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.
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.
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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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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.
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