Purpose
The purpose of this study was to describe clinical practice nurse’s role experience working in a university hospital. Clinical practice nurses are a mix of certified and non-certified nurses. They perform some of the duties of physicians in addition to the work they do as nurses. In the future, such nurses may become advanced practice registered nurses. Methods Focus group interviews were conducted with three groups, each consisting of eight participants. The interview lasted two and a half hours per group. Data were analyzed using a thematic analysis method. Results The analysis yielded four categories and 14 themes. The four categories were “seeking an escape from the repeated routines as a nurse”, “pioneering and developing new roles as a clinical practice nurse”, “confusion about professional identity due to ambiguity in role boundaries”, and “securing oneself as a team member and establishing a role as a clinical practice nurse”. Conclusion The scope of advanced practice registered nurses’ roles was meant to have been established in 2020, but this was not achieved. Thus, studying the role experience of clinical practice nurses and their experiences is worthwhile and the results can inform legislation. The results of the study will also help establish a customized curriculum for advanced practice nurses and ultimately improve the quality of nursing services for patients.

Citations

• Exploring the Difficulties and Educational Needs of Surgical Unit Nurses in Caring for Surgical Patients: A Qualitative Content Analysis
  Ki Nam Kwon, Seon Young Hwang
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 24.     CrossRef
• Role Conflict of Physician Assistants with Nursing Licenses in Korea
  Byeongkwan Kim, Wonhee Jung
  Journal of Korean Academy of Nursing Administration.2024; 30(2): 141.     CrossRef

Purpose
Patients with heart failure report low levels of physical activity and quality of life, both of which are important predictors of patient prognosis. This study aimed to investigate the effects of nurse-led motivational interviewing on self-efficacy for exercise, engagement in regular exercise, exercise capacity, and quality of life among patients with heart failure.
Methods
A randomized controlled trial design was used, and 66 Korean participants (i.e., 38 in a control group and 28 in an intervention group) aged 40~80 years who were diagnosed with heart failure were recruited between May 2012 and September 2013. The intervention group received telephone-based motivational interviews twice a week for one month. All participants were assessed for exercise regularity, levels of exercise, exercise capacity, and quality of life at baseline, one month, and three months. The data were analyzed using independent t-tests, repeated measures ANOVA, and nonparametric tests.
Results
At one month, there were significant group differences in exercise regularity (x² =6.10, p=.013) and levels of exercise (Z=-2.56, p=.024). There was a significant group-by-time effect on the quality of life (F=3.76, p=.044).
Conclusion
Nurse-led motivational interviewing was effective in increasing exercise levels and quality of life in patients with heart failure. In the future, we propose a study with a larger number of participants and a long-term follow-up study with additional contact to maintain the intervention effect.

Citations

• Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities
  Marie Ivantechenko, Shubarna Akhter, Damara Gutnick
  Community Health Equity Research & Policy.2024;[Epub]     CrossRef
• Effectiveness of behavioural interventions with motivational interviewing on physical activity outcomes in adults: systematic review and meta-analysis
  SuFen Zhu, Deepra Sinha, Megan Kirk, Moscho Michalopoulou, Anisa Hajizadeh, Gina Wren, Paul Doody, Lucy Mackillop, Ralph Smith, Susan A Jebb, Nerys M Astbury
  BMJ.2024; : e078713.     CrossRef
• Benefits and Harms of Digital Health Interventions Promoting Physical Activity in People With Chronic Conditions: Systematic Review and Meta-Analysis
  Graziella Zangger, Alessio Bricca, Behnam Liaghat, Carsten B Juhl, Sofie Rath Mortensen, Rune Martens Andersen, Camma Damsted, Trine Grønbek Hamborg, Mathias Ried-Larsen, Lars Hermann Tang, Lau Caspar Thygesen, Søren T Skou
  Journal of Medical Internet Research.2023; 25: e46439.     CrossRef

PURPOSE
This study explored the care experience of persons assisting the disabled people with their activities.
METHODS
Concurrent triangulation mixed methods design was used. The quantitative data on care experience were collected from 370 personal assistants for the disabled persons from May 10 to June 30, 2017, while qualitative data were collected through focus group interviews with 11 personal assistants in August 2017.
RESULTS
The participants experienced unfair treatment including requests for doing work for the client's family or unrelated work (35.2%), violence or assault (23.6%), sexual harassment or interest (7.1%), and infection risk (7.1%). Many of them suffered from health problems such as work-related muscular pain, headache, or fatigue. There was low satisfaction with the psychosocial work environment and 16.2% participants experienced depression. The participants' care experience was classified into four categories of “feeling like giving up because of emotional difficulty”, “work overload and tough working condition”, “expectation to improve work confidence through practical skill training”, and “hope for systematic support”.
CONCLUSION
The results suggest that need-based emotional competence building programs are required to prevent their physical and emotional exhaustion among the personal assistants along with strengthening their job capacity. Furthermore, the decision makers need to pay attention to their work environment to ensure their emotional competence.

PURPOSE
The purpose of this study was to evaluate the experience of hospital nurses regarding their intention to stay at hospital.
METHODS
Experiential data were collected from 10 experienced nurses through in-depth interviews. The main question was "Could you describe your experience and your work during your years at the hospital?" Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology.
RESULTS
The core category of experience regarding hospital nurses' intention to stay was 'following a stable rather than a challenging path'. Participants used three interactional strategies: 'being encouraged via rapport with peers', 'accept reality', and 'find vitality in academic pursuits'.
CONCLUSION
The retention of experienced nurses is critical to human resource management in nursing departments. This study found that experienced nurses have a vague uncertainty about their future in the hospital. Therefore, nursing managers should support experienced nurses by providing them with the opportunities needed to develop their careers, by managing conflicts in nursing units, and by implementing new programs to increase confidence.

Citations

• Experiences of Career Nurses Balancing Clinical Nursing with Ongoing Studies
  Yunhyung Kim, Yeonsook Joo, Eun Hee Kang, Jeong Hye Kim
  Journal of Korean Association for Qualitative Research.2024; 9(3): 215.     CrossRef
• Factors Influencing Korean Nurses' Intention to Stay: A Systematic Review and Meta-analysis
  Sunhee Park, Taewha Lee
  Journal of Korean Academy of Nursing Administration.2018; 24(2): 139.     CrossRef
• The convergence study of Experience of Turnover in new graduate nurses within one year
  Young-Mi Kim, Sang-Nam Kim
  Journal of the Korea Convergence Society.2016; 7(4): 97.     CrossRef