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Original Articles
Role Transformation and Adaptation of Physician Assistants during the 2024 Medical Workforce Shortage: A Phenomenological Study
Tae Yeong Yang, Nahyun Lee
J Korean Acad Nurs Adm 2025;31(3):259-268.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0016
Purpose
This study explored the lived experiences of physician assistants (PAs) in Korea during the 2024 medical workforce shortage, focusing on how they perceived and adapted to their rapidly changing roles. The study investigated both the challenges PAs faced and the professional growth they experienced throughout the adaptation process. Methods: A phenomenological qualitative design was applied using Colaizzi’s method. In-depth interviews were conducted with 15 PAs at a tertiary hospital in Seoul between September 25, 2024 and February 1, 2025. Data were analyzed thematically. Results: Four major theme clusters emerged: changes in work environment and quality of life, role conflict and ambiguity in professional identity, dual aspects of role expansion including autonomy and burnout, and coping strategies and structural policy demands. Participants reported physical and emotional strain, but also described greater involvement in care decisions, improved patient relationships, and a stronger sense of professional identity. Conclusion: Amid the medical staffing crisis, PAs adapted to their expanded responsibilities and became key healthcare providers. While facing substantial burdens, they simultaneously experienced personal and professional growth. Institutional and legal support is essential to stabilize their roles and improve long-term healthcare outcomes.
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The Effect of Job Characteristics and Professional Self-concept on Competency of Forensic Nursing among Perioperative Nurses
Yeo-Jin Jeon, Bu Kyung Park
J Korean Acad Nurs Adm 2025;31(3):302-311.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2023.0073
Purpose
This study aimed to investigate the effects of job characteristics and professional self-concept on competency in forensic nursing among operating room nurses at university hospitals. Methods: Data were collected from 164 operating room nurses employed at university hospitals. The collected data were analyzed in SPSS 23.0, using the mean, standard deviation, independent t-test, one-way analysis of variance, Scheffé post-hoc test, Pearson correlation coefficients, and multiple regression analysis. Results: Professional self-concept showed a statistically significant positive correlation with forensic nursing competency (r=.60, p<.001). The following factors significantly influenced forensic nursing competency among operating room nurses: professional self-concept (β=.69, p<.001), total career lengths of <5 years (β=.21, p=.006) and 5-9 years (β=.20, p=.011), and job characteristics (β=.19, p=.007). A three-step regression model was statistically significant (F=29.74, p<.001) and the total explanatory power of the regression model was 41.4%. Conclusion: This study identified that professional self-concept, total career years, and job characteristics as the most significant factors influencing operating room nurses' forensic nursing competency. Therefore, it will be necessary to develop educational programs to improve professional self-concept and job characteristics.
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Purpose
The study aims to confirm the mediating effect of nursing professional pride in the relationship between nursing practice environment, nursing performance, and retention intention.
Methods
A descriptive cross-sectional survey was conducted from December 13 to 31, 2021, involving 127 nurses. The following statistical analysis was conducted: t-test, ANOVA, Scheffé test, Pearson's correlation coefficient analysis, and Hayes Process Macro Model 4 (to test the mediating effect).
Results
Nursing practice environment showed a significant positive correlation with nursing performance, retention intention, and nursing professional pride. Nursing practice performance showed a positive correlation with retention intention and nursing professional pride, and retention intention showed a significant positive correlation with nursing professional pride. The mediating effect of nursing professional pride was found in the effect of nurses' nursing practice environment on their retention intention. In addition, the mediating effect of nursing professional pride was found in the effect of nurses' nursing practice performance on their retention intention.
Conclusion
Through this study, it was confirmed that nursing professional pride is a major A factor affecting retention intention in the hospital. Therefore, in order to increase nurses' retention intention to remain in Hospital, the basis of basic data was presented for strategy development.
  • 46 View
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Nurses' Hospital Selection within a Dual Labor Market Framework: The Dilemma of Professional Identity
Hyun-Ji Bae, Hyoung Suk Kim, Hwal Lan Bang
J Korean Acad Nurs Adm 2025;31(1):14-24.   Published online January 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.1.14
Purpose
This qualitative study explored nurses' experiences in selecting hospitals within a dual labor market framework.
Methods
Focus group interviews were conducted with 18 general nurses, divided into three groups of six, each representing both large and medium-sized hospitals.
Results
The analysis revealed two themes, four categories, and nine subcategories, highlighting differences between large and medium-sized hospitals. Nurses who choose large hospitals prioritized "professional development" but faced "struggles to maintain professional identity" while those selecting medium-sized hospitals sought "stability and accessibility" but experienced "crisis of professional identity." Conclusion: This study highlights significant differences in the factors influencing nurses' hospital choices based on hospital size. These findings provide foundational data for establishing the Enforcement Decree and Rules of the Nursing Act, emphasizing the importance of developing legal measures to strengthen nurses' professional identity and promote a balanced and sustainable nursing labor market.
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Purpose
This study examined the impact of professional Quality of life (QoL) on turnover intention among general hospital nurses using linear and nonlinear analytical techniques.
Methods
Data were collected from 159 general hospital nurses and analyzed using SPSS, t-test, ANOVA, Pearson's correlation coefficients, multiple linear regression, and nonlinear machine learning models (Bootstrap Forest and Boosted Tree).
Results
Significant correlations were observed between turnover intention and both compassion satisfaction (r=-.26, p<.001) and burnout (r=.27, p=.001). Compassion satisfaction, burnout, and compassion fatigue were identified as the key variables influencing turnover intention. The explanatory power of multiple linear regression analysis was 6.9%, whereas the nonlinear machine learning models demonstrated an explanatory power of 50.5% for Bootstrap Forest and 45.1% for Boosted Tree.
Conclusion
Continuous investment in human resource management, within nursing organizations, is essential to promote the long-term retention of general hospital nurses. This investment should focus on enhancing compassion satisfaction and reducing burnout and compassion fatigue by fostering a sense of vocation and positive job satisfaction.
  • 52 View
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Acuquisition of Professional Nursing Intuition: A Grounded Theory Approach
Hwa-Young Ahn, Sung-Bok Kwon
J Korean Acad Nurs Adm 2025;31(1):1-13.   Published online January 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.1.1
Purpose
This study aimed to analyze how professional nursing intuition is acquired and develop a corresponding theory.
Methods
This qualitative study used the grounded theory method proposed by Strauss and Corbin (1998).
Results
Through axial coding, conflict was identified as the causal condition directly leading to the establishment of ‘me’ as a professional nurse, the central phenomenon. Personal competence, educational needs, and work environment were revealed as the contextual conditions. Social recognition, autonomy, and professionalism were the mediating conditions. The actions and interactions were divided into indifference-realistic and compromise-selfdirected. Dissatisfaction-mechanical, ambivalence -technical, and self-actualization-qualitative and independent nursing were derived. Through selective coding, the core category was derived as ‘becoming a nurse is desirable for myself and others.’ Conclusion: To meet the contemporary need for nurses with professional intuition. It was confirmed that nurses must demonstrate self-will and make continuous efforts to establish ‘me’ as professional nurses. To motivate nurses to acquire professional intuition, measures for social and institutional improvement should be developed to enhance the nursing education curriculum, work environment, autonomy, and professionalism.
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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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Effect of Clinical Nurses' Political Interest and Nursing Professionalism on the Intention to Political Participation
Yae Lim Shin, Sung Rae Shin
J Korean Acad Nurs Adm 2024;30(5):473-482.   Published online December 31, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.5.473
Purpose
This correlation study was designed to understand clinical nurses' political interest, nursing professionalism, and intention to participate in politics, as well as the impact of political interest and nursing professionalism on intention to political participation.
Method
A total of 187 clinical nurses from a general hospital in Seoul were considered for this study. The collected data were analyzed using SPSS/WIN 24.0, which included descriptive statistics, t-tests, analysis of variance (ANOVA), multiple regression analysis, and Scheffé’s test.
Results
Political interest (β=.46, p<.001), nursing professionalism (β=.17, p=.007), manager or higher (β=.19, p=.018), and age under 24 years of age (β=.14, p=.038) were all statistically significant predictors of political participation. The explanatory power of these factors was 35.6% (R 2 =.39, Adj. R 2 =.36).
Conclusion
This study revealed the relationship between nursing professionalism and intention to participate in politics, which has not been previously investigated in clinical nurses. This study is significant as it suggests the necessity and direction of future nursing professionalism education programs.
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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
  • 79 View
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  • 2 Crossref
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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  • 1 Crossref
Purpose
This study aimed to examine the levels of professional autonomy, retention intention, and organizational commitment among public hospital nurses, while also investigating the mediating effect of organizational commitment on the relationship between professional autonomy and intention to remain.
Methods
Data for this study were collected through an online survey conducted from August 5 to August 11, 2022, targeting 230 nurses across three public hospitals within a single region. Data analysis was performed using SPSS/WIN 23.0.
Results
Organizational commitment fully mediated the relationship between professional autonomy and retention intentions among public hospital nurses. Positive correlations were observed between professional autonomy and retention intention (r=.24, p<.001), organizational commitment and intention to remain (r=.72, p<.001), as well as professional autonomy and retention intention (r=.34, p<.001).
Conclusion
; To enhance the retain intention among public hospital nurses, it is imperative to focus on program development and institutional administrative efforts aimed at ensuring professional autonomy and fostering organizational commitment.
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Purpose
This study explores how nursing professionalism impacts the quality of pediatric nursing care. Specifically, we examine the mediating effects of clinical decision making and pediatric nurse-parent partnership among pediatric nurses.
Methods
The study involved 133 nurses working in pediatric wards within regions S, C, and D. Data were collected during August 2022 and analyzed using SPSS/WINdows software version 26.0 and PROCESS macro for SPSS version 4.2.
Results
The double mediating effect of clinical decision making and the pediatric nurse-parent on the relationship between nursing professionalism and the quality of pediatric nursing care was statistically significant.
Conclusion
Improving nursing professionalism, enhancing clinical decision making, and strengthening the pediatric nurse-parent partnership are valuable strategies for enhancing the quality of pediatric nursing care among such nurses.

Citations

Citations to this article as recorded by  
  • Examining the relationship between nurses’ professional self-efficacy and parents’ perception of family-centered care
    Sana Khalilzadeh Zia, Masoumeh Aghamohammadi, Shohreh Moshfeghi, Nazila Vosoghi
    BMC Nursing.2025;[Epub]     CrossRef
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  • 1 Crossref
Purpose
This study aimed to identify the effects of job stress, social support, and infection control fatigue on professional quality of life among nurses in designated coronavirus disease 2019 (COVID-19) hospitals.
Methods
As a descriptive study, data were collected from 157 nurses working at four designated COVID-19 hospitals employing self-report questionnaires. The data were collected from September 1 to September 30, 2021, and analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients and stepwise multiple regression analysis.
Results
Job stress, marital status and social support affected compassion satisfaction with the professional quality of life, showing 30% of explanatory power. Job stress and social support affected burnout with the professional quality of life, showing 34% of explanatory power. Infection control fatigue affected secondary traumatic stress in the professional quality of life and the explanatory power was 11%.
Conclusion
Efforts are needed to improve nurses' professional quality of life by preparing and applying interventions to reduce job stress and improve social support for nurses working in hospitals dedicated to COVID-19. Further, nursing efforts and institutional support will be needed to reduce infection control fatigue.

Citations

Citations to this article as recorded by  
  • Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy
    Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim
    BMC Nursing.2024;[Epub]     CrossRef
  • Mediating Effect of Resilience on the Relationship Between Job Stress and the Professional Quality of Life of Hospice and Palliative Care Nurses: A Multicenter Cross-sectional Study
    Eunhee Jo, Soon-Jung Hwang, Hyang-Suk Kwon
    Korean Journal of Adult Nursing.2024; 36(3): 241.     CrossRef
  • 62 View
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Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
Song Hwa Nam, Eun A Kim
J Korean Acad Nurs Adm 2023;29(5):588-602.   Published online December 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.5.588
Purpose
The purpose of this study was to develop and validate the Job Competency Scale (JCS) for insurance review nurses working in hospitals.
Methods
The initial items were generated through a literature review and interviews with 10 experts. The content validity of the items was evaluated through content validity and face validity tests. Data from 301 insurance review nurses working in hospitals were analyzed using item analysis, exploratory and confirmatory factor analysis, and convergent validity; reliability was tested using Cronbach’s ⍺.
Results
The final JCS consisted of 25 items and five factors (knowledge integration, professional ethics, communication and interpersonal relationship, information literacy and problem solving, self-development) that explained 72.4% of the variance. Confirmatory factor analysis indicated that the theoretical model comprising 25 items satisfied all goodness-of-fit parameters. Convergent validity was confirmed by the Task Performance Scale for insurance review nurses (r=.53, p<.001). The total Cronbach’s ⍺ score for scale was .94.
Conclusion
The JCS was found to be a reliable and valid instrument that can be used to measure the job competency of insurance review nurses working in hospitals.
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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
J Korean Acad Nurs Adm 2023;29(4):478-489.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.478
Purpose
This study aimed to identify the factors influencing job satisfaction among nurses working in integrated nursing care wards.
Methods
The study participants were 196 nurses working in integrated nursing care wards at four general hospitals and one tertiary hospital. Data were collected using structured questionnaires from April 11 to 25, 2022, through an online survey. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation, and stepwise multiple regression with SPSS/WIN 26.0.
Results
The factors influencing job satisfaction of participants were team structure (β=.32, p<.001), role conflict regarding nursing practice (β=-.24, p<.001), mutual support (β=.23, p<.001), master's degree or higher(β=.16, p=.004), and spousal presence (β=.15, p=.005).
Conclusion
The findings of this study suggest that the tasks and roles of team members should be clarified, and a supportive team culture of mutual cooperation should be fostered to improve the job satisfaction of nurses working in the integrated nursing ward. In addition, it is necessary to reduce role conflict by providing support focused on allocating tasks that can strengthen the role of professional nurses.

Citations

Citations to this article as recorded by  
  • Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
    Hye Jin Kim, Eunjoo Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     CrossRef
  • Influence of Job Delegation Preparedness, Individual and Organizational Communication Skills on Job Stress of Nurses in Comprehensive Nursing Care Service Wards
    Soo Jin Lee, Ji Won Kim, Nam Hee Park
    Journal of Korean Public Health Nursing.2025; 39(1): 5.     CrossRef
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Effects of Job Embeddedness, Professional Self-concept, and Work-life Balance on Clinical Nurses’ Intention to Stay
Ae-ri Choi, Jee-In Hwang
J Korean Acad Nurs Adm 2023;29(4):353-362.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.353
Purpose
This study aimed to assess the influence of job embeddedness, professional self-concept, and work-life balance on clinical nurses’ workplace retention intention.
Methods
A descriptive cross-sectional survey was conducted from July 27 to August 2, 2022, involving 296 nurses at a university hospital in Seoul. The questionnaire-based data collected were analyzed using t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple regression.
Results
The mean score for intention to stay is 4.92±1.05 out of 8. The mean scores for job embeddedness, professional self-concept, and work-life balance were 2.91±0.48 out of 5, 2.61±0.28 out of 4, and 3.10±0.71 out of 5, respectively. Job embeddedness (β=.17, p=.002) and professional self-concept (β=.42, p<.001) were significantly associated with clinical nurses’ intention to stay in their workplace. Specifically, the “community suitability” subfactor of job embeddedness (β=.16, p=.003) and the “satisfaction” subfactor of professional self-concept (β=.58, p<.001) were significantly related to nurses’ intention to stay. No significant relationship was found between work-life balance and intention to stay.
Conclusion
Nurses’ job embeddedness and professional self-concept significantly affected their intention to stay. Therefore, fostering community bonding outside the organization and increasing professional satisfaction are suggested to increase clinical nurses’ intentions to stay.

Citations

Citations to this article as recorded by  
  • The effect of dental hygienist work cooperation and compensation satisfaction on job embeddedness: mediating effect of positive psychological capital
    Ju-Eon Kim, Seon-Yeong Kim
    Journal of Korean Society of Dental Hygiene.2024; 24(3): 263.     CrossRef
  • A Study on the Effect of the Quality of the Relationship between Nail Shop Workers and Consumers on the Balance of Work and Life: Focusing on the Mediating Effect of Burnout
    Hyun-Jeong Lee, Hye-Young Kim
    Journal of the Korean Society of Cosmetology.2024; 30(2): 415.     CrossRef
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Factors Affecting Political Competency of Advanced Practice Nurses
Wooyeong Park, Taewha Lee
J Korean Acad Nurs Adm 2023;29(3):246-257.   Published online June 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.3.246
Purpose
This descriptive correlation study was designed to identify the job characteristics of advanced practice nurses (APNs) and the degree of nursing professionalism as factors influencing the political competency of APNs. Additionally, the relationship between these two factors and political competency was analyzed.
Methods
Data were collected through an online survey of 118 APNs from June 16 to September 16, 2021. The data collected were analyzed using descriptive statistics, a t-test, ANOVA, Scheffé ́’s test, Pearson’s correlation, and a multiple regression analysis using SPSS/WIN 25.0.
Results
Statistically significant differences were noted in the political competency of APNs based on age, workplace, position, experience as an APN, political education, and political party membership. Furthermore, political competency positively correlated with job characteristics and nursing professionalism. The factors affecting the political competency of APNs included skill variety, workplace, political education, political party membership, and nursing professionalism.
Conclusion
Findings of this study confirmed the importance of the political competency of APNs. Furthermore, policy efforts to promote independent job development reflecting the job characteristics of APNs and improvement in nursing professionalism are required, and support from professional nursing organizations is needed.
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Purpose
This study aims to identify the factors-along the lines of fatigue, nursing professionalism, and the work environment-that affect the nursing of COVID-19 patients by nurses at a designated COVID-19 hospital in Korea.
Methods
Data were collected from March 7 to March 31, 2022 via structured questionnaires submitted by 162 nurses, and analyzed using t-test, ANOVA, Scheffé test, Pearson correlation, and hierarchical regression analysis.
Results
In model 1, the variables among the general characteristics which significantly affect nursing intention are “6 months to less than 1 year of nursing experience for severe COVID-19 patients” (β=.29, p=.001), “having the volition to provide nursing support for future COVID-19 patients” (β=0.28, p<.001), and the “intention according to the hospital situation”(β=.35, p<.001). In model 2, fatigue (β=-.18, p=.007) and nursing professionalism (β=.43, p<.001) affect nursing intention. The total explanatory power of Model 2 is 47.0% (F=16.93, p<.001, R2 =.47).
Conclusion
To increase nursing intention for COVID-19 patients, intervention strategies should reduce nurses’ fatigue and introduce competency-strengthening programs as to improve nursing professionalism.

Citations

Citations to this article as recorded by  
  • Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals
    Seulki Kim, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 392.     CrossRef
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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
  • 41 View
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  • 3 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

Citations to this article as recorded by  
  • 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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Expectation of Medical Personnel for the Roles of the Physician Assistants in a University Hospital
Mi Jung Ryu, Mina Park, Joungohn Shim, Eunsung Lee, Insun Yeom, Young Mi Seo
J Korean Acad Nurs Adm 2022;28(1):31-42.   Published online January 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.1.31
Purpose
The purpose of this study is to clearly classify the roles of Physician assistants and to identify obstacle factors and necessary factors for the operation of the system when they are performing the roles of Physician assistants. Methods: This is a descriptive research study to analyze the roles of Physician assistants and to understand the expected roles of Physician assistants according to each medical personnel (doctor, nurse, Physician assistants). Results: The obstacles to work are the lack of legal protection, and unclear work guidelines, and the matter necessary for the operation of the system is the legal protection. There were statistically significant differences in health collection ability, physical examination, drug response monitoring, and reporting in terms of the differences in role expectations considered by medical professionals regarding the roles of Physician assistants. Conclusion: Physician assistants need to develop various educational programs and materials, cultivate the ability to perform Physician assistants, and develop an advisory role through effective problem-solving between departments and increase the quality and satisfaction of Nursing care.

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    Su Jung Choi
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    Mi-Kyeong Jeon, Su Jung Choi, Ji Eun Han, Eun Kyung Kwon, Jeong Hee Park, Jeong Hye Kim
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Effects of Professional Autonomy and Teamwork on Clinical Performance of Nurses in Tertiary Hospitals
Sooin Hyun, Taewha Lee
J Korean Acad Nurs Adm 2021;27(5):301-310.   Published online December 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.5.301
Purpose
This study was aimed to identify the effects of professional autonomy and teamwork on clinical performance to improve the clinical performance of tertiary hospital nurses. Methods: Data were collected from June 1 to June 30, 2017 and a total of 172 nurses from three tertiary hospitals participated in this study. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation and stepwise multiple regression analysis using SPSS 25.0. Results: Clinical performance showed a statistical difference depending on the number of education session for competency, and it showed a positive correlation with professional autonomy and teamwork. The factors affecting the clinical performance of the tertiary hospital nurses included in teamwork (β=.40, p<.001), professional autonomy (β=.27, p<.001). These factors accounted for 31% of clinical performance (p<.001). Conclusion: It is important to find ways to improve clinical performance of tertiary hospital nurses. Furthermore, there is a need to include continuous and systemic education programs for professional autonomy and suitable programs to elevate teamwork.

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Influence of Emotional Intelligence and Professional Self-concept on Compassion Competence in Psychiatric Nurses
Hye Suk Im, Won Hee Jun
J Korean Acad Nurs Adm 2021;27(4):259-269.   Published online September 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.4.259
Purpose
The purpose of this study was to investigate the influence of emotional intelligence, and professional self-concept on compassion competence in psychiatric nurses. Methods: Participants were 180 psychiatric nurses working on psychiatric wards in university hospitals and psychiatry specialized hospitals. Data analysis was performed using stepwise multiple regression with SPSS/Win 24.0. Results: Compassion competence significantly differed by age (F=3.31, p=.021), marital status (F=4.12,p=.017), educational background (F=5.46, p=.005), clinical career (F=6.26, p=.002), type of duty (t=-3.01, p=.003), salary (F=3.48, p=.033), current position (F=4.66, p=.011), qualification (t=-2.23, p=.023), compassion education experience (t=3.32, p=.001) and workplace (t=-2.46, p=.015). The compassion competence of psychiatric nurses was positively correlated with professional self-concept (r=.57, p<.001) and emotional intelligence (r=.63, p<.001). The significant predictors of compassion competence were self-emotion appraisal (β=.30, p<.001), professional practice (β=.21, p=.007), use of emotion (β=.19, p=.020), clinical career (β=.18, p=.003), workplace (β=.15, p=.010), communication (β=.12, p=.034) and compassion education experience (β=.11, p=.044). The explanatory power of these factors was 48% of the variance. Conclusion: In order to enhance the compassion competence of psychiatric nurses, it is important to improve emotional intelligence and strengthen professional self-concept. Political efforts of organizations supporting compassionate nursing practice are also necessary.

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  • The Mediating Effect of Professional Values on the Relationship Between Self-Leadership and Compassion Competence of Community Mental Health Nurses
    Hye Young Kim, Won Hee Jun
    Western Journal of Nursing Research.2024; 46(7): 501.     CrossRef
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Development and Evaluation of an Informatics System for Nursing Faculty to Improve Patient Safety Teaching Competency
Nam-Ju Lee, Shinae Ahn, Miseon Lee, Haena Jang
J Korean Acad Nurs Adm 2020;26(5):488-500.   Published online December 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.5.488
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.

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    Soo Jung Chang, Geun Myun Kim, Jeong Ah Kim
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  • The Effects of Outpatients’ Experiences of Patient Participation on Patient Satisfaction in Korea
    Shinae Ahn
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Effects of Self-leadership, Professional Self-concept, Emotional Labor on Professional Quality of Life in Hospital Nurses
Yu-Yeong Kyun, Mi-Aie Lee
J Korean Acad Nurs Adm 2020;26(5):447-456.   Published online December 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.5.447
Purpose
This study was performed to identify levels of self-leadership, professional self-concept, emotional labor and professional quality of life, and investigate the relationship among these variables in hospital nurses. Methods: This study was a cross-sectional survey. The data were collected from May 20 to June 30, 2019. Participants were 200 nurses working at 4 general hospitals in Korea. Data were analyzed using the SPSS/WIN 25.0 program. Results: There was a positive relationship between compassion satisfaction and self-leadership, professional self-concept and emotional labor, and a negative relationship between burnout and the other variables in this study. There were positive and negative relationships between secondary traumatic stress and the other variables in this study. Compassion satisfaction, which is one sub-factors of professional quality of life, was influenced by professional self-concept and emotional labor, and these variables explained 55% of compassion satisfaction. Burnout was only influenced by professional self-concept which explained 47% of burnout. Secondary traumatic stress was influenced by emotional labor and gender which accounted for 5% of secondary traumatic stress. Conclusion: These results show that professional self-concept is very important in promoting quality of life for nurses. So nurse managers should try to strengthen nurses’ professional self-concepts.

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    Eunju Choi, Youngjin Lee
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    Holly Ma
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    Minyoung Shin, Woojoung Joung
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    Kyung Jin Jeon, Min Jeong Park
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    Hyun-Ju Lee
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  • The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
    Sustainability.2021; 13(21): 11634.     CrossRef
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Communication Competence, Nursing Professionalism and Job Performance among Home Healthcare Nurses
Eunha Jeong, Sujeong Han
J Korean Acad Nurs Adm 2020;26(4):409-418.   Published online September 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.4.409
Purpose
This study was done to identify the effects of communication competence and nursing professionalism on job performance among home healthcare nurses.
Methods
The participants were 116 home healthcare nurses working at the hospitals. Data were collected from February 11 to March 22, 2019 and were analyzed with Multiple Regression Analysis.
Results
The most influential factors on job performance were hospital type (β=-.21, p=.006), communication competence (β=.30, p=.001) and nursing professionalism (β=.32, p<.001) which together explained up to 40% of job performance.
Conclusion
To improve nursing performance of home healthcare nurses, it is necessary to develop programs and strategies to enhance communication competence and nursing professionalism.

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    Saeryun Kim, Younkyoung Kim
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    Young Jin Lee, Hyunjin Lee, Eun-Hi Choi
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    Wooyeong Park, Taewha Lee
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    Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
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    Sunyoung Jung, Hyojung Park
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Effects of Nursing Professionalism and Job Stress on the Problem Solving Ability of Community Health Practitioners
Min Sun Song, Nam Young Yang, Jin Hak Kim
J Korean Acad Nurs Adm 2020;26(3):274-283.   Published online June 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.3.274
Purpose
The purpose of this study was to examine the influences of nursing professionalism and job stress on problem solving ability of community health practitioners.
Methods
The participants were 167 community health practitioners. Data were collected from December 18 to 28, 2019. Self-report questionnaires were administered to collect data regarding general characteristics, degree of nursing professionalism, job stress, and problem solving ability. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients and multiple regression analysis.
Results
The factors influencing the degree of problem solving ability of the community health practitioners were professionalism of nursing (β=.29, p<.001), and interpersonal factors (β=-.25, p=.001). It was found that 15% could explain problem solving ability.
Conclusion
It is necessary to strengthen the professionalism of nursing and to decrease the interpersonal factors due to job stress for the community health practitioners. The results indicate a need to increase development of educational programs for capacity building of community health practitioners.

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    Cemal Özalp
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Development of Korea version of the Practice Environment Scale for Advanced Practice Registered Nurses
Mi Jung Ryu, Woo Young Young, Eun Hee Hee
J Korean Acad Nurs Adm 2020;26(2):160-171.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.160
Purpose
To develop a Korean version of the practice environment scale that can verify the practice environment of advanced practice registered nurses (APRN) by verifying the validity and reliability of the Nurse practitioner's primary care organizational climate questionnaire developed by Poghosyan et al.
Methods
After translation using a committee approach and an expert group’s verification of the content validity, items were classified as 'professional visibility', 'APRN-administration relations', 'APRN-physician relations', 'independent practice and support' A total of 29 questionnaire items were developed for the four factors. Data were collected from 200 advanced practice registered nurses working at two advanced general hospitals and six general hospitals.
Results
In the confirmatory factor analysis, CFI, TLI, and RMSR evaluation indices were appropriate except for RMSEA. Partial validity was shown in convergent validity, and discriminant validity. Exploratory factor analysis revealed that the questions were well organized with four factors. Cronbach's ⍺ of the whole instrument was .93.
Conclusion
As a first attempt to measure the practice environment of the APRN in Korea, the results show that this questionnaire provides basic data for correct role setting and improvement of practice environment. This research will ultimately serve as a basis for cost-effective quality care.

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  • Development and validation of a quality of healthy work environment instrument for shift nurses
    Sun-Hwa Shin, Eun-Hye Lee
    BMC Nursing.2024;[Epub]     CrossRef
  • Job Roles of the Physician Assistants Working in the Surgical Departments of Tertiary Hospitals in Korea: Content Analysis
    Hyun Sook Lim, Hyang-In Cho Chung, Kyung Joo Choi
    Journal of Korean Academy of Nursing Administration.2023; 29(2): 155.     CrossRef
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Influence of Hospital Ethical Climate and Nursing Professionalism on Patient Safety Management Activity by Nurses
Mi Yeong Mun, Mi Yeon Kim
J Korean Acad Nurs Adm 2019;25(5):458-466.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.458
PURPOSE
The purpose of this study was to investigate the influence of hospital ethical climate and nursing professionalism on patient safety management activity by nurses.
METHODS
A cross-sectional correlation study design was used. Participants included 142 nurses from two tertiary hospitals in Seoul and Gyunggi-do, South Korea. Data were collected in April and May 2019 using self-report questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple liner regression analysis with SPSS/WIN 21.0.
RESULTS
The patient safety management activity correlated positively with hospital ethical climate (r=.32, p < .001) and nursing professionalism (r=.40, p < .001). The patient safety management activity was the factor that most influenced nursing professionalism and position, explaining 21% of the variance (F=12.06, p < .001).
CONCLUSION
It is necessary to provide education on professionalism. It is necessary to continuously provide job education and training to nurture competence and quality in professional nurses.

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Relationship among Nursing Professionalism, Nursing Work Environment, and Patient Safety Nursing Activities in General Hospital Nurses
Mi Aie Lee, Sunjoo Kang, Hye Sun Hyun
J Korean Acad Nurs Adm 2019;25(4):317-328.   Published online September 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.4.317
PURPOSE
This study was done to identify the relationships among nursing professionalism, nursing work environment, and patient safety activities, and to analyze the factors influencing nurses' patient safety nursing activities.
METHODS
This descriptive study included 270 nurses from six general hospitals. Questionnaires were used to collect data between August 20 and September 21, 2018, using questionnaires. Analyses included descriptive statistics, t-test, analysis of variance, Pearson correlation coefficient, and stepwise multiple regression, conducted using IBM SPSS/WIN 21.0.
RESULTS
Mean scores on nursing professionalism, nursing work environment, and patient safety nursing activities were 3.51±0.41, 2.44±0.45, and 4.39±0.50, respectively. The patient safety nursing activities score was positively correlated with subscales of nursing professionalism variable: professional self-concept (r=.15, p=.019), social recognition (r=.10, p=.036), professional identity in nursing (r=.24, p<.001), role of nursing practice (r=.16, p=.012), nursing foundation for quality of care (r=.19, p=.003), and nurse manager's ability (r=.14, p=.031). Patient safety nursing activities were influenced by professional identity in nursing (β=.22, p=.001) and nursing foundation for quality of care (β=.15, p=.001), which explained 8.0% of the variance.
CONCLUSION
These results suggest that nurse managers should focus on creating an appropriate nursing environment and facilitating nursing professionalism to enhance hospital nurses' patient safety nursing activities.

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