• Journal of Korean Academy of Nursing Administration
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• v.20 no.1
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• pp.106-116
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• 2014

Purpose: In this paper issues and challenges of the workforce policy for nursing were explored and appropriate policy responses identified. Results: Many countries, including South Korea, are facing a shortage of nurses. In South Korea, the number of practicing registered nurses is about half the average for Organization for Economic Cooperation and Development (OECD) member countries. The shortage of nurses is not necessarily a shortage of individuals with nursing qualifications but also includes complex issues, such as lack of well-educated nurses, shortage of nurses willing to work, and geographical imbalances of nurses. The present nurse workforce policies are to increase number of nursing schools, to reduce the length of training, and to replace nurses with nursing assistants. However, the findings of many studies have shown that these attempts resulted in a worsening of patient outcomes and increasingly low quality of care. Conclusion: The findings in this study indicate that nurse workforce policy should have a multi-faceted approach in order to address the many factors affecting nurse shortages.

• The Korean Nurse
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• v.7 no.3 s.35
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• pp.87-97
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• 1968

• The Korean Journal of Health Service Management
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• v.6 no.1
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• pp.247-258
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• 2012

Nurses are critical human resources for the hospitals. However, in Korean hospitals, human resource management practices for nurses are not well established, and nurses' turnover rates are very high. Although the causes and tasks for shortage of nurses are analyzed, suggestions for the specific ways of HRM management practices for hospital managers are rare. In this article, the management challenges for nurses are discussed, and high commitment human resources management model for nurses are suggested. And future research directions and topics are suggested.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.4
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• pp.506-514
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• 2009

Purpose: Nowadays nursing is facing a constantly increasing shortage of employees. While there are many causes for the present nursing shortage, a major contributing factor is the revolution in fundamental values what we expect in life. An understanding of the change can assist in identifying interventions that can be used to address this crisis in healthcare. The purpose of this study is to identify the features they look for in work and the underlying factors of the work values domain. Methods: Using Q methodology, 37 nurses rated 34 selected Q-statements on a scale of 1-9. The collected data were analyzed using pc-QUNAL software. Results: The results showed that work values, which nurses indicate as most important through working, were perceived as 4 factors; 'compensation oriented', 'security oriented', 'professional role oriented' and 'freedom oriented' work value. Conclusion: Providing for these findings will result in greater job satisfaction among nurses, better nurse retention and enhanced patient care within a supportive and harmonious organization.

• Women's Health Nursing
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• v.9 no.1
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• pp.61-69
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• 2003

Fatigue is a universally common word. The subject has been studied in different disciplines, but the basic concept of the term still remains unidentified. It becomes especially important for the medical communications between nurses and clients. Based on the framework outlined by Walker and Avant (1995), this analysis attempts to clarify and examine the symptoms of fatigue. The attributes of fatigue identified in this paper were exhaustion, weighted psychological burden, shortage in capacity or lack of energy, shortage incapacity(motivation and excitement), and imbalance of energy. Therefore, the definition of fatigue refers to a subjective feeling from various internal or external stresses. The consequences of fatigue bring reduced capacity and imbalance of energy. The symptoms show a homeostatic disability or shortage of capacity (physical, psychological, environmental and physiological factors). A precise understanding of "fatigue" will be utilized in defining the causes and measuring outcomes. Also, it will enhance the effective medical communications with client s and nurses. In conclusion, more work is needed to develop objective measurement and effect ivenursing intervention.

• Quality Improvement in Health Care
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• v.27 no.1
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• pp.26-42
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• 2021

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

• Health Policy and Management
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• v.3 no.1
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• pp.146-168
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• 1993

The study was conducted to project supply and demand of the nurses till year 2010 based on analysis of supply and demand of nurses up to year 1991. Results of the study will provide invaluable information for nurses manpower planning as well as overall health manpower planning for the 21th century. It is projected that nurses will be oversupplied based on the current prductivity which is undesirable situation if the quality of care is considered, and undersupplied based on the the medical law as well as optimal productivity. Thus, it is desirable to increase active supply of nurses. One of the ways of increasing active supply would be increasing the size of training and education. But, considering low employment rate of nurses which is about 59% better way of solving problems related to nurses shortage would be improvement in nurses' employment rate. According to simulation study done as part of this study, if nurses' employment rate goes up to 80%, there is no need for increasing the size of training to meet the demand at the level of medical law.

• Journal of Korean Academy of Rural Health Nursing
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• v.5 no.1
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• pp.25-32
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• 2010

Purpose: The purpose of this study was to provide a fundamental data for improving nurses' working environment and securing quality of nursing care. Method: It was consisted of analyzing education system and employment status of nursing personnel, and focus group interviews in Cheju Island. Results: Total graduates were 4,139 by 2006 from two nursing schools in Cheju. Difficulties in working conditions from focal group interviews were classified into four categories; Lack of anonymity of nurses, the burden from performing nontraditional nursing roles due to shortage of physicians, irregularity of working schedule and too many night shifts for taking care of female colleague's condition related with pregnancy, and poor support for implementing and developing professional nursing. Conclusion: A survey revealing working condition of nursing personnel of all health care institutions in Cheju Island will provide the comparison between Cheju Island and other areas. It needs to cultivate the public opinion about the importance of quality of nursing care proceeded by the broad support for improving nurses' working environment. It is essential to support continuing education to bring professional nurses and establishing the system to utilize them to overcome the shortage of physicians in Cheju Island.

• The Korean Nurse
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• v.9 no.6 s.50
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• pp.60-65
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• 1970

• Journal of Korean Academy of Nursing
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• v.47 no.5
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• pp.676-688
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• 2017

Purpose: The purpose of this study was to analyze the migration patterns of new nurses and experienced nurses and to identify the factors influencing inter-regional migration for solving regional imbalances of clinical nurses in South Korea. Methods: This study involved a secondary analysis of data from the Health Insurance Review and Assessment Service (HIRA). Data were analyzed using descriptive statistics and multiple logistic regression analysis. Results: New nurses tended to migrate from Kyunggi to Seoul. However, experienced nurses tended to migrate from Seoul and Chungchung to Kyunggi. Significant predictors of inter-regional migration among new nurses were location and nurse staffing grade of hospitals. Significant predictors of inter-regional migration among experienced nurses were location, hospital type, nurse staffing grade, ownership of hospitals and age of nurses. Conclusion: Inter-regional migration occupied a small portion of total hospital movement among clinical nurses. The regional imbalances of nurses were not caused by the migration from non-metropolitan areas to Seoul. Nurse shortage problems in the small and medium hospitals of the non-metropolitan area can be solved only through improvement of work environment.