Journal of Korean Academy of Nursing

Jee-In Hwang

3 Articles

Development of the Hospital Nurses’ Silence Behavior Scale: Soojin Chung, Jee-In Hwang; J Korean Acad Nurs 2024;54(2):279-295. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23138

Purpose
This study aimed to develop a scale to measure hospital nurses’ silence behavior and examine its validity and reliability.
Methods
A total of 52 preliminary items on hospital nurses’ silence behavior were selected using a content validity test by seven experts on 53 candidate items derived from a literature review and in-depth interviews with 14 nurses. A total of 405 hospital nurses participated in a psychometric testing. Data analysis comprised item analysis, exploratory and confirmatory factor analyses, and convergent and discriminant validity tests. Pearson’s correlation coefficient was used for assessing concurrent validity, and Cronbach’s alpha was used for the reliability test.
Results
The final scale consisted of nine factors with 31 items, exhibiting acceptable model fit indices, convergent validity, and discriminant validity. The score of the entire scale was positively correlated with the ‘Organizational Silence Scale (OSS)-the issues on which nurses remain silent’ (r = .60, p < .001) and ‘OSS-the reasons why nurses remain silent’ (r = .68, p < .001). Cronbach’s α of the scale was .92, and α of each subscale ranged from .71 to .90.
Conclusion
The Hospital Nurses’ Silence Behavior Scale is a useful tool for assessing multifaceted silence behavior among nurses. It can provide basic data for developing better communication strategies among nurses and other hospital staff.

Citations

Citations to this article as recorded by

Mediating effect of grit on the influence of nurses’ silence behavior on medication safety competence: a cross-sectional study
Haengsuk Kim, Wanju Park
Journal of Korean Academy of Nursing.2025; 55(1): 81. CrossRef
Mediating Effect of Emotional Labour on the Role Pressure and Silence Behaviour of Nurses
Lianci He, Jianhua Liu, Rong Sun, Yuan Deng, Ling Tang, Shaochuan Chen
Evaluation & the Health Professions.2025;[Epub] CrossRef
Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
Shin Ae Hwang, Haeyoung Min
Journal of Korean Academy of Nursing Administration.2024; 30(4): 416. CrossRef
Psychometric evaluation and translation of the Persian version of the Organizational Silence Behavior Scale (OSBS-P) for clinical nurses
Alireza Mirzaei, Mobina Jamshidinia, Mehrzad Aghabarari, Pouya Dolat Abadi, Reza Nemati-Vakilabad, Ehsan Namaziandost
PLOS ONE.2024; 19(12): e0314155. CrossRef

3,814 View
238 Download
3 Web of Science
4 Crossref

Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals: Ju-Young Park, Jee-In Hwang; J Korean Acad Nurs 2021;51(1):27-39. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20201

Abstract PDF

Purpose
This study aimed to identify the degree of non-nursing tasks and nursing care left undone in integrated nursing care wards, and examine their relationships with nurses’ burnout, job satisfaction, turnover intentions, and medical errors.
Methods
A cross-sectional questionnaire survey was conducted. Data were collected using self-report questionnaires from 346 nurses working in 20 wards of seven small and medium-sized general hospitals, and analyzed using multiple regression and multiple logistic regression analysis with the SPSS WIN 25.0 program.
Results
The mean score for non-nursing tasks was 7.32±1.71, and that for nursing care left undone was 4.42 ± 3.67. An increase in non-nursing tasks (β = .12, p = .021) and nursing care left undone (β = .18, p < .001) led to an increase in nurses’ burnout (F = 6.26, p < .001). As nursing care left undone (β = .13, p = .018) increased, their turnover intentions also (F = 3.96, p < .001) increased, and more medical errors occurred (odds ratio 1.08, 95% confidence interval 1.02~1.15).
Conclusion
Non-nursing tasks and nursing care left undone are positively associated with nurses’ burnout, turnover intentions, and the occurrence of medical errors. Therefore, it is important to reduce non-nursing tasks and nursing care left undone in order to deliver high quality nursing care and in turn increase patient safety.

Citations

Citations to this article as recorded by

First Integration of a Service Robot and a Communication Application into a Nursing Isolation Setting – An Observational Study Evaluating Walking Distances, Stress and Radiation Doses
Angelika Warmbein, Laura Sehn, Ivanka Rathgeber, Janesca Seif, Christoph Ohneberg, Nicole Stöbich, Astrid Delker, Christian Zach, Inge Eberl, Uli Fischer
International Journal of Social Robotics.2025; 17(9): 1809. CrossRef
Effects of a mobile simulation program for nursing delegation: A randomised controlled trial
Haena Lim, Yeojin Yi
Nurse Education in Practice.2025; 83: 104283. CrossRef
Study of Nurses' Malpractice Tendencies and Burnout Levels
Leman Şenturan, Gizem Kaya, Tuba Emirtaş
Research in Nursing & Health.2025; 48(3): 385. CrossRef
The relationship between job stress and the perception of patient safety culture among Palestinian hospital nurses
Loai M. Zabin, Jamal Qaddumi, Sajed Faisal Ghawadra
BMC Nursing.2025;[Epub] CrossRef
Impact of Grit, Teamwork, Organizational Communication Competence, Perception of Patient Safety Culture on Patient Safety Nursing Activities in Integrated Nursing Care Units
Jeeseon Kim, Haejung Lee
Journal of Korean Academy of Nursing Administration.2025; 31(3): 237. CrossRef
Non-Value-Added Activities and Non-Nursing Tasks Affecting Nursing Task Efficiency: A Scoping Review
Mi Ha Chung, Yongah Kim, Na Yeong Kim, Min Ju Kim, Hyeon Jin Kim, Ju Hee Park, Ji In Park, Su Yeon Bae, Heajin Bae, Eunjeong Lee, Min Young Jeon, Suyoung Choi
Journal of Korean Academy of Nursing Administration.2025; 31(4): 405. CrossRef
A phenomenological study of the experiences of nurses working in integrated nursing care wards in Korea
Young-mi Cho, Sun-hui Kim
BMC Nursing.2024;[Epub] CrossRef
Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards
Yoon Sook Cho, Hyoung Eun Chang, Hyunjung Lee
Journal of Korean Academy of Nursing Administration.2024; 30(2): 163. CrossRef
Exploring the causes and consequences of non-nursing tasks among nurses in Jordan: An in-depth qualitative investigation
Ayman Abed Aldarawsheh, Ahmad Rajeh Saifan, Murad Adnan Sawalha, Enas A. Assaf, Intima Alrimawi, Rami A. Elshatarat, Zyad T. Saleh, Wesam T. Almagharbeh, Nermen A. Mohamed, Mudathir M. Eltayeb
Applied Nursing Research.2024; 77: 151791. CrossRef
Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
Ji Yeong Park, Kyoung Ja Kim
Journal of Korean Academy of Nursing Administration.2024; 30(3): 246. CrossRef
A comparative analysis of nurses' reported number of patients and perceived appropriate number of patients in integrated nursing care services
Hyunjeong Kwon, Jinhyun Kim
Nursing & Health Sciences.2024;[Epub] CrossRef
Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
Jae Woo Oh, Ji Eun Kim
Nursing Open.2023; 10(12): 7622. CrossRef
The Effect of Missed Nursing Care on Adverse Event Experiences, Patient Safety Management Activity, Job Satisfaction and Turnover Intention in Nurses: A Nationwide Survey using Proportional Quota Sampling
Myung Jin Choi, Seok Hee Jeong
Journal of Korean Academy of Nursing Administration.2023; 29(4): 490. CrossRef
Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses
Mi Yu, Se Young Kim, Ji Min Ryu
Journal of Korean Academy of Nursing.2023; 53(2): 236. CrossRef
Competency Survey of Caregivers in Medical Tourism Special Zone and Other Regions
Dong-Yeop Lee, Sang-Bong Lee, Yeong-Im Park, Jin-Geun Lee, Yoon Hee Park, So Young Lee, Dong-Yoon Kang
Journal of Health Informatics and Statistics.2023; 48(2): 140. CrossRef
Influence of the Team Effectiveness of Nursing Units on Nursing Care Left Undone and Nurse-Reported Quality of Care
Se Young Kim, Young Ko
Healthcare.2023; 11(10): 1380. CrossRef
The Impact of Performance of Non-Nursing Tasks on the Attitudes of Nursing Students toward Nursing Profession
Ibrahim Rawhi Ayasreh, Ferial Hayajneh, Rana Al Awamleh
Nurse Media Journal of Nursing.2022; 12(2): 151. CrossRef
Clinical Application Value of Group‐Sharing Nursing Management Based on Case Analysis
Jing Mei, Yifan Wu, Jie Hu, Min Li, Mohammad Farukh Hashmi
Contrast Media & Molecular Imaging.2022;[Epub] CrossRef
The Effect of Burnout on Quality of Care Using Donabedian’s Framework
Kathleen M. White, Dorothy Dulko, Bonnie DiPietro
Nursing Clinics of North America.2022; 57(1): 115. CrossRef
Emotional Labor, Burnout, Medical Error, and Turnover Intention among South Korean Nursing Staff in a University Hospital Setting
Chan-Young Kwon, Boram Lee, O-Jin Kwon, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi
International Journal of Environmental Research and Public Health.2021; 18(19): 10111. CrossRef
Integrated and Person-Centered Nursing in the Era of the 4th Industrial Revolution
Hyoung Suk Kim, Sun Joo Jang, Jeung-Im Kim
Journal of Korean Academy of Nursing.2021; 51(3): 261. CrossRef
Analysis of Nurses' Work Experience in Comprehensive Nursing Care Units of Small and Medium-sized Hospitals
Mi Ryeong Song, Su Hyang Ryu
Journal of Korean Academy of Nursing Administration.2020; 26(4): 419. CrossRef

3,442 View
144 Download
15 Web of Science
22 Crossref

The Effects of Hospitals’ Family Friendly Management on Married Female Nurses’ Retention Intention: Focused on the Mediating Effects of Work-Family Interface: Jin Hwa Lee, Jee-In Hwang; J Korean Acad Nurs 2019;49(4):386-397. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.386

Abstract PDF

Abstract Purpose

This study examined the effect of hospitals’ family-friendly management on married female nurses’ retention intention. The focus was the mediating effects of the work-family interface (work-family conflict, work-family enrichment and work-family balance).

Methods

This study was a cross-sectional study. The participants were 307 nurses working at five public and five private hospitals with more than 200 beds in Seoul. Data were collected using structured questionnaires from September 10 to September 17, 2018 and analyzed with SPSS 24.0. Data were analyzed using an independent t-test, a one-way ANOVA, Pearson's correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation.

Results

There were significant correlations among family-friendly management, the work-family interface, and retention intention. Work-family conflict showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family enrichment showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family balance showed a partial mediating effect on the relationship between family-friendly management and retention intention.

Conclusion

These findings indicate that both hospitals’ family-friendly management and nurses’ work-family interface are important factors associated with nurses’ retention intention. Therefore, hospitals should actively implement family-friendly management for nurses and establish strategies to enhance nurses’ work-family interface for effective human resource management.

Citations

Citations to this article as recorded by

How parenting-related characteristics influence parenting stress among nurses with young children in the Seoul metropolitan area, South Korea: a cross-sectional study
Minhwa Hwang, Nagyeong Lee, Gunjeong Lee
BMC Nursing.2025;[Epub] CrossRef
Psychometric Properties of Instruments Measuring Dyadic Communication and Environment in Dementia Care: A Systematic Review
Sohyun Kim, Wen Liu, Patricia Heyn
The Gerontologist.2023; 63(1): 52. CrossRef
Disaster Preparedness and Associated Factors Among Emergency Nurses in Guangdong Province, China: A Descriptive Cross-Sectional Study
Jia Wang, Xinglan Sun, Sihui Lu, Fen Wang, Meijuan Wan, Hanxi Chen, Yibing Tan
Disaster Medicine and Public Health Preparedness.2023;[Epub] CrossRef
Causes and Effects of Burnout Experienced by Insurance Review Nurses: Focus Group Interview
Eun Sil Jeong, Seok Hee Jeong, Hyun Kyung Kim, Myoung Hee Seo
Journal of Korean Academy of Nursing Administration.2022; 28(5): 545. CrossRef
Nurses’ Clinical Work Experience during Pregnancy
Hyunjung Lee, Hyoung Eun Chang, Jiyeon Ha
Healthcare.2020; 9(1): 16. CrossRef

986 View
27 Download
4 Web of Science
5 Crossref

Author index