Purpose
This study aimed to explore the mediating role of self-transcendence in the relationship between job stress and wellness among nurses based on self-transcendence theory. Methods: A descriptive cross-sectional design was adopted, and data were collected via an online survey using Google Forms from July 22 to August 20, 2024. This study analyzed data from 290 nurses working in 10 hospitals. Correlation and multiple regression analyses were conducted, alongside simple mediation analysis with bootstrapping, to evaluate the mediating role of self-transcendence. All statistical analyses were performed using Jamovi software. Results: Positive correlations were identified among job stress, self-transcendence, and wellness in nurses. Regression analyses revealed that self-transcendence was positively associated with wellness (β=.62, p<.001), while job stress had no significant association with wellness. Mediation analysis demonstrated that self-transcendence significantly mediated the relationship between job stress and wellness (β=.22, p<.001). Conclusion: The findings highlight the influence of self-transcendence on the relationship between job stress and wellness among nurses. This underscores the importance of designing interventions to enhance self-transcendence as a strategy to promote wellness among nurses.

Purpose
This study aimed to examine the factors influencing the degree of harm caused by fall incidents in hospitals.
Methods
This cross-sectional descriptive study used secondary data from the “Korean Patient Safety Incident Report 2019” and was based on the International Classification for Patient Safety conceptual framework. We analyzed a total of 4,176 fall incidents between January 1 and December 31, 2019, in Korea. Multinomial logistic regression analyses were conducted to identify the factors that influence the degree of harm from these incidents.
Results
Among the fall incidents, 443 (10.6%) were sentinel events, 2,514 (60.2%) were adverse events, and 1,219 (29.2%) were near misses. The factors associated with sentinel events were old age (≥60 years), gender, patient diagnosis, medical department, early detection after falls, long-term care hospital, and reporters. Adverse events were significantly associated with diagnosis, medical department, nurses’ night shift time, large bed size, location (i.e., operating room, recovery room, and intensive care unit), and reporters.
Conclusion
Both patient and incident characteristics are significantly associated with the degree of harm in hospitals. Therefore, multiple factors should be considered to establish healthcare policies and thus prevent fall risks and minimize damage following falls in hospitals.

Citations

• Factors Affecting Fall Incidents at Long-term Care Hospitals: Using Data from the Korea Patient Safety Reporting and Learning System
  Soojin Chung, Jeongim Lee
  Journal of Health Informatics and Statistics.2025; 50(1): 96.     CrossRef
• Determinants of Harm in Fall Incidents in Hospital Settings With 200 or More Beds in Korea
  Youngmi Kang, Eunyoung Hong
  Journal of Patient Safety.2025; 21(7): 480.     CrossRef
• Predictors of Nurses' Reporting Level by the Types of Patient Safety Incidents
  Ju-Hee Kang, Yeojin Yi
  Journal of Korean Academy of Nursing Administration.2025; 31(4): 434.     CrossRef
• Content Analysis of Patient Safety Incident Reports Using Text Mining: A Secondary Data Analysis
  On-Jeon Baek, Ho Jin Moon, Hyosun Kim, Sun-Hwa Shin
  Korean Journal of Adult Nursing.2024; 36(4): 298.     CrossRef
• Falls in Patients of Medical Institutions in South Korea: A Literature Review
  Jongwon Choi, Woochol Joseph Choi
  Physical Therapy Korea.2023; 30(1): 1.     CrossRef
• Predication of Falls in Hospitalized Cancer Patients
  Jun-Nyun Kim, Sun-Hwa Beak, Bo-Seop Lee, Mi-Ra Han
  Asian Oncology Nursing.2023; 23(2): 56.     CrossRef
• Trends in infection-related patient safety incident reporting before and during the COVID-19 pandemic in Korea
  Eun-Jin Kim, Yeon-Hwan Park
  Journal of Korean Biological Nursing Science.2023; 25(2): 95.     CrossRef
• Factors Associated with Patient Safety Incidents in Long-Term Care Hospitals: A Secondary Data Analysis
  Sookhee Yoon, Myungsuk Kang
  Korean Journal of Adult Nursing.2022; 34(3): 295.     CrossRef

Purpose
This study aimed to examine the prevalence of unmet healthcare needs and the factors that influence unmet healthcare needs among older people with cognitive impairment. Methods: A cross-sectional, descriptive design with secondary data from the 2017 National Survey of Older Koreans was used in this study. Data from 1,382 people over the age of 65 years with cognitive impairments were analyzed. Logistic regression analysis was conducted based on Andersen’s Behavioral Model of Health Services Use.
Results
Overall, 9.6% of the participants reported unmet healthcare needs during the previous 12 months. The main reasons for unmet healthcare needs were financial constraints (45.4%), mobility limitation (18.0%), and mildness of symptoms (14.9%). Higher unmet healthcare needs were significantly associated with fewer years of education, no family members providing caregiving or assistance with hospital visits, fewer close relatives, lower income, greater impairment in activities of daily living, and presence of depressive symptoms.
Conclusion
Our findings indicate that predisposing factors, enabling factors, and need factors were significantly associated with unmet healthcare needs among elderly individuals with cognitive impairment. Therefore, it is necessary to establish healthcare policies and strategies to improve the accessibility of healthcare services.

Citations

• Community-Dwelling Older Adults’ Intended Use of Different Types of Long-Term Care in China and Its Associated Factors Based on the Andersen Behavioral Model
  Run-Ping Che, Mei-Chun Cheung
  International Journal of Environmental Research and Public Health.2022; 19(18): 11626.     CrossRef
• Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases
  Ji-Young Han, Hyeon-Sook Park
  Journal of Korean Academy of Community Health Nursing.2021; 32(2): 131.     CrossRef
• Association between the severity of new-onset depression and unmet healthcare needs of South Korean adults
  Su Yeon Kim, Wonjeong Jeong, Eun-Cheol Park, Sohee Park, Sung-In Jang, Arista Lahiri
  PLOS ONE.2021; 16(8): e0256222.     CrossRef
• The Effects of Social Networks of the Older Adults with Limited Instrumental Activities of Daily Living on Unmet Medical Needs
  Hye-Young Jang, Young Ko, Song-Yi Han
  International Journal of Environmental Research and Public Health.2020; 18(1): 27.     CrossRef
• Unmet Healthcare Needs of Children in Vulnerable Families in South Korea: Finding from the Community Child Center Child Panel Survey
  Suyon Baek, Eun-Hi Choi, Jungeun Lee
  International Journal of Environmental Research and Public Health.2020; 17(21): 8241.     CrossRef