• Journal of Industrial Convergence
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• v.22 no.3
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• pp.79-89
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• 2024

This study is a one-group pre-post experimental design that investigates the effects of a practice-based learning program with multiple components on the clinical competence of nursing students, and clinical decision-making. From May 4 to 29, 2020, a total of 60 third-year nursing students with no clinical practice experience were divided into two teams and participated in multi-component practice-based education for two weeks each, and the data of the final 51 students were included in the analysis. Following the practicum, there was a significant increase in clinical competence (t=-4.74, p<.001) and self-confidence in clinical decision-making (t=-8.41, p<.001), and a decrease in anxiety related to clinical decision-making (t=2.54, p=.014). The findings suggest that a multi-component, practice-based learning approach for nursing students can enhance their clinical competence, reduce preclincal anxiety and increase confidence in clinical decision-making in patient care.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.302-311
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• 2017

This is predictive correlational study to identify the influence of emotional labor and resourcefulness on turnover intention among clinical nurses. The participants were 138 clinical nurses and the data were collected by an online survey using a self-administered questionnaire from 10th to 17th April, 2016.The collected data were analyzed using SPSS program through t-test, One-way ANOVA, Scheffe's test and multiple linear regression. In the results, there were differences in emotional labor by age, marital status, job position, clinical career, shift work, in resourcefulness by gender, clinical career, and in turnover intention by age. As a result of multiple linear regression, emotional labor and resourcefulness were selected as significant related variables affecting nurse's turnover intentions. These factors accounted for 3.7% of turnover intention, which necessitates the consideration of a specific plan to reduce emotional labor and increase resourcefulness for decreasing clinical nurse's turnover intention.

• Journal of Korean Clinical Nursing Research
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• v.23 no.3
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• pp.281-292
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• 2017

Purpose: The purpose of this study was to verify the validity and applicability of the Clinical Ladder System(CLS) Model for nurses and to suggest a model for nurses in general hospitals as well as tertiary hospitals. Methods: After refining questionnaires through focus group participation, a survey was carried out with 50 nurse managers and 500 staff nurses from 6 tertiary hospitals and 4 general hospitals. S-CVI and i-CVI for validity and applicability were calculated. Differences in validity and applicability by the type of hospitals and characteristics of respondents were analyzed using t-test and ANOVA. Results: S-CVI for validity and applicability of the CLS model were over 0.8 in two types of hospitals and the validity and applicability of the CLS model were confirmed. No differences were found in the total score for validity between the 2 types of hospitals, but in applicability, general hospitals had significantly lower applicability than tertiary hospitals. Some items showed difference according to characteristics of the respondents. CLS models were postulated based on the study results. Conclusion: The CLS model refined through this study can be used for nurses. In application, modifications are needed according to the conditions of each hospital.

• Journal of the Korea Convergence Society
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• v.9 no.7
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• pp.105-115
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• 2018

This study examined convergence factors influencing the job embeddedness of nurses in general hospitals. Data were collected using a structured questionnaire. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. The job embeddedness in participants showed a significant correlation between job stress (r=-.50, p<.001), meaning of work (r=.70, p<.001), and calling (r=.58, p<.001). The significant factors influencing the job embeddedness were meaning of work (${\beta}=.57$, p<.001) and job stress (${\beta}=-.19$, p=.008); these factors explained 51.2% of the variance. Based on these findings, nursing college need to develop a curriculum to foster meaning of work and calling in clinical practice courses and to remain nurses.

• Journal of Korean Clinical Nursing Research
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• v.29 no.3
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• pp.223-237
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• 2023

Purpose: This study aimed to investigate the impact of a nurse shift improvement pilot project on nurses' shift adjustment, work-life balance, and turnover intention, as well as nurses' experiences of participating in the pilot project. Methods: An explanatory sequential mixed-methods study was performed. Survey data was collected from a total of 1,051 nurses both in participant and non-participant groups. For the qualitative study, focus group interviews were conducted with 22 nurses who participated in the shift improvement pilot, including 12 staff nurses, 7 nurse managers, and 3 substitute nurses. Results: There were significant positive effects on the key variables of nurses' shift adjustment, work-life balance, and turnover intention in the group that participated in the nurse shift improvement pilot project. Based on the qualitative study, participants in the shift improvement pilot project indicated that it enabled nurses to recover their circadian rhythm, and achieve a better work-life balance, and they wanted to continue working as a nurse, and hoped expanded application of the pilot project. Conclusion: In order for expanded implementation of the pilot project and continued improvement in the shift system, we recommend establishing compensation standard, systematizing the use of substitute nurses, developing guidelines for shift schedules, and expanding the shift improvement pilot project to other departments such as the emergency room.

• Research in Community and Public Health Nursing
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• v.14 no.4
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• pp.699-706
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• 2003

The objective of this study is to find out the difference in perceptional fatigue and health promoting behavior between hospital nurses and public health nurses. The subjects of this study were 141 hospital nurses and 73 public health nurses in Daejeon. Data were collected using a self-reporting questionnaire during the period from the 5th to 16th of March 2003. Collected data were analyzed using SPSS program. Real number, percentage, mean and standard deviation were calculated, and $x^2$-test and t-test, ANOVA, Pearson's correlation coefficient, stepwise multiple regression procedures were carried out. The findings of this study as follows: 1. The mean score of health promoting behavior was 2.71. 2. There were statistically significant differences in health promoting behavior according to age, marital status, family status, residency, educational level, income, the length of work experience and the field of work. (p<0.05) 3. There were statistically significant differences in fatigue according to age, marital status, family status, educational level, income, the length of work experience, perceived health status and the field of work. (p<0.05) 4. The fatigue was found to be in significant negative correlations with health promoting (r=-0.358, p<0.000) and self efficacy (r=-0.314, p<0.000). On the contrary, a significant positive correlation was found between fatigue and perceived barriers (r=0.210, p<00.01). 5. There were five predictors affecting health promoting behavior, which were self-efficacy, income, perceived benefit, fatigue and family support. The most influential factor was self-efficacy that made 31% of prediction, followed by income (6%), perceived benefit (5.2%), fatigue (2.2%) and family support (1.7%) in their order. As a whole, these factors made 46.1% of prediction of health promotion behavior.

• Journal of Convergence for Information Technology
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• v.12 no.5
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• pp.32-39
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• 2022

The purpose of this study was to identify job stress, resilience, and nursing performance, and to investigate affecting factors of nursing performance on hospital nurses. The subjects consisted of 141 general hospital nurse in the K city. The variables were measured using questionnaires, analyzed using descriptive statistics, t-test, ANOVA, and multiple regression analysis. The average score of job stress was 44.21±9.15, resilience was 2.86±0.65, and nursing performance was 3.78±0.48. The factors influencing on nursing performance were Total Clinical career, Career in present ward, and resilience. The explanation of nursing performance was 37%. These results suggest that it is necessary to consider these factors at the nursing organizational level to promote nursing performance. Also, it is necessary to construct education program that can enhance resilience and find a strategy to realize it.

• Journal of Industrial Convergence
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• v.22 no.3
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• pp.67-78
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• 2024

The purpose of this study is to identify the factors affecting job satisfaction by examining the positive psychological capital, job crafting, and nursing work environment of clinical nurses, and to provide foundational data necessary to devise strategies for enhancing job satisfaction. Data were collected online from 208 clinical nurses working in three comprehensive hospitals located in J city from March 15 to March 30, 2023. Data were analyzed using the SPSS/WIN 26.0 program. The influencing factors on subjects' job satisfaction were marital status, education level, salary satisfaction, workload, clinical experience, positive psychological capital, job crafting, and nursing work environment. A hierarchical regression analysis following the order of general characteristics, positive psychological capital, nursing work environment, and job crafting identified nursing work environment (𝛽=.37, p<.001), job crafting (𝛽=.35, p<.001), positive psychological capital (𝛽=.33, p<.001), education level (𝛽=.09, p=.014) and salary satisfaction (𝛽=.09, p=.015) as the influencing factors of job satisfaction, in which the explanatory power for the final model was 78%. Based on the results of this study, it is suggested to develop and verify the effectiveness of programs to improve the positive psychological capital and job crafting of clinical nurses.

• Journal of Korean Academy of Nursing
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• v.34 no.5
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• pp.838-848
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• 2004

Purpose: This study was to describe nurses' research activities, perceptions and performances of evidence-based practice and barriers to the use of research evidence in nursing practice in Korea. Method: A cross-sectional survey design was used. A questionnaire, except for Barriers Scale, was developed for the study. Data was collected from a convenient sample of 437 registered nurses working at research and education oriented university hospitals. Result: Nurses' research-related activities were relatively low compared to previous studies. Also perceptions and performances of evidence based nursing practice were low. Preferred informational resources for clinical decision making were identified as ward manuals/clinical guidelines, manager/senior nurses, and literature/research. The major barriers to research utilization were a lack of implication for practice along with inadequate facilitation to implement research evidence and difficulty understanding research written in English. Priorities of barriers factor were Administrator, Communication, Adopter, and Research. Conclusion: The findings provide directions for future training, education, and managerial policy to achieve successful evidence based nursing practice.

• Journal of Internet of Things and Convergence
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• v.8 no.6
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• pp.99-113
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• 2022

This study is descriptive research to investigate the effects of COVID-19 stress, interpersonal (caregiver-patient) stress, and emotional labor on burnout in emergency room (ER) nurses during the COVID-19 pandemic. The data collection of this study was conducted from December 9 to 23, 2021 with ER nurses working at five tertiary general hospitals and general hospitals of Medical Center H. The data was collected with a questionnaire using tools measuring the subjects' general & job-related characteristics, COVID-19 stress, interpersonal(caregiver-patient) stress, emotional labor and burnout. The collected data was analyzed using the SPSS/WIN 25.0 statistical program for frequency analysis, descriptive statistical analysis, independent sample t-test, one-way ANOVA, Scheffé test, correlation analysis, and multiple regression analysis. The average score of COVID-19 stress in ER nurses was 3.64, interpersonal(caregiver-patient) stress 4.35, emotional labor 3.38, and burnout 3.44. As a result of analyzing differences according to general & job-related characteristics, burnout showed a significant difference according to gender, marital status, total clinical experience, and working organization. And burnout showed a significant positive correlation with COVID-19 stress, interpersonal stress and emotional labor. As a result of multiple linear regression analysis, regional emergency medical centers and local emergency medical centers among the work organization types, interpersonal stress, COVID-19 stress, and gender and the explanatory power was 28.6%. Through these results, we intend to provide basic data for the development of an intervention program to prevent burnout of emergency room nurses and improve nursing performance at the time of a new infectious disease pandemic.