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Original Articles
Effect of the Nursing Work Environment on Turnover Intention: Serial Mediation Effects of Career Motivation and Job Satisfaction
Young Deok Park, Sun Ju You
J Korean Acad Nurs Adm 2023;29(5):529-539.   Published online December 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.5.529
Purpose
This study investigated whether the work environment affects nurses' turnover intention with career motivation and job satisfaction acting as mediating factors.
Methods
Data were collected from January 6-25, 2022, using a cross-sectional design. The participants were 205 nurses who had worked for more than six months at four small-to-medium-sized general hospitals in South Korea. Data analysis consisted of descriptive statistics, Pearson's correlation coefficients, independent t-tests, one-way ANOVAs, Scheffé test, and mediation analysis using Hayes’ PROCESS Macro Model 6.
Results
The nursing work environment had a significant positive association with career motivation and job satisfaction and negative effects on nurses' turnover intention. The single mediating effect of job satisfaction and the serial mediation effects of career motivation and job satisfaction on the relationship between the nursing work environment and turnover intention were significant. Thus, nurses' positive perceptions of the work environment strengthened career motivation, which in turn increased job satisfaction and reduced turnover intention.
Conclusion
Providing a healthy work environment to nurses can help reduce their turnover intention. Therefore, the government and hospitals should implement human resource strategies to improve nursing work environments and take steps to enhance career motivation and job satisfaction to strengthen nurse retention.

Citations

Citations to this article as recorded by  
  • Association Between Nurse Turnover and Nurses’ Perception of Patient Outcomes in Acute Care Hospitals in South Korea
    Sung-Heui Bae
    Journal of Nursing Care Quality.2025;[Epub]     CrossRef
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  • 2 Download
  • 1 Crossref
Effect of Nurses’ Person-Environment Fit on Positive Psychological Capital, Career Commitment, and Turnover Intention
Hyeon Ju Kim, Myun Sook Jung, Eun Ju Heo
J Korean Acad Nurs Adm 2023;29(2):169-180.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.169
Purpose
This study aimed to examine the effect of person-environment fit on positive psychological capital, career commitment, and turnover intention among nurses working in university hospitals.
Methods
A survey was administered to 277 nurses working in a university hospital with more than 800 beds in J city. SPSS 25.0 and AMOS 18.0 were used for analysis.
Results
Factors that directly explain turnover intention, person-environment fit, career commitment, and psychological capital exhibited a negative effect. However, while person-job fit did not directly affect turnover intention, it exhibited an indirect effect and total effect via positive psychological capital and career commitment.
Conclusion
Various programs should be developed to enhance nurses’ person-environment fit and person-job fit. Forming a positive attitude and strengthening nurses’ attachment and commitment toward nursing contribute to a lower turnover intention.

Citations

Citations to this article as recorded by  
  • Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
    Younghee Kim, Mi Yu, Jacopo Fiorini
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
    Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
  • 27 View
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  • 2 Crossref
Concept Analysis of the Clinical Nurses Career Plateau
Ji Hye Kim, Ji Yun Lee
J Korean Acad Nurs Adm 2023;29(2):119-129.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.119
Purpose
This study aimed to clarify and analyze the concept of a career plateau among clinical nurses.
Methods
Using Walker and Avant’s concept analysis framework, 20 articles on the career plateau of clinical nurses were selected for this study.
Results
The attributes of the clinical nurses’ structural career plateau were “unmet need for vertical movement” and “accepting of promotion restrictions”. The attributes of the clinical nurses’ content career plateau were “job repetition”, “involuntary job fixation”, “work lethargy”, “low expectations for nursing professional development,” and “indifference to care recipients”. The antecedent factors for the nurses’ career plateau were “lack of organizational support”, “lack of respect from the organization, bosses, and colleagues”, “personal problems arising or remaining unresolved”, “limited autonomy”, and “absence of role models”. As a consequence of the career plateau, job satisfaction, nursing competency, and nursing quality decreased, while burnout and turnover intention increased.
Conclusion
This study is significant in that it clarified the concept and attributes of the clinical nurses’ career plateau by reflecting the characteristics and purpose of nursing.

Citations

Citations to this article as recorded by  
  • Experiences With a Substitution System for Clinical Nurses' Leave of Absence: A Qualitative Study
    Ae R. Kim, Jeong H. Hong, Seieun Oh, Sangwoon Cho, Hye J. Baek
    Research in Nursing & Health.2025; 48(1): 63.     CrossRef
  • 64 View
  • 8 Download
  • 1 Crossref
Purpose
This study aims to examine the mediating effects of psychological contracts and subjective career success and the effect of organizational justice on organizational citizenship behavior among hospital nurses. Methods: The data were collected using structured questionnaires through online surveys from 200 nurses in hospitals located in P metropolitan city and J city from February 9 to March 8, 2022. Data were analyzed using SPSS 26.0, Hayes’s SPSS Process Macro 4.0 version program, and bootstrapping. Results: The paths of organizational justice to psychological contract, psychological contract to subjective career success, and subjective career success to organizational citizenship behavior were significant. The double mediating effects of psychological contract and subjective career success were significant in the relationship between organizational justice and organizational citizenship behavior. Conclusion: Based on this study, nursing managers should enable nurses to positively perceive organizational justice and the psychological contract. For this, efforts should be made to secure a transparent and fair system. For subjective career success, it is necessary to establish a career management system and provide opportunities for career development such as relevant education at the organizational level. This will be a motivating process that can induce organizational citizenship behavior.
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The Effects of Nursing Students' Perception of Emerging Infectious Diseases, Ethical Awareness, and Nurse Image on Career Identity in a Pandemic Situation
Sang-Mee Koo, Young Mi Jang, Moon Hee Kang
J Korean Acad Nurs Adm 2022;28(4):371-381.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.371
Purpose
The purpose of this study is to identify the effect of nursing students' perception of emerging infectious disease, ethical awareness and nurse image on their career identity in a pandemic situation. Methods: Data were collected from 247 nursing students within universities of Daejeon, Gimcheon and Yeongdong area from May 18 to June 20, 2020. The data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and regression analysis. Results: The subjects of this study had high level of perception of novel infectious disease (3.72±0.43), ethical awareness in pandemic situations (4.06±0.48), and nurse image (4.07±0.49), but low level of career identity (1.99±0.51). Career identify was significantly correlated with perception of novel infectious disease (r=.18, p=.005), ethical awareness in pandemic situation (r=.16, p=.011), and nurse image (r=.32, p<.001). However, excluding grade and residential area among the general characteristics, only the nurse image (β=.35, p<.001) was identified as a factor influencing career identity, and the explanatory power was 13.1%. Conclusion: To increase the career identity of nursing students, it is necessary to raise professional nurses’ social awareness and develop a positive nurse image.

Citations

Citations to this article as recorded by  
  • Factors Influencing Graduate Nurses’ Intention to Care for Emerging Infectious Disease Patients Based on Theory of Reasoned Action
    Seonhye Jeong, Yeoungsuk Song
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 60.     CrossRef
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  • 1 Crossref
Purpose
The purpose of this study was to identify the effects of job crafting, job engagement on career management behavior among public institution nurses and to investigate the mediating effect of job engagement. Methods: This study was a descriptive survey, with 176 public institution nurses working in seven institutions participating. Structured questionnaires were used, collected data were analyzed using descriptive statistics independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficient, multiple regression analysis with SPSS statistics 26.0 program. Results: Career management behavior were significantly associated with job crafting (β=.52, p<.001), job engagement (β=.20, p=.015). These variables explained 48.0% of career management behavior. Also, job engagement had a partial mediating effect on the relationship between job crafting and career management behavior. Conclusion: Findings indicate that the relationship between job crafting and career management behavior among public institution nurses is mediated by job engagement. Strategies for enhancing career management behavior among public institution nurses should be considered to enhance job crafting and job engagement. The results can contribute to the establishment of a human resource management system for public institution nurses.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of Passion Continuation Program based on GRIT Theory for Nurses in COVID-19 Pandemic: A Non-Randomized Experimental Study
    Do-Young Lee, Nam-Joo Je, Yoon Jung Kim, Chunseon Jang, Hyun-Ju Kim
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 357.     CrossRef
  • The effect of grit on the work engagement of nurses: The mediating effects of positive psychological capital and burnout
    Mi Kyung Park, Won Hwa Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 161.     CrossRef
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  • 2 Crossref
Effects of Career Management and Organizational Justice on Job Rotation Attitude among Hospital Nurses
Eunkyung Kim, Taewha Lee
J Korean Acad Nurs Adm 2021;27(5):390-398.   Published online December 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.5.390
Purpose
The purpose of this study was to identify the relationship between career management, organizational justice, and job rotation attitude among tertiary hospital nurses. Methods: A cross-sectional descriptive design was used. The participants were 195 nurses with more than one year of experience working at tertiary care hospitals. Data was collected with self-reported questionnaires from April to May 2018. Data was analyzed using SPSS Statistics version 25.0 for windows including descriptive statistics, bivariate analysis, and multiple regression analysis. Results: The mean score of career management of participants was 3.14±0.49 (range 1~5), organizational justice was 2.95±0.53 (range 1~5), and job rotation attitude was 4.02±0.97 (range 1~7). There were significant positive correlations among the participants' career management, organizational justice, and job rotation attitude. 37% of job rotation attitude was explained by position, organizational justice, career management, and the frequency of job rotation experience in the regression model. Conclusion: This study provided the empirical evidence that it is necessary to improve the perception of organizational justice, and to establish a systematic job rotation in order for nurses to positively recognize job rotation.
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Purpose
The purpose of this study was to investigate the association between self-control, social responsibility, transformational leadership, and career preparation behavior, and to identify factors influencing career preparation behavior.
Methods
The participants were 215 nursing students in one university located in J-city. Data collection was conducted between June 1st and June 19th, 2020, and was analyzed using independent t-test, one way ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise multiple regression analysis with SPSS/WIN 20.0.
Results
The career preparation behavior showed a significant positive correlation with social responsibility (r=.44, p<.001), and transformational leadership (r=.44, p<.001). The significant predictors of career preparation behavior were academic year (β=.36, p<.001), social responsibility (β=.28, p=.002), transformational leadership (β=.25, p=.004), and reason for application (β=.14, p=.015). These factors explained 36.0% of the career preparation behavior in the regression model (F=19.87, p<.001).
Conclusion
The findings indicate that grade, social responsibility, transformational leadership, and reason for application impact career behavior preparation. It is necessary to provide systematic career preparation behavior programs considering academic year, social responsibility, transformational leadership, and reason for application of nursing students.

Citations

Citations to this article as recorded by  
  • The relationship between professional self-concept and responsibility with nursing students’ clinical performance of Bushehr University of Medical Sciences
    Niloufar Hajipour, Shahnaz Pouladi, Marzieh Mahmoudi, Sherafat Akaberian
    Journal of Education and Health Promotion.2025;[Epub]     CrossRef
  • Career choice experiences of nursing students
    Hyun Ju Kim, Ji Hyun Kim
    The Journal of Korean Academic Society of Nursing Education.2022; 28(2): 127.     CrossRef
  • 26 View
  • 1 Download
  • 2 Crossref
Moderating Effects of Career Commitment in the Relationship between Work Engagement and Organizational Citizenship Behaviors of the Clinical Nurses
Eun Jeong Song, Mi Jeong Kim, Myung Suk Koh
J Korean Acad Nurs Adm 2019;25(3):167-174.   Published online June 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.3.167
PURPOSE
The purpose of the study was to investigate the effect of work engagement (WE) on organizational citizenship behaviors (OCB) and ability to control career commitment (CC) in the relationship between work engagement and OCB.
METHODS
Data were collected using structured self-report questionnaires from 205 nurses currently working at three national hospitals. Data were analyzed using descriptive statistics, ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis using the SPSS 21.0 program.
RESULTS
Mean scores for each variable were: WE 3.77 (on a 7-point scale), OCB 3.41 (on a 5-point scale), and CC 3.05 (on a 5-point scale). As a result, comparison showed that all research variables were higher with age, OCB was higher with total clinical career, and CC was higher with higher education level. Total clinical career, WE and CC had a significant effect on OCB, and CC had a moderate effect on work engagement and OCB. These variables had a total explanatory power of 38% for OCB.
CONCLUSION
The nurses' WE had a positive effect on OCB, and the CC showed a moderating effect on the relationship between WE and OCB. Therefore, we suggest that CC is an important factor in improving nurses' OCB.

Citations

Citations to this article as recorded by  
  • Structural Equation Model for Intent of Return to Nursing Practice among Inactive Korean Nurses
    Ji-Yeon Yoo
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 87.     CrossRef
  • Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
    Younghee Kim, Mi Yu, Jacopo Fiorini
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • The Mediating Effects of Perceived Organizational Support and Perceived Supervisor Support in the Relationship between Clinical Nurses’ Organizational Citizenship Behavior and Turnover Intention
    Kyungmi Lee, Hye Suk Jun
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 11.     CrossRef
  • Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
    Shin Ae Hwang, Haeyoung Min
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 416.     CrossRef
  • Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job Demands-Resource Model
    Eun Young Lee, Eungyung Kim
    Journal of Korean Academy of Nursing.2023; 53(1): 129.     CrossRef
  • Influence of Work Environment, Job Engagement, and Positive Psychological Capital on Job Embeddedness of Hospital Nurses
    Hee Jung Kwag, Nam Young Yang
    Journal of Korean Academy of Nursing Administration.2023; 29(2): 109.     CrossRef
  • Effect of Job Crafting Intervention Program on Harmonious Work Passion and Career Commitment among Nurses: A Randomized Controlled Trial
    Heba E. El-Gazar, Shymaa Abdelhafez, Nashwa Ibrahim, Mona Shawer, Mohamed A. Zoromba, Majd T. Mrayyan
    Journal of Nursing Management.2023; 2023: 1.     CrossRef
  • Effects of Job Crafting and Job Engagement on Career Management Behavior among Public Institution Nurses: Mediating Effect of Job Engagement
    Seohyun Kwon, Taewha Lee
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 261.     CrossRef
  • A Study on the Job Retention Intention of Nurses Based on Social Support in the COVID-19 Situation
    Young-Jae Kim, So-Young Lee, Jeong-Hyung Cho
    Sustainability.2020; 12(18): 7276.     CrossRef
  • 21 View
  • 1 Download
  • 9 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.

Citations

Citations to this article as recorded by  
  • Training Priority for Managerial Competence of Nurse Managers in Small and Medium-Sized Hospitals: Focusing on the Management Level
    MunHee Jun, Wonjung Noh
    SAGE Open Nursing.2023;[Epub]     CrossRef
  • Nurses' perceptions of career ladder systems, job satisfaction and turnover intention: A cross‐sectional study
    Young Seon Ahn, Jeong Sil Choi
    Nursing Open.2023; 10(1): 195.     CrossRef
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Factors Associated with the Choices of Local Hospitals among New Graduate Nurses
Eun Young Kim, Hun Ha Cho
J Korean Acad Nurs Adm 2018;24(3):202-210.   Published online June 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.3.202
PURPOSE
The aim of this study was to identify factors associated with new graduate nurses' choices of local hospitals.
METHODS
Participants were 526 new graduate nurses from one of five universities located in Busan, Ulsan or Gyeongnam. The new graduates completed a self-report questionnaire survey during February and March, 2016. The questionnaire included questions about choices of local hospitals, satisfaction with nursing major, nursing professionalism and anticipated nursing practice environment. Multiple logistic regression analysis was conducted to identify factors associated with the new graduate nurses' choices of local hospitals.
RESULTS
Of the participants, 86.3% had their first jobs in their nursing school region (local hospitals). The choice of local hospitals among new graduate nurses was related to region of origin, type of nursing school, grade point average, and anticipated nursing practice environment.
CONCLUSION
Local hospitals need to enhance the nurse practice environment and provide institutional benefits to new graduate nurses who choose local hospitals. For quality nursing care, reducing the geographical gap and improving policy is necessary.

Citations

Citations to this article as recorded by  
  • Factors Influencing Nursing Students' Choices of a Place of Employment
    Sun Ju You, Jong Kyung Kim, Myun Sook Jung, Se Young Kim, Eun Kyung Kim
    Korean Journal of Health Promotion.2018; 18(4): 184.     CrossRef
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  • 1 Crossref
Relationship between Career Plateau, Career Planning, Social Support, and Turnover Intention in Nurses
Jeonga Ko, Heeyoung Kim
J Korean Acad Nurs Adm 2018;24(1):97-106.   Published online January 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.1.97
PURPOSE
This study was a correlational research to examine the relationship between career plateau, career planning, social support and turnover intention experienced by nurses in the clinical nursing field.
METHODS
Participants were 237 nurses working in general hospitals with 100~300 beds located in G Metropolitan City. Data were collected from September 26 to October 6, 2016, and analyzed using the SPSS/WIN 22.0 program. Descriptive statistics, independent t-test, univariate ANOVA, Scheffé test, correlation analysis, and hierarchical multiple regression analysis were conducted.
RESULTS
Participants' turnover intention was positively correlated with career plateau (r=.38, p < .001), structural career plateau (r=.31, p < .001) and content plateau (r=.35, p < .001), but negatively correlated with social support (r=−.38, p < .001), supervisor support (r=−.36, p < .001), peer support (r=−.32, p < .001), and career planning (r=−.15, p=.043). Factors associated with participants' turnover intention were supervisor support (β=−.22, p=.006), structural career plateau (β=.19, p=.012), and content career plateau (β=.14, p=.047).
CONCLUSION
Results suggest that structural career plateau, content career plateau, and supervisor support are related to nurses' turnover intention. To lower nurses' turnover intention, alternative ways must be developed to improve the structure of nursing organizations to address career plateau and establish an organizational culture that can be supported by supervisors.

Citations

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  • Factors influencing career plateau in nurses: a protocol for systematic review and meta-analysis
    Xincen Liu, Shuang Hu, Qian Zhang, Xiaochen Yan, Xiaoyu Du, Jiajia Liu, Ruixue Hui, Wendi Guo, Jia Chen, Wenjun Chen
    BMJ Open.2025; 15(6): e089401.     CrossRef
  • Effect of Work-Family Conflict on Turnover Intention among Married Female Nurses: The Mediating Effect of Nursing Work Environment
    Min Gyeong Jeong, So Young Choi
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 451.     CrossRef
  • Factors Influencing Clinical Nurses’ Perception of Structural and Content Career Plateau
    Ji Hye Kim, Ji Yun Lee
    Journal of Korean Academy of Nursing.2024; 54(4): 534.     CrossRef
  • The Effect of Psychological Anxiety Caused by COVID-19 on Job Self-Esteem and Job Satisfaction of Airline Flight Attendants
    Yelin Shin, Jinyoung Olivia Choi, Sunghyup Sean Hyun
    International Journal of Environmental Research and Public Health.2022; 19(7): 4043.     CrossRef
  • Effects of Career Management and Organizational Justice on Job Rotation Attitude among Hospital Nurses
    Eunkyung Kim, Taewha Lee
    Journal of Korean Academy of Nursing Administration.2021; 27(5): 390.     CrossRef
  • Career adaptability and job outcomes: a moderated mediation model of proactivity and job content plateau in educational sector
    Harleen Kaur, Rajpreet Kaur
    Higher Education, Skills and Work-Based Learning.2021; 11(4): 929.     CrossRef
  • A qualitative study on the experiences and attributions for resigned nurses with career plateau
    Hongmei Zhu, Chunjuan Xu, Hua Jiang, Mingzi Li
    International Journal of Nursing Sciences.2021; 8(3): 325.     CrossRef
  • Prevalence and associated factors of the career plateau of primary care providers in Heilongjiang, China: a cross-sectional study
    Di Liu, Xu Yang, Qinglin Li, Lei Shi, Qiaoran Tang
    BMC Family Practice.2021;[Epub]     CrossRef
  • Why Do They Stay? Intention to Stay among Registered Nurses in Nursing Homes
    Ji Yeon Lee, Juh Hyun Shin
    International Journal of Environmental Research and Public Health.2020; 17(22): 8485.     CrossRef
  • 18 View
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  • 9 Crossref
PURPOSE
The purpose of this study was to identify whether career decision-making self-efficacy and social support provide a moderating effect between career barriers and job-seeking stress for 4th year nursing students preparing for employment.
METHODS
A self report questionnaire survey was completed by 300 4th year nursing students at 6 universities located in 4 cities in Korea. Data were gathered during July, 2017 and analyzed using the SPSS 20.0 program.
RESULTS
There was significant positive correlation between career barriers and job-seeking stress, and negative correlation between career decision-making self-efficacy, social support and job-seeking stress. Career decision-making self-efficacy and social support had significant moderating effects in the relationship between career barriers and job-seeking stress among nursing students preparing for employment.
CONCLUSION
The results of the study indicate that career decision-making self-efficacy and social support are important factors in reducing job-seeking stress among nursing students preparing for employment. Therefore, to understand various job-seeking stress factors among nursing students preparing for employment, consideration must be given to the development of educational programs and support systems to improve career decision-making self-efficacy and social support.

Citations

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  • Linking Career-Related Social Support to Job Search Behavior Among College Students: A Moderated Mediation Model
    Zhangbo Xiong, Meihong Zeng, Yi Xu, Bin Gao, Quanwei Shen
    Behavioral Sciences.2025; 15(3): 260.     CrossRef
  • Impact of Empathy and Voice on User Experience in AI Psychological Counseling: Focusing on Career Stress in Adults Aged 20–39
    Da-Young Jo, Jun-Ho Choi
    Journal of Digital Contents Society.2025; 26(1): 255.     CrossRef
  • The impact of intolerance of uncertainty and job-seeking efficacy among nursing students: The mediating effect of planned happenstance skills
    Chung Hee Woo, Ju Ah Kim
    The Journal of Korean Academic Society of Nursing Education.2025; 31(2): 151.     CrossRef
  • Üniversite Öğrencilerinin Kariyer Stresleri Üzerinde Kariyer Kaynaklarının Rolü
    Mustafa Akbağ, Elifnur Karagöz, Ahmet Ayaz
    Türk Eğitim Bilimleri Dergisi.2024; 22(2): 1628.     CrossRef
  • The Mediating Role of Perceived Social Support in the Relationship Between University Students' Perfectionism and Career Stress
    Şeyma BİLGİZ ÖZTÜRK, Hacı Arif DOĞANÜLKÜ
    Cukurova University Faculty of Education Journal.2023; 52(2): 556.     CrossRef
  • The Relation Between Career Barriers Faced by Teachers & Level of Stress and Job Satisfaction
    Yusuf İNANDI, Şaziye YAMAN, Mustafa ATAŞ
    Participatory Educational Research.2022; 9(2): 240.     CrossRef
  • Factors Influencing Career Preparation Behavior of Mature Age Student Nurses
    Jong Mi Lim, Ok-Hee Cho
    Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 23.     CrossRef
  • Role of sociodemographic factors and self-efficacy in the perception of social support of nursing students
    Rafaela Teodoro Ferreira, Jamila Souza Gonçalves, Jaqueline Lemos de Oliveira, Marcelo Vinicius Domingos Rodrigues dos Santos, Caíque Rossi Baldassarini, Jacqueline de Souza
    Revista da Escola de Enfermagem da USP.2021;[Epub]     CrossRef
  • Experiences of Hospital Pre-Employment among Senior Nursing Students
    Ju Eun Hong, Hana Lee
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(2): 83.     CrossRef
  • The Moderating Effect of Social Support on the Relationship between Violence Experiences and Violence Responses of Psychiatric Nurses
    Jinhee Kim
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(2): 144.     CrossRef
  • The Effect of Career Decision Making Self-efficacy and Military Duty Planning on Career Preparation Behavior among Male Nursing Students
    MinKweon Ahn
    Journal of Korean Academic Society of Nursing Education.2019; 25(1): 93.     CrossRef
  • Hemşirelik Bölümü Öğrencilerinde Anksiyete Durumunun Kariyer Kararı Yetkinlik Beklentisine Etkisinin Belirlenmesi
    Meltem Kürtüncü, Hicran Yıldız, Aylin Kurt
    OPUS Uluslararası Toplum Araştırmaları Dergisi.2019; 14(20): 1.     CrossRef
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Factors Influencing the Career Preparation Behavior of Nursing Students
Tae Jeong Jang, Mikyung Moon
J Korean Acad Nurs Adm 2016;22(4):344-352.   Published online September 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.4.344
PURPOSE
The purpose of this study was to identify the effects of nursing professionalism, satisfaction with major, and self-leadership on nursing student career preparation behavior.
METHODS
Data were collected from August 1 to August 31, 2014. Participants were 400 students who completed self-report questionnaires covering career preparation behavior, nursing professionalism, satisfaction with major and self-leadership. The SPSS/WIN/PC 21.0 program was used for descriptive statistics, t-test, ANOVA, Pearson correlational coefficients and stepwise multiple regression.
RESULTS
The average scores for career preparation behavior, nursing professionalism, satisfaction with major, and self-leadership were 2.51, 3.80, 3,89, and 3.51 respectively. There were positive correlations among career preparation behavior, nursing professionalism, satisfaction with major, and self-leadership. Age, academic year, nursing professionalism, self-leadership, general satisfaction in satisfaction with major were significant predictors of career preparation behavior.
CONCLUSION
It is necessary to provide career educational programs considering according to the academic year of nursing students and to develop educational programs to improve the nursing professionalism of nursing students.

Citations

Citations to this article as recorded by  
  • A Study on the Effect of Nursing Students’ Major Satisfaction and Nursing Professionalism on Career Preparation Behavior in a Non-face-to-face Educational Environment Caused by COVID-19
    Ju Hyun Park
    Journal of Environmental Health Sciences.2024; 50(1): 73.     CrossRef
  • The effects of satisfaction with major, and dental hygiene professionalism on career preparation behavior of dental hygiene students
    Ji-Hyoung Han, Min-Young Kim
    Journal of Korean Society of Dental Hygiene.2023; 23(5): 387.     CrossRef
  • Nurse Managers' Perceived Self-leadership Levels
    Holly Ma
    JONA: The Journal of Nursing Administration.2023; 53(12): 634.     CrossRef
  • The Effect of Self-Leadership and Positive Psychological Capital of College Students on Adaptation to College Life : Moderated mediating effect of grit
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PURPOSE
This study was designed to construct a structural equation model and identify the effects and relationships of self-efficacy, career plateau, job embeddedness, organizational commitment and intent to turnover for nurses. Also, an attempt was made to derive a hypothetical model from these factors and to verify whether the model has validity as a means of explaining and anticipating turnover intention of nurses.
METHODS
Data were collected from six randomly selected hospitals: a university hospital located in J city, Kyungnam and five general hospitals located in two cities (cities B and C), each having 400 to 720 beds. Also, 318 nurses were surveyed. Data were analyzed using SPSS 21.0 and AMOS 18.0 program.
RESULTS
Job embeddedness and organizational commitment were identified as the most likely paths to turn over intention. Also, organizational commitment had the highest direct effect on turnover intention followed by job embeddedness and then self-efficacy, but career plateau had an indirectly effected turnover intention.
CONCLUSION
As turnover intention was found to be greatly affected by organizational commitment and job embeddedness, methods to improve organizational commitment and job embeddedness should be actively developed to reduce turnover intention among nurses.

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Career Attitude Maturity, Calling, and Work as Meaning Affecting Student Adjustment to College among Health College Students
Jae Yong Yoo, Ju Young Park, Chung Hee Woo
J Korean Acad Nurs Adm 2015;21(5):480-488.   Published online December 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.5.480
PURPOSE
The aim of this study was to identify factors affecting student adjustment to college among students in health colleges (Nursing, Clinical Pathology, Radiology, Dental Hygienics, Medicine).
METHODS
The participants in this study were 261 students in Daejeon city. Data were collected from October 5 to October 14, 2014. A structured questionnaire was used for data collection and data was analyzed using the SPSS/WIN program.
RESULTS
Career attitude maturity, calling and work as meaning positively correlated with student adjustment to college. The significant predictors of student adjustment to college were career attitude maturity, calling, always working part-time, major in medicine and average grade for the last semester.
CONCLUSION
These findings suggest that adjustment to college for students in health colleges is linked to career attitude maturity, and calling. College organization should develop a curriculum fostering a calling which will promote student adjustment to college and graduate health care professionals with desirable attitudes.

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    Moon-Jeong KIM, Kyung-Ja KANG
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Development of a Nursing Competence Measurement Scale according to Nurse's Clinical Ladder in General Wards
Mee Ran Park, Nam Cho Kim
J Korean Acad Nurs Adm 2014;20(3):257-271.   Published online June 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.3.257
PURPOSE
This methodological study was done to develop a Nursing Competency Measurement Scale based on the clinical ladders of nurses working in wards.
METHODS
Thirty clinical experts and 501 ward nurses evaluated the content validity of the scale. A survey using the Nursing Competency Measurement Scale was conducted with 114 nurses to evaluate reliability and applicability of the instrument. Data were analyzed using SPSS/WIN 21.0.
RESULTS
A review of the literature identified 13 components of nursing competencies and 30 core nursing competencies based on each of the 4 grade clinical ladders. Cronbach's alpha coefficient for the total was .92. Cronbach's alpha reliabilities of each clinical ladder grade were .83 for Grade I, .84 for Grade II, .81 for Grade III, and .84 for Grade IV. The Content Validity Index (CVI) of the scale with 120 individual items was 0.976~1.000 for Grade I scale, 0.986~1.000 for Grade II scale, 0.984~1.000 for Grade III scale, and 0.992~1.000 for Grade IV scale. The expert group nurses' average degree of nursing competence measured using the scale was 3.38~3.75 out of 4.0.
CONCLUSION
Through this process, 120 final questions were confirmed to represent items of the Nursing Competency Measurement Scale based on clinical grade.

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PURPOSE
The purpose of this study was to identify the relationship between the practice environment of nursing and the critical thinking disposition of clinical nurses in local general hospitals.
METHODS
A convenience sample of 468 registered nurses was obtained from three local general hospitals. Data were collected by a self-administered questionnaire during November, 2012. The survey tools were the K-PES-NWI verified by Cho et al (2011) and the critical thinking disposition instrument developed by Yoon (2004). Data were analyzed using descriptive statistics, one-way ANOVA with Scheffe test and multiple regression with SPSS/WIN 18.0.
RESULTS
The mean score for practice environment of nursing was 3.3+/-0.4 and for critical thinking disposition, 2.3+/-0.4. There were statistically significant differences in critical thinking disposition according to age, education, length of career, current position, and marital status. In multivariate analysis, factors related to critical thinking disposition were collegial nurse-physician relations and education level.
CONCLUSION
The results of the study indicate that collegial nurse-physician relations in the nursing practice environment are related to nurses' critical thinking disposition, and thus, it is important to improve the practice environment as well using individual approaches including on-the-job training to improve nurses' critical thinking disposition.

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Process of Overcoming Turnover Intention in Career Nurses
Ha Yoon Cheong, Sun Hee Yun
J Korean Acad Nurs Adm 2013;19(3):414-426.   Published online June 30, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.3.414
PURPOSE
The purpose of this study was to identify the process of overcoming the intention toward turnover experienced by career nurses.
METHODS
Data were collected from 10 career nurses though in-depth interviews about their experiences. The main question was "How do you describe your experience of the process of overcoming intention to turnover as a career nurse?" Qualitative data from field and transcribed notes were analyzed using Strauss & Corbin's grounded theory methodology.
RESULTS
From the participants' statement, 127 concepts, 34 subcategories and 13 categories were extracted through the open coding process. The core category was discovered to be 'back to the original place'. Phenomenon was identified as 'reached the threshold that cannot be withstood' and this series of process was categorized as having four stages: 'conflict', 'meditation', 'discovery' and 'conquest'. There were three types of overcoming turnover intention in career nurses, 'adjustment', 'compromise', 'self-led'.
CONCLUSION
The results of this study produced useful information about the needs of career nurses during the process of overcoming turnover intention based on their stage and overcoming types of turnover intension. Ultimately this study may help decrease the turnover intention of career nurses.

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Factors Influencing Turnover Intention of Nurses in Small-medium sized Hospitals
Ki No Kang
J Korean Acad Nurs Adm 2012;18(2):155-165.   Published online June 30, 2012
DOI: https://doi.org/10.11111/jkana.2012.18.2.155
PURPOSE
This study was done to examine the relationships among practice environment, nursing professionalism, career commitment, and turnover intention in nurses working in small-medium sized hospitals.
METHOD
This study utilized a descriptive correlational design. Data were collected using structured questionnaires from 362 nurses in 7 small-medium sized hospitals and analyzed with SPSS 18.0.
RESULT
The mean scores for practice environment, nursing professionalism, career commitment, and turnover intention were 2.29 on a 4-point scale and 3.13, 2.78, 3.51 on a 5-point scale, respectively. The practice environment showed significantly positive correlations with nursing professionalism and career commitment. Nursing professionalism showed a significantly positive correlation with career commitment. The highest significant negative correlation was between practice environment and turnover intention. Nursing professionalism and career commitment had negative correlations with turnover intention. Factors having significant influence on turnover intention included age, assigned ward, average wage, practice environment, and career commitment. These factors explained 43.0% of variance in turnover intention. Practice environment was identified as the most important variable in explaining turnover intention.
CONCLUSIONS
The results of this study demonstrate the necessity of improving the practice environment and increasing nurses' career commitment if turnover intention in small-medium sized hospitals is to be lowered.

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Development of a Clinical Ladder System for Operating Room Nurses
Heeyoung Kim, Keum Seong Jang
J Korean Acad Nurs Adm 2011;17(3):301-314.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.301
PURPOSE
This study was a methodological research conducted to develop a clinical ladder system for operating nurses.
METHODS
Participants were 20 OR nurses, working in C Hospital, who had a mean tenure of 6 years and 10 months. Data collection consisted of 4 focus group interviews during May and June 2009. The content analysis method of Kim and Lee (1986) was used to analyze the data. Two clinical expert groups consisting of 16 nurses verified the content validity of the preliminary system from September 16 to 26, 2009 using Kim's tool (1999).
RESULTS
The final clinical ladder system consisted of goals, core values, and 4 domains of practice related to core values, which were defined as professional value, perioperative nursing practice, education/research, and collaboration/leadership. Eleven nursing competencies and 44 behavior indicators were included in accordance with the 4-step ladder. The 4 operation systems for the clinical ladder system were the promotion system, continuous learning system, reward system, and support system.
CONCLUSION
The results indicate that nursing managers need to pay more attention to developing a clinical ladder system for nurses.

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  • Experience of Nurses Promoted to Clinical Nurse III through the Career Ladder System
    Bo Kyung Kim, Yeon Hee Kim, Jeong Hye Kim
    Journal of Korean Association for Qualitative Research.2024; 9(3): 227.     CrossRef
  • Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
    Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
    Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
  • Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital
    Heeyoung Kim, Younghee Han, Okkyung Kim
    Journal of Korean Academy of Nursing Administration.2018; 24(5): 466.     CrossRef
  • Development and validation of a nursing professionalism evaluation model in a career ladder system
    Yeon Hee Kim, Young Sun Jung, Ja Min, Eun Young Song, Jung Hui Ok, Changwon Lim, Kyunghee Kim, Ji-Su Kim, Etsuro Ito
    PLOS ONE.2017; 12(10): e0186310.     CrossRef
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    Yo Na Kim
    Journal of Korean Public Health Nursing.2016; 30(1): 83.     CrossRef
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    Su Jung Yoon, Hye-Ja Park
    Journal of Korean Academy of Nursing Administration.2015; 21(1): 88.     CrossRef
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Career Ladder System Perceived by Nurses
Kwang Ok Park, Yoon Young Lee
J Korean Acad Nurs Adm 2010;16(3):314-325.   Published online September 30, 2010
DOI: https://doi.org/10.11111/jkana.2010.16.3.314
PURPOSE
The purpose of this study was to investigate how nurses perceive the Career Ladder System(CLS).
METHODS
This study was a descriptive survey using questionnaires. Questionnaires were developed by an expert group. Participants included 161 nurses working in the Children's Hospital. The data were analyzed using factor analysis, Cronbach's alpha, descriptive statistics, chi-square-test and ANCOVA.
RESULTS
This study revealed that nurses who advanced in their career ladders have a significantly higher perception of participation in their professional activities and a general comprehension of the CLS more than the nurses who did not advance in their career ladders. However, nurses who advanced in their career ladders have a significantly lower perception of the expected outcome of the CLS more than nurses who did not.
CONCLUSIONS
This result showed that nurses who had experienced in clinical advancement and recognition were highly motivated with their professional activities via the CLS as well as they considered it to allow professional growth.

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  • The Impact of Clinical Competence and Perception of Clinical Ladder System on Organizational Commitment among Nurses at a General Tertiary Hospital
    Yeon Hee Shin, Mi Ra Lee, Sung Nam Kim, Min Jung Kim, Ae Jin Kim, Hyun Ja Kim, Ji Yoon Kang
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 120.     CrossRef
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    Young Seon Ahn, Jeong Sil Choi
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    Ji Hyun Lee, Su Jung Choi
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    Bela Pertiwi, Rr. Tutik Sri Hariyati
    Enfermería Clínica.2019; 29: 106.     CrossRef
  • Relationship between Career Plateau, Career Planning, Social Support, and Turnover Intention in Nurses
    Jeonga Ko, Heeyoung Kim
    Journal of Korean Academy of Nursing Administration.2018; 24(1): 97.     CrossRef
  • Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital
    Heeyoung Kim, Younghee Han, Okkyung Kim
    Journal of Korean Academy of Nursing Administration.2018; 24(5): 466.     CrossRef
  • Effect of Career Development and Career Plateau on Career Satisfaction of Nurses
    Yo Na Kim
    Journal of Korean Public Health Nursing.2016; 30(1): 83.     CrossRef
  • Effect of Perception of Career Ladder System on Job Satisfaction, Intention to Leave among Perioperative Nurses
    Se Na Chae, Il Sun Ko, In Sook Kim, Kye Sook Yoon
    Journal of Korean Academy of Nursing Administration.2015; 21(3): 233.     CrossRef
  • Evaluation of a Career Ladder Program for Nurses in a Hospital
    Kwang-Ok Park, Sung Hee Park, Yeon-Hee Kim, Jeong-Hee Choi
    Perspectives in Nursing Science.2014; 11(2): 123.     CrossRef
  • Relationship of Perception of Clinical Ladder System with Professional Self-Concept and Empowerment based on Nurses' Clinical Career Stage
    A-ri Min, In Sook Kim
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  • The Role Experience of Preceptor Nurses in Hospitals
    Se Young Kim, Jong Kyung Kim, Kwang-Ok Park
    Journal of Korean Academy of Nursing Administration.2012; 18(1): 33.     CrossRef
  • Nurses' Experience of Career Ladder Programs in a General Hospital
    Kwang-Ok Park, Myungsun Yi
    Journal of Korean Academy of Nursing.2011; 41(5): 581.     CrossRef
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PURPOSE
This study was designed to construct a model which explains the career management, career plateau and career satisfaction of the factors influencing the career commitment of nurses.
METHOD
The data collection was conducted from Aug. 24, 2009 to Sep. 22, 2009 through self-reported questionaries. Participants were 441 nurses who had worked in 2 national university hospitals, 1 university hospitals, and 1 hospitals founded by business enterprises. The data was analyzed by SPSS 12.0 and AMOS 15.0 for structural model.
RESULTS
Career commitment was directly impacted by career management, career plateau, career satisfaction. The predictable variables of the hypothetical model explained 28.4% of career commitment. Career commitment was significantly influenced by career management, career plateau, career satisfaction.
CONCLUSION
The results of study suggest that some strategies are needed which focus on career management, career plateau and career satisfaction in order to promote the nurse's career commitment.

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    Bo Kyung Kim, Yeon Hee Kim, Jeong Hye Kim
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  • Moderating Effects of Career Commitment in the Relationship between Work Engagement and Organizational Citizenship Behaviors of the Clinical Nurses
    Eun Jeong Song, Mi Jeong Kim, Myung Suk Koh
    Journal of Korean Academy of Nursing Administration.2019; 25(3): 167.     CrossRef
  • Relationship between Career Plateau, Career Planning, Social Support, and Turnover Intention in Nurses
    Jeonga Ko, Heeyoung Kim
    Journal of Korean Academy of Nursing Administration.2018; 24(1): 97.     CrossRef
  • The Impact of career plateau on Job satisfaction and turnover intention of Hospital nurses
    Yu-Mi Kim, Jong-Yul Lee, Hyang-Suk Kang
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 459.     CrossRef
  • Effect of Career Development and Career Plateau on Career Satisfaction of Nurses
    Yo Na Kim
    Journal of Korean Public Health Nursing.2016; 30(1): 83.     CrossRef
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    Hyun Ju Choi
    Journal of Korean Academy of Nursing Administration.2015; 21(3): 297.     CrossRef
  • Effect of Career Commitment and Professionalism of Perioperative Nurses on the Organizational Commitment
    Kesook Yoon
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(12): 7193.     CrossRef
  • The Relationship among Career Plateau, Self-efficacy, Job Embeddedness and Turnover Intention of Nurses in Small and Medium Sized Hospitals
    Yu-Mi Kim, Young-Sil Kang
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(10): 5078.     CrossRef
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  • 15 Crossref
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