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Purpose: This study was done to investigate the mediating effect of occupational stress on the relationship between ICU nurse’s authentic leadership and turnover intention, and to analyze the causes of turnover in ICU nurses.Methods: A convergent mixed method was used. Participants were 100 out of 207 ICU nurses in the original data that were acquired in Daegu, Ulsan, and Busan, in February and March 2017. Participants were asked with open-ended question: "what are the causes for turnover intention" and summative content analysis and thematic analysis were done. Results: The mean scores for authentic leadership, occupational stress, and turnover intention were 3.09, 43.74, and 45.66, respectively. Occupational stress showed full mediation in the relationship between authentic leadership and turnover intention. The qualitative data showed that the most causes of turnover intention were in the organization (60.6%) instead of individuals (39.4%). Conclusion: Authentic leadership influenced the ICU nurse’s turnover intention via the full mediating effect of occupational stress. The ‘organization-oriented variables’ play a more important role than 'individual-oriented variables' in the reduction of the turnover intention of ICU nurses. The findings from this study may be useful in reducing turnover intention.

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Objectives: This study was conducted to investigate the effect of health beliefs, safety motivations, and safety-climate on the performance of taking standard precautions of nursing college students with clinical practice experience. Methods: The subjects of this study were 173 students in the 3rd and 4th grades of nursing college located in Daegu Metropolitan City with clinical practice experience, and data were collected from September 7th to September 25th, 2020 using a structured questionnaire. Results: As a result of the study, the health belief of nursing college students was 3.60 (± 0.75) points, safety motivation 22.40 (± 5.33) points, safety-climate 4.79 (± 1.90) points, and the performance of taking standard precautions was 3.21 (± 0.63) points. Hierarchical regression analysis was performed with the presence or absence of infection management education, health belief, safety motivation, and safety-climate as independent variables to identify the factors that affect the performance of taking standard precautions. Factors affecting the performance of taking standard precautions are health belief (β = 0.33, p = 0.003), safety motivation (β = 0.28, p = 0.003), safety-climate (β = 0.20, p = 0.009). Conclusions: According to this study, health belief, safety motivation, and safety-climate influenced the performance of taking standard precautions. These results suggest that it is necessary to emphasize the importance of practicing standardism, motivate nursing students, and provide a safer hospital practice environment in order to improve the performance of taking standard precaution when nursing college students are in hospital practice.

Purpose: The purpose of this study is to explore the experiences of nurses who have suffered from hurt feelings in their relationships with medical personnel in intensive care units (ICUs).Methods: Data were collected from May 2019 to August 2020 through individual in-depth interviews with 8 ICU nurses. Verbatim transcripts were analyzed using the MAXQDA program, employing a phenomenological method designed by Colaizzi.Results: Four theme clusters and nine themes were identified. The themes cluster that emerged were as follows: high-handedness from a lack of understanding and consideration, not being respected as a professional, having to endure sadness alone, and strategies for accepting pain.Conclusion: In ICUs, nurses are being emotionally wounded, resulting in a variety of hurt feelings, not only by doctors, but also by other nurses. Nurses were heavy-hearted because they wanted the participants to do their part and care for critically ill patients proficiently. However, they did not treat ICU nurses as specialized professionals. The participating nurses said they felt pressure, fear, and intimidated. In addition, they felt lonely because their head nurses, seniors, or colleagues did not protect or support them. This study helped develop a program to decrease the nurses’ emotional distress and create a safe work environment where they respected and cared for each other without undergoing anguish.