Journal of Korean Academy of Nursing

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

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.

Citations

Citations to this article as recorded by

Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study
Suhyun Kim, Hye Won Jeong
BMC Nursing.2024;[Epub] CrossRef
Evidence-Based Practice Among Psychiatric Nurses: Knowledge, Attitudes, Organizational Readiness, Levels of Implementation, and Barriers and Facilitators
Chinwe Florence Samantha Ezeruigbo
Journal of Psychosocial Nursing and Mental Health Services.2023; 61(9): 47. CrossRef
Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
Soomi Kim, Chul-Gyu Kim
Journal of Korean Academy of Nursing.2023; 53(3): 275. CrossRef
Evaluating the performance of an integrated evidence-based nursing knowledge management (I-EBNKM) platform in real-world clinical environments
Myonghwa Park, Insook Jang, Sung Lim Kim, Wonjae Lim, Ga Ae Kim, Gyeongho Bae, Yerin Kim
International Journal of Medical Informatics.2023; 179: 105239. CrossRef
Sociodemographic and Work-Related Variables Affecting Knowledge of, Attitudes toward, and Skills in EBNP of Nurses According to an EBPPQ
Katarzyna Młynarska, Elżbieta Grochans, Magdalena Sylwia Kamińska, Anna Maria Cybulska, Mariusz Panczyk, Ewa Kupcewicz
International Journal of Environmental Research and Public Health.2022; 19(14): 8548. CrossRef
Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
Inhwa Hong, Young Eun
Journal of Korean Academy of Nursing.2020; 50(6): 863. CrossRef
Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture
Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
PLOS ONE.2019; 14(12): e0226742. CrossRef
Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses
Ae Ri Na Nam, Eun Ho Lee, Jeong Ok Park, Eun Jung Ki, Su Min Nam, Mi Mi Park
Journal of Korean Academy of Nursing Administration.2017; 23(3): 239. CrossRef
Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals
Hyun Jeong, Myonghwa Park
Journal of Korean Academy of Nursing Administration.2017; 23(3): 270. CrossRef
Factors Influencing Nurses’ Implementation of Evidence-based Restraint Use in Long-term Care Hospitals
Myonghwa Park, Mi Hwa Park
Journal of Korean Gerontological Nursing.2016; 18(3): 172. CrossRef

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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

Abstract 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.

Citations

Citations to this article as recorded by

The Impact of Patient-centered Care on the Patient Experience according to Patients in a Tertiary Hospital
Jia Kim, Miyoung Kim
Journal of Korean Academy of Nursing Administration.2023; 29(3): 288. CrossRef
Structural Equation Modeling of Person-Centered Nursing in Hospital Nurses
Yeon Hee Bae, Hye-Ah Yeom
Healthcare.2022; 10(3): 514. CrossRef
What is the mission of innovation?—Lexical structure, sentiment analysis, and cosine similarity of mission statements of research-knowledge intensive institutions
Julián D. Cortés, Rosella Levaggi
PLOS ONE.2022; 17(8): e0267454. CrossRef
Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
Sohyun Kim, Sunghee H Tak
Journal of Korean Academy of Nursing.2021; 51(3): 363. CrossRef
A Predictive Model on Patient-Centered Care of Hospital Nurses in Korea
Hyun Jeong, Myonghwa Park
Journal of Korean Academy of Nursing.2019; 49(2): 191. CrossRef

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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

Abstract 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.

Citations

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Evaluating private hospital performance from intellectual capital and digital perspective
Xiaoming Chen, Xin Shan, Jian Xu
Medicine.2024; 103(51): e41086. CrossRef
PERSONEL GÜÇLENDİRME İLE ENTELEKTÜEL SERMAYE ARASINDAKİ İLİŞKİNİN BELİRLENMESİ
Gülhan Gök
Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi.2024; 14(28): 1035. CrossRef
Perception of Importance of Patient Safety Management, Patient Safety Culture and Safety Performance in Hospital Managerial Performance of Hospital Nurses
Mi Yeon Park, Eun A Kim
Journal of Korean Academy of Nursing Administration.2018; 24(1): 40. CrossRef
Intellectual Capital and Organizational Effectiveness of Nurses: Comparison of Public and Private Hospitals
Jeong-Eun Oh, Gyeong-Suk Jeon, Kwang-Sim Jang
The Korean Journal of Health Service Management.2018; 12(2): 27. CrossRef
Effects of Intellectual Capital on Organizational Performance of Nurses in Medium and Small Hospitals
Won-Kyung Kim, Hyang-In Cho Chung
Journal of Korean Academy of Nursing Administration.2012; 18(4): 452. CrossRef

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