• Korean Medical Education Review
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• v.25 no.2
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• pp.159-173
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• 2023

The purpose of this study was to develop and validate a competency tool for new nurses and to pilot-test it with new nurses. A Delphi survey was conducted to develop a competency tool, and a self-evaluation was conducted among new nurses who pilot-tested the finally derived competencies. The Delphi survey panel consisted of 18 people, including adjunct professors at the College of Nursing, nursing managers, and nurses with master's degrees. The Delphi survey asked about the validity of the competencies constructed in two rounds. After analyzing the Delphi results with mean, standard deviation, content validity ratio, degrees of convergence, and degrees of consensus, 12 core competencies and 36 enabling competencies were finally derived. The competencies consisted of clinical judgment and management (nine items), task competence (four items), patient orientation (five items), moral value orientation (three items), cooperation (two items), supply management (two items), professional development (three items), confidence (one item), self-control (two items), flexibility (two items), influence (one item), and nurturing others (two items). The finally derived competencies were pilot-tested with 229 new nurses who had worked for 2-12 months. The self-evaluation scores of new nurses were distributed differently according to their working period. In this study, the competencies required for new nurses were identified and the corresponding enabling competencies were identified. In the future, it is expected that a competency-based education program will be prepared based on these findings, and furthermore, it will be possible to provide high-quality medical and nursing services that meet patients' needs by improving the competency of new nurses and lowering the turnover rate.

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.4
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• pp.395-404
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• 2023

Purpose: The purpose of this study was to identify the factors influencing the nursing practice readiness of newly graduated nurses. Methods: The participants were 120 new nurses with 1 to 12 months of work experience at two tertiary hospitals in Seoul and Gyeonggi Province. The data were collected through an online questionnaire from February 6 to April 30, 2023. The collected data were analyzed using the IBM SPSS 25 program, and the independent t-test, Mann-Whitney U-test, ANOVA, Pearson's correlation coefficient, and a multiple regression analysis were performed. Results: The participants' nursing practice readiness was found to be positively correlated with their confidence in core nursing skill performance, satisfaction with clinical practice, satisfaction concerning simulation education, satisfaction regarding preceptorship, length of preceptorship and length of current unit placement. The regression analysis showed that the significant variables affecting nursing practice readiness were confidence in core nursing skill performance and satisfaction with clinical practice, and the explanatory power of the variables on nursing practice readiness was 36.0%. Conclusion: In order for newly graduated nurses to achieve nursing practice readiness, it is necessary to develop a nursing education program that can improve their confidence in core nursing skills performance and satisfaction with clinical practice in the nursing college curriculum and further research on the factors affecting nursing practice readiness is needed.

• Journal of East-West Nursing Research
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• v.25 no.1
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• pp.33-40
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• 2019

Purpose: The purpose of this study was to identify factors that affect care left undone among newly graduated nurses. Methods: Participants were 236 newly graduated nurses with less than 1 year of experience from 5 general hospitals in Busan. Self-report questionnaires were completed by nurses between October and November, 2016. Data were analyzed using t-test, ANOVA and multiple regression analysis with the SPSS/WIN 25.0 Program. Results: The mean score for care left undone was $2.18{\pm}1.43$. Factors influencing care left undone were monthly income and working environment. Regression analysis showed that working environment and monthly income explained 11.0% of the variance while controlling for participants' demographics and work characteristics. Conclusion: The findings suggest that better working environment and appropriate monthly income are important to reduce care left undone in hospitals. The quality of nursing and patient safety may be ensured by reducing care left undone.

• Korean Medical Education Review
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• v.21 no.2
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• pp.112-122
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• 2019

The purpose of this study was to identify the current status of the new graduate nurses' education system, to establish guidelines for the education of new graduate nurses, and to provide dates for the improvement of the education system. Eighty-nine hospitals participated in the survey from July to August 2018. The questionnaires consisted of 24 items including general characteristics, new graduate nurses' education system, operation of nursing education teams, and preceptorship programs. The average duration of education/training for new graduate nurses was 57.3 days, and 26.6%-58.5% of general hospitals, hospitals, and long-term care hospitals had less than 30 days of new graduate nurses education/training, which is shorter than the education/training period of tertiary hospitals. There were new nursing education guidelines in 88.8% of all medical institutions and 58.6% of them had nursing education teams. Most of the personnel in charge of nursing education were not dedicated to education. A total of 87.6% of the all participating medical institutions had preceptorship programs, while 23.1%-33.3% of hospitals and long-term care hospitals did not. The breakdown of preceptorship programs showed 68.4% as "preceptor and preceptee are in charge of one team, and preceptor is teaching preceptee," and 19.7% were "preceptor and preceptee are in charge of each team, and preceptor is teaching preceptee at the same time." These results show that standardization and management of new graduate nurses' education programs is necessary. For the standardization and management of new graduate nurses' education programs, joint efforts of nurses' associations and support from the government should be encouraged.

• The Journal of Korean Academic Society of Nursing Education
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• v.28 no.2
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• pp.156-166
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• 2022

Purpose: The purpose of this study was to identify factors that can affect transition shock in newly-graduated nurses. Methods: The first descriptive written survey was conducted on 450 graduate students from five nursing colleges. After their employment, the second survey was conducted on 316 participants who had responded to the first survey. A total of 158 respondents were used for the final analysis. Data were analyzed using an independent t-test, ANOVA, Tukey test, Pearson's correlation coefficient, and hierarchical multiple regression analysis with the SPSS Win 25.0 Program. Results: The average age of the participants was 24.25±4.47. Of the participants, 126 (79.8%) were satisfied that they had majored in nursing. The average score for transition shock was 2.61±0.55 points. Factors influencing the transition shock of newly-graduated nurses were the working department, working period, and working environment. The more positively the newly-graduated nurses perceived the nursing work environment, the less of a transition shock they experienced. Grade point average, clinical competence, confidence in performing core nursing skills, and nursing professionalism did not affect their transition shock. It could be confirmed that there is a gap between college nursing education and the clinical field. Conclusion: In order to reduce the transition shock of newly-graduated nurses, it is necessary to improve the nursing work environment and apply educational and emotional support strategies according to the characteristics of each work department and the period of work.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.4
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• pp.594-605
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• 2013

Purpose: This study aimed to describe nurses' experience in transition from new graduate nurses to professional clinical nursees in a hospital. Methods: Ten new clinical nurses working in a hospital participated in this study. Data collected through in-depth interviews were analyzed using phenomenology. Results: The analysis yielded five core category themes from new nurses for becoming a professional nurse: (a) beginning of hardship journey (b) feeling of inability in workplace (c) struggling hard to develop skills (d) enduring hardships by soothing oneself and peer support (e) beginning of an exciting journey. Conclusion: Over time, new nurses face many difficulties in transition to a professional status. To enhance the role development of new clinical nurses in hospital settings, nursing schools and clinical fields must teach and prepare them. Nursing schools should teach a strong theoretical base as well as nursing skills. In addition, in the clinical nursing department, education, teaching the integrated systems, staff development, support, evaluation, and feedback are needed for new nurses's development.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.4
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• pp.317-324
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• 2017

The purpose of this study was to identify the effects of social support and self-efficacy on the relationship between the nursing work environment and reality shock among new graduate nurses. The participants were 260 nurses who had worked for less than 1 year at 3 general hospitals and 2 university hospitals, and who were examined from 15 June to 31 August 2015. The data were analyzed by descriptive statistics, simple regression analysis and moderated regression analysis with the SPSS WIN 21.0 program. In the results, the mean scores of the nursing work environment, reality shock, social support and self-efficacy were $3.06{\pm}.313$, $2.73{\pm}.401$, $3.90{\pm}.623$ and $3.73{\pm}.519$, respectively. Social support (F=16.744, p<.001) and self-efficacy (F=40.616, p<.001) had a direct influence on reality shock. Social support (F=7.743, p<.001) and self-efficacy (F=14.676, p<.001) also had a moderating effect on the relationship between nursing work environment and reality shock. Thus, we need to develop a preceptor education standardization and customized mentor program to enhance social support and self-efficacy, which can reduce new graduate nurses' reality shock in the nursing work environment.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.3
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• pp.364-375
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• 2018

This study was a descriptive investigation to identify the influence of nurses' moral sensitivity and safety of their environment on compliance with standard precautions. Participants consisted of 214 nurses in one general hospital and data were collected using a questionnaire that consisted of moral sensitivity, safety of environment and compliance with standard precautions from 1-15 August 2017. Data were evaluated by the independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. The mean scores of moral sensitivity, safety of environment and compliance with standard precautions were 5.05, 5.76 and 4.50, respectively. Moreover, compliance with standard precautions was significantly positively correlated with moral sensitivity and safety of environment. Additionally, multiple regression revealed an $R^2$ of 0.253 with the department (ER, ICU), age and safety environment serving as the major predictor variables for compliance with standard precautions. However, the influence of moral sensitivity on compliance was not identified. Therefore, to increase compliance with standard precautions among nurses, it is necessary to provide continuous educational programs for new nurses, customized programs considering departmental characteristics and administrative support of institutions to enhance safety of the environment.

• Journal of Korean Academy of Nursing Administration
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• v.4 no.1
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• pp.129-150
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• 1998

The purpose of this study was to exame the effect of the planned indoctrination program on the role transition of new graduate nurses in one educational hospital located in Seoul. The planned in doctrination program was a 1-month program and consisted of 3 days induction and 22 days orientation- socialization. The simulated control group pretest-posttest research was designed for this study. One hundred and twenty subjects were selected from the new graduate nurses who were employed by the Seoul National Univerty Hospital. Sixty of them were assigned to the pretest, and the rest to the posttest. To collect the data on role transition, the researcher developed the instrument, measuring 3 differert areas : inducction, orientation, and socialization. The reliability of the instrument were induction area's Chronbach ${\alpha}$ .8291, orientation area's Chronbach ${\alpha}$ .9809, and soialization area's Chronbach ${\alpha}$ .8524. The data were collected from Aprial to October 1995 at three different times: (1) immediately before indoctrination program began, (2) immediately after the program ended, and (3) 2 months after the program ended. In addition to the self-report of the subjects, their superiors filled out the same instrument on role transition to compare the scores between the subjects and their superiors at 2 months after the program. T-test was utilized to test differences between the means of pre- and post-tests. The result of this study are as follows : 1. There was a significant difference in the mean scores between before and immediately after the indoctrination program (t=-12.65, P=.000). There were significant differences in all 3 areas of role transition. 2. There was a significant difference in the mean scores between immediately after and 2 months after the program (t=-2.91, P=.004), Among 3 areas of role transition, however, only in the orientation area was there significant difference (t=-3.26, P=.001). 3. There was no significant difference in total mean scores between subjects' self-report and their superiors' report 2 months after the program ended (t =.97, p= .335). Among 3 different areas, however, there was a significant difference in the induction area (t=2.41, P=.018). 4. There was significant difference in mean scores between the group Of 3-year diploma and 4-year bachelor's degree only at pretest (t=-2.56, P= .013), but not at two posttests (t=-1.08, P=.250: t=-.34, P=.733). In conclusion, the planned indoctrination program for new graduate nurses was proved to be effective on the role transition in the study. But the result in the study showed that the indoctrination program had not equal effect On 3 different areas of role transition. There were significant differences in the scores between after and 2 months after the program only in the orientation area. These suggest that indoctrination program should be developed more focusing on induction and socialization areas to help new graduate nurses have a high morale and enthusiasm for the organization. Also contineous program to facilitate induction and socialization might be necessary for them to have a successful role transition.

• The Korean Journal of Health Service Management
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• v.8 no.3
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• pp.89-102
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• 2014

This study was aimed to investigate the effects of Organizational Socialization Education Program on new nurse's job satisfaction, organizational commitment and turnover intention. This study was utilized a non equvalent control group post only design. The subjects of this study were total 76 nurses in total. Data were collected from 1st to 31th July, 2012. For the experimental group, 16 hours lectures on Organizational Socialization Education Program was given. Data were analyzed by Frequency, $X^2$, Fisher's Exact test & t-test. The findings of this study were as the followings: As proposed in the hypothesis, the subjects in the experimental group experienced more job satisfaction(t= -2.10, p=.039), more organization commitment(t= -2.68, p=.009), less perceived turnover intention(t= 4.65, p=.000), than those in the control group. The results of this study shows that Organizational Socialization Education Program is considered an effective program to improve job satisfaction, organizational commitment and to lessen turnover intention for new nurses. The Organizational Socialization Education program would be continually necessary to contribute to development of professional nursing occupation.