Developing and Testing the Validity of a Needs-Based Communication Program for New Korean Nurses’ Organizational Adaptation
Abstract
Background: We developed a needs-based communication program for fostering the organizational adaptation of new Korean nurses. It tested the program’s effects on their intentions to stay in their job, burnout, fear of negative evaluations, self-encouragement, workplace friendships, communication, and nonviolent communication.
Methods: The communication program was developed based on the nonviolent communication approach. Its effectiveness was tested using a non-equivalent control group pretest-posttest design. The participants were Korean nurses with less than six months of experience working in general hospitals located in Busan City and Gyeongsangnam-do Province, Republic of Korea. The experimental group, comprising 49 participants, underwent the needs-based communication program consisting of daily workshops and weekly practice sessions for eight weeks. The control group, comprising 44 participants, received no treatment. The data were collected from May to July, 2025, and analyzed using descriptive statistics, χ2 test, t-test, analysis of covariance, ranked analysis of covariance, Wilcoxon signed-rank test, Fisher’s exact test, and McNemar’s test.
Results: Compared to the control group, the experimental group showed significantly improved intentions to stay in the job, self-encouragement, workplace friendships, communication, and nonviolent communication (P<0.05). However, burnout and fear of negative evaluations did not differ between the two groups (P>0.05).
Conclusion: The needs-based communication program can be applied to new nurses’ introductory training curricula and is expected to enhance their adaptation to clinical practice.
2. Cowden T, Cummings G, Profetto-McGrath J (2011). Leadership practices and staff nurses' intent to stay: a system-atic review. J Nurs Manag, 19(4):461–77.
3. Brown SD, Lent RW (2020). Career Develop-ment and Counseling: Putting Theory and Re-search to Work, 3rd Edition. John Wiley & Sons Inc, NJ, USA.
4. Ahn HY, Kwon SB (2025). Acquisition of Professional Nursing Intuition: A Grounded Theory Approach. J Korean Acad Nurs Adm, 31(1):1–13.
5. No AY, Jeong M (2007). Development and Validation of the Self Encouragement-Discouragement Inventory. Korean J Counsel Psychotherapy, 19(3):675–92.
6. Chicca J, Shellenbarger T (2018). Connect-ing with generation Z: approaches in nursing education. Teach Learn Nurs, 13(3):180–4.
7. Rosenberg M, Chopra D (2015). Nonviolent Communication: A Language of Life: Life-Changing Tools for Healthy Relationships (Nonviolent Communication Guides). Pud-dleDancer Press, CA, USA.
8. Park JH, Jung HY, Lee YH, et al (2025). Ef-fects of a Nonviolent Communication Education Program on Empathy, Inter-personal Relationships, Stress, and Resil-ience among Korean Nursing Students. Iran J Public Health, 54(3):578–88.
9. Lucy L (2015). Nonviolent Communication Com-panion Workbook, 2nd Edition. A Practical Guide for Individual, Group, or Classroom Study (Nonviolent Communication Guides), PuddleDancer Press, CA, USA.
10. Shin JA, Cho YA (2020). The Development and Effects of Communication Im-provement Education Program for Nurses and Physicians in Nursing care Integrated Service ward. Korean Public Health Research, 46(1):17–31.
11. O'Donovan M (2006). Reflecting during clinical placement - Discovering factors that influence pre-registration psychiat-ric nursing students. Nurse Educ Pract, 6(3):134–40.
12. Kember D, McKay J, Sinclair K, Wong FKY (2008). A four-category scheme for coding and assessing the level of reflec-tion in written work. Assess Eval High Edu, 33(4):369–79.
13. Cowin L (2002). The effects of nurses' job satisfaction on retention: an Australian perspective. J Nurs Adm, 32(5):283–91.
14. Pines AM, Aronson E, Kafry D (1981). Burnout: From Tedium to Personal Growth. The Free Press, NY, USA.
15. Carleton RN, Collimore KC, Asmundson GJ (2007). Social anxiety and fear of negative evaluation: construct validity of the BFNE-II. J Anxiety Disord, 21(1):131–41.
16. Nielsen IK, Jex SM, Adams GA (2000). De-velopment and validation of scores on a two-dimensional workplace friendship scale. Educ Psychol Meas, 60(4):628–43.
17. Rubin RB, Martin MM (1994). Development of a measure of interpersonal commu-nication competence. Commun Res Rep, 11(1):33–44.
18. Duchscher JEB (2009). Transition shock: The initial stage of role adaptation for newly graduated registered nurses. J Adv Nurs, 65(5):1103–13.
19. Wilson AA (2005). Impact of management development on nurse retention. Nurs Adm Q, 29(2):137–45.
20. Jang HM, Yang YK (2023). Influences of New Nurse-Preceptor Exchange Rela-tionships and Burnout on Intention to Stay at Work among New Nurses. J Soc Converg Stud, 7(5):57–67.
21. Edú-Valsania S, Laguía A, Moriano JA (2022). Burnout: A Review of Theory and Measurement. Int J Environ Res Public Health, 19(3):1780.
22. Monsalve-Reyes CS, San Luis-Costas C, Gómez-Urquiza JL, et al (2018). Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis. BMC Fam Pract, 19(1):59.
23. Yun HJ, Kwak EM, Kim HS (2018). Focus Group Study on Reality Shock Experi-ences of New Graduate Nurses. Journal of Qualitative Research, 19(2), 102–11.
24. Dinkmeyer D (1996). Skills of Encouragement: Bringing Out the Best in Yourself and Others (1st ed.). Routledge. NY, USA.
25. Lee HJ (2014). Moderating Effects of Self-Encouragement on the Relationship be-tween Job-Seeking Stress and School Life Adaptation of Undergraduates. Journal of Research in Education, 27(4):1–25.
26. Lee SN, Gu SY (2019). Relation of Grati-tude Disposition, Organizational Inti-macy and Organizational Well-being on Comprehensive Nursing Service Units of Nurses. J Korean Acad Nurs Adm, 25(2):97–105.
27. Lee MJ, Jeong YJ, Kang JY, et al (2019). The Effect of Non-violent Communication Program on Nursing Graduate Students on Empathy, Communication, Interper-sonal Relationship. The Journal of Humani-ties and Social Science, 10(2):425–40.
| Files | ||
| Issue | Vol 54 No 11 (2025) | |
| Section | Original Article(s) | |
| Keywords | ||
| Burnout Communication Fear Friendship Self-encouragement Workplace | ||
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