Purpose
According to the Ministry of Health and Welfare, the turnover rate of nurses working at regional trauma centers is 27.6%, which is almost double the turnover rate of 13.8% of all nurses in 2018. The turnover of nurses lowers the morale of the remaining nurses and increases their workload, negatively affecting hospital operation. This study aimed to investigate the mediation effect of grit on the relationship between the working environment and intention to stay at work among regional trauma center nurses, to reduce the turnover rate and improve their intention to stay at work.
Methods
The participants were 185 nurses with more than six months of clinical experience working at 16 regional trauma centers in South Korea. The data were collected using structured questionnaires from July 1, 2022 to July 31, 2022, and analysis was conducted using SPSS/WIN 25.0 programs.
Results
The intention to stay at work among regional trauma center nurses was different depending on age (F=6.32, p=.002), marital status (F=-3.66, p<.001), education level (F=5.29, p=.006), and total clinical experience (F=4.22, p=.007). Grit was found to have a complete mediating effect on the relationship between work environment and intention to stay at work (Z=4.49, p<.001).
Conclusion
To lower the turnover rate of trauma nurses and increase their intention to stay at work, it is necessary to subdivide the intervention program for various ages and clinical career, and to develop a mediation program that can improve nurses' grit by improving the working environment.

Citations

• Role of violence exposure on altruistic behavior and grit among emergency nurses in rural hospitals
  Mohamed Hussein Ramadan Atta, Shimmaa Mohamed Elsayed, Heba Emad El‐Gazar, Naglaa Gamal Eldien Abdelhafez, Mohamed Ali Zoromba
  International Nursing Review.2025;[Epub]     CrossRef

Purpose
This study aims to explore the mediating effect of burnout and the moderating effect of nursing work environment in the relationship between nursing competence and patient-centered care among nurses caring for patients with chronic disease. Methods: This study uses a cross-sectional descriptive research design. The participants were 150 nurses at a general hospital. The data were collected from February 10 to May 10, 2020. The questionnaire consisted of measuring tools for general characteristics, patient-centered care, nursing competency, nursing work environment, and burnout. The SPSS/25.0 program was used to analyze the data using descriptive statistics, Pearson's correlation coefficient, independent t-test, one-way ANOVA, Scheffé test, and hierarchical multiple regression. Results: The average score of patient-centered care was found to be 3.75±0.44. Nursing competency had a mean score of 3.64±0.44, nursing work environment of 3.04±0.43, and burnout of 2.91±0.68. Patient-centered care was significantly associated with nursing competency, nursing work environment, and burnout. In the relationship between nursing competency and patient-centered care, burnout had a partial mediating effect. The relationship between nursing competency and patient-centered care showed that nursing work environment had no moderating effect. Conclusion: The results revealed that patient-centered care was performed well if nursing competency was high. It is necessary to lower burnout and increase nursing competency such that patient-centered care can be performed better. In addition, since nursing work environment has a significant effect on nursing competency and patient-centered care, it is necessary to improve nursing work environment to improve nursing competency and patient-centered care performance.

Citations

• How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
  Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
  PLOS ONE.2025; 20(1): e0316654.     CrossRef
• Influence of Clinical Nursing Competency and Nursing Working Environment of Psychiatric Nurses on Person-Centered Care
  Pan Heui Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 229.     CrossRef
• Effects of ageism on burnout among clinical nurses
  Sukjae Park, Hyunmin Lee, Minsook Seo, Hee Kyung Kim, Eunhee Shin, Antony Bayer
  PLOS ONE.2024; 19(11): e0313043.     CrossRef
• Effects of Nursing Competence on Job Satisfaction across Career Stages
  Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
• The impacts of nurses' attitudes towards dementia, critical reflection competency, and nursing work environment on person-centered nursing in acute care hospitals: A descriptive study
  Minkyung Kim, Sujin Shin
  Journal of Korean Gerontological Nursing.2023; 25(4): 346.     CrossRef
• Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
  Song Hwa Nam, Eun A Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 588.     CrossRef
• Structural Equation Modeling of Person-Centered Nursing in Hospital Nurses
  Yeon Hee Bae, Hye-Ah Yeom
  Healthcare.2022; 10(3): 514.     CrossRef
• Effects of Compassionate Competence, Communication Skills, and Nursing Work Environment on Person-centered Care in General Hospital Nurses who Care for Cancer Patients
  Mi Jin Han, Seonho Kim
  The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11.     CrossRef
• Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
  Hyun-Joung Yun, Jaehee Jeon
  Korean Journal of Adult Nursing.2022; 34(4): 413.     CrossRef
• The Effects of Communication Ability and Nursing Work Environment on Geriatric Nursing Practices of Nurses in Comprehensive Nursing Care Service Wards: A Cross-Sectional Study
  Kum-Ock Kwon, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2022; 24(2): 123.     CrossRef
• Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients
  Na-Ri Seo, Hyun-E Yeom
  The Korean Journal of Hospice and Palliative Care.2022; 25(4): 159.     CrossRef
• Factors associated with the person-centered care competence of nursing students
  Ju Young Park, Chung Hee Woo
  The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48.     CrossRef

Purpose
This study aimed to obtain insights into the meaning and nature of the lived experiences of environmental health behavior among pregnant women. Methods: The hermeneutic phenomenology framework developed by Max van Manen informed this study, which included 17 pregnant women as participants. Data were collected using in-depth interviews of the participants between July and September 2020. Results: The key themes identified were: “fear of health threats to the mother and baby”, “patience with inconveniences for fetal health”, “movement for the environment”, and “generativity embodied from pregnancy”. Participants expressed that they had deeper experiences with regard to their environmental health behavior during pregnancy than they did before, and recognized that communal environmental behaviors impact future environmental pollution. They had a negative perspective towards environmental pollution involving plastics and chemicals, and wanted to protect their children's health by making the best possible behavioral choices. Conclusion: This study revealed the meanings of environmental health perceptions and behavioral experiences in the participants' sociocultural context. These findings have implications for health care providers' prenatal care practices that focus on environmental health from an ecological perspective.

Citations

• The protocol of DECO-MOM: a clinical trial testing the effectiveness of a mobile application for an environmental health intervention among pregnant women
  Hyun Kyoung Kim
  BMC Medical Informatics and Decision Making.2023;[Epub]     CrossRef
• The effects of environmental prenatal program on environmental health perception and behavior using internet-based intervention in South Korea: A non-randomized controlled study
  Hyun Kyoung Kim, Geum Hee Jeong, Hye Young Min, George Vousden
  PLOS ONE.2022; 17(11): e0277501.     CrossRef

PURPOSE
This study aimed to investigate the actual noise conditions in adult Intensive Care Units (ICUs) according to type, time, day of the week, and area.
METHODS
This study was conducted from February to March 2018. ICU noise levels were examined using a noise meter with a microphone an amplifier, auditory correction circuit, and indicator meter capable of directly reading A-weighted decibels (dBA). Noise was measured for 24 hours for seven days and the average dBA, maximum dBA, and minimum dBA were recorded.
RESULTS
The highest mean noise level was 58.48 dBA (range of 57.62~65.27), while lowest was 51.65 dBA (range of 51.36~52.86). Average noise levels on weekdays and weekends were over 50 dBA(the open zone was measured at 56.61 dBA, while the isolation zone was measured at 52.45 dBA. Further, daytime, evening work-times and weekdays were measured above 60 dBA, while nighttime noise levels were below 60 dBA. Finally, average noise levels during turnarounds, shift changes, and rounding times were above 60 dBA; open zone had higher average noise levels than the isolation zone.
CONCLUSION
This study showed that ICU noise levels exceeded those recommended by the World Health Organization regardless of type of noise, day of the week, or time. Therefore, studies are proposed to identify the need or importance of noise management by ICU personnel to reduce noise in ICUs. It also proposes studies to develop and apply noise reduction strategies that can be easily used in practice, reflecting the various characteristics of noise in ICUs.

Citations

• Factors Affecting Nurses’ Performance of Noise Management in Adult Intensive Care Units
  Seo Jeong Kim, Haeyoung Min, Majd T. Mrayyan
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• Noise Experience Status and Response to Noise of Patients and Nursing Staff in the ICU
  Sun-Hee Yun, Jung-Eun Choi, Hyoung-Soon Kim, Yang-Sook Yoo
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 207.     CrossRef
• Development and Application of an Intervention for Noise Reduction in Intensive Care Units
  Sun-Hee Yun, Na-Young Kwak, Yang-Sook Yoo
  Korean Journal of Adult Nursing.2020; 32(6): 584.     CrossRef

PURPOSE
This study was designed to identify knowledge, attitude, environment, and self-efficacy among perioperative nurses in terms of radiation protection and to describe those factors affecting radiation protection behaviors.
METHODS
The sample was comprised of 128 perioperative nurses who agreed to participate in this descriptive study. Data were collected from a self-administered questionnaire and were analyzed using the t-test, analysis of variance, Mann-whitney U test, Kruskal-Wallis test, Pearson's correlation, and multiple regression analyses.
RESULTS
Radiation protection behaviors were significantly different by participant's gender, length of career as a perioperative nurse, educational level and prior experience with radiation protection education. Radiation protection behaviors were significantly correlated with radiation protection environment and self-efficacy in terms of radiation protection behaviors. In the multiple linear regression models, radiation protection environment and self-efficacy on radiation protection behaviors were statistically significant predictors of radiation protection behaviors, which accounted for 50.3% of variance in dependent variable.
CONCLUSION
This study concluded that radiation protective environment in operating room is important to promote radiation protective behaviors and radiation safety management program to enhance self-efficacy is highly recommended.

Citations

• Factors Influencing Radiation Protection Behavior of Nurses in Intensive Care Units
  Seo Jeong Kim, Yun Hee Kim
  Journal of Korean Critical Care Nursing.2024; 17(3): 1.     CrossRef
• Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
  Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
  Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
• Factors Influencing Protective Behaviors for Dental Radiation Exposure among Female Korean Dental Hygienists Using Health Belief Model
  Su-Yeon Hwang, Jung-Eun Park, Jong-Hwa Jang
  International Journal of Environmental Research and Public Health.2022; 19(1): 518.     CrossRef
• Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses
  Sookkyoung Park, Yaki Yang
  International Journal of Environmental Research and Public Health.2021; 18(12): 6238.     CrossRef
• Factors Affecting Radiation Protection Behaviors among Emergency Room Nurses
  Su Jin Lee, Sunjoo Boo, Jeong-Ah Ahn, Mi-Ae You
  Journal of Korean Critical Care Nursing.2020; 13(1): 15.     CrossRef
• A Study on Knowledge, Attitude and Behavior for Radiation Protection of Nurses : Focus on the Operating Rooms and Intensive Care Units
  Choi Jung-im, Yang Young-Ok
  Journal of Radiological Science and Technology.2019; 42(6): 461.     CrossRef
• Radiation safety education and compliance with safety procedures—The Korea Nurses’ Health Study
  Oksoo Kim, Mi Sun Kim, Hee Jung Jang, Hyangkyu Lee, Younhee Kang, Yanghee Pang, Heeja Jung
  Journal of Clinical Nursing.2018; 27(13-14): 2650.     CrossRef

PURPOSE
This study examined the effect of work environment and job satisfaction on service quality among staff caring for the elderly.
METHODS
A convenient sample was 192 staff members from 95 elderly facilities. Data collection occurred from June to July, 2011 using a self-administered questionnaire. Data was analyzed using SPSS/WIN 18.0.
RESULTS
Among the subscales of Work Environment Scale, the self-realization score was the highest followed by workload, nervousness, and conflict. The mean score of job satisfaction was 71.43. Reliability was the highest followed by assurance, empathy, responsiveness, and tangibles. Predictive factors of service quality included self-realization work environment and job satisfaction.
CONCLUSION
Exploration of strategies to improve the recognition of self-realization work environment and job satisfaction will be necessary in order to increase of service quality among staffs in elderly facility.

Citations

• Factors Influencing Quality of Care Service of Caregivers for Preschoolers
  Soyeon Jung, Younhee Hong, Sohyune Sok
  International Journal of Environmental Research and Public Health.2021; 18(8): 4291.     CrossRef
• Nurses’ Perceptions of Care Robots in Long-term Care Facilities
  Eunmin Hong, Sujin Shin
  Journal of Korean Gerontological Nursing.2019; 21(1): 22.     CrossRef

PURPOSE
This study was aimed to examine the prevalence of metabolic syndrome (MetS) and cardiovascular risk factors among workers at small-sized companies having fewer than 50employees in Korea.
METHODS
A descriptive cross-sectional study was conducted using a secondary data analysis on workers' health examination data. Data from 21,784 employed workers were analyzed, including 16,488 males (mean age 38.7years)and 5,296 females (mean age 40.5 years). Participants were newly enrolled in annual health check-ups at a professional health clinic from 2009 to 2011. Logistic regression analysis was performed to identify age-adjusted gender specific predicting factors of MetS incidence.
RESULTS
The prevalence of MetS was 13.4% in male and 7.7% in female workers. Logistic regression analysis showed that, when age was adjusted for, family history of cardiovascular disease (CVD) was a predicting factor in both male and female workers. For male workers, heavy alcohol drinking and non-manual occupation (office workers/drivers) predicted MetS.
CONCLUSION
Health care providers should screen for MetS periodically in small work places especially for those with a family history of CVD. Educational counseling needs to be given to male workers with sedentary occupations with an aim to reduce heavy drinking and encourage lifestyle modification.

PURPOSE
This study was to identify the perceptions of nursing student on the clinical practice environment and related variables.
METHODS
The subjects of this study were 180 nursing students from a college participated in clinical practice at four regional hospitals. Data was collected with the questionnaire tool for the perceptions of clinical practice environment.
RESULTS
The students highly satisfied in the major had significantly high perception in innovation, personalization, student involvement, and clinical practice satisfaction. The students with a low level of stress and a clearly named guidance nurse were significantly high in the perceptions of task orientation, innovation, personalization, student involvement, and practice satisfaction. Clinical practice environment variables such as task orientation, innovation, individualization, personalization, student involvement, and practice satisfaction were significantly correlated with each other. In student characteristics, the main variables directly influencing the perceptions of clinical practice environment were religion, the level of stress, and the method of guidance.
CONCLUSION
Understanding the students' perspective would be valuable for promoting a positive clinical practice environment. Developing a cooperative system between the college and educational hospitals is necessary for effective clinical practice education

PURPOSE
As population of elderly people continues to grow, successful aging has risen to the top of the nursing science agenda. The successful aging includes maintenance of the cognitive and physical functions, as well as emotional well-beings. This study was carried out to evaluate effects of the environmental enrichments on cognition of institutionalized elderly. METHOD: The population was selected among the elderly aging over 65 residing at two of institutions. A quasi experimental design was used with non-equivalent control group. Study subjects were thirteen for each group. For the experimental group, physical, social and symbolic environmental enrichment program was provided for six weeks. The data were analyzed by repeated measure ANOVA and repeated measure ANCOVA using SPSS Win 11.0. RESULT: Compared to control group, the experimental group showed a significant difference on DSF(F=3.29, p=.046), and TMTA(F=4.76, p=.013) of cognitive function, and depression (F=5.56, p=.007) of emotional distress after 1 and 12 weeks of environmental enrichment program. CONCLUSION: Findings indicate that physical, social, and symbolic environmental enrichment was effective to partially prevent from cognitive decline, and to decrease emotional distress of elderly. As a nursing intervention, environmental enrichment program for elderly should be expanded for nursing practice to promote healthy aging and to offer support to the growing population of elderly. Further research should be conducted to evaluate the effect on the community elderly.

PURPOSE
This ethnography was conducted to describe the meaning of illness of the elderly in traditional folk healing performance.
METHOD
This study was guided by Klienman's explanatory model of health care systems. The fieldwork was conducted in an agricultural clan of Namwon City from January of 1990 to Feburary of 2001. Research data were collected by Ehnographic interview and participant observation. Participants of this study were 10 elders aged 74 years old to 96 years old; two of them were male. The data were analysed with the techniques of taxanomy, flow and decision, and proxemics.
RESULT
The meaning of illness was categorized with four compononts, that is, ritual for life, defeat and failure in power game, humiliating punishment for guilt, and Tal. CONCULSION: These meanings were constructed on physical and socio-cultural environment of this clan. The healing strategies were determined based on the meanings of illness. These results can be used to understand the health behavior of the elderly and thus ensure the quality of nursing for the elderly.