Journal of Korean Academy of Nursing

Choi-Kwon Smi

3 Articles

Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses: Minjeong Yu, Choi-Kwon Smi; J Korean Acad Nurs 2020;50(5):646-657. Published online October 31, 2020; DOI: https://doi.org/10.4040/jkan.19238

Purpose
The purpose of this study was to identify the quality of sleep in novice and experienced shift work nurses and compare the factors associated with their quality of sleep.
Methods
We analyzed the data of 192 and 256 novice and experienced nurses, respectively. The quality of sleep, sleep hygiene, job stress, and fatigue were measured using Insomnia Severity Index, Sleep Hygiene Practice Scale, the Korean Occupational Stress Scale, and Fatigue Severity Scale. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and logistic regression.
Results
Sleep quality was lower in experienced nurses (12.55 ± 5.71) than in novice nurses (11.18 ± 5.78). Fatigue was more severe in experienced nurses (4.47 ± 1.13) than in novice nurses (4.23 ± 1.12). In the logistic regression, factors related to sleep quality in novice nurses were sleep hygiene (odds ratio; OR = 1.06, p < .001) and fatigue (OR = 2.49, p < .001). Factors related to sleep quality in the experienced nurses were also sleep hygiene (OR = 1.04, p = .001) and fatigue (OR = 1.53, p = .012).
Conclusion
Sleep quality of experienced nurses is lower than those of novice nurses. Factors associated with sleep quality in novice and experienced nurses are equally identified as sleep hygiene and fatigue. Therefore, personal efforts to improve sleep hygiene, such as providing comfortable sleep environment, are needed. Furthermore, organized efforts to decrease fatigue, such as constructing a working environment with a bright light at night and providing a fatigue-decreasing program that includes meditation, are required.

Citations

Citations to this article as recorded by

Navigating night shifts: a qualitative study of exploring sleep experiences and coping strategies among nurses
Hyeonbin Lim, Su Hyun Kim
BMC Nursing.2025;[Epub] CrossRef
Improving sleep health in paramedics through an app-based intervention: a randomised waitlist control pilot trial
Alexandra E. Shriane, Grace E. Vincent, Sally A. Ferguson, Amanda Rebar, Tracy Kolbe-Alexander, Gabrielle Rigney
BMC Public Health.2024;[Epub] CrossRef
Factors Influencing Sleep Disturbance of Novice Nurses: Focusing on Sleep Hygiene and Physical Activity - Longitudinal Study of Secondary Data
Minjeong Yu, Smi Choi-Kwon, Jison Ki, Kyeongsug Kim
Journal of Korean Academy of Nursing Administration.2023; 29(3): 278. CrossRef
Dietary behavior and its influencing factors among experienced shiftwork nurses: a secondary analysis
Soyeon Kim, Jison Ki, Ji Yun Choi, Woan Heui Choi, Smi Choi-Kwon
Korean Journal of Women Health Nursing.2023; 29(1): 32. CrossRef
Mediating effects of fatigue on the relationship between sleep quality and the quality of life of shift-working nurses
Jeongwon Yeom, Insun Yeom
Chronobiology International.2023; 40(4): 450. CrossRef
Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study
Sun-Kyung Hwang, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim, Yea-In Yoon
International Journal of Environmental Research and Public Health.2022; 19(16): 9795. CrossRef
Health-Related Factors Influencing Nurse Turnover by Clinical Career: A Secondary Data Analysis of Clinical Nurses in South Korea
Jiwon Kang, Youngjin Lee
International Journal of Environmental Research and Public Health.2022; 19(22): 15222. CrossRef
Low Back Pain and Its Influencing Factors among Intensive Care Unit Nurses: A Cross-sectional Study
Hyun Ju Uhm, Hye-Ja Park
Journal of Health Informatics and Statistics.2022; 47(2): 95. CrossRef
Sleep quality and its predictors among hospital-based nurses: a cross-sectional study
Khader A. Almhdawi, Hassan Alrabbaie, Donia S. Obeidat, Saddam F. Kanaan, Moh’d Rami Alahmar, Zaid Modhi Mansour, Alaa O. Oteir
Sleep and Breathing.2021; 25(4): 2269. CrossRef
Nurses' Voices: Autumn 2020
Jeung-Im Kim
Journal of Korean Academy of Nursing.2020; 50(5): 644. CrossRef

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Predictors of Blood and Body Fluid Exposure and Mediating Effects of Infection Prevention Behavior in Shift-Working Nurses: Application of Analysis Method for Zero-Inflated Count Data: Jae Geum Ryu, Choi-Kwon Smi; J Korean Acad Nurs 2020;50(5):658-670. Published online October 31, 2020; DOI: https://doi.org/10.4040/jkan.20025

Abstract PDF

Purpose
This study aimed to identify the predictors of blood and body fluid exposure (BBFE) in multifaceted individual (sleep disturbance and fatigue), occupational (occupational stress), and organizational (hospital safety climate) factors, as well as infection prevention behavior. We also aimed to test the mediating effect of infection prevention behavior in relation to multifaceted factors and the frequency of BBFE.
Methods
This study was based on a secondary data analysis, using data of 246 nurses from the Shift Work Nurses’ Health and Turnover study. Based on the characteristics of zero-inflated and over-dispersed count data of frequencies of BBFE, the data were analyzed to calculate zero-inflated negative binomial regression within a generalized linear model and to test the mediating effect using SPSS 25.0, Stata 14.1, and PROCESS macro.
Results
We found that the frequency of BBFE increased in subjects with disturbed sleep (IRR = 1.87, p = .049), and the probability of non-BBFE increased in subjects showing higher infection prevention behavior (IRR = 15.05, p = .006) and a hospital safety climate (IRR = 28.46, p = .018). We also found that infection prevention behavior had mediating effects on the occupational stress-BBFE and hospital safety climate-BBFE relationships.
Conclusion
Sleep disturbance is an important risk factor related to frequency of BBFE, whereas preventive factors are infection prevention behavior and hospital safety climate. We suggest individual and systemic efforts to improve sleep, occupational stress, and hospital safety climate to prevent BBFE occurrence.

Citations

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Development of an infection control competency scale for clinical nurses: an instrument design study
Yong Hwan Hyeon, Kyoung Ja Moon
BMC Nursing.2024;[Epub] CrossRef
Work Characteristics and Needlestick-Injury Status of Dental Hygienists
Yeon-Soon Park, Jeong-Hyun Lee, Jin-Soo Kim, Kyoung-Ok Yun, Sung-Suk Bae
Journal of Dental Hygiene Science.2024; 24(3): 190. CrossRef
Smartphone‐based home workout program for shift‐work nurses working during the COVID‐19 pandemic
Yunmi Baek, Kihye Han, Jieun Kim, Hae Young Yoo
Nursing & Health Sciences.2022; 24(3): 708. CrossRef
Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals
Min Young Kim, Jeong Hye Kim, Su Jung Choi
Journal of Korean Critical Care Nursing.2022; 15(2): 27. CrossRef

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A Preliminary Report on the Differences in the Perceived Impacts of Undergraduate Bioscience Knowledge on Clinical Practice Among Korean RNs: Myoung Ae Choe, Choi-Kwon Smi, Kyung Ja Song; Journal of Korean Academy of Nursing 2003;33(4):464-470. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.4.464

Abstract PDF: Purpose
Nursing has evolved as a unique and independent field over the last decades. Unfortunately, many nurses in Korea express concern that they lack appropriate background knowledge in bioscience necessary to practice nursing competently. To determine the reasons of their concerns, we examined the perceptions of RNs regarding bioscience courses in their undergraduate (Baccalaureate and 3 year diploma program) and their perceived relations to the practice of nursing.
Methods
The structured questionnaires were sent to 3 university-affiliated tertiary hospitals in Seoul, Korea.
Results
The responses given by the nurses in the two groups were similar. The nurses in this study reported that the bioscience courses they took as undergraduates had little relation to their professional tasks. This lack of link between bioscientific knowledge and nursing practice may be partly due to the fact that the courses are taught by non-nursing faculties who are not familiar with nursing tices. It also appears that bioscience knowledge deficit was most prominent during nursing assessment regardless of the program they attended or the unit they are currently working.
Conclusion
Bioscience courses should be integrated into the nursing curriculum properly and taught by nursing faculty who have a strong background in biological sciences.

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