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.

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.

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.

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.

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

• 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

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.

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.

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.

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.

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.

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

• 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

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

• 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

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

• 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

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

• 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

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

• 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

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.

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

• 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

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

• 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

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

• 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

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.

Citations

• 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

Purpose
The study aimed to classify patient safety accident and nursing malpractice types through a content analysis of litigation cases in which nurses were found guilty.
Methods
Data on malpractice cases were collected from the official website of the Korean judiciary. This analysis was conducted in stages according to the systematic content analysis method. A total of 46 cases consisting of 14 criminal cases and 32 civil cases were selected for analysis, and classified based on the types of safety accident and nursing malpractice.
Results
Eleven categories and 14 subcategories of accidents were extracted from 71 significant statements. The 11 categories of accidents consisted of falls, medication, burns, treatment, diet, medical equipment, delivery, exams, surgery, infection, and suicide. Five categories and 14 subcategories of nursing malpractice were extracted from 71 significant statements. The five categories of malpractice were as follows: failure to take affirmative action to prevent accidents, monitor, follow guidelines, use equipment properly, and reports.
Conclusion
These findings highlight the importance of nurses’ independent roles as patients’ safety managers. It can be used as primary data to develop organizational and educational support for nurses seeking to perform their professional roles in ensuring patient safety.

Citations

• Effects of Discussion-Based Legality-Focused Nursing Record Education on Nursing Students’ Knowledge, Self-Confidence, and Nursing Record Performance
  Dohye Kim, Kyoungrim Kang, Jeongyeong Jeon
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 14.     CrossRef
• Development of Guidelines for the Delegation of Nursing Tasks in Integrated Nursing Care Service
  Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
  Journal of Korean Academy of Nursing Administration.2024; 30(2): 114.     CrossRef
• Characteristics of Nursing-related Patient Safety Incidents and Qualitative Content Analysis: Secondary data Analysis of Medical Litigation Judgment (2014~ 2018)
  Min-Ji Kim, Won Lee, Sang-Hee Kim, So-Yoon Kim
  Quality Improvement in Health Care.2023; 29(2): 15.     CrossRef

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.

Citations

• 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
• Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study
  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

Purpose
The purpose of this study is to clearly classify the roles of Physician assistants and to identify obstacle factors and necessary factors for the operation of the system when they are performing the roles of Physician assistants. Methods: This is a descriptive research study to analyze the roles of Physician assistants and to understand the expected roles of Physician assistants according to each medical personnel (doctor, nurse, Physician assistants). Results: The obstacles to work are the lack of legal protection, and unclear work guidelines, and the matter necessary for the operation of the system is the legal protection. There were statistically significant differences in health collection ability, physical examination, drug response monitoring, and reporting in terms of the differences in role expectations considered by medical professionals regarding the roles of Physician assistants. Conclusion: Physician assistants need to develop various educational programs and materials, cultivate the ability to perform Physician assistants, and develop an advisory role through effective problem-solving between departments and increase the quality and satisfaction of Nursing care.

Citations

• Legislation of Medical Support Tasks in the Nursing Act as a Foundation for Nursing Professionalism and Role Expansion
  Su Jung Choi
  Korean Journal of Adult Nursing.2025; 37(2): 69.     CrossRef
• Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals
  Mi-Kyeong Jeon, Su Jung Choi, Ji Eun Han, Eun Kyung Kwon, Jeong Hee Park, Jeong Hye Kim
  Journal of Korean Academy of Nursing.2024; 54(4): 594.     CrossRef
• Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses
  Su Jung Choi, Min Young Kim
  Journal of Korean Academy of Nursing.2024; 54(3): 300.     CrossRef
• Reflections on the Prospects of Korean Advanced Practice Nurses : Based on Flexner’s Professional Characteristics
  Eun Mi Kim, Su Jung Choi
  Journal of Korean Critical Care Nursing.2023; 16(3): 1.     CrossRef
• Development of Core Competency Scale for clinical nursing student educators
  Hyun Sook Park, Eun Hee Choi, Gyung Duck Kim, Young Hee Kim, Mi Yang Jeon, Hyenam Hwang
  The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 345.     CrossRef

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.

Citations

• 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
• Development and Effects of Pre-clinical Research Nurse Programs of Nursing Students
  Eun Hee Kim
  Journal of Health Informatics and Statistics.2022; 47(4): 322.     CrossRef

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.

Citations

• 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

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.

Citations

• 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

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.

Citations

• 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
• Nurse Managers' Perceived Self-leadership Levels
  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
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 181.     CrossRef
• Factors influencing professional quality of life of nurses in long-term care hospitals: A cross-sectional study
  Hyun-Ju Lee
  Journal of Korean Gerontological Nursing.2022; 24(4): 377.     CrossRef
• The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
  Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
  Sustainability.2021; 13(21): 11634.     CrossRef

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.

Citations

• 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
• 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
  Healthcare.2023; 11(18): 2547.     CrossRef
• Factors Affecting Political Competency of Advanced Practice Nurses
  Wooyeong Park, Taewha Lee
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 246.     CrossRef
• Effects of Nursing Competence on Job Satisfaction across Career Stages
  Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
• Factors Influencing Nursing Professionalism on the Nursing Performance in Intensive Care Unit Nurses
  Sunyoung Jung, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 451.     CrossRef

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.

Citations

• Kişi Merkezli Palyatif Bakım Hemşireliği Ölçeği’nin Türkçe Geçerlik ve Güvenirlik Çalışması
  Cemal Özalp
  İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi.2025; (25): 12.     CrossRef
• Needs assessment of community health practitioners for community care competency of older adults
  Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park
  Research in Community and Public Health Nursing.2023; 34: 32.     CrossRef
• Factors Associated with Person-Centered Care among Hospice Nurses
  Sinyoung Kwon, Kyoung Hee Kim
  The Korean Journal of Hospice and Palliative Care.2022; 25(2): 66.     CrossRef
• The COVID-19 Correspondence Work Experience of Community Health Practitioners
  Jae-Hyun Ha, Hyun-Ju Lee
  Journal of Korean Academy of Community Health Nursing.2022; 33(2): 139.     CrossRef

Purpose
To develop a Korean version of the practice environment scale that can verify the practice environment of advanced practice registered nurses (APRN) by verifying the validity and reliability of the Nurse practitioner's primary care organizational climate questionnaire developed by Poghosyan et al.
Methods
After translation using a committee approach and an expert group’s verification of the content validity, items were classified as 'professional visibility', 'APRN-administration relations', 'APRN-physician relations', 'independent practice and support' A total of 29 questionnaire items were developed for the four factors. Data were collected from 200 advanced practice registered nurses working at two advanced general hospitals and six general hospitals.
Results
In the confirmatory factor analysis, CFI, TLI, and RMSR evaluation indices were appropriate except for RMSEA. Partial validity was shown in convergent validity, and discriminant validity. Exploratory factor analysis revealed that the questions were well organized with four factors. Cronbach's ⍺ of the whole instrument was .93.
Conclusion
As a first attempt to measure the practice environment of the APRN in Korea, the results show that this questionnaire provides basic data for correct role setting and improvement of practice environment. This research will ultimately serve as a basis for cost-effective quality care.

Citations

• 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