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Original Articles
Effects of Grit and Nursing Work Environment on Work Engagement in Clinical Nurses
Young Ju Kim, Hye Young Cho
J Korean Acad Nurs Adm 2025;31(3):312-321.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2024.0049
Purpose
This study aimed to identify the impact of clinical nurses’ grit and nursing work environment on job enthusiasm and provide basic data for system improvement to maintain and secure nursing personnel. Methods: Data were collected online from July to August 2022 targeting 210 clinical nurses at three general hospitals located in Jeollabuk-do. Data analysis was performed using the IBM SPSS 26.0 program. Results: Job enthusiasm exhibited statistically significant differences according to age (F=5.20, p=.006) and presence of children (F=0.95, p<.001). Furthermore, job enthusiasm showed statistically significant positive correlations with grit (r=.64, p<.001) and the nursing work environment (r=.49, p<.001). The following factors were found to affect job enthusiasm: having children (β=.26, p<.001), grit (β=.46, p<.001), nursing work environment (β=.33, p<.001), and age over 40 (β=.16, p<.001). Conclusion: Based on the results of this study, it is recommended that an internal motivation strengthening program that promotes grit should be developed and applied to increase work enthusiasm among clinical nurses. Additionally, hospital organizations should prepare various policies to improve the nursing work environment.
  • 2,046 View
  • 65 Download
Reemployment Experience in Civilian Hospital of Retired Military Nurse Officer: A Phenomenological Study
Hye-Kyung Lee, Mi Yu
J Korean Acad Nurs Adm 2025;31(2):214-226.   Published online March 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.2.214
Purpose
This study employs Giorgi's descriptive phenomenological approach to explore the experiences of retired military nurse officers transitioning to civilian hospitals and to identify the essential meanings and underlying structures of this transition.
Methods
Eleven participants with over two years of military hospital experience, now employed in civilian hospitals, were recruited via snowball sampling. Data were collected through in-depth interviews conducted between December 2023 and March 2024.
Results
Analysis using Giorgi’s four-stage method identified 257 meaning units, 37 central meanings, 12 themes, and six general structures: 1) Positive perceptions of the nursing profession, 2) Confusion due to lack of information, 3) Difficulty in adapting due to differences between military and civilian hospitals, 4) Self-blame for a lack of competence, 5) Struggles in finding a position suitable for one’s career, and 6) Satisfaction with freedom and a stable life.
Conclusion
These findings emphasize the need for tailored transition programs, including job placement support, skill development, and cultural adaptation training. Socialization and communication programs can further aid integration and contribute to the professional growth. Additionally, a positive perception of nursing significantly influenced the decision to return to the workforce, highlighting the importance of fostering professional identity and confidence among transitioning military nurses.
  • 2,059 View
  • 26 Download
Purpose
This study identified the influence of self-leadership, managers’ authentic leadership, and nurses’ organizational culture relationships on hospital nurses‘organizational silence.
Methods
An explanatory sequential mixed-method study was conducted. For the quantitative portion, 138 nurses from seven hospitals participated. For the qualitative portion, ten nurses with high organizational silence scores were interviewed. Quantitative data were analyzed with SPSS/WIN 26.0. Qualitative data were analyzed by content analysis using NVivo 12.0.
Results
Quantitative results indicated that self-expectations and a relation-oriented culture explained 14.0% of the variance in acquiescent silence. The combined effect of rehearsal, constructive thought, and relational transparency associated with managers’ authentic leadership on prosocial silence was 15.0%. Qualitative results revealed eight primary themes related to organizational silence: 1) being unable to voice my opinion because I feel insignificant, 2) things that middle managers cannot say, 3) earnest managers, 4) receptive managers, 5) indifferent managers, 6) feeling of camaraderie, 7) selective silence based on performance, and 8) mandatory following of directives.
Conclusion
Programs to improve managers’ leadership skills and reduce hospital nurses’ organizational silence should be implemented consistently. Hospitals should strive to foster a positive and equitable organizational culture.
  • 612 View
  • 62 Download
Influence of Importance and Performance of Nursing Activities and Role Conflict on Professionalism in Outpatient Nurses
Jueun Cheon, Hye-Young Jang, Minjae Kim, Milye Jung
J Korean Acad Nurs Adm 2024;30(3):235-245.   Published online June 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.3.235
Purpose
This study aimed to identify factors influencing nursing professionalism among outpatient nurses.
Methods
Data were collected through a self-evaluation survey of 157 nurses from general and tertiary hospitals in Seoul and Gyeonggi-do, Korea. Data were analyzed using independent t-tests, one-way ANOVA, Importance-Performance Analysis, Pearson correlation coefficients, and multiple regression analysis.
Results
The mean scores were as follows: importance, 3.29 out of 5; performance, 2.50 out of 4; role conflict, 3.23 out of 5; and nursing professionalism, 3.23 out of 5. There were statistically significant positive correlations between the importance (r=.32, p<.001) and performance (r=.38, p<.001) of nursing activities and professionalism. There were statistically significant negative correlations between role conflict and nursing professionalism (r=-.20, p=.014). Stepwise multiple regression analysis showed that the importance of nursing activities, performance of nursing activities, role conflict, working department, and sex explained 33.0% of outpatient nurses’ professionalism (F=8.66, p<.001).
Conclusion
The findings indicate educational system about important and highly accomplished tasks would be useful to improve nursing professionalism of outpatient nurses. Furthermore, reducing role conflicts by clearly distinguishing tasks is necessary to increase nursing professionalism.

Citations

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  • Impact of Nursing Professionalism, Ethical Sensitivity, and the Clinical Learning Environment on Nursing Students' Intention to Report Near Misses and Adverse Events
    Sookhee Yoon, Ha-Young Park
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 209.     CrossRef
  • 719 View
  • 40 Download
  • 1 Crossref
Purpose
To investigate the influence of violence experience and response of coping with violence on professional QoL among emergency department.
Methods
This cross-sectional study, included 179 subjects. Data were collected online from June 24 to July 31, 2022, and were analyzed using independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression.
Results
In the compassion satisfaction category, the problem focused coping (β=.328, p<.001) was a significant influencing factor (adj. R2 =.103) (F=21.36, p<.001). In the burnout category, violence response (β=.460, p<.001), problem focused coping (β=-.306, p<.001), and violence experience (β=.151, p=.030) were significant influencing factors (adj. R2 =.288) (F=24.99, p<.001). In the secondary traumatic stress category, violence response (β=.587, p<.001) and emergency department career (β=.177, p=.011) were significant influencing factors (adj. R2 =.383) (F=41.90, p<.001).
Conclusion
To improve professional QoL, it is necessary to understand the current situation related to violence and prepare a coping support system and intervention to prevent violence experiences and reduce negative consequences related to violence for a safe working environment for emergency department nurses.
  • 1,466 View
  • 74 Download
Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
Song Hwa Nam, Eun A Kim
J Korean Acad Nurs Adm 2023;29(5):588-602.   Published online December 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.5.588
Purpose
The purpose of this study was to develop and validate the Job Competency Scale (JCS) for insurance review nurses working in hospitals.
Methods
The initial items were generated through a literature review and interviews with 10 experts. The content validity of the items was evaluated through content validity and face validity tests. Data from 301 insurance review nurses working in hospitals were analyzed using item analysis, exploratory and confirmatory factor analysis, and convergent validity; reliability was tested using Cronbach’s ⍺.
Results
The final JCS consisted of 25 items and five factors (knowledge integration, professional ethics, communication and interpersonal relationship, information literacy and problem solving, self-development) that explained 72.4% of the variance. Confirmatory factor analysis indicated that the theoretical model comprising 25 items satisfied all goodness-of-fit parameters. Convergent validity was confirmed by the Task Performance Scale for insurance review nurses (r=.53, p<.001). The total Cronbach’s ⍺ score for scale was .94.
Conclusion
The JCS was found to be a reliable and valid instrument that can be used to measure the job competency of insurance review nurses working in hospitals.
  • 825 View
  • 21 Download
Purpose
This study examined hospital nurses’ perception of work-life balance, nursing work environment, nursing organizational culture, and job satisfaction before turnover, and compared differences in variables between current clinical nurses and non-clinical nurses.
Methods
This descriptive study involved 172 nurses with over six months experience, who changed jobs within the last 5 years in G Province. Data were collected from September 5th-22nd, 2022, and analyzed through independent t-test, one-way ANOVA, and Pearson correlation coefficient using SPSS/WIN 25.0 program.
Results
Total work-life balance (t=3.85, p<.001), work-family balance (t=4.79, p<.001), work-leisure balance (t=2.96, p=.004), work-growth balance (t=3.01, p=.003), and overall work-life balance (t=2.95, p=.004) in work-life balance, the role of professionalism (r=2.05, p=.042) and interpersonal relationships (t=2.59, p=.011) in job satisfaction, the relationship-oriented nursing organizational culture (t=2.68, p=.008), and the nurse-doctor relationship within the nursing work environment (t=2.51, p=.013) were all significantly higher among current clinical nurses than non-clinical nurses.
Conclusion
Hospital-level interventions should be established and implemented to improve work-life balance, the relationship-oriented nursing organizational culture, and job satisfaction through interprofessional relationships to retain hospital nurses.
  • 1,296 View
  • 68 Download
Hospitalization Experience of Patients with Complex Regional Pain Syndrome: A Phenomenological Study
Se-hwa Park, Eun-Kyoung Han, Hyejung Ahn, Jae-Young Lim
J Korean Acad Nurs Adm 2022;28(5):511-521.   Published online December 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.5.511
Purpose
This study is qualitative study using phenomenology approach of Colazzi, to identify meaning and essential structure of the hospitalization with Complex Regional Pain Syndrome (CRPS). Methods: Experiential data were collected through in-depth interviews with 10 patients who had been hospitalized in hospital rehabilitation medical wards. The main question was ‘Could you describe your hospitalization experience with CRPS? Results: Five categories obtained were ‘Experience despair in the swamp of long suffering’, ‘A hospital system that only adherence to treatment procedures’, ‘There are aggravating factors all over the hospital environment’, ‘Finding support to cover the disease’, and ‘Cross the tunnel of pain with the medical staff’. Conclusion: Patients with complex pain syndrome experienced extreme pain and sudden pain even after hospitalization, and were more aggravated due to treatment procedures and regulation systems. It is thought that multidisciplinary team approach nursing intervention is necessary to improve this situation.

Citations

Citations to this article as recorded by  
  • Experiences of diagnosis and treatment for upper limb Complex Regional Pain Syndrome: a qualitative analysis
    Grace S Griffiths, Bronwyn L Thompson, Deborah L Snell, Jennifer A Dunn
    Pain Medicine.2023; 24(12): 1355.     CrossRef
  • 989 View
  • 18 Download
  • 1 Crossref
The Current Status of Nursing Management Practicum during the COVID-19 Pandemic
Eun A Kim, Yoomi Jung, Miyoung Kim, Jeong Hee Kim, Myonghwa Park, Kyung Ryu
J Korean Acad Nurs Adm 2022;28(4):471-485.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.471
Purpose
This study was to identify how a nursing management practicum was operated during the COVID-19 pandemic in Korea. Methods: This study surveyed instructors teaching the nursing management practicum with a questionnaire covering five domains and 42 items. The data were analyzed using descriptive statistics and content analysis. Results: The practicum was performed mainly by mixed methods (40.8% and 38.5%), in hospitals only (30.8% and 60.4%), online only (19.8% and 1.1%) in 2020 and 2021, respectively. The mixed methods were most frequently used for instructor teaching and conferences (43.9% and 58.3%). and the average teaching time per week was 9.40 and 8.69 hours per week, respectively. Taking charge in one to three core nursing skill items, 87.8% and 90.1% of the respondents each year performed face to face evaluation for the skills. Four to six out of 12 POs were covered by 58.2% and 54.9% of the participants, respectively, in 2020 and 2021. The greatest difficulty under the pandemic was securing students’ hospital assignments. Conclusion: The nursing management practicum needs to adopt various digital technologies, and create new education models including hybrid ones combining both contact and untact methods to improve the educational effect for the post COVID-19 era.

Citations

Citations to this article as recorded by  
  • The Impact of the COVID-19 Pandemic on Clinical Practice Education in South Korea: A Cross-Sectional Study
    Kuemju Park
    International Journal of Environmental Research and Public Health.2025; 22(4): 577.     CrossRef
  • Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy
    Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim
    BMC Nursing.2024;[Epub]     CrossRef
  • Development and testing effectiveness of a simulation program to control COVID-19 infections in nursing students
    Kino Kang, Mihae Im, Miyoung Jang, Jaewoon Lee, Okjong Lee
    Journal of Korean Critical Care Nursing.2023; 16(2): 54.     CrossRef
  • 1,525 View
  • 8 Download
  • 3 Crossref
Occupational Stress in Korean Hospital Nurses: Secondary Data Analysis of the Development of a Korean Nurses’ Occupational Stress Scale
MiRa Yun, Heechong Baek, In A Kim, Jung-Min Sung
J Korean Acad Nurs Adm 2022;28(4):393-405.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.393
Purpose
This study aimed to elucidate the situational context and describe the factors and attributes pertaining to occupational stress among hospital nurses in Korea. Methods: Secondary data from focus group interviews conducted with 26 hospital nurses were analyzed using the content analysis method. Data were analyzed using Graneheim and Lundman’s content analysis method. Results: Based on the job demand-resource theory, the contents were divided into two major themes: the “excessive job demands” and the “shortage of job resources”. The first theme was summarized into the following four categories: excessive workload and work intensity, complex and difficult work demands, hazardous work environment, and role- and relationship-related conflicts. The second theme was summarized into the following five categories: inadequate staffing, insufficient education and training, lack of support system, poor monetary compensation, and low internal compensation. Conclusion: The occupational stress factors of Korean hospital nurses can be summarized as excessive job demands and a lack job resources.

Citations

Citations to this article as recorded by  
  • Effects of Role Conflict, Work Environment, and Meaning of Work on Job Embeddedness among Physician Assistants
    Kwang Hoon Seo, Tae Yeong Yang, Nam Gyu Park, Jung Eun Park
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 249.     CrossRef
  • Occupational Stress, Coping, and Outcomes among Korean Nurses: An Integrative Review Based on the Transactional Model of Stress and Coping
    Myungji Kim, Hyunkyung Choi
    STRESS.2025; 33(3): 127.     CrossRef
  • Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
    Ji Yeong Park, Kyoung Ja Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 246.     CrossRef
  • Service Robots in the Workplace: Fostering Sustainable Collaboration by Alleviating Perceived Burdensomeness
    Eeman Almokdad, Chung Hun Lee
    Sustainability.2024; 16(21): 9518.     CrossRef
  • Validity and Reliability of the Korean Version of the Occupational Coping Self-Efficacy Scale for Nurses
    Youngrye Park, Sunah Park, Hee Ran Kang
    Journal of Korean Academy of Nursing.2024; 54(4): 633.     CrossRef
  • A Delphi Study on the Changes in Work, Organizational Culture, and Health Issues of Nurses at Tertiary Hospitals in South Korea during the COVID‐19 Pandemic
    MiRa Yun, WonJong Kim, Boas Yu, Eun-Hi Choi, Paolo C. Colet
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • 1,239 View
  • 67 Download
  • 6 Crossref
Factors Influencing Probability and Increase of Patients’ Call Bell Use in Integrated Nursing Care Wards
Jiyeong Seong, Sung-Hyun Cho
J Korean Acad Nurs Adm 2022;28(3):273-284.   Published online June 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.3.273
Purpose
This study examined patients’ call bell use and the relationship between call bell use and nursing care needs. Methods: Nursing staff was asked to report patients’ call bell use during 15 shifts over five days in integrated nursing care wards. Nursing care needs were measured using summary scores of nursing activities and activities of daily living (ADLs). The relationship between call bell use and nursing care needs was analyzed using a zero-inflated negative binomial regression model. Results: A total of 251 patients used call bells 235 times, with an average of 0.94 times per day. Only 72 patients (28.7%) used call bells once or more per day (range, 1~14 times), whereas the rest did not use call bells. Male gender, a high risk for falling, and a higher score on nursing activities were associated with a greater likelihood of using call bells. Pain and higher dependency on ADLs were associated with an increase in the frequency of call bell use. Conclusion: Patients' call bell use needs to be minimized by meeting their nursing care needs to improve patient safety and nursing performance.

Citations

Citations to this article as recorded by  
  • Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
    Hye Jin Kim, Eunjoo Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     CrossRef
  • Cancer Patients' and Caregivers' Experiences Admitted to Comprehensive Nursing Care Service Wards: An Exploratory Qualitative Research
    Sarah Lim, Mee Young Cho, Hyun Joo Shin, Ki Yeon Song, Soo Kyoung Shim, Yoon Jung Lee, Hea Jin Kwon, Ji Eun Kim, Hui Ean Kim, Hyun Ja Park, Han Wool An, So Jeong Hyeon, Sue Kim
    Asian Oncology Nursing.2024; 24(4): 173.     CrossRef
  • 856 View
  • 52 Download
  • 2 Crossref
Nurses’ Experience in COVID-19 Patient Care
Soojin Chung, Mihyeon Seong, Ju-young Park
J Korean Acad Nurs Adm 2022;28(2):142-153.   Published online March 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.2.142
Purpose
This study aimed to explore nurses’ experience in caring for COVID-19 patients. Methods: A total of 10 nurses working in a COVID-19 ward of a public hospital in South Korea were recruited using purposeful sampling. Individual telephone interviews were conducted and then transcribed verbatim. Data were analyzed using qualitative content analysis. Results: Two categories of nurses’ experience in caring for COVID-19 patients emerged; “unstable psychological status” and “adaptation and self-esteem”. “Shortage of staff due to the increase in infected people”, “poor environment due to the urgent construction of a COVID-19 ward”, “unstable operating system”, and “excessive demands and verbal abuse from patients” were “obstacles”, while “cooperation and consideration between colleagues” and “interest and support from the manager” were found to be “sources to boost morale” for nurses in caring for COVID-19 patients. Conclusion: This study can be fundamental data for a deeper understanding of the experiences and challenges faced by frontline nurses caring for COVID-19 patients. It is necessary to provide psychological support for nurses and establish a well-structured nursing care system in order to fight a pandemic such as COVID-19.

Citations

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  • The Mediating Effects of COVID‐19 Infection Control Fatigue on Quiet Quitting: Focusing on Organisational Justice, Role Ambiguity and Job Satisfaction
    Jaejin Kang, Wonseok Jeong, Seungju Kim
    Journal of Advanced Nursing.2025; 81(7): 3952.     CrossRef
  • Assessing work-related fatigue and burden among Egyptian oncology nurses: a cross-sectional study
    Ghada O. El-Khawaga, Abdel-Hady El-Gilany, Heba Ali Hamed Mohamed
    BMC Public Health.2025;[Epub]     CrossRef
  • Experiences of Person‐Centred Care Among Nurses in COVID‐19 Wards: A Qualitative Study
    Myoungsuk Kim, Yongmi Lee, Hyun‐Ju Kang
    Nursing Open.2025;[Epub]     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
  • Terminal Care Performance of Nurses Caring for COVID‐19 Patients: A Cross‐Sectional Descriptive Study
    Juyeon Oh, Dong‐Hee Kim, Yujin Kim
    Nursing Open.2024;[Epub]     CrossRef
  • Factors Influencing Depression Among Nurses in General Hospitals During the COVID-19 Pandemic: Focus on Job Demands, Post-traumatic Stress, and Social and Organizational Support
    Si Hyun Baek, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 306.     CrossRef
  • A Delphi Study on the Changes in Work, Organizational Culture, and Health Issues of Nurses at Tertiary Hospitals in South Korea during the COVID‐19 Pandemic
    MiRa Yun, WonJong Kim, Boas Yu, Eun-Hi Choi, Paolo C. Colet
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • Nurses’ Experiences with the Use of Electronic Nursing Record: A Qualitative Study
    Yul Hee LEE, Min Sun KIM, Hee Jung KIM
    Korean Journal of Health Promotion.2024; 24(3): 110.     CrossRef
  • Korean Hospital Nurses’ Experiences with COVID-19: A Meta-Synthesis of Qualitative Findings
    Suk-Jung Han, Hee-Jung Hong, Bok-Soon Shin
    Healthcare.2024; 12(9): 903.     CrossRef
  • Improving Emerging Infectious Disease Control Based on the Experiences of South Korean Nurses During the COVID-19 Pandemic: A Qualitative Systematic Review
    Ha-Young Park, In-Sun Yeom
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 1.     CrossRef
  • Factors influencing nurses' compliance related to the use of personal protective equipment during the COVID‐19 pandemic: A descriptive cross‐sectional study
    Eun‐Jin Kim, Yeon‐Hwan Park, Hye‐Ran Choi
    Nursing Open.2024;[Epub]     CrossRef
  • Influence of Job Stress and Resilience on Burnout of Clinical Nurses Working in Small and Medium-Sized Hospital: Focusing on Comparing National Safety Hospital and COVID-19 Dedicated Hospital
    Su-Young Jang, Young Ko
    Korean Journal of Health Promotion.2023; 23(2): 65.     CrossRef
  • Mediation Analysis of Emotional Intelligence on the Relationship between Social Support and Resilience by Clinical Nurses in COVID-19
    Hye-Yeon Shin, Myoung-Lyun Heo
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 181.     CrossRef
  • Experiences of Psychiatric Nurses Working in a Closed Psychiatric Unit during the COVID-19 Pandemic
    Ji Young Kim, Hyun Kyung Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 374.     CrossRef
  • Experiences of Caring for Cohort-Isolated Patients among Nurses in Locked Psychiatric Units
    Hyeran An, Kyungmi Kim, Jongeun Lee, Sunhwa Won
    Healthcare.2023; 11(19): 2650.     CrossRef
  • Factors Affecting the Preparedness to Care for Patients with Highly Infectious Diseases among Nursing Staff in Long-term Care Hospitals: A Cross-Sectional Descriptive Study
    Ye Seul Lee, Min Hye Lee
    Korean Journal of Adult Nursing.2023; 35(1): 35.     CrossRef
  • Priority Analysis of Needs for COVID-19 Infection Control Education for Nurses at a Medium-Sized Hospital
    Hee Kang, Jin Im, Hee-Young Kang
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 472.     CrossRef
  • Awareness of the epidemiological investigation tasks of the nurse in charge of COVID-19 epidemiological investigations
    Haeng-Mi Son, Won-Hee Choi, Hye-Ryun Yang, Young-Hui Hwang
    The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 433.     CrossRef
  • Factors Influencing the Educational Needs and Nursing Intention Regarding COVID-19 Patient Care among Undergraduate Nursing Students
    Eun-Joo Ji, Eun-Kyung Lee
    International Journal of Environmental Research and Public Health.2022; 19(23): 15671.     CrossRef
  • Factors Affecting Fatigue among Nurses during the COVID-19 Pandemic
    Haeyoung Lee, Seunghye Choi
    International Journal of Environmental Research and Public Health.2022; 19(18): 11380.     CrossRef
  • 1,208 View
  • 16 Download
  • 20 Crossref
Quality Improvement Specialists' Experiences of Implementing an Assessment of Patients' Experiences in South Korea
Jeonghae Hwang, Eun Young Park, Bok Nam Kim, Moonsook Kim
J Korean Acad Nurs Adm 2022;28(1):1-8.   Published online January 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.1.1
Purpose
The aim of this study was to explain the patient assessment experiences of the medical staff responsible for customer satisfaction and quality improvement at their respective medical institutions.
Methods
This was a qualitative study using a focus group with quality improvement or custom service department managers. Participants were selected using purposive sampling. Data collection was conducted with seventeen participants divided into three focus group interviews from July 3 to 5, 2017. Each interview took an average of 1 hour and 40 minutes. Transcribed data were analyzed using qualitative thematic analysis.
Results
Base on the analysis, four categories and eight themes were derived. The categories were: 1) what is the quality of hospital service? 2) between directionality and timeliness, 3) variations in recognition and application, and 4) changing in hospital culture Conclusion: The assessment of patient's experience has spread a patient-centered culture and elicited significant changes in the behavior of medical and hospital staff. However, the survey instruments and procedures for assessing patient experiences need to be continuously improved, and additional research is required to secure evidence related to patient experiences.

Citations

Citations to this article as recorded by  
  • Perceptions of Ward Round Time: A Vignette-Based Study of Patients, Physicians, and Medical Students
    Ji Sun Park, Sun Young Lee, Un-Na Kim, Jae-Joon Yim, Hyeontaek Hwang, Yukyung Shin, Young Kyung Do
    Quality Improvement in Health Care.2025; 31(1): 65.     CrossRef
  • Impact of Sharia hospital service standards and religiosity commitment on patient satisfaction and loyalty: insights from certified Sharia hospital in Indonesia
    Ngatindriatun Ngatindriatun, Muhammad Alfarizi, Tika Widiastuti
    Journal of Islamic Accounting and Business Research.2024;[Epub]     CrossRef
  • 1,991 View
  • 14 Download
  • 2 Crossref
Estimation of Revenue Growth Generated by Changing Nurse Staffing Grades and Fees and Introducing Night Shift Nursing Fees
Sung-Hyun Cho, Kyung Jin Hong, Ji-Yun Lee
J Korean Acad Nurs Adm 2021;27(3):191-203.   Published online June 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.3.191
Purpose
To analyze the changes in nurse staffing grades and to estimate the revenue growth generated by applying government guidelines for improving nurses’ working conditions. Methods: Staffing grades, ranging from grade 1 (highest) to 7 (lowest), for 2018 and 2020 were analyzed for 326 general hospitals (GHs) and 1,419 non-general hospitals (NGHs). The annual revenue growth per nurse generated by changing inpatient nursing care fee schedules and newly introducing night shift nursing fees were estimated. Results: Grade 1 GHs increased from 6.9% in 2018 to 39.6% in 2020, whereas grades 6-7 decreased from 31.8% to 17.6%. NGHs with grades 6-7 decreased from 81.8% to 61.6%. GHs and NGHs with no reported staffing grades decreased from 10.6% to 0% and from 63.2% to 14.8%, respectively. The estimated annual revenue growth per nurse from inpatient nursing care fees resulting from 1-grade improvements in staffing was 1.44~7.26 million Korean won (KRW) and 1.25~9.75 million KRW for GHs and NGHs, respectively, while the results from night shift nursing fees were 2.37~5.54 million KRW and 2.20~5.14 million KRW for GHs and NGHs, respectively. Conclusion: The increased revenues should be utilized to augment nurses’ wages and staffing levels as the guidelines recommend.

Citations

Citations to this article as recorded by  
  • Topic Modeling of Nursing Issues in the Media During 4 Emerging Infectious Disease Epidemics in South Korea: Descriptive Analysis
    Jungok Kim, Eun Kyoung Yun
    Journal of Medical Internet Research.2025; 27: e60446.     CrossRef
  • Impact of nursing policy on securing intensive care unit nurse staffing and in-hospital mortality
    Kyu-Tae Han, Seungju Kim
    Intensive and Critical Care Nursing.2025; 86: 103807.     CrossRef
  • Changes in Nursing Grades and Nurse Staffing Levels following the 2024 Revision of Nursing Management Fee Standards: A Focus on Tertiary Hospitals and Medical Institutions in Seoul
    Hyeyoung Choi, Kiyoung Kim, Su-Jin Cho, Suyong Jeong
    Health Insurance Review & Assessment Service Research.2025; 5(1): 58.     CrossRef
  • Factors affecting the turnover intention of newly graduated Generation Z nurses in Korea: multilevel analysis
    Mee Sun Lee, Sujin Shin
    Human Resources for Health.2025;[Epub]     CrossRef
  • Nursing-sensitive Indicators in East Asian Hospitals: A Scoping Review
    Jae Jun Lee, Won Jin Seo, Dong Ah Park, Hwa Yeong Oh, Seung Eun Lee
    Quality Improvement in Health Care.2024; 30(2): 88.     CrossRef
  • Sleep quality and hours of nurses according to shift type and schedule: A cross-sectional study
    Hyoung Eun Chang
    Chronobiology International.2024; 41(12): 1591.     CrossRef
  • Relationships among meal time, break time and workplace characteristics of nurses who work day, evening and night shifts: a cross-sectional study
    Hyoung Eun Chang
    International Journal of Occupational Safety and Ergonomics.2024; 30(1): 312.     CrossRef
  • Improvement in nurse staffing ratios according to policy changes: a prospective cohort study
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    BMC Nursing.2022;[Epub]     CrossRef
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    Hyo-Jeong Yoon
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Nurses' Experience with Inpatients in Comprehensive Nursing Care Service: A Phenomenological Approach
Purum Kang, Jiwon Kang
J Korean Acad Nurs Adm 2021;27(3):149-158.   Published online June 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.3.149
Purpose
The purpose of this study was to explore the experiences of the relationship between nurses working on comprehensive nursing care service wards and the inpatients on those wards. Methods: The phenomenological research method was used. Participants in the study were seven women. Data were collected through individual in-depth interviews from December, 2018 to January, 2019 Results: Five theme clusters were extracted that described nurses’ patient experiences for comprehensive nursing care service wards. They are “Expansion of relationship formation”, “Transition of place to provide nursing care”, “Expansion of communication”, “Maintaining professional boundaries” and “Realization of professional nursing”. Conclusion: The results of this study provide a deep understanding and insight in to the nature for nurses on comprehensive nursing care service wards and patients' relationships. It is thought that active development of strategies to support positive relationships will enhance the quality of the comprehensive nursing care service wards and help improve patient care outcomes.

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    Deokhyun Lee, Yoonju Lee, Haejung Lee, Sunyoung Jung
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 478.     CrossRef
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A Study on Factors Affecting Near Misses by Nurses in Small-Medium Sized Hospitals
San-Na Lee, Seon-Ha Kim
J Korean Acad Nurs Adm 2021;27(2):75-83.   Published online March 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.2.75
Purpose
The purpose of this study was to investigate the status of the near miss by nurses in small-medium hospitals and to identify the factors that affect the near miss. Methods: Data were collected using a structured questionnaire for small-medium sized hospital nurses who had worked for more than one year. A total of 243 questionnaires were used for analysis. The difference in the characteristics of the nurses according to the near miss experience was analyzed by the x 2 test, and the influence factor of the near miss was analyzed by logistic regression. Results: Overall, 155 nurses (63.8%) experienced near misses during the previous 1 year. Among those who experienced a near miss, the medication-related error was the highest at 58.3%. As a result of the stepwise logistic regression analysis, the odds ratio over time work of over 3 hours increased near misses 2.48 (95% CI: 1.21~5.08) compared to the group without overtime. Conclusion: Overtime work seems to be a significant factor in the near miss experience for small-medium hospital nurses.

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    Ju-Hee Kang, Yeojin Yi
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    Da Eun Lee, Bo Gyeong Lee
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    Yea Seul Yoon, Yoonjung Ji, Tae Wha Lee
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    Young Ok Cho, Myoung Soo Kim
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Job Analysis for Nurse-led Rapid Response Teams in Korea
Ju-Ry Lee, Eui Geum Oh, Eun-Young Yoo
J Korean Acad Nurs Adm 2021;27(1):43-53.   Published online January 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.1.43
Purpose
The purpose of this study was to identify the work activities of nurse-led rapid response teams (RRT). Methods: For this study a methodological approach was used to identify work activities for nurse-led RRT. The study was conducted in two stages. The first step was to analyze the work activities of domestic nurse-led RRTs using the interview method, and then develop a questionnaire based on the results of the interviews. As a second step, field surveys were conducted by nurse-led RRT nurses to investigate importance and performance based on the developed questionnaire. Results: Fifty-eight work activities were identified for nurse-led RRTs in the following nine core areas: advanced nursing practice, education, counseling, consultation, collaboration, ethical decision-making, research, evidence-based practice, and leadership. Conclusion: The identified work activities for nurse-led RRTs will be used as basic data in nurse-led RRTs job description, developing job standards and can also serve as basic data for developing a nurse-led RRT educational curriculum. The results of this study suggest that follow-up research is needed to develop job standards based on the identified nurse-led RRT's work activities.

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    Sun-Hee Moon, Hyeonjin Jeong, Daun Jeong
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    Archives of Pediatric Critical Care.2024; 2(2): 91.     CrossRef
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The Relationship between Average Length of Stay and Nurse Staffing in General Hospitals from 1996 to 2016
Sung-Hyun Cho, Ji Yun Lee, Kyung Jin Hong, Iksoo Huh
J Korean Acad Nurs Adm 2020;26(5):521-532.   Published online December 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.5.521
Purpose
To analyze the effects of average length of stay (ALOS) on RN staffing. Methods: Public data of patient surveys collected 8 times between 1996 and 2016 were analyzed. The sample included 2,408,669 discharged patients from 2,266 general hospitals. The ALOS for each hospital was computed by dividing the sum of inpatient days by the number of discharges. RN staffing was defined as the number of RNs per 100 inpatients. ALOS was transformed into base-2 logarithmic values for regression analysis. Results: ALOS decreased from 13.3 to 9.6 days. Large hospitals in the capital region had the greatest reduction, from 15.7 to 7.4 days. RN staffing increased from 32.7 to 54.8 RNs per 100 patients. ALOS had an inverse relationship with RN staffing. Controlling for other factors, a 50% reduction in ALOS was associated with increases in RN staffing by 12.18 and 13.72 RNs per 100 inpatients in large hospitals in the capital region and elsewhere, respectively. Conclusion: Hospitals may have to increase staffing to respond to the increased workload resulting from the shortened ALOS. It remains uncertain whether such increases in staffing were sufficient for the increased workload. Changes in ALOS should be taken into account when determining appropriate staffing.

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Estimation of Expected Nursing Hours Based on Patients’ Nursing Care Needs and a Comparison with Actual Nursing Hours in Comprehensive Nursing Care Wards
Sung-Hyun Cho, Kyung Jin Hong, Hyo-Jeong Yoon, Sun Ju Chang, Kyunghi Choi, Hyang-Jeong Park, Iksoo Huh
J Korean Acad Nurs Adm 2020;26(4):365-377.   Published online September 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.4.365
Purpose
To compare actual versus expected nursing hours based on patients’ nursing care needs.
Methods
The nursing care needs of 898 inpatients in 20 wards at 11 hospitals were measured using the 14 items developed by the National Health Insurance Service (NHIS). Nursing activities from 474 nursing personnel were observed every 10 minutes for 24 hours. Actual hours indicated direct care hours per patient day provided by registered nurses according to 3 types: (1) standard hours based on staffing standards approved by the NHIS, (2) scheduled hours excluding overtime hours, and (3) observed hours including overtime. Expected hours were estimated from the linear mixed effect model including hospital type, nursing care need items and their interaction terms.
Results
Standard hours ranged from 0.92 to 2.15; scheduled hours from 0.88 to 1.95; observed hours from 1.00 to 2.40; expected hours from 0.88 to 2.33. Eight hospitals had standard hours not meeting the expected hours and 2 hospitals did observed hours not meeting the expected hours due to nurses’ overtime. In 3 hospitals, all types of actual hours exceeded the expected hours.
Conclusion
Staffing needs to be determined based on patients’ care needs and to be improved to minimize nurses’ overtime work.

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The Influence of Importance and Performance of Nursing Activities, and Professional Self-Concept on Ambulatory Care Nurses’ Job Satisfaction
Yeo Jung Kim, Haena Jang, Jeong Hee Kwon, Jin Ju Hwang
J Korean Acad Nurs Adm 2020;26(3):262-273.   Published online June 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.3.262
Purpose
The purpose of this study was to identify factors influencing job satisfaction among ambulatory care nurses.
Methods
Data were collected through a self-evaluation survey of 129 nurses in one tertiary hospital. Data were analyzed using paired t-test, independent t-test, one-way ANOVA, Importance-Performance Analysis, Pearson correlation coefficients, and multiple regression analysis.
Results
The mean scores were: for importance, 3.18 out of 4, for performance, 2.24 out of 4, for professional self-concept, 2.92 out of 4, and for job satisfaction 2.77 out of 5. There were statistically significant positive correlations between professional self-concept and job satisfaction (r=.37, p<.001). Stepwise multiple regression analysis showed that satisfaction with professional self-concept, clinical career, and age explained 47.0% of the job satisfaction of ambulatory care nurses (F=37.51, p<.001). Satisfaction with professional self-concept, clinical career, and age were statistically significant predictors of job satisfaction.
Conclusion
Findings indicate motivation programs according to clinical career would be useful to improve job satisfaction of ambulatory care nurses. Additionally, continuous education should be provided to strengthen the professional self-concept of nursing professionals in both undergraduate curricula and clinical fields.

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Determining Nurse Staffing By Classifying Patients Based on their Nursing Care Needs
Sung Hyun Cho, Ji Yun Lee, Kyung Jin Hong, Hyo Jeong Yoon, Won Hee Sim, Moon Sook Kim, Iksoo Huh
J Korean Acad Nurs Adm 2020;26(1):42-54.   Published online January 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.1.42
PURPOSE
To determine nurse staffing by classifying patients based on their nursing care needs and to benchmark current staffing against the Safer Nursing Care Tool (SNCT) staffing requirements.
METHODS
Cross-sectional data were collected from four general wards at a tertiary hospital. Nursing activities conducted by 86 registered nurses were observed at 10-minute intervals. The nursing care needs of 780 inpatients were measured with two dimensions: acuity (10 nursing activities) and dependency (four activities of daily living).
RESULTS
Nurses worked for 9.3 hours per shift on average, reflecting overtime work of 1.3 hours per nurse. Nurses spent 37% of their time on direct care, 54% on indirect care, and 9% on associated work. Nursing hours per patient day increased as nursing care needs became higher. Patients were classified into four groups based on their level of nursing care needs. The staffing ratio of groups 1-4 was 1:9.8, 1:8.0, 1:7.0, and 1:4.6, respectively. The current staffing (i.e., nursing hours) was as low as 53% of the SNCT benchmark, resulting in informal caregiving by patients' family or their privately hired attendants.
CONCLUSION
Appropriate and safe staffing is required to meet patients' nursing care needs and to improve the quality of nursing care.

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    Sung-Hyun Cho, Hyo-Jeong Yoon, Sun Ju Chang, Ji-Yun Lee, Won-Hee Sim, Moon-Sook Kim, Sung-Cheol Yun
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 238.     CrossRef
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    Hye-Kyung Jo, Sung-Heui Bae
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    Sung-Hyun Cho, Kyung Jin Hong, Hyo-Jeong Yoon, Sun Ju Chang, Kyunghi Choi, Hyang-Jeong Park, Iksoo Huh
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 365.     CrossRef
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Conflicts Experienced by the Nurses in Hospital Nursing Organizations
Sung Bok Kwon, Hwa Young Ahn, Myung Hee Kwak, Suk Hyun Yun
J Korean Acad Nurs Adm 2019;25(5):499-509.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.499
PURPOSE
The present research was done to examine the fundamental significance and structure of conflict experience of nurses in hospital nursing organizations.
METHODS
This qualitative research was conducted by analyzing data collected through in-depth interviews based on Colaizzi's (1978) method of analysis, one of the phenomenological methods of analysis.
RESULTS
Statements from the 12 study participants demonstrate two key topics “accumulation of conflicts” and “manifestation of new conflicts” as well as seven sub-topics including “being forced to comply”, “Lack of respect and consideration”, “unsatisfactory conflict management by the leaders”, “continuous and overwhelming vicious cycle”, “prevalence of self-defensive egotism”, “difficult to accept differences”, and “incapable of responding to the structural changes of nursing workforce”.
CONCLUSION
Resolving the dysfunctional conflicts in hospital nursing organizations requires not only improvement in the organizational culture of individuals and nursing organizations, but also legal and institutional measures in addition to new attempts to integrate education and research findings from relevant fields of studies.

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Experience of Hospital Administrative Nurses' Work Adjustment
Hyun Ju Lee, Jae Hyun Ha, Yun Seo Jung, Jungmi Yun
J Korean Acad Nurs Adm 2019;25(5):424-436.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.424
PURPOSE
This study was aimed to explore the work experience of nurses who transitioned from the patient nursing department to administrative departments.
METHODS
The participants were 11 nurses who had worked in departments of human resources, education and training, medical insurance review, information technology, and quality improvement. Data were collected through in-depth individual interviews done between December 2017 and July 2018 and were analyzed in terms of Giorgi's phenomenological methodology. The research question was ‘What kind of experience did you have as you transition to a new role from a nurse to a hospital administrative nurse? What are the challenges in carrying out a new role? How do you overcome obstacles and adjust to being a hospital administrative nurse?’ RESULTS: The main essence of the administrative nurses' work adjustment experience is represented by six components; 1) Beginning of a new challenge in conflict, 2) Running into barriers, 3) Struggling to take root, 4) Recognizing changes in the hospital, 5) Gradually adjusting to change, 6) Becoming a proficient hospital administrative nurse.
CONCLUSION
Based on these findings, it is essential to create systems that enable administrative nurses to adjust to their work without confusion, and continuously develop programs to enhance their competence.

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    Sohee Nam, Jaehee Jeon, Yeon Jeong Heo
    Journal of Korean Critical Care Nursing.2021; 14(3): 99.     CrossRef
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  • 7 Download
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Concept Analysis of Hospital Nurses' Job-esteem
Hyun Ju Choi, Kwuy Im Jung
J Korean Acad Nurs Adm 2019;25(4):302-316.   Published online September 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.4.302
PURPOSE
This study was conducted to identify and define the concept of job-esteem of the hospital nurses.
METHODS
Data were analyzed using the hybrid model, introduced by Schwartz-Barcott and Kim. Data were obtained from a relevant literature review and also from the in-depth interviews of twelve nurses with clinical experience of more than 3 years.
RESULTS
The concept of job-esteem of the hospital nurses was finally analyzed with 5 attributes and 13 indicators of 3 dimensions. The attributes of the personal dimension were professional self-awareness, professional competence, the attribute of organizational dimension was respect and recognition of the organization, the attributes of social dimension were social trust and respect, driving forces of job retention.
CONCLUSION
The job-esteem of hospital nurses is defined as beliefs and values used to evaluate or as expectations of self in the job through which hospital nurses van find professional self-awareness and competence, identify respect and recognition of the organization, recognize the driving forces of social trust, respect and job maintenance. This study is meaningful in that the concept of job respect of hospital nurses was analyzed and basic data for the development of a job-esteem scale for hospital nurses was provided.

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    Yu Jin Lee, Chung Hee Woo
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    Yu Na Lee, Eungyung Kim
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    Hyun Ju Choi, Kwuy Im Jung
    Journal of Korean Academy of Nursing.2020; 50(3): 444.     CrossRef
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Experience of Nursing Management Practice in Graduate Nurses
Kwang Ok Park, Jong Kyung Kim
J Korean Acad Nurs Adm 2019;25(4):259-271.   Published online September 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.4.259
PURPOSE
The purpose of this qualitative study was to evaluate nursing students' experience during nursing management practicum.
METHODS
Data were collected from 10 in-depth interviews. The main question was “Could you describe your experience during the nursing management practicum?” The qualitative data from the field notes and transcriptions of the interviews were analyzed using Colaizzi's method.
RESULTS
The experiential themes of students' experience during a nursing management practicum were ‘differentiate clinical practice which is immersed in the nursing management process’, ‘understand nurse managers’ leadership qualities and influence of communication', ‘understand why the general nurse engages in management tasks on duty’, ‘gain insight into organizational operations from new and diverse perspectives’, ‘engage in nursing practice through abundant interaction’.
CONCLUSION
The results show that the nursing management practicum focuses on the management of nurses and nurse manager, so instruction and guidance by professors and practicing leaders is needed for students to practice these goals, In addition, in the clinical practice field, students should be provided with a practical environment and guidance in accordance with the goal of management practice.

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  • Efecto del Aprendizaje Basado en Problemas en habilidades de Gestión del Cuidado: Estudio cuasiexperimental
    Luis Angel Benítez-Chavira, Rosa Amarilis Zárate-Grajales, María Guadalupe Moreno-Monsiváis, Cecilia Xochitl Vite-Rodríguez, Carlota Mercedes Hernández-Rosales, Carlos Emmanuel Brito-Carbajal
    Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
  • O efeito da Aprendizagem Baseada em Problemas nas habilidades de Gestão do Cuidado: Estudo quase-experimental
    Luis Angel Benítez-Chavira, Rosa Amarilis Zárate-Grajales, María Guadalupe Moreno-Monsiváis, Cecilia Xochitl Vite-Rodríguez, Carlota Mercedes Hernández-Rosales, Carlos Emmanuel Brito-Carbajal
    Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
  • The effect of Problem-Based Learning on Care Management skills: A quasi-experimental study
    Luis Angel Benítez-Chavira, Rosa Amarilis Zárate-Grajales, María Guadalupe Moreno-Monsiváis, Cecilia Xochitl Vite-Rodríguez, Carlota Mercedes Hernández-Rosales, Carlos Emmanuel Brito-Carbajal
    Revista Latino-Americana de Enfermagem.2023;[Epub]     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 Current Status of Nursing Management Practicum during the COVID-19 Pandemic
    Eun A Kim, Yoomi Jung, Miyoung Kim, Jeong Hee Kim, Myonghwa Park, Kyung Ryu
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 471.     CrossRef
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  • 6 Download
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Nursing Productivity of Tertiary General Hospitals using Financial Statements
Wonjung Noh, Ji Young Lim
J Korean Acad Nurs Adm 2019;25(1):35-41.   Published online January 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.1.35
PURPOSE
This study was performed to analyze financial ratios and nursing productivity and to interpret comparisons of financial standard ratios.
METHODS
The financial statements of 21 tertiary general hospitals were collected from the webpage of the National Tax Service in Korea. General characteristics of the hospitals were acquired from their webpages.
RESULTS
The results obtained were compared with the financial standard ratios of Korean hospitals. The majority of hospitals showed poor liquidity, performance, turnover, and growth. Nursing productivity was measured by calculating annual value added per nurse (₩ 39,746,938) and annual gross revenues per nurses (₩ 65,803,550).
CONCLUSION
Interestingly, although the financial ratios were generally poor, nursing productivities were very good. Nurse managers can suggest increasing nursing staff levels based on high nursing productivity despite poor financial conditions.

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    Hossam Ali Ismail, Mohamed Hashem Kotp, Hassan Ahmed Awad Basyouny, Aliaa Ezz Eldin Abd Elmoaty, Abdelaziz Hendy, Rasha Kadri Ibrahim, Sally Mohammed Farghaly Abdelaliem, Ahmed Hendy, Mohamed Ahmed Aly
    BMC Nursing.2025;[Epub]     CrossRef
  • Research Trends Review of Financial Performance in Hospitals
    Wonjung Noh, Ji Young Lim, Gyeong Ae Seomun, Miyoung Kim, Soyoung Yu, Yoomi Jung, Youngjin Lee
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 76.     CrossRef
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    Yennuten Paarima, Atswei Adzo Kwashie, Adelaide Maria Ansah Ofei
    International Journal of Africa Nursing Sciences.2021; 14: 100269.     CrossRef
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A Study of Desired Work Conditions of Nurses in Small-Medium Hospitals
Kwang Ok Park, Jong Kyung Kim
J Korean Acad Nurs Adm 2019;25(1):1-13.   Published online January 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.1.1
PURPOSE
This study was done to analyze the problems and desired work conditions of nursing organizations in small-medium hospitals.
METHODS
Delphi Technique was used. In the first stage, the work conditions of nurses in small-medium hospitals were identified through a literature review. In the second stage, through 3 consultations with 20 nurse advisory groups, feedback was received on the desired work conditions for nurses in small-medium hospitals. In the third stage, 415 nurses and nurse managers were selected to examine the content validity and importance of the desired work conditions identified in the second stage.
RESULTS
Sixty-four items were developed along eight domains of desired work conditions for nurses in small-medium hospitals. The survey on the desired work conditions revealed the following in order of importance: ‘wages’, ‘personnel’, ‘job’, ‘work hours’, ‘welfare’, ‘education’, ‘culture’, and and ‘other incentives’.
CONCLUSION
The results of this study suggest that small-medium hospitals need to recognize the desired work conditions desired by nurses and accordingly change policies through the efforts of hospitals and professional groups.

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    Eun Mi Kim, Su Jung Choi, mi sug Lee, Hyun Jin Park, Jeong Yun Park
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  • The mediating effect of workplace incivility on organization culture in South Korea: A descriptive correlational analysis of the turnover intention of nurses
    Yoon Heui Lee, Jumi Lee, Soo‐Kyoung Lee
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  • Nurse allocation in hospital: hybridization of linear regression, fuzzy set and game-theoretic approaches
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Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital
Heeyoung Kim, Younghee Han, Okkyung Kim
J Korean Acad Nurs Adm 2018;24(5):466-478.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.466
PURPOSE
This study was done to establish a clinical ladder system for nurses in a small and medium-sized hospital in Korea.
METHODS
The study was carried from July, 2016 to May, 2018. Data collection was done in a general hospital with 250 beds located in Gyeonggi Province. The clinical ladder system was developed and operated according to the value system of small and medium-sized hospital. Focus group interviews and a satisfaction survey were conducted for evaluation. Collected quantitative data were analyzed using the SPSS/WIN 22.0 program and qualitative data underwent content analysis.
RESULTS
The clinical ladder system is a 5-step ladder that includes 3 domains, 5 nursing competencies and 25 nursing behavioral indicators related to core values of the hospital. The operating system were promotion review system, education system and support/reward system. After conducting a pilot clinical ladder system, satisfaction of nurses was 2.86, out of a possible 4. Nurses who participated in the clinical ladder system experienced improvement in motivation, job performance, self-esteem, professionalism, recognition and were able to develop a goal in their minds.
CONCLUSION
The results indicate that the clinical ladder system can be used as a strategy for professional development for nurses in small and medium-sized hospitals.

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    Su Mi Choi, Ji Won Kim
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  • 25 Download
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Effect of Nursing Professionalism and Organizational Communication on Intent to Stay in Geriatric Hospital Nurses
Bi Joo Kim, Mi Aie Lee
J Korean Acad Nurs Adm 2018;24(5):455-465.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.455
PURPOSE
This study was performed to measure nursing professionalism, organizational communication, and intent to stay, and investigate the relationship among these three variables in geriatric hospital nurses.
METHODS
A cross-sectional survey was done with the participation of 195 nurses working at 23 geriatric hospitals in B city of Gyeongsangnam-do, Korea. Data were collected from January 19 to 25, 2018 using structured questionnaires and were analyzed using SPSS/WIN program.
RESULTS
The geriatric hospital nurses' scores for nursing professionalism, organizational communication, and intent to stay were relatively lower than those of general hospital nurses. Each of these three variables was differently perceived according to participants' general characteristics but there was a positive correlation between them. The factors influencing intent to stay were organizational communication, age and through newspapers/advertising (one of motivations for working at geriatric hospitals). These three variables explained 47% of intent to stay.
CONCLUSION
To increase intent to stay in geriatric hospital nurses, nursing or hospital managers must develop and apply programs that help improve nurses' professionalism and organizational communication. Especially geriatric hospital nursing managers should try to provide organizational communication enhancement programs for young and inexperienced nurses.

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Hospitalization Experience of Patients Admitted to Nursing Care Integrated Service Wards in Small and Medium-size General Hospitals
Hyun Ju Choi, A Leum Han, Young Mi Park, JI Hyeon Lee, Young Sook Tae
J Korean Acad Nurs Adm 2018;24(5):396-409.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.396
PURPOSE
This study was conducted to identify meaning and essential structure of the hospitalization of patients in nursing care integrated service wards of small and medium-size general hospitals.
METHODS
Experiential data were collected through in-depth interviews with 10 patients who had been hospitalized in nursing care integrated service wards of medium general hospitals. The main question was ‘Could you describe your hospitalization experience in nursing care integrated service wards of medium general hospitals?’, and collected data were analyzed using Colaizzi's Phenomenological Research Method.
RESULTS
Four categories obtained were ‘Realize the system that is not established yet’, ‘Secure care services which are less of a psychological and financial burden’, ‘Thanks for care providers’, and ‘Confident of the hopeful system to desire to reuse in the future.’ CONCLUSION: Patients in nursing care integrated service wards of small and medium-size general hospitals were satisfied with the reduction of mental and financial burden caused by nursing and were thankful to nursing staff, who put a lot of efforts into nursing. But, at the same time, they were confused and inconvenienced by the services that were not yet completely established. To improve this situation, it is thought that institutional complements including development of a service standardization manual would be helpful.

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  • Analysis of Nursing Task in Integrated Nursing Care Wards by Hospital Type
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    Ye-Na Lee, Jeehyoung Kim, Geon Go, Purum Kang
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  • Analysis of Nurses' Work Experience in Comprehensive Nursing Care Units of Small and Medium-sized Hospitals
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Development of Emotional Labor Measurement Tool for Hospital Nurses
Hye Ri Nam, Ji Yun Lee
J Korean Acad Nurs Adm 2018;24(3):221-233.   Published online June 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.3.221
PURPOSE
The study was done to analyze attributes of emotional labor experienced by clinical nurses working in domestic hospitals and to develop tools for measurement.
METHODS
The concept of nurse emotional labor was verified through concept analysis based on Hybrid model. The preliminary Nurse Emotional Labor Scale were examined for content validity, reliability and validity. The scale was verified with 500 nurses working in general hospitals located in Kangwon-do.
RESULTS
Attributes of the nurse emotional labor concept were derived from three types: surface type, internalize type and control behaviors and identified as having six constitutive factors: conscious surface behaviors, casual behaviors, empathy effort, repress, solve and endure. The results of the construct validity test of the tool showed 8 factors. The Nurse Emotional Labor Measurement Tool had a significant correlation (r=.35, p < .001) with the Scale of Morris & Felman in result of criterion-related validity. And the internal consistency reliability Cronbach's α coefficient was .93.
CONCLUSION
The development process showed that to accurately describe emotional labor of nurses, it is necessary to consider not only quantitative aspects but also qualitative aspects and content aspects.

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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.

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  • 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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  • 16 Download
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PURPOSE
The purpose of this study was to examine the effects of perception of importance of patient safety management, patient safety culture and safety performance on managerial performance of hospital nurses.
METHODS
A cross-sectional design was used, with a convenience sample of 393 nurses from seven general hospitals. Data were collected through self-evaluation questionnaires. The data collection period was April and May, 2016 and data were analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson correlation coefficients and stepwise multiple regression with the SPSS/WIN 24.0 program.
RESULTS
There were significantly positive relationships (p < .001) between hospital managerial performances and perception of importance of patient safety management (r=.36), patient safety culture (r=.51), safety performance (r=.44). Factors influencing hospital managerial performances in the hospital nurses were identified as patient safety culture (β=.34), type of hospital (advanced general hospital) (β=.31), and safety performance (β=.20). The explanation power of this regression model was 39.0% and it was statistically significant (F=183.82, p < .001).
CONCLUSION
The results from this study can be used to develop further management strategies for enhancement of hospital managerial performances.

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PURPOSE
The study aim was to compare nursing service satisfaction, hospital commitment and revisit intention between patients on general care units and comprehensive nursing care units.
METHODS
Participants were 201 hospitalized patients in a WHO tertiary hospital and a general hospital. Data were analyzed using SPSS/WIN 23.0 program.
RESULTS
There was a significant difference in the satisfaction with nursing service between patients on general care units and comprehensive nursing care units (t=14.73, p < .001). There was a significant difference in the hospital commitment between general care units and comprehensive nursing care units (t=7.52, p < .001). There was a significant difference in the revisit intention between patients on general care units and patients on comprehensive nursing care units (t=6.01, p < .001). There were significant relationships among nursing service satisfaction, hospital commitment and revisit intention.
CONCLUSION
The findings reveal that patients on comprehensive nursing care units were more satisfied with the nursing service, hospital commitment, and revisit intention compared to general care unit patients. Nursing service satisfaction and hospital commitment were factors affecting hospital revisit intention. Therefore, these results are important data for complementing and expanding the comprehensive nursing service system to improve satisfied with nursing service and hospital commitment to increase hospital revisit intention.

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Development of Hospital Nurses' Job Description based on DACUM Method: Focusing on General Ward and Intensive Care Unit
Sun Mi Lee, Yeon Hee Kim, Yu Mi Shim, Jin Sun Choi, Mi Yu
J Korean Acad Nurs Adm 2017;23(5):535-547.   Published online December 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.5.535
PURPOSE
This study was done to clarify nurses' duties, tasks and task elements and to develop a job description for clinical nurses on general and intensive care units in tertiary-level hospitals, and dramatically reflect changing medical trends in Korea.
METHODS
The job description was developed based on the Developing a Curriculum Method (DACUM). The questionnaire included frequency, importance, and difficulty of duties, tasks and task elements, measured on a 4-point scale. Results were analyzed using SPSS version 21.0. Data were collected from September 4 to 7, 2017, and analyzed using descriptive statistics and a scattered graph.
RESULTS
The job description consisted of 10 duties, 38 tasks, and 51 elements. Of the 10 duties, the highest duty in order of importance was ‘Direct nursing care’ followed by ‘Infection control’. The highest duties according to frequency and difficulty were ‘Document and notify’ and ‘Research and quality improvement’. ‘Safety management’ and ‘Infection control’ were considered as relatively simple duties, however, these two duties were still included as important jobs for clinical nurses.
CONCLUSION
The job descriptions for clinical nurses developed from this study contain nursing ethics and safety as well as infection control, to faithfully reflect clinical nurses' jobs.

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  • Analysis of Nursing Task in Integrated Nursing Care Wards by Hospital Type
    Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
    Journal of Korean Academy of Nursing Administration.2022; 28(2): 131.     CrossRef
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Experience of Incivility to Nursing Students during Clinical Practice
Kwang Ok Park, Jong Kyung Kim
J Korean Acad Nurs Adm 2017;23(5):524-534.   Published online December 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.5.524
PURPOSE
The purpose of this qualitative study was to evaluate nursing students' experience of incivility during clinical practice.
METHODS
Data were collected from 11 in-depth interviews. The main question was “Could you describe your experience of incivility during clinical practice?” The qualitative data from the field notes and transcriptions of the interviews were analyzed using Colaizzi's method.
RESULTS
The experiential themes of incivility to nursing students during clinical practice were ‘exposure to verbal abuse’, ‘receiving unjust reproaches’, ‘treated as an insignificant person’, ‘excluded from nursing as a bothersome person’, and imidated in an unfamiliar atmosphere'.
CONCLUSION
Nursing students experienced incivility in many ways and from a variety of sources, such as nursing staff, patients, patients' families, and other employees during clinical practice as part of the 3rd and 4th year curriculum. Therefore, it is necessary to provide a safer environment for clinical practice. Also finding solutions to these incivility problems should lead to improvement in students' clinical practice.

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    Youngjin Lee, Cheryl Brandt, Younglee Kim, Leona Cilar Budler
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    Eun Nam Lee, Na Geong Kim
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    Soonyang JANG
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    Gyoo-Yeong CHO
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    Soon Ae Kim, So Young Lee, Eunhee Hong
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Patients' Experience of Participation in Hospital Care
Soojin Chung, Jee In Hwang
J Korean Acad Nurs Adm 2017;23(5):504-514.   Published online December 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.5.504
PURPOSE
The aim of this study was to explore patients' experience of participation in their hospital care.
METHODS
Face-to-face interviews using a semi-structured interview guide were conducted with a total of 21 patients in a tertiary hospital in Seoul, South Korea. Collected data were analyzed using a qualitative content analysis.
RESULTS
Two categories of patients' experience of participation in hospital care emerged: 1) Reactive participatory activity, 2) active participatory activity. Major participatory activities included ‘complying with medical instructions’, ‘listening’, ‘responding’ and ‘questioning’. Healthcare professionals' attentive attitudes and explanation, and availability of care equipment were facilitating factors affecting patient participation in their care, whereas limited accessibility to and poor communication with healthcare professionals, inconvenient patient room, and patient factors were barriers to their participation.
CONCLUSION
The findings in this study reveal that patients tend to participate in their care in a reactive way and that healthcare professionals have a significant role in facilitating patients' participation. Furthermore, the care environment and patient factors need to be considered to promote patient participation in hospital care.

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Predictors of Turnover Intention among Nurses in Small and Medium-sized Hospitals
Jeong Hye Park, Hye Young Hwang
J Korean Acad Nurs Adm 2017;23(5):471-482.   Published online December 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.5.471
PURPOSE
The purpose of this study was to explore the predictors of turnover intention among nurses working in small and medium-sized hospitals in South Korea.
METHODS
Data were obtained from a survey conducted in 2016 on welfare policy and system improvement. The participants were nurses of the Korean Nurses Association who worked in small and medium-sized hospitals. The responses of 2,011 nurses were analyzed using hierarchical multiple regression analysis, which was performed to explore the predictors of nurses' turnover intentions.
RESULTS
The findings of this study showed that the predictors significantly reducing nurses' desire to leave their hospitals were a 40-hour workweek, satisfaction with the salary, and six out of the 40 fringe benefits provided by their hospitals: the provision of uniforms and work shoes, paid menstrual leave, operational costs for the department, job-related educational costs, and in-house nurse training program.
CONCLUSION
These findings suggest that hospitals should provide proper work hours and reasonable rewards for nurses' work in order to reduce turnover intention among their nurses.

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An Empirical Analysis of Costs related to Nursing Practice
Yu Kyung Ko, Bo Hyun Park
J Korean Acad Nurs Adm 2017;23(2):139-150.   Published online March 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.2.139
PURPOSE
The purpose of this study was to identify nursing service costs associated with all health care costs incurred by the institution.
METHODS
This study was an empirical case study research in which the nursing cost was separated from total medical cost. The nursing cost index was calculated through a cost allocation method after summarizing costs for personnel, raw materials and administration of each department in one public hospital. The 2014 budget plan, published in ‘Public Hospitals Alert’, was used as data and the data were analyzed using the Microsoft Office EXCEL 2013 program.
RESULTS
When comparing total medical costs and nursing costs, the nursing cost were 27.14% of the total medical cost. The nursing cost per nurse per hour was calculated as â‚©29,128 The nursing cost per inpatient per day was calculated as â‚©157,970, and the administration cost per patient was calculated as â‚©133,710.
CONCLUSION
The results of the research present the process of cost allocation of specific cost elements in the hospital and evidence for administrative costs which in the past have been only vaguely formulated. These are the significant implications of this study.

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    Yukyung Ko, Bohyun Park, Hanju Lee, Donghwan Kim
    Nursing Open.2021; 8(4): 1870.     CrossRef
  • A Study on the Status of Application of Health Insurance Fees for Nursing Activities of Nurses in Rehabilitation Unit
    Oon Hee Yee, Sun-Houng Kim, Mihwa Cho, Kyung Hee Moon, Seungyoung Lee
    The Korean Journal of Rehabilitation Nursing.2021; 24(1): 1.     CrossRef
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  • 2 Download
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Effect of Hospital Nurses' Perceptions of Organizational Health and Patient Safety Culture on Patient Safety Nursing Activities
Mi Young Han, Myun Sook Jung
J Korean Acad Nurs Adm 2017;23(2):127-138.   Published online March 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.2.127
PURPOSE
This study was conducted to identify the effects of organizational health and patient safety culture on nursing activities for patient safety as perceived by hospital nurses.
METHODS
A self-report survey was administered to staff nurses of one advanced general hospital and two general hospitals in South Korea. Of the questionnaires, 188 were analyzed.
RESULTS
Organizational health had a significantly positive correlation with patient safety culture (r=.52, p<.001) and patient safety nursing activities (r=.31, p<.001).
CONCLUSION
The findings in this study indicate that among the factors influencing patient safety nursing activities, organizational factors were more important than individual factors, and organizational health had a big effect on patient safety nursing activities.

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Experience of Nurses Participating in Comprehensive Nursing Care
Kwang Ok Park, Mi Yu, Jong Kyung Kim
J Korean Acad Nurs Adm 2017;23(1):76-89.   Published online January 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.1.76
PURPOSE
This study was conducted to examine the experience of nurse in comprehensive nursing care.
METHODS
Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was “Can you describe your experience in the comprehensive nursing care unit?” All interviews were recorded and transcribed, then analyzed using Colaizzi's method.
RESULTS
Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system','Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'.
CONCLUSION
As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.

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A Literature Review of Team Effectiveness on Hospital Nursing Units
Se Young Kim, Jong Kyung Kim, Myun Sook Jung, Eun Kyung Kim, Sun Ju You
J Korean Acad Nurs Adm 2017;23(1):18-31.   Published online January 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.1.18
PURPOSE
The purpose of this study was to analyze literature related to nursing team effectiveness and to summarize the definition variables included, measurement tools, and findings. Basic data on operation and research for team effectiveness in nursing units was sought.
METHODS
A literature search was performed to identify all studies published between 2003 and 2016 from periodicals indexed in PUBMED, CINAHL, SCIENCE DIRECT, RISS, KISS, and NAL databases. The following keywords were used in the search: ‘team effectiveness’, ‘nurse’, ‘nursing’, and ‘hospital’. Ten studies were analyzed.
RESULTS
The analysis included domestic and international literature on nursing team effectiveness. The foreign literature included studies of various organizations including nurses, use of various research tools, leadership programs and/or new nursing delivery systems. In the Korean studies, most of the research on team effectiveness surveyed nurses on team satisfaction, team commitment, and team performance in general nursing units, operating rooms, and intensive care units.
CONCLUSION
The findings show the necessity to develop a definition of team effectiveness that can be accepted comprehensively in nursing organizations in Korea. The definition should reflect team effectiveness that includes all cooperating units not only nurses of the nursing unit but also all other related health care teams.

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  • 7 Crossref
PURPOSE
The local public hospitals in Korea are regarded as institutions that must consider the provision of good quality public health services, as well as profitability. Therefore it is important to improve nursing services to produce positive change in local public hospitals. This study was done to examine the relationships between self efficacy, organizational commitment, customer orientation and nursing performance for nurses in local public hospitals.
METHODS
For this study, 5 of 34 institutions were selected through random sampling: and 134 nurses working in local public hospitals were selected. Data were collected from March 28 to April 8, 2016 using self-report questionnaires. Collected data were analyzed using independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient and multiple regression with SPSS/WIN 18.0.
RESULTS
The major findings are summarized as follows: (1) There were significant positive correlations between self efficacy, organizational commitment, customer orientation, and nursing performance. (2) The factors affecting nursing performance were self efficacy, organizational commitment, and customer orientation, in that order, and these variables explained 57% of nursing performance.
CONCLUSION
Administrators in local public hospitals should use the results of this study to develop a strategy for improving nursing performance.

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An Adaptation Experience of Male Nurses at General Nursing Unit
Ji Hye Kim, Kwang Ok Park, Jong Kyung Kim, Ha Jeong Yun, Jin hee Lee, Eun Kyung Cho, Soon Hee Kim, Yeon Hee Kim
J Korean Acad Nurs Adm 2016;22(5):496-506.   Published online December 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.5.496
PURPOSE
This study was conducted to examine the adaptation experience of male nurses working in general wards.
METHODS
Experiential data was collected from 16 general ward nurses through in-depth interviews. Participants were selected from male nurses working in the general wards with over one year of clinical experience at a tertiary university hospital. The main question was “Can you describe your adaptation experience in the general ward as a nurse?” All interviews were recorded and transcribed, then analyzed using Colaizzi's method.
RESULTS
Four categories were derived from the analysis: ‘difficulties from task adaptation by characteristics’, ‘limited nursing situation and circumstance as a male nurse’, ‘efforts to adapt at general nursing unit’, and ‘self-worth, and worry about something as a male nurse’.
CONCLUSION
Male nurses had a difficulty adapting to work in wards due to lack of multi-tasking skills, as well as some social prejudice or negative views on male nurses. Establishing reasonable guidelines for male nurses in practice, promoting their responsibilities to patients, developing mentoring programs, and reassessing the policy of assigning male nurses to general wards are recommended to help in better adaptation.

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Grounded Theoretical Analysis on the Hospital Accreditation Experience of Head Nurses in General Hospitals
Ji Hyun Moon, Ga Eul Joo, Jinhwa Lee
J Korean Acad Nurs Adm 2016;22(5):437-447.   Published online December 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.5.437
PURPOSE
The purpose of this study was to conduct a grounded theoretical analysis on the hospital accreditation experience of head nurses in order to understand their behavior on the adaption of this new system.
METHODS
The participants were 8 head nurses with more than 3 years of experience. The data were collected through in-depth interviews using audiotape recording analyzed by the constant comparative method described in Strauss and Corbin's methodology.
RESULTS
There were 113 concepts, 26 subcategories and 12 categories identified through the open coding process. In the axial coding, the following paradigm model was proposed: 1) the causal conditions were ‘hardware problem’ and ‘software problem’, 2) the contextual conditions were ‘vertical relationship’, ‘individual preference’, and ‘family support’, 3) the intervening conditions were ‘passive conditions’ and ‘active conditions’, 4) the action/interaction strategies were ‘leading role’ and ‘dependent role’, 5) the consequences were ‘positive acceptance’ and ‘negative acceptance’, 6) the central phenomenon was ‘difficult situation’ and 7) the core category was ‘leading in harmony’.
CONCLUSION
The new system led head nurses having difficulties as the middleman between the hospital administration and general nurses, but they made a continuous effort to overcome and adapt to it through a number of strategies.

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    Seung-Min Lee, Beob-Wang Ahn, Mi Yu
    BMC Nursing.2024;[Epub]     CrossRef
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    Yeong Ju Ko, Gwi-Ryung Son Hong
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Nurses' Safety in the Hospital Environment: Evolutionary Concept Analysis
Jin Hee Park, Eun Nam Lee
J Korean Acad Nurs Adm 2016;22(4):406-414.   Published online September 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.4.406
PURPOSE
The purpose of this study was to analyze the concept of nurses' safety within the context of the hospital environment.
METHODS
We used Rodgers' method of evolutionary concept analysis and reviewed the relevant literature and noted and categorized characteristics that appeared frequently.
RESULTS
Nurses' safety was defined as safe status and safe activity among nurses. Three key defining attributes were identified as: (a) the minimization of actual or perceived risk, (b) personal duties and rights, and (c) ensuring within a safe working environment. Antecedents of nurses' safety were categorized into three dimensions: (a) individual, including vigilance and knowledge gained through education and training; (b) institutional, including safety provision in the organizations; and (c) national, including legislation. The outcomes of nurses' safety included the following: (a) continued competence in nurses' work; (b) enhancement of the quality of patient care; and (c) reductions in nurses' turnover rates.
CONCLUSION
Nurses' safety ensures that qualified nurses are able to continue to perform their duties and provide good patient care. The findings of this study could contribute to future research examining nurses' safety. In addition, appropriate tools must be developed to measure the concept.

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  • Factors affecting nurses' attitudes towards risks in the work environment: A cross‐sectional study
    Sibel Gülen, Ülkü Baykal, Nilgün Göktepe
    Journal of Nursing Management.2022; 30(7): 3264.     CrossRef
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    Mozhgan Soheili, Fariba Taleghani, Fariba Jokar, Maryam Eghbali‐Babadi, Mehran Sharifi
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Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer
Sunhee Park, Taewha Lee
J Korean Acad Nurs Adm 2016;22(3):230-238.   Published online June 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.3.230
PURPOSE
The purpose of this study was to investigate predictors of nurses' patient safety behavior during inter-hospital transfer. The study was based on the Theory of Planned Behavior (TPB).
METHODS
A descriptive survey design was used. Data were collected with a self-administrated 39-item questionnaire completed by 111 nurses from a university hospital in Seoul, South Korea. The questionnaire was developed based on the Theory of Planned Behavior (TPB) guideline and included measure of self- reported past patient safety behaviors, intentions, attitudes, subjective norms and perceived behavioral controls. Ethical approval was granted by the hospital review board. Hierarchical regression analyses were carried out.
RESULTS
The average score of patient safety behavior was 4.21±0.63 (5 point scale). The TPB variables explained 49.9%of the variance in patient safety behavior. Intention and subjective norm were the most significant predictors of nurses' patient safety behavior. Attitude was related to nurses'patient safety behavior.
CONCLUSION
TPB variables predicted the nurses'patient safety behavior during inter-hospital transfer of patients except for perceived behavioral controls. The results of this study suggest that better strategies for subjective norms and intentions related to patient safety behavior will be helpful in safety culture reform.

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    International Journal of Nursing Studies.2024; 158: 104846.     CrossRef
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    BMC Medical Education.2022;[Epub]     CrossRef
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    Myungsuk Kang, Yeonsoo Jang, Ui Rim Song
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Action Research in Hospital Settings: A Literature Review of International Nursing Journals
Jeong Eun Moon, Mi Ok Song, Hee Young Kim, Hyun Young Park, Eun A Kim, Yun Min Kim, Keum Seong Jang
J Korean Acad Nurs Adm 2016;22(1):46-56.   Published online January 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.1.46
PURPOSE
Purpose of this study was to identify major trends of action research from 2006 to 2013 and suggest directions for activating and advancing domestic action research in nursing.
METHODS
A review was made of 118 action research studies in hospital settings reported in international journals. Search from PubMed, Ovid, and CINHAL was done using analysis criteria developed by the researchers. General and methodological characteristics and focus on changing outcomes of action research were analyzed.
RESULTS
The major group of researchers belonged to colleges/universities (40.7%). Methods included use of qualitative methods (61.0%), research questions (24.6%), and use of theoretical models (35.6%). Prevalent data collection methods were interviews (20.2%), and 48.3% showed more than a 1-cycle process including spiral circulation structure. Focus of changing outcomes of the 56 papers including more than 1-cycle were practice (66.1%), environment (8.9%), client-nurse (7.1%).
CONCLUSION
Trends in action research in nursing were identified providing necessary reasons to increase action research in nursing as follows: needs of various researchers including stakeholders as well as healthcare providers, various research designs including unconstrained reflection and writing, specific presentation of adapted theoretical models and action strategies, and quality assurance for validity and reliability of research processes and outcomes.
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Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses
Mi Aie Lee, Hye Jin Cho, Sung Hee Ahn, Hyo Ju Kim
J Korean Acad Nurs Adm 2015;21(5):519-529.   Published online December 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.5.519
PURPOSE
This study was performed to identify perceptions on fixed night shift system and turnover intention of general hospital nurses and to explore a desirable application plan for a fixed night shift system.
METHODS
This study was a cross-sectional survey. Participants were 300 nurses working at one general hospital in GyeongGi-Do, Korea. Data were collected from November 3 to 7, 2014, with a structured questionnaires and analyzed using SPSS/PC ver 20.0 programs.
RESULTS
Of the participants 73.5% had thought about turnover because of night shifts and the preconditions for desirable fixed night shift system were a payment plan differentiated according to work conditions and an adequate number of nursing staff. Economic and administrative supports like 'raising extra-pay for night shift' and 'increasing the number of paid holidays' were very important for a desirable fixed night shift system.
CONCLUSION
The results indicate that the most important factor for a desirable fixed night shift system to decrease nurses' turnover intention is economic and administrative support according to the needs of the nurses. So nursing managers need to find a desirable fixed night shift system considering nurses' demographic characteristics and organizational characteristics.

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PURPOSE
The purpose of this study was to compare hospitalized patients in comprehensive nursing care units and general care units as to satisfaction with nursing care and factors influencing their intent to revisit the hospital METHODS: A cross-sectional study was conducted with 178 patients who had been hospitalized in a comprehensive nursing care unit and a general care unit in one hospital. Participants completed self-report questionnaires. Data were analyzed using SPSS 21.0.
RESULTS
There was a significant difference between the comprehensive nursing care unit and general care unit for intent to revisit the hospital (p=.036). Factors influencing intent to revisit the hospital for patients in the comprehensive nursing care unit were 'satisfaction with nursing care' (p<.001) and 'use of additional costs for comprehensive nursing care' (p=.041). The factor influencing intent to revisit hospital for patients in the general care unit was 'satisfaction with nursing care' (p<.001).
CONCLUSION
Findings indicate that comprehensive nursing care service in which all care is provided by nursing staff only, without family or private caregivers, increases intent to revisit the hospital. These results can be used as the foundation of reviewing the operation and expansion of comprehensive nursing care service.

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