Journal of Korean Academy of Nursing

Conceptual Analysis of Career Anchors of Nurses: Oh, Jae Woo , Kim, Mi Ran; J Korean Acad Nurs 2023;53(1):28-38. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22091

Abstract PDF: Purpose
This study aimed to provide a theoretical basis for career anchors of nurses by defining and organizing its concept.
Methods
Using the Walker and Avant concept analysis, a total of 29 articles were analyzed through a literature search in this study.
Results
The career anchors of nurses are individual career choice motives, a self-concept where in competency and values are harmonized, which act as a desire for growth and development in nursing, and are actions that maintain careers. Additionally, they indicate the direction for achieving individual career goals and act as a core value expected of nurses by nursing organizations, indicating continuous and integrated professional growth and development of the nursing profession.
Conclusion
The career anchors of nurses identified in the results contribute to securing patient safety, providing quality care through policies, institutionalizing bases for career development, preventing nurse turnover, and retaining skilled nurses.

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The Effects of Exercise Therapy on Joint Mobility, Daily Activity, pain and Depression in patients with Ankylosing Spondylitis: Hyun Ja Lim; Journal of Korean Academy of Nursing 1999;29(2):328-335. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.328

Abstract PDF: This study was designed to investigate the effects of exercise therapy on joint mobility, daily activity, pain and depression of patients with ankylosing spondylitis. 25 persons with the experimental group and 25 persons with the control group were conveniently sampled among out-patients diagnosed with ankylosing spondylitis at the rheumatism center of H University Medical Center. The control patients were matched to the experimental group and they were selected considering sex and age. The exercise therapy was developed by the author with the assistance of exercise specialists. The program includes muscle relaxation, flexibility, muscle strengths, breathing strengths and straight posture exercises. The 20-minute exercise therapy was carried out to the experimental group once a day for eight weeks from October, 1997 to February, 1998. Before and after the experiments, joint mobility, daily activity, pain and depression were measured respectively. Data were analyzed by x2-test, t-test, paired t-test and unpaired t-test. The results were as follows : Joint mobility(cervical flexion, extension, shoulder flexion, abduction, hip abduction, knee flexion and fingertip to floor distance) and daily activity in the experimental group after the exercise were significantly increased than that in the control group. The pain and depression score in the experimental group after the exercise were significantly decreased than that in the control group. These findings may indicate that the exercise therapy is effective in increasing the joint mobility and daily activity, and also effective in decreasing pain and depression in patients with ankylosing spondylitis. Accordingly, the exercise therapy can be adopted as an effective nursing intervention for ankylosing spondylitis.

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Geographical Imbalances: Migration Patterns of New Graduate Nurses and Factors Related to Working in Non-Metropolitan Hospitals: Sung-Hyun Cho, Ji Yun Lee, Barbara A. Mark, Han Yi Lee; J Korean Acad Nurs 2012;42(7):1019-1026. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.7.1019

Abstract PDF: Purpose
To examine geographical imbalances by analyzing new graduate nurses' migration patterns among regions where they grew up, attended nursing school, and had their first employment and to identify factors related to working in non-metropolitan areas.
Methods
The sample consisted of 507 new graduates working in hospitals as full-time registered nurses in South Korea. Migration patterns were categorized into 5 patterns based on sequential transitions of "geographic origin-nursing school-hospital." Multiple logistic regression analysis was conducted to identify factors associated with working in non-metropolitan hospitals.
Results
Nurses who grew up, graduated, and worked in the same region accounted for the greatest proportion (54%). Sixty-five percent had their first employment in the region where they graduated. Nurses tended to move from poor to rich regions and from non-metropolitan to metropolitan areas. Working in non-metropolitan hospitals was related to older age, the father having completed less than 4 years of college education, non-metropolitan origin, non-capital city school graduation, and a diploma (vs. baccalaureate) degree.
Conclusion
Admitting students with rural backgrounds, increasing rural nursing school admission capacities, and providing service-requiring scholarships, particularly for students from low-income families, are recommended to address geographical imbalances.

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Nurses' Experience of Career Ladder Programs in a General Hospital: Kwang-Ok Park, Myungsun Yi; J Korean Acad Nurs 2011;41(5):581-592. Published online October 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.5.581

Abstract PDF: Purpose
The purpose of this study was to identify and describe nurses' experience of a career ladder program (CLP) in a general hospital in Korea.
Methods
The data were collected from 15 nurses who participated in the CLP. Each nurse completed individual in-depth interviews, for which the main interview question was "How do you describe your experience of CLP?". All interview data were transcribed and were analyzed using the grounded theory method.
Results
The core category of the experience of CLP was identified as "challenging to rebirth as an expert". The participants used five action/interaction strategies such as "taking some time for introspection", "appreciating the essence of nursing", "making use of feedback positively", "throwing away doubts about their own capabilities", "exerting themselves with confidence". The consequence of the process of adjusting to CLP was "positioning a differentiated expert."
Conclusion
The results of this study show that participants recognized CLP as a powerful resource which leads them to professional growth and development. Thus, CLP could be utilized as a clinical career-promoting program and ultimately as a program for providing high-quality nursing services.

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