Purpose This study aimed to investigate factors affecting prevention performance of catheter-associated urinary tract infection (CAUTI) among long-term care hospital nurses.
Methods: The participants were 162 nurses in 11 long-term care hospitals. Data were collected from May 21 to June 4, 2021, using structured questionnaires. The collected data were analyzed with an independent t-test, Mann-Whitney U test, a one-way ANOVA, Pearson’s correlation, and multiple regression analysis. All analyses were performed using SPSS/WIN 26.0.
Results: The factors influencing the prevention performance of CAUTI were formal learning (β=.22, p=.003) and prevention knowledge on CAUTI (β=.17, p=.029). These variables explained 13% of the prevention performance of CAUTI.
Conclusion: In this study, it is necessary for long-term care hospitals to develop infection prevention educational programs for CAUTI based on nursing evidence and ensure that nurses apply the knowledge obtained through these educational programs.
Purpose This study aimed to explore the nursing management experience of Korean nurse managers during the coronavirus disease 2019 (COVID-19) pandemic.
Methods: This exploratory qualitative study used individual semi-structured interviews. Data were collected from 10 nurse managers working in tertiary general hospitals in Korea from October 2020 to September 2021. Thematic analysis methods were employed to analyze interview transcripts.
Results: The following four themes were derived: difficulty due to an unexpected and sudden disaster, being the center with a sense of calling and responding resolutely, gratitude toward health workers who work and endure together, and striving and rising to the challenge of preparing for future infection.
Conclusion: During the COVID-19 pandemic, Korean nurse managers made an effort to overcome the crisis based on the sense of calling, despite many changes and challenges. Furthermore, managers expressed their gratitude to the department members working together, and they confirmed the need for system improvement to prepare for upcoming epidemics.
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Purpose This study was designed to construct and test a structural equation model of nurses’ experience of workplace incivility based on the model of the Affective Events Theory.
Methods: A total of 299 nurses from five general hospitals responded to structured questionnaires measuring personality traits (emotionality and agreeableness), structural empowerment, workplace incivility experience, emotional exhaustion and job satisfaction.
Results: The hypothetical model showed a good fit with the data: χ2 /df=1.88, GFI=.93, CFI=.95, NFI=.91, TLI=.94, SRMR=.03, RMSEA=.05. Structural empowerment had an effect on the experience of workplace incivility among nurses, but the influence of personality was not significant. Workplace incivility had significant direct effects on emotional exhaustion and job satisfaction. The experience of workplace incivility mediates the impact of structural empowerment on emotional exhaustion and job satisfaction.
Conclusion: Structural empowerment in nursing unit can reduce nurses’ experience of workplace incivility and emotional exhaustion and increase their job satisfaction. At the same time, nurses’ experience of workplace incivility can increase their emotional exhaustion and decrease job satisfaction. This suggests that nurse managers should consider enhancing structural empowerment and develop programs or activities to improve it and manage workplace inciviltiy.
PURPOSE Purposes of this study were to develop a Nurse Emotional Labor Strategy Scale in Korean (K-NELSS) and to evaluate its psychometric properties. METHODS The 14 items Emotional Labor Strategy Scale (ELSS) was translated into Korean and modified to apply to nurses. Two hundred and fifty nurses working in various units completed the questionnaire. Factor validity using confirmatory factor analysis, construct validity using correlation with burn-out, and criterion validity using correlation with Korean-Emotional Labor Scale (K-ELS) were identified. Reliability was tested by Cronbach's α. RESULTS K-NELSS has 3 domains: surface acting, deep acting, and expression of naturally felt emotions. Confirmatory factor analysis showed moderate goodness of fit (RMSEA=.80, SRMR=.07, CFI=93, TFI=.92). Correlation between surface acting and burn-out was r=.37 (p < .001), and between K-NELSS and K-ELS were r=.57 (p < .001) in surface action and r=.62 (p < .001) in deep acting. Cronbach's αs for surface acting, deep acting, and expression of naturally felt emotions were .89, .88, .84, respectively. CONCLUSION Psychometric properties of K-NELSS indicate that it is a useful and reliable tool to assess emotional labor of Korean nurses. In addition, with a small number of items, it is relatively easy to use.
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PURPOSE This study was conducted to define nurses' level of self-leadership, self-esteem, and organizational effectiveness, and to examine relationships among above variables. METHODS The subjects of this study were 313 nurses from two general hospitals located in Seoul Metropolitan area in Korea. The data was collected by self-reported instruments: Self-leadership scale, Self-esteem scale, Job satisfaction scale, Organizational commitment scale, and Turnover intention scale. Data was analyzed by descriptive statistics, Pearson correlation coefficient, and stepwise multiple regres don u dng SPSS-PC program. RESULTS The average scores of variables were; self-leadership, 3.72/5.00 self-esteem, 3.76/5.00 Job satisfaction, 3.36/5.00 organizational commitment, 3.29/5.00 and turnover intentioncri 2.94/5.00. Self-leadership was dgnificantly correlated to self-esteem, job satisfaction, organizational commitment, and turnover intention. Self-leadership, job satisfaction, and turnover intention explained 52.3% of organizational commitment. Self-leadership and organizational commitment explained 43% of turnover intention. CONCLUSIONS It is recommended to develop standardized self-leadership curriculum in the nursing school to build a foundation of self-leadership from undergraduate nursing students. Educational programs are needed that promote nurses' self-leadership as regular continuing education. Organizational effectiveness would be improved by providing programs to enhance nurses' self-esteem, educational motivation, and organizational commitment, which boost self-leadership.
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