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"Job stress"

Original Articles
Purpose
This study aimed to investigate the relationship between socio-cognitive mindfulness, job stress, social support, and turnover intention among general hospital nurses and identify the factors influencing nurses’ turnover intention.
Methods
A descriptive survey was conducted among 218 nurses from five general hospitals located in G metropolitan city. The participants completed a questionnaire measuring the study variables, and the data were analyzed using t-tests, ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression analysis in SPSS/WIN 28.0.
Results
Significant differences were found in turnover intention by gender (t=-2.12, p=.036), family type (t=-3.09, p=.002), work department (F=7.01, p<.001), and work type (t=2.55, p=.011). Socio-cognitive mindfulness was positively related to social support (r=.331, p<.001), and turnover intention was positively related to job stress (r=.347, p<.001). The factors influencing nurses’ turnover intention included job stress (β=.317, p<.001), work department (artificial kidney room: β=-.287, p=.004; emergency room: β=-.219, p=.015), social support (β=-.183, p=.005), and work type (shift work: β=.170, p=.036), respectively. These factors explained 23.4% of the variance.
Conclusion
The findings indicate the need to develop programs to effectively cope with job stress and implement mentoring systems or psychological support programs to reduce turnover intention among nurses at the organizational level.
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Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
Ji Yeong Park, Kyoung Ja Kim
J Korean Acad Nurs Adm 2024;30(3):246-258.   Published online June 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.3.246
Purpose
This study aimed to determine the impact of work environment, missed nursing care, and non-nursing tasks on the job stress of hospital nurses.
Methods
A descriptive, cross-sectional survey of 164 nurses working in three hospitals was conducted. Data were collected using structured questionnaires and analyzed using descriptive statistics, t-test, one-way analysis of variance, Pearson’s correlation coefficient, and multiple regression analysis using SPSS/WIN 26.0.
Results
Hospital Nurses' job stress was negatively correlated with the work environment (r=-.37, p<.001). Job stress had a statistically significant positive correlation with non-nursing tasks (r=.34, p<.001); however, it had no significant correlation with missed nursing care (r=.05, p=.552). Regression model analysis revealed that the variables associated with job stress were non-nursing tasks (β=.29, p<.001) and the foundation for quality nursing care (β=-.25, p=.034), which are subdomains of the work environment. In contrast, missed nursing care was not determined to be a significant factor.
Conclusion
To effectively manage nurses' job stress, nurse managers should provide higher quality care by reducing the number of non-nursing tasks and creating a positive work environment, especially by providing adequate nursing workforce and material support.

Citations

Citations to this article as recorded by  
  • Comparison of Factors Affecting Delirium Nursing Stress between Nurses in Comprehensive Nursing Care Service Wards and General Wards
    Sumin Gwon, Gaeun Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 517.     CrossRef
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Purpose
This study aimed to identify the effects of job stress, social support, and infection control fatigue on professional quality of life among nurses in designated coronavirus disease 2019 (COVID-19) hospitals.
Methods
As a descriptive study, data were collected from 157 nurses working at four designated COVID-19 hospitals employing self-report questionnaires. The data were collected from September 1 to September 30, 2021, and analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients and stepwise multiple regression analysis.
Results
Job stress, marital status and social support affected compassion satisfaction with the professional quality of life, showing 30% of explanatory power. Job stress and social support affected burnout with the professional quality of life, showing 34% of explanatory power. Infection control fatigue affected secondary traumatic stress in the professional quality of life and the explanatory power was 11%.
Conclusion
Efforts are needed to improve nurses' professional quality of life by preparing and applying interventions to reduce job stress and improve social support for nurses working in hospitals dedicated to COVID-19. Further, nursing efforts and institutional support will be needed to reduce infection control fatigue.

Citations

Citations to this article as recorded by  
  • 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
  • Mediating Effect of Resilience on the Relationship Between Job Stress and the Professional Quality of Life of Hospice and Palliative Care Nurses: A Multicenter Cross-sectional Study
    Eunhee Jo, Soon-Jung Hwang, Hyang-Suk Kwon
    Korean Journal of Adult Nursing.2024; 36(3): 241.     CrossRef
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Factors Influencing Patient Safety Management Activities among General Hospital Operating Room Nurses
Seon Mi Kim, Su Hye Kwon
J Korean Acad Nurs Adm 2023;29(2):89-98.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.89
Purpose
This study was to examine the influential factors on patient safety management activities of operating room nurses in general hospitals.
Methods
The subject of this study were 133 operating room nurses of seven general hospitals in B metropolitan city. Data were collected from July 23 to August 14, 2020 using self-report questionnaires. For data analysis, a descriptive analysis and stepwise multiple regression were utilized with IBM SPSS Statistics for Windows version 22.0.
Results
The significant predictors of patient safety management activities were perception of patient safety culture (β=.73, p<.001) and physical burden (β=-.13, p=.025). These variables were found to contribute 56.3% to the outcomes of patient safety management activities.
Conclusion
Based on the research results, to promote patient safety management activities of operating room nurses, it is required to establish active and multifaceted strategies and systems at the hospital level to enhance awareness of patient safety culture and reduce physical burden.

Citations

Citations to this article as recorded by  
  • Study of Patient Safety Culture Awareness of Radiological Technologists in Magnetic Resonance Imaging Laboratories
    Min-Seo Park, Dong-Ha Lee, Hyun-Jin Jo, Hea-Youn Cho, Yeong-Cheol Heo
    Journal of the Korean Society of MR Technology.2024; 34(1): 9.     CrossRef
  • The Effects of a Simulation-Based Patient Safety Education Program on Compliance with Patient Safety, Perception of Patient Safety Culture, and Educational Satisfaction of Operating Room Nurses
    OkBun Park, MiYang Jeon, MiSeon Kim, ByeolAh Kim, HyeonCheol Jeong
    Healthcare.2023; 11(21): 2824.     CrossRef
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Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator
Eun Hee Kang, Im Sun Seo
J Korean Acad Nurs Adm 2022;28(5):534-544.   Published online December 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.5.534
Purpose
The purpose of this study was to identify the relationship between job stress and turnover intention and the mediating effect of job embeddedness on the relationship among hospital nurses in rural areas. Methods: This is a descriptive study. A total of 277 registered nurses were enrolled in the study from three hospitals in rural areas of South Korea from April 29 to May 10, 2019. The participants completed self-reporting questionnaires, which measured job stress, turnover intention, and job embeddedness, and collected demographic information. The data were analyzed using IBM SPSS Statistics 25.0, for multiple regression, and a simple mediation model applying the Hayes PROCESS macro with a 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results: Job stress had a direct effect (c’=0.35, p<.001) on turnover intention. It was also demonstrated that job embeddedness partially mediated the relationship between job stress and turnover intention among the hospital nurses (a ․ b=-0.40 × -0.58=0.23, 95% Boot C). Conclusion: The job stress and turnover intention of nurses in rural areas are not higher than those in large cities. Nevertheless, hospital administrators need to provide a nursing workforce policy to increase job embeddedness and reduce nurses’ turnover intention.
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Effect of the Professional Quality of Life on Verbal Abuse Experience among Emergency Nurses: Mediating Effect of Job Stress
Kyoung Ju Lee, Hye Young Kim
J Korean Acad Nurs Adm 2020;26(5):533-541.   Published online December 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.5.533
Purpose
The purpose of this study was to investigate the relationships between verbal abuse, professional quality of life, and job stress among emergency nurses and to identify the mediating effect of job stress on professional quality of life. Methods: The participants were 121 emergency nurses working in general hospitals. The data were collected from December 1st, 2017 to February 1st, 2018. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and three-step mediated regression analysis. Results: As a result of correlation analysis, verbal abuse job stress had significant negative correlations with the professional quality of life, whereas verbal abuse experience had a positive correlation with job stress. Job stress showed significant effects on verbal abuse experience and the professional quality of life, with the explanatory powers being 43% and 29%, respectively, indicating partial mediator effects in the relationship between the three variables. Conclusion: Verbal abuse experience and job stress in emergency nurses could reduce the professional quality of life, and their relationship by manifested partial mediating effects. Therefore it is necessary to decrease verbal abuse experience and job stress to further improve the professional quality of life in emergency nurses.

Citations

Citations to this article as recorded by  
  • The Influence of Violence Experience, Violence Response and Coping with Violence on Professional Quality of Life among Emergency Department Nurses
    Eunju Choi, Youngjin Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 91.     CrossRef
  • Emergency nurses’ communication experiences with patients and their families during the COVID-19 pandemic: A qualitative study
    Soyoung Shin, Hye Jin Yoo
    International Emergency Nursing.2023; 66: 101240.     CrossRef
  • Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
    Min Soo Woo, Hyoung Suk Kim, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
  • Professional Self-Concept, Job Stress, and Triage Competency Among Emergency Nurses: Secondary Data Analysis of a Cross-Sectional Survey
    You-Jin Cho, Young-Ran Han, Yeo-Won Jeong
    Journal of Emergency Nursing.2022; 48(3): 288.     CrossRef
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Purpose
This study was done to analyze effects of leader-member exchange as perceived by nurses who returned to work after parental leave: conflict between work and family via job stress.
Methods
A cross-sectional study design was adopted and data were collected from 140 nurses. Collected data were analyzed using the SPSS 23.0 program (descriptive statistics, t-test, ANOVA, Pearson correlation, and regression analysis).
Results
Mean scores were 3.44±0.64 out of 5 for leader-member exchange, 3.45±0.59 out of 5 for job stress, and 2.82±0.80 out of 5 for conflict between work and family. The leader-member exchange had negative correlations with job stress (r=-.31, p=.003) and conflict between work and family (r=-.36, p<.001). The leader-member exchange had direct impacts on conflict between work and family (β=-.26, p=.002) and indirect via job stress (β=.35, p<.001). Job stress had partial mediating effects on relations between leader-member exchange and conflict between work and family (Z=-3.00, p<.001). The leader-member exchange and job stress explained 41% of the conflict between work and family.
Conclusion
The findings from this study indicate that active human resource management policies should be established in order to increase the leader-member exchange.

Citations

Citations to this article as recorded by  
  • Effect of Work-Family Conflict on Turnover Intention among Married Female Nurses: The Mediating Effect of Nursing Work Environment
    Min Gyeong Jeong, So Young Choi
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 451.     CrossRef
  • Factors influencing burnout among Korean nurses caring for patients with COVID-19: a cross-sectional study
    Seon Yeong Lee, Mi-Ae You, Jeong Ah Ahn, Eun Ji Seo
    Journal of Korean Biological Nursing Science.2023; 25(4): 276.     CrossRef
  • Experiences of Female Nurses’ Parental Leave in Taiwan: A Qualitative Study
    Ya-Hui Tseng, Kuo-Feng Wu, Hung-Ru Lin
    Healthcare.2023; 11(5): 664.     CrossRef
  • Do parenting stress, work-family conflict, and resilience affect retention intention in Korean nurses returning to work after parental leave?: a cross-sectional study
    Young-Eun Jung, Mi-Hae Sung
    Korean Journal of Women Health Nursing.2022; 28(1): 18.     CrossRef
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Effects of Nursing Professionalism and Job Stress on the Problem Solving Ability of Community Health Practitioners
Min Sun Song, Nam Young Yang, Jin Hak Kim
J Korean Acad Nurs Adm 2020;26(3):274-283.   Published online June 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.3.274
Purpose
The purpose of this study was to examine the influences of nursing professionalism and job stress on problem solving ability of community health practitioners.
Methods
The participants were 167 community health practitioners. Data were collected from December 18 to 28, 2019. Self-report questionnaires were administered to collect data regarding general characteristics, degree of nursing professionalism, job stress, and problem solving ability. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients and multiple regression analysis.
Results
The factors influencing the degree of problem solving ability of the community health practitioners were professionalism of nursing (β=.29, p<.001), and interpersonal factors (β=-.25, p=.001). It was found that 15% could explain problem solving ability.
Conclusion
It is necessary to strengthen the professionalism of nursing and to decrease the interpersonal factors due to job stress for the community health practitioners. The results indicate a need to increase development of educational programs for capacity building of community health practitioners.

Citations

Citations to this article as recorded by  
  • Kişi Merkezli Palyatif Bakım Hemşireliği Ölçeği’nin Türkçe Geçerlik ve Güvenirlik Çalışması
    Cemal Özalp
    İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi.2025; (25): 12.     CrossRef
  • Needs assessment of community health practitioners for community care competency of older adults
    Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park
    Research in Community and Public Health Nursing.2023; 34: 32.     CrossRef
  • Factors Associated with Person-Centered Care among Hospice Nurses
    Sinyoung Kwon, Kyoung Hee Kim
    The Korean Journal of Hospice and Palliative Care.2022; 25(2): 66.     CrossRef
  • The COVID-19 Correspondence Work Experience of Community Health Practitioners
    Jae-Hyun Ha, Hyun-Ju Lee
    Journal of Korean Academy of Community Health Nursing.2022; 33(2): 139.     CrossRef
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Influences of Workplace Violence Experience on Job Satisfaction and Turnover Intention of New Nurses
Jung Won Im, Ji Young Lim
J Korean Acad Nurs Adm 2020;26(2):130-141.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.130
Purpose
The purpose of this study was to identify workplace violence experience of new nurses and to investigate effects on organizational variables. Workplace violence experience can lead to new nurses developing negative attitudes towards nursing jobs. A safe organizational culture in which new nurses can work while being protected from workplace violence must be established.
Methods
An online survey was conducted with 180 nurses. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and regression analysis.
Results
The total score for workplace violence experience of new nurses was 1.75±0.55. There was a statistically significant negative correlation between verbal (r=-.32, p <.001), threatening (r=-.26, p <.001), and total (r=-.28, p <.001) workplace violence experience and job satisfaction, and a positive correlation between verbal (r=.18, p =.016), threatening (r=.17, p =.024), total (r=.17, p =.021) and turnover intention, respectively. Verbal violence experience was found to be a significant factor influencing job satisfaction, and the explanatory power of the model was 9.5%.
Conclusion
Based on the results of this study, it is necessary to develop a workplace violence prevention program for new nurses and a procedure and reporting system to cope with workplace violence. Furthermore, there is a need to expand a culture of mutual cooperation and a nonviolent atmosphere.

Citations

Citations to this article as recorded by  
  • Predicting New Graduate Nurses’ Retention during Transition Using Decision Tree Methods: A Longitudinal Study
    Taewha Lee, Yea Seul Yoon, Yoonjung Ji
    Journal of Nursing Management.2024; 2024: 1.     CrossRef
  • Influences of Job Stress and Positive Psychological Capital on Turnover Intention among Novice Nurses
    Soonjeong Kwon, Moonhee Gang
    Journal of Korean Academy of Nursing Administration.2021; 27(3): 159.     CrossRef
  • Factors Influencing Re-Employment of Newly Graduated Nurses: Longitudinal Study
    Yun Kyung Oh, Eun-Young Kim
    Journal of Korean Academy of Nursing.2021; 51(2): 162.     CrossRef
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A Study the Relationships among Verbal Violence Experience, Job Stress, and Resilience and the Communication Ability of Operating Room Nurses
Hyejung Jung, Yoonshin Lee, Sung Hee Shin
J Korean Acad Nurs Adm 2020;26(2):120-129.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.120
Purpose
This study was done to provide basic data for nursing intervention to increase communication ability of operating room nurses by identifying the relation among their verbal violence experience, job stress, resilience, and communication ability.
Methods
The participants were 136 nurses, working in the operating rooms of six academic and general hospitals located in Seoul and Gyeonggi-Do. Data were collected from May 1st through October 31st, 2016. Collected data were analyzed for frequency and percentage, mean and standard deviation, association among related factors, and stepwise multi-regression using the SPSS 21.0 program.
Results
It was found that the strongest factor influencing the communication ability of operating room nurses was persistence (β=.41, p <.001; sub-item of Resilience), followed by support (β=.26, p =.001; sub-item of Resilience). These two sub-items have positive influences on communication ability of operating room nurses. The lack of professional knowledge and skill (β=-.19, p <.001; sub-item of job stress) and verbal violence experience from nurse (β=-.16, p <.001; sub-item of verbal violence experience) have negative influences on communication ability of operating room nurses. These sub-items explained 47.0% of communication ability of operating room nurses.
Conclusion
The study results can be used as basic data to develop effective communication. Also, the results show the necessity of developing and applying concrete nursing interventions to improve job satisfaction of operating room nurses.

Citations

Citations to this article as recorded by  
  • Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
    Yesol Byon, Yoon Goo Noh
    Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
  • The Effects of Communication Ability, Job Satisfaction, and Organizational Commitment on Nursing Performance of Intensive Care Unit Nurses
    Nu Ri Kim, Sung Eun Kim, So Eun Jang
    Journal of Korean Critical Care Nursing.2022; 15(1): 58.     CrossRef
  • Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
    Min Soo Woo, Hyoung Suk Kim, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
  • Communication competence and resilience are modifiable factors for burnout of operating room nurses in South Korea
    Eun Yeong Lee, Kyoung-ja Kim, Sangjin Ko, Eun Kyeung Song
    BMC Nursing.2022;[Epub]     CrossRef
  • Moderating Effect of Nursing Organizational Culture on the Relationship between Verbal Violence and Burnout in Operating Room Nurses
    Sojeong Lim, Sujin Shin
    Korean Journal of Adult Nursing.2022; 34(2): 196.     CrossRef
  • Influences of Workplace Bullying and Job Satisfaction on Happiness among Perioperative Nurses
    Song I Park, Key Ha Kim
    Journal of Korean Academy of Nursing Administration.2021; 27(1): 54.     CrossRef
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Emotional Labor, Job Stress and Professional Quality of Life of Public Health Nurses according to the Employment Type
Kyung Sook Cho, Yunmi Kim
J Korean Acad Nurs Adm 2019;25(5):467-477.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.467
PURPOSE
This study is a descriptive survey to identify emotional labor and job stress recognized in the course of administrative work, and how these affect the professional quality of life of public health nurses according to the employment type.
METHODS
Data was collected through a survey of public health nurses conducted from Dec. 2018 to Jan. 2019 (N=232).
RESULTS
The emotional labor of public health nurses was 3.27 out of 5 and full-time public health nurses had the highest scores. The job stress score was moderate at 2.45 out of four. The job stress of full-time nurses was also the highest. Among the sub-divisions of professional quality of life, compassion satisfaction was 3.55 out of five, while secondary traumatic stress was moderate at 2.48 and exhaustion at 3.01. Factors affecting compassion satisfaction were shown to be employment types and exhaustion. Factors affecting secondary traumatic stress were exhaustion, job stress and emotional labor. Factors affecting exhaustion were secondary traumatic stress and compassion satisfaction.
CONCLUSION
The results of this study shows that full-time public health nurses in charge of nursing organizations at public health centers have extreme difficulty with excessive role responsibilities, resulting in high emotional labor intensity and high job stress.

Citations

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  • Secondary traumatic stress among pediatric nurses: Relationship to peer-organizational support and emotional labor strategies
    Einat Yehene, Adi Asherman, Gil Goldzweig, Hadar Simana, Amichai Brezner
    Journal of Pediatric Nursing.2024; 74: 92.     CrossRef
  • Exploring the Relationship between Surface Acting, Job Stress, and Emotional Exhaustion in Health Professionals: The Moderating Role of LMX
    Ibrahim Yikilmaz, Lutfi Surucu, Ahmet Maslakci, Alper Bahadir Dalmis, Emete Toros
    Behavioral Sciences.2024; 14(8): 637.     CrossRef
  • How emotional labor harms employee’s performance: unleashing the missing links through anxiety, quality of work-life and Islamic work ethic
    Shazia Nauman, Sania Zahra Malik, Farida Saleem, Sabreen Ashraf Elahi
    The International Journal of Human Resource Management.2024; 35(12): 2131.     CrossRef
  • Emotional labour and turnover intention among nurses in China: Mediating effects of nurse–patient relationship and self‐rated health
    Zhixin Liu, Huanyu Zhang, Junping Liu, Juan Zhao, Yajie Feng, Jie Liu, Siyi Tao, Wei Liu, Dandan Zou, Chen Wang, Nan Wang, Zhaoyue Liu, Xinru Liu, Lin Wu, Libo Liang, Weilan Xu, Qunhong Wu, Chaojie Liu
    International Nursing Review.2024; 71(4): 841.     CrossRef
  • The Influence of Relational Bonds, Followership, and Occupational Stress on Nurses' Organizational Commitment
    Gipeum Choi, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 56.     CrossRef
  • Emotional Labor and Burnout of Public Health Nurses during the COVID-19 Pandemic: Mediating Effects of Perceived Health Status and Perceived Organizational Support
    Mi-Na Kim, Yang-Sook Yoo, Ok-Hee Cho, Kyung-Hye Hwang
    International Journal of Environmental Research and Public Health.2022; 19(1): 549.     CrossRef
  • A cross-sectional study on public health nurses' disaster competencies and influencing factors during the COVID-19 pandemic in Korea
    Eunjoo Hong, Aeri Jung, Kyungmi Woo
    BMC Public Health.2022;[Epub]     CrossRef
  • Factors Affecting the Quality of Work Life of Nurses at Tertiary General Hospitals in the Context of the COVID-19 Pandemic
    Eunhee Hwang
    International Journal of Environmental Research and Public Health.2022; 19(8): 4718.     CrossRef
  • Effect of Nurse's Character for Care and Sense of Coherence on Professional Quality of Life Among Oncology Nurses
    Gie-Ok Noh, Gyeonga Kang, In Gak Kwon, Sang Hee Kim, Yoon Jung Kim, Jeong Hye Kim, Eun Young Park, Jeong-Sook Park, Han Jong Park, Kwuy-Im Jung
    Asian Oncology Nursing.2021; 21(1): 52.     CrossRef
  • The Effects of Self-efficacy and Health Promoting Behaviors on Professional Quality of Life in University Hospital Nurses
    Sun Hee Song, Soon Rim Suh, Jeong Mi Park
    Journal of Health Informatics and Statistics.2021; 46(2): 147.     CrossRef
  • Effects of Self-leadership, Professional Self-concept, Emotional Labor on Professional Quality of Life in Hospital Nurses
    Yu-Yeong Kyun, Mi-Aie Lee
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 447.     CrossRef
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Influence of Job Stress, Team Cohesion and Organizational Justice on Workplace Bullying in Clinical Nurses
Jung Won Kong, Yong Sook Eo
J Korean Acad Nurs Adm 2019;25(5):448-457.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.448
PURPOSE
The purpose of this study was to examine the relationships of job stress, team cohesion, organizational justice and workplace bullying among Korean general hospitals nurses.
METHODS
During December 2016 and January, 2017, a survey of 198 nurses was done using structured self-administered questionnaires. Data were analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficients and multiple linear regression analysis.
RESULTS
The prevalence of bullying was 12.1%. The results of the multiple linear regression analysis revealed that task cohesion (β=−.20, p=.040) as a sub-factor of team cohesion and job stress (β=.19, p=.047) were predictive of workplace bullying (Adj. R²=.11, p < .001).
CONCLUSION
These results suggest that team cohesion and job stress are associated with workplace bullying by nurses. Building a well-organized management plan which reduces job stress and promotes team cohesion is recommended for the registered nurses.

Citations

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  • Mitigating the impact of emotional exhaustion among young intensive care unit nurses: A structural equation model based on the conservation of resources theory
    Xiaona Zhang, Haitao Huang, Hua Du, Dan Li
    Nursing in Critical Care.2025;[Epub]     CrossRef
  • The effect of justice on hospital workers’ self-efficiency with the mediating role of job stress: a structural equation analysis approach
    Saeideh Moosavi, Mehran Ghalenoei, Aisa Maleki, Rohollah Kalhor
    International Journal of Human Rights in Healthcare.2024; 17(5): 702.     CrossRef
  • Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
    Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 457.     CrossRef
  • The effect of organizational justice on young nurses’ turnover intention: The mediating roles of organizational climate and emotional labour
    Yue Su, Zhe Jiang, Ran Meng, Guangli Lu, Chaoran Chen
    Nurse Education in Practice.2023; 72: 103723.     CrossRef
  • Effects of Organizational Silence and Organizational Justice on Bullying among Hospital Nurses at Work
    Mi-Aei Lee, Bi-Joo Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 1.     CrossRef
  • The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency
    Hanna Choi, Sujin Shin
    International Journal of Environmental Research and Public Health.2022; 19(6): 3515.     CrossRef
  • Structural Equation Modeling on Workplace Incivility of Nurses: Evolution to Bullying
    Seo In Kim, Soukyoung Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 406.     CrossRef
  • The Effects of Positive Psychological Capital and Organizational Justice on Job Embeddedness of Clinical Nurses
    Youn Shin Lee, Heeyoung Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 228.     CrossRef
  • The Cycle of Verbal Violence Among Nurse Colleagues in South Korea
    Su-Hyun Park, Eun-Hi Choi
    Journal of Interpersonal Violence.2022; 37(5-6): NP3107.     CrossRef
  • A Brief Measure of Work Environment for Human Service Organizations
    Colleen E. Janczewski, Joshua P. Mersky, ChienTi Plummer Lee
    Human Service Organizations: Management, Leadership & Governance.2021; 45(5): 479.     CrossRef
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Factors Influencing Resilience in Long-term Care Hospital Nurses
Ju Hui Moon, Sook Hee Yoon
J Korean Acad Nurs Adm 2019;25(5):373-383.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.373
PURPOSE
The purpose of this study was to investigate factors affecting the resilience of emotional intelligence, job stress coping, and organizational socialization of nurses working in long-term care hospitals.
METHODS
The participants were 153 nurses working in 8 long-term care hospitals in B city. Data were collected from February. 1 to Feb. 15, 2019 SPSS/WIN 23.0 was used for analysis with t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise regression.
RESULTS
Factors influencing resilience in the participants were emotional intelligence (β=.38, p < .001), coping behavior-focusing on the positive (β=.29, p < .001), nurse motivation (β=.16, p=.006), organizational socialization (β=.17, p=.009), coping behavior-tension reduction (β=.14, p=.023). These factors contributed 54% of the total variance in resilience.
CONCLUSION
It is necessary to study emotional intelligence and hospital nurses' coping with job stress while carrying out highly emotional activities on the job and to develop a program that can enhance the resilience of the nurses to improve psychological wellbeing and verify the effects.

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  • 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
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PURPOSE
The objective of this study was to explore the causal relationships among staff nurses' job stress factors, patient safety culture perception, and patient safety nursing activities through path analysis.
METHODS
The participants, 275 staff nurses with over a year of exp rience working at a university hospital in Seoul, completed structured questionnaires. The data were collected from January 5 to February 28, 2018. The data analysis included descriptive statistics, t-test, ANOVA, Scheffé test and Pearson correlation coefficients using the SPSS/WIN 24.0 program, and path analysis & bootstrapping using AMOS 24.0 program.
RESULTS
The path analyses of the hypothesized causal model showed a considerable explanatory power for each of the endogenous variables. About 45 percent of organizational culture was explained by work overload, lack of knowledge/skill, inadequate reward, work environment, and communication. The finding in this study confirmed the mediating effect of patient safety culture perception on the relationships between job stress factors and patient safety nursing activities.
CONCLUSION
The proper arrangement of nursing staff, proper treatment and rewards, positive work environment, organizational culture, and smooth communication are needed to promote patient safety nursing activities.

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  • The relationship between job stress and the perception of patient safety culture among Palestinian hospital nurses
    Loai M. Zabin, Jamal Qaddumi, Sajed Faisal Ghawadra
    BMC Nursing.2025;[Epub]     CrossRef
  • Associations of perceptions of patient safety culture, job crafting, and perceptions of patient rounding with patient safety management activities among tertiary hospital nurses
    Saet-Byeol Kim, Yun-Hee Kim
    Journal of Korean Biological Nursing Science.2024; 26(3): 259.     CrossRef
  • Patient Safety Culture among Nurses in Pediatric Clinical Settings
    Manal F. Alharbi, Salwa I. Bishi, Nawal Alsulanni
    Pediatric Nursing.2024; 50(1): 7.     CrossRef
  • Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
    Ji Yeong Park, Kyoung Ja Kim
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  • The Influence of Attitude toward Job Rotation, Professional Self-concept and Organizational Commitment on Patient Safety Nursing Activities: A Cross-Sectional Study
    Minji Park, Hyojung Park
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    Se Young Kim, Mi-Kyoung Cho
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  • Moderated moderation effect of empathy and resilience on the relationship between geriatric care-related stress and geriatric nursing practice among secondary hospital nurses: A cross-sectional study
    Young Suk Choe, Yang Gyeong Yoo
    Journal of Korean Gerontological Nursing.2023; 25(1): 89.     CrossRef
  • Study on Educational Needs of Patient Safety Nursing Activities in Intensive Care Units: Utilizing Importance-Performance Analysis
    Seung Hee Lee, Nam Hee Park
    Journal of Korean Critical Care Nursing.2022; 15(3): 1.     CrossRef
  • Factors Influencing Safety Nursing Activities of Nurses at a Nationally Designated Infectious Disease Hospital
    Sung Ae Choi, Ju Young Park
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  • 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
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    Jae Eun Kim, Ju Eun Song, Jeong Ah Ahn, Sunjoo Boo
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  • The Influence of Burnout on Patient Safety Management Activities of Shift Nurses: The Mediating Effect of Compassion Satisfaction
    I Seul Ryu, JaeLan Shim
    International Journal of Environmental Research and Public Health.2021; 18(22): 12210.     CrossRef
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Factors Influencing Managerial Competence of Frontline Nurse Managers
Ran Lee, Miyoung Kim, Sujin Choi, Hee Yeon Shin
J Korean Acad Nurs Adm 2018;24(5):435-444.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.435
PURPOSE
The purpose of this study was to investigate the relationship between nursing practice environment, resilience, job stress, communication skills, and managerial competence of frontline nurse managers and identify factors influencing their managerial competence.
METHODS
A descriptive research was carried out with 148 frontline nurse managers in six general hospitals. From August 16 to October 7, 2016 data were collected using a questionnaire. Data were analyzed with descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression using IBM SPSS/WIN 22.0.
RESULTS
Managerial competence of frontline nurse managers was positively correlated with nursing practice environment (r=.41 p < .001), resilience (r=.45, p < .001), communication skills (r=.38, p < .001) and was negatively correlated with job stress (r=−.27, p < .001). The factors influencing managerial competence were nursing practice environment (β=.29, p=.002) and resilience (β=.28, p=.007) in that order. The input variables explained 30.8% of managerial competence.
CONCLUSION
The results suggest that a policy guideline is needed to enhance managerial competence of frontline nurse managers. The policy guideline should include achieving an adequate level of nurse staffing to improve the nursing practice environment and providing frontline nurse managers with educational support and administrative assistance to increase their resilience.

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  • Factors Impacting on Nurse Unit Managers’ Knowledge and Ability Importance of Managerial Competencies
    Jihae Lee, Miyoung Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 428.     CrossRef
  • Educational needs for nursing manager competency in Korean hospitals: multi-center cross-sectional study
    Seung-Min Lee, Beob-Wang Ahn, Mi Yu
    BMC Nursing.2024;[Epub]     CrossRef
  • Influence of Emotional Intelligence of Experienced Nurses on Nursing Managerial Competence: Focusing on the Mediating Effect of Communication Competence
    Yunji Kang, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 79.     CrossRef
  • Training Priority for Managerial Competence of Nurse Managers in Small and Medium-Sized Hospitals: Focusing on the Management Level
    MunHee Jun, Wonjung Noh
    SAGE Open Nursing.2023;[Epub]     CrossRef
  • Priority Need Analysis for Career Level-Based Nursing Management Competency Development of Advanced General Hospital Nurses
    Bo Hyun Yu, Keum Seong Jang
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 417.     CrossRef
  • Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
    Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
    International Journal of Environmental Research and Public Health.2022; 19(10): 5792.     CrossRef
  • The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
    Sustainability.2021; 13(21): 11634.     CrossRef
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Effects of Group Art and Music Therapy in Newly Hired Nurses: A Mixed Method Study
Eun Young Doo, Hyung Eun Seo, Sujin Choi, Bo Kyung Chang, Miyoung Kim
J Korean Acad Nurs Adm 2018;24(2):118-129.   Published online March 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.2.118
PURPOSE
This study was done to evaluate the effects of group art and music therapy on decreasing job stress and increasing resilience of newly hired nurses.
METHODS
A mixed method design was used. Quantitative data (N=35) were collected through questionnaires from November 2 to December, 5, 2016 and were analyzed using a one-tailed paired t-test by SPSS/WIN 22.0 program. Qualitative data (N=18) were collected through group and individual interviews from November 10, 2016 to February 3, 2017 and were analyzed using a qualitative thematic analysis.
RESULTS
The first hypothesis “participants will have lower job stress after the art and music therapy” was not statistically supported (t=−1.12, p=.270). The second hypothesis, “participants will have higher resilience after the art and music therapy” was supported (t=−2.13, p=.041). Four main themes were derived from the interviews: ‘looking into myself’, ‘feeling a camaraderie’, ‘healing of my mind and body’, ‘change in the intimidated self,’ CONCLUSION: The findings indicate that art and music therapy for newly hired nurses may positively influence resilience. Hospital organizations should utilize the therapy for newly hired nurses to improve their resilience so that they can realize their own values and increase positive emotion despite job stress.

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  • Art therapy-based interventions to address burnout and psychosocial distress in healthcare workers—a systematic review
    Megan Tjasink, Eleanor Keiller, Madison Stephens, Catherine Elizabeth Carr, Stefan Priebe
    BMC Health Services Research.2023;[Epub]     CrossRef
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    Young-Eun Jung, Mi-Hae Sung
    Korean Journal of Women Health Nursing.2022; 28(1): 18.     CrossRef
  • Anxiety level among newly hired nurse in a specialized oncology hospital: An observational study
    Ahmad Alhroub, Hebah Albakri, Hedaia Al-Awaysheh, Aladeen Alloubani
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    Seungmi Park, Jung Lim Lee
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    Lynnette Schreiner, Gaelynn P. Wolf Bordonaro
    Journal of Hospice & Palliative Nursing.2019; 21(3): 229.     CrossRef
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PURPOSE
This study was done to identify and compare nursing performance including job stress, emotional labor and burnout between nurses who work in comprehensive nursing care service wards and general wards.
METHODS
Participants were 187 nurses working in a general hospital in Busan which provides comprehensive nursing care service (comprehensive nursing care service ward: 95, general ward: 92). Data were collected using questionnaires and analyzed using descriptive statistics, χ² test, t-test, ANOVA, and multiple regression with the SPSS/WIN 23.0 program.
RESULTS
There was no significant difference in the variables between comprehensive nursing care service ward nurses and general ward nurses. Factors influencing burnout were emotional labor in comprehensive nursing care service ward nurses while job stress and emotional labor were the factors influencing burnout in general ward nurses.
CONCLUSION
The findings of this study indicate that comprehensive nursing care service can be a positive delivery system for nurses. Therefore, there is a need for strategies to integrate comprehensive nursing care service systematically.

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    Fang Yang, Dandan Liu, Guangrui Fan
    BMC Nursing.2025;[Epub]     CrossRef
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    Soo Jin Lee, Ji Won Kim, Nam Hee Park
    Journal of Korean Public Health Nursing.2025; 39(1): 5.     CrossRef
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    Sumin Gwon, Gaeun Kim
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    Sukjae Park, Hyunmin Lee, Minsook Seo, Hee Kyung Kim, Eunhee Shin, Antony Bayer
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    Francesco Zaghini, Jacopo Fiorini, Philip Moons, Alessandro Sili
    European Journal of Cardiovascular Nursing.2024; 23(3): 213.     CrossRef
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    Suk Hun Ha, Moonho Kim, Hyojin Kim, Boram No, Ara Go, Miso Choi, Seol Lee, Yongchel Ahn
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    Seokhwa Hwang, Sujin Shin
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    Gizem Tatlı, Mustafa Kale, Ayse Avcı
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    Doo-Nam Oh, Ye-Won Lee
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  • Effects of the Violence Experience and Emotional Labor on Burnout among Tertiary Hospital Nurses
    Su Hyang Kim, Yoon Goo Noh
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    Jacopo Fiorini, Francesco Zaghini, Alice Mannocci, Alessandro Sili
    Journal of Nursing Management.2022; 30(7): 3178.     CrossRef
  • The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
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    Sustainability.2021; 13(21): 11634.     CrossRef
  • Family incivility, burnout and job satisfaction: examining the mediation effect
    Maria Tresita Paul V, Nimitha Aboobaker, Uma Devi N
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  • Effects of Awareness of Patient Safety Culture, Emotional Labor and Job Stress on Patient Safety Nursing Activities by Comprehensive Nursing Care Medical Service Ward Nurses
    Hyo Jeong Choi, Yun Mi Lee, Hyo Jin Park
    Journal of Korean Critical Care Nursing.2021; 14(3): 87.     CrossRef
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    Sun Kang Koh, Jeong Yun Park, Meejung Chin
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    Yoon Sun Kim, Mi-Ae Kim
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    Jui Kim, Hyoung Shim Choi
    Korean Journal of Adult Nursing.2020; 32(5): 455.     CrossRef
  • The Influences of Grit, Emotional Labor and Organizational Intimacy on Nurses' Intention to Stay in Comprehensive Nursing Care Service Units
    Dae Yeon Lee, Sook Young Kim
    The Korean Journal of Rehabilitation Nursing.2020; 23(2): 149.     CrossRef
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    Francesco Zaghini, Valentina Biagioli, Miriana Proietti, Sondra Badolamenti, Jacopo Fiorini, Alessandro Sili
    Applied Nursing Research.2020; 54: 151277.     CrossRef
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    Sujin Shin, Inyoung Lee, Jeonghyun Kim, Sung-Heui Bae
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    Journal of Korean Gerontological Nursing.2019; 21(3): 165.     CrossRef
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Influence of Verbal Abuse on Job Stress for Special Unit Nurses and General Ward Nurses in General Hospitals
Yang Ok Kim, Yeo Jin Yi
J Korean Acad Nurs Adm 2017;23(3):323-335.   Published online June 30, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.3.323
PURPOSE
It is expected that there will be a difference in job stress between special unit (operating room, anesthesia room) nurses and general ward nurses in general hospitals, but factors influencing job stress have not been examined. This study reports on research to examine the sources of verbal abuse in the workplace.
METHODS
Participants were 243 nurses (special unit 112, general ward 132) working in a hospital in I city. Data collection period was March 18 to March 25, 2016 and questionnaires were used to collect data. Comparison of differences in influence of verbal abuse on job stress between special unit and general ward nurses was analyzed with multiple hierarchical regression.
RESULTS
In special unit nurses, verbal abuse from doctors and/or nurses influenced their job stress (Adj. R²=.545). In general ward nurses, verbal abuse from patients and/or care-givers influenced their job stress (Adj. R²=.241).
CONCLUSION
Findings indicate a need to campaign for increase respect among nurse-doctor, nurse-nurse, and nurse-patients/care givers because verbal abuse from doctors, nurses, and patients/care-givers causes negative attitudes in nurses. General ward nurses in particular should provide sufficient explanation to patients about nursing services because verbal abuse from patients/care-givers is related to their complaints about nursing care.

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    Haejun Choi, Sujin Shin, Seungji Kim, Sungran Kim
    Korean Journal of Adult Nursing.2023; 35(4): 406.     CrossRef
  • Nurse’s experience working 12-hour shift in a tertiary level hospital in Qatar: a mixed method study
    Bejoy Varghese, Chithra Maria Joseph, Adnan Anwar Ahmad Al- Akkam, Rida Moh’d Odeh A. M. AL-Balawi, Esmat Swallmeh, Kalpana Singh
    BMC Nursing.2023;[Epub]     CrossRef
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    Jung-Hoon Lee, Yeoungsuk Song
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    Kyung Min Kim, Eun Nam Lee, Moon Ja Kim
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    Kyoung Ju Lee, Hye Young Kim
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    Hyoung Eun Chang, Mi Youn Park, Haena Jang, Shinae Ahn, Hyo-Jeong Yoon
    Nursing Outlook.2019; 67(5): 567.     CrossRef
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    Jinhee Kim
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(2): 144.     CrossRef
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PURPOSE
The purpose of this study was to identify effects of moving from a functional method of nursing care delivery to a modified team nursing delivery system.
METHODS
A structured self-report questionnaire was used to measure satisfaction with the nursing delivery system, self-efficacy, job stress and nursing performance. Participants were 72 nurses working at a university hospital and data were collected three times; before, one month and three months after the modification to a modified team nursing delivery system. Data were analyzed using repeated measure ANOVA.
RESULTS
Satisfaction with the nursing delivery system increased significantly after the change to the modified team nursing method. There were no significant differences in self-efficacy, job stress, or nursing performance. However, satisfaction with the nursing delivery system and nursing performance increased and job stress decreased significantly in new nurses with less than 1 year experience.
CONCLUSION
Results indicate that a modified team nursing method has positive results on nurses' satisfaction, self-efficacy, job stress, and nursing performance compared to the functional method. Effect of changing the nursing delivery system in the hospital suggests possibilities and directions for a modified nursing delivery system that would be useful in hospitals presently using the functional method.

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  • Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
    Eunji Lee, Haejung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     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
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Effects of Workplace Bullying, Job Stress, Self-esteem, and Burnout on the Intention of University Hospital Nurses to Keep Nursing Job
Young Hee Yom, In Soon Yang, Jung Hee Han
J Korean Acad Nurs Adm 2017;23(3):259-269.   Published online June 30, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.3.259
PURPOSE
Medical institutions and their patients benefit from continued employment of nurses. In this study an assessment was done of important factors that influence nurses' intention to leaving their jobs.
METHODS
The sample consisted of 229 university hospital nurses. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffé, Pearson's Correlation Analysis, and Hierarchical Multiple Regression.
RESULTS
The control variables, including age, current position, and health status explained 18% (F=16.37, p<.001) of variance in retention intention. The control variables, bullying, job stress, self-esteem, and burnout collectively explained 27% of variance in retention intention.
CONCLUSION
The findings indicate that the factors influencing retention intention are age, current position, and health status, while self-esteem and burnout in work places are new and more recent factors that impact retention intention. These findings can be utilized to develop strategies to increase self-esteem and retention intention.

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    Yeon Hee Jeong, Hun Ha Cho
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    Satyalakshmi Kompella
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    Gyeong Hee Park, Deulle Min
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    Ae-ri Choi, Jee-In Hwang
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Effect of Incivility Experienced by Clinical Nurses on Job Stress and the Moderating Effect of Self-efficacy
Song Yi Kim, Sook Hee Yoon
J Korean Acad Nurs Adm 2017;23(1):8-17.   Published online January 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.1.8
PURPOSE
The aim of this study was to analyze the effects of incivility experienced by clinical nurses on their job stress, and to identify the moderating effects of self-efficacy on the relationship between job stress and incivility.
METHODS
A structured self-report questionnaire was used to measure job stress, incivility and self-efficacy. Data were collected from 140 nurses currently working in three general hospitals of more than 300 beds. Data were analyzed using descriptive statistics, ANOVA, Scheffé test, Pearson correlation coefficient, hierarchical multiple linear regression with the SPSS Version 19.0 program.
RESULTS
Incivility from supervisors, patients and patients' families showed a significant effect on job stress and self-efficacy had an effect on incivility from patients and patients' families and also incivility from doctors and job stress. These variables have total explanatory power of 46.6% on job stress.
CONCLUSION
The results indicate a need to recognize the seriousness and damage of incivility in order to reduce hospital nurses' job stress and to awaken nurses to the relationship of stress and incivility and establish institutional programs to combat incivility. Moreover, there is also a need to improve self-efficacy on the ward through hospital education and coaching.

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Effect of Nurses' Job Stress on Job Satisfaction: Mediating Effect of Head Nurses' Emotional Leadership Perceived by Nurses
Moon Jung Jang, Eun Nam Lee, Yong Hwan Lee
J Korean Acad Nurs Adm 2015;21(1):133-141.   Published online January 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.1.133
PURPOSE
The purpose of this study was to identify the mediating effect of head nurses' emotional leadership as perceived by nurses in the relationship between nurses' job stress and job satisfaction.
METHODS
Study participants were 278 staff nurses currently working at two university hospitals in Busan, Korea. SPSS/WIN 21.0 program was used for data analysis to analyze descriptive statistics, t-test, correlation, and stepwise multiple regression. The significance level was set at p<.05.
RESULTS
Nurses' job satisfaction had a significant correlation with job stress (r=-.31, p<.001) and emotional leadership of nurse managers as perceived by nurses (r=.53, p<.001). Also, head nurses' emotional leadership experienced by nurses had a partial mediating effect in the relationship between nurses' job stress and job satisfaction.
CONCLUSION
The results of this study show that the nurse managers' emotional leadership has an important influence on nurses' job stress and job satisfaction. Therefore, head nurses' emotional leadership is very important for effective human resource management and the hospital should offer education and training to booster head nurses' leadership by developing emotional intelligence to promote staff job satisfaction.

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Effects of Type D Personality on Compassion Fatigue, Burnout, Compassion Satisfaction, and Job Stress in Clinical Nurses
Sung Reul Kim, Hye Young Kim, Jeong Hee Kang
J Korean Acad Nurs Adm 2014;20(3):272-280.   Published online June 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.3.272
PURPOSE
This study was done to identify the effects of Type D personality on compassion fatigue, burnout, compassion satisfaction, and job stress in clinical nurses.
METHODS
A descriptive cross-sectional design was used. Data were collected from a convenience sample of 172 clinical nurses working in two tertiary hospitals. The structured questionnaires included Type D personality scale, compassion fatigue, burnout, compassion satisfaction, and job stress scales.
RESULTS
About 79.7% of participants were classified as Type D personality group. The Type D personality was not related to general characteristics of clinical nurses. The Type D personality group showed statistically significant higher compassion fatigue, burnout, and job stress and lower compassion satisfaction compared to the non-Type D personality group. In addition, compassion fatigue and burnout were positively correlated with job stress and compassion fatigue was positively correlated with burnout. However, compassion satisfaction was negatively correlated with burnout.
CONCLUSION
As the prevalence of Type D personality is high in clinical nurses, it is necessary to assess stress-related personality. In addition, management for the nurse with Type D personality is required to alleviate compassion fatigue, burnout, and job stress and to improve compassion satisfaction.

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Factors Associated with Customer Orientation and Nursing Productivity
A Ram Yeo, Haejung Lee, Hyekyung Jin
J Korean Acad Nurs Adm 2014;20(2):167-175.   Published online March 31, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.2.167
PURPOSE
The purpose of this study was to identify the levels of customer orientation in nurses whose work experience was between 1 and 5 years and to examine factors associated with customer orientation and nursing productivity.
METHODS
For this descriptive correlational study, nurses (N=164) were recruited from a University Hospital in B city, from November 1 to 23, 2012. Questionnaires included measures of customer orientation, nursing productivity, organizational commitment, job stress, and turnover intention. Data were analysed with the SPSS/WIN 18.0 program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression.
RESULTS
The mean age of participants was 25 years, 96% were single, and 54.9% had a bachelor degree. Organizational commitment (beta=.387) and job stress (beta=.280) significantly explained the variance in customer orientation (R2=15.8). Customer orientation (beta=.479), education level (beta=.196), and turnover intention (beta=-.184) significantly explained the variance in nursing productivity (R2=35.3). Customer orientation was the most important factor in explaining the variance in the nursing productivity.
CONCLUSION
This study highlighted the relationship between customer orientation and nursing productivity. Improving the customer orientation could result in increasing nursing productivity. Future managerial intervention to improve customer orientation is warranted.

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PURPOSE
The purpose of this study was to ascertain current status of nurses' perception, nursing performance, job stress, and burnout in relation to the Joint Commission International (JCI) hospital accreditation and to verify the relationships among these variables.
METHODS
This cross-sectional study was performed using questionnaires. Data were collected from 220 nurses who worked at one hospital from April 5 to May 4, 2013.
RESULTS
The scores for perception, nursing performance, job stress and burnout in relation to the JCI hospital accreditation were(on a five-point Likert scale) 3.23, 4.01, 3.56 and 3.40 respectively. A positive correlation was observed between perception and nursing performance. Burnout was negatively correlated with perception and nursing performance, and positively correlated with job stress.
CONCLUSION
These results indicate that developing positive perception and reduced burnout in relation to the JCI hospital accreditation can produce good nursing performance. These findings can be utilized to develop strategies for reducing job stress and burnout in relation to the JCI hospital accreditation.

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Job Stress, Job Satisfaction, and Organizational Commitment according to Life Organization (LIFO) Behavior Type of Novice Nurses
Hye Jin Yang, Sun Im Im, Eun Young Choi
J Korean Acad Nurs Adm 2013;19(5):636-646.   Published online December 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.5.636
PURPOSE
This study was done to provide data that would contribute to effective task performance in clinical nursing and development of nursing professional by understanding job stress, job satisfaction and organizational commitment according to Life Organization (LIFO) behavior types of novice nurses.
METHODS
This study was a cross-sectional survey and the participants were 313 novice nurses who worked in one university hospital located in the city of Gwangju. Data were collected through the structured questionnaires that included general characteristics, job stress, job satisfaction, and organizational commitment scales. Collected data were analyzed using descriptive statistics, and ANOVA with SPSS/WIN 19.0.
RESULTS
Regarding job stress according to LIFO behavior types of novice nurses, there were statistically significant differences between the favorable situation and the unfavorable situation. There were also statistically significant differences regarding the organizational commitment according to LIFO behavior types.
CONCLUSION
The results indicate a difference in behavior patterns of novice nurses that suggest a need for education in order to reduce stress from the job and enhance organizational commitment by developing each nurse's preferred pattern and compensating for unfavorable patterns, as well. There also needs to be nursing resources that take into consideration behavior patterns of novice nurses.
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PURPOSE
The purposes of this study were to analyze the mediating effects of empowerment, job stress, organizational commitment and relation-oriented nursing organization culture on turnover intention of clinical nurses.
METHODS
Participants selected for the final analysis were 382 nurses working in 4 general hospitals. Data were analyzed through descriptive statistics Pearson correlation analysis (SPSS/WIN 17.0), and Path analysis (AMOS 18.0).
RESULTS
The study results are as follows: relation-oriented nursing organizational culture had no direct effect but had an indirect effect on nurses' turnover intention through empowerment, job stress, and organizational commitment, while job stress and organizational commitment had direct effects on turnover intention. The results also showed that empowerment had strong effect on organizational commitment, but job stress had very weak effect. Empowerment had an effect on turnover intention.
CONCLUSION
These results indicate that establishment of relation-oriented nursing organization culture is imperative if clinical nurses' turnover intention is to be decreased.

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Structural Equation Modeling for Humor, Job Satisfaction, Job Stress and Intention to Turnover
Jihyun Kim
J Korean Acad Nurs Adm 2013;19(2):265-272.   Published online March 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.2.265
PURPOSE
This study was done to identify the effects and relationships of humor, job satisfaction, job stress and intent to turnover for nurses and suggest a theoretical structural path diagram among the variables.
METHODS
Data were collected at 6 hospitals located in Seoul, and Gyeonggi Province, from June to September, 2010. Participants were 275 nurses. Data were analyzed using Amos 19.0 for Structural Equation Modeling.
RESULTS
Humor had significant effects on job satisfaction (beta=.15, t=2.29, p=.022) and indirect effects on the intent to turnover in this model (chi2=44.18, df=23, RMSEA=0.05, TLI=0.97). But humor did not affect job stress unlike results of previous studies (t=-.02, p=.771).
CONCLUSION
Humor may not affect job stress under the very stressful conditions of the health care environment. The model showed the effect of humor contributed to increases in job satisfaction but did not decrease job stress. Higher levels of job satisfaction could decrease the intent to turnover. Consequently, humor would be helpful in increasing job satisfaction to diminish nurse turnover. Further studies are suggested to investigate causal relationships among humor, burnout, and other emotional and organizational variables.

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Affecting Factors of Nurses' Burnout in Secondary General Hospitals
Seung Mi Park, In Sun Jang, Jeong Sil Choi
J Korean Acad Nurs Adm 2011;17(4):474-483.   Published online December 31, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.4.474
PURPOSE
This study was conducted to identify factors affecting nurses' burnout in secondary general hospitals.
METHODS
Data were collected through structured questionnaires from 241 nurses working at the secondary general hospitals with below 400 beds in the P, C, and S city between April and May, 2009. Data analysis was done with independent t test, ANOVA, Pearson correlation coefficient, and multiple stepwise multiple regression with SPSS WIN v 17.0.
RESULTS
Burnout was significantly different according to religion, age, clinical experiences, and shift work. Burnout score of the subjects was 58/100. Burnout of the subjects were positively correlated with job stress and negatively correlated with hardness, self efficiency, self esteem, spiritual wellbeing, social support, and job satisfaction. The explained variances for burnout was 51.8% and factors affecting nurses' burnout in secondary general hospitals were job stress, hardness, self efficiency, job satisfaction and shift work.
CONCLUSION
These results showed the significant factors fo nurses' burnout in secondary general hospitals. These findings can be utilized to development of strategies for reducing job stress and enhancing hardness, self efficiency and job satisfaction.

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Differences in Job Stress, and Job Satisfaction according to Teaching Style, and Personality of Preceptors
Jeong Sil Choi, Nam Young Yang
J Korean Acad Nurs Adm 2011;17(3):349-356.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.349
PURPOSE
In this study, differences and relationship between teaching style, personality, job stress, and job satisfaction among preceptors were examined.
METHODS
The participants were 121 preceptors. Data were collected in November and December 2010 and analyzed using descriptive statistics, ANOVA, Scheffe's test, and Pearson correlation coefficients.
RESULTS
The most frequent teaching style was judgement-initiative, and personality scores were highest for conscientiousness. Job stress was average (3.05+/-.59), and job satisfaction was below the mid-point level (2.76+/-.39). Job stress and job satisfaction were significantly different according to teaching style. Significant correlations were found between personality and job stress, and personality and job satisfaction.
CONCLUSIONS
These findings indicate that changes in perceived teaching style, and personality may be necessary to decrease job stress, and to promote job satisfaction among preceptors. The results of this study should be considered in the development of effective preceptor training programs.

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    Young Choon Park, Hyoung Sook Park
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    Ok Gum Kim, Ji Young Lim
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    Jeong Sill Choi, Nam Young Yang
    Journal of Korean Academy of Nursing Administration.2012; 18(3): 281.     CrossRef
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