Journal of Korean Academy of Nursing

Factors Influencing Re-Employment of Newly Graduated Nurses: Longitudinal Study: Oh, Yun Kyung , Kim, Eun-Young; J Korean Acad Nurs 2021;51(2):162-172. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20158

Abstract PDF: Purpose
The purpose of this study was to identify factors influencing the re-employment of newly graduated nurses.
Methods
A longitudinal design was employed. The participants in this online survey study were 138 newly graduated nurses who had left their first jobs. Data were collected from June 2019 to January 2020 and analyzed using descriptive statistics, chi-square tests, t-tests, Cox’s proportional hazards models with the IBM SPSS ver. 26.0 for Windows program.
Results
About 76.1% of the participants were re-employed within one year of leaving their first jobs and the average period until re-employment was about 14 weeks. Cox’s proportional hazards models revealed that factors affecting re-employment among newly graduated nurses were social support (hazard ratio [HR] = 1.39, 95% confidence interval [CI] = 1.01~1.91; p = .042), job search efficacy (HR = 1.33, 95% CI = 1.01~1.77;p = .047), and extrinsic outcome expectation (HR = 1.39, 95% CI = 1.08~1.79; p = .010).
Conclusion
Social support, job search efficacy, and extrinsic outcome expectation can play a significant role in the re-employment of newly graduated nurses. It is necessary to establish strategies to enhance their social support, job search efficacy, and extrinsic outcome expectation in order to increase the re-employment of newly graduated nurses.

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The Effect of Neighborhood Characteristics and Friends’ Smoking Status on the Habitual Smoking Onset in Adolescents: Choi, You-Jung , Kim, Gwang Suk; J Korean Acad Nurs 2021;51(1):54-67. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20212

Abstract PDF: Purpose
The aim of this study was threefold, to longitudinally examine the risk of habitual smoking onset in adolescents, to delineate the effects of neighborhood characteristics and friends’ smoking status on the habitual smoking onset, and to investigate whether the association between friends’ smoking status and habitual smoking onset was moderated by neighborhood characteristics.
Methods
This study conducted multilevel discrete-time survival analysis, using cohort data from the 3rd to 6th waves of the Korean Child and Youth Panel Survey, which excluded habitual smokers, matched with 2010 census data on respondents’ residence.
Results
Habitual smoking onset risk increased from the 8th to the 11th grade, and then slightly decreased from the 11th to the 12th grade. Friends’ smoking status (B = 0.60, p < .001), smoking rate (B = 0.06, p = .038), and the number of tobacco outlets in the respondents’ neighborhood (B = 0.51, p = .003) were positively associated with habitual smoking onset risk. Furthermore, the association between friends’ smoking status and habitual smoking onset risk was moderated by the number of tobacco outlets in the neighborhood. Specifically, the association was stronger in neighborhoods with more tobacco outlets (B = 0.58, p = .048).
Conclusion
Friends’ smoking status and living in neighborhoods that are more susceptible to smoking increase the risk of habitual smoking. The number of tobacco outlets in the neighborhood enhances the peer effect of adolescent’s smoking behavior. Therefore, policies or interventions designed to reduce youth’s tobacco use should focus on not only on reducing peer smoking, but also restricting smoking by adults and the number of neighborhood tobacco outlets.

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Predictors of Turnover among New Nurses using Multilevel Survival Analysis: Suhee Kim, Kyongeun Lee; J Korean Acad Nurs 2016;46(5):733-743. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.733

Abstract PDF: Purpose
The purpose of this study was to examine factors influencing new graduate nurse turnover.
Methods
This study was carried out as a secondary analysis of data from the 2010 Graduates Occupational Mobility Survey (GOMS). A total of 323 nurses were selected for analysis concerning reasons for turnover. Data were analyzed using descriptive statistics and multilevel survival analysis.
Results
About 24.5% of new nurses left their first job within 1 year of starting their jobs. Significant predictors of turnover among new nurse were job status, monthly income, job satisfaction, the number of hospitals in region, and the number of nurses per 100 beds.
Conclusion
New graduate nurses are vulnerable to turnover. In order to achieve the best health of the nation, policy approaches and further studies regarding reducing new graduate nurse turnover are needed.

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Risk Factors for Deliberate Self-extubation: Young Shin Cho, Jung Hee Yeo; J Korean Acad Nurs 2014;44(5):573-580. Published online October 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.5.573

Abstract PDF: Purpose
This study was conducted to analyze intubation survival rates according to characteristics and to identify the risk factors affecting deliberate self-extubation.
Methods
Data were collected from patients' electronic medical reports from one hospital in B city. Participants were 450 patients with endotracheal intubation being treated in intensive care units. The collected data were analyzed using Kaplan-Meier estimation, Log rank test, and Cox's proportional hazards model.
Results
Over 15 months thirty-two (7.1%) of the 450 intubation patients intentionally extubated themselves. The patients who had experienced high level of consciousness, agitation. use of sedative, application of restraints, and day and night shift had significantly lower intubation survival rates. Risk factors for deliberate self-extubation were age (60 years and over), unit (neurological intensive care), level of consciousness (higher), agitation, application of restraints, shift (night), and nurse-to-patient ratio (one nurse caring for two or more patients).
Conclusion
Appropriate use of sedative drugs, effective treatment to reduce agitation, sufficient nurse-to-patient ratio, and no restraints for patients should be the focus to diminish the number of deliberate self-extubations.

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