Journal of Korean Academy of Nursing

Research Papers

Mediating effect of grit on the influence of nurses’ silence behavior on medication safety competence: a cross-sectional study: Haengsuk Kim, Wanju Park; J Korean Acad Nurs 2025;55(1):81-92. Published online February 20, 2025; DOI: https://doi.org/10.4040/jkan.24088

Abstract PDF ePub: Purpose
This study investigated the mediating effect of grit in the relationship between silence behavior and medication safety competence among nurses.
Methods
The study included 166 nurses from four university hospitals and general hospitals in Seoul and Gyeonggi-do, South Korea. Data were collected from March 1 to 10, 2024, using self-report questionnaires. Data were analyzed using the t-test, analysis of variance, Scheffé’s test, and Pearson’s correlation coefficients with IBM SPSS Statistics ver. 23.0 (IBM Corp.). A mediation analysis was performed using Hayes’s PROCESS macro model 4 and the bootstrapping method.
Results
Medication safety competence showed significant correlations with silence behavior (r=–.21, p=.008) and grit (r=.43, p<.001). Furthermore, grit partially mediated the relationship between silence behavior and medication safety competence.
Conclusion
This study indicates that grit is a significant mediator in the relationship between silence behavior and medication safety competence. Therefore, an integrated approach that reduces silence behavior and promotes grit is essential for strengthening nurses’ medication safety competence. Ultimately, these strategies will help ensure patient safety by improving medication safety competence.

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Structural Topic Modeling Analysis of Patient Safety Interest among Health Consumers in Social Media: Kim, Nari , Lee, Nam-Ju; J Korean Acad Nurs 2024;54(2):266-278. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23156

Abstract PDF: Purpose
This study aimed to investigate healthcare consumers’ interest in patient safety on social media using structural topic modeling (STM) and to identify changes in interest over time.
Methods
Analyzing 105,727 posts from Naver news comments, blogs, internet cafés, and Twitter between 2010 and 2022, this study deployed a Python script for data collection and preprocessing. STM analysis was conducted using R, with the documents’ publication years serving as metadata to trace the evolution of discussions on patient safety.
Results
The analysis identified a total of 13 distinct topics, organized into three primary communities: (1) “Demand for systemic improvement of medical accidents,” underscoring the need for legal and regulatory reform to enhance accountability; (2) “Efforts of the government and organizations for safety management,” highlighting proactive risk mitigation strategies; and (3) “Medical accidents exposed in the media,” reflecting widespread concerns over medical negligence and its repercussions. These findings indicate pervasive concerns regarding medical accountability and transparency among healthcare consumers.
Conclusion
The findings emphasize the importance of transparent healthcare policies and practices that openly address patient safety incidents. There is clear advocacy for policy reforms aimed at increasing the accountability and transparency of healthcare providers. Moreover, this study highlights the significance of educational and engagement initiatives involving healthcare consumers in fostering a culture of patient safety. Integrating consumer perspectives into patient safety strategies is crucial for developing a robust safety culture in healthcare.

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Review Paper

Patient Safety Management Activities of Korean Nurses: A Meta-Analytic Path Analysis: Jeong, Seohee , Jeong, Seok Hee; J Korean Acad Nurs 2022;52(4):363-377. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.22022

Abstract PDF

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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The influencing factors of pediatric nurses’ perception of patient safety culture and partnership with patients’ parents on patient safety nursing activities in South Korea: a descriptive study
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
I Jung Han, Young Ran Han
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 46. CrossRef
The Effects of Professional Autonomy, Job Satisfaction, and Perceived Patient-Safety Culture on Nurses' Patient-Safety Management Activities: A Cross-Sectional Study
Bokja Koak, Junglim Seo, Eunji Song, Haneul Shin, Jaehee Jeon
Korean Journal of Adult Nursing.2023; 35(2): 117. CrossRef

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Research Papers

Effect of Patient Safety Training Program of Nurses in Operating Room: Zhang, Peijia , Liao, Xin , Luo, Jie; J Korean Acad Nurs 2022;52(4):378-390. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.22017

Abstract PDF

Purpose
This study developed an in-service training program for patient safety and aimed to evaluate the impact of the program on nurses in the operating room (OR).
Methods
A pretest–posttest self-controlled survey was conducted on OR nurses from May 6 to June 14, 2020. An in-service training program for patient safety was developed on the basis of the knowledge–attitude–practice (KAP) theory through various teaching methods. The levels of safety attitude, cognition, and attitudes toward the adverse event reporting of nurses were compared to evaluate the effect of the program. Nurses who attended the training were surveyed one week before the training (pretest) and two weeks after the training (posttest).
Results
A total of 84 nurses participated in the study. After the training, the scores of safety attitude, cognition, and attitudes toward adverse event reporting of nurses showed a significant increase relative to the scores before the training (p < .001). The effects of safety training on the total score and the dimensions of safety attitude, cognition, and attitudes toward nurses’ adverse event reporting were above the moderate level.
Conclusion
The proposed patient safety training program based on KAP theory improves the safety attitude of OR nurses. Further studies are required to develop an interprofessional patient safety training program. In addition to strength training, hospital managers need to focus on the aspects of workflow, management system, department culture, and other means to promote safety culture.

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Effect of Counting Error Prevention Training on Operating Room Nurses’ Counting Error Prevention Awareness and Perceptions of Patient Safety
Myung Jin JANG, Mi Kyung HONG, Mi Jeong LEE, Kyung A LEE, Yang Ok KIM, Jin A JEON, Hana KO
Korean Journal of Health Promotion.2024; 24(1): 20. 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: Jeong, Seohee , Jeong, Seok Hee; J Korean Acad Nurs 2021;51(4):489-504. Published online August 31, 2021; DOI: https://doi.org/10.4040/jkan.21089

Abstract PDF

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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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
“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
Marie M. Prothero, Madeline Sorhus, Katherine Huefner
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Maria Kappes, Pilar Delgado‐Hito, Verónica Riquelme Contreras, Marta Romero‐García
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The mediating role of coping styles in the relationship between second victim experience and professional quality of life among nurses: a cross-sectional study
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
Eun Ha Kim, Yeojin Yi
Journal of Nursing Scholarship.2023; 55(4): 834. CrossRef
Influence of Clinical Nurses’ Second-Victim Experience and Second-Victim Support in Relation to Patient Safety Incidents on Their Work-Related Outcomes
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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Original Articles

Analysis of Subgroups with Lower Level of Patient Safety Perceptions Using Decision-Tree Analysis: Shin, Sun Hwa; J Korean Acad Nurs 2020;50(5):686-698. Published online October 31, 2020; DOI: https://doi.org/10.4040/jkan.20044

Abstract PDF

Purpose
This study was aimed to investigate experiences, perceptions, and educational needs related to patient safety and the factors affecting these perceptions.
Methods
Study design was a descriptive survey conducted in November 2019. A sample of 1,187 Koreans aged 20-80 years participated in the online survey. Based on previous research, the questionnaire used patient safety-related and educational requirement items, and the Patient Safety Perception Scale. Descriptive statistics and a decision tree analysis were performed using SPSS 25.0.
Results
The average patient safety perception was 71.71 (± 9.21). Approximately 95.9% of the participants reported a need for patient safety education, and 88.0% answered that they would participate in such education. The most influential factors in the group with low patient safety perceptions were the recognition of patient safety activities, age, preference of accredited hospitals, experience of patient safety problems, and willingness to participate in patient safety education.
Conclusion
It was confirmed that the vulnerable group for patient safety perception is not aware of patient safety activities and did not prefer an accredited hospital. To prevent patient safety accidents and establish a culture of patient safety, appropriate educational strategies must be provided to the general public.

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Structural Topic Modeling Analysis of Patient Safety Interest among Health Consumers in Social Media
Nari Kim, Nam-Ju Lee
Journal of Korean Academy of Nursing.2024; 54(2): 266. CrossRef
Analysis of Factors Related to Domestic Patient Safety Incidents Using Decision Tree Technique
Jieun Shin, Ji-Hoon Lee, Nam-Yi Kim
Risk Management and Healthcare Policy.2023; Volume 16: 1467. CrossRef
Smoking Awareness and Intention to Quit Smoking in Smoking Female Workers: Secondary Data Analysis
Eun-Hye Lee, Sun-Hwa Shin, Goo-Churl Jeong
International Journal of Environmental Research and Public Health.2022; 19(5): 2841. CrossRef
Development and Effectiveness of a Patient Safety Education Program for Inpatients
Sun Hwa Shin, Mi Jung Kim, Ho Jin Moon, Eun Hye Lee
International Journal of Environmental Research and Public Health.2021; 18(6): 3262. CrossRef

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Predictors of Blood and Body Fluid Exposure and Mediating Effects of Infection Prevention Behavior in Shift-Working Nurses: Application of Analysis Method for Zero-Inflated Count Data: Ryu, Jae Geum , Smi, Choi-Kwon; J Korean Acad Nurs 2020;50(5):658-670. Published online October 31, 2020; DOI: https://doi.org/10.4040/jkan.20025

Abstract PDF

Purpose
This study aimed to identify the predictors of blood and body fluid exposure (BBFE) in multifaceted individual (sleep disturbance and fatigue), occupational (occupational stress), and organizational (hospital safety climate) factors, as well as infection prevention behavior. We also aimed to test the mediating effect of infection prevention behavior in relation to multifaceted factors and the frequency of BBFE.
Methods
This study was based on a secondary data analysis, using data of 246 nurses from the Shift Work Nurses’ Health and Turnover study. Based on the characteristics of zero-inflated and over-dispersed count data of frequencies of BBFE, the data were analyzed to calculate zero-inflated negative binomial regression within a generalized linear model and to test the mediating effect using SPSS 25.0, Stata 14.1, and PROCESS macro.
Results
We found that the frequency of BBFE increased in subjects with disturbed sleep (IRR = 1.87, p = .049), and the probability of non-BBFE increased in subjects showing higher infection prevention behavior (IRR = 15.05, p = .006) and a hospital safety climate (IRR = 28.46, p = .018). We also found that infection prevention behavior had mediating effects on the occupational stress-BBFE and hospital safety climate-BBFE relationships.
Conclusion
Sleep disturbance is an important risk factor related to frequency of BBFE, whereas preventive factors are infection prevention behavior and hospital safety climate. We suggest individual and systemic efforts to improve sleep, occupational stress, and hospital safety climate to prevent BBFE occurrence.

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Development of an infection control competency scale for clinical nurses: an instrument design study
Yong Hwan Hyeon, Kyoung Ja Moon
BMC Nursing.2024;[Epub] CrossRef
Work Characteristics and Needlestick-Injury Status of Dental Hygienists
Yeon-Soon Park, Jeong-Hyun Lee, Jin-Soo Kim, Kyoung-Ok Yun, Sung-Suk Bae
Journal of Dental Hygiene Science.2024; 24(3): 190. CrossRef
Smartphone‐based home workout program for shift‐work nurses working during the COVID‐19 pandemic
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Development and Evaluation of Electronic Health Record Data-Driven Predictive Models for Pressure Ulcers: Seul Ki Park, Hyeoun-Ae Park, Hee Hwang; J Korean Acad Nurs 2019;49(5):575-585. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.575

Abstract PDF

Abstract Purpose

The purpose of this study was to develop predictive models for pressure ulcer incidence using electronic health record (EHR) data and to compare their predictive validity performance indicators with that of the Braden Scale used in the study hospital.

Methods

A retrospective case-control study was conducted in a tertiary teaching hospital in Korea. Data of 202 pressure ulcer patients and 14,705 non-pressure ulcer patients admitted between January 2015 and May 2016 were extracted from the EHRs. Three predictive models for pressure ulcer incidence were developed using logistic regression, Cox proportional hazards regression, and decision tree modeling. The predictive validity performance indicators of the three models were compared with those of the Braden Scale.

Results

The logistic regression model was most efficient with a high area under the receiver operating characteristics curve (AUC) estimate of 0.97, followed by the decision tree model (AUC 0.95), Cox proportional hazards regression model (AUC 0.95), and the Braden Scale (AUC 0.82). Decreased mobility was the most significant factor in the logistic regression and Cox proportional hazards models, and the endotracheal tube was the most important factor in the decision tree model.

Conclusion

Predictive validity performance indicators of the Braden Scale were lower than those of the logistic regression, Cox proportional hazards regression, and decision tree models. The models developed in this study can be used to develop a clinical decision support system that automatically assesses risk for pressure ulcers to aid nurses.

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Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
Korean Journal of Adult Nursing.2024; 36(3): 191. CrossRef
Could we prove the nursing outcomes utilising clinical data warehouse? Effectiveness of pressure ulcer intervention in Korean tertiary hospital
Moonsook Kim, Se Yeon Park, Meihua Piao, Earom Lim, Soon Hwa Yoo, Minju Ryu, Hyo Yeon Lee, Hyejin Won
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Yinji Jin, Ji‐Sun Back, Sun Ho Im, Jong Hyo Oh, Sun‐Mi Lee
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Patient Safety Teaching Competency of Nursing Faculty: Shinae Ahn, Nam-Ju Lee, Haena Jang; J Korean Acad Nurs 2018;48(6):720-730. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.6.720

Abstract PDF

Abstract Purpose

The purpose of this study was to investigate patient safety teaching competency of nursing faculty and the extent of teaching patient safety topics in the nursing curriculum.

Methods

A national survey was conducted with full-time nursing faculty in 4-year nursing schools. Regional quota sampling method was used. An online survey was sent to 1,028 nursing faculty and 207 of them were completed. Among the 207, we analyzed data from 184 participants. The revised Health Professional Education in Patient Safety Survey was used. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation analysis, and multiple linear regression analyses.

Results

The faculty's self-confidence was lower than their perceived importance of patient safety education. The mean score of teaching patient safety was 3.52±0.67 out of 5, and the contents were mostly delivered through lectures. The extent of faculty's teaching varied depending on faculty's clinical career, teaching subjects, participation in practicum courses, and previous experience of patient safety education. The significant predictors of the extent of teaching patient safety were the faculty's self-confidence in teaching patient safety (β=.39) during clinical practicum, their perceived importance of patient safety education during lectures (β=.23), and the teaching subject (β=.15).

Conclusion

To enhance the competency of nursing faculty for effective patient safety education, a patient safety education program tailored to faculty characteristics should be developed and continuously provided for faculty. In addition, it is necessary to improve patient safety curriculum, strengthen clinical and school linkages, and utilize various education methods in patient safety education.

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Factors influencing patient safety competency in baccalaureate nursing students: A descriptive cross-sectional study
Shinae Ahn
Nurse Education Today.2025; 145: 106498. CrossRef
Transcultural Adaptation and Psychometric Properties of the Persian Version of the Nursing Student Competence Scale (NSCS)
Amir Jalali, Fatemeh Chavoshani, Raheleh Rasad, Niloufar Darvishi, Fatemeh Merati Fashi, Mahbod Khodamorovati, Khalil Moradi
SAGE Open Nursing.2024;[Epub] CrossRef
Comparing the effects of patient safety education using design thinking and case based learning on nursing students’ competence and professional socialization: A quasi-experimental design
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The effects of flipped learning and gamification on nursing students’ patient safety education: A mixed method study
Soo Jung Chang, Geun Myun Kim, Jeong Ah Kim
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Minna Koskimäki, Marja‐Leena Lähteenmäki, Kristina Mikkonen, Maria Kääriäinen, Camilla Koskinen, Hanne Mäki‐Hakola, Tuulikki Sjögren, Meeri Koivula
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Shyamamala S. Weerasekara, Jina Oh, Haeryun Cho, Mihae Im
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Developing an integrated curriculum for patient safety in an undergraduate nursing program: a case study
Yoonjung Ji, Hyeonkyeong Lee, Taewha Lee, Mona Choi, Hyejung Lee, Sanghee Kim, Hyunok Kim Do, Sunah Kim, Sang Hui Chu, Jeongok Park, Young Man Kim, Soyoon Park
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Journal of Korean Academy of Nursing Administration.2020; 26(5): 488. CrossRef
Patient safety education in pre‐registration nursing programmes in South Korea
S. E. Lee, V. Susan Dathinten, H. Do
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Development and Effect Analysis of Web-Based Instruction Program to Prevent Elementary School Students from Safety Accidents: Eun Soon Chung, Ihn Sook Jeong, Mi Gyoung Song; Journal of Korean Academy of Nursing 2004;34(3):485-494. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.3.485

Abstract PDF

Purpose

This study was aimed to develop a WBI(Web Based Instruction) program on safety for 3rd grade elementary school students and to test the effects of it.

Method

The WBI program was developed using Macromedia flash MX, Adobe Illustrator 10.0 and Adobe Photoshop 7.0. The web site was http://www.safeschool. co.kr. The effect of it was tested from Mar 24, to Apr 30, 2003. The subjects were 144 students enrolled in the 3rd grade of an elementary school in Gyungju. The experimental group received the WBI program lessons while each control group received textbook-based lessons with visual presenters and maps, 3 times. Data was analyzed with descriptive statistics, and χ² test, t-test, and repeated measure ANOVA.

Result

First, the WBI group reported a longer effect on knowledge and practice of accident prevention than the textbook-based lessons, indicating that the WBI is more effective. Second, the WBI group was better motivated to learn the accident prevention lessons, showing that the WBI is effective. As a result, the WBI group had total longer effects on knowledge, practice and motivation of accident prevention than the textbook-based instruction.

Conclusion

We recommend that this WBI program be used in each class to provide more effective safety instruction in elementary schools.

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Effectiveness of mHealth–Safe Kids Hospital for the prevention of hospitalized children safety incidents: A randomized controlled trial
Il Tae Park, Won‐Oak Oh, Gwang‐Cheon Jang, Jihee Han
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Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients: Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park; J Korean Acad Nurs 2017;47(3):420-430. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.3.420

Abstract PDF

Abstract Purpose

The aim of this study was to explore characteristics of and risk factors for accidental inpatient falls.

Methods

Participants were classified as fallers or non-fallers based on the fall history of inpatients in a tertiary hospital in Seoul between June 2014 and May 2015. Data on falls were obtained from the fall report forms and data on risk factors were obtained from the electronic nursing records. Characteristics of fallers and non-fallers were analyzed using descriptive statistics. Risk factors for falls were identified using univariate analyses and logistic regression analysis.

Results

Average length of stay prior to the fall was 21.52 days and average age of fallers was 61.37 years. Most falls occurred during the night shifts and in the bedroom and were due to sudden leg weakness during ambulation. It was found that gender, BMI, physical problems such elimination, gait, vision and hearing and medications such as sleeping pills, antiarrhythmics, vasodilators, and muscle relaxant were statistically significant factors affecting falls.

Conclusion

The findings show that there are significant risk factors such as BMI and history of surgery which are not part of fall assessment tools. There are also items on fall assessment tools which are not found to be significant such as mental status, emotional unstability, dizziness, and impairment of urination. Therefore, these various risk factors should be examined in the fall risk assessments and these risk factors should be considered in the development of fall assessment tools.

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Application and Developmental Strategies for Community-Based Injury Prevention Programs of the International Safe Communities Movement in Korea: Jeongyee Bae, Joonpil Cho, Seong-il Cho, Minyeong Kwak, Taehyen Lee, Christina Aram Bae; J Korean Acad Nurs 2015;45(6):910-918. Published online December 15, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.6.910

Abstract PDF

Abstract Purpose

Safety of humans is an important factor that affects health overall, and injuries are one of the major public-health problems in the world. The purposes of this study were to describe the International safe Community movement which contributes to the injury prevention and safety promotion all over the world, and to identify out the application and developmental strategies for Korea.

Methods

A review was done of previous research, reviews, and reports on the history, concepts, basic principles, and recommendations for actions of the Safe Community.

Results

For this study, the application strategies of the International Safe Community movement in Korea were examined to deduce the strengths of the safe Community program. Community-based injury prevention work according to the International Safe Community model is a successful and cost-effective way of reducing injuries in the community.

Conclusion

Through the International Safe Community program, communities are able to realize a healthy community and achieve improved quality of lives for the people, which is the ultimate objective of the Safe Community model. In addition, it will contribute to the economic vitalization and gain through energy and enhancement of productivity of people.

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Classifying strategies for building community health movements: a guide for implementers
Felicia Jia Hui Chan, Alyssa Yenyi Chan, Wen Xi Zhuang, Priyanka Rajendram, Joseph Jie Hui Quek, Weng Mooi Tan, Yoek Ling Yong, Clarice Liying Song, Zoe Jane-Lara Hildon
BMC Public Health.2025;[Epub] CrossRef
THE SAFE COMMUNITY CONCEPT – A SUCCESSFUL TOOL FOR INJURY PREVENTION AND SAFETY PROMOTION
Birutė Strukčinskienė, Sabine Distl, Sigitas Griškonis
Visuomenės sveikata.2019; 28(7): 41. CrossRef
Iranian Designated Safe Communities: A Quantitative Analysis
Jafar Sadegh Tabrizi, Homayoun Sadeghi Bazargani, Reza Mohammadi, Mohammad Saadati
Trauma Monthly.2017;[Epub] CrossRef

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Operating Room Nurses' Experiences of Securing for Patient Safety: Kwang-Ok Park, Jong Kyung Kim, Myoung-Sook Kim; J Korean Acad Nurs 2015;45(5):761-772. Published online October 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.5.761

Abstract PDF

Purpose

This study was done to evaluate the experience of securing patient safety in hospital operating rooms.

Methods

Experiential data were collected from 15 operating room nurses through in-depth interviews. The main question was "Could you describe your experience with patient safety in the operating room?". Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology.

Results

The core category of experience with patient safety in the operating room was 'trying to maintain principles of patient safety during high-risk surgical procedures'. The participants used two interactional strategies: 'attempt continuous improvement', 'immersion in operation with sharing issues of patient safety'.

Conclusion

The results indicate that the important factors for ensuring the safety of patients in the operating room are manpower, education, and a system for patient safety. Successful and safe surgery requires communication, teamwork and recognition of the importance of patient safety by the surgical team.

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AMELİYATHANEDE STAJ YAPAN ÖĞRENCİLERİN STAJLARINA İLİŞKİN GÖRÜŞLERİNİN İNCELENMESİ
Gül Özlem Yıldırım, Bektaş Sarı
İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi.2024; 12(2): 735. CrossRef
Influences of Teamwork and Job Burnout on Patient Safety Management Activities among Operating Room Nurses
Ayoung Kim, Haein Lee
Journal of Korean Academy of Nursing Administration.2022; 28(5): 605. CrossRef
Effects of Patient Safety Culture on Nurse Burnout in the Operating Room
Ye Sol Lee, Chin Kang Koh
Stress.2020; 28(3): 118. CrossRef
Development of a protocol for procedures utilizing local anaesthesia and moderate sedation in the operating room
Eunha Ryoo, Soyoung Yu
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Shinae Ahn, Nam-Ju Lee
Journal of Korean Academy of Nursing Administration.2019; 25(4): 329. CrossRef
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Sun Aee Kim, Eun-Mi Kim, Ju-Ry Lee, Eui Geum Oh
Journal of Korean Academy of Nursing Administration.2018; 24(4): 319. CrossRef
The Impact of Safety Climate and Fatigue on Safety Performance of Operating Room Nurses
U-Eun Choi, Hyun-Young Kim
Journal of Korean Academy of Nursing Administration.2016; 22(5): 471. CrossRef

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Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units: Young Mee Kim, Seung-Wan Kang, Se Young Kim; J Korean Acad Nurs 2014;44(2):198-208. Published online April 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.2.198

Abstract PDF

Purpose

This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used.

Methods

A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed.

Results

The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high.

Conclusion

This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

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Content Analysis of Patient Safety Incident Reports Using Text Mining: A Secondary Data Analysis
On-Jeon Baek, Ho Jin Moon, Hyosun Kim, Sun-Hwa Shin
Korean Journal of Adult Nursing.2024; 36(4): 298. CrossRef
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Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study
Young Mee Kim, Se Young Kim
International Journal of Health Care Quality Assurance.2019; 32(5): 832. CrossRef

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A Structural Model for the Practice of Life Safety Behavior in School-age Children: Myung-Ock Chae; J Korean Acad Nurs 2014;44(2):119-128. Published online April 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.2.119

Abstract PDF

Purpose

This study is an examination of the paths in which the primary factors of anxiety, impulsiveness, knowledge of life safety practice, attitudes towards life safety practice, interpersonal support, and self-efficacy from Pender's Health Promotion Model influence the practice of life safety behavior in school-age children.

Methods

The sample consisted of 489 5th and 6th grade students recruited from five elementary schools in Seoul City and four provinces, South Korea. Data were analyzed using descriptive statistics, correlations, factor analysis, and structural equation modeling.

Results

Attitudes towards life safety practice, interpersonal support, self-efficacy and impulsiveness directly influenced practice of life safety behavior. Anxiety did not have a direct influence on practice of life safety behavior, but indirectly affected it. In this modified model, 52.0% of the practice of life safety behavior was explained by the primary factors.

Conclusion

To facilitate the practice life safety behaviors in late childhood, a positive attitude towards life safety needs to be developed along with decreasing impulsiveness and enhancing self-efficacy.

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A Study of Effect of Disability Prevention Program Acquired by People with Disabilities are Performed : centered on Elementary School Students
Yeon-Jung Kim
Journal of Digital Convergence.2016; 14(5): 369. CrossRef
Effects of Academic Stress and Self-Esteem on Practice of Life Safety Behaviors in School-Age Children
Myung-Ock Chae
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(4): 2713. CrossRef

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Development and Validation of the Korean Patient Safety Culture Scale for Nursing Homes: Sook Hee Yoon, Byungsoo Kim, Se Young Kim; J Korean Acad Nurs 2013;43(3):379-388. Published online June 28, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.3.379

Abstract PDF

Purpose

The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability.

Methods

A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis.

Results

From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93.

Conclusion

The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.

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Jiyeon Lee, Sunyeob Choi
Asian Nursing Research.2025; 19(1): 19. CrossRef
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Deulle Min, Suhee Kim
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The mediating effect of patient safety culture on the relationship between professionalism, self-leadership, and compliance with infection prevention activity against emerging respiratory infectious disease among nurses working in geriatric long-term care
Sun Young Jeong, Min Sun Song, Heeja Jung
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Study of Patient Safety Culture Awareness of Radiological Technologists in Magnetic Resonance Imaging Laboratories
Min-Seo Park, Dong-Ha Lee, Hyun-Jin Jo, Hea-Youn Cho, Yeong-Cheol Heo
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Jiin Seo, Yujeong Kim
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Sun Hwa Shin
Journal of Korean Academy of Nursing.2020; 50(5): 686. CrossRef
Clinical Nurses' Safety Management Experiences with Older Patients
Hyunmee Cho, Suhye Kwon, Younhyang Lee, Yunjeong Kim, Jungmi Kang
Journal of Korean Gerontological Nursing.2020; 22(2): 105. CrossRef
Why Do They Stay? Intention to Stay among Registered Nurses in Nursing Homes
Ji Yeon Lee, Juh Hyun Shin
International Journal of Environmental Research and Public Health.2020; 17(22): 8485. CrossRef
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Kyung Ja Kim, Eun Hee Lee, Sun Hwa Shin
Korean Journal of Adult Nursing.2018; 30(4): 404. CrossRef
Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department
Kyoung Wan Kim, Soongnang Jang
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Awareness of Hospital Safety Culture and Safety Activities of Workers in a Tertiary Care Hospital
Eun-Ho Ha, Kyoung-Soon Hyun, Jin-Young Cho
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Andrea Herepath, Martin Kitchener, Justin Waring
Health Services and Delivery Research.2015; 3(40): 1. CrossRef
Influence of Safety Culture Perception, Safety Control and Safety Management Activities as Perceived for Nurses in Nursing Home
Young-Sook Seo, Eun-Su Do
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Perception of Workers on Patient Safety Culture and Degree of Patient Safety in Nursing Homes in Korea
Sook Hee Yoon, Se Young Kim, XiangLian Wu
Journal of Korean Academy of Nursing Administration.2014; 20(3): 247. CrossRef

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Medication Error Management Climate and Perception for System Use according to Construction of Medication Error Prevention System: Myoung Soo Kim; J Korean Acad Nurs 2012;42(4):568-578. Published online August 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.4.568

Abstract PDF

Abstract Purpose

The purpose of this cross-sectional study was to examine current status of IT-based medication error prevention system construction and the relationships among system construction, medication error management climate and perception for system use.

Methods

The participants were 124 patient safety chief managers working for 124 hospitals with over 300 beds in Korea. The characteristics of the participants, construction status and perception of systems (electric pharmacopoeia, electric drug dosage calculation system, computer-based patient safety reporting and bar-code system) and medication error management climate were measured in this study. The data were collected between June and August 2011. Descriptive statistics, partial Pearson correlation and MANCOVA were used for data analysis.

Results

Electric pharmacopoeia were constructed in 67.7% of participating hospitals, computer-based patient safety reporting systems were constructed in 50.8%, electric drug dosage calculation systems were in use in 32.3%. Bar-code systems showed up the lowest construction rate at 16.1% of Korean hospitals. Higher rates of construction of IT-based medication error prevention systems resulted in greater safety and a more positive error management climate prevailed.

Conclusion

The supportive strategies for improving perception for use of IT-based systems would add to system construction, and positive error management climate would be more easily promoted.

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Young Shin Son, Young Whee Lee, Young Shin Kim, Eun Jeong Song, Hye Ryun Lee, Ju Hee Lee
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Apriyani Puji Hastuti, Nursalam Nursalam, Mira Triharini
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Eunjoo Lee
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Pharmacoepidemiology and Drug Safety.2016; 25(12): 1387. CrossRef
Discriminating Power of Organization Related Variables on Intention to Medication Error Reporting
Myoung Soo Kim
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The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors
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Korean Journal of Adult Nursing.2015; 27(6): 673. CrossRef
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Korean Journal of Adult Nursing.2015; 27(1): 1. CrossRef
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Development and Effectiveness of Smartphone Application for the Medication Confirmation of High-alert Medications
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Role of Transformational-leadership in the Relationship between Medication Error Management Climate and Error Reporting Intention of Nurse
Myoung Soo Kim
Korean Journal of Adult Nursing.2013; 25(6): 633. CrossRef
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Myoung Soo Kim
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Concept Analysis of Patient Safety: Mi Ran Kim; J Korean Acad Nurs 2011;41(1):1-8. Published online February 28, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.1.1

Abstract PDF

Purpose

This study was conducted to investigate the clear concept of patient safety and obtain theoretical evidences.

Methods

Research was conducted using Walker & Avant's conceptual analysis process.

Results

Patient safety was defined as an activity that minimizes and removes possible errors and injuries to patients. It includes a basic desire to secure the patient's right to safety, and the legal regulations and duties of medical teams. The results of the establishment of a safety culture are patient-centered medical treatment and caring. Antecedents were found to be open and clear communications, continuous education and training for health care personnel, sufficient allocation of qualified personnel, cooperation among departments, improvements in the recognition of patient safety. Consequences were found to be the provision of high quality medical care and treatment, and increase in patient satisfaction.

Conclusion

Patient safety as defined by the results of this study will contribute to the foundation of institutionalization of the pursuit of patient safety and creation of a hospital culture focusing on patient safety as a first priority.

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The Effectiveness of Error Reporting Promoting Strategy on Nurse's Attitude, Patient Safety Culture, Intention to Report and Reporting Rate: Myoungsoo Kim; J Korean Acad Nurs 2010;40(2):172-181. Published online April 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.2.172

Abstract PDF

Purpose

The purpose of this study was to examine the impact of strategies to promote reporting of errors on nurses' attitude to reporting errors, organizational culture related to patient safety, intention to report and reporting rate in hospital nurses.

Methods

A nonequivalent control group non-synchronized design was used for this study. The program was developed and then administered to the experimental group for 12 weeks. Data were analyzed using descriptive analysis, χ²-test, t-test, and ANCOVA with the SPSS 12.0 program.

Results

After the intervention, the experimental group showed significantly higher scores for nurses' attitude to reporting errors (experimental: 20.73 vs control: 20.52, F=5.483, p=.021) and reporting rate (experimental: 3.40 vs control: 1.33, F=1998.083, p<.001). There was no significant difference in some categories for organizational culture and intention to report.

Conclusion

The study findings indicate that strategies that promote reporting of errors play an important role in producing positive attitudes to reporting errors and improving behavior of reporting. Further advanced strategies for reporting errors that can lead to improved patient safety should be developed and applied in a broad range of hospitals.

Citations

Citations to this article as recorded by

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