Caring is the essential and universal concept of underlying nursing. Exactly how caring attributes relate to nurses' perception in the context of a contemporary technological environment have yet to be operationlized. In total. 560 Registered Nurses from 5 different university hospitals were involved in this study which aimed to : investigate technological influence and caring attributes as perceived by nurse. Data were obtained using Technological Influence Questionnaire (TIQ) and Caring Attributes Questionnaires(CAQ) which developed by Arthur et al(1999). Data were analyzed using SAS program for frequency. t-test. ANOVA and Tukey's Studentized Range test. and Pearson correlation coefficients. The results were as follows : 1) The mean score of TIQ was 48.84 and special unit nurses' TIQ was higher than that of general ward nurses. 2) The mean score of CAQ was 237.02 and it showed significant differences in the following variables : age. religion. educational background. marital status. career, and position. 3) With regard to the mean item score of CAQ by 3 perspectives : theoretical perspectives score was 3.76. practical perspectives score was 4.03, and pedagogical perspectives score was 3.84. 4) The correlation between TIQ score and CAQ score was slightly moderate (r=.35), The CAQ mean scsre was significantly different accordig to the level of TIQ meen score. The CAQ mean score was $247.19(\pm18.17)$ in high TIQ(>mean+1SD) group, $236.21(\pm19.71)$ In moderate $TIQ(between\;mean{\pm}1SD) $ group, and $228.47(\pm18.07)$ in low TIQ( (mean-1SD) group. In conclusion, nurses perceived the CAQ differently by several demographic characteristics which relating to age. religion, eduacational background. marital status. career. and position. This study provides an important message for administrators and nurse educators by highlighting factors which can be addressed by education programs. staff development and appraisal. Further research is necessary to improve and refine the Korean version of TIQ and CAQ instead of Arthur et al's scales directly to Korean nurses.
Purpose: The purpose of this study was to understand the experiences of interpersonal relationships of head nurses in interacting with others in general hospital settings. Methods: The data were collected by individual in-depth interviews from seven head nurses and were analyzed using qualitative content analysis. Results: Five major categories emerged and they represent a major strategy according to five different groups of interacting people. 'Establishing trust' was identified as the key strategy in dealing with patients and family members. 'Embracing with sisterly love' and 'helping with self-defense' were major strategies for subordinate nurses and physicians, respectively. 'Respecting and recognizing' was the main approach for other professionals such as dietitians and 'emphasizing rules and educating' were a major one for non-professionals. Head nurses paid more attention and made efforts in dealing with their subordinate nurses than with other groups of people, because they felt the most difficulty in their relationship with subordinate nurses. Conclusion: The results of the study showed that head nurses employ unique strategies in interacting with different groups of people to increase the efficiency of communication. This study would help nurse administrators establish an effective program for improving interpersonal relationships of head nurse.
Purpose: The aim of this study was to develop the nursing management core task and competency matrix for hospital unit managers. The perceived level of importance and performance of identified core competencies by unit managers were also investigated. Methods: Literature review and expert survey identified nursing management core task and competencies. Subsequently, the core task and competency matrix was developed and validated by expert panel. A survey of 196 nurse managers from 3 cities identified perceived importance and performance of core competiences. Results: Thirty-eight nursing management core task and thirty-seven nursing management core competencies were identified comprising five categories; Clinical practice knowledge, Evidence-based practice, Employee development, Strategic planning and Initiative. Based on the core task and competencies, the task and competency matrix for unit managers was developed. In the analysis of importance and performance of core competencies, the mean score of importance ($3.50{\pm}0.30$) was higher than the mean score of performance ($3.03{\pm}0.34$). Conclusion: The development of core task and competencies for unit managers in hospitals provides a guide for the development and evaluation of programs designed to increase competence of unit managers.
Purpose: This study aimed to identify research trends related to emotional leadership among nurse managers by conducting a systematic literature review and meta-analysis. This study sought to derive insights that could contribute to improving emotional leadership in nursing practice. Methods: A systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and Meta-Analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. Databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Research Information Sharing Service, Koreanstudies Information Service System, Korean Medical Database, KoreaMed, ScienceON, and DBpia were searched to obtain papers published in English and Korean. Literature searches and screenings were conducted for the period December 1, 2023 to December 17, 2023. The effect size correlation (ESr) was calculated for each variable and the meta-analysis was performed using the statistical software SPSS 29.0, R 4.3.1. Results: Twenty-five (four personal, six job, and fifteen organizational) relevant variables were identified through the systematic review. The results of the meta-analysis showed that the total overall effect size was ESr = .33. Job satisfaction (ESr = .40) and leader-member exchange (ESr = .75) had the largest effect size among the job and organizational-related factors. Conclusion: Emotional leadership helps promote positive changes within organizations, improves organizational effectiveness, and increases member engagement and satisfaction. Therefore, it is considered an important strategic factor in improving organizational performance.
This study was conducted to investigate and compare the degree of professional self -concept (PSC) of the psychiatric mental health nurse practitioners (PMHNP) in hospitals and public health centers and to identify the factors predicting PSC of them, in order to provide basic data for developing PSC increasing program PSC. The 355 PMHNP were sampled from the university or general hospitals. mental hospitals, community mental health centers and public health centers across the country. The scales used in this study were PSCNI by Arthur (1990), PSI by Heppner & Petersen (1982) and the Index of work satisfaction by Slavitt et al. (1978). The results of the study were as follows : 1. The average item score of PSCNI of PMHNP in hospitals was $2.83\pm0.27$, and that of PMHNP in public health centers was $2.76\pm0.28$. There was significantly different between two groups (p=0.0202) 2. A comparison of the scores for the dimensions of the PSCNI were as follows ; the mean item score of professional practice of nurses in hospital was $2.90\pm0.30$, and that in public health centers was $2.83\pm0.35$. There were significant differences between two groups in the scores of professional practices (p=0.0315), leadership (p=0.0071) and skills (p=0.0231). 3. There were significant differences between two groups according to education (p=0.0057) with no significant interaction effect of group and education. 4. Job satisfaction (JS) was the highest factor predicting PSC of PMHNP in hospitals $(34.5\%)$, and problem solving inventory score (PS) was the highest factor predicting PSC of PMHNP in public health centers $(33.6\%)$. JS and PS accounted for $42.6\%$ in PSC of PMHNP in hospitals. and PS, JS, age, marital status, religion, and career accounted for $57.6\%$ in PSC of PMHNP in public health centers. In the light of these results. to gam the professional self-concept. nurses should be educated continuously through role modeling in clinical nursing and research. Also, nurse educators and administrators need to develop programs and policies to increase professional self-concept of nurses, particularly of community PMHNP.
Purpose: This study was conducted to compare the characteristics of organizational structure and occupational satisfaction among nurses in general hospital and small to medium-sized hospital and to investigate the affecting factors on their occupational satisfaction. Methods: The study was based on the cross-sectional descriptive survey. A self-report questionnaire was used to collect data from 343 nurses between June and July, 2010. Data were analyzed by ${\chi}^2$-test, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and multiple regression using the SPSS/WIN 14.0 program. Results: Hierarchical structure was dominant in general hospital whereas relationship was highly valued in small to medium-sized hospital. Occupational satisfaction was positively correlated with work environment built on relationship, innovation and tasks. Factors significantly influencing on occupational satisfaction in general hospital included innovative work environment, nurses' income and their health status ($R^2$=40.3%). For the small to medium-sized hospital, they included innovative work environment, satisfaction in life, tasks and professionalism ($R^2$=40.4%). Conclusion: Organizational structure, especially innovative work environment and relationship-oriented attitude had a significant influence on nurses' occupational satisfaction. Therefore, nursing administrators have to develop and consider organizational structure to improve occupational satisfaction.
Purpose: This study was done to develop and test validity and reliability of on instrument for predicting nursing intention for SARS patient care. Method: The psychometric properties of a SARS patient care attrition prediction tool, based on the Theory of Planned Behavior, were examined in this study. The Three-phase design involved a) salient beliefs generated from clinical nurses (n=43) b) content validation by expert panel evaluations(n=5) c) face validation by plot testing (n=10) d) and instrument validation in a cross sectional survey (n=299). Psychometric analysis of survey data provided empirical evidence of the construct validity and reliability of the instrument. Result: Principal component analysis verified the hypothesized 6-factor solution, explaining $68.2\%$ of variance, and Alpha coefficients of .7538 to .9389 indicated a high internal consistency of the instrument. Conclusion: The instrument can be used by nurse administrators and researcher to assess clinical nurses' salient beliefs about caring for SARS patients, guide tailored intervention strategies to effective caring, and evaluate the effectiveness of interventions.
Objectives : This study was conducted to test the influence of job stress and calling on the organizational commitment of clinical nurses. Methods : 220 clinical nurses at two university hospitals in Busan were recruited. They were asked to complete a questionnaire, and 192 data sets were included in the statistical analysis. Results : The mean score of the clinical nurses' organizational commitment was 4.0. All subdomains of job stress and calling were found to have correlations with organizational commitment. The organizational system (t=-6.099, p<.001), lack of reward (t=-3.990, p<.001), purpose/meaningfulness (t=3.624, p<.001), and occupational climate (t=-3.581, p<.001) were revealed to have influences on the organizational commitment. The model was statistically significant, explaining 52.2% of the variance (F=47.808, p<.001). Conclusions : To help clinical nurses become committed to their organizations, administrators need to build fair and rational organizational systems, strengthen various types of rewards, and help nurses reconcile nursing and the meaning of their lives. In addition, every nurse should endeavor to change the nursing organizational climate which is based on vertical collectivism, to a rational climate.
Today's health care environment is rapidly changing and nurse administrators' leadership styles need to identify in nursing organization to achieve organizational objectives. By Bass(1985), transformational leadership stimulates the subordinates to be creative and achieve organizational objectives and is related to job satisfaction, job involvement, productivity, and organizational commitment. Transformational leadership process consists of charisma, intellectual stimulation, individual consideration. The purpose of this study was to identify the effect of transformational leadership and personal characteries on nurses' job involvement. The subjects for this study consisted of 594 nurses from 8 University Hospitals and General Hospitals. The data were collected by personal characteristics scale, transformational leadership scale, and job involvement scale. The factor analysis, Cronbach's alpha analysis, Pearson correlation analysis, multiple regression analysis and hierarchical multiple regression analysis were used for the statistical method. The results of this study were found that (1) charisma dimension of transformational leadership has positive influence on nurses' job involvement ; but another two dimensions (intellectual stimulation and individualized consideration) did not showed significant effect on job involvement (2) nurses' personal characteristic (internal locus of control) moderated the effect of transformational leadership on job involvement.
Purpose: This study was conducted to identify factors influencing endoscopy nurses' protective behavior against radiation exposure. Methods: Data were collected using self-report questionnaires from 122 endoscopy nurses in 21 hospitals located in Seoul, Gyeonggi province and six metropolitan cities in Korea. Collected data were analyzed using SPSS 18.0 program and included multiple regression analysis. Results: 1) There were significant relationships between protective behavior and protective environment (r=.74, p<.001), number of education sessions on radiation protection (r=.32, p<.001), number of protective devices (r=.28, p=.002), number of fellow nurses (r=.27, p=.003), and protective attitude (r=.18, p=.048). 2) Protective environment (${\beta}=0.79$, p<.001), type of hospital foundation (${\beta}=0.18$, p=.011) and marital status (${\beta}=-0.13$, p=.040) significantly predicted endoscopy nurses' protective behavior against radiation exposure (adjusted R square=.58, p<.001). The most powerful predictor for protective behavior against radiation exposure was a protective environment. Conclusion: Effective protective behavior of endoscopy nurses from radiation exposure requires improvement in their protective environment. Hospital administrators and managers should make efforts to increase protective facilities in endoscopy departments and provide endoscopy nurses with regular education on radiation protection.
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