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"practical"

Original Articles
Structural Equation Model for Intent of Return to Nursing Practice among Inactive Korean Nurses
Ji-Yeon Yoo
J Korean Acad Nurs Adm 2025;31(1):87-98.   Published online January 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.1.87
Purpose
This study aimed to predict and test a hypothetical model for the Intent of Return to Nursing Practice(IRNP) among inactive Korean nurses and to identify the interrelationships and influences of factors affecting IRNP.
Methods
The conceptual model was developed by integrating Ajzen’s Theory of Planned Behavior and Herzberg’s Two-Factor Theory. Data were collected from 224 Korean nurses who experienced a career disruption of more than one year through online or offline surveys. Data were analyzed using SPSS 20.0 and AMOS 22.0.
Results
The average nursing care length was seven years. The primary reason for leaving practice was rotating shifts, while the main barrier to reemployment was exhaustion. Among the variables, Career Commitment (β=.59, p<.001), Nursing Work Environment (β=.37, p<.001), and Attitude (β=.32, p<.001) had significant total effects on IRNP. Career Nursing Commitment, Subjective Norm, and Attitude showed direct effects, while the Nursing Work Environment had the second-largest total effect on IRNP, acting indirect by mediating Career Commitment.
Conclusion
The findings highlight the need for collaborative efforts among nurses, family, colleagues, hospitals, professional associations, and nursing policymakers to prevent the permanent loss of skilled nursing professionals.
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Purpose
The purpose of this study is to identify the effects of the organizational factors and nursing competency of novice and advanced beginner nurses on patient safety management activities, and to confirm the mediating effect of informal learning. Methods Responses to questionnaires from 169 novice and advanced beginner nurses in South Korea were analyzed. For model fit and hypothesis, maximum likelihood method and covariance structure modeling were used, and bootstrapping was used for significance level. Organizational factors and nursing competencies were independent variables. Informal learning and patient safety management activities were mediator and dependent variables, respectively. Results Informal learning exhibited a partial mediating effect on the relationship between nursing competency and patient safety management activities and completely mediated the relationship between organizational factors and patient safety management activities. Conclusion In order to improve the patient safety management activities of novice and advanced nurses, there is a need for interventions that can improve organizational changes and individual nursing competency. Based on this, it will be possible to increase patient safety management activities by developing educational programs including informal learning and improving patient safety culture.

Citations

Citations to this article as recorded by  
  • Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study
    Jieun Shin, Nam-Yi Kim
    Risk Management and Healthcare Policy.2024; Volume 17: 715.     CrossRef
  • Nursing Students’ Informal Learning of Patient Safety Management Activities
    Nam-Yi Kim
    Healthcare.2021; 9(12): 1635.     CrossRef
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  • 2 Crossref
An Empirical Analysis of Costs related to Nursing Practice
Yu Kyung Ko, Bo Hyun Park
J Korean Acad Nurs Adm 2017;23(2):139-150.   Published online March 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.2.139
PURPOSE
The purpose of this study was to identify nursing service costs associated with all health care costs incurred by the institution.
METHODS
This study was an empirical case study research in which the nursing cost was separated from total medical cost. The nursing cost index was calculated through a cost allocation method after summarizing costs for personnel, raw materials and administration of each department in one public hospital. The 2014 budget plan, published in ‘Public Hospitals Alert’, was used as data and the data were analyzed using the Microsoft Office EXCEL 2013 program.
RESULTS
When comparing total medical costs and nursing costs, the nursing cost were 27.14% of the total medical cost. The nursing cost per nurse per hour was calculated as â‚©29,128 The nursing cost per inpatient per day was calculated as â‚©157,970, and the administration cost per patient was calculated as â‚©133,710.
CONCLUSION
The results of the research present the process of cost allocation of specific cost elements in the hospital and evidence for administrative costs which in the past have been only vaguely formulated. These are the significant implications of this study.

Citations

Citations to this article as recorded by  
  • Developing and testing a Korean patient classification system for general wards based on nursing intensity
    Yukyung Ko, Bohyun Park, Hanju Lee, Donghwan Kim
    Nursing Open.2021; 8(4): 1870.     CrossRef
  • A Study on the Status of Application of Health Insurance Fees for Nursing Activities of Nurses in Rehabilitation Unit
    Oon Hee Yee, Sun-Houng Kim, Mihwa Cho, Kyung Hee Moon, Seungyoung Lee
    The Korean Journal of Rehabilitation Nursing.2021; 24(1): 1.     CrossRef
  • 18 View
  • 0 Download
  • 2 Crossref
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