KMID : 1022320130070030128
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Asian Nursing Research 2013 Volume.7 No. 3 p.128 ~ p.135
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Application of Revised Nursing Work Index to Hospital Nurses of South Korea
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Kim Chul-Woung
Kim Do-Yeon Lee Sang-Yi Park Bo-Hyun Park Sang-Chul Park Hyeung-Keun Lee Keon-Hyung Yi Yun-Jeong Jeong Baek-Geun
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Abstract
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Purpose: Based on the Revised Nursing Work Index (NWI-R), this research aimed to develop a Korean Hospital General Inpatient Unit?Nursing Work Index (KGU-NWI). This study also aimed to compare the common points and differences between the subfactors of the KGU-NWI and the subfactors from previous studies.
Methods: Based on opinions from 3,151 nurses in Korean hospital general inpatient unit, this research used 57 items of NWI-R and the principal axis factor analysis for deriving subfactors. We evaluated the convergent validity through factor analysis and the content validity of KGU-NWI in terms of the association between nurses' job outcome and the subfactors derived.
Results: Six subfactors and 26 items for KGU-NWI were derived from NWI-R. Among them, ¡®physician-nurse relationship¡¯, ¡®adequate nurse staffing¡¯ and ¡®organizational support and management of hospital¡¯ were the same with results from previous studies. In addition, two subfactors, ¡®participation of decision-making processes¡¯ and ¡®education for improving quality of care¡¯, which were similar with results from previous Korean studies, were newly added by using Korean hospital cases. In contrast to previous Korean studies, a unique subfactor this study found was ¡®nursing processes¡¯. This research confirmed that the six subfactors were highly correlated with job satisfaction, intention to leave, and quality of health care, which represented a nurse's job outcome.
Conclusion: KGU-NWI including six subfactors and 26 items is an applicable instrument to investigate nurse work environment in Korean hospital general inpatient unit.
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KEYWORD
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factor analysis, job satisfaction, professional practice, quality of health care
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