Journal of Korean Academy of Nursing

Research Papers

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

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.

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
“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
JONA: The Journal of Nursing Administration.2024; 54(12): 664. CrossRef
Prevalence of the second victim phenomenon among intensive care unit nurses and the support provided by their organizations
Maria Kappes, Pilar Delgado‐Hito, Verónica Riquelme Contreras, Marta Romero‐García
Nursing in Critical Care.2023; 28(6): 1022. CrossRef
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

463 View
12 Download
9 Web of Science
10 Crossref

Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals: Park, Ju-Young , Hwang, Jee-In; J Korean Acad Nurs 2021;51(1):27-39. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20201

Abstract PDF

Purpose
This study aimed to identify the degree of non-nursing tasks and nursing care left undone in integrated nursing care wards, and examine their relationships with nurses’ burnout, job satisfaction, turnover intentions, and medical errors.
Methods
A cross-sectional questionnaire survey was conducted. Data were collected using self-report questionnaires from 346 nurses working in 20 wards of seven small and medium-sized general hospitals, and analyzed using multiple regression and multiple logistic regression analysis with the SPSS WIN 25.0 program.
Results
The mean score for non-nursing tasks was 7.32±1.71, and that for nursing care left undone was 4.42 ± 3.67. An increase in non-nursing tasks (β = .12, p = .021) and nursing care left undone (β = .18, p < .001) led to an increase in nurses’ burnout (F = 6.26, p < .001). As nursing care left undone (β = .13, p = .018) increased, their turnover intentions also (F = 3.96, p < .001) increased, and more medical errors occurred (odds ratio 1.08, 95% confidence interval 1.02~1.15).
Conclusion
Non-nursing tasks and nursing care left undone are positively associated with nurses’ burnout, turnover intentions, and the occurrence of medical errors. Therefore, it is important to reduce non-nursing tasks and nursing care left undone in order to deliver high quality nursing care and in turn increase patient safety.

Citations

Citations to this article as recorded by

First Integration of a Service Robot and a Communication Application into a Nursing Isolation Setting – An Observational Study Evaluating Walking Distances, Stress and Radiation Doses
Angelika Warmbein, Laura Sehn, Ivanka Rathgeber, Janesca Seif, Christoph Ohneberg, Nicole Stöbich, Astrid Delker, Christian Zach, Inge Eberl, Uli Fischer
International Journal of Social Robotics.2025;[Epub] CrossRef
Effects of a mobile simulation program for nursing delegation: A randomised controlled trial
Haena Lim, Yeojin Yi
Nurse Education in Practice.2025; 83: 104283. CrossRef
Study of Nurses' Malpractice Tendencies and Burnout Levels
Leman Şenturan, Gizem Kaya, Tuba Emirtaş
Research in Nursing & Health.2025;[Epub] CrossRef
The relationship between job stress and the perception of patient safety culture among Palestinian hospital nurses
Loai M. Zabin, Jamal Qaddumi, Sajed Faisal Ghawadra
BMC Nursing.2025;[Epub] CrossRef
A phenomenological study of the experiences of nurses working in integrated nursing care wards in Korea
Young-mi Cho, Sun-hui Kim
BMC Nursing.2024;[Epub] CrossRef
Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards
Yoon Sook Cho, Hyoung Eun Chang, Hyunjung Lee
Journal of Korean Academy of Nursing Administration.2024; 30(2): 163. CrossRef
Exploring the causes and consequences of non-nursing tasks among nurses in Jordan: An in-depth qualitative investigation
Ayman Abed Aldarawsheh, Ahmad Rajeh Saifan, Murad Adnan Sawalha, Enas A. Assaf, Intima Alrimawi, Rami A. Elshatarat, Zyad T. Saleh, Wesam T. Almagharbeh, Nermen A. Mohamed, Mudathir M. Eltayeb
Applied Nursing Research.2024; 77: 151791. CrossRef
Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
Ji Yeong Park, Kyoung Ja Kim
Journal of Korean Academy of Nursing Administration.2024; 30(3): 246. CrossRef
A comparative analysis of nurses' reported number of patients and perceived appropriate number of patients in integrated nursing care services
Hyunjeong Kwon, Jinhyun Kim
Nursing & Health Sciences.2024;[Epub] CrossRef
Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
Jae Woo Oh, Ji Eun Kim
Nursing Open.2023; 10(12): 7622. CrossRef
The Effect of Missed Nursing Care on Adverse Event Experiences, Patient Safety Management Activity, Job Satisfaction and Turnover Intention in Nurses: A Nationwide Survey using Proportional Quota Sampling
Myung Jin Choi, Seok Hee Jeong
Journal of Korean Academy of Nursing Administration.2023; 29(4): 490. CrossRef
Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses
Mi Yu, Se Young Kim, Ji Min Ryu
Journal of Korean Academy of Nursing.2023; 53(2): 236. CrossRef
Competency Survey of Caregivers in Medical Tourism Special Zone and Other Regions
Dong-Yeop Lee, Sang-Bong Lee, Yeong-Im Park, Jin-Geun Lee, Yoon Hee Park, So Young Lee, Dong-Yoon Kang
Journal of Health Informatics and Statistics.2023; 48(2): 140. CrossRef
Influence of the Team Effectiveness of Nursing Units on Nursing Care Left Undone and Nurse-Reported Quality of Care
Se Young Kim, Young Ko
Healthcare.2023; 11(10): 1380. CrossRef
The Impact of Performance of Non-Nursing Tasks on the Attitudes of Nursing Students toward Nursing Profession
Ibrahim Rawhi Ayasreh, Ferial Hayajneh, Rana Al Awamleh
Nurse Media Journal of Nursing.2022; 12(2): 151. CrossRef
Clinical Application Value of Group‐Sharing Nursing Management Based on Case Analysis
Jing Mei, Yifan Wu, Jie Hu, Min Li, Mohammad Farukh Hashmi
Contrast Media & Molecular Imaging.2022;[Epub] CrossRef
The Effect of Burnout on Quality of Care Using Donabedian’s Framework
Kathleen M. White, Dorothy Dulko, Bonnie DiPietro
Nursing Clinics of North America.2022; 57(1): 115. CrossRef
Emotional Labor, Burnout, Medical Error, and Turnover Intention among South Korean Nursing Staff in a University Hospital Setting
Chan-Young Kwon, Boram Lee, O-Jin Kwon, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi
International Journal of Environmental Research and Public Health.2021; 18(19): 10111. CrossRef
Integrated and Person-Centered Nursing in the Era of the 4th Industrial Revolution
Hyoung Suk Kim, Sun Joo Jang, Jeung-Im Kim
Journal of Korean Academy of Nursing.2021; 51(3): 261. CrossRef
Analysis of Nurses' Work Experience in Comprehensive Nursing Care Units of Small and Medium-sized Hospitals
Mi Ryeong Song, Su Hyang Ryu
Journal of Korean Academy of Nursing Administration.2020; 26(4): 419. CrossRef

576 View
24 Download
15 Web of Science
20 Crossref

Original Articles

The Effectiveness of the Error Reporting Promoting Program on the Nursing Error Incidence Rate in Korean Operating Rooms: Myoung Soo Kim, Jung Soon Kim, In Sook Jung, Young Hae Kim, Ho Jung Kim; Journal of Korean Academy of Nursing 2007;37(2):185-191. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.2.185

Abstract PDF

Purpose

The purpose of this study was to develop and evaluate an error reporting promoting program(ERPP) to systematically reduce the incidence rate of nursing errors in operating room.

Methods

A non-equivalent control group non-synchronized design was used. Twenty-six operating room nurses who were in one university hospital in Busan participated in this study. They were stratified into four groups according to their operating room experience and were allocated to the experimental and control groups using a matching method. Mann-Whitney U Test was used to analyze the differences pre and post incidence rates of nursing errors between the two groups.

Results

The incidence rate of nursing errors decreased significantly in the experimental group compared to the pre-test score from 28.4% to 15.7%. The incidence rate by domains, it decreased significantly in the 3 domains-“compliance of aseptic technique”, “management of document”, “environmental management” in the experimental group while it decreased in the control group which was applied ordinary error-reporting method.

Conclusion

Error-reporting system can make possible to hold the errors in common and to learn from them. ERPP was effective to reduce the errors of recognition-related nursing activities. For the wake of more effective error-prevention, we will be better to apply effort of risk management along the whole health care system with this program.

Citations

Citations to this article as recorded by

Efficacy of an error reporting-based education program on nursing students’ skill confidence, immersion, and satisfaction
Youngsook Lim, Sunae Kim, Ohsoon Yoon, SunJung Park
International Journal of ADVANCED AND APPLIED SCIENCES.2023; 10(10): 200. CrossRef
The Effective Strategies to Avoid Medication Errors and Improving Reporting Systems
Abbas Al Mutair, Saad Alhumaid, Abbas Shamsan, Abdul Rehman Zia Zaidi, Mohammed Al Mohaini, Alya Al Mutairi, Ali A. Rabaan, Mansour Awad, Awad Al-Omari
Medicines.2021; 8(9): 46. CrossRef
Nature of nursing errors and their contributing factors in intensive care units
Sameh Eltaybani, Nadia Mohamed, Mona Abdelwareth
Nursing in Critical Care.2019; 24(1): 47. CrossRef
Effects and Satisfaction of Medical Device Safety Information Reporting System Using Electronic Medical Record
Hye Jung Jang, Young Deuk Choi, Nam Hyun Kim
Healthcare Informatics Research.2017; 23(2): 94. CrossRef
Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study
Nam Hyun Cha, Sohyune Sok
Journal of Physical Therapy Science.2016; 28(10): 2742. CrossRef
Design for a Medical Devices Safety Information Reporting System for the Hospitals
Hye Jung Jang, Young Deuk Choi, Nam Hyun Kim
Journal of the Institute of Electronics and Information Engineers.2015; 52(1): 140. CrossRef
Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives
Myoung-Soo Kim, Hyun-Hee Kim
Korean Journal of Adult Nursing.2015; 27(1): 1. CrossRef
Medication Error Management Climate and Perception for System Use according to Construction of Medication Error Prevention System
Myoung Soo Kim
Journal of Korean Academy of Nursing.2012; 42(4): 568. CrossRef
Development and Evaluation of Patient Safety Reporting Promoting Education Program
Myoung-Soo Kim, Yun-Hee Kim
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(1): 284. CrossRef
The Effectiveness of Error Reporting Promoting Strategy on Nurse's Attitude, Patient Safety Culture, Intention to Report and Reporting Rate
Myoungsoo Kim
Journal of Korean Academy of Nursing.2010; 40(2): 172. CrossRef
Power Analysis in Experimental Designs with t test Analysis
Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko
The Journal of Korean Academic Society of Nursing Education.2009; 15(1): 120. CrossRef

175 View
2 Download
11 Crossref

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

The mediating role of moral courage in the relationship between ethical leadership and error reporting behavior among nurses in Saudi Arabia: a structural equation modeling approach
Ebtisam A. Elhihi, Khadija Lafi Aljarary, Maha Alahmadi, Jawaher Bakor Adam, Ohud Atiah Almwualllad, Marwan S. Hawsawei, Abdulmajid Ahmad Hamza, Ibrahim Abdullatif Ibrahim
BMC Nursing.2025;[Epub] CrossRef
Attitudes towards patient safety among physicians and nurses in Iranian governmental teaching hospitals: a cross-sectional survey
Edris Kakemam, Farzaneh Miri, Sevda Sadeghpour, Alireza Mirzaei, Jalal Saeidpour
BMJ Open.2024; 14(11): e089328. CrossRef
Exploring research trends in nursing organizational culture using topic modeling
Eun-Jun Park, Chan Sook Park
The Journal of Korean Academic Society of Nursing Education.2024; 30(4): 371. CrossRef
Testing the association between the enabling and enacting factors of patient safety culture and patient safety: structural equation modelling
Seung Eun Lee, V. Susan Dahinten, Jong Hyun Lee
BMC Nursing.2023;[Epub] CrossRef
Association of Job Crafting and Perception of Patient Safety Culture with Patient Safety Management Activities among Hospital Nurses
Jung Sook Kim, Ji-Soo Kim
Journal of Korean Academy of Nursing Administration.2022; 28(4): 382. CrossRef
Factors Affecting Willingness to Medical Error-reporting of Nursing Students
Eunsim Kim, Juyoun Yu
Journal of Korean Academy of Nursing Administration.2022; 28(4): 440. CrossRef
Psychological Safety as a Mediator of the Relationship Between Inclusive Leadership and Nurse Voice Behaviors and Error Reporting
Seung Eun Lee, V. Susan Dahinten
Journal of Nursing Scholarship.2021; 53(6): 737. CrossRef
The influence of nurse leadership style on the culture of patient safety incident reporting: a systematic review
Yusriawati Yusuf, Andi Masyitha Irwan
British Journal of Healthcare Management.2021; 27(6): 1. CrossRef
A Phenomenological Study on Nurses' Experience of Near Miss in Medication Administration
Jin Hee Park, Kyoung Ran Kong
Journal of Korean Academy of Nursing Administration.2021; 27(3): 127. CrossRef
Factors Influencing Clinical Nurses’ Intention to Report Medication Administration Errors
Seul Hee Lee, Eun Ji Seo
Journal of Korean Critical Care Nursing.2021; 14(3): 62. CrossRef
The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: a cross-sectional survey
Zahra Chegini, Edris Kakemam, Mohammad Asghari Jafarabadi, Ali Janati
BMC Nursing.2020;[Epub] CrossRef
Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy
Nasser Ibrahim Abu-El-Noor, Mysoon Khalil Abu-El-Noor, Yousef Zuheir Abuowda, Maha Alfaqawi, Bettina Böttcher
BMC Health Services Research.2019;[Epub] CrossRef
Barriers to reporting of patient safety incidents in tertiary hospitals: A qualitative study of nurses and resident physicians in South Korea
Won Lee, So Yoon Kim, Sang‐il Lee, Sun Gyo Lee, Hyung Chul Kim, Insook Kim
The International Journal of Health Planning and Management.2018; 33(4): 1178. CrossRef
Factors Affecting Nursing Students’ Perception on Pediatric Patient Safety Culture and Nursing Activity
Eunsook Park, Won-Oak Oh, Mirim Kim
Child Health Nursing Research.2017; 23(4): 534. CrossRef
The Relationships Among Perceived Patients' Safety Culture, Intention to Report Errors, and Leader Coaching Behavior of Nurses in Korea: A Pilot Study
YuKyung Ko, Soyoung Yu
Journal of Patient Safety.2017; 13(3): 175. CrossRef
Discriminating Power of Organization Related Variables on Intention to Medication Error Reporting
Myoung Soo Kim
Journal of Health Informatics and Statistics.2016; 41(2): 155. CrossRef
A Comparative Study on Perception of Patient Safety Culture and Safety Care Activities: Comparing University Hospital Nurses and Small Hospital Nurses
Bo Kyoung Cha, Jung Choi
Journal of Korean Academy of Nursing Administration.2015; 21(4): 405. CrossRef
The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors
Myoung Soo Kim
Korean Journal of Adult Nursing.2015; 27(6): 673. CrossRef
Assessing Safety Attitudes among Healthcare Providers after a Hospital-Wide High-Risk Patient Care Program
Sang Mo Je, Hyun Jong Kim, Je Sung You, Sung Phil Chung, Junho Cho, Jin Hee Lee, Hahn Shick Lee, Hyun Soo Chung
Yonsei Medical Journal.2014; 55(2): 523. CrossRef
Canonical correlation between organizational characteristics and barrier to medication error reporting of nurses
Min-Jeong Kim, Myoung Soo Kim
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(2): 979. CrossRef
Development and Validation of the Korean Patient Safety Culture Scale for Nursing Homes
Sook Hee Yoon, Byungsoo Kim, Se Young Kim
Journal of Korean Academy of Nursing.2013; 43(3): 379. CrossRef
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
Development and Evaluation of Patient Safety Reporting Promoting Education Program
Myoung-Soo Kim, Yun-Hee Kim
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(1): 284. CrossRef

303 View
10 Download
23 Crossref

First
Prev
Page of 1
Next
Last

Search