• 성인간호학회지
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• 제27권6호
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• pp.673-683
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• 2015

Purpose: This study was aimed to identify the mediating and moderating effects of safety-specific transformational leadership on the relationship between barrier to and intention of reporting medication errors. Methods: Two hundred thirty seven nurses from seven different hospitals participated in the study. Safety-specific transformational leadership was measured by an instrument with 10 items, barrier to reporting medication errors with 16 items, and intention of reporting medication errors with 3 items. The data was collected from September to October 2012. Descriptive statistics, factor analysis, t-test, ANOVA, Pearson correlation coefficient and a hierarchial regression analysis were used. Results: There were significant negative correlations between the subcategories of barrier to reporting medication errors and intention of reporting medication errors (r=-.16~-.27, p<.001), and a positive correlation between the intention and safety-specific transformational leadership (r=.25, p<001). Transformational leadership was a mediator between barrier to and intention of reporting medication errors. Conclusion: Safety-specific transformational leadership mediated the relationships between barrier to and intention of reporting medication errors. Enhancing safety-specific transformational leadership of nursing unit managers is necessary to increase the intention to reporting medication errors.

• 아동학회지
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• 제34권3호
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• pp.39-58
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• 2013

The purpose of this study is to examine the factors associated with reporting intention and behavior in relation to child abuse among elementary school teachers in Korea based on the Theory of Planned Behavior. The Scale, which includes demographics, preparation level of training, school characteristics, reporting-related behavior, reporting intention, knowledge, attitudes, subjective norms, and self-efficacy, was used to collect the data. A total of 292 teachers provided data. The result of this study is as follows. First, even though the teachers had suspected the child abuse, 16.3% of them reported, whilst 83.7% of them did not. In terms of teachers' reporting intention, the vignettes of very serious cases were higher than the vignettes of less serious cases. The teachers' reporting intention of sexual abuse was the highest among the types of child abuse, and it was followed by physical abuse, neglect and emotional abuse. Second, knowledge, attitudes, subjective norms, and self-efficacy, all of these variables had positive impacts on teachers' reporting intention. Meanwhile, self-efficacy, reporting intention, and the support level of specialists also had positive impacts on reporting behavior. Additionally, women or postgraduate teachers had a higher possibility to make a report than men or undergraduate teachers. These findings suggest that increasing self-efficacy through education and more thorough training about identifying and reporting on child abuse is more important than anything else for detecting abused children at an early stage.

• 성인간호학회지
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• 제25권6호
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• pp.633-643
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• 2013

Purpose: The objective of this study was to identify the moderating and mediating effects of transformational-leadership in the relationship between medication error management climate and error reporting intention. Methods: Participants in this study were 118 nurses from 11 hospitals in Korea. The scales of medication error management climate, transformational-leadership and error reporting intention of nurses were used in this study. Descriptive statistics, t-test, ANOVA, partial Pearson correlation coefficient, and stepwise multiple regression were used for data analysis. Results: Higher transformational leadership group members had higher error management climate (t=3.88~4.64, p<.001) and higher intention to error reporting (t=2.49, p=.014). There were significant positive correlations between subcategories of medication error management climate and transformational leadership (r=.37~.51, p<.001). But error reporting intention was related to the transformational leadership (r=.28 p=.002), two subcategories such as 'learn from error' (r=.26, p=.004) and 'medication error competence' (r=.25, p=.008) of medication error management climate. Transformational-leadership was a moderator and a mediator between medication error management climate and error reporting intention. Conclusion: Based on the results of this study, transformational-leadership promotion training program to construct medication error management climate and to improve error reporting intention should be needed.

• 한국간호교육학회지
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• 제25권2호
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• pp.216-226
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• 2019

Purpose: This study aimed to investigate child abuse awareness and reporting intention among nursing and education students and correlations among the variables involved. Methods: A cross-sectional study was conducted by administering an online questionnaire to 70 nursing college students and 70 education college students. Data were analyzed using descriptive statistics, t-test, chi-squared test, the Mann-Whitney U test, and Pearson's correlation in SPSS 21.0 (IBM, Armonk, NY). Results: The mean score of child abuse awareness was $3.61{\pm}0.32$ for nursing students and $3.60{\pm}0.36$ for education students. The mean score of reporting intention was $5.65{\pm}0.90$ for nursing students and $5.38{\pm}1.03$ for education students. Females presented higher scores than males in the awareness of sexual abuse. The awareness of emotional abuse was higher in students who knew of reporting obligations or who had experienced abuse. Child abuse awareness and reporting intention were significantly positively correlated. Also, the number of times having received child abuse education was correlated with reporting intention in both mild and severe cases of abuse. Conclusion: Reporting intention is not only related to having received education, but also to the frequency of that education. Child abuse education is important to increase reporting intention and should be delivered repeatedly.

• 대한간호학회지
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• 제40권2호
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• pp.172-181
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• 2010

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, $\chi^2$-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.

• 한국보육지원학회지
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• 제15권2호
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• pp.1-19
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• 2019

Objective: This study aims to examine the factors associated with teacher intention to report child abuse in child care centers. Methods: Data were collected from teachers at child care centers in the Jeonbuk region, using a self-administered questionnaire. In this study, 186 completed questionnaires were used to analyze the data. Results: The respondents reported their intention to report child abuse as follows: physical abuse(49.5%), emotional abuse(16.1%), sexual abuse(12.9%), and neglect(15.6%). The multiple hierarchical regression analyses revealed that participation at child abuse prevention training programs and awareness of reporting procedures were significantly associated with teacher intention to report child abuse at child care centers in Model 2. Also, attitudes towards reporting child abuse were significantly associated with teacher intention to report child abuse in Model 3. Conclusion/Implications: This study suggests evaluating chid abuse prevention training programs more accurately because the respondents who did not participate in the programs showed statistically significant higher mean scores of intention to report child abuse than who participated(1.83 vs .85). In addition, educational programs about child abuse for teachers in child care centers need to focus on changes in attitudes towards reporting child abuse, which in turn can change behavior.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.425-436
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• 2019

본 연구는 보육교사의 아동학대 신고의도에 영향을 미칠 것으로 예상되는 변수들을 중심으로 독립잠재변인을 구성하고 계획행동이론에 기초하여 잠재변인들 간의 관계구조로 연구모형을 설정하여 어떠한 요인이 영향을 미치고 신고의도가 어떠한 경로로 결정되는지를 살펴보고자 하였다. 연구대상은 C지역의 67개 어린이집에 근무하는 보육교사를 대상으로 편의표집 하였으며, 235명을 연구 대상으로 분석하였다. 연구결과는 첫째, 본 연구에서 제안한 연구모형은 측정모형 분석과 구조모형 분석을 통해 보육교사의 아동학대 신고의도를 설명하기에 적합한 모델인 것으로 확인 되었다. 둘째, 보육교사의 아동학대 지식은 신고의도를 설명하는 중요한 요인이며, 신고의도에 직접적인 연향을 미치고, 태도를 매개로 간접적인 영향을 미치는 것으로 나타났다. 셋째, 보육교사의 신고에 관한 태도는 신고의도를 가장 강하게 예측할 수 있는 직접적인 요인인 것으로 나타났다. 넷째, 보육교사의 주관적 규범과 신고 의도는 통계적으로 유의하지 않은 것으로 나타났다. 다섯째, 보육교사의 지각된 행동통제는 신고의도에 직접적인 영향을 미치는 것으로 나타났다. 이러한 결과를 근거로 보육교사의 아동학대 신고율 향상을 위한 기초 자료를 제시하였다.

• Child Health Nursing Research
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• 제11권2호
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• pp.211-220
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• 2005

Purposes: The purposes of this study were to examine knowledge related to child abuse, attitudes toward child abuse, and intention to report child abuse and to identify the predictors of nurses' intention to report child abuse. Method: A descriptive-correlational study was conducted. Participants were 171 nurses who worked in the pediatric or emergency rooms in G city. Self-administered questionnaire was used for data collection. Descriptive statistics, t-test or ANOVA, Pearson correlation, and stepwise multiple regression analysis were used for data analysis. Results: Nurses had a limited knowledge related to child abuse. Nurses had negative attitudes toward child discipline, were inclined to punish the abuser, and had positive attitudes about professional responsibility for reporting child abuse. Nurses perceived difficulty in the actual behavior of reporting child abuse. Nurses' intention to report child abuse was predicted by nurses' attitudes to professional responsibility for reporting child abuse. Conclusions: Based on the findings of this study, educational programs need to be developed, implemented, and evaluated. The conclusion of this study is that supplementary education is needed for multidisciplinary decision making concerning the role of the nurses within the context of child abuse. Implications for nursing practice, education and research are discussed.

• 중환자간호학회지
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• 제14권3호
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• pp.62-72
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• 2021

Purpose : This study aimed to identify factors influencing clinical nurses' intention to report medication administration errors. Methods : This cross-sectional study collected data from 121 nurses in charge of administering medication at a university hospital in Korea using structured questionnaires. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression. Results : Participants' mean age was 26.90±3.99 years, and 89.3% were women. Their mean clinical career duration was 3.88±4.26 years. The average levels of patient safety culture, attitude toward reporting medication administration errors, and intention to report medication administration errors were 7.51 out of 10, 3.36 out of 5, and 4.85 out of 6, respectively. The multiple regression analysis results indicated that the statistically significant influencing factors were patient safety culture (𝛽=.21, p =.018) and attitude toward reporting medication administration errors (𝛽=.22, p =.015). Conclusion : To improve the intention to report medication administration errors among clinical nurses, a patient safety culture must be established, along with an education provision for improving their attitudes toward reporting such administration errors.

• 근관절건강학회지
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• 제26권1호
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• pp.35-45
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• 2019

Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activities among clinical nurses and to identify factors associated with the safety care activities. Methods: Structured questionnaires were used to collect data from 155 nurses who were involved in direct patient-care. Results: Descriptive statistical anaylses revealed that the mean score of patient safety culture was $3.26{\pm}0.32$ and $4.19{\pm}0.41$ was for the safety care activities. In incident reporting, reporting intention ($3.56{\pm}0.68$), belief in improvement ($3.42{\pm}0.60$), worry about appraisal ($3.37{\pm}0.65$) and reporting knowledge ($3.36{\pm}0.72$) respectively. Correlational analyses showed that perceived patient safety culture (r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting were positively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negatively correlated. The factors associated with safety care activities were incident reporting knowledge (${\beta}=.31$, p<.001), supervisor/managers' attitudes toward patient safety culture (${\beta}=.29$, p<.001), belief in improvement of incident reporting attitude (${\beta}=.16$, p=.041). Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessary to educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety and to provide positive feedback on incident reporting.