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"Organization"

Original Articles
Non-Value-Added Activities and Non-Nursing Tasks Affecting Nursing Task Efficiency: A Scoping Review
Mi Ha Chung, Yongah Kim, Na Yeong Kim, Min Ju Kim, Hyeon Jin Kim, Ju Hee Park, Ji In Park, Su Yeon Bae, Heajin Bae, Eunjeong Lee, Min Young Jeon, Suyoung Choi
J Korean Acad Nurs Adm 2025;31(4):405-420.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0006
Purpose
This study explored the literature on non-value-added (NVA) activities and non-nursing tasks (NNT). We analyzed domestic and international research trends and examined the types and characteristics of nursing tasks to improve efficiency. Methods: A comprehensive literature search was conducted using RISS, DBpia, PubMed, CINAHL, Medline, and Embase. Relevant studies published up to 2024 were identified using keywords such as “non-value-added activity,” “non-value-added nursing activity,” “non-nursing tasks,” and “nursing.” Results: Analysis of 25 studies revealed that 11 studies focused on NVA activity and 14 on NNT. Direct nursing tasks were classified into eight categories; indirect tasks were classified into seven categories. NVA activities were grouped into five main categories: “personal,” “waste,” “documentation,” “necessary activities,” and “unit-related,” with overlapping subcategories such as “interruption” and “duplicating.” Similarly, NNT were categorized into eight types, including “admission,” “equipment,” and “administrative activities.” Although conceptually distinct, NVA activities and NNT often overlap. Reducing tasks unrelated to essential nursing care significantly improves job satisfaction, patient outcomes, and work efficiency. These findings provide valuable insights for optimizing nursing workflows and enhancing the quality of care. Conclusion: Identifying and reducing NVA activities and NNT enhance nursing efficiency and provide foundational data for improving clinical practice and patient safety.
  • 1,113 View
  • 49 Download
Purpose
This study examined factors influencing patient safety nursing activities in integrated nursing care units. Methods: A survey was conducted with 134 nurses from hospitals (100~300 beds) in Busan using self-administered questionnaires (August 17–September 15, 2024). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analysis. Results: The mean score for patient safety nursing activities was 4.31±0.55. Positive correlations were found with grit, teamwork, communication, and patient safety culture awareness. The predictor variables explained 46.0% of the variance in patient safety nursing activities. Significant factors included communication (β=.31, p=.032) and leadership (β=.29, p=.035) within teamwork, incident reporting frequency (β=.24, p<.001) within patient safety culture awareness, and experience in patient safety education (β=.17, p=.018). Conclusion: The findings of this study highlight the importance of enhancing teamwork, particularly in leadership and communication, and creating a safety culture that promotes incident reporting and education to strengthen patient safety nursing practices. Improving patient safety training, developing systematic evaluation and feedback mechanisms, and establishing structured support systems through campaigns and workshops will boost staff involvement and elevate the quality of patient safety practices.
  • 1,933 View
  • 169 Download
Purpose
This study aimed to identify factors influencing communication competence among hospital nurses. Methods: The participants were 136 nurses working at five general or tertiary hospitals with over 100 beds in Busan, Ulsan, and Geoje Island. Data were collected using structured self-report online questionnaires from July 18 to August 31, 2023. The data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, the Scheffé test, Pearson's correlation coefficients, and stepwise regression analysis using IBM SPSS version 25.0. Results: Self-awareness (β=.43, p<.001), a relationship-oriented organizational culture (β=.34, p<.001), working in a surgical ward (β=.19, p=.003), communication efficacy (β=.17, p=.011), hierarchy-oriented organizational culture (β=.16, p=.011), and working in a special unit (β=-.14, p=.023) were factors that significantly influenced nurses' communication competence. The model explained 52% of the variance in communication competence (F=28.43, p<.001) Conclusion: To improve communication competence in hospital nurses, healthcare institutions should provide learning opportunities to improve nurses’ self-awareness and communication efficacy. It is also essential to establish rules and order within a hierarchy-oriented organizational culture, while simultaneously promoting a relationship-oriented organizational culture based on trust and respect among colleagues.
  • 1,998 View
  • 147 Download
The Impact of Clinical Competence and Perception of Clinical Ladder System on Organizational Commitment among Nurses at a General Tertiary Hospital
Yeon Hee Shin, Mi Ra Lee, Sung Nam Kim, Min Jung Kim, Ae Jin Kim, Hyun Ja Kim, Ji Yoon Kang
J Korean Acad Nurs Adm 2025;31(1):120-131.   Published online January 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.1.120
Purpose
This study aimed to evaluate the performance of a clinical ladder system in a tertiary hospital by examining how nurses' clinical competence and perceptions of the system affect organizational commitment.
Methods
The study involved 394 nurses working at a tertiary hospital. Data were collected from May 3 to July 10, 2023, using a self-reported questionnaire. Statistical analyses, including descriptive statistics, independent t-tests, one-way ANOVA, Kruskal-Wallis test, Scheffé post-hoc test, Pearson correlation, and hierarchical regression analysis, were performed using SPSS 27.0.
Results
Nurses who applied for promotion to the CN III level and current CN III nurses reported higher clinical competence, perceptions of the clinical ladder system, and organizational commitment than those who did not and those at lower levels (p<.001). A positive correlation existed among all independent variables. Controlling for general characteristics, the effects of clinical competence and perceptions of the clinical ladder system explained 49% of organizational commitment variance (Adjusted R 2 =.49, F=33.43, p<.001).
Conclusion
Greater clinical competence and positive perceptions of the clinical ladder system are likely to enhance organizational commitment, emphasizing its effectiveness in fostering better organizational outcomes.

Citations

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  • Effects of social support on organizational commitment among experienced nurses experiencing department rotation: the mediating effect of organizational socialization
    Young Jun Jang, Jeong A Jeong, Yu Seung Ban, Seon Hwa Park, Eun Jee Lee
    Journal of Korean Academy of Nursing.2025; 55(3): 364.     CrossRef
  • Validation of the Nursing Competency Scale for Intensive Care Unit Nurses and Prediction of Nursing Competency Using the Clinical Ladder
    Jin Hee Kim, Jaehee Jeon, Eun Hee Choi
    Journal of Korean Critical Care Nursing.2025; 18(3): 78.     CrossRef
  • 897 View
  • 63 Download
  • 2 Crossref
Purpose
This study aims to identify the moderating effect of nursing organizational culture on the relationship between resilience and clinical competence among new graduate nurses.
Methods
A survey was conducted from March 14 to July 14, 2023, targeting 210 new nurses with 3 to 12 months of experience, working in three general hospitals in Seoul and Gyeonggi-do. Data from 193 respondents were analyzed using descriptive statistics, correlation, and hierarchical regression.
Results
The resilience of new graduate nurses was moderate and their clinical competence was rated as good. They perceived a strong hierarchy-oriented culture, followed by a relationship-oriented culture, an innovation-oriented culture, and lastly, a task-oriented culture. Clinical competence was higher with greater resilience (β=.40, p<.001) and stronger perception of hierarchy-oriented culture (β=.16, p=.013). The interaction between resilience and innovation-oriented culture (β=.22, p=.012) was statistically significant, indicating that the effect of resilience on clinical competence was significantly higher when the innovation-oriented culture was strongly perceived.
Conclusion
To improve the clinical competence of new graduate nurses, it is essential to enhance their personal resilience and, at an organizational level, to strengthen the positive aspects of hierarchy-oriented and innovation-oriented cultures.

Citations

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  • Resilience and Social Support Protect Nurses from Anxiety and Depressive Symptoms: Evidence from a Cross-Sectional Study in the Post-COVID-19 Era
    Aglaia Katsiroumpa, Ioannis Moisoglou, Ioanna V. Papathanasiou, Maria Malliarou, Pavlos Sarafis, Parisis Gallos, Olympia Konstantakopoulou, Fotios Rizos, Petros Galanis
    Healthcare.2025; 13(6): 582.     CrossRef
  • 1,939 View
  • 114 Download
  • 1 Crossref
Purpose
This study aimed to explore the mediating role of organizational silence in the effect of leader-member exchange on patient safety culture among perioperative nurses.
Methods
This descriptive study surveyed 201 perioperative nurses from five university hospitals. Data were collected via online questionnaires from November 8, 2022, to February 6, 2023, measuring demographics, work-related factors, leader-member exchange, organizational silence, and patient safety culture. The Data were analyzed using SPSS 26.0 and PROCESS Macro model 4.
Results
Leader-member exchange showed a significant direct effect on patient safety culture (β=.44, p<.001). The indirect effect of leader-member exchange on patient safety culture through acquiescent silence was also significant (β=.05, 95% CI: 0.02 to 0.13). The total effect of leader-member exchange on patient safety culture (β=.52, p<.001) was larger than its direct effect, indicating that acquiescent silence partially mediated the relationship between leader-member exchange and patient safety culture.
Conclusion
To improve perioperative nurses perception of patient safety culture, healthcare organizations should enhance leader-member exchange by promoting strong emotional connections and open communication between nurse managers and staff nurses. Additionally, encouraging autonomous decision-making and reducing acquiescent silence are essential to facilitate the active expression of patient safety concerns.
  • 994 View
  • 48 Download
Purpose
This study examined the relationships between organizational silence, organizational commitment, organizational justice, and organizational citizenship behavior among clinical nurses. Additionally, it determined the mediating effect of organizational commitment moderated by organizational justice on the relationship between organizational silence and organizational citizenship behavior among clinical nurses.
Methods
A total of 160 clinical nurses were recruited from a university hospital. Data were collected from June to July, 2023. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, Baron and Kenny’s three-step regression analysis, Hayes’ PROCESS macro model, and bootstrapping using SPSS/WIN 27.0 program.
Results
Organizational commitment had a full mediating effect on the relationship between organizational silence and organizational citizenship behavior (B=-0.04, CI [-0.098~-0.001]). Among the subscales of organizational justice, distributive justice had a moderating effect on the relationship between organizational silence and organizational commitment (B=-0.17, p=.009). There was no significant mediating effect of organizational commitment moderated by organizational justice on the relationship between organizational silence and organizational citizenship behavior.
Conclusion
Appropriate strategies are needed to effectively manage nursing personnel and improve nursing performance.

Citations

Citations to this article as recorded by  
  • Exploring the Influence of ESG Activities on Organizational Citizenship Behavior in IT Manufacturing Companies: Mediating Effects of Organizational Commitment and Identification
    Soo-Cheol Jeong, Dong-Seop Chung
    Sustainability.2025; 17(18): 8441.     CrossRef
  • Effects of Person-Environment Fit, Career Commitment, and Organizational Silence on Turnover Intention among Shift-Working Nurses
    Gyeong-Hee Bae, Ji-Won Kim
    The Korean Journal of Health Service Management.2025; 19(3): 43.     CrossRef
  • 856 View
  • 39 Download
  • 2 Crossref
Purpose
This study identified the influence of self-leadership, managers’ authentic leadership, and nurses’ organizational culture relationships on hospital nurses‘organizational silence.
Methods
An explanatory sequential mixed-method study was conducted. For the quantitative portion, 138 nurses from seven hospitals participated. For the qualitative portion, ten nurses with high organizational silence scores were interviewed. Quantitative data were analyzed with SPSS/WIN 26.0. Qualitative data were analyzed by content analysis using NVivo 12.0.
Results
Quantitative results indicated that self-expectations and a relation-oriented culture explained 14.0% of the variance in acquiescent silence. The combined effect of rehearsal, constructive thought, and relational transparency associated with managers’ authentic leadership on prosocial silence was 15.0%. Qualitative results revealed eight primary themes related to organizational silence: 1) being unable to voice my opinion because I feel insignificant, 2) things that middle managers cannot say, 3) earnest managers, 4) receptive managers, 5) indifferent managers, 6) feeling of camaraderie, 7) selective silence based on performance, and 8) mandatory following of directives.
Conclusion
Programs to improve managers’ leadership skills and reduce hospital nurses’ organizational silence should be implemented consistently. Hospitals should strive to foster a positive and equitable organizational culture.
  • 612 View
  • 62 Download
Purpose
This study aimed to identify the factors influencing nurses’ perceptions of the disclosure of patient safety incidents in tertiary hospitals.
Methods
As a descriptive study, data were collected from 315 nurses working in two tertiary hospitals in Busan via structured self-report questionnaires from June 28 to September 3, 2023, through an online survey. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical regression analysis with SPSS/WIN 27.0.
Results
Analysis was conducted by controlling for the characteristics of the study participants, which revealed significant differences in their perceptions of the disclosure of patient safety incidents. Ethical nursing competence (β=.30, p<.001) and patient safety culture (β=.15, p=.012) were significant influencing factors on the perception of such disclosure, and the explanatory power of the regression model was 21.0% (F=14.63, p<.001).
Conclusion
To enhance the aforementioned perception among nurses in tertiary hospitals, healthcare institutions should provide learning opportunities to improve their ethical nursing competence. Fostering an organizational culture that promotes and encourages open disclosure of patient safety incidents is also essential.

Citations

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  • Impact of Nursing Professionalism, Ethical Sensitivity, and the Clinical Learning Environment on Nursing Students' Intention to Report Near Misses and Adverse Events
    Sookhee Yoon, Ha-Young Park
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 209.     CrossRef
  • Factors Influencing End-of-life Care Competency in Nursing Students
    Jinryung Park, Minjeong Seo
    Korean Journal of Medical Ethics.2024; 27(4): 267.     CrossRef
  • 3,328 View
  • 101 Download
  • 2 Crossref
Purpose
This study aimed to identify the mediating effects of positive psychological capital on the relationship between occupational stress and organizational commitment in physician assistant nurses.
Methods
The participants were 152 physician assistant nurses recruited from two university hospitals. Data was collected through a survey. The SPSS/WIN program (version 25.0) was used for the data analysis. Data was analyzed using descriptive stastics, t-test, ANOVA, Pearson’s correlation analysis, and hierarchical regression.
Results
There was a significant negative correlation organizational commitment and occupational stress (r=-.57, p<.001), and a positive correlation with positive psychological capital (r=.47, p<.001). There was a negative correlation (r=-.32, p<.001) between occupational stress and positive psychological capital. In addition, positive psychological capital had a partial mediating effect on the relationship between occupational stress and organizational commitment (β=.32, p<.001).
Conclusion
Positive psychological capital serves as a partial mediator in the relationship between occupational stress and organizational commitment among physician assistant nurses. The results of this study can be used reduce occupational stress and improve organizational commitment by improving the positive psychological capital of physician-assistant nurses.

Citations

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  • Role Transformation and Adaptation of Physician Assistants during the 2024 Medical Workforce Shortage: A Phenomenological Study
    Tae Yeong Yang, Nahyun Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 259.     CrossRef
  • The Influence of Clinical Practice Nurses' Self-Leadership, Role Conflict, and Practice Environment on Patient Safety Competency
    Jeong Hwa Heo, Ji Hyun Sung
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 458.     CrossRef
  • 2,646 View
  • 111 Download
  • 2 Crossref
Purpose
This study aimed to identify the effects of professional self-concept and nursing organizational culture on the intention of retention of older nurses over 40 years old by examining the relationships between such variables.
Methods
Middle-aged nurses who were currently involved in direct patient care and had at least one year of clinical experience were recruited from general hospitals. The questionnaires were administered to 137 middle-aged nurses in September 2022.
Results
The mean age of participants were 44.7±3.5 years, and more than 90% were married female nurses. The professional self-concept (β=.34, p<.001), work-life balance (β=.24, p=.007), satisfaction of work environment (β=.19, p=.024) significantly predicted the nurses’ intention of retention at work.
Conclusions
Based on these findings, nursing interventions enhancing professional self-concept are needed to increase middle-aged nurses’ intention of retention. The introduction of flexible work hour systems that improve nurses' satisfaction of working environments is also essential to increase the intention of retention in middle-aged nurses.
  • 1,135 View
  • 52 Download
Purpose
This study used a structural model to identify organizational characteristics, such as work environment, nursing organizational culture, and manager leadership of general hospital nurses, and to examine the effect of organizational characteristics on turnover intention through organizational silence.
Methods
Data were collected from July 1, 2017 to August 30, 2017, using structured questionnaires. Participants were nurses in general hospitals with more than 250 beds and less than 500 beds in Busan City and Gyeongsangnam Province. The collected data were analyzed using IBM SPSS 23.0 and AMOS 23.0.
Results
The nursing work environment, external employment opportunities, relationship-oriented culture, and acquiescent and defensive silence directly impacted turnover intention. Additionally, the nursing work environment and external employment opportunities indirectly affected turnover intention through acquiescent silence.
Conclusion
To lower general hospital nurses’ turnover intention, the external environment should be reviewed and continuously compared to provide a better internal nursing work environment. In addition, it is necessary to find a way to lower the acquiescent silence, which can negatively affect the organization, by creating a relationship-oriented culture that emphasizes the relationship between members.
  • 1,203 View
  • 43 Download
Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder
Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
J Korean Acad Nurs Adm 2024;30(1):31-41.   Published online January 31, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.1.31
Purpose
This study aimed to examine the influence of nursing organizational culture, nursing workplace spirituality, and nurses’ perceived health status on quality of nursing work life according to nursing clinical ladder at a tertiary hospital.
Methods
Participants were nurses working at a tertiary hospital in D city, and a total of 352 participants were recruited according to four stages of clinical experience: novice stage (below 1 year), advanced beginner stage (2~3 years), competent stage (4~6 years), and proficiency stage (above 7 years). Data were collected from February 7-February 16, and analyzed using descriptive statistics, one-way ANOVA, Scheffe test, and Multiple regression.
Results
There was statistically significant correlation between innovation-oriented nursing organizational culture, nursing workplace spirituality, nurses’ perceived health status and quality of nursing work life. In all clinical ladder stages, nursing work spirituality and nurses’ perceived health status were factors influencing the quality of nursing work life; innovation-oriented nursing organizational culture was an influencing factor in the novice, advanced beginner, and competent stage, but not the proficient stage.
Conclusion
To improve the quality of nursing work life, it is necessary to develop and apply practical programs that reflect nurses’ characteristics at each clinical ladder stage.

Citations

Citations to this article as recorded by  
  • Factors influencing quality of life among married nurses with children in Korea: a cross-sectional survey
    Yun Mi Kim
    Women's Health Nursing.2025; 31(3): 279.     CrossRef
  • Cluster of Speaking‐Up Behavior in Clinical Nurses and Its Association With Nursing Organizational Culture, Teamwork, and Working Condition: A Cross‐Sectional Study
    Eunhee Lee, Hyunjeong Kwon, Miyuki Takase
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • 1,034 View
  • 29 Download
  • 2 Crossref
Purpose
Turnover rates among nurses in South Korea are higher than those of other job groups, affecting hospital performance. This study clarified the mediating role of perceived organizational and supervisor support in the relationship between nurses’ organizational citizenship behavior and turnover intention.
Methods
This study involved a descriptive survey of 160 nurses working in two hospitals in S, South Korea. Data were analyzed using the Hayes PROCESS macro (Model 4) program, version 3.4.
Results
Organizational citizenship behavior was positively correlated with perceived organizational support and perceived supervisor support but negatively correlated with turnover intention. Perceived organizational support was positively correlated with perceived supervisor support. Additionally, perceived organizational and supervisor support were negatively correlated with turnover intention. The authors verified the mediating role of perceived organizational support in the relationship between organizational citizenship behavior and turnover intention. However, the mediating role of perceived supervisor support was not confirmed.
Conclusion
The higher a nurse’s organizational citizenship behavior, the higher their perceived organizational support, which reduces turnover intention. High-quality nursing contributes to organizational performance; therefore, the nursing workforce should be carefully preserved.

Citations

Citations to this article as recorded by  
  • Measured nursing perception of the working environment through authentic leadership with technology support and OCB among Chinese public hospitals
    Abid Hussain, Wang Ruowei, Xu Xia, Shahida Kanwel, Shen Chunhong, Arif Jameel
    BMC Nursing.2025;[Epub]     CrossRef
  • Perceived Organisational Support as a Mediator Between Green Organisational Culture and Organisational Commitment: Evidence From Manufacturing Firms in Peru
    Cristian Villar, Ruben Guevara
    SAGE Open.2025;[Epub]     CrossRef
  • Nurse Engagement in Professional and Organisational Citizenship Over the Past Decade: An Integrative Review
    Adrianna Watson, Carmel Bond, Rebecca Jarden, Debra Jackson
    Journal of Advanced Nursing.2025;[Epub]     CrossRef
  • 3,663 View
  • 116 Download
  • 3 Crossref
Purpose
This study examined hospital nurses’ perception of work-life balance, nursing work environment, nursing organizational culture, and job satisfaction before turnover, and compared differences in variables between current clinical nurses and non-clinical nurses.
Methods
This descriptive study involved 172 nurses with over six months experience, who changed jobs within the last 5 years in G Province. Data were collected from September 5th-22nd, 2022, and analyzed through independent t-test, one-way ANOVA, and Pearson correlation coefficient using SPSS/WIN 25.0 program.
Results
Total work-life balance (t=3.85, p<.001), work-family balance (t=4.79, p<.001), work-leisure balance (t=2.96, p=.004), work-growth balance (t=3.01, p=.003), and overall work-life balance (t=2.95, p=.004) in work-life balance, the role of professionalism (r=2.05, p=.042) and interpersonal relationships (t=2.59, p=.011) in job satisfaction, the relationship-oriented nursing organizational culture (t=2.68, p=.008), and the nurse-doctor relationship within the nursing work environment (t=2.51, p=.013) were all significantly higher among current clinical nurses than non-clinical nurses.
Conclusion
Hospital-level interventions should be established and implemented to improve work-life balance, the relationship-oriented nursing organizational culture, and job satisfaction through interprofessional relationships to retain hospital nurses.
  • 1,296 View
  • 68 Download
Purpose
This study aimed to identify the impact of nursing organizational culture and nursing practice environment on generational conflict in organization among hospital nurses. Methods: This study utilized a cross-sectional design. The participants consisted of 214 nurses working at two tertiary general hospitals, which were located in B city. Data were collected from January 15 to January 31, 2022, using self-report questionnaires. Data were analyzed by descriptive statistics, one-way ANOVA, independent t-test, Pearson's correlation coefficient and multiple regression analysis using IBM/SPSS 28.0 for Windows. Results: The mean generational conflict in organization was 2.60±0.74 points on a 5-point scale. Multiple regression indicated that the factors influencing generational conflict in organization included relation-oriented nursing organizational culture (β=-.29, p<.001), hierarch-oriented nursing organizational culture (β=-.29, p<.001), hierarch-oriented nursing organizational culture (β=.17, p=.006) and clinical career, and these variables explained 23.0% of generational conflict in organization. Conclusion: The findings of this study suggest that it is necessary to improve relation-oriented nursing organizational culture and avoid hierarch-oriented nursing organizational culture to decrease generational conflict in organization.

Citations

Citations to this article as recorded by  
  • Influence of Self-awareness, Communication Efficacy, Empathy, and Nursing Organizational Culture on Communication Competence among Hospital Nurses
    Sunhee Jung, Sunyoung Jung
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 280.     CrossRef
  • Effects of Organizational Cynicism and Socialization on Nurses’ Job Burnout: A Career‐Stage‐Based Analysis
    Hee Jin Kim, Hae Jeong An, Soo-hyun Nam, Jungmin Lee, Maria Engström
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Determinants of Standard Precautions Performance Among Nursing Students in South Korea: A Cross-Sectional Study
    Se Gyeong Jeon, Eun Jung Kim
    Healthcare.2025; 13(21): 2803.     CrossRef
  • The Effect of Work Value, Psychological Ownership and Nursing Working Environment on Intention of Retention in Hospital Nurses
    Ji Hey Kim, Yoon Ju Cho, So Eun Jang
    Journal of Korean Critical Care Nursing.2023; 16(3): 62.     CrossRef
  • Effects of Nursing Competence on Job Satisfaction across Career Stages
    Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
  • Workplace bullying among Korean registered nurses: A meta-aggregation of qualitative studies
    Eun-Jun Park, Hyunwook Kang, Ji Woon Ko
    The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 450.     CrossRef
  • 2,440 View
  • 123 Download
  • 6 Crossref
Effects of Organizational Silence and Organizational Justice on Bullying among Hospital Nurses at Work
Mi-Aei Lee, Bi-Joo Kim
J Korean Acad Nurs Adm 2023;29(1):1-11.   Published online January 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.1.1
Purpose
This study aimed to investigate the effects of organizational silence and organizational justice on bullying among hospital nurses in their workplace. Methods: This study was a cross-sectional survey conducted on 235 full-time nurses in Korea. Data were collected online using Google Docs from 14 June to 9 July 2021. Results: Nurses who were male, below 30 years of age, unmarried, had less than five years of clinical experience, had worked in special departments, and had no prior experience with workplace bullying were more vulnerable to workplace bullying than nurses with other characteristics. Workplace bullying of hospital nurses was positively correlated with their acquiescent silence and defensive silence, and negatively correlated with their procedural justice and interactional justice. Factors influencing workplace bullying of hospital nurses were defensive silence, bullying experience (have), distributive justice, acquiescent silence, gender (male), and marital status (single). These six variables explained 55% of workplace bullying in hospital nurses. Conclusion: Based on the results of this study, it could be concluded that nursing managers should keep organizational silence low, organizational justice high, and pay more attention to nurses who are vulnerable to bullying in their workplace.

Citations

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  • Development of the Hospital Nurses’ Silence Behavior Scale
    Soojin Chung, Jee-In Hwang
    Journal of Korean Academy of Nursing.2024; 54(2): 279.     CrossRef
  • Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
    Nayeop Lee, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
  • Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
    Shin Ae Hwang, Haeyoung Min
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 416.     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
  • 1,538 View
  • 42 Download
  • 4 Crossref
Purpose
The purpose of this study is to confirm the mediating effect of group efficacy in the relationship between transformational leadership and servant leadership of nursing managers recognized by new nurses and organizational socialization of new nurses. Methods: Survey data from 121 new nurses were analyzed. The independent variables were transformational and servant leaderships, the dependent variable was the organizational socialization, and the mediating variable was the collective efficacy. The mediating effect of group efficacy in the relationship between transformational leadership, servant leadership, and organizational socialization was analyzed by hierarchical multiple regression analysis. Furthermore, the Sobel test was conducted to verify the effectiveness of the pathway. Results: In the relationship between transformational leadership, servant leadership, and organizational socialization, the collective efficacy showed partial mediating effect. Conclusion: To promote organizational socialization of new nurses, it is necessary to organize a nursing delivery system or induce an organizational atmosphere that allows the employees to perform together effectively. It is believed that managers and nurses should work co-operatively and create a model system that helps them achieve their common goals that correspond with the aims, values, and beliefs of the organization.
  • 2,440 View
  • 232 Download
Purpose
This study aimed to investigate the influence of role conflict, head nurses’ super leadership and nursing organizational culture on organizational commitment among male nurses. Methods: This cross-sectional study included 221 male nurses who had worked for more than six months in university hospitals, general hospitals, and clinics. Data were collected using structured, self-administered questionnaires on role conflict, head nurse super leadership, nursing organizational culture, and organizational commitment. The data obtained were analyzed using descriptive analysis, independent t-test, analysis of variance, Scheffé test, Pearson’s correlation coefficients, and regression analysis. Results: Organizational commitment had a significant positive correlation with head nurse super leadership, innovation-oriented culture, and relation-oriented culture; however, it had a significant negative correlation with role conflict and task-oriented culture. Among the general characteristics, the significant factors influencing organizational commitment among male nurses were number of beds and departments. Furthermore, among the main variables, innovation-oriented culture, task-oriented culture, role conflict, and head nurse super leadership influenced organizational commitment. Conclusion: To increase male nurses’ organizational commitment, it is necessary to create an innovative organizational culture, reduce role conflicts, and improve head nurse super leadership.

Citations

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  • Organizational Culture and Resulting Leadership Behaviors: Empirical Evidence from Social Workers in Kuwait
    Hamad Adel Alaslawi
    Human Service Organizations: Management, Leadership & Governance.2024; 48(5): 582.     CrossRef
  • “I’d Rather Do It Single-Handed”—Nursing Students’ Struggles with Group Assignments: A Qualitative Study
    Aimei Mao, Pak-Leng Cheong, Iat-Kio Van, Hon-Lon Tam
    Education Sciences.2023; 13(10): 1053.     CrossRef
  • 1,835 View
  • 45 Download
  • 2 Crossref
Effect of Authentic Leadership to Organizational Citizenship Behavior of Nurses Mediated by Team Trust
Eungju Kim, Eungyung Kim
J Korean Acad Nurs Adm 2022;28(4):451-459.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.451
Purpose
This study aimed to identify the mediating effects of team trust on the relationship between the authentic leadership of the nursing unit manager as perceived by the nurses and the nurses’ organizational citizenship behavior (OCB). Methods: Data were collected from 276 nurses working over six months at a university hospital. The research model was designed based on the PROCESS Macro model 4 and analyzed using the SPSS 26.0 program. Results: The results show that authentic leadership and team trust had strong correlations with nurses’ organizational citizenship behavior. Nursing unit managers’ authentic leadership had a direct effect on team trust and organizational citizenship behavior. Team trust had a direct effect on organizational citizenship behavior. There was a mediation effect of team trust between authentic leadership and the organizational citizenship behavior of nurses. Conclusion: To increase team trust in nursing units, the institution should provide systematic support such as education and training program to enhance the authentic leadership of nursing unit managers.

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  • Factors Influencing Burnout of Nurses in Comprehensive Nursing Care Service Wards: Focusing on Positive Psychological Capital, Role Conflict, and Authentic Leadership
    Jung Wha Park, Kyoung Ja Kim, Ji Young Im, Ji Young Kim
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 345.     CrossRef
  • Influence of Self-leadership, Managers’ Authentic Leadership, and Nurses' Organizational Culture Relationships on Hospital Nurses’ Organizational Silence: A Mixed Method Study
    Hyun-Ju Lee, So-Young Kang
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 404.     CrossRef
  • 1,248 View
  • 61 Download
  • 2 Crossref
Structural Equation Modeling on Workplace Incivility of Nurses: Evolution to Bullying
Seo In Kim, Soukyoung Kim
J Korean Acad Nurs Adm 2022;28(4):406-416.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.406
Purpose
The purpose of this study was to construct and test a hypothetical model based on the Incivility Spiral model for identifying the factors of workplace incivility of nurses and determining if incivility evolve to bullying. Methods: The data were collected from nurses working at 9 hospitals in Seoul, Gyeonggi, Daejeon, Changwon, and Busan province from July 1 to August 15, 2019, using structured questionnaires. Finally, the data from 274 nurses were analyzed. Results: The goodness-of-fit of the hypothetical model was at a good level and 10 out of 13 hypotheses were supported. The workplace incivility was both directly and indirectly affected by anger tendency, leadership of head nurses, and communication competence and directly affected by civility culture. Each of the variables affecting workplace incivility was also found to be a significant factor indirectly affecting workplace bullying and workplace incivility was a factor directly affected on workplace bullying. The variables in this study accounted for 57% of workplace incivility and 65% of workplace bullying. Conclusion: In order to prevent workplace bullying, it is important to initially manage workplace incivility, and for this, clear standards and policies for workplace incivility should be prepared and utilized.
  • 528 View
  • 21 Download
The Effects of Positive Psychological Capital and Organizational Justice on Job Embeddedness of Clinical Nurses
Youn Shin Lee, Heeyoung Kim
J Korean Acad Nurs Adm 2022;28(3):228-237.   Published online June 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.3.228
Purpose
This study aimed to investigate factors affecting the job embeddedness of clinical nurses. Methods: Participants were 204 nurses working in four general hospitals. Data were collected from September 3 to October 8, 2020 and analyzed using the SPSS/WIN 25.0 program. Results: The mean scores for positive psychological capital, organizational justice, and job embeddedness were 3.31±0.38, 3.16±0.46, and 3.17±0.38, respectively. The job embeddedness of the participants had a positive correlation with optimism (r=.57, p<.001), hope (r=.56, p<.001), self-efficacy (r=.44, p<.001), and resilience (r=.38, p<.001) in the sub-factors of positive psychological capital. It also had a positive correlation with procedural (r=.58, p<.001), distributive (r=.52, p<.001), and interactional (r=.35, p<.001) justice in the sub-factors of organizational justice. The factors affecting nurses’ job embeddness were procedural justice, optimism, position, distributive justice, and hope. In addition, the explanatory power of the model was 60% (F=39.11, p<.001). Conclusion: The results suggest that to improve the job embeddedness, positive psychology-based coaching and counseling programs suitable for individual clinical nurses, organizational management through transparent procedures and objective and systematic distribution are needed. In addition, a position system suitable for the characteristics of a nursing organization is required.

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  • Factors Influencing Clinical Nurses’ Perception of Structural and Content Career Plateau
    Ji Hye Kim, Ji Yun Lee
    Journal of Korean Academy of Nursing.2024; 54(4): 534.     CrossRef
  • Factors Influencing Job Embeddedness in Emergency Room Nurses: Focus on Positive Psychological Capital, Gratitude, and Anger Expression
    Sa Rang Joo, Mi-Jung Kang
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 383.     CrossRef
  • The impact of perceived organizational justice on young nurses’ job performance: a chain mediating role of organizational climate and job embeddedness
    Jiamei Song, Xindi Shi, Xiaojia Zheng, Guangli Lu, Chaoran Chen
    BMC Nursing.2024;[Epub]     CrossRef
  • 714 View
  • 27 Download
  • 3 Crossref
Purpose
The purpose of this study was to identify the influence of emotional labor and work-life balance on the organizational commitment of nurses in comprehensive nursing care service wards. Methods: A cross-sectional descriptive study was designed. Data collection was conducted for a total of 171 nurses in comprehensive nursing care service wards in two H university hospitals in Gyeonggi-do. Data were collected from March 5 to 30, 2021 using questionnaires on topics including emotional labor, work-life balance, organizational commitment, and general characteristics. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson’s correlation analysis, and hierarchical regression analysis. Results: Organizational commitment was influenced by working experience in current unit, future work plan, emotional modulation efforts in profession, patient-focused emotional suppression, and work-life balance. Conclusion: The findings of this study suggest that in order to increase organizational commitment, it is important to support organizational efforts and systems such as an emotional management program that can strengthen the positive aspects of emotional labor, and leisure activities and childcare support programs that can improve work-life balance.

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  • Impact of Emotional Labor and Positive Psychological Capital on the Turnover Intention of Nurses Caring for Patients with COVID-19: A Descriptive Survey Study
    Mira Kwon, Yeoungsuk Song, Majd T. Mrayyan
    Journal of Nursing Management.2024; 2024: 1.     CrossRef
  • 579 View
  • 19 Download
  • 1 Crossref
Purpose
This study was conducted to identify the effects of nursing work environment, job crafting and organizational commitment on nurses’ job satisfaction perceived by nurses Methods: The research model was designed based on Hayes’s PROCESS macro model 6. Participants were 122 nurses from general hospitals. A survey was conducted and data were collected in March 2019. Data were analyzed using descriptive statistics, correlations and Hayes's PROCESS macro method for mediation. Results: Job satisfaction showed a significant positive correlation with the nursing work environment, job crafting and organizational commitment. Furthermore, job crafting and organizational commitment had a mediating effect on the relationship between the nursing work environment and job satisfaction. Conclusion: The impact of the nursing work environment on job satisfaction among general hospital nurses was mediated by job crafting and organizational commitment. Considering the mediating effects of job crafting and organizational commitment on the relationship between nursing work environment and job satisfaction, a strategy should be developed for enhancing job crafting and organizational commitment to improve nurses’ working environments and, thus, their job satisfaction.

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  • Effect of a Nursing Practice Environment, Nursing Performance on Retention Intention: Focused on the Mediating Effects of Nursing Professional Pride
    Shin Hee Kim, Mi Sook Oh, Yun Bok Kwak
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 64.     CrossRef
  • Impact of Resilience, Emotional Exhaustion, and Communication Competency on Organizational Commitment Among Nurses in a Tertiary Hospital Setting in South Korea: A Cross-Sectional Study
    Ho Young Kim, Hee Jeong Kim, Eun Ja Yeun
    Sage Open.2025;[Epub]     CrossRef
  • The impact of grit and job crafting on organizational commitment and job satisfaction among hospital nurses in Korea
    Mi-Suk Hyun
    Medicine.2025; 104(45): e45890.     CrossRef
  • Hemşireler İçin Ekip İş Becerikliliği Ölçeğinin Türkçeye Uyarlanması
    Oya Çelebi Çakıroğlu, Gamze Tunçer Ünver, Naile Boduç
    Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi.2024; 11(2): 260.     CrossRef
  • Affecting factors of clinical dental hygienists’ intention on retention
    Hye-Jin Lee, Hee-Hong Min
    Journal of Korean Society of Dental Hygiene.2024; 24(1): 27.     CrossRef
  • Nurses Job Crafting
    Sabrein Mahmoud Ali Khalifa Khattab, Marwa Samir Sorour, Sally Mohammed Farghaly Abdelaliem
    JONA: The Journal of Nursing Administration.2023; 53(12): 641.     CrossRef
  • Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job Demands-Resource Model
    Eun Young Lee, Eungyung Kim
    Journal of Korean Academy of Nursing.2023; 53(1): 129.     CrossRef
  • Effects of Job Crafting, Burnout, and Job Satisfaction on Nurses' Turnover Intention: A Path Analysis
    Mihee Chung, Sujeong Han
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 281.     CrossRef
  • Concept Analysis of Nurses’ Job Crafting
    Sujeong Han, Eunha Jeong
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 375.     CrossRef
  • Association of Job Crafting and Perception of Patient Safety Culture with Patient Safety Management Activities among Hospital Nurses
    Jung Sook Kim, Ji-Soo Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 382.     CrossRef
  • 756 View
  • 51 Download
  • 10 Crossref
Purpose
This study aimed to identify the effects of preceptors' teaching behavior, resilience, and organizational socialization on new graduate nurses' intention to stay. Methods: Data were collected from 167 new graduate nurses working at a university hospital for a period of three months to one year and analyzed using SPSS 24.0, PROCESS Macro ver. 3.5. Results: The results show that preceptors' teaching behavior, resilience, and organizational socialization had strong correlations with new graduate nurses' intention to stay. Preceptors' teaching behavior directly affected new graduate nurses' resilience and intention to stay. However, the results showed that preceptors' teaching behavior did not affect organizational socialization. Resilience directly affected organizational socialization and intention to stay, and had a simple mediation effect between preceptors' teaching behavior and intention to stay. Moreover, resilience and organizational socialization were found to be significant mediators between preceptors' teaching behavior and intention to stay. Conclusion: The results suggest that preceptors' teaching behavior is a key factor that strengthens new graduate nurses' intention to stay, as it promotes successful organizational socialization by improving their resilience and helping them overcome transition shock.

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  • Personal and Workplace Characteristics as Predictors of Intent‐To‐Stay Among Registered Nurses: An Exploratory Quantitative Multicentre Study
    Ming Marcus Chua, Wei How Darryl Ang, An Ling Siew, Hui‐Chen Chen
    Journal of Advanced Nursing.2025; 81(6): 3045.     CrossRef
  • Factors influencing preceptor nurses' clinical teaching behavior: A cross-sectional study
    Kyeong Hye Kim, Sujin Shin
    Nurse Education Today.2025; 146: 106555.     CrossRef
  • The Effect of Newly Graduated Nurses' Perceived Nursing Practice Readiness, Resilience, and Preceptors' Teaching Behavior on Turnover Intention
    Jinhee Kim, Eunhee Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(2): 167.     CrossRef
  • Factors Associated With Newly Graduated Nurses' Work Engagement: Systematic Review of Quantitative Studies
    Hanna Ojala, Heli‐Maria Kuivila, Kristina Mikkonen, Erika Jarva, Jonna Juntunen
    Journal of Advanced Nursing.2025;[Epub]     CrossRef
  • Exploring the Knowledge Structure of Research for Nurse Preceptor Training Programs Using Text Network Analysis and Topic Modeling
    Sun Hee Seon, Hye Won Jeong, Ja Yun Choi
    CIN: Computers, Informatics, Nursing.2025;[Epub]     CrossRef
  • Evaluating approaches to enhance transition and retention in newly qualified nurses: An updated rapid evidence assessment
    Mariarosaria Gammone, Michela Calzolari, Andrea Moro, Jane Wray, Roger Watson, Giuseppe Aleo, Gianluca Catania, Milko Zanini, Loredana Sasso, Annamaria Bagnasco
    Nurse Education in Practice.2025; 87: 104484.     CrossRef
  • Analysis of clinical nurse educators’ mentoring feedback on new nurse journals at a tertiary hospital in South Korea: utilizing text network analysis
    Shinhye Ahn, Hye Won Jeong
    BMC Nursing.2025;[Epub]     CrossRef
  • Evaluating Burnout and Resiliency in New Graduate Nurses
    Bryce Catarelli, Patrick Nobles, Michael Aull, Fan Yi
    JONA: The Journal of Nursing Administration.2023; 53(5): 259.     CrossRef
  • Effects of Preceptors’ Clinical Teaching Behavior on the Field Adaptation of New Graduate Nurses: Mediating Effects of Self-Leadership and Resilience
    Eunjung Kim, Eungyung Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 577.     CrossRef
  • Effects of Nursing Unit Managers’ Authentic Leadership, Transformational Leadership, and Transactional Leadership on Turnover Intention in Advanced Beginner Nurses: Mediation Effects of Positive Psychological Capital
    Eun Jeong Kim, Eungyung Kim, Son Ja Lee
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 409.     CrossRef
  • Development and Preliminary Evaluation of the Effects of a Preceptor Reflective Practice Program: A Mixed-Method Research
    Heui-Seon Kim, Hye-Won Jeong, Deok Ju, Jung-A Lee, Shin-Hye Ahn
    International Journal of Environmental Research and Public Health.2022; 19(21): 13755.     CrossRef
  • 2,008 View
  • 70 Download
  • 11 Crossref
Factors Influencing Safety Nursing Activities of Nurses at a Nationally Designated Infectious Disease Hospital
Sung Ae Choi, Ju Young Park
J Korean Acad Nurs Adm 2022;28(1):20-30.   Published online January 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.1.20
Purpose
This study investigated patient safety culture, safety knowledge, incident reporting attitude, and safety nursing activities, and determined the factors influencing nurses’ safety nursing activities at a nationally designated infectious disease hospital. Methods: A cross-sectional descriptive survey was conducted with 169 nurses. Data analysis, including descriptive statistics, independent t-tests, one-way ANOVA, Pearson’s correlations, and hierarchical multiple regression analysis, were performed using SPSS 26.0. Results: Factors influencing safety nursing activities included patient safety culture (β=.26, t=2.39, p=.018), safety knowledge (β=.25, t=2.67, p=.009), and mild severity (β=.17, t=2.52, p=.013). These variables explained 31.0% of the safety nursing activities. Conclusion: Therefore, it is necessary to establish an organizational culture that emphasizes patient safety by establishing safety management regulations for quarantined patients and provision of education on patient safety for employees to empower them to respond to emerging infectious diseases. Additionally, it is essential to operate given the patient’s severity and to increase knowledge about patient safety through regular education based on quarantine facilities and environmental management regulations.

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  • Predictors of Nurses' Reporting Level by the Types of Patient Safety Incidents
    Ju-Hee Kang, Yeojin Yi
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 434.     CrossRef
  • Exploring research trends in nursing organizational culture using topic modeling
    Eun-Jun Park, Chan Sook Park
    The Journal of Korean Academic Society of Nursing Education.2024; 30(4): 371.     CrossRef
  • Risk Factors for Falls or Fractures in Stroke Patients: An Analysis of 2020 Patient Sample Data
    Miso Lee, Mikyung Moon
    The Korean Journal of Rehabilitation Nursing.2024; 27(1): 58.     CrossRef
  • 649 View
  • 14 Download
  • 3 Crossref
Effects of Career Management and Organizational Justice on Job Rotation Attitude among Hospital Nurses
Eunkyung Kim, Taewha Lee
J Korean Acad Nurs Adm 2021;27(5):390-398.   Published online December 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.5.390
Purpose
The purpose of this study was to identify the relationship between career management, organizational justice, and job rotation attitude among tertiary hospital nurses. Methods: A cross-sectional descriptive design was used. The participants were 195 nurses with more than one year of experience working at tertiary care hospitals. Data was collected with self-reported questionnaires from April to May 2018. Data was analyzed using SPSS Statistics version 25.0 for windows including descriptive statistics, bivariate analysis, and multiple regression analysis. Results: The mean score of career management of participants was 3.14±0.49 (range 1~5), organizational justice was 2.95±0.53 (range 1~5), and job rotation attitude was 4.02±0.97 (range 1~7). There were significant positive correlations among the participants' career management, organizational justice, and job rotation attitude. 37% of job rotation attitude was explained by position, organizational justice, career management, and the frequency of job rotation experience in the regression model. Conclusion: This study provided the empirical evidence that it is necessary to improve the perception of organizational justice, and to establish a systematic job rotation in order for nurses to positively recognize job rotation.
  • 584 View
  • 20 Download
Purpose
This study aimed to assess the effect of a job crafting intervention program for hospital nurses to confirm the effect on the organizational commitment of clinical nurses, and their embeddedness and organizational well-being in the workplace. Methods: The study used a non-equivalent control group pre-test and post-test design, which included 68 nurses working at a general hospital. The job crafting intervention program was held for a total of 5 weeks from May 27 to June 27, 2019, and the program lasted for 2 weeks including 2 h each. The program effectiveness was assessed through a self-reporting survey of program participants 2 weeks prior to application, 2 weeks after application, and 6 weeks after application. Data were analyzed using the Kolmogorov-Smirnov test, chi-squared test, independent t-test, and repeated measures multivariate analysis of variance using the SPSS 26.0 for Windows. Results: Significant differences were observed between the experimental and control groups regarding job crafting (F=6.20, p=.003), task crafting (F=8.37, p<.001), cognitive crafting (F=6.29, p=.003), embeddedness (F=8.49, p<.001), and organizational well-being (F=4.90, p=.009). Conclusion: The job crafting intervention program can be actively utilized to induce efficient nursing staff management in hospitals, expanding it into hospital nurse's work area and developing nurse's job crafting further.

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  • On-the-job Embeddedness and Job Hopping: A Moderated Mediation Model of Organisational Citizenship Behaviour and Affective Commitment in the Service Sector of India
    Tanisha Samariya, Shabnam Saxena
    South Asian Journal of Human Resources Management.2025;[Epub]     CrossRef
  • Job crafting, positive psychological capital, and social support as predictors of job embeddedness on among clinical nurses- a structural model design
    Mi-Soon Yun, Miyoung Lee, Eun-Hi Choi
    BMC Nursing.2024;[Epub]     CrossRef
  • Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job Demands-Resource Model
    Eun Young Lee, Eungyung Kim
    Journal of Korean Academy of Nursing.2023; 53(1): 129.     CrossRef
  • Concept Analysis of Nurses’ Job Crafting
    Sujeong Han, Eunha Jeong
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 375.     CrossRef
  • 754 View
  • 47 Download
  • 4 Crossref
The Effect of the Nurses Practice Environment and Organizational Justice on Organizational Silence Perceived by Nurses
Sungjung Kwak, Sujeong Han
J Korean Acad Nurs Adm 2021;27(4):270-281.   Published online September 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.4.270
Purpose
This study was done to identify the effect of the nurses practice environment and organizational justice on organizational silence in nurses. Methods: A descriptive correlational design was used. Participants were 162 nurses in general hospitals. Measurements included the Practice Environment Scale of the Nursing Work Index, the Organizational Justice Scale, and Organizational Silence Scale. Data were analyzed using SPSS/WIN program. Results: Nurses' organizational silence, nurses practice environment and organizational justice were correlated, and the influence of social networking, marital status, education level and interactive justice on acquiescence silence were 21% and statistically significant. The effect of work units, work experience and procedural justice on defensive silence were 20%, and the effect of education level and procedural justice on prosocial silence were 12% and statistically significant. Conclusion: Interaction justice affected the Acquiescent silence, and procedural justices affected the defensive silence and prosocial silence. Therefore, nursing managers should improve their organizational culture so that the procedural justices that focus on the process of distributing compensation results and the interaction justice that focuses on fair treatment among members can be recognized by nurses. Then nurses can be encouraged to actively engage and express their opinions about the organization.

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  • Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
    Shin Ae Hwang, Haeyoung Min
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 416.     CrossRef
  • Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
    Nayeop Lee, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
  • Influence of Self-leadership, Managers’ Authentic Leadership, and Nurses' Organizational Culture Relationships on Hospital Nurses’ Organizational Silence: A Mixed Method Study
    Hyun-Ju Lee, So-Young Kang
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 404.     CrossRef
  • Factors Influencing Clinical Nurses’ Perception of Structural and Content Career Plateau
    Ji Hye Kim, Ji Yun Lee
    Journal of Korean Academy of Nursing.2024; 54(4): 534.     CrossRef
  • Assessment of nurses’ workplace silence behaviour motives: A cross-sectional study
    Hanadi Mohammed Alhojairi, Naglaa Abdelaziz Mahmoud Elseesy, Sabah Mahmoud Mahran, Maram Ahmed Banakhar, Fatmah Alsharif
    International Journal of Nursing Sciences.2024; 11(5): 553.     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
  • Effect of Ethical Leadership on Nurses’ Organizational Silence: The Mediating Role of Organizational Justice
    Jiachen She, Ruixing Zhang, Yanan Li, Yongxia Mei, Hongfeng Li, Malakeh Malak
    Journal of Nursing Management.2023; 2023: 1.     CrossRef
  • العلاقة بين العدالة التنظيمية والصمت التنظيمي للعاملين: دراسة تطبيقية
    أماني موسى عبدالجليل
    مجلة ابن خلدون للدراسات والأبحاث.2022;[Epub]     CrossRef
  • The Influence of Speaking Up Climate, Psychological Safety, Organizational Learning Culture, and Supervisor Support for Patient Safety on Clinical Nurses’ Silence Behavior
    Hyunju Ji, Seung Eun Lee
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 388.     CrossRef
  • 822 View
  • 23 Download
  • 9 Crossref
A Structural Equation Model on Organizational Socialization of Nursing Students
Myung-Hee Kwak, Sung-Bok Kwon
J Korean Acad Nurs Adm 2021;27(2):96-106.   Published online March 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.2.96
Purpose
The purpose of this study was to build a hypothetical model and verify the validity among variables that influence the organizational socialization of nursing students. Methods: Data collection was conducted from fourth year nursing students to whom questionnaires were distributed from June 18 to July 28, 2019. Of the questionnaires 320 were returned. Thirty questionnaires were not returned and 19 questionnaires with insufficient answers were excluded. For final analysis 301 questionnaires were analyzed with SPSS/WIN version 24.0 and AMOS version 24.0.
Results
The hypothetical model was a good fit for the data. The goodness-of-fit of the study model was x 2 =522.672, df=284, p<.001, CFI=0.91, TLI=0.90, IFI=0.91, RMR=0.03, and RMSEA=0.05. The factors influencing nursing students’ organizational socialization were self-leadership and clinical practice competency. The factors influencing nursing students’ nursing core competencies were self-leadership and clinical practice competency. Conclusion: A professional nurse should be competent and competency can be improved by experiencing theoretical education and clinical practice education which are formal courses in nursing education. The study results suggest that developing and applying various teaching strategies and other programs along with the curriculum can increase organizational socialization in nursing students.

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  • Effects of Career Anchors on Nursing Students’ Professional Self-concept and Work Values
    Jae Woo Oh, Ji Ah Song
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 435.     CrossRef
  • 783 View
  • 22 Download
  • 1 Crossref
Nurses' Work-Life Balance on Organizational Socialization: Mediating Effect of Self-Leadership and Shared Leadership
Nam Yi Kim, Jung Hee Park
J Korean Acad Nurs Adm 2021;27(2):118-126.   Published online March 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.2.118
Purpose
The purpose of this study was to identify the mediating effect of self-leadership and shared leadership in the relationship between work-life balance and organizational socialization among hospital nurses. Methods: Survey data from 159 nurses in 5 general hospitals were analyzed. The independent variable was work-life balance, the dependent variable, organizational socialization, and the leadership parameters were self-leadership and shared leadership. The hypothesis was tested using the maximum likelihood method (ML) to analyze the covariate structure. For statistical significance of the direct and indirect effects of the hypothetical model, bootstrapping was used. Results: In the relationship between work-life balance and organizational socialization, self-leadership had no mediating effect, but shared leadership showed complete mediation. Conclusion: Individuals should strive to maintain work-life balance through health management and role-sharing, and organizations should analyze factors that hinder work-life balance and present policies to reduce them. In addition, to improve shared leadership, positive interactions are required, such as sharing problems, collecting opinions, and functioning as a positive role model among members of the organization.

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  • Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
    Hye Jin Kim, Eunjoo Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     CrossRef
  • Impact of positive psychological capital and shared leadership on nurses’ organizational well-being: a descriptive survey study
    HyunJoo Lee, Dong-Hee Kim, Yujin Kim
    BMC Nursing.2025;[Epub]     CrossRef
  • 678 View
  • 15 Download
  • 2 Crossref
Influence of Internal Marketing Perception on Customer Orientation and Organizational Citizenship Behavior of Nurses
Eun Sim Kim, Se Young Kim
J Korean Acad Nurs Adm 2021;27(1):64-73.   Published online January 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.1.64
Purpose
The purpose of this study was to identify the influence of the internal marketing perception on customer orientation and the organizational citizenship behavior of clinical nurses. Methods: The participants were 184 nurses working in 3 tertiary hospital in B city and Y city in South Korea. Data were analyzed using descriptive statistics, ANOVA, Scheffé test, Pearson's correlation coefficients and stepwise multiple regression with SPSS/WIN 25 program. Results: The mean score for the total internal marketing was 2.85 points. Internal marketing of nurses had a statistically significant positive correlation with customer orientation (r=.44, p<.001) and organizational citizenship behavior (r=.39, p<.001). Communication of internal marketing had significant influences on customer orientation (β=.49) and organizational citizenship behavior (β=.41). Conclusion: These results suggest a need to increase efforts of hospital organizations to increase internal marketing. Further, in order to enhance customer orientation and organizational citizenship behavior, strategies for improving internal marketing and promoting communication should be established.
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  • 54 Download
Purpose
The purpose of this study was to examine the effects of hospital-based violence-prevention and coping program on nurses' violence experience and responses, self-efficacy, and organizational commitment. Methods A non-equivalent control group with pre-post-test design was used. Participants were assigned to the experimental (n=27) or a control group (n=26) in 2 general hospitals of one city. For the experimental group, the hospital-based violence-prevention and coping programs were provided once a week for 50-60 minutes across 6 weeks (6 sessions), whereas the control group was the waiting group. Results There were significant differences in self efficacy and organizational commitment at the measured time periods. These results suggest that the effects of the program were persistent until the 4 weeks follow-up. In addition, level of emotional violence responses significantly decreased in the experimental group after 4 weeks in the period following the intervention program. Conclusion The hospital-based violence prevention and coping program developed can be an effective strategy for preventing and reducing emotional violence responses and improving self efficacy and organizational commitment. Therefore, it is recommended that the program be actively used with clinical nurses to prevent violence and to increase effective coping.

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  • Does the entrepreneurship learning approach influence self-efficacy? The role of students’ entrepreneurial competence and satisfaction
    Emelia Ohene Afriyie, Michael Snowden, Ernest Christian Winful, Kofi Opoku-Asante, Elikem Chosniel Ocloo, Josiah Nii Adu Quaye, Frank Frimpong Opuni, Denis Hyams-Ssekasi, Jamie P. Halsall
    Journal of Innovation and Entrepreneurship.2025;[Epub]     CrossRef
  • Educational programs and interventions for health care staff to prevent and manage aggressive behaviors in acute hospitals: a systematic review
    Kathryn Kynoch, Xian-Liang Liu, C.J. Cabilan, Mary-Anne Ramis
    JBI Evidence Synthesis.2024; 22(4): 560.     CrossRef
  • Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
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    Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
  • The influence of experienced violence and the clinical learning environment on vocational identity in nursing students
    Mira Lee, Hee Ok Park, Insook Lee
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 321.     CrossRef
  • 810 View
  • 19 Download
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Purpose
The purpose of this study was to identify the effects of organizational justice, organizational culture and emotional intelligence on intention to stay in reemployed nurses. Methods: Data were collected from 154 reemployed nurses working in the two university hospitals located in G Province. Data were analyzed using t-test, ANOVA, Pearson’s Correlation Coefficient and Multiple Regression Analysis with SPSS/WIN 25.0. Results: Factors influencing intention to stay in the participants were period willing to stay (β=.36, p<.001), emotional intelligence (β=.35, p<.001), career break (β=.16, p=.015), organizational justice (β=.14, p=.046). The total explanatory power was 31%. Conclusion: In this study, organizational justice, emotional intelligence, career interruption, period willing to stay were found to be influential factors affecting intention to stay in reemployed nurses. A systematic intervention program for emotional intelligence is needed to increase the intention of retention in reemployed nurses. Further, human resource managers and specialists should consider organizational justice when designing the talent retention strategies.

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  • 848 View
  • 38 Download
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Purpose
The purpose of this study was to examine the effects of organizational socialization, perceived organizational vision, and attitude toward organizational change on organizational commitment of nurses working in one hospital. Methods: This study was conducted with 441 participants in a hospital in A city, South Korea from Nov. 1 to 30 2017.Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffé test, Pearson Correlation and Multiple Regression with the SPSS/WIN 23.0 program. Results: There were significant correlations among organizational socialization, perceived organizational vision, attitude toward organizational change and organizational commitment. The factors that significantly influenced organizational commitment were organizational socialization (β=.10 p=.015). perceived organizational vision (β=.20, p<.001), and attitude toward organizational change (β=.44, p<.001). These variables explained 50.0% of the variance in organizational commitment. Conclusion: The findings indicates that organizational socialization, perceived organizational vision and attitude toward organizational change affect organizational commitment.

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  • Nursing Manager’s Transformational Leadership and Servant Leadership on Organizational Socialization of New Nurses: Mediating Effect of Collective Efficacy
    Sung Jung Kwak, Nam Yi Kim
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  • 653 View
  • 23 Download
  • 7 Crossref
Purpose
The purpose of this study was to investigate the effects of head nurses’ authentic leadership, job satisfaction and organizational commitment as perceived by newly licensed nurses and to identify related factors influencing turnover intention.
Methods
A descriptive survey study was conducted with survey data collected between September 9 and 27, 2019 from 190 newly licensed nurses. The data was analyzed using statistical methods including descriptive statistics, frequency analysis, independent t-test, Pearson correlation coefficients, and multiple linear regression employing SPSS 24.0.
Results
The analysis results show that the turnover intention had positive correlations with the total work experience and work experience with a head nurse, while negative correlations were found with job satisfaction and organizational commitment. The factors affecting the dependent variable of turnover intention were analyzed as the total work experience (β=23, p=.014) and organizational commitment (β=-.68, p<.001). In addition, the explanation ability of turnover intention of newly licensed nurses was 48% (F=36.06, p<.001).
Conclusion
The results show that even after their preceptee period, there is a need for systematic long-term job-training programs to enhance the work adaptability and organizational commitment of newly licensed nurses.

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  • Relationships among basic psychological needs, organizational commitment, perceived authentic leadership and turnover intention in Korean nurses: A cross‐sectional study
    Jina Hwang, Eun Kyeung Song, Sangjin Ko
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  • 841 View
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  • 4 Crossref
Purpose
This study was conducted to investigate the moderating effect of supervisor's support in relation to violence experience and organizational commitment among staff of special department nurses.
Methods
Participants in this study were nurses working in the emergency, operating and intensive care units of five general hospitals in B city. Data were collected from Aug. 6 to Sep. 14, 2018. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficients and multi-group path-analysis.
Results
The organizational commitment showed a negative correlation with violence experience (r=-28, p<.001) and a positive correlation with supervisor's support (r=.27, p<.001). There was a negative correlation (r=-.37, p<.001) between violence experience and supervisor's support. As a result of verifying the moderating effect of supervisor's support in relation to violence experience and organizational commitment, there was no significant difference in the path between the high and low supervisor's support groups (∆x 2 =1.07, p=.300).
Conclusion
There was no buffering effect of supervisor's support in relation to violence experience and organizational commitment of nurses in special departments. Further research is needed to explore variables that show a moderating effect on the relationship between violence experience and organizational commitment.

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    Jin Young Hong, Sue Kyung Sohn
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    Jung-Hoon Lee, Yeoungsuk Song
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  • 519 View
  • 6 Download
  • 2 Crossref
Purpose
The purpose of this study was to identify factors influencing organizational commitment of nurses at the advanced beginner stage by examining relationships between positive psychological capital, social support, head nurses' authentic leadership and organizational commitment.
Methods
One hundred and ten nurses at the advanced beginner stage were recruited from a tertiary hospital. Their clinical experience was from over 13 months to less than 36 months. Data were collected using self-report questionnaires which were used to identify participants' characteristics, positive psychological capital, social support, head nurses' authentic leadership and organizational commitment.
Results
The organizational commitment score was 3.16±0.43 points. The results of the stepwise multiple regression showed that factors affecting organizational commitment of nurses at the advanced beginner-stage were head nurse’s authentic leadership, positive psychological capital, and job satisfaction in current working department, indicating that these three variables accounted for 25% of organizational commitment.
Conclusion
The findings from this study indicate that the authentic leadership of head nurses needs to be enhanced to increase the organizational commitment of nurses at the advanced beginner-stage, also a program needs to be developed to improve their positive psychological capital.

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    Sun-a Jeong, Jinhee Kim, César Leal-Costa
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  • A structural equation model of organizational commitment by hospital nurses: The moderating effect of each generation through multi-group analysis
    Jeong Hye Chae, Young Suk Kim
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Effects of Nurses' Positive Psychological Capital, Self-Leadership, and Relational Bonds on Organizational Commitment
Shi Nae Kwon, Hyo Jung Park
J Korean Acad Nurs Adm 2020;26(3):241-250.   Published online June 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.3.241
Purpose
The purpose of this study was to investigate the association between nurses’ positive psychological capital, self-leadership, relational bonds, and organizational commitment, and to identify factors influencing organizational commitment.
Methods
The participants in this study were 199 nurses conveniently selected at one general hospital in Seoul. Data collection was conducted between January 1st and March 31st, 2019, and was analyzed using the SPSS/WIN 23.0 program.
Results
The mean score for positive psychological capital was 3.31±0.44, for self-leadership, 3.44±0.40, for relational bonds, 3.54±0.79, and for organizational commitment, 3.81±0.76. Positive psychological capital (r=.40, p<.001), self-leadership (r=.33, p<.001) and relational bonds (r=.51, p<.001) showed significant correlation with organizational commitment. Stepwise multiple regression analysis showed that positive psychological capital and relational bonds were included in the factors affecting the organizational commitment of clinical nurses. These variables explained 29.0% of organizational commitment.
Conclusion
Findings indicate that it is necessary to build effective strategies to enhance positive psychological capital and relational bonds for nurses. Such strategies will result in improved organizational commitment.

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    Sun-a Jeong, Jinhee Kim, César Leal-Costa
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  • 21 Download
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Effect of Nursing Organizational Culture, Organizational Health, and Job Crafting on Intent to Stay among Registered Nurses
Hun Ha Cho, Eun-Young Kim
J Korean Acad Nurs Adm 2020;26(2):172-180.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.172
Purpose
The purpose of this study was to identify the effects of nursing organizational culture, organizational health, and job crafting on intent to stay among registered nurses. Methods: A cross sectional study design was used in this study. The participants were 210 nurses working at three hospitals in B city, South Korea. Data were collected from March 2 to 31 2018. A self-report questionnaire was used. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analyses with the IBM/SPSS 25.0 for Window Program.
Results
Factors affecting intent to stay among registered nurses included relation oriented culture of nursing organization (β=.17, p=.029), organizational health (β=.16, p=.043), job crafting (β=.17, p=.031), and age(β= .25,p<.001), and these variables explained 25.0% of intent to stay (F=17.37, p<.001).
Conclusion
These findings show that there is a correlation between relation oriented culture of nursing organizational culture, organizational health, job crafting, and intent to stay among registered nurses. In order to increase nurses’ retention, it is important to establish a relation oriented culture in the nursing organization and to improve organizational health. Also, more attention should be paid to create positive job crafting to increase nurses’ intent to stay.

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  • 1,108 View
  • 52 Download
  • 18 Crossref
PURPOSE
The purpose of this study was to investigate relationships among intention of retention, nursing organizational culture, empowering leadership and organizational socialization of new graduate nurses, and identify factors affecting intent to stay.
METHODS
Data were collected from 184 new nurses who were graduated in 2017 and are now working in three tertiary hospitals. The relationship among the variables was analyzed with Pearson coefficient correlations and factors affecting intention of retention were identified by using multiple linear regression analysis.
RESULTS
The mean score for intention of retention was 5.23±1.25 (out of 8). Intent to stay had positive relationships with innovation-oriented culture, relation-oriented culture, task-oriented culture, empowerment leadership, organizational socialization. Factors influencing intent to stay were ‘motivation for selection of nursing (β=.19, p<.001)’, ‘organizational commitment (β=.45, p<.001)’, ‘job identity (β=.18, p=.005)’, and ‘interpersonal relationship of personal characteristics (β=.16, p=.005)’ in organizational socialization, and ‘coaching (β=.29, p=.001)’, and ‘showing concerning (β=−.19, p=.036)’ by empowering leadership. These factors explained 53.0% of the variance in intention of retention (F=35.96, p<.001).
CONCLUSION
Focusing on the factors of influence derived from this study, relevant institutions and nursing organizations require the creation of a work environment and leadership to increase the retention of new graduate nurses.

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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.

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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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The Impact of Organizational Commitment and Positive Psychological Capital on Job Embeddedness of Nurses in Trauma Centers
Eun Ji Choi, Eun Nam Lee, Moon Ja Kim
J Korean Acad Nurs Adm 2019;25(4):292-301.   Published online September 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.4.292
PURPOSE
The purpose of this study was to investigate factors affecting job embeddedness of nurses in trauma centers.
METHODS
This study was a cross-sectional study using structured questionnaires completed by 140 nurses in three regional trauma centers in Korea. Data were collected from July 15 to September 10, 2017, and analyzed using SPSS/WIN 23.0 program.
RESULTS
The mean score of organizational commitment was 3.65±0.75, positive psychological capital was 3.00±0.45, and job embeddedness was 3.00±0.45. The organizational commitment showed a significant positive correlation with positive psychological capital (r=.36, p<.001) and job embeddedness (r=.60, p<.001), and positive psychological capital also showed a significant positive correlation with job embeddedness (r=.74, p<.001). The factors affecting job embeddedness of nurses in trauma centers were positive psychological capital (β=.61, p<.001), organizational commitment (β=.38, p<.001), and marital status (β=-.14, p=.017).
CONCLUSION
The results of this study suggest that to enhance job embeddedness, it is necessary to develop education and programs to strengthen organizational commitment and positive psychological capital of nurses in trauma centers. In addition, for unmarried nurses, interest and consideration are needed to enhance job embeddedness and to reduce turnover.

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PURPOSE
This study was done to investigate the mediating effect of nursing professionalism on the relationship between nurse's character and organizational commitment of the nurse.
METHODS
The participants in this study were 170 nurses who had over 3 months of work experience in hospitals in 2 regions of South Korea. Data were collected using self-report questionnaires. Data collection period was from December 15, 2018 to January 15, 2019, Data were analyzed using the IBM SPSS/WIN 25.0 program.
RESULTS
The significant predictors for organizational commitment of nurses were nursing professionalism (β=.42), total clinical career (β=−.30), monthly income (β=−.27) and clinical career in current hospital (β=−.24). These variables explained 36.0% of the variance in the organizational commitment of nurses. Nursing professionalism was found to have a mediating effect on the relationship between nurses' character and organizational commitment.
CONCLUSION
These results highlight the importance of nurses' organizational commitment and can be used as meaningful data for intervention research to promote the character of nurses and nursing professionalism.

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PURPOSE
The purpose of this study was to test the mediating effect of job embeddedness in the relationship between nursing practice environment on nursing job performance and organizational commitment.
METHODS
For this study a descriptive design with survey method was utilized. Participants were 192 clinical nurses recruited from 2 hospitals in A, B city and J province in Korea. From June, 6 to 24, 2018, a questionnaire scale was used to collect the data. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis, and liner regression analysis.
RESULTS
There were significant positive relationships for nursing job performance and organizational commitment with nursing practice environment. In addition, job embeddedness had a full mediating role in the relationship between nursing practice environment and nursing job performance, and a partial mediation effect in nursing practice environment and organizational commitment.
CONCLUSION
The purpose of this study was to identify the mediating effects of job embeddedness and to find ways to improve organizational commitment, which is a useful variable to predict performance outcomes, nurse job performance and job behavior of organizational members. Also, the study results can be used as basic data for nursing manpower management strategies.

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Effects of Nurse-Physician Collaboration on Nursing Performance and Organizational Commitment in Intensive Care Unit Nurses
Eui Ok Kwon, Myung Ha Lee, Seok Hee Jeong, Hee Sun Kim
J Korean Acad Nurs Adm 2019;25(3):186-197.   Published online June 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.3.186
PURPOSE
This study was done to identify the effects of nurse-physician collaboration on nursing performance and organizational commitment in intensive care unit (ICU) nurses.
METHODS
A cross-sectional survey was used and data were collected from 203 ICU nurses working in two advanced general hospitals and two general hospitals. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients and Hierarchical multiple regression with SPSSWIN 23.0 program.
RESULTS
The sub-domains of nursephysician collaboration were as follows: 3.77±0.51 for sharing of patient information, 3.36±0.65 for decision-making process on the cure or care, and 3.20±0.72 for relationship between nurse and physician. Nurse-physician collaboration was significantly positively correlated with nursing performance and organizational commitment. Regression analysis showed that nurse-physician collaboration explained an additional 24.9%p of nursing performance and an additional 13.4%p of organizational commitment. 'Sharing of patient information' and 'Relationship between nurse and physician' were significant predictors of nursing performance. 'Relationship between nurse and physician' was a significant predictor of organizational commitment.
CONCLUSION
These results provide evidence that the collaboration between nurses and physicians should be enhanced in terms of sharing patient information and mutual respect, to improve nursing performance and organizational commitment of ICU nurses.

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Moderating Effects of Career Commitment in the Relationship between Work Engagement and Organizational Citizenship Behaviors of the Clinical Nurses
Eun Jeong Song, Mi Jeong Kim, Myung Suk Koh
J Korean Acad Nurs Adm 2019;25(3):167-174.   Published online June 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.3.167
PURPOSE
The purpose of the study was to investigate the effect of work engagement (WE) on organizational citizenship behaviors (OCB) and ability to control career commitment (CC) in the relationship between work engagement and OCB.
METHODS
Data were collected using structured self-report questionnaires from 205 nurses currently working at three national hospitals. Data were analyzed using descriptive statistics, ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis using the SPSS 21.0 program.
RESULTS
Mean scores for each variable were: WE 3.77 (on a 7-point scale), OCB 3.41 (on a 5-point scale), and CC 3.05 (on a 5-point scale). As a result, comparison showed that all research variables were higher with age, OCB was higher with total clinical career, and CC was higher with higher education level. Total clinical career, WE and CC had a significant effect on OCB, and CC had a moderate effect on work engagement and OCB. These variables had a total explanatory power of 38% for OCB.
CONCLUSION
The nurses' WE had a positive effect on OCB, and the CC showed a moderating effect on the relationship between WE and OCB. Therefore, we suggest that CC is an important factor in improving nurses' OCB.

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Relationship between Organizational Culture and Job Satisfaction among Korean Nurses: A Meta-Analysis
Hee Jin Chung, Sung Hee Ahn
J Korean Acad Nurs Adm 2019;25(3):157-166.   Published online June 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.3.157
PURPOSE
This study was undertaken to understand the determinants of job satisfaction for hospital nurses in Korea. Organization culture is deemed as a strong factor which contributes to overall job satisfaction.
METHODS
A systematic review was conducted using five electronic databases to identify Korean studies for the years 1998 to 2017. The Comprehensive Meta-Analysis Software Ver 2.0 was then utilized in data analysis.
RESULTS
A meta-analysis of data from 36 studies indicated that the overall effect size of correlation between organizational culture and job satisfaction was moderate (ESr=.36), and publication year was negatively associated with these factors in the meta-regression model. In addition, the magnitude of the types of organizational culture and job satisfaction varied according to size of the hospitals: innovation-oriented culture for secondary hospitals (ESr=.49) and relation-oriented culture for tertiary hospitals (ESr=.46). Lastly, of four different organizational cultures, innovation-oriented culture showed the strongest correlation with job satisfaction (ESr=.50), followed by relation-oriented culture (ESr=.49), and task-oriented culture (ESr=.30).
CONCLUSION
Results indicate that nursing organization culture plays a significant role in Korean nurses' job satisfaction. The implication of the study is that creating an innovation-oriented and relation-oriented culture in hospitals may effectively promote nurses' job satisfaction more than hierarchy-oriented culture.

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PURPOSE
The aim of this study was to identify the relationship between gratitude disposition, organizational intimacy, and organizational well-being among nurses on comprehensive nursing service units.
METHODS
This study was a descriptive correlation study. Participants were 150 nurses working in comprehensive nursing service units. Data were analyzed using SPSS 21.0 program.
RESULTS
Gratitude disposition correlated positively with organizational intimacy (r=.53, p<.001) and organizational well-being (r=.59, p<.001). Gratitude disposition and organizational intimacy were factors affecting organizational well-being.
CONCLUSION
The results of this study suggest organizational well-being can be increased by enhancing gratitude disposition and organizational intimacy. Further study is needed to develop and test for application, a gratitude and organizational intimacy promotion program for nurses on comprehensive nursing service units.

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