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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.
  • 1,295 View
  • 114 Download
Original Articles
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.
  • 2,035 View
  • 137 Download
Burnout among Nurses in COVID-19 Designated Units Compared with Those in General Units Caring for Both COVID-19 and Non-COVID-19 Patients
Kyung Ah Woo, Eun Kyoung Yun, JiSun Choi, Hye Min Byun
J Korean Acad Nurs Adm 2023;29(4):374-384.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.374
Purpose
This study aimed to examine the differences in COVID-19 work-related characteristics, workload, anxiety, stress, and burnout between nurses working in the COVID-19 designated units and those in the general units caring for both COVID-19 and non-COVID-19 patients and to identify factors related to burnout in these two nurse groups.
Methods
The study was conducted using data from 192 nurses in the COVID-19 designated units and 340 nurses in the general units from two general hospitals. The data were collected using self-report, structured questionnaires. Independent t-test, chi-squared test, and logistic regression analysis were performed.
Results
There were no significant differences observed in workload and burnout between the two groups. For nurses in the general units, workload, stress, adequacy of the number of patients assigned, and the experience of temporary, floating staff were significant factors associated with burnout, while only clinical experience in the current unit was a significant factor among those in the COVID-19 units.
Conclusion
Findings indicate significant differences in factors related to burnout between the two nurse groups. Thus, substantial support and strategies tailored to the working environments of each nursing unit are required to prevent burnout among nurses caring for COVID-19 patients.

Citations

Citations to this article as recorded by  
  • Nurses’ ethical competence during the COVID-19 pandemic: Qualitative perspectives
    Hye Min Byun, Eun Kyoung Yun
    Nursing Ethics.2025; 32(5): 1644.     CrossRef
  • Experiences of COVID-19 dedicated ward nurse managers in South Korea: a qualitative study
    Rosa Yoon, Minkyung Gu, Mira Park, Sohyune Sok
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • User Interface Design and Usability Evaluation of a Mental Health Mobile Application for Healthcare Workers: A Nursing Informatics Perspective
    Yewon Lee, Eunju Kwak, Mijin Park, Jiyeon Park, Jungjae Kim, Jisan Lee
    Journal of Health Informatics and Statistics.2024; 49(3): 248.     CrossRef
  • 732 View
  • 23 Download
  • 3 Crossref
Purpose
This study aimed to confirm the mediating effect of social responsibility on the relationship between nurses' stress and burnout from coronavirus disease (COVID-19) in tertiary general hospitals.
Methods
For this descriptive cross-sectional study, online survey data from 193 nurses in three tertiary general hospitals were analyzed. Data were collected from March 30 to April 4, 2021. The following statistical analysis were conducted: t-test, ANOVA, Scheffé test, Pearson's correlation coefficient analysis, and Hayes Process Macro Model 4 (to test the mediating effect).
Results
COVID-19 stress was positively associated with burnout (r=.28, p<.001) and social responsibility (r=.22, p=.002). Social responsibility was negatively associated with burnout (r=-.31, p<.001). Furthermore, the mediation analysis indicated that social responsibility mediated the relationship between COVID-19 stress and burnout.
Conclusion
According to the results, the impact of COVID-19 stress on the burnout was mediated by social responsibility. Therefore, to prevent the burnout from COVID-19 of nurses, developing educational programs to enhance social responsibility are recommended.
  • 984 View
  • 34 Download
Causes and Effects of Burnout Experienced by Insurance Review Nurses: Focus Group Interview
Eun Sil Jeong, Seok Hee Jeong, Hyun Kyung Kim, Myoung Hee Seo
J Korean Acad Nurs Adm 2022;28(5):545-557.   Published online December 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.5.545
Purpose
The aim of this study was to explore the causes and effects of burnout experienced by insurance review nurses working in hospitals. Methods: Data were collected from April to May, 2021, using focus group interviews. The study enrolled 19 insurance review nurses with at least one year of experience. Data were analyzed using the content analysis method. Results: Causes of burnout were divided into three categories: eight subcategories (feeling of insufficient competence in an insurance review, closed mind in a limited working space, incompetency from other departments, harsh words and deeds that exclude me, insurance cuts controlling my work performance, cloudy mind chased by the billing date, ineffective hospital information systems, and question with no answer) and 23 causes. The impact of burnout was divided into three categories: six subcategories (experiencing mental and physical symptoms, projecting one’s feelings into family or neglecting them, withdrawing myself, wearing a mask, decreased work performance, and desiring to leave one’s work), and 14 concepts. Conclusion: This study provides basic data for strategy development to prevent and solve burnout problems among insurance review nurses. It is important to develop programs and policies to solve the burnout problem of insurance review nurses in the future.

Citations

Citations to this article as recorded by  
  • Demand for Simulation Education to Strengthen Patient Safety Competency of Graduated Nursing Students and New Nurses: Qualitative Content Analysis
    Jung Min Park, Sangeun Jun
    Journal of Korea Society for Simulation in Nursing.2024; 12(2): 17.     CrossRef
  • Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
    Song Hwa Nam, Eun A Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 588.     CrossRef
  • 747 View
  • 8 Download
  • 2 Crossref
Purpose
Nurses’ burnout is at risk due to increased of respiratory infections and their high demand and expectations. This study aimed to identify the factors that influence burnout among nurses caring for patients with respiratory infections. Methods: A total of 196 nurses caring for patients with respiratory infections from nine hospitals in Korea participated in this study. Data were collected through a structured, self-administered survey that included general characteristics, risk perception of respiratory infections, infection control fatigue, positive psychological capital, and burnout. Results: Burnout was significantly positively correlated with infection control fatigue and significantly negatively correlated with positive psychological capital; burnout was not significantly related to risk perception of respiratory infections. Infection control fatigue, positive psychological capital and total career significantly influenced burnout. These variables accounted for 38% of the burnout among nurses caring for patients with respiratory infections. Conclusion: Evidence-based guidelines are needed to support the ability of nurses with little experience in responding to infectious diseases and reducing infection control fatigue and providing effective educational programs at institutions that can improve the positive psychological capital of individual nurses.

Citations

Citations to this article as recorded by  
  • Understanding Burnout in School Nurses: The Role of Job Demands, Resources, and Positive Psychological Capital
    Jun Young Shin, Seung Eun Lee, Brenna L. Morse
    The Journal of School Nursing.2025;[Epub]     CrossRef
  • 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
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 345.     CrossRef
  • Effects of Infection Control Fatigue, Job Stress, and Resilience on Burnout in Nurses during the COVID-19 Era
    Chan Mi Moon, Jeong Hee Kang
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 410.     CrossRef
  • COVID-19 Obesity: Differences in Infection Risk Perception, Obesity Stress, Depression, and Intention to Participate in Leisure Sports Based on Weight Change
    Chulhwan Choi, Kyung-Rok Oh, Mun-Gyu Jun
    Healthcare.2023; 11(4): 526.     CrossRef
  • The impact of Long COVID, work stress related to infectious diseases, fatigue, and coping on burnout among care providers in nursing home: A cross-sectional correlation study
    Hyunju Lee, Youngja Seo, Jihye Kim, Hye Young Song, Jinhee Park, Youngran Yang
    Journal of Korean Gerontological Nursing.2023; 25(3): 271.     CrossRef
  • Effects of Job Stress, Social Support, and Infection Control Fatigue on Professional Quality of Life among Nurses in Designated COVID-19 Hospitals
    Minyoung Shin, Woojoung Joung
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 603.     CrossRef
  • The Influence of Infection Control Fatigue and Compassion Competence on Disaster Nursing Core Competencies of Nurses at COVID-19 Designated Hospitals
    Jae-Hyun Ha, Hyun-Ju Lee, Ki-Ryeon Kim
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 461.     CrossRef
  • 470 View
  • 20 Download
  • 7 Crossref
The Mediating Effect of Resilience on the Relationship between Role Conflict and Burnout in Physician Assistant Nurses
Ho Sun Jeong, So Young Choi
J Korean Acad Nurs Adm 2020;26(2):142-150.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.142
Purpose
The purpose of this study was to test the mediating effects of resilience in the relationship between role conflict and burnout in physician assistant nurses.
Methods
Participants were 144 physician assistant nurses recruited from 2 university hospitals. A questionnaire scale was used to collect the data. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis. and liner regression analysis.
Results
There were significant positive relationships for burnout and role conflict (r=.45, p<.001), and a negative correlation with resilience (r=-.47, p<.001). There was a negative correlation (r=-.30, p<.001) between role conflict and resilience. In addition, resilience partial mediates role conflict and burnout. As a result of testing the significance of mediating effect using bootstrapping, the mediating effect was significant by resilience ((y=.11, p=.008).
Conclusion
In this study, role conflict and burnout of physician assistant nurses were the factors that had an impact on each other and resilience had a partial mediating effect in the relationship between role conflict and burnout. The results of this study can be used as basic data for establishing management plans on role conflict and burnout by improving the resilience of physician assistant nurses.

Citations

Citations to this article as recorded by  
  • 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
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 345.     CrossRef
  • The Influence of Clinical Practice Nurses' Self-Leadership, Role Conflict, and Practice Environment on Patient Safety Competency
    Jeong Hwa Heo, Ji Hyun Sung
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 458.     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
  • Role Conflict of Physician Assistants with Nursing Licenses in Korea
    Byeongkwan Kim, Wonhee Jung
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 141.     CrossRef
  • Job satisfaction and moral distress of nurses working as physician assistants: focusing on moderating role of moral distress in effects of professional identity and work environment on job satisfaction
    Minsub Kim, Younjae Oh, Joo Yun Lee, Eunhee Lee
    BMC Nursing.2023;[Epub]     CrossRef
  • Intention to Stay in Specialist Trauma Nurses: Relationship With Role Conflict, Stress, and Organizational Support
    Jeong Eun Yoon, Ok-Hee Cho
    Journal of Trauma Nursing.2022; 29(1): 21.     CrossRef
  • Impact of Nurse–Physician Collaboration, Moral Distress, and Professional Autonomy on Job Satisfaction among Nurses Acting as Physician Assistants
    Yunmi Kim, Younjae Oh, Eunhee Lee, Shin-Jeong Kim
    International Journal of Environmental Research and Public Health.2022; 19(2): 661.     CrossRef
  • Effect of Role Conflict on Job Satisfaction by Comprehensive Nursing Care Service Ward Nurse: Moderating and Mediating Effect of Resilience
    So Hee Lee, Roma Seol, Min Hye Kim
    Journal of Korean Critical Care Nursing.2021; 14(3): 50.     CrossRef
  • Types of Perceptions Regarding Professionalism of Physician Assistant
    Geunmyun Kim, Junghyun Seo, Sunok Lee, Junhee Bae, Youngju Yang
    Stress.2020; 28(4): 202.     CrossRef
  • 943 View
  • 45 Download
  • 9 Crossref
Mediating Effects of Burnout between Time Pressure and Safety Care Activities of Nurses
Jungim Yun, Hyun mi Son
J Korean Acad Nurs Adm 2019;25(3):248-257.   Published online June 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.3.248
PURPOSE
This study was done to identify the effects of nurses' time pressure on their safety care activities through the mediation of burnout.
METHODS
Participants, 147 nurses with at least one year of work experience in two university hospitals were enrolled in this study. Data were collected using a self-reported questionnaire from July 31, to August 31, 2017 and analyzed with t-test, ANOVA, and Pearson's correlation coefficients. SPSS 23.0 was used for analysis. Mediating effects were examined with stepwise simple and complex regression, and statistical significance was verified with the Sobel test.
RESULTS
Time pressure and burnout were significantly negatively correlated with safety care activities, and there was a positive correlation between time pressure and burnout. Regarding the mediating effects of burnout in the relationship between time pressure and safety care activity, time pressure had a significant effect on safety care activity both directly and indirectly through burnout, confirming a partial mediation effect of burnout.
CONCLUSION
Strategies for enhancing work efficiency to reduce nurses' time pressure are needed to promote safety care activities. Furthermore, because burnout facilitated by time pressure among nurses influences their patient care activities, interventions for burnout management must also be implemented simultaneously.

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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
  • The Mediating Effects of Psychological Flexibility on Infection Control Nurses’ Mental Well-being in the Post-Pandemic Era
    Jina Kim, Chung Hee Woo
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 253.     CrossRef
  • Analysis of the Adequacy of Nurse Staffing Level through the Estimation of Nursing Activity Hours and Implementation of Focus Group Interviews in a Tertiary Hospital: Using a Mixed-Method Design
    Hyun-Joo Kim, Sun-Hee Lee, Jai-Jung Lee, Sun-Suk Seong, Hee Yang, Hyang-Yuol Lee
    Journal of Korean Academy of Nursing.2024; 54(2): 237.     CrossRef
  • The associations of psychological burnout and time factors on medication errors in rotating shift nurses in Korea: A cross sectional descriptive study
    Cheongin Im, Suyoung Song, Kyoungja Kim
    Nursing Open.2023; 10(8): 5550.     CrossRef
  • Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities
    Subin Lee, Sujin Shin
    Journal of Korean Critical Care Nursing.2023; 16(3): 87.     CrossRef
  • The Influence of Attitude toward Job Rotation, Professional Self-concept and Organizational Commitment on Patient Safety Nursing Activities: A Cross-Sectional Study
    Minji Park, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 303.     CrossRef
  • Factors Affecting the Infection Control Practices of Nurses at University Hospitals
    Mi Hyang Lee, Sun Hwa Jun
    Healthcare.2022; 10(8): 1517.     CrossRef
  • Influences of Teamwork and Job Burnout on Patient Safety Management Activities among Operating Room Nurses
    Ayoung Kim, Haein Lee
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 605.     CrossRef
  • Validity and Reliability of the Korean Version of the Climate, Health, and Nursing Tool
    Da Woon Jeong, Gwang Suk Kim, Min Kyung Park
    Journal of Korean Academy of Nursing.2022; 52(2): 173.     CrossRef
  • The Influence of Burnout on Patient Safety Management Activities of Shift Nurses: The Mediating Effect of Compassion Satisfaction
    I Seul Ryu, JaeLan Shim
    International Journal of Environmental Research and Public Health.2021; 18(22): 12210.     CrossRef
  • Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals
    Ju-Young Park, Jee-In Hwang
    Journal of Korean Academy of Nursing.2021; 51(1): 27.     CrossRef
  • 1,140 View
  • 45 Download
  • 11 Crossref
Relationship of ICU Nurses' Difficulties in End-of-Life Care to Moral Distress, Burnout and Job Satisfaction
Kkot Bi Jeon, Mihyun Park
J Korean Acad Nurs Adm 2019;25(1):42-51.   Published online January 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.1.42
PURPOSE
The aim of this study was to identify the relationships between the difficulty of end-of-life care and moral distress, burnout and job satisfaction of nurses working in intensive care units (ICUs).
METHODS
This descriptive study was conducted using self-report questionnaires. Participants were nurses who had more than one year of ICU experience and were recruited from three university hospitals (N=168).
RESULTS
The mean scores for ICU nurses' difficulty in end-of-life care, moral distress, burnout and job satisfaction were 3.42, 113.88, 3.16 and 2.58 points, respectively. Difficulty in end-of-life care was positively correlated with moral distress (r=.48, p < .001) and burnout (r=.26, p=.001) and was negatively correlated with job satisfaction (r=−.17, p=.024). Difficulties in end-of-life was identified as a predictor of moral distress (β=.44, p < .001), burnout (β=.26, p=.001) and job satisfaction (β=−.18, p=.024).
CONCLUSION
The results of this study suggest the following: it is important to have a deep understanding of ICU nurses who experience various difficulties in end-of-life care and to provide realist support for these nurses. And practical efforts by nursing organizations are needed, including support systems and education programs to alleviate ICU nurses' difficulties in end-of-life care.

Citations

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  • A Conceptual Analysis of Psychological Burnout Among Nurses Providing Terminal Care
    Sunjung Kim, Sunghee H. Tak
    Journal of Advanced Nursing.2025;[Epub]     CrossRef
  • Experiences and Well-Being of Early-Career Trauma Nurses in India: A Mixed Methods Study
    Rajesh Kumar, Antima Soni, Tarannum Ahmed, Kalpana Beniwal
    Journal of Trauma Nursing.2025; 32(4): 189.     CrossRef
  • The Impact of Difficulties in End-of-Life Care and Emotional Intelligence on Burnout among Intensive Care Unit Nurses
    Suk Hee Kim, Myoung-Ju Jo
    Journal of Korean Critical Care Nursing.2025; 18(3): 51.     CrossRef
  • Relationship between moral resilience and secondary traumatic stress among ICU nurses: A cross‐sectional study
    Mengyi Hu, Hongli Zhang, Chao Wu, Lu Li, Xinhui Liang, Yu Zhang, Hongjuan Lang
    Nursing in Critical Care.2024; 29(6): 1363.     CrossRef
  • The Relationship Between Perceived Comfort Level with Moral Sensitivity and Moral Distress Among Oncology Nurses: A Descriptive Correlational Study
    Samira Beiranvand, Kourosh Zarea, Shahram Molavynejad, Simin Madhooshi, Parisa Sheini Jaberi
    Seminars in Oncology Nursing.2024; 40(6): 151742.     CrossRef
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    Yeon Ju Lee, Heeok Park, Ji Hun Joung
    Journal of Korean Gerontological Nursing.2024; 26(2): 221.     CrossRef
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    Masoume Moqaddam, Nasrin Hanifi, Parvin Shiri Ghaidari
    Journal of Archives in Military Medicine.2024;[Epub]     CrossRef
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    Chan-Sook PARK
    Korean Journal of Medical Ethics.2023; 26(2): 133.     CrossRef
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    Annals of Military and Health Sciences Research.2023;[Epub]     CrossRef
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    Romanian Journal of Military Medicine.2023; 126(1): 106.     CrossRef
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    Jin Hee Yang, Gisoo Shin
    International Journal of Environmental Research and Public Health.2021; 18(3): 1253.     CrossRef
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    Jung-Hoon Lee, Yeoungsuk Song
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 153.     CrossRef
  • Emergency nurses’ experience of coping with moral distress
    Na Kyoung Lee, Jee-In Hwang
    The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 176.     CrossRef
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    So-Hi Kwon, Yeon-Su Cho
    The Korean Journal of Hospice and Palliative Care.2019; 22(4): 174.     CrossRef
  • 1,072 View
  • 51 Download
  • 20 Crossref
PURPOSE
The purpose of this study was to identify the effects of social support on the relationship between practice stress, emotional labor, and burnout among nursing students.
METHODS
The sample for this study consisted of 199 students from four universities located in Korea, and had a practicum experience at least one semester before the study began. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation and hierarchical multiple regression with SPSS/WIN 23.0.
RESULTS
It was found that: (a) burnout had a positive correlation with both practice stress and emotional labor, whereas a negative correlation was observed with social support; (b) social support mediated the relationship between practice stress and burnout, and (c) social support mediated the relationship between emotional labor and burnout.
CONCLUSION
Results of the study suggest that social support decreases the negative effects of practice stress and emotional labor on burnout. Therefore, we need to find ways to strengthen social support for students.

Citations

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  • Social support for nursing students: A concept analysis study
    Mi-Young Choi, Sunghee Park, Gie Ok Noh
    Nurse Education Today.2024; 132: 106038.     CrossRef
  • Examining Students’ Experience with the Nursing Management Practicum Based on the Service Design
    Yoomi Jung, Myungja Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 214.     CrossRef
  • The mediating effects of social support on the influencing relationship between grit and academic burnout of the nursing students
    Hae‐Ok Kim, Insook Lee
    Nursing Open.2022; 9(5): 2314.     CrossRef
  • DUYGUSAL EMEĞİN İŞE TUTKUNLUKLA İLİŞKİSİ: BANKA ÇALIŞANLARI ÜZERİNE BİR ARAŞTIRMA
    Edip ÖRÜCÜ, Ömer GİZLİER, Filiz AKIN
    Yönetim ve Ekonomi Araştırmaları Dergisi.2021; 19(3): 1.     CrossRef
  • Relationship between Emotional Labor Behaviors and Professionalism Levels in Nursing Students: A Case Study From The Faculty of Health Sciences and A Vocational School of Health
    Ayşe KARADAŞ, Songül DURAN, Serap KAYNAK
    Balıkesır Health Sciences Journal.2021; 10(3): 302.     CrossRef
  • Burnout and academic satisfaction of nursing students in traditional and integrated curricula
    Rafaely da Silva Batista, Márcio Souza dos Santos, Emiliana Cristina Melo, Ricardo Castanho Moreira, Júlia Trevisan Martins, Maria José Quina Galdino
    Revista da Escola de Enfermagem da USP.2021;[Epub]     CrossRef
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    Management Communication Quarterly.2020; 34(3): 384.     CrossRef
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    Soo Yeon Kim, Yong Soon Shin
    Journal of Korean Academic Society of Nursing Education.2019; 25(1): 17.     CrossRef
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    Eun Jung Lee, Mi-Hae Sung, Hye-Kyong Ahn, Yun Ah Kim
    Korean Journal of Women Health Nursing.2019; 25(1): 86.     CrossRef
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    Won Hee Jun, Jinhyang Yang, Eun Ju Lee
    Asian Nursing Research.2018; 12(3): 197.     CrossRef
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PURPOSE
This study was done to identify and compare nursing performance including job stress, emotional labor and burnout between nurses who work in comprehensive nursing care service wards and general wards.
METHODS
Participants were 187 nurses working in a general hospital in Busan which provides comprehensive nursing care service (comprehensive nursing care service ward: 95, general ward: 92). Data were collected using questionnaires and analyzed using descriptive statistics, χ² test, t-test, ANOVA, and multiple regression with the SPSS/WIN 23.0 program.
RESULTS
There was no significant difference in the variables between comprehensive nursing care service ward nurses and general ward nurses. Factors influencing burnout were emotional labor in comprehensive nursing care service ward nurses while job stress and emotional labor were the factors influencing burnout in general ward nurses.
CONCLUSION
The findings of this study indicate that comprehensive nursing care service can be a positive delivery system for nurses. Therefore, there is a need for strategies to integrate comprehensive nursing care service systematically.

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Effects of Workplace Bullying, Job Stress, Self-esteem, and Burnout on the Intention of University Hospital Nurses to Keep Nursing Job
Young Hee Yom, In Soon Yang, Jung Hee Han
J Korean Acad Nurs Adm 2017;23(3):259-269.   Published online June 30, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.3.259
PURPOSE
Medical institutions and their patients benefit from continued employment of nurses. In this study an assessment was done of important factors that influence nurses' intention to leaving their jobs.
METHODS
The sample consisted of 229 university hospital nurses. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffé, Pearson's Correlation Analysis, and Hierarchical Multiple Regression.
RESULTS
The control variables, including age, current position, and health status explained 18% (F=16.37, p<.001) of variance in retention intention. The control variables, bullying, job stress, self-esteem, and burnout collectively explained 27% of variance in retention intention.
CONCLUSION
The findings indicate that the factors influencing retention intention are age, current position, and health status, while self-esteem and burnout in work places are new and more recent factors that impact retention intention. These findings can be utilized to develop strategies to increase self-esteem and retention intention.

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Relationship among Types of Nursing Organizational Culture, Self-leadership and Burnout as Perceived by Perioperative Nurses
Minkyung Im, Young Hee Sung, Junghee Jung
J Korean Acad Nurs Adm 2017;23(2):170-180.   Published online March 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.2.170
PURPOSE
This study was designed to assess the types of nursing organizational culture, and degree of self-leadership and burnout as perceived by perioperative nurses, and to identify correlations between these variables.
METHODS
Participants were 155 nurses from 3 tertiary hospitals in Seoul and data were analyzed using descriptive statistics, ANOVA, Scheffé, and Pearson correlation coefficient.
RESULTS
In the types of nursing organizational culture, the mean score for hierarchy-oriented culture was 3.57, and for self-leadership, 3.61 and for burnout, 2.87. In the relationship between the types of nursing organizational culture, self-leadership and burnout, relation-oriented culture (r=.24, p<.01), innovation-oriented culture (r=.23, p<.01) and task-oriented culture (r=.22, p<.01) had a slight positive correlation with self-leadership in that order. The innovation-oriented culture (r=-.29, p<.01) and relation-oriented culture (r=-.42, p<.01) among the types of nursing organizational culture showed a negative correlation with burnout while the hierarchy-oriented culture (r=.28, p<.01) showed a positive correlation with burnout. Self-leadership showed a negative correlation with burnout (r=-.42, p<.01).
CONCLUSION
The results show that nurses in operating rooms have a high awareness of hierarchy-oriented culture that affects burnout in a negative way while having a low awareness of relation-oriented culture that has a positive influence on burnout.

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Effect of Nurses' Incivility Experienced by Nursing Student, Coping on Burnout in Clinical Practice
Yunkyung Hong, Younghae Kim, Hyunmi Son
J Korean Acad Nurs Adm 2016;22(4):323-331.   Published online September 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.4.323
PURPOSE
The purpose of this study was to identify the effects of nurse's incivility experienced by nursing students and coping against incivility on burnout in clinical practice.
METHODS
A cross-sectional correlation study design was used. The subjects were 120 nursing student from four universities in Busan and Yangsan, South Korea. A self-report questionnaire was used to collect data on incivility, coping, and burnout. Finally total 117 nursing students' data was analyzed except 3 nursing students who had never experienced nurse's incivility for clinical practice. Data analyzed using descriptive statistics, Pearson correlation coefficient, independent t-test, ANOVA, and multiple regression.
RESULTS
97.5% of subjects (n=120) experienced incivility. Incivility was positively correlated with seeking social support coping, avoiding focused coping and burnout. Incivility and avoiding focused coping had a significant positive effect on burnout. The explained variance for burnout was 10.0% and avoiding focused coping was the most significant factor in burnout.
CONCLUSION
Most of nursing students experience the nurses' incivility. Judging incivility as a difficult problem to solve, students use more avoiding focused coping strategy and burnout is increased. Therefore education is needed to improve the coping strategies at incivility. Additionally colleges and hospitals should establish the formal reporting system to handle the incivility.

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Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities
Hyun Mi Jang, Ju Young Park, Young Ju Choi, Sung Won Park, Han Na Lim
J Korean Acad Nurs Adm 2016;22(3):239-250.   Published online June 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.3.239
PURPOSE
The aim of this study was to examine effects of patient safety culture and burnout on safety management activities with a focus on clinical experience of nurses in general hospitals.
METHODS
Self-administered questionnaires were given to nurses in a general hospital in C Province, and 107 questionnaires were used for final analysis. Collected data were analyzed using SPSS/WIN 21.0 Program for t-test, ANOVA, Pearson correlation coefficients, and multiple regression.
RESULTS
The highest score as perceived by general hospital nurses for patient safety culture was for 'Immediate superior/Manager'(3.84), for burnout, the highest score was for 'Emotional exhaustion' (4.13), and for safety management activities, the highest score was for 'Prevention of infection' (3.96). Patient safety culture and safety management activities perceived by general hospital nurses showed significant positive correlations (r=.35 p<.001). The correlations between burnout and safety management activities perceived by the nurses showed significant negative correlations (r=-.37, p<.001). Results of hierarchical regression analysis conducted to identify factors that affect safety management activities showed that patient safety culture (β=.40 p<.001) was effective for controlling safety management activities.
CONCLUSION
The findings indicate a need to build a patient safety culture that fits the characteristics and situations of various hospitals.

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Influence of Experiencing Verbal Abuse, Job Stress and Burnout on Nurses' Turnover Intention in Hemodialysis Units
Sun Ae Joung, Kyung Yeon Park
J Korean Acad Nurs Adm 2016;22(2):189-198.   Published online March 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.2.189
PURPOSE
The aim of this study was to investigate the relationships between the hemodialysis unit nurses' experience of verbal abuse, job stress, burnout, and turnover intention, and to identify the explained variances for turnover intention.
METHODS
The research design was a descriptive survey using a probability sampling. The data were measured using self-report questionnaires from 231 hemodialysis unit nurses in seven cities in Korea and were analyzed with SPSS 20.0.
RESULTS
The mean scores were 2.45±0.62 (out of 5) for experience of verbal abuse, 2.40±0.26 (out of 4) for job stress, 2.31±0.48 (out of 4) for burnout, and 3.16±0.05 (out of 5) for turnover intention. There were significant correlations among the experience of verbal abuse, job stress, burnout, and turnover intention within the hemodialysis unit nurses. Factors influencing turnover intention were 'burnout' (β=.42, p<.001) and 'job stress' (β=.17, p=.015)which explained 42% of the variance (F=15.98, p<.001).
CONCLUSION
Results suggest that in order to reduce nurses' turnover intention, nurse managers should explore strategies to reduce nurses' burnout and job stress in nurses in hemodialysis units.

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A Study on the Mediating Effect of Emotional Intelligence between Perfectionism and Burnout in Advanced Practice Nurses (APN)
Gie Ok Noh, Kyung Sook Park, Young Soon Im
J Korean Acad Nurs Adm 2016;22(2):109-118.   Published online March 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.2.109
PURPOSE
The aim of this study was to analyze relationships between perfectionism, burnout, and emotional intelligence in APN and to identify the mediating effect of emotional intelligence on the relationship between perfectionism and burnout.
METHODS
A structured self-report questionnaire was used to measure perfectionism, burnout, and emotional intelligence. Data were collected from 121 APN working in five advanced general hospitals and two general hospitals. Data were analyzed using descriptive statistics, Independent t-test, One-way ANOVA, Mann-Whitney U test, Pearson correlation and Hierarchical multiple regression with the SPSS/WIN 22.0 program.
RESULTS
Mean scores for each variable were: perfectionism 3.57 (on a 5-point scale), burnout 3.32 (on a 7-point scale), and emotional intelligence 5.00 (on a 7-point scale). Self-oriented perfectionism had a positive correlation with burnout, as did socially prescribed perfectionism. Emotional intelligence was a significant variable reducing burnout, as it also had a reverse buffering effect on the relationship between self-oriented perfectionism and burnout. Explanatory power of the final model based on variables was 34%.
CONCLUSION
The results of this study suggest a mediating direction regarding burnout by demonstrating that emotional intelligence plays a direct and reverse buffering role to self-oriented perfectionism, which can be used to reduce burnout in APN.

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Perceptions of Medical Personnel toward Burnout using Q Methodology
Eun Ja Yeun, Young Mi Kwon, Young Mi Lee
J Korean Acad Nurs Adm 2016;22(1):57-66.   Published online January 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.1.57
PURPOSE
This exploratory study was done to categorize medical personnel's perceptions of burnout and analyzed the characteristics.
METHODS
Q methodology was applied using a 45 Q-sample categorized on an 11-point scale which was completed by nurses and doctors working at a university hospital in Seoul, Korea. Collected data were analyzed using the PC-QUANL program.
RESULTS
Medical personnel's perceptions of burnout were categorized into three types; 33.83% of the total variance was explained. The first type was 'functionally deteriorating pressure' the second type was 'daily powerlessness' and the third was 'achievement-oriented re-energization'.
CONCLUSION
There is a need to establish and apply intervention strategies for each type to alleviate medical personnel burnout and increase work efficiency to qualitatively improve medical services.
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PURPOSE
The purpose of this study was to identify the effects of emotional labor on burnout in nurses focusing the moderating effects of social intelligence and emotional intelligence.
METHODS
Data were collected in March 2015 by self administered questionnaires among 392 nurses in eight hospitals located in Busan, Gyeongsangnam-do. Data were analyzed by stepwise multiple regression, hierarchical multiple regression.
RESULTS
Study results shown (a) emotional labor showed a positive correlation on burnout, while social intelligence and emotional intelligence showed a negative correlation on burnout, (b) emotional labor was the most influential variable on burnout, (c) social intelligence had a negative moderating effect the relationship between emotional labor and burnout, (d) emotional intelligence had a positive moderating effect the relationship between emotional labor and burnout.
CONCLUSION
The result of the study indicate that emotional labor of nurses is positively correlated with burnout and emotional labor is to give the greatest effect on burnout, social intelligence and emotional intelligence had a moderating effects the relationship between emotional labor and burnout.

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Effects of the Mind Map for Emotional Labor and Burnout: A Survey of Nurses in Outpatient Departments of Cancer Hospitals
Jin A Lee, Seok Won Park, Kyeong Ji Kim, Hyun Ok Paik, Eunyoung Jeon
J Korean Acad Nurs Adm 2015;21(5):511-518.   Published online December 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.5.511
PURPOSE
The purpose of this research was to develop and evaluate the effect of a mind map for relief of emotional labor and burnout among nurses in outpatient departments in cancer hospitals.
METHODS
We developed a mind map to reduce emotional labor and burnout. A quasi-experimental study was used with a nonequivalent control group pretest-posttest design. Data were collected from December 2012 to April 2013. Participants were 35 nurses working in the outpatient department of a cancer hospital. The experimental group participated in the mind map program biweekly for 10 weeks. Data were analyzed using chi2-test, Mann-Whitney U test, paired t-test, and Wilcoxon sign rank test with the SPSS 21.0 program.
RESULTS
The physical burnout and total burnout scores decreased significantly in the intervention group which took the mind map program.
CONCLUSION
Findings indicate that the mind map is an effective intervention to reduce burnout in outpatient department nurses.
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Effects of Nursing Practice Environment, Compassion Fatigue and Compassion Satisfaction on Burnout in Clinical Nurses
Mi Young Han, Min Sook Lee, Ju Young Bae, Young Suk Kim
J Korean Acad Nurs Adm 2015;21(2):193-202.   Published online March 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.2.193
PURPOSE
The purposes of this study was to identify the effects of nursing practice environment, compassion fatigue and compassion satisfaction on burnout in clinical nurses.
METHODS
Participants selected for the final analysis were 208 nurses working in 2 general hospitals in Busan and Masan. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and Hierarchial Multiple Regression with SPSS/WIN 18.0.
RESULTS
Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout, but Nursing practice environment had no effect on burnout. The explained variance for burnout was 61% and compassion satisfaction was the most significant factor in burnout of nurses.
CONCLUSION
The results of this study indicate that to reduce burnout in clinical nurses it is necessary to develop programs to increase nurses' compassion satisfaction and decrease compassion fatigue.

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PURPOSE
This study was done to: (a) identify levels of emotional labor that nursing students perceived when caring for patients in the hospital during their nursing practicum, (b) examine the impact of emotional labor on burnout, and (c) identify the possible moderating effect of emotional intelligence on the relationship between emotional labor and burnout for nursing students.
METHODS
A descriptive study was conducted with a sample of 171 students enrolled in a 4-year undergraduate nursing program in one university located in Korea, and had a practicum experience at least one semester before the study began. Data were collected with self-report questionnaire, and analyzed with SPSS 21.0 program, using hierarchical multiple regression.
RESULTS
Mean score for emotional labor was 3.17 with a range of 1 to 5. For nursing students, emotional labor significantly affected burnout in the nursing practicum (F=15.763, p<.001), and explained 30.1% of the variance in burnout. The degree of emotional intelligence acted as a moderator on the relationship between emotional labor and burnout at significant level (F=15.345, p<.001).
CONCLUSION
This research shows that nurse managers as well as nurse educators need to pay attention to nursing students' emotional labor during nursing practicum in the care units of hospitals.

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Influential Factors Related to Job Satisfaction in Hospice Nurses: Focus on Emotional Labor and Burnout
Bokyae Chung, Ji Young Han
J Korean Acad Nurs Adm 2014;20(3):322-331.   Published online June 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.3.322
PURPOSE
The purpose of this study was to identify factors influencing job satisfaction in hospice nurses. The focus was on emotional labor and burnout.
METHODS
Between September 30 and October 18, 2013, hospice nurses (n=63) in 5 hospitals in 4 cities completed measures of emotional labor, burnout, and job satisfaction. Data were collected using questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression with the SPSS/Win 21.0 program.
RESULTS
The mean score per item for emotional labor was 3.0, the mean of burnout score was 2.7, and the mean job satisfaction score was 3.4. Emotional labor showed a positive correlation with burnout (r=.61), and a negative correlation with job satisfaction (r=-.52). Burnout showed a negative correlation with job satisfaction (r=-.64). The factors influencing job satisfaction were burnout (beta=-.65, p<.001) and clinical experience (beta=.25, p=.007). Burnout and clinical experience explained 57.0% of the variance in hospice nurses' job satisfaction.
CONCLUSION
The findings of this study indicate a need to develop strategies to prevent burnout and control emotional labor in order to increase job satisfaction for hospice nurses.

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Effects of Type D Personality on Compassion Fatigue, Burnout, Compassion Satisfaction, and Job Stress in Clinical Nurses
Sung Reul Kim, Hye Young Kim, Jeong Hee Kang
J Korean Acad Nurs Adm 2014;20(3):272-280.   Published online June 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.3.272
PURPOSE
This study was done to identify the effects of Type D personality on compassion fatigue, burnout, compassion satisfaction, and job stress in clinical nurses.
METHODS
A descriptive cross-sectional design was used. Data were collected from a convenience sample of 172 clinical nurses working in two tertiary hospitals. The structured questionnaires included Type D personality scale, compassion fatigue, burnout, compassion satisfaction, and job stress scales.
RESULTS
About 79.7% of participants were classified as Type D personality group. The Type D personality was not related to general characteristics of clinical nurses. The Type D personality group showed statistically significant higher compassion fatigue, burnout, and job stress and lower compassion satisfaction compared to the non-Type D personality group. In addition, compassion fatigue and burnout were positively correlated with job stress and compassion fatigue was positively correlated with burnout. However, compassion satisfaction was negatively correlated with burnout.
CONCLUSION
As the prevalence of Type D personality is high in clinical nurses, it is necessary to assess stress-related personality. In addition, management for the nurse with Type D personality is required to alleviate compassion fatigue, burnout, and job stress and to improve compassion satisfaction.

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Effects of General Hospital Nurses' Work Environment on Job Embeddedness and Burnout
Jong Kyung Kim, Myung Ja Kim, Se Young Kim, Mi Yu, Kyoung A Lee
J Korean Acad Nurs Adm 2014;20(1):69-81.   Published online January 31, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.1.69
PURPOSE
The aim of this study was to investigate and identify work environment, job embeddedness, and burnout among general hospital nurses in Korea.
METHODS
The participants were 563 clinical nurses working in 13 general hospitals across the country. Data were analyzed using SPSS and Microsoft Excel programs.
RESULTS
Mean scores were 2.62 for nurses' work environment, 2.97 for job embeddedness, and 3.61 for burnout. Nurses' work environment showed a positive correlation with job embeddedness (r=.70, p<.001), but a negative correlation with burnout (r=-.49, p<.001). Subcategories of nurses' work environment that predicted job embeddedness included satisfaction and happiness, hospital support for the work environment, patient care environment, satisfaction with work schedule, manager leadership, supportive environment for nurses' work, and computer problems. Subcategories of nurses' work environment that predicted burnout included satisfaction and happiness, violence within ward, hospital support for work environment, and patient care environment.
CONCLUSION
Findings from this study indicate the need to evaluate and improve the work environment for nurses to increase job embeddedness and control burnout. Future studies should explore ways in which turnover intention can be decreased by changing nurses' work environment.

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PURPOSE
The purpose of this study was to ascertain current status of nurses' perception, nursing performance, job stress, and burnout in relation to the Joint Commission International (JCI) hospital accreditation and to verify the relationships among these variables.
METHODS
This cross-sectional study was performed using questionnaires. Data were collected from 220 nurses who worked at one hospital from April 5 to May 4, 2013.
RESULTS
The scores for perception, nursing performance, job stress and burnout in relation to the JCI hospital accreditation were(on a five-point Likert scale) 3.23, 4.01, 3.56 and 3.40 respectively. A positive correlation was observed between perception and nursing performance. Burnout was negatively correlated with perception and nursing performance, and positively correlated with job stress.
CONCLUSION
These results indicate that developing positive perception and reduced burnout in relation to the JCI hospital accreditation can produce good nursing performance. These findings can be utilized to develop strategies for reducing job stress and burnout in relation to the JCI hospital accreditation.

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Effects of Work Stress, Compassion Fatigue, and Compassion Satisfaction on Burnout in Clinical Nurses
Jung Min Lee, Young Hee Yom
J Korean Acad Nurs Adm 2013;19(5):689-697.   Published online December 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.5.689
PURPOSE
The purpose of this study was to identify the effects of work stress, compassion fatigue and compassion satisfaction on burnout in clinical nurses.
METHODS
The sample consisted of 268 nurses from two general hospitals located in Seoul and Gyunggi province. Data were analyzed using frequencies, percentages, means and standard deviations, t-test, ANOVA, Scheffe, Pearson Correlation and Hierarchial Multiple Regression.
RESULTS
Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout. The explained variance for burnout was 49% and compassion satisfaction was the most significant factor in burnout of nurses.
CONCLUSION
The results indicate that the factors influencing nurses' burnout are work stress, compassion fatigue and compassion satisfaction. Therefore strategies to decrease work stress and compassion fatigue and to enhance compassion satisfaction for nurses are needed.

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The Mediating Effect of Emotional Dissonance in the Relationship between Emotional Labor and Burnout among Clinical Nurses
Chung Mee Ko, Ae Young Lee
J Korean Acad Nurs Adm 2013;19(5):647-657.   Published online December 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.5.647
PURPOSE
This study was done to identify the mediating effect of emotional dissonance in the relationship between emotional labor and burnout among clinical nurses.
METHODS
A cross-sectional survey design was used. The participants were 257 nurses working at three general hospitals located in Seoul and Gyeonggi Province. Data were collected by convenience sampling using self-report questionnaires that consisted of general characteristics, and measures of emotional labor, emotional dissonance and burnout. Data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and multiple regression.
RESULTS
The findings of the multiple regression were as follows. First, surface acting of emotional labor showed significant positive effects on emotional dissonance and burnout. Second, when surface acting and emotional dissonance were entered into the regression model at the same time, surface acting showed an insignificant effect on burnout, however, emotional dissonance showed a significant effect. Finally, emotional dissonance had a mediating effect only between surface acting of emotional labor and burnout, not between deep acting and burnout.
CONCLUSION
Results of the study suggest that as a way to reduce burnout, nursing administrators should develop educational programs for nurses to perform deep acting of emotional labor instead of surface acting at the moment of truth.

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An Empirical Study on Burnout in Clinical Nurses: Focused on Bullying and Negative Affectivity
Jung Hee Han, In Soon Yang, Young Hee Yom
J Korean Acad Nurs Adm 2013;19(5):578-588.   Published online December 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.5.578
PURPOSE
The purpose of this study was to identify the effects of bullying, negative affectivity and burnout in the nurses.
METHODS
The sample consisted of 389 nurses. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe, Pearson Correlation Analysis and Hierarchical Multiple Regression.
RESULTS
The control variables of age, marital status, education level, current position, health status and work unit explained 30.2%(F=28.9, p<.001) of variance in burnout. The control variables, bullying and negative affectivity collectively explained 49.7% of variance in burnout.
CONCLUSION
The results indicate that the demographic factors influencing burnout are age, education level, health status, work unit, while bullying and negative affectivity in the work places are factors that influence burnout. These findings can be utilized to develop strategies to reduce bullying and negative affectivity.

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    Jeong Yee Bae, Eun-kyung Lee, Bi-Joo Kim, Eun Ju Lee
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    Young-Ran Yeun
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    Mi Ra Han, Jeung Ah Gu, Il Young Yoo
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Path Analysis for Workplace Incivility, Empowerment, Burnout, and Organizational Commitment of Hospital Nurses
Se Young Kim, Jong Kyung Kim, Kwang Ok Park
J Korean Acad Nurs Adm 2013;19(5):555-564.   Published online December 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.5.555
PURPOSE
The purpose of this study was to examine nurses' experience of workplace incivility from coworkers, supervisors, patients or patients' families, and doctors. The researcher identified the relationships among empowerment, burnout, and organizational commitment of hospital nurses.
METHODS
The sample included 415 hospital nurses. Data were collected through questionnaires and analyzed using SPSS and AMOS.
RESULTS
The average incivility score was 2.94 from doctors and 2.89 from patients or patients' families, higher than from supervisors (1.90) and coworkers (1.87). The variables affecting burnout included direct effect of empowerment (beta=-.46, p<.001), direct effect of patients or patients' family incivility (beta=.14, p<.001), direct effect of supervisor incivility (beta=.12, p<.001), and direct effect of doctor incivility (beta=.09, p<.001). The variables affecting organizational commitment were direct effect of burnout (beta=-.58, p<.001), indirect effect of empowerment (beta=-.23, p<.001), indirect effect of patients or patients' family incivility (beta=-.12, p<.001), indirect effect of supervisor incivility (beta=-.10, p<.001), and indirect effect of doctor incivility (beta=-.09, p<.001).
CONCLUSION
The results indicate that incivility affecting nurses results in a high degree of burnout and a low degree of organizational commitment. Therefore, it is necessary to assess incivility cases and to hold workshops designed to curb incivility and establish healthy workplaces.

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    Hüseyin KARAGÖZ
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Burnout Experience of HIV Counseling Nurses
Myoung Hee Seo, Seok Hee Jeong, Myung Ha Lee, Hyun Kyung Kim
J Korean Acad Nurs Adm 2013;19(4):544-554.   Published online September 30, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.4.544
PURPOSE
This study was designed to describe the burnout experiences of nurses counseling people living with HIV/AIDS (PLWHA) in hospital-based counseling services in Korea.
METHODS
A qualitative research technique with focus group interviews was used and the data were collected in 2012. Participants were 13 counseling nurses from 16 medical hospitals in South Korea who had worked full-time for more than six months as a counseling nurse for PLWHA. The 13 nurses made up 68.4% of all 19 official HIV counseling nurses in South Korea. Data were collected using focus group interviews and analyzed with the content analysis methodology of Downe-Wamboldt.
RESULTS
Burnout experience of counseling nurses for PLWHA was analyzed for two domains-causes of, and effects of burnout. Each domain was classified into three categories; personal, job-related, and relationships. Further 17 sub-categories and 47 concepts were discovered.
CONCLUSION
In this study various causes and effects of burnout experienced by nurses counseling PLWHA were identified. These findings can be used in developing effective strategies for nurses, administrators, and health policy makers to solve the burnout of counseling nurses. Further research is required to develop detailed and practical job description for nurses counseling PLWHA.

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    Jae-Phil Choi, Jung-Hui Lee, Jong Mi An, Jihyun Kim, Nari Won, Young Hwa Choi
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    Hye Ja Han, Jong Sook Han, Mi Young Lee
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Effects of Resilience on Work Engagement and Burnout of Clinical Nurses
Inn Oh Moon, Sook Kyoung Park, Jung Mi Jung
J Korean Acad Nurs Adm 2013;19(4):525-535.   Published online September 30, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.4.525
PURPOSE
The purpose of this study was to analyze factors affecting work engagement and burnout among clinical nurses according to resilience.
METHODS
The study design was a descriptive survey and questionnaires were collected from 182 clinical nurses who worked in hospitals in "J" province. Data were analyzed using frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Scheffe test, Pearson correlation, and hierarchical multiple regressions.
RESULTS
The mean score of resilience, work engagement, burnout were 3.47+/-0.38, 4.29+/-0.98, 2.25+/-0.82 respectively. Resilience had 26.3% of the influence on work engagement and 50.5% of the influence on burnout. Sub-variables of causal analysis and empathy of resilience were statistically useful as factors influencing burnout.
CONCLUSION
Resilience has been identified as a factor affecting work engagement and burnout. Therefore, nursing departments and nurse managers should strive to develop programs for the promotion of resilience.

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The Process of Overcoming the Professional Burnout of Clinical Nurses
Sungye Kang
J Korean Acad Nurs Adm 2013;19(3):427-436.   Published online June 30, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.3.427
PURPOSE
The purpose of this study was to identify the process of overcoming professional burnout among clinical nurses.
METHODS
Data were collected from 12 clinical nurses through in-depth interviews about their actual experiences. The main question was "How do you describe your experience of the process of overcoming professional burnout?" Qualitative data from the field notes and transcribed notes were analyzed using the grounded theory methodology developed by Strauss & Corbin.
RESULTS
The core category of experience of the process of professional burnout among clinical nurses was identified as "Keeping a balance by awakening-relaxing-coexisting". The participants used six interactional strategies such as 'Confronting problems', 'Exposing problems', 'Laying the mind's burdens down', 'Taking a breather', 'Seeing from a different perspective', 'Accepting realities'. The results of overcoming process of professional burnout were 'Coexisting' and 'Revitalizing'.
CONCLUSION
The results of this study provide useful information for designing supportive programs and policies to solve professional burnout in clinical nurses.

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Factors Affecting Burnout among Clinical Nurses according to Positive Psychological Capital
Jeong Ok Ko, Sook Kyoung Park, Myung Ha Lee
J Korean Acad Nurs Adm 2013;19(2):304-314.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.304
PURPOSE
The purpose of this study was to analyze factors affecting burnout among clinical nurses according to Positive Psychological Capital.
METHODS
The study design was a descriptive survey and questionnaires were collected from 412 clinical nurses who worked in a general hospital in "J" city. Data were analyzed using frequency, percentage, mean, standard deviation, independent t-test, One-way ANOVA, Scheffe test, Pearson Correlation, and hierarchical multiple regression.
RESULTS
In Model individual characteristics accounted for 27.8% of the influence on burnout. In model II with the addition of the 4 factors; Self-efficacy, Hope, Resilience, Optimism, individual characteristics accounted for 48.5% of the influence on burnout. Optimism and Resilience of the Positive Psychological Capital sub-variables were statistically useful as factors influencing burnout.
CONCLUSION
The results indicate that it is necessary to develop active human resource management and educational programs to decrease burnout and strengthen the Positive Psychological Capital of the nurses.

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Occupational Stress and Coping Styles as Factors Affecting the Burnout of Clinical Nurses
Kyoung Ja Kwon, Seung Hee Lee
J Korean Acad Nurs Adm 2012;18(4):383-393.   Published online December 31, 2012
DOI: https://doi.org/10.11111/jkana.2012.18.4.383
PURPOSE
The aim of this study was to investigate the effects of occupational stress and coping styles on burnout of clinical nurses.
METHODS
The participants in this study were 397 nurses, working at the hospitals in Seoul, Gangwon, and Gyongbuk provinces. Data were collected using a structured questionnaire from November, 2009 to January, 2010. The SPSS WIN 13.0 version program was used for data analysis.
RESULTS
The most significant predictors of burnout were positive reappraisal and work load. Work load, resource inadequacy, role ambiguity, and indifference coping style positively correlated with burnout. Positive reappraisal and problem-focused coping styles negatively correlated with burnout.
CONCLUSION
The study results indicate that it is important to reduce work load, resource inadequacy, and role ambiguity in nurses and to strengthen their positive reappraisal and problem-focused coping styles to prevent burnout. This could be achieved with job redesign, modification of shift work systems, and by offering burnout prevention program.

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Emergency Nurses' Professional Quality of Life: Compassion Satisfaction, Burnout, and Secondary Traumatic Stress
Hyeon Ju Kim, Heejung Choi
J Korean Acad Nurs Adm 2012;18(3):320-328.   Published online September 30, 2012
DOI: https://doi.org/10.11111/jkana.2012.18.3.320
PURPOSE
Professional quality of life is the quality one feels in relation to their work as a helper. The purpose of this study was to describe professional quality of life among emergency nurses.
METHODS
A total of 15 emergency rooms were selected in three cities. Among 263 nurses working at these emergency rooms, 178 nurses consented to participate in this cross-sectional survey. Professional Quality of Life (ProQOL) Scale version 5 was used to measure compassion satisfaction, burnout and secondary traumatic stress. Cluster analysis was used to classify nurses according to professional quality of life.
RESULTS
The mean scores (SD) for compassion satisfaction, burnout, and secondary traumatic stress were 32.12 (5.45), 28.27 (4.28), and 28.20 (5.07), respectively. The result of cluster analysis according to standardized score of compassion satisfaction, burnout, and secondary traumatic stress yielded three clusters. Over 50% of participants showed low professional quality of life. Nurses who were included in a cluster representing low professional quality of life were younger, had shorter periods of nursing experience, and perceivedlower social support than other cluster.
CONCLUSION
Education or support programs for emergency nurses are needed to enhance their professional quality of life.

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Effects of Social Support and Emotional Intelligence in the Relationship between Emotional Labor and Burnout among Clinical Nurses
Da Won Baik, Young Hee Yom
J Korean Acad Nurs Adm 2012;18(3):271-280.   Published online September 30, 2012
DOI: https://doi.org/10.11111/jkana.2012.18.3.271
PURPOSE
The purpose of this study was to identify the effects of social support and emotional intelligence in the relationship between emotional labor and burnout among clinical nurses.
METHODS
The sample for this study consisted of 382 nurses from four hospitals located in Seoul or Gyunggi Province. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe test, Pearson Correlation, Hierarchical Multiple Regression, and Path Analysis.
RESULTS
It was found that: (a) emotional labor had a positive effect on burnout, while social support and emotional intelligence had negative effects on burnout; (b) social support and emotional intelligence moderated the relationship between emotional labor and burnout, and (c) social support mediated the relationship between emotional labor and burnout, whereas emotional intelligence did not.
CONCLUSION
The results of the study indicate that high levels of support had a buffering effect and mitigated the negative effects of the emotional labor on burnout. Therefore, strategies to enhance social support for nurses are needed and further research needs to be done to refine this study.

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Affecting Factors of Nurses' Burnout in Secondary General Hospitals
Seung Mi Park, In Sun Jang, Jeong Sil Choi
J Korean Acad Nurs Adm 2011;17(4):474-483.   Published online December 31, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.4.474
PURPOSE
This study was conducted to identify factors affecting nurses' burnout in secondary general hospitals.
METHODS
Data were collected through structured questionnaires from 241 nurses working at the secondary general hospitals with below 400 beds in the P, C, and S city between April and May, 2009. Data analysis was done with independent t test, ANOVA, Pearson correlation coefficient, and multiple stepwise multiple regression with SPSS WIN v 17.0.
RESULTS
Burnout was significantly different according to religion, age, clinical experiences, and shift work. Burnout score of the subjects was 58/100. Burnout of the subjects were positively correlated with job stress and negatively correlated with hardness, self efficiency, self esteem, spiritual wellbeing, social support, and job satisfaction. The explained variances for burnout was 51.8% and factors affecting nurses' burnout in secondary general hospitals were job stress, hardness, self efficiency, job satisfaction and shift work.
CONCLUSION
These results showed the significant factors fo nurses' burnout in secondary general hospitals. These findings can be utilized to development of strategies for reducing job stress and enhancing hardness, self efficiency and job satisfaction.

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A study on Burnout, Emotional labor, and Self-efficacy in Nurses
Ya Ki Yang
J Korean Acad Nurs Adm 2011;17(4):423-431.   Published online December 31, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.4.423
PURPOSE
This study was conducted to investigate the relationship of burn out, emotional labor and self-efficacy in nurses, and to identify predictors of burnout.
METHOD
The participants were 268 nurses working in C university hospital in G city. Data were collected from May 1 to May 31, 2010, and analyzed using SPSS/WIN 12.0.
RESULTS
The mean score per item for burnout was 3.13, the mean emotional labor score was 3.15, and the mean of self-efficacy score was 3.42. Burnout showed negative correlation with self-efficacy (r=-.339, p=.000), and showed positive correlation with emotional labor (r=.511, p=.000). Variables that predicted burnout were emotional labor, self-efficacy, gender, number of assigned patient per duty (37.8%).
CONCLUSION
The findings of this study indicate a need to develop programs for nurses to increase self-efficacy and to control the emotion, and the need for further studies to examine causal relationship among burn out, emotional labor and self-efficacy.

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Work Stress, Turnover Intention and Burnout among Nurses in Neonatal Intensive Care Units
Mi Yu
J Korean Acad Nurs Adm 2011;17(1):115-126.   Published online March 31, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.1.115
PURPOSE
This study was done to identify differences in work environment, work stress, turnover intention and burnout and investigate the relationship among these variables in nurses in Korean Neonatal Intensive Care Units.
METHODS
Participants were 242 nurses working in 13 general hospitals. Burnout was measured by the Maslach Burnout Inventory (MBI), work stress with the instrument by Gu & Kim (1994), and turnover intention with the scale by Kim & Lee (2001). Size of the NICU, nurse to patient ratio, and communication satisfaction were included in work environment. Data were analyzed using Pearson correlation coefficients and multiple regression analysis with SPSS WIN program.
RESULTS
The mean score for work stress in NICU nurses was 3.43 points, for burnout, 2.72 points, and for turnover intention, 4.64 points. Burnout and turnover intention level of participants were moderate-high. Work stress, communication dissatisfaction with physician, and clinical career accounted for 33% of variance in burnout. Significant differences were found between size of NICU and staffing related to environmental characteristics in turnover intention and burnout.
CONCLUSIONS
Results indicate that effective communication with coworkers and institutional support for appropriate staffing according to number of beds will help to prevent work stress, burnout, and ultimately, nurses' resignations.

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Influences of Job Stress and Burnout on Turnover Intention of Nurses
Geum Suk Yoon, Souk Young Kim
J Korean Acad Nurs Adm 2010;16(4):507-516.   Published online December 31, 2010
DOI: https://doi.org/10.11111/jkana.2010.16.4.507
PURPOSE
The purposes of this study were to understand the general hospital nurses' work stress, burn out and turnover intention and to identify the factors that influence on turnover intention.
METHODS
This study was conducted through a survey of 283 nurses having at least 6 months of work experience of 4 general hospitals in Seoul. Data were collected from September to October 2009. The data were analyzed using descriptive statistics, ANOVA, and stepwise multiple regression test with SPSS WIN 14.0.
RESULTS
The score for turnover intention was 3.57 out of 5. Turnover intention was significantly correlated with work stress, burn out, and working position. The factors influencing turnover intention were organizational system, depersonalization, physical environment, work position, and occupational climate. The predict variables accounted for 27.9% of turnover intention.
CONCLUSION
The results of this study show that factors influencing turnover intention are organizational system, depersonalization, physical environment, work position, and organizational climate. Therefore, nursing managers should understand the organization's climate and establish a reasonable organization system to decrease turnover intention.

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