Journal of Korean Academy of Nursing

Research Papers

Job stress levels and coping among hospital nurses: a latent profile analysis: Myungji Kim, Hyunkyung Choi; J Korean Acad Nurs 2025;55(3):377-387. Published online August 22, 2025; DOI: https://doi.org/10.4040/jkan.25061

Abstract PDF ePub: Purpose
This study aimed to identify job stress levels and coping profiles among hospital nurses, explore the factors influencing profile classification, and determine whether levels of job embeddedness and happiness varied among the profiles.
Methods
Data were collected through an online survey of 325 hospital nurses, and latent profiles were identified via latent profile analysis. The R3STEP (three-step auxiliary variable approach) method was used to examine the factors influencing the latent profiles, and one-way analysis of variance was conducted to analyze differences in levels of job embeddedness and happiness.
Results
Three job stress and coping profiles were identified: (1) the “moderate stress-balanced coping group”, characterized by moderate levels of job stress and moderate use of all coping strategies; (2) the “high stress-emotional coping group”, with high job stress and primary use of emotional display strategies; and (3) the “low stress-adaptive coping group, with low job stress and the utilization of a variety of coping strategies. Workplace location and monthly income influenced the classification of latent profiles. Nurses working in metropolitan areas and those with lower monthly incomes were more likely to be classified into the high stress-emotional coping group than other groups. The levels of job embeddedness and happiness were highest in the low stress-adaptive coping group and lowest in the high stress-emotional coping group.
Conclusion
The results of this study indicate the need to develop strategies that offer diverse stress-coping programs and support nurses in effectively utilizing coping methods that best suit their individual needs.

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Factors Related to Clinical Competence among Graduating Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study: Su Kyoung Chung, Jinsook Kim, Pratibha Bhandari; J Korean Acad Nurs 2023;53(2):145-154. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.22087

Purpose
This study investigated clinical competency, COVID-19-related anxiety, coping strategies, self-efficacy, and perceived stress among graduating nursing students during the COVID-19 pandemic.
Methods
We conducted a cross-sectional survey. Participants were recruited from universities located in four major cities in South Korea. General demographic information, clinical competency, self-efficacy, perceived stress, COVID-19-related anxiety, and coping strategies were assessed using reliable questionnaires. Descriptive statistics, correlations, and multiple regression tests were used to analyze the data.
Results
The mean clinical competency, self-efficacy, perceived stress, adaptive coping, and maladaptive coping were 138.16 ± 18.34, 83.85 ±14.02, 21.37 ± 5.79, 53.15 ± 4.64, and 30.98 ± 6.73, respectively. COVID-19-related anxiety was reported by 4.3% of participants. Clinical competency was significantly positively correlated with self-efficacy (r = .44, p < .001) and adaptive coping (r = .20, p = .035) and was significantly negatively correlated with maladaptive coping (r = .20, p = .035). The predictors of clinical competency were self-efficacy (β = .434, p < .001) and adaptive coping (β = .173, p < .039), which explained 23% of the variance in clinical competency.
Conclusion
Self-efficacy and adaptive coping strategies are significant predictors of clinical competence during the pandemic. Planning and implementing various curricular and non-curricular activities to increase senior students' self-efficacy and adaptive coping strategies will help prepare competent nursing graduates for the pandemic when they enter the nursing workforce.

Citations

Citations to this article as recorded by

Exploring Educational Stress and Competence of Intern Nurses' Following Two Years of Online Education: A Cross-Sectional Study
Fatma Dursun Ergezen, Ayşe Yacan Kök, Emine Kol
Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi.2026; 9(1): 83. CrossRef
The Effect of Internship Length on Self‐Efficacy and Clinical Competence: Accelerating Entry Into the Nursing Workforce in Saudi Arabia
Sitah S. Alshutwi, Majed Alamri
Journal of Nursing Management.2025;[Epub] CrossRef

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A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities: Youyoung Cho, Hyeonok Kim; J Korean Acad Nurs 2022;52(4):407-420. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.21235

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