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Effects of Nurses' Self-leadership and Team Trust on Organizational Commitment.

Se Young KIM ; Eun Kyung KIM ; Byungsoo KIM

Journal of Korean Academy of Nursing Administration.2016;22(4):353-361. doi:10.11111/jkana.2016.22.4.353

PURPOSE: The purpose of this study was to investigate the association between self-leadership, team trust, organizational commitment and identify the influencing factors on organizational commitment. METHODS: The subjects in the study were 296 conveniently selected general nurses at 2 general hospitals in Chungbuk Province. The measurements included the self-leadership, organizational trust inventory (OTI), and organizational commitment. RESULTS: The mean score for self-leadership was 3.40, the mean score for OTI was 3.61, and the mean score for organizational commitment was 3.07. There were significant correlations among self-leadership, team trust and organizational commitment. Self-leadership had significant correlation with team trust (r=.25, p<.001). Also, self-leadership (r=.34, p<.001) and team trust (r=.31, p<.001) showed significant correlation with organizational commitment. In stepwise multiple regression analysis, age, self-leadership and team trust were included in the factors affecting organizational commitment of clinical nurses. These variables explained 20% of organizational commitment. CONCLUSION: The results confirmed that nurses' self-leadership and team trust affects significant influences on organizational commitment. Accordingly, in order to enhance nurses' organizational commitment, it is necessary to build effective strategies to enhance self-leadership and team trust for nurses. Such strategies will be able to improve the goal achievement of nursing unit.
Chungcheongbuk-do ; Hospitals, General ; Leadership ; Nursing ; Personnel Management

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Factors Influencing the Career Preparation Behavior of Nursing Students.

Tae Jeong JANG ; Mikyung MOON

Journal of Korean Academy of Nursing Administration.2016;22(4):344-352. doi:10.11111/jkana.2016.22.4.344

PURPOSE: The purpose of this study was to identify the effects of nursing professionalism, satisfaction with major, and self-leadership on nursing student career preparation behavior. METHODS: Data were collected from August 1 to August 31, 2014. Participants were 400 students who completed self-report questionnaires covering career preparation behavior, nursing professionalism, satisfaction with major and self-leadership. The SPSS/WIN/PC 21.0 program was used for descriptive statistics, t-test, ANOVA, Pearson correlational coefficients and stepwise multiple regression. RESULTS: The average scores for career preparation behavior, nursing professionalism, satisfaction with major, and self-leadership were 2.51, 3.80, 3,89, and 3.51 respectively. There were positive correlations among career preparation behavior, nursing professionalism, satisfaction with major, and self-leadership. Age, academic year, nursing professionalism, self-leadership, general satisfaction in satisfaction with major were significant predictors of career preparation behavior. CONCLUSION: It is necessary to provide career educational programs considering according to the academic year of nursing students and to develop educational programs to improve the nursing professionalism of nursing students.
Humans ; Nursing* ; Professionalism ; Students, Nursing*

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Factors Influencing Intention of Vietnamese to Use Korean Medical Tourism.

Young Hee YOM ; Myoung Ae KIM

Journal of Korean Academy of Nursing Administration.2016;22(4):332-343. doi:10.11111/jkana.2016.22.4.332

PURPOSE: The purpose of this study was to identify factors related to Vietnamese customers who use Korean medical and tourism services. The study was based on the Anderson Models METHODS: Participants were 173 Vietnamese who were living in Ho Chi Minh and Hanoi in Vietnam. Data were analyzed using descriptive statistics, χ², t-test and Multiple Logistic Regression. RESULTS: Research necessary factors had the most significant effect among the preceding factors, possible factors and necessary factors. Human service and outstanding natural beauty of necessary factors had significant influence on customer intention to use. According to the result of the stepwise logistic regression analysis, the most important item in medical services was human service OR=1.89 (p=.014), and for tour services, outstanding natural beauty OR=4.30 (p=.033). The explained variance for customer intention to use was 91.9%. CONCLUSION: These results suggest the need to improve the human service and outstanding natural beauty to retain customers' intention to use.
Asian Continental Ancestry Group* ; Beauty ; Humans ; Intention* ; Logistic Models ; Medical Tourism* ; Vietnam

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Effect of Nurses' Incivility Experienced by Nursing Student, Coping on Burnout in Clinical Practice.

Yunkyung HONG ; Younghae KIM ; Hyunmi SON

Journal of Korean Academy of Nursing Administration.2016;22(4):323-331. doi:10.11111/jkana.2016.22.4.323

PURPOSE: The purpose of this study was to identify the effects of nurse's incivility experienced by nursing students and coping against incivility on burnout in clinical practice. METHODS: A cross-sectional correlation study design was used. The subjects were 120 nursing student from four universities in Busan and Yangsan, South Korea. A self-report questionnaire was used to collect data on incivility, coping, and burnout. Finally total 117 nursing students' data was analyzed except 3 nursing students who had never experienced nurse's incivility for clinical practice. Data analyzed using descriptive statistics, Pearson correlation coefficient, independent t-test, ANOVA, and multiple regression. RESULTS: 97.5% of subjects (n=120) experienced incivility. Incivility was positively correlated with seeking social support coping, avoiding focused coping and burnout. Incivility and avoiding focused coping had a significant positive effect on burnout. The explained variance for burnout was 10.0% and avoiding focused coping was the most significant factor in burnout. CONCLUSION: Most of nursing students experience the nurses' incivility. Judging incivility as a difficult problem to solve, students use more avoiding focused coping strategy and burnout is increased. Therefore education is needed to improve the coping strategies at incivility. Additionally colleges and hospitals should establish the formal reporting system to handle the incivility.
Busan ; Education ; Gyeongsangnam-do ; Humans ; Korea ; Nursing* ; Statistics as Topic ; Students, Nursing*

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Impact of Nursing Organizational Culture Types on Innovative Behavior and Job Embeddedness Perceived by Nurses.

Mi Yeong MUN ; Seon Young HWANG

Journal of Korean Academy of Nursing Administration.2016;22(4):313-322. doi:10.11111/jkana.2016.22.4.313

PURPOSE: The aim of this study was to determine the impact of nursing organizational culture types on innovative behavior and job embeddedness among clinical nurse. METHODS: For this study a descriptive correlational study design was used. Participants were 293 nurses who had more than one year work experience. They were recruited from two university hospitals, one in Seoul and one in Gyeonggi province in 2016. Collected data were analyzed using SPSS/WIN 21.0 statistics program. RESULTS: Hierarchy-oriented culture was the highest type of organizational culture perception and innovation-oriented culture, the lowest. Multiple linear regression analyses showed that, when age and total clinical experience were adjusted for, innovation-oriented culture perception was the most significant factor influencing innovative behavior, followed by task-oriented culture and relation-oriented culture in that order (R²=.33, F=24.50, p<.001). Relation-oriented culture perception was the factor most influencing job embeddedness, followed by task-oriented culture and innovation-oriented culture in that order (R²=.48, F=55.98, p<.001). CONCLUSION: More systematic and sustained organizational efforts are required to improve the hierarchy-oriented culture highly perceived by nurses and to emphasize innovation-oriented, relation-oriented and task-oriented organizational culture to increase innovative behavior and job embeddedness among clinical nurses.
Gyeonggi-do ; Hospitals, University ; Job Satisfaction ; Linear Models ; Nursing* ; Organizational Culture* ; Seoul

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Work Stress, Turnover Intention and Burnout among Nurses in Neonatal Intensive Care Units.

Mi YU

Journal of Korean Academy of Nursing Administration.2011;17(1):115-126. doi:10.11111/jkana.2011.17.1.115

PURPOSE: This study was done to identify differences in work environment, work stress, turnover intention and burnout and investigate the relationship among these variables in nurses in Korean Neonatal Intensive Care Units. METHODS: Participants were 242 nurses working in 13 general hospitals. Burnout was measured by the Maslach Burnout Inventory (MBI), work stress with the instrument by Gu & Kim (1994), and turnover intention with the scale by Kim & Lee (2001). Size of the NICU, nurse to patient ratio, and communication satisfaction were included in work environment. Data were analyzed using Pearson correlation coefficients and multiple regression analysis with SPSS WIN program. RESULTS: The mean score for work stress in NICU nurses was 3.43 points, for burnout, 2.72 points, and for turnover intention, 4.64 points. Burnout and turnover intention level of participants were moderate-high. Work stress, communication dissatisfaction with physician, and clinical career accounted for 33% of variance in burnout. Significant differences were found between size of NICU and staffing related to environmental characteristics in turnover intention and burnout. CONCLUSIONS: Results indicate that effective communication with coworkers and institutional support for appropriate staffing according to number of beds will help to prevent work stress, burnout, and ultimately, nurses' resignations.
Hospitals, General ; Humans ; Infant, Newborn ; Intensive Care Units ; Intensive Care Units, Neonatal ; Intensive Care, Neonatal ; Intention

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Effects of Task Performance Style in Nursing Management Practicum on Problem-Solving and Nursing Competency according to Communication Ability of Nursing Students.

Myung Ha LEE ; Hyun Kyung KIM ; Seok Hee JEONG ; Inn Oh MOON

Journal of Korean Academy of Nursing Administration.2011;17(1):106-114. doi:10.11111/jkana.2011.17.1.106

PURPOSE: This study was done to examine effects of task performance style, communication ability and their interaction on problem-solving ability and nursing competency of nursing students participating in a nursing management practicum. METHODS: The study was a non-equivalent control group non-synchronized design. Participants were 56 fourth year nursing students (25 in the cooperative task group and 31 in the individual task group) and data were collected from March to September 2010. Additionally, two groups were classified based on communication ability of students and four groups were classified by their task performance style and communication ability. Problem-solving ability and nursing competency were measured pre- and post-test and compared between groups. Data were analyzed using SPSS Windows 17.0 program. RESULTS: Neither problem-solving ability and nursing competency were statistically significantly different according to task performance style. Nursing competency was statistically significantly higher in the high communication group compared to the low communication group. Problem-solving ability was significantly different among the four groups classified by task performance style and communication ability. CONCLUSION: Nursing educators may need to improve students' communication ability to improve nursing competency and also assign different tasks based on communication ability of nursing students to improve problem-solving ability.
Communication ; Education, Nursing ; Humans ; Learning ; Problem Solving ; Professional Competence ; Students, Nursing ; Task Performance and Analysis

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Perceived Relationship among Professional Self-Concept, Head Nurse's Leadership, and Nursing Clinical Competency by Clinical Nurses.

Young Jin KIM ; Hyun Kyoung SONG ; Mi Aie LEE

Journal of Korean Academy of Nursing Administration.2011;17(1):96-105. doi:10.11111/jkana.2011.17.1.96

PURPOSE: This study was performed to investigate the perceived relationship among professional self-concept, head nurse's leadership, and nursing clinical competency by clinical nurses. METHODS: This study was a cross-sectional survey. Participants were 601 nurses working at the five general hospitals in four provincial cities, Gyeungbuk, Korea. Data were collected from July 14, 2010 to August 31 and analyzed by SPSS/PC ver 18.0 programs. RESULTS: Professional self-concept and head nurse's leadership were slightly above the middle average, but nursing clinical competency was good. According to participants' age, marital status, job satisfaction, and length of service, there were perceptional differences in professional self-concept, head nurse's leadership, and nursing clinical competency. Nursing clinical competency could be explained by head nurse's leadership, professional self-concept, job satisfaction and length of service. Head nurse's leadership was independent variable affecting nursing clinical competency, professional self-concept was partial mediating variable, and job satisfaction and length of service were extraneous variables. CONCLUSION: It is concluded that head nurse's leadership is more important than professional self-concept to improve nursing clinical competency. Nursing managers should plan various strategies to improve head nurse's leadership and professional self-concept, to increase clinical nurses' job satisfaction and length of service.
Cross-Sectional Studies ; Head ; Hospitals, General ; Job Satisfaction ; Korea ; Leadership ; Marital Status ; Negotiating

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Influence of Nursing Organizational Culture on Empowerment as Perceived by New Nurses.

Yang Yoeb SEO ; Hyeon Ok JU

Journal of Korean Academy of Nursing Administration.2011;17(1):88-95. doi:10.11111/jkana.2011.17.1.88

PURPOSE: This study was done to identify the effect of nursing organizational culture on empowerment as perceived by new clinical nurses. METHODS: For the objective a sample of 175 new nurses from secondary/tertiary hospitals having not less than 250 beds located in B city was selected to complete a questionnaire. The collected data were analyzed using descriptive statistics, t-test, One-way ANOVA, Scheffe's test, Pearson correlation coefficients and simultaneous multiple regression with the SPSS 14.0 software program. RESULTS: As for nursing organizational culture as perceived by the respondent, relation-oriented culture had the highest average score (3.60+/-.63) out of a possible 5 points followed by hierarch-oriented culture, innovation-oriented culture and task-oriented culture with 3.45+/-.30, 3.19+/-.53 and 3.05+/-.46, respectively. The respondents' level of perceived empowerment was 3.06+/-.41. The factors influencing empowerment according to nursing organizational culture were innovation-oriented and relation-oriented culture in that order. These 2 variables were statistically significant predictors and explained 48.6% of the variance in empowerment. CONCLUSIONS: The results of this study indicate that emphasis should be given to nursing organizational culture strengthened by innovationoriented and relation-oriented culture, rather than task-oriented and hierarch-oriented culture, in order to foster harmonious empowerment among nurses at all levels.
Surveys and Questionnaires ; Organizational Culture ; Power (Psychology)

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Study of Abilities Required to Develop for Student in Nursing Education.

Jeong Hye PARK

Journal of Korean Academy of Nursing Administration.2011;17(1):74-87. doi:10.11111/jkana.2011.17.1.74

PURPOSE: The purpose of this study was to identify key abilities needed to develop for student nurses. METHODS: A methodological research design was used in this study. The abilities for student nurses were developed through literature review and educational objectives analysis of 60 nursing colleges in Korea. RESULTS: Finally, the abilities required to develop for student nurses in higher education were 8 cluster of abilities and 19 abilities such as problem solving ability, relationship ability, professional ability, ability in information processing, globalization, voluntary service. CONCLUSION: To perceive and achieve abilities for student nurses in higher education has to be needed a systematic approach in setting objectives, to improve curriculum and to develop program and educational methods.
Automatic Data Processing ; Curriculum ; Education, Nursing ; Humans ; Internationality ; Problem Solving ; Research Design

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