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Effects of Organizational Silence and Professionalism on Job Embeddedness among Nurses in Hospital Management

Journal of Korean Clinical Nursing Research.2019;25(2):198-207. doi:10.22650/JKCNR.2019.25.2.198

PURPOSE: The purpose of this study was to provide data to establish an efficient manpower management plan so that the organization can identify the influence of organizational silence and professionalism on job embeddedness among nurses in hospital management. METHODS: Self-report questionnaires were distributed to 150 nurses in hospital management who were working in general hospitals with less than 900 beds but more than 300 beds in the districts of Seoul and Gyunggi, Gangwon province. Of the questionnaires, 127 out of 150 copies were collected and 120 copies were used for final analysis. Seven were not considered sincere in the responses. Data were analyzed using SPSS ver. 22.0 statistic program, t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression. RESULTS: Organizational silence and professionalism had significant influence on job embeddedness, which explained 43.4% of job embeddedness. CONCLUSION: The results indicate that in order to raise job embeddedness, it is necessary to provide various programs to change communication patterns in the nurses in hospital management, and to create environments in which nurses in hospital management can present various opinions.
Gangwon-do ; Hospitals, General ; Professionalism ; Seoul

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The Effects of Symptom Experiences and Depression on Falls Efficacy in Elderly Patients Undergoing Chemotherapy

Do Hyun HWANG ; Dukyoo JUNG

Journal of Korean Clinical Nursing Research.2019;25(2):189-197. doi:10.22650/JKCNR.2019.25.2.189

PURPOSE: The purpose of this study was to identify the effects of symptom experience and depression on the falls efficacy of elderly patients who were undergoing chemotherapy. METHODS: The questionnaires were administered to 105 elderly patients over 65 years hospitalizing for chemotherapy from October 25 to December 30, 2018. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlations and Multiple Linear Regression, ursing an SPSS/WIN 22.0 program. RESULTS: Falls efficacy was negatively correlated with the symptom experience (r=−.58, p<.001), and depression (r=−.57, p<.001). Symptom experience and depression were positively correlated (r=.72, p<.001). The significantly influential factors of falls efficacy were age (β=−.34, p<.001), symptom experience (β=−.24, p=.022), and the history of falls (β=−.15, p=.040), explaining 57.0% of the variance in falls efficacy. CONCLUSION: The main findings of this study can be used as the foundation for developing programs to increase the falls efficacy of elderly patients undergoing chemotherapy.
Accidental Falls ; Aged ; Depression ; Drug Therapy ; Humans ; Linear Models ; Symptom Assessment

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Development of Fall Assessment Scale in Adult Inpatients

Eun Hee CHOI ; Mi Suk KO ; Sang Hee HONG ; In Sook KIM

Journal of Korean Clinical Nursing Research.2019;25(2):179-188. doi:10.22650/JKCNR.2019.25.2.179

PURPOSE: The purpose of this study was to develop a valid Adult Fall Assessment Scale Korean version (FAS-K) for inpatients in general hospitals in Korea. METHODS: This a 14 item FAS-K was developed based on a review of national and international research and expert opinions in related field. Interrater reliability of FAS-K was analyzed using the ICC (Intraclass Correlation Coefficients). To examine the validity of FAS-K, a CVI (Content Validity Index), the Pearson correlation coefficients between FAS-K and two widely used scales, the Morse Fall Scale (MFS) and the Johns Hopkins Hospital Fall Risk Assessment Tool (JHFRAT), and the Mann-Whitney test were used. RESULTS: The ICC was .958. The CVI ranged from .70 to 1.00. The FAS-K was significantly associated with the MFS (r=.74, p<.001) and with the JHFRAT (r=.87, p<.001), verifying the concurrent validity of FAS-K. As for the construct validity of FAS-K, significant differences between the fall and non-fall groups were found not only in the MFS (Z=−3.23, p=.001) but also in the FAS-K (Z=−3.10, p=.002). CONCLUSION: The findings indicate that the FAS-K is a reliable fall risk assessment tool with high validity.
Accidental Falls ; Adult ; Expert Testimony ; Hospitals, General ; Humans ; Inpatients ; Korea ; Risk Assessment ; Weights and Measures

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Impact of Depression on Medication Adherence of Patients with Systemic Lupus Erythematosus: Focusing on Mediating Effect of Self-Efficacy and Belief about Medication

Su Jin LEE ; Hyeon Ok JU

Journal of Korean Clinical Nursing Research.2019;25(2):170-178. doi:10.22650/JKCNR.2019.25.2.170

PURPOSE: The purpose of this study was to determine the mediating effects of self-efficacy and the belief about medication on the association between depression and medication adherence in patients with systemic lupus erythematosus. METHODS: 128 patients aged ≥19 years, who were regular outpatients or admitted patients diagnosed with systemic lupus erythematosus at a tertiary hospital in B city, participated in this study. Data were collected by using a self-administered questionnaire. Testing of mediating effects was analyzed by a parallel redundant mediated model using the PROCESS macro for SPSS version 3.3. RESULTS: They scored an average of 16.71±11.13 for depression, 694.14±170.68 for self-efficacy, 3.05±4.60 for the belief about medication, and 90.14±15.37 for medication adherence. The direct effect of depression on medication adherence was not statistically significant, but the indirect effects of depression mediated with self-efficacy and belief about medication were statistically significant. CONCLUSION: It is necessary to develop and apply a nursing intervention program that can not only relieve depression but also promote self-efficacy and the belief about medication with the objective of improving medication adherence among patients with systemic lupus erythematosus.
Depression ; Humans ; Lupus Erythematosus, Systemic ; Medication Adherence ; Negotiating ; Nursing ; Outpatients ; Tertiary Care Centers

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Development and Evaluation of the Effect of a Happiness Self-Coaching Program for New Graduate Nurses Working in Cancer Care Unit

Eui Jeong RYU ; Mi Yang JEON

Journal of Korean Clinical Nursing Research.2019;25(2):161-169. doi:10.22650/JKCNR.2019.25.2.161

PURPOSE: This study was conducted to examine the effect of a Happiness Self-Coaching program for new graduate nurses working in cancer care units. METHODS: A quasi-experimental pretest-posttest, nonequivalent control-group design was applied to conduct the study. Study participants were new graduate nurses employed within 12 months and working as shift employees at G university hospital, located in J city. A total of 21 new graduate nurses participated in the study, 10 in the experimental group, and 11 in the control group. The happiness self-coaching program was conducted weekly for 70 minutes from February 1 to June 6, 2016 for 6 weeks. The experimental group received the Happiness Self-Coaching program through lectures, presentation, group activities, and strength card play. Data were analyzed by using repeated measure ANOVA and paired t-test. RESULTS: The experimental group demonstrated significantly higher happiness (F=6.82, p=.003) and self-efficacy (F=3.38 p=.045) levels compared to the control group.
Happiness ; Lectures ; Nursing ; Oncology Service, Hospital ; Self Efficacy

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The Influence of Job Stress, Self-Esteem, and Resilience on the Field Adaptation in Newly Graduated Nurses

Joung Eun SON ; Sang Hee KIM

Journal of Korean Clinical Nursing Research.2019;25(2):151-160. doi:10.22650/JKCNR.2019.25.2.151

PURPOSE: This study aims to determine the relation among job stress, self-esteem, resilience, and field adaptation of the newly graduated nurses, through which an effective mediation strategy toward field adaptation and basic data on improving nursing quality can be established. METHODS: The subjects were 110 newly graduated nurses who have worked at a tertiary hospital and a general hospital for less than 12 months. The data were collected, using self-reported questionnaires, from July 9 to July 31, 2018, and were analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient and stepwise multiple regression using an SPSS/WIN 24.0 program. RESULTS: The study result showed that the newly graduated nurses' job stress, resilience, job satisfaction, and desired department influenced their field adaptation, explaining 60.2% of the variance in the field adaptation (F=42.14, p<.001). The nurses' job stress had the biggest influence on their field adaptation, explaining 38.7% of the variance. CONCLUSION: Human resource management strategy considering those influencing factors may improve the filed adaptation of newly graduated nurses and help them to retain in their work field.
Hospitals, General ; Humans ; Job Satisfaction ; Negotiating ; Nursing ; Tertiary Care Centers

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Evaluation of the Humpty Dumpty Falls Scale: An Analysis of Electronic Medical Records

Yun Hee CHO ; Young Ju KIM

Journal of Korean Clinical Nursing Research.2019;25(2):142-150. doi:10.22650/JKCNR.2019.25.2.142

PURPOSE: The aim of this study was to evaluate the efficiency of the Humpty Dumpty Falls Scale as one of the falls risk assessment tools, and also to evaluate risk factors as predictors of falls in pediatric patient populations. METHODS: In a retrospective, case-control design with data from the electronic medical records of 13 pediatric patients who fell and 1,941 who did not fall before matching and 429 who did not fall after matching by gender, age, diagnosis, and length of stay. RESULTS: All the variables showed no significant differences after matching. At the cutoff score of 13, sensitivity, specificity, negative and positive predictive values were 92.3%, 37.1%, 99.9%, and 0.01%, respectively. The area under the Receiver Operating Characteristics was 0.597. The results from the logistic regression showed that the pediatric inpatient population who had higher risk scores was significantly associated with falls. The odds ratios ranged from 1.31 to 4.71 with 90% confidence interval. CONCLUSION: The saturation impairments criterion as one of the diagnostic parameter was negatively associated with falls, but the relative risk score was higher than the other criteria. Therefore, it seems that the diagnostic parameter seems to be required to verify results through large sample studies.
Accidental Falls ; Case-Control Studies ; Child ; Diagnosis ; Electronic Health Records ; Humans ; Inpatients ; Length of Stay ; Logistic Models ; Odds Ratio ; Retrospective Studies ; Risk Assessment ; Risk Factors ; ROC Curve ; Sensitivity and Specificity

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Effects of Compassion Competence and Organizational Commitment on Customer Orientation in Hospital Nurses

Young Hoi KIM ; Mi Young CHOI

Journal of Korean Clinical Nursing Research.2019;25(2):133-141. doi:10.22650/JKCNR.2019.25.2.133

PURPOSE: This study aimed to examine the effects of compassion competence and organizational commitment on customer orientation in hospital nurses. METHODS: The participant of this study was 223 nurses who have worked at a tertiary hospital in Chungcheong Province for at least one year. The general characteristics, compassion competence, organizational commitment, and customer orientation of the participants were collected, using self-reported questionnaires, from June 15 to June 29, 2018. The data were analyzed by descriptive statistics, independent t-test, ANOVA (Scheffé test), Pearson's correlation coefficient, and multiple regression using an SPSS/WIN 22.0 program. RESULTS: Customer orientation was significantly associated with organizational commitment (r=.51, p<.001), and compassion competence (r=.74, p<.001). Compassion competence (β=.62, p<.001), organizational commitment (β=.17, p=.004), and marital status (β=.11, p=.034) were identified as the predictors of customer orientation. These variables explained 59.1% of the variance in customer orientation. CONCLUSION: This study confirmed that compassion competence and organizational commitment may have an impact on customer orientation in hospital Nurses. Therefore, to improve customer orientation in hospital nurses, it is necessary to develop interventions and education programs considering these factors.
Education ; Empathy ; Marital Status ; Mental Competency ; Tertiary Care Centers

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Nurses' Perception of the Performance and Necessity of Nursing Services for Patients Engagement

Tae Wha LEE ; Yeon Soo JANG ; Yoon Jung JI ; Hyun Ok DO ; Kyoung Hwan OH ; Chang Kyung KIM ; Ja Hye CHUN ; Hae Kyung SHIN ; Mee Young CHO ; Jung Im BAE

Journal of Korean Clinical Nursing Research.2019;25(2):120-132. doi:10.22650/JKCNR.2019.25.2.120

PURPOSE: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. METHODS: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and χ² analysis were performed using SPSS 25.0 program. RESULTS: The mean age of participants was 36.6±8.5 years and the mean working experience was 12.92±9.23 years. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals (χ²=28.54, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals (χ²=6.30, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. CONCLUSION: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.
Checklist ; Decision Making ; Humans ; Korea ; Needs Assessment ; Nursing Services ; Nursing ; Patient Discharge ; Patient Handoff ; Patient Participation ; Patient Satisfaction ; Research Personnel ; Tertiary Care Centers

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Study on the Establishment of Fixed Night Shifts and Flexible Work Arrangements for Nurses

Jeoung Hee KIM ; Eun Ju CHOI ; Myoung Sook KIM ; Mi YU ; Jin Hwa JUN ; Yeon Hee KIM

Journal of Korean Clinical Nursing Research.2019;25(2):107-119. doi:10.22650/JKCNR.2019.25.2.107

PURPOSE: The purpose of this study was to investigate the welfare status of nurses and the status of fixed night shifts and flexible work arrangements in both general hospitals and advanced general hospitals in Korea. METHODS: A total of 167 hospitals participated in this study, done from April to October 2018. RESULTS: There were 103 hospitals utilizing the fixed night shift system, 22 in the two-shift system, 3 in the fixed holiday shift, 79 in the fixed shift system, and 39 in the short-time working system. The average welfare benefits for nurses increased to 33.02 million won on average. However, welfare services for the nurses were poor: 41.8% of the respondents had a nurses' lounge, 81.7% were given dormitory space at their place of employment, 41.8% had access to welfare facilities, and 56.4% were provided with welfare support countermeasures. CONCLUSION: The results show an increasing trend of hospitals to utilize fixed night shift and flexible work arrangements. An institutional strategy at the national policy level should be established to implement flexible work arrangements including the fixed night shift system, which has a poor level of welfare.
Employment ; Holidays ; Hospitals, General ; Korea ; Surveys and Questionnaires

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