Journal of Korean Academy of Nursing

Original Articles

Validity and Reliability of the Clinical Teaching Behavior Inventory (CTBI) for Nurse Preceptors in Korea: Myun Sook Jung, Eun Gyung Kim, Se Young Kim, Jong Kyung Kim, Sun Ju You; J Korean Acad Nurs 2019;49(5):526-537. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.526

Abstract Purpose

The aim of this study was to evaluate the validity and reliability of the Korean version of the Clinical Teaching Behavior Inventory (CTBI).

Methods

The English CTBI-23 was translated into Korean with forward and backward translation. Survey data were collected from 280 nurses’ preceptors at five acute-care hospitals in Korea. Content validity, construct validity, and criterion-related validity were evaluated. Cronbach's α was used to assess reliability. SPSS 24.0 and AMOS 22.0 software was used for data analysis.

Results

The CTBI Korean version consists of 22 items in six domains, including being committed to teaching, building a learning atmosphere, using appropriate teaching strategies, guiding inter-professional communication, providing feedback and evaluation, and showing concern and support. One of the items in the CTBI was excluded with a standardized factor loading of less than .05. The confirmatory factor analysis supported good fit and reliable scores for the Korean version of the CTBI model. A six-factor structure was validated (χ ²=366.30, p<.001, CMIN/df=2.0, RMSEA=.06, RMR=.03, SRMR=.05, GFI=.90, IFI=.94, TLI=.92, CFI=.94). The criterion validity of the core competency evaluation tool for preceptors was .77 (p<.001). The Cronbach's α for the overall scale was .93, and the six subscales ranged from .72 to .85.

Conclusion

The Korean version CTBI-22 is a valid and reliable instrument for identifying the clinical teaching behaviors of preceptors in Korea. The CTBI-22 also could be used as a guide for the effective teaching behavior of preceptors, which can help new nurses adapt to the practicalities of nursing.

Citations

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The relationships between clinical teaching behaviour and transition shock in newly graduated nurses
Bei Yun, Qian Su, Xuchun Ye, Yuhan Wu, Lian Chen, Yamei Zuo, Jia Liu, Lin Han
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Effects of Preceptors’ Clinical Teaching Behavior on the Field Adaptation of New Graduate Nurses: Mediating Effects of Self-Leadership and Resilience
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Journal of Korean Academy of Nursing Administration.2023; 29(5): 577. CrossRef
Effect of Preceptors' Teaching Behavior on New Graduate Nurses' Intention to Stay: The Mediating Effect of Resilience and Organizational Socialization
Eungyung Kim, Eunha Choi
Journal of Korean Academy of Nursing Administration.2022; 28(1): 57. CrossRef
Development and Preliminary Evaluation of the Effects of a Preceptor Reflective Practice Program: A Mixed-Method Research
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Effect of Nurses’ Preceptorship Experience in Educating New Graduate Nurses and Preceptor Training Courses on Clinical Teaching Behavior
Kyung Jin Hong, Hyo-Jeong Yoon
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Validity and Reliability of the Korean Version of the Apathy Evaluation Scale Short form for Patients with Dementia
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Patterns and Influential Factors of Inter-Regional Migration of New and Experienced Nurses in 2011~2015: Bohyun Park, Se Young Kim; J Korean Acad Nurs 2017;47(5):676-688. Published online October 31, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.5.676

Abstract PDF

Purpose

The purpose of this study was to analyze the migration patterns of new nurses and experienced nurses and to identify the factors influencing inter-regional migration for solving regional imbalances of clinical nurses in South Korea.

Methods

This study involved a secondary analysis of data from the Health Insurance Review and Assessment Service (HIRA). Data were analyzed using descriptive statistics and multiple logistic regression analysis.

Results

New nurses tended to migrate from Kyunggi to Seoul. However, experienced nurses tended to migrate from Seoul and Chungchung to Kyunggi. Significant predictors of inter-regional migration among new nurses were location and nurse staffing grade of hospitals. Significant predictors of inter-regional migration among experienced nurses were location, hospital type, nurse staffing grade, ownership of hospitals and age of nurses.

Conclusion

Inter-regional migration occupied a small portion of total hospital movement among clinical nurses. The regional imbalances of nurses were not caused by the migration from non-metropolitan areas to Seoul. Nurse shortage problems in the small and medium hospitals of the non-metropolitan area can be solved only through improvement of work environment.

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Turnover Rates and Factors Associated With Turnover: A Longitudinal Analysis of the Retention Period of Clinical Nurses in Korea Using National Data
Yunmi Kim, Hyun-Young Kim
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A Study on the Outflow Intention of Nursing Students in Non-Metropolitan Area: Honam Region
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Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
Jinseon Yi, Jinhyun Kim
Journal of Nursing Management.2022; 30(7): 3457. CrossRef
Re-employment Hospital Types of Early Career Nurses and Changes in Work-Life Balance
Eun-Young Kim, Yun-Kyung Oh
STRESS.2022; 30(3): 163. CrossRef
Retention Rates and the Associated Risk Factors of Turnover among Newly Hired Nurses at South Korean Hospitals: A Retrospective Cohort Study
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International Journal of Environmental Research and Public Health.2021; 18(19): 10013. CrossRef
Emotional Labor Strategies, Stress, and Burnout Among Hospital Nurses: A Path Analysis
Ji‐Soo Kim
Journal of Nursing Scholarship.2020; 52(1): 105. CrossRef
Nursing stress factors affecting turnover intention among hospital nurses
Eun‐Kyoung Lee, Ji‐Soo Kim
International Journal of Nursing Practice.2020;[Epub] CrossRef
The Influence of Organizational Justice, Organizational Culture and Emotional Intelligence on Intention of Retention in Reemployed Nurses
Yu Ri Jung, So Young Choi
Journal of Korean Academy of Nursing Administration.2020; 26(5): 501. CrossRef
Intention to leave among staff nurses in small‐ and medium‐sized hospitals
Jeong Hye Park, Min Jung Park, Hye Young Hwang
Journal of Clinical Nursing.2019; 28(9-10): 1856. CrossRef
Why newly graduated nurses in South Korea leave their first job in a short time? A survival analysis
Eunhee Lee
Human Resources for Health.2019;[Epub] CrossRef
Factors Influencing Nursing Students' Choices of a Place of Employment
Sun Ju You, Jong Kyung Kim, Myun Sook Jung, Se Young Kim, Eun Kyung Kim
Korean Journal of Health Promotion.2018; 18(4): 184. CrossRef

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Influence of Nurses' Self-leadership on Individual and Team Members' Work Role Performance: Se Young Kim, Eun-Kyung Kim, Byungsoo Kim, Eunpyo Lee; J Korean Acad Nurs 2016;46(3):338-348. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.338

Abstract PDF

Purpose

The purpose of this study was to examine correlations between nurses' self-leadership and individual work role performance and correlations between self-leadership in nursing units and team members' work role performance.

Methods

Participants were 202 conveniently selected general nurses from 5 general hospitals in Korea. The study was carried out on 35 nursing units. Data were collected during February 2015 with self-report questionnaires.

Results

For factors affecting individual work role performance, self-expectation, self-goal setting, constructive thought, clinical career in the present nursing unit and marital status accounted for 44.0% of proficiency, while self-expectation, self-goal setting, constructive thought, and marital status accounted for 42.3% of adaptivity. Self-expectation, self-goal setting, constructive thought, self-reward, clinical career in the present nursing unit and position accounted for 26.4% of proactivity. In terms of team members' work role performance, self-reward and self-expectation in nursing units explained 29.0% of team members' proficiency. Self-reward and self-expectation in nursing units explained 31.6% of team members' adaptivity, and self-reward in nursing units explained 16.8% of team members' proactivity.

Conclusion

The results confirm that nurses' self-leadership affects not only individual self-leadership but also team members' work role performance. Accordingly, to improve nurses' work role performance in nursing units of nursing organizations, improvement in nursing environment based on self-leadership education is necessary and nurses' tasks rearranged so they can appreciate work-autonomy and challenges of work.

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RETRACTED: Association of Self-Leadership With Acute Stress Responses and Acute Stress Disorders in Chinese Medics During the COVID-19 Pandemic: A Cross-Sectional Study
Rongjian Ji, Lan Zhang, Yanbo Ji, Guangzhao Li, Renxiu Wang, Cuiping Xu
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Nompumelelo Ntshingila, Charlene Downing, Marie Hastings‐Tolsma
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Journal of Korean Academy of Nursing Administration.2018; 24(5): 410. 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

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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
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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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Validity and Reliability of the Korean Version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate: Eun-Kyung Kim, Se Young Kim, Mi Ran Eom, Hyun Sook Kim, Eunpyo Lee; J Korean Acad Nurs 2014;44(4):398-406. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.398

Abstract PDF

Purpose

This study was done to develop and test the validity and reliability of the Korean version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-K) in assessing pain of elders with dementia living in long-term care facilities.

Methods

The PACSLAC-K was developed through forward-backward translation techniques. Survey data were collected from 307 elders with dementia living in 5 long-term care facilities in Korea. Data were analyzed using descriptive statistics, Pearson correlation, Spearman's rho, paired t-test, ROC (receiver operation characteristic) curve with the SPSS/WIN (20.0) program.

Results

The PACSLAC-K showed high internal consistency (.90), inter-rater reliability (.86), intra-rater reliability (.93), and high concurrent validity (.74) in paired t-test with PAINAD. Discriminant validity also showed a significant difference compared with no pain. The PACSLAC-K showed a sensitivity of .93, specificity of .88, and Area Under the Curve of .95 in the ROC curve.

Conclusion

The findings of this study demonstrate that PACSLAC-K is useful in assessing pain for elders with dementia living in long-term care facilities.

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Neeltje J. de Vries, Jenny T. van der Steen, Wilco P. Achterberg, Hanneke J.A. Smaling
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Psychogeriatrics.2020; 20(3): 278. CrossRef
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Mercedes Montoro-Lorite, Montserrat Canalias-Reverter
Enfermería Clínica (English Edition).2018; 28(3): 194. CrossRef
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Karol Bezerra Thé, Fernanda Martins Gazoni, Guilherme Liausu Cherpak, Isabel Clasen Lorenzet, Luciana Alves dos Santos, Edlene Maria Nardes, Fânia Cristina dos Santos
Einstein (São Paulo).2016; 14(2): 152. CrossRef
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Young-Seun Ryu, Jeong-Sook Park
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Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units: Young Mee Kim, Seung-Wan Kang, Se Young Kim; J Korean Acad Nurs 2014;44(2):198-208. Published online April 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.2.198

Abstract PDF

Purpose

This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used.

Methods

A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed.

Results

The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high.

Conclusion

This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

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Content Analysis of Patient Safety Incident Reports Using Text Mining: A Secondary Data Analysis
On-Jeon Baek, Ho Jin Moon, Hyosun Kim, Sun-Hwa Shin
Korean Journal of Adult Nursing.2024; 36(4): 298. CrossRef
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International Journal of Health Care Quality Assurance.2019; 32(5): 832. CrossRef

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Nurses' Experience of Incivility in General Hospitals: Se Young Kim, Kwang-Ok Park, Jong Kyung Kim; J Korean Acad Nurs 2013;43(4):453-467. Published online August 30, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.4.453

Abstract PDF

Purpose

This study was done to describe nurses' experience of incivility in hospitals and to consider nurses' work environment.

Methods

Data were collected through in-depth interviews and analyzed using Colaizzi' phenomenological analysis methodology. Participants were seven experienced clinical nurses working on a general ward (2 nurses), or in an intensive care unit (2 nurses), emergency room (2 nurses), or operating room (1 nurse).

Results

The incivility that nurses experienced was categorized as follows: 'being afflicted as a weak person', 'being treated as less than a professional', 'being overwhelmed by shock and anger', 'experiencing an untenable situation', 'struggling to survive', and 'pursuing professional growth'.

Conclusion

Behavior guidelines should be developed to reduce incivility, and incivility cases should be continuously monitored by the nursing department. Also, to handle incivility problems in clinical nursing areas, a reporting and counseling system and education programs are needed.

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Development and Validation of the Korean Patient Safety Culture Scale for Nursing Homes: Sook Hee Yoon, Byungsoo Kim, Se Young Kim; J Korean Acad Nurs 2013;43(3):379-388. Published online June 28, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.3.379

Abstract PDF

Purpose

The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability.

Methods

A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis.

Results

From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93.

Conclusion

The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.

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Structural Equation Modeling on Nursing Productivity of Nurses in Korea: Se Young Kim, Eun-Kyung Kim, Heon Man Lim, Mi Young Lee, Kwang-Ok Park, Kyoung A Lee; J Korean Acad Nurs 2013;43(1):20-29. Published online February 28, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.1.20

Abstract PDF

Purpose

The purpose of this study was to propose and test a predictive model that could explain and predict nursing productivity.

Methods

A survey using a structured questionnaire was conducted with 360 nurses in Korea. The data were analyzed using SPSS Windows 18.0 and AMOS 19.0 program.

Results

Based on the constructed model, burnout and organizational commitment were found to have direct effects on nurses' turnover intention and nursing productivity. While nursing work environment was found to have indirect effects on nurses' turnover intention and nursing productivity.

Conclusion

This structural equational model is a comprehensive theoretical model that explains the related factors and their relationship with nursing productivity. Comprehensive organizational interventions to improve nursing productivity should focus on improving the nursing work environment. Findings from this study can be used to design appropriate strategies to decrease nurse turnover in Korea. Further studies are needed to prospectively verify these causal relationships with larger samples.

Citations

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Gwang Suk Kim, Layoung Kim, Mi-So Shim, Seoyoung Baek, Namhee Kim, Min Kyung Park, Youngjin Lee
Journal of Korean Academy of Nursing.2023; 53(3): 295. CrossRef
Effect of Job Embeddedness on Turnover Intention of Nurses in Long Term Care Hospitals: The Mediating Effect of Nursing Work Environment
Sun Mi Ha, Yeong Ju Ko
Journal of Korean Academy of Nursing Administration.2020; 26(5): 439. CrossRef
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Sunmi Kim, Seok Hee Jeong
Journal of Korean Academy of Nursing.2020; 50(6): 757. CrossRef
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PLOS ONE.2019; 14(12): e0226742. CrossRef
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Journal of Korean Academy of Nursing Administration.2014; 20(4): 414. CrossRef

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A Model on Turnover Intention of Chief Nurse Officers: Kwang-Ok Park, Jong Kyung Kim, Se Young Kim, Sunju Chang; J Korean Acad Nurs 2012;42(1):9-18. Published online February 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.1.9

Abstract PDF

Purpose

The purpose of this study was to test the turnover intention model for chief nurse officers in general hospitals. The variables for the study included job stress, social support, job satisfaction, and organization commitment.

Methods

A predictive, non-experimental design was used with a sample of 144 chief nurse officers from 144 general hospitals. Data were collected using self-administered questionnaires and analyzed using SPSS, AMOS program.

Results

The overall fitness of the hypothetical model to the data was good (χ²=16.80, p=.052, GFI=.96, AGFI=.90, NFI=.97, CFI=.99). Job stress, social support, job satisfaction, and organization commitment explained 59.0% of the variance in turnover intention by chief nurse officers. Both organization commitment and social support directly influenced turnover intention for chief nurse officers, and job stress and job satisfaction indirectly influenced turnover intention.

Conclusion

The results imply that chief nurse officers in hospitals need social support and management of job stress to increase job satisfaction and organization commitment, and lower turnover intention.

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International Journal of Public Health.2024;[Epub] CrossRef
Mediating effects of workgroup processes on the relationship between nurse turnover and nurse outcomes in hospitals
Sung-Heui Bae, Suin Kim, Hwasook Myung
Frontiers in Public Health.2023;[Epub] CrossRef
Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals
Ju-Young Park, Jee-In Hwang
Journal of Korean Academy of Nursing.2021; 51(1): 27. CrossRef
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Journal of Korean Academy of Nursing Administration.2016; 22(4): 396. CrossRef
Literature Review of Structural Equation Models for Hospital Nurses' Turnover Intention in Korea
Eunhye Kim, Jinhyun Kim
Perspectives in Nursing Science.2014; 11(2): 109. CrossRef
Effects of Nurses' Social Capital on Turnover Intention: Focused on the Mediating Effects Organizational Commitment and Organizational Cynicism
Jeongwon Han, Heeyoung Woo, Eunsil Ju, Sohee Lim, Sangsook Han
Journal of Korean Academy of Nursing.2013; 43(4): 517. CrossRef
The Effects of DISC Behavior Styles of Office Workers on Job Satisfaction, Organizational Commitment and Job Performance
Yun-Young Kim, Young-Hwa Baek, Ki-Hyun Park, Jong-Hyang Yoo, Eun-Su Jang
Korean Journal of Occupational Health Nursing.2012; 21(2): 98. CrossRef

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A Study on Participation in Clinical Decision Making by Home Healthcare Nurses: Se Young Kim; J Korean Acad Nurs 2010;40(6):892-902. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.892

Abstract PDF

Purpose

This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making.

Methods

A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used.

Results

Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses.

Conclusion

In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses' participation in clinical decision making in cases where they can identify and solve the patient health problems.

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Moon-Sook Hwang, Hak Young Park, Soo Jung Chang
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Structural Equation Modeling on Clinical Decision Making Ability of Nurses
Min Kyoung Park, Soukyoung Kim
Journal of Korean Academy of Nursing.2019; 49(5): 601. CrossRef

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