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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.
  • 2,357 View
  • 73 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.
  • 766 View
  • 70 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.
  • 1,104 View
  • 26 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
  • 1,117 View
  • 19 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
  • 1,891 View
  • 11 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
  • 1,634 View
  • 70 Download
  • 6 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

Citations to this article as recorded by  
  • 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
  • 1,415 View
  • 17 Download
  • 20 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
    Yunmi Kim, Kyounga Lee, Minho Jung
    BMC Nursing.2024;[Epub]     CrossRef
  • Changes in Working Hours and Labor Intensity and Their Effect on Sleep Difficulties of Shift Work Nurses in Hospitals
    Ji Yun Lee, Kyung Jin Hong
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 446.     CrossRef
  • Measuring patient acuity and nursing care needs in South Korea: application of a new patient classification system
    Jeounghee Kim, TaeRim Kang, Hyun-Ju Seo, So-Young Seo, Myoungsook Kim, Youngsun Jung, Jinhyun Kim, Jung- Bok Lee
    BMC Nursing.2022;[Epub]     CrossRef
  • The Effect of Nurse Staffing on Patient Outcomes in Acute Care Hospitals in Korea
    Hyo-Jeong Yoon
    International Journal of Environmental Research and Public Health.2022; 19(23): 15566.     CrossRef
  • 2,566 View
  • 33 Download
  • 11 Crossref
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.

Citations

Citations to this article as recorded by  
  • Predictors of Nurses' Reporting Level by the Types of Patient Safety Incidents
    Ju-Hee Kang, Yeojin Yi
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 434.     CrossRef
  • Association between Nurses’ Perceptions of Patient Safety Culture, Willingness to Report Near Misses, Critical Thinking Disposition, and Nursing Care Activities for Patient Safety
    Da Eun Lee, Bo Gyeong Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 283.     CrossRef
  • Influence of Nursing Manager's Ethical Leadership Perceived by Nurses in Patient-Engaged Nursing Services: Mediating Effect of Patient Participation Culture
    Yea Seul Yoon, Yoonjung Ji, Tae Wha Lee
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 397.     CrossRef
  • A Survey on the Perception of Psychiatric Hospital Nurses on Patient Safety
    Sunah Kim, Wongyeong Lee, Chaehyeon Kang
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(4): 448.     CrossRef
  • Effects of Perceived Safety Culture, Nursing Work Environment, and Professional Self-concept on Patient Safety Care Activity of Nurses in Small-medium Sized Hospitals
    Young Ok Cho, Myoung Soo Kim
    Journal of Health Informatics and Statistics.2022; 47(1): 66.     CrossRef
  • 2,110 View
  • 58 Download
  • 5 Crossref
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.

Citations

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  • Factors Affecting Nonresponse Among Female Participants in the Korea Nurses’ Health Study: Longitudinal Cohort Survey Study
    Young Taek Kim, Chiyoung Cha, Gumhee Baek, Bohye Kim, Bo Mi Song, Joong-Yeon Lim, Hyun-Young Park, Juh Hyun Shin
    JMIR Public Health and Surveillance.2025; 11: e68038.     CrossRef
  • Trajectories of nursing hours over the course of hospitalization and estimated additional nurse staffing requirements to reduce the length of stay
    Shin‐Ae Kim, Sung‐Hyun Cho
    Journal of Nursing Scholarship.2024; 56(5): 694.     CrossRef
  • Differences in Medical Use and Patient Outcomes between Patients Admitted to the Integrated Nursing Care Ward and the General Ward
    Jeong Eun Mun, Bohyun Park
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 439.     CrossRef
  • Relationship between Nurse Staffing and Critical Nursing Activities in Intensive Care Units : Analysis of National Health Insurance Claims Data from 2009 to 2020
    U Ri Go, Sung-Hyun Cho
    Journal of Korean Critical Care Nursing.2024; 17(2): 25.     CrossRef
  • Experiences of Nurses Working as Helpers in a Dedicated COVID-19 Ward of a Certified Tertiary Hospital
    Eun Hyang Park, Hee Kyung Chang
    Journal of Korean Association for Qualitative Research.2024; 9(2): 93.     CrossRef
  • Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
    Soyoung Kim, Sujin Shin, Inyoung Lee
    Korean Medical Education Review.2023; 25(1): 55.     CrossRef
  • Changes in Working Hours and Labor Intensity and Their Effect on Sleep Difficulties of Shift Work Nurses in Hospitals
    Ji Yun Lee, Kyung Jin Hong
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 446.     CrossRef
  • The Effect of Work Interruption on Workload and Perception of Patient Safety Culture in Ward Nurses
    Doo-Nam Oh, Ye-Won Lee
    Quality Improvement in Health Care.2022; 28(2): 2.     CrossRef
  • Factors Associated with Hospital Length of Stay among Women’s Cancer Patients: Based on the In-depth Injury Patient Surveillance System Data
    Yoonjung Kang, Hyewon Lee
    Journal of Health Informatics and Statistics.2022; 47(2): 148.     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
    Journal of Korean Academy of Nursing Administration.2021; 27(3): 191.     CrossRef
  • 1,564 View
  • 16 Download
  • 10 Crossref
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.

Citations

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  • Factors Affecting the Direct and Indirect Performance of Infection Control for Centrally Inserted Central Catheters Among ICU Nurses
    Yoonjeong Park, Seunghye Choi
    Healthcare.2025; 13(9): 988.     CrossRef
  • A comparative analysis of nurses' reported number of patients and perceived appropriate number of patients in integrated nursing care services
    Hyunjeong Kwon, Jinhyun Kim
    Nursing & Health Sciences.2024;[Epub]     CrossRef
  • Analysis of the Adequacy of Nurse Staffing Level through the Estimation of Nursing Activity Hours and Implementation of Focus Group Interviews in a Tertiary Hospital: Using a Mixed-Method Design
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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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    Miok Park, Eunjin Yang, Mimi Lee, Sung-Hyun Cho, Miyoung Shim, Soon Haeng Lee
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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
    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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    Seul A. Lee, Jungmin Lee
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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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    Ju Eun Oh, Seok Hee Jeong, Young Hee Mun, Hee Sun Kim
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    Sohee Nam, Jaehee Jeon, Yeon Jeong Heo
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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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    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
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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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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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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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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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  • The Influence of Emotional Labor, Positive Psychological, Capital, and Rewards on the Retention Intention among Coronavirus Disease 2019 Ward Nurses in Regional Public Hospitals
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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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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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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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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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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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    Su Ol Kim, Sun-Hee Moon
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    Mee-Hun Lee, Hyoung-Sook Park, Jae-Hyun Ha
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PURPOSE
The purpose of this study was to compare perception of patient safety culture and safety care activities between university hospital nurses (group A) and small hospital nurses (group B).
METHODS
Using a structured questionnaire, data were collected from 246 university hospital nurses and 223 small hospital nurses working in Seoul or Gyeonggi Province. Descriptive statistics, x 2-test, ANCOVA, t-test, ANOVA with the SPSS package were used for data analysis.
RESULTS
Total score for perception of patient safety culture and 3 subcategories of perception of patient safety culture were statistically significantly higher for group B compared to group A. Operation room nursing, falls, and bed sore scores in patient safety care activities were statistically significantly higher for group A than for group B.
CONCLUSION
The study findings suggest that the specific characteristics by size should be considered when developing effective patient safety culture in hospitals.

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    Ya Ki Yang
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    Young Mi Park, Keum Hee Nam, Ki Noh Kang, Jeong Ja Nam, Yeon Ok Yun
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    Myoung Soo Kim
    Journal of Health Informatics and Statistics.2016; 41(2): 155.     CrossRef
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PURPOSE
The purpose of this study was to identify the level of project perception for those nurses from research-driven hospitals and to analyze the effect of research-relevant performance in the health care field focusing on the mediated effect of research capacity and job satisfaction.
METHODS
Data were collected from June, 2014 to July, 2014, and participants were 106 research nurses in Research-driven hospitals. Descriptive statistics, Independent t-test, One-way ANOVA, structural equation modeling (SEM).
RESULTS
As a result, Research-relevant performance according to project perception of research nurses from Research-driven Hospitals was not statistically significant, but research capacity and job satisfaction had a mediating role. Evaluation System Perception was significantly different from Research Capacity (p<.001), Research Capacity was significantly different from Job Satisfaction (p<.001), Job Satisfaction was significantly different from Research Performance (p<.001) CONCLUSION: The results indicate that research capacity building and job security research nurses are able to contribute to improving research performance of research-driven hospitals.

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  • A Study of the Critical Factors on Research Capability of Research-driven Hospital
    Ki Sung Kim, Mun Hyung Ryu, Dar Oh Lim
    Journal of Health Informatics and Statistics.2016; 41(4): 428.     CrossRef
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  • 2 Download
  • 1 Crossref
Path Analysis for Workplace Incivility, Empowerment, Burnout, and Organizational Commitment of Hospital Nurses
Se Young Kim, Jong Kyung Kim, Kwang Ok Park
J Korean Acad Nurs Adm 2013;19(5):555-564.   Published online December 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.5.555
PURPOSE
The purpose of this study was to examine nurses' experience of workplace incivility from coworkers, supervisors, patients or patients' families, and doctors. The researcher identified the relationships among empowerment, burnout, and organizational commitment of hospital nurses.
METHODS
The sample included 415 hospital nurses. Data were collected through questionnaires and analyzed using SPSS and AMOS.
RESULTS
The average incivility score was 2.94 from doctors and 2.89 from patients or patients' families, higher than from supervisors (1.90) and coworkers (1.87). The variables affecting burnout included direct effect of empowerment (beta=-.46, p<.001), direct effect of patients or patients' family incivility (beta=.14, p<.001), direct effect of supervisor incivility (beta=.12, p<.001), and direct effect of doctor incivility (beta=.09, p<.001). The variables affecting organizational commitment were direct effect of burnout (beta=-.58, p<.001), indirect effect of empowerment (beta=-.23, p<.001), indirect effect of patients or patients' family incivility (beta=-.12, p<.001), indirect effect of supervisor incivility (beta=-.10, p<.001), and indirect effect of doctor incivility (beta=-.09, p<.001).
CONCLUSION
The results indicate that incivility affecting nurses results in a high degree of burnout and a low degree of organizational commitment. Therefore, it is necessary to assess incivility cases and to hold workshops designed to curb incivility and establish healthy workplaces.

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A Comparative Study on Nursing Practice Environment, Professionalism, and Job Satisfaction according to Hospital Size
Mi Hye Lee, Jong Kyung Kim
J Korean Acad Nurs Adm 2013;19(4):470-479.   Published online September 30, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.4.470
PURPOSE
This study was conducted to investigate and compare the characteristics and relations of nursing practice environment, professionalism and job satisfaction among nurses in general hospitals according to hospital size.
METHODS
The participants included 314 staff and charge nurses who were working in the general medical/surgical nursing units in one large hospital, three medium sized hospitals, and four small hospitals. Data collected through using self-report questionnaire were analyzed using the SPSS and SAS statistical programs.
RESULTS
Nursing practice environment and job satisfaction had significant differences according to hospital size. Both of these scales were highest for medium hospitals and lowest for small hospitals. For all hospital sizes there were positive correlations between each of the variables. Multiple regression analysis showed that both nursing practice environment and job satisfaction were affected by hospital size, but professionalism was not.
CONCLUSION
The results of this study indicate that nursing practice environment and job satisfaction vary with the size of the hospital. Therefore, further study is necessary to identify the work environment variables of nurses for performance management and to implement appropriate policies.

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A Study of Relationships Hardiness, Coping Behaviors and Organizational Commitment of General Hospital Employees
Seo Yeon Hwang, Eun Hui Seo, Seon Il Park
J Korean Acad Nurs Adm 2013;19(2):196-206.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.196
PURPOSE
This descriptive correlation study was done to identify the hardiness, coping behavior, and organizational commitment of general hospital employees and show how these variables affect increases in role performance and problem solving ability to have a positive influence on organizational harmony.
METHODS
A quantitative, descriptive research design was used with a sample of 368 employees working in general hospitals in M and C cities. A survey was used to collect the data.
RESULTS
The score for perception of hardiness of general hospital employees was 2.85, and coping behavior was 2.40, both out of a possible 4 points, and organizational commitment, 3.03 out of a possible 5 points. There were statistically significant positive correlations between hardiness and coping behavior (r=.33, p<.001), also between hardiness and organizational commitment (r=.51, p<.001), and also between coping behavior and organizational commitment (r=.22, p<.001).
CONCLUSION
The results of the study indicate that hardiness, coping behavior, and organizational commitment in general hospital employees have positive correlations, and thus hospital administrators should explore ways of increase individual employee hardiness and coping behavior, and make efforts to harmonize their organizations by enhancing organizational commitment.

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  • The mediating effects of nurses’ professional values on the relationship between work environment and organizational commitment among long-term care hospital nurses
    Won Hee Jun
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Financial Ratio Analysis for Developing Nursing Management Strategies in University Hospitals
Ji Young Lim, Wonjung Noh, Seung Eun Oh, Ok Gum Kim
J Korean Acad Nurs Adm 2013;19(1):7-16.   Published online January 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.1.7
PURPOSE
The purpose of this study was to analysis the financial statements of university hospitals and to apply the results to build nursing management strategies.
METHODS
Data on the financial statements of university hospitals were collected each hospital's homepage or internet search from February to June, 2010. Financial statements of 11 hospitals were analyzed using the 4 categories of financial ratio analysis method: liquidity, performant, growth and turnover.
RESULTS
Overall results showed that the financial status the university hospitals were unstable, and many financial indicators did not meet financial standard ratios. Only 8 financial indicators of total 19 indicators satisfied financial standard ratios.
CONCLUSION
The results of financial statements analysis suggest that nurse managers should develop the blue ocean strategy for diversification of nursing services to improve financial ratios of liquidity, performance, and growth. Using a unit-based just-in-time system for effective supply management would help to increase profits and to decrease costs of hospital by improving financial ratios of turnover.

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    Wonjung Noh, Ji Young Lim, Gyeong Ae Seomun, Miyoung Kim, Soyoung Yu, Yoomi Jung, Youngjin Lee
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The Role Experience of Preceptor Nurses in Hospitals
Se Young Kim, Jong Kyung Kim, Kwang Ok Park
J Korean Acad Nurs Adm 2012;18(1):33-45.   Published online March 31, 2012
DOI: https://doi.org/10.11111/jkana.2012.18.1.33
PURPOSE
The purpose of this study was to identify the role experience of preceptor nurses in general hospitals.
METHODS
Data were collected from 10 experienced preceptor nurses through in-depth interviews about their experiences. The main question was "How do you describe your experience as a preceptor in the process of role adaptation?" Qualitative data from field and transcribed notes were analyzed using Strauss & Corbin's grounded theory methodology.
RESULTS
The core category of experience in the process of role adaptation as a preceptor nurse was identified as 'being responsible to teach from beginning to end'. The participants identified five interactional strategies; 'abruptly having to take the role as a preceptor unwilling', 'difficulties in field training with variable situations', 'preceptor and new nurse with love and hate relationships', 'bring up preceptee as a child', 'redefining the concept of preceptor'.
CONCLUSION
The results of this study provide useful information for understanding the role of preceptor nurses in general hospital who have to teach new nurses with patience and responsibility. It will be needed to establishment of preceptor's role and educational standards, and policy for their rewards by nurse manager. Additionally, making cooperative educational climate in nursing ward is important for teaching new nurse.

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A Review of Research on Hospital Nurses' Turnover Intention
Jong Kyung Kim, Myung Ja Kim
J Korean Acad Nurs Adm 2011;17(4):538-550.   Published online December 31, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.4.538
PURPOSE
The purpose of this study was to review articles, thesis and dissertation on turnover intention of hospital nurses in order to identify overall trends in turnover intention of nurses and suggest strategies for reducing turnover intention.
METHOD
Thirty research papers on turnover intention of nurses were reviewed.
RESULT
These papers were journal articles and thesis regarding nurses who worked in general wards, intensive nursing units, and emergency rooms in hospital. The tools used to measure turnover intention were Lawler (1983), Mobley (1982), and Lee (1995), and others. Most of tools were composed of 1-11 items, with 4-7 point Likert scales. Reported reliability was .55 to .91. The mean score for turnover intention was between 2.40 and 3.85. The important results revealed that job satisfaction, organizational commitment, and stress affected turnover intention of hospital nurses.
CONCLUSION
The findings from this review indicate that to reduce turnover intention for hospital nurses, a nurse manager should increase job satisfaction, organizational commitment, and reduce stress by developing a good culture and work climate. Moreover it is necessary to assess stress and job satisfaction of nurses, and to manage nurses' welfare, including night duty policy, salary, and career ladder.

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Perception of Patient Safety Culture and Safety Care Activity among Nurses in Small-Medium Sized General Hospitals
Na Joo Lee, Jeong Hee Kim
J Korean Acad Nurs Adm 2011;17(4):462-473.   Published online December 31, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.4.462
PURPOSE
This study was done to identify the factors affecting the perception of patient-safety-culture and the level of safety-care-activity among nurses in small-medium sized general hospitals.
METHOD
Data were collected during April and May 2011, from 241 nurses of five hospitals. A hospital survey questionnaire on patient-safety-culture and safety-care-activity was used. Collected data were analyzed using descriptive statistics, Pearson correlation, t-test, ANOVA, Scheffe test and multiple-regression.
RESULTS
There were significant differences in the level of perception of patient-safety-culture according to the nurses' age, type of hospital, position, work department, and knowing whether there was a Patient-Safety committee in their hospitals. Nurses with higher perceived level of the patient-safety-culture performed more safety-care-activities. Factors influencing on the safety-care-activities were general patient safety, having had safety-education, patient-to-nurse ratio, employment status, and the level of reporting medical errors. These factors explained 22.9% of the safety-care-activity.
CONCLUSIONS
The study findings suggest that in order to improve the nurses' perceived level of patient-safety-culture and safety-care-activity, the hospitals need to establish patient-safety committees and communication systems, and openness to reporting medical errors are needed. Better work conditions to ensure appropriate work time, regulate patient-to-nurse ratio, and nursing education standards and criteria, are also required.

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Effects of Social Capital on Organizational Performance in Hospital Organization: Focusing on Effects of Intellectual Capital
Keum Seong Jang, Eun A Kim, Suk Hee Oh
J Korean Acad Nurs Adm 2011;17(1):22-32.   Published online March 31, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.1.22
PURPOSE
The purpose of this study was to identify the effects of intellectual capital in the relationship between social capital and organizational performance in hospital organizations.
METHODS
A cross-sectional design was used, with a convenience sample of 390 nurses from 3 general hospitals in Gwangju and Chonnam province. Data were collected through a questionnaire survey done from May 1 to 15, 2009. Data was analyzed with descriptive statistics, Pearson correlation coefficient and hierarchial multiple regression using the SPSS WIN 17.0 program.
RESULTS
There was a significantly positive relationship between social capital, intellectual capital and organizational performance. Intellectual capital showed partial mediating effects between social capital and organizational performance. However, intellectual capital did not show moderating effects.
CONCLUSION
Accumulated social capital increased intellectual capital and the increased intellectual capital increased organizational performance. This finding suggests that as a contribution to the improvement of organizational performance in hospitals, creation and accumulation of social capital and intellectual capital are very critical.

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Factors Associated with Work-Related Injuries of Nurses in Small and Medium Sized Hospitals
Jee In Hwang, Eun Jeong Hwang
J Korean Acad Nurs Adm 2010;16(3):306-313.   Published online September 30, 2010
DOI: https://doi.org/10.11111/jkana.2010.16.3.306
PURPOSE
This study was conducted to examine the factors associated with work related injuries of nurses in small and medium sized hospitals. Method: A cross-sectional survey was conducted with nurses in eight hospitals from October 2007 to January 2008. A questionnaire was designed to collect information on nurses' work related injuries, and individual and job related characteristics. The response rate was 65.1%. Data from 294 nurses were analyzed. Multiple logistic regression analysis was performed to determine factors associated with work related injuries. Result: Of the 294 nurses, 19.1% (n=56) responded as having at least one injury during their job performance. The logistic regression analysis revealed that the significant factors influencing work related injuries were job satisfaction, stress recognition, and hospital's location. Nurses with a higher job satisfaction were less likely to experience work related injuries (OR=0.58). Nurses with a higher stress recognition (OR=2.57) and those working at hospitals in metropolitan cities (OR=3.28) were more likely to experience work related injuries.
CONCLUSIONS
The result of this study indicated that a substantial proportion of nurses in small and medium sized hospitals had experienced injuries related to nursing job. Interventions to prevent work related injuries among nurses should take into account the job satisfaction, stress recognition, and hospital characteristics.

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    Jee-In Hwang, Hyeoun-Ae Park
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