Application of Revised Nursing Work Index to Hospital Nurses of South Korea

Kim, Chul-Woung; Lee, Sang Yi; Kang, Jeong Hee; Park, Bo Hyun; Park, Sang Chul; Park, Hyeung Keun; Lee, Keon-Hyung; Yi, Yun Jeong; Jeong, Baek Geun

doi:10.1016/j.anr.2013.07.003

Cited by 20 publications

(17 citation statements)

References 16 publications

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“…Three instruments were successfully tested for cross-cultural validity, whereas the Beck Depression Inventory was tested among African-American and Caucasian students [88], the Job Content Questionnaire among Malay nurses [89], Iranian healthcare workers [90, 91] and hospital workers in Taiwan [92]. The same applies to the Nurses Work Index, which was validated for hospital nurses in South Korea [93] and Asian nurses working in the US [94]. However, it was unclear whether a culturally appropriate version of these three questionnaires was applied within the five studies in the final summary.…”

Section: Discussionmentioning

confidence: 99%

Health situation of migrant and minority nurses: A systematic review

et al. 2017

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IntroductionGlobally, life expectancy together with multimorbidity and chronic diseases are increasing. This leads to a growing demand for care and hence for healthcare personnel and nurses. To meet this demand, healthcare workers from abroad are increasingly hired. The nurses’ workplace in general is characterized by physically and psychologically demanding tasks, while that of migrant and minority nurses is additionally characterized by discriminatory practices. The present knowledge about the health of migrant and minority nurses and the terminology in this context are diverse. Thus, the purpose of this review is to systematically identify and synthesize international publications that explicitly focus on migrant nurses’ health.Materials and methodsA systematic review of relevant studies was undertaken using the databases Medline, PsycINFO, CINAHL and Web of Science. The screening process was conducted in several phases. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines while the methodological quality assessment of the included papers was performed with the Mixed Method Appraisal Tool (MMAT).ResultsOut of 11,599 citations initially obtained, 14 empirical studies were included in the final synthesis. The methodological quality of the empirical studies and reviews was diverse. The majority of the studies were conducted in the US and the nurses under study migrated from countries like the Philippines, India, Europe, and Africa. Among migrant nurses of different origins, there are differences in their physiological responses to stress. Migrant nurses and native nurses differ in reporting work-related injuries.DiscussionMigrant and minority nurses are at high risk of work-related injuries and discrimination than native or majority nurses. However, mixed results were obtained, namely that the reported health of migrant nurses either improves over time or it decreases. This review revealed that discrimination is the leading cause of impaired health amongst migrant and minority nurses.

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Section: Discussionmentioning

confidence: 99%

Health situation of migrant and minority nurses: A systematic review

et al. 2017

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“…To measure factors related to the nursing practice environment, the Korean General Inpatients Unit Nursing Work Index (KGU-NWI) was used. This index is composed of 26 items that measures six subfactors: participation in the decision-making process, nursing process, education to improve the quality of care, nursing-staffing adequacy, organizational support and management of the hospital, and the doctor-nurse relationship [ 14 ]. The arithmetic mean of each factor was calculated at the nurse and hospital levels.…”

Section: Methodsmentioning

confidence: 99%

Nurse-perceived Patient Adverse Events and Nursing Practice Environment

Kang

Kim

Lee

2014

J Prev Med Public Health

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Objectives:To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level.Methods:In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed.Results:At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, ‘physician- nurse relationship’ correlated with medication errors while ‘education for improving quality of care’ affected patient falls.Conclusions:The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.

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“…The KGU-NWI consists of 26 items categorized under 6 subfactors; participation in the decision-making process, nurse-staffing adequacy, education to improve the quality of care, organizational support and management of the hospital, the doctor-nurse relationship, and the nursing process [ 16 ]. In particular, seven items, including “the leadership of nursing service consults with staff nurses to resolve ordinary nursing issues,” are intended to measure the “participation in decision-making process.” Five items, including “nursing diagnosis is utilized,” are for “nursing process.” Three items, including “nurse staffing is adequate,” are related to “adequate nurse staffing.” Four times, including “there is an active and continuous training program for nurses,” are intended to measure “education for quality of care.” Four times, including “supervising nurses (chief nurse and above) are great managers and leaders,” are for “organizational support and management of hospital.” And three items, including “doctors and nurses maintain good relations about work,” are related to “doctor-nurse relationship” [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention

Lee

Kim

Kang

et al. 2014

J Prev Med Public Health

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Objectives:To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intention of hospital nurses. Methods:Among the 11 731 nurses who participated in the Korea Health and Medical Workers’ Union’s educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevel logistic regression modeling. Results:Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses’ job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses’ turnover intention. Conclusions:Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardized nursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses’ job satisfaction. However, the nursing practice environment was not related to nurses’ turnover intention.

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Application of Revised Nursing Work Index to Hospital Nurses of South Korea

Abstract: KGU-NWI including six subfactors and 26 items is an applicable instrument to investigate nurse work environment in Korean hospital general inpatient unit.

Cited by 20 publications

References 16 publications

Health situation of migrant and minority nurses: A systematic review

Health situation of migrant and minority nurses: A systematic review

Nurse-perceived Patient Adverse Events and Nursing Practice Environment

Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention

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