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Original Articles
The Mediating Effect of Self-Transcendence on the Relationship between Job Stress and Wellness among Nurses
Sung Mi Kim, Da Eun Kim
J Korean Acad Nurs Adm 2025;31(4):394-404.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0003
Purpose
This study aimed to explore the mediating role of self-transcendence in the relationship between job stress and wellness among nurses based on self-transcendence theory. Methods: A descriptive cross-sectional design was adopted, and data were collected via an online survey using Google Forms from July 22 to August 20, 2024. This study analyzed data from 290 nurses working in 10 hospitals. Correlation and multiple regression analyses were conducted, alongside simple mediation analysis with bootstrapping, to evaluate the mediating role of self-transcendence. All statistical analyses were performed using Jamovi software. Results: Positive correlations were identified among job stress, self-transcendence, and wellness in nurses. Regression analyses revealed that self-transcendence was positively associated with wellness (β=.62, p<.001), while job stress had no significant association with wellness. Mediation analysis demonstrated that self-transcendence significantly mediated the relationship between job stress and wellness (β=.22, p<.001). Conclusion: The findings highlight the influence of self-transcendence on the relationship between job stress and wellness among nurses. This underscores the importance of designing interventions to enhance self-transcendence as a strategy to promote wellness among nurses.
  • 1,253 View
  • 37 Download
Purpose
This study aimed to investigate the relationship between socio-cognitive mindfulness, job stress, social support, and turnover intention among general hospital nurses and identify the factors influencing nurses’ turnover intention.
Methods
A descriptive survey was conducted among 218 nurses from five general hospitals located in G metropolitan city. The participants completed a questionnaire measuring the study variables, and the data were analyzed using t-tests, ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression analysis in SPSS/WIN 28.0.
Results
Significant differences were found in turnover intention by gender (t=-2.12, p=.036), family type (t=-3.09, p=.002), work department (F=7.01, p<.001), and work type (t=2.55, p=.011). Socio-cognitive mindfulness was positively related to social support (r=.331, p<.001), and turnover intention was positively related to job stress (r=.347, p<.001). The factors influencing nurses’ turnover intention included job stress (β=.317, p<.001), work department (artificial kidney room: β=-.287, p=.004; emergency room: β=-.219, p=.015), social support (β=-.183, p=.005), and work type (shift work: β=.170, p=.036), respectively. These factors explained 23.4% of the variance.
Conclusion
The findings indicate the need to develop programs to effectively cope with job stress and implement mentoring systems or psychological support programs to reduce turnover intention among nurses at the organizational level.
  • 2,089 View
  • 67 Download
Purpose
This study aimed to examine the moderating effect of calling on the relationship between post-traumatic stress and turnover intention among nurses caring for COVID-19 patients.
Methods
Data were collected from 151 nurses caring for COVID-19 patients at three university hospitals located in D City. Participants completed selfreported online surveys on post-traumatic stress (IES-R-K), calling (CVQ-R), and turnover intention. Descriptive statistics, t-tests, one-way ANOVA, Scheffé test, Pearson's correlation coefficients, and hierarchical multiple regression were performed using SPSS 25.0.
Results
The mean scores of post-traumatic stress, calling, and turnover intention were 0.83±0.70, 1.51±0.71, and 2.89±1.10, respectively. Post-traumatic stress had positive correlations with calling (r=.20, p=.011) and turnover intention (r=.29, p=.001), whereas calling had a negative correlation with calling and turnover intention (r=-.17, p=.029). Calling had a moderating effect in the relationship between post-traumatic stress and turnover intention (β=-.16, p=.032).
Conclusion
Calling has a moderating effect on the relationship between post-traumatic stress and turnover intention. Therefore, developing and implementing a program is necessary to strengthen nurses' perceptions of calling to prevent nurses with post-traumatic stress from leaving their jobs.
  • 739 View
  • 44 Download
Purpose
This study aimed to compare and identify factors affecting delirium nursing stress among nurses in comprehensive nursing care service wards and general wards.
Methods
Using structured questionnaires, data were collected from 230 nurses working in two tertiary university hospitals. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS/WIN 27.0.
Results
The average delirium nursing stress score for nurses in comprehensive nursing care service wards was 2.98±0.30 out of 4 points, which was significantly higher than 2.89±0.29 points for nurses in general wards (t=2.17, p=.031). Factors influencing delirium nursing stress among comprehensive nursing care service ward nurses included nursing work environment (β=-.58, p<.001) and conflicts with medical staff and other departments related to delirium patients (β=.24, p=.006), explaining power of 44% (F=12.13, p<.001). For general ward nurses, the nursing work environment(β=-.39, p<.001) was the main influencing factor, explaining power of 17% (F=3.93, p<.001).
Conclusion
Both types of nurses require improvements in their work environment. Strategies to reduce conflict between medical staff and other departments are essential in comprehensive nursing care service wards.
  • 1,048 View
  • 31 Download
Purpose
This study aimed to identify the mediating effects of positive psychological capital on the relationship between occupational stress and organizational commitment in physician assistant nurses.
Methods
The participants were 152 physician assistant nurses recruited from two university hospitals. Data was collected through a survey. The SPSS/WIN program (version 25.0) was used for the data analysis. Data was analyzed using descriptive stastics, t-test, ANOVA, Pearson’s correlation analysis, and hierarchical regression.
Results
There was a significant negative correlation organizational commitment and occupational stress (r=-.57, p<.001), and a positive correlation with positive psychological capital (r=.47, p<.001). There was a negative correlation (r=-.32, p<.001) between occupational stress and positive psychological capital. In addition, positive psychological capital had a partial mediating effect on the relationship between occupational stress and organizational commitment (β=.32, p<.001).
Conclusion
Positive psychological capital serves as a partial mediator in the relationship between occupational stress and organizational commitment among physician assistant nurses. The results of this study can be used reduce occupational stress and improve organizational commitment by improving the positive psychological capital of physician-assistant nurses.

Citations

Citations to this article as recorded by  
  • Role Transformation and Adaptation of Physician Assistants during the 2024 Medical Workforce Shortage: A Phenomenological Study
    Tae Yeong Yang, Nahyun Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 259.     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
  • 2,641 View
  • 111 Download
  • 2 Crossref
Purpose
This study aimed to understand the relationships between depression, post-traumatic stress, job demands, and social and organizational support among nurses working at general hospitals during the COVID-19 pandemic and to identify the factors influencing depression.
Methods
Data were collected from 240 nurses using a self-reported questionnaire between April 28 and May 7, 2023. Data were analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Scheffé’s test, Pearson's correlation coefficient, and multiple regression.
Results
The mean scores for depression and post-traumatic stress were 15.49 and 17.90, respectively. Approximately 43% nurses experienced depression. Depression was positively related to job demands and post-traumatic stress and negatively related to social and organizational support. Multiple regression showed that post-traumatic stress (β=.33, p<.001), social support (β=-.30, p<.001), and job demands (β=.21, p<.001) explained 26.4% of the variance for nurses’ depression.
Conclusion
These findings indicate that efforts are needed to mitigate depression and post traumatic stress among nurses, even after the COVID-19 pandemic. Programs that can enhance social support and reduce post-traumatic stress and job demands are needed to prevent and decrease depression. In particular, hospitals and the government must prepare for national disasters, such as new infectious diseases, to reduce job demands.

Citations

Citations to this article as recorded by  
  • Burnout related factors of infection control nurses in long‐term care hospitals
    Su‐jin Lee, Seo‐Hyeon Kim, Hye Young Min, Ju‐Young Park
    Japan Journal of Nursing Science.2025;[Epub]     CrossRef
  • 407 View
  • 8 Download
  • 1 Crossref
Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
Ji Yeong Park, Kyoung Ja Kim
J Korean Acad Nurs Adm 2024;30(3):246-258.   Published online June 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.3.246
Purpose
This study aimed to determine the impact of work environment, missed nursing care, and non-nursing tasks on the job stress of hospital nurses.
Methods
A descriptive, cross-sectional survey of 164 nurses working in three hospitals was conducted. Data were collected using structured questionnaires and analyzed using descriptive statistics, t-test, one-way analysis of variance, Pearson’s correlation coefficient, and multiple regression analysis using SPSS/WIN 26.0.
Results
Hospital Nurses' job stress was negatively correlated with the work environment (r=-.37, p<.001). Job stress had a statistically significant positive correlation with non-nursing tasks (r=.34, p<.001); however, it had no significant correlation with missed nursing care (r=.05, p=.552). Regression model analysis revealed that the variables associated with job stress were non-nursing tasks (β=.29, p<.001) and the foundation for quality nursing care (β=-.25, p=.034), which are subdomains of the work environment. In contrast, missed nursing care was not determined to be a significant factor.
Conclusion
To effectively manage nurses' job stress, nurse managers should provide higher quality care by reducing the number of non-nursing tasks and creating a positive work environment, especially by providing adequate nursing workforce and material support.

Citations

Citations to this article as recorded by  
  • 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
  • Occupational Stress, Coping, and Outcomes among Korean Nurses: An Integrative Review Based on the Transactional Model of Stress and Coping
    Myungji Kim, Hyunkyung Choi
    STRESS.2025; 33(3): 127.     CrossRef
  • Comparison of Factors Affecting Delirium Nursing Stress between Nurses in Comprehensive Nursing Care Service Wards and General Wards
    Sumin Gwon, Gaeun Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 517.     CrossRef
  • 3,364 View
  • 175 Download
  • 3 Crossref
Purpose
To examine the effects of a remote videoconferencing-based expressive writing program on the posttraumatic stress, resilience, and posttraumatic growth among traumatized nurses.
Methods
A randomized controlled group study with a pretest-posttest design was adopted. Data were collected between August 18 and November 6, 2020 from 48 nurses who experienced trauma working at a hospital in Jeonbuk Province (24 participants each in the experimental and the control groups). The experimental group participated in six sessions of the expressive writing program following the principles of Pennebaker’s expressive writing. Sessions (duration 90 minutes) were conducted twice a week for three weeks.
Results
Compared with the control group, the experimental group exhibited a statistically significant difference in posttraumatic stress (F=135.41, p<.001), resilience (F=94.88, p<.001), and post-traumatic growth scores (F=109.28, p<.001) immediately following intervention, and these scores were maintained at the 3-week follow-up.
Conclusion
The findings suggest that the expressive writing program can be effectively used for the prevention and management of posttraumatic stress in nurses at a risk of trauma.

Citations

Citations to this article as recorded by  
  • Comparative effectiveness of resilience-related interventions on resilience and stress for healthcare professionals: A network meta-analysis of randomized controlled trials
    Fitria Endah Janitra, Ruey Chen, Chien-Mei Sung, Chia-Hui Wang, Yan Adi Wibawa, Kondwani Joseph Banda, Kai-Jo Chiang, Kuei-Ru Chou
    International Journal of Nursing Studies.2025; 170: 105151.     CrossRef
  • 876 View
  • 19 Download
  • 1 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
  • 1,122 View
  • 19 Download
  • 3 Crossref
Impact of Job Rotation Stress on Nursing Work Performance among Clinical Nurses: Mediating Effects of Job Embeddedness and Moderated Mediating Effects of Resilience
Jeong A Jeong, Seok Hee Jeong, Hyun Kyung Kim, Hee Sun Kim
J Korean Acad Nurs Adm 2023;29(5):503-516.   Published online December 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.5.503
Purpose
This study investigated the effects of job embeddedness and resilience on the relationship between job rotation stress and nursing work performance among clinical nurses. Methods: We conducted a nationwide online survey with 205 nurses employed at advanced general or general hospitals. Data were collected from August 17 to October 5, 2021. We analyzed the data using various descriptive statistics, independent t-tests, one-way analysis of variance, Scheffé test, Welch test, Games-Howell test, Pearson's correlation coefficients, multiple regression, and the PROCESS macro with a 95% bias-corrected bootstrap confidence interval. These analyses were conducted using SPSS Windows Software version 23.0 and SPSS PROCESS macro version 3.5.2. Results: Nurses' job embeddedness mediated the relationship between job rotation stress and nursing work performance (B=-0.02, p<.05). Furthermore, their resilience moderated this mediated relationship, also known as moderated mediation, with job embeddedness as the mediating factor (B=-0.02, p<.05). Conclusion: These findings imply that, when devising a strategy to improve the nursing work performance of nurses undergoing job rotation, their resilience levels should be considered. Reducing job rotation stress while concurrently enhancing job embeddedness is essential for enhancing the nursing work performance of nurses with high levels of resilience.
  • 3,003 View
  • 90 Download
Burnout among Nurses in COVID-19 Designated Units Compared with Those in General Units Caring for Both COVID-19 and Non-COVID-19 Patients
Kyung Ah Woo, Eun Kyoung Yun, JiSun Choi, Hye Min Byun
J Korean Acad Nurs Adm 2023;29(4):374-384.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.374
Purpose
This study aimed to examine the differences in COVID-19 work-related characteristics, workload, anxiety, stress, and burnout between nurses working in the COVID-19 designated units and those in the general units caring for both COVID-19 and non-COVID-19 patients and to identify factors related to burnout in these two nurse groups.
Methods
The study was conducted using data from 192 nurses in the COVID-19 designated units and 340 nurses in the general units from two general hospitals. The data were collected using self-report, structured questionnaires. Independent t-test, chi-squared test, and logistic regression analysis were performed.
Results
There were no significant differences observed in workload and burnout between the two groups. For nurses in the general units, workload, stress, adequacy of the number of patients assigned, and the experience of temporary, floating staff were significant factors associated with burnout, while only clinical experience in the current unit was a significant factor among those in the COVID-19 units.
Conclusion
Findings indicate significant differences in factors related to burnout between the two nurse groups. Thus, substantial support and strategies tailored to the working environments of each nursing unit are required to prevent burnout among nurses caring for COVID-19 patients.

Citations

Citations to this article as recorded by  
  • Nurses’ ethical competence during the COVID-19 pandemic: Qualitative perspectives
    Hye Min Byun, Eun Kyoung Yun
    Nursing Ethics.2025; 32(5): 1644.     CrossRef
  • Experiences of COVID-19 dedicated ward nurse managers in South Korea: a qualitative study
    Rosa Yoon, Minkyung Gu, Mira Park, Sohyune Sok
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • User Interface Design and Usability Evaluation of a Mental Health Mobile Application for Healthcare Workers: A Nursing Informatics Perspective
    Yewon Lee, Eunju Kwak, Mijin Park, Jiyeon Park, Jungjae Kim, Jisan Lee
    Journal of Health Informatics and Statistics.2024; 49(3): 248.     CrossRef
  • 732 View
  • 23 Download
  • 3 Crossref
Purpose
This study aimed to confirm the mediating effect of social responsibility on the relationship between nurses' stress and burnout from coronavirus disease (COVID-19) in tertiary general hospitals.
Methods
For this descriptive cross-sectional study, online survey data from 193 nurses in three tertiary general hospitals were analyzed. Data were collected from March 30 to April 4, 2021. The following statistical analysis were conducted: t-test, ANOVA, Scheffé test, Pearson's correlation coefficient analysis, and Hayes Process Macro Model 4 (to test the mediating effect).
Results
COVID-19 stress was positively associated with burnout (r=.28, p<.001) and social responsibility (r=.22, p=.002). Social responsibility was negatively associated with burnout (r=-.31, p<.001). Furthermore, the mediation analysis indicated that social responsibility mediated the relationship between COVID-19 stress and burnout.
Conclusion
According to the results, the impact of COVID-19 stress on the burnout was mediated by social responsibility. Therefore, to prevent the burnout from COVID-19 of nurses, developing educational programs to enhance social responsibility are recommended.
  • 981 View
  • 33 Download
Factors Influencing Patient Safety Management Activities among General Hospital Operating Room Nurses
Seon Mi Kim, Su Hye Kwon
J Korean Acad Nurs Adm 2023;29(2):89-98.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.89
Purpose
This study was to examine the influential factors on patient safety management activities of operating room nurses in general hospitals.
Methods
The subject of this study were 133 operating room nurses of seven general hospitals in B metropolitan city. Data were collected from July 23 to August 14, 2020 using self-report questionnaires. For data analysis, a descriptive analysis and stepwise multiple regression were utilized with IBM SPSS Statistics for Windows version 22.0.
Results
The significant predictors of patient safety management activities were perception of patient safety culture (β=.73, p<.001) and physical burden (β=-.13, p=.025). These variables were found to contribute 56.3% to the outcomes of patient safety management activities.
Conclusion
Based on the research results, to promote patient safety management activities of operating room nurses, it is required to establish active and multifaceted strategies and systems at the hospital level to enhance awareness of patient safety culture and reduce physical burden.

Citations

Citations to this article as recorded by  
  • Study of Patient Safety Culture Awareness of Radiological Technologists in Magnetic Resonance Imaging Laboratories
    Min-Seo Park, Dong-Ha Lee, Hyun-Jin Jo, Hea-Youn Cho, Yeong-Cheol Heo
    Journal of the Korean Society of MR Technology.2024; 34(1): 9.     CrossRef
  • The Effects of a Simulation-Based Patient Safety Education Program on Compliance with Patient Safety, Perception of Patient Safety Culture, and Educational Satisfaction of Operating Room Nurses
    OkBun Park, MiYang Jeon, MiSeon Kim, ByeolAh Kim, HyeonCheol Jeong
    Healthcare.2023; 11(21): 2824.     CrossRef
  • 982 View
  • 40 Download
  • 2 Crossref
Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator
Eun Hee Kang, Im Sun Seo
J Korean Acad Nurs Adm 2022;28(5):534-544.   Published online December 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.5.534
Purpose
The purpose of this study was to identify the relationship between job stress and turnover intention and the mediating effect of job embeddedness on the relationship among hospital nurses in rural areas. Methods: This is a descriptive study. A total of 277 registered nurses were enrolled in the study from three hospitals in rural areas of South Korea from April 29 to May 10, 2019. The participants completed self-reporting questionnaires, which measured job stress, turnover intention, and job embeddedness, and collected demographic information. The data were analyzed using IBM SPSS Statistics 25.0, for multiple regression, and a simple mediation model applying the Hayes PROCESS macro with a 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results: Job stress had a direct effect (c’=0.35, p<.001) on turnover intention. It was also demonstrated that job embeddedness partially mediated the relationship between job stress and turnover intention among the hospital nurses (a ․ b=-0.40 × -0.58=0.23, 95% Boot C). Conclusion: The job stress and turnover intention of nurses in rural areas are not higher than those in large cities. Nevertheless, hospital administrators need to provide a nursing workforce policy to increase job embeddedness and reduce nurses’ turnover intention.

Citations

Citations to this article as recorded by  
  • 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
  • Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea
    Wonji Lee, Soyoung Yu
    SAGE Open.2025;[Epub]     CrossRef
  • 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
  • 956 View
  • 59 Download
  • 3 Crossref
Factors Influencing Post-traumatic Growth of Nurses at Nationally Designated Infectious Disease Hospital
Ji Eun Oh, Ju Young Park
J Korean Acad Nurs Adm 2022;28(5):499-510.   Published online December 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.5.499
Purpose
This study aimed to identify the factors that affect post-traumatic growth among frontline nurses during a COVID-19 pandemic. Methods: This study included 187 nurses working in nationally designated infectious disease hospitals as participants. Data were collected from January 11 to March 2, 2021 using structured questionnaires. Independent t-tests, one-way ANOVA, Pearson correlation coefficients, and hierarchical multiple regressions were performed to examine influencing factors of post-traumatic growth. Results: Posst-traumatic growth was positively correlated with traumatic event experience (r=.26, p<.001), post-traumatic stress (r=.32, p<.001), supervisor support (r=.39, p<.001), and colleague support (r=.36, p<.001). Factors affecting post-traumatic growth were emotional support of supervisors (β=.76, p<.001) and evaluative support of colleagues (β=.46, p<.018). Overall, approximately 40.0% of the variability in post-traumatic growth was explained by these two variables. Conclusion: To increase emotional support of supervisors and evaluative support of colleagues, the most influential factors for post-traumatic growth of frontline nurses who fought against COVID-19, a positive culture must be established. This includes horizontal communication, a safe working environment, and securing of appropriate nurse to patient ratio.

Citations

Citations to this article as recorded by  
  • Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 in Regional Medical Centers
    Jaehwa Bae, Eun Suk Choi
    Research in Community and Public Health Nursing.2025; 36: 9.     CrossRef
  • Factors Influencing Posttraumatic Growth among Nurses in COVID-19 Isolation Wards in Tertiary Hospitals
    Ye Seul Im, Hyun Kyung Kim
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 233.     CrossRef
  • 592 View
  • 8 Download
  • 2 Crossref
Occupational Stress in Korean Hospital Nurses: Secondary Data Analysis of the Development of a Korean Nurses’ Occupational Stress Scale
MiRa Yun, Heechong Baek, In A Kim, Jung-Min Sung
J Korean Acad Nurs Adm 2022;28(4):393-405.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.393
Purpose
This study aimed to elucidate the situational context and describe the factors and attributes pertaining to occupational stress among hospital nurses in Korea. Methods: Secondary data from focus group interviews conducted with 26 hospital nurses were analyzed using the content analysis method. Data were analyzed using Graneheim and Lundman’s content analysis method. Results: Based on the job demand-resource theory, the contents were divided into two major themes: the “excessive job demands” and the “shortage of job resources”. The first theme was summarized into the following four categories: excessive workload and work intensity, complex and difficult work demands, hazardous work environment, and role- and relationship-related conflicts. The second theme was summarized into the following five categories: inadequate staffing, insufficient education and training, lack of support system, poor monetary compensation, and low internal compensation. Conclusion: The occupational stress factors of Korean hospital nurses can be summarized as excessive job demands and a lack job resources.

Citations

Citations to this article as recorded by  
  • 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
  • Occupational Stress, Coping, and Outcomes among Korean Nurses: An Integrative Review Based on the Transactional Model of Stress and Coping
    Myungji Kim, Hyunkyung Choi
    STRESS.2025; 33(3): 127.     CrossRef
  • Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
    Ji Yeong Park, Kyoung Ja Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 246.     CrossRef
  • Service Robots in the Workplace: Fostering Sustainable Collaboration by Alleviating Perceived Burdensomeness
    Eeman Almokdad, Chung Hun Lee
    Sustainability.2024; 16(21): 9518.     CrossRef
  • Validity and Reliability of the Korean Version of the Occupational Coping Self-Efficacy Scale for Nurses
    Youngrye Park, Sunah Park, Hee Ran Kang
    Journal of Korean Academy of Nursing.2024; 54(4): 633.     CrossRef
  • A Delphi Study on the Changes in Work, Organizational Culture, and Health Issues of Nurses at Tertiary Hospitals in South Korea during the COVID‐19 Pandemic
    MiRa Yun, WonJong Kim, Boas Yu, Eun-Hi Choi, Paolo C. Colet
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • 1,236 View
  • 67 Download
  • 6 Crossref
Influence of Clinical Nurses’ Second-Victim Experience and Second-Victim Support in Relation to Patient Safety Incidents on Their Work-Related Outcomes
Su Jin Jung, Youngjin Lee, Sun Hyoung Bae
J Korean Acad Nurs Adm 2022;28(4):331-341.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.331
Purpose
This study aims to determine the influence of clinical nurses’ second-victim experience and second-victim support on their negative work-related outcomes. Methods: We used a cross-sectional design with a convenience sample of 179 clinical nurses from two Korean tertiary hospitals. The data were collected through a structured self-questionnaire survey and analyzed via descriptive analysis, independent t-tests, one-way ANOVA (analysis of variance), Pearson correlation coefficients, and hierarchical multiple regression. Results: Second-victim experience revealed a significant negative correlation with second-victim support and a significant positive correlation with negative work-related outcomes. The second-victim experience was found to be a significant predictor of negative work-related outcomes. These factors explained 46.3% of the negative work-related outcomes in the regression model. Conclusion: It is necessary to determine the degree of second-victim experience among clinical nurses and provide second-victim support to prevent future occurrences of negative work-related outcomes.

Citations

Citations to this article as recorded by  
  • How does just culture reduce negative work outcomes through second victim distress and demand for support in clinical nurses? A path analysis
    Seohee Jeong, Sunmi Kim, Hyoung Eun Chang, Seok Hee Jeong
    BMC Nursing.2025;[Epub]     CrossRef
  • Factors influencing negative outcomes for nurses who experience patient safety incidents: An integrative review
    Hanseulgi Lee, Nam‐Ju Lee, Nari Kim
    International Nursing Review.2025;[Epub]     CrossRef
  • Clinical nurses’ work-life balance prediction due to patient safety incidents using classification and regression tree analysis: a secondary data analysis
    Jiwon Kang, Soon-Sun Kwon, Youngjin Lee
    BMC Nursing.2024;[Epub]     CrossRef
  • Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit
    Su Jin Jung, Jin-Hee Park
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 100.     CrossRef
  • Simulation-based training program on patient safety management: A quasi-experimental study among new intensive care unit nurses
    Su Jin Jung, Ju-Eun Song, Sun Hyoung Bae, Youngjin Lee, Seok Hyun Gwon, Jin-Hee Park
    Nurse Education Today.2023; 126: 105823.     CrossRef
  • 903 View
  • 14 Download
  • 5 Crossref
Influences of Job Stress and Positive Psychological Capital on Turnover Intention among Novice Nurses
Soonjeong Kwon, Moonhee Gang
J Korean Acad Nurs Adm 2021;27(3):159-168.   Published online June 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.3.159
Purpose
The purpose of this study was to identify the factors influencing of job stress and positive psychological capital on turnover intention among novice nurses. Methods: A descriptive correlational study design was used. Participants were 161 novice nurses with less than 12 months of work at one of two university hospitals in D city. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation, and multiple regression analysis with the SPSS statistics 23.0 program. Results: Factors Influencing turnover intention were satisfaction with salary (β=.18, t=2.47, p=.015), length of work (β=.20, t=2.91, p=.004), satisfaction with relationships with (β=.17, t=2.52, p=.013), job stress (β=.18, t=2.52, p=.012) and positive psychological capital (β=-.27, t=-3.90, p<.001). These variables accounted for 25.0% of novice nurses’ turnover intention. Conclusion: To prevent novice nurse turnover and a stable workforce management, it is necessary, in considering work periods, to develop an appropriate compensation system, apply programs to improve interpersonal relations, develop and provide programs to reduce job stress and improve positive psychological capital.

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Effect of the Professional Quality of Life on Verbal Abuse Experience among Emergency Nurses: Mediating Effect of Job Stress
Kyoung Ju Lee, Hye Young Kim
J Korean Acad Nurs Adm 2020;26(5):533-541.   Published online December 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.5.533
Purpose
The purpose of this study was to investigate the relationships between verbal abuse, professional quality of life, and job stress among emergency nurses and to identify the mediating effect of job stress on professional quality of life. Methods: The participants were 121 emergency nurses working in general hospitals. The data were collected from December 1st, 2017 to February 1st, 2018. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and three-step mediated regression analysis. Results: As a result of correlation analysis, verbal abuse job stress had significant negative correlations with the professional quality of life, whereas verbal abuse experience had a positive correlation with job stress. Job stress showed significant effects on verbal abuse experience and the professional quality of life, with the explanatory powers being 43% and 29%, respectively, indicating partial mediator effects in the relationship between the three variables. Conclusion: Verbal abuse experience and job stress in emergency nurses could reduce the professional quality of life, and their relationship by manifested partial mediating effects. Therefore it is necessary to decrease verbal abuse experience and job stress to further improve the professional quality of life in emergency nurses.

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    Eunju Choi, Youngjin Lee
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    Soyoung Shin, Hye Jin Yoo
    International Emergency Nursing.2023; 66: 101240.     CrossRef
  • Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
    Min Soo Woo, Hyoung Suk Kim, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
  • Professional Self-Concept, Job Stress, and Triage Competency Among Emergency Nurses: Secondary Data Analysis of a Cross-Sectional Survey
    You-Jin Cho, Young-Ran Han, Yeo-Won Jeong
    Journal of Emergency Nursing.2022; 48(3): 288.     CrossRef
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Purpose
The purpose of this study was to investigate the moderating mediation effect of health-promoting lifestyle in the relationships between clinical nurses’ job stress, appreciation and mental health problems.
Methods
The participations were 230 clinical nurses working in general hospitals in Seoul City and Gyeonggi Province. Data were collected in November 2019 via an online survey that covered job stress, appreciation, health-promoting lifestyles and mental health problems. The collected data were analyzed using SPSS 25.0, SPSS PROCESS Macro(Model 4, Model 7) and bootstrapping method.
Results
Appreciation had a significant mediation effect in the relationship between job stress and mental health problems. Health-promoting lifestyle had a significant moderation effect in the relationship between job stress and appreciation. Further, health-promoting lifestyle significantly moderated mediation effect of job stress on mental health problems through appreciation.
Conclusion
The results of this study suggest that it is necessary to effectively manage health-promoting lifestyle in the context of clinical nurses’ mental health problems due to job stress. In order to improve clinical nurses’ mental health, it is necessary to provide them with increased appreciation and lead health-promoting lifestyle.

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  • Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator
    Eun Hee Kang, Im Sun Seo
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 534.     CrossRef
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Effect of Parenting Stress and Co-worker Support on Work-Life Balance in Nurses Reinstated after Parental Leave
Yi-Rang Jeong, Taewha Lee
J Korean Acad Nurs Adm 2020;26(4):331-339.   Published online September 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.4.331
Purpose
This was a descriptive study aimed at providing basic data on readaptation of hospital nurses after parental leave by exploring levels of parenting stress, co-worker support, and work-life balance and identifying factors affecting work-life balance.
Methods
A survey using a convenience sampling was conducted with 86 nurses who were within their first year reinstatement after parental leave. Structured questionnaires were used, including the above named main variables and other general characteristics. Data were collected from February to May, 2019 from three tertiary hospitals in Seoul. Data were statistically analyzed using independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis.
Results
Work-life balance showed a statistical difference depending on the level of education; it showed negative correlations with commuting time and fatigue and positive correlations with the attitude to job rotation, health status, and quality of sleep. There was a negative correlation between parenting stress and work-life balance and a positive correlation between co-worker support and work-life balance. Work-life balance was influenced by fatigue, parenting stress, health status, and co-worker support in the regression model.
Conclusion
Parenting stress, co-worker support, health status and fatigue of nurses reinstated from parental leave should be improved to enhance their work-life balance.

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    Yun Mi Kim
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    Ya-Hui Tseng, Kuo-Feng Wu, Hung-Ru Lin
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  • The Influence of Leader-Member Exchange Relationship, Perceived Organizational Support, and Work-Life Balance on Tertiary Hospital Nurses’ Retention Intention
    Ji Hoe Yoon, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 13.     CrossRef
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    Deulle Min
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Purpose
This study was done to analyze effects of leader-member exchange as perceived by nurses who returned to work after parental leave: conflict between work and family via job stress.
Methods
A cross-sectional study design was adopted and data were collected from 140 nurses. Collected data were analyzed using the SPSS 23.0 program (descriptive statistics, t-test, ANOVA, Pearson correlation, and regression analysis).
Results
Mean scores were 3.44±0.64 out of 5 for leader-member exchange, 3.45±0.59 out of 5 for job stress, and 2.82±0.80 out of 5 for conflict between work and family. The leader-member exchange had negative correlations with job stress (r=-.31, p=.003) and conflict between work and family (r=-.36, p<.001). The leader-member exchange had direct impacts on conflict between work and family (β=-.26, p=.002) and indirect via job stress (β=.35, p<.001). Job stress had partial mediating effects on relations between leader-member exchange and conflict between work and family (Z=-3.00, p<.001). The leader-member exchange and job stress explained 41% of the conflict between work and family.
Conclusion
The findings from this study indicate that active human resource management policies should be established in order to increase the leader-member exchange.

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    Young-Eun Jung, Mi-Hae Sung
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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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Traumatic Events and Factors Affecting Post-traumatic Growth of Nurses in General Hospitals
Haesook Kim, Eunsook Kim, Younghee Yu
J Korean Acad Nurs Adm 2020;26(3):218-229.   Published online June 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.3.218
Purpose
The purpose of this study was to investigate the factors that affect post-traumatic growth of general hospital nurses after they experience traumatic events.
Methods
A cross-sectional correlation study design was used. Participants were 232 nurses from general hospitals in South Korea. Data, including self-report questionnaires, were collected from July 11th to 31st, 2019, and analyzed using descriptive statistics, t-test, One-way ANOVA, Scheffé test, Pearson's correlation coefficients and hierarchical multiple regression analysis in IBM SPSS Statistics 25.0.
Results
Post-traumatic stress (r=.24, p<.001), resilience (r=.36, p<.001), and social support (r=.37, p<.001) for general hospital nurses had a positive correlation with post-traumatic growth. The factors that affected post-traumatic growth were a) sleep disturbance, emotional paralysis and dissociation symptom subcategory of post-traumatic stress (β=.34, p<.001) and b) persistence subcategory of resilience (β=.33, p<.001) and c) evaluation support subcategory of social support (β=.29, p<.001).
Conclusion
Results indicate that it is necessary to develop and provide programs to nurses to improve post-traumatic stress management, strengthen their resilience and provide social support.

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    Ju Young Yim, Jung A Kim
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    Jin Young Lee, Ja Yun Choi
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    Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
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    Suk-Jung Han, Ji-Young Chun, Hye-Jin Bae
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    Soyun Hong, Heejung Kim, Sujin Nam, Janet Yuen Ha Wong, Kayoung Lee
    Journal of Nursing Management.2021; 29(5): 1338.     CrossRef
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Influences of Workplace Violence Experience on Job Satisfaction and Turnover Intention of New Nurses
Jung Won Im, Ji Young Lim
J Korean Acad Nurs Adm 2020;26(2):130-141.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.130
Purpose
The purpose of this study was to identify workplace violence experience of new nurses and to investigate effects on organizational variables. Workplace violence experience can lead to new nurses developing negative attitudes towards nursing jobs. A safe organizational culture in which new nurses can work while being protected from workplace violence must be established.
Methods
An online survey was conducted with 180 nurses. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and regression analysis.
Results
The total score for workplace violence experience of new nurses was 1.75±0.55. There was a statistically significant negative correlation between verbal (r=-.32, p <.001), threatening (r=-.26, p <.001), and total (r=-.28, p <.001) workplace violence experience and job satisfaction, and a positive correlation between verbal (r=.18, p =.016), threatening (r=.17, p =.024), total (r=.17, p =.021) and turnover intention, respectively. Verbal violence experience was found to be a significant factor influencing job satisfaction, and the explanatory power of the model was 9.5%.
Conclusion
Based on the results of this study, it is necessary to develop a workplace violence prevention program for new nurses and a procedure and reporting system to cope with workplace violence. Furthermore, there is a need to expand a culture of mutual cooperation and a nonviolent atmosphere.

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    Taewha Lee, Yea Seul Yoon, Yoonjung Ji
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  • Influences of Job Stress and Positive Psychological Capital on Turnover Intention among Novice Nurses
    Soonjeong Kwon, Moonhee Gang
    Journal of Korean Academy of Nursing Administration.2021; 27(3): 159.     CrossRef
  • Factors Influencing Re-Employment of Newly Graduated Nurses: Longitudinal Study
    Yun Kyung Oh, Eun-Young Kim
    Journal of Korean Academy of Nursing.2021; 51(2): 162.     CrossRef
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A Study the Relationships among Verbal Violence Experience, Job Stress, and Resilience and the Communication Ability of Operating Room Nurses
Hyejung Jung, Yoonshin Lee, Sung Hee Shin
J Korean Acad Nurs Adm 2020;26(2):120-129.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.120
Purpose
This study was done to provide basic data for nursing intervention to increase communication ability of operating room nurses by identifying the relation among their verbal violence experience, job stress, resilience, and communication ability.
Methods
The participants were 136 nurses, working in the operating rooms of six academic and general hospitals located in Seoul and Gyeonggi-Do. Data were collected from May 1st through October 31st, 2016. Collected data were analyzed for frequency and percentage, mean and standard deviation, association among related factors, and stepwise multi-regression using the SPSS 21.0 program.
Results
It was found that the strongest factor influencing the communication ability of operating room nurses was persistence (β=.41, p <.001; sub-item of Resilience), followed by support (β=.26, p =.001; sub-item of Resilience). These two sub-items have positive influences on communication ability of operating room nurses. The lack of professional knowledge and skill (β=-.19, p <.001; sub-item of job stress) and verbal violence experience from nurse (β=-.16, p <.001; sub-item of verbal violence experience) have negative influences on communication ability of operating room nurses. These sub-items explained 47.0% of communication ability of operating room nurses.
Conclusion
The study results can be used as basic data to develop effective communication. Also, the results show the necessity of developing and applying concrete nursing interventions to improve job satisfaction of operating room nurses.

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    Sunhee Jung, Sunyoung Jung
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  • The Effects of Operating Room Nurses’ Experiences of Verbal Violence, Resilience, and Social Support on Post-Traumatic Stress
    Do Kyun Kim, Sung Hee Shin
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    Yesol Byon, Yoon Goo Noh
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    Nu Ri Kim, Sung Eun Kim, So Eun Jang
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  • Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
    Min Soo Woo, Hyoung Suk Kim, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
  • Communication competence and resilience are modifiable factors for burnout of operating room nurses in South Korea
    Eun Yeong Lee, Kyoung-ja Kim, Sangjin Ko, Eun Kyeung Song
    BMC Nursing.2022;[Epub]     CrossRef
  • Moderating Effect of Nursing Organizational Culture on the Relationship between Verbal Violence and Burnout in Operating Room Nurses
    Sojeong Lim, Sujin Shin
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  • Influences of Workplace Bullying and Job Satisfaction on Happiness among Perioperative Nurses
    Song I Park, Key Ha Kim
    Journal of Korean Academy of Nursing Administration.2021; 27(1): 54.     CrossRef
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Factors Influencing Musculoskeletal Disorder Symptoms in Hemodialysis Nurses in Tertiary Hospitals
Seung Mi Jang, Eun A Kim
J Korean Acad Nurs Adm 2019;25(5):478-488.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.478
PURPOSE
This study was done to verify relationships among occupational stress, labor intensity, fatigue and musculoskeletal disorder symptoms, and especially to identify factors influencing musculoskeletal disorder symptoms among hemodialysis nurses in tertiary hospitals.
METHODS
A cross-sectional design was used, with a convenience sample of 125 hemodialysis nurses from 13 tertiary hospitals. Data were collected through self-evaluation questionnaires during July and August, 2018. Data were analyzed using t-test, χ² test, factor analysis and binary logistic regression analysis with SPSS/WIN 25.0 program.
RESULTS
Of the hemodialysis nurses 96 (76.8%) were in the musculoskeletal symptomatic group and 29 (23.2%) in asymptomatic group. Occupational stress (p < .001), labor intensity (p < .001), and fatigue (p=.011) were higher in the symptomatic group compared to the asymptomatic group. Logistic regression analysis showed that occupational stress (OR=1.13, 95% CI: 1.03~1.25), labor intensity (OR=5.60, 95% CI: 1.25~24.97), no leisure life or hobbies (OR=4.67, 95% CI: 1.48~14.80), hemodialysis unit career 2~4 year (OR=4.58, 95% CI: 1.04~20.78), and hemodialysis unit career 8+ year (OR=14.10, 95% CI: 2.53~78.64) were effect factors for the musculoskeletal symptomatic group.
CONCLUSION
For effective improvement of musculoskeletal disorder symptoms in hemodialysis nurses, multidimensional intervention programs are needed. Programs should include occupational stress, labor intensity and strategies to reduce symptoms.

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    Meng-Jung Lee, Chi-Jane Wang, Jer-Hao Chang
    Journal of Safety Research.2024; 91: 481.     CrossRef
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    Jaejin Hwang, Du-Jin Park, Jinwon Lee, Kyung-Sun Lee
    International Journal of Occupational Safety and Ergonomics.2024; 30(1): 1.     CrossRef
  • Health-Related Symptoms and Working Conditions on Vulnerability to Presenteeism Among Nurses in South Korea
    Jee-Seon Yi, Eungyung Kim, Hyeoneui Kim
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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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Emotional Labor, Job Stress and Professional Quality of Life of Public Health Nurses according to the Employment Type
Kyung Sook Cho, Yunmi Kim
J Korean Acad Nurs Adm 2019;25(5):467-477.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.467
PURPOSE
This study is a descriptive survey to identify emotional labor and job stress recognized in the course of administrative work, and how these affect the professional quality of life of public health nurses according to the employment type.
METHODS
Data was collected through a survey of public health nurses conducted from Dec. 2018 to Jan. 2019 (N=232).
RESULTS
The emotional labor of public health nurses was 3.27 out of 5 and full-time public health nurses had the highest scores. The job stress score was moderate at 2.45 out of four. The job stress of full-time nurses was also the highest. Among the sub-divisions of professional quality of life, compassion satisfaction was 3.55 out of five, while secondary traumatic stress was moderate at 2.48 and exhaustion at 3.01. Factors affecting compassion satisfaction were shown to be employment types and exhaustion. Factors affecting secondary traumatic stress were exhaustion, job stress and emotional labor. Factors affecting exhaustion were secondary traumatic stress and compassion satisfaction.
CONCLUSION
The results of this study shows that full-time public health nurses in charge of nursing organizations at public health centers have extreme difficulty with excessive role responsibilities, resulting in high emotional labor intensity and high job stress.

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Influence of Job Stress, Team Cohesion and Organizational Justice on Workplace Bullying in Clinical Nurses
Jung Won Kong, Yong Sook Eo
J Korean Acad Nurs Adm 2019;25(5):448-457.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.448
PURPOSE
The purpose of this study was to examine the relationships of job stress, team cohesion, organizational justice and workplace bullying among Korean general hospitals nurses.
METHODS
During December 2016 and January, 2017, a survey of 198 nurses was done using structured self-administered questionnaires. Data were analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficients and multiple linear regression analysis.
RESULTS
The prevalence of bullying was 12.1%. The results of the multiple linear regression analysis revealed that task cohesion (β=−.20, p=.040) as a sub-factor of team cohesion and job stress (β=.19, p=.047) were predictive of workplace bullying (Adj. R²=.11, p < .001).
CONCLUSION
These results suggest that team cohesion and job stress are associated with workplace bullying by nurses. Building a well-organized management plan which reduces job stress and promotes team cohesion is recommended for the registered nurses.

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Factors Influencing Resilience in Long-term Care Hospital Nurses
Ju Hui Moon, Sook Hee Yoon
J Korean Acad Nurs Adm 2019;25(5):373-383.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.373
PURPOSE
The purpose of this study was to investigate factors affecting the resilience of emotional intelligence, job stress coping, and organizational socialization of nurses working in long-term care hospitals.
METHODS
The participants were 153 nurses working in 8 long-term care hospitals in B city. Data were collected from February. 1 to Feb. 15, 2019 SPSS/WIN 23.0 was used for analysis with t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise regression.
RESULTS
Factors influencing resilience in the participants were emotional intelligence (β=.38, p < .001), coping behavior-focusing on the positive (β=.29, p < .001), nurse motivation (β=.16, p=.006), organizational socialization (β=.17, p=.009), coping behavior-tension reduction (β=.14, p=.023). These factors contributed 54% of the total variance in resilience.
CONCLUSION
It is necessary to study emotional intelligence and hospital nurses' coping with job stress while carrying out highly emotional activities on the job and to develop a program that can enhance the resilience of the nurses to improve psychological wellbeing and verify the effects.

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  • Vicarious Resilience in Hospital Nurses: A Concept Analysis
    Miri Jeong
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    Hye-Yeon Shin, Myoung-Lyun Heo
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 181.     CrossRef
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PURPOSE
The objective of this study was to explore the causal relationships among staff nurses' job stress factors, patient safety culture perception, and patient safety nursing activities through path analysis.
METHODS
The participants, 275 staff nurses with over a year of exp rience working at a university hospital in Seoul, completed structured questionnaires. The data were collected from January 5 to February 28, 2018. The data analysis included descriptive statistics, t-test, ANOVA, Scheffé test and Pearson correlation coefficients using the SPSS/WIN 24.0 program, and path analysis & bootstrapping using AMOS 24.0 program.
RESULTS
The path analyses of the hypothesized causal model showed a considerable explanatory power for each of the endogenous variables. About 45 percent of organizational culture was explained by work overload, lack of knowledge/skill, inadequate reward, work environment, and communication. The finding in this study confirmed the mediating effect of patient safety culture perception on the relationships between job stress factors and patient safety nursing activities.
CONCLUSION
The proper arrangement of nursing staff, proper treatment and rewards, positive work environment, organizational culture, and smooth communication are needed to promote patient safety nursing activities.

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    Saet-Byeol Kim, Yun-Hee Kim
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Relationship of ICU Nurses' Difficulties in End-of-Life Care to Moral Distress, Burnout and Job Satisfaction
Kkot Bi Jeon, Mihyun Park
J Korean Acad Nurs Adm 2019;25(1):42-51.   Published online January 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.1.42
PURPOSE
The aim of this study was to identify the relationships between the difficulty of end-of-life care and moral distress, burnout and job satisfaction of nurses working in intensive care units (ICUs).
METHODS
This descriptive study was conducted using self-report questionnaires. Participants were nurses who had more than one year of ICU experience and were recruited from three university hospitals (N=168).
RESULTS
The mean scores for ICU nurses' difficulty in end-of-life care, moral distress, burnout and job satisfaction were 3.42, 113.88, 3.16 and 2.58 points, respectively. Difficulty in end-of-life care was positively correlated with moral distress (r=.48, p < .001) and burnout (r=.26, p=.001) and was negatively correlated with job satisfaction (r=−.17, p=.024). Difficulties in end-of-life was identified as a predictor of moral distress (β=.44, p < .001), burnout (β=.26, p=.001) and job satisfaction (β=−.18, p=.024).
CONCLUSION
The results of this study suggest the following: it is important to have a deep understanding of ICU nurses who experience various difficulties in end-of-life care and to provide realist support for these nurses. And practical efforts by nursing organizations are needed, including support systems and education programs to alleviate ICU nurses' difficulties in end-of-life care.

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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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  • TOMADA DE DECISÃO GERENCIAL NA ENFERMAGEM HOSPITALAR
    Ilna Márcia Oliveira Rocha, IIsabel Cristina Kowal Olm Cunha, Alexandre Pazzetto Balsanelli, Elizabeth Bernardino, Francisco Rosemiro Guimarães Ximenes Neto
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    Seung-Min Lee, Beob-Wang Ahn, Mi Yu
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    Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
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    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
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Effects of Group Art and Music Therapy in Newly Hired Nurses: A Mixed Method Study
Eun Young Doo, Hyung Eun Seo, Sujin Choi, Bo Kyung Chang, Miyoung Kim
J Korean Acad Nurs Adm 2018;24(2):118-129.   Published online March 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.2.118
PURPOSE
This study was done to evaluate the effects of group art and music therapy on decreasing job stress and increasing resilience of newly hired nurses.
METHODS
A mixed method design was used. Quantitative data (N=35) were collected through questionnaires from November 2 to December, 5, 2016 and were analyzed using a one-tailed paired t-test by SPSS/WIN 22.0 program. Qualitative data (N=18) were collected through group and individual interviews from November 10, 2016 to February 3, 2017 and were analyzed using a qualitative thematic analysis.
RESULTS
The first hypothesis “participants will have lower job stress after the art and music therapy” was not statistically supported (t=−1.12, p=.270). The second hypothesis, “participants will have higher resilience after the art and music therapy” was supported (t=−2.13, p=.041). Four main themes were derived from the interviews: ‘looking into myself’, ‘feeling a camaraderie’, ‘healing of my mind and body’, ‘change in the intimidated self,’ CONCLUSION: The findings indicate that art and music therapy for newly hired nurses may positively influence resilience. Hospital organizations should utilize the therapy for newly hired nurses to improve their resilience so that they can realize their own values and increase positive emotion despite job stress.

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    Megan Tjasink, Eleanor Keiller, Madison Stephens, Catherine Elizabeth Carr, Stefan Priebe
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PURPOSE
The purpose of this study was to identify whether career decision-making self-efficacy and social support provide a moderating effect between career barriers and job-seeking stress for 4th year nursing students preparing for employment.
METHODS
A self report questionnaire survey was completed by 300 4th year nursing students at 6 universities located in 4 cities in Korea. Data were gathered during July, 2017 and analyzed using the SPSS 20.0 program.
RESULTS
There was significant positive correlation between career barriers and job-seeking stress, and negative correlation between career decision-making self-efficacy, social support and job-seeking stress. Career decision-making self-efficacy and social support had significant moderating effects in the relationship between career barriers and job-seeking stress among nursing students preparing for employment.
CONCLUSION
The results of the study indicate that career decision-making self-efficacy and social support are important factors in reducing job-seeking stress among nursing students preparing for employment. Therefore, to understand various job-seeking stress factors among nursing students preparing for employment, consideration must be given to the development of educational programs and support systems to improve career decision-making self-efficacy and social support.

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    Jong Mi Lim, Ok-Hee Cho
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  • Role of sociodemographic factors and self-efficacy in the perception of social support of nursing students
    Rafaela Teodoro Ferreira, Jamila Souza Gonçalves, Jaqueline Lemos de Oliveira, Marcelo Vinicius Domingos Rodrigues dos Santos, Caíque Rossi Baldassarini, Jacqueline de Souza
    Revista da Escola de Enfermagem da USP.2021;[Epub]     CrossRef
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  • Hemşirelik Bölümü Öğrencilerinde Anksiyete Durumunun Kariyer Kararı Yetkinlik Beklentisine Etkisinin Belirlenmesi
    Meltem Kürtüncü, Hicran Yıldız, Aylin Kurt
    OPUS Uluslararası Toplum Araştırmaları Dergisi.2019; 14(20): 1.     CrossRef
  • 1,038 View
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PURPOSE
The purpose of this study was to identify the effects of social support on the relationship between practice stress, emotional labor, and burnout among nursing students.
METHODS
The sample for this study consisted of 199 students from four universities located in Korea, and had a practicum experience at least one semester before the study began. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation and hierarchical multiple regression with SPSS/WIN 23.0.
RESULTS
It was found that: (a) burnout had a positive correlation with both practice stress and emotional labor, whereas a negative correlation was observed with social support; (b) social support mediated the relationship between practice stress and burnout, and (c) social support mediated the relationship between emotional labor and burnout.
CONCLUSION
Results of the study suggest that social support decreases the negative effects of practice stress and emotional labor on burnout. Therefore, we need to find ways to strengthen social support for students.

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  • DUYGUSAL EMEĞİN İŞE TUTKUNLUKLA İLİŞKİSİ: BANKA ÇALIŞANLARI ÜZERİNE BİR ARAŞTIRMA
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  • Burnout and academic satisfaction of nursing students in traditional and integrated curricula
    Rafaely da Silva Batista, Márcio Souza dos Santos, Emiliana Cristina Melo, Ricardo Castanho Moreira, Júlia Trevisan Martins, Maria José Quina Galdino
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    Won Hee Jun, Jinhyang Yang, Eun Ju Lee
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PURPOSE
This study was done to identify and compare nursing performance including job stress, emotional labor and burnout between nurses who work in comprehensive nursing care service wards and general wards.
METHODS
Participants were 187 nurses working in a general hospital in Busan which provides comprehensive nursing care service (comprehensive nursing care service ward: 95, general ward: 92). Data were collected using questionnaires and analyzed using descriptive statistics, χ² test, t-test, ANOVA, and multiple regression with the SPSS/WIN 23.0 program.
RESULTS
There was no significant difference in the variables between comprehensive nursing care service ward nurses and general ward nurses. Factors influencing burnout were emotional labor in comprehensive nursing care service ward nurses while job stress and emotional labor were the factors influencing burnout in general ward nurses.
CONCLUSION
The findings of this study indicate that comprehensive nursing care service can be a positive delivery system for nurses. Therefore, there is a need for strategies to integrate comprehensive nursing care service systematically.

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Influence of Verbal Abuse on Job Stress for Special Unit Nurses and General Ward Nurses in General Hospitals
Yang Ok Kim, Yeo Jin Yi
J Korean Acad Nurs Adm 2017;23(3):323-335.   Published online June 30, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.3.323
PURPOSE
It is expected that there will be a difference in job stress between special unit (operating room, anesthesia room) nurses and general ward nurses in general hospitals, but factors influencing job stress have not been examined. This study reports on research to examine the sources of verbal abuse in the workplace.
METHODS
Participants were 243 nurses (special unit 112, general ward 132) working in a hospital in I city. Data collection period was March 18 to March 25, 2016 and questionnaires were used to collect data. Comparison of differences in influence of verbal abuse on job stress between special unit and general ward nurses was analyzed with multiple hierarchical regression.
RESULTS
In special unit nurses, verbal abuse from doctors and/or nurses influenced their job stress (Adj. R²=.545). In general ward nurses, verbal abuse from patients and/or care-givers influenced their job stress (Adj. R²=.241).
CONCLUSION
Findings indicate a need to campaign for increase respect among nurse-doctor, nurse-nurse, and nurse-patients/care givers because verbal abuse from doctors, nurses, and patients/care-givers causes negative attitudes in nurses. General ward nurses in particular should provide sufficient explanation to patients about nursing services because verbal abuse from patients/care-givers is related to their complaints about nursing care.

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  • Nurse’s experience working 12-hour shift in a tertiary level hospital in Qatar: a mixed method study
    Bejoy Varghese, Chithra Maria Joseph, Adnan Anwar Ahmad Al- Akkam, Rida Moh’d Odeh A. M. AL-Balawi, Esmat Swallmeh, Kalpana Singh
    BMC Nursing.2023;[Epub]     CrossRef
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    Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
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    Jung-Hoon Lee, Yeoungsuk Song
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    Kyung Min Kim, Eun Nam Lee, Moon Ja Kim
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    Kyoung Ju Lee, Hye Young Kim
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    Jinhee Kim
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(2): 144.     CrossRef
  • 552 View
  • 7 Download
  • 8 Crossref
PURPOSE
The purpose of this study was to identify effects of moving from a functional method of nursing care delivery to a modified team nursing delivery system.
METHODS
A structured self-report questionnaire was used to measure satisfaction with the nursing delivery system, self-efficacy, job stress and nursing performance. Participants were 72 nurses working at a university hospital and data were collected three times; before, one month and three months after the modification to a modified team nursing delivery system. Data were analyzed using repeated measure ANOVA.
RESULTS
Satisfaction with the nursing delivery system increased significantly after the change to the modified team nursing method. There were no significant differences in self-efficacy, job stress, or nursing performance. However, satisfaction with the nursing delivery system and nursing performance increased and job stress decreased significantly in new nurses with less than 1 year experience.
CONCLUSION
Results indicate that a modified team nursing method has positive results on nurses' satisfaction, self-efficacy, job stress, and nursing performance compared to the functional method. Effect of changing the nursing delivery system in the hospital suggests possibilities and directions for a modified nursing delivery system that would be useful in hospitals presently using the functional method.

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  • Risk of adverse events from medication errors in general and tertiary hospitals: A cross-sectional design
    Eunyoung Hong, Youngmi Kang
    Contemporary Nurse.2025; : 1.     CrossRef
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    Eunji Lee, Haejung Lee
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    Hyunjeong Kwon, Jinhyun Kim
    Nursing & Health Sciences.2024;[Epub]     CrossRef
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  • 48 Download
  • 3 Crossref
Effects of Workplace Bullying, Job Stress, Self-esteem, and Burnout on the Intention of University Hospital Nurses to Keep Nursing Job
Young Hee Yom, In Soon Yang, Jung Hee Han
J Korean Acad Nurs Adm 2017;23(3):259-269.   Published online June 30, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.3.259
PURPOSE
Medical institutions and their patients benefit from continued employment of nurses. In this study an assessment was done of important factors that influence nurses' intention to leaving their jobs.
METHODS
The sample consisted of 229 university hospital nurses. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffé, Pearson's Correlation Analysis, and Hierarchical Multiple Regression.
RESULTS
The control variables, including age, current position, and health status explained 18% (F=16.37, p<.001) of variance in retention intention. The control variables, bullying, job stress, self-esteem, and burnout collectively explained 27% of variance in retention intention.
CONCLUSION
The findings indicate that the factors influencing retention intention are age, current position, and health status, while self-esteem and burnout in work places are new and more recent factors that impact retention intention. These findings can be utilized to develop strategies to increase self-esteem and retention intention.

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    Satyalakshmi Kompella
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    Seung-Hee Lee, Min-Ho Joo
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  • The Mediating Effect of Grit on the Relationship between Work Environment and Intention to Stay at Work among Regional Trauma Center Nurses: A Cross-Sectional Study
    Ji Sun Yang, Myung Jin Jang
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  • Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
    Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
    International Journal of Environmental Research and Public Health.2022; 19(10): 5792.     CrossRef
  • Mediating Effect of Organizational Commitment on the Relationship between Nurses’ Clinical Characters and Retention Intention of the Small and Medium-sized Hospital Nurses
    Min Hee Lee, Su Hye Kwon
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    Sun-Joo Cho, Su-Jin Lim
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    Hun Ha Cho, Eun-Young Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(2): 172.     CrossRef
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    Hee Girl Kim, Ryoun-Sook Lee, Soong-Nang Jang, Kwang Byung Kim, Young Ran Chin
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    Hanju Bea, Heekyung Chang, Young Eun
    Stress.2018; 26(3): 243.     CrossRef
  • 552 View
  • 17 Download
  • 15 Crossref
PURPOSE
The purpose of this study was to provide basic research material necessary for the establishment of comprehensive nursing service units, through a comparative analysis of inpatient satisfaction with nursing between comprehensive nursing service and general units and the work stress of nurses.
METHODS
The survey participants were inpatients and nurses from 3 general hospitals in Busan, including 6 units, 123 nurses and 220 patients. Date collection was done through March and April 2016. Collected data were analyzed using test and independent t-test with SPSS 23 Win program.
RESULTS
Inpatients on comprehensive nursing service units had higher scores for satisfaction than inpatients on general units. There was no statistically significant difference in nurses' work stress between the two types of units.
CONCLUSION
The findings indicate that although inpatient satisfaction with comprehensive nursing service units is higher than for general units, work stress for nurses is comparatively high for both types of units. While it is necessary to expand the implementation of comprehensive nursing service units, an institutional strategy for reducing nurses' work stress is required if the expansion is to be successful.

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    Soo Jin Lee, Ji Won Kim, Nam Hee Park
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    Sung-Heui Bae
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    Hee-Sun Choi, Young Shin Cho
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    Soon Neum Lee, So Yeon Gu
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    Sujin Shin, Inyoung Lee, Jeonghyun Kim, Sung-Heui Bae
    Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 260.     CrossRef
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Effect of Incivility Experienced by Clinical Nurses on Job Stress and the Moderating Effect of Self-efficacy
Song Yi Kim, Sook Hee Yoon
J Korean Acad Nurs Adm 2017;23(1):8-17.   Published online January 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.1.8
PURPOSE
The aim of this study was to analyze the effects of incivility experienced by clinical nurses on their job stress, and to identify the moderating effects of self-efficacy on the relationship between job stress and incivility.
METHODS
A structured self-report questionnaire was used to measure job stress, incivility and self-efficacy. Data were collected from 140 nurses currently working in three general hospitals of more than 300 beds. Data were analyzed using descriptive statistics, ANOVA, Scheffé test, Pearson correlation coefficient, hierarchical multiple linear regression with the SPSS Version 19.0 program.
RESULTS
Incivility from supervisors, patients and patients' families showed a significant effect on job stress and self-efficacy had an effect on incivility from patients and patients' families and also incivility from doctors and job stress. These variables have total explanatory power of 46.6% on job stress.
CONCLUSION
The results indicate a need to recognize the seriousness and damage of incivility in order to reduce hospital nurses' job stress and to awaken nurses to the relationship of stress and incivility and establish institutional programs to combat incivility. Moreover, there is also a need to improve self-efficacy on the ward through hospital education and coaching.

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    Eunhee Jo, Rahyeon Hwang, Ju-Hee Lee, Yoon-Ji Lee
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(3): 364.     CrossRef
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    Chiyoung Cha, Choa Sung
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    Kyoungja Kim
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Development and Effects of a Resilience Training Program for Nurses
Misun Choi, Miyoung Kim
J Korean Acad Nurs Adm 2016;22(4):373-383.   Published online September 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.4.373
PURPOSE
This study was conducted to develop a resilience training program for nurses and test its effects.
METHODS
A non-equivalent experimental group and a control group pretest-posttest study design was used with 56 participating nurses (28 nurses in the experimental group and 28 nurses in the control group). The resilience training program was provided to participants for 4 weeks from August 12 to September 4, 2013. Each session was scheduled for two hours per week. Participants completed the tools for resilience, positive affect, and perceived stress assessment. Data were analyzed using χ² test, Independent t-test, and 2*2 repeated measures multivariate analyses of variance (MANOVAs) with the SPSS/WIN 21.0 program.
RESULTS
Application of the resilience training program significantly helped nurses enhance their resilience and positive affect to workplace adversity, and reduce their perceived stress. There were significant positive differences for these variables in the experimental group compared to the control group.
CONCLUSION
The findings indicate that the resilience training program for nurses is effective and can be used as an intervention for a stress management guide for nurses.

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    Cheol Jeong, Eun Nam Lee
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PURPOSE
The present study was aimed to examine the degree of nurses' emotional labor and occupational stress and demonstrate the moderating and mediating effects of work-family conflict in the relationship among emotional labor, occupational stress, turnover intention of nurses.
METHODS
The participants for this study were 307 nurses currently working in two general hospitals in G city in Korea. Data were collected using structured questionnaires and analyzed for descriptive statistics, t-test, ANOVA, Mann-Whitney U Test, Kruskal Wallis Test, Pearson correlation coefficients and hierarchical multiple regression with SPSS/WIN 21.0 program.
RESULTS
It turned out that work-family conflict plays an important role in the relationship among emotional labor, occupational stress, turnover intention of nurses.
CONCLUSION
Therefore, to reduce nurses' turnover intention, it is necessary to have an intervention focusing on work-family conflict. Also, it is necessary for both the government and hospitals to establish a supportive system and a program to relieve nurses from their work-family conflict.

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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
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    Young Ae Kim, Kuem Sun Han
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    Ji‐Soo Kim
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    Youngock Lee, Jiyeon Kang
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    Hye-Lyun Kim, Sook-Hee Yoon
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Influence of Experiencing Verbal Abuse, Job Stress and Burnout on Nurses' Turnover Intention in Hemodialysis Units
Sun Ae Joung, Kyung Yeon Park
J Korean Acad Nurs Adm 2016;22(2):189-198.   Published online March 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.2.189
PURPOSE
The aim of this study was to investigate the relationships between the hemodialysis unit nurses' experience of verbal abuse, job stress, burnout, and turnover intention, and to identify the explained variances for turnover intention.
METHODS
The research design was a descriptive survey using a probability sampling. The data were measured using self-report questionnaires from 231 hemodialysis unit nurses in seven cities in Korea and were analyzed with SPSS 20.0.
RESULTS
The mean scores were 2.45±0.62 (out of 5) for experience of verbal abuse, 2.40±0.26 (out of 4) for job stress, 2.31±0.48 (out of 4) for burnout, and 3.16±0.05 (out of 5) for turnover intention. There were significant correlations among the experience of verbal abuse, job stress, burnout, and turnover intention within the hemodialysis unit nurses. Factors influencing turnover intention were 'burnout' (β=.42, p<.001) and 'job stress' (β=.17, p=.015)which explained 42% of the variance (F=15.98, p<.001).
CONCLUSION
Results suggest that in order to reduce nurses' turnover intention, nurse managers should explore strategies to reduce nurses' burnout and job stress in nurses in hemodialysis units.

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Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale
Kyoung Mi Kim, Kyoung A Nam, Eunhee Lee, Geum Hee Jeong
J Korean Acad Nurs Adm 2015;21(5):542-551.   Published online December 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.5.542
PURPOSE
This study was done to evaluate validity and reliability of the Korean version of the expanded nursing stress scale (ENSS).
METHODS
Forward-backward translation of ENSS from English to Korean was conducted. The translated instrument was pilot-tested and administrated to 285 nurses who worked in five general hospitals in Korea. Internal consistency reliability was assessed using Cronbach's alpha and composite reliability. Validity was evaluated through construct validity with confirmatory factor analysis, convergent and discriminant validity.
RESULTS
The Korean version of ENSS showed a reliable internal consistency with Cronbach's alpha .95 and composite reliability .99. Model fit indexes for 46 items were validated by confirmatory factor analysis(goodness of fit index .82, Tucker-Lewis index .92, root mean square error of approximation .04), indicating suitable construct validity. Factor loading of the 48 items (.47~.88) and average variance extracted out of nine factors (.52~.71.) indicated satisfactory convergent validity. Some values of square of the correlation coefficient between factors (.12~.89) were higher than average variance extracted values of each factor (.52~.71) so that it partly satisfied discriminant validity.
CONCLUSION
Findings show that the Korean version ENSS has good reliability and suitable validity; therefore, can be used to assess and identify Korean nurses' job stress.

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Factors Influencing Happiness Index of Nursing Students
Young Suk Kim, Mi Young Han
J Korean Acad Nurs Adm 2015;21(5):501-510.   Published online December 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.5.501
PURPOSE
The purposes of this study were to identify the effects of social support, resilience, stress and satisfaction in major on the happiness index of nursing students.
METHODS
Data were collected from March 16 to April 10, 2015 through a self-report questionnaire survey. Participants were 205 students in three different nursing colleges located in Busan and Yangsan. Measured variables were social support, resilience, stress, satisfaction in major and Happiness index.
RESULTS
Social support, resilience, satisfaction in major, and personal relationships had significant positive effects on the happiness index, while stress had a negative effect on the happiness index. Explained variance for the happiness index was 46% and social support was the most significant factor in the happiness index of nursing students.
CONCLUSION
The results from this study suggest that resilience, social support, stress, satisfaction in major, and personal relationships should be considered as the main influential factors when developing intervention strategies to increase of the happiness index of nursing students.

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    Leopoldo Daniel-González, José Moral-de la Rubia, Adrián Valle-de la O, María Luisa Martínez-Martí, Cirilo H. García-Cadena
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    Nadiah A. Baghdadi, Chandrakala Sankarapandian, Judie Arulappan, Murad H. Taani, Julia Snethen, Shaherah Yousef Andargeery
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    T. K. Ajesh Kumar, Deepika Cecil Khakha, Poonam Joshi, Smita Das, K. J. Manu
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    Su Jin Kim
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    Sujin Shin, Eunhee Hwang
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Effects of Clinical Learning Environment on Clinical Practice Stress and Anxiety in Nursing Students
Eun Young Kim, Seung Hee Yang
J Korean Acad Nurs Adm 2015;21(4):417-425.   Published online September 30, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.4.417
PURPOSE
The purpose of this study was to identify factors in the clinical learning environment that affect clinical practice stress and anxiety in nursing students.
METHODS
Participants were 210 senior nursing students from two universities who had completed their clinical experience. Data were collected from self-report questionnaires and analyzed using t-test, ANOVA, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 Program.
RESULTS
The mean scores for the clinical learning environment, the clinical practice stress, and anxiety were 3.16+/-0.68, 2.98+/-0.66, and 43.74+/-10.18 points, respectively. The regression analysis showed that the clinical learning environment contributed to 13% of the stress and 20% of the anxiety in the nursing students with the conditions controlled for general characteristics, department satisfaction and social support.
CONCLUSION
The results of this study suggest that the clinical learning environment should be carefully assessed to reduce nursing students' stress and anxiety from clinical practice. Therefore, collaboration between nursing universities and teaching hospitals is necessary to optimize clinical learning environment.

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A Study of Nursing Tasks, Nurses' Job Stress and Job Satisfaction in Hospitals with No Guardians
Min Kyung Lee, Duk Yoo Jung
J Korean Acad Nurs Adm 2015;21(3):287-296.   Published online June 30, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.3.287
PURPOSE
Purpose of the study was to investigate task performance, importance, knowledge, and level of job stress and job satisfaction of nurses working in a hospital with no family or family paid auxiliary caregivers.
METHODS
Participants were 119 nurses working in hospitals with no guardians. The questionnaire contained 488 items: general characteristics, performance, importance, knowledge of nursing tasks, job stress and job satisfaction. Data were analyzed using descriptive statistics and Pearson correlation coefficients with SPSS/WIN 21.0.
RESULTS
Most frequently performed nursing tasks were patient nursing management and information management. Nursing tasks perceived as most important were medication and transfusion and nursing tasks with the highest knowledge were also medication and transfusion. Nursing task (subcategory) most frequently performed was oral medication. Nursing task (subcategory) perceived as most important was mental status observation and nursing task (subcategory) with the highest knowledge was vital sign check. Nurses' job stress was significantly associated with job satisfaction. The mean scores for nurses' job stress and job satisfaction were low.
CONCLUSION
The results indicate that nurses working in hospitals with no guardians perform daily living assistance services more often than previously, and nurses need to be prepared to do these tasks.

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

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