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Factors Influencing Problem Solving Abilities of Freshmen Nursing Students.

Journal of Korean Academy of Nursing Administration.2010;16(2):190-197. doi:10.11111/jkana.2010.16.2.190

PURPOSE: The purpose of this study was to investigate factors which influence freshmen nursing students' problem solving abilities. METHOD: The data were collected from 119 students by means of self-reported questionnaires measuring problem solving abilities, critical thinking disposition, and self-directed learning, on March 7th and 11th, 2010. RESULT: For problem solving ability categories, the level of problem discovery was the highest followed by solution plan, problem definition, solution evaluation and solution implementation. The influencing factors on problem solving abilities of nursing students were critical thinking disposition, self-directed learning and gender. CONCLUSION: Using the results of this study as a foundation, nursing education curriculum should be comprised of critical thinking skills and self-directed skills for the improvement of nursing students' problem solving abilities. It is also recommended that further studies be conducted in order to investigate comprehensive curriculum designs that allow for maximum accumulation of these proficiencies.
Curriculum ; Education, Nursing ; Humans ; Learning ; Problem Solving ; Surveys and Questionnaires ; Students, Nursing ; Thinking

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The Structural Model about Impact of Nurse's Career Management, Career Plateau, Career Satisfaction on Career Commitment.

Inn Oh MOON

Journal of Korean Academy of Nursing Administration.2010;16(2):180-189. doi:10.11111/jkana.2010.16.2.180

PURPOSE: This study was designed to construct a model which explains the career management, career plateau and career satisfaction of the factors influencing the career commitment of nurses. METHOD: The data collection was conducted from Aug. 24, 2009 to Sep. 22, 2009 through self-reported questionaries. Participants were 441 nurses who had worked in 2 national university hospitals, 1 university hospitals, and 1 hospitals founded by business enterprises. The data was analyzed by SPSS 12.0 and AMOS 15.0 for structural model. RESULTS: Career commitment was directly impacted by career management, career plateau, career satisfaction. The predictable variables of the hypothetical model explained 28.4% of career commitment. Career commitment was significantly influenced by career management, career plateau, career satisfaction. CONCLUSION: The results of study suggest that some strategies are needed which focus on career management, career plateau and career satisfaction in order to promote the nurse's career commitment.
Commerce ; Data Collection ; Hospitals, University ; Models, Structural

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Canonical Correlation between Organizational Culture and Informatics Competency.

Myoung Soo KIM

Journal of Korean Academy of Nursing Administration.2010;16(2):172-179. doi:10.11111/jkana.2010.16.2.172

PURPOSE: The purpose of this study was to examine the canonical correlation between organizational culture and nurses' informatics competency. METHOD: Participants in this study were 354 nurses from three hospitals and one university. The scales of organizational culture, informatics competency for nurses were used. Descriptive statistics, Pearson correlation coefficient, canonical correlation were used for data analysis. RESULTS: The dominant organizational culture was hierarch-oriented culture. Nursing informatics competency of the participants was relatively low with a mean score 3.04. Organizational culture was related to informatics competency with 2 significant canonical variables. The first variate showed the higher four subcategories of organizational culture showed the better nursing informatics. The second variate indicated that nurses felt higher innovation-related and lower hierarch-related culture showed higher medical informatics-related software usage and computer related information management, lower perception of informatics and information search using internet. CONCLUSION: Organization culture has a major of impact on the success of information system use. Therefore, the continuous strategy for higher innovation-related organizational culture such as management support should be needed.
Informatics ; Information Management ; Information Systems ; Internet ; Nursing Informatics ; Organizational Culture ; Professional Competence ; Statistics as Topic ; Weights and Measures

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Structural Factors Influencing the Quality Management Activities in Nursing Homes.

Tae Wha LEE ; Jane CHUNG

Journal of Korean Academy of Nursing Administration.2010;16(2):162-171. doi:10.11111/jkana.2010.16.2.162

PURPOSE: Nursing home quality indicators have been focused widely on result outcomes, not for the environment in that quality of service are delivered. This study aimed to examine structural factors influencing quality management activities in nursing homes. METHOD: Sample was 170 nursing homes responded to the survey questionnaire which was distributed to the 543 nursing homes nation-wide. Data were collected on structural characteristics, types of services, and quality management activities. Data were analyzed with the descriptive statistics, Pearson correlations, and multiple regression. RESULT: Most of the nursing homes were operated as free of charge by the social welfare ownership. Average number of residents was 52.1 with severe and mild dementia and bedridden status. In terms of quality management activities, 34% of the sample had CQI committee that focused their activities on services delivery process, performance appraisal, record keeping regularly. 30.6% of quality management activities were accounted for by the number of residents with dementia, the ratio of RN to residents, rehabilitation services, and social wefare services in nursing homes. CONCLUSION: We recommend that more comprehensive quality management activities should be developed as process quality indicators in conjunction with the outcome indicators.
Dementia ; Fees and Charges ; Nursing Homes ; Ownership ; Quality Indicators, Health Care ; Surveys and Questionnaires ; Social Welfare ; Structure-Activity Relationship

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Development and Evaluation of a Patient Safety-focused Inservice Education Program for Surgical Nurse.

Young Mee KIM ; Myung Sook YOU ; Yaun Hee CHO ; Seung Hae PARK ; Seung Nam NAM ; Mi Ok PARK ; Se Young KIM ; Min Young KIM

Journal of Korean Academy of Nursing Administration.2010;16(2):152-161. doi:10.11111/jkana.2010.16.2.152

PURPOSE: The aim of this project was to develop a patient safety-focused inservice education program for surgical nurse and to test the effects of this program. METHODS: Methodological designs for instruments development, a pretest-posttest and a posttest design were employed. After the education, nurses' satisfaction, confidence, usefulness and application of 137 nurses were evaluated at 15 surgical units of a tertiary teaching hospital in Seoul, Korea. The education contents are 6 skill areas (infusion pump use, suction, chest tube drainage, oxygen administration, nebulizer use, insulin administration) and medication knowledge. Teaching methods were lecture, instructor demonstration, and 1:1 skill test. Descriptive statistics, Wilcoxon test, Spearman's correlation and Stepwise regression were used. RESULTS: Satisfaction scores for skills and medication education were 4.00-4.21 (out of 5). The more performance frequency in 6 skills, the higher score in confidence as well as in usefulness and application, and the higher satisfaction with the program, the higher score in usefulness, application, confidence, and medication knowledge. Medication knowledge improved after the education (Z=-7.757, p<.001). Significant predictors of skill confidence were application of skills in job performance, medication confidence, and career in present unit. CONCLUSION: The results of this study suggest that systematic and continuous inservice education will improve patient safety by promoting nursing quality.
Chest Tubes ; Drainage ; Hospitals, Teaching ; Humans ; Inservice Training ; Insulin ; Korea ; Nebulizers and Vaporizers ; Oxygen ; Patient Safety ; Program Development ; Program Evaluation ; Suction ; Teaching

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A Study on Nurses' Self-Leadership, Self-Esteem, and Organizational Effectiveness.

Yoon Sook KANG ; Yun Jung CHOI ; Dal Lee PARK ; In Ja KIM

Journal of Korean Academy of Nursing Administration.2010;16(2):143-151. doi:10.11111/jkana.2010.16.2.143

PURPOSE: This study was conducted to define nurses' level of self-leadership, self-esteem, and organizational effectiveness, and to examine relationships among above variables. METHODS: The subjects of this study were 313 nurses from two general hospitals located in Seoul Metropolitan area in Korea. The data was collected by self-reported instruments: Self-leadership scale, Self-esteem scale, Job satisfaction scale, Organizational commitment scale, and Turnover intention scale. Data was analyzed by descriptive statistics, Pearson correlation coefficient, and stepwise multiple regres don u dng SPSS-PC program. RESULTS: The average scores of variables were; self-leadership, 3.72/5.00 self-esteem, 3.76/5.00 Job satisfaction, 3.36/5.00 organizational commitment, 3.29/5.00 and turnover intentioncri 2.94/5.00. Self-leadership was dgnificantly correlated to self-esteem, job satisfaction, organizational commitment, and turnover intention. Self-leadership, job satisfaction, and turnover intention explained 52.3% of organizational commitment. Self-leadership and organizational commitment explained 43% of turnover intention. CONCLUSIONS: It is recommended to develop standardized self-leadership curriculum in the nursing school to build a foundation of self-leadership from undergraduate nursing students. Educational programs are needed that promote nurses' self-leadership as regular continuing education. Organizational effectiveness would be improved by providing programs to enhance nurses' self-esteem, educational motivation, and organizational commitment, which boost self-leadership.
Curriculum ; Education, Continuing ; Efficiency, Organizational ; Hospitals, General ; Humans ; Intention ; Job Satisfaction ; Korea ; Leadership ; Motivation ; Schools, Nursing ; Students, Nursing

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A Study on Nursing Diagnoses, Interventions, Outcomes Frequently Used and Linkage to NANDA-NOC-NIC in Major Nursing Departments.

Jong Kyung KIM

Journal of Korean Academy of Nursing Administration.2010;16(2):121-142. doi:10.11111/jkana.2010.16.2.121

PURPOSE: The purpose of this study was to identify NANDA, NIC, and NOC frequently used and their linkages in major nursing departments for development of the nursing process and nursing management system. METHODS: This study was a descriptive study. Data were collected from 123 nurses who worked in medical, surgical, pediatric, gynecologic, and psychiatric department. The questionnaire was based on the NANDA, NOC, NIC, and NANDA-NOC-NIC linkage system. This research was analyzed by an EXCEL program and SPSS Pc+15.0. RESULTS: Nursing diagnoses frequently used were 'anxiety', 'disturbed sleep pattern', 'activity intolerance', 'social isolation', 'nausea', 'ineffective airway clearance', 'chronic pain', nursing outcomes frequently used were 'thermoregulation', 'bowel elimination', 'pain control', 'vital sign status', 'pain level', and nursing interventions frequently used were 'nausea management', 'airway suctioning', 'bowel elimination management', 'diarrhea management', 'medication management'. NANDA-NOC-NIC linkages in major nursing departments were recognized, and these results were similar to the results of other researches. CONCLUSION: The results of this study will be provided as a guideline to apply to the nursing process and development of the nursing process system with the NANDA-NOC-NIC linkage in major nursing department.
Nursing Diagnosis ; Nursing Process ; Surveys and Questionnaires

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Nurses' Safety in the Hospital Environment: Evolutionary Concept Analysis.

Jin Hee PARK ; Eun Nam LEE

Journal of Korean Academy of Nursing Administration.2016;22(4):406-414. doi:10.11111/jkana.2016.22.4.406

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.
Education ; Humans ; Mental Competency ; Methods ; Patient Care

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Influences of Customer Orientation, Emotional Labor, Unit Manager-nurse Exchange and Relational Bonds on Nurses' Turnover Intension.

Young Soon KIM ; Kyung Yeon PARK

Journal of Korean Academy of Nursing Administration.2016;22(4):396-405. doi:10.11111/jkana.2016.22.4.396

PURPOSE: The study was done to investigate nurses' customer orientation, emotional labor, unit manager-nurse exchange and relational bonds and to identify the factors affecting nurses' turnover intentions. METHODS: A cross-sectional survey was conducted using self-report questionnaires. The participants in this study were 276 nurses in tertiary hospital located in a metropolitan city, Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS program 22.0. RESULTS: The mean scores were 3.74±0.90 (out of 5) for turnover intention, 5.31±0.87 (out of 7) for customer orientation, 4.82±0.96 (out of 7) for emotional labor, 3.58±0.61 (out of 7) for relational bonds, and 3.18±0.57 (out of 5) for unit manager-nurse exchange. Factors influencing turnover intention were 'emotional labor' (β=.39, p<.001), 'unit manager-nurse exchange' (β=-.22, p<.001), 'financial bonds' (β=-.19, p<.001), 'perceived economic status' (β=-.15 p=.003) and 'career' (β=.14, p=.005). These factors explained 34.9% of the variance in turnover intension (F=30.46, p<.001). CONCLUSION: Findings indicate that to reduce nurses' turnover intention in the hospital, there is a need to improve unit manager-nurse exchange and to manage strategies lowering nurses' emotional labor.
Cross-Sectional Studies ; Intention ; Korea ; Tertiary Care Centers

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Perceptions of Adequacy and Job Performance of Nurse Assistant Nursing Jobs according to Registered Nurses and Nurse Assistants in Geriatric Hospitals, and Caregivers.

Myung Hee CHO ; Kye Ha KIM

Journal of Korean Academy of Nursing Administration.2016;22(4):384-395. doi:10.11111/jkana.2016.22.4.384

PURPOSE: The purpose of this study was to investigate perceptions of adequacy and job performance of the nurse assistants' nursing job as evaluated by registered nurses and nurse assistants in geriatric hospitals, and by caregivers from the same hospitals. METHODS: Participants included 62 registered nurses, 57 nurse assistants, and 64 patient caregivers who completed a measurement scale on the job of nurse assistants. Data collection was conducted from October to December, 2015. Data were analyzed using descriptive statistics and one-way ANOVA by IBM SPSS/WIN program version 21.0. RESULTS: There were significant differences by items in perception of adequacy of nurse assistants' nursing job of among the three groups. There was also a significant difference in perception of the nurse assistants' job performance among the three groups. CONCLUSION: For nurse assistants in geriatric hospitals, the Ministry of Health and Welfare needs to develop an appropriate job practice guideline. In addition, there should be periodic courses of retraining and continuing education for nurse assistants.
Caregivers* ; Data Collection ; Education, Continuing ; Humans ; Nurses' Aides ; Nurses* ; Nursing* ; Work Performance*

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