Purpose This study employs Giorgi's descriptive phenomenological approach to explore the experiences of retired military nurse officers transitioning to civilian hospitals and to identify the essential meanings and underlying structures of this transition.
Methods Eleven participants with over two years of military hospital experience, now employed in civilian hospitals, were recruited via snowball sampling. Data were collected through in-depth interviews conducted between December 2023 and March 2024.
Results Analysis using Giorgi’s four-stage method identified 257 meaning units, 37 central meanings, 12 themes, and six general structures: 1) Positive perceptions of the nursing profession, 2) Confusion due to lack of information, 3) Difficulty in adapting due to differences between military and civilian hospitals, 4) Self-blame for a lack of competence, 5) Struggles in finding a position suitable for one’s career, and 6) Satisfaction with freedom and a stable life.
Conclusion These findings emphasize the need for tailored transition programs, including job placement support, skill development, and cultural adaptation training. Socialization and communication programs can further aid integration and contribute to the professional growth. Additionally, a positive perception of nursing significantly influenced the decision to return to the workforce, highlighting the importance of fostering professional identity and confidence among transitioning military nurses.
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 The study aimed to identify the factors impacting nurse unit managers’ knowledge and ability importance of managerial competencies. Methods The participants were 200 nurse unit managers who worked at general hospitals or tertiary care hospitals. Data were collected from February 1 to June 30, 2021, and analyzed using descriptive statistics, independent t-test, paired t-test, ANOVA, and stepwise multiple regression analysis with IBM SPSS/WIN 26.0. Results Nurse unit managers perceived the ability of managerial competencies to be less important than knowledge thereof. Overall, nurse unit managers perceived the importance of human and technical competencies as the most important, while the importance of financial managerial competency as the lowest. The significant predictors of knowledge and ability importance of managerial competencies were ‘nursing environment’ and ‘research experience’, and the input variables explained 34% of knowledge importance and 25% of ability importance. Conclusion Nurse administrators should continue to pay attention to the nursing environment, provide nursing unit managers with opportunities to conduct various research and provide related education.
Purpose This study examined nursing students' experiences of using digital healthcare applications in terms of the source and demand of socio-psychological needs, expectations, exposures, use satisfaction, and derivative effects based on the components of use satisfaction theory. Methods This study was conducted using focus group interviews, and data were collected from 12 nursing students enrolled in two universities located in Seoul and Gyeonggi Province from April 1 to May 31, 2023. Results The nursing students mainly used digital healthcare applications to address needs such as sleep, exercise, goal setting, social support, and motivation, which included the need for physical well-being, growth and development, emotional stability, and social needs. Participants met various needs such as achieving goals, feeling of achievement, enhancing self-confidence, and acquiring helpful information through digital healthcare applications. The satisfaction gained in setting and achieving goals was the driving force for motivation. Conclusion Nursing students value intuitive interfaces, personalized features, and appropriate notifications. Step-by-step rewards and reasonable pricing are also vital for using digital healthcare apps.
These findings should be incorporated into developing programs to improve nursing students' health management and digital healthcare skills.
Purpose This study aimed to examine general nurses' nursing leadership in patient care using focus group interviews. Methods This study was conducted after obtaining approval from the ethics committee of a university.
After completing a focus group interview with 13 general nurses working at a general hospital, we performed qualitative content analysis according to Kreuger's guidelines. Results A total of 170 meaningful statement units of nursing leadership that appeared in the clinical experience of general nurses were extracted, and 10 final sub-themes and the three themes connecting them were derived. The themes derived were “leading patients into nursing,” “experiencing the power of growth,” and “facilitating situations that allow focus on patient care.” Conclusion: This study helps in understanding the nursing leadership of general nurses in patient care. To encourage general nurses to exert their nursing leadership and grow as autonomous nurses, nursing educators must appropriately present the learning outcomes and content of nursing leadership. Additionally, in the clinical setting, organizational support is necessary to foster understanding and the demonstration of general nurses' nursing leadership.
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Purpose To examine the characteristics, core variables, and their correlations in articles published in the Journal of Korean Academy of Nursing Administration (JKANA) from 2012-2021 and suggest future directions for nursing management research. Methods A total of 506 articles were analyzed according to study design, participants and setting, statistical methods, keywords, and core concepts and variables. Results Quantitative research accounted for 73.5%, and most participants were staff nurses (66.8%) and nursing students (9.1%). Furthermore, 318 studies (62.8%) conducted surveys, and settings were mainly acute hospitals(81.5%) and nursing schools (9.7%). Statistical methods for data analysis included independent t-test (81.2%), one-way ANOVA (77.2%), Pearson correlation coefficients (77.2%), post-hoc testing (74.3%), and linear regression(65.9%). Among 2,058 keywords, the most frequent were “nurses” (49.2%), “job satisfaction” (10.7%), and “personnel turnover” (9.1%). The most frequently core concepts were job satisfaction (10.5%), turnover intention(9.5%), organizational commitment (8.5%), and job stress (7.5%). The most frequently variables with significant correlations were turnover intention, work environment, job satisfaction, job stress, burnout, and emotional labor. Conclusion Most JKANA studies examined nursing-related outcomes and performance. Future research should examine the effects of nursing practice and policy on patient outcomes.
Purpose This study explores nursing students’ perception and experience of injustice in clinical practice and to devise ways to improve the quality and increase satisfaction with clinical practice. Methods This study was conducted from December 9-28, 2021 among 22 nursing students with clinical practice experience attending two universities in Jeollabuk-do. Focus group interviews were used for collecting data that were analyzed using qualitative content analysis. Results A total of four main analysis units were derived from 220 statements comprising, the original data, and 30 concepts were identified through 112 meaningful statements. The injustice that nursing students perceived during clinical practice consisted of four categories: ‘not respected,’ ‘not guaranteed safety,’ ‘not protected by the system,’ ‘not resolved structural problems in clinical practice.’ Each category was derived from a statement based on the 'injustice in clinical practice' perceived by nursing students in the course of clinical practice. Conclusion To maintain quality in clinical practice and promote nursing students’ satisfaction with clinical practice, continuous problem analysis and multilateral efforts of clinical and educational institutions are considered necessary.
Purpose This study explored and characterized the interpersonal conflict experiences among mid-career nurses working together. Methods Data were collected from May 2021 to February 2022 through individual in-depth interviews of eight mid-career nurses with conflict experience among nurse colleagues in their work place. The transcribed data were analyzed using Colaizzi's phenomenological method. Results Four categories were identified: experiencing discomfort in relationships as reverse discrimination; bearing the heavy burden of being pushed up and down; adopting self-rescue measures to cope with the current situation; and navigating a workplace where resignation and expectation coexist. Conclusion This study provided an in-depth exploration of interpersonal conflict experiences among mid-career nurses’ working together. Thus, shedding light on the need for proactive educational and policy initiatives to effectively manage and mitigate such conflicts among nurse colleagues in this career stage.
Purpose The study aim was to examine Korean TV documentaries featuring nurses and to understand how the image of nurses has changed over time. Methods: Forty-one Korean documentaries featuring nurses were selected. The qualitative content analysis method of Elo and Kyngäs (2008) was used to identify the images of nurses. Results: Three themes emerged: “emphasis on the image of being a doctor’s assistant and caring person,” “image of kindness prevailing among the diverse roles of nurses,” and “reports on the poor labor conditions behind the positive images of nurses.” The image of nurses has gradually changed from performing a passive and auxiliary role to functioning as health care professionals. Amid the COVID-19 pandemic, documentaries suggested that the poor labor conditions of nurses should be improved. Conclusion: Active publicity of nurses and nursing communities is needed using documentaries as a resource to inform the public of the various roles of nurses and promote the image of nurses as professionals.
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Purpose This qualitative study aimed to identify the detailed job roles of physician assistants working in surgical departments of tertiary hospitals in Korea. Methods Data were collected via individual in-depth interviews and analyzed using a content analysis method. Participants were 19 physician assistants (PAs), each of whom had been working for more than one year in tertiary hospitals. Results Overall, 348 codes were extracted and clustered into 75 subcategories (job roles). Thereafter, 75 subcategories were classified into three categories (nursing roles, medical residents’ roles, and physicians’ roles). Among 75 PA job roles, 1 (1.3%) was a nursing role, 7 (9.3%) were nursing or medical residents’ roles, and 67 (89.4%) were physicians’ roles. Physicians’ roles were mostly surgery-associated functions performed in a variety of settings in numerous different ways. Conclusion Establishing educational systems, qualification standards, and payment systems for the PAs and legalizing their professional status are necessary.
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Purpose This study is qualitative study using phenomenology approach of Colazzi, to identify meaning and essential structure of the hospitalization with Complex Regional Pain Syndrome (CRPS).
Methods: Experiential data were collected through in-depth interviews with 10 patients who had been hospitalized in hospital rehabilitation medical wards. The main question was ‘Could you describe your hospitalization experience with CRPS? Results: Five categories obtained were ‘Experience despair in the swamp of long suffering’, ‘A hospital system that only adherence to treatment procedures’, ‘There are aggravating factors all over the hospital environment’, ‘Finding support to cover the disease’, and ‘Cross the tunnel of pain with the medical staff’.
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Purpose This study aimed to explore the nursing management experience of Korean nurse managers during the coronavirus disease 2019 (COVID-19) pandemic.
Methods: This exploratory qualitative study used individual semi-structured interviews. Data were collected from 10 nurse managers working in tertiary general hospitals in Korea from October 2020 to September 2021. Thematic analysis methods were employed to analyze interview transcripts.
Results: The following four themes were derived: difficulty due to an unexpected and sudden disaster, being the center with a sense of calling and responding resolutely, gratitude toward health workers who work and endure together, and striving and rising to the challenge of preparing for future infection.
Conclusion: During the COVID-19 pandemic, Korean nurse managers made an effort to overcome the crisis based on the sense of calling, despite many changes and challenges. Furthermore, managers expressed their gratitude to the department members working together, and they confirmed the need for system improvement to prepare for upcoming epidemics.
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Purpose This study aimed to identify ICU nurses‘experiences with patient care after death.
Methods: The data were collected through two focus group interviews with eight nurses who had experienced the death of patients in the ICU. Giorgi’s method of descriptive phenomenology was used to interpret the data.
Results: Five constituents and 14 subconstituents were extracted from the 68 units of meaning. The five constituents were as follows: respect the body as a person, consideration and support for the family, dichotomy between personal courtesy and performing tasks, overcoming the patient’s death and growing, and care after death: a unique role left to the nurse.
Conclusion: These findings illuminate the meaning of care after death as a continuation of person-centered care and can be used as primary data for the development of organizational, educational, and emotional support for nurses to accomplish their roles in the ICU.
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Purpose The aim of this study was to explain the patient assessment experiences of the medical staff responsible for customer satisfaction and quality improvement at their respective medical institutions. Methods This was a qualitative study using a focus group with quality improvement or custom service department managers. Participants were selected using purposive sampling. Data collection was conducted with seventeen participants divided into three focus group interviews from July 3 to 5, 2017. Each interview took an average of 1 hour and 40 minutes. Transcribed data were analyzed using qualitative thematic analysis. Results Base on the analysis, four categories and eight themes were derived. The categories were: 1) what is the quality of hospital service? 2) between directionality and timeliness, 3) variations in recognition and application, and 4) changing in hospital culture Conclusion: The assessment of patient's experience has spread a patient-centered culture and elicited significant changes in the behavior of medical and hospital staff. However, the survey instruments and procedures for assessing patient experiences need to be continuously improved, and additional research is required to secure evidence related to patient experiences.
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Purpose This study aimed to estimate the unmet demand for INCS and the number of needed beds for fulfillment.
Methods: Annual data from the Korea Health Panel (2015~2018), Health Insurance Statistical Yearbook (2015~ 2019), and published statistical data (2015~2019) were used. To measure the unmet demand, the utilization of informal nursing care services, which can be a market substitute for INCS, was used. The number of needed beds was calculated by dividing the demand by the bed occupancy rate multiplied by 365 days.
Results: The unmet demand decreased every year and was estimated to be 31~47 million person-day as of 2019. It was the highest in Gyeonggi (6~8 million) and the lowest in Jeju (160~220 thousand), while the fulfilled rate was the highest in Incheon (52~61%) and the lowest in Jeonbuk (6~8%). For each type, general hospitals showed the highest unmet demand (6~10 million), followed by hospitals (5~8 million) and tertiary hospitals (4~7 million). Gyeonggi province (37,212~48,882) and general hospitals (54,955~70,962) were most needed additional INCS beds.
Conclusion: Tailored bed expansion strategies are necessary to satisfy each region's and hospital’s demand. Considering the multi-layered causes of unmet demand, a healthcare system reform that increases the regional self-sufficiency of INCS is required.
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Purpose This study examined the subjective frame of patient satisfaction in the comprehensive nursing care services and explored future directions by investigating subjective frame types.
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Results: The subjective frame of patient satisfaction with the comprehensive nursing care service was divided into four types. Considering the characteristics of each, the types were labeled as “the formation of relationships with the surroundings”, “autonomous decision-making”, “non-verbal empathy”, and “therapeutic support resources”. Each type can be classified into therapeutic relationship and therapeutic process categories.
Conclusion: This study revealed changes in expectations regarding new medical services and that the subjective frames that affect the formation of satisfaction are diverse. The study results are expected to be used as basic data to develop strategies for creating a therapeutic environment that improves patient satisfaction in the comprehensive nursing care service.
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Methods: The phenomenological research method was used. Participants in the study were seven women.
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Purpose The aim of this research was to identify, appraise and synthesize available evidence exploring new nurses' experiences of turnover. Methods The qualitative meta-synthesis method suggested by Thomas and Harden was used. Qualitative research articles considered for inclusion in the review were identified through an extensive search of relevant literature in scientific databases. Data were extracted from the aforementioned articles, and qualitative research findings were pooled according to Thomas and Harden's review process. This process involved the categorization of findings according to similarity of meaning and aggregation of these sub-themes to produce a comprehensive set of synthesized themes. Results A total of 4 research articles met the inclusion criteria and were included in the review. The review process resulted in 30 sub-themes that were aggregated into 10 themes: ineffective education; overwhelming work; personal maltreatment by doctors, career nurses, patients and caregivers; lack of professional vision; suffering; fear; loss of confidence; isolation; cynical reaction to turnover; new beginning and growth. Conclusion These findings illuminated the necessity of educational, organizational, emotional and social support for new nurses to help them accomplish their developmental tasks during their transition, as well as the need for this support to continue even after the turnover.
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PURPOSE The purpose of this study was to explore and analyze the latest trends in domestic research related to integrated nursing care service and to present a practical direction for future research. METHODS This study was focused on domestic nursing research related to integrated nursing care service as published in journals until March 20, 2019. After reviewing the quality of the papers, 34 papers were finally selected for analysis. In order to analyze the overall trends, the analysis was reviewed by year, source, research design, and subjects, and content analysis was used to identify trends by topic. RESULTS From the content analysis, the top categories were divided into nurses' view and patients' view, with both nurses' view and patients' view for the subcategories of ‘input’, ‘process’ and ‘output’ respectively. From both the nurse and patient view, the sub-category ‘input’ included ‘service environment’, ‘process’ and ‘service throughput’ and for the ‘output’ subcategory, three subjects, ‘performance’, ‘service-related perception change’ and ‘social psychological change’ were derived from the nurses' view, and two subjects ‘performance’ and ‘service-related perception change’ were derived from the patients' view. CONCLUSION In order for future studies to provide practical basic data for stable settlement and improvement of integrated nursing care service, it is necessary to develop and study various aspects without bias, and in a balanced and integrated manner.
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PURPOSE The purpose of this qualitative study was to evaluate nursing students' experience during nursing management practicum. METHODS Data were collected from 10 in-depth interviews. The main question was “Could you describe your experience during the nursing management practicum?†The qualitative data from the field notes and transcriptions of the interviews were analyzed using Colaizzi's method. RESULTS The experiential themes of students' experience during a nursing management practicum were ‘differentiate clinical practice which is immersed in the nursing management process’, ‘understand nurse managers’ leadership qualities and influence of communication', ‘understand why the general nurse engages in management tasks on duty’, ‘gain insight into organizational operations from new and diverse perspectives’, ‘engage in nursing practice through abundant interaction’. CONCLUSION The results show that the nursing management practicum focuses on the management of nurses and nurse manager, so instruction and guidance by professors and practicing leaders is needed for students to practice these goals, In addition, in the clinical practice field, students should be provided with a practical environment and guidance in accordance with the goal of management practice.
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PURPOSE This study was designed to examine existing research on service marketing in nursing and identify the results by analyzing research trends in medical and nursing service marketing over the last 15 years. METHODS Electronic databases were searched, including RISS, Korea Citation Index. The papers were classified by criteria, focusing on research topics, research design and statistical analysis method. RESULTS From 2002 to 2016, 221 research articles on medical or nursing service marketing were published in local academic journals. Most of the articles were about service quality and satisfaction. Generally questionnaire surveys were used. There were 34 papers related to nursing service marketing. Most of them were about satisfaction and had used a questionnaire survey. CONCLUSION Further research needs to be done with nursing service marketing topics including a variety of themes such as personal services and customer behaviors.
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PURPOSE This study was done to analyze the trend of theory application in articles published in the Journal of Korean Academy of Nursing Administration (JKANA) over the last 10 years. METHODS Four hundred and eighty-five articles were reviewed to determine the scope of theory-applied research. General characteristics, study design and keywords classification by nursing meta-paradigm were analyzed using established analysis framework. RESULTS Twenty-four articles (4.9%) were identified as theory-applied research publications. More than half of the articles (54.2%) stated that a theoretical framework was used; the number of theories used in the 24 articles was 27 including nine nursing theories. The majority of the studies were conducted in hospital settings. In the keyword classification by nursing meta-paradigm, 28 environment-related keywords were identified but only 7 keywords were related to health. CONCLUSION The results show that theory application in Korean nursing administration research is very limited. It is necessary to create a positive educational environment for graduate students to learn about nursing theories as well as theories from other disciplines. In addition, different levels of nursing theories should be continuously developed in the field of nursing administration.
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PURPOSE This study was done to analyze qualitative research published in the Journal of Korean Academy of Nursing Administration (JKANA). METHODS Selected studies included 38 qualitative studies in which an interview was used and which were published in JKANA from 1995 to 2016 (22 years). Consolidated Criteria for Reporting Qualitative Research (COREQ), a reporting guideline for analysis of qualitative research was employed. RESULTS Items that were included in less than half of the selected studies were as follows: interviewers' credentials, occupation, gender, and relationship established with participants in the 1st domain; non-participants, presence of non-participants, and transcripts returned in the 2nd domain; participant checking in the 3rd domain. CONCLUSION Findings indicate that future challenges face JKANA qualitative researchers. First, the expansion of qualitative research should be ensured to explain complex interaction between humans and the environment. Second, a variety of qualitative research methods should be considered to enhance understanding of nursing fields. Third, research procedures should be described more precisely to increase transparency of research results. Fourth, not only personal information on the researcher but also how subjective opinions of the researcher reflected in the research process should be explained in detail to clarify the relationship between researchers and participants.
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