• The Journal of the Korea Contents Association
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• v.20 no.10
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• pp.424-435
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• 2020

The study was descriptive survey research for establishment of patient safety culture in small and medium-sized hospitals as providing baseline data of educational program regarding safe medication and prevention of near miss on medication, checking influencing factors of nurses near miss experience on medication in small and medium-sized hospital. The collected data was analyzed by SPSS/WIN 20.0 program to obtain mean, frequency, x²-test, independent t-test, one-way ANOVA, logistic regression. The influencing factors of near miss experience on medication was working department and patient safety culture among general characteristic. The nurses who were working in general ward had lesser chance to experience near miss rather than nurses working in special department (Odds ratio:2.23, 95%, Confidence Interval: 1.07~4.67, p=.032). The 1 point higher in patient safety culture, the lesser chance to experience in near miss (Odds ratio: 2.24, 95% Confidence Interval: 1.02~4.95, p=.045). To sum up the result of this study, nurses working in special department had higher chance to experience near miss rather than nurses working in general wards. The higher patient safety culture awareness was the lower near miss was experienced. Thus, miss surveillance system for improvement of nurses' patient safety culture awareness should be developed. Moreover, educational program for medication considering nurses' career and department' character should be requested with simulation training considering and theory education.

• Journal of muscle and joint health
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• v.30 no.3
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• pp.197-207
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• 2023

Purpose: This study attempted to discern the factors that influence nursing professionalism, learning agility, and the nursing practice environment on the performance of nurses. Methods: Data were collected from 202 clinical nurses who both consented to participate and who have worked for more than one year in one of five small- and medium-sized hospitals located in three regions of Korea. The data were analyzed using the SPSS/WIN 26.0 statistical programs. Results: The nurses' performance showed a statistically significant correlation with nursing professionalism (r=.50, p<.001), learning agility (r=.54, p<.001), and nursing practice environment (r=.37, p<.001). Factors affecting the results of nurses' performance in relation to the subjects are those of learning agility (β=.33, p<.001), nursing professionalism (β=.25, p<.001), clinical career (β=.24, p=.001), education level (β=.16, p=.011), and nursing practice environment (β=.15, p=.016). Conclusion: To improve the performance of nurses in medium-sized hospitals, it is necessary to develop a nursing practice environment, programs, and strategies for enhancing nursing professionalism and learning agility.

• Journal of Convergence for Information Technology
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• v.9 no.8
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• pp.83-92
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• 2019

This descriptive convergence research aimed to explore predictors of retention intention of nurses. Participants were 207 nurses from five small and medium-sized hospital located in city G and province J. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, pearson's corelation coefficient and stepwise multiple regression. Among predictors, nursing practice environment, age, peer group caring interaction, current hospital work experience, and assignment to desired department significantly affected retention intention and nursing practice environment had the greatest effect on retention intention(${\beta}=.35$). Based on the results of this study, it is necessary to make efforts to improve nursing practice environment, caring interaction and good relationship between organizations.

• Journal of Digital Convergence
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• v.15 no.12
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• pp.369-380
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• 2017

Purpose: This study was conducted to examine how nurse practice environment and organizational justice affected job embeddedness in the Small and Medium Sized Hospital Nurses. Methods: The data were collected from 233 nurses by means of self-reported questionnaires on August 23th to September 8th, 2017. Results: The model explained 49.7% of the total variance in job embeddedness scores. Hierarchical regression analysis showed that hospital nurses that had higher perceived nurse practice environment, higher organizational justice, and were older were more likely to have higher job embeddedness scores. Conclusion: To enhance nurses' job embeddedness, hospital and nurse leaders should improve nurse practice environment, particularly in relation to staffing and resource adequacy and collegial nurse-physician relations. Additionally, the nurse leaders can facilitate nurses' job embeddedness by creating and maintaining an organizational culture of fairness and justice.

• Journal of East-West Nursing Research
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• v.27 no.2
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• pp.114-123
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• 2021

Purpose: This study investigated the influence of nurses' organizational communication and self-leadership on patient safety competence in comprehensive nursing care units of small and medium-sized hospitals. Methods: A descriptive design was used and self-reported questionnaires were used to collect data from 165 nurses in Seoul from February to March, 2020. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression with SPSS/WIN 22.0 program. Results: A mean score of organizational communication was 3.20±0.49, self-leadership 3.58±0.50, and patient safety competency 4.01±0.49 out of 5. A significant positive correlation was found between patient safety competence, organizational communication and self-leadership. Self-leadership and combined ward explained 32% of the variance of patient safety competence (Adjusted R²=.32, p<.001). Conclusion: Patient safety competence in comprehensive nursing care units are associated with self-leadership and organizational communication. Systemic education to improve patient safety competence in small and medium sized hospitals should be implemented to promote organizational communication as well as self-leadership.

• Journal of the Korean Applied Science and Technology
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• v.39 no.6
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• pp.839-852
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• 2022

This study is a descriptive research study to identify work stress, resilience, nursing performance and influencing factors so that nurses in small and medium-sized hospitals can flexibly cope with rapidly changing medical environments. The subjects of the study were 219 nurses working at four small and medium-sized hospitals located in S region, and the survey was conducted using a structured questionnaire. The collected data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis and multiple regression analysis. There was a negative correlation between work stress and nursing performance in small and medium-sized hospital nurses (r=-0.150, p<.05), and a positive correlation between work stress and resilience (r=0.160, p<.05). Nursing performance showed a positive correlation with resilience (r=0.351, p<.01). The variable affecting nursing performance was resilience (𝛽=.231, p<.01), and its explanatory power was 17.4% (Adj.R2=0.174, p<.001). Therefore, in order to improve the nursing performance of nurses, it is necessary to increase resilience.

• Journal of Korean Academy of Nursing
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• v.47 no.5
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• pp.676-688
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• 2017

Purpose: The purpose of this study was to analyze the migration patterns of new nurses and experienced nurses and to identify the factors influencing inter-regional migration for solving regional imbalances of clinical nurses in South Korea. Methods: This study involved a secondary analysis of data from the Health Insurance Review and Assessment Service (HIRA). Data were analyzed using descriptive statistics and multiple logistic regression analysis. Results: New nurses tended to migrate from Kyunggi to Seoul. However, experienced nurses tended to migrate from Seoul and Chungchung to Kyunggi. Significant predictors of inter-regional migration among new nurses were location and nurse staffing grade of hospitals. Significant predictors of inter-regional migration among experienced nurses were location, hospital type, nurse staffing grade, ownership of hospitals and age of nurses. Conclusion: Inter-regional migration occupied a small portion of total hospital movement among clinical nurses. The regional imbalances of nurses were not caused by the migration from non-metropolitan areas to Seoul. Nurse shortage problems in the small and medium hospitals of the non-metropolitan area can be solved only through improvement of work environment.

• Journal of Digital Convergence
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• v.18 no.10
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• pp.265-275
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• 2020

The purpose of this study is to investigate the mediating effect of psychological empowerment (PE) in the relationship between nursing work environment (NWE) and job involvement (JI) of nurses in operating rooms of small- and medium- hospitals. Subjects were 150 nurses in operating rooms of 24 small- and medium- hospitals nationwide, and data were collected from July to September 2018 using a structured questionnaire. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficients and multiple regression. As a result of the study, JI was positively correlated with NWE or PE, PE was positively correlated with NWE. PE was found to partially mediate the effect of NWE on JI. In order to help nurses in small- and medium-sized hospital operating rooms to positively recognize the NWE and immerse themselves in the job, it is necessary to develop convergence program to increase PE.

• Journal of Korean Academy of Nursing Administration
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• v.17 no.4
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• pp.462-473
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• 2011

Purpose: This study was done to identify the factors affecting the perception of patient-safety-culture and the level of safety-care-activity among nurses in small-medium sized general hospitals. Method: Data were collected during April and May 2011, from 241 nurses of five hospitals. A hospital survey questionnaire on patient-safety-culture and safety-care-activity was used. Collected data were analyzed using descriptive statistics, Pearson correlation, t-test, ANOVA, Scheffe test and multiple-regression. Results: There were significant differences in the level of perception of patient-safety-culture according to the nurses' age, type of hospital, position, work department, and knowing whether there was a Patient-Safety committee in their hospitals. Nurses with higher perceived level of the patient-safety-culture performed more safety-care-activities. Factors influencing on the safety-care-activities were general patient safety, having had safety-education, patient-to-nurse ratio, employment status, and the level of reporting medical errors. These factors explained 22.9% of the safety-care-activity. Conclusions: The study findings suggest that in order to improve the nurses' perceived level of patient-safety-culture and safety-care-activity, the hospitals need to establish patient-safety committees and communication systems, and openness to reporting medical errors are needed. Better work conditions to ensure appropriate work time, regulate patient-to-nurse ratio, and nursing education standards and criteria, are also required.

• The Journal of the Korea Contents Association
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• v.19 no.1
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• pp.24-36
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• 2019

Purpose: This study provides preliminary data for job satisfaction and organizational commitment by finding out the effects of ethical climate perceived by and ethical sensitivity of nurses on the organizational effectiveness of small and medium-sized hospitals. Methods: Study participants were 155 nurses who had worked one year or longer at small and medium-sized hospitals located in the G city, and they were recruited through convenient sampling. The SPSS/Win 20.0 program was used analyze frequency, percentage, average, standard deviation through independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression. Results: The mean score for organizational effectiveness of nurses had a significant positive correlation with ethical climate and ethical sensitivity. ethical climate, experience of receiving nursing ethics education were the major predictors of organizational effectiveness and explained 61%(F=48.36, p<.001) of the total variance in the study. Conclusion: it has been confirmed that ethical climate and experience of receiving nursing ethics education affect organizational effectiveness, a concept that shows the degree of achieving organizational goals while nurses at small and medium-sized hospitals.