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J Korean Acad Nurs : Journal of Korean Academy of Nursing

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Research Paper
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
Yu, Mi , Kim, Se Young , Ryu, Ji Min
J Korean Acad Nurs 2023;53(2):236-248.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22110
AbstractAbstract PDF
Purpose
Nursing informatics competency is used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practices and professional and regulatory standards. This study examined the relationship between nursing informatics competency (NIC), nursing care left undone, and nurse reported quality of care (NQoC) and nursing productivity. A path model for their effects on nursing productivity among clinical nurses was also established.
Methods
Data were collected using structured questionnaires answered by 192 nurses working in a tertiary hospital located in J city, Korea, and analyzed using SPSS/WIN 23.0 and AMOS 21.0 program.
Results
The fit indices of the alternative path model satisfied recommended levels χ2 = .11 (p= .741), normed χ2 (χ2/df) = .11, SRMR = .01, RMSEA = .00, GFI = 1.00, NFI = 1.00, AIC = 18.11. Among the variables, NIC (β = .44, p < .001), NQoC (β = .35, p < .001) had a direct effect on nursing productivity. Due to the mediating effect of NQoC on the relationship between NIC and nursing productivity, the effect size was .14 (95% CI .08~.24). Meanwhile, nursing care left undone through NQoC in the relationship between NIC and nursing productivity, has a significant mediation effect (estimate .01, 95% CI .00~.03). The explanatory power of variables was 44.0%.
Conclusion
Education and training for enhancing NIC should be provided to improve nursing productivity, quality of care and to reduce missed nursing care. Furthermore, monitoring the quality of nursing care and using it as a productivity index is essential.
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Original Articles
The Development and Effect Analysis of an Internet Based Nursing Program: Application to Nursing Informatics
Young Hee Yom
Journal of Korean Academy of Nursing 2000;30(4):1035-1044.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.1035
AbstractAbstract PDF

The purpose of this study was to develop and evaluate an internet based program for nursing informatics. The course subject, Nursing Informatics, was made by a computerized instructional module using the internet. The program was developed after taking into consideration the level of competence and knowledge in the subjects. It was based on 10 steps of the CAI module developed by Alessi and Trollip. The subjects consisted of 76 junior nursing students taking a Nursing Informatics course. Two sets of questionnaires were used for this study. First, a questionnaire was administered to 76 students to collect general information on their experience while using computers and the internet. Secondly, another questionnaire was administrated to 76 students after they took the course. They were asked to evaluate the program in terms of easiness of use, precision of contents, freshness of contents, motivation in learning, effectiveness of learning, enhancement of communication, precision of screen, and interest in the contents. IDs and passwords were given to the students. The students were asked to write their IDs and passwords when they connected to Nursing Informatics (http://hallym.ac.kr/~yhyom/inform.html). They were led the menu page which was categorized into 8 icons (i. e., syllabus, lecture notes, quick test, Q & A board, assignment, on-line test, related web sites and mailing lists) after confirming their IDs and passwords. The students' responses were very positive. This program was a very useful in increasing the effectiveness of learning and motivation in the students. Suggest to be use for other nursing courses.

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Role of Self-Leadership in the Relationship between Organizational Culture and Informatics Competency
Myoung Soo Kim
J Korean Acad Nurs 2009;39(5):731-740.   Published online October 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.5.731
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the moderating and mediating effects of self-leadership in the relationship between organizational culture and nurses' informatics competency.

Methods

Participants in this study were 297 nurses from the cities of Busan and Ulsan. The scales of organizational culture, self-leadership and informatics competency for nurses were used in this study. Descriptive statistics, Pearson correlation coefficient, stepwise multiple regression were used for data analysis.

Results

Nursing informatics competency of the participants was relatively low with a mean score 3.02. There were significant positive correlations between subcategories of perceived organizational culture, self-leadership and nursing informatics competency. Self-leadership was a moderator and a mediator between organizational culture and informatics competency.

Conclusion

Based on the results of this study, self-leadership promotion strategies to improve nursing informatics competency are needed.

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