Purpose
This study’s aim was to understand clinical nurses’ patient advocacy and identify factors influencing this based on the Theory of Patient Advocacy.
Methods
The subjects of this study were 173 clinical nurses working in two university hospitals in D city, South Korea. Data were collected using a structured self-report questionnaire. Analysis was conducted using IBM SPSS 26.0 and included descriptive statistics, Mann-Whitney U test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis.
Results
Among the general characteristics, gender was found to be an influencing factor for patient advocacy. As a macrosocial antecedent, the ethical climate of the hospital influenced patient advocacy. For the microsocial antecedents, human rights sensitivity and patient vulnerability influenced nurses’ patient advocacy. This final model explained 35.6% of variance of clinical nurses’ patient advocacy.
Conclusion
Considering the findings of this study, the ethical climate of hospitals must be improved. In addition, programs to strengthen nurses’ human rights sensitivity and to help improve communication with patients must be developed. This could further aid nurse and patient relationships.

PURPOSE
The purpose of this study was to investigate the influence of hospital ethical climate and nursing professionalism on patient safety management activity by nurses.
METHODS
A cross-sectional correlation study design was used. Participants included 142 nurses from two tertiary hospitals in Seoul and Gyunggi-do, South Korea. Data were collected in April and May 2019 using self-report questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple liner regression analysis with SPSS/WIN 21.0.
RESULTS
The patient safety management activity correlated positively with hospital ethical climate (r=.32, p < .001) and nursing professionalism (r=.40, p < .001). The patient safety management activity was the factor that most influenced nursing professionalism and position, explaining 21% of the variance (F=12.06, p < .001).
CONCLUSION
It is necessary to provide education on professionalism. It is necessary to continuously provide job education and training to nurture competence and quality in professional nurses.

Citations

• The Effects of Compassion Competence, Clinical Nursing Character, and Nursing Professionalism on Nursing Service Quality of Long-term Care Hospital Nurses
  Young Moon Cho, Hyun O We
  The Korean Journal of Rehabilitation Nursing.2024; 27(1): 11.     CrossRef
• Associations of perceptions of patient safety culture, job crafting, and perceptions of patient rounding with patient safety management activities among tertiary hospital nurses
  Saet-Byeol Kim, Yun-Hee Kim
  Journal of Korean Biological Nursing Science.2024; 26(3): 259.     CrossRef
• Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals
  Seulki Kim, Yoonju Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 392.     CrossRef
• The Association of Job Stress, Quality of Sleep, and the Experience of Near-Miss Errors among Nurses in General Hospitals
  Seong-Kyeong Kwak, Jin-Soo Ahn, Yeon-Ha Kim
  Healthcare.2024; 12(6): 699.     CrossRef
• Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities
  Subin Lee, Sujin Shin
  Journal of Korean Critical Care Nursing.2023; 16(3): 87.     CrossRef
• Factors influencing public health nurses’ ethical sensitivity during the pandemic
  Hyeji Seo, Kisook Kim
  Nursing Ethics.2022; 29(4): 858.     CrossRef
• Relationship between Ethical Climate and Missed Nursing Care from the Point of View of Patients with Cancer and Nurses Working in Oncology Wards of Zanjan and Rasht Cities
  K Amini, L Khani Lehdarboni, N Hanifi
  Journal of Health and Care.2022; 24(2): 95.     CrossRef

PURPOSE
This study was conducted to identify ethical climate factors in hospitals and analyze their influence on job satisfaction and organizational commitment.
METHODS
A convenience sample of 196 nurses from one national university hospital in J city participated in this descriptive study survey. Instruments included the Ethical Climate Questionnaire, Job Satisfaction Scale, and Organizational Commitment Scale. Cronbach's alpha and factor analysis were done to test reliability and construct validity of the scales. Data were collected from March 15 to March 25, 2013 and analyzed using descriptive statistics, one-way ANOVA, t-test, Pearson correlation, and multiple regression with SPSS/WIN 18.0.
RESULTS
Seven ethical climate factors were identified; laws and professional codes, social responsibility, company rules and procedures, self-interest, personal morality, efficiency, and friendship. Factors influencing job satisfaction were friendship (beta=.25), social responsibility (beta=.20), laws and professional codes (beta=.20), and educational level (beta=.27), explaining 37.6% of variance in job satisfaction. Factors influencing organizational commitment included social responsibility (beta=.29), friendship (beta=.27), laws and professional codes (beta=.23), and age (beta=.19), with explanatory power of 44.6%.
CONCLUSION
Results can be used as preliminary data for developing new strategies to establish positive ethical climates in hospital environments and thus enhance nurses' job satisfaction and organizational commitment.

Citations

• Factors influencing public health nurses’ ethical sensitivity during the pandemic
  Hyeji Seo, Kisook Kim
  Nursing Ethics.2022; 29(4): 858.     CrossRef
• (Un)ethical behaviors of police officers in South Korea: a structural equation analysis
  Seungmug (Zech) Lee, Jae-Jin Joo, Hye-Rim Kwon, Jae-Seung Lee, John J. Rodriguez
  Policing: An International Journal.2022; 45(2): 282.     CrossRef
• Influence of Hospital Ethical Climate and Nursing Professionalism on Patient Safety Management Activity by Nurses
  Mi Yeong Mun, Mi Yeon Kim
  Journal of Korean Academy of Nursing Administration.2019; 25(5): 458.     CrossRef
• Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness
  Yoon Goo Noh, Myun Sook Jung
  Journal of Korean Academy of Nursing.2016; 46(6): 824.     CrossRef