• 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.22 no.4
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• pp.195-205
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• 2021

As Coronavirus disease 2019 (COVID-19) became a pandemic, most nursing departments in Korea implemented online non-face-to-face practices rather than the existing practice method. This study was a qualitative study that analyzed the reflection diaries written by participants to understand what they experienced in the online non-face-to-face adult nursing practice process. The online non-face-to-face adult nursing practice was 90 hours for two credits and nine hours per day for a total of 10 days. This online practice consisted of computer-based simulation practice, computer-based nursing skills practice, video and educational material production, real-time online quiz, online lecture video, and discussion. As a result of analyzing the reflection diary, six categories, 13 subcategories, and 33 codes were derived. The six categories were 'Experience of various situations', 'Experience of new study', 'Fulfillment for the clinical practice', 'Building relations with professors', 'Fear of being a pre-nurse', and 'Ambivalence for the non-face-to-face practice'. These results are significant in that in the post-corona era, adult nursing practice was conducted as a non-face-to-face practice rather than a clinical practice institution, and various educational methods were operated. This study is expected to provide important basic data for the development and operation of non-face-to-face adult nursing practice.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.662-671
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• 2018

This study was designed to investigate the impact of stress coping ability and recovery resilience on nurses' retention intent in medium-sized hospitals. For this descriptive study, a survey was conducted with 265 nurses from 5 medium-sized hospitals with over 150 sickbeds located in G and I province; the data were collected from May 19 to May 25, 2018. The collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. The average score was $2.55{\pm}0.25$ for stress coping ability, $3.47{\pm}0.49$ for recovery resilience, and $2.59{\pm}0.29$ for retention intent. Retention intent was positively correlated with stress coping ability (r=0.285, p<0.01) and recovery resilience (r=0.457, p<0.01). The factors affecting retention intent were gender (${\beta}=0.117$, p=0.027), job satisfaction (${\beta}=0.345$, p<0.001), stress coping ability (${\beta}=0.142$, p=0.008), and recovery resilience (${\beta}=0.238$, p<0.001). Furthermore, the model explained 37.8% of the retention intent (F=11.686, p<0.001). In conclusion, effective strategies for improving job satisfaction, stress coping ability, and recovery resilience for nurses need to be developed and investigated.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.626-634
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• 2018

This retrospective study investigates the accuracy of triage procedures for pediatric patients in emergency departments (EDs) using the Korean Triage and Acuity Scale (KTAS). The study includes 250 randomly selected initial nursing records and clinical outcomes of pediatric patients who visited one regional ED or a local ED from October 2016 to September 2017. The collected data were analyzed by a qualified expert to determine the true triage score. The accuracy of triage was defined as the agreement between the triage score of the emergency nurses (ENs) and the true triage score as determined by the expert. Based on expert comments, the cause of the triage error was analyzed and the KTAS score was compared with the discharge, length of stay (LOS), and medical cost. The results showed that the degree of agreement in the triage score between the experts and the ENs was excellent (weighted kappa=0.77). Among the causes of triage discordance, the most frequent was the incorrect application of vital signs to the KTAS algorithm criteria (n=13). Patients with high severity KTAS levels 1 and 2 were discharged less often (${\chi}=43.25$, p<0.001). There were significant differences in the length of stay (F=12.39, p<0.001) and cost (F=11.78, p<0.001) between KTAS scores when adjusting for age. The results of this study indicate that KTAS is highly accurate in EDs. Hence, the newly developed triage tool is becoming well established in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.8
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• pp.66-74
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• 2019

The purpose of this study was to analyze work complexity, critical thinking disposition, and the degree of intuition for nurse practitioners and determine the associations among the variables. 150 nurses at hospitals and general hospitals in D City participated in this study and data collection was performed from June 15 to July 8, 2017. The data were processed by using SPSS WIN 24.0 to estimate the mean, standard deviation and Pearson's correlation coefficient and perform one-way ANOVA. They scored $2.33{\pm}.45$ for work complexity, $3.58{\pm}.36$ for critical thinking disposition, and $2.69{\pm}.52$ for intuition. Work complexity differed significantly by age (F=4.55, p=.012), education (F=11.61, p=<.001), department (F=26.69, p=<.001), and clinical career (F=4.30, p=.006) among their general characteristics. Critical thinking disposition differed significantly by education (F=5.25, p=.006) and position (F=5.35, p=.006) and differed statistically insignificantly by intuition. Work complexity was positively correlated with critical thinking disposition (r=.323, p=<.001) and intuition (r=.201, p=.013) and no significant correlation was found between critical thinking disposition and intuition (r=.033, p=.685). On the basis of these results, it is necessary to develop education and programs that can allow nurses who regard nursing work as complex to improve their critical thinking disposition and intuition.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.4
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• pp.137-148
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• 2019

This study was conducted to investigate the factors influencing burnout of nurses in long-term care hospitals based on the expanded JD-R model (Xanthopoulou et al, 2007). Participants were 167 nurses who worked in long-term care hospitals. The instruments used in this study were the Maslach Burnout Inventory, Copenhagen Psycho-social Questionnaire version II, Connor-Davidson Resilience Scale and the instrument developed by Thomas and Ganster (1995). Data were collected from August 25 to September 6, 2018 and analyzed based on frequency, t-tests, ANOVA, Pearson's correlation, and hierarchical regression using the SPSS WIN 23.0 program. The results were as follows: Nurses' burnout in long-term care hospitals was positively correlated with job demands (r=.24, p=.002) and negatively correlated with resilience (r=-.43, p<.001) and social support (r=-.41, p<.001). Factors influencing the level of burnout were resilience (${\beta}=-.28$, p<.001), social support (${\beta}=-.20$, p=.016), and job demands (${\beta}=.17$, p=.016) ), which together explained 32.0% of the total variance in burnout. Therefore, we strongly recommend interventions that reduce job demands and enhance resilience and social support to prevent and reduce the burnout of nurses in long-term care hospitals.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.526-534
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• 2019

This study was undertaken to identify knowledge, attitude, perception and nursing practice toward use of physical restraints, among nurses in long-term care hospitals. We further explored the impact of factors associated with nursing practice toward use of physical restraints. This was a cross-sectional descriptive study in which self-administered questionnaires were collected from 128 nurses working at 11 long-term care hospitals. Descriptive statistics, including t-test, one-way ANOVA, Welch's test, Pearson correlation coefficients and multiple regression, were applied to analyze the data collected. Our results reveal that the participants possess moderate levels of knowledge, attitude, perception and nursing practice toward use of physical restraints. Significant positive correlations were observed between nursing practice and knowledge. Multiple regression analysis showed that the factors significantly related to nursing practice and use of physical restraint were knowledge (${\beta}=0.27$, p=0.002) and attitude (${\beta}=-0.17$, p=0.044), having a total explained variance of 9.0%. The findings from this study suggest that knowledge is the strongest predictor on nursing practice toward use of physical restraints. Thus, we propose that developing and applying evidence-based educational intervention programs to reduce the use of physical restraints in long-term care hospitals are required.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.438-446
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• 2019

This study examined the effects of non - personality behavior of supervisors on the job exhaustion and organizational effectiveness of nurses. A survey in the form of a questionnaire was completed by 250 nurses working at three general hospitals located in Seoul and Gyeonggi from September 20 to October 31, 2014. The collected data were analyzed by frequency analysis, factor analysis, correlation, and linear regression analysis using the SPSS program. The results of the analysis were as follows. First, the effects of the non-personality behavior of supervisors on the job exhaustion of nurses were statistically significant. Second, the effects of non-personality behavior of supervisors on the organizational effectiveness of nurses were statistically significant in job satisfaction, organizational commitment, and organizational citizenship behavior. Third, the effects of job exhaustion on organizational effectiveness of nurses was statistically significant for job satisfaction, job exhaustion, and organizational citizenship behavior. Because the non-personality behavior of a supervisor can have a negative effect on the exhaustion of a nurse's job and the organizational effectiveness, there should be a wide range of human resources and effective task allocations in a hospital to reduce job burnout and increase job satisfaction. In addition, it is necessary for the boss to develop desirable leadership education, appropriate modeling, and reduce their negative influence in the workplace.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.275-285
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• 2019

The purpose of the present study was to investigate perceptions of mental health literacy and mental health services of local public officials in Korea. The participants were 273 civil servants working in three Gangwondo provinces. Data were collected from July 1, 2018 to August 15, 2018 using structured questionnaires, and SPSS Ver. 22.0 was used for data analysis. Results showed mental health literacy of public officials was 101.45 points (range 35-160). Mental health literacy level was found to be significantly dependent on occupation and levels of mental health education, mental health treatment experience, and family mental health treatment experience. Only 39.9% of respondents stated they were aware of mental health welfare centers. The most common condition that caused respondents to seek mental health services was depression (35.9%). In addition, 44.7% of the respondents opined that mental health care was improving due to community changes. An analysis of the relationship between perceptions of mental health welfare centers and mental health literacy scores showed a positive relationship between participant prior knowledge about mental health welfare centers and investment in mental health management (p=.012), suggesting a need for further development of educational programs using mental health nurses to improve mental health literacy among community officials.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.5
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• pp.128-136
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• 2019

This study was conducted to investigate the relationship among professional self-concept, moral sensitivity and elderly care performance nurses in geriatric hospitals, as well as to clarify factors that affect nurses' elderly care performance. Participants consisted of 153 nurses working in geriatric hospital in G Province were evaluated. Date were collected from September 15 to October 15, 2018 and analyzed using the SPSS/WIN 23.0 program. The mean of professional self-concept was $2.87{\pm}0.35$ out of 4, that of moral sensitivity was $4.70{\pm}0.47$ out of 7 and that of elderly care performance $3.51{\pm}0.41$ out of 4. Elderly care performance was siginificantly positively correlated with professional self-concept (r=.48, p<.001) and moral sensitivity (r=.31, p<.001). Factors influencing elderly care performance were professional self-concept (${\beta}=.32$, p=.001), moral sensitivity (${\beta}=.18$, p=.021), educational experience of geriatric nursing (${\beta}=.17$, p=.029), which explained 31.6% of elderly care performance. The results of this study suggest that supporting systems should be arranged to provide various learning opportunities as a way to increase the professional self-concept of nurses with short career as well as intervention strategies may be necessary to make education of geriatric nursing obligatory.