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Original Articles
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.
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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.
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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.
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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

Citations to this article as recorded by  
  • 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
  • 78 View
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  • 2 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.
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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
J Korean Acad Nurs Adm 2024;30(4):343-356.   Published online September 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.4.343
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

Citations to this article as recorded by  
  • 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
  • 113 View
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  • 1 Crossref
Improving Handover Efficiency for Emergency Nurses
Seungeun Lee, Heeje Yun, Yukyung Lee, Minji Kang, Eunbi Jo, Sunjong Yoo, I Gyeong Jo, Jung Hwan Heo, Min Jin Choi
J Korean Acad Nurs Adm 2024;30(3):294-305.   Published online June 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.3.294
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.
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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.
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Influence of Importance and Performance of Nursing Activities and Role Conflict on Professionalism in Outpatient Nurses
Jueun Cheon, Hye-Young Jang, Minjae Kim, Milye Jung
J Korean Acad Nurs Adm 2024;30(3):235-245.   Published online June 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.3.235
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

Citations to this article as recorded by  
  • 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
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Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards
Yoon Sook Cho, Hyoung Eun Chang, Hyunjung Lee
J Korean Acad Nurs Adm 2024;30(2):163-174.   Published online March 31, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.2.163
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.
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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

Citations to this article as recorded by  
  • 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
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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
J Korean Acad Nurs Adm 2023;29(5):540-552.   Published online December 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.5.540
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.
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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

Citations to this article as recorded by  
  • 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
  • 70 View
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  • 2 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

Citations to this article as recorded by  
  • 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
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  • 1 Crossref
Social Influencing Factors of Clinical Nurses’ Patient Advocacy
Myungji Kim, Hyunkyung Choi
J Korean Acad Nurs Adm 2023;29(4):363-373.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.363
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.
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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

Citations to this article as recorded by  
  • What Factors Influence Patient Measures of Safety Among Adults?
    Yujeong Kim, Eunhee Nam
    Risk Management and Healthcare Policy.2025; Volume 18: 353.     CrossRef
  • Factors Influencing the Willingness of Hospitalized Children’s Parents to Engage in Patient Safety: A Cross-Sectional Study
    Yujeong Kim, Mingi Chang
    Risk Management and Healthcare Policy.2025; Volume 18: 53.     CrossRef
  • Mediating effects of patient safety perception and willingness to participate in patient safety on the relationship between health literacy and patient participation behavior among inpatients
    Mi Hwa Won, Sun-Hwa Shin
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Influence of patient safety perception and attitude on inpatients’ willingness to participate in patient safety: An observation study
    Mi Hwa Won, In Suk Hwang, Sun-Hwa Shin
    Medicine.2024; 103(29): e39033.     CrossRef
  • 57 View
  • 3 Download
  • 4 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

Citations to this article as recorded by  
  • 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
  • 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.2024;[Epub]     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
  • 56 View
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The Impact of Patient-centered Care on the Patient Experience according to Patients in a Tertiary Hospital
Jia Kim, Miyoung Kim
J Korean Acad Nurs Adm 2023;29(3):288-297.   Published online June 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.3.288
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

Citations to this article as recorded by  
  • 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
  • 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
  • 61 View
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A Systematic Content Analysis of the Closed Nursing Malpractice Claims Related to Patients’ Safety
Hea Kung Hur, Ki Kyong Kim, Ji Soo Jung
J Korean Acad Nurs Adm 2023;29(2):99-108.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.99
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

Citations to this article as recorded by  
  • 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
  • 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
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Factors Influencing Patient Safety Management Activities among General Hospital Operating Room Nurses
Seon Mi Kim, Su Hye Kwon
J Korean Acad Nurs Adm 2023;29(2):89-98.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.89
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.

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  • 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
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Development of Discharge Nursing Service Model for Heart Failure Patients
Sung Hye Park, Ju Hee Lee, Yeon Soo Jang, Soo Young Han, Young Ah Kim, Eui Geum Oh
J Korean Acad Nurs Adm 2023;29(2):141-154.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.141
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.
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Improving Patients’ Perception of the Quality of Nursing Services and Nurses’ Perception of Nursing Rounds through Purposeful and Timely Nursing Rounds
Yun Sook Kim, Dong Yeon Kim, Na Young Kim, Jinsuk Kim, Young Eun Yang, Youmin Jeong, Hee Young Choi, Eun Oh
J Korean Acad Nurs Adm 2023;29(1):12-21.   Published online January 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.1.12
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.

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  • 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
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Influences of Teamwork and Job Burnout on Patient Safety Management Activities among Operating Room Nurses
Ayoung Kim, Haein Lee
J Korean Acad Nurs Adm 2022;28(5):605-615.   Published online December 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.5.605
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.

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  • 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;[Epub]     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
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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.

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  • 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
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Nursing Students’ Orientation toward Patient-Centered Care: Testing the Effects of Empathy and Psychological Capital Using a Mediation Model
Myonghwa Park, Thi-Thanh-Tinh Giap, Eungyung Kim, Kyoungja Kim, Eunkyong Ahn, Namyoung Yang, Mi Hyang Lee, Eunyoung Jeong
J Korean Acad Nurs Adm 2022;28(4):361-370.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.361
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.

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  • 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
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Influence of Clinical Nurses’ Second-Victim Experience and Second-Victim Support in Relation to Patient Safety Incidents on Their Work-Related Outcomes
Su Jin Jung, Youngjin Lee, Sun Hyoung Bae
J Korean Acad Nurs Adm 2022;28(4):331-341.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.331
Purpose
This study aims to determine the influence of clinical nurses’ second-victim experience and second-victim support on their negative work-related outcomes. Methods: We used a cross-sectional design with a convenience sample of 179 clinical nurses from two Korean tertiary hospitals. The data were collected through a structured self-questionnaire survey and analyzed via descriptive analysis, independent t-tests, one-way ANOVA (analysis of variance), Pearson correlation coefficients, and hierarchical multiple regression. Results: Second-victim experience revealed a significant negative correlation with second-victim support and a significant positive correlation with negative work-related outcomes. The second-victim experience was found to be a significant predictor of negative work-related outcomes. These factors explained 46.3% of the negative work-related outcomes in the regression model. Conclusion: It is necessary to determine the degree of second-victim experience among clinical nurses and provide second-victim support to prevent future occurrences of negative work-related outcomes.

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  • 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
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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.

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  • 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
  • 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
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Development of a Web-Based Solution for Patient Need-Driven Staffing to Determine Nurse Staffing Requirements
Sung-Hyun Cho, Hyo-Jeong Yoon, Sun Ju Chang, Ji-Yun Lee, Won-Hee Sim, Moon-Sook Kim, Sung-Cheol Yun
J Korean Acad Nurs Adm 2022;28(3):238-250.   Published online June 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.3.238
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.

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  • 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
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The Relationship between Nurse-Perceived Patient Safety Culture and Patient Safety
Hyunju Ji, Seung Eun Lee
J Korean Acad Nurs Adm 2022;28(3):190-199.   Published online June 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.3.190
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.

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  • 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
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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.

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  • 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
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  • 3 Crossref
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