Purpose
This study aimed to suggest directions for legislation regarding medical support tasks in the Nursing Act to promote the advancement of nursing.
Methods
This study reviewed the history of medical support nurses in South Korea and the educational programs for advanced practice providers, both domestically and internationally.
Results
Nurses have performed medical support tasks traditionally carried out by physicians, but legal controversies have persisted. As a result of the escalation of conflicts surrounding policies aiming to increase the physician workforce, training doctors left hospitals. This prompted the initiation of pilot programs allowing nurses to legally engage in medical support tasks, culminating in the enactment of the Nursing Act in September 2024. Internationally, advanced practice providers such as advanced practice nurses (APNs) and physician assistants (PAs) undergo graduate-level education and certification. Since Korea lacks a PA system, integrating medical support tasks within the APN framework would be preferable. Achieving this will require absorbing clinical practice nurses (referred to as PA nurses) into the APN system, implementing government-supported education programs to address regional disparities, and establishing reimbursement policies for APNs.
Conclusion
With the implementation of the Nursing Act, a long-term approach is needed to establish professional qualifications, accreditation, education, training, examination, and regulatory systems. A comprehensive discussion should be undertaken to develop an optimal workforce, ensuring the delivery of safe and high-quality healthcare services to patients and the public.

Purpose
Falls and medication errors are the most common patient safety incidents globally. Kolb’s experiential learning theory supports the application of cognitive learning in clinical settings. This study examined the effectiveness of Experiential Learning–Based Fall and Medication Error Prevention Education (EFMPE), utilizing virtual reality and room of errors.
Methods
A randomized controlled trial was conducted with 28 fourth-year nursing students (15 experimental, 13 control). The experimental group participated in EFMPE from February 1 to 6, 2024, comprising six sessions of 2 hours each. The control group received traditional lectures. Safety control confidence and course interest were measured before and immediately after the intervention; safety control confidence was reassessed 6 weeks later.
Results
Both groups showed immediate improvement; however, only the experimental group sustained increased safety control confidence after 6 weeks (Wald χ²=13.21, p<.001). Course interest was significantly higher in the experimental group post-intervention (Wald χ²=10.64, p=.001).
Conclusion
These preliminary findings suggest that EFMPE potentially supports the prevention of falls and medication errors in clinical practice.

Purpose
This study analyzed nursing students’ guided reflective journals following simulation-based practice using standardized patients for the initial care of older adults experiencing falls. It aimed to provide a deeper understanding of how changes in students’ thinking occurred through the learning experience and to describe their levels of reflection.
Methods
An eight-hour simulation-based education program was implemented during a geriatric clinical practicum. The program consisted of orientation, pre-learning activities, simulation practice, and a wrap-up session. Reflective journals from 53 third-year nursing students were analyzed using qualitative content analysis.
Results
Fifty-three third-year nursing students participated and submitted reflective journals. Three categories emerged from the analysis: “preparing for simulation-based practice,” which involved students setting care plans and employing observation; (2) “experiencing patient fall management through simulation-based practice,” where students actively engaged in realistic fall management scenarios; and (3) “critical reflection after simulation-based practice,” encompassing students’ acquisition of new insights and their personal growth. In the first category, students prepared for patient encounters by developing care plans and conducting observations. The second category highlighted realistic fall management scenarios utilizing standardized patients. The third category focused on personal growth through critical reflection. In the 53 reflective journals (185,021 words), level 3 reflections accounted for 31.6% of the content, while level 5, the highest reflection level, comprised only 8.6%.
Conclusion
Post-simulation reflective journaling stimulated critical thinking and self-assessment, enabling nursing students to analyze and reflect deeply on clinical practices. This process reinforced their knowledge base and behavioral foundations essential for clinical practice.

Purpose
This study aimed to examine the relationship among professor-student interactions, grit, and adaptation to college life.
Methods
In this quantitative, cross-sectional study, participants completed a structured questionnaire comprising 48 items: 8 on general characteristics, 8 on professor-student interactions, 12 on grit, and 20 on adaptation to college life. Data were collected from 165 nursing students at two four-year universities between April 15 and May 20, 2023.
Results
Professor-student interactions had a mean score of 3.76±0.59 out of 5, grit had a mean score of 3.09±0.53, and adaptation to college life had a mean score of 3.48±0.51. Regression analysis identified significant predictors of adaptation to college life, including professor-student interactions (β=.26, p<.001), grit-perseverance of effort (β=.18, p=.047), and satisfaction with the major, with the "very satisfied" (β=.40, p<.001) and "satisfied" (β=.24, p=.002) categories showing significant impacts. The overall regression model was statistically significant (F=20.76, p<.001) and accounted for 32.5% of the variance in adaptation to college life.
Conclusion
Educational programs designed to strengthen professor-student interactions, enhance grit, and improve satisfaction with one's major should be developed to help nursing students adapt to college life. These findings have important implications for nursing education practices, the improvement of student support systems, and the preparation of students for their professional roles.

Purpose
This study aimed to explore the roles, facilitators, barriers, and future directions of rapid response teams (RRTs) in Korean hospitals from the perspectives of both RRT and ward nurses.
Methods
Focus group interviews were conducted with 10 RRT nurses and 10 ward nurses across three hospitals that employed RRTs in Korea from August 2021 to February 2022. The interviews were recorded, transcribed, and analyzed using qualitative content analysis to identify themes relevant to RRT operations.
Results
The analysis yielded 10 subtopics and 4 main themes: the exploration of RRT's essential roles, the facilitators and barriers impacting RRT operations, and the construction of a blueprint for future systems. Notable barriers included unclear job assignments without legal safeguards, conflict arising from hierarchical structures, and insufficient organizational support. The following facilitators were identified: transformed perceptions through collaborative efforts, organizational recognition and support, and self-reinforcement by demonstrating expertise.
Conclusion
This study highlights the challenges and opportunities associated with implementing RRTs in Korean hospitals, including the need for clear role definitions, effective interprofessional collaboration, and organizational support. Based on these findings, future efforts should focus on establishing legal frameworks that define the scope of practice for RRT nurses.

Purpose
This study was a scoping review aimed at evaluating Simulation-Based Education for recognizing and responding to deteriorating patients within Korean nursing school curricula, and at developing educational strategies for these competencies.
Methods
A literature search was conducted from April 1 to April 30, 2024. The review followed the scoping review framework by Arksey and O’Malley and the manual by the Joanna Briggs Institute. Relevant studies were identified through databases such as the Korean Medical Database, Korean Studies Information Service System, DataBase Periodical Information Academic, Research Information Sharing Service, ScienceOn, and the Cumulative Index to Nursing and Allied Health Literature.
Results
Eleven studies published from 2010 to 2019 were reviewed. The simulations typically included several lectures and practice sessions on advanced cardiopulmonary life support before the simulation exercises, which were then repeated. Cardiac arrest was frequently used as a scenario subject. The learning outcomes focused on the cognitive and psychomotor domains, as well as self-efficacy.
Conclusion
Although simulation for recognizing and responding to deteriorating patients was available in Korean nursing school curricula, it was infrequently incorporated as a regular part of the training. Future initiatives should include adding educational content to enhance nursing students' competencies in recognizing and responding to deteriorating patient simulations. Subsequent studies should assess the effectiveness of these educational methods.

Purpose
This study aimed to comprehensively understand the experiences of emergency nurses performing triage during the peak and plateau periods of the Coronavirus Disease 2019 (COVID-19) pandemic over the past two years. Methods: Twenty triage nurses from three emergency medical centers were recruited through purposive and snowball sampling. Data collection occurred from February to May 2022 via focus group interviews and was analyzed using qualitative content analysis. Results: The experiences of emergency nurses in triage revealed four themes: "changes in priorities due to infectious diseases", "barriers to tirage", "the emotional burden experienced by triage nurses", and "the journey toward growth". The pandemic heightened the focus on infection screening in triage. Triage nurses faced numerous challenges concerning their own safety and that of their patients and encountered difficulties in performing triage. Nonetheless, these experiences provided them with opportunities for professional growth. Conclusion: The experiences of nurses performing triage during the peak and plateau periods of the COVID-19 pandemic provide valuable insights for future preparedness and coping strategies in the face of similar infectious disease outbreaks. It is necessary to establish integrated triage guidelines for patient safety, develop operations manuals for triage, implement policies on staffing standards, and provide mental health support for triage nurses during pandemics.

Purpose
This study aimed to identify the characteristics and efficacy of Intermittent Pneumatic Compression (IPC) interventions for preventing Venous Thromboembolism (VTE) in critically ill patients. Methods: The CENTRAL, Embase, OVID, CINAHL, KMbase, KoreaMed, and KoreaScience databases were searched from January 7 to 11, 2023. The search included all records from the inception of each database up to January 2023, with publication language restrictions to English and Korean. Three reviewers independently carried out the entire process, which included data search, quality assessment, and data extraction. Results: Out of 1066 articles, six Randomized Controlled Trials (RCTs) were included. One of the four studies that reported on the incidence of DVT, and one of the six studies that measured the incidence of Pulmonary Embolism (PE), found that IPC alone was effective in reducing the incidence of DVT and PE. One of the four studies that reported on VTE incidence demonstrated a significant reduction in VTE incidence with a triple intervention of IPC, anticoagulants, and elastic compression stockings compared to a combined intervention of anticoagulants and graduated compression stockings. Four studies that reported data on the incidence of bleeding reported no effect on reducing bleeding. Conclusion: Our findings suggest that IPC interventions may reduce the incidence of DVT as a preventive strategy in critically ill patients. Further RCTs are necessary to evaluate the effect of IPC interventions on DVT prevention in this patient population and to provide robust evidence for critical care nursing.

Purpose
This scoping review aimed to identify the current state of the application of theories in research related to advance care planning and to analyze the types and characteristics of the theories applied. Methods: Using the scoping review methodology presented by Arksey & O'Malley, the articles published from 2010 to 2022 were searched by combining the terms "advance care planning," "theory," and "model" in five electronic databases; PubMed, CINAHL, EMBASE, KMBASE, and KISS. Results: Thirty-two studies were identified. Theory-based research has been actively conducted since 2019, with a total of 25 theories applied. Psychological theories were the most prevalent, accounting for 75.0% of the applications, followed by sociological theories (12.5%), public health theories (6.3%), and one nursing theory (3.1%). Theories were utilized to create a framework for data analysis, establish a philosophical underpinning, develop intervention frameworks, and derive new tools. Conclusion: Various theories have been applied to research on advance care planning, yet the application of nursing theory has been limited. To optimize end-of-life care and advance care planning from a nursing perspective, further research incorporating nursing theory is essential.

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 aimed to explore the differences between patient and nurse perceptions of nursing needs and performance in integrated nursing care service wards within small to medium-sized hospitals. Methods: The participants of the study were 116 patients and 116 nurses in the integrated nursing care service wards of small and medium-sized hospitals in U and Y cities. Data collection was conducted between July 18 and August 12, 2022. The collected data were analyzed using descriptive statistics, the paired t-test, the independent t-test, and the importance-performance analysis. Results: Only the difference between nurse-perceived nursing needs and nursing performance (gap 2) was statistically significant (t=4.18, p<.001). Patients' physical needs were higher than what nurses perceived, and patients' financial were higher than nursing performance as perceived by both nurses and patients. In addition, nurses' performance was lower than the perceived nursing needs in all domains. According to the importance-performance analysis, the "concentrate here" areas included infection control, respect for patients' rights, and education of patients and families about diseases and treatment plans. Additionally, financial issues in nursing were identified as a "low priority" area requiring long-term intervention. Conclusion: It is crucial to prioritize nursing care that addresses patients' needs for infection control, respect for rights, and education. Nurses should also meet the physical and economic support needs of patients. Furthermore, it is recommended to adjust the nurse staffing ratio and foster systematic collaboration among hospitals, taking into account the circumstances of small to medium-sized hospitals.

Citations

• Nurses’ perspectives on the adoption of new smart technologies for patient care: focus group interviews
  Hyein Choi, Sunghee H. Tak, Young Ae Song, Jiyeon Park
  BMC Health Services Research.2025;[Epub]     CrossRef

Purpose
This descriptive survey study aimed to identify the influences of person-centered perioperative nursing and patient safety competency on patient safety management activities among operating room nurses.
Methods
Data were collected from June 14 to July 14, 2021, covering 158 operating room nurses working at six general hospitals. Data were analyzed using hierarchical multiple regression to identify the influencing factors of patient safety management activities.
Results
The mean scores of person-centered perioperative nursing, patient safety competency, and patient safety management activities were 3.86, 3.88, and 4.55, respectively. These scores increased with increased age and clinical experience. Person-centered perioperative nursing (β=.22, p=.014) and patient safety competency (β=.22, p=.014) influenced patient safety management activities.
Conclusion
Therefore, to improve the patient safety management activities of operating room nurses, an efficient nursing work environment must be created along with systematic and continuous education and programs to enhance person-centered perioperative nursing and patient safety competency.

Citations

• Impact of Delirium-Related Stress, Self-Efficacy, Person-Centred Care on Delirium Nursing Performance Among Nurses in Trauma Intensive Care Units: A Cross-Sectional Descriptive Survey Study
  Ga-Hee Seong, Hyung-Ran Park
  Healthcare.2025; 13(11): 1243.     CrossRef
• Novice Perioperative Nurses’ Perceptions of Nursing Competence and Strategies Used to Enhance Competence: A Phenomenographic Study
  Seo Jin Kwon, Sung Ok Chang, Boo Hyo Park
  AORN Journal.2025; 121(3): 186.     CrossRef
• Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities
  Subin Lee, Sujin Shin
  Journal of Korean Critical Care Nursing.2023; 16(3): 87.     CrossRef

Purpose
This study aimed to evaluate the validity and reliability of the revised Korean version of the Nurses' Ethical Behaviors for Protecting Patient's Rights Scale (NEBPPRS-K25).
Methods
The participants in this study consisted of 311 nurses employed at university hospitals located in D, S, or U cities. Data were collected from July 1 to August 31, 2022. The collected data were analyzed utilizing SPSS and AMOS version 28.0.
Results
The statistical analysis led to the exclusion of three items from the original version, resulting in five subscales encompassing a total of 25 items. Confirmatory factor analysis demonstrated satisfactory model fit indices (normed χ² =2.56, p<.001, RMR=.05, RMSEA=.07, GFI=.84, CFI=.86, TLI=.85, IFI=.87). The items' convergent and discriminant validity were verified using confirmed through the extracted mean variance (.54~.65) and composite reliability (.78~.90). The Cronbach's ⍺ value for the overall NEBPPRS-K instrument was .89, while the Cronbach's ⍺ value for each individual subscale ranged from .66 to .85.
Conclusion
The NEBPPRS-K25 is a valid and reliable scale, making it suitable for widespread use in measuring nurses' ethical behaviors to safeguard patient rights.

Citations

• Psychometric evaluation of the Vietnamese version of nurses’ ethical behaviors for protecting patient rights scale (V-NEBPPRS): a methodological study
  Ninh Do Thi, Gunjeong Lee, Dian Susmarini
  BMC Nursing.2024;[Epub]     CrossRef
• Development of Ethical Competence Self-assessment Tool for Korean Physical Therapists
  JiYeon Cheon, MyungChul Kim, HaeIn Kim, Hyunsuk Kim
  The Open Public Health Journal.2024;[Epub]     CrossRef

Purpose
This study aimed to provide an overview of telomere length (TL) as an emerging biomarker in adult healthcare. Additionally, some measurement considerations and future directions for its application in adult nursing research were described. Methods A comprehensive literature review was conducted. Results TL is a widely known indicator of aging and aging-related diseases at the molecular level. Throughout the literature, TL has been established as a useful biomarker that is indicative of aging-related diseases such as cancer, metabolic diseases, and psychological distress and their resulting health conditions. The main pathway of TL shortening appears as an interaction between genetic and environmental factors through a mechanism commonly known as oxidative stress and inflammation. TL attrition may be slowed down, stopped, or even lengthened by interventions such as mindfulness, meditation, exercise, lifestyle modifications, and cognitive behavioral therapy, which have been demonstrated to have a positive effect on TL. As these interventions have been widely applied in adult nursing research, the value and scope of adult nursing science can be expanded by using TL in such research. Conclusion TL has been shown to be associated with age-related diseases, which are mainly studied in adult nursing research. Therefore, it is necessary to explore various nursing phenomena using TL as a biomarker through adult nursing research and to develop nursing interventions that have a positive effect on TL.

Citations

• A biobehavioral theoretical framework based on the mechanism of cellular aging for nursing interventions to promote autonomic balance
  Nahyun Kim, Jooyeon Park
  Journal of Korean Biological Nursing Science.2024; 26(2): 99.     CrossRef

Purpose
The purpose of this study is to identify the characteristics of Korean nurses' research participation experiences; their resulting consent satisfaction; pressure to participate; satisfaction in participating; and the factors influencing research participation satisfaction. Methods A descriptive cross-sectional design was used. Data were collected using a questionnaire distributed to nurses who are employed at hospitals or higher medical institutions nationwide and have participated in nursing research at least once. 197 nurses participated in this study. 173 data were analyzed using descriptive statistics, correlation, and regression. Results Senior nurses made the most participation requests (21.4%). The coercion to participate in the research (2.67±0.64) was lower than normal (3). However, the coercion level to participate in the study was significantly higher when notified by the institution or department (F=5.29, p<.001), the department head requested participation (F=5.17, p<.001), or senior nurses instructed other nurses to participate (F=7.96, p<.001). Satisfaction with informed consent (β=.55, p<.001) and coercion to participate in the research (F=93.16, p<.001) were significant variables influencing the satisfaction with research participation (R²=.52). Conclusion In order to protect the rights of nurses as research participants, it is necessary to improve researcher awareness and quality of nursing research, as well as provide ethical research environments for research participants.

Purpose
This study investigated the factors affecting depression in nursing students during the COVID-19 pandemic. Methods The participants of this descriptive study were 183 nursing students at four nursing colleges. Data were collected from August 27 to September 10, 2021 through an online questionnaire comprising 101 questions, and analyzed using SPSS/Win 25.0 program by frequency and percentage, mean and standard deviation, independent t-test, one-way ANOVA, pearson’s correlation coefficient, and hierarchical multiple regression analysis. Results The results revealed that the average score for depression in the participants was 9.19±9.23 out of 63 points. The factors affecting depression in the participants during the COVID-19 pandemic were satisfaction with major (moderate) (β=-.38, p=.009), satisfaction with major (satisfied) (β=-.35, p=.018), job-seeking anxiety (β=.33, p<.001), health status (good) (β=-.28, p=.016), and self-efficacy (β=-.26, p=.001), and the explanatory power of these variables for depression in the participants was 43.0%. Conclusion The results of this study suggest that for early prevention and management of depression in nursing students, to increase their satisfaction with the nursing major, it is necessary to implement learning enhancement programs and adopt strategies to improve their understanding of nursing. It is also necessary to develop and implement various extracurricular programs for reducing job-seeking anxiety and enhancing self-efficacy.

Citations

• Factors Affecting Depression in College Students who were Confirmed with COVID-19
  Minkyung Gu
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(1): 60.     CrossRef
• Mediating Effect Of Stress Response and Grit On the Relationship Between Stress and Depression In Nursing Students: Emperical Research Quantitative
  Jaehee Jeon, Seunghye Choi
  Nursing Open.2024;[Epub]     CrossRef

Purpose
The purpose of this study was to provide the fundamental data for improving working environments for operating room nurses as well as the quality of surgical nursing.
Methods
Study participants were 95 operating room nurses with at least three months of work experience in general and tertiary hospitals in S and G provinces. Data were collected from October 2021 to November 2021 using a structured questionnaire. Results: Factors affecting the participants’ burnout were verbal violence (β=.23, p=.007), the self-perceived health status “not healthy” (β=.21, p=.009), and job satisfaction: “dissatisfied” (β=.34, p<.001) and “moderate” (β=.44, p<.001). Work-oriented nursing organizational culture (β=.26, p=.007) had a moderating effect on the relationship between verbal violence and burnout.
Conclusion
The results indicated that the verbal violence experienced by the participants affected their burnout, and work-oriented nursing organizational culture acted as a moderating variable.Therefore, a hospital’s organizational efforts to reduce verbal violence in the operating room and develop a well-balanced nursing organizational culture must be aimed at lowering nurse burnout.

Citations

• The Effects of Grit, Emergency Nursing Competency, and Positive Nursing Organisational Culture on Burnout Among Nurses in the Emergency Department
  Su-Young Moon, Hyung-Ran Park
  Behavioral Sciences.2025; 15(4): 486.     CrossRef
• Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
  Yesol Byon, Yoon Goo Noh
  Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
• Predictive modeling of burnout based on organizational culture perceptions among health systems employees: a comparative study using correlation, decision tree, and Bayesian analyses
  Teray Johnson, Sameh Shamroukh
  Scientific Reports.2024;[Epub]     CrossRef
• The relationship between occupational burnout and moral courage in operating room personnel: A cross-sectional study
  Mahla Zakeriafshar, Camellia Torabizadeh, Zahra Jamshidi
  Perioperative Care and Operating Room Management.2023; 32: 100339.     CrossRef
• Effects of Clinical Nurses' Responses to Violence on Burnout: The Moderating Role of Positive Psychological Capital
  Haejun Choi, Sujin Shin, Seungji Kim, Sungran Kim
  Korean Journal of Adult Nursing.2023; 35(4): 406.     CrossRef

Purpose
The purpose of this study was to construct and test a hypothetical model of clinical nurses’ spiritual nursing care based on the theory of planned behavior. Methods From May 1 to May 31, 2019, data of 289 nurses working at a university hospital were collected and analyzed. Results The goodness-of-fit of the final model was at a good level (TLI=.90, CFI=.91, SRMR=.06, RMSEA=.06). The intention toward spiritual nursing was directly affected by attitude, subjective norm, and perceived behavior control toward spiritual nursing. Spiritual nursing care was both directly and indirectly affected by attitude, subjective norm, perceived behavioral control, and intention toward spiritual nursing. These variables accounted for 76.6% of the intention to spiritual nursing and 44.5% of spiritual nursing care. Conclusion Clinical nurses’ spiritual nursing care can be improved by intention, attitude, subjective norm, and decreased perceived behavioral control toward spiritual nursing. Therefore, it is necessary to improve the job of nursing, create an environment for spiritual nursing, and develop and implement various education programs.

Citations

• Spiritual nursing education programme for nursing students in Korea: a systematic review and meta-analysis
  Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park
  BMC Nursing.2024;[Epub]     CrossRef
• A Structural Model for Aggression in Middle School Students in Korea: Based on Ajzen’s Theory of Planned Behavior
  Sook Jang, Hye Young Ahn
  International Journal of Environmental Research and Public Health.2023; 20(2): 1576.     CrossRef

Purpose
This study aimed to explore the clinical practice experience of nursing students during the Coronavirus Disease 2019 (COVID-19) pandemic.
Methods
We used the qualitative content analysis steps presented by Graneheim and Lundman. The participants were 11 nursing students from two universities. We collected data by iterative work through in-depth interviews and observations and analyzed it using content analysis and dialogue between the authors to enhance interpretation.
Results
Four themes emerged from the participants' clinical practice experiences during the pandemic: increased uncertainty in clinical practice and daily life, reduced opportunities for practice experiences and networking, differences in the meaning of clinical practice, and new implications of clinical practice.
Conclusion
Participants were experiencing clinical practice, including themselves and the surrounding world, under the strong influence of the COVID-19. Therefore, the development of practice guidelines that can be communicated quickly between institutions, students, and universities and cope flexibly with the pandemic alarm levels will reduce uncertainty in clinical practice and minimize changes in activities and networking. Additionally, the nurses’ professional intuition should be improved by expanding the awareness of nurse roles in clinical practice during the COVID-19 pandemic.

Citations

• Impact of grit, empathy, and communication competence on the clinical competence of nursing students in the post-COVID-19 era in Korea: a cross-sectional study
  Soo-Hyun Nam, Seurk Park
  Journal of Korean Biological Nursing Science.2025; 27(1): 115.     CrossRef
• The Impact of the COVID-19 Pandemic on Clinical Practice Education in South Korea: A Cross-Sectional Study
  Kuemju Park
  International Journal of Environmental Research and Public Health.2025; 22(4): 577.     CrossRef
• Development of Virtual Reality-Based Home-Visiting Healthcare Education Content
  Young-Sun Ha, Yong-Kyung Park, Hye-Sun Byun, Moon-Ji Choi
  Journal of Digital Contents Society.2025; 26(1): 1.     CrossRef
• Expectations and concerns about transitioning to face-to-face learning among Korean nursing students: A mixed methods study
  Hyeongsuk Lee, Hye Jin Yoo, Chao Gu
  PLOS ONE.2024; 19(1): e0296914.     CrossRef
• Therapeutic Communication Using Mirroring Interventions in Nursing Education: A Mixed Methods Study
  Seung Hee Lee, Hye Jin Yoo
  Asian Nursing Research.2024; 18(5): 435.     CrossRef
• The Impact of COVID-19 Stress, Interpersonal Relations, and Information Literacy on the Adaptation of Nursing Students to College Life
  Miran Jung, So Youn Yim, Young Mi Ryu
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(1): 9.     CrossRef
• Korean Nursing Students’ Experiences of Virtual Simulation Programs Replacing In-Person Mental Health Nursing Practicum during the COVID-19 Pandemic
  Sunyoung Lee, Eunyoung Park, Hyun-E Yeom
  Healthcare.2024; 12(6): 685.     CrossRef
• Nursing students’ satisfaction and clinical competence by type of pediatric nursing practicum during the COVID-19 pandemic
  Hyeon Ok Ju, Jung Hwa Lee
  The Journal of Korean Academic Society of Nursing Education.2024; 30(1): 29.     CrossRef
• Effect of Virtual-Reality Simulation of Indwelling Catheterization on Nursing Students’ Skills, Confidence, and Satisfaction
  Soohyun Park, Hyeon Gyeong Yoon
  Clinical Simulation in Nursing.2023; 80: 46.     CrossRef
• The Practical Experience of Nursing Graduates through Clinical Practicum Alternative Program during the COVID-19 Pandemic
  Eun Hee Jang, Youngrye Park
  Journal of Korean Association for Qualitative Research.2023; 8(2): 107.     CrossRef
• Student nurse experiences in public healthcare clinical practice during the COVID-19 pandemic: A qualitative study
  Yun-Jung Choi, Youn-Joo Um
  Nurse Education Today.2022; 119: 105586.     CrossRef
• Clinical Field and Alternative Clinical Practice Experience in a Pandemic Situation of Nursing Students Who Have Experienced Clinical Practice before COVID-19
  Hyeran An, Sunnam Park, Jongeun Lee
  International Journal of Environmental Research and Public Health.2022; 19(20): 13372.     CrossRef
• Laboratory and clinical teaching experience of nursing professors in the COVID-19 pandemic era: Now and the future
  Seung-Yi Choi, Songxian Jin, Jung-Hee Kim
  Frontiers in Public Health.2022;[Epub]     CrossRef
• Effectiveness of Debriefing in Simulation-Based Education for Nursing Students: A Systematic Review and Meta-analysis
  Yeoungsuk Song, Seurk Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 399.     CrossRef

Purpose
The purpose of this study was to assess the research performance during Coronavirus Disease 2019 (COVID-19) pandemic among nursing researchers. Methods: A cross-sectional online survey was conducted for Korean Society of Adult Nursing where 103 subjects participated from April 15 to May 14, 2021. The survey tool developed by researchers had 32 items including difficulties in performing research activities, perception of the impact of COVID-19 on research validity, and three open-ended questions. Results: In the research planning phase, 88 subjects (90.7%) reported difficulties in the recruitment plan and 83 subjects (89.3%) reported difficulties selecting a research design. In the recruitment and data collection phase, 85 subjects (88.6%) had difficulties accessing data collection site and 78 subjects (85.7%) had difficulties in face-to-face data collection. In the provision of intervention phase (for experimental study), 26 subjects (66.7%) reported that they should have changed the method of delivery of intervention. In research administration and manpower management, 62 subjects (75.6%) reported difficulties in face-to-face meeting. In research outcome management, 65 subjects (85.5%) reported that they should have changed the way of research-related events. Lastly, 80 subjects (81.6%) perceived that difficulties caused by COVID-19 impacted research validity. Conclusion: Majority of participants perceived that the difficulties in research activities may decrease research validity. To ensure research quality during COVID-19 pandemic, we should recognize potential threats to research validity and actively pursue adaptable innovations of research designs and data collection methods.

Purpose
The purpose of this study was to determine the factors related to nurses’ intentions toward Coronavirus Disease 2019 (COVID-19) patients. Methods: The participants were 227 nurses, from three hospitals in Seoul and Gyeonggi-do, Korea, who cared for patients directly. Based on the theory of planned behavior, nursing intention, key factors, and belief factors were measured using the modified nurses’ intention to care for patients with severe acute respiratory syndrome. Anxiety was measured using the State-Trait Anxiety Inventory, and depression by the Korean-Beck Depression Inventory. Data were collected via an online survey and analyzed using multiple regression. Results: The mean of the nursing intention scores for COVID-19 patients was 0.54±1.41. The predictors of nursing intention were perceived behavioral control (β=.38), attitude toward behavior (β=.28), and normative beliefs (β=.13) (Adj. R² =.49, F=27.89, p<.001). However, anxiety and depression did not affect nursing intentions. Conclusion: To effectively manage the current COVID-19 pandemic, institutional and educational strategies must be developed to help nurses enhance their nursing practices and adopt a positive attitude toward the care of patients infected with COVID-19.

Citations

• Nurses’ intention to care of COVID-19 patients in hospitals dedicated to infectious disease in South Korea: application of the theory of planned behavior and verification of the moderating effect of ethical nursing competence
  Mira Mo, Seongmi Moon, Eun Kyeung Song
  BMC Nursing.2024;[Epub]     CrossRef
• Factors influencing nurses' intent to provide care involved in coronavirus disease 2019: Theory of planned behaviour perspectives
  Areum Hwang, Donghee Kim
  Journal of Clinical Nursing.2024; 33(1): 333.     CrossRef
• Factors associated with intention to use care robots among people with physical disabilities
  Sang H. Jung, Yong Soon Shin
  Nursing Outlook.2024; 72(3): 102145.     CrossRef
• Factors Affecting the Preparedness to Care for Patients with Highly Infectious Diseases among Nursing Staff in Long-term Care Hospitals: A Cross-Sectional Descriptive Study
  Ye Seul Lee, Min Hye Lee
  Korean Journal of Adult Nursing.2023; 35(1): 35.     CrossRef
• Stress, COVID‐19 related knowledge, attitude, and infection control performance of nurses at long‐term care hospitals
  Ji Ae Shim, Sun Young Jeong
  Nursing & Health Sciences.2023; 25(2): 247.     CrossRef
• Development and testing effectiveness of a simulation program to control COVID-19 infections in nursing students
  Kino Kang, Mihae Im, Miyoung Jang, Jaewoon Lee, Okjong Lee
  Journal of Korean Critical Care Nursing.2023; 16(2): 54.     CrossRef
• The Influence of Long-term Care Hospital Nurses' Nursing Professionalism and Knowledge of COVID-19 on Nursing Intentions for COVID-19 Patients
  Mi Aie Lee, Hyun Ju Park, Bonghwa Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 35.     CrossRef
• Factors Influencing Psychosocial Well-being of General Hospital Nurses Following the COVID-19 Pandemic: A Cross-sectional Study
  Na Rae Park, Sa Ra Lee, Ju Young Park
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 469.     CrossRef
• Factors Affecting Infection Control Performance of School Health Nurses During the COVID-19 Pandemic in South Korea
  Mi-Ra Yim, Boyoung Kim
  Journal of Multidisciplinary Healthcare.2022; Volume 15: 805.     CrossRef
• Factors Affecting Nursing Intention for Patients with Emerging Infectious Diseases among Nurses in Hospitals Dedicated to COVID-19: A Focus on the Mediating Effects of Job Crafting
  Yu Na Lim, Ju Young Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 105.     CrossRef
• Factors Influencing the Educational Needs and Nursing Intention Regarding COVID-19 Patient Care among Undergraduate Nursing Students
  Eun-Joo Ji, Eun-Kyung Lee
  International Journal of Environmental Research and Public Health.2022; 19(23): 15671.     CrossRef
• Mental Health and Quality of Life for Disaster Service Workers in a Province under COVID-19
  Ji-Won Na, Chan-Mo Yang, Sang-Yeol Lee, Seung-Ho Jang
  Journal of Clinical Medicine.2022; 11(6): 1600.     CrossRef
• The Influencing Factor of Motivation to Transfer, Work Value, Social Responsibility on Nursing Intention for Patients with Emerging Communicable Diseases among Nursing Students
  Da-Hye Park, Wanju Park
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 339.     CrossRef
• Mediating Effects of Psychological States on Work Performance of Visiting Nurses According to COVID-19 Workplace Quarantine Measures: A Multi-Group Path Analysis Study
  Jee-Hyun Hwang
  International Journal of Environmental Research and Public Health.2021; 19(1): 444.     CrossRef

Purpose
The aims of this study are to identify current problems of nursing education as perceived by nursing educators and nurses, and to suggest developmental strategies for effective undergraduate nursing education in Korea. Methods: This study is a descriptive study to investigate how nursing education is perceived by nursing educators and nurses, including the performance of core competencies, and curriculum improvement points, and gaps between the two. We surveyed 71 faculties in nursing colleges, and 282 nurses with less than three years of clinical experience in general and tertiary hospitals. Statistical analyses were conducted using descriptive statistics, independent two-sample t-test, and Importance-Performance Analysis (IPA). Results: According to the majority of nursing educators (91.4%), there is a necessity of curriculum reform toward an integrated curriculum based on concepts (58.9%), and the keywords for future nursing education are professionalism, leadership, and ethics. They also impressed upon the necessity of information technology as an additional field of education (73.2%). Nurses responded that the most helpful theoretical and practical subjects were adult nursing (35.5%), and simulation practicum (35.4%), respectively. Both nursing educators and nurses expressed the necessity of high-fidelity simulation. The IPA results showed that performance was low compared to importance in all items. The statistically significant gaps between nursing educators and nurses were core knowledge and technical skill. Conclusion: Based on the findings of this study, future undergraduate nursing education should consider a concept-based curriculum, field-oriented clinical practice, learner-centered education, competency-based curriculum, information technology education, and inter-professional education to respond preemptively to future healthcare environments.

Citations

• Effects of Discussion-Based Legality-Focused Nursing Record Education on Nursing Students’ Knowledge, Self-Confidence, and Nursing Record Performance
  Dohye Kim, Kyoungrim Kang, Jeongyeong Jeon
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 14.     CrossRef
• Factors Influencing Self-Confidence and Educational Needs in Electrocardiographic Monitoring Among Emergency Room and Intensive Care Unit Nurses
  Miji Kim, Jaeyong Yoo
  Healthcare.2025; 13(3): 277.     CrossRef
• Assessing Needs for Practical Training in Intensive Care Unit to Enhance Nursing Education: A Focus Group Interview
  Sunah Park, Bokyoung Kim
  Journal of Korean Critical Care Nursing.2024; 17(2): 55.     CrossRef
• A Systematic Review and Meta-Analysis of Studies on Psychiatric Nursing Simulation Program-Focused on Scenario
  Geun Myun Kim, Eun Joo Kim, Ji Young Lim, Soo Jung Chang, Ok Kyun Lee, Seong Kwang Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(2): 150.     CrossRef
• Simulation-Based Education for Recognizing and Responding to Deteriorating Patients in Korean Nursing Curricula: A Scoping Review
  Yi Kyung Ha, Hye Jin Kang
  Korean Journal of Adult Nursing.2024; 36(4): 261.     CrossRef
• Social support for nursing students: A concept analysis study
  Mi-Young Choi, Sunghee Park, Gie Ok Noh
  Nurse Education Today.2024; 132: 106038.     CrossRef
• 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 Need for and Perceptions of Interprofessional Education and Collaboration Among Undergraduate Students in Nursing and Medicine in South Korea
  Hee-Young Song, Kyoung A Nam
  Journal of Multidisciplinary Healthcare.2022; Volume 15: 847.     CrossRef
• Nursing students' motivational and self‐regulated learning during the COVID‐19 pandemic: A cross‐sectional study
  Sunhee Cho, Sun Joo Jang
  Nursing & Health Sciences.2022; 24(3): 699.     CrossRef

Purpose
The purpose of this study was to identify the moderating effect of teaching effectiveness and students’ anxiety in the relationship between simulation design characteristics and clinical reasoning competence among nursing students. Methods: The participants were 123 nursing students who underwent simulation practice. Data were collected from September 1 to October 30, 2020 using self-report questionnaires. The collected data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, and SPSS PROCESS Macro program (to study the multiple additive moderation effect). Results: Significant positive correlations were observed between clinical reasoning competence and simulation design characteristics (r=.57, p<.001), clinical reasoning competence and teaching effectiveness (r=.49, p<.001), while negative correlations were observed between clinical reasoning competence and students’ anxiety (r=-.33, p<.001). Teaching effectiveness and students’ anxiety had a multiple additive moderating effect on the relationship between simulation design characteristics and clinical reasoning competence among the nursing students (F=15.10, p<.001). Conclusion: The relationship between simulation design characteristics and clinical reasoning competence differed depending on the students’ anxiety. To improve the clinical reasoning competence of nursing students in simulation practice, developing interventions and techniques to manage students’ anxiety levels are important.

Citations

• The mediating role of flow in the relationship between simulation design and simulation educational satisfaction in korean nursing students: a cross-sectional study
  Eun-Kyung Lee, Eun-Joo Ji
  BMC Nursing.2024;[Epub]     CrossRef
• Factors Related to the Problem-solving Ability of Nursing Students Who Experienced Simulation Training
  Ji-Won Han
  Journal of Korea Society for Simulation in Nursing.2023; 11(2): 17.     CrossRef

Purpose
This study aims to explore the mediating effect of burnout and the moderating effect of nursing work environment in the relationship between nursing competence and patient-centered care among nurses caring for patients with chronic disease. Methods: This study uses a cross-sectional descriptive research design. The participants were 150 nurses at a general hospital. The data were collected from February 10 to May 10, 2020. The questionnaire consisted of measuring tools for general characteristics, patient-centered care, nursing competency, nursing work environment, and burnout. The SPSS/25.0 program was used to analyze the data using descriptive statistics, Pearson's correlation coefficient, independent t-test, one-way ANOVA, Scheffé test, and hierarchical multiple regression. Results: The average score of patient-centered care was found to be 3.75±0.44. Nursing competency had a mean score of 3.64±0.44, nursing work environment of 3.04±0.43, and burnout of 2.91±0.68. Patient-centered care was significantly associated with nursing competency, nursing work environment, and burnout. In the relationship between nursing competency and patient-centered care, burnout had a partial mediating effect. The relationship between nursing competency and patient-centered care showed that nursing work environment had no moderating effect. Conclusion: The results revealed that patient-centered care was performed well if nursing competency was high. It is necessary to lower burnout and increase nursing competency such that patient-centered care can be performed better. In addition, since nursing work environment has a significant effect on nursing competency and patient-centered care, it is necessary to improve nursing work environment to improve nursing competency and patient-centered care performance.

Citations

• How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
  Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
  PLOS ONE.2025; 20(1): e0316654.     CrossRef
• Influence of Clinical Nursing Competency and Nursing Working Environment of Psychiatric Nurses on Person-Centered Care
  Pan Heui Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 229.     CrossRef
• Effects of ageism on burnout among clinical nurses
  Sukjae Park, Hyunmin Lee, Minsook Seo, Hee Kyung Kim, Eunhee Shin, Antony Bayer
  PLOS ONE.2024; 19(11): e0313043.     CrossRef
• Effects of Nursing Competence on Job Satisfaction across Career Stages
  Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
• The impacts of nurses' attitudes towards dementia, critical reflection competency, and nursing work environment on person-centered nursing in acute care hospitals: A descriptive study
  Minkyung Kim, Sujin Shin
  Journal of Korean Gerontological Nursing.2023; 25(4): 346.     CrossRef
• Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
  Song Hwa Nam, Eun A Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 588.     CrossRef
• Structural Equation Modeling of Person-Centered Nursing in Hospital Nurses
  Yeon Hee Bae, Hye-Ah Yeom
  Healthcare.2022; 10(3): 514.     CrossRef
• Effects of Compassionate Competence, Communication Skills, and Nursing Work Environment on Person-centered Care in General Hospital Nurses who Care for Cancer Patients
  Mi Jin Han, Seonho Kim
  The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11.     CrossRef
• Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
  Hyun-Joung Yun, Jaehee Jeon
  Korean Journal of Adult Nursing.2022; 34(4): 413.     CrossRef
• The Effects of Communication Ability and Nursing Work Environment on Geriatric Nursing Practices of Nurses in Comprehensive Nursing Care Service Wards: A Cross-Sectional Study
  Kum-Ock Kwon, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2022; 24(2): 123.     CrossRef
• Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients
  Na-Ri Seo, Hyun-E Yeom
  The Korean Journal of Hospice and Palliative Care.2022; 25(4): 159.     CrossRef
• Factors associated with the person-centered care competence of nursing students
  Ju Young Park, Chung Hee Woo
  The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48.     CrossRef

Purpose
Nurses are at the forefront of the battle against the Coronavirus Disease 2019 (COVID-19) pandemic.Nurses’ expertise, attitude, and practice of prevention and control are important to provide a good quality of care for patients and to protect themselves from COVID-19 infection. This study aimed to investigate the attitudes and practices toward droplet and airborne universal precaution among nurses during the COVID-19 outbreak and to identify factors associated with nursing practices. Methods: A cross-sectional online survey was conducted among nurses who had been involved in COVID-19 prevention and control and were able to join in the research from referral hospitals from Bandung, West Java, Indonesia from May 1 to 20, 2020. The questionnaire comprised three parts: demographic characteristics, attitude toward droplet and airborne universal precaution, and practice toward droplet and airborne universal precaution. Results: The response rate was 91.7% (550 of 600 nurses). The majority were women (75.5%), aged 31.26±7.19 years (range: 22~55). Attitude (β=.51, p=.036) and perception of risk of contracting COVID-19 (β=.66, p=.045) were factors found to be associated with practices toward droplet and airborne universal precaution during the COVID-19 outbreak. Conclusion: The Indonesian government needs to improve health services by enhancing and expanding tailored training programs for nurses on routine infection prevention and provide policies to better control the spread of the COVID-19 pandemic.

Citations

• Influences of healthcare workers' behaviours towards infection prevention and control practices in the clinical setting: A systematic review
  Gift A. Mutsonziwa, Marwa Mojab, Megha Katuwal, Paul Glew
  Nursing Open.2024;[Epub]     CrossRef

Purpose
This study aimed to review the outcomes of nurse residency programs for new graduate nurses. Methods: The inclusion criteria were peer-reviewed articles on the outcomes of nurse residency programs for new graduate nurses published in English from 2010 to 2019. A literature search was conducted in the PubMed, CINAHL, Science Direct, EMBASE, and PsycINFO databases using the search terms "nurse residency program," "new graduate nurse," and "transition to practice program." A qualitative appraisal of studies was conducted using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) and the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results: Twenty-five studies were selected. The systematic review found that nurse residency programs effectively increased the competence and confidence of new graduate nurses in 14 studies. Job satisfaction, job stress and anxiety, and support showed different results, which were increased, decreased, or statistically insignificant after the programs. In three studies, institutional outcomes, including the retention rate in 16 surveys and hospital cost savings, were improved. Patient safety had different results depending upon the study. Conclusion: This study's results can provide evidence for the necessity of a standardized nursing education program and for developing a system for evaluating its effectiveness to improve the quality of nursing education.

Citations

• South Korean Nurse Residency Program for New Graduates: A Posttest Study
  Jihye Song, Kyunghee Kim, Yunjung Jang
  The Journal of Continuing Education in Nursing.2024; 55(8): 393.     CrossRef
• Outcome Evaluation of a Health System Clinical Nurse Specialist Fellowship Program
  Tiffany Rader, Alyson Keen, Brandee Wornhoff, Jan Powers
  Clinical Nurse Specialist.2024; 38(4): 163.     CrossRef
• The development and evaluation of a pediatric nurse preceptor education program in a children’s hospital
  Nam-Ju Cho, Kyung-Sook Bang, Na-Rae Jung, Eun-Chul Kim
  The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 280.     CrossRef
• Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study
  Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
  Nurse Education Today.2024; 133: 106077.     CrossRef
• Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
  Soyoung Kim, Sujin Shin, Inyoung Lee
  Korean Medical Education Review.2023; 25(1): 55.     CrossRef
• Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model
  Heehwa Choi, Sujin Shin
  The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 27.     CrossRef

Purpose
Workplace violence affects workplace performance. Bystanders’ role in social violence affects the consequences of violence. The purpose of current study was to explore the influences of workplace violence and bystander type on handover error of nurses caring for adult patients. Methods: A cross-sectional survey design was conducted using a structured questionnaire pertaining to teamwork, workplace violence, bystander type and handover error. This study involved adult patients nurses working in a tertiary university hospital having over 1,100 beds, located in a city. The questionnaire was administered to 193 bedside nurses at September 2019. Results: Nurses’ handover error was significantly correlated with overall workplace violence (p<.001), teamwork (p<.001), and all three bystander types; facilitating (p<.001), abdicating (p<.001) and defending (p<.001). A hierarchical multiple regression model with career, teamwork, workplace violence and bystander type explained 27.0% of nurses’ handover error (F=13.55, p<.001). Among input variables, positive bystander type-defender (β=-.20, p=.005) was the most powerful influential factors on nurses’ handover error. Negative bystander types - facilitating, abdicating bystander (β=.18, p=.025) workplace violence (β=.18, p=.015), and teamwork (β=-.15, p=.026) influenced nurses’ handover error, also. Conclusion: Bystanders is more than simple witnesses or observers. In this study, a positive bystander reduced the handover error in the clinical area, while a negative bystander exacerbated the handover error. Therefore, it is necessary to educate hospital nurses regarding positive bystanders and it’s importance for handover error and develop strategies to reduce nurse handover error.

Citations

• Influence of Workplace Bullying and Bystander Types on Speaking Up for Patient Safety Among Hospital Nurses: A Cross‐Sectional Study
  Sunghee Park, Kyoungja Kim, Sinhye Kim, Cheryl B. Jones
  Journal of Advanced Nursing.2025;[Epub]     CrossRef
• Development of nursing handoff competency scale: a methodological study
  Jiyoung Do, Sujin Shin
  BMC Nursing.2024;[Epub]     CrossRef
• Exploring Bystander Behavior Types as a Determinant of Workplace Violence in Nursing Organizations Focusing on Nurse‐To‐Nurse Bullying: A Qualitative Focus Group Study
  Kyoungja Kim, Scott Seung Woo Choi, Cheongin Im, Jacopo Fiorini
  Journal of Nursing Management.2024;[Epub]     CrossRef
• Effects of Communication Skills and Organisational Communication Satisfaction on Self-Efficacy for Handoffs among Nurses in South Korea
  Yongmi Lee, Hyekyoung Kim, Younjae Oh
  Healthcare.2023; 11(24): 3125.     CrossRef
• 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

Purpose
The aim of this study was to develop an Ethical Nursing Competence Self-rating Scale for Clinical Nurses. Methods: A scale-development study was applied that comprised eight stages of DeVellis. The scale verification involved a convenience sample of 423 nurses from September to October 2019 at three general hospitals located in Korea. The content validity, factorial structure validity, item-convergent/discriminant validity, known-group validity, convergent validity, internal consistency reliability, and test-retest reliability of the Ethical Nursing Competence Self-rating Scale for Clinical Nurses were evaluated. Data were analyzed using exploratory and confirmatory factor analyses, Pearson’s correlation coefficient, Heterotrait-monotrait (HTMT), Cronbach’s ⍺, and intraclass correlation coefficient. Results: Exploratory and confirmatory factor analyses yielded five-factors. Known-group validity was demonstrated by clinical experience and nursing ethics education experience. Convergent validity was demonstrated using measures of defining issue. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach’s ⍺ of .70~.85 and an intraclass correlation coefficient of .72~.89. Conclusion: The Ethical Nursing Competence Self-rating Scale for Clinical Nurses is a new instrument that comprehensively measures the aspects of ethical behavior, ethical decision-making and action, ethical sensitivity, ethical reflection, and ethical knowledge. It consists of 20 items scored on a 4-point Likert scale. The validity and reliability of the scale were verified. These findings indicate that the instrument can be applied in clinical practice, nursing education, and research.

Citations

• Effects of Clinical Nurses' Ethical Climate and Ethical Nursing Competence on Moral Distress
  Sun Mi Ha, Yeong Ju Yoon
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 25.     CrossRef
• Influence of Nurses' Moral Distress and Ethical Nursing Competence on Retention Intention
  Ji-Hyun Choi, Mi-Jin Byun, Thi Ninh Do
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 36.     CrossRef
• Assessing educational needs of nurses’ ethical competence based on the four components model of moral behaviour: a cross-sectional study using the Borich needs assessment and locus for focus models
  Kyunghee Ha, Younjae Oh
  BMC Nursing.2025;[Epub]     CrossRef
• Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
  Eunji Lee, Haejung Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
• Factors Influencing End-of-life Care Competency in Nursing Students
  Jinryung Park, Minjeong Seo
  Korean Journal of Medical Ethics.2024; 27(4): 267.     CrossRef
• The Influence of Ethical Nursing Competence and Positive Nursing Organizational Culture on Person-Centered Care in Intensive Care Unit Nurses: A Cross-Sectional Survey
  Jae Eun Lee, Hye-Young Jang
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 304.     CrossRef
• Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals
  Seulki Kim, Yoonju Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 392.     CrossRef
• Development of Ethical Competence Self-assessment Tool for Korean Physical Therapists
  JiYeon Cheon, MyungChul Kim, HaeIn Kim, Hyunsuk Kim
  The Open Public Health Journal.2024;[Epub]     CrossRef
• Nurses’ intention to care of COVID-19 patients in hospitals dedicated to infectious disease in South Korea: application of the theory of planned behavior and verification of the moderating effect of ethical nursing competence
  Mira Mo, Seongmi Moon, Eun Kyeung Song
  BMC Nursing.2024;[Epub]     CrossRef
• Validity and Reliability of the Korean Version of Nurses' Ethical Behaviors for Protecting Patient's Rights Scale: A Methodological Study
  Jihye Yun, Heeyoung Oh
  Korean Journal of Adult Nursing.2023; 35(2): 138.     CrossRef

Purpose
This study aimed to analyze the domestic studies on Integrated Nursing Care Services (INCS) to confirm research trends and present future directions.
Methods
This study used the scoping review method, which comprises six stages: 1) identifying the research question, 2) identifying relevant studies, 3) study selection, 4) charting the data, 5) collating, summarizing, and reporting results, 6) consultation.
Results
Studies related to INCS were multiplying and could be categorized into five themes: patient experience, risks to patient, nursing experience, risks to nurse, and environment of INCS unit. Research has primarily focused on investigating the phenomenon, with nurses as the predominant subjects. Although various variables were investigated for nurses, the results were controversial. Research on patients’ experiences and risks is insufficient, and research variables are limited.
Conclusion
Further research is needed on INCS regarding patients and environments. Research on nurses also requires repeated studies after controlling for various situations.

Citations

• Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes
  Sung-Heui Bae
  Journal of Nursing Care Quality.2025;[Epub]     CrossRef
• Analysis of Factors Affecting the Inpatient Satisfaction in Integrated Nursing Care Service Wards using a Healthcare Service Survey Database
  Young Shin Cho, Jiwon Hong
  Journal of Korean Critical Care Nursing.2024; 17(3): 76.     CrossRef
• Cancer-Oriented Comprehensive Nursing Services in Republic of Korea: Lessons from an Oncologist’s Perspective
  Suk Hun Ha, Moonho Kim, Hyojin Kim, Boram No, Ara Go, Miso Choi, Seol Lee, Yongchel Ahn
  Medicina.2023; 59(1): 144.     CrossRef
• Comparison of Nursing Needs and Nursing Performance Perceived by Patients and Nurses in Integrated Nursing Care Service Wards in Small and Medium-Sized Hospitals: A Cross-Sectional Descriptive Study
  Hee-Sun Choi, Young Shin Cho
  Korean Journal of Adult Nursing.2023; 35(3): 234.     CrossRef
• The trends on research articles related to health promotion policy in South Korea
  Ju Yul Lee, Don Hyung Lee, Su Jin Lee, Insung Cho, Su Young Kim
  Korean Journal of Health Education and Promotion.2021; 38(4): 53.     CrossRef

Purpose
This study was a scoping review designed to identify research trends in education programs for newly graduated nurses in Korea.
Methods
The methodological framework was based on a previous work by Arksey and O’Malley. The studies reviewed were found through electronic databases, such as DBpia, RISS, PubMed, and CINAHL. The scope of the data was from January 2000 to December 2019. Each study was analyzed, and extracted data were abstracted into the following domains: publication characteristics, study design, program details, and program evaluation.
Results
The 26 studies were reviewed. The majority of the educational domain was competency enhancement education. The following teaching methods were used: lectures, demonstrations, simulations, team based learning, and discussions. Most educational program evaluations involved reaction and learning evaluation.
Conclusion
Appropriate education is essential for newly graduated nurses to adapt to their work. However, there was a lack of research on education programs for newly graduated nurses to adapt to their work before gaining clinical experience. Results indicate that it is necessary to develop various education programs and program evaluations. Future researchers should focus on nursing education programs to enhance the clinical competency of newly graduated nurses.

Citations

• A review of the relationship between patient safety culture and safety activities: A systematic review focusing on the Korean version of the Hospital Survey on Patient Safety Culture 1.0
  Hana Kim, Mijeong Park, Jeongeun Kim, Jisan Lee
  The Journal of Korean Academic Society of Nursing Education.2025; 31(1): 65.     CrossRef
• Nurses' Hospital Selection within a Dual Labor Market Framework: The Dilemma of Professional Identity
  Hyun-Ji Bae, Hyoung Suk Kim, Hwal Lan Bang
  Journal of Korean Academy of Nursing Administration.2025; 31(1): 14.     CrossRef
• AI‐Assisted Tailored Intervention for Nurse Burnout: A Three‐Group Randomized Controlled Trial
  Gumhee Baek, Chiyoung Cha
  Worldviews on Evidence-Based Nursing.2025;[Epub]     CrossRef
• Development of an Emergency Nurse Internship to Promote a Healthy Work Environment and Improve Nurse Retention
  Megan Hignight, Karrie Boss, Mustafa Culcuoglu, Penelope Gorsuch
  Journal of Emergency Nursing.2024; 50(5): 610.     CrossRef
• Simulation-Based Education for Recognizing and Responding to Deteriorating Patients in Korean Nursing Curricula: A Scoping Review
  Yi Kyung Ha, Hye Jin Kang
  Korean Journal of Adult Nursing.2024; 36(4): 261.     CrossRef
• Nursing practice readiness improvement program tailored for newly graduated registered nurses: A quasi-experimental study
  Eun A Kim, Ji Sun Lee, Young Sook Bong, Eun Hee Jang, Yang Hwa Lim, Jung Ah Kim, Nan Song
  Nurse Education Today.2024; 133: 106077.     CrossRef
• A Microlearning-Based Self-directed Learning Chatbot on Medication Administration for New Nurses
  Ae Ran Kim, Ae Young Park, Soojin Song, Jeong Hee Hong, Kyeongsug Kim
  CIN: Computers, Informatics, Nursing.2024; 42(5): 343.     CrossRef
• Turnover Rates and Factors Associated With Turnover: A Longitudinal Analysis of the Retention Period of Clinical Nurses in Korea Using National Data
  Yunmi Kim, Hyun-Young Kim
  Policy, Politics, & Nursing Practice.2024; 25(2): 83.     CrossRef
• Exploring the impact of the mentoring new nurses for transition and empowerment program led by clinical nurse educators in South Korea: A mixed-methods study
  Sun-Hee Moon, Hye Won Jeong, Ue Seok Jung
  Nurse Education Today.2024; 140: 106251.     CrossRef
• The Moderating Effect of Nursing Organizational Culture on the Relationship between Resilience and Clinical Competence of New Graduate Nurses
  Hanna Lee, Eun-Jun Park
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 483.     CrossRef
• Effect of Transition Shock on Intention to Stay in Newly Graduated Nurses : The Mediating Effect of Positive Psychological Capital
  Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
  Journal of Korean Critical Care Nursing.2024; 17(3): 25.     CrossRef
• Implementation and Evaluation of an Emergency Response Training Program for Newly Graduated Nurses: A Scoping Review
  Jeonghyun Kim, Minjae Lee, Miji Lee
  Journal of Korea Society for Simulation in Nursing.2024; 12(1): 59.     CrossRef
• The mediating effect of transition shock on the relationship between readiness for practice and turnover intention of new graduate nurses in South Korea: A longitudinal study
  Taewha Lee, Eunkyung Kim, Yoonjung Ji
  Nurse Education Today.2024; 143: 106394.     CrossRef
• Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model
  Heehwa Choi, Sujin Shin
  The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 27.     CrossRef
• Influence of Nursing Manager's Ethical Leadership Perceived by Nurses in Patient-Engaged Nursing Services: Mediating Effect of Patient Participation Culture
  Yea Seul Yoon, Yoonjung Ji, Tae Wha Lee
  Journal of Korean Academy of Nursing Administration.2023; 29(4): 397.     CrossRef
• Capturing New Nurses' Experiences and Supporting Critical Thinking
  Sun Hee Seon, Hye Won Jeong, Deok Ju, Jung A. Lee, Shin Hye Ahn
  CIN: Computers, Informatics, Nursing.2023; 41(6): 434.     CrossRef
• Exploring the Roles and Outcomes of Nurse Educators in Hospitals: A Scoping Review
  Soyoung Kim, Sujin Shin, Inyoung Lee
  Korean Medical Education Review.2023; 25(1): 55.     CrossRef
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