Journal of Korean Academy of Nursing

Research Papers

Effects of Nursing Work Environment on Intention to Stay of Hospital Nurses: A Two-Mediator Serial Mediation Effect of Career Motivation and Job-Esteem: Lee, Yu Na , Kim, Eungyung; J Korean Acad Nurs 2023;53(6):622-634. Published online December 31, 2023; DOI: https://doi.org/10.4040/jkan.23038

Abstract PDF: Purpose
This study aimed to identify the mediating effects of career motivation and job-esteem and the effect of the nursing work environment on intention to stay among hospital nurses.
Methods
Data were collected from 289 nurses working at an advanced general hospital. The research model design was based on the PROCESS macro proposed by Hayes and analyzed using SPSS 24.0 program.
Results
The results showed a positive correlation between intention to stay and nursing work environment (r = .19, p = .001), career motivation (r = .34, p < .001), and job-esteem (r = .37, p < .001). Nursing work environment (B = 0.34 [.09~.59]) and job-esteem (B = 0.27 [.04~.49]) had a direct effect on intention to stay. There was a two-mediator sereal mediation effect of career motivation and job-esteem. The nursing work environment showed a significant effect on the intention to stay among hospital nurses through career motivation and job-esteem.
Conclusion
In order to increase the retention rate of hospital nurses, it is suggested that government and medical institutions provide multifaceted support that can increase nurses’ motivation for career development and recognition of the nursing profession through improvement of the nursing work environment.

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Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration: Lee, Eunyoung , Cho, Insook , Cho, Seong Jin , Lee, Eunju; J Korean Acad Nurs 2021;51(2):232-244. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20280

Purpose
This study aimed to identify the modifiable factors affecting breastfeeding planning and duration among healthy mothers and their use of breastfeeding information resources.
Methods
A cross-sectional survey was conducted in a community setting. Four hundreds participants were recruited at five pediatric clinics and three community health centers located in Paju-si and Goyang-si, Gyeonggi-do, between January and May 2019. Based on the breastfeeding decision-making model, driven by Martens and Young’s work, the survey items consisted of demographics, childbirth and breastfeeding characteristics, and breastfeeding information resources. In the analysis, 389 responses were used in the t-test, ANOVA, and logistic regression. Information resource networks were compared before and after childbirth including a subgroup analysis depending on the breastfeeding duration.
Results
The modifiable factors affecting breastfeeding planning and duration were antenatal and postpartum breastfeeding education and the provision of information in the hospital. The frequency of Internet use and websites visited were notable and potentially modifiable factors, which were also observed in the networks showing different relationship patterns according to participant subgroups and times. The childbirth event increased the centralization of the network in the planned group, while the network of the non-planned group was more diffused after childbirth. The network of the short-term breastfeeding group was characterized by a more centralized pattern and the resources of high betweenness centrality than the long-term group.
Conclusion
Breastfeeding education is a consistent factor that affects breastfeeding behavior. A well-designed internet-based approach would be an effective nursing intervention to meet the needs of women seeking breastfeeding information and changing their behaviors.

Citations

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Survey on the Status of Breastfeeding in Korean Medical Institution Workers
Tae Hyeong Kim, Sung-Hoon Chung, Jun Hwan Kim, Youngmin Ahn, Son Moon Shin, Woo Ryoung Lee, Eui Kyung Choi, Juyoung Lee, Hye-Jung Shin, Euiseok Jung, Ju Sun Heo, Jin A Lee, Soon Min Lee, Seong Phil Bae, Jeonglyn Song, Chae-Young Kim, Dae Yong Yi
Journal of Korean Medical Science.2022;[Epub] CrossRef
A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea
Yong-Sung Choi, Sung-Hoon Chung, Eun Sun Kim, Eun Hee Lee, Euiseok Jung, So Yeon Lee, Wooryoung Lee, Hye Sun Yoon, Yong Joo Kim, Ji Kyoung Park, Son Moon Shin, Ellen Ai-Rhan Kim
Neonatal Medicine.2022; 29(1): 28. CrossRef
Breastfeeding Success Experience of Primiparas
Sun Ok Lee, Sung Soon Na, Hee Sook Kim, Kyung Eui Bae, Mi Sun Youn, Eun Ju Oh
Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 254. CrossRef
Breastfeeding experiences of women with gestational diabetes
Seungmi Park, Soo-Young Yu
The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 274. CrossRef

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Original Articles

A Structural Equation Model on Family Strength of Married Working Women: Yeong Seon Hong, Kuem Sun Han; J Korean Acad Nurs 2015;45(6):900-909. Published online December 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.6.900

Abstract PDF

Purpose

The purpose of this study was to identify the effect of predictive factors related to family strength and develop a structural equation model that explains family strength among married working women.

Methods

A hypothesized model was developed based on literature reviews and predictors of family strength by Yoo. This constructed model was built of an eight pathway form. Two exogenous variables included in this model were ego-resilience and family support. Three endogenous variables included in this model were functional couple communication, family stress and family strength. Data were collected using a self-report questionnaire from 319 married working women who were 30~40 of age and lived in cities of Chungnam province in Korea. Data were analyzed with PASW/WIN 18.0 and AMOS 18.0 programs.

Results

Family support had a positive direct, indirect and total effect on family strength. Family stress had a negative direct, indirect and total effect on family strength. Functional couple communication had a positive direct and total effect on family strength. These predictive variables of family strength explained 61.8% of model.

Conclusion

The results of the study show a structural equation model for family strength of married working women and that predicting factors for family strength are family support, family stress, and functional couple communication. To improve family strength of married working women, the results of this study suggest nursing access and mediative programs to improve family support and functional couple communication, and reduce family stress.

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Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(4): 309. CrossRef

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Depression of Married and Employed Women Based on Social-Role Theory: Insook Cho, Sukhee Ahn, Souk Young Kim, Young Sook Park, Hae Won Kim, Sun Ok Lee, Sook Hee Lee, Chae Weon Chung; J Korean Acad Nurs 2012;42(4):496-507. Published online August 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.4.496

Abstract PDF

Abstract Purpose

This study was based on social-role theory, and purposes were to investigate (1) how depression and health determinants vary with married and employed women, and (2) what factors contribute to depression according to family cycle.

Methods

A stratified convenience sample of 765 married and employed women was recruited during May to August 2010. Study variables of depression, socio-demographic threatening factors, psycho-stimulating factors, and social-role related factors were measured via a structured questionnaire.

Results

Prevalence rate for depression was 18.6%, with highest rate (25.4%) from elementary laborers. Greater levels of depression were related to women’s occupation, higher life stress, and poorer health; lower social support and vulnerable personality; higher levels of social-role related stress. From multivariate analysis, women with preadolescents were the most vulnerable to depression affected by occupation, life stress, personality, and parenting stress. These factors (except for occupational class) combined with economic status, social support, and housework unfairness were significant for depression in women with adolescents.

Conclusion

Depression among married and employed women differs by psycho-stimulating and social role relevant factors in addition to occupational class and family life cycle. Female elementary laborers and women with children need to have the highest prioritization for community mental health programs.

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Work–Family Conflict and Depressive Symptoms of Married Working Women in Korea: The Role of Marriage Satisfaction and Organizational Gender Discrimination Climate
Ji-Young Kim, Gye-Hyun Jung, Ji-Hye Kim
SAGE Open Nursing.2023;[Epub] CrossRef
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Jiwon Choi, Soohyun Noh, Haram Jeong, Hyekyeong Kim
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The Mediating Effects of Marital Intimacy and Work Satisfaction in the Relationship between Husbands’ Domestic Labor and Depressive Mood of Married Working Women
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Psychiatrie pro praxi.2020; 21(2): 90. CrossRef
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Factors Affecting Unmet Healthcare Needs of Working Married Immigrant Women in South Korea
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Life's Experiences of Middle-aged Divorced Women with Higher Education and Profession
Hyeong-Sook Park, Young-Sil Bae, Sung-Hwa Lee, Su-Jeong Yu, So-Young Jeon
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Yeongmi Ha, Hyunju Park
Korean Journal of Occupational Health Nursing.2016; 25(4): 329. CrossRef
The Influence of Health Behaviors and Health related Quality of Life on Depression among Korean Female Problem Drinker
Min Hee Park, Hae Ok Jeon
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(11): 7844. CrossRef
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Kyung-Jae Lee, Jeung-Im Kim
Asian Nursing Research.2015; 9(3): 265. CrossRef

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Work-related Stress and Risk Factors among Korean Employees: Eun Sook Choi, Yeongmi Ha; J Korean Acad Nurs 2009;39(4):549-561. Published online August 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.4.549

Abstract PDF

Purpose

Work-related stress and risk factors among Korean employees were identified in this study.

Methods

Data were obtained from employees aged 20 to 64 using the Korean Working Conditions Survey 2006 (KWCS). Multiple logistic regression analysis using SAS version 9.1 was performed to examine risk factors of work-related stress by gender.

Results

The age-adjusted prevalence of work-related stress among male and female employees was 18.4% and 15.1% respectively. After adjustments for multiple variables among both male and female employees, there was a significant relationship between work-related stress and risk factors including education, company size, work time, ergonomic risks, biological·chemical risks, and job demands. The significant variables for male employees were housework load, occupational class, and shift work, and for female employees, type of employment.

Conclusion

There is a need to develop and support intensive stress management programs nationally giving consideration to work-related stress associated with working time, physical working environment, and job demands. Based on gender specific approaches, for male employes, stress management programs should be developed with consideration being given to occupational class and shift work. For stress management programs for female employees, consideration needs to be given to permanent employment status, specifically those in small companies.

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Associations of extended work, higher workloads and emotional work demands with sleep disturbance among night-shift workers
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Sang Wan Chung, You Jung Ha, Eun Ha Kang, Yun Jong Lee, Yeong Wook Song
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Effects of a Breast Feeding Promotion Program for Working Women: Ji-Won Yoon, Young-Joo Park; J Korean Acad Nurs 2008;38(6):843-852. Published online December 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.6.843

Abstract PDF

Purpose

The purpose of this study was to measure the effects of a breast feeding promotion program for working women on breast feeding continuation, mother-infant attachment, and maternal sensitivity.

Methods

The design of this study is nonequivalent control group design with repeated measures.

Results

There were significant differences in breast feeding continuation between two groups at each time point except 2 days and 1 week after delivery. The scores of mother-infant attachment and maternal sensitivity of experimental group were higher than those of the control group, but there were no significant differences between two groups.

Conclusion

Although some modifications in contents and administration will be required to increase the effectiveness of the program, breast feeding promotion program for working women can be an effective nursing intervention which can facilitate breast feeding continuation and mother-infant relationships.

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Maternal sensitivity, its relationship with child outcomes, and interventions that address it: a systematic literature review
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Early Child Development and Care.2020; 190(2): 252. CrossRef
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Journal of Korean Academy of Nursing.2009; 39(2): 279. CrossRef

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Development of a Questionnaire to Measure Family Stress among Married Working Women: Gwang Suk Kim, Won Jung Cho; Journal of Korean Academy of Nursing 2006;36(5):761-769. Published online August 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.5.761

Abstract PDF

Purpose

Even though a number of studies have suggested that appropriate measuring instruments of family stress for working women have to be developed, the validity and reliability of the instruments used have not been consistently examined. The purpose of the present study was to develop a sensitive instrument to measure family stress for married working women, and to test the validity and reliability of the instrument.

Method

The items generated for this instrument were drawn from a comprehensive literature review. Twenty four items were developed through evaluation by 10 experts and twenty one items were finally confirmed through item analysis. Psychometric testing was preformed and confirmed with a convenient sample of 240 women employed in the industrial sector.

Result

Four factors evolved by factor analysis, which explained 50.5% of the total variance. The first factor ‘Cooperation’ explained 28.1%, 2nd factor ‘Satisfaction with relationships’ 10.6%, 3rd factor ‘Democratic and comfortable environment’ 6.3%, and 4th factor ‘Disturbance of own living’ 5.5%. Cronbach's coefficient of this instrument was 0.86.

Conclusion

The study supports the validity and reliability of the instrument.

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