Journal of Korean Academy of Nursing

Volume 52(5); October 2022

Editorial

Pragmatic Clinical Trials: Doorenbos, Ardith Z. , Chae, Duckhee; J Korean Acad Nurs 2022;52(5):477-478. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22127

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Flower therapy and perceived stress in primary health care nursing professionals: randomized clinical trial
Fabiana Gonçalves Seki Gava, Ruth Natália Teresa Turrini
Revista Gaúcha de Enfermagem.2024;[Epub] CrossRef
Terapia floral e estresse percebido em profissionais de enfermagem da atenção primária: Ensaio clínico randomizado
Fabiana Gonçalves Seki Gava, Ruth Natália Teresa Turrini
Revista Gaúcha de Enfermagem.2024;[Epub] CrossRef
The Role of Psychological Factors in Chronic Pain Treatment Outcomes in the Military
Linda H. Eaton, Diane M. Flynn, Alana D. Steffen, Ardith Z. Doorenbos
Pain Management Nursing.2023; 24(2): 123. CrossRef

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Review Paper

Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis: Cho, Yunjeong , Jeong, Seok Hee , Kim, Hee Sun , Kim, Young Man; J Korean Acad Nurs 2022;52(5):479-498. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22039

Abstract PDF

Purpose
This study aimed to examine effect sizes of leadership styles of nursing managers on turnover intention of hospital nurses.
Methods
A systematic review and meta-analysis were conducted in accordance with the PRISMA and MOOSE guidelines. Participants were nurses working in hospitals. The intervention involved nursing managers’ leadership styles; the outcome assessed was nurses’ turnover intention. This was an observational study design. Eleven databases were searched to obtain articles published in Korean or English. Of the 14,428 articles reviewed, 21 were included in systematic review and meta-analysis. Comprehensive Meta-Analysis and R software programs were used.
Results
The total effect size r (ESr) was - 0.25 (95% confidence interval: - 0.29 to - 0.20). Effect sizes of each leadership style on turnover intention were as follows: ethical leadership (ESr = - 0.34), transformational leadership (ESr = - 0.28), authentic leadership (ESr = - 0.23), transactional leadership (ESr = - 0.21), and passive avoidant leadership (ESr = 0.13). Ethical leadership was the most effective style in decreasing turnover intention of hospital nurses.
Conclusion
Positive leadership styles of nurse managers effectively decrease turnover intention of hospital nurses, and negative leadership styles of nurse managers effectively increase turnover intention of hospital nurses. The ethical leadership style is the most effective in decreasing turnover intention of hospital nurses; however, it requires careful interpretation as its effects are reported by only two studies. This study contributes to addressing the high turnover rate of hospital nurses and developing positive leadership styles of nurse managers in hospital settings.

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The effect of organizational communication and grit on turnover intention of rehabilitation hospital nurses: A cross-sectional correlation study
Inji Ha, Heeok Park, Ji Hun Joung
Journal of Korean Gerontological Nursing.2025; 27(1): 35. CrossRef
Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
Journal of Korean Academy of Nursing Administration.2024; 30(1): 42. CrossRef
Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
Journal of Korean Academy of Nursing Administration.2024; 30(3): 212. CrossRef
Investigation of the relationship between nurses' perception of toxic leadership and their organizational trust levels and turnover intentions
Sultan Türkmen Keskin, Meltem Özduyan Kiliç
Journal of Advanced Nursing.2024; 80(5): 1859. CrossRef
The structural relationship of job stress, job satisfaction, organizational commitment, and turnover intention among youth sports education leaders in Korea
Myung Kyu Jung, Tae Gyeom Jung, Min Woo Jeon, Ji Hae Lee
Frontiers in Psychology.2024;[Epub] CrossRef
Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
Eunji Lee, Haejung Lee
Journal of Korean Academy of Nursing Administration.2024; 30(4): 367. CrossRef
Nursing-sensitive Indicators in East Asian Hospitals: A Scoping Review
Jae Jun Lee, Won Jin Seo, Dong Ah Park, Hwa Yeong Oh, Seung Eun Lee
Quality Improvement in Health Care.2024; 30(2): 88. CrossRef
Factors Influencing Nurses Turnover in Saudi Arabia: A Systematic Review
Abdulmajeed M. Albalawi, Glezzeelyne P. Pascua, Sameer A. Alsaleh, Walaa Sabry, Sitti Nursa Ahajan, Jeseela Abdulla, Amal Abdulalim, Suad S. Salih, Sulaiman Al Sabei
Nursing Forum.2024;[Epub] CrossRef
Effects of Nursing Unit Managers’ Authentic Leadership, Transformational Leadership, and Transactional Leadership on Turnover Intention in Advanced Beginner Nurses: Mediation Effects of Positive Psychological Capital
Eun Jeong Kim, Eungyung Kim, Son Ja Lee
Journal of Korean Academy of Nursing Administration.2023; 29(4): 409. CrossRef
Factors related to the organizational silence of Korean nurses: A systematic review and meta-analysis
Kyungja Kang, Jeong-Hee Kim
The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 302. CrossRef

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Research Papers

Moderating the Effects of Health Behaviors on Sexual Intercourse among Adolescents: A CrossSectional Study Using the 2020 Adolescent Health Behavior Survey: Lee, Eunmi , Yang, Youngran; J Korean Acad Nurs 2022;52(5):499-510. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22080

Abstract PDF

Purpose
This study investigated the association between adolescent health behaviors (drinking, smoking, and drug use) and sexual intercourse, as well as the moderating effects of economic status, cohabitation with parents, and school type, among adolescents in Korea.
Methods
Secondary data from the 16th Adolescent Health Behavior Survey (2020) were used. A total of 395 schools and 54,948 middle and high school students participated in the study. Complex sample frequency analysis, the Rao–Scott test, and complex sample logistic regression analyses were performed.
Results
Sexual intercourse rates for men and women were 5.8% and 3.3%, respectively. Approximately 7.3% of high school students and 1.8% of middle school students reported having had sexual relations. Drinking (odds ratio [OR] = 3.15, 95% confidence interval [CI] = 2.82~3.52), smoking (OR = 6.75, 95% CI = 5.90~7.71), and drug use (OR = 3.03, 95% CI = 2.23~4.11) significantly increased the risk of sexual intercourse. Economic status and school type had moderating effects on the association between drinking and sexual intercourse.
Conclusion
Adolescent drinking, smoking, and drug use are associated with a higher risk of sexual experience. Thus, to reduce this risk, controlling alcohol consumption, smoking, and drug use is necessary. In addition, programs for healthy lifestyles and sexual intercourse should be differentiated according to the school type and the economic conditions of the adolescents’ households.

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Public discourse on substance use behavior as a driver of public policy: a scoping review of South Korean academic and official literature
Meekang Sung, Jihye Han, Carrie G. Wade, Vaughan W. Rees
Addiction Research & Theory.2025; : 1. CrossRef

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The Moderating Effect of Organizational Justice on the Relationship between Self-Efficacy and Nursing Performance in Clinical Nurses: Kim, Ju-Ra , Ko, Yukyung , Lee, Youngjin , Kim, Chun-Ja; J Korean Acad Nurs 2022;52(5):511-521. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22076

Abstract PDF

Purpose
This study aimed to examine the moderating effect of organizational justice on the relationship between self-efficacy and nursing performance among clinical nurses.
Methods
In January 2021, a cross-sectional survey was conducted with 224 clinical nurses recruited from a university-affiliated hospital in Suwon, South Korea. Participants completed online-based, self-report structured questionnaires. Collected data were analyzed using multiple regression and a simple model of PROCESS macro with a 95% bias-corrected bootstrap confidence interval.
Results
Self-efficacy and organizational justice were found to be significant predictors of nursing performance. These two predictors explained the additional 34.8% variance of nursing performance in the hierarchical regression model, after adjusting the other covariates. In addition, organizational justice moderated the relationship between self-efficacy and nursing performance among the clinical nurses. In particular, at low self-efficacy level, participants with high organizational justice had higher nursing performance compared to those with low organizational justice.
Conclusion
Enhancing organizational justice can be used as an organizational strategy for improving the organizational culture in terms of distribution, procedure, and interaction. Ultimately, these efforts will contribute to the improvement of nursing performance through a synergistic effect on organizational justice beyond nurses’ individual competency and self-efficacy.

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Work-family balance mediates self-efficacy and subjective well-being among nurses in Chinese intensive care units: A cross-sectional study
Lating Zhang, Xianzhen Jin, Na Cheng, Ruhua Wang, Xinhui Liang, Haiyan Fan, Xue Jiang
Applied Nursing Research.2025; 82: 151932. CrossRef
Balancing efficiency and fairness in an output-based agency relationship: an empirical investigation of the cognitive factors favouring a win–win situation
Filippo Ferrari
Evidence-based HRM: a Global Forum for Empirical Scholarship.2024;[Epub] CrossRef
Relationship between resilience and self-efficacy among Iranian nurses: a cross-sectional study during the post-Corona era
Saeed Ghasempour, Ali Abbasi, Mohammad Hasan Basirinezhad, Ali Dadgari, Hossein Ebrahimi
BMC Nursing.2024;[Epub] CrossRef
Effects of Nurse-Nurse Collaboration and Nurse-Physician Collaboration on Nursing Performance in Nurses: The Mediating Effect of Patient Safety Management Activities
JaHyun Kim, Seok Hee Jeong, Hee Sun Kim, Sunmi Kim
Journal of Korean Academy of Nursing Administration.2024; 30(4): 343. CrossRef
The Impact of Self-Efficacy on Nurses’ Well-Being: Does Digital Competence Matter?
Yali Li, Qi Jing, Taiwen Feng, Xiaoling Yang
Journal of Korean Academy of Nursing.2023; 53(4): 385. CrossRef

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Validity and Reliability of Korean Version of Self-Care Chronic Obstructive Pulmonary Disease Inventory (SC-COPD) and Self-Care Self-Efficacy Scale (SCES-COPD): Choi, Ja Yun , Yun, So Young; J Korean Acad Nurs 2022;52(5):522-534. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22062

Abstract PDF

Purpose
This study examined the validity and reliability of the Korean version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory (SC-COPDI) and the Chronic Obstructive Pulmonary Disease Self-Care Self-Efficacy Scale (SCES-COPD). The SC-COPDI consists of the Self-Care Maintenance Scale (SCMES), Self-Care Monitoring Scale (SCMOS), and Self-Care Management Scale (SCMAS).
Methods
The original tool was translated using a back-translation process. Participants were 241 patients with COPD at the Chonnam National University Hospital in Korea. The construct validity was verified through confirmatory factor analysis, and reliability was verified using Cronbach’s α.
Results
The SCMES consisted of 10 items of three factors―one of four factors was deleted from the original tool. In the SC-MOS, there were six items of two factors after two items were deleted from the original tool. The SCMAS consisted of the original 10 items of three factors. The SCES-COPD consisted of six items of two factors, with one item removed from the original tool. The model fit indices of all tools were good, and the construct validity was confirmed. Cronbach’s α of SCMES was .72, SCMOS was .90, SCMAS was .81, and SCES-COPD was .85.
Conclusion
The Korean version of SC-COPDI and SCES-COPD are valid and reliable instruments for measuring selfcare in people with COPD. These instruments can be used in self-care studies of COPD patients in Korea.

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Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses
Chennet Phonphet, Jom Suwanno, Chonchanok Bunsuk, Wanna Kumanjan, Ladda Thiamwong
International Journal of Nursing Sciences.2024; 11(4): 473. CrossRef

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The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus: Park, Gaeun , Lee, Haejung , Khang, Ah Reum; J Korean Acad Nurs 2022;52(5):535-549. Published online October 31, 2022; DOI: https://doi.org/10.4040/jkan.22046

Abstract PDF

Purpose
The study aimed to design and develop an automated personalized self-care (APSC) program for patients with type 2 diabetes mellitus. The secondary aim was to present a clinical protocol as a mixed-method research to test the program effects.
Methods
The APSC program was developed in the order of analysis, design, implementation, and evaluation according to the software development life cycle, and was guided by the self-regulatory theory. The content validity, heuristics, and usability of the program were verified by experts and patients with type 2 diabetes mellitus.
Results
The APSC program was developed based on goal setting, education, monitoring, and feedback components corresponding to the phases of forethought, performance/volitional control, and self-reflection of self-regulatory theory. Using the mobile application, the participants are able to learn from educational materials, monitor their health behaviors, receive weekly-automated personalized goals and feedback messages, and use an automated conversation system to solve the problems related to self-care. The ongoing two-year study utilizes a mixed method design, with 180 patients having type 2 diabetes mellitus randomized to receive either the intervention or usual care. The participants will be reviewed for self-care self-efficacy, health behaviors, and health outcomes at 6, 12, 18, and 24 months. Participants in the intervention group will be interviewed about their experiences.
Conclusion
The APSC program can serve as an effective tool for facilitating diabetes health behaviors by improving patients’ self-care self-efficacy and self-regulation for self-care. However, the clinical effectiveness of this program requires further investigation.

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Participation experience in self-care program for type 2 diabetes: A mixed-methods study
Mihwan Kim, Haejung Lee, Gaeun Park, Ah Reum Khang
Journal of Korean Gerontological Nursing.2024; 26(1): 31. CrossRef
Long‐Term Effects of an Automated Personalized Self‐Care Program for Patients With Type 2 Diabetes
Haejung Lee, Gaeun Park, DaeEun Lee, Ah Reum Khang, Min Jin Lee
Nursing & Health Sciences.2024;[Epub] CrossRef
Automated Personalized Self-care Program for Patients With Type 2 Diabetes Mellitus: A Pilot Trial
Gaeun Park, Haejung Lee, Yoonju Lee, Myoung Soo Kim, Sunyoung Jung, Ah Reum Khang, Dongwon Yi
Asian Nursing Research.2024; 18(2): 114. CrossRef
Healthcare coaching program for youth with type 1 diabetes in South Korea: a pilot study
Dae Eun Lee, Haejung Lee, Chong Kun Cheon, Ju Young Yoon
Child Health Nursing Research.2024; 30(1): 17. CrossRef
The Association between the Low-density Lipoprotein-Cholesterol to High-density Lipoprotein-Cholesterol Ratio and the Incidence of Type 2 Diabetes Mellitus in Korean Adults: A Secondary Data Analysis Using a Community-based Cohort Study in Korea
Bo-Kyoung Cha
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 66. CrossRef

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