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Patient Safety Management Activities of Korean Nurses: A Meta-Analytic Path Analysis
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Seohee Jeong, Seok Hee Jeong
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J Korean Acad Nurs 2022;52(4):363-377. Published online August 31, 2022
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DOI: https://doi.org/10.4040/jkan.22022
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Abstract
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- Purpose
This study aimed to test a hypothetical model of Korean nurses’ patient safety management activities using meta-analytic path analysis. Methods A systematic review, meta-analysis, and meta-analytic path analysis were conducted following the PRISMA and MOOSE guidelines. Seventy-four studies for the meta-analysis and 92 for the meta-analytic path analysis were included. The R software program (Version 3.6.3) was used for data analysis. Results Four variables out of 49 relevant variables were selected in the meta-analysis. These four variables showed large effect sizes (ESr = .54) or median effect sizes (ESr = .33∼.40) with the highest k (number of studies) in the individual, job, and organizational categories. The hypothetical model for the meta-analytic path analysis was established using these variables and patient safety management activities. Twelve hypothetical paths were set and tested. Finally, the perception of the importance of patient safety management and patient safety competency directly affected patient safety management activities. In addition, self-efficacy, the perception of the importance of patient safety management, patient safety competency, and patient safety culture, indirectly affected patient safety management activities. Conclusion Self-efficacy, the perception of the importance of patient safety management, patient safety competency, and the organization’s patient safety culture should be enhanced to improve nurses’ patient safety management activities.
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Citations
Citations to this article as recorded by 
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Fatemeh Asadi, Azam Saei, Shanam Sedigh Maroufi, Jamileh Abolghasemi Journal of Education and Health Promotion.2025;[Epub] CrossRef - Development of a patient safety management protocol for nurses in long-term care hospitals
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Seo Jin Lee, Young Ran Han Child Health Nursing Research.2024; 30(4): 255. 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 - Mediating Effects of Job Satisfaction between Nurses’ Perceptions of Patient Safety Culture and Their Safety Nursing Activities
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Bokja Koak, Junglim Seo, Eunji Song, Haneul Shin, Jaehee Jeon Korean Journal of Adult Nursing.2023; 35(2): 117. CrossRef
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Effects of Second Victim Experiences after Patient Safety Incidents on Nursing Practice Changes in Korean Clinical Nurses: The Mediating Effects of Coping Behaviors
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Seohee Jeong, Seok Hee Jeong
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J Korean Acad Nurs 2021;51(4):489-504. Published online August 31, 2021
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DOI: https://doi.org/10.4040/jkan.21089
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Abstract
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- Purpose
This study was investigated the mediating effect of coping behaviors in the relationship between the second victim experiences after patient safety incidents and the nursing practice changes. Methods A cross-sectional survey was performed using structured questionnaires. Participants were 218 clinical nurses in general tertiary hospitals in South Korea. Data were collected through an online survey and snowball sampling from August 11 to September 6 2020. Data were analyzed using SPSS 23.0 program. A mediation analysis was performed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval. Results The mean scores of second victim experiences was 3.41/5. Approach coping (β = .55, p < .001) and the avoidant coping (β = - .23, p = .001) showed mediation effects in the relationship between second victim experiences and constructive change in nursing practice. Avoidant coping (β = .29, p < .001) showed a mediation effect in the relationship between second victim experiences and defensive change in nursing practice. Conclusion Coping behaviors has a mediating effect on the relationship between second victim experiences and nursing practice changes. To ensure that nurses do not experience second victim, medical institutions should have a culture of patient safety that employs a systematic approach rather than blame individuals. They also need to develop strategies that enhance approach coping and reducing avoidant coping to induce nurses’ constructive practice changes in clinical nurses in experiencing second victims due to patient safety incidents.
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Citations
Citations to this article as recorded by 
- Factors influencing negative outcomes for nurses who experience patient safety incidents: An integrative review
Hanseulgi Lee, Nam‐Ju Lee, Nari Kim International Nursing Review.2025;[Epub] CrossRef - How does just culture reduce negative work outcomes through second victim distress and demand for support in clinical nurses? A path analysis
Seohee Jeong, Sunmi Kim, Hyoung Eun Chang, Seok Hee Jeong BMC Nursing.2025;[Epub] CrossRef - Changes in Nursing Practice Among Clinical Nurses After Experiencing a Patient Safety Incident: Partial Least Squares Structural Equation Modeling
Sunmi Kim, Seohee Jeong, Seok Hee Jeong, Majd Mrayyan Journal of Nursing Management.2025;[Epub] CrossRef - Predictors of Nurses' Reporting Level by the Types of Patient Safety Incidents
Ju-Hee Kang, Yeojin Yi Journal of Korean Academy of Nursing Administration.2025; 31(4): 434. CrossRef - “Learn from Errors”: Post-traumatic growth among second victims
Huanhuan Huang, Tong Liu, Ying Peng, Xingyao Du, Qi Huang, Qinghua Zhao, Mingzhao Xiao, Yetao Luo, Shuangjiang Zheng BMC Public Health.2024;[Epub] CrossRef - Nurse Leader Perspectives and Experiences on Caregiver Support Following a Serious Medical Error
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Xizhao Li, Chong Chin Che, Yamin Li, Ling Wang, Mei Chan Chong BMC Nursing.2023;[Epub] CrossRef - Associations among workplace incivility, stress coping, and nursing performance in hospital nurses: A path analysis
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Su Jin Jung, Youngjin Lee, Sun Hyoung Bae Journal of Korean Academy of Nursing Administration.2022; 28(4): 331. CrossRef - Profiles of second victim symptoms and desired support strategies among Korean nurses: A latent profile analysis
Eun Young Choi, Jeehee Pyo, Minsu Ock, Haeyoung Lee Journal of Advanced Nursing.2022; 78(9): 2872. CrossRef
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