• Journal of Korean Clinical Nursing Research
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• v.29 no.2
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• pp.163-174
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• 2023

Purpose: To identify the effect of a new leadership type by confirming the effect of clinical nurses' grit and nursing work environment on nursing performance and retention intention with the mediating effect of compassionate rationalism leadership in the process. Methods: A proportional stratified sampling method was used with 45 tertiary general hospitals nationwide as the sampling unit. An online survey targeting nurses who have been working continuously for more than one year was conducted from October 14 to November 9, 2022. The final analysis included 1,256 questionnaires. The correlation between the participants' variables was analyzed using Pearson's correlation coefficients. The mediating effect was confirmed using a regression analysis, and bootstrapping. Results: The compassionate rationalism leadership had a mediating effect on the relationship between grit and nursing performance (F=203.21, p<.001), nursing work environment and nursing performance (F=109.48, p<.001), grit and retention intention (F=149.90, p<.001), and nursing work environment and retention intention (F=25.14, p<.001). Conclusion: The compassionate rationalism leadership of nursing managers had a positive effect on nursing performance and retention intention. Therefore, with the development and application of educational programs of compassionate rationalism leadership, it can be used to improve nursing performance and operate an efficient nursing organization.

• Journal of Korean Academy of Nursing
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• v.53 no.6
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• pp.635-651
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• 2023

Purpose: This study aimed to identify the main keyword, network structure, and main topics of the national petition related to "nursing" in South Korea. Methods: Data were gathered from petitions related to the national petition in Korea Blue House related to the topic "nursing" or "nurse" from August 17, 2017, to May 9, 2022. A total of 5,154 petitions were searched, and 995 were selected for the final analysis. Text network analysis and topic modeling were analyzed using the Netminer 4.5.0 program. Results: Regarding network characteristics, a density of 0.03, an average degree of 144.483, and an average distance of 1.943 were found. Compared to results of degree centrality and betweenness centrality, keywords such as "work environment," "nursing university," "license," and "education" appeared typically in the eigenvector centrality analysis. Topic modeling derived four topics: (1) "Improving the working environment and dealing with nursing professionals," (2) "requesting investigation and punishment related to medical accidents," (3) "requiring clear role regulation and legislation of medical and nonmedical professions," and (4) "demanding improvement of healthcare-related systems and services." Conclusion: This is the first study to analyze Korea's national petitions in the field of nursing. This study's results confirmed both the internal needs and external demands for nurses in South Korea. Policies and laws that reflect these results should be developed.

• Journal of Korean Academy of Rural Health Nursing
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• v.15 no.2
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• pp.49-56
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• 2020

Purpose: This descriptive correlational study was done to analyze the relationship between social support and self-care in hypertensive patients aged 30 years or older. Methods: Data were collected from April 09 to April 16, 2020 through an online survey (Naver Form) at Internet cafes and SNS Eighty 80 adults aged 30 or older who had been diagnosed with high blood pressure at a medical institution participated in the study. Data were analyzed using t-test, one-way ANOVA, Scheffé's test and Pearson correlation coefficients with SPSS statistics 26.0. Results: The study results showed that social support for hypertensive patients was significantly higher for men (t=-2.17, p=.033), according to religious status (t=-2.33, p=.023), and the number of people in the household (F=6.05, p=.001). In addition, there was a significant positive correlation between social support and hypertensive self-care (r=.24, p=.036). Conclusion: The results confirm that the social support of patients with hypertension is related to self care for hypertension management. As the number of elders and single-person households who cannot manage their health well increases, it is necessary to establish a long-term and continuous social support system for these clients.

• Journal of Korean Academy of Nursing
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• v.52 no.5
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• pp.511-521
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• 2022

Purpose: This study aimed to examine the moderating effect of organizational justice on the relationship between self-efficacy and nursing performance among clinical nurses. Methods: In January 2021, a cross-sectional survey was conducted with 224 clinical nurses recruited from a university-affiliated hospital in Suwon, South Korea. Participants completed online-based, self-report structured questionnaires. Collected data were analyzed using multiple regression and a simple model of PROCESS macro with a 95% bias-corrected bootstrap confidence interval. Results: Self-efficacy and organizational justice were found to be significant predictors of nursing performance. These two predictors explained the additional 34.8% variance of nursing performance in the hierarchical regression model, after adjusting the other covariates. In addition, organizational justice moderated the relationship between self-efficacy and nursing performance among the clinical nurses. In particular, at low self-efficacy level, participants with high organizational justice had higher nursing performance compared to those with low organizational justice. Conclusion: Enhancing organizational justice can be used as an organizational strategy for improving the organizational culture in terms of distribution, procedure, and interaction. Ultimately, these efforts will contribute to the improvement of nursing performance through a synergistic effect on organizational justice beyond nurses' individual competency and self-efficacy.

• Journal of Korean Public Health Nursing
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• v.35 no.1
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• pp.47-59
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• 2021

Purpose: To assess levels of mental health among community health practitioners during the COVID-19 outbreak in Korea and associations between practitioner mental health and personal and psychosocial factors. Methods: Data were collected from a convenient sample of 275 community health practitioners using an online questionnaire, which included items on mental health (K-WEMWBS), psychosocial factors (COVID-19 sensitivity, COVID-19 self-confidence, social support, perceived stress), and personal characteristics. Collected data were analyzed using the t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and multiple linear regression in SPSS 25.0. Results: Mean mental health score was 51.27±8.47. Multiple linear regression revealed that time spent as a community health practitioner, COVID-19 self-confidence, social support, and perceived stress were significantly associated with mental health. Conclusion: The findings of this study suggest that comprehensive intervention with emphases on improving COVID-19 self-confidence, social support, and reducing stress is required to improve community health practitioner mental health. The results also indicate a need for educational programs aimed at improving the mental health of young community health practitioners.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.3
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• pp.300-311
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• 2019

Purpose: The purpose of this study was to review and synthesize the existing literature on the experience of nursing students in simulation. Methods: A systematic review was undertaken using meta-ethnography. Eight databases were searched up to January 2014 for peer-reviewed studies, written in Korean and English, that reported primary data, used identifiable and interpretative qualitative methods, and offered a valuable contribution to the synthesis. Results: Nine studies were identified, with quality appraisal undertaken. Three key concepts were generated: ambivalence of simulation practice, learning by reflection, and building up of the competency as a future nurse. Six sub-concepts emerged: double sidedness of simulation setting; feeling ambivalence of simulation; learning from others; learning from self-reflection; improvement of confidence by role experience; and internalization of nursing knowledge. A line of argument has been developed based on the themes generated. Conclusion: The findings from this qualitative synthesis and other related literature indicated the importance of capability of educator and extension of the simulation system to facilitate effective simulation-based education.

• Journal of Korean Biological Nursing Science
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• v.21 no.1
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• pp.54-61
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• 2019

Purpose: This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture. Methods: The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox's proportional hazard model. Results: Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72 (${\pm}3.81$) days. Stage II pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p= .039), spinal anesthesia (p= .029), and stay at intensive care unit after operation (p= .009). Conclusion: Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.

• Health Communication
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• v.13 no.2
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• pp.195-204
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• 2018

Background: Unlike traditional quantitative study, this qualitative study is designed to understand and explore the experiences of nursing students's communication in clinical nursing practicum. Methods: Participants were 15 nursing students from a university in Seoul who were selected by purposive sampling. They had been participated in clinical nursing practicum more than one semester. Data were collected through in-depth interviews and observation from May 29, 2017 to June 8, 2017. Collected data were analyzed by Colaizzi's phenomenological methodology. Results: As a result, 5 theme clusters were derived as follows: 1) the modeling of communication, 2) treatment as a student nurse, 3) respect as a nurse, 4) trauma after communication, and 5) sympathy in communication. This study identified the desire for nursing professionalism, psychological difficulties as negative emotionality, as well as positive emotionality of nursing students in clinical practicum. Conclusion: We should consider a nursing curriculum to prepare and improve the communication of nursing students before participating in clinical practicum. The concrete and systematic communication education would be useful for nursing students to participate clinical practicum effectively.

• Research in Community and Public Health Nursing
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• v.32 no.1
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• pp.64-72
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• 2021

Purpose: The purpose of this study is to analyze occupational accident compensation insurance coverage and occupational accidents incidence for special-type delivery workers. Methods: The data for occupational accident compensation insurance coverage and occupational accidents from 2012 to 2017 were analyzed through descriptive statistics. Results: Rates of occupational accident compensation insurance coverage of special-type delivery workers decreased gradually from 43.4% in 2012 to 28.5% in 2016, and 29.0% in 2017. Rates of occupational illnesses death per ten thousand workers increased gradually from 2.1‱ in 2013 to 3.1‱ in 2016, and 8.6‱ in 2017. All occupational illness deaths were due to cerebro-cardiovascular diseases. Road traffic accidents and slips accounted for the largest proportion of occupational accidents. Conclusion: Special-type delivery workers have a high risk of industrial accidents, so it is necessary to raise industrial accident insurance coverage and provide professional and systematic occupational safety and health services.

• Journal of Korean Public Health Nursing
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• v.36 no.1
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• pp.33-46
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• 2022

Purpose: The purpose of this study was to identify factors that affect the intention of HPV vaccination in 12-year-old female adolescents and their mothers. Method: A descriptive study was conducted with 64 HPV-unvaccinated female adolescents and their mothers in W city, Republic of Korea. Data collection was conducted from October to November in 2019. The data were analyzed using SPSS WIN 24.0 Program. Descriptive statistics, paired t-test, independent t-test, χ²-test and logistic regression analysis were conducted. Result: According to the results, 57.8% and 62.5% of female adolescents and mothers had the intentions of HPV vaccination, respectively. In the logistic regression analysis for the factors affecting female adolescents' and mothers' HPV vaccination intentions, there was no significant factor in female adolescents. In the case of mothers, the significant factors were cervical cancer knowledge and perceived disability. Conclusion: In order to increase the HPV vaccination rate, educational programs are needed to provide knowledge of cervical cancer. A variety of intervention strategies should be developed to decrease the perceived disability of HPV vaccination health beliefs.