• Journal of Home Health Care Nursing
• /
• v.20 no.2
• /
• pp.124-132
• /
• 2013

Purpose: The purpose of the present study was to identify correlations between resilience, job stress, and burnout in new nurses. Methods: The participants were recruited from a university hospital. All participants (N=87) were new nurses whose clinical experience was 12 month and less. We gathered data regarding demographics, resilience, job stress, and the incidence of burnout among the nurses using structured questionnaires. We analyzed the data using t-test, one-way ANOVA, Pearson correlation, coefficien and multiple regression analyses. Results: Resilience of the nurses was negatively correlated with job stress (r=-.377, p<.001) and burnout (r=-.568, p<.001), while job stress was positively correlated with burnout (r=.511, p<.001). Resilience and job stress explained 42.5% of the variance in nurses' burnout ($R^2$=.425, F=37.071, p<.001). Conclusion: These results of the present study indicate that the management programs to address job stress and resilience for new nurses should be needed to reduce the burnout among them.

• Child Health Nursing Research
• /
• v.25 no.3
• /
• pp.324-332
• /
• 2019

Purpose: Epilepsy is the most common neurological disorder in childhood. Hospital nurses, who are the first to recognize seizures in epilepsy patients in the ward environment, possess expertise related to epilepsy and play a central role in epilepsy management. The purpose of this study was to develop an algorithm-based education program and to improve nurses' knowledge and self-efficacy related to providing nursing care to children with epilepsy. Methods: The education program consisted of lectures on the definition, cause, classification, diagnosis, treatment, and nursing of epilepsy based on a booklet, as well as practice using an algorithm for nursing interventions when a child experiences a seizure. Twenty-seven nurses working at pediatric neurological wards and a pediatric emergency room participated in the education program. The data were analyzed using descriptive statistics and the paired t-test. Results: Nurses' knowledge and self-efficacy showed a statistically significant improvement after participation in the education program on nursing care for children with epilepsy. Conclusion: The application of this education program for hospital setting is expected to improve nurses' capability to care for children with epilepsy, thereby contributing to a higher quality of nursing.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.28 no.3
• /
• pp.305-316
• /
• 2022

Purpose: The purpose of this study was to construct a structural equation model of organizational commitment in hospital nurses based on a job demands-resources model and to confirm the moderating effect(s) according to the nurses' generation. Methods: The model was constructed of the exogenous variables of social support, emotional intelligence, emotional labor, and job conflict and the endogenous variables of burnout, job engagement, and organizational commitment. The participants were 560 hospital nurses working in 3 general hospitals. Data were collected from August 1 to September 30, 2021, and analyzed using SPSS Window 23.0 and IBM AMOS 23.0. Results: The strongest factor directly influencing hospital nurses' organizational commitment was social support. In a multiple group analysis, nurses' generation had a partial moderating effect. In a generation-specific analysis, the Z generation group was higher than the X and Y generation groups in the variables of emotional labor and burnout related to organizational commitment. Conclusion: Based on the findings of this study, to improve hospital nurses' organizational commitment, social support is needed as an important management strategy. At the organizational level, we need to develop ways to improve organizational commitment by reducing the emotional labor and burnout of Generation Z.

• Safety and Health at Work
• /
• v.13 no.3
• /
• pp.350-356
• /
• 2022

Background: Although sick leave is a complex phenomenon, it is believed that there is potential for prevention at the workplace. However, little is known about this potential and what specific measures should be implemented. The purpose of the study was to identify perceived reasons to take work-related sick leave and to suggest preventive measures. The study was completed before the COVID-19 pandemic emerged, and the risk factors identified may have been amplified during the pandemic. Methods: An in-depth cross-sectional survey was conducted across a randomly selected sample of hospital nurses in Norway. The national sample comprised 1,297 nurses who participated in a survey about their sick leave during the previous 6 months. An open-ended question about perceived reasons for work-related sick leave was included to gather qualitative information. Results: Among hospital nurses, 27% of the last occurring sick leave incidents were perceived to be work-related. The most common reasons were high physical workload, high work pace, sleep problems, catching a viral or bacterial infection from patients or colleagues, and low staffing. Conclusions: Over a quarter of the last occurring sick leave incidents among Norwegian hospital nurses are potentially preventable. To retain and optimize scarce hospital nursing resources, strategies to reduce work-related sick leave may provide human and financial benefits. Preventive measures may include careful monitoring of nurses' workload and pace, optimizing work schedules to reduce the risk of sleep problems, and increasing staffing to prevent stress and work overload.

• Korean Journal of Occupational Health Nursing
• /
• v.32 no.2
• /
• pp.49-57
• /
• 2023

Purpose: This study aimed to explore the meaning of job experiences of fixed night shift nurses participating in a pilot project by a tertiary hospital, and to provide basic information for improving their night shift working environment. Methods: A descriptive qualitative study was conducted using individual interviews in September 2022. Three female nurses who worked fixed night shifts were recruited from a tertiary hospital. Data were analyzed using content analysis. Results: By analyzing the meaning of job experience as a fixed night shift nurse, four categories and nine subcategories were identified. The four categories of job experience of fixed night shift nurses were: expecting an improvement physical health due to predictable working hours, enjoying leisure time due to long off-duty hours, regretting for loosened relationships, and considering a successful settlement of fixed night shift nursing. Conclusion: As night shift work is essential for nurses to provide continuous nursing to patients, it is necessary to develop various strategies to improve the physical health of night shift nurses through fatigue management and good sleep quality, mental health through work-life harmony, and social health through intimate relationships between patients and coworkers.

• Korean Journal of Adult Nursing
• /
• v.12 no.4
• /
• pp.619-628
• /
• 2000

The purpose of this study was to evaluate the knowledge level of pressure ulcer among hospital nurses through a cross-sectional survey by using the pressure ulcer knowledge assessment tool of Beitz et al.(1998). The total of subjects was 160 voluntary participants (60 were from Hospital A and 100 were from Hospital B) working at adult patients' units in two university hospitals located in the same city. None of the hospitals had expert nurses of pressure ulcer nor provided a regular pressure ulcer education program during the past one year. The survey tool consisted of 32 true-false items which were grouped into the risk factors knowledge category(13 items), the wound assessment knowledge category(4 items), and the treatment methods knowledge category(15 items). An internal consistency reliability test of the tool yielded an overall coefficient of 0.72; the coefficient for the risk factors knowledge category was 0.40, that for the wound assessment knowledge category was 0.33; that for the treatment knowledge category was 0.54. The main findings of the study are as follows. 1) Demographic characteristics of the two hospital nurses were similar except for the educational level(p=0.029) and the work units(p=0.001). These observations were maintained even if Hospital A and B were separately compared. 2) The knowledge level of the subjects about pressure ulcer in general was low as indicated by 53.3 points(of 100 possible points) on average. The knowledge level about treatment methods of pressure ulcer was the lowest as indicated by 47.0 points on average. 3) No correlation between the knowledge level of the pressure ulcer and the demographic characteristics of nurses was found except that the knowledge level of I.C.U. nurses was significantly higher(p=0.0003) than that of nurses in other units(p=0.2926) in the case of Hospital A. 4) The knowledge level of nurses in Hospital B was higher than for nurses in Hospital A. The reason was not identified, but it seems that it is related to the role of the I.C.U. or some other factors. The study results confirmed the existing literature that knowledge level of nurses about pressure ulcer is low regardless of age, educational level, or work experience. However, the working place(unit) affected the knowledge level. Further research on the exact reason for the differences in the knowledge level is needed in the future.

• Journal of Korean Clinical Nursing Research
• /
• v.18 no.2
• /
• pp.228-238
• /
• 2012

Purpose: The purpose of this study was to examine how an Advanced Cardiac Life Support (ACLS) simulation application via smartphone effects nurses' ACLS knowledge and learning satisfaction. Methods: The participants were selected from nurses in medical Intensive Care Unit (ICU), surgical ICU and emergency room. The experimental group consists of fifty nurses who were self-learned with ACLS simulation application via smartphone and the control group of seventy-one nurses who used traditional learning materials. Outcome variables included nurses' knowledge and learning satisfaction which were collected before and after the intervention. Results: The scores of ACLS knowledge were higher in the control group compared to the experimental group (p=.001) while learning satisfaction showed no statistical difference (p=.444). In learning satisfaction, the experimental group showed higher interest than the control group (p=.019) while the control group rated higher on the item, 'the contents of education was reliable' (p=.007). Conclusion: ACLS knowledge score was graded higher in control group that used traditional learning method than the experimental group that used the smartphone application. This study showed that training with the new material significantly increased nurses' interest in ACLS education. Hence, more applications for smartphones should be developed to provide self-learning environment for nurses and improve care quality.

• Journal of Korean Academy of Nursing Administration
• /
• v.22 no.4
• /
• pp.406-414
• /
• 2016

Purpose: The purpose of this study was to analyze the concept of nurses' safety within the context of the hospital environment. Methods: We used Rodgers' method of evolutionary concept analysis and reviewed the relevant literature and noted and categorized characteristics that appeared frequently. Results: Nurses' safety was defined as safe status and safe activity among nurses. Three key defining attributes were identified as: (a) the minimization of actual or perceived risk, (b) personal duties and rights, and (c) ensuring within a safe working environment. Antecedents of nurses' safety were categorized into three dimensions: (a) individual, including vigilance and knowledge gained through education and training; (b) institutional, including safety provision in the organizations; and (c) national, including legislation. The outcomes of nurses' safety included the following: (a) continued competence in nurses' work; (b) enhancement of the quality of patient care; and (c) reductions in nurses' turnover rates. Conclusion: Nurses' safety ensures that qualified nurses are able to continue to perform their duties and provide good patient care. The findings of this study could contribute to future research examining nurses' safety. In addition, appropriate tools must be developed to measure the concept.

• Journal of Korean Clinical Nursing Research
• /
• v.23 no.2
• /
• pp.179-188
• /
• 2017

Purpose: This study examined post-traumatic stress (PTS) and the factors affecting it among general hospital nurses after the MERS(Middle East Respiratory Syndrome) epidemic. Methods: Data were collected from 170 nurses who worked at general hospitals since the first reported MERS outbreak. The IES-R-K assessed PTS. Data were analyzed using SPSS. Results: The mean PTS level was 7.80 points (range: 0~88); 7.1% of the participants were at a high risk. Nurses who had been in contact with patients suspected or diagnosed with MERS had high post-traumatic levels; those who had been quarantined during the MERS outbreak had relatively higher PTS levels. Shift-work nurses had higher PTS levels than those with fixed working hours. Above charge' nurses stress levels were higher than staff nurses' stress levels. The results showed that factors including contact with an MERS-suspected or diagnosed patient, position at work, and working status of MERS-affected nurses explained 16% of the PTS. Among the main variables, nurses' above charge position was the greatest factor affecting PTS. Discussion: It is necessary to develop intervention studies and programs considering these variables. Furthermore, development and implementation of differentiated programs should be done considering the position of above charge nurses.

• The Korean Nurse
• /
• v.20 no.5 s.113
• /
• pp.60-69
• /
• 1981

The objectives of this research are to offer basic information to help put into practice an organized and systematized program of continuing education for nurses of in-service education in each hospital, the continuing education program of the Seoul distr