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Nurses' Knowledge of Law, Law Consciousness, and Will to Practice.

Mi Aie LEE ; Keum Soon BYEON ; Sunjoo KANG

Journal of Korean Academy of Nursing Administration.2017;23(3):290-300. doi:10.11111/jkana.2017.23.3.290

PURPOSE: The aim of this study was to evaluate nurses' knowledge of the law, consciousness, and will to practice and the relationships among factors affecting the will to practice. METHODS: A cross-sectional survey was conducted and data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson correlation coefficients and multiple regression. RESULTS: Most respondents were women (93.9%) and 75.6% of them had received basic education on law. The average score on knowledge of the law was 11.83±3.07 for general law and 10.42±3.32 for nursing law. The average score on consciousness of law and will to practice was 2.50±0.31 and 4.32±0.58, respectively. Differences were observed in knowledge of the law in terms of having taken a refresher course(F=5.87, p=.003); in consciousness of the law in terms of knowledge of the law (F=6.61, p<.002); and in will to practice according to age (F=7.30, p=.007) and educational level (F=13.08, p<.001). Factors influencing will to practice included behavioral and cognitive consciousness, general knowledge of law, and education. These factors explained 24% of the variance. CONCLUSION: Nurses knowledge and consciousness regarding law was relatively lower than their will to practice. Systematic law education for nurses and repetitive research are recommended to prevent nursing malpractice.
Consciousness* ; Cross-Sectional Studies ; Education ; Female ; Humans ; Jurisprudence* ; Malpractice ; Nursing ; Surveys and Questionnaires

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Factors affecting Retention Intention of Male Nurses Working Health Care Institution in Korea.

Mi YU ; Kyung Ja KANG ; Su Jeong YU ; Myungsook PARK

Journal of Korean Academy of Nursing Administration.2017;23(3):280-289. doi:10.11111/jkana.2017.23.3.280

PURPOSE: The study was done to investigate male nurses' gender discrimination, person-organization fit, organization leader-member exchange, career plateau and retention intention and to identify factors affecting nurses' retention intention for these nurses. METHODS: A cross-sectional survey was conducted using self-report questionnaires. The participants were 144 male nurses working in hospitals and other health care facilities in Korea. Data were analyzed using hierarchial regression. RESULTS: The mean score was 5.40±1.61 (out of 8) for retention intention. Factors influencing retention intention were ‘married’ (β=.27, p<.001) and ‘employment career (3~5 yr)’ (β=-.24, p=.003) in model 1, ‘person-organization fit’ (β=.42, p<.001) in model 2, ‘content plateau’ (β=-.19, p=.020) in model 3. Person-organization fit was the most significant factor followed by content plateau, employment career and married state in that order. These factors explained 33.2% of the variance in retention intention (F=17.23, p<.001). CONCLUSION: Findings indicate that it is necessary to confirm that the male nurses are suitable for their organization and improve career development at 3~5 years of work experience as a retention strategy of male nurses.
Cross-Sectional Studies ; Delivery of Health Care* ; Discrimination (Psychology) ; Employment ; Humans ; Intention* ; Korea* ; Male* ; Nurses, Male*

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Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals.

Hyun JEONG ; Myonghwa PARK

Journal of Korean Academy of Nursing Administration.2017;23(3):270-279. doi:10.11111/jkana.2017.23.3.270

PURPOSE: The purpose of this study was to identify factors that influence nurses' implementation of evidence-based fall management in geriatric hospitals. METHODS: Data from the Evidence Based Practice Survey of Fall Management in Geriatric Hospitals were examined for this study. The participants were 248 nurses from geriatric hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation analysis, and stepwise regression. RESULTS: Factors related to implementation of evidence-based fall management were belief in evidence-based practice with organizational culture, work experience, use of fall guideline, and experience of patient falls. These factors explained 56.7% of variance in implementation of evidence-based fall management. Among these factors, the significant predictors for implementation of evidence-based fall management were belief in evidence-based practice, organizational culture of evidence-based practice, work experience, use of fall guideline and experience of patient falls. CONCLUSION: Results of this study suggest that it is necessary to develop a systematic program to enhance nurses' belief in evidence-based practice at the individual level. In addition, fostering organizational culture toward evidence-based practice and disseminating fall management guidelines at the organizational level can be important strategies to enhance evidence-based fall management in geriatric hospitals.
Accidental Falls ; Evidence-Based Nursing ; Evidence-Based Practice ; Foster Home Care ; Humans ; Organizational Culture

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Effects of Workplace Bullying, Job Stress, Self-esteem, and Burnout on the Intention of University Hospital Nurses to Keep Nursing Job.

Young Hee YOM ; In Soon YANG ; Jung Hee HAN

Journal of Korean Academy of Nursing Administration.2017;23(3):259-269. doi:10.11111/jkana.2017.23.3.259

PURPOSE: Medical institutions and their patients benefit from continued employment of nurses. In this study an assessment was done of important factors that influence nurses' intention to leaving their jobs. METHODS: The sample consisted of 229 university hospital nurses. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffé, Pearson's Correlation Analysis, and Hierarchical Multiple Regression. RESULTS: The control variables, including age, current position, and health status explained 18% (F=16.37, p<.001) of variance in retention intention. The control variables, bullying, job stress, self-esteem, and burnout collectively explained 27% of variance in retention intention. CONCLUSION: The findings indicate that the factors influencing retention intention are age, current position, and health status, while self-esteem and burnout in work places are new and more recent factors that impact retention intention. These findings can be utilized to develop strategies to increase self-esteem and retention intention.
Bullying* ; Employment ; Humans ; Intention* ; Nursing* ; Workplace

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Empathy Ability, Communication Ability, and Nursing Performance of Registered Nurses and Nursing Assistants in Long-term Care Hospitals.

Sun Jin JEONG ; Kye Ha KIM

Journal of Korean Academy of Nursing Administration.2017;23(3):249-258. doi:10.11111/jkana.2017.23.3.249

PURPOSE: The purpose of this study was to investigate empathy ability, communication, and nursing performance among registered nurses (RN) and nursing assistants (NA) in long-term care hospitals. METHODS: Participants were 155 nursing personnel (RN 80 and AN 75) who worked in 8 long-term care hospitals in G city and J Province. Data collection was conducted from July 6 to August 6, 2016. Descriptive statistics, independent t-test, one-way ANOVA, and stepwise multiple regression were used with SPSS/WIN program version 23.0 for data analysis. RESULTS: Nursing performance of RN was significantly influenced by communication ability (β=.88, p<.001) and university graduation (β=.25, p=.025). Nursing performance of NA was influential by communication ability (β=.77, p<.001) and marriage (β=.42, p=.018). CONCLUSION: Findings show that communication ability of RN and NA is important in nursing performance. Therefore, there is a need to develop programs to improve communication ability and validate the effectiveness of the programs in improving nursing performance of nursing personnel working at long-term care hospitals.
Communication* ; Data Collection ; Empathy* ; Humans ; Long-Term Care* ; Marriage ; Nurses' Aides ; Nurses* ; Nursing* ; Statistics as Topic ; Task Performance and Analysis

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Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses.

Ae Ri Na NAM ; Eun Ho LEE ; Jeong Ok PARK ; Eun Jung KI ; Su Min NAM ; Mi Mi PARK

Journal of Korean Academy of Nursing Administration.2017;23(3):239-248. doi:10.11111/jkana.2017.23.3.239

PURPOSE: Today's clinical nurses deal with complex problems that need accurate evidence for practice and decision making. In this study the effectiveness of an EBP education program was examined. METHODS: A pre-posttest design was used for this study and participants were 46 nurses working at a tertiary hospital located in Suwon, Korea. Date collection was done before and after the education program, from July 27 to October 2, 2015. Data were analyzed using paired t-test and ANCOVA with SPSS 21.0. RESULTS: There were significant differences in scores before and after the EBP education program for EBP readiness: belief (t=-5.65, p<.001), implementation(t=-2.89, p=.006), competence (t=-4.21, p<.001), and for evidence-based decision making (t=-16.25, p<.001) by the nurses. CONCLUSION: The findings indicate that the EBP education program has positive effects on EBP belief, implementation, competence and evidence-based decision making. In the future, it is necessary to reinforce the content of the program in the clinical workplace and to provide continuous education for clinical nurses.
Decision Making* ; Education* ; Evidence-Based Practice* ; Gyeonggi-do ; Korea ; Mental Competency ; Tertiary Care Centers

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Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress.

Su Mi JUNG ; Sook Hee YOON

Journal of Korean Academy of Nursing Administration.2017;23(3):229-238. doi:10.11111/jkana.2017.23.3.229

PURPOSE: The purpose of this study was to provide basic research material necessary for the establishment of comprehensive nursing service units, through a comparative analysis of inpatient satisfaction with nursing between comprehensive nursing service and general units and the work stress of nurses. METHODS: The survey participants were inpatients and nurses from 3 general hospitals in Busan, including 6 units, 123 nurses and 220 patients. Date collection was done through March and April 2016. Collected data were analyzed using test and independent t-test with SPSS 23 Win program. RESULTS: Inpatients on comprehensive nursing service units had higher scores for satisfaction than inpatients on general units. There was no statistically significant difference in nurses' work stress between the two types of units. CONCLUSION: The findings indicate that although inpatient satisfaction with comprehensive nursing service units is higher than for general units, work stress for nurses is comparatively high for both types of units. While it is necessary to expand the implementation of comprehensive nursing service units, an institutional strategy for reducing nurses' work stress is required if the expansion is to be successful.
Busan ; Hospitals, General ; Humans ; Inpatients* ; Nursing Services* ; Nursing*

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Informed Consent: A Complex Process in Iran's Nursing Practice.

Alireza Nikbakht NASRABADI ; Mahboobeh SHALI

Journal of Korean Academy of Nursing Administration.2017;23(3):223-228. doi:10.11111/jkana.2017.23.3.223

Informed consent should not be regarded as a rigid process. Instead, it should be regarded as a flexible process that provides patient with the right amount of information required to facilitate meaningful decision-making. Informed consent is an important ethical and practical part of patient care. Understanding the moral foundation of informed consent can help to guide therapists in their communication with all patients. Nurses, as members of the multidisciplinary team, are currently key contributors in providing information to patients regarding the treatment process. But in this process, there are some challenges that make it difficult. This paper describes the underlying ethical and regulatory requirements as well as related challenges regarding informed consent in the context of a nursing practice in Iran.
Ethics, Nursing ; Humans ; Informed Consent* ; Iran ; Nursing* ; Patient Care

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Effects of a Short Message Service Intervention on Adherence to Maximal Sterile Barrier Precautions and Catheter-Related Blood Stream Infections.

Moon Hee KANG ; Dongoak KIM

Journal of Korean Academy of Nursing Administration.2012;18(2):244-250. doi:10.11111/jkana.2012.18.2.244

PURPOSE: The purpose of this study was to investigate the effect of a short message service intervention on adherence to maximal barrier precautions (MBP) and catheter-related blood stream infections. METHOD: The data were collected from March to September, 2008, at an 826-bed university-affiliated hospital in Daejeon. The study participants were 24 physicians who were inserting central catheters and 133 patients (control group 78 and intervention group 55) with central catheter insertions. The researcher sent the message (adherence to MBP and optimal recommendations) to each internal medicine doctor using the short message service (SMS) for cellular phones. Messages were sent monthly for 3 months. Data were analyzed by chi-square test and t-test using SPSS 12.0 windows program. RESULT: Adherence to maximal barrier precautions was significantly increased from 44.9% to 69.1% (p=.006) after the SMS intervention. But changes in the rate of CRBSI (catheter related blood stream infection) between the intervention group (1.89) and the control group (4.45) were not significant (p=.323). CONCLUSIONS: The results indicate that the SMS intervention is effective in increasing the adherence to maximal barrier precautions and the SMS intervention can be recommended for utilization in infection control nursing practice.
Catheter-Related Infections ; Catheters ; Cellular Phone ; Humans ; Infection Control ; Internal Medicine ; Rivers ; Text Messaging

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Effects of Creative Nursing Practice on Hospital Nurses' Job Satisfaction and Organizational Commitment.

So Young KANG

Journal of Korean Academy of Nursing Administration.2012;18(2):234-243. doi:10.11111/jkana.2012.18.2.234

PURPOSE: This study was done to: (a) examine relationships between creative nursing practice and job satisfaction, and organizational commitment that nurses perceive in a hospital, and (b) identify creative nursing practice factors affecting job satisfaction and organizational commitment. METHOD: Using self-report questionnaires including 25 items of the Creative Nursing Practice Index, a descriptive study was conducted with a sample of 387 nurses working in the nursing care units of a general hospital in Seoul, Korea. Data were analyzed, using independent t-test, ANOVA, Pearson correlation, and hierarchical multiple regression analysis. RESULT: The mean score for nurses performance of creative practice was 2.29+/-0.46 (range 1 to 4). Creative nursing practice had positive correlation with nurses' job satisfaction (r=.427, p<.001) and organizational commitment (r=.433, p<.001). Creative nursing practice factors influencing job satisfaction were implementing customized care (beta=.158, p=.010), making new knowledge (beta=.257, p<.001), and searching ideas (beta=.209, p<.001). Nurses' organizational commitment was influenced by implementing customized care (beta=.192, p=.002), making new knowledge (beta =.158, p=.028), searching ideas (beta=.254, p<.001), sharing ideas (beta=.250, p=.003), and validating ideas (beta=.189, p=.036). CONCLUSIONS: The results indicate a need to develop nurses' creative competency to pursue quality care as well as increase nurses' job satisfaction and organizational commitment.
Creativity ; Hospitals, General ; Job Satisfaction ; Korea ; Nursing Care ; Surveys and Questionnaires

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