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Research Papers
Experiences of work performance among physician assistant nurses during the period of healthcare disruption in South Korea: a qualitative content analysis
Juyoung Ha, Minji Kim
J Korean Acad Nurs 2026;56(1):98-107.   Published online February 24, 2026
DOI: https://doi.org/10.4040/jkan.25133
AbstractAbstract PDFePub
Purpose
This study aimed to explore the work experiences of physician assistant (dedicated nurses in Korea) during the medical service gap caused by physician–government conflicts.
Methods
A qualitative design employing individual in-depth interviews was used. Data were collected from July 18 to August 13, 2025. Fifteen nurses who worked as physician assistant 5 during the healthcare service gap participated in the study. Participants were categorized as follows: (1) nurses in the role before the period of healthcare disruption, (2) those who voluntarily applied after the period of healthcare disruption, and (3) those involuntarily assigned during the period of healthcare disruption. Data were analyzed using conventional content analysis.
Results
Three categories with six subcategories were identified: (1) reconstructing inner experience within an expanded role (unprepared responsibility and burden, inner fulfillment discovered through continuity of care); (2) reconfiguring relationships from a boundary position (feeling distant as “the same yet different” nurses, expansion of mutual understanding in a crisis context); and (3) precarious positioning within an unestablished system (uncertain standing after residents’ return, episodic implementation of non-standardized training).
Conclusion
This study showed that physician assistant who filled residents’ gaps in an incomplete system experienced heavier role burdens, blurred job identity, unequal conditions, and unstable affiliation, while some also found renewed meaning and fulfillment through continuity of care and closer collaboration. With structured education, clearly defined scopes of practice after residents’ return, and stable legal and organizational support, these nurses can function as more than temporary substitutes and help sustain continuity and quality of patient care.
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The Mediating Role of Psychological Resilience in Chinese Nursing Students’ Professional Identity and Learning Burnout
Liu Zhang, Qin Zhang, ShuWen Li, YuHong Li, GuoCui Wu, Ying Chen, YunNa Zhou
J Korean Acad Nurs 2024;54(4):509-518.   Published online November 25, 2024
DOI: https://doi.org/10.4040/jkan.24044
AbstractAbstract PDFePub
Purpose

This study investigated whether professional identity predicts learning burnout among Chinese nursing students, and whether resilience moderates this relationship.

Methods

This cross-sectional study recruited 635 students from a nursing college at a medical university in Hefei, China. Data were collected using the professional identity questionnaire, learning burnout scale for college students, and 10-item Connor-Davidson Resilience Scale. Pearson’s correlation analysis was used to investigate the relationships between variables. The mediation effect was evaluated using linear regression and the bootstrap method in SPSS.

Results

Nursing students exhibited intermediate learning burnout levels (score: 54.95 ± 10.42). Professional identity was positively correlated with psychological resilience (r = .42, p < . 001), whereas learning burnout was negatively correlated with professional identity (r = - .54, p < . 001) and psychological resilience (r = - .57, p < . 001). Psychological resilience mediated the relationship between professional identity and learning burntout to the tune of 32.8%.

Conclusion

Psychological resilience mediates the relationship between professional identity and learning burnout. Thus, nursing educators can mitigate student burnout by developing their students' professional identities and psychological resilience.

Citations

Citations to this article as recorded by  
  • The impact of creative anxiety on professional identity among master’s nursing students: a chain mediation effect of psychological resilience and achievement motivation
    Yao Ding, Xiaolan Guo, Ruifeng Wang, Lu Xu, Shajie Hou, Fengjiao Chang
    BMC Nursing.2025;[Epub]     CrossRef
  • Sense of Coherence and Perceived Academic Stress Among Nursing Students: A Multicenter Cross-Sectional Study
    David Ballester-Ferrando, Esther Cáceres-Malagelada, Carolina Rascón-Hernán, Teresa Botigué, Ana Lavedán, Olga Masot, Dolors Burjalés, Luis González-Osorio, Ximena Osorio-Spuler, Eva Serrat-Graboleda, Concepció Fuentes-Pumarola
    Nursing Reports.2025; 15(8): 288.     CrossRef
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Original Article
Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land
Eun-Jun Park, Chunmi Kim, Seung Joo Lim
J Korean Acad Nurs 2012;42(2):149-160.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.149
AbstractAbstract PDF
Purpose

The purpose of this study was to explain the role transition process to nurse case managers (NCMs) for Medical-aid beneficiaries in Korea.

Methods

Fourteen NCMs were interviewed regarding their experiences of becoming proficient in the new role of case manger. Data were analyzed through the application of grounded theory.

Results

'Taking root in a barren land' was the core category explaining the role transition process of NCMs. They engaged in four stages: launching, trial and error, proficiency, and wait-and-see stages. NCMs showed not only fear but also passion for case management practice. Despite their passion and effort, NCMs went through a period of trial and error. After becoming skilled, NCMs went through a stage of wait-and-see often because of job insecurity related to temporary position or few opportunities for promotion. Factors influencing NCMs' role transition process included their understanding of client characteristics, belief in case management, and support from their colleagues and families.

Conclusion

NCMs experience many challenges in the process of becoming proficient NCMs. To help with their role transition, there is a need for education programs, preceptorship programs, research on their roles and functions, and regulation for securing NCMs' employment and career stability.

Citations

Citations to this article as recorded by  
  • Experience of Clinical Adaptation among Nurses in Intensive Care Unit
    Jin Young Hong, Sue Kyung Sohn
    Journal of Korean Critical Care Nursing.2024; 17(1): 1.     CrossRef
  • Perceived barriers to implementing case management for medical‐aid beneficiaries in South Korea
    Jeonghyun Cho, Chongwon Park, Jinah Lee, Jiyoung Park
    Health & Social Care in the Community.2022; 30(1): 372.     CrossRef
  • Effects of Medicaid Case Manager's Communication Competence and Stress on Their Job Satisfaction
    Seung Joo Lim
    Journal of Korean Academy of Community Health Nursing.2019; 30(2): 195.     CrossRef
  • Case management effectiveness for managing chronic illnesses in Korea: a systematic review
    J.Y. Joo, M.F. Liu
    International Nursing Review.2019; 66(1): 30.     CrossRef
  • Experience of Hospital Administrative Nurses' Work Adjustment
    Hyun-Ju Lee, Jae-Hyun Ha, Yun-Seo Jung, Jungmi Yun
    Journal of Korean Academy of Nursing Administration.2019; 25(5): 424.     CrossRef
  • The Coping Experience of Nursing Students in Clinical Practice: Trying to be a Meaningful Presence
    Doo Nam Oh, Young-Rhan Um, Chunmi Kim, Sejin Ju, Jung Hyun Choi, Myung Sook Park
    The Journal of Korean Academic Society of Nursing Education.2016; 22(4): 430.     CrossRef
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  • 6 Crossref
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