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"Communication"

Original Articles
Purpose
This study aimed to identify factors influencing communication competence among hospital nurses. Methods: The participants were 136 nurses working at five general or tertiary hospitals with over 100 beds in Busan, Ulsan, and Geoje Island. Data were collected using structured self-report online questionnaires from July 18 to August 31, 2023. The data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, the Scheffé test, Pearson's correlation coefficients, and stepwise regression analysis using IBM SPSS version 25.0. Results: Self-awareness (β=.43, p<.001), a relationship-oriented organizational culture (β=.34, p<.001), working in a surgical ward (β=.19, p=.003), communication efficacy (β=.17, p=.011), hierarchy-oriented organizational culture (β=.16, p=.011), and working in a special unit (β=-.14, p=.023) were factors that significantly influenced nurses' communication competence. The model explained 52% of the variance in communication competence (F=28.43, p<.001) Conclusion: To improve communication competence in hospital nurses, healthcare institutions should provide learning opportunities to improve nurses’ self-awareness and communication efficacy. It is also essential to establish rules and order within a hierarchy-oriented organizational culture, while simultaneously promoting a relationship-oriented organizational culture based on trust and respect among colleagues.
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  • 37 Download
Purpose
This study aimed to identify the effects of shared leadership, communication skills, and team effectiveness, as perceived by nurses and nursing assistants in comprehensive nursing service units.
Methods
A cross-sectional research design was adopted, and the sample included 306 nurses, nurse assistants, and caregivers working in nine hospitals with fewer than 500 beds in two South Korean cities. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s correlation coefficient, and four-step hierarchical regression analysis.
Results
The factors influencing team effectiveness in the hierarchal multiple regression analysis were shared leadership (β=.57, p<.001) and communication skills (β=.18, p<.001). These factors explained 49% of the total variance.
Conclusion
To enhance team effectiveness in compressive nursing service units, educational programs focusing on shared leadership and communication skills among nurses, nursing assistants, and caregivers must be developed.
  • 502 View
  • 31 Download
Purpose
This study examined the influence of patient safety management systems, leadership, and communication types on nurses’ patient safety management activities.
Methods
Participants were 237 nurses who has been working in medical institutes for over 6 months. Online self-report questionnaires were conducted. Measures included patient safety management systems, transformational leadership, authentic leadership, communication types, and patient safety management activities. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple regression with SPSS/WIN 24.0.
Results
According to the general characteristics, patient safety management activities were higher among nurses who were female (t=4.27, p<.001), charge nurses (t=-2.41, p=.016), had healthcare accreditation experience (t=4.36, p<.001), and worked in nursing units implementing a team nursing method (F=6.26, p=.002) with more than 30 nurses (F=6.28, p=.043). Female nurses (β=.16, p=.015) with high authentic leadership (β=.21, p=.002), low informal communication (β=-.21, p=.004), and high downward communication (β=.19, p=.009) showed higher patient safety management activities. The models' explanatory power was 21.0%.
Conclusion
Based on the results of this study, further research is needed to investigate the differences in patient safety management activities according to gender, the number of nurses per ward, and the nursing delivery system. Lowering informal communication and strengthening authentic leadership and downward communication may improve nurses’ patient safety management activities.
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  • 23 Download
Purpose
To identify the mediating effect of the communication competence on the relationship between emotional intelligence and nursing managerial competence among experienced nurses.
Methods
A total of 186 nurses with more than 10 years of experience working in six general hospitals participated. Data were collected using a selfreported questionnaire and analyzed using SPSS Statistics ver. 23.0 and SPSS Process Macro for descriptive statistics, independent t-test, one-way analysis of variance (ANOVA), Scheffé test, Pearson’s correlation coefficient, multiple regression analysis, and bootstrapping method.
Results
Nursing managerial competence was significantly associated with emotional intelligence (r=.32, p<.001) and communication competence (r=.42, p<.001). Additionally, communication competence had a complete mediating effect on the relationship between emotional intelligence and nursing managerial competence (indirect effect=0.45, boot SE=0.11, 95% boot CI=[0.25, 0.67]).
Conclusion
Strategies for enhancing the experienced nurses’ nursing managerial competence should be considered to improve communication competence as well as emotional intelligence and develop nursing managerial competency-related education programs by career stages. In particular, the nursing management competency-related education should focus on improving human resource management and planning competences.

Citations

Citations to this article as recorded by  
  • Factors influencing delirium nursing competency among nurses in integrated nursing care wards in South Korea: a cross-sectional study
    Jeeyoung Yeon, Gisoo Shin
    Journal of Korean Biological Nursing Science.2025; 27(2): 256.     CrossRef
  • Factors Impacting on Nurse Unit Managers’ Knowledge and Ability Importance of Managerial Competencies
    Jihae Lee, Miyoung Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 428.     CrossRef
  • Factors Influencing Depression Among Nurses in General Hospitals During the COVID-19 Pandemic: Focus on Job Demands, Post-traumatic Stress, and Social and Organizational Support
    Si Hyun Baek, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 306.     CrossRef
  • 270 View
  • 9 Download
  • 3 Crossref
Purpose
The purpose of this study was to investigate the influences of hospital nurse's organizational communication satisfaction and safety climate on their medication safety competence. Methods: Data were collected from 131 hospital nurses who administer medications at hospitals in the metropolitan areas. Data were analyzed utilizing descriptive statistics, t-test, ANOVA, Scheffe’s test, Pearson’s correlation coefficients, and hierarchical multiple regression. Results: Medication safety competence was significantly relations to organizational communication satisfaction (r=.52, p<.001) and safety climate (r=.54, p<.001). Organizational communication satisfaction, safety climate, age 31~35 years and over 36 year, clinical experience 5~10 years and 10 or more years and surgical department influenced on medication safety competence. These factors explained 47.0% of clinical nurse's medication safety competence (p<.001). Conclusion: Organizational communication satisfaction and safety climate had effects on nurses’ medication safety competence. It is needed to formulate strategies to make an organizational climate where the level of communication within the hospital improve and safety is considered a top priority to increase the medication safety competence of hospital nurses.

Citations

Citations to this article as recorded by  
  • Mediating effect of grit on the influence of nurses’ silence behavior on medication safety competence: a cross-sectional study
    Haengsuk Kim, Wanju Park
    Journal of Korean Academy of Nursing.2025; 55(1): 81.     CrossRef
  • 245 View
  • 5 Download
  • 1 Crossref
The Effect of the Nurses Practice Environment and Organizational Justice on Organizational Silence Perceived by Nurses
Sungjung Kwak, Sujeong Han
J Korean Acad Nurs Adm 2021;27(4):270-281.   Published online September 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.4.270
Purpose
This study was done to identify the effect of the nurses practice environment and organizational justice on organizational silence in nurses. Methods: A descriptive correlational design was used. Participants were 162 nurses in general hospitals. Measurements included the Practice Environment Scale of the Nursing Work Index, the Organizational Justice Scale, and Organizational Silence Scale. Data were analyzed using SPSS/WIN program. Results: Nurses' organizational silence, nurses practice environment and organizational justice were correlated, and the influence of social networking, marital status, education level and interactive justice on acquiescence silence were 21% and statistically significant. The effect of work units, work experience and procedural justice on defensive silence were 20%, and the effect of education level and procedural justice on prosocial silence were 12% and statistically significant. Conclusion: Interaction justice affected the Acquiescent silence, and procedural justices affected the defensive silence and prosocial silence. Therefore, nursing managers should improve their organizational culture so that the procedural justices that focus on the process of distributing compensation results and the interaction justice that focuses on fair treatment among members can be recognized by nurses. Then nurses can be encouraged to actively engage and express their opinions about the organization.

Citations

Citations to this article as recorded by  
  • Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
    Shin Ae Hwang, Haeyoung Min
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 416.     CrossRef
  • Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
    Nayeop Lee, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
  • Influence of Self-leadership, Managers’ Authentic Leadership, and Nurses' Organizational Culture Relationships on Hospital Nurses’ Organizational Silence: A Mixed Method Study
    Hyun-Ju Lee, So-Young Kang
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 404.     CrossRef
  • Factors Influencing Clinical Nurses’ Perception of Structural and Content Career Plateau
    Ji Hye Kim, Ji Yun Lee
    Journal of Korean Academy of Nursing.2024; 54(4): 534.     CrossRef
  • Assessment of nurses’ workplace silence behaviour motives: A cross-sectional study
    Hanadi Mohammed Alhojairi, Naglaa Abdelaziz Mahmoud Elseesy, Sabah Mahmoud Mahran, Maram Ahmed Banakhar, Fatmah Alsharif
    International Journal of Nursing Sciences.2024; 11(5): 553.     CrossRef
  • Effects of Organizational Silence and Organizational Justice on Bullying among Hospital Nurses at Work
    Mi-Aei Lee, Bi-Joo Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 1.     CrossRef
  • Effect of Ethical Leadership on Nurses’ Organizational Silence: The Mediating Role of Organizational Justice
    Jiachen She, Ruixing Zhang, Yanan Li, Yongxia Mei, Hongfeng Li, Malakeh Malak
    Journal of Nursing Management.2023; 2023: 1.     CrossRef
  • العلاقة بين العدالة التنظيمية والصمت التنظيمي للعاملين: دراسة تطبيقية
    أماني موسى عبدالجليل
    مجلة ابن خلدون للدراسات والأبحاث.2022;[Epub]     CrossRef
  • The Influence of Speaking Up Climate, Psychological Safety, Organizational Learning Culture, and Supervisor Support for Patient Safety on Clinical Nurses’ Silence Behavior
    Hyunju Ji, Seung Eun Lee
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 388.     CrossRef
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  • 9 Crossref
Purpose
This study was conducted to identify the influence of communication self-efficacy and perception of the patient safety culture on the experience of nursing errors among operating room nurses. Methods: A cross-sectional design was used, with a convenience sample of 184 operation room nurses from 16 hospitals in Korea. Data were collected through a structured self-administered survey. The questionnaires included Communication, Self Efficacy, Safety Attitude Questionnaire, and experiences of nursing errors in operation room. Data were analyzed using descriptive analysis, Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficients and multiple linear regression. Results: The experience of nursing errors had significant negative correlations with communication self-efficacy (r=-.39, p<.001) and perception of the patient safety culture (r=-.36, p<.001). Factors significantly influencing the experiences of nursing errors included communication self-efficacy (β=-.25, p=.002), and perception of patient safety culture (β=-.21, p=.009). The overall explanatory power was 19% (F=14.85, p<.001). Conclusion: It is necessary to develop continuous education and programs improving communication self efficacy and perception of patient safety culture to reduce risk of nursing errors in the operating room.

Citations

Citations to this article as recorded by  
  • Development of a communication self-efficacy scale for nurses: a psychometric validation study
    Kuem Sun Han, Jihye Shin, Soo Yeon Lee
    Journal of Korean Academy of Nursing.2025; 55(2): 269.     CrossRef
  • Lived Experiences of Nurses in Delivering Peri-Operative Care
    Emilyn Fajardo, Romeo Tuazon, Ariel Bongco
    Psychology and Education: A Multidisciplinary Journal.2025; 38(8): 861.     CrossRef
  • The relationship between clinical decision-making levels and self-efficacy levels of operating room nurses
    Sedat Kaya, Gizem Kubat Bakir
    Perioperative Care and Operating Room Management.2024; 37: 100416.     CrossRef
  • Efficacy of an error reporting-based education program on nursing students’ skill confidence, immersion, and satisfaction
    Youngsook Lim, Sunae Kim, Ohsoon Yoon, SunJung Park
    International Journal of ADVANCED AND APPLIED SCIENCES.2023; 10(10): 200.     CrossRef
  • The Relationship between Nurse-Perceived Patient Safety Culture and Patient Safety
    Hyunju Ji, Seung Eun Lee
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 190.     CrossRef
  • 200 View
  • 5 Download
  • 5 Crossref
Communication Competence, Nursing Professionalism and Job Performance among Home Healthcare Nurses
Eunha Jeong, Sujeong Han
J Korean Acad Nurs Adm 2020;26(4):409-418.   Published online September 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.4.409
Purpose
This study was done to identify the effects of communication competence and nursing professionalism on job performance among home healthcare nurses.
Methods
The participants were 116 home healthcare nurses working at the hospitals. Data were collected from February 11 to March 22, 2019 and were analyzed with Multiple Regression Analysis.
Results
The most influential factors on job performance were hospital type (β=-.21, p=.006), communication competence (β=.30, p=.001) and nursing professionalism (β=.32, p<.001) which together explained up to 40% of job performance.
Conclusion
To improve nursing performance of home healthcare nurses, it is necessary to develop programs and strategies to enhance communication competence and nursing professionalism.

Citations

Citations to this article as recorded by  
  • Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
    Saeryun Kim, Younkyoung Kim
    Research in Community and Public Health Nursing.2024; 35: 195.     CrossRef
  • Moderating Role of Communication Competence in the Association between Professionalism and Job Satisfaction in Korean Millennial and Generation Z Nurses: A Cross-Sectional Study
    Young Jin Lee, Hyunjin Lee, Eun-Hi Choi
    Healthcare.2023; 11(18): 2547.     CrossRef
  • Factors Affecting Political Competency of Advanced Practice Nurses
    Wooyeong Park, Taewha Lee
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 246.     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
  • Factors Influencing Nursing Professionalism on the Nursing Performance in Intensive Care Unit Nurses
    Sunyoung Jung, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 451.     CrossRef
  • 341 View
  • 4 Download
  • 5 Crossref
Nursing Students' Communication Experience with Professor
Kwang-Ok Park, Jong Kyung Kim
J Korean Acad Nurs Adm 2020;26(3):205-217.   Published online June 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.3.205
Purpose
The aim of this study was to gain in-depth understanding and insight into how student nurses experienced communication with professors.
Methods
The research method was a qualitative study in which data were collected and analyzed through in-depth interviews with individual students. Colaizzi's phenomenological research method was used. The participants in this study were students who graduated from the nursing department and were considered able to describe the communication experience between professors and students in the college of.nursing.
Results
The analysis showed that the communication experiences between professors and students who had graduated from the college of nursing consisted of six themes for a total of 15 themes clusters and 78 meaningful statements. The 6 theme-clusters were ‘invisible barrier between participant and professors’, ‘motivational driving force’, ‘enrich meta cognition through experiential discourse’, ‘having a dream of lifelong development’, ‘wanting to have meaningful encounters’.
Conclusion
The participants were not able to easily form relationships with the professors of the college of nursing during their academic life, but they learned the practical know-how from the strengths and experiences of the professors that led them from beginning student to graduate nurse.

Citations

Citations to this article as recorded by  
  • The college life experiences of nursing students who are North Korean defectors: A thematic analysis study
    Da-Eun Seo, Kyung-Sook Bang, Hyunju Kang
    The Journal of Korean Academic Society of Nursing Education.2025; 31(1): 96.     CrossRef
  • Nursing faculty’s experiences of teaching North Korean defector nursing students
    Kyung-Sook Bang, Hyunju Kang, Da-Eun Seo
    The Journal of Korean Academic Society of Nursing Education.2025; 31(2): 183.     CrossRef
  • 149 View
  • 2 Download
  • 2 Crossref
Factors Influencing Healthcare Provider-Patient Communication of Patients with Chronic Diseases
Miyoung Kim, Jihae Lee, Eun-Young Doo
J Korean Acad Nurs Adm 2020;26(2):73-83.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.73
Purpose
The purpose of this study was to investigate the influence of e-health literacy in patients with chronic diseases on their healthcare provider-patient communication.
Methods
The participants were 184 patients with chronic illnesses admitted to a general hospital. Using a structured-questionnaire, data were collected from December 1 to 31, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple linear regression with IBM SPSS/WIN 22.0.
Results
Healthcare provider-patient communication was positively correlated with e-health literacy (r=.87, p <.001). Factors influencing healthcare provider-patient communication were e-health literacy (β=.87, p <.001), subjective health statues (β=.17, p =.011), health concerns (β=-.15, p <.001), number of questions during the hospital treatment (β=.14, p=.003), and education (β=-.14, p =.048). The input variables explained 70.8% of healthcare provider-patient communication.
Conclusion
The results of this study suggest that healthcare providers should provide reliable online health information to patients and encourage health-oriented attitudes in order to communicate about health information that patients obtained from online.

Citations

Citations to this article as recorded by  
  • The Effect of Digital Health Literacy, Self-Efficacy on Self-Care Behaviors among Community-Dwelling Elderly: Focusing on Gyeongsangbuk-do
    Hyojin Son, Youngran Han
    Research in Community and Public Health Nursing.2025; 36: 59.     CrossRef
  • Association Between Korean Adults' Electronic Health Literacy and Active Participation in Health Decision-Making
    Seonah Lee
    CIN: Computers, Informatics, Nursing.2025;[Epub]     CrossRef
  • Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
    Young-Eun Yi, Hyun-Ju Lee
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
  • The Influence of Online Health Information Orientation and e-Health Literacy on Health Behavior in Patients with Coronary Artery Disease
    Hong-A Lim, Yeoungsuk Song
    Journal of Health Informatics and Statistics.2023; 48(1): 60.     CrossRef
  • The mediating role of patient communication self-efficacy on the relationship between health literacy and self-rated health
    Hyunseung Roh, Aeree Sohn
    Korean Journal of Health Education and Promotion.2023; 40(1): 77.     CrossRef
  • E-health literacy and associated factors among Korean adults during the COVID-19 pandemic: age-group differences
    So-Young Park, Soondool Chung
    Health Promotion International.2023;[Epub]     CrossRef
  • The Relation Between eHealth Literacy and Health-Related Behaviors: Systematic Review and Meta-analysis
    Keonhee Kim, Sangyoon Shin, Seungyeon Kim, Euni Lee
    Journal of Medical Internet Research.2023; 25: e40778.     CrossRef
  • eHealth Literacy, Awareness of Pandemic Infectious Diseases, and Healthy Lifestyle in Middle School Students
    Sinyoung Choi, Kyung-Sook Bang, Da-Ae Shin
    Children.2021; 8(8): 699.     CrossRef
  • An exploratory study on the shared decision-making as a two-way symmetrical communication process : focusing on the communication of kidney dialysis patients
    Soojin Kim, Soontae An, Sejoong Kim, Dong-Ryeol Ryu, Hwanhee Kim
    Korean Journal of Journalism & Communication Studies.2021; 65(2): 162.     CrossRef
  • 163 View
  • 0 Download
  • 9 Crossref
A Study the Relationships among Verbal Violence Experience, Job Stress, and Resilience and the Communication Ability of Operating Room Nurses
Hyejung Jung, Yoonshin Lee, Sung Hee Shin
J Korean Acad Nurs Adm 2020;26(2):120-129.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.120
Purpose
This study was done to provide basic data for nursing intervention to increase communication ability of operating room nurses by identifying the relation among their verbal violence experience, job stress, resilience, and communication ability.
Methods
The participants were 136 nurses, working in the operating rooms of six academic and general hospitals located in Seoul and Gyeonggi-Do. Data were collected from May 1st through October 31st, 2016. Collected data were analyzed for frequency and percentage, mean and standard deviation, association among related factors, and stepwise multi-regression using the SPSS 21.0 program.
Results
It was found that the strongest factor influencing the communication ability of operating room nurses was persistence (β=.41, p <.001; sub-item of Resilience), followed by support (β=.26, p =.001; sub-item of Resilience). These two sub-items have positive influences on communication ability of operating room nurses. The lack of professional knowledge and skill (β=-.19, p <.001; sub-item of job stress) and verbal violence experience from nurse (β=-.16, p <.001; sub-item of verbal violence experience) have negative influences on communication ability of operating room nurses. These sub-items explained 47.0% of communication ability of operating room nurses.
Conclusion
The study results can be used as basic data to develop effective communication. Also, the results show the necessity of developing and applying concrete nursing interventions to improve job satisfaction of operating room nurses.

Citations

Citations to this article as recorded by  
  • Influence of Self-awareness, Communication Efficacy, Empathy, and Nursing Organizational Culture on Communication Competence among Hospital Nurses
    Sunhee Jung, Sunyoung Jung
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 280.     CrossRef
  • Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
    Yesol Byon, Yoon Goo Noh
    Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
  • The Effects of Communication Ability, Job Satisfaction, and Organizational Commitment on Nursing Performance of Intensive Care Unit Nurses
    Nu Ri Kim, Sung Eun Kim, So Eun Jang
    Journal of Korean Critical Care Nursing.2022; 15(1): 58.     CrossRef
  • Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
    Min Soo Woo, Hyoung Suk Kim, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
  • Communication competence and resilience are modifiable factors for burnout of operating room nurses in South Korea
    Eun Yeong Lee, Kyoung-ja Kim, Sangjin Ko, Eun Kyeung Song
    BMC Nursing.2022;[Epub]     CrossRef
  • Moderating Effect of Nursing Organizational Culture on the Relationship between Verbal Violence and Burnout in Operating Room Nurses
    Sojeong Lim, Sujin Shin
    Korean Journal of Adult Nursing.2022; 34(2): 196.     CrossRef
  • Influences of Workplace Bullying and Job Satisfaction on Happiness among Perioperative Nurses
    Song I Park, Key Ha Kim
    Journal of Korean Academy of Nursing Administration.2021; 27(1): 54.     CrossRef
  • 388 View
  • 8 Download
  • 7 Crossref
Experience of Communication for Patient Safety by Perioperative Nurses
Shinae Ahn, Nam Ju Lee
J Korean Acad Nurs Adm 2019;25(4):329-339.   Published online September 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.4.329
PURPOSE
The purpose of this study was to explore perioperative nurses' communication experience within the surgical team with regard to patient safety.
METHODS
Data were collected from December 2015 to September 2016, through in-depth individual interviews with 14 perioperative nurses. Individual interviews, once or twice, lasted from 40 minutes to one hour for each session. The main interview question was “How do you describe your communication experience with surgical team members as a perioperative nurse?” Collected data were analyzed using a conventional content analysis.
RESULTS
Two categories of the perioperative nurses' experience of communication were identified: communication contributing to patient safety, communication hindering patient safety. Communication in the surgical team reflected on the unique features of the operating room, such as urgency and a hierarchical organizational culture. However, the nurses recognized ineffective communication could impact on patient safety, and endeavored to overcome communication failures.
CONCLUSION
The results indicate that sharing responsibility, open communication, assertiveness on safety issues, and interprofessional collaboration in the operating room are necessary to ensure effective communication. Thus, respectful culture and an open communication climate based on interprofessional understanding are required to improve communication. Training programs to enhance communication skills should be implemented.

Citations

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  • A survey on factors distracting operating theatre staff during surgery in Korea
    Jeomin Kang, Songyi Lee, Jueun Jung, Yiseul Sim, Yoojin Lee, Boyoung Park, Kyungja Kim
    Journal of Perioperative Practice.2025;[Epub]     CrossRef
  • Effect of Counting Error Prevention Training on Operating Room Nurses’ Counting Error Prevention Awareness and Perceptions of Patient Safety
    Myung Jin JANG, Mi Kyung HONG, Mi Jeong LEE, Kyung A LEE, Yang Ok KIM, Jin A JEON, Hana KO
    Korean Journal of Health Promotion.2024; 24(1): 20.     CrossRef
  • Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
    Yesol Byon, Yoon Goo Noh
    Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
  • Adaptation and validation of a Korean version of the speaking up about patient safety questionnaire (KSUPS-Q)
    Shinae Ahn, Da Eun Kim
    BMC Nursing.2024;[Epub]     CrossRef
  • Factors Related to the Severity of Patient Safety Incidents in Operating Rooms in South Korea
    Minjung Ryu, Jun Su Park, Bomgyeol Kim, Suk-Yong Jang, Sang Gyu Lee, Tae Hyun Kim
    Health Insurance Review & Assessment Service Research.2024; 4(2): 149.     CrossRef
  • Experiences of Nurses Speaking Up in Healthcare Settings: A Qualitative Metasynthesis
    Eunhee Lee, Jennie C. De Gagne, Paige S. Randall, Brandi Tuttle, Hyunjeong Kwon
    Journal of Advanced Nursing.2024;[Epub]     CrossRef
  • Cluster of Speaking‐Up Behavior in Clinical Nurses and Its Association With Nursing Organizational Culture, Teamwork, and Working Condition: A Cross‐Sectional Study
    Eunhee Lee, Hyunjeong Kwon, Miyuki Takase
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
    Nayeop Lee, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
  • Perceived Professionalism among Student Nurses: What They Learning and Encountering in the Operating Room?
    Yuha SHON, Heejung JEON, Sanghee KIM
    Korean Journal of Medical Ethics.2023; 26(3): 209.     CrossRef
  • Quality of anesthetist communication with surgical patients in the perioperative setting: a survey at an academic tertiary referral hospital in Ethiopia
    Yophtahe Woldegerima Berhe, Temesgen Agegnehu, Mulualem Endeshaw, Nurhusen Riskey, Getasew Kassaw
    Patient Safety in Surgery.2023;[Epub]     CrossRef
  • Moderating Effect of Nursing Organizational Culture on the Relationship between Verbal Violence and Burnout in Operating Room Nurses
    Sojeong Lim, Sujin Shin
    Korean Journal of Adult Nursing.2022; 34(2): 196.     CrossRef
  • Influences of Teamwork and Job Burnout on Patient Safety Management Activities among Operating Room Nurses
    Ayoung Kim, Haein Lee
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 605.     CrossRef
  • A Systematic Review of Communication Programs for Nurses Working in Hospitals
    Yeseul Jeon, Heeseung Choi
    Korean Journal of Stress Research.2021; 29(2): 69.     CrossRef
  • Influence of Communication Self-efficacy and Perception of Patient Safety Culture on Experience of Nursing Errors among Operating Room Nurses
    Jiin Seo, Yujeong Kim
    Journal of Korean Academy of Nursing Administration.2021; 27(3): 181.     CrossRef
  • Influences of Workplace Bullying and Job Satisfaction on Happiness among Perioperative Nurses
    Song I Park, Key Ha Kim
    Journal of Korean Academy of Nursing Administration.2021; 27(1): 54.     CrossRef
  • Cyberincivility Experience of Korean Clinical Nurses in the Workplace: A Qualitative Content Analysis
    Sang Suk Kim, Ho Jeong Song, Jung Jae Lee
    International Journal of Environmental Research and Public Health.2020; 17(23): 9052.     CrossRef
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  • 16 Crossref
Effect of Nursing Professionalism and Organizational Communication on Intent to Stay in Geriatric Hospital Nurses
Bi Joo Kim, Mi Aie Lee
J Korean Acad Nurs Adm 2018;24(5):455-465.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.455
PURPOSE
This study was performed to measure nursing professionalism, organizational communication, and intent to stay, and investigate the relationship among these three variables in geriatric hospital nurses.
METHODS
A cross-sectional survey was done with the participation of 195 nurses working at 23 geriatric hospitals in B city of Gyeongsangnam-do, Korea. Data were collected from January 19 to 25, 2018 using structured questionnaires and were analyzed using SPSS/WIN program.
RESULTS
The geriatric hospital nurses' scores for nursing professionalism, organizational communication, and intent to stay were relatively lower than those of general hospital nurses. Each of these three variables was differently perceived according to participants' general characteristics but there was a positive correlation between them. The factors influencing intent to stay were organizational communication, age and through newspapers/advertising (one of motivations for working at geriatric hospitals). These three variables explained 47% of intent to stay.
CONCLUSION
To increase intent to stay in geriatric hospital nurses, nursing or hospital managers must develop and apply programs that help improve nurses' professionalism and organizational communication. Especially geriatric hospital nursing managers should try to provide organizational communication enhancement programs for young and inexperienced nurses.

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Factors Influencing Managerial Competence of Frontline Nurse Managers
Ran Lee, Miyoung Kim, Sujin Choi, Hee Yeon Shin
J Korean Acad Nurs Adm 2018;24(5):435-444.   Published online December 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.5.435
PURPOSE
The purpose of this study was to investigate the relationship between nursing practice environment, resilience, job stress, communication skills, and managerial competence of frontline nurse managers and identify factors influencing their managerial competence.
METHODS
A descriptive research was carried out with 148 frontline nurse managers in six general hospitals. From August 16 to October 7, 2016 data were collected using a questionnaire. Data were analyzed with descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression using IBM SPSS/WIN 22.0.
RESULTS
Managerial competence of frontline nurse managers was positively correlated with nursing practice environment (r=.41 p < .001), resilience (r=.45, p < .001), communication skills (r=.38, p < .001) and was negatively correlated with job stress (r=−.27, p < .001). The factors influencing managerial competence were nursing practice environment (β=.29, p=.002) and resilience (β=.28, p=.007) in that order. The input variables explained 30.8% of managerial competence.
CONCLUSION
The results suggest that a policy guideline is needed to enhance managerial competence of frontline nurse managers. The policy guideline should include achieving an adequate level of nurse staffing to improve the nursing practice environment and providing frontline nurse managers with educational support and administrative assistance to increase their resilience.

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Factors Influencing Patient Safety Nursing Activities of Nurses in Long-term Care Hospitals
Ju Hui Moon, Sook Hee Yoon
J Korean Acad Nurs Adm 2018;24(4):307-318.   Published online September 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.4.307
PURPOSE
The purpose of this study was to identify factors influencing patient safety nursing activities of nurses working in long-term care hospitals.
METHODS
The participants were 126 nurses working in 8 long-term care hospitals in B city. Data were collected from June 26 to July 10, 2017. SPSS/WIN 23.0 was used for analysis with t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and hierarchical multiple regression.
RESULTS
The factors influencing patient safety nursing activities in participants were general characteristics, career in present long-term care hospital, (β=−.23, p=.008), safety control (β=.29, p=.002) and intention to report (β=.19, p=.037); on the personal side, informal communication (β=−.31, p=.005) for the organizational side. These factors contributed 39% of the total variance in patient safety nursing activities.
CONCLUSION
In the organizational dimension of long-term care hospital, formal communication channels should be strengthened to officially direct or report patient safety rather than using informal communication. In order to improve the sense of safety control, which is a personal side of long-term care hospital nurses, it is necessary to provide awareness and education about the continuous safety control and positively prepare the reporting atmosphere to increase long-term care hospital nurses' intention to report.

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Factors Influencing Self-leadership of Nursing Students according to Locus of Control
Ji Yeon Choi, Sook Bin Im
J Korean Acad Nurs Adm 2018;24(3):182-192.   Published online June 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.3.182
PURPOSE
The purpose was to identify factors which affect nursing students' self-leadership according to their locus of control.
METHODS
This study was a descriptive research. Participants were 600 D city junior and senior nursing students who had completed clinical training.
RESULTS
Results showed the following characteristics of students who had high self-leadership: For students with external locus of control the following correlations with self-leadership were found:, general creativity (r=.46), social support (r=.48), academic self-efficacy (r=.29), and communication competence (r=.49). For students with internal locus of control, self-leadership was correlated with general creativity (r=.46), social support (r=.41), academic self-efficacy(r=.36), and communication competence (r=.48). For the nursing students with external locus of control, age (β=−.24, p=.010), satisfaction with campus life (β=.16, p=.027), general creativity (β=−.20, p=.017), and social support (β=−.20, p=.028) had significant effects on their self-leadership: explanatory power of 44% (F=6.53, p < .001). For students with internal locus of control, self-leadership was effected by general creativity (β=.20, p=.011) and social support (β=.19, p=.012): explanatory power was 42%(F=5.96, p < .001).
CONCLUSION
Applying these findings to the curriculum of nursing students would improve their self-leadership and increase the efficiency of organizational culture and contribute to goal achievement in nursing organizations.

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PURPOSE
The purpose of this study was to investigate empathy ability, communication, and nursing performance among registered nurses (RN) and nursing assistants (NA) in long-term care hospitals.
METHODS
Participants were 155 nursing personnel (RN 80 and AN 75) who worked in 8 long-term care hospitals in G city and J Province. Data collection was conducted from July 6 to August 6, 2016. Descriptive statistics, independent t-test, one-way ANOVA, and stepwise multiple regression were used with SPSS/WIN program version 23.0 for data analysis.
RESULTS
Nursing performance of RN was significantly influenced by communication ability (β=.88, p<.001) and university graduation (β=.25, p=.025). Nursing performance of NA was influential by communication ability (β=.77, p<.001) and marriage (β=.42, p=.018).
CONCLUSION
Findings show that communication ability of RN and NA is important in nursing performance. Therefore, there is a need to develop programs to improve communication ability and validate the effectiveness of the programs in improving nursing performance of nursing personnel working at long-term care hospitals.

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Effect of SBAR-Collaborative Communication Program on the Nurses' Communication skills and the Collaboration between Nurses and Doctors
Mi Suk Hyun, Hye Jin Cho, Mi Aie Lee
J Korean Acad Nurs Adm 2016;22(5):518-530.   Published online December 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.5.518
PURPOSE
The purpose of this study was to investigate effect of the SBAR-Collaborative Communication Program on nurses' communication skills and on collaboration between nurses and doctors.
METHODS
From March 11 to November 11, 2013, data were collected from 180 hospital nurses working in a university hospital in Gyeonggi province. Outcomes were measured at three time intervals; before, three and six months after the program was completed.
RESULTS
After participating in this program, there was a significant increase in nurses'communication skills but not in collaboration between nurses and doctors. None of the participants' general categories influenced nurses'communication skills at pre-test, but age, education level, total years of working and work department significantly influenced scores at 3 and 6 months. Work department was the only category for which there was a significant difference in collaboration between nurses and doctors at pre-test, and education level and work department were related to significant improvement at 6 months.
CONCLUSION
Findings indicate that this program can improve communication skills for nurses and also, collaboration between nurses and doctors, especially for nurses under 25 years of age. Thus nursing and hospital managers should provide SBAR-Collaborative Communication Programs to new nurses in their job training.

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The Effects of Hospital Nurses' Self-Esteem and Communication Skill on Self-Leadership and the Quality of Nursing Service
Hee Jung Song, Sang Mi Lee
J Korean Acad Nurs Adm 2016;22(3):220-229.   Published online June 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.3.220
PURPOSE
The objective of this study was to investigate the influence of hospital nurses' self-leadership, communication skill, and self-esteem on the quality of nursing service.
METHODS
The participants, 230 nurses working at a general hospital in Seoul, completed a cross-sectional descriptive questionnaire survey between January 17 and 28, 2014. The collected data were analyzed using the SPSS 19.0 program for descriptive statistics, t-test, one way & two way ANOVA, correlation, and multiple regression analysis.
RESULTS
Nurses' self-esteem and communication skill had significant main effects on self-leadership and the quality of nursing service, but the interaction effect of the two independent variables was not significant. Variables that significantly influenced the quality of nursing service were self-leadership, communication skill, self-esteem, and career longevity. The explanatory power of these variables for the quality of nursing service was 54.4%.
CONCLUSION
Findings indicate a need for education programs for nurses which are designed to promote communication skill and enhance self-esteem and self-leadership skills which will in turn enhance the quality of nursing service.

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Self-awareness, Other-awareness and Communication Ability in Nursing Students
Eun jung Oh, Sung Hee Ko, Ji Young Kim, Sung Reul Kim
J Korean Acad Nurs Adm 2015;21(4):426-434.   Published online September 30, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.4.426
PURPOSE
The purpose of this study was to identify the relationship among the factors of self-awareness, other-awareness and communication ability, and how they relate to communication ability in nursing students.
METHODS
For data collection 237 nursing students completed self-report questionnaires. Data were analyzed using independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression.
RESULTS
Self-awareness, other-awareness and communication ability of the participants showed moderate levels of self-awareness, other-awareness, and communication ability. There were significant positive correlations between self-awareness and communication ability (r=.59, p<.001). and between other-awareness and communication ability (r=.22, p=.001). Social anxiety, private self-awareness, and internal other-awareness were significant factors, which explained about 37% of the variance in communication ability.
CONCLUSION
These findings suggest that a systematic and effective curriculum focused on self-awareness and other-awareness should be developed for nursing students in order to promote their communication ability.

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Nurses' Experience of Health Communication with Doctors in the Clinical Fields
Kwang Ok Park
J Korean Acad Nurs Adm 2015;21(1):53-63.   Published online January 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.1.53
PURPOSE
The purpose of this study was to describe nurses' experience of health communication with doctors in the clinical fields.
METHODS
Eight experienced clinical nurses working in various units of general hospitals participated. Data were collected through in-depth individual interviews and analyzed using the Colaizzi' method.
RESULTS
Five themes of nurses' experience of communication were identified: exploring the speaker seriously, becoming aware of emotions and controlling them, developing relationships after lining up for battle, having superficial and withered relationships with doctors, having few resources to promote communications with doctors.
CONCLUSION
The results of the study indicate that humanistic and warm interpersonal relationships and genuine sharing of information are necessary to ensure effective communication. Thus, practice guidelines should be re-evaluated and developed to meet the proposed standards; safety-net programs and education for health communication should also be established. Nurse managers should create a high-touch work environment.

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Effects of Emotional Labor and Communication Competence on Turnover Intention in Nurses
Se Hyang Kim, Mi Aie Lee
J Korean Acad Nurs Adm 2014;20(3):332-341.   Published online June 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.3.332
PURPOSE
The purpose of this study was to investigate the relationship among turnover intention, emotional labor, and communication competence in nurses.
METHODS
The participants for this study were 297 nurses from three general hospitals in two local cites in Korea. Data were collected by self-administered questionnaires from August 26 to September 10, 2013 and analyzed using descriptive statistics, One-way ANOVA, t-test, Pearson Correlation, Stepwise Multiple Regression with the SPSS/WIN 18.0 program.
RESULTS
The average scores for turnover intention, emotional labor, and communication competence respectively, were 3.45, 3.08, and 3.44 out of 5. The novices recognized that their emotional labor and turnover intention were significantly higher, and their communication competence was lower than other nurses. Nurses' turnover intention had a positive relationship with their emotional labor, but no relationship with communication competence. Job satisfaction, frequency of emotional expression, and emotional dissonance had an effect on nurses' turnover intention.
CONCLUSION
The results show that emotional labor and job satisfaction are very important factors affecting nurses' turnover intention. So, nurse managers should try to minimize nurses' emotional labor and maximize their job satisfaction by developing various human relationship educational and support programs and using them.

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PURPOSE
The purpose was to compare operating room (OR) nurses and general ward nurses on their communication competence and interpersonal relationship ability within the medical team.
METHODS
Participants were 276 nurses (OR 122, ward 154) working in one of 4 university hospitals located in I and K areas. Data were collected using a questionnaire and data collection was done in June, 2013. Comparisons between OR nurses and general ward nurses on communication competence and interpersonal relationship ability were analyzed using ANCOVA.
RESULTS
There were statistically significant differences between the two groups in communication competence (F=11.96, p=.001) with average score for OR nurses at 3.37 points and ward nurses at 3.53 points. There were statistically significant differences between the two groups in interpersonal relationship ability (F=15.51, p<.001) with the average score for OR nurses at 3.30 points and ward nurses at 3.50 points.
CONCLUSION
The results indicate a need to develop a variety of programs to promote communication competence in OR nurses and to enhance the openness of interpersonal relationship ability in human resource management.

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The Effects of Cancer-related Information Search From Media as Communication Cues on Health Behavior
Seokmin Hong
J Korean Acad Nurs Adm 2013;19(1):76-86.   Published online January 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.1.76
PURPOSE
This study was done to examine the effects of information searches from media as communication cues for health behavior, specifically smoking, drinking liquor, cancer examinations, and regular exercise.
METHODS
Data were collected through a web survey with a sample size of 600 and analyzed using SPSS 18.0.
RESULTS
The results show that the newspaper as a communication cue has an effect on health behavior such as regular exercise and smoking, whereas television only affects regular exercise.
CONCLUSION
The results indicate that there are differences between media as communication cues to improve health behavior and that messages related to health information should be exposed with cautious consideration to media choice so as to increase the effects of message. Managerial implications of the study results are suggested.

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Relationship Between Intra-Organizational Communication Satisfaction and Safety Attitude of Nurses
Kyoung Ja Kim, Jung Sook Han, Mi Sook Seo, Bong Hee Jang, Mi Mi Park, Hyeoung Mi Ham, Moon Sook Yoo
J Korean Acad Nurs Adm 2012;18(2):213-221.   Published online June 30, 2012
DOI: https://doi.org/10.11111/jkana.2012.18.2.213
PURPOSE
Communication in hospitals is one of the major factors in patient safety. So, the purpose of this study was to identify the relationship between intra-organizational communication satisfaction and the safety attitude of nurses in hospitals.
METHOD
A descriptive survey design with convenience sampling was used. Data collection was done using a self-report questionnaire answered by 278 nurses from one university hospital located in Kyeoung-gi Province, Korea.
RESULT
Intra-organizational communication satisfaction positively correlated with safety attitude (r=.747, p<.01). Among the 6 sub dimensions of safety attitude, perceptions of management (r=.675, p<.01), job satisfaction (r=.640, p<.01) and teamwork climate (r=.600. p<.01) were strongly related to intra-organizational communication satisfaction. Multiple regression analysis was done to identify explanation power of intra-organizational communication satisfaction against safety attitude. The model was significant (F=48.540, p<.01). Intra-organizational communication satisfaction accounted for 60.9% of variance in safety attitude (Adj R2=.609).
CONCLUSIONS
The results of this study indicate that higher levels of intra-organizational communication satisfaction promote positive safety attitude in hospital nurses and that communication media quality is an important factor in patient safety attitude. Therefore, developing interventions to revitalize intra-organizational communication level based on communication media quality will help in the construction of positive safety attitude in nurses.

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Relationship Between Organizational Communication Satisfaction and Organizational Commitment among Hospital Nurses
Kyeong Hwa Kang, Yong Hee Han, Soo Jin Kang
J Korean Acad Nurs Adm 2012;18(1):13-22.   Published online March 31, 2012
DOI: https://doi.org/10.11111/jkana.2012.18.1.13
PURPOSE
This study was done to analyze the relationship between organizational communication satisfaction and organizational commitment among hospital nurses.
METHOD
A survey was conducted with 647 nurses who were working in 24 hospitals in Korea. Data were collected during August 2010. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation analysis, and multiple regression.
RESULTS
The mean level of organizational communication satisfaction was 3.15 (min 1.88 -max 4.88) and the mean level of organizational commitment was 3.21 (min 1.33 - max 4.83). There was a statistically significant correlation between organizational communication satisfaction and organizational commitment (r=. 655). According to analysis of the impact of the subconstructions of organizational communication satisfaction on organizational commitment, the following factors had significant influence on organizational communication satisfaction: vertical communication, communication media, and organizational climate.
CONCLUSION
These findings showed that communication satisfaction was the most important factor for nurses' organizational commitment. Therefore, there is a need to develop communication strategies and skills for hospital nurses to increase the level of communication satisfaction.

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Effects of Task Performance Style in Nursing Management Practicum on Problem-Solving and Nursing Competency according to Communication Ability of Nursing Students
Myung Ha Lee, Hyun Kyung Kim, Seok Hee Jeong, Inn Oh Moon
J Korean Acad Nurs Adm 2011;17(1):106-114.   Published online March 31, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.1.106
PURPOSE
This study was done to examine effects of task performance style, communication ability and their interaction on problem-solving ability and nursing competency of nursing students participating in a nursing management practicum.
METHODS
The study was a non-equivalent control group non-synchronized design. Participants were 56 fourth year nursing students (25 in the cooperative task group and 31 in the individual task group) and data were collected from March to September 2010. Additionally, two groups were classified based on communication ability of students and four groups were classified by their task performance style and communication ability. Problem-solving ability and nursing competency were measured pre- and post-test and compared between groups. Data were analyzed using SPSS Windows 17.0 program.
RESULTS
Neither problem-solving ability and nursing competency were statistically significantly different according to task performance style. Nursing competency was statistically significantly higher in the high communication group compared to the low communication group. Problem-solving ability was significantly different among the four groups classified by task performance style and communication ability.
CONCLUSION
Nursing educators may need to improve students' communication ability to improve nursing competency and also assign different tasks based on communication ability of nursing students to improve problem-solving ability.

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Relationship among Communication Competence, Communication Types, and Organizational Commitment in Hospital Nurses
Hyun Sook Lee, Jong Kyung Kim
J Korean Acad Nurs Adm 2010;16(4):488-496.   Published online December 31, 2010
DOI: https://doi.org/10.11111/jkana.2010.16.4.488
PURPOSE
This study was done to explore the relationship in hospital nurses' of communication competence, communication types, and organizational commitment and to provide basic data for developing programs to improve internal communication and to promote nurses' commitment to their organizations.
METHODS
The participants included 316 nurses who worked in two general hospitals. The tools used for this study were the Global Interpersonal Communication Competence Scale (GICC) and Communication Satisfaction Questionnaire by Downs & Hazen (1981), revised by Seo (2002) and Mowday's tool (1979) for organizational commitment. Data were analyzed using SPSS/PC+12.0.
RESULTS
The mean score for communication competence was 3.46, and for organizational commitment, 3.19. For communication types, the mean score for formal communication was 3.18 and informal communication, 2.59. Communication competence had a positive relationship with formal communication (r=.32) and with informal communication (r=.16). Organizational commitment had a positive relationship with formal communication (r=.53), communication competence (r=.30), and informal communication (r=.27).
CONCLUSION
The results indicate the necessity of developing programs to promote nurses' communication competence and also developing a system that will enrich active communication. Systematic and continuous training in communication is also highly recommended.

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