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Original Article

Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
J Korean Acad Nurs Adm 2025;31(4):446-457.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0013
Purpose
This study investigates the mediating effect of job embeddedness in the relationship between nursing professionalism and turnover intention among clinical nurses. Methods: A nationwide online survey was conducted using a structured questionnaire. Participants included 204 clinical nurses from tertiary hospitals in South Korea. Data on general characteristics, nursing professionalism, job embeddedness, and turnover intention were collected through self-reported questionnaires from March 19 to March 22, 2024. The analysis involved descriptive statistics, independent t-tests, one-way analysis of variance, Scheffé test, Pearson's correlation coefficients, multiple linear regression analysis, and bootstrapping, using SPSS/WIN version 29.0 and the SPSS PROCESS macro 4.2 version programs. Results: The mean score of nursing professionalism was 3.48±0.45 out of 5, job embeddedness was 3.13±0.52 out of 5, and turnover intention was 2.80±1.00 out of 5. Nursing professionalism did not directly impact turnover intention (B=-0.07, p=.649). Job embeddedness acted as a mediating factor in the relationship between nursing professionalism and turnover intention (B=-0.46, p<.05). Conclusion: These findings suggest that increasing job embeddedness can reduce nurses' turnover intention. Therefore, to decrease nurses' turnover intention, it is essential to enhance nursing professionalism while simultaneously promoting job embeddedness.
  • 1,034 View
  • 41 Download

Review Article

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
J Korean Acad Nurs Adm 2025;31(4):345-357.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0010
Purpose
This study aimed to identify the influence of positive psychological capital, role conflict, and authentic leadership on burnout among nurses working in comprehensive nursing care service wards of general hospitals. Methods: A descriptive cross-sectional survey was conducted with 208 nurses from four general hospitals. Data were collected using structured questionnaires between September 26, 2024, and October 18, 2024, and were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression analysis. Results: Burnout showed a correlation with role conflict (r=.45, p<.001), positive psychological capital (r=-.62, p<.001) and authentic leadership (r=-.24, p<.001). In the regression analysis, the factors significantly associated with burnout included conflict with patients/guardians (β=.24, p<.001) and conflict regarding nursing practices (β=.22, p<.001), which are subdomains of role conflict. Among the components of positive psychological capital, optimism (β=-.37, p<.001) was identified as a significant protective factor against burnout. However, authentic leadership was not found to be a statistically significant predictor. Conclusion: To effectively manage nurse burnout, it is essential to develop strategic programs that focus on enhancing optimism. Furthermore, establishing clear delegation guidelines between nurses and nursing assistants is recommended.
  • 1,320 View
  • 116 Download

Original Articles

Role Transformation and Adaptation of Physician Assistants during the 2024 Medical Workforce Shortage: A Phenomenological Study
Tae Yeong Yang, Nahyun Lee
J Korean Acad Nurs Adm 2025;31(3):259-268.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0016
Purpose
This study explored the lived experiences of physician assistants (PAs) in Korea during the 2024 medical workforce shortage, focusing on how they perceived and adapted to their rapidly changing roles. The study investigated both the challenges PAs faced and the professional growth they experienced throughout the adaptation process. Methods: A phenomenological qualitative design was applied using Colaizzi’s method. In-depth interviews were conducted with 15 PAs at a tertiary hospital in Seoul between September 25, 2024 and February 1, 2025. Data were analyzed thematically. Results: Four major theme clusters emerged: changes in work environment and quality of life, role conflict and ambiguity in professional identity, dual aspects of role expansion including autonomy and burnout, and coping strategies and structural policy demands. Participants reported physical and emotional strain, but also described greater involvement in care decisions, improved patient relationships, and a stronger sense of professional identity. Conclusion: Amid the medical staffing crisis, PAs adapted to their expanded responsibilities and became key healthcare providers. While facing substantial burdens, they simultaneously experienced personal and professional growth. Institutional and legal support is essential to stabilize their roles and improve long-term healthcare outcomes.
  • 2,366 View
  • 158 Download
The Effect of Job Characteristics and Professional Self-concept on Competency of Forensic Nursing among Perioperative Nurses
Yeo-Jin Jeon, Bu Kyung Park
J Korean Acad Nurs Adm 2025;31(3):302-311.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2023.0073
Purpose
This study aimed to investigate the effects of job characteristics and professional self-concept on competency in forensic nursing among operating room nurses at university hospitals. Methods: Data were collected from 164 operating room nurses employed at university hospitals. The collected data were analyzed in SPSS 23.0, using the mean, standard deviation, independent t-test, one-way analysis of variance, Scheffé post-hoc test, Pearson correlation coefficients, and multiple regression analysis. Results: Professional self-concept showed a statistically significant positive correlation with forensic nursing competency (r=.60, p<.001). The following factors significantly influenced forensic nursing competency among operating room nurses: professional self-concept (β=.69, p<.001), total career lengths of <5 years (β=.21, p=.006) and 5-9 years (β=.20, p=.011), and job characteristics (β=.19, p=.007). A three-step regression model was statistically significant (F=29.74, p<.001) and the total explanatory power of the regression model was 41.4%. Conclusion: This study identified that professional self-concept, total career years, and job characteristics as the most significant factors influencing operating room nurses' forensic nursing competency. Therefore, it will be necessary to develop educational programs to improve professional self-concept and job characteristics.
  • 534 View
  • 33 Download
Purpose
The study aims to confirm the mediating effect of nursing professional pride in the relationship between nursing practice environment, nursing performance, and retention intention.
Methods
A descriptive cross-sectional survey was conducted from December 13 to 31, 2021, involving 127 nurses. The following statistical analysis was conducted: t-test, ANOVA, Scheffé test, Pearson's correlation coefficient analysis, and Hayes Process Macro Model 4 (to test the mediating effect).
Results
Nursing practice environment showed a significant positive correlation with nursing performance, retention intention, and nursing professional pride. Nursing practice performance showed a positive correlation with retention intention and nursing professional pride, and retention intention showed a significant positive correlation with nursing professional pride. The mediating effect of nursing professional pride was found in the effect of nurses' nursing practice environment on their retention intention. In addition, the mediating effect of nursing professional pride was found in the effect of nurses' nursing practice performance on their retention intention.
Conclusion
Through this study, it was confirmed that nursing professional pride is a major A factor affecting retention intention in the hospital. Therefore, in order to increase nurses' retention intention to remain in Hospital, the basis of basic data was presented for strategy development.

Citations

Citations to this article as recorded by  
  • A Grounded Theory Approach to Understanding Retention among Career Nurses in Clinical Practice
    Su Mi Choi, Ji Won Kim
    The Korean Journal of Health Service Management.2025; 19(2): 57.     CrossRef
  • Retention and Associated Factors among Nurses in Small- and Medium-Sized Hospitals across South Korea
    Eun Mi Kim, Su Jung Choi, mi sug Lee, Hyun Jin Park, Jeong Yun Park
    Journal of Korean Critical Care Nursing.2025; 18(3): 16.     CrossRef
  • 2,845 View
  • 162 Download
  • 2 Crossref
Nurses' Hospital Selection within a Dual Labor Market Framework: The Dilemma of Professional Identity
Hyun-Ji Bae, Hyoung Suk Kim, Hwal Lan Bang
J Korean Acad Nurs Adm 2025;31(1):14-24.   Published online January 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.1.14
Purpose
This qualitative study explored nurses' experiences in selecting hospitals within a dual labor market framework.
Methods
Focus group interviews were conducted with 18 general nurses, divided into three groups of six, each representing both large and medium-sized hospitals.
Results
The analysis revealed two themes, four categories, and nine subcategories, highlighting differences between large and medium-sized hospitals. Nurses who choose large hospitals prioritized "professional development" but faced "struggles to maintain professional identity" while those selecting medium-sized hospitals sought "stability and accessibility" but experienced "crisis of professional identity." Conclusion: This study highlights significant differences in the factors influencing nurses' hospital choices based on hospital size. These findings provide foundational data for establishing the Enforcement Decree and Rules of the Nursing Act, emphasizing the importance of developing legal measures to strengthen nurses' professional identity and promote a balanced and sustainable nursing labor market.
  • 1,728 View
  • 29 Download
Purpose
This study examined the impact of professional Quality of life (QoL) on turnover intention among general hospital nurses using linear and nonlinear analytical techniques.
Methods
Data were collected from 159 general hospital nurses and analyzed using SPSS, t-test, ANOVA, Pearson's correlation coefficients, multiple linear regression, and nonlinear machine learning models (Bootstrap Forest and Boosted Tree).
Results
Significant correlations were observed between turnover intention and both compassion satisfaction (r=-.26, p<.001) and burnout (r=.27, p=.001). Compassion satisfaction, burnout, and compassion fatigue were identified as the key variables influencing turnover intention. The explanatory power of multiple linear regression analysis was 6.9%, whereas the nonlinear machine learning models demonstrated an explanatory power of 50.5% for Bootstrap Forest and 45.1% for Boosted Tree.
Conclusion
Continuous investment in human resource management, within nursing organizations, is essential to promote the long-term retention of general hospital nurses. This investment should focus on enhancing compassion satisfaction and reducing burnout and compassion fatigue by fostering a sense of vocation and positive job satisfaction.
  • 1,349 View
  • 91 Download
Acuquisition of Professional Nursing Intuition: A Grounded Theory Approach
Hwa-Young Ahn, Sung-Bok Kwon
J Korean Acad Nurs Adm 2025;31(1):1-13.   Published online January 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.1.1
Purpose
This study aimed to analyze how professional nursing intuition is acquired and develop a corresponding theory.
Methods
This qualitative study used the grounded theory method proposed by Strauss and Corbin (1998).
Results
Through axial coding, conflict was identified as the causal condition directly leading to the establishment of ‘me’ as a professional nurse, the central phenomenon. Personal competence, educational needs, and work environment were revealed as the contextual conditions. Social recognition, autonomy, and professionalism were the mediating conditions. The actions and interactions were divided into indifference-realistic and compromise-selfdirected. Dissatisfaction-mechanical, ambivalence -technical, and self-actualization-qualitative and independent nursing were derived. Through selective coding, the core category was derived as ‘becoming a nurse is desirable for myself and others.’ Conclusion: To meet the contemporary need for nurses with professional intuition. It was confirmed that nurses must demonstrate self-will and make continuous efforts to establish ‘me’ as professional nurses. To motivate nurses to acquire professional intuition, measures for social and institutional improvement should be developed to enhance the nursing education curriculum, work environment, autonomy, and professionalism.
  • 4,906 View
  • 304 Download
Purpose
This study aimed to examine the mediating role of nursing professionalism in the relationship between critical thinking disposition and medication safety competency among peri-anesthesia nurses.
Methods
Data were collected from 128 peri-anesthesia nurses with at least six months of experience in recovery-related departments across medical institutions nationwide. The analysis was conducted using IBM SPSS Statistics for Windows, version 24.0, including descriptive statistics, t-tests, one-way ANOVA, Scheffé tests, Pearson’s correlation coefficients, stepwise multiple regression, and the SPSS Process Macro.
Results
Medication safety competency showed a significant positive correlation with critical thinking disposition (r=.79, p<.001) and nursing professionalism (r=.80, p<.001). Similarly, critical thinking disposition was positively correlated with nursing professionalism (r=.78, p<.001). Nursing professionalism was identified as a partial mediator in the relationship between critical thinking disposition and medication safety competency, with a 95% confidence interval of .11 to .63.
Conclusion
Critical thinking disposition significantly enhances medication safety competency, with nursing professionalism serving as a partial mediator. These findings underscore the importance of developing targeted educational programs to foster critical thinking skills and nursing professionalism, ultimately improving medication safety competency among peri-anesthesia nurses.
  • 1,637 View
  • 65 Download
Effect of Clinical Nurses' Political Interest and Nursing Professionalism on the Intention to Political Participation
Yae Lim Shin, Sung Rae Shin
J Korean Acad Nurs Adm 2024;30(5):473-482.   Published online December 31, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.5.473
Purpose
This correlation study was designed to understand clinical nurses' political interest, nursing professionalism, and intention to participate in politics, as well as the impact of political interest and nursing professionalism on intention to political participation.
Method
A total of 187 clinical nurses from a general hospital in Seoul were considered for this study. The collected data were analyzed using SPSS/WIN 24.0, which included descriptive statistics, t-tests, analysis of variance (ANOVA), multiple regression analysis, and Scheffé’s test.
Results
Political interest (β=.46, p<.001), nursing professionalism (β=.17, p=.007), manager or higher (β=.19, p=.018), and age under 24 years of age (β=.14, p=.038) were all statistically significant predictors of political participation. The explanatory power of these factors was 35.6% (R 2 =.39, Adj. R 2 =.36).
Conclusion
This study revealed the relationship between nursing professionalism and intention to participate in politics, which has not been previously investigated in clinical nurses. This study is significant as it suggests the necessity and direction of future nursing professionalism education programs.
  • 727 View
  • 26 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

Citations to this article as recorded by  
  • 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
  • 3,343 View
  • 101 Download
  • 2 Crossref
Influence of Importance and Performance of Nursing Activities and Role Conflict on Professionalism in Outpatient Nurses
Jueun Cheon, Hye-Young Jang, Minjae Kim, Milye Jung
J Korean Acad Nurs Adm 2024;30(3):235-245.   Published online June 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.3.235
Purpose
This study aimed to identify factors influencing nursing professionalism among outpatient nurses.
Methods
Data were collected through a self-evaluation survey of 157 nurses from general and tertiary hospitals in Seoul and Gyeonggi-do, Korea. Data were analyzed using independent t-tests, one-way ANOVA, Importance-Performance Analysis, Pearson correlation coefficients, and multiple regression analysis.
Results
The mean scores were as follows: importance, 3.29 out of 5; performance, 2.50 out of 4; role conflict, 3.23 out of 5; and nursing professionalism, 3.23 out of 5. There were statistically significant positive correlations between the importance (r=.32, p<.001) and performance (r=.38, p<.001) of nursing activities and professionalism. There were statistically significant negative correlations between role conflict and nursing professionalism (r=-.20, p=.014). Stepwise multiple regression analysis showed that the importance of nursing activities, performance of nursing activities, role conflict, working department, and sex explained 33.0% of outpatient nurses’ professionalism (F=8.66, p<.001).
Conclusion
The findings indicate educational system about important and highly accomplished tasks would be useful to improve nursing professionalism of outpatient nurses. Furthermore, reducing role conflicts by clearly distinguishing tasks is necessary to increase nursing professionalism.

Citations

Citations to this article as recorded by  
  • 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
  • 727 View
  • 40 Download
  • 1 Crossref
Purpose
This study aimed to examine the levels of professional autonomy, retention intention, and organizational commitment among public hospital nurses, while also investigating the mediating effect of organizational commitment on the relationship between professional autonomy and intention to remain.
Methods
Data for this study were collected through an online survey conducted from August 5 to August 11, 2022, targeting 230 nurses across three public hospitals within a single region. Data analysis was performed using SPSS/WIN 23.0.
Results
Organizational commitment fully mediated the relationship between professional autonomy and retention intentions among public hospital nurses. Positive correlations were observed between professional autonomy and retention intention (r=.24, p<.001), organizational commitment and intention to remain (r=.72, p<.001), as well as professional autonomy and retention intention (r=.34, p<.001).
Conclusion
; To enhance the retain intention among public hospital nurses, it is imperative to focus on program development and institutional administrative efforts aimed at ensuring professional autonomy and fostering organizational commitment.

Citations

Citations to this article as recorded by  
  • The Effects of Presenteeism, Burnout, and Nursing Performance on Retention Intention among Nurses at an Intensive Care Unit
    Seung-Hee Lee, Na Rin Kim
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 269.     CrossRef
  • Retention and Associated Factors among Nurses in Small- and Medium-Sized Hospitals across South Korea
    Eun Mi Kim, Su Jung Choi, mi sug Lee, Hyun Jin Park, Jeong Yun Park
    Journal of Korean Critical Care Nursing.2025; 18(3): 16.     CrossRef
  • 9,875 View
  • 38 Download
  • 2 Crossref
Purpose
This study explores how nursing professionalism impacts the quality of pediatric nursing care. Specifically, we examine the mediating effects of clinical decision making and pediatric nurse-parent partnership among pediatric nurses.
Methods
The study involved 133 nurses working in pediatric wards within regions S, C, and D. Data were collected during August 2022 and analyzed using SPSS/WINdows software version 26.0 and PROCESS macro for SPSS version 4.2.
Results
The double mediating effect of clinical decision making and the pediatric nurse-parent on the relationship between nursing professionalism and the quality of pediatric nursing care was statistically significant.
Conclusion
Improving nursing professionalism, enhancing clinical decision making, and strengthening the pediatric nurse-parent partnership are valuable strategies for enhancing the quality of pediatric nursing care among such nurses.

Citations

Citations to this article as recorded by  
  • Examining the relationship between nurses’ professional self-efficacy and parents’ perception of family-centered care
    Sana Khalilzadeh Zia, Masoumeh Aghamohammadi, Shohreh Moshfeghi, Nazila Vosoghi
    BMC Nursing.2025;[Epub]     CrossRef
  • Medication safety in paediatric nursing: A call for deeper insight beyond self-reports - A response to
    Diana Rosa Albuquerque, Paulo Santos-Costa, Márcia Pestana-Santos
    Journal of Pediatric Nursing.2025; 85: 257.     CrossRef
  • 2,019 View
  • 23 Download
  • 2 Crossref
Purpose
This study aimed to identify the effects of job stress, social support, and infection control fatigue on professional quality of life among nurses in designated coronavirus disease 2019 (COVID-19) hospitals.
Methods
As a descriptive study, data were collected from 157 nurses working at four designated COVID-19 hospitals employing self-report questionnaires. The data were collected from September 1 to September 30, 2021, and analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients and stepwise multiple regression analysis.
Results
Job stress, marital status and social support affected compassion satisfaction with the professional quality of life, showing 30% of explanatory power. Job stress and social support affected burnout with the professional quality of life, showing 34% of explanatory power. Infection control fatigue affected secondary traumatic stress in the professional quality of life and the explanatory power was 11%.
Conclusion
Efforts are needed to improve nurses' professional quality of life by preparing and applying interventions to reduce job stress and improve social support for nurses working in hospitals dedicated to COVID-19. Further, nursing efforts and institutional support will be needed to reduce infection control fatigue.

Citations

Citations to this article as recorded by  
  • Mediating Effect of Social Support on the Relationship between Occupational Stress during the COVID-19-Related Respiratory Disease Pandemic and Professional Quality of Life of Clinical Nurses: A Descriptive Study
    Eunhee Jo, Rahyeon Hwang, Ju-Hee Lee, Yoon-Ji Lee
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(3): 364.     CrossRef
  • Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy
    Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim
    BMC Nursing.2024;[Epub]     CrossRef
  • Mediating Effect of Resilience on the Relationship Between Job Stress and the Professional Quality of Life of Hospice and Palliative Care Nurses: A Multicenter Cross-sectional Study
    Eunhee Jo, Soon-Jung Hwang, Hyang-Suk Kwon
    Korean Journal of Adult Nursing.2024; 36(3): 241.     CrossRef
  • 1,139 View
  • 20 Download
  • 3 Crossref
Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
Song Hwa Nam, Eun A Kim
J Korean Acad Nurs Adm 2023;29(5):588-602.   Published online December 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.5.588
Purpose
The purpose of this study was to develop and validate the Job Competency Scale (JCS) for insurance review nurses working in hospitals.
Methods
The initial items were generated through a literature review and interviews with 10 experts. The content validity of the items was evaluated through content validity and face validity tests. Data from 301 insurance review nurses working in hospitals were analyzed using item analysis, exploratory and confirmatory factor analysis, and convergent validity; reliability was tested using Cronbach’s ⍺.
Results
The final JCS consisted of 25 items and five factors (knowledge integration, professional ethics, communication and interpersonal relationship, information literacy and problem solving, self-development) that explained 72.4% of the variance. Confirmatory factor analysis indicated that the theoretical model comprising 25 items satisfied all goodness-of-fit parameters. Convergent validity was confirmed by the Task Performance Scale for insurance review nurses (r=.53, p<.001). The total Cronbach’s ⍺ score for scale was .94.
Conclusion
The JCS was found to be a reliable and valid instrument that can be used to measure the job competency of insurance review nurses working in hospitals.
  • 831 View
  • 21 Download
Influence of Teamwork, Role Conflict, and Delegation Preparedness on Job Satisfaction among Nurses Working in Integrated Nursing Care Wards
Deokhyun Lee, Yoonju Lee, Haejung Lee, Sunyoung Jung
J Korean Acad Nurs Adm 2023;29(4):478-489.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.478
Purpose
This study aimed to identify the factors influencing job satisfaction among nurses working in integrated nursing care wards.
Methods
The study participants were 196 nurses working in integrated nursing care wards at four general hospitals and one tertiary hospital. Data were collected using structured questionnaires from April 11 to 25, 2022, through an online survey. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation, and stepwise multiple regression with SPSS/WIN 26.0.
Results
The factors influencing job satisfaction of participants were team structure (β=.32, p<.001), role conflict regarding nursing practice (β=-.24, p<.001), mutual support (β=.23, p<.001), master's degree or higher(β=.16, p=.004), and spousal presence (β=.15, p=.005).
Conclusion
The findings of this study suggest that the tasks and roles of team members should be clarified, and a supportive team culture of mutual cooperation should be fostered to improve the job satisfaction of nurses working in the integrated nursing ward. In addition, it is necessary to reduce role conflict by providing support focused on allocating tasks that can strengthen the role of professional nurses.

Citations

Citations to this article as recorded by  
  • 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
  • Influence of Job Delegation Preparedness, Individual and Organizational Communication Skills on Job Stress of Nurses in Comprehensive Nursing Care Service Wards
    Soo Jin Lee, Ji Won Kim, Nam Hee Park
    Journal of Korean Public Health Nursing.2025; 39(1): 5.     CrossRef
  • Impact of Grit, Teamwork, Organizational Communication Competence, Perception of Patient Safety Culture on Patient Safety Nursing Activities in Integrated Nursing Care Units
    Jeeseon Kim, Haejung Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 237.     CrossRef
  • 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
  • 2,337 View
  • 115 Download
  • 4 Crossref
Effects of Job Embeddedness, Professional Self-concept, and Work-life Balance on Clinical Nurses’ Intention to Stay
Ae-ri Choi, Jee-In Hwang
J Korean Acad Nurs Adm 2023;29(4):353-362.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.353
Purpose
This study aimed to assess the influence of job embeddedness, professional self-concept, and work-life balance on clinical nurses’ workplace retention intention.
Methods
A descriptive cross-sectional survey was conducted from July 27 to August 2, 2022, involving 296 nurses at a university hospital in Seoul. The questionnaire-based data collected were analyzed using t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple regression.
Results
The mean score for intention to stay is 4.92±1.05 out of 8. The mean scores for job embeddedness, professional self-concept, and work-life balance were 2.91±0.48 out of 5, 2.61±0.28 out of 4, and 3.10±0.71 out of 5, respectively. Job embeddedness (β=.17, p=.002) and professional self-concept (β=.42, p<.001) were significantly associated with clinical nurses’ intention to stay in their workplace. Specifically, the “community suitability” subfactor of job embeddedness (β=.16, p=.003) and the “satisfaction” subfactor of professional self-concept (β=.58, p<.001) were significantly related to nurses’ intention to stay. No significant relationship was found between work-life balance and intention to stay.
Conclusion
Nurses’ job embeddedness and professional self-concept significantly affected their intention to stay. Therefore, fostering community bonding outside the organization and increasing professional satisfaction are suggested to increase clinical nurses’ intentions to stay.

Citations

Citations to this article as recorded by  
  • The Influence of Work-Life Balance and Job Embeddedness on Turnover Intention among Nurses Caring for Cancer Patients
    Jin-young Park, Yeunhee Kwak, Jiwoo Jung, Seoung-Wha Lim
    Journal of Korean Critical Care Nursing.2025; 18(3): 28.     CrossRef
  • The effect of dental hygienist work cooperation and compensation satisfaction on job embeddedness: mediating effect of positive psychological capital
    Ju-Eon Kim, Seon-Yeong Kim
    Journal of Korean Society of Dental Hygiene.2024; 24(3): 263.     CrossRef
  • A Study on the Effect of the Quality of the Relationship between Nail Shop Workers and Consumers on the Balance of Work and Life: Focusing on the Mediating Effect of Burnout
    Hyun-Jeong Lee, Hye-Young Kim
    Journal of the Korean Society of Cosmetology.2024; 30(2): 415.     CrossRef
  • 962 View
  • 64 Download
  • 3 Crossref
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.

Citations

Citations to this article as recorded by  
  • Enhancing political competency among nurses and nursing students: A scoping review
    Min Kyoung Han, Jeonghyun Kim, Minjae Lee, Sujin Shin
    Nurse Education in Practice.2025; 87: 104497.     CrossRef
  • 1,097 View
  • 27 Download
  • 1 Crossref
Purpose
This study aims to identify the factors-along the lines of fatigue, nursing professionalism, and the work environment-that affect the nursing of COVID-19 patients by nurses at a designated COVID-19 hospital in Korea.
Methods
Data were collected from March 7 to March 31, 2022 via structured questionnaires submitted by 162 nurses, and analyzed using t-test, ANOVA, Scheffé test, Pearson correlation, and hierarchical regression analysis.
Results
In model 1, the variables among the general characteristics which significantly affect nursing intention are “6 months to less than 1 year of nursing experience for severe COVID-19 patients” (β=.29, p=.001), “having the volition to provide nursing support for future COVID-19 patients” (β=0.28, p<.001), and the “intention according to the hospital situation”(β=.35, p<.001). In model 2, fatigue (β=-.18, p=.007) and nursing professionalism (β=.43, p<.001) affect nursing intention. The total explanatory power of Model 2 is 47.0% (F=16.93, p<.001, R2 =.47).
Conclusion
To increase nursing intention for COVID-19 patients, intervention strategies should reduce nurses’ fatigue and introduce competency-strengthening programs as to improve nursing professionalism.

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  • Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
    Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 446.     CrossRef
  • Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals
    Seulki Kim, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 392.     CrossRef
  • 648 View
  • 3 Download
  • 2 Crossref
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.

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  • 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
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    Jung‐A Kim, Hye‐Young Jang
    International Journal of Nursing Practice.2025;[Epub]     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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  • 142 Download
  • 4 Crossref
Purpose
This study aimed to examine the association of job crafting and perception of patient safety culture with patient safety management activities among hospital nurses. Methods: This study used a questionnaire that contained the scales of Job Crafting, Patient Safety Culture, and Patient Safety Management Activities. The participants were 211 nurses from two hospitals. Data were analyzed using descriptive statistics, correlations and simultaneous multiple regression. Results: The mean scores of the variables were as follows: job crafting, 3.42 out of 5; perception of patient safety culture, 3.77 out of 5; and patient safety management activities, 4.30 out of 5. The items ‘using professional autonomy’ of job crafting and ‘patient safety knowledge/attitude’ and ‘teamwork’ of patient safety culture were associated with the patient safety management activities among nurses. Conclusion: Nurses’ patient safety knowledge and attitude of striving for patient safety influenced nurses’ patient safety management activities. To enhance nurses’ patient safety knowledge and attitude, hospitals should develop continuously provide education programs. Nurse managers need to strive for supportive teamwork and encourage adherence to patient safety rules. For nurses’ patient safety management activities, nurse education should highlight nursing as a profession that entails autonomous nursing care, which includes responsibility for patient safety.

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  • 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
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    Jieun Shin, Nam-Yi Kim
    Risk Management and Healthcare Policy.2024; Volume 17: 715.     CrossRef
  • Effects of Nurse-Nurse Collaboration and Nurse-Physician Collaboration on Nursing Performance in Nurses: The Mediating Effect of Patient Safety Management Activities
    JaHyun Kim, Seok Hee Jeong, Hee Sun Kim, Sunmi Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 343.     CrossRef
  • Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
    Eunji Lee, Haejung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
  • 750 View
  • 25 Download
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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.

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  • 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
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    Jeong Hwa Heo, Ji Hyun Sung
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    Eun-Ok Im, Dongmi Kim
    Journal of Korean Academy of Nursing.2025; 55(4): 492.     CrossRef
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    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
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  • Reflections on the Prospects of Korean Advanced Practice Nurses : Based on Flexner’s Professional Characteristics
    Eun Mi Kim, Su Jung Choi
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  • 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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  • 63 Download
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Effects of Professional Autonomy and Teamwork on Clinical Performance of Nurses in Tertiary Hospitals
Sooin Hyun, Taewha Lee
J Korean Acad Nurs Adm 2021;27(5):301-310.   Published online December 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.5.301
Purpose
This study was aimed to identify the effects of professional autonomy and teamwork on clinical performance to improve the clinical performance of tertiary hospital nurses. Methods: Data were collected from June 1 to June 30, 2017 and a total of 172 nurses from three tertiary hospitals participated in this study. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation and stepwise multiple regression analysis using SPSS 25.0. Results: Clinical performance showed a statistical difference depending on the number of education session for competency, and it showed a positive correlation with professional autonomy and teamwork. The factors affecting the clinical performance of the tertiary hospital nurses included in teamwork (β=.40, p<.001), professional autonomy (β=.27, p<.001). These factors accounted for 31% of clinical performance (p<.001). Conclusion: It is important to find ways to improve clinical performance of tertiary hospital nurses. Furthermore, there is a need to include continuous and systemic education programs for professional autonomy and suitable programs to elevate teamwork.

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  • Impact of Work–Life Balance and Nursing Reflection on the Nursing Performance of Nurses in a Tertiary Hospital
    Yoo Jin Hwang, Won Hee Jun
    International Journal of Nursing Practice.2025;[Epub]     CrossRef
  • The Influences of Teamwork and Grit on Job Adaptation and Intention to Remain among Advanced Beginner Nurses
    Seon Kyeong Jeong, Kyoung Ja Kim, Eun Ji Choi
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 379.     CrossRef
  • Factors Influencing Person-Centered Care among Nurses in COVID-19 Special Care Units at Tertiary General Hospitals: A Cross-Sectional Descriptive Study
    Kisook Kim, Sunmi Kwon
    Korean Journal of Adult Nursing.2023; 35(2): 127.     CrossRef
  • Development of Nursing Clinical Judgment Scale
    Shi Nae Kwon, Hyojung Park
    Journal of Korean Academy of Nursing.2023; 53(6): 652.     CrossRef
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    Eun Hee Kim
    Journal of Health Informatics and Statistics.2022; 47(4): 322.     CrossRef
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Influence of Emotional Intelligence and Professional Self-concept on Compassion Competence in Psychiatric Nurses
Hye Suk Im, Won Hee Jun
J Korean Acad Nurs Adm 2021;27(4):259-269.   Published online September 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.4.259
Purpose
The purpose of this study was to investigate the influence of emotional intelligence, and professional self-concept on compassion competence in psychiatric nurses. Methods: Participants were 180 psychiatric nurses working on psychiatric wards in university hospitals and psychiatry specialized hospitals. Data analysis was performed using stepwise multiple regression with SPSS/Win 24.0. Results: Compassion competence significantly differed by age (F=3.31, p=.021), marital status (F=4.12,p=.017), educational background (F=5.46, p=.005), clinical career (F=6.26, p=.002), type of duty (t=-3.01, p=.003), salary (F=3.48, p=.033), current position (F=4.66, p=.011), qualification (t=-2.23, p=.023), compassion education experience (t=3.32, p=.001) and workplace (t=-2.46, p=.015). The compassion competence of psychiatric nurses was positively correlated with professional self-concept (r=.57, p<.001) and emotional intelligence (r=.63, p<.001). The significant predictors of compassion competence were self-emotion appraisal (β=.30, p<.001), professional practice (β=.21, p=.007), use of emotion (β=.19, p=.020), clinical career (β=.18, p=.003), workplace (β=.15, p=.010), communication (β=.12, p=.034) and compassion education experience (β=.11, p=.044). The explanatory power of these factors was 48% of the variance. Conclusion: In order to enhance the compassion competence of psychiatric nurses, it is important to improve emotional intelligence and strengthen professional self-concept. Political efforts of organizations supporting compassionate nursing practice are also necessary.

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  • Factors influencing person-centered care among nurses in long-term care hospitals in South Korea: a cross-sectional study
    Suhye Kwon, Hyochol Brian Ahn, Miseon Bang
    Journal of Korean Biological Nursing Science.2025; 27(3): 412.     CrossRef
  • The Mediating Effect of Professional Values on the Relationship Between Self-Leadership and Compassion Competence of Community Mental Health Nurses
    Hye Young Kim, Won Hee Jun
    Western Journal of Nursing Research.2024; 46(7): 501.     CrossRef
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  • 25 Download
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Development and Evaluation of an Informatics System for Nursing Faculty to Improve Patient Safety Teaching Competency
Nam-Ju Lee, Shinae Ahn, Miseon Lee, Haena Jang
J Korean Acad Nurs Adm 2020;26(5):488-500.   Published online December 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.5.488
Purpose
This study aimed to develop an educational informatics system for nursing faculty to improve their competencies in teaching patient safety and to evaluate the effectiveness of the system. Methods: We developed a system called, ‘Resource to Enhance Safety Competency and Utilize for Education’ (RESCUE) based on the World Health Organization Multi-professional Patient Safety Curriculum Guide, and it was implemented with full-time nursing faculty in 4-year nursing schools. A one-group pretest-posttest design was used for evaluation. A total of 46 nursing faculty members used the system during a 3-month period. The effects of the RESCUE were measured using a survey including patient safety teaching competency, system usability and user satisfaction. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: After using the RESCUE, participants showed a significant increase in self-confidence in teaching patient safety during lectures (Z=-3.61, p<.001) and practica (Z=-3.14, p=.002). Conclusion: The developed informatics system was shown to be effective in improving the self-confidence of nursing faculty in teaching patient safety. To effectively integrate patient safety topics into the curriculum, it can be helpful to utilize the educational materials provided in this study with various clinical cases.

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  • The effects of flipped learning and gamification on nursing students’ patient safety education: A mixed method study
    Soo Jung Chang, Geun Myun Kim, Jeong Ah Kim
    Heliyon.2024; 10(8): e29538.     CrossRef
  • The Effects of Outpatients’ Experiences of Patient Participation on Patient Satisfaction in Korea
    Shinae Ahn
    Journal of Korean Academy of Nursing Administration.2022; 28(2): 88.     CrossRef
  • 1,009 View
  • 27 Download
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Effects of Self-leadership, Professional Self-concept, Emotional Labor on Professional Quality of Life in Hospital Nurses
Yu-Yeong Kyun, Mi-Aie Lee
J Korean Acad Nurs Adm 2020;26(5):447-456.   Published online December 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.5.447
Purpose
This study was performed to identify levels of self-leadership, professional self-concept, emotional labor and professional quality of life, and investigate the relationship among these variables in hospital nurses. Methods: This study was a cross-sectional survey. The data were collected from May 20 to June 30, 2019. Participants were 200 nurses working at 4 general hospitals in Korea. Data were analyzed using the SPSS/WIN 25.0 program. Results: There was a positive relationship between compassion satisfaction and self-leadership, professional self-concept and emotional labor, and a negative relationship between burnout and the other variables in this study. There were positive and negative relationships between secondary traumatic stress and the other variables in this study. Compassion satisfaction, which is one sub-factors of professional quality of life, was influenced by professional self-concept and emotional labor, and these variables explained 55% of compassion satisfaction. Burnout was only influenced by professional self-concept which explained 47% of burnout. Secondary traumatic stress was influenced by emotional labor and gender which accounted for 5% of secondary traumatic stress. Conclusion: These results show that professional self-concept is very important in promoting quality of life for nurses. So nurse managers should try to strengthen nurses’ professional self-concepts.

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  • Self-leadership and emotional intelligence in nurse managers
    Ashley M Carlucci, Holly Ma
    Nursing Management.2025; 56(10): 12.     CrossRef
  • The Influence of Violence Experience, Violence Response and Coping with Violence on Professional Quality of Life among Emergency Department Nurses
    Eunju Choi, Youngjin Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 91.     CrossRef
  • The Mediating Effect of Professional Values on the Relationship Between Self-Leadership and Compassion Competence of Community Mental Health Nurses
    Hye Young Kim, Won Hee Jun
    Western Journal of Nursing Research.2024; 46(7): 501.     CrossRef
  • Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
    Saeryun Kim, Younkyoung Kim
    Research in Community and Public Health Nursing.2024; 35: 195.     CrossRef
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    Holly Ma
    JONA: The Journal of Nursing Administration.2023; 53(12): 634.     CrossRef
  • Effects of Job Stress, Social Support, and Infection Control Fatigue on Professional Quality of Life among Nurses in Designated COVID-19 Hospitals
    Minyoung Shin, Woojoung Joung
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 603.     CrossRef
  • The Influence of Emotional Labor, Positive Psychological, Capital, and Rewards on the Retention Intention among Coronavirus Disease 2019 Ward Nurses in Regional Public Hospitals
    Kyung Jin Jeon, Min Jeong Park
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  • Factors influencing professional quality of life of nurses in long-term care hospitals: A cross-sectional study
    Hyun-Ju Lee
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  • 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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Communication Competence, Nursing Professionalism and Job Performance among Home Healthcare Nurses
Eunha Jeong, Sujeong Han
J Korean Acad Nurs Adm 2020;26(4):409-418.   Published online September 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.4.409
Purpose
This study was done to identify the effects of communication competence and nursing professionalism on job performance among home healthcare nurses.
Methods
The participants were 116 home healthcare nurses working at the hospitals. Data were collected from February 11 to March 22, 2019 and were analyzed with Multiple Regression Analysis.
Results
The most influential factors on job performance were hospital type (β=-.21, p=.006), communication competence (β=.30, p=.001) and nursing professionalism (β=.32, p<.001) which together explained up to 40% of job performance.
Conclusion
To improve nursing performance of home healthcare nurses, it is necessary to develop programs and strategies to enhance communication competence and nursing professionalism.

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  • Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
    Saeryun Kim, Younkyoung Kim
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  • Moderating Role of Communication Competence in the Association between Professionalism and Job Satisfaction in Korean Millennial and Generation Z Nurses: A Cross-Sectional Study
    Young Jin Lee, Hyunjin Lee, Eun-Hi Choi
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  • Factors Affecting Political Competency of Advanced Practice Nurses
    Wooyeong Park, Taewha Lee
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  • 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
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  • Factors Influencing Nursing Professionalism on the Nursing Performance in Intensive Care Unit Nurses
    Sunyoung Jung, Hyojung Park
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Effects of Nursing Professionalism and Job Stress on the Problem Solving Ability of Community Health Practitioners
Min Sun Song, Nam Young Yang, Jin Hak Kim
J Korean Acad Nurs Adm 2020;26(3):274-283.   Published online June 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.3.274
Purpose
The purpose of this study was to examine the influences of nursing professionalism and job stress on problem solving ability of community health practitioners.
Methods
The participants were 167 community health practitioners. Data were collected from December 18 to 28, 2019. Self-report questionnaires were administered to collect data regarding general characteristics, degree of nursing professionalism, job stress, and problem solving ability. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients and multiple regression analysis.
Results
The factors influencing the degree of problem solving ability of the community health practitioners were professionalism of nursing (β=.29, p<.001), and interpersonal factors (β=-.25, p=.001). It was found that 15% could explain problem solving ability.
Conclusion
It is necessary to strengthen the professionalism of nursing and to decrease the interpersonal factors due to job stress for the community health practitioners. The results indicate a need to increase development of educational programs for capacity building of community health practitioners.

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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.

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  • Effects of Role Conflict, Work Environment, and Meaning of Work on Job Embeddedness among Physician Assistants
    Kwang Hoon Seo, Tae Yeong Yang, Nam Gyu Park, Jung Eun Park
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 249.     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
  • 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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  • 44 Download
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Influence of Hospital Ethical Climate and Nursing Professionalism on Patient Safety Management Activity by Nurses
Mi Yeong Mun, Mi Yeon Kim
J Korean Acad Nurs Adm 2019;25(5):458-466.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.458
PURPOSE
The purpose of this study was to investigate the influence of hospital ethical climate and nursing professionalism on patient safety management activity by nurses.
METHODS
A cross-sectional correlation study design was used. Participants included 142 nurses from two tertiary hospitals in Seoul and Gyunggi-do, South Korea. Data were collected in April and May 2019 using self-report questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple liner regression analysis with SPSS/WIN 21.0.
RESULTS
The patient safety management activity correlated positively with hospital ethical climate (r=.32, p < .001) and nursing professionalism (r=.40, p < .001). The patient safety management activity was the factor that most influenced nursing professionalism and position, explaining 21% of the variance (F=12.06, p < .001).
CONCLUSION
It is necessary to provide education on professionalism. It is necessary to continuously provide job education and training to nurture competence and quality in professional nurses.

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    Dongsoon Shin, Yeonjeong Lee, Eunsuk Song, Jin Kim, Rhayun Song
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  • Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
    Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
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  • The Effects of Compassion Competence, Clinical Nursing Character, and Nursing Professionalism on Nursing Service Quality of Long-term Care Hospital Nurses
    Young Moon Cho, Hyun O We
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  • 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
  • Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals
    Seulki Kim, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 392.     CrossRef
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    Seong-Kyeong Kwak, Jin-Soo Ahn, Yeon-Ha Kim
    Healthcare.2024; 12(6): 699.     CrossRef
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    Subin Lee, Sujin Shin
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Relationship among Nursing Professionalism, Nursing Work Environment, and Patient Safety Nursing Activities in General Hospital Nurses
Mi Aie Lee, Sunjoo Kang, Hye Sun Hyun
J Korean Acad Nurs Adm 2019;25(4):317-328.   Published online September 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.4.317
PURPOSE
This study was done to identify the relationships among nursing professionalism, nursing work environment, and patient safety activities, and to analyze the factors influencing nurses' patient safety nursing activities.
METHODS
This descriptive study included 270 nurses from six general hospitals. Questionnaires were used to collect data between August 20 and September 21, 2018, using questionnaires. Analyses included descriptive statistics, t-test, analysis of variance, Pearson correlation coefficient, and stepwise multiple regression, conducted using IBM SPSS/WIN 21.0.
RESULTS
Mean scores on nursing professionalism, nursing work environment, and patient safety nursing activities were 3.51±0.41, 2.44±0.45, and 4.39±0.50, respectively. The patient safety nursing activities score was positively correlated with subscales of nursing professionalism variable: professional self-concept (r=.15, p=.019), social recognition (r=.10, p=.036), professional identity in nursing (r=.24, p<.001), role of nursing practice (r=.16, p=.012), nursing foundation for quality of care (r=.19, p=.003), and nurse manager's ability (r=.14, p=.031). Patient safety nursing activities were influenced by professional identity in nursing (β=.22, p=.001) and nursing foundation for quality of care (β=.15, p=.001), which explained 8.0% of the variance.
CONCLUSION
These results suggest that nurse managers should focus on creating an appropriate nursing environment and facilitating nursing professionalism to enhance hospital nurses' patient safety nursing activities.

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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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Mediating Effects of Self-efficacy between Calling and Nursing Professionalism for Nurses in General Hospitals
Hyewon Kim, Sujeong Han
J Korean Acad Nurs Adm 2019;25(3):220-228.   Published online June 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.3.220
PURPOSE
This study was done to identify the mediating effect of self-efficacy on the relationships between calling and nursing professionalism for nurses in general hospitals.
METHODS
Participants were 119 nurses in general hospitals. A survey was used and data were collected in April 2018. Data were analyzed using the IBM SPSS/WIN 22.0 program.
RESULTS
The significant predictors for the nursing professionalism of nurses were self-efficacy (β=.61) and clinical career in current hospital (β=−.21). These variables explained 42% of the variance in nursing professionalism of nurses. Also, self-efficacy had a total mediating effect on the relationship between calling and nursing professionalism.
CONCLUSION
Findings indicate that calling and self-efficacy are important factors for nursing professionalism of nurses in general hospitals.

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Relationships of Nurse-Nurse Collaboration and Nurse-Physician Collaboration with the Occurrence of Medical Errors
Yeong Ju Lee, Jee In Hwang
J Korean Acad Nurs Adm 2019;25(2):73-82.   Published online March 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.2.73
PURPOSE
The aim of this study was to examine degrees of nurse-nurse collaboration and nurse-physician collaboration, and investigate their relationships to the occurrence of medical errors.
METHODS
A cross-sectional questionnaire survey was conducted with 264 nurses in a university hospital. The questionnaire included fivecomponent nurse-nurse collaboration and three-component nurse-physician collaboration scales. Data were analyzed using independent t-tests, ANOVA, χ2 tests, and multiple logistic regression.
RESULTS
Mean score for nurse-nurse collaboration was 2.8 out of 4.0, and for nurse-physician collaboration, 3.4 out of 5.0. There were significant differences in the nurse-nurse and nurse-physician collaboration scores by nurses' preference to workplace and work unit. A significant difference was found in the nurse-nurse collaboration scores by job position. Fifty-seven (21.60%) nurses responded that they had experienced a medical error in the last six months. Logistic regression analysis revealed that nurse-physician collaboration was a significant factor associated with nurses' error experience. Nurses with higher scores for the nurse-physician relationship component were less likely to experience medical errors.
CONCLUSION
Findings from this study show that nurse-nurse and nurse-physician collaboration were moderate. Negative relationship between nurse-physician collaboration and the occurrence of medical error indicates that enhancing nurse-physician collaboration would contribute to improving patient safety.

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Effect of Nursing Professionalism and Organizational Communication on Intent to Stay in Geriatric Hospital Nurses
Bi Joo Kim, Mi Aie Lee
J Korean Acad Nurs Adm 2018;24(5):455-465.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.455
PURPOSE
This study was performed to measure nursing professionalism, organizational communication, and intent to stay, and investigate the relationship among these three variables in geriatric hospital nurses.
METHODS
A cross-sectional survey was done with the participation of 195 nurses working at 23 geriatric hospitals in B city of Gyeongsangnam-do, Korea. Data were collected from January 19 to 25, 2018 using structured questionnaires and were analyzed using SPSS/WIN program.
RESULTS
The geriatric hospital nurses' scores for nursing professionalism, organizational communication, and intent to stay were relatively lower than those of general hospital nurses. Each of these three variables was differently perceived according to participants' general characteristics but there was a positive correlation between them. The factors influencing intent to stay were organizational communication, age and through newspapers/advertising (one of motivations for working at geriatric hospitals). These three variables explained 47% of intent to stay.
CONCLUSION
To increase intent to stay in geriatric hospital nurses, nursing or hospital managers must develop and apply programs that help improve nurses' professionalism and organizational communication. Especially geriatric hospital nursing managers should try to provide organizational communication enhancement programs for young and inexperienced nurses.

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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.

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PURPOSE
The purpose of this research was to examine the relationship between types of conflict management style, role conflict, professional autonomy and organizational commitment of hospital nurses, and to identify factors influencing organizational commitment.
METHODS
Participants were 165 conveniently selected nurses from one general hospital in Gangwon province. Data were collected from March 28 to April 6, 2018 using self-report questionnaires.
RESULTS
There was a significant difference in the level of professional autonomy and organizational commitment depending on the nurses' styles of conflict management. A statistically significant positive correlation between professional autonomy and organizational commitment was found, and a negative correlation between environmental barriers in role conflict and organizational commitment. Participants' professional autonomy and environmental barriers in role conflict explained 17.9% of organizational commitment.
CONCLUSION
These finding indicate that professional autonomy and environmental barriers are both very important factors influencing organizational commitment. Accordingly, it is necessary to improve nurses' organizational commitment, enhance autonomy and reduce environmental barriers for nurses performing nursing roles.

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PURPOSE
The study was undertaken to investigate influence of nurses' work environment, organizational commitment, and nursing professionalism on turnover intention of nurses working in long term care hospitals.
METHODS
The study was cross-sectional study. Participants were 199 nurses working in one of 7 long term care hospitals. Data were collected from May 1 to June 30, 2016 and analysed using two stage hierarchial regression analysis with SPSS 22.0.
RESULTS
There was a statistically significant difference in turnover intention according to age (F=6.23, p < .001), present work career (t=−2.11, p=.036), frequency of night duty (t=−3.53, p=.001), and present position (t=−4.07, p < .001). The significant predictors of turnover intention were attachment (β=−0.29, p=.005), nursing professionalism (β=−.21, p=.030), identification (β=−.21, p=.014), continuance (β=−.19, p=.008), collegial nurse-physician relations (β=−.16, p=.039), and originality of nursing (β=.16, p=.014). These factors explained 50.4% of the variance.
CONCLUSION
The results suggest that several points need to be considered in order to reduce turnover intention in long term care hospital nurses. These points include building work environments to improve collegial nurse-physician relations, promoting recognition of nurses' organizational commitment, nursing professionalism and the political efforts of organizations supporting nursing originality.

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Effects of Job Embeddedness and Nursing Professionalism on Intent to Stay in Hospital Nurses
Sug Young Choi, Mi Aie Lee
J Korean Acad Nurs Adm 2018;24(3):234-244.   Published online June 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.3.234
PURPOSE
This study was performed to investigate the effects of job embeddedness and nursing professionalism on intent to stay in hospital nurses.
METHODS
The study was a cross-sectional survey. Participants were 242 nurses working at four general hospitals in P city of Gyeongbuk Province, Korea. Data were collected from August 29 to September 10, 2016. Structured questionnaires were used and analyzed with the SPSS/PC program.
RESULTS
The scores were, for job embeddedness, 3.19 (out of 5.0), nursing professionalism, 3.50 (out of 5.0), and intent to stay, 5.30 (out of 8.0). The three variables were all different according to participants' general characteristics. Factors influencing intent to stay were organization fitness (one of 4 sub-factors of job embeddedness), social recognition (one of 5 sub-factors of nursing professionalism) and age (one of participants' general characteristics). These three variables explained 34% of intent to stay.
CONCLUSION
To increase competent career nurses' intent to stay, nursing and hospital managers must develop and implement programs that help improve nurses' organization fitness to adjust well in their organization and healthcare institutions and nursing organizations must continue efforts to raise social recognition of nurses and to improve nurses' working conditions.

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Factors affecting the Perception of Social Responsibility of Nursing Students
Jonggun Kim, Taewha Lee, Namkyung Han
J Korean Acad Nurs Adm 2018;24(1):21-29.   Published online January 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.1.21
PURPOSE
The purpose of this study was to identify the perception and factors affecting social responsibility in nursing students.
METHODS
The participants for this study were 301 nursing students in three universities and three colleges located in Seoul, Gyeonggi or Gyeongbuk in South Korea. Data were collected in Dec, 2015 using structured questionnaires and analyzed using independent t-test, one way ANOVA, Pearson correlation coefficient, multiple regression analysis with the SPSS/WIN 18.0 program.
RESULTS
The mean score for social responsibility of nursing students had a significant positive correlation with satisfaction with nursing major, nursing professionalism and sociality. Sociality, nursing professionalism and nursing major satisfaction were the major predictors of social responsibility and explained 51.0%(F=142.67, p < .001) of the total variance in the study.
CONCLUSION
The results suggest that it is necessary to develop strategies to promote the various nursing curricular programs that reinforce social responsibility in nursing college students.

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Effects of Relational Bonds and Professional Authority in the Organizational Commitment of Intensive Care Unit Nurses
Naeyoung Lee, Young Soon Kim
J Korean Acad Nurs Adm 2017;23(2):151-160.   Published online March 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.2.151
PURPOSE
The aim of this study was to define the effects of relational bonds and professional authority in organizational commitment of Intensive Care Unit (ICU) nurses.
METHODS
A questionnaire was distributed to 200 ICU nurses working in 3 tertiary hospitals. The survey content included the Organizational Commitment Questionnaire (OCQ), Relational Bond Questionnaire (RBQ) and Schutzenhofer Professional Nurse Autonomy Scale (SPNA).
RESULTS
The score for OCQ was 2.59, for RBQ, 3.23, and for SPNA, 2.93. Organizational commitment was related to relational bonds (β=0.45; p<.001; SE=0.08). These factors accounted for 21.6% of the variability in organizational commitment.
CONCLUSION
Results indicate that ICU nurses' organizational commitment could be improved through increasing relational bonds and retaining experienced nurses which suggests a need to develop work systems designed to increase and maintain high relational bonds in ICU nurses.

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    Suyeon Noh, Younhee Kang
    Nursing Open.2024;[Epub]     CrossRef
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    Hyosun Park, Kyungmi Lee, Nayeon Shin
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    Jin Young Hong, Sue Kyung Sohn
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Review

Trends in US Nursing Research: Links to Global Healthcare Issues
Carole A Kenner
J Korean Acad Nurs Adm 2017;23(1):1-7.   Published online January 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.1.1
Nursing research in the United States (US) spans several decades. Many of the priorities/trends have stayed through the years. Today, the goal of producing evidence to support nursing care interventions coupled with the drive for Magnet Recognition has encouraged academic nurses (faculty) to work with nurse clinicians to form research teams. Interdisciplinary research teams have also formed to address growing concerns over patient safety and quality care. These issues are not just US issues but global ones. This article addresses US trends with the link to global research trends. The role that organizations such as the International Council of Nurses (ICN), the World Health Organization (WHO), and the Council of International Neonatal Nurses, Inc. (COINN) pay in shaping research agendas and promoting nursing research is highlighted. It emphasizes the key role that nurses, especially nurse leaders/administrators play in changing health outcomes through support of nursing research.

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Original Articles
Characteristics of Nursing and Caring Concepts Measured in Nursing Competencies or Caring Behaviors Tools
Eun Jun Park, Myung Hae Kim
J Korean Acad Nurs Adm 2016;22(5):480-495.   Published online December 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.5.480
PURPOSE
The purpose of the study was to identify characteristics of nursing and caring concepts measured by nursing competencies or caring behaviors tools for general nurses working in acute care hospitals.
METHODS
Five major nursing literature databases were used to identify the relevant tools. The study included 19 nursing competencies tools with a total of 843 measurement items and 12 caring behaviors tools with 334 items. According to the International Council of Nurses (ICN)'s Competencies Framework and 8Cs suggested by Roach (1987) and Pusari (1998), the measurement items were classified by two researchers independently first and in agreement finally.
RESULTS
Competency of ‘key principles of care’ including sub-areas of the ICN Framework was most commonly found: on average 49.3% of nursing competencies items and 91.9% of caring behaviors items. 97.0% of the caring behaviors items were classified into one of six Cs: competence (27.5%), confidence (21.3%), compassion (17.1%), commitment (16.5%), communication (9.9%), or conscience (4.8%).
CONCLUSION
Nursing competencies tools were more likely to measure ‘what to do’ focusing on tasks, while caring behaviors tools were to measure ‘how to do’ focusing on nurses' attitudes or values. Nursing practices should be evaluated with both nursing competencies and caring behaviors tools, considering that nursing and caring were differently conceptualized in the quantitative tools.

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Influence of Professionalism, Role Conflict and Work Environment in Clinical Nurses with Expanded Role on Job Enbeddedness
Kyeong Hwa Kang, Yeon Jae Lim
J Korean Acad Nurs Adm 2016;22(5):424-436.   Published online December 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.5.424
PURPOSE
The aim of this study was to identify the influence of professionalism, role conflict and work environment in clinical nurses with expanded role (CNE) on job embeddedness.
METHODS
The participants in this study were 136 CNE working in general hospitals in Seoul, the wider metropolitan area and Gangwon Province.
RESULTS
Job embeddedness, work environment and professional performance of the participants showed positive correlation with each other. Significant predictors of embeddeness were belief in public service and sense of calling in the professional subcategory and participation in hospital affairs and nurse-doctor relationship in the work environment subcategory.
CONCLUSION
Finding from this study indicate the need to evaluate and improve the significant predictors of job embeddedness for CNE.

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Factors Influencing the Career Preparation Behavior of Nursing Students
Tae Jeong Jang, Mikyung Moon
J Korean Acad Nurs Adm 2016;22(4):344-352.   Published online September 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.4.344
PURPOSE
The purpose of this study was to identify the effects of nursing professionalism, satisfaction with major, and self-leadership on nursing student career preparation behavior.
METHODS
Data were collected from August 1 to August 31, 2014. Participants were 400 students who completed self-report questionnaires covering career preparation behavior, nursing professionalism, satisfaction with major and self-leadership. The SPSS/WIN/PC 21.0 program was used for descriptive statistics, t-test, ANOVA, Pearson correlational coefficients and stepwise multiple regression.
RESULTS
The average scores for career preparation behavior, nursing professionalism, satisfaction with major, and self-leadership were 2.51, 3.80, 3,89, and 3.51 respectively. There were positive correlations among career preparation behavior, nursing professionalism, satisfaction with major, and self-leadership. Age, academic year, nursing professionalism, self-leadership, general satisfaction in satisfaction with major were significant predictors of career preparation behavior.
CONCLUSION
It is necessary to provide career educational programs considering according to the academic year of nursing students and to develop educational programs to improve the nursing professionalism of nursing students.

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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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Perceptions of Medical Personnel toward Burnout using Q Methodology
Eun Ja Yeun, Young Mi Kwon, Young Mi Lee
J Korean Acad Nurs Adm 2016;22(1):57-66.   Published online January 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.1.57
PURPOSE
This exploratory study was done to categorize medical personnel's perceptions of burnout and analyzed the characteristics.
METHODS
Q methodology was applied using a 45 Q-sample categorized on an 11-point scale which was completed by nurses and doctors working at a university hospital in Seoul, Korea. Collected data were analyzed using the PC-QUANL program.
RESULTS
Medical personnel's perceptions of burnout were categorized into three types; 33.83% of the total variance was explained. The first type was 'functionally deteriorating pressure' the second type was 'daily powerlessness' and the third was 'achievement-oriented re-energization'.
CONCLUSION
There is a need to establish and apply intervention strategies for each type to alleviate medical personnel burnout and increase work efficiency to qualitatively improve medical services.
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A Study on the Critical Thinking Disposition, Self-directed Learning Readiness and Professional Nursing Competency
An Na Park, Kyung Hee Chung, Weon Gyeong Kim
J Korean Acad Nurs Adm 2016;22(1):1-10.   Published online January 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.1.1
PURPOSE
A descriptive survey was used in this study to identify the relationship between nurses' critical thinking disposition, self-directed learning readiness and professional nursing competency and to examine factors that influence professional nursing competency.
METHODS
The data were collected from 188 nurses and analyzed using t-test, ANOVA, Scheffe' test, Pearson correlation, and stepwise multiple regression analysis with the SPSS/WIN 20.0 PC program.
RESULTS
Professional nursing competency was found to have significant pure correlations with critical thinking disposition (r=.59, p<.001), and self-directed learning readiness (r=.54, p<.001). The most influential factor influencing nurses' professional nursing competency was critical thinking disposition, followed by self-directed learning readiness (beta=.25, p=.003), work department (beta=.19, p=.001), total clinical career (beta=.19, p=.003), and position (beta=.12, p=.040), and these factors explained 43.8% of the variance in professional nursing competency.
CONCLUSION
The findings indicate the necessity of developing and applying strategies and educational programs to enhance individual nurse's critical thinking disposition and self-directed learning readiness. Furthermore, exploration is needed on ways to enhance professional nursing competency.

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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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