Purpose
This study aimed to identify the influence of ethical sensitivity, positive nursing organizational culture, and caring efficacy on person-centered care among clinical nurses in general hospitals. Methods: The participants were 181 clinical nurses working in general hospitals located in Jinju and Changwon cities, Gyeongnam Province, South Korea. Data were collected from December 17, 2024, to January 25, 2025. Data analysis was performed using SPSS Statistics 27.0 and included descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation analysis, and multiple regression analysis. Results: The participants’ mean scores were 4.16±0.42 for ethical sensitivity, 3.76±0.64 for positive nursing organizational culture, 4.23±0.67 for caring efficacy, and 3.90±0.50 for person-centered care. Person-centered care showed a significant positive correlation with ethical sensitivity (r=.49, p<.001), positive nursing organizational culture (r=.54, p<.001), and caring efficacy (r=.58, p<.001). Caring efficacy had the most significant effect on person-centered care (β=.41, p<.001), followed by positive nursing organizational culture (β=.30, p<.001) and ethical sensitivity (β=.19, p=.005). These variables accounted for 47.8% of the variance in person-centered care. Conclusion: To improve person-centered care, educational programs aimed at improving ethical sensitivity and caring efficacy, along with the establishment of a nursing organizational culture based on trust and respect, should be implemented.

Purpose
This study aimed to identify factors affecting nursing students’ willingness to report medical errors. Methods: A cross-sectional design was used, and 175 senior nursing students answered a web-based questionnaire that included ‘attitude and knowledge towards medical error reporting’, ‘ethical sensitivity’, ‘systems thinking’, and ‘willingness to report medical errors’. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple linear regressions with the SPSS/WIN 25.0 program. Results: Participants’ attitude and knowledge toward medical error-reporting were 3.45, and 3.00, respectively. Their ethical sensitivity was 4.15, and systems thinking was 3.89. Factors significantly affecting willingness to report adverse events included systems thinking, medical error-reporting attitude, and ethical sensitivity, and these variables accounted for 34.3% (F=23.73, p<.001). Factors significantly affecting willingness to report near misses included medical error-reporting attitude, which accounted for 11.5% (F=6.68, p<.001). Conclusion: Increasing nursing students’ willingness to report medical errors requires integrated education to improve their attitude and knowledge of medical error reporting, ethical sensitivity, and systems thinking.

Citations

• Impact of Nursing Professionalism, Ethical Sensitivity, and the Clinical Learning Environment on Nursing Students' Intention to Report Near Misses and Adverse Events
  Sookhee Yoon, Ha-Young Park
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 209.     CrossRef
• Nursing Informatics Competencies of Public Health Nurses in Chungcheongnam-do
  Hyun Kim, Miyoung Kim
  Journal of Korean Academy of Community Health Nursing.2013; 24(1): 20.     CrossRef