• Health Policy and Management
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• v.29 no.4
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• pp.502-512
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• 2019

Background: The purpose of this study was to identify role ambiguity of comprehensive nursing care unit nurses. Methods: A concept analysis method by Walker and Avant was used to understand role ambiguity of comprehensive nursing care unit nurses. Results: The antecedents of role ambiguity of nurses at comprehensive nursing units were shortage of nurses, unclear admission criteria, and demands for customized nursing care according to severity. Attributes include ambiguity in role delegation, patient placement ambiguity, and professional ambiguity among nursing staff. The consequences were diminished job satisfaction due to excessive workload, difficulty in resolving role ambiguity due to the lack of work analysis studies, and poor outcome of nursing indicators. Conclusion: Improvement of nationwide awareness for comprehensive nursing care unit is required. Clear division at scope of practice for nursing staff in accordance of each medical institution's characteristics is essential. Nurses at comprehensive nursing care unit should understand nature of role ambiguity that occurs as they work in large groups. Nurses should promote communications between nursing staff and they must have volition to improve status quo. An additional research of comprehensive nursing care on the causes of role ambiguity in the practice of nursing care for ward nurses is needed, and management measures should be sought at the organizational level.

• Journal of the Korea Society of Computer and Information
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• v.28 no.11
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• pp.169-180
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• 2023

The purpose of this study is to determine the relationship between role ambiguity, job burnout, and organizational effectiveness among nurses working in comprehensive nursing care service units and to investigate the mediating effect of job burnout on the relationship between role ambiguity and organizational effectiveness. The participants were 149 nurses working in 10 general hospitals. Data were collected using a self-report questionnaire and analyzed using IBM SPSS Statistics 25.0 and Model 4 of the PROCESS macro program. The results reveal that organizational effectiveness has a significant negative relationship with role ambiguity and job burnout, with job burnout completely mediating the effect of role ambiguity on organizational effectiveness. These findings suggest that interventions to reduce job burnout should be considered to enhance organizational effectiveness.

• The Journal of the Convergence on Culture Technology
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• v.5 no.2
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• pp.23-30
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• 2019

The purpose of this study was to examine job stress, job satisfaction, and turnover intention of the nurses who work at the comprehensive nursing service units in two academic medical institutions that provide healthcare service at the tertiary care level in Korea. A descriptive study was conducted with the nurses by using self-reported questionnaires. We used descriptive statistics to summarize the data and Mann-Whitney U test for group comparison. The mean scores of job stress, job satisfaction, and turnover intention were $89.17{\pm}12.56$, $107.25{\pm}6.85$, $37.19{\pm}4.86$, respectively. Nurses with religion showed more job stress than those without. Nurses with their age below 30 years old had significantly less job satisfaction than those older than 30 years old. Monthly income was significantly associated with turnover intention in our data. The top three sub-category of the job stress were conflict with physicians, patients and their caregivers, and conflicts with others; and those of the job satisfaction were pay and promotion and task requirement. Job stress, job satisfaction, and turnover intention were significantly correlated. In order to reduce turnover intention of nursing professionals in the comprehensive nursing service, job stress related to issues on relationships with patients, their family, health care providers need to be taken into consideration. Policy and administrative support are needed to improve their work environment.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.9
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• pp.103-112
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• 2020

This study examined the relationship between delegation preparedness and job satisfaction in comprehensive nursing care service wards. Data were collected from 126 nurses who had been working in the comprehensive nursing care wards of five general hospitals located in Seoul and Gyeonggi Province, from May 26 to June 7, 2017. Data were analyzed using independent t-test, one-way ANOVA, and Pearson's correlation coefficients. The delegation education showed a significant difference in delegation preparedness (t=-2.77, p=.006). A statistically significant positive correlation was observed between delegation preparedness and job satisfaction (r=.43, p<.001). Job satisfaction was significantly correlated with understanding the task (r=.26, p=.003), delegation of the task classification (r=.45, p<.001), understanding the delegation (r=.35, p<.001), and delegation skill (r=.34, p<.001), which are the sub-domains of delegation preparedness. Delegation preparedness was correlated significantly with interactions (r=.46, p<.001), task requirement (r=.36, p<.001), professional status (r=.33, p<.001), administration (r=.31, p<.001), and pay (r=.20, p=.026), which are sub-domains of job satisfaction. These results highlight the need for schools and clinical settings to provide continuous education to improve the delegation preparedness for nurses in comprehensive nursing care wards.