• Korean Journal of Adult Nursing
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• v.22 no.5
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• pp.488-498
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• 2010

Purpose: The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. Methods: Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. Results: Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. Conclusion: The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.

• Journal of the Korea Convergence Society
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• v.7 no.4
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• pp.97-106
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• 2016

Purpose: The purpose of this study was to exploration the experience of turnover new graduate nurses within one year. Methods: Experiential data were collected from 5 experienced nurses through in-depth interviews. The main question was "Could you describe your experience of your turnover?". Qualitative data from the field and transcribed notes were analyzed using Strauss Corbin's grounded theory methodology. Results: The core category of experience of new graduate nurses turnover was 'a feeling of helplessness.' Participants used three interactional strategies: 'rationalize to turnover', 'to feel more', 'to think positively'. Conclusion: If you teach kindly to senior nurse, training communication skills to new nurse and prepare to stable welfare in new nurse, you will can prevent early turnover of new nurse.

• The Korean Nurse
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• v.37 no.1
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• pp.107-115
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• 1998

There is an important concern regarding the First-line nurse manager's leadership because of the recognition that effectiveness of Leadership in this position results in benefits for the whole health care organization. So knowledge and practice of effective leadership behavior are now more essential to nursing than ever before. First-line Nurse Managers must be effective leaders to meet today's challenge because staff nurse, patient are affected by them. So the purpose of this study was to identify and to analyse the need for Leadership program of First-Line nurse managers in university hospitals. There were three major purposes of this study. First, identify First-line nurse managers general characteristic, second, identify their experience of leadership training, third, identify and analysis their demands for leadership training program. The subjects for this study was 167 First-line nurse manager randomly from 18 university hospitals in Korea. The data were collected through questionnaires from Oct. 13th to Nov. 20th, 1997, data was analysed using frequencies and percentages. Especially the steps of analysis of descriptions were as follows: Initial analysis centered on the identification of the demands of first-line nurse managers. Later analysis collapsed the demands into broad categories. From the collect data, 283 demands of first-line nurse managers were identified. These demands were then sorted into 3 broad categories that included : Self development as first-line nurse managers, relationship with others, and practice. The result of the study were as follows ; 1) Most of nurse managers(79.6%) had leadership training course and had good experience to improve self leadership. 2) Their demands of leadership training course are as follows First, for self as first-line nurse managers, they want to learn leadership theory, identify their leadership style and then develop their leadership skill. Second, for others as first-line nurse managers, they want to improve their communication skill, empowering others, relationship with others. Third, for patients as first-line nurse managers, improve their knowledge of practice. From the above finding, this study can be suggested the following; 1. Develope a leadership training course to improve first- line nurse manager's leadership skill according to their demands, so they will be better able to lead staff nurses for organization purposes. 2. When develope leadership training program, it must be contained the factors which first-line nurse managers want to learn.

• The Journal of Korean Society for School & Community Health Education
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• v.17 no.1
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• pp.11-21
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• 2016

Objectives: This study was conducted in order to examine the correlation between the image of nurse and career identity among high school students participating in a vocational experience program of a nursing department, to find influential factors, and ultimately, to improve the image of nurse and promote the establishment of career identity for the development of nursing career and to obtain strategic information for developing nursing departments' vocational experience programs. Methods: Data for this study were collected using a structured self-report questionnaire from 90 high school students participating in a vocational experience program executed at the Nursing Department of W University in G Province during the period from April 26 to July 19 in 2014. Results: According to the results of data analyses, factors influencing the image of nurse were career identity(${\beta}=0.339$, p=0.002) and satisfaction with the program(${\beta}=0.153$, p=0.043) in order of significance(F=9.51, p<0.001), and factors influencing career identity were the image of nurse(${\beta}=0.301$, p=0.002), satisfaction with the program(${\beta}=0.254$, p=0.010), and gender(${\beta}=0.231$, p=0.015) in order of significance(F=12.06, p<0.001). Conclusions: These results suggest that when high school students participating in a vocational experience program of a nursing department are satisfied with the program, the program is more effective in improving the image of nurse and promoting the establishment of career identity. Based on this study, further research is necessary to get strategic information for developing various vocational experience programs, to provide high school students with vocational experiences related to nursing through the programs, and to examine the effects of such programs.

• Child Health Nursing Research
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• v.23 no.2
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• pp.168-178
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• 2017

Purpose: The purpose of this study was to explore and describe the experiences of career decision making by Korean nursing students. Methods: The participants were 18 nursing students from one nursing college. Data were collected through in-depth individual interviews, and the main question was, "Could you describe your experience of making a career decision?" Data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: Core category of nursing students' experiences in making career decisions was 'trying to find the way of being a nurse'. Action/interaction strategies were 'becoming one's own self', 'actively exploring the way of being a nurse', and 'experiencing one's own achievement as a future nurse'. Consequences were 'deciding on the career on one's own' and 'career indecision on one's own'. Conclusion: The findings indicate that nursing students tried to know themselves, explore careers and experience their achievements, and that their efforts were influenced by real situations and support systems. Therefore, nurse educators should develop systems and programs to help students in nursing make career decisions.

• Journal of East-West Nursing Research
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• v.9 no.1
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• pp.83-90
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• 2004

Purpose: This study was to investigate the image of nurse perceives by students of elementary and middle schools in Seoul, Korea. Methods: The data were collected through questionnaire survey on 860 students. The survey was performed during May to Jun. 2003. The nurse image was analyzed through the instrument conceived by Il-Sim, Yang(1998) on the basis of four dimensions; traditional, social, professional and personal. The collected data analyzed using SPSS 11.0 with frequency, mean, standard deviation and t-test. Results: The results of this study were as follows. 1. There was a significant difference in the nurse's image between elementary and middle school students(p=.000), and the elementary students had more positive image. 2. The nurse's image of elementary school students had more positive than middle school students in traditional(p=.000), social(p=.000), professional(p=.000) and personal dimension(p=.015). In elementary school students, score of nurse's image was the highest in personal dimension, followed by traditional, professional and social in order. In middle school students, score of nurse's image was the highest in personal dimension, followed by professional, traditional and social in order. 3. The difference of nurse's image not showed statistical significance in sex, religion, experience of hospitalization(self), experience of hospitalization (family), nurses in family by general characteristics. Conclusion: As a result, elementary school student had more positive nurse's image than middle school student in all the aspects. But as they grow old, it changed negative. It is required to develop public information or education fit with student's age to image making by broadcasting and to improve the image nurses themselves.

• Korean Journal of Adult Nursing
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• v.25 no.5
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• pp.585-595
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• 2013

Purpose: This study aimed to identify if participating in a sexual education program, influences knowledge, and healthcare attitude among attitudes of nurse clinicians in Korea. Methods: A cross-sectional study was conducted with 210 Korean nurse clinicians. Data were collected through self-reported questionnaires from July to August, 2011 from five hospitals in S and I cities. Data were analyzed using t-test, Pearson correlations, and multiple linear regression with SPSS/WIN 21.0. Results: This study reported that the majority of nurse clinicians had attended sexual programs about sexual harassment, reproductive system and function. There were significant correlations between experience of attending sexual education(r=.32, p=.003) and sexual knowledge(r=.14, p=.047) with sexual healthcare attitude. Sexual education on the job(${\beta}=.13$, p=.004), supplementary sexual education(${\beta}=.17$, p=.009), sexual knowledge(${\beta}=.16$, p=.048), and obstetrics and gynecology department carrier(${\beta}=.29$, p<.001) explained 14.0% of sexual healthcare attitude. Conclusion: This study's results demonstrate that advanced and continuous sexual health program is necessary for nurse clinicians. Proper sexual knowledge and positive attitude may promote nursing intervention and counseling concerning patients' sexual problems.

• Journal of Korean Academy of Nursing Administration
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• v.18 no.1
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• pp.33-45
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• 2012

Purpose: The purpose of this study was to identify the role experience of preceptor nurses in general hospitals. Methods: Data were collected from 10 experienced preceptor nurses through in-depth interviews about their experiences. The main question was "How do you describe your experience as a preceptor in the process of role adaptation?" Qualitative data from field and transcribed notes were analyzed using Strauss & Corbin's grounded theory methodology. Results: The core category of experience in the process of role adaptation as a preceptor nurse was identified as 'being responsible to teach from beginning to end'. The participants identified five interactional strategies; 'abruptly having to take the role as a preceptor unwilling', 'difficulties in field training with variable situations', 'preceptor and new nurse with love and hate relationships', 'bring up preceptee as a child', 'redefining the concept of preceptor'. Conclusion: The results of this study provide useful information for understanding the role of preceptor nurses in general hospital who have to teach new nurses with patience and responsibility. It will be needed to establishment of preceptor's role and educational standards, and policy for their rewards by nurse manager. Additionally, making cooperative educational climate in nursing ward is important for teaching new nurse.

• Journal of Korean Academy of Nursing Administration
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• v.23 no.1
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• pp.76-89
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• 2017

Purpose: This study was conducted to examine the experience of nurse in comprehensive nursing care. Methods: Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was "Can you describe your experience in the comprehensive nursing care unit?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system', 'Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'. Conclusion: As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.

• Quality Improvement in Health Care
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• v.23 no.2
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• pp.23-34
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• 2017

Purpose: Nurse's second victim experiences could influence organizational negative work-related outcome. The purpose of this study was to investigate the casual relationship between nurses' second victim experience and third victim experience and multiple mediation effects of second victim supports. Methods: A cross-sectional, self-report survey (the Second Victim Experience and Support Tool) was conducted with 305 nurses working in a general hospital. Data were collected from October 20 to November 25, 2016 and analyzed using SPSS Win version 23.0. Results: The nurses' perceived second victim experience was $3.24{\pm}0.61$ and the third victim experience was $3.12{\pm}0.92$. Nurses' second victim experience was found to have a direct effect on increasing third victim experience and indirect effect of colleague support as mediator (p<.05). However, institutional support and supervisor support had not a partial and indirect effect on third victim experience. Conclusion:This study is one of the first to connect second victim experience to third victim experience in South Korea. This study broadens the understanding of the negative effects of a second victim experience influence third victim experience. When involvement in patient safety events, the important role of colleague support in limiting nurse's third victim experience have been acknowledged. This study reinforces the efforts health care leaders are making to develop interventional programs to colleague support their staff as they recover from adverse event involvement.