Purpose
This study aimed to identify the mediating effects of self-leadership and resilience on the relationship between preceptors’ clinical teaching behavior and field adaptation of new graduate nurses.
Methods
Data were collected from 184 new graduate nurses working at two advanced general hospitals. The research model was designed based on PROCESS macro (model 6) proposed by Hayes and analyzed using SPSS 26.0 program.
Results
The results showed a positive correlation between preceptors’ clinical teaching behavior and self-leadership, resilience, and field adaptation. Preceptors’ clinical teaching behavior (β=.18, p<.001) and resilience (β=.14, p=.030) had a direct effect on the field adaptation of new graduate nurses. Self-leadership and resilience had a serial double mediating effect. Preceptors’ clinical teaching behavior had a significant effect on the field adaptation of new graduate nurses through self-leadership and resilience.
Conclusion
To improve the field adaptation of new graduate nurses, the government should expand the current education support project to provide sufficient manpower. Moreover, medical institutions and nursing organizations should develop and apply programs to strengthen preceptor’s clinical teaching behavior.

Citations

• The Effect of Newly Graduated Nurses' Perceived Nursing Practice Readiness, Resilience, and Preceptors' Teaching Behavior on Turnover Intention
  Jinhee Kim, Eunhee Lee
  Journal of Korean Academy of Nursing Administration.2025; 31(2): 167.     CrossRef
• The Effect of Communication in Emergency Department Isolation Rooms Using Smart Glasses: A Mixed‐Methods Study
  Soyoung Park, Hyeongsuk Lee
  Journal of Clinical Nursing.2025;[Epub]     CrossRef

PURPOSE
The purpose of this study was to develop a patient classification system based on nursing care intensity for patients with acute stroke-related symptoms and verify its validity and reliability.
METHODS
Data were collected between November, 2013 and February, 2014. The verification for content validity of the patient classification system was conducted by a group of seven professionals. Both interrater reliability and concurrent validity were verified at stroke units in tertiary hospitals.
RESULTS
The intensive nursing care for acute stroke patients consisted of 14 classified domains and 56 classified contents by adding 'neurological assessment and observation' and 'respiratory care': 'hygiene', 'nutrition', 'elimination', 'mobility and exercise', 'education or counselling', 'emotional support', 'communication', 'treatment and examination', 'medication', 'assessment and observation', 'neurological assessment and observation', 'respiratory care', 'coordination between departments', and 'discharge or transfer care'. Each domain was classified into four levels such as Class I, Class II, Class III, and ClassIV.
CONCLUSION
The results show that this patient classification system has satisfactory validity for content and concurrent and verified reliability and can be used to accurately estimate the demand for nursing care for patients in stroke units.

Citations

• Calculating the optimal number of nurses based on nursing intensity by patient classification groups in general units in South Korea: A cross‐sectional study
  Yukyung Ko, Bohyun Park
  Nursing Open.2023; 10(6): 3982.     CrossRef