• The Korean Journal of Health Service Management
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• 제12권3호
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• pp.63-78
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• 2018

Objectives: To construct a structural equation model to explain and predict nursing performance in advanced beginner-stage nurses. Methods: This study was conducted from September 1 to October 10, 2017. Participants in this study were 220 nurses recruited from general hospitals with over 300 beds in P and K cities. Confirmatory factor and path analyses were conducted using AMOS 18.0. Results: Nursing performance was affected by self-leadership and self-efficacy; self-efficacy (${\beta}=.794$, p=.025) had a greater effect. Problem-solving competency was affected byself-leadership and self-efficacy ;self-efficacy(${\beta}=.712$, p=.016) had a greater effect. Self-leadership was affected byself-efficacy(${\beta}=.820$, p=.013). Conclusion: Based on the results of this study, it is recommended that a new program be developed and applied to improve advanced beginner-stage nurses' self-leadership and self-efficacy to enhance nursing performance.

• The Journal of Korean Academic Society of Nursing Education
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• 제30권1호
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• pp.82-95
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• 2024

Purpose: This study aimed to identify the needs for the managerial competencies of nurse managers in general hospitals. Methods: A cross-sectional design was used. The participants were 203 nurse managers, 141 head nurses or unit managers, and 62 directors or team managers from 17 general hospitals. Data were collected by a self-administered questionnaire with 42 nursing management competencies and 181 behavioral indicators. Participants rated the importance and performance of each indicator. Data were analyzed using a paired t-test, independent t-test, importance-performance analysis, Borich's needs assessment model, and locus for focus model. Results: In all 42 competencies, importance was rated significantly higher than performance. The head nurses or unit managers had high demands for "human resource development," "performance management," and "information management," while the directors or team managers had high demands for "change management." Competencies in high demand in both groups were "development of nursing standards" and "self-management." Conclusion: Based on the results, it is necessary to select priorities and prepare educational content when developing educational programs to strengthen the nursing management competencies of general hospitals' nurse managers.

• Journal of Korean Academy of Fundamentals of Nursing
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• 제1권1호
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• pp.77-97
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• 1994

The circadian system represents a temporal order which is mediated by the mutual coupling of oscillators and by the synchronizing effects of zeitgebers. It is known that well-being of man depends partly on the maintenance of this order, and that repeated or long lasting disturbances to it such as shift work will Cause harmful effects. This study was a quasi-experimental study to test the effect of shift directions for the clinical nurses on the circadian rhythm. Fourteen nurses working at the general units of Y hospital were selected according to the established criteria. Fourteen subjects were assigned to a weekly shift but the directions of shift work were phase delay first and then phase advance or vice versa. Oral temperature, total sleeping time, frequency of sleep-wake cycle, fatigue, mental performance, and physical symptom were measured during these days except holidays. The data collection period was from April 26, 1993 to July 3, 1993. MANOVA and Wilcoxon signed rank test were used for statistical analysis. The results are summarized as follows. 1. Having worked on evening and night shifts in either phase delay or phase advance schedules, temperature rhythms of shift workers were gradually adapted to the new sleep-wake cycles. A complete adaptation to work on the night shift was achieved the sixth day of the night shift in the phase delay schedule compared to the partial adaptation to the work on the night shift in the phase advance schedule. Accordingly, by putting evening shift between day and night shifts, it will be possible for circadian rhythm to adapt easily to the night shift. 2. There were differences in the total sleeping time, frequency of steep-wake cycle, fatigue, and physical symptom except for mental performance between night shift and day, evening shift. This indicates further that shift workers working on the night shift have a hard time adapting to the shift work compared to the other shifts. 3. Evaluating all the acrophases of temperature rhythm either in phase delay or phase ad-vance schedules, it was shown that night to evening shift in the phase ad-vance schedule revealed the smallest phase move. Also phase advance schedule showed poorer adaptation to shift work than phase delay schedule in connection with total sleeping time, frequency of sleep-wake cycle, fatigue, mental performance, and physical symptom. It is suggested, taken together, these findings reflect that phase delay schedule facilitated the degree of adjustment to the shift work compared to the phase advance schedule.

• Journal of Korean Academy of Nursing Administration
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• 제22권4호
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• pp.384-395
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• 2016

Purpose: The purpose of this study was to investigate perceptions of adequacy and job performance of the nurse assistants' nursing job as evaluated by registered nurses and nurse assistants in geriatric hospitals, and by caregivers from the same hospitals. Methods: Participants included 62 registered nurses, 57 nurse assistants, and 64 patient caregivers who completed a measurement scale on the job of nurse assistants. Data collection was conducted from October to December, 2015. Data were analyzed using descriptive statistics and one-way ANOVA by IBM SPSS/WIN program version 21.0. Results: There were significant differences by items in perception of adequacy of nurse assistants' nursing job of among the three groups. There was also a significant difference in perception of the nurse assistants' job performance among the three groups. Conclusion: For nurse assistants in geriatric hospitals, the Ministry of Health and Welfare needs to develop an appropriate job practice guideline. In addition, there should be periodic courses of retraining and continuing education for nurse assistants.

• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3203-3211
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• 2015

This study identified the actual conditions for safe anticancer drug management among nurses and the relationship between level of awareness and performance of anticancer drug safety regulations in terms of preparation, administration, and disposal. The respondents were 236 nurses working with chemotherapy in wards and outpatient clinics in five hospitals in and near Seoul. Safety regulations provided for the anticancer drug the Occupational Safety Health Administration (OSHA, 1999), as modified for an earlier study, were used. The results showed that the level of awareness and performance on the anticancer drug safety regulations indicate their preparation ($3.38{\pm}0.55$, $2.38{\pm}0.98$), administration ($3.52{\pm}0.46$, $3.17{\pm}0.70$), general handling and disposal ($3.33{\pm}0.54$, $2.42{\pm}0.90$) on a scale 0 to 5. Also, there were significant differences in job positions, work experience, type of preparation, and continuing education and a positive relationship between the level of awareness and nursing performance. Thus, nurses should receive continuing education on the handling of anticancer drugs to improve the level of performance following safety regulations.

• Journal of Korean Biological Nursing Science
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• 제17권1호
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• pp.19-27
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• 2015

Purpose: The aim of this study was to identify the effect of video programs of cardiopulmonary cerebral resuscitation (CPCR) education of cardiopulmonary cerebral resuscitation of nurses. Methods: The subjects of the study were 64 nurses working in a university hospital. Nurse's CPCR performance have been measured four times (pre-test, post-test at immediately, 3 months and 6 months after intervention). Data were collected from February to August 2013. Results: There were significant differences in knowledge, attitude, self-efficacy, and performance between groups by measure time. And there were significant interactions in knowledge, self-efficacy, and performance between groups, within groups, except for the attitude. The video programs of CPCR interventions appear to be effective in the improvement of knowledge, self-efficacy, and performance, as compared to the control group. Conclusion: The video programs of CPCR education was an effective intervention to improve and retain the level of knowledge, attitude, self-efficacy and performance. And the video program of CPCR education have an advantage of self-learning effect for nurses with shift work. Therefore video programs of CPCR education will be utilized for continuing nurse's education.

• Women's Health Nursing
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• 제29권4호
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• pp.263-273
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• 2023

Purpose: This study aimed to identify the perceptions, importance, and performance of midwives' roles among midwives and nurses in Korea. Methods: A descriptive correlational design was employed. Data were collected from 164 nurses and 79 midwives from April 1 to June 25, 2021. Midwives enrolled in the Korean Midwifery Association and nurses and midwives from two hospitals each Daegu and Gyeonggi Province in Korea were invited to participate. The independent t-test, chi-square test, the Welch-Aspin test, and Pearson correlation coefficient were used for analysis. Results: The midwives' role perception score (3.47±1.46) was lower than that of nurses (3.95±0.85), and the midwives' role performance score (2.98±0.83) was also lower than that of nurses (3.34±0.89). Significant differences were observed between midwives and nurses in their perception and performance of roles related to prenatal management, childbirth management, management of psychological changes, postpartum management, and newborn care. Higher role perception and performance among midwives were linked to the management of psychological changes and women's health, indicating potential areas for future development. Conclusion: The study results suggest directions for developing new roles for midwives. It is necessary to find a way to expand the field of midwives in public health by benchmarking the roles of midwives in various countries.

• Journal of The Korean Society of Integrative Medicine
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• 제7권4호
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• pp.105-117
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• 2019

Purpose : Using qualitative research and a phenomenological approach, the present study aimed to explore men's experiences of becoming a nurse. We posed the question "What has been your experience of becoming a nurse?" Methods : Eleven male nurses from three regions in Korea were selected through convenience sampling. The protocol suggested by Colaizzi was used for data analysis. Results : The principal themes were "Challenging to the stochastic stereotype of gender mechanics," "Floating outside the enclosure of multiple groups," "The male nurse's conceptualization of nursing organizations," "To stand with self-doubt, thinking of it as a stopover," and "Situations encountered by a male nurse." Conclusion : Men experience gender discrimination based on the social roles that are imposed on males and females both at school and in the workplace. They prefer to work where they have more diverse tasks that require quick responses. However, most male nurses adapt to this work by outlasting the difficulties. These nurses become accustomed to their tasks, and satisfied with their mature work performance. They often feel they are not adequately compensated for their work. They may judge the future as uncertain, and have lingering doubts about maintaining their positions, ultimately gravitating toward specialized fields that promise a brighter future and are more consistent with traditional gender expectations.

• Journal of Korean Clinical Nursing Research
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• 제21권3호
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• pp.347-354
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• 2015

Purpose: The purpose of this study was to investigate the effect of clinical nurses' communication competency and emotional intelligence on organizational performance. Methods: Two hundred and fifty nurses who currently work at two superior general hospitals in Seoul, Korea, participated in the study. Data were collected between March and April, 2015. Global Interpersonal Communication Competence Scale (GICC-15) developed by Hur (2003) was used to measure communication competency. Wong & Law's emotional intelligence scale (WLEIS) developed by Wong & Law (2002) was used to measure emotional intelligence. Organizational performance scale developed by Brewer & Selden (2000) was used to measure organizational performance. Results: The results were summarized as follows: 1) The means of communication competency, emotional intelligence and organizational performance were 3.61, 4.84, and 3.59 respectively. 2) There were positive correlations between communication competency, emotional intelligence and organizational performance. 3) The variance of organizational performance accounted for was 26.0% (adj $R^2=.26$). Conclusion: These findings suggest that developing human resources in nursing is important for better organizational performance.

• Women's Health Nursing
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• 제28권4호
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• pp.317-328
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• 2022

Purpose: This study aimed to develop an emotive role-play program for nursing students focusing on high-risk pregnancy and analyze its effects on communication skills, clinical performance, and emotional intelligence. Methods: A quasi-experimental nonequivalent comparison group design was adopted with 83 nursing students (experimental group, 45; comparison group, 38) who participated voluntarily in an extracurricular program. The preliminary survey was conducted on November 3 and November 4, 2020, and the follow-up survey was conducted on November 12, 2020, for the comparison group and on November 27, 2020, for the experimental group. A program that included five role-play scenarios related to induced labor, preeclampsia, premature rupture of membranes, preterm labor, and infertility was developed by a group of experts and presented to the experimental group over 11 total hours across 3 days. Each student participated in a role-play scenario as a patient, family member, or nurse and observed three other scenarios. The comparison group received a workbook after the follow-up evaluation. The independent t-test was performed to analyze changes in communication skills, clinical performance, and emotional intelligence. Results: Communication skills (t=1.84, p=.035) and clinical performance (t=2.75, p=.004) significantly increased in the experimental group compared to the comparison group. A significant difference was not observed between the experimental and comparison groups for emotional intelligence (t=1.36, p=.088). Conclusion: The emotive role-play program concerning high-risk pregnancy was effective in improving nursing students' communication skills and clinical performance and can be used in nursing education related to high-risk pregnancy and childbirth.