• 간호행정학회지
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• 제21권1호
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• pp.1-9
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• 2015

Purpose: This study was done to identify the influence of nursing work environment and social support on multidimensional organizational commitment among nurses. Methods: The survey was conducted in August 2012 with self-report questionnaire. Participants were 480 registered nurses working in one general hospital. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression using SPSS/WIN(16.0). Results: The average scores were; for affective commitment 2.84, for continuance commitment 2.48, and for normative commitment 2.57. There were significant relationships between affective, continuance, normative commitment and sub-factors of nursing work environment and social support. The affective, continuance, and normative commitment were all influenced by 'staffing and resource adequacy' and 'nursing foundations for quality of care', sub-factors of nursing work environment. Distinctively, affective commitment was influenced by 'staffing and resource adequacy', nurses' age, 'nurse-doctor relations', 'supervisor's emotional support', 'nurse participation in hospital affairs', 'nursing foundations for quality of care', and 'supervisor's informational support', which explained 30.9% of variance in affective commitment(F=31.57, p<.001). Conclusion: The findings show that programs which promote supervisors' emotional and informational support are important to enhance nurses' affective commitment. Also, it is necessary to improve nursing work environment to improve nurses' organizational commitment.

• 대한간호학회지
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• 제50권5호
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• pp.728-736
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• 2020

Purpose: This study aimed to identify the relationship between workplace violence and turnover intention, and the mediation effect of resilience on the relationship in hospital nurses. Methods: This was a cross-sectional study. A total of 237 registered nurses were recruited from three hospitals in South Korea from April to May 2019. Participants were invited to complete self-reported questionnaires that measure workplace violence, turnover intention, resilience, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results: After controlling demographic covariates, workplace violence significantly accounted for the variance of turnover intention. It was also demonstrated that resilience partially mediated the relationship between workplace violence and turnover intention in hospital nurses. A 73.8% of nurses had experienced workplace violence (such as attack on personality, attack on professional status, isolation from work, or direct attack). Conclusion: Workplace violence directly influences turnover intention of nurses and indirectly influences it through resilience. Therefore, hospital administrators need to develop and provide a workplace violence preventive program and resilience enhancement program to decrease nurses' turnover intention, and leaving.

• 대한간호학회지
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• 제46권1호
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• pp.100-108
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• 2016

Purpose: The aim of this study was to examine the mediating effect of empowerment in the relationship of nurse managers' authentic leadership, with nurses' organizational commitment and job satisfaction. Methods: The participants in this study were 273 registered nurses working in five University hospitals located in Seoul and Gyeonggi Province. The measurements included the Authentic Leadership Questionnaire, Condition of Work Effectiveness Questionnaire-II, Organizational Commitment Questionnaire and Korea-Minnesota Satisfaction Questionnaire. Data were analyzed using t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, simple and multiple regression techniques with the SPSS 18.0 program. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. Results: There were significant correlations among authentic leadership, empowerment, organizational commitment and job satisfaction. Empowerment showed perfect mediating effects in the relationship between authentic leadership and organizational commitment. It had partial mediating effects in the relationship between authentic leadership and job satisfaction. Conclusion: In this study, nurse managers' authentic leadership had significant influences on nurses organizational commitment and job satisfaction via empowerment. Therefore, to enhance nurses' organizational commitment and job satisfaction, it is necessary to build effective strategies to enhance nurse manager's authentic leadership and to develop empowering education programs for nurses.

• 대한한의정보학회지
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• 제22권1호
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• pp.13-25
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• 2016

Purpose: The purposes of this study were to investigate hospital nurses' job stress, sleep disturbance, and fatigue and to examine the relationships among them. Methods: The subjects were 119 registered nurses working in two hospitals. The data were collected from September 1 to September 30, 2015 using self-report questionnaires. The data were analyzed using SPSS 20.0 program. Results: Job stress levels of nurses were middle or higher level. Nurses levels of sleep disorders was higher than the median. It was the middle of the fatigue level of the nurses. There was a difference between sleep disorders and fatigue, depending on age and working department. There was a significant quantitative correlation among stress, sleep disorders, and fatigue. Conclusion: Therefore, it is necessary to develop programs to reduce job stress and sleep disorders and fatigue of hospital nurses. And it requires institutional improvements.

• 임상간호연구
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• 제27권3호
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• pp.221-232
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• 2021

Purpose: The purpose of this study was to explore emergency room nurse's work experiences during the COVID-19 pandemic. Methods: Data were collected from 15 registered nurses working in the emergency room between October, 10th and December 15th, 2020, through focus group interviews and in depth interviews. Collected data were analyzed using Colaizzi's phenomenological method. Results: The study derived four categories and eight themes. The four categories are 'sense of cringing with fear', 'nursing in chaotic situation', 'lonely struggles', and 'career growth as a nurse'. Emergency room nurses experienced fear and confusion in the COVID-19 pandemic, but overcame the crisis and had positive experiences of professional growth as a nurse. Conclusion: To protect emergency room nurses from infectious disease and improve their professional quality of life during the COVID-19 pandemic appropriate education and healthcare resource should be provided. It is necessary to reflect clinical worker's opinions and improve the delivery system of guideline to reduce confusion in the field and develop practical infectious disease control guideline. Furthermore, better working conditions, appropriate rewards and social and mental support should be provided for nurses in emergency room.

• 한국간호교육학회지
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• 제29권1호
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• pp.51-59
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• 2023

Purpose: This descriptive cross-sectional study aimed to examine the influence of nurses' moral sensitivity and ethical values on their biomedical ethics awareness. Methods: The study participants included 140 registered nurses working at three hospitals in Jeollabuk-do Province over six months. The data were collected from June 22 to July 3, 2020, and were analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis with the IBM SPSS/WIN 20.0 program. Results: As a result of an analysis using stepwise multiple regression, nurses' biomedical ethics awareness was found to be significantly influenced by ethical values (β=.36, p<.001), moral sensitivity (β=.21, p=.007), and education in biomedical ethics (β=.16, p=.042) (adjusted R²=.21, p<.001). Conclusion: These findings suggest that moral sensitivity and ethical values are key factors in hospital nurses' development of biomedical ethics. Furthermore, the devising and implementing of a practical education program based on practical cases in medical situations to enhance nurses' biomedical ethics awareness is needed.

• 셀메드
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• 제2권1호
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• pp.7.1-7.4
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• 2012

The use of Complementary and Alternative Medicine (CAM) is increasing in Norway. A growing number of nurses choose to offer CAM, and the purpose of the study presented in this article was to examine the reasons for their choices. Fieldwork including interviews with 20 nurses offering CAM was conducted. The results showed that the nurses in general are not satisfied with the public health service. They had four main reasons for their choice to offer CAM: 1. A desire to perform holistic nursing. 2. A tendency to value self-realization. 3. A wish to experience meaning in their work and develop a stronger professional identity. 4. A freedom to mix care and cure. The results of this study are also discussed in view of medicalization.

• 임상간호연구
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• 제25권3호
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• pp.294-302
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• 2019

Purpose: The purpose of this study was to investigate the wage structure of hospital nurses in Korea and to analyze the factors that determine the level of nurses' wages. Methods: First, a mobile survey on nurses' wages was conducted with a total of 3,742 nurses working in hospitals. A literature review was also done. Second, a regression model was applied to analyze the determinants of nurses' wages. Results: The average monthly wage of 3,742 nurses based on the survey was KRW 3,588,000 and the standardized monthly income of 3,742 nurses was estimated to be KRW 3,364,000 as of the end of 2018. The results of regression analysis(R²=61.7%) showed that gender, nursing experience, designated night duty, ownership, and number of beds were statistically significant variables for nurses' wages at 1% significance level. The monthly wage of nurses working in total nursing care wards was not significantly different from those working in other wards at 5% significance level. Conclusion: The substantial difference in nurses' wages according to job career, hospital size, region, etc may result in the low proportion of nurses with more than three to five years of service experience and the high turnover of less-experienced workers. Consideration should be given to adjust the gap in wage level and a standard nurse wage system could be effective measures.

• 간호행정학회지
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• 제6권1호
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• pp.109-122
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• 2000

The present study examined the causal relationships among nurses' perceived autonomy, job satisfaction, work environment (work overload, role conflict, situational support, head nurses' leadership), personal aspects(experiences, need for achievement, professional knowledge and skill) by constructing and testing a theoretical framework. Based on literature review nurses' perceived autonomy and job satisfaction were conceived of as outcomes of the interplay among work environment and personal characteristics. Work environment factors involved work overload, role conflict, situational support, and head nurses' leadership (task oriented leadership, relation oriented leadership). Personal charateristics included experiences, need for achievement, and professional knowledge and skill. Three large general hospital in Chonbuk were selected to participate. The total sample of 516 registered nurses represents a response rate of 92 percent. Data for this study was collected from July to September in 1998 by Questionnaire. Path analyses with LISREL 7.16 program were used to test the fit of the proposed conceptual model to the data and to examine the causal relationship among variables. The result showed that both the proposed model and the modified model fit the data excellently. It needs to be notified, however, that path analisis can not count measurement errors; measurement error can attenuate estimates of coefficient and explanatory power. Nevertheless the model revealed relatively high explanatory power. 42 percent of nurses' perceived autonomy was explained by predicted variables; 32 percent of nurses' job satisfaction was explained by by predicted variables. Tn predicting nurses' perceived autonomy the findings of this study clearly demonstrated the work overload might be the most important variable of all the antecedent variables. Head nurses' relation oriented leadership, situational supports, need for achievement, and role conflict were also found to be important determinants for nurses' perceived autonomy. As for the job satisfaction, role conflict, situational supports, need for the achievement, and head nurses' relation oriented leadership were in turn important predictors. Unexpectedly the result showed perceived autonomy have few influence on job satisfaction. The results were discussed, including directions for the future research and practical implication drawn from the research were suggested.

• 대한간호학회지
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• 제35권2호
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• pp.353-361
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• 2005

Purpose: This study was aimed at (a) describing professional nursing practice environments embedded in nursing care units and (b) examining its relationships to nurses' task motivation. Method: Using the Nursing Work Index Revised (NWI-R) and the Work Preference Inventory (WPI), a descriptive study was conducted with a sample of 320 registered nurses on 26 nursing care units in one University hospital in Korea. Result: Mean scores were 12.9 on a 5-20 score range of an autonomous environment scale, 7.3 on a 3-12 score range of a collaborative environment, and 15.8 on a 7-28 score range of control over nursing practice. Nurses' age, educational level, job position, working period at the hospital and employment status were significantly related to the degree of a professional practice environment. The extent to which a professional practice environment accounted for task motivation was $19.5\%$. Conclusion: There is a certain degree of professionalism in the workplace environment that nurses perceived within the nursing care units. When nurses care for patients, the degree of task motivation depends on the work environment supporting the professional nursing practice.