Purpose
This study examined how nurse staffing and parental caregiving burden influence patient experiences in pediatric wards. Methods: The sample included 326 parents of pediatric patients at a tertiary children’s hospital. Nurse staffing was measured using parent-perceived staffing adequacy (4-point scale) and registered nurse hours per patient day (RN HPPD). Parent experiences were evaluated using the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS), with items rated on 3-, 4-, or 11-point scales and subsequently converted to scores on a 0–100 scale. Parents also reported their caregiving burden experienced during their child’s hospitalization. Results: Among the Child HCAHPS domains, nurse–parent communication received the highest score, while lower scores were reported in child-specific domains, including teen involvement, quietness, and child comfort. Most parents (80.4%) stayed at the hospital either all or nearly all the time, and 63.5% perceived caregiving as burdensome. Commonly reported burdens included economic and work-related challenges, physical and psychological stressors, and responsibilities related to caring for other children. Higher levels of parent-perceived staffing adequacy and greater RN HPPD were significantly associated with better patient experiences. Conclusion: Improving nurse staffing may alleviate parental caregiving burden and improve patient and parent experiences in pediatric wards.

Purpose
This study aimed to examine the relationships among self-leadership, role conflict, practice environment, and patient safety competency, and to identify factors influencing patient safety competency in clinical practice nurses. Methods: A total of 152 clinical practice nurses from four university hospitals participated in this cross-sectional study. Data were collected using a structured questionnaire and analyzed to identify key predictors of patient safety competency. Results: Patient safety competency was positively associated with self-leadership, the practice environment, and the presence of regular educational programs tailored for clinical practice nurses. Self-leadership and the practice environment were identified as significant predictors, explaining 30% of the variance in patient safety competency. Conclusion: The findings underscore the importance of fostering self-leadership and enhancing the practice environment to improve patient safety competency among clinical practice nurses. Tailored education and training programs aimed at strengthening self-leadership skills should be developed. Additionally, organizational efforts to optimize the clinical practice environment are essential to support safe and effective nursing practice.

Purpose
This study aimed to identify the influence of positive psychological capital, role conflict, and authentic leadership on burnout among nurses working in comprehensive nursing care service wards of general hospitals. Methods: A descriptive cross-sectional survey was conducted with 208 nurses from four general hospitals. Data were collected using structured questionnaires between September 26, 2024, and October 18, 2024, and were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression analysis. Results: Burnout showed a correlation with role conflict (r=.45, p<.001), positive psychological capital (r=-.62, p<.001) and authentic leadership (r=-.24, p<.001). In the regression analysis, the factors significantly associated with burnout included conflict with patients/guardians (β=.24, p<.001) and conflict regarding nursing practices (β=.22, p<.001), which are subdomains of role conflict. Among the components of positive psychological capital, optimism (β=-.37, p<.001) was identified as a significant protective factor against burnout. However, authentic leadership was not found to be a statistically significant predictor. Conclusion: To effectively manage nurse burnout, it is essential to develop strategic programs that focus on enhancing optimism. Furthermore, establishing clear delegation guidelines between nurses and nursing assistants is recommended.

Purpose
This study aimed to examine the predictors of nurses’ incident reporting by dividing the level of patient safety incident (near miss, no harm, harmful incident) reporting into upper and lower level groups. Methods: Data were collected from 208 nurses working in a hospital from March 29 to April 6, 2022. Logistic regression analysis was used to determine the predictors of nurses’ reporting level. Results: Predictors of the upper level group of near miss reporting were belief in improvement (odds ratio [OR], 2.40; 95% confidence interval [CI], 1.27-4.53), reporting intention (OR, 2.00; 95% CI, 1.15-3.47), patient safety knowledge (OR, 2.16; 95% CI, 1.16-4.01). Predictors of the upper level group no harm incidents reporting were reporting training (OR, 1.38; 95% CI, 1.01-1.90), belief in improvement (OR, 2.00; 95% CI, 1.01-3.95), patient safety knowledge (OR, 2.41; 95% CI, 1.17-4.98). In the case of harmful incident reporting, the predictor was patient safety attitude (OR, 9.32; 95% CI, 2.77-31.38). Conclusion: The reporting level varies depending on the type of patient safety incidents. Managing nurses' individual characteristics, such as their beliefs in improvement, patient safety knowledge, and attitude is a key strategy for enhancing incident reporting level. Nursing managers should be aware that not all harmful incidents are being reported.

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 study aimed to identify the effects of shared leadership, communication skills, and team effectiveness, as perceived by nurses and nursing assistants in comprehensive nursing service units.
Methods
A cross-sectional research design was adopted, and the sample included 306 nurses, nurse assistants, and caregivers working in nine hospitals with fewer than 500 beds in two South Korean cities. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s correlation coefficient, and four-step hierarchical regression analysis.
Results
The factors influencing team effectiveness in the hierarchal multiple regression analysis were shared leadership (β=.57, p<.001) and communication skills (β=.18, p<.001). These factors explained 49% of the total variance.
Conclusion
To enhance team effectiveness in compressive nursing service units, educational programs focusing on shared leadership and communication skills among nurses, nursing assistants, and caregivers must be developed.

Citations

• Effects of Shared Leadership, Role Conflict, and Organizational Commitment on Patient-Safety Competency Among Clinical Nurses
  Hye-Jeong Hwang
  Journal of Digital Contents Society.2025; 26(7): 1821.     CrossRef

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 explore the mediating role of organizational silence in the effect of leader-member exchange on patient safety culture among perioperative nurses.
Methods
This descriptive study surveyed 201 perioperative nurses from five university hospitals. Data were collected via online questionnaires from November 8, 2022, to February 6, 2023, measuring demographics, work-related factors, leader-member exchange, organizational silence, and patient safety culture. The Data were analyzed using SPSS 26.0 and PROCESS Macro model 4.
Results
Leader-member exchange showed a significant direct effect on patient safety culture (β=.44, p<.001). The indirect effect of leader-member exchange on patient safety culture through acquiescent silence was also significant (β=.05, 95% CI: 0.02 to 0.13). The total effect of leader-member exchange on patient safety culture (β=.52, p<.001) was larger than its direct effect, indicating that acquiescent silence partially mediated the relationship between leader-member exchange and patient safety culture.
Conclusion
To improve perioperative nurses perception of patient safety culture, healthcare organizations should enhance leader-member exchange by promoting strong emotional connections and open communication between nurse managers and staff nurses. Additionally, encouraging autonomous decision-making and reducing acquiescent silence are essential to facilitate the active expression of patient safety concerns.

Purpose
This study aimed to identify the factors influencing nurses’ perceptions of the disclosure of patient safety incidents in tertiary hospitals.
Methods
As a descriptive study, data were collected from 315 nurses working in two tertiary hospitals in Busan via structured self-report questionnaires from June 28 to September 3, 2023, through an online survey. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical regression analysis with SPSS/WIN 27.0.
Results
Analysis was conducted by controlling for the characteristics of the study participants, which revealed significant differences in their perceptions of the disclosure of patient safety incidents. Ethical nursing competence (β=.30, p<.001) and patient safety culture (β=.15, p=.012) were significant influencing factors on the perception of such disclosure, and the explanatory power of the regression model was 21.0% (F=14.63, p<.001).
Conclusion
To enhance the aforementioned perception among nurses in tertiary hospitals, healthcare institutions should provide learning opportunities to improve their ethical nursing competence. Fostering an organizational culture that promotes and encourages open disclosure of patient safety incidents is also essential.

Citations

• Impact of Nursing Professionalism, Ethical Sensitivity, and the Clinical Learning Environment on Nursing Students' Intention to Report Near Misses and Adverse Events
  Sookhee Yoon, Ha-Young Park
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 209.     CrossRef
• Factors Influencing End-of-life Care Competency in Nursing Students
  Jinryung Park, Minjeong Seo
  Korean Journal of Medical Ethics.2024; 27(4): 267.     CrossRef

Purpose
This study examined the influence of patient safety management systems, leadership, and communication types on nurses’ patient safety management activities.
Methods
Participants were 237 nurses who has been working in medical institutes for over 6 months. Online self-report questionnaires were conducted. Measures included patient safety management systems, transformational leadership, authentic leadership, communication types, and patient safety management activities. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple regression with SPSS/WIN 24.0.
Results
According to the general characteristics, patient safety management activities were higher among nurses who were female (t=4.27, p<.001), charge nurses (t=-2.41, p=.016), had healthcare accreditation experience (t=4.36, p<.001), and worked in nursing units implementing a team nursing method (F=6.26, p=.002) with more than 30 nurses (F=6.28, p=.043). Female nurses (β=.16, p=.015) with high authentic leadership (β=.21, p=.002), low informal communication (β=-.21, p=.004), and high downward communication (β=.19, p=.009) showed higher patient safety management activities. The models' explanatory power was 21.0%.
Conclusion
Based on the results of this study, further research is needed to investigate the differences in patient safety management activities according to gender, the number of nurses per ward, and the nursing delivery system. Lowering informal communication and strengthening authentic leadership and downward communication may improve nurses’ patient safety management activities.

Purpose
This study investigated the mediating effects of patient safety management activities on the relationship between nurse-nurse collaboration, nurse-physician collaboration, and nursing performance of clinical nurses.
Methods
Online survey was performed from February 18 to February 28, 2023 using structured questionnaires. The participants were 212 clinical nurses working in tertiary general hospitals in South Korea. The participants completed self-reporting questionnaires, that measured nurse-nurse collaboration, nurse-physician collaboration, nursing performance, and patient safety management activities. Data were analyzed using SPSS 29.0 program, for multiple regression and a simple mediation model, applying the PROCESS macro with a 95% bias-corrected bootstrap confidence interval.
Results
Nurses' patient safety management activities had a mediating effect on the relationship between nurse-nurse collaboration and nursing performance (B=0.24, Boot 95% CI=0.16∼0.34). In addition, patient safety management activities showed a mediating effect on the relationship between nurse-physician collaboration and nursing performance (B=0.10, Boot 95% CI=0.07∼0.15).
Conclusion
The levels of nurse-nurse collaboration, nurse-physician collaboration, and patient safety management activities must be considered when developing strategies to improve nurses’ performance in nursing practice settings.

Citations

• Nurses’s Experience with Department Transfer Following Sudden Ward Closure after a Collective Resignation of Residents
  Yeon Hee Kim, Jeong Min Jo, Hye Mi Kim, Gyu Ri An, Na Yeon Lee, Hee Suk Ha
  Journal of Korean Association for Qualitative Research.2025; 10(1): 14.     CrossRef

Purpose
Patient handovers are critical for patient safety. Studies have shown that nurses are often interrupted during handovers, and standardized guidelines are lacking. This study aimed to develop and evaluate the effectiveness of a new handover method for emergency nurses.
Methods
This quasi-experimental study implemented a new handover method from August 1, 2022, at the emergency department of a university hospital. Pre- (34 responses) and post-(16 responses, six months later) surveys and post-interviews (six participants) were conducted. In the pre-survey, data were collected regarding handover-related characteristics, cause of handover error, handover perception and handover error experience. Data regarding handover perception and handover error experience were obtained again at the post-survey. Wilcoxon’s signed rank test was used to compare handover perception and handover error experience. The interview results were analyzed using inductive content analysis.
Results
There were no significant differences in information quality or interaction and support, but the new handover method was more efficient, and handover errors decreased. Four themes were identified from interview responses.
Conclusion
By providing a quiet place and allowing emergency nurses to independently review patient records during handovers, we expect to maintain nursing continuity, increase efficiency, and ultimately ensure patient safety and nurses’ job satisfaction.

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 identify factors influencing nursing professionalism among outpatient nurses.
Methods
Data were collected through a self-evaluation survey of 157 nurses from general and tertiary hospitals in Seoul and Gyeonggi-do, Korea. Data were analyzed using independent t-tests, one-way ANOVA, Importance-Performance Analysis, Pearson correlation coefficients, and multiple regression analysis.
Results
The mean scores were as follows: importance, 3.29 out of 5; performance, 2.50 out of 4; role conflict, 3.23 out of 5; and nursing professionalism, 3.23 out of 5. There were statistically significant positive correlations between the importance (r=.32, p<.001) and performance (r=.38, p<.001) of nursing activities and professionalism. There were statistically significant negative correlations between role conflict and nursing professionalism (r=-.20, p=.014). Stepwise multiple regression analysis showed that the importance of nursing activities, performance of nursing activities, role conflict, working department, and sex explained 33.0% of outpatient nurses’ professionalism (F=8.66, p<.001).
Conclusion
The findings indicate educational system about important and highly accomplished tasks would be useful to improve nursing professionalism of outpatient nurses. Furthermore, reducing role conflicts by clearly distinguishing tasks is necessary to increase nursing professionalism.

Citations

• Impact of Nursing Professionalism, Ethical Sensitivity, and the Clinical Learning Environment on Nursing Students' Intention to Report Near Misses and Adverse Events
  Sookhee Yoon, Ha-Young Park
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 209.     CrossRef

Purpose
This study aimed to investigate the relationships among nursing skill mix, missed nursing care, and adverse events according to the nursing skill mix and the factors influencing.
Methods
This study is a descriptive survey that used survey data were collected from 158 nurses working in comprehensive nursing care wards in small and medium-sized hospitals. The data were analyzed using the t-test, analysis of variance, and multiple regression analysis.
Results
The average age of the study participants was 37.9 years, and they had over 10 years of experience. The average mean ratio of nursing skill mix 1 was 69.98. For nursing skill mix 2, the average mean ratio was 68.44%. The mean score for missed nursing care was 1.33, and the mean score for adverse events was 1.90 points. The factors affecting adverse events experience were missed nursing care, total work experience of >3 years, number of beds between ≥200 and <300.
Conclusion
Our findings suggest that patient safety and management education should consider the nurses’ age and total work experience. Furthermore, nursing workforce management, particularly focusing on nursing assistants in small- and medium-sized hospitals, is essential for fostering a safer healthcare environment.

Purpose
To explore the relationship between nursing care needs and acuity based on the Korean Patient Classification System for Critical Care Nurses (KPCSC) and APACHE II, and to identify their prognostic value in predicting mortality.
Methods
A total of 617 patients admitted to a surgical intensive care unit in a tertiary hospital from January 1 to June 30, 2021 were included. The correlation between KPCSC and APACHE II scores, and their predictive power regarding mortality were examined.
Results
KPCSC and APACHE II scores showed a significant, positive correlation (r=.32, p<.001). The KPCSC score was significantly correlated with 10 out of 11 KPCSC categories and 2 out of 3 APACHE II domains, whereas the APACHE II score had a significant correlation with all APACHE II domains and only 4 out of 11 KPCSC categories. Both KPCSC and APACHE II demonstrated moderate discriminatory performance in predicting ICU and in-hospital death, and their AUC values were not significantly different.
Conclusion
KPCSC, reflecting the severity of illness, predicted mortality as well as APACHE II. However, KPCSC was found to consider factors other than severity, such as patient dependency, which substantiates its value as an assessment tool for nursing care needs.

Citations

• Comparisons of nursing hours and nurse-to-patient ratios required for patients with mechanical ventilation, CRRT, and ECMO in intensive care units: A cross-sectional study
  Sung-Hyun Cho, Shin-Ae Kim, Eunhye Kim
  Intensive and Critical Care Nursing.2025; 89: 103982.     CrossRef
• Relationship between Nurse Staffing and Critical Nursing Activities in Intensive Care Units : Analysis of National Health Insurance Claims Data from 2009 to 2020
  U Ri Go, Sung-Hyun Cho
  Journal of Korean Critical Care Nursing.2024; 17(2): 25.     CrossRef

Purpose
This study aims to propose revised inpatient nursing fee schedules that address three discrepancies between actual nurse staffing levels in general wards and the corresponding patient payment structures.
Methods
A total of 45 tertiary hospitals, 329 general hospitals, and 1,379 hospitals from publicly released data for 2021~2022 were analyzed. This analysis focused on three primary discrepancies between (1) the staffing grades under which patients were hospitalized and the corresponding grades for which they were charged; (2) the staffing grades determined by bed-to-nurse and patient-to-nurse criteria; and (3) the current differentiation rates of nursing fees and the expected differentiation rates based on the number of nurses required for each grade.
Results
The first discrepancy occurred in 8.9% of tertiary hospitals, 21.0% of general hospitals, and 26.0% of hospitals. The bed-to-nurse and patient-to-nurse grades differed by 2.23 and 2.29 grades on average in general hospitals and hospitals, respectively. The current differentiation rates were higher than the expected differentiation rates. New nursing fee schedules were suggested to resolve those discrepancies.
Conclusion
Nursing fees should be charged to reflect the staffing levels under which patients were cared for and proportionate to the number of nurses required to provide the corresponding staffing levels.

Purpose
This study examined the effect of missed nursing care on nursing sensitive indicators.
Methods
A nationwide cross-sectional survey was conducted using structured questionnaires. Data of 174 clinical nurses employed in general or tertiary hospitals were collected through proportional quota sampling; the quota used was the location of a working hospital in South Korea. Data were collected through an online survey and snowball sampling from July 16 to July 20, 2022. The collected data were analyzed using IBM SPSS 26.0.
Results
Missed nursing care had statistically significant negative correlations with patient safety management activity and job satisfaction, and significant positive correlation with turnover intention. Significant correlation was not found between missed nursing care and adverse event experiences. Hierarchical multiple regression analysis revealed that missed nursing care explained an additional 21%p of patient safety management activity, 14%p of job satisfaction, and 3%p of turnover intention. Thus, missed nursing care was found to be a statistically significant predictor of patient safety management activity, job satisfaction, and turnover intention.
Conclusion
Missed nursing care significantly affects nursing sensitive indicators. To improve positive outcomes and decrease negative outcomes, nurses and nursing managers must make efforts to minimize missed nursing care.

Citations

• Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
  Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
  Journal of Korean Academy of Nursing Administration.2025; 31(4): 446.     CrossRef
• Effects of presenteeism on turnover intention in clinical nurses through the serial mediating roles of missed nursing care and job satisfaction: a cross-sectional predictive correlational study
  Hyeonseon Cheon, Seok Hee Jeong, Hyun Kyung Kim, Hyoung Eun Chang
  Journal of Korean Academy of Nursing.2025; 55(4): 584.     CrossRef
• Role of Hi-Tech Call Center Employees’ ESG Activity Recognition in Increasing Corporate Performance via Organizational Identification and Job Satisfaction
  So Ra Park
  Journal of Digital Contents Society.2024; 25(2): 503.     CrossRef
• Impact of Emotional Labor and Positive Psychological Capital on the Turnover Intention of Nurses Caring for Patients with COVID-19: A Descriptive Survey Study
  Mira Kwon, Yeoungsuk Song, Majd T. Mrayyan
  Journal of Nursing Management.2024; 2024: 1.     CrossRef

Purpose
This study investigated the mediating effect of patient participation culture in the relationship between ethical leadership and performance in patient-engaged nursing services.
Methods
This study employed a cross-sectional descriptive online survey design. The sample comprised 104 nurses from small- and middle-sized Korean hospitals. Data were collected between May 10 and September 10, 2019 using the Smart Patient Engagement Assessment Checklist, Korean versions of the Patient Participation Culture Tool for healthcare workers, the Ethical Leadership Scale, and a questionnaire about nurses' demographic and work characteristics. A mediation analysis was conducted using multiple regression and a simple model applying the PROCESS macro using SPSS/WINdows software version 26.0.
Results
Ethical leadership directly affected (c'=0.28, p<.001) performance in patient-engaged nursing services. Patient participation culture partially mediated the relationship between ethical leadership and performance in patient-engaged nursing services (a ․ b=0.51×0.20=0.10, 95% Boot CI=0.18~0.20).
Conclusion
Optimizing the patient participation culture and adherence to ethical leadership among hospital administrators and managers can improve nurses' performance in patient-engaged nursing services. Nurse managers' ethical leadership should be strengthened, and patient participation culture should be encouraged at policy levels through systematic nurse education on patient safety and engagement to enhance performance-engaged nursing services.

Citations

• Characteristics of Leadership Competency in Nurse Managers: A Scoping Review
  Silvia Perez-Gonzalez, Pilar Marques-Sanchez, Arrate Pinto-Carral, Alberto Gonzalez-Garcia, Cristina Liebana-Presa, Carmen Benavides, Ruishuang Zheng
  Journal of Nursing Management.2024;[Epub]     CrossRef

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.

Citations

• How Registered Nurses Practice Patient Advocacy? A Qualitative Study on the Perceptions, Activities and Influencing Factors
  Sun‐Young Park
  Journal of Advanced Nursing.2025;[Epub]     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
• 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
• 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
This study’s purpose is to examine the effects of nurses' incident reporting attitudes, their perceptions of importance of patient safety management, and patient safety culture on reporting patient safety events.
Methods
We used a cross-sectional design with a convenience sample of 192 nurses with more than three months clinical experience from five provincial hospitals. The data were collected through an online structured self-report questionnaire from September 25 to October 15, 2022. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression.
Results
The most important influencing factors for the level of patient safety event reporting were perceptions of the importance of patient safety management (β=.24, p=.005), followed by patient safety culture (β=.23, p=.019), incident reporting attitude (β=.18, p=.016), and near miss reporting experience (β=.14, p=.022). The explanatory power of the model was 33%.
Conclusion
To increase the level of patient safety incident reporting, differentiated education and standardized work procedures are needed. Also, it is necessary to prepare policies that revitalize patient safety reporting systems at medical institutions as measures to prevent patient safety accidents and recurrences.

Citations

• Patient safety management activities and perceived workload of shift‐work nurses, moderated by the perceived importance of patient safety management
  Kyung Jin Hong
  International Nursing Review.2025;[Epub]     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
• Relationship between nurses’ critical thinking disposition and patient safety incident reporting: The mediating role of patient safety culture in a comprehensive nursing service ward
  Nam-Yi Kim, Sung-Jung Kwak, Ayman Mohamed El-Ashry
  PLOS ONE.2024; 19(12): e0315679.     CrossRef
• Impacts of Just Culture on Perioperative Nurses' Attitudes and Behaviors With Regard to Patient Safety Incident Reporting: Cross-Sectional Nationwide Survey
  Nara Han, Seok Hee Jeong, Myung Ha Lee, Hee Sun Kim
  Asian Nursing Research.2024; 18(4): 323.     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

Purpose
The purpose of this study was to investigate the relationship between patient-centered care and the patient experience according to inpatients. Additionally, the effect of patient-centered care on the patient experience was explored.
Methods
Using a structured-questionnaire, data were collected from 147 inpatients in a tertiary care hospital for the period October 12-24, 2021. Data were analyzed using descriptive statistics, a t-test, ANOVA, Scheffé’s test, Pearson’s correlation coefficients, and a multiple linear regression using SPSS/WIN 26.0.
Results
Patient-centered care was positively correlated with the patient experience (r=.66, p<.001), and patient-centered care was found to be a variable affecting the patient experience. Further, explanatory power was assessed at 43%.
Conclusion
The results of this study indicate that the provision of individualized care must reflect patient-centered care to ensure a positive patient experience, and nurses should not only perform interventions through medication or nursing processes, but also by listening to and interacting with patients based on their needs.

Citations

• The Mediating Role of Patient Safety Perception in the Relationship between Right to Know and Patient Participation among Inpatients
  Sun-Hwa Shin, On-Jeon Baek
  Korean Journal of Adult Nursing.2025; 37(2): 114.     CrossRef
• Effects of Empathy, Interpersonal Competence, and Nursing Professionalism on Person-centered Care Competency among Nursing Students
  So-Yeon Gim, Jeong-Ah Ahn
  Journal of Korean Critical Care Nursing.2025; 18(2): 26.     CrossRef
• Mediating Effect of Team Effectiveness of the Nursing Unit on the Nursing Work Environment and Patient-Centered Nursing: A Cross-Sectional Study
  Se Young Kim, Young Ko
  Healthcare.2025; 13(17): 2080.     CrossRef
• Intensive Care Experience of Critical Care Patients and Its Related Factors : A Secondary Analysis Study
  Jiyeon Kang, Hyojeong Woo
  Journal of Korean Critical Care Nursing.2023; 16(3): 11.     CrossRef

Purpose
The study aimed to classify patient safety accident and nursing malpractice types through a content analysis of litigation cases in which nurses were found guilty.
Methods
Data on malpractice cases were collected from the official website of the Korean judiciary. This analysis was conducted in stages according to the systematic content analysis method. A total of 46 cases consisting of 14 criminal cases and 32 civil cases were selected for analysis, and classified based on the types of safety accident and nursing malpractice.
Results
Eleven categories and 14 subcategories of accidents were extracted from 71 significant statements. The 11 categories of accidents consisted of falls, medication, burns, treatment, diet, medical equipment, delivery, exams, surgery, infection, and suicide. Five categories and 14 subcategories of nursing malpractice were extracted from 71 significant statements. The five categories of malpractice were as follows: failure to take affirmative action to prevent accidents, monitor, follow guidelines, use equipment properly, and reports.
Conclusion
These findings highlight the importance of nurses’ independent roles as patients’ safety managers. It can be used as primary data to develop organizational and educational support for nurses seeking to perform their professional roles in ensuring patient safety.

Citations

• Effects of Discussion-Based Legality-Focused Nursing Record Education on Nursing Students’ Knowledge, Self-Confidence, and Nursing Record Performance
  Dohye Kim, Kyoungrim Kang, Jeongyeong Jeon
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 14.     CrossRef
• Influencing Factors of Coping Strategies in Mothers of High‐Risk Newborns: Perceived Stress and Nursing Support
  Jung‐A Kim, Hye‐Young Jang
  International Journal of Nursing Practice.2025;[Epub]     CrossRef
• Development of Guidelines for the Delegation of Nursing Tasks in Integrated Nursing Care Service
  Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
  Journal of Korean Academy of Nursing Administration.2024; 30(2): 114.     CrossRef
• Characteristics of Nursing-related Patient Safety Incidents and Qualitative Content Analysis: Secondary data Analysis of Medical Litigation Judgment (2014~ 2018)
  Min-Ji Kim, Won Lee, Sang-Hee Kim, So-Yoon Kim
  Quality Improvement in Health Care.2023; 29(2): 15.     CrossRef

Purpose
This study was to examine the influential factors on patient safety management activities of operating room nurses in general hospitals.
Methods
The subject of this study were 133 operating room nurses of seven general hospitals in B metropolitan city. Data were collected from July 23 to August 14, 2020 using self-report questionnaires. For data analysis, a descriptive analysis and stepwise multiple regression were utilized with IBM SPSS Statistics for Windows version 22.0.
Results
The significant predictors of patient safety management activities were perception of patient safety culture (β=.73, p<.001) and physical burden (β=-.13, p=.025). These variables were found to contribute 56.3% to the outcomes of patient safety management activities.
Conclusion
Based on the research results, to promote patient safety management activities of operating room nurses, it is required to establish active and multifaceted strategies and systems at the hospital level to enhance awareness of patient safety culture and reduce physical burden.

Citations

• Study of Patient Safety Culture Awareness of Radiological Technologists in Magnetic Resonance Imaging Laboratories
  Min-Seo Park, Dong-Ha Lee, Hyun-Jin Jo, Hea-Youn Cho, Yeong-Cheol Heo
  Journal of the Korean Society of MR Technology.2024; 34(1): 9.     CrossRef
• The Effects of a Simulation-Based Patient Safety Education Program on Compliance with Patient Safety, Perception of Patient Safety Culture, and Educational Satisfaction of Operating Room Nurses
  OkBun Park, MiYang Jeon, MiSeon Kim, ByeolAh Kim, HyeonCheol Jeong
  Healthcare.2023; 11(21): 2824.     CrossRef

Purpose
This study aimed to develop a discharge nursing service model (DNSM), including one that accounts for the role of discharge nurses and the discharge nursing process for heart failure patients (HFP) with a high readmission rate, and to verify its clinical feasibility.
Methods
As a methodological study, DNSM was established through a literature review and benchmarking, and the clinical feasibility of the expert group was confirmed through the Delphi technique.
Results
Through a literature review and the benchmarking, the DNSM for HFP was formulated. The nine core competencies are professional nursing practice, education, counseling, advice, ethical decision-making, research, collaboration, evidence-based practice, and leadership. In addition, fifteen criteria and 42 indicators were added as detailed items. The discharge process comprised five stages and 25 processes identified by analyzing and integrating the content of discharge nursing intervention required for HFP by period-from hospitalization to 30 days after discharge. Content validity was verified by the twofold application of the Delphi technique, and the average CVI was over 0.92.
Conclusion
In terms of quality management, developing an efficient system or service is necessary to prevent readmission, and developed DNSM should be continuously revisioned and reinforced through follow-up studies.

Purpose
This descriptive study aimed to identify the effects of purposeful and timely nursing rounds on patients' perception of the quality of nursing services and nurses' perception of nursing rounds.
Methods
Intentional nursing rounds were conducted by communicating patients’ questions on pain, position, pump, potty, and possessions. A total of 144 nurses and 149 patients participated, and data were collected using self-report questionnaires. The independent t-test, x ² test, and Wilcoxon’s rank-sum test were used to analyze the data with SPSS version 24.0.
Results
Although intentional nursing rounds improved the nurses’ perception of nursing rounds, there was no significant difference. The nurses’ benefit had the lowest score (3.36), and the benefit of communication with patients had the highest score (3.79). Intentional nursing rounds significantly improved the patients’ perception of the quality of nursing services in the intervention group. Among the factors of empathy (Z=4.98, p<.001) related to the quality of nursing services as perceived by the patient, assurance (Z=5.50, p<.001), reliability (Z=4.43, p<.001), and responsiveness (Z=5.02, p<.001) significantly increased.
Conclusion
Intentional nursing rounds positively affected patients’ perception of the quality of nursing service. It is important to improve intentional nursing rounds to enhance nurses’ perceptions of them.

Citations

• 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

Purpose
This study aimed to investigate the influences of teamwork and job burnout on patient safety management activities (PSMA) among operating room nurses. Methods: We collected cross-sectional data from 144 operating room nurses with at least 1 year of clinical experience. Teamwork had five subscales (team structure, leadership, situation monitoring, mutual support, and communication) and burnout had two subscales (exhaustion and disengagement). We used descriptive statistics, t-tests, analysis of variance, Pearson’s correlation coefficients, and multiple linear regression. Results: PSMA had significant positive correlations with all subscales of teamwork and had a significant negative correlation with disengagement. Multiple regression analysis revealed that gender, clinical career in operating room, number of patient safety education, accreditation evaluation experience, team structure, and situation monitoring were associated with PSMA. Specifically, we found significant positive associations of team structure (β=.31, p<.001) and situation monitoring (β=.23, p=.039) with PSMA. Disengagement was not associated with PSMA after adjusting for confounders despite a significant correlation. Conclusion: To improve operating room nurses’ PSMA, it is important to improve their awareness of the team structure and their ability to monitor the operating room situation.

Citations

• Putting Patients at Risk: The Effect of Health Care Provider Burnout on Patient Care in the Operating Room—A Narrative Review
  Juan Antonio Hueto Madrid, Judith Hargreaves, Beata Buchelt
  Journal of Patient Safety.2025; 21(6): 424.     CrossRef
• The Effects of Presenteeism, Burnout, and Nursing Performance on Retention Intention among Nurses at an Intensive Care Unit
  Seung-Hee Lee, Na Rin Kim
  Journal of Korean Academy of Nursing Administration.2025; 31(3): 269.     CrossRef
• THE PERCEIVED INFLUENCE OF BURNOUT ON QUALITY OF PERIOPERATIVE CARE AMONG SURGICAL TEAM IN TEACHING HOSPITALS IN A PERI-URBAN CITY IN SOUTHWESTERN NIGERIA
  Rafiat Omotayo ISHOLA, Olufemi Oyebanji OYEDIRAN, Iyanuoluwa Oreofe OJO, Johnson Adewale AKINOSO, Emmanuel Olufemi AYANDIRAN
  Perioperative Care and Operating Room Management.2025; : 100567.     CrossRef
• Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study
  Jieun Shin, Nam-Yi Kim
  Risk Management and Healthcare Policy.2024; Volume 17: 715.     CrossRef
• Effects of Nurse-Nurse Collaboration and Nurse-Physician Collaboration on Nursing Performance in Nurses: The Mediating Effect of Patient Safety Management Activities
  JaHyun Kim, Seok Hee Jeong, Hee Sun Kim, Sunmi Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 343.     CrossRef
• The Effects of a Simulation-Based Patient Safety Education Program on Compliance with Patient Safety, Perception of Patient Safety Culture, and Educational Satisfaction of Operating Room Nurses
  OkBun Park, MiYang Jeon, MiSeon Kim, ByeolAh Kim, HyeonCheol Jeong
  Healthcare.2023; 11(21): 2824.     CrossRef

Purpose
This study aimed to examine the association of job crafting and perception of patient safety culture with patient safety management activities among hospital nurses. Methods: This study used a questionnaire that contained the scales of Job Crafting, Patient Safety Culture, and Patient Safety Management Activities. The participants were 211 nurses from two hospitals. Data were analyzed using descriptive statistics, correlations and simultaneous multiple regression. Results: The mean scores of the variables were as follows: job crafting, 3.42 out of 5; perception of patient safety culture, 3.77 out of 5; and patient safety management activities, 4.30 out of 5. The items ‘using professional autonomy’ of job crafting and ‘patient safety knowledge/attitude’ and ‘teamwork’ of patient safety culture were associated with the patient safety management activities among nurses. Conclusion: Nurses’ patient safety knowledge and attitude of striving for patient safety influenced nurses’ patient safety management activities. To enhance nurses’ patient safety knowledge and attitude, hospitals should develop continuously provide education programs. Nurse managers need to strive for supportive teamwork and encourage adherence to patient safety rules. For nurses’ patient safety management activities, nurse education should highlight nursing as a profession that entails autonomous nursing care, which includes responsibility for patient safety.

Citations

• 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
• Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study
  Jieun Shin, Nam-Yi Kim
  Risk Management and Healthcare Policy.2024; Volume 17: 715.     CrossRef
• Effects of Nurse-Nurse Collaboration and Nurse-Physician Collaboration on Nursing Performance in Nurses: The Mediating Effect of Patient Safety Management Activities
  JaHyun Kim, Seok Hee Jeong, Hee Sun Kim, Sunmi Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 343.     CrossRef
• Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
  Eunji Lee, Haejung Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef

Purpose
This study aims to determine nursing students’ orientation toward patient-centered care (PCC) and identify its influencing factors: their personality traits, empathy, and psychological capital (PsyCap). A mediating model was used to test the role of PsyCap in the association between empathy and PCC. Methods: This cross-sectional study included 300 nursing students from seven universities in South Korea. Their orientation toward PCC was measured using the Patient-Practitioner Orientation Scale (PPOS). Moreover, we analyzed the data using independent t-tests, ANOVA, Pearson's r, and SPSS PROCESS macro. Results: The overall mean score on the PPOS was 3.82±0.43, with the Caring and Sharing subscales accounting for 3.95±0.68 and 3.69±0.50, respectively. Nursing students’ satisfaction with their majors, practicums, and motivation for choosing this profession was significantly related to Caring-not Sharing. Nevertheless, PsyCap positively influenced both Caring (β=.24, p<.001) and Sharing (β=.18, p=.002). While empathy failed to significantly impact both Caring (β=.12, p=.087) and Sharing (β=.01, p=.931). PsyCap mediated the association of empathy with Caring (β=.20, p=.004); however, the same was not true for Sharing (β=.07, p=.366). Conclusion: The findings indicate that the orientation of Korean nursing students toward PCC is not high. Therefore, to improve the PPOS Caring subscale, nurse educators should formulate better strategies to enhance nursing students’ satisfaction with their major and practicums, empathy, and PsyCap. The importance of sharing health-related information with patients and family caregivers should be emphasized in the nursing curriculum.

Citations

• Assessing Needs for Practical Training in Intensive Care Unit to Enhance Nursing Education: A Focus Group Interview
  Sunah Park, Bokyoung Kim
  Journal of Korean Critical Care Nursing.2024; 17(2): 55.     CrossRef
• Contemporary contexts of higher medical education development: Patient-centred care in medical students’ understanding
  T. D. Podkladova, L. G. Smyshliaeva, A. O. Okorokov, I. I. Soshenko
  The Education and science journal.2023; 25(9): 44.     CrossRef

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.

Citations

• How does just culture reduce negative work outcomes through second victim distress and demand for support in clinical nurses? A path analysis
  Seohee Jeong, Sunmi Kim, Hyoung Eun Chang, Seok Hee Jeong
  BMC Nursing.2025;[Epub]     CrossRef
• Factors influencing negative outcomes for nurses who experience patient safety incidents: An integrative review
  Hanseulgi Lee, Nam‐Ju Lee, Nari Kim
  International Nursing Review.2025;[Epub]     CrossRef
• Clinical nurses’ work-life balance prediction due to patient safety incidents using classification and regression tree analysis: a secondary data analysis
  Jiwon Kang, Soon-Sun Kwon, Youngjin Lee
  BMC Nursing.2024;[Epub]     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
• Simulation-based training program on patient safety management: A quasi-experimental study among new intensive care unit nurses
  Su Jin Jung, Ju-Eun Song, Sun Hyoung Bae, Youngjin Lee, Seok Hyun Gwon, Jin-Hee Park
  Nurse Education Today.2023; 126: 105823.     CrossRef

Purpose
This study is a descriptive research study conducted for the perioperative nurses of operating room to strengthen their capacity for patient safety and use them as basic data for sustainable surgical nursing practice education. Methods: This study adopted a cross-sectional survey design using a self-report questionnaire. Data were collected from January 25 to February 15, 2019 from 142 nurses in the operating rooms of four university hospitals in Seoul and Gyeonggi Province. For data analysis, mean, standard deviation, frequency, percentage, independent t-test, one-way ANOVA, Pearson's Correlation Coefficient, and hierarchical multiple regression analysis were used using SPSS version 24.0. Results: The variables affecting the patient safety management activities of the subjects were operating room safety management education experience (once or more in 3 months) (β=.15, p=.034), perception of patient safety atmosphere (β=.23, p=.022), and safety control (β=.46, p<.001), and the total explanatory power of these variables was 39% (Adjusted R 2 =.39, F=6.41, p<.001). Conclusion: It was found that for positive patient safety management activities of perioperative nurses, it is necessary to develop and apply an operating room safety management education program that includes patient safety atmosphere awareness and safety control as components.

Citations

• The Impact of the Nursing Professionalism and Triage Competency of Emergency Department Nurses on Disaster Nursing Competency
  Hyo Jin Im, Ju Young Ha
  Journal of Korean Public Health Nursing.2025; 39(1): 19.     CrossRef
• Factors affecting pediatric nurses’ development of partnerships with parents of hospitalized children: An evaluation based on the stress-coping adaptation model
  In Young Cho, So Hyoung Hong, Ji Yeong Yun
  Journal of Child Health Care.2025; 29(1): 53.     CrossRef
• Acuquisition of Professional Nursing Intuition: A Grounded Theory Approach
  Hwa-Young Ahn, Sung-Bok Kwon
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 1.     CrossRef
• Factors Influencing the Safety Nursing Activities of Emergency Department Nurses
  Hyo Seon Pae, Eun Ji Seo
  Journal of Korean Critical Care Nursing.2025; 18(2): 54.     CrossRef
• Development and Evaluation of a “Speak-Up” Program for Patient Safety: A Virtual Reality-Based Intervention for Nursing Students
  Jeong Hee Jeong, Mi Jin Kim
  Healthcare.2025; 13(22): 2860.     CrossRef
• The Safety Climate and Patient Safety Activities in Mental Health Nurses: The Mediating Effect of Safety Control
  Jiyeong No, Kyoungsook Lee
  Healthcare.2024; 12(12): 1181.     CrossRef
• Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
  Eunji Lee, Haejung Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
• Effect of Counting Error Prevention Training on Operating Room Nurses’ Counting Error Prevention Awareness and Perceptions of Patient Safety
  Myung Jin JANG, Mi Kyung HONG, Mi Jeong LEE, Kyung A LEE, Yang Ok KIM, Jin A JEON, Hana KO
  Korean Journal of Health Promotion.2024; 24(1): 20.     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
• Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study
  Jieun Shin, Nam-Yi Kim
  Risk Management and Healthcare Policy.2024; Volume 17: 715.     CrossRef
• Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
  Nayeop Lee, Yoonju Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
• Effects of Grit, Patient Safety Competence, and Patient Safety Culture on the Patient Safety Nursing Activities of Nurses in Comprehensive Nursing Service Wards
  Ji Hyun Kim, Haena Jang
  Journal of Korean Critical Care Nursing.2024; 17(3): 62.     CrossRef
• The Effects of Patient Safety Culture Perception and Safety Control on the Patient Safety Management Activities of Psychiatric Ward Nurses
  Dea-Gyu Park, Hyo-Ja An
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(2): 138.     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
• Specialty satisfaction, positive psychological capital, and nursing professional values in nursing students: A cross-sectional survey
  Chung Hee Woo, Ju Young Park
  Nurse Education Today.2017; 57: 24.     CrossRef
• Effects of a Refresher Program for Inactive Nurses on Nursing Professionalism and Nursing Clinical Self-Efficacy
  Mi Ra Han, Smi Choi-Kwon
  Journal of Korean Academy of Nursing Administration.2011; 17(1): 44.     CrossRef
• An international comparison of Korean and Chinese nursing students with nursing curricula and educational outcomes
  Hyang-Yeon Lee, YoonHee Kim, HyunSook Kang, Xiuzhen Fan, Min Ling, Qiuhuan Yuan, Jia Lee
  Nurse Education Today.2011; 31(5): 450.     CrossRef

Purpose
To develop a web-based solution for patient need-driven staffing (PNDS) that automatically determines nurses’ staffing requirements. Methods: Activities provided by nurses in four integrated nursing care wards (INCWs) and non-INCWs each in a tertiary hospital were observed over three days. Nursing hours per patient hour (NHPPH) were calculated by dividing nursing hours by patient stay hours per day. Patient needs were evaluated using 19 items. Results: The nurse-patient ratios in INCWs and non-INCWs were 1:4.5 and 1:8.1 (including overtime), respectively. Admitted and transferred-in patients had higher NHPPHs than those with continuing stays. The patients were classified into five groups: Group A for admissions and transfers-in, and Groups 1~4 for the remainder. In INCWs, the nurse-patient ratios ranged from 1:5.3 (Group 1) to 1:2.4 (Group 4), and Group A required 1:3.0, the secondhighest level. In non-INCWs, ratios ranged from 1:9.4 (Group 1) to 1:5.2 (Group 4 and Group A). The PNDS solution was developed to determine staffing requirements by classifying patients into five groups using the entered data on patient needs, assigning the group’s NHPPH to each patient, and calculating the staffing ratio required in the unit. Conclusion: The PNDS is expected to support staffing decisions to meet patient needs.

Citations

• Comparisons of nursing hours and nurse-to-patient ratios required for patients with mechanical ventilation, CRRT, and ECMO in intensive care units: A cross-sectional study
  Sung-Hyun Cho, Shin-Ae Kim, Eunhye Kim
  Intensive and Critical Care Nursing.2025; 89: 103982.     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
• Trajectories of nursing hours over the course of hospitalization and estimated additional nurse staffing requirements to reduce the length of stay
  Shin‐Ae Kim, Sung‐Hyun Cho
  Journal of Nursing Scholarship.2024; 56(5): 694.     CrossRef
• Recommending Revised Inpatient Nursing Fee Schedules Based on Actual Nurse Staffing Levels in General Wards
  Sung-Hyun Cho, Jinhyun Kim, Jiyeong Seong, Ji-Yun Lee
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 540.     CrossRef

Purpose
To examine the relationship between nurse-perceived patient safety culture and patient safety grade in healthcare organizations. Methods: A cross-sectional, correlational study design was used. An online survey was conducted with nurses in three tertiary hospitals in Korea who provided direct care to patients. Data were analyzed using Pearson correlation coefficients and ordinal logistic regression. Results: A total of 526 nurses completed the questionnaire. Among patient safety culture dimensions, staffing and work pace, reporting patient safety events, hospital management support for patient safety, handoffs and information exchange, organizational learningcontinuous improvement, and unit manager support for patient safety were significant predictors for patient safety grade. Conclusion: Efforts should be made to create and enhance patient safety culture in healthcare organizations. This study showed that staffing and work pace were the strongest predictors of patient safety grade, indicating that adequate nurse staffing is important to handle workloads and improve patient safety. Our study also demonstrated the importance of hospital management and unit manager support for patient safety. Therefore, we suggest developing a leadership program for hospital administrators and unit managers, to help them develop the necessary leadership skills for creating a culture of safety in healthcare organizations.

Citations

• Development and Evaluation of a Multifaceted Intervention Program for Preventing Medication Administration Errors by Nurses
  Won Hee Sim
  Journal of Patient Safety.2025; 21(4): 226.     CrossRef
• The influencing factors of pediatric nurses’ perception of patient safety culture and partnership with patients’ parents on patient safety nursing activities in South Korea: a descriptive study
  Seo Jin Lee, Young Ran Han
  Child Health Nursing Research.2024; 30(4): 255.     CrossRef
• Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
  Nayeop Lee, Yoonju Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     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

Purpose
The purpose of this study was to examine the influences of nursing workplace spirituality, organizational citizenship behavior, and perception of patient safety management on patient safety nursing activities of nurses at a tertiary hospital. Methods: The subjects were 136 nurses who had more than a year of clinical experience and were currently working in tertiary hospitals in D city. Data was collected from October 2 to October 13, 2020 using self-report questionnaires. The collected data were analyzed with descriptive statistics, t-test, one-way ANOVA, Scheffe test, Pearson’s correlation coefficient and hierarchical regression analysis using the IBM SPSS 25.0 program. Results: There was statistically significant correlation among nursing workplace spirituality, organizational citizenship behavior, perception of patient safety management, and patient safety nursing activities. The most significant predictor that affected patient safety nursing activities of nurses was nurses’ perception of patient safety management. This model showed a 42.0% explanation of patient safety nursing activities. Conclusion: In order to improve the patient safety nursing activities of nurses, an organizational approach to enhancing perception of patient safety management and application of patient safety education programs are required.

Citations

• Influence of Perception of Patient Safety Culture, Job Stress, and Nursing Work Environment on Patient Safety Nursing Activities by Emergency Room Nurses
  Eon Mi Lee, Jeong Hyun Cho, Seung Gyeong Jang
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 264.     CrossRef
• Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder
  Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
  Journal of Korean Academy of Nursing Administration.2024; 30(1): 31.     CrossRef
• Effects of Grit, Patient Safety Competence, and Patient Safety Culture on the Patient Safety Nursing Activities of Nurses in Comprehensive Nursing Service Wards
  Ji Hyun Kim, Haena Jang
  Journal of Korean Critical Care Nursing.2024; 17(3): 62.     CrossRef

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
• Shared Decision-Making in Korean Healthcare: A Scoping Review
  Yelim Kwon, Seungmin Nam, Soan Shin, Yoong Cho, Jihyun Yoon, Sang-Ho Yoo
  Journal of Korean Medical Science.2025;[Epub]     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
This study was conducted to identify the influence of patient safety culture and nursing work environment on fall prevention activities among hospital nurses. Methods: The participants were 177 nurses working at eight hospitals including clinics, general hospitals, and tertiary care hospitals located in B city. Data were collected using self-report questionnaires and analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test. Pearson’s correlation coefficients, and hierarchical multiple regression with SPSS/WIN 26.0. Results: Fall prevention activities were positively correlated with nursing work environment (r=.25, p=.001) and patient safety culture (r=.49, p<.001). Fall prevention activities were found to be significantly affected by patient safety culture (β=.47, p<.001) and being a training hospital (β=.21, p=.006). Conclusion: The findings from this study suggest that patient safety culture is associated with fall prevention activities. In order to raise fall prevention activities, it is important to improve patient safety culture. Additionally, the health care organization should develop programs to raise fall prevention activities.

Citations

• 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
• 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
• Development and validation of a patient-centered communication scale for nurses
  Youngshin Joo, Yeonsoo Jang, Chang Gi Park, You Lee Yang
  BMC Nursing.2024;[Epub]     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
• 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
• The Effect of Work Value, Psychological Ownership and Nursing Working Environment on Intention of Retention in Hospital Nurses
  Ji Hey Kim, Yoon Ju Cho, So Eun Jang
  Journal of Korean Critical Care Nursing.2023; 16(3): 62.     CrossRef

Purpose
This study investigated patient safety culture, safety knowledge, incident reporting attitude, and safety nursing activities, and determined the factors influencing nurses’ safety nursing activities at a nationally designated infectious disease hospital. Methods: A cross-sectional descriptive survey was conducted with 169 nurses. Data analysis, including descriptive statistics, independent t-tests, one-way ANOVA, Pearson’s correlations, and hierarchical multiple regression analysis, were performed using SPSS 26.0. Results: Factors influencing safety nursing activities included patient safety culture (β=.26, t=2.39, p=.018), safety knowledge (β=.25, t=2.67, p=.009), and mild severity (β=.17, t=2.52, p=.013). These variables explained 31.0% of the safety nursing activities. Conclusion: Therefore, it is necessary to establish an organizational culture that emphasizes patient safety by establishing safety management regulations for quarantined patients and provision of education on patient safety for employees to empower them to respond to emerging infectious diseases. Additionally, it is essential to operate given the patient’s severity and to increase knowledge about patient safety through regular education based on quarantine facilities and environmental management regulations.

Citations

• 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
• 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
• Risk Factors for Falls or Fractures in Stroke Patients: An Analysis of 2020 Patient Sample Data
  Miso Lee, Mikyung Moon
  The Korean Journal of Rehabilitation Nursing.2024; 27(1): 58.     CrossRef

Purpose
This study aimed to compare the value congruence of nurse-patient assignment (NPA) with work performance in the neonatal intensive care unit (NICU). Methods: Data were collected with 30-items on factors that affect NPA and 17-items on work performance. Two questionnaire surveys each were conducted with 79 nurses from the NICU. The difference between expectations and actual experience on NPA were analyzed, and the effects of NPA on work performance and overtimes were investigated. The collected data were analyzed with a paired t-test, analysis of variance, and Pearson’s correlation coefficients using the SPSS software version 20.0. Results: The NPA criteria were surveyed with 30 items, with 13 patient-related, and 17 nurse-related. The validity of the tool was S-CVI .95 and the reliability (Cronbach’s ⍺) was .942. There were significant differences based on age (F=3.69, p=.029) and caring for patients on an artificial ventilator (t=2.55, p=.013). The higher the patient-related actual assignment score, the higher the nurse-related actual assignment score (r=.68, p<.001) and work performance (r=.48, p<.001). As the nurse-related actual assignment score increased, work performance also increased significantly (r=.36, p=.001). Conclusion: It was confirmed that the value congruence of NPA is positively correlated with work performance.

Citations

• Perceived Needs and Current Practices of Family-Centered Care Among Health Care Providers in Korean Neonatal Intensive Care Units
  Eunhye Lee, Min Sohn, Juyoung Lee
  Journal of Korean Maternal and Child Health.2025; 29(3): 120.     CrossRef
• Clinical decision support system for clinical nurses’ decision-making on nurse-to-patient assignment: a scoping review protocol
  Hyunjeong Kwon, Dayeon Lee
  BMJ Open.2024; 14(1): e080208.     CrossRef
• A comparative analysis of nurses' reported number of patients and perceived appropriate number of patients in integrated nursing care services
  Hyunjeong Kwon, Jinhyun Kim
  Nursing & Health Sciences.2024;[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; 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 examined the subjective frame of patient satisfaction in the comprehensive nursing care services and explored future directions by investigating subjective frame types. Methods: P-Samples were collected from 30 patients who underwent the comprehensive nursing care service. To enable a forced normal distribution, 31 Q-samples were classified on a 9-point scale considering the degree of agreement. The collected data were analyzed by principal component factor analysis and varimax rotation using the PQ method program. Results: The subjective frame of patient satisfaction with the comprehensive nursing care service was divided into four types. Considering the characteristics of each, the types were labeled as “the formation of relationships with the surroundings”, “autonomous decision-making”, “non-verbal empathy”, and “therapeutic support resources”. Each type can be classified into therapeutic relationship and therapeutic process categories. Conclusion: This study revealed changes in expectations regarding new medical services and that the subjective frames that affect the formation of satisfaction are diverse. The study results are expected to be used as basic data to develop strategies for creating a therapeutic environment that improves patient satisfaction in the comprehensive nursing care service.

Citations

• Analysis of Factors Affecting the Inpatient Satisfaction in Integrated Nursing Care Service Wards using a Healthcare Service Survey Database
  Young Shin Cho, Jiwon Hong
  Journal of Korean Critical Care Nursing.2024; 17(3): 76.     CrossRef
• The Behavioral and Social Dimension of the Public Health System of European Countries: Descriptive, Canonical, and Factor Analysis
  Tetiana Vasylieva, Beata Gavurova, Tetiana Dotsenko, Svitlana Bilan, Marcin Strzelec, Samer Khouri
  International Journal of Environmental Research and Public Health.2023; 20(5): 4419.     CrossRef
• Effect of patient-related factors on hospitalization service satisfaction and recommendation intention of medical institutions in Korea
  Jeong Woo Shin, Bo Ram Choi
  BMC Health Services Research.2023;[Epub]     CrossRef
• Comparison of Nursing Needs and Nursing Performance Perceived by Patients and Nurses in Integrated Nursing Care Service Wards in Small and Medium-Sized Hospitals: A Cross-Sectional Descriptive Study
  Hee-Sun Choi, Young Shin Cho
  Korean Journal of Adult Nursing.2023; 35(3): 234.     CrossRef

Purpose
To analyze the changes in nurse staffing grades and to estimate the revenue growth generated by applying government guidelines for improving nurses’ working conditions. Methods: Staffing grades, ranging from grade 1 (highest) to 7 (lowest), for 2018 and 2020 were analyzed for 326 general hospitals (GHs) and 1,419 non-general hospitals (NGHs). The annual revenue growth per nurse generated by changing inpatient nursing care fee schedules and newly introducing night shift nursing fees were estimated. Results: Grade 1 GHs increased from 6.9% in 2018 to 39.6% in 2020, whereas grades 6-7 decreased from 31.8% to 17.6%. NGHs with grades 6-7 decreased from 81.8% to 61.6%. GHs and NGHs with no reported staffing grades decreased from 10.6% to 0% and from 63.2% to 14.8%, respectively. The estimated annual revenue growth per nurse from inpatient nursing care fees resulting from 1-grade improvements in staffing was 1.44~7.26 million Korean won (KRW) and 1.25~9.75 million KRW for GHs and NGHs, respectively, while the results from night shift nursing fees were 2.37~5.54 million KRW and 2.20~5.14 million KRW for GHs and NGHs, respectively. Conclusion: The increased revenues should be utilized to augment nurses’ wages and staffing levels as the guidelines recommend.

Citations

• Topic Modeling of Nursing Issues in the Media During 4 Emerging Infectious Disease Epidemics in South Korea: Descriptive Analysis
  Jungok Kim, Eun Kyoung Yun
  Journal of Medical Internet Research.2025; 27: e60446.     CrossRef
• Impact of nursing policy on securing intensive care unit nurse staffing and in-hospital mortality
  Kyu-Tae Han, Seungju Kim
  Intensive and Critical Care Nursing.2025; 86: 103807.     CrossRef
• Changes in Nursing Grades and Nurse Staffing Levels following the 2024 Revision of Nursing Management Fee Standards: A Focus on Tertiary Hospitals and Medical Institutions in Seoul
  Hyeyoung Choi, Kiyoung Kim, Su-Jin Cho, Suyong Jeong
  Health Insurance Review & Assessment Service Research.2025; 5(1): 58.     CrossRef
• Factors affecting the turnover intention of newly graduated Generation Z nurses in Korea: multilevel analysis
  Mee Sun Lee, Sujin Shin
  Human Resources for Health.2025;[Epub]     CrossRef
• Nursing-sensitive Indicators in East Asian Hospitals: A Scoping Review
  Jae Jun Lee, Won Jin Seo, Dong Ah Park, Hwa Yeong Oh, Seung Eun Lee
  Quality Improvement in Health Care.2024; 30(2): 88.     CrossRef
• Sleep quality and hours of nurses according to shift type and schedule: A cross-sectional study
  Hyoung Eun Chang
  Chronobiology International.2024; 41(12): 1591.     CrossRef
• Relationships among meal time, break time and workplace characteristics of nurses who work day, evening and night shifts: a cross-sectional study
  Hyoung Eun Chang
  International Journal of Occupational Safety and Ergonomics.2024; 30(1): 312.     CrossRef
• Improvement in nurse staffing ratios according to policy changes: a prospective cohort study
  Yunmi Kim, Kyounga Lee, Minho Jung
  BMC Nursing.2024;[Epub]     CrossRef
• Changes in Working Hours and Labor Intensity and Their Effect on Sleep Difficulties of Shift Work Nurses in Hospitals
  Ji Yun Lee, Kyung Jin Hong
  Journal of Korean Academy of Nursing Administration.2023; 29(4): 446.     CrossRef
• Measuring patient acuity and nursing care needs in South Korea: application of a new patient classification system
  Jeounghee Kim, TaeRim Kang, Hyun-Ju Seo, So-Young Seo, Myoungsook Kim, Youngsun Jung, Jinhyun Kim, Jung- Bok Lee
  BMC Nursing.2022;[Epub]     CrossRef
• The Effect of Nurse Staffing on Patient Outcomes in Acute Care Hospitals in Korea
  Hyo-Jeong Yoon
  International Journal of Environmental Research and Public Health.2022; 19(23): 15566.     CrossRef

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). Conclusion: It is necessary to develop continuous education and programs improving communication self efficacy and perception of patient safety culture to reduce risk of nursing errors in the operating room.

Citations

• Development of a communication self-efficacy scale for nurses: a psychometric validation study
  Kuem Sun Han, Jihye Shin, Soo Yeon Lee
  Journal of Korean Academy of Nursing.2025; 55(2): 269.     CrossRef
• Lived Experiences of Nurses in Delivering Peri-Operative Care
  Emilyn Fajardo, Romeo Tuazon, Ariel Bongco
  Psychology and Education: A Multidisciplinary Journal.2025; 38(8): 861.     CrossRef
• The relationship between clinical decision-making levels and self-efficacy levels of operating room nurses
  Sedat Kaya, Gizem Kubat Bakir
  Perioperative Care and Operating Room Management.2024; 37: 100416.     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
• The Relationship between Nurse-Perceived Patient Safety Culture and Patient Safety
  Hyunju Ji, Seung Eun Lee
  Journal of Korean Academy of Nursing Administration.2022; 28(3): 190.     CrossRef

Purpose
The purpose of this study was to explore the experiences of the relationship between nurses working on comprehensive nursing care service wards and the inpatients on those wards. Methods: The phenomenological research method was used. Participants in the study were seven women. Data were collected through individual in-depth interviews from December, 2018 to January, 2019 Results: Five theme clusters were extracted that described nurses’ patient experiences for comprehensive nursing care service wards. They are “Expansion of relationship formation”, “Transition of place to provide nursing care”, “Expansion of communication”, “Maintaining professional boundaries” and “Realization of professional nursing”. Conclusion: The results of this study provide a deep understanding and insight in to the nature for nurses on comprehensive nursing care service wards and patients' relationships. It is thought that active development of strategies to support positive relationships will enhance the quality of the comprehensive nursing care service wards and help improve patient care outcomes.

Citations

• Influence of Teamwork, Role Conflict, and Delegation Preparedness on Job Satisfaction among Nurses Working in Integrated Nursing Care Wards
  Deokhyun Lee, Yoonju Lee, Haejung Lee, Sunyoung Jung
  Journal of Korean Academy of Nursing Administration.2023; 29(4): 478.     CrossRef
• An Analysis of Tasks of Nurses Caring for Patients with COVID-19 in a Nationally-Designated Inpatient Treatment Unit
  Minho Jung, Moon-Sook Kim, Joo-Yeon Lee, Kyung Yi Lee, Yeon-Hwan Park
  Journal of Korean Academy of Nursing.2022; 52(4): 391.     CrossRef
• Therapeutic Communication Experiences of Nurses Caring for Patients with Hematology
  Hyun-Jung Lee, Bom-Mi Park, Mi-Jin Shin, Do-Yeon Kim
  Healthcare.2022; 10(12): 2403.     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

• 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
• 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
Ensuring patient safety is an essential professional competency that is conceptualized and developed during undergraduate nursing education. To reduce the incidence of preventable medication errors, it is critical to learn how errors are made and the importance of collaboration with healthcare workers. This study was done to develop a simulation program related to the medication process and improving patient safety in nursing students.
Methods
This methodological study was designed to develop a simulation program on teaching preventable medication errors and communication among nurses, doctors, pharmacists and nurse managers in the nursing management curriculum of colleges of nursing. The design included creation of two scenarios. Guideline-based scenarios were verified by nursing experts using the three-round Delphi method.
Results
The two scenarios using high-fidelity patient simulators or standard patients address ‘resolving medication errors related to patients’ identification and history, and reporting safety incidents’ and ‘resolving medication errors related to medication prescription and dispensing, and reporting safety incidents’.
Conclusion
This simulation program supports practical education for nursing students in the nursing management course and novice nurses in patient safety-related education.

Citations

• Effectiveness of room-of-error interventions for healthcare providers: a systematic review
  Su Jin Jung, Jiwon Kang, Youngjin Lee
  BMC Nursing.2025;[Epub]     CrossRef
• Mediating effect of grit on the influence of nurses’ silence behavior on medication safety competence: a cross-sectional study
  Haengsuk Kim, Wanju Park
  Journal of Korean Academy of Nursing.2025; 55(1): 81.     CrossRef
• Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students
  Se-Young Jung, Eun-Young Kim
  Journal of Korean Academy of Nursing.2024; 54(4): 563.     CrossRef
• The effects of flipped learning and gamification on nursing students’ patient safety education: A mixed method study
  Soo Jung Chang, Geun Myun Kim, Jeong Ah Kim
  Heliyon.2024; 10(8): e29538.     CrossRef
• Patient safety interprofessional education program using medical error scenarios for undergraduate nursing and medical students in Korea
  Hea Kung Hur, Ki Kyong Kim, Young Mi Lim, Junghee Kim, Kyung Hye Park, Yon Chul Park
  Journal of Interprofessional Care.2023; 37(6): 944.     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
• Capturing New Nurses' Experiences and Supporting Critical Thinking
  Sun Hee Seon, Hye Won Jeong, Deok Ju, Jung A. Lee, Shin Hye Ahn
  CIN: Computers, Informatics, Nursing.2023; 41(6): 434.     CrossRef
• Patient Safety Error Reporting Education for Undergraduate Nursing Students: A Scoping Review
  Mi Ok Song, So Young Yun, Aeri Jang
  Journal of Nursing Education.2023; 62(9): 489.     CrossRef
• Effects of “Room of Errors” Simulation Education for Nursing Students on Patient Safety Management Behavior Intention and Confidence in Performance
  Sun-Young Jung, Hee-Jung Kim, Eun-Kyung Lee, Ji-Hyun Park
  Journal of Korea Society for Simulation in Nursing.2023; 11(2): 107.     CrossRef
• Content Analysis of Feedback Journals for New Nurses From Preceptor Nurses Using Text Network Analysis
  Shin Hye Ahn, Hye Won Jeong
  CIN: Computers, Informatics, Nursing.2023; 41(10): 780.     CrossRef

Purpose
This study was conducted to test a structural model for patient safety culture of clinical nurses focusing on organizational policy and interpersonal factors. Methods: A descriptive structural equation model design was used. Participates in this study were 385 clinical nurses. The variables of safety management system, authentic leadership, team effectiveness, and patient safety culture were measured to test the hypothetical model. SPSS 25.0 and AMOS 21.0 were used to analyze descriptive statistics and path analysis. Results: The final model fit satisfied goodness-of-fit and all path were significant. Authentic leadership (β=.54, p=<.001) was reported as the most influencing factor, followed by team effectiveness (β=.24, p<.001) and safety management system (β=.21, p<.001). Safety management system (β=.38, p=.002) and authentic leadership (β=.12, p=.002) had indirect effects on patient safety culture as well. Conclusion: The findings of this study show the importance of authentic leadership, team effectiveness, and safety management system to develop patient safety culture. The health care organization should develop the programs to increase these influencing factors.

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
• 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
• Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
  Eunji Lee, Haejung Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
• Patient Safety Culture: Nurses’ Perspective in the Hospital Setting
  Maria José Reyes Ramos, Silvia Costa Abós
  Healthcare.2024; 12(10): 1010.     CrossRef
• Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
  Nayeop Lee, Yoonju Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
• 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
• Nursing leadership style and error management culture: a scoping review
  Eleonora Moraca, Francesco Zaghini, Jacopo Fiorini, Alessandro Sili
  Leadership in Health Services.2024; 37(4): 526.     CrossRef
• The Effect of Work Interruption on Workload and Perception of Patient Safety Culture in Ward Nurses
  Doo-Nam Oh, Ye-Won Lee
  Quality Improvement in Health Care.2022; 28(2): 2.     CrossRef
• Validity and Reliability of a Korean Version of the ConCom Safety Management Scale
  Mi Young Kwon, Nam Yi Kim
  International Journal of Environmental Research and Public Health.2021; 18(23): 12514.     CrossRef

Purpose
The purpose of this study is to identify the effects of the organizational factors and nursing competency of novice and advanced beginner nurses on patient safety management activities, and to confirm the mediating effect of informal learning. Methods Responses to questionnaires from 169 novice and advanced beginner nurses in South Korea were analyzed. For model fit and hypothesis, maximum likelihood method and covariance structure modeling were used, and bootstrapping was used for significance level. Organizational factors and nursing competencies were independent variables. Informal learning and patient safety management activities were mediator and dependent variables, respectively. Results Informal learning exhibited a partial mediating effect on the relationship between nursing competency and patient safety management activities and completely mediated the relationship between organizational factors and patient safety management activities. Conclusion In order to improve the patient safety management activities of novice and advanced nurses, there is a need for interventions that can improve organizational changes and individual nursing competency. Based on this, it will be possible to increase patient safety management activities by developing educational programs including informal learning and improving patient safety culture.

Citations

• Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study
  Jieun Shin, Nam-Yi Kim
  Risk Management and Healthcare Policy.2024; Volume 17: 715.     CrossRef
• Nursing Students’ Informal Learning of Patient Safety Management Activities
  Nam-Yi Kim
  Healthcare.2021; 9(12): 1635.     CrossRef

Purpose
This study aimed to develop an educational informatics system for nursing faculty to improve their competencies in teaching patient safety and to evaluate the effectiveness of the system. Methods: We developed a system called, ‘Resource to Enhance Safety Competency and Utilize for Education’ (RESCUE) based on the World Health Organization Multi-professional Patient Safety Curriculum Guide, and it was implemented with full-time nursing faculty in 4-year nursing schools. A one-group pretest-posttest design was used for evaluation. A total of 46 nursing faculty members used the system during a 3-month period. The effects of the RESCUE were measured using a survey including patient safety teaching competency, system usability and user satisfaction. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: After using the RESCUE, participants showed a significant increase in self-confidence in teaching patient safety during lectures (Z=-3.61, p<.001) and practica (Z=-3.14, p=.002). Conclusion: The developed informatics system was shown to be effective in improving the self-confidence of nursing faculty in teaching patient safety. To effectively integrate patient safety topics into the curriculum, it can be helpful to utilize the educational materials provided in this study with various clinical cases.

Citations

• The effects of flipped learning and gamification on nursing students’ patient safety education: A mixed method study
  Soo Jung Chang, Geun Myun Kim, Jeong Ah Kim
  Heliyon.2024; 10(8): e29538.     CrossRef
• The Effects of Outpatients’ Experiences of Patient Participation on Patient Satisfaction in Korea
  Shinae Ahn
  Journal of Korean Academy of Nursing Administration.2022; 28(2): 88.     CrossRef

Purpose
The aim of this study was to examine the differences in nurse staffing levels and patient outcomes in long-term care hospitals by region and to identity the effects of nurse staffing level and registered nurse proportion on patient outcomes.
Methods
A secondary analysis of national data that included general characteristics of hospitals and long-term care hospitals’ evaluation results from the Health Insurance Review and Assessment Services was conducted, and 1,205 hospitals were selected.
Results
Results showed that the mean number of patients per nursing staff and registered nurse proportion were 4.27 and 0.43, respectively. The differences in long-term care hospitals’ evaluation results and nurse staffing levels according to region were significant. A logistic regression analysis showed that the number of patients per nursing staff affected the probability of the patient experiencing a decline in daily life activities, as well as a decline in the outcomes of patients who were non-dementia; registered nurse proportion affected the outcomes of patients with dementia.
Conclusion
The findings suggest that implementing policies to improve long-term care hospitals’ nurse staffing level and registered nurse proportion is important. Ensuring mandatory registered nurse staffing levels based on the severity of patients’ diagnoses is also necessary.

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
• Registered Nurse Staffing and Inpatient Outcomes in Korean Long-Term Care Hospitals
  Sujin Shin, Jung Min Yoon, Eun-Ju Moon, Mi-Ji Lee, Jin-Hwa Park
  Healthcare.2024; 12(24): 2509.     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
• Type D personality, cognitive illness perception, depression, approach coping, and self-management among older adults in long-term care hospitals: Structural equation modeling
  Sunki Kim, Mona Choi, JuHee Lee, Heejung Kim, Kijun Song, Hye-Ja Park
  Geriatric Nursing.2022; 48: 150.     CrossRef