Purpose This study aimed to examine the predictors of nurses’ incident reporting by dividing the level of patient safety incident (near miss, no harm, harmful incident) reporting into upper and lower level groups. Methods: Data were collected from 208 nurses working in a hospital from March 29 to April 6, 2022. Logistic regression analysis was used to determine the predictors of nurses’ reporting level. Results: Predictors of the upper level group of near miss reporting were belief in improvement (odds ratio [OR], 2.40; 95% confidence interval [CI], 1.27-4.53), reporting intention (OR, 2.00; 95% CI, 1.15-3.47), patient safety knowledge (OR, 2.16; 95% CI, 1.16-4.01). Predictors of the upper level group no harm incidents reporting were reporting training (OR, 1.38; 95% CI, 1.01-1.90), belief in improvement (OR, 2.00; 95% CI, 1.01-3.95), patient safety knowledge (OR, 2.41; 95% CI, 1.17-4.98). In the case of harmful incident reporting, the predictor was patient safety attitude (OR, 9.32; 95% CI, 2.77-31.38). Conclusion: The reporting level varies depending on the type of patient safety incidents. Managing nurses' individual characteristics, such as their beliefs in improvement, patient safety knowledge, and attitude is a key strategy for enhancing incident reporting level. Nursing managers should be aware that not all harmful incidents are being reported.
Purpose The aim was to develop guidelines for delegating nursing tasks among nurses in integrated nursing care wards. Methods This was a methodological approach. Literature reviews were conducted on delegation policies and practices for nurses in Korea and other countries to explore the area of nursing delegation. Focus group interviews were performed with nurses to identify the strength and weakness of the delegation of nursing tasks in clinical practice, and qualitative content analysis was conducted based on the interview. Ten areas and 115 items were derived through these steps, and their validity was confirmed using the Delphi technique. Results The delegation guidelines of nursing tasks consisted of nine domains, 21 sub-categories, and 101 items, including Nurses and nursing assistants' duties, the necessity of delegation, definition of terms, scope of delegation, considerations for delegation, procedure, characteristics, and principles of delegation, and educational content for delegation. Conclusion These guidelines can help nurses to make decisions about delegating nursing tasks according to the delegation procedure.
Education on the delegation of nursing tasks is necessary for both nurses and nursing assistants. The guidelines developed in this study can serve as a standard for delegating nursing tasks to ensure patient safety.
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Purpose This study aimed to examine general nurses' nursing leadership in patient care using focus group interviews. Methods This study was conducted after obtaining approval from the ethics committee of a university.
After completing a focus group interview with 13 general nurses working at a general hospital, we performed qualitative content analysis according to Kreuger's guidelines. Results A total of 170 meaningful statement units of nursing leadership that appeared in the clinical experience of general nurses were extracted, and 10 final sub-themes and the three themes connecting them were derived. The themes derived were “leading patients into nursing,” “experiencing the power of growth,” and “facilitating situations that allow focus on patient care.” Conclusion: This study helps in understanding the nursing leadership of general nurses in patient care. To encourage general nurses to exert their nursing leadership and grow as autonomous nurses, nursing educators must appropriately present the learning outcomes and content of nursing leadership. Additionally, in the clinical setting, organizational support is necessary to foster understanding and the demonstration of general nurses' nursing leadership.
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Purpose This study aims to provide essential data for measures to enhance the professionalism of nursing experts and improve understanding of the explanationnurse's identity by examining their working experience in depth. Methods Data were collected from August 12 through October 07, 2021. Participants were 13 explanation nurses with more than five years of nursing experience. Verbatim transcripts were analyzed using Colaizzi's phenomenological analysis. Results Three theme clusters emerged from the data analysis: “Confusion from work that does not affect the identity of an explanation nurse”, “Entirely fulfilling role as a nursing professional”, and “Crave for the organization's support system for independent job performance”. Conclusion Earlier in the department change, nurses had difficulty establishing their identity regarding the explanation duties they must perform. Still, they wanted to continue their explanation work after struggling to pioneer and carry out their duties with expertise . Therefore, hospitals must support explanation nurses with a structural system as they begin their role to adapt to their work and strengthen their professionalism so that these nurses may provide a higher level of explanation nursing and patient-centered care.
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Purpose This study aimed to identify the job characteristics of the integrated nursing care wards.
Methods: For 388 nurses working in the integrated nursing wards of 30 hospitals, the importance, performance frequency, and difficulty of nursing tasks were analyzed using 31 job categories (678 items). Nursing tasks were analyzed using ImportancePerformance Analysis by hospital type.
Results: Tertiary hospitals and general hospitals were analyzed using Importance-Performance Analysis, and the categories of general nursing intervention, spiritual and end of life nursing, and nursing during examination differed by hospital type. Other tasks into the same categories. 'Keep up the Good Work' includes 12 tasks: nursing assessment, medication and blood transfusion, admission or discharge management, and cooperation and coordination. 'Concentrate Here' had three tasks: emergency care, education to nurses, self-development. 'Possible Overkill' included supportive contact, environmental management, and product management. 'Low Priority' has ten tasks, including administration and organization management, facility management.
Conclusion: Nurses had different perceptions of importance and difficulty according to the tasks.
Nursing during the examination, general nursing intervention, spiritual nursing, and end-of-life nursing were placed in different domains according to hospital type. Therefore, it is necessary to establish the nursing tasks and plan to improve workforce management, reflecting these differences.
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Purpose This study aimed to explore the factors influencing the infection control performance of nurses working in comprehensive nursing care service wards during the coronavirus disease 2019 (COVID-19) pandemic.
Methods: Data were collected from 107 nurses working in the comprehensive nursing care service unit at four general hospitals from March 15 to April 3, 2021. Factors influencing infection control performance were analyzed using hierarchical multiple regression analysis.
Results: Awareness of importance (β=.55), surgical ward (β=.29), and infection control organizational culture (β=.25) were the factors affecting the infection control performance of nurses working in comprehensive nursing care service wards. The total explanatory power was 46%.
Conclusion: Nurses must establish a positive infection control organizational culture as leaders in team leaders to enhance the infection control performance of nurses working in comprehensive nursing care service wardss. Moreover, the awareness of the risks of COVID-19 and ways to use the defense environment more efficiently should be strengthened.
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