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
Purpose This study was conducted to test a structural model for patient safety culture of clinical nurses focusing on organizational policy and interpersonal factors.
Methods: A descriptive structural equation model design was used. Participates in this study were 385 clinical nurses. The variables of safety management system, authentic leadership, team effectiveness, and patient safety culture were measured to test the hypothetical model. SPSS 25.0 and AMOS 21.0 were used to analyze descriptive statistics and path analysis.
Results: The final model fit satisfied goodness-of-fit and all path were significant. Authentic leadership (β=.54, p=<.001) was reported as the most influencing factor, followed by team effectiveness (β=.24, p<.001) and safety management system (β=.21, p<.001). Safety management system (β=.38, p=.002) and authentic leadership (β=.12, p=.002) had indirect effects on patient safety culture as well.
Conclusion: The findings of this study show the importance of authentic leadership, team effectiveness, and safety management system to develop patient safety culture. The health care organization should develop the programs to increase these influencing factors.
Citations
Citations to this article as recorded by
Influence of perceptions of reporting nurses’ medical errors and patient safety culture on patient safety nursing practices in Korea: a cross-sectional study Young Hee Kim, Mi Young Kim Journal of Korean Biological Nursing Science.2025; 27(1): 104. CrossRef
Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities Eunji Lee, Haejung Lee Journal of Korean Academy of Nursing Administration.2024; 30(4): 367. CrossRef
Patient Safety Culture: Nurses’ Perspective in the Hospital Setting Maria José Reyes Ramos, Silvia Costa Abós Healthcare.2024; 12(10): 1010. CrossRef
Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence Nayeop Lee, Yoonju Lee Journal of Korean Academy of Nursing Administration.2024; 30(5): 462. CrossRef
Concept Analysis of Social Intelligence of Nurses Using Hybrid Model Kyung Ran Lee, Na Kyoung Lee, Hee Oh, Kyoung Ae Park Journal of Korean Academy of Nursing.2024; 54(3): 459. CrossRef
Nursing leadership style and error management culture: a scoping review Eleonora Moraca, Francesco Zaghini, Jacopo Fiorini, Alessandro Sili Leadership in Health Services.2024; 37(4): 526. CrossRef
The Effect of Work Interruption on Workload and Perception of Patient Safety Culture in Ward Nurses Doo-Nam Oh, Ye-Won Lee Quality Improvement in Health Care.2022; 28(2): 2. CrossRef
Validity and Reliability of a Korean Version of the ConCom Safety Management Scale Mi Young Kwon, Nam Yi Kim International Journal of Environmental Research and Public Health.2021; 18(23): 12514. CrossRef
PURPOSE This study aimed to identify research trends in the Journal of Korean Academy of Nursing Administration from 2013 to 2015. METHODS For this study, 171 articles were analyzed. Research designs, participants, research settings, sampling, and data analyses methods were reviewed using established analysis criteria. Keyword centrality and clusters were generated by keyword network analysis. RESULTS Most of studies used quantitative methods (82.5%), and sampling mainly focused on nurses (68.8%). The most commonly used data analyses methods were t-test, ANOVA, correlation, and regression. The most central keywords were turnover and empowerment. Network analysis generated four network groups: 1) burnout; 2) turnover; 3) happiness; and 4) nursing professionalism. CONCLUSION The results of this study identify current trends and interests in Korean nursing administration research. The findings from this study suggest that future studies include a variety of research methods and maintain appropriate research ethics.
Citations
Citations to this article as recorded by
Future Outlook of Nursing Management Research: Analysis of Articles Published in the Journal of Korean Academy of Nursing Administration from 2012-2021 Eungyung Kim, Sung-Hyun Cho, Jihyun Kim, Jong Kyung Kim, Eunhee Lee Journal of Korean Academy of Nursing Administration.2023; 29(5): 553. CrossRef
Nurses’ Experience and Satisfaction as Research Participants in Nursing Research - A View of Protecting Vulnerable Populations: A Cross-sectional Descriptive Study Go-Eun Lee, Sanghee Kim Korean Journal of Adult Nursing.2022; 34(6): 565. CrossRef
Research trends in Korean Journal of Health Education and Promotion from 1984 to 2021 Nan-He Yoon, Young-Bok Kim, Hyunjong Song, Jieun Lee, Jung Eun Choi Korean Journal of Health Education and Promotion.2022; 39(5): 127. CrossRef
Using Text Network Analysis for Analyzing Academic Papers in Nursing Chan Sook Park Perspectives in Nursing Science.2019; 16(1): 12. CrossRef
Verification of air brush effectiveness using cosmeceutical ingredients Hyun Jung Kim, Min Sook Jung, Jeong Min Shin, Yu Kyung Hur Biomedical Dermatology.2018;[Epub] CrossRef
Analysis of Theory-applied Research in the Journal of Korean Academy of Nursing Administration (2007~2016) Hyunju Ji, Soyun Hong, Yi-Rang Jeong, Kyung Hee Lee Journal of Korean Academy of Nursing Administration.2018; 24(2): 130. CrossRef
Analysis of Qualitative Research Published in the Journal of Korean Academy of Nursing Administration (First publication to the end of 2016) Kwang-Ok Park, Soyoung Yu, Eunhee Lee, Jee-In Hwang, Miyoung Kim Journal of Korean Academy of Nursing Administration.2017; 23(4): 427. CrossRef
PURPOSE This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea. METHODS The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity. RESULTS The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators. CONCLUSION This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.
Citations
Citations to this article as recorded by
Identifying the Service Capability of Long-Term Care Facilities in China: An e-Delphi Study Wen Liu, Min Hu, Wen Chen Frontiers in Public Health.2022;[Epub] CrossRef
Incidence of hip fracture among long-term care insurance beneficiaries with dementia: comparison of home care and institutional care services Juyeong Kim, Young Choi, Eun-Cheol Park BMC Geriatrics.2019;[Epub] CrossRef
Longitudinal associations of nursing staff turnover with patient outcomes in long-term care hospitals in Korea Yoonseo Kim, Kihye Han Journal of Nursing Management.2018; 26(5): 518. CrossRef
Incidence of Pressure Ulcers During Home and Institutional Care Among Long-Term Care Insurance Beneficiaries With Dementia Using the Korean Elderly Cohort Juyeong Kim, Young Choi, Jaeyong Shin, Suk-Yong Jang, Kyeong Hee Cho, Jin Young Nam, Eun-Cheol Park Journal of the American Medical Directors Association.2017; 18(7): 638.e1. CrossRef
Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes Yeon-Hwan Park, Hwal Lan Bang, Ga Hye Kim, Seieun Oh, Young-Il Jung, Hongsoo Kim Korean Journal of Adult Nursing.2015; 27(4): 418. CrossRef
Fuzzy Analysis of Consciousness Structure of Administrator for Determinative of Care Service Quality Yun-Jeong Jang Journal of Korean Institute of Intelligent Systems.2013; 23(3): 232. CrossRef
PURPOSE Nursing home quality indicators have been focused widely on result outcomes, not for the environment in that quality of service are delivered. This study aimed to examine structural factors influencing quality management activities in nursing homes. METHOD Sample was 170 nursing homes responded to the survey questionnaire which was distributed to the 543 nursing homes nation-wide. Data were collected on structural characteristics, types of services, and quality management activities. Data were analyzed with the descriptive statistics, Pearson correlations, and multiple regression. RESULT Most of the nursing homes were operated as free of charge by the social welfare ownership. Average number of residents was 52.1 with severe and mild dementia and bedridden status. In terms of quality management activities, 34% of the sample had CQI committee that focused their activities on services delivery process, performance appraisal, record keeping regularly. 30.6% of quality management activities were accounted for by the number of residents with dementia, the ratio of RN to residents, rehabilitation services, and social wefare services in nursing homes. CONCLUSION We recommend that more comprehensive quality management activities should be developed as process quality indicators in conjunction with the outcome indicators.
Citations
Citations to this article as recorded by
Using the Delphi Method to Identify Risk Factors Contributing to Adverse Events in Residential Aged Care Facilities
Chunhong Shi, Yinhua Zhang, Chunyan Li, Pan Li, Haili Zhu Risk Management and Healthcare Policy.2020; Volume 13: 523. CrossRef
The effect of registered nurses on nursing home residents’ outcomes, controlling for organizational and health care market factors Juh Hyun Shin, In-Soo Shin Geriatric Nursing.2019; 40(3): 296. CrossRef
The Development of Community-Based Convergent Services for Senior Citizen Jeong-Won Han Journal of the Korea Convergence Society.2016; 7(6): 213. CrossRef
Does market competition facilitate resident-centred care among nursing homes? A comparative analysis Jae-Sung Choi, Sangmi Choi, Sangwoo Lee, Eunyoung Han, Myoung-il Kim Asia Pacific Journal of Social Work and Development.2016; 26(1): 15. CrossRef
Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes Yeon-Hwan Park, Hwal Lan Bang, Ga Hye Kim, Seieun Oh, Young-Il Jung, Hongsoo Kim Korean Journal of Adult Nursing.2015; 27(4): 418. CrossRef
First
Prev
