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Original Articles
Reemployment Experience in Civilian Hospital of Retired Military Nurse Officer: A Phenomenological Study
Hye-Kyung Lee, Mi Yu
J Korean Acad Nurs Adm 2025;31(2):214-226.   Published online March 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.2.214
Purpose
This study employs Giorgi's descriptive phenomenological approach to explore the experiences of retired military nurse officers transitioning to civilian hospitals and to identify the essential meanings and underlying structures of this transition.
Methods
Eleven participants with over two years of military hospital experience, now employed in civilian hospitals, were recruited via snowball sampling. Data were collected through in-depth interviews conducted between December 2023 and March 2024.
Results
Analysis using Giorgi’s four-stage method identified 257 meaning units, 37 central meanings, 12 themes, and six general structures: 1) Positive perceptions of the nursing profession, 2) Confusion due to lack of information, 3) Difficulty in adapting due to differences between military and civilian hospitals, 4) Self-blame for a lack of competence, 5) Struggles in finding a position suitable for one’s career, and 6) Satisfaction with freedom and a stable life.
Conclusion
These findings emphasize the need for tailored transition programs, including job placement support, skill development, and cultural adaptation training. Socialization and communication programs can further aid integration and contribute to the professional growth. Additionally, a positive perception of nursing significantly influenced the decision to return to the workforce, highlighting the importance of fostering professional identity and confidence among transitioning military nurses.
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PURPOSE
The purpose of this study was to compare hospitalized patients in comprehensive nursing care units and general care units as to satisfaction with nursing care and factors influencing their intent to revisit the hospital METHODS: A cross-sectional study was conducted with 178 patients who had been hospitalized in a comprehensive nursing care unit and a general care unit in one hospital. Participants completed self-report questionnaires. Data were analyzed using SPSS 21.0.
RESULTS
There was a significant difference between the comprehensive nursing care unit and general care unit for intent to revisit the hospital (p=.036). Factors influencing intent to revisit the hospital for patients in the comprehensive nursing care unit were 'satisfaction with nursing care' (p<.001) and 'use of additional costs for comprehensive nursing care' (p=.041). The factor influencing intent to revisit hospital for patients in the general care unit was 'satisfaction with nursing care' (p<.001).
CONCLUSION
Findings indicate that comprehensive nursing care service in which all care is provided by nursing staff only, without family or private caregivers, increases intent to revisit the hospital. These results can be used as the foundation of reviewing the operation and expansion of comprehensive nursing care service.

Citations

Citations to this article as recorded by  
  • Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes
    Sung-Heui Bae
    Journal of Nursing Care Quality.2025;[Epub]     CrossRef
  • Service quality attributes on customers’ perceived value and behavioral intention of district health centres: a moderating effect of health-care subsidy
    Pimtong Tavitiyaman, Tin-Sing Vincent Law, Yuk-Fai Ben Fong, Tommy K.C. Ng
    International Journal of Quality and Service Sciences.2024; 16(2): 251.     CrossRef
  • Cancer-Oriented Comprehensive Nursing Services in Republic of Korea: Lessons from an Oncologist’s Perspective
    Suk Hun Ha, Moonho Kim, Hyojin Kim, Boram No, Ara Go, Miso Choi, Seol Lee, Yongchel Ahn
    Medicina.2023; 59(1): 144.     CrossRef
  • 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
  • Research Trends in Korea on Integrated Nursing Care Service: A Scoping Review
    Jui Kim, Hyoung Shim Choi
    Korean Journal of Adult Nursing.2020; 32(5): 455.     CrossRef
  • Influences of Perceived Patient-centered Care and Nursing Service Satisfaction on Hospital Revisit Intent among Inpatients who Received Comprehensive Nursing Service
    Young Ok Kang, Myung Sook Kim, Kyong Sook Jang
    Journal of Korean Gerontological Nursing.2020; 22(1): 45.     CrossRef
  • Impact of South Korea’s Comprehensive Nursing Service Policy on Nurse and Patient Outcomes
    Seon Heui Lee, Soyoung Yu, Miok Kim, Hee Sun Kim
    Healthcare.2020; 8(3): 223.     CrossRef
  • The effects of service quality and perceived price on revisit intention of patients: the Malaysian context
    Kim Piew Lai, Yuen Yee Yen, Chong Siong Choy
    International Journal of Quality and Service Sciences.2020; 12(4): 541.     CrossRef
  • A Comparative Study on Trust, Collaboration and Teamwork of Other Healthcare Personnel by Nurses Working on Integrated Nursing Care Service Wards versus Nurses on General Wards
    Nam Kyung Han, Taewha Lee, Jonggun Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 316.     CrossRef
  • Analysis of Nurses' Work Experience in Comprehensive Nursing Care Units of Small and Medium-sized Hospitals
    Mi Ryeong Song, Su Hyang Ryu
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 419.     CrossRef
  • Multilevel factors influencing falls of patients in hospital: The impact of nurse staffing
    Jinhyun Kim, Sungjae Kim, Jinhee Park, Eunhee Lee
    Journal of Nursing Management.2019; 27(5): 1011.     CrossRef
  • Development of Strategic Plans for Advancing Nursing in Korea
    Eui Geum Oh, Yeonsoo Jang, Jeongok Park, Hyejung Lee, Heejung Kim, Ari Min, Suhee Kim, Yongmi Kwon
    Asian Nursing Research.2019; 13(2): 115.     CrossRef
  • The Analysis of Trends in Domestic Nursing Research on Integrated Nursing Care Service
    Hyun Ju Choi
    Journal of Korean Academy of Nursing Administration.2019; 25(5): 510.     CrossRef
  • A Comparison of Patients' Nursing Service Satisfaction, Hospital Commitment and Revisit Intention between General Care Unit and Comprehensive Nursing Care Unit
    Yun A Jung, Kyung Mi Sung
    Journal of Korean Academy of Nursing Administration.2018; 24(1): 30.     CrossRef
  • 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
    Journal of Korean Academy of Nursing Administration.2018; 24(5): 396.     CrossRef
  • The influence of nursing care integration services on nurses’ work satisfaction and quality of nursing care
    Jeong-Im Ryu, Kisook Kim
    Journal of Nursing Management.2018; 26(8): 1024.     CrossRef
  • Nursing Tasks and Practice Environment for Nursing Work Perceived by Nurses Working on Comprehensive Wards versus General Wards
    Sung Hee Ahn, Sun Hee Jung, Jung Hwa You, Mi-Aie Lee
    Journal of Korean Academy of Nursing Administration.2018; 24(1): 10.     CrossRef
  • Adequacy of Nurse Staffing Level in Integrated Nursing Care
    Jinhyun Kim, Sungjae Kim, Jinhee Park, Euntae Park, Suyong Jeong, Eunhee Lee
    Journal of Korean Academy of Nursing Administration.2018; 24(4): 288.     CrossRef
  • Experience of Nurses Participating in Comprehensive Nursing Care
    Kwang-Ok Park, Mi Yu, Jong-Kyung Kim
    Journal of Korean Academy of Nursing Administration.2017; 23(1): 76.     CrossRef
  • Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress
    Su Mi Jung, Sook Hee Yoon
    Journal of Korean Academy of Nursing Administration.2017; 23(3): 229.     CrossRef
  • Policy Issues and New Direction for Comprehensive Nursing Service in the National Health Insurance
    Jinhyun Kim, Sungjae Kim, Euntae Park, Suyong Jeong, Eunhee Lee
    Journal of Korean Academy of Nursing Administration.2017; 23(3): 312.     CrossRef
  • Semantic Network Analysis of Online News and Social Media Text Related to Comprehensive Nursing Care Service
    Minji Kim, Mona Choi, Yoosik Youm
    Journal of Korean Academy of Nursing.2017; 47(6): 806.     CrossRef
  • Comparison Analysis between Integrated Nursing Care Service and Non Integrated Nursing Care Service through Electronic Nursing Documentation
    Seung Shin Lee, Soyoung Yu
    Journal of Health Informatics and Statistics.2017; 42(2): 170.     CrossRef
  • Clinical Nurses' Job Stress, Emotional labor, Nursing Performance, and Burnout in Comprehensive Nursing Care Service Wards and General Wards
    So-Eun Kim, Ji-Young Han
    Journal of Korean Academy of Nursing Administration.2017; 23(3): 336.     CrossRef
  • A Study on the Types of Hospitals Participating and the Factors Influencing Comprehensive Nursing Service
    Ki-Sung Kim, Shin-Ho Lee, Mun-Hyung Ryu
    The Korean Journal of Health Service Management.2017; 11(4): 239.     CrossRef
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  • 25 Crossref
Determinants of Registered Nurse Skill Mix & Staffing Level in Korea
Su Jin Cho, Jinhyun Kim
J Korean Acad Nurs Adm 2014;20(1):10-21.   Published online January 31, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.1.10
PURPOSE
This study was done to identify determinants of registered nurse (RN) skill mix and staffing level focused on hospital characteristics.
METHODS
Data were obtained from health insurance claims data and hospital reporting system in the Health Insurance Review and Assessment Service (HIRA) for the year 2010. Data from 2,998 hospitals were analysed using t-test, ANOVA, Pearson correlation, and regression analysis.
RESULTS
The RN skill mix and staffing level were positively related to hospital size and the percentage of inpatients to total patients. RN skill mix and staffing level were statistically different across regions. Including nursing aides (NA), however, there was no difference in staffing levels across regions. Medically vulnerable regions, bed operation rate, and the number of patients per doctor were also related to RN skill mix and staffing level.
CONCLUSION
The statically significant determinants of RN skill mix and staffing level included hospital size, region, bed operation rate, percentage of inpatients, doctor-patient ratio. Further study needs to be done to investigate factors including RN supply and wages.

Citations

Citations to this article as recorded by  
  • Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards
    Yoon Sook Cho, Hyoung Eun Chang, Hyunjung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 163.     CrossRef
  • Factors related to career interruption and Re‐employment of women in human health and social work activities sector: Comparison with other industry sectors
    Younghee Yun, Kyung Jin Hong
    Nursing Open.2023; 10(4): 2656.     CrossRef
  • Assessing the effect of nursing stress factors on turnover intention among newly recruited nurses in hospitals in China
    Lulin Zhou, Arielle Doris Kachie Tetgoum, Prince Ewudzie Quansah, Joseph Owusu‐Marfo
    Nursing Open.2022; 9(6): 2697.     CrossRef
  • Developing an internship program to support nursing student transition to clinical setting
    Kelli Roush, Angela Opsahl, Melora Ferren
    Journal of Professional Nursing.2021; 37(4): 696.     CrossRef
  • The Relationship between Nursing Care Needs and Nurse Staffing in Pulmonology Nursing Units
    Hye-Kyung Jo, Sung-Heui Bae
    Korean Journal of Adult Nursing.2021; 33(3): 236.     CrossRef
  • Effects of Leader-Member Exchange of Nurses who Return to Work after Parental Leave on Conflict between Work and Family: Focus on the Mediating Effects of Job Stress
    Ji Hyun Yoon, Jung-Ha Park
    Journal of Korean Academy of Nursing Administration.2020; 26(3): 294.     CrossRef
  • Factors Affecting Use of Personal Protective Equipment related to Acute Respiratory Infections in General Hospital Nurses
    Jungeun Kang, Jiyoung Kim
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(3): 277.     CrossRef
  • Nursing stress factors affecting turnover intention among hospital nurses
    Eun‐Kyoung Lee, Ji‐Soo Kim
    International Journal of Nursing Practice.2020;[Epub]     CrossRef
  • Evaluating Nursing Needs in the Neonatal Intensive Care Unit with the Korean Patient Classification System for Neonatal Intensive Care Nurses
    Hyo nam An, Sukhee Ahn
    Journal of Korean Critical Care Nursing.2020; 13(2): 24.     CrossRef
  • Turnover Rates and Factors Influencing Turnover of Korean Acute Care Hospital Nurses: A Retrospective Study Based on Survival Analysis
    Bohyun Park, Yukyung Ko
    Asian Nursing Research.2020; 14(5): 293.     CrossRef
  • Job Analysis of the Nursing Unit Managers of Women's Hospital Using DACUM Analysis
    Kyoung-Suk Son, Kyung Sook Cho
    Korean Journal of Women Health Nursing.2019; 25(3): 239.     CrossRef
  • A causal model for the quality of nursing care in Thailand
    R. Boonpracom, W. Kunaviktikul, P. Thungjaroenkul, O. Wichaikhum
    International Nursing Review.2019; 66(1): 130.     CrossRef
  • The Effects of Nurse Staffing and Skill Mix on In-hospital Mortality in the Hospitals with Different Characteristics
    Kyung-Il Youn
    Journal of Health Informatics and Statistics.2017; 42(1): 27.     CrossRef
  • Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals
    Eun Hee Kim, Eunjoo Lee
    Journal of the Korean Data and Information Science Society.2015; 26(3): 715.     CrossRef
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PURPOSE
This study was done to propose an improvement in the Nursing Fee Differentiation Policy to alleviate polarization of nursing staffing level among hospitals and to rectify the confusion of legally mandated standards between the Korean Medical Law and National Health Insurance Act.
METHODS
The policy regulation was reconstructed related to nurse staffing standards and nurse-to-patients ratios. Data on nurse staffing grades were obtained from database of the Health Insurance Review & Assessment Service (HIRA) for the third quarter of 2010 for 44 tertiary hospitals, 274 general hospitals, and 1,262 hospitals. A break-even analysis was used to estimate financial burden of the revised policy improvement proposal. An industrial engineering method was used to calculate Nurse-to-Patients ratios per shift.
RESULTS
Twelve tertiary hospitals were downgraded. 74 general hospitals and 102 hospitals were upgraded after application of the regulation. Finances for total hospitalization expenditures changed from -3.55% to +3.14%.
CONCLUSION
The results indicate that the proposed policy would decrease polarization between tertiary hospitals and small hospitals, and would not put a major strain on the finances of the Korean National Health Insurance. Therefore, it is suggested that government stake-holders and many interest groups consider this policy proposal and build a consensus.

Citations

Citations to this article as recorded by  
  • 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
    Hyun-Joo Kim, Sun-Hee Lee, Jai-Jung Lee, Sun-Suk Seong, Hee Yang, Hyang-Yuol Lee
    Journal of Korean Academy of Nursing.2024; 54(2): 237.     CrossRef
  • Impact of a financial incentive policy on Korean nurse staffing
    Y. Kim, J. Kim
    International Nursing Review.2015; 62(2): 171.     CrossRef
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Relationship among Communication Competence, Communication Types, and Organizational Commitment in Hospital Nurses
Hyun Sook Lee, Jong Kyung Kim
J Korean Acad Nurs Adm 2010;16(4):488-496.   Published online December 31, 2010
DOI: https://doi.org/10.11111/jkana.2010.16.4.488
PURPOSE
This study was done to explore the relationship in hospital nurses' of communication competence, communication types, and organizational commitment and to provide basic data for developing programs to improve internal communication and to promote nurses' commitment to their organizations.
METHODS
The participants included 316 nurses who worked in two general hospitals. The tools used for this study were the Global Interpersonal Communication Competence Scale (GICC) and Communication Satisfaction Questionnaire by Downs & Hazen (1981), revised by Seo (2002) and Mowday's tool (1979) for organizational commitment. Data were analyzed using SPSS/PC+12.0.
RESULTS
The mean score for communication competence was 3.46, and for organizational commitment, 3.19. For communication types, the mean score for formal communication was 3.18 and informal communication, 2.59. Communication competence had a positive relationship with formal communication (r=.32) and with informal communication (r=.16). Organizational commitment had a positive relationship with formal communication (r=.53), communication competence (r=.30), and informal communication (r=.27).
CONCLUSION
The results indicate the necessity of developing programs to promote nurses' communication competence and also developing a system that will enrich active communication. Systematic and continuous training in communication is also highly recommended.

Citations

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  • The effects of communication competence, meaning of work, and work-life balance on turnover intention in Generation Z nurses in South Korea: A cross-sectional study
    Kyu-Yeon Jeong, MiRa Yun, Eun-Hi Choi
    Applied Nursing Research.2025; 83: 151952.     CrossRef
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    Eun Sil Park, Jeong Hye Kim
    Asian Oncology Nursing.2024; 24(2): 94.     CrossRef
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    Yong Hwan Hyeon, Kyoung Ja Moon
    BMC Nursing.2024;[Epub]     CrossRef
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    Bo-Min Kim, Jeong-Eun Lee, Mira Hur
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    Yunji Kang, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 79.     CrossRef
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    Yesol Byon, Yoon Goo Noh
    Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
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    Journal of Korean Critical Care Nursing.2024; 17(2): 71.     CrossRef
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    Frontiers in Public Health.2024;[Epub]     CrossRef
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    Gwiseon Jeong, Hyeongsuk Lee
    Korean Journal of Adult Nursing.2023; 35(4): 356.     CrossRef
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    Daniela Vanessa Segovia Bermeo, Rafael Eduardo García Abad
    Revista de la Asociación Odontológica Argentina.2023; : 1.     CrossRef
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    Healthcare.2023; 11(18): 2547.     CrossRef
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    The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11.     CrossRef
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The Impact of Nursing Professionalism on the Nursing Performance and Retention Intention among Psychiatric Mental Health Nurses
Kyoung Ja Kwon, Kyoung Hee Ko, Kyung Won Kim, Jung A Kim
J Korean Acad Nurs Adm 2010;16(3):229-239.   Published online September 30, 2010
DOI: https://doi.org/10.11111/jkana.2010.16.3.229
PURPOSE
This study aimed to investigate the impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses.
METHODS
As a descriptive correlational study, this study sampled 206 psychiatric mental health nurses in six hospitals in Seoul and Gyeonggi area through convenience sampling. Data were collected from March 2 to 31, 2009 using a self-report questionnaire. The collected data were analyzed using SPSS WIN 16.0.
RESULTS
In the subscales of professionalism, the 'Sense of calling' had the highest mean score while the 'Professional organization' had the lowest mean score. A significant positive correlation was observed in nursing professionalism, nursing performance and retention intention. According to an analysis on the impact of each subscale of nursing professionalism on nursing performance and retention intention, the 'Sense of calling' and 'Autonomy' were the most significant predictor variable.
CONCLUSION
The results confirmed that the improvement of psychiatric mental health nurses' professionalism increases their nursing performance and retention intention and the 'Sense of calling' and 'Autonomy' are critical prediction factors. It is necessary to come up with a strategy which strengthens nursing professionalism in order to improve psychiatric mental health nurses' performance and retention intention.

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