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
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 aim of this study was to investigate e-health literacy and self-care agency of nursing students and non-health department women college students.
METHODS
A descriptive comparative design was used. Participants were 67 nursing students and 67 non-health department women college students between 18 and 25 years old from a university located in Seoul. Data collection was done from September 2 to October 5, 2016 using structured questionnaires. Data were analyzed using independent t-test, χ² test, ANCOVA, ANOVA, Scheffé test, and Pearson's correlation coefficients with SPSS 23.0.
RESULTS
e-Health literacy had significant difference (F=1.95, p<.018) between nursing students and non-health department women college students. However, self-care agency was not significantly different (F=1.05, p=.426). There were significant positive correlation (r=.63, p<.001) in e-health literacy and self-care agency of nursing students.
CONCLUSION
The results of this study suggest that education programs should be provided to improve the e-health literacy and self-care agency for women college students.

Citations

• The relationship between nursing professionalism and nursing intention for patients with emerging infectious diseases of nursing students who had experienced COVID-19 pandemic: the mediating effect of e-Health literacy
  Hee Jung Kim
  The Journal of Korean Academic Society of Nursing Education.2024; 30(1): 71.     CrossRef
• Usability of a new digital walking program for older adults: a pilot study
  Jisan Lee, Hyeongju Ryu
  BMC Geriatrics.2023;[Epub]     CrossRef
• Self-Care Behavior and Associated Factors of Nursing Students with Dysmenorrhea: A Structural Equation Model
  Jinpei Chen, Yajing Duan, Yongai Zhang, Xiaona Zhang, Miao Chu, Yurun Shi, Xinmin Zhang, Paolo C. Colet
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• Hemşirelik Öğrencilerinin E-Sağlık Okuryazarlık Düzeyi ile Klinik Karar Verme Becerileri Arasındaki İlişki
  Serap KAYNAK, Nazire ARAT, Figen YARDIMCI, Selmin ŞENOL, Hatice BAL YILMAZ
  Ege Üniversitesi Hemşirelik Fakültesi Dergisi.2022; 38(3): 229.     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
• Health literacy dimensions as predictors of self-care agency among nursing students
  Jehad A. Rababah, Mohammed Munther Al-Hammouri
  Journal of Professional Nursing.2022; 42: 46.     CrossRef
• The influence of eHealth literacy, reproductive health knowledge, and self-esteem on health-promoting behaviors in early adult women: a cross-sectional survey
  Hye Sook Shin, Young A Song
  Korean Journal of Women Health Nursing.2022; 28(4): 329.     CrossRef
• eHealth usage among Chinese college students: qualitative findings
  Hua-xuan LIU, Bik-chu CHOW, Chun HU, Holger HASSEL, Wendy Yajun HUANG
  BMC Public Health.2022;[Epub]     CrossRef
• Comparison Study of e-Health Literacy and Health Promoting Behaviors of Cancer Patients and Nurses
  Hyoen Jeong Kim, Miyoung Kim
  Asian Oncology Nursing.2020; 20(2): 100.     CrossRef
• Factors Influencing Healthcare Provider-Patient Communication of Patients with Chronic Diseases
  Miyoung Kim, Jihae Lee, Eun-Young Doo
  Journal of Korean Academy of Nursing Administration.2020; 26(2): 73.     CrossRef
• A Comparative Study on the Effect of e-Health Literacy, Health Information Reliability and Health Behavior on the Health Information Use Motive in Korean and Chinese University Students
  Young Hee Nam, In Suk Jung
  Journal of Digital Contents Society.2020; 21(3): 513.     CrossRef
• Comparison of e-health literacy and health behavior among healthcare- and engineering- affiliated students
  Young-Hee Nam, Seung-Min Lee
  Journal of Digital Contents Society.2018; 19(10): 1947.     CrossRef
• Influence of Health Literacy and Self-care Agency on Health Promotion Behavior in Nursing Students
  Soon Young Lee, Soon Rim Suh
  Journal of Health Informatics and Statistics.2018; 43(2): 126.     CrossRef