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.
Purpose This conceptual analysis aimed to reveal the “role conflict of physician assistants with nursing licenses in Korea” by defining and organizing its concept. Methods This study used the conceptual analysis process of Walker and Avant. Results The role conflict of Korean physician assistant nurses can be defined by the following attributes: “Confusion of identity,” “Psychological burden of work,” “Anxiety and fear of legal responsibility,” “Anxiety about an uncertain future,” “Relative deprivation,” “Sense of neglect,” and a “Lack of sense of belonging.” The antecedents identified were: “unclear work boundaries,” “absence of work guidelines,” “excessive work and poor environment,” “Absence of regulations and administrative regulation,” “Exclusion from unfair treatment and promotion,” “Difficulty measuring job performance,” “Absence of job autonomy,” and “Physician group interest pursuit.” The consequences were: “Decreased job satisfaction,” “Decreased sense of achievement,” “Decreased self-esteem,” “Limited growth,” “Increased turnover intentions,” “Exhaustion of mind and body,” “Career identity crisis,” and “Frustrations.” Conclusion: This study provides basic data for constructing a theory concerning role conflict among Korean dedicated nurses and promotes the development of measurement tools. Furthermore, it meaningfully presents both theoretical grounds for reducing the role conflict of dedicated nurses and evidence for legalization.
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Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses Su Jung Choi, Min Young Kim Journal of Korean Academy of Nursing.2024; 54(3): 300. CrossRef
Purpose This qualitative study aimed to identify the detailed job roles of physician assistants working in surgical departments of tertiary hospitals in Korea. Methods Data were collected via individual in-depth interviews and analyzed using a content analysis method. Participants were 19 physician assistants (PAs), each of whom had been working for more than one year in tertiary hospitals. Results Overall, 348 codes were extracted and clustered into 75 subcategories (job roles). Thereafter, 75 subcategories were classified into three categories (nursing roles, medical residents’ roles, and physicians’ roles). Among 75 PA job roles, 1 (1.3%) was a nursing role, 7 (9.3%) were nursing or medical residents’ roles, and 67 (89.4%) were physicians’ roles. Physicians’ roles were mostly surgery-associated functions performed in a variety of settings in numerous different ways. Conclusion Establishing educational systems, qualification standards, and payment systems for the PAs and legalizing their professional status are necessary.
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Role Conflict of Physician Assistants with Nursing Licenses in Korea Byeongkwan Kim, Wonhee Jung Journal of Korean Academy of Nursing Administration.2024; 30(2): 141. CrossRef
Purpose The aim of this study is to identify and understand the meaning and essence of the working difficulties experienced by physician assistants. Methods This qualitative study used focus group interviews and conventional content analysis. Participants included physician assistants with over 1 year of experience working in general hospitals. Fifteen people formed four focus groups with three to four people in each group. Results Six categories of difficulties faced by physician assistants were derived from the results. These were: the "lack of an education system", "unclear professional duties", "shortage of substitute workforce", "conflict with the nursing department", "dual management structure", and "unstable roles and uncertain futures". Participants experienced difficulties in their jobs because the systematic educational system was inadequate, and due to there was uncertainty regarding the scope and extent of their work. As professional nursing staff, they experienced hindrances in their development and increased anxiety owing to their uncertain futures. Conclusion To overcome the difficulties faced by physician assistants in their work, it is necessary to legally recognize and clarify their roles as well as to establish a systematic education system.
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Role Conflict of Physician Assistants with Nursing Licenses in Korea Byeongkwan Kim, Wonhee Jung Journal of Korean Academy of Nursing Administration.2024; 30(2): 141. CrossRef
General Nurses’ Experience of Passing and Repealing the Nurses Act in Parliament Yeon Hee Kim, Bo Kyung Kim, Su Jin Lee, Ha Young Lim, Hyang Ju Jung, Ju Song Cha Journal of Korean Association for Qualitative Research.2024; 9(1): 65. CrossRef
Relationship between Occupational Stress and Organizational Commitment of Physician Assistant Nurses: Mediating Effect of Positive Psychological Capital Myung Jee Han, So Young Choi Journal of Korean Academy of Nursing Administration.2024; 30(4): 357. CrossRef
Physician Assistant (PA) Nurses’ Experience of Role Adaptation Jae Hyun Uhm, Young Ran Chae, Min Sub Kim Journal of Korean Association for Qualitative Research.2023; 8(2): 167. CrossRef
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Purpose The purpose of this study was to test the mediating effects of resilience in the relationship between role conflict and burnout in physician assistant nurses. Methods Participants were 144 physician assistant nurses recruited from 2 university hospitals. 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 burnout and role conflict (r=.45, p<.001), and a negative correlation with resilience (r=-.47, p<.001). There was a negative correlation (r=-.30, p<.001) between role conflict and resilience. In addition, resilience partial mediates role conflict and burnout. As a result of testing the significance of mediating effect using bootstrapping, the mediating effect was significant by resilience ((y=.11, p=.008). Conclusion In this study, role conflict and burnout of physician assistant nurses were the factors that had an impact on each other and resilience had a partial mediating effect in the relationship between role conflict and burnout. The results of this study can be used as basic data for establishing management plans on role conflict and burnout by improving the resilience of physician assistant nurses.
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Role Conflict of Physician Assistants with Nursing Licenses in Korea Byeongkwan Kim, Wonhee Jung Journal of Korean Academy of Nursing Administration.2024; 30(2): 141. CrossRef
Job satisfaction and moral distress of nurses working as physician assistants: focusing on moderating role of moral distress in effects of professional identity and work environment on job satisfaction Minsub Kim, Younjae Oh, Joo Yun Lee, Eunhee Lee BMC Nursing.2023;[Epub] CrossRef
Intention to Stay in Specialist Trauma Nurses: Relationship With Role Conflict, Stress, and Organizational Support Jeong Eun Yoon, Ok-Hee Cho Journal of Trauma Nursing.2022; 29(1): 21. CrossRef
Impact of Nurse–Physician Collaboration, Moral Distress, and Professional Autonomy on Job Satisfaction among Nurses Acting as Physician Assistants Yunmi Kim, Younjae Oh, Eunhee Lee, Shin-Jeong Kim International Journal of Environmental Research and Public Health.2022; 19(2): 661. CrossRef
Effect of Role Conflict on Job Satisfaction by Comprehensive Nursing Care Service Ward Nurse: Moderating and Mediating Effect of Resilience So Hee Lee, Roma Seol, Min Hye Kim Journal of Korean Critical Care Nursing.2021; 14(3): 50. CrossRef
Types of Perceptions Regarding Professionalism of Physician Assistant Geunmyun Kim, Junghyun Seo, Sunok Lee, Junhee Bae, Youngju Yang Stress.2020; 28(4): 202. CrossRef
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