Journal of Korean Academy of Nursing

Clinical Nurses' Professional Conflicts: Kwuy Bun Kim, Hea Sook Kim, Kyung Ho Lee; Journal of Korean Academy of Nursing 2001;31(3):492-505. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.3.492

Abstract: PURPOSE: This study aims to find the sources of nurses' conflicts and to find ways to eliminate them for improved nursing care. METHOD: This study is based on a phenomenological approach. All participants were woking at K-hospital, located in Seoul. The research was performed from September 2000 to February 2001. Data was collected through interviews and observations while participants were working. Interviews lasted a duration of one and half hours and data collection accured five to six times per participant. The data were analysed by Giorgi
method
and the results are as follows:
RESULT
Essential themes in the professional conflict of clinical nurses emerged (1) The discords of human relationships ; (2) Dissatisfaction with working conditions; (3) Lack of self-respect in one's professional expertise ; (4) Dissatisfaction with one's work ; (5) Depression accurring due to one's ability as a professional. CONCLUSION: The foregoing arguments suggest that nurses perform stressful environments in a hospital originating from the relationship among peer group, working conditions, and lack of self-respect as a nurses. Therefore, hospital authorities should strangly consider working conditions, interpersonal relationships, and working conditions in order to promote self-respect of the nurses hospitals.

Development and Evaluation of a PBL-based Continuing Education for Clinical Nurses: A Pilot Study: Hee Soon Kim, Seon Young Hwang, Eui Geum Oh, Jae Eun Lee; Journal of Korean Academy of Nursing 2006;36(8):1308-1314. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.8.1308

Abstract PDF: Purpose
The purposes of this study were to develop a PBL program for continuing nurse education and to evaluate the program after its implementation.
Methods
The PBL program was developed in the core cardio-pulmonary nursing concepts through a collaborative approach with a nursing school and a hospital. The PBL packages with simulation on ACLS were implemented to 40 clinical nurses. The entire PBL program consisted of six 3-hour weekly classes and was evaluated by the participants' subjective responses.
Results
Two PBL packages in cardio-pulmonary system including clinical cases and tutorial guidelines were developed. The 57.5% of the participants responded positively about the use of PBL as continuing nurse education in terms of self-motivated and cooperative learning, whereas 20.0% of the participants answered that the PBL method was not suitable for clinical nurses. Some modifications were suggested in grouping participants and program contents for PBL.
Conclusion
The PBL method could be utilized to promote nurses' clinical competencies as well as self-learning abilities. Further research is needed in the implementation strategies of PBL-based continuing education in order to improve its effectiveness.

The Relationship between Depression, Perceived Stress, Fatigue and Anger in Clinical Nurses: Won Hee Lee, Chun Ja Kim; Journal of Korean Academy of Nursing 2006;36(6):925-932. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.6.925

Abstract PDF: Purpose
The purpose of this study was to identify the relationship between depression, perceived stress, fatigue and anger in clinical nurses.
Method
A descriptive survey was conducted using a convenient sample. Data was collected by questionnaires from four hundred clinical nurses who worked at a university hospital. Radloff's CES-D for depression, Cohen, Kamarck & Mermelstein's Perceived Stress Scale, VAS for Fatigue, and Spielberger's STAXI for anger were used. The data was analyzed using the pearson correlation coefficient, students' t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0.
Result
The depression of clinical nurses showed a significantly positive correlation to perceived stress(r=.360, p=.000), mental fatigue(r=.471, p=.000), physical fatigue(r=.350, p=.000), trait anger(r=.370, p=.000), anger-in expression(r=.231, p=.000), and anger-control expression(r=.120, p=.016). There was a negative correlation between depression and age(r=-.146, p=.003). The mean score of depression of nurses, 26, was a very high score and 40.8% of clinical nurses were included in a depression group. The main significant predictors influencing depression of clinical nurses were mental fatigue, trait anger, perceived stress, anger-in expression, and state anger, which explained about 32.7%.
Conclusion
These results indicate that clinical nurses with a high degree of perceived stress, mental fatigue and anger-in expression are likely to be depressed.

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