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10 "Self concept"
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Original Articles
Development of Job-Esteem Scale for Korean Nurses
Choi, Hyun Ju , Jung, Kwuy Im
J Korean Acad Nurs 2020;50(3):444-458.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19209
AbstractAbstract PDF
Purpose
The purpose of this study was to develop the Job Esteem Scale for Korean Nurses (JES-KN) and verify its validity and reliability.
Methods
Preliminary items were based on the attributes and indicators elicited from a concept analysis study on Korean nurses’ job-esteem.The final preliminary tool for the main survey was confirmed through the content validity test of 10 experts and preliminary surveyof 20 hospital nurses. The final preliminary scale was used on 350 hospital nurses in the scale testing phase for the main survey designedto test the validity and reliability of the scale.
Results
The final scale consisted of 28 items and 6 factors, these factor explained 66.6% ofthe total variance. The correlation between the total score and factors ranged from .64 and .84, validating that each sub-factor is suitableto explain job esteem. The correlation coefficient between this scale and the Job Satisfaction Scale for Clinical Nurses ranged from .41 to.70, and the internal consistency for the scale using Cronbach’s a for the total items was .94.
Conclusion
The JES-KN is a valid and reliabletool that reflects the reality of clinical sites accordingly. The JES-KN may well be used effectively to assess and evaluate the job esteem ofKorean nurses.
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Threats to Identity: A Grounded Theory Approach on Student Nurses’ Experience of Incivility during Clinical Placement
Jiyeon Kang, Yeon Jin Jeong, Kyoung Ran Kong
J Korean Acad Nurs 2018;48(1):85-95.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.85
AbstractAbstract PDF
Abstract Purpose

This qualitative study aimed to explore the experience of incivility among nursing students.

Methods

Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents.

Results

Incivility occurred in the context of a hierarchical organizational culture, due to nursing students’ position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as “being mistreated as a marginal person,” and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students’ experience of incivility could eventually lead to workplace bullying in nurses.

Conclusion

The results of this study suggest that nursing students’ experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.

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An Analytical Study of the Professional Self-Concept of Hospital Nurses in Korea
Kyeong Yae Sohng, Choon Hee Noh
Journal of Nurses Academic Society 1996;26(1):94-106.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.1.94
AbstractAbstract PDF

Nursing literature suggests that the self-concept of nurses gives an important implications to educators and administrators as well as clinicians for their professional development. With a view to ex ploring how nurses view themselves, the Professional Self-Concept of Nurses Instrument (PSCNI) using 27 Likert items was developed by Arthur in Australia in 1990. This study is an extension of the PSCNI using Korean samples with some modifications. A convenience sample was drawn from 800 nurses working in three university hospitals in Seoul; three university hospitals in Kyonggi-do and a university hospital and a psychiatric hospital in Kangwon-do. Seven hundred questionnaires were analyzed using the statistical analysis system(SAS). The reliability of the scale was tested by test-retest and Cronbach's alpha. Differences in the PSCNI, which are closely related to demographic variables, were examined by t-test, ANOVA and the Duncan's multiple range test. Factor analysis was employed so as to examine component factors. The results are summarized as follows: 1. The test-retest reliability of the PSCNI was .79 and Cronbach's alpha was .85. Item correlations with total revealed consistent correlations and subscale reliability varied from .49 to .85. 2. The average score of PSCNI was 75.21 and average item score was 2.79. 3. Twenty four items were derived from the PSCNI 27 items and these items clustered in three component factors. The cumulative percent of variance was 38.12% and for factor 1 was 22.81%, for factor 2, 9.79% and for factor 3, 5.51% respectively. 4. A comparison of the scores for the dimensions of the PSCNI shows a relative difference in terms of mean item scores and in decending order, professional practice (m=2.83), communication (m=2.82) and satisfaction (m=2.70). 5. Professional self-concept of nurses was found to vary significantly according to age(P=.0001), re-ligion (P=,0001), academic background(P= .0109), marital status (P=. 0001), career (P= . 0001) and position (P=. 0001). In conclusion, there was a correlation between professional self-concept of nurses, and life and work variables. This study provides an important message for administrators and nurse educators by highlighting factors which can be addressed by education programs, staff development and appraisal. While the test results largely confirm the Australian and Canadian tests, further research is necessary to improve the cumulative percent of variance instead of applying Arthur's PSCNI directly to Korean nurses.

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Nurse Managers' Moral Self Concept and Ethical Sensitivity
Yong Soon Kim, Jee Won Park, Youn Jung Son, Sung Suk Han
Journal of Korean Academy of Nursing 2002;32(7):1072-1078.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.7.1072
AbstractAbstract PDF

PURPOSE: This descriptive study was designed to find out the relationship between moral self concept and ethical sensitivity of nurse managers.
METHODS
Study data were collected from Aug 6, 2001 to Aug 24, 2001. Study subjects were 283 nurse managers working in university hospitals. Moral self concept was measured with questionnaire developed by Chung (1965) and ethical sensitivity was measured with the questionnaire developed by the researchers.
RESULTS
1. The score for degree of nurse managers' moral self concept was shown to be an average of 3.06 out of 4.00, which is relatively high. The score for degree of nurse managers' ethical sensitivity was shown to be an average of 2.84 out of 4.00 2. Analysis of correlation between moral self concept and ethical sensitivity showed a statistically significant positive correlation (r= .34, p=.00). 3. In general characteristics, a variable that caused significant difference in moral self concept was the total period of experience as a nurse (F=3.52, p=.02). A variable that caused significant difference in ethical sensitivity was the current working department (F=3.91, p=.01). 4. Nurse administrator's moral self concept was significantly related to ethical sensitivity (r= .34, p= .00).
CONCLUSION
It is important to intensify individual moral self concept in order to improve ethical sensitivity of nurse managers. Also, it is recommended that investigate variables affected moral self concept and develop a nursing education program to promote moral self concept in nurse administrators.

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A Comparative Study on Main Role, Professional Self Concept and Job Satisfaction of Public Health Nurses and Clinical Nurses
Ki Wol Sung
Journal of Korean Academy of Nursing 2002;32(2):219-230.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.2.219
AbstractAbstract PDF

PURPOSE: This study was aimed at comparing and evaluating one main role, the professional self concept and job satisfaction of public health nurses and clinical nurses. METHOD: The data was collected from 72 nurses in 8 health centers and 86 nurses in 5 hospitals in Daegu city and Kyungpook province from May 5th to June 5th, 2001. This study was interviewed by trained social workers. The origin of questionnaires used in this study were PSCNI(Professional Self-Concept of Nurses Instrument) to measure the professional self concept of nurses and JDI(Job Descriptive Index) to measure the job satisfaction of nurses. The data was analyzed by SAS(version 6.12) and statistical methods used were Chi-square test, t-test, ANOVA(analysis of variables) and ANCOVA(analysis of covariate). RESULT: The findings of this study were as follows: 1. The most important domain in the main role of public health nurses were as counsellors, managers, mediators and evaluators. In clinical nurses, their main roles were, directors of nursing, researchers, spokesmans, and informers. 2. Public health nurses showed lower scores in the professional self concept of nurses than clinical nurses, what statistically significant tool was used to suggest this finding. 3. Public health nurses showed higher scores in job satisfaction than clinical nurses, but again, explain the tool used in these findings for give a rationals. 4. For public health nurses, general characteristics which affected professional self concept were age, educational level, and duration of job. In clinical nurses, the general characteristics which affected professional self concept were age, religion, marital status, and duration of job. 5. For public health nurses, there was no general characteristic which affected job satisfaction. In clinical nurses, the general characteristics which affected job satisfaction were age, religion, and duration of job. CONCLUSION: Nursing profession should give a training to competent nurses who can deliver high quality care to meet the needs of health consumers. The role of nurses has been expended and specialized as health conception has been changed in Korea.

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Development and Application of Online Education on Death
Kae Hwa Jo, Hyun Ji Lee, Yun Ju Lee
Journal of Korean Academy of Nursing 2007;37(4):442-452.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.442
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an online education on death, ‘successful life, and beautiful death’ for university students and to evaluate students' changes regarding perception of self and death.

Method

A quasi-experimental design was used with one experimental group pre-post test. Subjects were 154 students who enrolled for online education about death for 16 weeks. SPSS/WIN 12 was used for analyzing data.

Result

The results of the study clearly indicated this class had positive effects on students' perception of death-related concepts, attitudes toward death, and self-concept, showing statistically significant higher scores in post-tests than in pre-tests. In addition, the result of class evaluations showed a positive response,

Conclusion

Findings suggested that this online education about death was effective to change students' perceptions of death related knowledge, attitude toward death, and self-concept. Recommendations for further studies were provided.

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Self-image and Social Support of Adolescents among the Korean-Chinese
Wen Xiang Cui, Sheng Ji Jin, Kasil Oh
Journal of Korean Academy of Nursing 2005;35(7):1343-1352.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.7.1343
AbstractAbstract PDF
Purpose

This study was designed to identify the degree of self-image and social support among Korean-Chinese adolescents and investigate the relationship between these variables.

Method

A total of 621 Korean-Chinese adolescents in five middle schools in YanBian, China were recruited from March 1st to the 9th, 2005. Data was analysed using descriptive statistics, Pearson correlation coefficient, t-test, and ANOVA with the SPSS 11.5 program.

Result

In Korean-Chinese adolescents, the total self-image score was statistically different for age, parents' education status, parents' job and living with parents. In the 12 subscales, scoresof emotional tone, impulse control, sexuality, social functioning, vocational attitudes and self-reliance had significant differences between groups regarding gender. The total self-image was in the average range. However, areas of mental health and family function were lower than average and the scale of idealism washigher than average. The adolescents perceived parent's support was higher then friend's support. There was a positive correlation between self-image and social support.

Conclusion

The findings suggest there is a need to examine self-image and social support of Korean- Chinese adolescents according to their parents' marital status and a need to develop a program to help these broken family's adolescents.

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Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach
Liping Ren, Hyunli Kim
J Korean Acad Nurs 2017;47(5):700-711.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.5.700
AbstractAbstract PDF
Abstract Purpose

This study aimed to test a proposed structural equation model in which bullying experience, conflict management styles and psychological empowerment predict psychological well-being among Chinese nursing students in clinical placement.

Methods

Three hundred and sixty-six nursing students recruited from five hospitals in J city and Y city were assessed with self-report questionnaires on bullying experience, conflict management styles, psychological empowerment and psychological well-being including depression, self-esteem, and academic major satisfaction. Data were analyzed using SPSS version 20.0 and AMOS version 22.0.

Results

The evaluation parameters included the comparative fit index at .90, the goodness of fit index at .93, the root mean square error of approximation at .07, and c2/df ratio at 2.66, indicating that the proposed structural equation model provided a good fit to the data. Experience of being bullied during clinical placement, conflict management styles and psychological empowerment explained 93.0% of the variance and had significant effects on psychological well-being, with conflict management styles and psychological empowerment mediating the association between bullying and psychological well-being.

Conclusion

The findings indicated that mediation by conflict management styles and psychological empowerment alleviated the negative influence of bullying on psychological well-being. To limit bullying and its negative effects, development of effective guidelines to deal with bullying will be a critical tool for both Chinese nursing students and their instructors. Further research should incorporate conflict management styles and psychological empowerment into the specific intervention strategies for handling bullying behaviors among nursing students and staff nurses and promoting nursing students’ psychological well-being.

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Effectiveness of an Interpersonal Relationship Program on Interpersonal Relationships, Self-esteem, and Depression in Nursing Students
Hee Sang Yoon, Gyung-Hee Kim, Jiyoung Kim
J Korean Acad Nurs 2011;41(6):805-813.   Published online December 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.6.805
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effectiveness of an interpersonal relationship program on interpersonal relationships, self-esteem, and depression in nursing students.

Methods

This was a quasi-experiment with a nonequivalent control group pre-posttest design. Sixty-four nursing students participated in the study with 31 in the experimental group and 33 in the control group. They were from 3 different colleges of nursing located in Seoul. The interpersonal relationship program was held 10 times over 10 weeks, taking 90 minutes per session. The interpersonal relationship change scale developed by Schlein and Guemey, Rosenberg's self-esteem scale, and CED-S for depression were the instruments used in the study. The data collection period was from January 4 to March 8, 2011, and the collected data were analyzed with SPSS 14.0 using the X2-test, t-test, and paired t-test.

Results

The results showed a significant difference between the experimental group and the control group in terms of the degree of interpersonal relationships, self-esteem, and depression.

Conclusion

The results indicate that interpersonal relationship programs have positive effects for improving interpersonal relationships and self-esteem, and decreasing depression in nursing students.

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Causal Relationships between School Adjustment of Middle School Students and Related Variables
Jeongyee Bae
J Korean Acad Nurs 2008;38(3):454-464.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.454
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the causal relationship of familial factors (parental acceptance, autonomy, and family satisfaction), social support (teacher’s support and friend’s support), school achievement, self-concept, and school adjustment. Based on preceding research, this study established a path model of school adjustment and its related variables.

Methods

Two thousand six hundred and twenty nine middle school students participated in this study. Data were collected by a visit-survey with an organized questionnaire and was analyzed by the SPSS and AMOS programs.

Results

Self-concept showed a significantly direct influence to school adjustment while both family satisfaction and school achievement directly and indirectly influenced school adjustment. Parental acceptance, autonomy, and social support indirectly influenced school adjustment.

Conclusion

These results imply that first, family satisfaction and self-concept are essential to solve the problems of school adjustment. Especially friend’s support, teacher’s support and school achievement should help improve the self-concept and school adjustment. Second, a variety of programs are available for schools to employ in an effort to provide interventions for students who demonstrate school maladjustment. Finally, it is necessary for family, school and society members to comprehensively cooperate to improve school adjustment.

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