Purpose
This study explored the lived experiences of physician assistants (PAs) in Korea during the 2024 medical workforce shortage, focusing on how they perceived and adapted to their rapidly changing roles. The study investigated both the challenges PAs faced and the professional growth they experienced throughout the adaptation process. Methods: A phenomenological qualitative design was applied using Colaizzi’s method. In-depth interviews were conducted with 15 PAs at a tertiary hospital in Seoul between September 25, 2024 and February 1, 2025. Data were analyzed thematically. Results: Four major theme clusters emerged: changes in work environment and quality of life, role conflict and ambiguity in professional identity, dual aspects of role expansion including autonomy and burnout, and coping strategies and structural policy demands. Participants reported physical and emotional strain, but also described greater involvement in care decisions, improved patient relationships, and a stronger sense of professional identity. Conclusion: Amid the medical staffing crisis, PAs adapted to their expanded responsibilities and became key healthcare providers. While facing substantial burdens, they simultaneously experienced personal and professional growth. Institutional and legal support is essential to stabilize their roles and improve long-term healthcare outcomes.

Purpose
This study examined factors influencing patient safety nursing activities in integrated nursing care units. Methods: A survey was conducted with 134 nurses from hospitals (100~300 beds) in Busan using self-administered questionnaires (August 17–September 15, 2024). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analysis. Results: The mean score for patient safety nursing activities was 4.31±0.55. Positive correlations were found with grit, teamwork, communication, and patient safety culture awareness. The predictor variables explained 46.0% of the variance in patient safety nursing activities. Significant factors included communication (β=.31, p=.032) and leadership (β=.29, p=.035) within teamwork, incident reporting frequency (β=.24, p<.001) within patient safety culture awareness, and experience in patient safety education (β=.17, p=.018). Conclusion: The findings of this study highlight the importance of enhancing teamwork, particularly in leadership and communication, and creating a safety culture that promotes incident reporting and education to strengthen patient safety nursing practices. Improving patient safety training, developing systematic evaluation and feedback mechanisms, and establishing structured support systems through campaigns and workshops will boost staff involvement and elevate the quality of patient safety practices.

Purpose
This qualitative study explored nurses' experiences in selecting hospitals within a dual labor market framework.
Methods
Focus group interviews were conducted with 18 general nurses, divided into three groups of six, each representing both large and medium-sized hospitals.
Results
The analysis revealed two themes, four categories, and nine subcategories, highlighting differences between large and medium-sized hospitals. Nurses who choose large hospitals prioritized "professional development" but faced "struggles to maintain professional identity" while those selecting medium-sized hospitals sought "stability and accessibility" but experienced "crisis of professional identity." Conclusion: This study highlights significant differences in the factors influencing nurses' hospital choices based on hospital size. These findings provide foundational data for establishing the Enforcement Decree and Rules of the Nursing Act, emphasizing the importance of developing legal measures to strengthen nurses' professional identity and promote a balanced and sustainable nursing labor market.

Purpose
This study aimed to analyze the differences in medical care use and patient outcomes between patient groups in the general ward (GW) and integrated nursing care ward (INCW).
Methods
Among all patients admitted from January 1 to December 31, 2020, 430 patients (total 860) were selected in the GW and INCW using propensity score matching. The differences in the two groups were analyzed using t-test and x 2 test. Multiple and logistic regression were used to investigate the effect of admission to the INCW or GW on medical use and patient outcomes.
Results
The total medical expenses, urinary tract infection rate, and pneumonia rate of the two groups did not show significant differences; however, the length of stay for the INCW group was approximately 3 days longer and unplanned readmissions were 5.4% lower for the INCW group than that for the GW group. Multiple and logistic regression analysis showed similar results.
Conclusion
Patients in the INCW group had longer hospitalization days and lower rates of unplanned readmission than those in GW group. Additional studies related to longer hospital stays are needed, and measures should be taken to prevent social hospitalization.

Purpose
This study examined nursing students' experiences of using digital healthcare applications in terms of the source and demand of socio-psychological needs, expectations, exposures, use satisfaction, and derivative effects based on the components of use satisfaction theory.
Methods
This study was conducted using focus group interviews, and data were collected from 12 nursing students enrolled in two universities located in Seoul and Gyeonggi Province from April 1 to May 31, 2023.
Results
The nursing students mainly used digital healthcare applications to address needs such as sleep, exercise, goal setting, social support, and motivation, which included the need for physical well-being, growth and development, emotional stability, and social needs. Participants met various needs such as achieving goals, feeling of achievement, enhancing self-confidence, and acquiring helpful information through digital healthcare applications. The satisfaction gained in setting and achieving goals was the driving force for motivation.
Conclusion
Nursing students value intuitive interfaces, personalized features, and appropriate notifications. Step-by-step rewards and reasonable pricing are also vital for using digital healthcare apps. These findings should be incorporated into developing programs to improve nursing students' health management and digital healthcare skills.

Purpose
Nursing care activities for patient safety are important to prevent accidents. This study aimed to examine the association between nurses’ perception of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing care activities for patient safety.
Methods
In this cross-sectional study, data were obtained from online surveys conducted with 201 ward nurses. An independent t-test, one-way ANOVA, Pearson’s correlation coefficient test, and multiple linear regression analysis were performed using IBM SPSS/WIN 21.0.
Results
Perceptions of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing activities for patient safety were all correlated with each other. According to the regression model, significant factors influencing nursing care activities for patient safety were medical ward (β=-.28, p=.010), critical thinking disposition (β=.27, p<.001), willingness to report near misses (β=.19, p=.004), perceptions of patient safety culture (β=.19, p=.007), and work experience (β=-.18, p=.016).
Conclusion
Improving nurses’ perceptions of patient safety culture, promoting the reporting of near misses, and strengthening nurses' critical thinking dispositions can foster patient-safety nursing care activities. Additionally, a tailored patient safety education program that considers nursing work experience may be appropriate for patient-safety nursing care activities.

Citations

• Impact of Grit, Teamwork, Organizational Communication Competence, Perception of Patient Safety Culture on Patient Safety Nursing Activities in Integrated Nursing Care Units
  Jeeseon Kim, Haejung Lee
  Journal of Korean Academy of Nursing Administration.2025; 31(3): 237.     CrossRef

Purpose
This study aimed to examine the influence of nursing organizational culture, nursing workplace spirituality, and nurses’ perceived health status on quality of nursing work life according to nursing clinical ladder at a tertiary hospital.
Methods
Participants were nurses working at a tertiary hospital in D city, and a total of 352 participants were recruited according to four stages of clinical experience: novice stage (below 1 year), advanced beginner stage (2~3 years), competent stage (4~6 years), and proficiency stage (above 7 years). Data were collected from February 7-February 16, and analyzed using descriptive statistics, one-way ANOVA, Scheffe test, and Multiple regression.
Results
There was statistically significant correlation between innovation-oriented nursing organizational culture, nursing workplace spirituality, nurses’ perceived health status and quality of nursing work life. In all clinical ladder stages, nursing work spirituality and nurses’ perceived health status were factors influencing the quality of nursing work life; innovation-oriented nursing organizational culture was an influencing factor in the novice, advanced beginner, and competent stage, but not the proficient stage.
Conclusion
To improve the quality of nursing work life, it is necessary to develop and apply practical programs that reflect nurses’ characteristics at each clinical ladder stage.

Citations

• Cluster of Speaking‐Up Behavior in Clinical Nurses and Its Association With Nursing Organizational Culture, Teamwork, and Working Condition: A Cross‐Sectional Study
  Eunhee Lee, Hyunjeong Kwon, Miyuki Takase
  Journal of Nursing Management.2024;[Epub]     CrossRef

Purpose
The purpose of this study was to develop and validate the Job Competency Scale (JCS) for insurance review nurses working in hospitals.
Methods
The initial items were generated through a literature review and interviews with 10 experts. The content validity of the items was evaluated through content validity and face validity tests. Data from 301 insurance review nurses working in hospitals were analyzed using item analysis, exploratory and confirmatory factor analysis, and convergent validity; reliability was tested using Cronbach’s ⍺.
Results
The final JCS consisted of 25 items and five factors (knowledge integration, professional ethics, communication and interpersonal relationship, information literacy and problem solving, self-development) that explained 72.4% of the variance. Confirmatory factor analysis indicated that the theoretical model comprising 25 items satisfied all goodness-of-fit parameters. Convergent validity was confirmed by the Task Performance Scale for insurance review nurses (r=.53, p<.001). The total Cronbach’s ⍺ score for scale was .94.
Conclusion
The JCS was found to be a reliable and valid instrument that can be used to measure the job competency of insurance review nurses working in hospitals.

Purpose
Based on a literature review of artificial intelligence (AI) applications within nursing tasks, this study delves into the feasibility of employing AI to improve nursing practice in Korea.
Methods
We used "nursing" and "artificial intelligence" as keywords to search academic databases, resulting in 96 relevant studies from an initial pool of 940. After a detailed review, 35 studies were selected for analysis based on nursing process stages.
Results
AI improves nursing assessment by enhancing pain diagnosis, fall detection, and movement monitoring in older adults. It aids nursing diagnosis through clinical decision support, risk prediction, and emergency patient triage. Further, it expedites the creation of precise plans utilizing predictive models in nursing planning. AI also forecasts medication errors and reduces the nursing documentation burden for nursing implementation. Additionally, it manages (re)hospitalization risks by assessing patient risk and prognoses in nursing evaluation.
Conclusion
AI in Korean nursing can enhance assessment and diagnosis accuracy, promote a prevention-focused paradigm through risk prediction, and ease the burden of nursing practice amidst human resource shortages.

Citations

• Concept Analysis of Social Intelligence of Nurses Using Hybrid Model
  Kyung Ran Lee, Na Kyoung Lee, Hee Oh, Kyoung Ae Park
  Journal of Korean Academy of Nursing.2024; 54(3): 459.     CrossRef
• Why nursing cannot be replaced with artificial intelligence
  Hae-Kyung Jo
  Women's Health Nursing.2024; 30(4): 340.     CrossRef

Purpose
This study aimed to verify the effect of patient safety environment (PSE) and health literacy (HL) on patient safety participation (PSP) and the mediating effect of HL.
Methods
We recruited patients who were hospitalized at a tertiary general hospital in “D” city. A total of 230 people responded to a questionnaire survey we conducted from March 15 to July 10, 2020. The collected data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson’s correlation coefficient analysis, and hierarchical regression using SPSS/WIN 26.0.
Results
PSP was found to be significantly associated with PSE (r=.29, p<.001) and HL (r=.44, p<.001). PSE and HL were found to have a significant effect on PSP (power: 23%). HL was found to have a partial mediating effect (indirect effect: 0.09, 95% CI: 0.04~0.14) between PSE and PSP.
Conclusion
The findings from this study can contribute to developing interventions for patient participation in the PSE and providing directions for offering safe and high-quality medical care to patients.

Citations

• What Factors Influence Patient Measures of Safety Among Adults?
  Yujeong Kim, Eunhee Nam
  Risk Management and Healthcare Policy.2025; Volume 18: 353.     CrossRef
• Factors Influencing the Willingness of Hospitalized Children’s Parents to Engage in Patient Safety: A Cross-Sectional Study
  Yujeong Kim, Mingi Chang
  Risk Management and Healthcare Policy.2025; Volume 18: 53.     CrossRef
• Mediating effects of patient safety perception and willingness to participate in patient safety on the relationship between health literacy and patient participation behavior among inpatients
  Mi Hwa Won, Sun-Hwa Shin
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Influence of patient safety perception and attitude on inpatients’ willingness to participate in patient safety: An observation study
  Mi Hwa Won, In Suk Hwang, Sun-Hwa Shin
  Medicine.2024; 103(29): e39033.     CrossRef

Purpose
Nursing colleges are continuously being expanded to solve the problem of imbalance among regions, but the outflow of the provincial brain-drain to metropolitan regions continues. Therefore, this study aimed to identify the influencing factors on the regional outflow intention of nursing students.
Methods
This study employed a mixedmethod design, and 214 nursing students in the Honam region filled out a self-administered questionnaire. Eight participants recruited through random sampling were interviewed in depth. Data were analyzed using a t-test, x² test and logistic regression.
Results
Among the total respondents, 161 students (75.2%) had intent to regional outflow. Influencing factors were significantly correlated with employment in tertiary general hospitals (OR=3.32, 95% CI=1.35~8.16), perception of job opportunities in the province (OR=0.52, 95% CI=0.31~0.87), intrinsic job values (OR=2.43, 95% CI=1.14~5.22), and voluntary employment preparation behaviors (OR=2.75, 95% CI=1.05~ 7.19). Through the interviews, themes related to regional outflow intentions were drawn into the following three categories: “recognition of working environment by region”, “aspiration for professional growth”, and “expectation for self-development and rich experience”.
Conclusion
This study’s results are expected to be used as strategic data for establishing plans for nurturing regional human resources and improving the local nursing workforce in non-metropolitan areas.

Purpose
This study aims to identify the factors-along the lines of fatigue, nursing professionalism, and the work environment-that affect the nursing of COVID-19 patients by nurses at a designated COVID-19 hospital in Korea.
Methods
Data were collected from March 7 to March 31, 2022 via structured questionnaires submitted by 162 nurses, and analyzed using t-test, ANOVA, Scheffé test, Pearson correlation, and hierarchical regression analysis.
Results
In model 1, the variables among the general characteristics which significantly affect nursing intention are “6 months to less than 1 year of nursing experience for severe COVID-19 patients” (β=.29, p=.001), “having the volition to provide nursing support for future COVID-19 patients” (β=0.28, p<.001), and the “intention according to the hospital situation”(β=.35, p<.001). In model 2, fatigue (β=-.18, p=.007) and nursing professionalism (β=.43, p<.001) affect nursing intention. The total explanatory power of Model 2 is 47.0% (F=16.93, p<.001, R² =.47).
Conclusion
To increase nursing intention for COVID-19 patients, intervention strategies should reduce nurses’ fatigue and introduce competency-strengthening programs as to improve nursing professionalism.

Citations

• 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

Purpose
This study aimed to examine the influence of nurses’ general and job-related characteristics, nursing practice environment, and grit on the intent to stay of operating room nurses.
Methods
This descriptive study focused on 198 operating room nurses employed in university hospitals at Busan metropolitan city and Kyungnam district, with a minimum of six months of experience in the operating room. Data were collected between February 16, 2022 and May 25, 2022, using self-report questionnaires and analyzed using SPSS 21.0.
Results
The average of operating room nurses' intent to stay was 5.01, indicating a high intent to stay. Positive correlations were found between grit(r=.58, p<.001) and nursing practice environment(r=.36, p<.001) with intent to stay. Grit(β=.52, p<.001) and nursing practice environment(β=.13, p=.035) significantly influenced the intent to stay and explained 35% of the variance in the intent to stay.
Conclusion
The findings of this study suggest that strengthening nurses’ grit and providing a healthy practice environment may help increase their intent to stay. Developing a grit-enhancing program, especially one that fosters enthusiasm and perseverance toward long-term goals, can improve operating room nurses’ psychological resources and enhance their willingness to stay.

Citations

• The Influences of Teamwork and Grit on Job Adaptation and Intention to Remain among Advanced Beginner Nurses
  Seon Kyeong Jeong, Kyoung Ja Kim, Eun Ji Choi
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 379.     CrossRef

Purpose
The aim of this study was to explore the causes and effects of burnout experienced by insurance review nurses working in hospitals. Methods: Data were collected from April to May, 2021, using focus group interviews. The study enrolled 19 insurance review nurses with at least one year of experience. Data were analyzed using the content analysis method. Results: Causes of burnout were divided into three categories: eight subcategories (feeling of insufficient competence in an insurance review, closed mind in a limited working space, incompetency from other departments, harsh words and deeds that exclude me, insurance cuts controlling my work performance, cloudy mind chased by the billing date, ineffective hospital information systems, and question with no answer) and 23 causes. The impact of burnout was divided into three categories: six subcategories (experiencing mental and physical symptoms, projecting one’s feelings into family or neglecting them, withdrawing myself, wearing a mask, decreased work performance, and desiring to leave one’s work), and 14 concepts. Conclusion: This study provides basic data for strategy development to prevent and solve burnout problems among insurance review nurses. It is important to develop programs and policies to solve the burnout problem of insurance review nurses in the future.

Citations

• Demand for Simulation Education to Strengthen Patient Safety Competency of Graduated Nursing Students and New Nurses: Qualitative Content Analysis
  Jung Min Park, Sangeun Jun
  Journal of Korea Society for Simulation in Nursing.2024; 12(2): 17.     CrossRef
• Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
  Song Hwa Nam, Eun A Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 588.     CrossRef

Purpose
This descriptive study investigated the influence of married nurses’ self-efficacy, parenting stress, and organizational culture on their health-promoting behaviors. Methods: Data were collected from 173 married nurses in G and B metropolitan city; the study was conducted from August to September 2019. Data were analyzed using the independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression with SPSS 18.0. Results: The most significant influencing factors on the health-promoting behavior of the subject were self-efficacy (β=.38, p<.001), followed by parenting stress (β=-.21, p=.002), education (β=-.20, p=.001), perceived health status (β=.19, p=.003) and the overall explanatory power was 42.0%. Conclusion: Based on the results, an intervention program that can increase their self-efficacy and reduce parenting stress is needed, considering education level of married nurses and their perceived health status to be developed.

Purpose
This study examined outpatients’ experiences of patient participation, their level of patient satisfaction, and the factors that influence their patient satisfaction with outpatient care. Methods: This cross-sectional descriptive study utilized secondary data from the 2018 Survey on the Experience with Healthcare Service conducted in South Korea. Data from 6,684 outpatients over the age of 20 years who had visited hospitals were analyzed. Patient characteristics, health-related characteristics, and their experiences of patient participation were assessed as factors related to patient satisfaction. Factors that influenced patient satisfaction with outpatient care were identified using logistic regression analysis. Results: Overall, 84.9% of the participants were satisfied with the received outpatient care. Higher patient satisfaction with outpatient care was significantly associated with middle (40~59 years) and old age (≥60 years), good self-rated health status, and experience of patient participation in patient safety activities. Conclusion: Multiple factors were related to patient satisfaction with outpatient care. These factors need to be considered when evaluating patients’ satisfaction levels. To improve satisfaction with health care use, it is essential to provide more experiences and expand their opportunities for patient participation during the care process and establish healthcare policies and strategies to enhance patient participation in patient safety.

Citations

• Key Factors Influencing Outpatient Satisfaction in Chronic Disease Care: Insights from the 2023 Korea HSES
  Yu-Jin Cha
  Healthcare.2025; 13(6): 655.     CrossRef
• The Effect of Patient Safety Experience on Patient Satisfaction of Patients Using Outpatient Health Services in Hospitals/Clinics
  Soojin Chung, Bomi An
  Journal of Health Informatics and Statistics.2023; 48(3): 252.     CrossRef

Purpose
The purpose of this study is to clearly classify the roles of Physician assistants and to identify obstacle factors and necessary factors for the operation of the system when they are performing the roles of Physician assistants. Methods: This is a descriptive research study to analyze the roles of Physician assistants and to understand the expected roles of Physician assistants according to each medical personnel (doctor, nurse, Physician assistants). Results: The obstacles to work are the lack of legal protection, and unclear work guidelines, and the matter necessary for the operation of the system is the legal protection. There were statistically significant differences in health collection ability, physical examination, drug response monitoring, and reporting in terms of the differences in role expectations considered by medical professionals regarding the roles of Physician assistants. Conclusion: Physician assistants need to develop various educational programs and materials, cultivate the ability to perform Physician assistants, and develop an advisory role through effective problem-solving between departments and increase the quality and satisfaction of Nursing care.

Citations

• Legislation of Medical Support Tasks in the Nursing Act as a Foundation for Nursing Professionalism and Role Expansion
  Su Jung Choi
  Korean Journal of Adult Nursing.2025; 37(2): 69.     CrossRef
• Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals
  Mi-Kyeong Jeon, Su Jung Choi, Ji Eun Han, Eun Kyung Kwon, Jeong Hee Park, Jeong Hye Kim
  Journal of Korean Academy of Nursing.2024; 54(4): 594.     CrossRef
• Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses
  Su Jung Choi, Min Young Kim
  Journal of Korean Academy of Nursing.2024; 54(3): 300.     CrossRef
• Reflections on the Prospects of Korean Advanced Practice Nurses : Based on Flexner’s Professional Characteristics
  Eun Mi Kim, Su Jung Choi
  Journal of Korean Critical Care Nursing.2023; 16(3): 1.     CrossRef
• Development of Core Competency Scale for clinical nursing student educators
  Hyun Sook Park, Eun Hee Choi, Gyung Duck Kim, Young Hee Kim, Mi Yang Jeon, Hyenam Hwang
  The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 345.     CrossRef

Purpose
The aim of this study was to explain the patient assessment experiences of the medical staff responsible for customer satisfaction and quality improvement at their respective medical institutions.
Methods
This was a qualitative study using a focus group with quality improvement or custom service department managers. Participants were selected using purposive sampling. Data collection was conducted with seventeen participants divided into three focus group interviews from July 3 to 5, 2017. Each interview took an average of 1 hour and 40 minutes. Transcribed data were analyzed using qualitative thematic analysis.
Results
Base on the analysis, four categories and eight themes were derived. The categories were: 1) what is the quality of hospital service? 2) between directionality and timeliness, 3) variations in recognition and application, and 4) changing in hospital culture Conclusion: The assessment of patient's experience has spread a patient-centered culture and elicited significant changes in the behavior of medical and hospital staff. However, the survey instruments and procedures for assessing patient experiences need to be continuously improved, and additional research is required to secure evidence related to patient experiences.

Citations

• Perceptions of Ward Round Time: A Vignette-Based Study of Patients, Physicians, and Medical Students
  Ji Sun Park, Sun Young Lee, Un-Na Kim, Jae-Joon Yim, Hyeontaek Hwang, Yukyung Shin, Young Kyung Do
  Quality Improvement in Health Care.2025; 31(1): 65.     CrossRef
• Impact of Sharia hospital service standards and religiosity commitment on patient satisfaction and loyalty: insights from certified Sharia hospital in Indonesia
  Ngatindriatun Ngatindriatun, Muhammad Alfarizi, Tika Widiastuti
  Journal of Islamic Accounting and Business Research.2024;[Epub]     CrossRef

Purpose
This study aimed to estimate the unmet demand for INCS and the number of needed beds for fulfillment. Methods: Annual data from the Korea Health Panel (2015~2018), Health Insurance Statistical Yearbook (2015~ 2019), and published statistical data (2015~2019) were used. To measure the unmet demand, the utilization of informal nursing care services, which can be a market substitute for INCS, was used. The number of needed beds was calculated by dividing the demand by the bed occupancy rate multiplied by 365 days. Results: The unmet demand decreased every year and was estimated to be 31~47 million person-day as of 2019. It was the highest in Gyeonggi (6~8 million) and the lowest in Jeju (160~220 thousand), while the fulfilled rate was the highest in Incheon (52~61%) and the lowest in Jeonbuk (6~8%). For each type, general hospitals showed the highest unmet demand (6~10 million), followed by hospitals (5~8 million) and tertiary hospitals (4~7 million). Gyeonggi province (37,212~48,882) and general hospitals (54,955~70,962) were most needed additional INCS beds. Conclusion: Tailored bed expansion strategies are necessary to satisfy each region's and hospital’s demand. Considering the multi-layered causes of unmet demand, a healthcare system reform that increases the regional self-sufficiency of INCS is required.

Citations

• Paying Direct Care Workers is a Huge Financial Burden for the Older Population in South Korea
  Jenny Hyosun Kwon, Kisang Kwon
  European Journal of Geriatrics and Gerontology.2024; 6(3): 222.     CrossRef
• Trends in private caregiving cost after implementing a comprehensive nursing service covered by national health insurance: Interrupted time series
  Yu shin Park, Hyunkyu Kim, Suk-Yong Jang, Eun-Cheol Park
  International Journal of Nursing Studies.2024; 152: 104689.     CrossRef
• Comparison of Nurse Work Hours and Nursing Activities Between High‐ and Low‐Staffed General Wards: A Cross‐Sectional Study
  Jiyeong Seong, Sung‐Hyun Cho, Hyo‐Jeong Yoon, Won‐Hee Sim, Moon‐Sook Kim
  Nursing Open.2024;[Epub]     CrossRef
• A Study on the Outflow Intention of Nursing Students in Non-Metropolitan Area: Honam Region
  Purum Kang, A Young Han
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 234.     CrossRef
• Association between caregiver type and catastrophic health expenditure among households using inpatient medical services: using Korean health panel
  Yu shin Park, Hyunkyu Kim, Il Yun, Eun-Cheol Park, Suk-Yong Jang
  BMC Health Services Research.2023;[Epub]     CrossRef

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;[Epub]     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
The purpose of this study was to describe nurses' experience of near misses in medication errors. Methods: Data were collected from April, 3 to October 30, 2019 through in-depth interviews with nine nurses who had worked in hospitals. Data was analyzed using Colaizzi's phenomenological methodology. Results: The three themes that emerged from the analysis were: Shameful things to hide, Inevitable matter to happen, and Step to move forward. Conclusion: The result has shown that nurses' experience of near misses in medication administration has happened not only because of individual matters but also institutional problems. Therefore, to improve the situation and prevent serious medication errors for nurses, both, individual and institutional problems need to be assessed, analyzed and change.

Citations

• Effects of Clinical Nurses’ Communication Ability, Critical Reflection Competency, and Nursing Professional Self-efficacy on Medication Safety Competency
  Seongyoun Jang, Sujin Shin
  Journal of Korea Society for Simulation in Nursing.2025; 13(1): 43.     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
• Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit
  Su Jin Jung, Jin-Hee Park
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 100.     CrossRef
• Efficacy of an error reporting-based education program on nursing students’ skill confidence, immersion, and satisfaction
  Youngsook Lim, Sunae Kim, Ohsoon Yoon, SunJung Park
  International Journal of ADVANCED AND APPLIED SCIENCES.2023; 10(10): 200.     CrossRef

Purpose
The purpose of this study was to investigate the status of the near miss by nurses in small-medium hospitals and to identify the factors that affect the near miss. Methods: Data were collected using a structured questionnaire for small-medium sized hospital nurses who had worked for more than one year. A total of 243 questionnaires were used for analysis. The difference in the characteristics of the nurses according to the near miss experience was analyzed by the x ² test, and the influence factor of the near miss was analyzed by logistic regression. Results: Overall, 155 nurses (63.8%) experienced near misses during the previous 1 year. Among those who experienced a near miss, the medication-related error was the highest at 58.3%. As a result of the stepwise logistic regression analysis, the odds ratio over time work of over 3 hours increased near misses 2.48 (95% CI: 1.21~5.08) compared to the group without overtime. Conclusion: Overtime work seems to be a significant factor in the near miss experience for small-medium hospital nurses.

Citations

• Association between Nurses’ Perceptions of Patient Safety Culture, Willingness to Report Near Misses, Critical Thinking Disposition, and Nursing Care Activities for Patient Safety
  Da Eun Lee, Bo Gyeong Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 283.     CrossRef
• Influence of Nursing Manager's Ethical Leadership Perceived by Nurses in Patient-Engaged Nursing Services: Mediating Effect of Patient Participation Culture
  Yea Seul Yoon, Yoonjung Ji, Tae Wha Lee
  Journal of Korean Academy of Nursing Administration.2023; 29(4): 397.     CrossRef
• A Survey on the Perception of Psychiatric Hospital Nurses on Patient Safety
  Sunah Kim, Wongyeong Lee, Chaehyeon Kang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(4): 448.     CrossRef
• Effects of Perceived Safety Culture, Nursing Work Environment, and Professional Self-concept on Patient Safety Care Activity of Nurses in Small-medium Sized Hospitals
  Young Ok Cho, Myoung Soo Kim
  Journal of Health Informatics and Statistics.2022; 47(1): 66.     CrossRef

Purpose
The purpose of this study was to explore the frequency of Type D Personality Pattern (TDPP) in shift work nurses who have irregular lifestyles and based on TDPP, to compare health promotion behavior (HPB), subjective health status (SHS), and job satisfaction. Methods: A descriptive cross-sectional design was used with data collected from a convenience sample of 139 shift work nurses. The self-report questionnaires included Personality Scale, Health Promoting Lifestyle Profile II, Health Self Rating Scale, and Job Satisfaction Scale. Results: Fifty three nurses (38.1%) were found to have TDPP. Although there were no significant differences between groups with TDPP and with no TDPP, nurses with TDPP tend to be younger, live alone, and have less years of clinical experience. Also, SHS, HPB and job satisfaction were significantly lower in the nurses with TDPP than those with no TDPP. SHS was positively correlated with HPB and job satisfaction. Also, job satisfaction was positively correlated with HPB. Conclusion: TDPP in shift work nurses should be considered as TDPP is not a trait but a pattern. Therefore for shift work nurses, modifiable strategies should be effective in reducing the risk of developing TDPP and enhancing the nurses’ SHS, HPB, and job satisfaction.

Citations

• Factors associated with clinical nurses’ preconception health behavior in Korea: a cross-sectional survey
  Yoon-Jung Park, Sun-Hee Kim
  Women's Health Nursing.2024; 30(1): 79.     CrossRef
• Moderator role of Type D personality traits between depressive symptoms and job satisfaction among teachers
  Ayşegül Yetkin Tekin, Hekim Karadağ
  Frontiers in Public Health.2024;[Epub]     CrossRef
• The Influence of Positive Psychological Capital, Perceived Value of Work, and Nurse Practice Environment on Retention Intention in Small-Medium Sized Hospital Nurses
  Su Hye Kwon, Miseon Bang, Young Kyoung Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 189.     CrossRef
• The Moderating Role of Perceived Social Support in the Relation between Type D Personality and PTSD Symptoms among ICU and ER Nurses
  Sohyeon Kim, Myung-Ho Hyun
  STRESS.2023; 31(4): 197.     CrossRef
• Factors Affecting Health-promoting Behavior of Nurses in Small and Medium-sized Hospitals based on the IMB Model
  Jin Hee Jeong, Hye Kyung Lee
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 102.     CrossRef
• Influences of Type D Personality, Depression, and Stress on Quality of Life in Migraine Patients
  Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo, Sun-Young Oh
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 316.     CrossRef

Purpose
This study was done to identify the effects of communication competence and nursing professionalism on job performance among home healthcare nurses.
Methods
The participants were 116 home healthcare nurses working at the hospitals. Data were collected from February 11 to March 22, 2019 and were analyzed with Multiple Regression Analysis.
Results
The most influential factors on job performance were hospital type (β=-.21, p=.006), communication competence (β=.30, p=.001) and nursing professionalism (β=.32, p<.001) which together explained up to 40% of job performance.
Conclusion
To improve nursing performance of home healthcare nurses, it is necessary to develop programs and strategies to enhance communication competence and nursing professionalism.

Citations

• Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
  Saeryun Kim, Younkyoung Kim
  Research in Community and Public Health Nursing.2024; 35: 195.     CrossRef
• Moderating Role of Communication Competence in the Association between Professionalism and Job Satisfaction in Korean Millennial and Generation Z Nurses: A Cross-Sectional Study
  Young Jin Lee, Hyunjin Lee, Eun-Hi Choi
  Healthcare.2023; 11(18): 2547.     CrossRef
• Factors Affecting Political Competency of Advanced Practice Nurses
  Wooyeong Park, Taewha Lee
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 246.     CrossRef
• Effects of Nursing Competence on Job Satisfaction across Career Stages
  Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
• Factors Influencing Nursing Professionalism on the Nursing Performance in Intensive Care Unit Nurses
  Sunyoung Jung, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 451.     CrossRef

Purpose
The purpose of this study was to investigate the moderating mediation effect of health-promoting lifestyle in the relationships between clinical nurses’ job stress, appreciation and mental health problems.
Methods
The participations were 230 clinical nurses working in general hospitals in Seoul City and Gyeonggi Province. Data were collected in November 2019 via an online survey that covered job stress, appreciation, health-promoting lifestyles and mental health problems. The collected data were analyzed using SPSS 25.0, SPSS PROCESS Macro(Model 4, Model 7) and bootstrapping method.
Results
Appreciation had a significant mediation effect in the relationship between job stress and mental health problems. Health-promoting lifestyle had a significant moderation effect in the relationship between job stress and appreciation. Further, health-promoting lifestyle significantly moderated mediation effect of job stress on mental health problems through appreciation.
Conclusion
The results of this study suggest that it is necessary to effectively manage health-promoting lifestyle in the context of clinical nurses’ mental health problems due to job stress. In order to improve clinical nurses’ mental health, it is necessary to provide them with increased appreciation and lead health-promoting lifestyle.

Citations

• Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator
  Eun Hee Kang, Im Sun Seo
  Journal of Korean Academy of Nursing Administration.2022; 28(5): 534.     CrossRef

Purpose
The purpose of this study was to investigate the influence of e-health literacy in patients with chronic diseases on their healthcare provider-patient communication.
Methods
The participants were 184 patients with chronic illnesses admitted to a general hospital. Using a structured-questionnaire, data were collected from December 1 to 31, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple linear regression with IBM SPSS/WIN 22.0.
Results
Healthcare provider-patient communication was positively correlated with e-health literacy (r=.87, p <.001). Factors influencing healthcare provider-patient communication were e-health literacy (β=.87, p <.001), subjective health statues (β=.17, p =.011), health concerns (β=-.15, p <.001), number of questions during the hospital treatment (β=.14, p=.003), and education (β=-.14, p =.048). The input variables explained 70.8% of healthcare provider-patient communication.
Conclusion
The results of this study suggest that healthcare providers should provide reliable online health information to patients and encourage health-oriented attitudes in order to communicate about health information that patients obtained from online.

Citations

• The Effect of Digital Health Literacy, Self-Efficacy on Self-Care Behaviors among Community-Dwelling Elderly: Focusing on Gyeongsangbuk-do
  Hyojin Son, Youngran Han
  Research in Community and Public Health Nursing.2025; 36: 59.     CrossRef
• Association Between Korean Adults' Electronic Health Literacy and Active Participation in Health Decision-Making
  Seonah Lee
  CIN: Computers, Informatics, Nursing.2025;[Epub]     CrossRef
• Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
  Young-Eun Yi, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
• The Influence of Online Health Information Orientation and e-Health Literacy on Health Behavior in Patients with Coronary Artery Disease
  Hong-A Lim, Yeoungsuk Song
  Journal of Health Informatics and Statistics.2023; 48(1): 60.     CrossRef
• The mediating role of patient communication self-efficacy on the relationship between health literacy and self-rated health
  Hyunseung Roh, Aeree Sohn
  Korean Journal of Health Education and Promotion.2023; 40(1): 77.     CrossRef
• E-health literacy and associated factors among Korean adults during the COVID-19 pandemic: age-group differences
  So-Young Park, Soondool Chung
  Health Promotion International.2023;[Epub]     CrossRef
• The Relation Between eHealth Literacy and Health-Related Behaviors: Systematic Review and Meta-analysis
  Keonhee Kim, Sangyoon Shin, Seungyeon Kim, Euni Lee
  Journal of Medical Internet Research.2023; 25: e40778.     CrossRef
• eHealth Literacy, Awareness of Pandemic Infectious Diseases, and Healthy Lifestyle in Middle School Students
  Sinyoung Choi, Kyung-Sook Bang, Da-Ae Shin
  Children.2021; 8(8): 699.     CrossRef
• An exploratory study on the shared decision-making as a two-way symmetrical communication process : focusing on the communication of kidney dialysis patients
  Soojin Kim, Soontae An, Sejoong Kim, Dong-Ryeol Ryu, Hwanhee Kim
  Korean Journal of Journalism & Communication Studies.2021; 65(2): 162.     CrossRef

Purpose
The purpose of this study was to identify the effects of nursing organizational culture, organizational health, and job crafting on intent to stay among registered nurses. Methods: A cross sectional study design was used in this study. The participants were 210 nurses working at three hospitals in B city, South Korea. Data were collected from March 2 to 31 2018. A self-report questionnaire was used. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analyses with the IBM/SPSS 25.0 for Window Program.
Results
Factors affecting intent to stay among registered nurses included relation oriented culture of nursing organization (β=.17, p=.029), organizational health (β=.16, p=.043), job crafting (β=.17, p=.031), and age(β= .25,p<.001), and these variables explained 25.0% of intent to stay (F=17.37, p<.001).
Conclusion
These findings show that there is a correlation between relation oriented culture of nursing organizational culture, organizational health, job crafting, and intent to stay among registered nurses. In order to increase nurses’ retention, it is important to establish a relation oriented culture in the nursing organization and to improve organizational health. Also, more attention should be paid to create positive job crafting to increase nurses’ intent to stay.

Citations

• Impact of Professional Quality of Life on Turnover Intention among General Hospital Nurses: A Comparative Study Using Linear and Nonlinear Analysis Methods
  Mi-Jin Park, Il-Ok Kim
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 132.     CrossRef
• Influence of Nurses' Moral Distress and Ethical Nursing Competence on Retention Intention
  Ji-Hyun Choi, Mi-Jin Byun, Thi Ninh Do
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 36.     CrossRef
• Factors Affecting Retention Intention Among Married Nurses With Preschool-Aged Children
  Hyeseon Shin, Minjeong Jo
  Advances in Nursing Science.2025; 48(2): 177.     CrossRef
• Intentions to leave the job and nursing profession among nurses in Kenya’s referral hospitals: exploring the effects of organizational culture, work-related stress and job satisfaction
  Evans Kasmai Kiptulon, Miklós Zrínyi, Adrienn Ujváriné Siket
  BMC Nursing.2025;[Epub]     CrossRef
• Development and Validation of the Clinical Nurses' Job Crafting Scale
  Eunha Jeong, Sujeong Han
  Journal of Korean Academy of Nursing Administration.2025; 31(3): 333.     CrossRef
• Exploring research trends in nursing organizational culture using topic modeling
  Eun-Jun Park, Chan Sook Park
  The Journal of Korean Academic Society of Nursing Education.2024; 30(4): 371.     CrossRef
• Effects of Professional Self-concept and Nursing Organizational Culture on Intention of Retention of Middle-aged Nurses
  Jinju Kim, Yeongmi Ha
  Journal of Korean Academy of Nursing Administration.2024; 30(2): 130.     CrossRef
• Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job Demands-Resource Model
  Eun Young Lee, Eungyung Kim
  Journal of Korean Academy of Nursing.2023; 53(1): 129.     CrossRef
• Development and Evaluation of Passion Continuation Program based on GRIT Theory for Nurses in COVID-19 Pandemic: A Non-Randomized Experimental Study
  Do-Young Lee, Nam-Joo Je, Yoon Jung Kim, Chunseon Jang, Hyun-Ju Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 357.     CrossRef
• Determining the Role of Employee Engagement in Nurse Retention along with the Mediation of Organizational Culture
  Ridhya Goyal, Gurvinder Kaur
  Healthcare.2023; 11(5): 760.     CrossRef
• Intention to Stay in Specialist Trauma Nurses: Relationship With Role Conflict, Stress, and Organizational Support
  Jeong Eun Yoon, Ok-Hee Cho
  Journal of Trauma Nursing.2022; 29(1): 21.     CrossRef
• Effects of Job Crafting and Job Engagement on Career Management Behavior among Public Institution Nurses: Mediating Effect of Job Engagement
  Seohyun Kwon, Taewha Lee
  Journal of Korean Academy of Nursing Administration.2022; 28(3): 261.     CrossRef
• Concept Analysis of Nurses’ Job Crafting
  Sujeong Han, Eunha Jeong
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 375.     CrossRef
• Effects of Positive Psychological Capital, Job Crafting and Job Satisfaction on Intention of Retention in Hospital Nurses
  Eun-Ah Lee, Yeongmi Ha
  Journal of Korean Academy of Nursing Administration.2022; 28(5): 586.     CrossRef
• The mediating effect of workplace incivility on organization culture in South Korea: A descriptive correlational analysis of the turnover intention of nurses
  Yoon Heui Lee, Jumi Lee, Soo‐Kyoung Lee
  Journal of Nursing Scholarship.2022; 54(3): 367.     CrossRef
• Effect of Self-efficacy, Resilience, and Nursing Work Environment on Intent to Stay among Newly Graduated Nurses in General Hospitals
  Ju Na Jeon, Seung-Hee Lee
  Journal of Korean Academy of Nursing Administration.2021; 27(4): 291.     CrossRef
• Development of Job Crafting Intervention Program for Hospital Nurses: Effects on Organizational Commitment, Embeddedness, and Organizational Well-being
  Mi Suk Hyun
  Journal of Korean Academy of Nursing Administration.2021; 27(5): 366.     CrossRef

Purpose
The purpose of this study was to analyze factors related to patient safety incidents by analyzing '2018 patient safety report data' for Korea, and to prepare a plan for preventing patient safety incidents.
Methods
Analysis was done for 2018 patient safety report data’published in 2019. In 2018, 9,250 patient safety incidents were reported, and for this study data (3,757) from hospitals with more than 500 beds were analyzed. SPSS 25.0 was used for the crosstabulation analysis and multinominal logistic regression.
Results
There were no factors affecting the sentinel event. The main factors of adverse events were age, patient room, treatment room, day duty of nurses, falls, transfusions, and medication.
Conclusion
In order to prevent patient safety incidents, elderly patients should receive verbal and nonverbal communication that will help them understand the complexity of the disease. Finding ways to reduce nurse overtime and reduce human error by computerizing patient monitoring systems, fall prevention activities, and patient safety regulations and procedures are necessary.

Citations

• Influence of perceptions of reporting nurses’ medical errors and patient safety culture on patient safety nursing practices in Korea: a cross-sectional study
  Young Hee Kim, Mi Young Kim
  Journal of Korean Biological Nursing Science.2025; 27(1): 104.     CrossRef
• Factors associated with harm in reported patient safety incidents and characteristics during health screenings in Korea: a secondary data analysis
  Jeongin Choe, Kyungmi Woo
  International Journal for Quality in Health Care.2025;[Epub]     CrossRef
• The Influence of Patient Safety Perception and Knowledge on Patient Participation among Inpatients in Comprehensive Nursing Care Service Ward
  Kyung Suk Baek, Chul-Gyu Kim
  Quality Improvement in Health Care.2025; 31(1): 2.     CrossRef
• Effects of high-fidelity simulation and e-learning methods on nursing students’ self-efficacy in patient safety: a quasi-experimental study
  Kevser Ozata, Leyla Dinc
  BMC Nursing.2025;[Epub]     CrossRef
• Patient Safety Incidents in Operating Rooms Reported in the Past Five Years (2017-2021) in Korea
  Nam-Yi Kim, Hyonshik Ryu, Sungjung Kwak
  Risk Management and Healthcare Policy.2024; Volume 17: 1639.     CrossRef
• Factors Related to the Severity of Patient Safety Incidents in Operating Rooms in South Korea
  Minjung Ryu, Jun Su Park, Bomgyeol Kim, Suk-Yong Jang, Sang Gyu Lee, Tae Hyun Kim
  Health Insurance Review & Assessment Service Research.2024; 4(2): 149.     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
• The Mediating Effect of Nursing Professionalism in the Relationship between Critical Thinking Disposition and Medication Safety Competency of Peri-Anesthesia Nurses
  Won Mi Son, Jung Suk Park
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 543.     CrossRef
• Case Report of a Fire Accident When Using a Radiofrequency Absorber (Accusorb MRI) during an MRI Examination
  Eun-Ji Gim, Min-Gu Kim, Bon-Chul Ha, Hyeon-Ho Kim
  Journal of the Korean Society of MR Technology.2024; 34(2): 15.     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
• Analysis of Factors Related to Domestic Patient Safety Incidents Using Decision Tree Technique
  Jieun Shin, Ji-Hoon Lee, Nam-Yi Kim
  Risk Management and Healthcare Policy.2023; Volume 16: 1467.     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
• Effects of Nurses' Incident Reporting Attitude, Perception of Importance on Patient Safety Management, and Patient Safety Culture on the Reporting of Patient Safety Events
  Eun Suk Ko, Kyung Ja Kang
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 309.     CrossRef
• Association of Job Crafting and Perception of Patient Safety Culture with Patient Safety Management Activities among Hospital Nurses
  Jung Sook Kim, Ji-Soo Kim
  Journal of Korean Academy of Nursing Administration.2022; 28(4): 382.     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
• Effects of Self-Education on Patient Safety via Smartphone Application for Self-Efficacy and Safety Behaviors of Inpatients in Korea
  Sumi Cho, Eunjoo Lee
  Healthcare Informatics Research.2021; 27(1): 48.     CrossRef
• Trend Analysis of Patient Safety Incidents and Their Associated Factors in Korea Using National Patient Safety Report Data (2017~2019)
  Sunhwa Shin, Mihwa Won
  International Journal of Environmental Research and Public Health.2021; 18(16): 8482.     CrossRef
• Transportation, the pathogen vector to rule them all: Evidence from the recent coronavirus pandemic
  Peter J. Stavroulakis, Vasiliki A. Tzora, Elena Riza, Stratos Papadimitriou
  Journal of Transport & Health.2021; 22: 101087.     CrossRef
• Nursing Students’ Informal Learning of Patient Safety Management Activities
  Nam-Yi Kim
  Healthcare.2021; 9(12): 1635.     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

PURPOSE
This study is a descriptive survey to identify emotional labor and job stress recognized in the course of administrative work, and how these affect the professional quality of life of public health nurses according to the employment type.
METHODS
Data was collected through a survey of public health nurses conducted from Dec. 2018 to Jan. 2019 (N=232).
RESULTS
The emotional labor of public health nurses was 3.27 out of 5 and full-time public health nurses had the highest scores. The job stress score was moderate at 2.45 out of four. The job stress of full-time nurses was also the highest. Among the sub-divisions of professional quality of life, compassion satisfaction was 3.55 out of five, while secondary traumatic stress was moderate at 2.48 and exhaustion at 3.01. Factors affecting compassion satisfaction were shown to be employment types and exhaustion. Factors affecting secondary traumatic stress were exhaustion, job stress and emotional labor. Factors affecting exhaustion were secondary traumatic stress and compassion satisfaction.
CONCLUSION
The results of this study shows that full-time public health nurses in charge of nursing organizations at public health centers have extreme difficulty with excessive role responsibilities, resulting in high emotional labor intensity and high job stress.

Citations

• Secondary traumatic stress among pediatric nurses: Relationship to peer-organizational support and emotional labor strategies
  Einat Yehene, Adi Asherman, Gil Goldzweig, Hadar Simana, Amichai Brezner
  Journal of Pediatric Nursing.2024; 74: 92.     CrossRef
• Exploring the Relationship between Surface Acting, Job Stress, and Emotional Exhaustion in Health Professionals: The Moderating Role of LMX
  Ibrahim Yikilmaz, Lutfi Surucu, Ahmet Maslakci, Alper Bahadir Dalmis, Emete Toros
  Behavioral Sciences.2024; 14(8): 637.     CrossRef
• How emotional labor harms employee’s performance: unleashing the missing links through anxiety, quality of work-life and Islamic work ethic
  Shazia Nauman, Sania Zahra Malik, Farida Saleem, Sabreen Ashraf Elahi
  The International Journal of Human Resource Management.2024; 35(12): 2131.     CrossRef
• Emotional labour and turnover intention among nurses in China: Mediating effects of nurse–patient relationship and self‐rated health
  Zhixin Liu, Huanyu Zhang, Junping Liu, Juan Zhao, Yajie Feng, Jie Liu, Siyi Tao, Wei Liu, Dandan Zou, Chen Wang, Nan Wang, Zhaoyue Liu, Xinru Liu, Lin Wu, Libo Liang, Weilan Xu, Qunhong Wu, Chaojie Liu
  International Nursing Review.2024; 71(4): 841.     CrossRef
• The Influence of Relational Bonds, Followership, and Occupational Stress on Nurses' Organizational Commitment
  Gipeum Choi, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 56.     CrossRef
• Emotional Labor and Burnout of Public Health Nurses during the COVID-19 Pandemic: Mediating Effects of Perceived Health Status and Perceived Organizational Support
  Mi-Na Kim, Yang-Sook Yoo, Ok-Hee Cho, Kyung-Hye Hwang
  International Journal of Environmental Research and Public Health.2022; 19(1): 549.     CrossRef
• A cross-sectional study on public health nurses' disaster competencies and influencing factors during the COVID-19 pandemic in Korea
  Eunjoo Hong, Aeri Jung, Kyungmi Woo
  BMC Public Health.2022;[Epub]     CrossRef
• Factors Affecting the Quality of Work Life of Nurses at Tertiary General Hospitals in the Context of the COVID-19 Pandemic
  Eunhee Hwang
  International Journal of Environmental Research and Public Health.2022; 19(8): 4718.     CrossRef
• Effect of Nurse's Character for Care and Sense of Coherence on Professional Quality of Life Among Oncology Nurses
  Gie-Ok Noh, Gyeonga Kang, In Gak Kwon, Sang Hee Kim, Yoon Jung Kim, Jeong Hye Kim, Eun Young Park, Jeong-Sook Park, Han Jong Park, Kwuy-Im Jung
  Asian Oncology Nursing.2021; 21(1): 52.     CrossRef
• The Effects of Self-efficacy and Health Promoting Behaviors on Professional Quality of Life in University Hospital Nurses
  Sun Hee Song, Soon Rim Suh, Jeong Mi Park
  Journal of Health Informatics and Statistics.2021; 46(2): 147.     CrossRef
• Effects of Self-leadership, Professional Self-concept, Emotional Labor on Professional Quality of Life in Hospital Nurses
  Yu-Yeong Kyun, Mi-Aie Lee
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 447.     CrossRef