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"Practice"

Original Articles

Purpose
This study investigated the effects of newly graduated nurses’ perceived readiness for nursing practice, resilience, and preceptors’ teaching behaviors on turnover intention.
Methods
A survey was conducted among 168 newly graduated nurses between August 7 and 31, 2023. The data were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis.
Results
The factors that significantly affected turnover intention included preceptors' teaching behavior (β=-.29, p=.001) and resilience (β=-.21, p=.026). This model explained 32.0% of the variance.
Conclusion
Newly graduated nurses’ resilience and their initial training environment are key factors influencing turnover intention. Therefore, nursing managers should develop strategies to enhance the resilience of newly graduated nurses and improve training systems. Additionally, efforts should be made to promote positive teaching behaviors among the educators responsible for training newly graduated nurses.

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  • Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses
    Mi-Aie Lee, Hye-Jin Cho, Sung-Hee Ahn, Hyo-Ju Kim
    Journal of Korean Academy of Nursing Administration.2015; 21(5): 519.     CrossRef
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  • 1 Crossref
Purpose
This study aims to find ways to reduce the reality shock of newly graduated nurses by exploring the relationship between nursing practice readiness, social support from clinical nurse educators, and reality shock.
Methods
From August 24 to September 13, 2023, data were collected from 134 newly graduated nurses with less than 12 months of clinical experience, who were trained by clinical nurse educators at one general hospital and two tertiary hospitals in I City and G Province. The data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression with the SPSS/WIN 28.0 program.
Results
Reality shock was negatively correlated with nursing practice readiness (r=-.50, p<.001) and social support (r=-.19, p=.03), while nursing practice readiness was positively correlated with social support (r=.37, p<.001). Nursing practice readiness was identified as a significant predictor of reality shock in newly graduated nurses (β=-.46, p<.001), accounting for 31% of the variance in reality shock (F=18.82, p<.001).
Conclusion
To alleviate the reality shock of newly graduated nurses, it is important to improve their practice readiness and ensure systematic, continuous education for clinical nurse educators.
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Nursing Students‘Perception of Injustice in Clinical Practice
Hye Young Cho, Kyoung Ah Kang
J Korean Acad Nurs Adm 2023;29(4):433-445.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.433
Purpose
This study explores nursing students’ perception and experience of injustice in clinical practice and to devise ways to improve the quality and increase satisfaction with clinical practice.
Methods
This study was conducted from December 9-28, 2021 among 22 nursing students with clinical practice experience attending two universities in Jeollabuk-do. Focus group interviews were used for collecting data that were analyzed using qualitative content analysis.
Results
A total of four main analysis units were derived from 220 statements comprising, the original data, and 30 concepts were identified through 112 meaningful statements. The injustice that nursing students perceived during clinical practice consisted of four categories: ‘not respected,’ ‘not guaranteed safety,’ ‘not protected by the system,’ ‘not resolved structural problems in clinical practice.’ Each category was derived from a statement based on the 'injustice in clinical practice' perceived by nursing students in the course of clinical practice.
Conclusion
To maintain quality in clinical practice and promote nursing students’ satisfaction with clinical practice, continuous problem analysis and multilateral efforts of clinical and educational institutions are considered necessary.
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Factors Affecting Political Competency of Advanced Practice Nurses
Wooyeong Park, Taewha Lee
J Korean Acad Nurs Adm 2023;29(3):246-257.   Published online June 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.3.246
Purpose
This descriptive correlation study was designed to identify the job characteristics of advanced practice nurses (APNs) and the degree of nursing professionalism as factors influencing the political competency of APNs. Additionally, the relationship between these two factors and political competency was analyzed.
Methods
Data were collected through an online survey of 118 APNs from June 16 to September 16, 2021. The data collected were analyzed using descriptive statistics, a t-test, ANOVA, Scheffé ́’s test, Pearson’s correlation, and a multiple regression analysis using SPSS/WIN 25.0.
Results
Statistically significant differences were noted in the political competency of APNs based on age, workplace, position, experience as an APN, political education, and political party membership. Furthermore, political competency positively correlated with job characteristics and nursing professionalism. The factors affecting the political competency of APNs included skill variety, workplace, political education, political party membership, and nursing professionalism.
Conclusion
Findings of this study confirmed the importance of the political competency of APNs. Furthermore, policy efforts to promote independent job development reflecting the job characteristics of APNs and improvement in nursing professionalism are required, and support from professional nursing organizations is needed.
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A Systematic Content Analysis of the Closed Nursing Malpractice Claims Related to Patients’ Safety
Hea Kung Hur, Ki Kyong Kim, Ji Soo Jung
J Korean Acad Nurs Adm 2023;29(2):99-108.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.99
Purpose
The study aimed to classify patient safety accident and nursing malpractice types through a content analysis of litigation cases in which nurses were found guilty.
Methods
Data on malpractice cases were collected from the official website of the Korean judiciary. This analysis was conducted in stages according to the systematic content analysis method. A total of 46 cases consisting of 14 criminal cases and 32 civil cases were selected for analysis, and classified based on the types of safety accident and nursing malpractice.
Results
Eleven categories and 14 subcategories of accidents were extracted from 71 significant statements. The 11 categories of accidents consisted of falls, medication, burns, treatment, diet, medical equipment, delivery, exams, surgery, infection, and suicide. Five categories and 14 subcategories of nursing malpractice were extracted from 71 significant statements. The five categories of malpractice were as follows: failure to take affirmative action to prevent accidents, monitor, follow guidelines, use equipment properly, and reports.
Conclusion
These findings highlight the importance of nurses’ independent roles as patients’ safety managers. It can be used as primary data to develop organizational and educational support for nurses seeking to perform their professional roles in ensuring patient safety.

Citations

Citations to this article as recorded by  
  • Effects of Discussion-Based Legality-Focused Nursing Record Education on Nursing Students’ Knowledge, Self-Confidence, and Nursing Record Performance
    Dohye Kim, Kyoungrim Kang, Jeongyeong Jeon
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 14.     CrossRef
  • Development of Guidelines for the Delegation of Nursing Tasks in Integrated Nursing Care Service
    Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 114.     CrossRef
  • Characteristics of Nursing-related Patient Safety Incidents and Qualitative Content Analysis: Secondary data Analysis of Medical Litigation Judgment (2014~ 2018)
    Min-Ji Kim, Won Lee, Sang-Hee Kim, So-Yoon Kim
    Quality Improvement in Health Care.2023; 29(2): 15.     CrossRef
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Influence of Nursing Practice Readiness and Resilience on the Nursing Performance among New Nurses
Hae Ok Kim, Mun Hee Nam, Yo Na Kim
J Korean Acad Nurs Adm 2022;28(4):352-360.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.352
Purpose
This study investigated the influence of nursing practice readiness and, resilience on the nursing performance of new nurses. Methods: Participants were 234 new nurses with 6-24 months of working experience at the wards in university and general hospitals in the B area and C areas. The collected data were analyzed using SPSS/Win 24.0, and frequency percentage, mean, and standard deviation were calculated, Mann-Whitney U test, Kruskal-Wallis test, analysis of variance, Pearson's correlation coefficients, and multiple regression analyses were performed, and the variable selection method was set as stepwise. Results: Nursing performance significantly differed by weekly job-related education (Z=10.01, p=.007) and salary satisfaction (Z=13.04, p=.001). The nursing performance of new nurses was positively correlated with nursing practice (r=.70, p<.001) and resilience (r=.51, p<.001). The significant predictors of nursing performance were nursing practice readiness (β=.61, p<.001), resilience (β=.16, p=.003), and job training hours (β=.11, p=.02). The explanatory power of these factors was 52.0% of the variance. Conclusion: To enhance the nursing performance of new nurses, it is necessary to improve nursing practice readiness, provide job training, and strengthen resilience. In addition, it is necessary to support programs at the institutional level for nursing performance.

Citations

Citations to this article as recorded by  
  • Readiness for Practice among Senior Nursing Students in South Korea: A Cross-sectional Study
    Jihye Kim, Kyungmi Lee, Hye Suk Jun
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 54.     CrossRef
  • The Moderating Effect of Nursing Organizational Culture on the Relationship between Resilience and Clinical Competence of New Graduate Nurses
    Hanna Lee, Eun-Jun Park
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 483.     CrossRef
  • Assessing Needs for Practical Training in Intensive Care Unit to Enhance Nursing Education: A Focus Group Interview
    Sunah Park, Bokyoung Kim
    Journal of Korean Critical Care Nursing.2024; 17(2): 55.     CrossRef
  • Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study
    Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
    Nurse Education Today.2024; 133: 106077.     CrossRef
  • The factors influencing the nursing practice readiness of new graduate nurses
    Mi Young Kim
    The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 395.     CrossRef
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Expectation of Medical Personnel for the Roles of the Physician Assistants in a University Hospital
Mi Jung Ryu, Mina Park, Joungohn Shim, Eunsung Lee, Insun Yeom, Young Mi Seo
J Korean Acad Nurs Adm 2022;28(1):31-42.   Published online January 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.1.31
Purpose
The purpose of this study is to clearly classify the roles of Physician assistants and to identify obstacle factors and necessary factors for the operation of the system when they are performing the roles of Physician assistants. Methods: This is a descriptive research study to analyze the roles of Physician assistants and to understand the expected roles of Physician assistants according to each medical personnel (doctor, nurse, Physician assistants). Results: The obstacles to work are the lack of legal protection, and unclear work guidelines, and the matter necessary for the operation of the system is the legal protection. There were statistically significant differences in health collection ability, physical examination, drug response monitoring, and reporting in terms of the differences in role expectations considered by medical professionals regarding the roles of Physician assistants. Conclusion: Physician assistants need to develop various educational programs and materials, cultivate the ability to perform Physician assistants, and develop an advisory role through effective problem-solving between departments and increase the quality and satisfaction of Nursing care.

Citations

Citations to this article as recorded by  
  • Legislation of Medical Support Tasks in the Nursing Act as a Foundation for Nursing Professionalism and Role Expansion
    Su Jung Choi
    Korean Journal of Adult Nursing.2025; 37(2): 69.     CrossRef
  • Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals
    Mi-Kyeong Jeon, Su Jung Choi, Ji Eun Han, Eun Kyung Kwon, Jeong Hee Park, Jeong Hye Kim
    Journal of Korean Academy of Nursing.2024; 54(4): 594.     CrossRef
  • 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
  • Reflections on the Prospects of Korean Advanced Practice Nurses : Based on Flexner’s Professional Characteristics
    Eun Mi Kim, Su Jung Choi
    Journal of Korean Critical Care Nursing.2023; 16(3): 1.     CrossRef
  • Development of Core Competency Scale for clinical nursing student educators
    Hyun Sook Park, Eun Hee Choi, Gyung Duck Kim, Young Hee Kim, Mi Yang Jeon, Hyenam Hwang
    The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 345.     CrossRef
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  • 5 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.

Citations

Citations to this article as recorded by  
  • 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
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Purpose
This study was conducted to identify the influences of critical thinking disposition and perceived nurse managers' leadership style on nurses' competency with evidence based practice in hospitals.
Methods
The participants were 147 nurses working in two university hospitals in Seoul, Korea. Data were collected during February and March in 2017 and were analyzed with Multiple Regression Analysis using SPSS/WIN 18.0.
Results
The most influential factor on nurses' competency of evidence based practice was critical thinking disposition (β=.55, p<.001), followed by transformation (β=.20, p=.011) which together explained their competency of evidence based practice up to 53.0%.
Conclusion
It is necessary to develop intervention programs and curriculum to enhance competence for nurses. It is also necessary to draw plans to develop nursing managers’ transformational leadership. Therefore not only clinical nurses but also throughout the organization, strategies and curriculums should be developed to help nurses perform evidence based practice.

Citations

Citations to this article as recorded by  
  • The associations of grit, self-leadership, and followership with competency in evidence-based practice among nurses in Korea: a descriptive correlational study
    Ha-young Kim, Jin-il Kim
    Journal of Korean Biological Nursing Science.2025; 27(2): 244.     CrossRef
  • Association between Nurses’ Perceptions of Patient Safety Culture, Willingness to Report Near Misses, Critical Thinking Disposition, and Nursing Care Activities for Patient Safety
    Da Eun Lee, Bo Gyeong Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 283.     CrossRef
  • Effects of Length of Employment and Head Nurse Leadership Style on the Clinical Competency of Staff Nurses in Taiwan
    Yu-Wen LIN, Chung-Fan NI, Shu-Fen HSU, Shiow-Luan TSAY, Heng-Hsin TUNG
    Journal of Nursing Research.2024; 32(3): e331.     CrossRef
  • Influence of Nursing Students’ Competencies Who Participated in Simulation Training on Competency with Evidence-based Practice
    Yeon Jeong Su
    Journal of Korea Society for Simulation in Nursing.2024; 12(1): 33.     CrossRef
  • Influence of Job Crafting on Evidence-Based Practical Skills of Dental Hygienists
    Min-ji Kim, Kyu-ri Kim, Yun-ji Kim, Seo-yeon Im, You-bin Cho, Ru-by Choi, Hee-jung Lim
    Journal of Dental Hygiene Science.2023; 23(4): 330.     CrossRef
  • The Leadership Experience of Advanced Practice Nurses in a Tertiary Hospital Setting : Focus Group Interview
    Eun Sook Kim, Nayeon Kim, Su Jung Choi, Nari Kim, Young Hee Kim, Jung Yoon Lee, Eun-Hye Kim
    Journal of Korean Critical Care Nursing.2023; 16(3): 48.     CrossRef
  • Validity and Reliability of a Korean Version of the ConCom Safety Management Scale
    Mi Young Kwon, Nam Yi Kim
    International Journal of Environmental Research and Public Health.2021; 18(23): 12514.     CrossRef
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  • 7 Crossref
Development of Korea version of the Practice Environment Scale for Advanced Practice Registered Nurses
Mi Jung Ryu, Woo Young Young, Eun Hee Hee
J Korean Acad Nurs Adm 2020;26(2):160-171.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.160
Purpose
To develop a Korean version of the practice environment scale that can verify the practice environment of advanced practice registered nurses (APRN) by verifying the validity and reliability of the Nurse practitioner's primary care organizational climate questionnaire developed by Poghosyan et al.
Methods
After translation using a committee approach and an expert group’s verification of the content validity, items were classified as 'professional visibility', 'APRN-administration relations', 'APRN-physician relations', 'independent practice and support' A total of 29 questionnaire items were developed for the four factors. Data were collected from 200 advanced practice registered nurses working at two advanced general hospitals and six general hospitals.
Results
In the confirmatory factor analysis, CFI, TLI, and RMSR evaluation indices were appropriate except for RMSEA. Partial validity was shown in convergent validity, and discriminant validity. Exploratory factor analysis revealed that the questions were well organized with four factors. Cronbach's ⍺ of the whole instrument was .93.
Conclusion
As a first attempt to measure the practice environment of the APRN in Korea, the results show that this questionnaire provides basic data for correct role setting and improvement of practice environment. This research will ultimately serve as a basis for cost-effective quality care.

Citations

Citations to this article as recorded by  
  • Development and validation of a quality of healthy work environment instrument for shift nurses
    Sun-Hwa Shin, Eun-Hye Lee
    BMC Nursing.2024;[Epub]     CrossRef
  • Job Roles of the Physician Assistants Working in the Surgical Departments of Tertiary Hospitals in Korea: Content Analysis
    Hyun Sook Lim, Hyang-In Cho Chung, Kyung Joo Choi
    Journal of Korean Academy of Nursing Administration.2023; 29(2): 155.     CrossRef
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Factors Influencing Intentional Rounding Performance of Tertiary General Hospital Nurses
Jaeseon Han, Yunhee Kim
J Korean Acad Nurs Adm 2019;25(5):437-447.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.437
PURPOSE
The purpose of this study was to examine the effects of perceptions of patient rounding, self-leadership and nursing organization culture on intentional rounding performance.
METHODS
The participants for this study were 210 nurses who had the experience of patient rounding care in general hospitals in B and Y cities. Data were collected from February 5th to 22nd, 2018. Collected data were analyzed using descriptive statistics, χ² test, and independent t-test. Logistic regression analysis was performed to identify factors influencing intentional rounding performance.
RESULTS
It was found that intentional rounding performance was carried out by 20.0% of the day shift nurses, 18.1% of the evening shift nurses, and 19.5% of the night shift nurses. The significant factors influencing intentional rounding performance were the recommended rounding time interval in wards and the use of rounding protocol in the wards (p < .050).
CONCLUSION
It is expected that nurses will be able to provide more advanced and efficient patient rounding by promising a systematic patient rounding time for intentional rounding and developing appropriate protocols for each ward.

Citations

Citations to this article as recorded by  
  • Associations of perceptions of patient safety culture, job crafting, and perceptions of patient rounding with patient safety management activities among tertiary hospital nurses
    Saet-Byeol Kim, Yun-Hee Kim
    Journal of Korean Biological Nursing Science.2024; 26(3): 259.     CrossRef
  • Development of an intentional rounding protocol for nursing undergraduates to apply in clinical practice
    Sueun Kim, Jong Sun Ok, Jin Yi Choi, Heejung Choi
    The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 381.     CrossRef
  • Improving Patients’ Perception of the Quality of Nursing Services and Nurses’ Perception of Nursing Rounds through Purposeful and Timely Nursing Rounds
    Yun Sook Kim, Dong Yeon Kim, Na Young Kim, Jinsuk Kim, Young Eun Yang, Youmin Jeong, Hee Young Choi, Eun Oh
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 12.     CrossRef
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Reflection-related Research in Korean Nursing: A Literature Review
Mikyoung Lee, Keum Seong Jang
J Korean Acad Nurs Adm 2019;25(2):83-96.   Published online March 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.2.83
PURPOSE
This study was conducted to analyze research on reflection in Korean nursing, and suggest future directions for effective application of reflective practice in Korean nursing education and practice.
METHODS
A review was performed using domestic databases including RISS, KISS, DBpia, and NDSL. Twenty-three papers were analyzed according to general characteristics, key variables regarding reflection, and findings regarding reflection.
RESULTS
Reflection in nursing research has received attention since 2005, generating almost half the publications in the last 3 years. Key variables regarding reflection were classified into reflection-related general term (34.7%), reflective action (8.6%), and reflection writing method (56.7%). Findings regarding reflection were categorized into correlation of reflection with other variables (26.1%), learning evaluation using a reflective journal (22.2%), effects of applying reflection as an intervention (47.4%), and Korean Self-Reflection and Insight Scale validation (4.3%).
CONCLUSION
Results indicate that reflection or reflective practice is an important component in integrating theories to practice, and that reflective practice is a prerequisite to becoming a professional nurse as well as a crucial tool for ideal changes in nursing. Considerable effort should be made to define the concept of reflective practice and effectively apply it to nursing education and practice in Korea.

Citations

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  • Category Characteristics and Influencing Factors of Research Competence Among Chinese Specialty Nurses: A Latent Profile Analysis
    Wenqiong Lin, Panpan Zhang, Songyao Li, Yaru Li, Ziru Fang, Yuning Wang, Hongmei Zhang
    Journal of Advanced Nursing.2025;[Epub]     CrossRef
  • Development for a concept mapping multicultural education program for Mother and Baby Unit nurses: a quasi-experimental study in South Korea
    Dahae Kang, Soonyoung Shon
    Child Health Nursing Research.2025; 31(1): 52.     CrossRef
  • Development of Nursing Clinical Judgment Scale
    Shi Nae Kwon, Hyojung Park
    Journal of Korean Academy of Nursing.2023; 53(6): 652.     CrossRef
  • Development of Critical Reflection Competency Scale for Clinical Nurses
    Sujin Shin, Eunmin Hong, Jiyoung Do, Mee Sun Lee, Youngsun Jung, Inyoung Lee
    International Journal of Environmental Research and Public Health.2022; 19(6): 3483.     CrossRef
  • Student nurse experiences in public healthcare clinical practice during the COVID-19 pandemic: A qualitative study
    Yun-Jung Choi, Youn-Joo Um
    Nurse Education Today.2022; 119: 105586.     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
  • Analysis of Reflection Diaries after Dental Hygiene Students' Practice Experience at Public Health Center (Phenomenological Study)
    Moonsil Choi
    International Journal of Clinical Preventive Dentistry.2022; 18(4): 118.     CrossRef
  • Analysis of Korean Nursing Studies Applied in Interpersonal Caring Theory
    Heeyoung Kim
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 116.     CrossRef
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Factors Influencing Managerial Competence of Frontline Nurse Managers
Ran Lee, Miyoung Kim, Sujin Choi, Hee Yeon Shin
J Korean Acad Nurs Adm 2018;24(5):435-444.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.435
PURPOSE
The purpose of this study was to investigate the relationship between nursing practice environment, resilience, job stress, communication skills, and managerial competence of frontline nurse managers and identify factors influencing their managerial competence.
METHODS
A descriptive research was carried out with 148 frontline nurse managers in six general hospitals. From August 16 to October 7, 2016 data were collected using a questionnaire. Data were analyzed with descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression using IBM SPSS/WIN 22.0.
RESULTS
Managerial competence of frontline nurse managers was positively correlated with nursing practice environment (r=.41 p < .001), resilience (r=.45, p < .001), communication skills (r=.38, p < .001) and was negatively correlated with job stress (r=−.27, p < .001). The factors influencing managerial competence were nursing practice environment (β=.29, p=.002) and resilience (β=.28, p=.007) in that order. The input variables explained 30.8% of managerial competence.
CONCLUSION
The results suggest that a policy guideline is needed to enhance managerial competence of frontline nurse managers. The policy guideline should include achieving an adequate level of nurse staffing to improve the nursing practice environment and providing frontline nurse managers with educational support and administrative assistance to increase their resilience.

Citations

Citations to this article as recorded by  
  • Factors Impacting on Nurse Unit Managers’ Knowledge and Ability Importance of Managerial Competencies
    Jihae Lee, Miyoung Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 428.     CrossRef
  • Educational needs for nursing manager competency in Korean hospitals: multi-center cross-sectional study
    Seung-Min Lee, Beob-Wang Ahn, Mi Yu
    BMC Nursing.2024;[Epub]     CrossRef
  • Influence of Emotional Intelligence of Experienced Nurses on Nursing Managerial Competence: Focusing on the Mediating Effect of Communication Competence
    Yunji Kang, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 79.     CrossRef
  • Training Priority for Managerial Competence of Nurse Managers in Small and Medium-Sized Hospitals: Focusing on the Management Level
    MunHee Jun, Wonjung Noh
    SAGE Open Nursing.2023;[Epub]     CrossRef
  • Priority Need Analysis for Career Level-Based Nursing Management Competency Development of Advanced General Hospital Nurses
    Bo Hyun Yu, Keum Seong Jang
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 417.     CrossRef
  • Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
    Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
    International Journal of Environmental Research and Public Health.2022; 19(10): 5792.     CrossRef
  • The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
    Sustainability.2021; 13(21): 11634.     CrossRef
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Nursing Tasks and Practice Environment for Nursing Work Perceived by Nurses Working on Comprehensive Wards versus General Wards
Sung Hee Ahn, Sun Hee Jung, Jung Hwa You, Mi Aie Lee
J Korean Acad Nurs Adm 2018;24(1):10-20.   Published online January 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.1.10
PURPOSE
This study was performed to measure the level of nursing tasks and practice environment of nursing work (PENW) perceived by nurses working on comprehensive wards or general wards, and to investigate the relationship between these two variables.
METHODS
This study was a cross-sectional survey. Participants were 97 nurses working on comprehensive or general wards of one general hospital in Gyeonggido, Korea. Data were collected from October 17 to 21, 2016 using the structured questionnaires and analyzed with SPSS/PC ver 18.0 programs.
RESULTS
The scores for nursing tasks (performance, importance, and knowledge) perceived by nurses working on comprehensive wards were higher than nurses on general wards. The score for PENW perceived by nurses working on comprehensive wards was significantly higher than that of nurses on general wards. For comprehensive ward nurses, there was a relationship between nursing tasks and PENW, but no relationship was found for general ward nurses.
CONCLUSION
This findings show that nurses working on comprehensive wards evaluate nursing tasks and PENW higher than nurses working on general wards indicating that nursing managers should work to raise the perception of general ward nursing tasks and PENW.

Citations

Citations to this article as recorded by  
  • Effect of Nursing Practice Environment on Intent to Leave in Hospital Nurses: Focused on the Mediating Effect of Reciprocity
    So Young Lee, Mi-Aie Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 201.     CrossRef
  • An exploratory study of nursing tasks that induce physical and mental stress among hospital nurses
    Younhee Kang, Aekyeong Jin
    Applied Nursing Research.2024; 80: 151853.     CrossRef
  • Comparison of Factors Affecting Delirium Nursing Stress between Nurses in Comprehensive Nursing Care Service Wards and General Wards
    Sumin Gwon, Gaeun Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 517.     CrossRef
  • A comparative analysis of the work environments for registered nurses, nurse aides, and caregivers using the 5th Korean Working Conditions Survey
    Sung Shin Kim, Yun Jin Kim, Jun Sik Park, Seoung Hee Ho, Hyosun Kweon, Young-Hyeon Bae
    BMC Nursing.2022;[Epub]     CrossRef
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Nurses' Knowledge of Law, Law Consciousness, and Will to Practice
Mi Aie Lee, Keum Soon Byeon, Sunjoo Kang
J Korean Acad Nurs Adm 2017;23(3):290-300.   Published online June 30, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.3.290
PURPOSE
The aim of this study was to evaluate nurses' knowledge of the law, consciousness, and will to practice and the relationships among factors affecting the will to practice.
METHODS
A cross-sectional survey was conducted and data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson correlation coefficients and multiple regression.
RESULTS
Most respondents were women (93.9%) and 75.6% of them had received basic education on law. The average score on knowledge of the law was 11.83±3.07 for general law and 10.42±3.32 for nursing law. The average score on consciousness of law and will to practice was 2.50±0.31 and 4.32±0.58, respectively. Differences were observed in knowledge of the law in terms of having taken a refresher course(F=5.87, p=.003); in consciousness of the law in terms of knowledge of the law (F=6.61, p<.002); and in will to practice according to age (F=7.30, p=.007) and educational level (F=13.08, p<.001). Factors influencing will to practice included behavioral and cognitive consciousness, general knowledge of law, and education. These factors explained 24% of the variance.
CONCLUSION
Nurses knowledge and consciousness regarding law was relatively lower than their will to practice. Systematic law education for nurses and repetitive research are recommended to prevent nursing malpractice.

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  • Effects of a web-based education program for nurses using medical malpractice cases: A randomized controlled trial
    Haena Lim, Yeojin Yi
    Nurse Education Today.2021; 104: 104997.     CrossRef
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Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses
Ae Ri Na Nam, Eun Ho Lee, Jeong Ok Park, Eun Jung Ki, Su Min Nam, Mi Mi Park
J Korean Acad Nurs Adm 2017;23(3):239-248.   Published online June 30, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.3.239
PURPOSE
Today's clinical nurses deal with complex problems that need accurate evidence for practice and decision making. In this study the effectiveness of an EBP education program was examined.
METHODS
A pre-posttest design was used for this study and participants were 46 nurses working at a tertiary hospital located in Suwon, Korea. Date collection was done before and after the education program, from July 27 to October 2, 2015. Data were analyzed using paired t-test and ANCOVA with SPSS 21.0.
RESULTS
There were significant differences in scores before and after the EBP education program for EBP readiness: belief (t=-5.65, p<.001), implementation(t=-2.89, p=.006), competence (t=-4.21, p<.001), and for evidence-based decision making (t=-16.25, p<.001) by the nurses.
CONCLUSION
The findings indicate that the EBP education program has positive effects on EBP belief, implementation, competence and evidence-based decision making. In the future, it is necessary to reinforce the content of the program in the clinical workplace and to provide continuous education for clinical nurses.

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    Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
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Review

Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This ‘best fit’ approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.

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Original Articles
Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
Nam Yong Kim, Eun A Kim, Jae Yeun Sim, Soon Hee Jung, Hye Young Kim, Eun Hee Jang, Jee Hye Shin
J Korean Acad Nurs Adm 2017;23(1):63-75.   Published online January 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.1.63
PURPOSE
This study was conducted to adapt the standardized evidence-based nursing protocol using the IPC (intermittent pneumatic compression) intervention to prevent venous thromboembolism in surgical patients. Further, an investigation was done to measure knowledge on prevention of venous thromboembolism, surrogate incidence of venous thromboembolism and to assess IPC compliance in the study patients compared with those in surgical patients who underwent IPC intervention due to previous clinical experience.
METHODS
An analysis was done of the nine modules suggested by National Evidence-based Healthcare Collaborating Agency (NECA) in the adaptation manual of the clinical practice guideline for protocol adaptation. A nonequivalent control group post test design as a quasi-experiment was used to verify the effect of the IPC protocol.
RESULTS
There was a significant difference in knowledge of prevention of venous thromboembolism, IPC application time after intervention and the number of IPC applications between the experimental group (n=50) using the IPC nursing protocol and the control group (n=49). However, the symptoms of deep vein thrombosis and pulmonary thromboembolism were not observed in either the experimental group or the control group after the intervention.
CONCLUSION
Results confirm that the standardized IPC nursing protocol provides effective intervention to prevent venous thromboembolism in surgical patients.

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  • Comparison of Internal Marketing, Job Satisfaction and Customer Orientation of Nurses by Size of Medical Care Institution; Small-medium Hospitals and General Hospitals
    Eun Su Do, Mi Ye Kim
    Journal of Korean Academy of Nursing Administration.2012; 18(1): 56.     CrossRef
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Factors Influencing of Evidence based Practice Competency and Evidence based Practice Readiness in General Hospital Nurses
Seang Ryu, Yun Sook Kim, Yun Hee Kim
J Korean Acad Nurs Adm 2016;22(5):448-460.   Published online December 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.5.448
PURPOSE
The study was done to verify evidence-based practice (EBP) readiness and factors contributing to EBP competency in general hospital nurses.
METHODS
Participants were 219 nurses working in 7 general hospitals in G-city and J Province. Data were collected from May 12 to May 28, 2015 and analyzed using one-way ANOVA, Pearson's correlation and stepwise multiple regression.
RESULTS
Mean score for EBP competency was 3.89±0.83, for critical thinking disposition, 3.35±0.36, for EBP attitude, 3.53±0.66, for beliefs about value of EBP, 3.42±0.56, for ability in research performance, 2.86±0.57, for time to devote to EBP, 2.57±0.69 and for organization support for EBP, 3.36±0.46. EBP competency was significantly correlated with critical thinking disposition (r=.37, p<.001), beliefs about value of EBP (r=.43, p<.001), ability in research performance (r=.44, p<.001), and time to devote to EBP(r=.33, p<.001). Factors influencing EBP competency in general hospital nurses were research performance (β=.29, p<.001), beliefs about value of EBP (β=.24, p<.001), critical thinking disposition (β=.15, p=.014), recognition of EBP (β=-.18, p=.002), which together explained 35% of total variance.
CONCLUSION
Findings indicate that introduction and activation of EBP in general hospitals is essential and development of systematic training programs to strengthen critical thinking disposition and EBP competency are needed.

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  • Knowledge, Attitudes and Practices Regarding Evidence-Based Practice: A Cross-Sectional Study of Nurses at Sultan Ahmad Shah Medical Centre @IIUM (SASMEC @IIUM), Kuantan, Pahang, Malaysia
    Norfadzilah Ahmad, Aniawanis Makhtar, Nik Aisyah Abdullah, Suhaiza Mohd Fadzil
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  • Influence of Nursing Students’ Competencies Who Participated in Simulation Training on Competency with Evidence-based Practice
    Yeon Jeong Su
    Journal of Korea Society for Simulation in Nursing.2024; 12(1): 33.     CrossRef
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    Hyeyoung Hwang, Jennie C De Gagne, Leeho Yoo, Miji Lee, Hye Kyung Jo, Ju-eun Kim
    Asian/Pacific Island Nursing Journal.2024; 8: e50703.     CrossRef
  • Influence of Job Crafting on Evidence-Based Practical Skills of Dental Hygienists
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    Journal of Dental Hygiene Science.2023; 23(4): 330.     CrossRef
  • Integrating EBP into an undergraduate research methodology course using the Star Model of Knowledge Transformation: A mixed-method study
    Chi Eun Song, Hyunyoung Park, Moonju Lee, Kathleen R. Stevens
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  • Influences of Critical Thinking Disposition, Nurse Managers' Transformation and Transactional Leadership Style on Nurses' Competency with Evidence Based Practice
    Geum Ah Lee, Sung Hee Shin, Suk Jeong Ko
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    Chi Eun Song, Weon Gyeong Kim, You Jin Lim
    Heliyon.2019; 5(10): e02650.     CrossRef
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Effect of Nurses' Incivility Experienced by Nursing Student, Coping on Burnout in Clinical Practice
Yunkyung Hong, Younghae Kim, Hyunmi Son
J Korean Acad Nurs Adm 2016;22(4):323-331.   Published online September 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.4.323
PURPOSE
The purpose of this study was to identify the effects of nurse's incivility experienced by nursing students and coping against incivility on burnout in clinical practice.
METHODS
A cross-sectional correlation study design was used. The subjects were 120 nursing student from four universities in Busan and Yangsan, South Korea. A self-report questionnaire was used to collect data on incivility, coping, and burnout. Finally total 117 nursing students' data was analyzed except 3 nursing students who had never experienced nurse's incivility for clinical practice. Data analyzed using descriptive statistics, Pearson correlation coefficient, independent t-test, ANOVA, and multiple regression.
RESULTS
97.5% of subjects (n=120) experienced incivility. Incivility was positively correlated with seeking social support coping, avoiding focused coping and burnout. Incivility and avoiding focused coping had a significant positive effect on burnout. The explained variance for burnout was 10.0% and avoiding focused coping was the most significant factor in burnout.
CONCLUSION
Most of nursing students experience the nurses' incivility. Judging incivility as a difficult problem to solve, students use more avoiding focused coping strategy and burnout is increased. Therefore education is needed to improve the coping strategies at incivility. Additionally colleges and hospitals should establish the formal reporting system to handle the incivility.

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  • The prevalence of burnout syndrome in nursing students: A systematic review and meta-analysis
    Mahdieh Arian, Amirreza Jamshidbeigi, Azadeh Kamali, Zahra Dalir, Tayyebeh Ali-Abadi
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    Brigid Unim, Marco Santini, Roberto Latina, Giulia Gambale, Massimiliano Chiarini, Marzia Nicoli, Maria Sofia Cattaruzza
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    Chung Hee Woo, Chanhee Kim
    Collegian.2022; 29(5): 621.     CrossRef
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    Soon Ae Kim, Eunhee Hong, Gyun Young Kang, Cheryl Brandt, Younglee Kim
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    Robin Elaine Murray
    International Journal of Nursing Education Scholarship.2020;[Epub]     CrossRef
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    Eun Jung Lee, Mi-Hae Sung, Hye-Kyong Ahn, Yun Ah Kim
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    Soon Ae Kim, So Young Lee, Eunhee Hong
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    Gyoo-Yeong CHO
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    Yang-Heui Ahn, Jihea Choi
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    Hun-Ha Cho, Jung Mi Kang
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A Study on the Mediating Effect of Emotional Intelligence between Perfectionism and Burnout in Advanced Practice Nurses (APN)
Gie Ok Noh, Kyung Sook Park, Young Soon Im
J Korean Acad Nurs Adm 2016;22(2):109-118.   Published online March 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.2.109
PURPOSE
The aim of this study was to analyze relationships between perfectionism, burnout, and emotional intelligence in APN and to identify the mediating effect of emotional intelligence on the relationship between perfectionism and burnout.
METHODS
A structured self-report questionnaire was used to measure perfectionism, burnout, and emotional intelligence. Data were collected from 121 APN working in five advanced general hospitals and two general hospitals. Data were analyzed using descriptive statistics, Independent t-test, One-way ANOVA, Mann-Whitney U test, Pearson correlation and Hierarchical multiple regression with the SPSS/WIN 22.0 program.
RESULTS
Mean scores for each variable were: perfectionism 3.57 (on a 5-point scale), burnout 3.32 (on a 7-point scale), and emotional intelligence 5.00 (on a 7-point scale). Self-oriented perfectionism had a positive correlation with burnout, as did socially prescribed perfectionism. Emotional intelligence was a significant variable reducing burnout, as it also had a reverse buffering effect on the relationship between self-oriented perfectionism and burnout. Explanatory power of the final model based on variables was 34%.
CONCLUSION
The results of this study suggest a mediating direction regarding burnout by demonstrating that emotional intelligence plays a direct and reverse buffering role to self-oriented perfectionism, which can be used to reduce burnout in APN.

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    International Journal of Environmental Research and Public Health.2021; 18(20): 10800.     CrossRef
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    Asian Oncology Nursing.2018; 18(4): 214.     CrossRef
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Analysis of Students Experience related of Nursing Management Clinical Practice: Text Network Analysis Method
Kyeong Hwa Kang, Soyoung Yu
J Korean Acad Nurs Adm 2016;22(1):80-90.   Published online January 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.1.80
PURPOSE
The purpose of this study was to analyze students experiences during clinical practice in nursing management.
METHODS
Assessing through computerized databases, self-reflection reports of 57 students were analyzed. Text network analysis was applied to examine the research. The keywords from each student's reports were extracted by using the programs, KrKwic and NetMiner.
RESULTS
The results of the keyword network analysis of what students learned in the nursing process included 27 words. The keyword network analysis of what students learned from the problem solving process included 23 words and the keyword network analysis of improvements in Clinical Practice of Nursing included 31 words.
CONCLUSION
Studies related to clinical practice have been increasing, and themes of the studies have also become broader. Further research is required to investigate factors affecting clinical practice specifically in nursing management. Further comparative studies are necessary to define differences in clinical practice systems related to improving nursing students competency.

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    Mi Yu, Eun-Young Kim, Jong Kyung Kim, Youngjin Lee
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    Mikyung Moon
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Effects of Clinical Learning Environment on Clinical Practice Stress and Anxiety in Nursing Students
Eun Young Kim, Seung Hee Yang
J Korean Acad Nurs Adm 2015;21(4):417-425.   Published online September 30, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.4.417
PURPOSE
The purpose of this study was to identify factors in the clinical learning environment that affect clinical practice stress and anxiety in nursing students.
METHODS
Participants were 210 senior nursing students from two universities who had completed their clinical experience. Data were collected from self-report questionnaires and analyzed using t-test, ANOVA, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 Program.
RESULTS
The mean scores for the clinical learning environment, the clinical practice stress, and anxiety were 3.16+/-0.68, 2.98+/-0.66, and 43.74+/-10.18 points, respectively. The regression analysis showed that the clinical learning environment contributed to 13% of the stress and 20% of the anxiety in the nursing students with the conditions controlled for general characteristics, department satisfaction and social support.
CONCLUSION
The results of this study suggest that the clinical learning environment should be carefully assessed to reduce nursing students' stress and anxiety from clinical practice. Therefore, collaboration between nursing universities and teaching hospitals is necessary to optimize clinical learning environment.

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Experiences of Ethical Issues and Needs for Ethics Education in Clinical Nurses
Ja Hyun Shin, Seok Hee Jeong, Myung Ha Lee, Youngran Yang
J Korean Acad Nurs Adm 2015;21(3):327-339.   Published online June 30, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.3.327
PURPOSE
This study was done to identify the experiences of ethical issues and needs for ethics education in clinical nurses.
METHODS
A cross-sectional survey was used and data were collected in 2013. Participants were 428 clinical nurses working in the general units of seven medical hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS/WIN 19.0.
RESULTS
'Providing care with a possible risk to your health' was the most frequent and disturbing ethical problems for nurses. The highest helpful ethical topic was 'the patients' right, autonomy and informed consent'. The ethical issue experience was significantly different according to education level, work units, and type of employment. The necessity of ethics education was statistically different according to age, religion, level of education, duration of working as RN, position, shift type, and continuing education about nursing ethics.
CONCLUSION
The results of this study show that nursing educators need to provide practical ethics education based on frequent ethical issues and helpful education topics. These findings can be used in developing effective education strategies for clinical nurses and nursing organizations to improve nurses' ethical decision-making abilities.

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Effects of Nursing Practice Environment, Compassion Fatigue and Compassion Satisfaction on Burnout in Clinical Nurses
Mi Young Han, Min Sook Lee, Ju Young Bae, Young Suk Kim
J Korean Acad Nurs Adm 2015;21(2):193-202.   Published online March 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.2.193
PURPOSE
The purposes of this study was to identify the effects of nursing practice environment, compassion fatigue and compassion satisfaction on burnout in clinical nurses.
METHODS
Participants selected for the final analysis were 208 nurses working in 2 general hospitals in Busan and Masan. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and Hierarchial Multiple Regression with SPSS/WIN 18.0.
RESULTS
Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout, but Nursing practice environment had no effect on burnout. The explained variance for burnout was 61% and compassion satisfaction was the most significant factor in burnout of nurses.
CONCLUSION
The results of this study indicate that to reduce burnout in clinical nurses it is necessary to develop programs to increase nurses' compassion satisfaction and decrease compassion fatigue.

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Factors Affecting Nursing Students' Practice of Patient Safety Management in Clinical Practicum
Seung Hye Choi, Haeyoung Lee
J Korean Acad Nurs Adm 2015;21(2):184-192.   Published online March 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.2.184
PURPOSE
This study was done to assess nursing students' practice of patient safety management (PSM), identify factors affecting PSM and provide basic data to develop education programs to strengthen students' competencies for patient safety.
METHODS
In this descriptive research the practice of PSM by nursing students was examined and predictive factors were identified. Participants were junior and senior nursing students from 7 universities in 7 cities. Self-report questionnaires were used for data collection.
RESULTS
Significant positive correlations were found between knowledge of PSM, perception of the importance of PSM and practice of PSM. In multivariate analysis, women students, participation in patient safety education in school, knowledge of PSM, and practice of PSM predicted high perception of the importance of PSM. In multivariate analysis, senior year and participation in patient safety education in school predicted higher knowledge of PSM. In multivariate analysis, perception of the importance of PSM predicted high practice of PSM.
CONCLUSION
In this study, knowledge was not found to directly affect PSM practice, but was found to affect the perception of the importance of PSM, a significant predictive variable. Thus, the importance of PSM should be strongly emphasized during education.

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Affecting Factors on Stress of Clinical Practice in Nursing Students
Ae Kyong Lee, Hye Sook You, In Hyae Park
J Korean Acad Nurs Adm 2015;21(2):154-163.   Published online March 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.2.154
PURPOSE
This descriptive study was done to identify factors that influence stress related to clinical practice for nursing students.
METHODS
Structured questionnaires were used to collect data from 278 students from two nursing colleges located in G metropolitan city and one nursing college in C region.
RESULTS
The factors that most influenced stress for the nursing students during their clinical practice were critical thinking disposition, clinical competence, year, and gender. Especially, the result showed that higher critical thinking disposition and clinical competence correlated with lower stress in clinical practice.
CONCLUSION
The results indicate that improving nursing students' critical thinking ability and clinical competence would help to relieve stress during clinical practice and increase the ability to cope with stress efficiently. The development of a variety of teaching and learning strategies and education in both theoretical and clinical practice education would be necessary to achieve this goal.

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Factors Influencing Competency in Evidence-based Practice among Clinical Nurses
Yeon Sook Kim, Jimee Kim, Mi Mi Park
J Korean Acad Nurs Adm 2015;21(2):143-153.   Published online March 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.2.143
PURPOSE
The aim of this study was to describe competency in evidence-based practice (EBP) among clinical nurses and to explore critical thinking disposition (CTD) and organizational culture (OC) as possible predictors for competency in EBP. Also this study was conducted to identify baseline data for purpose of developing evidence-based OC to ensure safety of patients and to improve quality of nursing services in clinical setting.
METHODS
With a descriptive correlation study design, a competency in EBP questionnaire was administered to a convenience sample of nurses (N=393) from a single general hospital in Gyeonggi Province.
RESULTS
The overall mean score for competency in EBP was 3.03+/-0.53. Factors influencing competency in EBP were education (beta=0.23, p<.001), attendance at lectures on EBP (beta=0.18, p<.001), intellectual eagerness & healthy skepticism (beta=0.27, p<.001) among CTD, and hierarchy-oriented OC (beta=0.14, p=.005), which explained about 35% of the total variance.
CONCLUSION
Critical thinking and competency in EBP should be part of nursing education especially for undergraduate students as well as strengthening clinical practice by activation of EBP. The results of this study that hierarchy-oriented OC, is a significant predictor for competency in EBP is difficult to accept. Its seemed to require further exploration.

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Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area
Youn Sun Hwang, Kyeong Hwa Kang
J Korean Acad Nurs Adm 2014;20(5):576-586.   Published online December 31, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.5.576
PURPOSE
The purpose of this study was to investigate the factors influencing nurse turnover intention in small and medium sized hospitals in the metropolitan area.
METHODS
A cross-sectional survey design was used. A questionnaire was distributed to the nurses in small and medium sized hospitals. The data of 209 nurses was analyzed using t-test, ANOVA, Pearson correlation coefficient and multiple regression.
RESULTS
Organizational commitment and age were identified as factors influencing turnover intention. These factors explained 56.8% of variance of turnover intention.
CONCLUSION
Results suggest that establishment of organizational commitment needs to be discussed and continuously developed. Further study is also necessary to identify the key mechanism in nurse turnover intention.

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A Concept Mapping Study on Clinical Stress for Nursing Students during Clinical Practice
Hee Kyoung Hyoung, Youn Sook Ju, Shin Il Im
J Korean Acad Nurs Adm 2014;20(4):394-404.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.394
PURPOSE
The purpose of this study was to identify the conceptual structure of stressors experienced by nursing students during clinical practice.
METHODS
Ten men and 10 women nursing college students were interviewed. The results were 208 ideas. By synthesizing and editing these ideas, the final statement was trimmed down to 39 questions. The next step was to have the participants classify these 39 final questions. They were asked to rate stress scores using a five-point scale. Through multidimensional scaling analysis and hierarchical cluster analysis yielded dimensions and clusters.
RESULTS
Results of the study showed 2 dimensions which were classified as 'interpersonal relationship-practice system' and 'identity-practice environment'. It also yielded 8 clusters which were classified as 'role confusion', 'gender discrimination', 'attitudes of medical personnel and patients', 'comparison between fellow students', 'difference between theory and practice', 'disestablishing the role of practice guide', 'interference with training', and 'problems of the practice environment'. Further, stress factors and stress levels were differentiated depending on the gender of the student.
CONCLUSION
The results of the study indicate that educators who are developing clinical practice programs and clinical practitioners should consider stressors during clinical practice and the educational implications to nursing students.

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