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.
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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.
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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.
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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.
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.
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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.
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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.
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.
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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 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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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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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 Journal of Korean Academy of Nursing Administration.2013; 19(2): 254. 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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