• 중환자간호학회지
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• 제17권2호
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• pp.83-95
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• 2024

Purpose : This study aimed to investigate the impact of clinical reasoning competence, positive psychological capital, and nursing work environment on nursing performance of intensive care unit (ICU) nurses in tertiary general hospitals. Methods : Data were collected from 169 ICU nurses in tertiary general hospitals in Busan, South Korea, from July 27 to August 15, 2023, using a self-report questionnaire. After excluding 12 questionnaires with insufficient responses, 157 responses were analyzed. Descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis were employed. Results : Factors influencing nursing performance included clinical reasoning competence (β=.51, p <.001), hope as a subfactor of positive psychological capital (β=.31, p <.001), and the nursing foundations for quality of care in the nursing work environment (β=.21, p <.001). The explanatory power of the regression model was 62% (F=87.41, p <.001). Conclusion : The study underscores the importance of improving clinical reasoning competence among ICU nurses to enhance nursing performance and foster a hopeful attitude through reflective practices and personal growth. Organizational interventions, such as educational and psychological support programs, along with creating a supportive nursing environment, are crucial for improving nursing performance among intensive care unit nurses.

• 간호행정학회지
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• 제22권2호
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• pp.119-128
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• 2016

Purpose: The purpose of this study was to investigate the relationship among work environment of nursing, nursing organizational culture, demands at work and the emotional labor in clinical nurses. Methods: A convenience sample of 241 registered nurses was obtained from two hospitals. Data were collected by a self-administered questionnaire during December, 2014. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlations and multiple regression with SPSS/WIN 21.0. Results: The mean score for emotional labor was $3.36{\pm}0.48$, for work environment of nursing, $2.44{\pm}0.36$, and for innovational-orientation, $2.95{\pm}0.56$: Relation-orientation, $3.34{\pm}0.62$, Task-orientation, $2.95{\pm}0.53$, and hierarchy-orientation, $3.41{\pm}0.49$, The score for quantitative demands was $3.02{\pm}0.56$, and for work pace, $3.76{\pm}0.76$. In multivariate analysis, factors related to emotional labor were work environment of nursing, innovational-orientation and work pace. Conclusion: Findings from this study indicate the need to evaluate and improve the work environment for nurses to decrease emotional labor.

• Child Health Nursing Research
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• 제11권4호
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• pp.415-426
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• 2005

Purpose: The purpose of this study was to identify relations among the parenting stress, maternal sensitivity to infant cues, parenting environment of first-time mothers. Method: The participants were 194 first-time mothers of babies aged 1-6 months who visited well-baby clinics in 5 hospitals. The data were collected from April 15 to June 15, 2003. Results: The parenting stress level was moderate with a mean score of 2.4(range 1-5). The parent domain and parent-child relationship domain of the parenting stress scale were significantly correlated with maternal sensitivity to infant feeding cues (r=-.178, p<.05; r=-.197, p<.01). Parenting stress was significantly correlated with childrearing environment(r=-2.19, p<.01). Parenting stress and childrearing environment were significantly different according to the educational level of the mothers and their prenatal care. Conclusions: Nursing interventions to reduce parenting stress in first-time mothers are needed to improve maternal sensitivity to infant cues and childrearing environment which foster infant development.

• 한국직업건강간호학회지
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• 제33권2호
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• pp.55-63
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• 2024

Purpose: The purpose of this study was to identify the effects of nursing work environment and social support on the reality shock of new graduate nurses in university hospitals. Methods: The subjects were 153 new graduate nurses with less than 12 months of clinical experience at two university hospitals in the G province, and data were collected from September 15 to October 7, 2020. Data were analyzed using the SPSS/WIN 26.0 program for frequency, average, t-test, ANOVA, Pearson correlation coefficient, multiple regression. Results: Factors influencing reality shock were nursing work environment (β=-.39, p<.001) and social support (β=-.25, p=.002), and gender (female) (β=.20, p=.001), and the explanatory power was 44.8% (F=9.99, p=.002). Conclusion: Our study shows that nursing work environment and social support play an important role in the reality shock of new graduate nurses. It is important to strengthen nursing work environment and social support to alleviate the reality shock of new graduate nurses. The findings of this study may serve as a basis for developing strategies for mitigating the reality shock of new graduate nurses.

• 한국직업건강간호학회지
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• 제31권1호
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• pp.22-30
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• 2022

Purpose: This study aimed to identify the mediating effect of Psychological stress of COVID-19 stress on the relationship between nursing work environment and turnover intention of nurses in long-term care hospitals. Methods: The participants were 176 nurses working at three long-term care hospitals in Changwon City. Data were collected from August 11 to 14, 2021, using self-report questionnaires. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and hierarchical regression, using the SPSS 23.0 software. A mediation analysis was performed according to the Baron and Kenny's test, and Sobel test. Results: Turnover intention was positively correlated with Psychological stress of COVID-19 stress (r=.23, p=.002) and negatively correlated with nursing work environment (r=-.44, p<.001). Psychological stress of COVID-19 stress had a significantly negative relationship with nursing work environment (r=-.15, p=.045). Psychological stress of COVID-19 stress partially mediated the relationship between nursing work environment and turnover intention. Conclusion: The findings of this study indicate that a positive nursing work environment can help nurses reduce their Psychological stress of COVID-19 stress and turnover intention. To reduce the turnover intention among nurses' in long-term care, it is necessary to promote better work environments suitable for COVID-19 and to establish detailed strategies for reducing their physiological stress.

• 간호행정학회지
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• 제20권1호
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• pp.69-81
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• 2014

Purpose: The aim of this study was to investigate and identify work environment, job embeddedness, and burnout among general hospital nurses in Korea. Methods: The participants were 563 clinical nurses working in 13 general hospitals across the country. Data were analyzed using SPSS and Microsoft Excel programs. Results: Mean scores were 2.62 for nurses' work environment, 2.97 for job embeddedness, and 3.61 for burnout. Nurses' work environment showed a positive correlation with job embeddedness (r=.70, p<.001), but a negative correlation with burnout (r=-.49, p<.001). Subcategories of nurses' work environment that predicted job embeddedness included satisfaction and happiness, hospital support for the work environment, patient care environment, satisfaction with work schedule, manager leadership, supportive environment for nurses' work, and computer problems. Subcategories of nurses' work environment that predicted burnout included satisfaction and happiness, violence within ward, hospital support for work environment, and patient care environment. Conclusion: Findings from this study indicate the need to evaluate and improve the work environment for nurses to increase job embeddedness and control burnout. Future studies should explore ways in which turnover intention can be decreased by changing nurses' work environment.

• 한국병원경영학회지
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• 제9권4호
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• pp.1-20
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• 2004

This study was aimed at examining the determinants of organizational creativity at nursing care units of university hospitals. Using some items of the Creative Nursing Practice Index(CNPI), the Nursing Work Index-Revised(NWI-R), and the Work Preference Inventory(WPI), an empirical study was conducted with a sample of 543 nurses at 49 nursing care units in two university hospitals in Korea. Data collected from the individual respondents were aggregated and transformed into the secondary data at organizational level. The data were analyzed, using Pearson correlation and hierarchical multiple regression method. The results of the study showed that organizational creativity has positive relationships to task motivation, including enjoyment and challenge to work, and work environment supporting nurses' autonomy and collaboration. Task motivation of the units and autonomous work environment explained 16.3% and 7.9% respectively in the variance of the organizational creativity. Organizational creativity was found to be significantly influenced by challenge and autonomous environment. This result implies that nursing managers should make an efforts to enhance the organizational creativity of nursing units by motivating their staff to challenge to a novel way of doing at work and making the work environment more autonomous.

• Journal of Korean Biological Nursing Science
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• 제21권4호
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• pp.308-317
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• 2019

Purpose: This study aimed to investigate the level and related factors related to health-promoting lifestyle in operating room nurses in Korea. Method: A cross-sectional descriptive survey design was employed. The data were collected using questionnaire for three weeks in December 2018 from 110 operating room nurses working for more than six months in a general hospital located in Seoul. The Health Promoting Lifestyle Profile-II, The Korean Version of the Practice Environment Scale of Nursing Work Index, and Operating nurse's Job stress Factor Scale were used. Results: Significant relationships were observed between health promoting lifestyle and educational level(p= .025), perceived economic status (p= .001) wearing a lead apron for protection from radiation during the operation(p< .001), work satisfaction(p= .016), and fatigue related to work(p= .006). Also significant correlations were identified between nursing work environment and health promoting lifestyle. However, the health promoting lifestyle was not statistically different based on occupational stress(p= .365). In multiple linear regression analyses, the level of health promoting lifestyle found to be higher in subjects who did not wear a lead apron for protection from radiation(p= .017), and who had more positive perception of the nursing work environment(p= .034). Conclusion: In order to increase health promoting lifestyle of operating nurses, the strategies to improve the nursing work environment are essential.

• 대한안전경영과학회지
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• 제23권2호
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• pp.1-8
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• 2021

The purpose of this study is to understand the impact of the nursing work environment, job embeddedness, and job esteem on the retention intention in the millennial generation nurses. The subjects of this study are nurses working in general hospitals with more than 300 beds. Among nurses born in the 1980s and early 2000s, 97 agreed to study. As a result of the study, there was a significant difference in academic background.(F=6.74, p=.002) In terms of final education, those with graduate or higher were higher than those with three-year graduation and four-year graduation Retention intention is the degree of job placement (r=.319, p=.001), job respect (r=.331, p=.001) had a positive relationship with the nursing working environment (r=-.252, p=.013) was negatively correlated. Factors affecting the retention intention is 12.9% explanatory skills as a result of the introduction of job embeddedness, nursing work environment, and job esteem. It is necessary to understand the characteristics of the generation in order to increase the retention intention as a millennial generation nurse.

• 디지털융복합연구
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• 제19권10호
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• pp.509-519
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• 2021

연구의 목적은 간호사가 지각하는 간호업무환경에서 간호업무성과와 직무만족이 미치는 영향을 이해하는 과정에서 셀프리더십의 매개효과를 파악하기 위함이다. 본 연구에서는 A도에 소재한 종합병원 3곳에서 1년 이상 근무한 간호사를 대상으로 하였고, 총 225개의 자료를 최종분석에 사용하였다. 자료분석은 SPSS 22.0 프로그램을 사용하여 t-검정, ANOVA, Pearson의 상관계수 및 위계적 회귀 분석을 사용하였다. 간호업무환경과 간호업무성과의 관계에서 셀프리더십은 부분 매개역할(z=4.30, p<.001)을 하고 있으며, 간호업무환경과 직무만족의 관계에서 셀프리더십은 부분 매개역할(z=3.70, p<.001)을 하는 것으로 나타났다. 따라서 간호업무성과와 직무만족을 증진시키기 위해 간호근무환경의 개선과 셀프리더십을 향상시킬수 있는 관리방안의 수립이 필요할 것이다.