Purpose
The purpose of this study was to investigate the awareness and educational demand regarding Vancomycin-Resistant Enterococci (VRE) infection control among nurses in wards with cohort isolation rooms.
Methods
A mixed-methods design was applied. Quantitative data were collected via structured questionnaires and data from 61 nurses and analyzed using SPSS for Windows version 23.0. An Importance-Performance Analysis (IPA) was conducted. Qualitative data were collected through focus groups with 12 nurses who worked in wards with VRE cohort isolation rooms, and content analysis was conducted.
Results
All items had lower performance scores than their importance scores, with significant differences. In the qualitative/descriptive analysis, the barriers to implementing VRE infection control were a lack of awareness of infection control, increased work burden, and lack of resources.
Conclusion
The findings indicate that it is necessary to develop systematic education tailored to nurses in wards with cohort isolation rooms. Furthermore, adequate resource support, distinct from the general infection control practices in other wards, is necessary. This includes considering additional infection control tasks and procedures when staffing the ward, as well as supplying equipment in accordance with cohort isolation requirements.

Purpose
As the rate of older people visiting Emergency Departments (EDs) increases, nurses are responsible for identifying patients at risk of poor outcomes and providing preventive interventions. The aim of this study was to identify the factors associated with the mortality of older adults hospitalized through EDs.
Methods
The study design was a retrospective correlational design using the electronic medical records from a tertiary hospital in Korea. Data were collected from January 3 to March 6, 2016 through the hospital information center based on elderly patients admitted from January 1, 2011 to August 31, 2015. The study variables included general and admission characterstics, disease characteristics, and mortality of older patients visiting EDs.
Results
Of the 9,896 patients, the mortality rate was 7.4%; highest in patients aged over 86 years, men, or those hospitalized from nursing homes. Older adults arriving by private ambulance were 2.36 times more likely to die than walk-ins, and 1.38 times more likely for those using the 119 government emergency ambulance. Older patients hospitalized for more than four weeks were 2.17 times more likely to die than those hospitalized for less than a week.
Conclusion
Based on the study findings ward nurses will be able to early detect older patients at risk of poor outcomes and make better clinical decisions to improve the quality of nursing care. Nurses can propose health policies such as stricter management of the private ambulance service and considering the most efficient length of hospital stay for older adults hospitalized through EDs.

Citations

• Mortality and its determinants among patients attending in emergency departments
  Mengistu Abebe Messelu, Baye Tsegaye Amlak, Gebrehiwot Berie Mekonnen, Asnake Gashaw Belayneh, Sosina Tamre, Ousman Adal, Tiruye Azene Demile, Yeshimebet Tamir Tsehay, Alamirew Enyew Belay, Henok Biresaw Netsere, Wubet Tazeb Wondie, Gebremeskel Kibret Abe
  BMC Emergency Medicine.2024;[Epub]     CrossRef
• Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department
  Li-Hsiang Wang, Hui-Ling Lee, Chun-Chih Lin, Chia-Ju Lan, Pei-Ting Huang, Chin-Yen Han
  Healthcare.2023; 11(12): 1726.     CrossRef
• Retrospective Analysis of the Oldest-Old Patients Who Applied to the Emergency Department and Their Differences from the Young-Old And Middle-Old
  İbrahim TOKER, Ayşin KILINÇ TOKER, İrfan GÖKÇEK, Emre BULBUL, Gökhan YILMAZ, Mustafa SİLCAN, Şaban IRMAK, Mükerrem ALTUNTAŞ
  Anatolian Journal of Emergency Medicine.2023; 6(1): 20.     CrossRef
• Potentially Inappropriate Prescriptions to Older Patients in Emergency Departments in South Korea: A Retrospective Study
  Kyungim Kim, Jinyoung Jung, Haesook Kim, Jung Tae Kim, Jung Mi Oh, Hyunah Kim
  Therapeutics and Clinical Risk Management.2021; Volume 17: 173.     CrossRef

PURPOSE
In Korea, cancer is the leading cause of death, and colorectal cancer accounts for a third of deaths caused by cancer. This study aimed to analyze the influence of hospital nurse staffing level on colorectal cancer evaluation grades, mortality rate, and the length of stay of patients who underwent surgery for colorectal cancer.
METHODS
Secondary data collected in 2016, 2018 from the Health Insurance Review and Assessment Service, was used to measure nurse staffing, based on the adjusted nursing grade in general units and was then categorized as adhering with or violating the Medical Service Act. The influence of the nurse staffing on colorectal cancer evaluation grades, and the mortality rate in 129 hospitals was analyzed using multivariate logistic regression and multivariate gamma regression, respectively, and its influence on length of stay was analyzed through hierarchical multiple regression.
RESULTS
Hospitals that adhered to the Medical Service Act in nurse staffing had significantly lower odds for poor colorectal cancer evaluation grades. Hospitals which nurse staffing adhered to the Medical Service Act had a significantly lower mortality rate than those that violated it (B=−0.51, p=.019), and had a significantly shorter length of stay (β=−.19, p=.034).
CONCLUSION
Improvement of nurse staffing levels, in compliance with the Medical Service Act is crucial to provide high-quality nursing services to patients undergoing colorectal cancer surgery and to decrease the mortality rate, and shorten the hospitalization period required for surgery and recovery.

Citations

• Machine Learning in Optimising Nursing Care Delivery Models: An Empirical Analysis of Hospital Wards
  Manar Aslan, Ergin Toros
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Mortality in orthopedic patients: a retrospective review of 333 medical records
  Kamran Shirbache, Asma Mafhoumi, Nazanin Anaraki, Elham Madreseh, Seyyed Hossein Shafiei, Nima Bagheri, Leila Oryadi Zanjani, Ahmadreza Nezameslami, Gholamreza Garmroudi, Mohammad Hossein Nabian
  European Journal of Orthopaedic Surgery & Traumatology.2025;[Epub]     CrossRef
• Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study
  Ana María Porcel-Gálvez, Sergio Barrientos-Trigo, Eugenia Gil-García, Olivia Aguilera-Castillo, Antonio Juan Pérez-Fernández, Elena Fernández-García
  International Journal of Environmental Research and Public Health.2020; 17(21): 7951.     CrossRef

PURPOSE
The purpose of this study was to explore Inattentional Blindness (IB) as experienced by hospital nurses.
METHODS
Data were collected from August 3 to October 30, 2017 through focus group interviews with 24 nurses working in a university hospital in Seoul, Korea. Four focus group interviews were conducted and all interviews were recorded. Data were analyzed through qualitative content analysis.
RESULTS
Three categories and seven subcategories were identified from 96 units of analysis, as follows: 1) occurrence of IB (preoccupation with specific factors, pressure from external factors, unexpected event); 2) triggers of IB (distraction, low expectation of error); and 3) influences due to exposure to IB (continuous self-surveillance, perceived need for thinking expansion).
CONCLUSION
The findings of this study show that nurses experienced IB directly and indirectly while performing their duties. IB occurred especially in common nursing situations, such as health assessment and medication administration. The results also suggest that it is necessary to develop strategies to prevent IB in the clinical setting, which can be useful not only to ensure patient safety but also to help patients regain their health.

Citations

• Effects of patient deterioration simulation using inattentional blindness for final year nursing students: A randomized controlled trial
  Jaewon Park, Kyoung-Ja Kim
  Nurse Education Today.2021; 106: 105080.     CrossRef

PURPOSE
The purpose of this study was to identify factors affecting sleep quality in nurses working in a tertiary hospital in Korea.
METHODS
The sample of two hundred and sixty three nurses was drawn from one tertiary care hospital in Korea. Using a descriptive study design, clinical nurses completed the standardized questionnaires, including sleep quality, depressive symptoms, and resilience. Descriptive statistics were computed to describe the sample and study variables. Logistic regression analyses were used to identify factors affecting sleep quality which was classified into two categories.
RESULTS
A total of 263 registered nurses participated in this study. Most of the participants were female (n=252, 95.8%) and single (n=148, 75.9%), with a mean age of 30.09±7.51 years. The average score of sleep quality was 8.57±3.24. Using a cut-off point of 5.0, 84.0% (n=221) were poor sleepers. After controlling for demographic and job-related variables, the depressive symptoms and resilience were associated with poor sleep quality among clinical nurses (Odds Ratio [OR]=4.56, 95% Confidence Interval [CI]=1.02~20.49; OR=0.97, 95% CI=0.94~0.99, respectively). This model explained 19.5% of the variance in sleep quality.
CONCLUSION
The two factors reported to impact the quality of sleep were increased depressive symptoms and lower resilience levels. In order to improve nurses' sleep quality, researchers and nursing administrators need to develop and provide some strategies for decreasing depressive symptoms and enhancing their resilience.

Citations

• Prevalence of sleep disturbances among intensive care nurses: A systematic review and meta‐analysis
  Fengxiang Gong, YuChen Mei, Yuting He, Chao Tang
  Nursing in Critical Care.2025;[Epub]     CrossRef
• Burden of poor sleep quality, stress, anxiety, and depression among staff nurses working in tertiary hospitals of Puducherry: a pilot study
  Yogeswaran Nehru S., Prahankumar R., Avudaiappan S., Kripa Angeline A.
  International Journal Of Community Medicine And Public Health.2025; 12(7): 3276.     CrossRef
• Mediating effects of fatigue on the relationship between sleep quality and the quality of life of shift-working nurses
  Jeongwon Yeom, Insun Yeom
  Chronobiology International.2023; 40(4): 450.     CrossRef
• Comparisons of Psycho-Behavioral Factors, Body Composition, and Clinical Outcomes in Adults With Type 2 Diabetes by Perceived Hypoglycemia
  EunSeok Cha, Kyong Hye Joung, Yun-A Shin, Nak-Hoon Son, Hyun Jin Kim, Melissa Spezia Faulkner
  The Science of Diabetes Self-Management and Care.2023; 49(5): 351.     CrossRef
• Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study
  Sun-Kyung Hwang, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim, Yea-In Yoon
  International Journal of Environmental Research and Public Health.2022; 19(16): 9795.     CrossRef
• The Mediating Effects of Flexibility on the Relationship between Job Stress, Sleep Quality and Mental Well-being of Psychiatric Hospital Workers
  Subin Lee, Chung Hee Woo
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 349.     CrossRef
• A systematic review and meta-analysis to assess the relationship between sleep duration/quality, mental toughness and resilience amongst healthy individuals
  Teresa Arora, Ian Grey, Linda Östlundh, Asma Alamoodi, Omar M. Omar, Kin-Bong Hubert Lam, Michael Grandner
  Sleep Medicine Reviews.2022; 62: 101593.     CrossRef
• Effect of Sleep Quality and Depression on Married Female Nurses’ Work–Family Conflict
  Eunhee Hwang, Yeongbin Yu
  International Journal of Environmental Research and Public Health.2021; 18(15): 7838.     CrossRef
• The Impact of Practice Environment and Resilience on Burnout among Clinical Nurses in a Tertiary Hospital Setting
  Dzifa Dordunoo, Minjeong An, Min Sun Chu, Eun Ja Yeun, Yoon Young Hwang, Miran Kim, Yeonhu Lee
  International Journal of Environmental Research and Public Health.2021; 18(5): 2500.     CrossRef
• Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses
  Seunghwa Shin, SuHyun Kim
  Journal of Clinical Nursing.2021; 30(21-22): 3182.     CrossRef
• Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses
  Minjeong Yu, Smi Choi-Kwon
  Journal of Korean Academy of Nursing.2020; 50(5): 646.     CrossRef
• Influence of Resilience and Workplace Bullying on Depression of Hospital Nurses
  Suniy Jeon, Moonhee Gang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(1): 43.     CrossRef
• Correlation between Neck and Shoulder Pain, Neck and Shoulder Disability, Headache and Smartphone Addiction in Adults with Sleep Disorders
  Sei-Youn Park, Tae-Seok Choi, Dae-Hun Kim, Byeong-Ho Ryu, Sang-Bin Lee
  Journal of The Korean Society of Physical Medicine.2020; 15(3): 43.     CrossRef
• Mediating Effect of Stress on the Relationship between Illness Perception and Sleep in Patients at Risk of Metabolic Syndrome
  Hyun-E Yeom, Jee-Won Shin
  Korean Journal of Adult Nursing.2019; 31(4): 449.     CrossRef
• Work-related Characteristics and Sleep Quality of Nurses in Comprehensive Nursing Care Units of Small-medium Sized Hospitals
  Sujin Shin, Inyoung Lee, Jeonghyun Kim, Sung-Heui Bae
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 260.     CrossRef
• Emotional Effects of the Duration, Efficiency, and Subjective Quality of Sleep in Healthcare Personnel
  María del Carmen Pérez-Fuentes, María del Mar Molero Jurado, María del Mar Simón Márquez, Ana Belén Barragán Martín, José Jesús Gázquez Linares
  International Journal of Environmental Research and Public Health.2019; 16(19): 3512.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef

PURPOSE
Subjective Attitudes toward cardiopulmonary resuscitation (CPR) can be diverse. The purpose of this study was to identify subjective attitudes toward CPR among hospital nurses working in emergency room and intensive care units.
METHODS
The Q methodology was used. The 42 Q-statements selected by each of the 38 participants were classified into a shape of normal distribution. The collected data were analyzed using a QUANL program.
RESULTS
Three types of attitudes emerged: ‘TypeI, CPR requires professionalism(medical personnel-centered)’, ‘Type II, CPR requires reality (patient-centered)’, and ‘Type III, CPR requires ethicality (human dignity-centered)’.
CONCLUSION
The findings suggest that nursing intervention programs for the three types should be developed. Mandatory repeat education programs for TypeI, Development of guidelines for the prohibition and termination of CPR for TypeII. Continuing education on wills and advance directives for TypeIII can be helpful.

Citations

• Nurses’ Experiences of Cardiopulmonary Resuscitation: An Integrative Review of Qualitative Studies
  Myunghwa Jeon, Hyeonji Kang, Sanghee Kim
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 110.     CrossRef
• Predicting nurses' intentions in allowing family presence during resuscitation: A cross‐sectional survey
  Ju Young Park, Jiyeon Ha
  Journal of Clinical Nursing.2021; 30(7-8): 1018.     CrossRef

PURPOSE
Although the patient safety is the first priority in hospitals, the safety strategies and supportive programs for nurses in medium and small-sized hospitals are still insufficient. The purpose of this study was to identify the correlates of patient safety performance related to characteristics of nurses working at small-medium sized hospitals with less than 200 beds.
METHODS
The study design was a descriptive correlational design. Data were collected from 211 nurses of seven small-medium sized hospitals located in Seoul, Korea. Study variables measured by using survey questionnaires were patient safety performance, safety culture, job satisfaction, and general characteristics. Data were analyzed by multiple regression using SPSS/WIN 22.0 program.
RESULTS
The strongest factor associated with patient safety performance was communication process (β=.21, p=.002) followed by working environment (β=.21, p=.008), satisfaction on job contents (β=.16, p=.033), and safety management manual in hospital (β=.12, p=.041). Among general characteristics, nurses unmarried, working as staff nurses, having more than 10 years of clinical experience, and working at hospitals with the first nursing grade performed better patient safety performance.
CONCLUSION
The study findings suggest that the small-medium sized hospitals require strategies for nurses, supportive working environment, clear job contents, and qualitative safety management manuals.

Citations

• The Mediating Role of Patient Safety Perception in the Relationship between Right to Know and Patient Participation among Inpatients
  Sun-Hwa Shin, On-Jeon Baek
  Korean Journal of Adult Nursing.2025; 37(2): 114.     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
• 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
• Impact of Perception of Patient Safety Culture and Safety Control on Patient Safety Management Activities among Perioperative Nurses in University Hospitals
  Ki Nam Kwon, Seon Young Hwang
  Journal of Korean Academy of Nursing Administration.2022; 28(3): 285.     CrossRef
• Completeness Documentation of Fall Risk Management
  Kartika Mawar Sari Sugianto, Rr Tutik Sri Hariyati, Annisa Rahmi Galleryzki, Elisabet Herlyani Bota Koten, Endang Sudjiati, Dadan Bardah
  Iranian Journal of Nursing and Midwifery Research.2022; 27(6): 517.     CrossRef
• Nurse Burnout Syndrome and Work Environment Impact Patient Safety Grade
  Aoyjai P. Montgomery, Patricia A. Patrician, Andres Azuero
  Journal of Nursing Care Quality.2022; 37(1): 87.     CrossRef
• Effects of Perceived Safety Culture, Nursing Work Environment, and Professional Self-concept on Patient Safety Care Activity of Nurses in Small-medium Sized Hospitals
  Young Ok Cho, Myoung Soo Kim
  Journal of Health Informatics and Statistics.2022; 47(1): 66.     CrossRef
• The Effect of Role Conflict and Professional Autonomy on the Role Performance of Patient Safety Coordinators in Small and Medium-Sized Hospitals in Korea
  Kyo-Yeon Park, Kyoungrim Kang
  International Journal of Environmental Research and Public Health.2022; 19(15): 9392.     CrossRef
• Nurses' Perceptions of Patient Safety Culture During the Pandemic in Covid-19 Referral Hospitals
  Annisa Rahmi Galleryzki, RR Tutik Sri Hariyati, Kuntarti, Janes Jainurakhma
  Journal of Health Sciences.2022; 15(03): 270.     CrossRef
• The Effect of Maritime Safety Activity on Maritime Safety Culture Perception of Seaman
  Jin-Ho CHOI, Jae-Ho KIM
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(4): 1023.     CrossRef
• Analysis of Subgroups with Lower Level of Patient Safety Perceptions Using Decision-Tree Analysis
  Sun Hwa Shin
  Journal of Korean Academy of Nursing.2020; 50(5): 686.     CrossRef
• Mediating Effects of Perceptions Regarding the Importance of Patient Safety Management on the Relationship between Incident Reporting Attitudes and Patient Safety Care Activities for Nurses in Small- and Medium-sized General Hospitals
  Young Mi Park, Keum Hee Nam, Ki Noh Kang, Jeong Ja Nam, Yeon Ok Yun
  Journal of Korean Critical Care Nursing.2019; 12(2): 85.     CrossRef
• Patient Safety Care Activity in Small-Medium Sized Hospital Nurses Patient Safety Care Activity among Nurses in Small-Medium Sized General Hospitals
  Yuna Paik, Youngji Kim
  The Korean Journal of Rehabilitation Nursing.2018; 21(1): 51.     CrossRef

PURPOSE
The purpose of this study was to evaluate the experience of hospital nurses regarding their intention to stay at hospital.
METHODS
Experiential data were collected from 10 experienced nurses through in-depth interviews. The main question was "Could you describe your experience and your work during your years at the hospital?" Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology.
RESULTS
The core category of experience regarding hospital nurses' intention to stay was 'following a stable rather than a challenging path'. Participants used three interactional strategies: 'being encouraged via rapport with peers', 'accept reality', and 'find vitality in academic pursuits'.
CONCLUSION
The retention of experienced nurses is critical to human resource management in nursing departments. This study found that experienced nurses have a vague uncertainty about their future in the hospital. Therefore, nursing managers should support experienced nurses by providing them with the opportunities needed to develop their careers, by managing conflicts in nursing units, and by implementing new programs to increase confidence.

Citations

• Experiences of Career Nurses Balancing Clinical Nursing with Ongoing Studies
  Yunhyung Kim, Yeonsook Joo, Eun Hee Kang, Jeong Hye Kim
  Journal of Korean Association for Qualitative Research.2024; 9(3): 215.     CrossRef
• Factors Influencing Korean Nurses' Intention to Stay: A Systematic Review and Meta-analysis
  Sunhee Park, Taewha Lee
  Journal of Korean Academy of Nursing Administration.2018; 24(2): 139.     CrossRef
• The convergence study of Experience of Turnover in new graduate nurses within one year
  Young-Mi Kim, Sang-Nam Kim
  Journal of the Korea Convergence Society.2016; 7(4): 97.     CrossRef

PURPOSE
Clinical nurses are at high risk of incurring hospital violence during their working life. Hospital violence and its outcomes have an impact on the job satisfaction, the recruitment and retention of nurses as well as the quality of care delivered to patients. The purpose of this study was to identify coping styles toward hospital violence in clinical nurses using Q-methodology.
METHODS
Q-methodology, which analyzes the subjectivity of each type of attitude, and coping styles was used. The 40 selected Q-statements from each of 35 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analyzed using the pc-QUANAL program.
RESULTS
The results revealed four discrete groups of clinical nurses toward hospital violence: take strong action and promote the recurrence prevention, appear psychosomatic symptoms, investigate the cause and focus on prevention, and request hospital assistance and keep up my duty.
CONCLUSION
The findings indicate that development of nursing intervention program based on the four types could beneficially contribute to the violence prevention in hospital.

Citations

• Influences of Workplace Violence on Depression among Nurses: The Mediating Effect of Social Support
  Eun-Mi Seol, Soohyun Nam
  STRESS.2021; 29(1): 37.     CrossRef
• Effects of Hospital-Based Violence-Prevention and Coping Programs on Nurses' Violence Experience, Violence Responses, Self-Efficacy, and Organizational Commitment
  Yu Jeong Yang, Jeong-Hee Kim
  Journal of Korean Academy of Nursing Administration.2020; 26(5): 550.     CrossRef
• Development and Validation of the Hospital Violence Attitude Scale-18 (HVAS-18) for Clinical Nurses
  Eun-Ho Ha, Jin-Young Cho, Jin-Mi Kim
  Korean Journal of Adult Nursing.2015; 27(1): 39.     CrossRef
• Convergent approach of phenomenological methodology about Emergency Nurses' experience of hospital violence
  Young-Hee Jeong
  Journal of the Korea Convergence Society.2015; 6(5): 63.     CrossRef