to effectively improve social support need to be explored and practiced at the work site. Efforts should be made to come up with strategies to properly cope with and overcome emotional labor. The results of this study suggest the scope for further research to identify additional variables that moderate or mediate the relationship between emotional labor and nursing performance.

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    Chun Ha Kim, Mikyoung Lee
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    Kyungok Park, Yeoungsuk Song
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    Minyoung Shin, Woojoung Joung
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 603.     CrossRef
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    Zolzaya Bayarsaikhan, YunHee Shin
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  • Emotional Labor Is Associated With the Mental Health of Respiratory Therapists in Hospitals
    Yu-Hua Yan, Chih-Ming Kung, Shu-Chen Hsing
    Respiratory Care.2021; 66(1): 50.     CrossRef
  • The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
    Sustainability.2021; 13(21): 11634.     CrossRef
  • The influence of social support and health promotion behaviors on nursing work performance among nurses
    Eunbi Choi, Kyung Hee Yoo
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 333.     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.

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  • 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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  • 19 Download
  • 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.

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  • Impact of the Empowering Leadership of Nurse Unit Managers on Patient Safety Nursing Activities: Double Mediating Effects of Positive Psychological Capital and Work Engagement
    Jin-Young Park, Eungyung Kim
    Journal of Korean Academy of Nursing Administration.2025; 31(5): 516.     CrossRef
  • 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
  • Factors Affecting Non-response in a Cohort Study of Female Participants: The Korea Nurses' Health Study (Preprint)
    Young Taek Kim, Chiyoung Prof. Cha, Gumhee Baek, Bohye Kim, Bo Mi Song, Joong-Yeon Lim, Hyun-Young Park, Juhyun Shin
    JMIR Public Health and Surveillance.2024;[Epub]     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
  • 717 View
  • 38 Download
  • 6 Crossref
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.

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  • A Grounded Theory Approach to Understanding Retention among Career Nurses in Clinical Practice
    Su Mi Choi, Ji Won Kim
    The Korean Journal of Health Service Management.2025; 19(2): 57.     CrossRef
  • Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
    Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 446.     CrossRef
  • 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
  • 860 View
  • 28 Download
  • 4 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.

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  • 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
  • 584 View
  • 5 Download
  • 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.

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    Insil Jang, Sun Joo Jang, Sun Ju Chang, Miyuki Takase
    Journal of Nursing Management.2024;[Epub]     CrossRef
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    Hyang Mi Kim, Sun Hee Jang
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    Mijeong Park, Ok Yeon Cho, Jeong Sil Choi
    Healthcare.2023; 11(14): 2041.     CrossRef
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    Mijeong Park, Jeong Sil Choi
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    Eun-Jun Park, Hyunwook Kang, Ji Woon Ko
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    Noelleen Kiprillis, Richard Gray, Lisa McKenna
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  • 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
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    Moon Jeong Kim
    Korean Journal of Women Health Nursing.2021; 27(4): 268.     CrossRef
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    Hyun-Jung Kang, Jaeyong Shin, Eun-Hyun Lee
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    Young Joo Lee, Eun Hee Kim
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    Jin Kyu Choi, Byoungsook Lee
    Journal of Korean Academy of Nursing.2019; 49(5): 562.     CrossRef
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  • 23 Download
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Development of a Team Effectiveness Scale for Nursing Units
Young Mee Kim, Se Young Kim
J Korean Acad Nurs Adm 2018;24(4):328-338.   Published online September 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.4.328
PURPOSE
The purpose of this study was to develop a Team Effectiveness Scale for Nursing Units (TES-NU) and verify validity and reliability of the developed scale.
METHODS
A preliminary 69 item version of the TES-NU was developed through in-depth interviews. The draft scale was developed using 65 items selected following content validity evaluation. Finally, thirty items with response options on a 5-point Likert scale were selected based on internal consistency reliability and construct validity. Subsequently, convergent validity of the TES-NU was verified.
RESULTS
Six factors, namely, leadership of the head nurse, cohesion, job satisfaction, competency of nurses, productivity, and coordination were identified. These factors explained 64.6% of the total variance. The TES-NU's Cronbach's α for the total scale was .94. The correlation coefficient between the scores of the TES-NU and Ahn's Team Effectiveness scale was .59.
CONCLUSION
Results show that the TES-NU developed in this study has good reliability and validity. Therefore, this TES-NU is recommended as a useful tool for managing team effectiveness for nursing units.

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  • Cognitive factors on the performance of group decision-making: a behavioral and eye-tracking study
    Cheng Kexin, Jiang Zuhua, Yang Jiapeng
    Frontiers in Human Neuroscience.2025;[Epub]     CrossRef
  • Mediating Effect of Team Effectiveness of the Nursing Unit on the Nursing Work Environment and Patient-Centered Nursing: A Cross-Sectional Study
    Se Young Kim, Young Ko
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  • Refinement and Validation of the Team Effectiveness Scale for Nursing Units
    Se Young Kim, Young Ko, Bong Hee Sim, Yeon Ok Yoon, Chunseon Jang
    Risk Management and Healthcare Policy.2024; Volume 17: 2385.     CrossRef
  • Influence of the Team Effectiveness of Nursing Units on Nursing Care Left Undone and Nurse-Reported Quality of Care
    Se Young Kim, Young Ko
    Healthcare.2023; 11(10): 1380.     CrossRef
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  • 41 Download
  • 4 Crossref
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.

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    Jeeseon Kim, Haejung Lee
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    Hyunjeong Kwon, Jinhyun Kim
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    Young Shin Cho, Jiwon Hong
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    Hee-Sun Choi, Young Shin Cho
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    Yukyung Ko, Bohyun Park
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    Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
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    Jinseon Yi, Jinhyun Kim
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    Young-Yi Yoon, Hye-Young Jang
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    Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park
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    Ju-Young Park, Jee-In Hwang
    Journal of Korean Academy of Nursing.2021; 51(1): 27.     CrossRef
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    Hye-Kyung Jo, Sung-Heui Bae
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