Purpose
This study was performed to identify factors associated with nursing performance, classify potential profiles of nursing performance-related variables, and explain their effects on nursing performance.
Methods
The study involved 245 nurses at a University Hospital in South Korea from September 1 to 14, 2021. The participants were nurses in a ward who operated within a team and had at least 6 months of clinical experience. Structured questionnaires were used to measure variables, and data were collected online using Google Forms. Using latent profile analysis, the participants were classified into four human resource and job attitude profiles. Linear regression was used to identify relevant factors, and one-way analysis of variance was employed to examine the differences in nursing performance between the four profiles.
Results
Shared leadership (β=.30, p<.001) was most strongly associated with nursing performance, followed by authentic leadership (β=.16, p=.009), and education level (β=.15, p=.006). Significant differences in nursing performance (F=22.48, p<.001) were observed across profiles, with the groups deemed "excellent" and "best" scoring higher in nursing performance and authentic leadership compared to the "fair" and "worst" groups. However, no significant difference in education level was found across the latent profiles (p=.212).
Conclusion
This research examined the impact on nursing performance through variable-centered analysis and a person-centered approach. Accordingly, this study provides valuable insights for interpreting the results of linear regression analysis, highlighting the need to consider individual heterogeneity.

Purpose
The triage process in the emergency department is a complex decision-making task influenced by individual competence and a multitude of factors. Unlike patient-related factors, nurse-related factors can be improved through education. This study sought to determine the impact of grit, self-leadership, and communication skills of emergency department nurses on their triage competency.
Methods
We surveyed a convenience sample of 152 emergency department nurses to evaluate their grit, self-leadership, communication skills, and triage competency. The differences in these skills and competencies were analyzed according to the participants' general characteristics using the independent t-test and one-way analysis of variance. Hierarchical regression analysis was performed to identify the factors influencing nurses' triage competency.
Results
Triage experience, self-leadership, and communication skills influenced triage competency. Although triage competency can be positively impacted by knowledge gained from experience, expert assessment was identified as the least developed category of triage competency.
Conclusion
To improve nurses' triage competency, it is necessary to implement educational programs that utilize various methods to address self-leadership and communication skills. Moreover, reflective methods can be employed to help develop self-leadership, thereby improving triage competency. These findings can contribute to improving the work culture and the development of educational programs. Specifically, these programs should treat nurses' mistakes during work as learning opportunities rather than failures, thereby significantly advancing their competency.

Citations

• The Association Between Self‐Esteem, Assertiveness, and Professional Competence Among Palestinian Newly Graduated Emergency and Critical Care Nurses
  Malakeh Z. Malak, Ahamd Ayed, Anas Shehadeh, Moath Abu Ejheisheh, Ahmad Batran
  International Nursing Review.2025;[Epub]     CrossRef
• Experiences of Emergency Nurses Providing End‐of‐Life Care During the COVID‐19 Pandemic
  Alysha Cowley, Julia Morphet, Kimberley Crawford
  Journal of Advanced Nursing.2025;[Epub]     CrossRef

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.

Citations

• 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
• Nursing leadership style and error management culture: a scoping review
  Eleonora Moraca, Francesco Zaghini, Jacopo Fiorini, Alessandro Sili
  Leadership in Health Services.2024; 37(4): 526.     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
• 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

PURPOSE
The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital.
METHODS
The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings.
RESULTS
There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance.
CONCLUSION
The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

Citations

• Effects of communication team training on clinical competence in Korean Advanced Life Support: A randomized controlled trial
  Soyeon Yun, Hyeoun‐Ae Park, Sang‐Hoon Na, Hee Je Yun
  Nursing & Health Sciences.2024;[Epub]     CrossRef
• Review article: Use of the Team Emergency Assessment Measure in the rating of emergency teams' non‐technical skills: A mapping review
  Simon Cooper, Clifford Connell, Robyn Cant
  Emergency Medicine Australasia.2023; 35(3): 375.     CrossRef
• Effect of Korean Advanced Life Support Education on Non-Technical and Technical Skills of Nursing Students: A Pilot Study
  Yon Hee Seo, Kyong Ah Cho
  Healthcare.2021; 9(10): 1253.     CrossRef
• Effect of simulation-based emergency cardiac arrest education on nursing students' self-efficacy and critical thinking skills: Roleplay versus lecture
  Eunsook Kim
  Nurse Education Today.2018; 61: 258.     CrossRef
• Attitudes and Type Analysis of Cardiopulmonary Resuscitation among Hospital Nurses in Emergency Room and Intensive Care Units
  Eun-Ho Ha, Kyoung-Soon Hyun
  Korean Journal of Adult Nursing.2017; 29(5): 484.     CrossRef

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.

PURPOSE
The purposes of this study were to provide baseline data for nursing service program and to elevate the quality of service by examining whether nurses' nursing service is related to job stress, job satisfaction, organi-zational commitment, leadership and nursing service satisfaction in hospitals.
METHOD
Subjects were 135 nurses and 135 patients, working and being in the hospitals in C province < D city from November. 7 to 21, 2005 and completed a structured questionnaire. The data was analyzed using descriptive statistics, t-test, ANOVA, ANCOVA, Pearson's correlation analysis, and multiple regression analysis.
RESULTS
The most powerful predictor of nursing service was leadership(60.7%). Altogether leadership, nursing service satisfaction, organizational commitment, and work stress explained 72.5% of nursing service of the nurses in hospitals.
CONCLUSION
The results showed the nurses' nursing service in hospitals was influenced by leadership, nursing service satisfaction, organizational commitment, and job stress. It suggested that concepts of leadership, nursing service satisfaction, organizational commitment, and job stress should be considered in developing nursing services programs.