Journal of Korean Academy of Nursing

Original Articles

The Mediating Effects of Learning Motivation on the Association between Perceived Stress and Positive-Deactivating Academic Emotions in Nursing Students Undergoing Skills Training: Wei Wang, Huiying Xu, Bingmei Wang, Enzhi Zhu; J Korean Acad Nurs 2019;49(4):495-504. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.495

Abstract Purpose

Nursing students experience a high degree of perceived stress during skills training. The resulting academic sentiment is worthy of research. This study examined the learning motivation as a mediator in the association between perceived stress and positive deactivating academic emotions in nursing students undergoing skills training.

Methods

A survey was conducted on 386 third-year undergraduate nursing students at a university in Changchun, China, in 2017. The survey included the items on perceived stress, learning motivation during nursing skill training, and general academic emotion. There were 381 valid responses (response rate=98.7%). Based on the results of partial correlation and stepwise multiple regression equations, the study examined the mediation model between perceived stress, learning motivation and positive-deactivating academic emotions using process 2.16 (a plug-in specifically used to test mediation or moderation effect in SPSS).

Results

There was a significant negative correlation between students’ perceived stress and learning motivation during nursing skills training and positive-deactivating academic emotions. Nervousness, loss of control, and interest in developing reputation had significant predictive effects on positive-deactivating academic emotions. The mediating model was well supported.

Conclusion

Learning motivation during nursing skills training lessened the damage of perceived stress on positive-deactivating academic emotions. Improving students’ motivation to learn could reduce their perceived stress and build more positive emotions. Positive emotions during learning played an important role in helping nursing students improve skills and enhance their nursing competence.

Citations

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Lili Guo, Danfeng Yan, Junping Yan, Rui Jiao
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Debra Lee, Tracy Burrows, Daphne James, Ross Wilkinson, Yolanda Surjan
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Bander Saad Albagawi, Yasir S. Alsalamah, Abdulqadir J. Nashwan, Rakan Mansuor AL Rawili, Lisa A. Babkair, Sara A. Alkharji, Thamer Alslamah, Mirna Fawaz
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Stress, mental health, and protective factors in nursing students: An observational study
Ma Eugenia Visier-Alfonso, Carmen Sarabia-Cobo, Ana Isabel Cobo-Cuenca, Marta Nieto-López, Rigoberto López-Honrubia, Raquel Bartolomé-Gutiérrez, Ana Rosa Alconero-Camarero, José Rafael González-López
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Zhang Yuhuan, Zheng Pengyue, Chen Dong, Niu Qichao, Pang Dong, Song Anqi, Jiang Hongbo, Di Zhixin
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Chenxin Xu, Qing Wang
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Liling Xu, Huahua Wang, Jiaxin Chen, Yiwen Zhang, Zhiqi Huang, Chengfu Yu
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María Dolores Onieva-Zafra, Juan José Fernández-Muñoz, Elia Fernández-Martínez, Francisco José García-Sánchez, Ana Abreu-Sánchez, María Laura Parra-Fernández
BMC Medical Education.2020;[Epub] CrossRef

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Psychosocial Well-Being of Clinical Nurses Performing Emotional Labor: A Path Analytic Model Approach: Yoonjeong Lee, Hyunli Kim; J Korean Acad Nurs 2019;49(3):307-316. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.307

Abstract PDF

Abstract Purpose

This study was conducted to investigate the influence of emotional expressivity, emotional intelligence, affectivity, job autonomy, social support, and emotional labor on clinical nurses’ individual well-being and to provide guidelines for interventions and strategies for its improvement.

Methods

The sample consisted of 207 nurses recruited from a general hospital in Korea. The participants completed a structured self-report questionnaire comprising measures of emotional expressivity, emotional intelligence, positive affectivity, negative affectivity, job autonomy, supervisor support, coworker support, deep acting, surface acting, emotional exhaustion, and job satisfaction. Data were analyzed using SPSS statistics 22.0 and AMOS 22.0.

Results

The final model was a good fit for the data based on the model fit indices. In the path analysis, surface acting, negative affectivity, supervisor support, and coworker support had statistically significant effects on emotional exhaustion, explaining 29.0% of the variance. Deep acting, emotional exhaustion, positive affectivity, and emotional intelligence had statistically significant effects on job satisfaction, explaining 43.0% of the variance.

Conclusion

Effective strategies to improve clinical nurses’ individual well-being should focus on surface acting, deep acting, affectivity, social support, and emotional intelligence. The results of this study can be utilized as base data to manage emotional labor and improve clinical nurses’ individual well-being.

Citations

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Validity and Reliability of the Korean version of the Wong and Law Emotional Intelligence Scale for Nurses
Hye-Ja Park, Soyoung Yu
Sage Open.2021;[Epub] CrossRef

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The Effect of Nurse's Emotional Labor on Turnover Intention: Mediation Effect of Burnout and Moderated Mediation Effect of Authentic Leadership: Soo Yang Na, Hanjong Park; J Korean Acad Nurs 2019;49(3):286-297. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.286

Abstract PDF

Abstract Purpose

To investigate the effect of nurses’ emotional labor on their turnover intention that was mediated by burnout and to examine the moderated mediation effect of authentic leadership.

Methods

A total of 227 nurses working at two general hospitals in Seoul were recruited from March 21 to May 6 in 2016. Emotional labor including surface acting and deep acting; burnout factors such as emotional exhaustion and personal accomplishment; and turnover intention were assessed. The data were analyzed using SPSS 22.0 and SPSS PROCESS macro.

Results

Surface acting significantly increased emotional exhaustion and reduced personal accomplishment. Deep acting significantly increased personal accomplishment. Emotional exhaustion significantly increased turnover intention. Conversely, personal accomplishment significantly reduced turnover intention. Surface acting had an indirect effect on turnover intention that was mediated by emotional exhaustion. Deep acting had an indirect effect on turnover intention that was mediated by personal accomplishment. Authentic leadership had a moderated mediation effect on the relationship between surface acting and turnover intention that was mediated by emotional exhaustion.

Conclusion

The findings of this study indicate that the establishment of strong authentic leadership by head nurses would help nurses reduce their burnout and turnover intention. Conducting intervention studies would be also important to promote better work environments that would enable nurses to fortify the positive aspect of emotional labor and to reduce their burnout levels.

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Yue Su, Zhe Jiang, Ran Meng, Guangli Lu, Chaoran Chen
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Catherine Theodosius, Christina Koulouglioti, Paula Kersten, Claire Rosten
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The Effect of Lavender Aromatherapy on Cognitive Function, Emotion, and Aggressive Behavior of Elderly with Demenita: Sun Young Lee; Journal of Korean Academy of Nursing 2005;35(2):303-312. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.303

Abstract PDF

Purpose

This study was to develop an aromatherapy hand massage program, and to evaluate the effects of lavender aromatherapy on cognitive function, emotion, and aggressive behavior of elderly with dementia of the Alzheimer's type.

Methods

The Research design was a nonequivalent control group non-synchronized quasiexperimental study. Lavender aromatherapy was administrated to experimental group I for 2 weeks, jojoba oil massage was administrated to experimental group II for 2 weeks, and no treatment was administrated to the control group for 2 weeks. Data was analyzed using the chi-square-test, ANOVA, repeated measures of ANCOVA and ANCOVA in the SPSS program package.

Result

1. Experimental group I did not show significant differences in cognitive function in relation to the experimental group II and control group. 2. Experimental group I showed significant differences in emotion and aggressive behavior in relation to the experimental group II and control group.

Conclusion

A Lavender aromatherapy hand massage program is effective on emotions and aggressive behavior of elderly with dementia of the Alzheimer's type.

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Association between Emotional Labor, Emotional Dissonance, Burnout and Turnover Intention in Clinical Nurses: A Multiple-Group Path Analysis across Job Satisfaction: Chi-Yun Back, Dae-Sung Hyun, Sei-Jin Chang; J Korean Acad Nurs 2017;47(6):770-780. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.6.770

Abstract PDF

Abstract Purpose

This study was conducted to investigate the influence of emotional labor, emotional dissonance, and burnout on nurse's turnover intention and examine the effect of job satisfaction on the relationships among emotional labor, emotional dissonance, burnout, and turnover intention.

Methods

The sample consisted of 350 nurses recruited from 6 general hospitals in 2 cities in Korea. A multiple-group analysis was utilized. Data were analyzed using SPSS statistics 23 and AMOS 20.

Results

In the path analysis, turnover intention was directly related to burnout in clinical nurses who had a high job satisfaction (b=.24, p=.003), while it was indirectly related to emotional dissonance (b=.13, p=.002). In the multiple-group path analysis, turnover intention was directly related to emotional dissonance (b=.18, p=.033) and burnout (b=.26, p=.002) for nurses with low job satisfaction.

Conclusion

These results indicate that manuals and guidelines to alleviate the negative effects of emotional labor, emotional dissonance, and burnout, and to increase job satisfaction are strongly required to reduce turnover intention in nurses at the organizational level as well as at the individual level.

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Morten Birkeland Nielsen, Håkon A. Johannessen, Jan Olav Christensen, Live Bakke Finne
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Sook Kyoung Park, Ya Ki Yang, Eunju Song
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A Prediction Model of Drug Misuse Behaviors in Community-Dwelling Older Adults: Se Hwa Hong, Kwang Soo Yoo; J Korean Acad Nurs 2016;46(5):630-641. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.630

Abstract PDF

Purpose

This study was designed to construct a model which explains drug misuse behaviors in community-dwelling older adults.

Methods

The design of this research is a cross-sectional study using structure equation modeling. The hypothetical model consisted of two types of variables: the exogenous variables of health status, cognitive ability, and negative emotion, and the endogenous variables of number of drugs, and drug misuse behaviors. The data collection was conducted from September 2 to September 21, 2013 through self-report questionnaires. Participants were 320 community-dwelling adults over the age of 65 living in J city. Data were analyzed with SPSS 21.0 program and Amos 18.0 program.

Results

The results of the model fitness analysis were satisfied. The predictor variables for the hypothetical model explained 62.3% of variance regarding drug misuse behaviors. Drug misuse behaviors were directly affected by health status, cognitive ability, negative emotion and number of drugs and indirectly affected by health status, and negative emotion through number of drugs.

Conclusion

These findings indicate factors that should be used in developing effective nursing interventions for safe and proper drug use and the prevention of drug misuse behaviors in community-dwelling older adults.

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The effects of social and psychological factors on suicidal ideation in elderly people living alone: A cross-sectional correlational study
Yeo Ju Lee, Jun-Ah Song
Journal of Korean Gerontological Nursing.2025; 27(1): 45. CrossRef

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Influences of Hospital Nurses' perceived reciprocity and Emotional Labor on Quality of Nursing Service and Intent to Leave: Mi-Aie Lee, Eunjeong Kim; J Korean Acad Nurs 2016;46(3):364-374. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.364

Abstract PDF

Purpose

This study was performed to investigate the relationship among reciprocity, emotional labor, nursing service quality and intent to leave, and to identify factors influencing nursing service quality and intent to leave.

Methods

This study was a cross-sectional survey. Participants were 300 nurses working at five general hospitals in two provincial cities in Gyeongsang Province, Korea. From May 1 to June 30, 2014, data were collected using structured questionnaires and analyzed with SPSS/PC ver 20.0 programs.

Results

There were relationships between reciprocity and nursing service quality, and intent to leave, and between emotional labor and intent to leave. Participants' general characteristics, reciprocity and emotional labor explained 48.4% of variance in nursing service quality and participants' general characteristics and these two independent variables explained 31.9% of intent to leave.

Conclusion

These findings indicate that from the perception of hospital nurses, reciprocity and emotional labor are both very important factors to improve the quality of nursing service and decrease the intent to leave. So nursing managers should try to develop various personnel management programs focused on human emotions, and create a mutual respectable organizational culture and work environment.

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Dluha Mafula, Hidayat Arifin, Ruey Chen, Chien-Mei Sung, Chiu-Kuei Lee, Kai-Jo Chiang, Kondwani Joseph Banda, Kuei-Ru Chou
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Does emotional labor affect nurses suffering from workplace violence? A moderated mediation model
Hakan Erkutlu, Jamel Chafra, Hatice Ucak, Rahsan Kolutek
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Sustainability.2021; 13(21): 11634. CrossRef
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Youngsoo Kim, Sun Joo Jang
Nursing & Health Sciences.2019; 21(2): 223. CrossRef
The Effect of Nurse's Emotional Labor on Turnover Intention: Mediation Effect of Burnout and Moderated Mediation Effect of Authentic Leadership
Soo Yang Na, Hanjong Park
Journal of Korean Academy of Nursing.2019; 49(3): 286. CrossRef
Influences of Interpersonal Problems and Character of Nurses on Quality of Nursing Service
Eun-Yi Yeom, Kawoun Seo
Journal of Korean Academy of Nursing Administration.2018; 24(5): 445. CrossRef

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Factors Influencing the Emotional State of Patients with Lymphedema: Hyang Mi Jung, Myung Ok Cho; Journal of Korean Academy of Nursing 2006;36(5):845-852. Published online August 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.5.845

Abstract PDF

Purpose

The purpose of this study was to investigate the emotional state and related factors in patients with lymphedema.

Methods

The subjects of this study consisted of 95 patients with lymphedema at 8 hospitals in Busan and Seoul. Data was collected by a self-administered questionnaire between March 2001 to December 2001. Data was analyzed by Pearson correlation coefficient, and stepwise multiple regression using SPSS Win 12.0.

Results

The mean score of the emotional state of the subjects was 3.06; of their physical symptoms, 1.84; of their Activities of Daily Living(ADLs), 2.30; and of their social activities, 3.67. The emotional states of lymphedema patients correlated with their physical symptoms, their ADLs, and their social activities. The Factor influencing the emotional state of the subjects was social activities.

Conclusion

These results suggest that a negative emotional state is very common in patients with lymphedema, to which appropriate attention should be given. Rehabilitation programs must be implemented to improve lymphedema patients' emotional state, physical symptoms, ADLs, and social activities.

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