• Journal of Korean Academy of Nursing Administration
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• v.21 no.5
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• pp.552-560
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• 2015

Purpose: This study was performed to identify the mediating effect of empowerment in the relationship between head nurses' servant leadership and organizational commitment among clinical nurses. Methods: A cross-sectional survey design was used. A convenience sample of 249 nurses was recruited from three hospitals located in J province, South Korea. Data were collected by self-report questionnaires, including general characteristics, servant leadership, empowerment, and organizational commitment. Data were analyzed with descriptive statistics, Pearson correlation coefficients, independent t-test, One-way ANOVA, and linear regression using the SPSS 22.0 program. Results: Head nurses' servant leadership perceived by clinical nurses significantly influenced their organization commitment. Empowerment partly mediated the effect of servant leadership on organizational commitment. Conclusion: The findings suggest the importance of improving nurse managers' servant leadership and empowering nurses to increase their organizational commitment.

• Journal of Korean Academy of Nursing Administration
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• v.10 no.2
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• pp.219-231
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• 2004

Purpose: This study was designed to identify the relationship between image of nursing and satisfaction with clinical practice of nursing students Method: A descriptive research design that examined relationship between image of nurse and satisfaction with clinical practice of nursing students was used for this study, All 350 subjects were obtained by convenience sampling from three nursing diploma programs. The data were collected using an self-reporting questionnaire from May 1st to 31st, 2003. Collected data were analysed on SPSS Win 11.0. Result: There is a significant relationship between image of nurse and satisfaction with clinical practice of nursing student. Classical image of nurse, older age, and satisfaction with nursing of nursing students were identified as the factors that influence significantly on their satisfaction with clinical practice. Conclusions: Nursing student is given a chance to prepare themselves be a nurse through well-structured clinical nursing practice. Therefore, it's important to enhance nursing students' image of nurse and satisfaction with nursing in order to enhance their satisfaction with clinical practice.

• Journal of Korean Academy of Nursing Administration
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• v.8 no.2
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• pp.283-293
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• 2002

Purpose: The purpose of this study was to define cost-countable perioperative nursing activities and to analyze the cost of each nursing activities based on the Resource-Based Relative Value Scale (RBRVS). Method: Researcher and 3 research assistants observed and documented the 83 operating patients in order to measure nursing time for each of the perioperative nursing activities. And then, 35 operating room nurses with at least one year of perioperative nursing experience were observed for the RBRVS of perioperative nursing activities. Finally, the direct and indirect nursing costs were estimated. Result: Nursing costs of 25 nursing activities were estimated using the RBRVS. Most expensive nursing activities were delivery of the instrument and implement for OP team (9,780 won per hour) and behavior of wash, pack, disinfect the instrument (6,770). Conclusion: Based on the relative values of each perioperative nursing activities estimated in this study, proper medical reimbursement system should be established in a near future.

• Journal of Korean Academy of Nursing Administration
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• v.23 no.2
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• pp.111-117
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• 2017

Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This 'best fit' approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.

• Journal of Korean Academy of Nursing Administration
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• v.13 no.1
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• pp.53-64
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• 2007

Purpose: This study was aimed to develop and evaluate of a Problem-based Learning (PBL) in the course of Nursing Management and Ethics. Method: The design of the study was both methodological and one group only pre-post design. The sample included 61 senior students who are currently enrolled in Nursing management and Ethics course in college of nursing. Data regarding PBL evaluation were collected on the critical thinking and clinical reasoning using structured questionnaires during March to June, 2005. Data were analyzed using descriptives and paired t-test. Results: A total of three PBL packages was developed by the two faculty members and two teaching assistants who are majoring in nursing management. PBL packages that had been developed was applied to 61 senior students for three months. Critical thinking and clinical reasoning were measured twice pre and post the application of PBL packages. There were statistically significant differences in the critical thinking and clinical reasoning between the pre and post PBL application. Conclusion: PBL was considered to be effective in understanding the learning concepts in the Nursing Management and Ethics. Further research on the facilitative strategies and development model considering the characteristics of Nursing Management and Ethics course is needed.

• Journal of Korean Academy of Nursing Administration
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• v.23 no.1
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• pp.18-31
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• 2017

Purpose: The purpose of this study was to analyze literature related to nursing team effectiveness and to summarize the definition variables included, measurement tools, and findings. Basic data on operation and research for team effectiveness in nursing units was sought. Methods: A literature search was performed to identify all studies published between 2003 and 2016 from periodicals indexed in PUBMED, CINAHL, SCIENCE DIRECT, RISS, KISS, and NAL databases. The following keywords were used in the search: 'team effectiveness', 'nurse', 'nursing', and 'hospital'. Ten studies were analyzed. Results: The analysis included domestic and international literature on nursing team effectiveness. The foreign literature included studies of various organizations including nurses, use of various research tools, leadership programs and/or new nursing delivery systems. In the Korean studies, most of the research on team effectiveness surveyed nurses on team satisfaction, team commitment, and team performance in general nursing units, operating rooms, and intensive care units. Conclusion: The findings show the necessity to develop a definition of team effectiveness that can be accepted comprehensively in nursing organizations in Korea. The definition should reflect team effectiveness that includes all cooperating units not only nurses of the nursing unit but also all other related health care teams.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.2
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• pp.121-142
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• 2010

Purpose: The purpose of this study was to identify NANDA, NIC, and NOC frequently used and their linkages in major nursing departments for development of the nursing process and nursing management system. Methods: This study was a descriptive study. Data were collected from 123 nurses who worked in medical, surgical, pediatric, gynecologic, and psychiatric department. The questionnaire was based on the NANDA, NOC, NIC, and NANDA-NOC-NIC linkage system. This research was analyzed by an EXCEL program and SPSS $Pc^{+}15.0$. Results: Nursing diagnoses frequently used were 'anxiety', 'disturbed sleep pattern', 'activity intolerance', 'social isolation', 'nausea', 'ineffective airway clearance', 'chronic pain', nursing outcomes frequently used were 'thermoregulation', 'bowel elimination', 'pain control', 'vital sign status', 'pain level', and nursing interventions frequently used were 'nausea management', 'airway suctioning', 'bowel elimination management', 'diarrhea management', 'medication management'. NANDA-NOC-NIC linkages in major nursing departments were recognized, and these results were similar to the results of other researches. Conclusion: The results of this study will be provided as a guideline to apply to the nursing process and development of the nursing process system with the NANDA-NOC-NIC linkage in major nursing department.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.1
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• pp.95-107
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• 2013

Purpose: The purpose of this study was to examine the effectiveness of Action Research (AR) approach in nursing. Methods: Participants were 64 perioperative nurses recruited from C hospital in Gwangju, Korea. The nurses were engaged in the project through 2 cycles of planning, acting, observing, and reflecting. A mixed-methods design was used to examine changes in participants and their knowledge management practice. Quantitative data were analyzed using SPSS 20.0 program and qualitative reflection data underwent content analysis. Results: During the project, participants developed standardized pre-operative checklists and opened an Internet Cafe to better manage their perioperative nursing information. At the end of the project, there was a significant increase in nurses' knowledge management (p=.015) and the rate of surgical material prescription errors decreased from 8.0% to 2.9%. Core AR project team members' teamwork skills and organizational commitment increased significantly (p=.040, p=.301, respectively). The main themes that emerged from the qualitative data were learning how to solve problems in practice, facilitating team activities through motivation, barriers of large participation, and rewarded efforts and inflated expectations. Conclusion: The AR project contributed to empowering participants to solve local problems. AR is a useful methodology to promote changes in practices and research participants.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.1
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• pp.52-62
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• 2006

Purpose: This study was designed to identify the image of nurse and it's determinants among nursing students and non-nursing students. Method: A descriptive correlational research design was used. All 1908 subjects were obtained by convenience sampling from three nursing diploma programs. The data were collected using a self-reporting questionnaire from April 1st to June 30th, 2005. Collected data were analyzed on SPSS Win 12.0. Result: The mean score of 'professional image factor' was higher than any other factors of image of nurse in both nursing students and non-nursing students. The mean score of 'subjective determinant' was higher than any other determinants among nursing students and non-nursing students. The image of nurse and it's determinants of nursing students were significantly higher than those of non-nursing students'. Conclusions: The findings of this study indirectly showed that the practical strategies would be needed in order to promote the image of nurse of the people who were not be related to nursing.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.2
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• pp.182-192
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• 2009

Purpose: This study aimed to investigate the impact of nursing professionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Methods: A descriptive correlational research design was used for this study. All 329 clinical nurses were obtained by convenience sampling from 3 National or public hospitals, 3 university hospitals, and two private hospitals located in Seoul and Kyunggi province. The data were collected using a self-reporting questionnaire contained four instruments and questions for demographic characteristics of subjects from April 21st to September 1st, 2008. Collected data were analyzed on SPSS Win 16.0. Results: There was a significant relationship between nursing professionalism, nursing performance, job satisfaction and retention intention among clinical nurses. The nursing professionalism was identified as a predictor of nursing performance, job satisfaction, and retention intention. Conclusion: The strategies to promote and enhance the nursing professionalism of clinical nurses, in this era in which the nursing shortage become more and more problematic issue, are needed to design and be integrated into the management of human resource in nursing organizations.