Purpose
This study was to examine the influential factors on patient safety management activities of operating room nurses in general hospitals.
Methods
The subject of this study were 133 operating room nurses of seven general hospitals in B metropolitan city. Data were collected from July 23 to August 14, 2020 using self-report questionnaires. For data analysis, a descriptive analysis and stepwise multiple regression were utilized with IBM SPSS Statistics for Windows version 22.0.
Results
The significant predictors of patient safety management activities were perception of patient safety culture (β=.73, p<.001) and physical burden (β=-.13, p=.025). These variables were found to contribute 56.3% to the outcomes of patient safety management activities.
Conclusion
Based on the research results, to promote patient safety management activities of operating room nurses, it is required to establish active and multifaceted strategies and systems at the hospital level to enhance awareness of patient safety culture and reduce physical burden.

Citations

• Study of Patient Safety Culture Awareness of Radiological Technologists in Magnetic Resonance Imaging Laboratories
  Min-Seo Park, Dong-Ha Lee, Hyun-Jin Jo, Hea-Youn Cho, Yeong-Cheol Heo
  Journal of the Korean Society of MR Technology.2024; 34(1): 9.     CrossRef
• The Effects of a Simulation-Based Patient Safety Education Program on Compliance with Patient Safety, Perception of Patient Safety Culture, and Educational Satisfaction of Operating Room Nurses
  OkBun Park, MiYang Jeon, MiSeon Kim, ByeolAh Kim, HyeonCheol Jeong
  Healthcare.2023; 11(21): 2824.     CrossRef

Purpose
The study aimed to classify patient safety accident and nursing malpractice types through a content analysis of litigation cases in which nurses were found guilty.
Methods
Data on malpractice cases were collected from the official website of the Korean judiciary. This analysis was conducted in stages according to the systematic content analysis method. A total of 46 cases consisting of 14 criminal cases and 32 civil cases were selected for analysis, and classified based on the types of safety accident and nursing malpractice.
Results
Eleven categories and 14 subcategories of accidents were extracted from 71 significant statements. The 11 categories of accidents consisted of falls, medication, burns, treatment, diet, medical equipment, delivery, exams, surgery, infection, and suicide. Five categories and 14 subcategories of nursing malpractice were extracted from 71 significant statements. The five categories of malpractice were as follows: failure to take affirmative action to prevent accidents, monitor, follow guidelines, use equipment properly, and reports.
Conclusion
These findings highlight the importance of nurses’ independent roles as patients’ safety managers. It can be used as primary data to develop organizational and educational support for nurses seeking to perform their professional roles in ensuring patient safety.

Citations

• Effects of Discussion-Based Legality-Focused Nursing Record Education on Nursing Students’ Knowledge, Self-Confidence, and Nursing Record Performance
  Dohye Kim, Kyoungrim Kang, Jeongyeong Jeon
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 14.     CrossRef
• Development of Guidelines for the Delegation of Nursing Tasks in Integrated Nursing Care Service
  Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
  Journal of Korean Academy of Nursing Administration.2024; 30(2): 114.     CrossRef
• Characteristics of Nursing-related Patient Safety Incidents and Qualitative Content Analysis: Secondary data Analysis of Medical Litigation Judgment (2014~ 2018)
  Min-Ji Kim, Won Lee, Sang-Hee Kim, So-Yoon Kim
  Quality Improvement in Health Care.2023; 29(2): 15.     CrossRef

Purpose
This study examined the effects of work environment, job engagement, and positive psychological capital on hospital nurses’ job embeddedness.
Methods
Participants were 118 hospital nurses. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients, and multiple regression analysis using SPSS/Win 25.0.
Results
Mean work environment was 2.70±0.14, mean job engagement was 3.03±0.42, positive psychological capital was 4.05±0.27, and job embeddedness was 3.24±0.31. There were significant differences in job embeddedness by turnover experience and current working hospital type. The factors influencing the job embeddedness of the hospital nurses were turnover experience, current working hospital type, and nurse manager ability, leadership, and nueses’ support in the work environment. It was found that 23% could explain job embeddedness.
Conclusion
Implementing a nurse support program related to turnover experience and type of hospital is necessary to enhance job embeddedness. The results indicate a need to develop a coaching program for cultivating leadership and supporting nurses to improve job embeddedness.

Purpose
This study aimed to clarify and analyze the concept of a career plateau among clinical nurses.
Methods
Using Walker and Avant’s concept analysis framework, 20 articles on the career plateau of clinical nurses were selected for this study.
Results
The attributes of the clinical nurses’ structural career plateau were “unmet need for vertical movement” and “accepting of promotion restrictions”. The attributes of the clinical nurses’ content career plateau were “job repetition”, “involuntary job fixation”, “work lethargy”, “low expectations for nursing professional development,” and “indifference to care recipients”. The antecedent factors for the nurses’ career plateau were “lack of organizational support”, “lack of respect from the organization, bosses, and colleagues”, “personal problems arising or remaining unresolved”, “limited autonomy”, and “absence of role models”. As a consequence of the career plateau, job satisfaction, nursing competency, and nursing quality decreased, while burnout and turnover intention increased.
Conclusion
This study is significant in that it clarified the concept and attributes of the clinical nurses’ career plateau by reflecting the characteristics and purpose of nursing.

Citations

• Experiences With a Substitution System for Clinical Nurses' Leave of Absence: A Qualitative Study
  Ae R. Kim, Jeong H. Hong, Seieun Oh, Sangwoon Cho, Hye J. Baek
  Research in Nursing & Health.2025; 48(1): 63.     CrossRef

Purpose
This study’s purpose was to identify the influence of retirement expectations and readiness on retirement anxiety among middle-aged nurses.
Methods
The participants were 216 middle-aged nurses working at nine locations including hospitals, long-term care hospitals, general hospitals, and tertiary hospitals in B city. Data were collected from April 25 to May 13, 2022 using self-report questionnaires and analyzed using t-tests, one-way ANOVAs, Scheffé́ tests, Pearson’s correlation coefficients, and multiple regression with SPSS/WIN 28.0.
Results
The mean scores for retirement expectations, retirement readiness, and retirement anxiety were 3.49±0.38, 3.21±0.59, and 2.48±0.51, respectively. Retirement anxiety was found to be significantly affected by new beginnings (β=-.31, p<.001) for retirement expectations and life design readiness (β=-.27, p=.002) and, leisure readiness (β=-.27, p<.001) for retirement readiness. These variables accounted for 33.0% the retirement anxiety among middle-aged nurses.
Conclusion
To reduce retirement anxiety among middle-aged nurses, it is necessary to adopt an organizational approach enhancing their perceptions and using a policy alternative to make use of older nurses' extensive knowledge and experience.

Purpose
This study aimed to develop a discharge nursing service model (DNSM), including one that accounts for the role of discharge nurses and the discharge nursing process for heart failure patients (HFP) with a high readmission rate, and to verify its clinical feasibility.
Methods
As a methodological study, DNSM was established through a literature review and benchmarking, and the clinical feasibility of the expert group was confirmed through the Delphi technique.
Results
Through a literature review and the benchmarking, the DNSM for HFP was formulated. The nine core competencies are professional nursing practice, education, counseling, advice, ethical decision-making, research, collaboration, evidence-based practice, and leadership. In addition, fifteen criteria and 42 indicators were added as detailed items. The discharge process comprised five stages and 25 processes identified by analyzing and integrating the content of discharge nursing intervention required for HFP by period-from hospitalization to 30 days after discharge. Content validity was verified by the twofold application of the Delphi technique, and the average CVI was over 0.92.
Conclusion
In terms of quality management, developing an efficient system or service is necessary to prevent readmission, and developed DNSM should be continuously revisioned and reinforced through follow-up studies.

Purpose
This qualitative study aimed to identify the detailed job roles of physician assistants working in surgical departments of tertiary hospitals in Korea.
Methods
Data were collected via individual in-depth interviews and analyzed using a content analysis method. Participants were 19 physician assistants (PAs), each of whom had been working for more than one year in tertiary hospitals.
Results
Overall, 348 codes were extracted and clustered into 75 subcategories (job roles). Thereafter, 75 subcategories were classified into three categories (nursing roles, medical residents’ roles, and physicians’ roles). Among 75 PA job roles, 1 (1.3%) was a nursing role, 7 (9.3%) were nursing or medical residents’ roles, and 67 (89.4%) were physicians’ roles. Physicians’ roles were mostly surgery-associated functions performed in a variety of settings in numerous different ways.
Conclusion
Establishing educational systems, qualification standards, and payment systems for the PAs and legalizing their professional status are necessary.

Citations

• Role Conflict of Physician Assistants with Nursing Licenses in Korea
  Byeongkwan Kim, Wonhee Jung
  Journal of Korean Academy of Nursing Administration.2024; 30(2): 141.     CrossRef

Purpose
This study aimed to examine the effect of person-environment fit on positive psychological capital, career commitment, and turnover intention among nurses working in university hospitals.
Methods
A survey was administered to 277 nurses working in a university hospital with more than 800 beds in J city. SPSS 25.0 and AMOS 18.0 were used for analysis.
Results
Factors that directly explain turnover intention, person-environment fit, career commitment, and psychological capital exhibited a negative effect. However, while person-job fit did not directly affect turnover intention, it exhibited an indirect effect and total effect via positive psychological capital and career commitment.
Conclusion
Various programs should be developed to enhance nurses’ person-environment fit and person-job fit. Forming a positive attitude and strengthening nurses’ attachment and commitment toward nursing contribute to a lower turnover intention.

Citations

• Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
  Younghee Kim, Mi Yu, Jacopo Fiorini
  Journal of Nursing Management.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