Purpose This study investigated the mediating effects of patient safety management activities on the relationship between nurse-nurse collaboration, nurse-physician collaboration, and nursing performance of clinical nurses. Methods Online survey was performed from February 18 to February 28, 2023 using structured questionnaires. The participants were 212 clinical nurses working in tertiary general hospitals in South Korea. The participants completed self-reporting questionnaires, that measured nurse-nurse collaboration, nurse-physician collaboration, nursing performance, and patient safety management activities. Data were analyzed using SPSS 29.0 program, for multiple regression and a simple mediation model, applying the PROCESS macro with a 95% bias-corrected bootstrap confidence interval. Results Nurses' patient safety management activities had a mediating effect on the relationship between nurse-nurse collaboration and nursing performance (B=0.24, Boot 95% CI=0.16∼0.34). In addition, patient safety management activities showed a mediating effect on the relationship between nurse-physician collaboration and nursing performance (B=0.10, Boot 95% CI=0.07∼0.15). Conclusion The levels of nurse-nurse collaboration, nurse-physician collaboration, and patient safety management activities must be considered when developing strategies to improve nurses’ performance in nursing practice settings.
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Nurses’s Experience with Department Transfer Following Sudden Ward Closure after a Collective Resignation of Residents Yeon Hee Kim, Jeong Min Jo, Hye Mi Kim, Gyu Ri An, Na Yeon Lee, Hee Suk Ha Journal of Korean Association for Qualitative Research.2025; 10(1): 14. CrossRef
Purpose This study aimed to determine the mediating effect of leader-member exchange (LMX) on the relationship between nursing unit managers’ethical leadership and nurses’turnover intentions. Methods A cross-sectional nationwide survey was performed using structured questionnaires. A total of 225 clinical nurses working in general tertiary hospitals were recruited through proportional quota sampling; the quota used represented the location of working hospitals in South Korea. Data were collected through an online survey and snowball sampling from June to September 2022 and analyzed using the SPSS 25.0 program. A mediation analysis was performed using a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval. Results In bootstrapping, the indirect effect (X→M→Y) was statistically significant (B=-0.77, 95% CI:-1.02 to -0.50). LMX showed a mediating effect on the relationship between nursing unit managers’ethical leadership and clinical nurses’ turnover intention. In this model, the total effect was B=-0.93 (p<.001). Conclusion These findings suggest that LMX must be considered when making a strategy for nursing retention in the hospital setting. Nursing unit managers with ethical leadership could decrease nurses’ turnover intention by improving the LMX.
Purpose This study was done to investigate the mediating effect of trust in supervisor in the relationship between ethical leadership of nursing unit managers and job embeddedness of staff nurses.
Methods: Participants were 216 staff nurses from one tertiary general hospital and three general hospitals. Data were collected from June to August, 2018, using self-report questionnaires. Data were analyzed using descriptive statistics, independent t-test, Mann-whitney U test, One-way ANOVA, Kruskal-wallis, Welch test, Scheffé test, Games-Howell, Pearson correlation coefficients and multiple regression, with the SPSS/WIN 23.0 program. A mediation analysis was performed according to the Baron and Kenny method and Sobel test.
Results: There were significant relationships between ethical leadership and trust in supervisor (r=.85, p<.001), ethical leadership and job embeddedness (r=.38, p<.001), and trust in supervisor and job embeddedness (r=.41, p<.001). Trust in supervisor showed full-mediating effects in the relationship between ethical leadership and job embeddedness.
Conclusion: The results of this research show the importance of the role of trust in the supervisor as a full mediating variable. To increase the nurses’ job embeddedness, it is necessary to develop programs and strategies to enhance trust in supervisors, as well as training nursing unit managers to provide ethical leadership.
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Commitment to Organizational Change in Clinical Nurses: A Structural Model Applying Lewin's Change Theory Mihwa Hong, Sujeong Han Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 38. CrossRef
PURPOSE This study was done to identify trends in leadership-related research by reviewing studies on hospital nurses in South Korea. METHODS The research was conducted from April 2 to 14, 2018 and search databases were RISS, KISS, DBpia, KM base, NAL, and NDSL. Search terms were ‘leadership’ and ‘nursing’ in the Korean language, and total 141 papers were selected. RESULTS Analysis of the research on leadership showed that 96.4% of research methods were quantitative research, and 60.3% were predictive researches. For study settings, 46.2% were general hospitals, 96.5% were staff nurses. In the study of leadership variables, 60.3% were independent variables and recent leadership was used as a mediating variable (4.3%) and a moderating variable (2.8%). Among the leadership types, self-leadership (31.2%) was the most common, and the main variable related to leadership was job satisfaction (25.8%). CONCLUSION These results provide useful data for deriving new research ideas about nursing leadership. Furthermore, this study has significance for providing the evidence for developing new leadership programs and policies in nursing organizations.
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General Nurses’ Nursing Leadership Experience in Patient Care: Applying Focus Group Interviews Ji-Mee Kim, Haena Lim, Yeojin Yi, Jung-Hee Song Journal of Korean Academy of Nursing Administration.2024; 30(1): 19. CrossRef
Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong Journal of Korean Academy of Nursing Administration.2024; 30(1): 42. CrossRef
Factors Related to Emotional Leadership in Nurses Manager: Systematic Review and Meta-Analysis Se Young Jang, Chan Mi Park, Eun Hee Yang Journal of Korean Academy of Nursing.2024; 54(2): 119. CrossRef
Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities Eunji Lee, Haejung Lee Journal of Korean Academy of Nursing Administration.2024; 30(4): 367. CrossRef
The Leadership Experience of Advanced Practice Nurses in a Tertiary Hospital Setting : Focus Group Interview Eun Sook Kim, Nayeon Kim, Su Jung Choi, Nari Kim, Young Hee Kim, Jung Yoon Lee, Eun-Hye Kim Journal of Korean Critical Care Nursing.2023; 16(3): 48. CrossRef
Nursing leaders' perceptions of the state of nursing leadership and the need for nursing leadership education reform: A qualitative content analysis from South Korea Hae‐Ok Kim, Insook Lee, Byoung‐Sook Lee Journal of Nursing Management.2022; 30(7): 2216. CrossRef
Nurses' ethical leadership and related outcome variables: Systematic review and meta‐analysis Sunmi Kim, Seok Hee Jeong, Myoung Hee Seo Journal of Nursing Management.2022; 30(7): 2308. CrossRef
Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis Yunjeong Cho, Seok Hee Jeong, Hee Sun Kim, Young Man Kim Journal of Korean Academy of Nursing.2022; 52(5): 479. CrossRef
Nursing Leadership Competencies among New Nurses: Perceptions of Nursing Managers’ Jimee Kim, Sung Kyung Hong, Mi Mi Park, Jae Sun Yu Journal of Korean Academy of Nursing Administration.2021; 27(5): 344. CrossRef
A Meta-Analytic Path Analysis on the Outcome Variables of Nursing Unit Managers' Transformational Leadership: Systemic Review and Meta-Analysis Sunmi Kim, Seok Hee Jeong Journal of Korean Academy of Nursing.2020; 50(6): 757. CrossRef
PURPOSE The purpose of this study was to identify the importance, performance and rates of nurses' performance of nursing interventions in long-term care hospitals. METHODS A cross-sectional descriptive study was used and data were collected in 2015. Participants were 174 clinical nurses working in 14 long-term care hospitals. The collected data were analyzed using the SPSS/WIN 18.0. RESULTS The nurses' perceived importance of nursing interventions was 4.48±0.51, and the degree of nursing intervention performance in long-term care hospitals was 3.97±1.07 out of 5. The rates of nursing interventions performed by nurses ranged from 33.9% to 99.4% with an average of 82.5%. There were statistically significant positive correlations among perceived importance, performance in hospitals, and rates for nurses' performance of nursing interventions (p<.001). CONCLUSION The results indicate that interventions with a high degree of importance and performance could be the core nursing interventions in long-term care hospitals. These core nursing interventions should be included in education for nurses. These findings can be used in developing realistic guidelines and effective strategies for nurses and administrators to improve the quality of nursing and the status of nursing professionals in long-term care hospitals.
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