Purpose This study aimed to examine the mediating role of nursing professionalism in the relationship between critical thinking disposition and medication safety competency among peri-anesthesia nurses. Methods Data were collected from 128 peri-anesthesia nurses with at least six months of experience in recovery-related departments across medical institutions nationwide. The analysis was conducted using IBM SPSS Statistics for Windows, version 24.0, including descriptive statistics, t-tests, one-way ANOVA, Scheffé tests, Pearson’s correlation coefficients, stepwise multiple regression, and the SPSS Process Macro. Results Medication safety competency showed a significant positive correlation with critical thinking disposition (r=.79, p<.001) and nursing professionalism (r=.80, p<.001).
Similarly, critical thinking disposition was positively correlated with nursing professionalism (r=.78, p<.001). Nursing professionalism was identified as a partial mediator in the relationship between critical thinking disposition and medication safety competency, with a 95% confidence interval of .11 to .63. Conclusion Critical thinking disposition significantly enhances medication safety competency, with nursing professionalism serving as a partial mediator.
These findings underscore the importance of developing targeted educational programs to foster critical thinking skills and nursing professionalism, ultimately improving medication safety competency among peri-anesthesia nurses.
Purpose This study aimed to identify factors affecting nursing students’ willingness to report medical errors.
Methods: A cross-sectional design was used, and 175 senior nursing students answered a web-based questionnaire that included ‘attitude and knowledge towards medical error reporting’, ‘ethical sensitivity’, ‘systems thinking’, and ‘willingness to report medical errors’. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple linear regressions with the SPSS/WIN 25.0 program.
Results: Participants’ attitude and knowledge toward medical error-reporting were 3.45, and 3.00, respectively. Their ethical sensitivity was 4.15, and systems thinking was 3.89. Factors significantly affecting willingness to report adverse events included systems thinking, medical error-reporting attitude, and ethical sensitivity, and these variables accounted for 34.3% (F=23.73, p<.001). Factors significantly affecting willingness to report near misses included medical error-reporting attitude, which accounted for 11.5% (F=6.68, p<.001).
Conclusion: Increasing nursing students’ willingness to report medical errors requires integrated education to improve their attitude and knowledge of medical error reporting, ethical sensitivity, and systems thinking.
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Purpose This study aims to determine the influence of clinical nurses’ second-victim experience and second-victim support on their negative work-related outcomes.
Methods: We used a cross-sectional design with a convenience sample of 179 clinical nurses from two Korean tertiary hospitals. The data were collected through a structured self-questionnaire survey and analyzed via descriptive analysis, independent t-tests, one-way ANOVA (analysis of variance), Pearson correlation coefficients, and hierarchical multiple regression.
Results: Second-victim experience revealed a significant negative correlation with second-victim support and a significant positive correlation with negative work-related outcomes. The second-victim experience was found to be a significant predictor of negative work-related outcomes. These factors explained 46.3% of the negative work-related outcomes in the regression model.
Conclusion: It is necessary to determine the degree of second-victim experience among clinical nurses and provide second-victim support to prevent future occurrences of negative work-related outcomes.
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Purpose This study was conducted to identify the influence of communication self-efficacy and perception of the patient safety culture on the experience of nursing errors among operating room nurses.
Methods: A cross-sectional design was used, with a convenience sample of 184 operation room nurses from 16 hospitals in Korea. Data were collected through a structured self-administered survey. The questionnaires included Communication, Self Efficacy, Safety Attitude Questionnaire, and experiences of nursing errors in operation room. Data were analyzed using descriptive analysis, Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficients and multiple linear regression.
Results: The experience of nursing errors had significant negative correlations with communication self-efficacy (r=-.39, p<.001) and perception of the patient safety culture (r=-.36, p<.001). Factors significantly influencing the experiences of nursing errors included communication self-efficacy (β=-.25, p=.002), and perception of patient safety culture (β=-.21, p=.009). The overall explanatory power was 19% (F=14.85, p<.001).
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