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Effect of Image Making Programs on Image Making Efficacy, Positive Thinking, Self-esteem, and Nursing Professionalism in Nursing Students.

Inn Oh MOON ; Gyoung Wan LEE ; Seok Hee JEONG

Journal of Korean Academy of Nursing Administration.2015;21(1):122-132. doi:10.11111/jkana.2015.21.1.122

PURPOSE: This study was conducted to test the effect of Image Making Programs on image making efficacy, positive thinking, self-esteem, and nursing professionalism in nursing students. METHODS: A non-equivalent control group pretest-posttest design was used. Participants were 124 nursing students at two universities, and were assigned to the treatment group (n=62) or the comparison group (n=62). The treatment was the Image Making Program, which was held twice over 2 days for 120 minutes per session. Data were collected from August to September 2012, and were analyzed using descriptive statistics, Kolmogorov-Smironov test, chi2-test, independent t-test, Mann-Whitney U test, one-tailed Mann-Whitney U test, independent one-tailed t-test with the SPSS/WIN 21.0 program. RESULTS: Nursing students in the treatment group showed statistically significantly higher levels of image making efficacy, positive thinking, and nursing professionalism than those in the comparison group. CONCLUSION: The results indicate that the Image Making Program is an effective intervention for increasing image making efficacy, positive thinking, and nursing professionalism in nursing students. However, further research and practices are needed in this area.
Humans ; Nursing* ; Self Concept ; Students, Nursing* ; Thinking*

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Effects of Emotional Labor and Self-efficacy on Psychosocial Stress of Nurses.

Jeong Hee KIM ; Young Suk PARK

Journal of Korean Academy of Nursing Administration.2015;21(1):111-121. doi:10.11111/jkana.2015.21.1.111

PURPOSE: The purpose of this study was to identify the effects of emotional labor and self-efficacy on psychosocial stress of nurses. METHODS: A cross-sectional correlation study design was used. The participants were 186 nurses from two general hospitals in Jeju Island, South Korea. A self-report questionnaire was used to collect data including data on emotional labor, self-efficacy, and psychosocial stress. Data were analyzed using descriptive statistics, Pearson correlation coefficient, t-test, ANOVA, and hierarchical multiple regression. RESULTS: Approximately 98% of the participants were categorized as having potential and high risk stress levels. Hierarchical multiple regression showed that employment status, surface-acting, and self-efficacy explained 37.0% of psychosocial stress and self-efficacy was the main factor influencing psychosocial stress. CONCLUSION: Nursing administrators should understand that nurses suffer from high risk stress and emotional labor. To reduce the psychosocial stress of nurses, there is needed to improve stressful work conditions such as irregular employment, decrease surface-acting, and improve self-efficacy.
Administrative Personnel ; Employment ; Hospitals, General ; Humans ; Korea ; Nursing ; Surveys and Questionnaires ; Statistics as Topic

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Development of Agenda Priority for Nursing Service Research and Development.

Eui Geum OH ; Yeon Su JANG ; Sae Lom GONG ; Yoon Ju LEE

Journal of Korean Academy of Nursing Administration.2015;21(1):99-110. doi:10.11111/jkana.2015.21.1.99

PURPOSE: The purpose of this study was to suggest agenda priorities for nursing service R&D (Research and Development) related policies development. METHODS: Two steps in developing the agendas and priorities were performed in this descriptive study. First, nursing service R&D agendas were extracted through needs assessment of nursing researchers and practitioners. Then, the priority of agendas was set by Analytic Hierarchy Process by ten experts who were representatives of nursing and other healthcare professionals. RESULTS: Six core areas and forty-six nursing service R&D agendas were developed. The priority of agendas was different according to the evaluation criteria depending on weight value of nursing services. CONCLUSION: In order to select and promote nursing service R&D projects within national healthcare policy, nursing service R&D policy should be proposed with consideration to the importance of the criteria in reflecting characteristics of nursing care. By strengthening R&D capabilities for quality improvement and sensitive awareness of national directions for healthcare R&D policies, nursing service R&D can be appropriately promoted.
Delivery of Health Care ; Needs Assessment ; Nursing ; Nursing Care ; Nursing Research ; Nursing Services* ; Quality Improvement

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Organizational Socialization and Intention to Leave in Operating Room Nurses Working at Secondary General University Hospitals.

Su Jung YOON ; Hye Ja PARK

Journal of Korean Academy of Nursing Administration.2015;21(1):88-98. doi:10.11111/jkana.2015.21.1.88

PURPOSE: To evaluate the relationship between organizational socialization and intention to leave, and to identify factors affecting on intention to leave in operating room nurses. METHODS: This study used a descriptive design. Seventy operating room nurses recruited from three hospitals under the same management style, in-service educational system, and working conditions agreed to participate in this study, and completed self-administered questionnaires of the organizational socialization and the intention to leave questionnaire. Respondents were classified by career as advanced beginner, competent practitioner, proficient practitioner and expert practitioner by Benner's stages of nursing proficiency. Data were analyzed with t-test, ANOVA with multiple comparisons, Spearman correlation, and multiple regression analysis. RESULTS: Nurses unsatisfied with the current in-service continuous education had lower organizational socialization and higher intention to leave. In advanced beginners, job performance was lowest and organizational commitment was highest. In expert practitioners, intention to leave was highest. Organizational commitment, interpersonal relationship, identity and burnout were associated with intention to leave. Mutual trust, burnout, and interpersonal relationship were predictors of intention to leave explained 20.8% of variance. CONCLUSION: The career ladder program to enhance nurses' organizational socialization and intention to stay should be established and expanded for well-experienced operating room nurses.
Career Mobility ; Surveys and Questionnaires ; Education ; Hospitals, University* ; Intention* ; Nursing ; Operating Rooms* ; Socialization*

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Impact of Nursing Students' Emotional Labor on Burnout during Nursing Practice in a Hospital: Moderating Effect of Emotional Intelligence.

So Young KANG

Journal of Korean Academy of Nursing Administration.2015;21(1):77-87. doi:10.11111/jkana.2015.21.1.77

PURPOSE: This study was done to: (a) identify levels of emotional labor that nursing students perceived when caring for patients in the hospital during their nursing practicum, (b) examine the impact of emotional labor on burnout, and (c) identify the possible moderating effect of emotional intelligence on the relationship between emotional labor and burnout for nursing students. METHODS: A descriptive study was conducted with a sample of 171 students enrolled in a 4-year undergraduate nursing program in one university located in Korea, and had a practicum experience at least one semester before the study began. Data were collected with self-report questionnaire, and analyzed with SPSS 21.0 program, using hierarchical multiple regression. RESULTS: Mean score for emotional labor was 3.17 with a range of 1 to 5. For nursing students, emotional labor significantly affected burnout in the nursing practicum (F=15.763, p<.001), and explained 30.1% of the variance in burnout. The degree of emotional intelligence acted as a moderator on the relationship between emotional labor and burnout at significant level (F=15.345, p<.001). CONCLUSION: This research shows that nurse managers as well as nurse educators need to pay attention to nursing students' emotional labor during nursing practicum in the care units of hospitals.
Emotional Intelligence* ; Humans ; Intelligence ; Korea ; Nurse Administrators ; Nursing* ; Surveys and Questionnaires ; Students, Nursing

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Systematic Search for Guidelines to Prevent Catheter-associated Urinary Tract Infections-Part II: Using the Ovid MEDLINE.

Hyunyoung PARK ; Keum Seong JANG ; Ja Yun CHOI ; Yun Hee KIM

Journal of Korean Academy of Nursing Administration.2015;21(1):64-76. doi:10.11111/jkana.2015.21.1.64

PURPOSE: To implement evidence-based nursing, it is important to know where and how to find the best available evidence. This study was conducted to identify the results of a search from Ovid MEDLINE and to compare the results from Ovid MEDLINE with those from PubMed MEDLINE. METHODS: Four different approaches via Ovid MEDLINE were used to search for guidelines on preventing catheter-associated urinary tract infections. Outcomes of this study were the number of records and relevant literature, and the sensitivity and precision of the search methods via Ovid MEDLINE. RESULTS: The number of retrieved items ranged 23 to 6,005 and that of relevant studies, 5 to 8 of 8. Simple searches resulted in the highest sensitivity of 100.0%. When using MeSH terms and limits feature, the precision was highest (21.7%) among four approaches for literature searches. Simple searches in Ovid had higher sensitivity and lower precision than those in PubMed. CONCLUSION: Simple searches in Ovid may be inefficient for busy clinicians compared to PubMed. However, to ensure a comprehensive and systematic literature search, using Ovid MEDLINE in addition to PubMed is recommended.
Evidence-Based Nursing ; Urinary Catheterization ; Urinary Tract Infections ; Urinary Tract*

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Nurses' Experience of Health Communication with Doctors in the Clinical Fields.

Kwang Ok PARK

Journal of Korean Academy of Nursing Administration.2015;21(1):53-63. doi:10.11111/jkana.2015.21.1.53

PURPOSE: The purpose of this study was to describe nurses' experience of health communication with doctors in the clinical fields. METHODS: Eight experienced clinical nurses working in various units of general hospitals participated. Data were collected through in-depth individual interviews and analyzed using the Colaizzi' method. RESULTS: Five themes of nurses' experience of communication were identified: exploring the speaker seriously, becoming aware of emotions and controlling them, developing relationships after lining up for battle, having superficial and withered relationships with doctors, having few resources to promote communications with doctors. CONCLUSION: The results of the study indicate that humanistic and warm interpersonal relationships and genuine sharing of information are necessary to ensure effective communication. Thus, practice guidelines should be re-evaluated and developed to meet the proposed standards; safety-net programs and education for health communication should also be established. Nurse managers should create a high-touch work environment.
Education ; Health Communication* ; Hospitals, General ; Humans ; Nurse Administrators

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Impact of DISC Behavioral Styles on Job Satisfaction and Clinical Competencies among Newly Hired Nurses.

Mi Yeong MUN ; Seon Young HWANG

Journal of Korean Academy of Nursing Administration.2015;21(1):43-52. doi:10.11111/jkana.2015.21.1.43

PURPOSE: In this study, behavioral styles of Dominance, Influence, Steadiness, and Conscientiousness (DISC) were examined and differences in job satisfaction and clinical competence among newly hired nurses were explored. METHODS: For this explanatory correlational research, 176 newly hired clinical nurses were recruited from three university hospitals and one general hospital located in Seoul and Gyeonggi province. Data were collected in August, 2013 though self-report questionnaires. RESULTS: The distribution of behavioral styles was 11.4%, 42%, 29% and 17.6% for Dominance, Influence, Steadiness, and Conscientiousness respectively. DISC behavioral styles were associated with sub-areas of job satisfaction such as professional position and doctor-nurse relationship. DISC behavioral styles were significantly associated with the total score for clinical competence and sub-areas of data collection, basic nursing skills, critical thinking, education and leadership, and attitudes toward professional development and practical skills. Multiple linear regression analysis showed that DISC behavioral styles predicted clinical competence (Adj. R2=.14, F=9.42, p<.001). CONCLUSION: A focus on cultivating influential and steady behavioral styles among newly hired nurses can be helpful in improving job satisfaction and clinical competence. There is a need to improve interpersonal relationships through a deeper understanding of each person's behavioral style based on the analysis of DISC behavioral styles.
Clinical Competence ; Data Collection ; Education ; Gyeonggi-do ; Hospitals, General ; Hospitals, University ; Job Satisfaction* ; Leadership ; Linear Models ; Nursing ; Surveys and Questionnaires ; Seoul ; Thinking

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Structural Relationships among Job Embeddedness, Emotional Intelligence, Social Support and Turnover Intention of Nurses.

So Jung LEE ; Hye Jong WOO

Journal of Korean Academy of Nursing Administration.2015;21(1):32-42. doi:10.11111/jkana.2015.21.1.32

PURPOSE: This study was done to elicit basic data for effective human resource management by identifying the relationships among job embeddedness, emotional intelligence, social support, and the turnover intention of Nurses. METHODS: Research design was to build a hypothetical causal model between variables and to verify its fitness. The sample for this study was 283 nurses with careers of more than 6 months in one hospital of more than 800 beds located in Seoul. They agreed in writing and this study was approved by the Institutional Review Board. Data were analyzed using SPSS 18.0 and AMOS 18.0 program. RESULTS: Differences in general characteristics for the variables were significant for age, marital status, education, work experience, job title, income, and department. Job embeddedness, emotional intelligence and social support were significantly correlated to turnover intention. Job embeddedness to emotional intelligence and social support showed positive effects and a negative effect to turnover intention. Emotional intelligence to turnover intention showed a positive effect, but social support was not significant. CONCLUSION: Organizations should provide ways to minimize voluntary turnover of a competent workforce and demonstrate their competency. Also it should develop training and management programs to effectively utilize emotional intelligence.
Education ; Emotional Intelligence* ; Ethics Committees, Research ; Humans ; Intention* ; Marital Status ; Research Design ; Seoul ; Writing

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Concept Analysis of Health Inequalities.

Jeong Ok KWON ; Eun Nam LEE ; Sun Hyoung BAE

Journal of Korean Academy of Nursing Administration.2015;21(1):20-31. doi:10.11111/jkana.2015.21.1.20

PURPOSE: The purpose of this study was to explore ways to define the concept of health inequality. METHODS: The concept analysis process by Walker and Avant was used to clarify the meaning of health inequality. RESULTS: Defining attributes of health inequality included differences in health status between individuals or groups, infringement of fundamental rights to health, unfair use of medical services, and social discrimination. The antecedents of health inequality included differences in demographic characteristics (age, gender, education, occupation, residential location), limitations in accessibility to health care, and social exclusion. Consequences of health inequality were increased costs for medical care, decreased health-related quality of life, and lack of ability to cope with health problems resulting in crisis situations, increases in morbidity and mortality, and shortening of life span. The concept was clarified through presentation of model, borderline, related, and contrary cases. CONCLUSION: Results of this study can be used to guide the direction of future studies through concept analysis in which conceptual attributes in the context of health inequality are examined. Also, based on the result of this study, development of standardized tools to measure health inequality is recommended as well as development of educational programs to reduce health inequalities.
Delivery of Health Care ; Education ; Human Rights ; Mortality ; Occupations ; Quality of Life ; Social Discrimination ; Socioeconomic Factors*

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