Purpose The purpose of this study was to examine the influences of nursing workplace spirituality, organizational citizenship behavior, and perception of patient safety management on patient safety nursing activities of nurses at a tertiary hospital.
Methods: The subjects were 136 nurses who had more than a year of clinical experience and were currently working in tertiary hospitals in D city. Data was collected from October 2 to October 13, 2020 using self-report questionnaires. The collected data were analyzed with descriptive statistics, t-test, one-way ANOVA, Scheffe test, Pearson’s correlation coefficient and hierarchical regression analysis using the IBM SPSS 25.0 program.
Results: There was statistically significant correlation among nursing workplace spirituality, organizational citizenship behavior, perception of patient safety management, and patient safety nursing activities. The most significant predictor that affected patient safety nursing activities of nurses was nurses’ perception of patient safety management. This model showed a 42.0% explanation of patient safety nursing activities.
Conclusion: In order to improve the patient safety nursing activities of nurses, an organizational approach to enhancing perception of patient safety management and application of patient safety education programs are required.
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Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung Journal of Korean Academy of Nursing Administration.2024; 30(1): 31. CrossRef
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Purpose To examine the relationship between nurse-perceived patient safety culture and patient safety grade in healthcare organizations.
Methods: A cross-sectional, correlational study design was used. An online survey was conducted with nurses in three tertiary hospitals in Korea who provided direct care to patients. Data were analyzed using Pearson correlation coefficients and ordinal logistic regression.
Results: A total of 526 nurses completed the questionnaire. Among patient safety culture dimensions, staffing and work pace, reporting patient safety events, hospital management support for patient safety, handoffs and information exchange, organizational learningcontinuous improvement, and unit manager support for patient safety were significant predictors for patient safety grade.
Conclusion: Efforts should be made to create and enhance patient safety culture in healthcare organizations. This study showed that staffing and work pace were the strongest predictors of patient safety grade, indicating that adequate nurse staffing is important to handle workloads and improve patient safety. Our study also demonstrated the importance of hospital management and unit manager support for patient safety. Therefore, we suggest developing a leadership program for hospital administrators and unit managers, to help them develop the necessary leadership skills for creating a culture of safety in healthcare organizations.
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The influencing factors of pediatric nurses’ perception of patient safety culture and partnership with patients’ parents on patient safety nursing activities in South Korea: a descriptive study Seo Jin Lee, Young Ran Han Child Health Nursing Research.2024; 30(4): 255. CrossRef
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Purpose The purpose of the study was to re-evaluate Florence Nightingale’s achievements celebrating the 200 th anniversary of Nightingale’s birth and to reflect on her legacy.
Methods: We conducted an extensive literature review with key words in Korean and English using 9 electronic databases, related data, books, articles, websites, and secondary literature.
Results: As a result of this study, the five legacy of Nightingale as a social reformer were examined. First, founding nursing in response to social needs. Second, reform of the health care system. Third, a practical social activist who promoted social change for the public good. Fourth, first adoption of health statistics. Fifth, emancipation of women. Nightingale’s legacy as a social reformer has had an considerable influence on our society so far.
Conclusion: Nightingale was a pioneer in nursing, but she was a social reform activist who successfully transformed the medical systems and even the whole social system based on her keen insight, religious vocation, profession vision, and personal competency. In the middle of World’s chaos and uncertainty due to the COVID-19 pandemic, it seems more necessary than ever to embody the legacy of Nightingale as a social reformer, and put it into practice.
Purpose This study aimed to identify nursing students’ experience with the Nursing Management Practicum based on the service design concept to provide a basis for an ideal subject design.
Methods: This study was a qualitative research that analyzed the experience of students and their clinical instructors based on the blueprint of Nursing Management Practicum. Focus group interviews were conducted with 13 graduates from two nursing schools and 11 clinical instructors from three hospitals.
Results: The students went through six stages during the practicum. They met clinical instructors during the ward orientation and learning activities in wards and met school instructors during the general orientation and conference. The students perceived the learning activities and teaching from the clinical instructors in wards as the most important practicum factors.
Conclusion: This study provided information which helped us to understand nursing students’ experience with the Nursing Management Practicum as the time passed by. This information can be used to improve students’ experience with the practicum and convert the subject into a more learner-centered education.
Purpose This study aimed to investigate factors affecting the job embeddedness of clinical nurses.
Methods: Participants were 204 nurses working in four general hospitals. Data were collected from September 3 to October 8, 2020 and analyzed using the SPSS/WIN 25.0 program.
Results: The mean scores for positive psychological capital, organizational justice, and job embeddedness were 3.31±0.38, 3.16±0.46, and 3.17±0.38, respectively. The job embeddedness of the participants had a positive correlation with optimism (r=.57, p<.001), hope (r=.56, p<.001), self-efficacy (r=.44, p<.001), and resilience (r=.38, p<.001) in the sub-factors of positive psychological capital. It also had a positive correlation with procedural (r=.58, p<.001), distributive (r=.52, p<.001), and interactional (r=.35, p<.001) justice in the sub-factors of organizational justice. The factors affecting nurses’ job embeddness were procedural justice, optimism, position, distributive justice, and hope. In addition, the explanatory power of the model was 60% (F=39.11, p<.001).
Conclusion: The results suggest that to improve the job embeddedness, positive psychology-based coaching and counseling programs suitable for individual clinical nurses, organizational management through transparent procedures and objective and systematic distribution are needed. In addition, a position system suitable for the characteristics of a nursing organization is required.
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Purpose To develop a web-based solution for patient need-driven staffing (PNDS) that automatically determines nurses’ staffing requirements.
Methods: Activities provided by nurses in four integrated nursing care wards (INCWs) and non-INCWs each in a tertiary hospital were observed over three days. Nursing hours per patient hour (NHPPH) were calculated by dividing nursing hours by patient stay hours per day. Patient needs were evaluated using 19 items.
Results: The nurse-patient ratios in INCWs and non-INCWs were 1:4.5 and 1:8.1 (including overtime), respectively. Admitted and transferred-in patients had higher NHPPHs than those with continuing stays. The patients were classified into five groups: Group A for admissions and transfers-in, and Groups 1~4 for the remainder. In INCWs, the nurse-patient ratios ranged from 1:5.3 (Group 1) to 1:2.4 (Group 4), and Group A required 1:3.0, the secondhighest level. In non-INCWs, ratios ranged from 1:9.4 (Group 1) to 1:5.2 (Group 4 and Group A). The PNDS solution was developed to determine staffing requirements by classifying patients into five groups using the entered data on patient needs, assigning the group’s NHPPH to each patient, and calculating the staffing ratio required in the unit.
Conclusion: The PNDS is expected to support staffing decisions to meet patient needs.
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Purpose This study aimed to identify pro-social behavior, self-determination, and life satisfaction status among nursing students, and to analyze the relationships between these variables and their effects on nursing students’ life satisfaction.
Methods: It was conducted from January 10 to January 19, and data from 210 nursing students were collected through the online survey system of an Internet portal site.
Results: As a result of the study, pro-social behavior and self-determination (autonomy, competence, relationship (s)), and life satisfaction showed a statistically significant positive correlation with each other. Competence (p<.001) and relationships (p=.018), affected nursing students‘life satisfaction. The higher the competence (B=0.41), the stronger the relationships. Further, the higher the score (B=0.21), the higher the satisfaction. Additionally, it was found that the effect of competence (β=.40) on life satisfaction was higher than that of relationships on life satisfaction (β=.16). Pro-social behavior did not affect nursing students’ life satisfaction (p=.654).
Conclusion: Through the results of this study, we suggest the need for efforts to improve nursing students’ life satisfaction by developing and applying various programs that can increase self-determination in the nursing education process.
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Purpose The purpose of this study was to identify the effects of job crafting, job engagement on career management behavior among public institution nurses and to investigate the mediating effect of job engagement.
Methods: This study was a descriptive survey, with 176 public institution nurses working in seven institutions participating. Structured questionnaires were used, collected data were analyzed using descriptive statistics independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficient, multiple regression analysis with SPSS statistics 26.0 program.
Results: Career management behavior were significantly associated with job crafting (β=.52, p<.001), job engagement (β=.20, p=.015). These variables explained 48.0% of career management behavior. Also, job engagement had a partial mediating effect on the relationship between job crafting and career management behavior.
Conclusion: Findings indicate that the relationship between job crafting and career management behavior among public institution nurses is mediated by job engagement. Strategies for enhancing career management behavior among public institution nurses should be considered to enhance job crafting and job engagement. The results can contribute to the establishment of a human resource management system for public institution nurses.
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Purpose This study examined patients’ call bell use and the relationship between call bell use and nursing care needs.
Methods: Nursing staff was asked to report patients’ call bell use during 15 shifts over five days in integrated nursing care wards. Nursing care needs were measured using summary scores of nursing activities and activities of daily living (ADLs). The relationship between call bell use and nursing care needs was analyzed using a zero-inflated negative binomial regression model.
Results: A total of 251 patients used call bells 235 times, with an average of 0.94 times per day. Only 72 patients (28.7%) used call bells once or more per day (range, 1~14 times), whereas the rest did not use call bells. Male gender, a high risk for falling, and a higher score on nursing activities were associated with a greater likelihood of using call bells. Pain and higher dependency on ADLs were associated with an increase in the frequency of call bell use.
Conclusion: Patients' call bell use needs to be minimized by meeting their nursing care needs to improve patient safety and nursing performance.
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Purpose This study is a descriptive research study conducted for the perioperative nurses of operating room to strengthen their capacity for patient safety and use them as basic data for sustainable surgical nursing practice education.
Methods: This study adopted a cross-sectional survey design using a self-report questionnaire. Data were collected from January 25 to February 15, 2019 from 142 nurses in the operating rooms of four university hospitals in Seoul and Gyeonggi Province. For data analysis, mean, standard deviation, frequency, percentage, independent t-test, one-way ANOVA, Pearson's Correlation Coefficient, and hierarchical multiple regression analysis were used using SPSS version 24.0.
Results: The variables affecting the patient safety management activities of the subjects were operating room safety management education experience (once or more in 3 months) (β=.15, p=.034), perception of patient safety atmosphere (β=.23, p=.022), and safety control (β=.46, p<.001), and the total explanatory power of these variables was 39% (Adjusted R 2 =.39, F=6.41, p<.001).
Conclusion: It was found that for positive patient safety management activities of perioperative nurses, it is necessary to develop and apply an operating room safety management education program that includes patient safety atmosphere awareness and safety control as components.
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Purpose The purpose of this study was to investigate the influences of hospital nurse's organizational communication satisfaction and safety climate on their medication safety competence.
Methods: Data were collected from 131 hospital nurses who administer medications at hospitals in the metropolitan areas. Data were analyzed utilizing descriptive statistics, t-test, ANOVA, Scheffe’s test, Pearson’s correlation coefficients, and hierarchical multiple regression.
Results: Medication safety competence was significantly relations to organizational communication satisfaction (r＝.52, p＜.001) and safety climate (r＝.54, p＜.001). Organizational communication satisfaction, safety climate, age 31~35 years and over 36 year, clinical experience 5~10 years and 10 or more years and surgical department influenced on medication safety competence. These factors explained 47.0% of clinical nurse's medication safety competence (p＜.001).
Conclusion: Organizational communication satisfaction and safety climate had effects on nurses’ medication safety competence. It is needed to formulate strategies to make an organizational climate where the level of communication within the hospital improve and safety is considered a top priority to increase the medication safety competence of hospital nurses.
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Purpose This study was explored the current nursing issues in the COVID-19 era by analyzing newspaper articles.
Methods: The search term “nurse” was used to collect newspaper articles from 2020. Pre-processing and semantic network analysis and topic group clustering were conducted using the NetMiner program to analyze the collected articles.
Results: A total of 256 articles were identified, and four topics were extracted. The core keywords were “medical care”, “hospital”, “COVID-19” and “medical workforce”. The extracted topics were “work environment related to response to infectious diseases”, “utilization of nursing resources”, “excessive nursing work”, and “shortage of nursing workforce”.
Conclusion: Our findings provide useful information for understanding social perspectives of critical nursing issues in the COVID-19 era. Most of the extracted topics are the actual problems that nurses have faced for a long time. Now, nurses must proactively address current nursing issues to respond to national disasters and provide quality nursing care.
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