Clinical Nurses In Korea Research Articles

Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study

BackgroundEvidence-based practice (EBP) is crucial for delivering high-quality healthcare and effective self-care. Enhancing clinical nurses’ research competencies through structured mentorship is key to the widespread application of EBP. This study evaluated a newly developed Research Competency Enhancement Program (RCEP), aimed at bolstering EBP among experienced nurses.MethodsConducted in a tertiary university hospital in Korea, this single-group study employed a pretest-post-test design and a mixed-methods approach. The RCEP involved 11 experienced clinical nurses in an 8-week intervention, featuring mentor-led workshops, interactive sessions, and resource-driven activities. Data were collected using the Evidence-Based Practice Beliefs Scale (EBPB), the Evidence-Based Practice Attitude Scale (EBPA), and the Research Practice Ability (RPA) tool, alongside qualitative feedback. These measures assessed the program’s feasibility, acceptability, and preliminary effectiveness.ResultsThe quantitative analysis indicated significant improvements in research competency post-intervention. Mean scores on the EBPB and RPA scales increased (Z = -2.53, p = .011; Z = -2.66, p = .008). Participants described the RCEP as inspirational and challenging, creating an environment conducive to research. Facilitators included mentor support and innovative learning tools, while barriers were internet connectivity and scheduling conflicts. Suggestions for improvement included more hands-on sessions, small team collaborations, and integration with academic institutions.ConclusionThe RCEP, facilitated by EBP mentors, significantly improved the research competencies and attitudes of clinical nurses towards EBP. The study underscores the importance of continual RCEP refinement, integrating structured, interactive, and collaborative elements to further empower nurses in evidence-based practice. The program shows promise in enhancing research competencies and fostering a commitment to EBP in clinical settings.

Turnover Rates and Factors Associated With Turnover: A Longitudinal Analysis of the Retention Period of Clinical Nurses in Korea Using National Data.

Many countries, including Korea, are struggling with a nursing workforce shortage. This study aimed to identify the actual turnover rate of Korean clinical nurses and the factors affecting the turnover rate, considering the time required for nurses to gain experience at their current medical institution. This longitudinal study followed up on a cohort consisting of all 107,682 nurses from January 1, 2017 to July 30, 2020. Differences in the distribution of retention and turnover according to the medical institutions' and nurses' characteristics were analyzed using the chi-square test. The hazard ratios (HRs) for turnover in each analysis interval were analyzed using multilevel Cox proportional-hazards analysis. The mean turnover rate was 10.0% within 1 year and 33.4% within 3.5 years. Several organizational characteristics (the type and ownership of the hospital, its location, and the bed-to-nurse ratio) and individual characteristics (gender, age, and clinical experience) were found to be associated with turnover risk. Among these factors, compared to hospitals with a bed-to-nurse ratio in general wards of 6.0 or more, those with a ratio of 3.5-3.9 had an HR for 1-year turnover of 0.81 (95% confidence interval [CI] = 0.67-0.98), and those with a ratio of 2.5-2.9 had an HR for 3.5-year turnover of 0.77 (95% CI = 0.66-0.90). The bed-to-nurse ratio is a condition that can be modified through collaboration between government policy-makers and medical institutions. To reduce nurse turnover and retain experienced nurses, appropriate staffing should be implemented.

Factors Affecting Entrepreneurial Intention of Clinical Nurses in Korea: A Cross-sectional Study

Objectives: The purpose of this study was to identify the factors influencing the entrepreneurial intention of clinical nurses.Methods: The study subjects were 173 nurses working at the advanced general hospital located in G city. Data collection was conducted from May 18th to June 3rd, 2022. Data analysis were analyzed using percentage, mean and standard deviation, independent t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient, and hierarchical multiple regression with the SPSS 25.0.Results: Entrepreneurial intention had a significant positive correlation with attitude toward entrepreneurship, subjective norm toward entrepreneurship, perceived behavior control toward entrepreneurship, innovativeness, proactiveness, risk-taking incentives and entrepreneurial self-efficacy. As a result of a hierarchical multiple regression analysis, gender (β= 0.09, <i>p</i>= 0.046), turnover intention (β= 0.01, <i>p</i>= 0.016), attitude toward entrepreneurship (β= 0.51, <i>p</i>< 0.001), and proactiveness (β= 0.16, <i>p</i>< 0.016) were found to significantly influence entrepreneurial intention of clinical nurses. The explanatory power of the model was 70.5% (F = 35.87, <i>p</i>< 0.001).Conclusions: Entrepreneurship for nurses can broaden the range of career options available to nurses, and it can be a way to broaden their practice experience and provide a work-life balance. It is necessary to devise measures to activate nursing entrepreneurship based on the results of this study.

The Validity and Reliability of Nursing Assessment Communication-Competence Scale for Clinical Nurses

Purpose: The aim of this study was to evaluate the validity and reliability of the short-version for clinical nurses on a communication competence scale developed to measure the communication competence of clinical nurses.Methods: Data were collected from 396 clinical nurses who work at general hospitals in Korea. The original version of the Communication Ability Scale was shorted and content, construct, item-convergent/discriminant, convergent validity and also internal consistency and test-retest reliability were evaluated. Data were analyzed using exploratory and confirmatory factor analyses, Pearsons's correlation coefficient and Cronbach’s ⍺.Results: As a result of item analysis and exploratory factor analysis, 5 subscales and a total of 20 items were derived. The confirmatory factor analysis showed adequate model fit indices (Normed <i>x</i><sup>2</sup>=1.88, RMR=.04, RMSEA=.07, GFI=.87, CFI=.90, TLI=.87, IFI=.89). The items convergence and discrimination validity were verified using the Average Variance Extracted (.50~.56), composite reliability (.76~.86) and <i>Φ</i>±2SE (.42~.99). Convergent validity was demonstrated using Korean Version of Self-Efficacy Questionnaire (r=.59, <i>p</i><.001). Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach’s ⍺ of .65~.79 and an intra-class correlation coefficient of .82~.90. The validity and reliability of the scale were verified.Conclusion: The NACCS is a valid and reliable instrument for measuring communication competence for clinical nurses in Korea.

Development of a patient safety care activity scale for clinical nurses in Korea

BackgroundThe aim of this study was to develop a scale to measure patient safety care activities for clinical nurses and to verify validity and reliability it.MethodsLiterature review and expert consultation were utilized to develop the scale of the Patient Safety Care Activities. The validity and reliability analyses were conducted with 428 nurses working at 5 general hospitals. Exploratory factor analysis of the scale was performed, and convergent and discriminant validity as well as internal consistency reliability were determined.ResultsEight subcategories (security, patient identification, operation (invasive procedure), medication, blood transfusion, management of infection, management of falls & sores, management of firefighting) with 44 items were validated to measure patient safety care activities. Convergent and discriminant validity indicated the applicability of the eight-factor Patient Safety Care Activities scale. The reliability of the Patient Safety Care Activities Scale was acceptable, with Cronbach’s a = .88 ~ .95.ConclusionThe developed scale showed content, construct validity, and reliability, as well as convergent validity for each item and discriminant validity between the factors. This makes it suitable for use in a diverse range of future studies on patient safety care activity.

Effects of Resilience and Authentic Leadership on Job Embeddedness of Clinical Nurses in Korea

Effects of Resilience and Authentic Leadership on Job Embeddedness of Clinical Nurses in Korea

Development of Job Satisfaction Scale for Clinical Nurses

This study was performed to develop the Job Satisfaction Scale for Clinical Nurses (JSS-CN) and verify its validity and reliability. A preliminary 42-item version of the JSS-CN was developed through literature reviews and in-depth interviews. The draft scale was developed using thirty-seven items selected following content validity evaluation. Finally, thirty-three items with response options on a 5-point Likert scale were selected based on internal consistency reliability and construct validity. Subsequently, the test-retest reliability and convergent validity of the JSS-CN were verified. Six factors, namely, recognition from the organization and professional achievement, personal maturation through the nursing profession, interpersonal interaction with respect and recognition, accomplishment of accountability as a nurse, display of professional competency, and stability and job worth, were identified, which explained 59.7% of the total variance. The JSS-CN's Cronbach's α for the total scale was .95, and the intra-class correlation coefficient was .90. The correlation coefficient between the scores of the JSS-CN and Slavitt's scale was .75, and that between the JSS-CN and job performance was .53. Results showed that the JSS-CN has good reliability and validity. Therefore, it is concluded that the JSS-CN could be a useful tool for the measurement of the job satisfaction of clinical nurses in Korea.

Effects of pressure ulcer classification system education programme on knowledge and visual differential diagnostic ability of pressure ulcer classification and incontinence-associated dermatitis for clinical nurses in Korea.

The objective of this study was to evaluate the effect of pressure ulcer classification system education on clinical nurses' knowledge and visual differential diagnostic ability of pressure ulcer (PU) classification and incontinence-associated dermatitis (IAD). One group pre and post-test was used. A convenience sample of 407 nurses, participating in PU classification education programme of continuing education, were enrolled. The education programme was composed of a 50-minute lecture on PU classification and case-studies. The PU Classification system and IAD knowledge test (PUCS-KT) and visual differential diagnostic ability tool (VDDAT), consisting of 21 photographs including clinical information were used. Paired t-test was performed using SPSS/WIN 20.0. The overall mean difference of PUCS-KT (t = -11·437, P<0·001) and VDDAT (t = -21·113, P<0·001) was significantly increased after PU classification education. Overall understanding of six PU classification and IAD after education programme was increased, but lacked visual differential diagnostic ability regarding Stage III PU, suspected deep tissue injury (SDTI), and Unstageable. Continuous differentiated education based on clinical practice is needed to improve knowledge and visual differential diagnostic ability for PU classification, and comparison experiment study is required to examine effects of education programmes.

Factors affecting workplace bullying and lateral violence among clinical nurses in Korea: descriptive study.

Workplace bullying and lateral violence are serious issues affecting the work life of hospital nurses. The purpose of this study was to identify the selected individual and institutional characteristics for workplace bullying and lateral violence using a conceptual framework. A descriptive survey design was used. A convenience sample of 255 nurses in tertiary hospitals, who had a minimum of 6 months clinical experience, completed the survey. Regression analysis was used to determine factors significantly associated with workplace bullying and lateral violence. The Negative Acts Questionnaire-Revised and the Lateral Violence scale were used to measure workplace bullying and lateral violence. A negative affect, individualism and working in hospital specialty units predicted workplace bullying. Individualism, a negative affect, affiliated hospital and working hours predicted verbal abuse whereas the place of employment was significantly associated with lateral violence. The results of this study identified factors that are associated with bullying and violence but did not fully support the conceptual framework. The individual characteristic negative affect was significantly associated with most types of workplace bullying and lateral violence bully whereas the place of employment was an important factor in lateral violence. Nurse managers need to be aware that both individual and institutional factors may impact levels of workplace bullying and lateral violence in their hospitals and need to prepare specific strategies to address these multiple factors.

Relations of Job Stress, Burnout, Mindfulness and Job Satisfaction of Clinical Nurses

The study was conducted to determine the differences of research variables according general characteristics clinical nurses and to understand the factors affecting the job satisfaction of clinical nurses in Korea. Subjects were 330 clinical nurses. The results are as shown below; job stress burnout were different age groups, level education, work units, current positions, careers. For mindfulness, found positions. satisfaction, unit, positions There was positive influence between job satisfaction and mindfulness, but both job stress and burnout were negative influences. The findings of this study implied that mindfulness had a positive impact, but job stress and burnout had a negative impact, on job satisfaction.

Korean nurses' ethical dilemmas, professional values and professional quality of life.

In the changing medical environment, professional stress continuously increases as the individual's quality of life suffers. Of all the healthcare professions, nursing is especially prone to burnout, compassion fatigue and reduced compassion satisfaction, due to the tensions resulting from the physical and psychological stress of caring for extremely ill patients. This study examined the professional quality of life of clinical nurses in Korea and the relationship between their experiences in ethical dilemmas and professional values. This was a cross-sectional study of a convenience sample consisting of 488 clinical nurses. We used four questionnaires to measure the participants' demographic characteristics, experiences in ethical dilemmas, professional nursing values and professional quality of life (ProQOL assessment, Version 5). Ethical considerations: This study received approval from the Institutional Review Board of Bronco Memorial Hospital. Written informed consent was given by all participants. The nurses' professional quality of life was affected by ethical dilemmas and professional nursing values. The factors influencing compassion satisfaction were age, client domain of ethical dilemmas, social awareness, professionalism of nursing and the roles of nursing services in professional values. The factors influencing burnout were marital status (married), religion (yes), human life domain, professional work domain of ethical dilemmas, social awareness and the role of nursing services in nursing professional values. The factors influencing secondary traumatic stress were human life domain, client domain and the professional work domain of ethical dilemmas. Intervention to help nurses increase their professional quality of life will have a greater chance of success if they are based on the nurses' values and beliefs about the ethical dilemmas they face and foster the establishment of positive professional values.

Comparative Study of Emotional Intelligence, Organizational Citizenship Behavior, Organizational Commitment and Organizational Performance of Clinical Nurses in Korea

Purpose: The purpose of this study was to identify the relationships between emotional intelligence, organizational citizenship behavior, organizational commitment and organizational performance of clinical nurses in Korea. Methods: The participants were 453 nurses, working in three general hospitals in Seoul, and data were collected from December 15, 2012 to February 2, 2013. Data were analyzed using PASW (SPSS ver. 20.0) and SPSS/WIN 19.0 (SPSS INC, Chicago, IL, USA), and AMOS ver. 20.0. Results: The results were as follows: organizational performance is positively influenced by emotional intelligence. Organizational citizenship behavior is positively influenced by emotional intelligence, organizational commitment is positively influenced by organizational citizenship behavior, and organizational performance is positively influenced by organizational commitment. Conclusion: The results of this study demonstrate and help in understanding the relationship between the research concepts and the direction of nursing organizations. We recommend that various educational programs should be developed to improve clinical nurses' emotional intelligence.

Empowerment and Job Satisfaction among Clinical Nurses in South Korea: Systematic Review

Purpose: To synthesize and identify the studies that delineated the relationship between empowerment and job satisfaction in clinical nurses in Korea. Methods: Electronic databases were searched, including KmBase, KoreaMed. riss4u, National Assembly Digital Library and National Discovery for Science Leaders (NDSL) The search terms included nurse, satisfaction and empowerment. Only papers published in Korean were included. Results: Twelve studies, from 156 references screened, were included the final analysis. All studies were non-experimental and used correlational analysis. A significant positive relationship between structural or psychological empowerment and job satisfaction was found. Older nurses with longer clinical experience and higher education background were more likely to have high level of structural and psychological empowerment and job satisfaction. Conclusion: The study results indicate that to produce an empowering work environment, nurse managers have to create a supportive organizational culture, and provide access to resources and opportunity as well as to strengthen emotional support.

A Phenomenological Study on the Experience of Hurt and Forgiveness of Clinical Nurses in Korea after Loss of Employment

The purpose of this study was to understand and analyze the experience of hurt and forgiveness of clinical nurses in Korea. A phenomenological research method guided data collection and analysis. The subjects were a total of 5 nurses who had experienced hurt and forgiveness. Data was collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. The following three common constituents have been found as a retrospective focus based on the primary hurt related to the clinical situation; recognizing their personal values, obtaining their view about forgiveness, as well as their view of self. The results of this study may contribute to health professionals working in various clinical settings to understand Korean nurses with hurt and forgiveness experiences.

An evaluation of the level of moral development of clinical nurses in Korea

An evaluation of the level of moral development of clinical nurses in Korea

A Study of the Relationship Between Professional Self Concept and the Opinion, Attitudes Above the Specialization Regarding Korean Nurses

This study was conducted to find the level of Korean nurses’ professional self-concept and to validate the PSCNI tool. Also, we had a goal to understand the Korean nurses opinion and attitudes about nursing specialization.The research subjects were 1200 clinical nurses in Korea, who attended the academic conference of KNC on nursing specialization from March to November 1995.We used the tool of research developed from demographic items concerning opinions, attitudes on specialization and PSCNI (30iterns).Research findings were as followes : (1) The credibility of PSCNI was very high(Cronbach’s alpha=0.933211). The results of validity test showed that professional self concept consisted of 4factors: competence, satisfaction, confidence, empathy. These factors reflected 'caring’ as the core element of nursing. (2) The average item score of PSCNI was 3.02. This means that professionalism of Korean nurses has not yet been established. The high scoring items were U I don’t believe I am particularly empathic**, T think it is important to share emotions with patients 0 , “I feel more comfortable not getting too emotionally close to the people I work with”. This finding suggested the need to gain the skill of empathy in the clinical and educational setting. (3) The majority of subjects wanted to establish nursing specialization, which included 6types of Medical-Surgical nursing, MaternityChild nursing, Psychiatric — Mental health nursing, Geriatric nursing, and Community nursing. These 6types were presented by ICN. They think nursing specialization should be settled by the needs of clients first. (4) Resistered nurses should be calledw general nurse (GN) w , general nurses who completethe training courses in Anesthetics, Psychiatric — Mental health, and Home Care for one year, then receive the certificates issued by the government, called “certified nurse(CN) W . Those certified nurses who complete the specialized master of nursing science program, which includes advanced nursing the ory courses, clinical experiences, and research methodology should be called “advanced practice nurse(APN)". (5) There is no clear difference be tween opinion and attitudes of the standards and criteria of training institution, training period, whether or not the certification test, test supervising institution certificates. (6) There is a significant deference between PSCNI and the opinion and attitudes on nursing specialization. The nurses who had positive PSCNI revealed high motivation to be a CN, or APN and had a specific plan.In conclusion, to gain the professional self-con cept, nurses should be socialized continuously through role modeling in basic nursing education, clinical nursing and research.