• Korean Journal of Occupational Health Nursing
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• v.29 no.1
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• pp.1-7
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• 2020

Purpose: The purpose of this study is to investigate the effect of work environment on health problems of nurses. Methods: The subjects of the study were 395 nurses who were wage workers among KWCS (Korean Working Conditions Survey) respondents in 2014. The work environments were measured by the KWCS questionnaire. Results: 48.5% of the 395 nurses had health problems. The prevalence of musculoskeletal diseases (34.7%) was the highest among all health problems. The ergonomic work environment was significantly related to musculoskeletal disorders, headache and eye strain, and fatigue. In addition, the increase in work-individual interface area was significantly related to fatigue. Conclusion: The work environment of nurses affects health problems. It is therefore important to develop strategies that improve the health problems of nurses by reducing ergonomic and psycho-social risk factors.

• Health Policy and Management
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• v.31 no.1
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• pp.24-34
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• 2021

Background: The purpose of this study is to identify factors that affect work dissatisfaction and turnover intention for dedicated nurses working in emergency departments of vulnerable areas of health care. The purpose of this study is to identify risk factors related to the working environment that influence job dissatisfaction and intention to turnover among dedicated nurses working in emergency rooms in areas of medical vulnerability. Methods: We conducted a survey of nurses working in emergency rooms in vulnerable areas of medical care, and the survey was conducted for two consecutive years. A logistic regression analysis was performed with the working environment variable as the independent variable and the work environment dissatisfaction and turnover intention as dependent variables, respectively. Results: The variables that significantly affected both dissatisfactions with the working environment and turnover intention at the current institution were age, overlapping work in other departments, and the total work experience of nurses. Annual salary, the average number of double-duty (continuous work) per month, type of work, and work experience of nurses at the current institution had a significant effect only on dissatisfaction with the working environment. Conclusion: The results of this study are thought to be of great help if the government takes reference when establishing medical policies in vulnerable areas in the future.

• Korean Journal of Occupational Health Nursing
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• v.7 no.1
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• pp.55-64
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• 1998

In order to investigate and compare the health risk factors of nurses in the operating room(OR nurse) and ward (WARD nurse), the questionnaire survey for subjective symptoms was carried out on 553 nurses(132 OR nurses and 421 WARD nurses) who were employed at seven hospital. The self-administered questionnaries were composed of low back pain, subjective fatigue symptoms, musculo-skeletal symptoms, psychological stress and reproductive function. The results were as follows : 1. In the type of working posture and working environment, there were significant difference between two groups for working posture, waist form, height of working table, satisfaction of chair, lifting & carring. 2. Job satisfaction, duration of work, height of working table, satisfaction of chair, lifting & carring were significantly associated the low back pain. 3. In the complaints of subjective fatigue symptoms, the total mean score was higher in OR nurse than WARD nurse, but there was not significant. The items that the mean score of OR nurse was significantly higher than WARD nurse were 'head feels muddled', 'apt to forget', 'feel choky'. 4. In the complaints of musculo-skeletal syrrptoms, the total mean score was higher in OR nurse than WARD nurse, but there was not significant. The item that the mean score of OR nurse was significantly higher WARD nurse was 'wrist discomfort or pain'. 5. The comparison of spontatenous abortion in married nurses who had the experience of pregnancy were significantly associated the stress risk group. 6. In all of OR and Ward nurses, the job satisfaction is associated with subjective fatigue symptoms, musculo-skeletal symptoms, and stress. In conclusion, it suggested that working posture, working environment, stress, and job satisfaction were health risk factors of nurses working in the operating room. Further prospective intervention studies should be conducted to educate right working posture, improve of working environment, decrease of stress, and increase of job satisfaction.

• Journal of muscle and joint health
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• v.21 no.3
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• pp.224-235
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• 2014

Purpose: The purpose of this study was to test the reliability and the validity of the Practice Environment Scale of Nursing Work Index (PES-NWI) scale when applied to Korean psychiatric nurses working in the psychiatric hospital in Korea. Methods: Data from 224 psychiatric nurses working in the 6 psychiatric hospitals in Korea were analyzed using Cronbach's ${\alpha}$, item total correlation, and exploratory factor analysis. Results: The Cronbach's ${\alpha}$ for the 27 items from the PES-NWI were .93, and the item total correlation coefficients ranged from .38 to .64. Six factors which explained 61.2 of variance in the perception of practice environment, emerged; nurse professional role and development, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy, nursing foundation for quality of care, collegial nurse-physician relations, co-worker's ability and qualification. Five derived factors reconstructed, and two factors were renamed. Conclusion: Findings demonstrate that not all but 27 items from PES-NWI is a reliable and valid scale when applied to Korean psychiatric nurses working in Korea. Also findings indicate that Korean psychiatric nurses perceive practice environment differently than American nurses but have some point of similarities with Asian nurses working in the United States.

• 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.

• The Korean Journal of Health Service Management
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• v.13 no.3
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• pp.53-65
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• 2019

Objectives: This descriptive survey study aimed to identify factors that affect job satisfaction among nurses working in integrated nursing care service wards and to explore measures to increase job satisfaction among these nurses. Methods: Data were collected between July 20 and August 3, 2018 from nurses working in integrated nursing care service wards in Busan and Changwon city, in Korea. Data were analyzed with SPSS/WIN 23.0 software(IBM corp., Armonk, NY, USA). Results: Factors affecting job satisfaction among nurses working in integrated nursing care service wards were identified as follows: professional self-concept (${\beta}=.32$, p=.003), which is a subdomain of nursing professionalism, and nursing foundations for quality care (${\beta}=.30$, p=.001), which is a subdomain of nursing work environment. The model had an explanatory power of 54.7%. Conclusions: Nursing professionalism should be strongly established among nurses, as nurses are key players in a health system that allows stable and expanded operations of integrated nursing care. Intervention measures that create a better work environment for nurses should also be implemented. Furthermore, it is necessary to develop systematic strategies and multifaceted efforts to increase nurses' job satisfaction in integrated nursing care service wards.

• Journal of Korean Academy of Nursing
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• v.53 no.6
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• pp.622-634
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• 2023

Purpose: This study aimed to identify the mediating effects of career motivation and job-esteem and the effect of the nursing work environment on intention to stay among hospital nurses. Methods: Data were collected from 289 nurses working at an advanced general hospital. The research model design was based on the PROCESS macro proposed by Hayes and analyzed using SPSS 24.0 program. Results: The results showed a positive correlation between intention to stay and nursing work environment (r = .19, p = .001), career motivation (r = .34, p < .001), and job-esteem (r = .37, p < .001). Nursing work environment (B = 0.34 [.09~.59]) and job-esteem (B = 0.27 [.04~.49]) had a direct effect on intention to stay. There was a two-mediator sereal mediation effect of career motivation and job-esteem. The nursing work environment showed a significant effect on the intention to stay among hospital nurses through career motivation and job-esteem. Conclusion: In order to increase the retention rate of hospital nurses, it is suggested that government and medical institutions provide multifaceted support that can increase nurses' motivation for career development and recognition of the nursing profession through improvement of the nursing work environment.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.26 no.3
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• pp.377-387
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• 2016

Objectives: The objective of this study was to describe the emotional labor experiences of ward nurses in Korea. Methods: The data were collected through focus group interviews with seven ward nurses. The phenomenological analytic method suggested by Colaizzi was used to analyze the data. Results: Four theme clusters and eleven themes emerged from the analysis. The first theme cluster, 'Terrible working environment' includes changes in the health environment and realities of nursing organization. The second theme cluster, 'Suppressed feelings' includes institutionalized power trip, patient-centered emotion management and burning. The third theme cluster, 'Tired body and mind' includes withdrawal, wounded self-esteem, burnout and turnover desicion. The fourth theme cluster, 'Want to be comforted' includes emotional control and wishing to live as a nurse. Conclusions: The findings of this study provide an understanding of the emotional labor experiences of ward nurses to explain their perceptions and language. The essence of the emotional labor of ward nurses is a negative working environment created by increased competition in the healthcare industry and the nature of nursing organization, and as a result their quality of life has fallen.

• Journal of the Korea Society of Computer and Information
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• v.24 no.5
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• pp.103-111
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• 2019

The purpose of this study was to investigate how internal marketing affects self-efficacy and hospital image in university hospital nurses. In addition, it was to identify which factors of internal marketing is the most important factor perceived by the nurses. The sample consisted of 228 nurses working in one university hospital located in Changwon city of Gyeongnam province. The measurements included internal communication (5 items), empowerment (5 items), reward (3 items), education and training (5 items), working environment (3 items), leadership (5 items), self-efficacy (5 items), and hospital image (8 items) based on a review of related previous studies. Survey data were analyzed employing SPSS version 20.0 and AMOS version 20.0. The nurses rated internal communication (0.887) of the internal marketing sub-factors the most important, while they evaluated working environment (0.802) the lowest. The internal marketing perceived by nurses has a positive effect on self-efficacy (0.476) and hospital image (0.674). Nurses' self-efficacy also had a positive effect on hospital image (0.226). The findings reveal that the managers should build a positive climate of internal marketing activities in order to enhance nurses' self-efficacy and hospital image.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.1
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• pp.527-535
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• 2015

This study was conducted to compare and analyse work-related injuries, physical and mental health status of nurses according to working environment. The subjects were 192 nurses working at a university hospital in Seoul. After analyzing each categories of health status by working environment and work-related injuries, meaningful differences were found physical and mental health status. And shift work was significantly related to work-related injuries compared to non-shift work. In addition, it was confirmed that nurses have negative influences from night work in physical and mental health compared to other work pattern. Thus, it would be necessary to improve working system with considering their health problems caused by working environment and work-related injuries. And we will have to be a study for effective night work and additional support for night workers.