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J Korean Acad Nurs : Journal of Korean Academy of Nursing

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Original Articles
Structural Model of Evidence-Based Practice Implementation among Clinical Nurses
Hyunyoung Park, Keum Seong Jang
J Korean Acad Nurs 2016;46(5):697-709.   Published online October 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.5.697
AbstractAbstract PDF
Purpose

This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory.

Methods

Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program.

Results

The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses.

Conclusion

The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.

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Analysis of Mission Statements and Organizational Performance of Hospitals in South Korea
Eun-Kyung Kim, Se Young Kim, Eunpyo Lee
J Korean Acad Nurs 2015;45(4):565-575.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.565
AbstractAbstract PDF
Purpose

The purpose of the study was to examine mission statements and their elements and to investigate correlations between mission statements and organizational performance.

Methods

The current research was a descriptive study based on the examination of mission statements of 353 hospitals that posted mission statements on their webpage and 92 hospitals that made their income statements public.

Results

The most common mission element was 'identification of principal services', which accounted for 92.6%. Mission statements of hospitals included the average of 4.82 mission elements out of 9, and the objective of medical quality improvement was 0.81 among 6 objectives of IOM (Institute of Medicine). Net profit of hospitals with mission statements that have above average number of mission elements were significantly higher (t=2.71, p =.008) than those of other hospitals. Net profit was significantly correlated with mission statements (r=.26, p <.001), and mission elements (r=.29, p <.001).

Conclusion

The results of the study empirically reveal that mission statements in the hospital affect organizational performance. That is, better organizational performance is shown for hospitals with better, more diversified, and more firmly stated mission statements which include identification of target customers, identification of principal services, contribution to society as a non-profit organization, and concern for employees.

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Development of a Measurement of Intellectual Capital for Hospital Nursing Organizations
Eun A Kim, Keum Seong Jang
J Korean Acad Nurs 2011;41(1):129-140.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.129
AbstractAbstract PDF
Purpose

This study was done to develop an instrument for measuring intellectual capital and assess its validity and reliability in identifying the components, human capital, structure capital and customer capital of intellectual capital in hospital nursing organizations.

Methods

The participants were 950 regular clinical nurses who had worked for over 13 months in 7 medical hospitals including 4 national university hospitals and 3 private university hospitals. The data were collected through a questionnaire survey done from July 2 to August 25, 2009. Data from 906 nurses were used for the final analysis. Data were analyzed using descriptive statistics, Cronbach's alpha coefficients, item analysis, factor analysis (principal component analysis, Varimax rotation) with the SPSS PC+ 17.0 for Windows program.

Results

Developing the instrument for measuring intellectual capital in hospital nursing organizations involved a literature review, development of preliminary items, and verification of validity and reliability. The final instrument was in a self-report form on a 5-point Likert scale. There were 29 items on human capital (5 domains), 21 items on customer capital (4 domains), 26 items on structure capital (4 domains).

Conclusion

The results of this study may be useful to assess the levels of intellectual capital of hospital nursing organizations.

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