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Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
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Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
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J Korean Acad Nurs 2023;53(2):222-235. Published online April 30, 2023
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DOI: https://doi.org/10.4040/jkan.22099
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Abstract
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- Purpose
The aim of this study was to identify the factors explaining protective behaviors against radiation exposure in perioperative nurses based on the theory of planned behavior. Methods This was a cross-sectional study. A total of 229 perioperative nurses participated between October 3 and October 20, 2021. Data were analyzed using SPSS/WIN 23.0 and AMOS 23.0 software. The three exogenous variables (attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control) and two endogenous variables (radiation protective intention and radiation protective behaviors) were surveyed. Results The hypothetical model fit the data (χ2/df = 1.18, SRMR = .02, TLI = .98, CFI = .99, RMSEA = .03). Radiation protective intention (β = .24, p = .001) and attitude toward radiation protective behaviors (β = .32, p = .002) had direct effects on radiation protective behaviors. Subjective norm (β = .43, p = .002) and perceived behavior control (β = .24, p = .003) had direct effects on radiation protective intention, which explained 38.0% of the variance. Subjective norm (β = .10, p = .001) and perceived behavior control (β = .06, p = .002) had indirect effects via radiation protective intention on radiation protective behaviors. Attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control were the significant factors explaining 49.0% of the variance in radiation protective behaviors. Conclusion This study shows that the theory of planned behavior can be used to effectively predict radiation protective behaviors in perioperative nurses. Radiation safety guidelines or education programs to enhance perioperative nurses’ protective behaviors should focus on radiation protective intention, attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control.
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Citations
Citations to this article as recorded by 
- Health Protective Behavior in Occupational Health Practice: A Concept Analysis
Fenggang Liu, Juanjuan Wang, Weeraporn Suthakorn, Li Liao Health Science Reports.2025;[Epub] CrossRef - Factors related to preventive measures towards PM2.5 exposure: A systematic review
Jeevan Bhatta, Orapin Laosee, Cheerawit Rattanapan Global Transitions.2024; 6: 212. CrossRef - Factors Influencing Radiation Protection Behavior of Nurses in Intensive Care Units
Seo Jeong Kim, Yun Hee Kim Journal of Korean Critical Care Nursing.2024; 17(3): 1. CrossRef - A Review of the Relationship between Health Behaviors and Career Adaptability among University Students
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Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis
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Yunjeong Cho, Seok Hee Jeong, Hee Sun Kim, Young Man Kim
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J Korean Acad Nurs 2022;52(5):479-498. Published online October 31, 2022
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DOI: https://doi.org/10.4040/jkan.22039
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Abstract
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- Purpose
This study aimed to examine effect sizes of leadership styles of nursing managers on turnover intention of hospital nurses. Methods A systematic review and meta-analysis were conducted in accordance with the PRISMA and MOOSE guidelines. Participants were nurses working in hospitals. The intervention involved nursing managers’ leadership styles; the outcome assessed was nurses’ turnover intention. This was an observational study design. Eleven databases were searched to obtain articles published in Korean or English. Of the 14,428 articles reviewed, 21 were included in systematic review and meta-analysis. Comprehensive Meta-Analysis and R software programs were used. Results The total effect size r (ESr) was - 0.25 (95% confidence interval: - 0.29 to - 0.20). Effect sizes of each leadership style on turnover intention were as follows: ethical leadership (ESr = - 0.34), transformational leadership (ESr = - 0.28), authentic leadership (ESr = - 0.23), transactional leadership (ESr = - 0.21), and passive avoidant leadership (ESr = 0.13). Ethical leadership was the most effective style in decreasing turnover intention of hospital nurses. Conclusion Positive leadership styles of nurse managers effectively decrease turnover intention of hospital nurses, and negative leadership styles of nurse managers effectively increase turnover intention of hospital nurses. The ethical leadership style is the most effective in decreasing turnover intention of hospital nurses; however, it requires careful interpretation as its effects are reported by only two studies. This study contributes to addressing the high turnover rate of hospital nurses and developing positive leadership styles of nurse managers in hospital settings.
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Citations
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Inji Ha, Heeok Park, Ji Hun Joung Journal of Korean Gerontological Nursing.2025; 27(1): 35. CrossRef - Influence of Leadership Styles on Turnover Intentions in Technology Startups
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Alicia Jimenez-Caceres, Anna Agusti-Boada, Conxi Caro-Benito, Olga Monistrol BMC Nursing.2025;[Epub] CrossRef - Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong Journal of Korean Academy of Nursing Administration.2024; 30(1): 42. CrossRef - Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
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