Purpose
This study aimed to investigate the mediating role of patient safety perception (PSP) in the relationship between the right to know (RtK) and patient participation (PP) among inpatients.
Methods
This descriptive study used a convenience sample of inpatients from three small and medium-sized hospitals in October 2023. A total of 231 inpatients completed a self-report questionnaire assessing PP, RtK, and PSP. Data were analyzed using a mediation model with the PROCESS Macro (Model 4), applying 95% bias-corrected bootstrap confidence intervals.
Results
The findings revealed significant positive correlations between PP and RtK (r=.78, p<.001) and PSP (r=.83, p<.001). Both RtK and PSP had significant effects on PP. PSP was identified as an important mediator in the relationship between RtK and PP (B=.35, boot standard error=.06, 95% confidence interval=.27–.44). The findings confirm that inpatients’ RtK is associated with improved PSP and increased PP.
Conclusion
These findings highlight the critical role of safeguarding patients’ right to information as a strategy for promoting patient safety. To ensure safe and effective care in small and medium-sized hospitals, ongoing support is essential for developing and systematically implementing patient safety education initiatives that actively involve patients.

Purpose
The aim of this study was to better understand the concept of patient activation in patients with cancer by identifying its dimensions and attributes and clarifying its definition through concept analysis. Methods: This concept analysis study used the method of Walker and Avant (2019), and systematically reviewed dictionary entries and 30 studies in various academic fields. Results: The concept of patient activation in patients with cancer was found to have four attributes: seeking health information, participating in treatment decision-making, confidence in health care, self-management behaviors. The antecedents identified were cancer history, fear of recurrence, information and resources provided by healthcare professionals, access to healthcare providers, negative perceptions of cancer, social support, and sociodemographic status. The consequences were appropriate treatment implementation, satisfaction with treatment, improved physical and mental health conditions, improved quality of life, reduced healthcare costs, and reduced stress. Conclusion: The development of patient activation measurements tailored to the characteristics of the disease and the goal of strengthening the role of patients, as well as the development and implementation of policies, programs, and guidelines to promote patient activation, will improve the medical experience and outcomes of cancer patients and adopt a more person-centered treatment approach.

Purpose
Patient outcomes should improve through patient involvement and improved interactions with healthcare providers during the care process. This study aimed to examine factors affecting the perceived health status of patients with cancer, focused on their treatment experiences, and explored the differences in treatment-related experiences according to the patients’ characteristics. Methods: This cross-sectional study used the 2015 Korea National Health and Nutrition Examination Survey, which assesses patients’ general characteristics, treatment-related experiences, and perceived health status. Data from 255 cancer survivors aged 19 years or older were used in this study. Descriptive statistics, independent t-tests, and multiple regression were used for the data analyses. Results: Cancer patients’ perception of a lower health resulted from the following factors: insufficient information provision during the care process (β=-.13, p=.026), less participation in the treatment-related decision-making (β=-.25, p=.005), and more comorbidities (β=-.31, p=.018). A higher education level (β=.68, p<.001) was associated with higher perceived health status. The set of significant factors explained 19% of the total variance of the perceived health status. Conclusion: Sufficient information provision during the care process and patients’ participation in treatment-related decision-making affected the perceived health status of cancer patients. Hence, providing cancer patients with information and involving them in decision-making may improve illness self-management capabilities and health status.

PURPOSE
The purpose of the study was to evaluate the influence of patient activation on diabetes self-care activities and diabetes-specific distress among patients with type 2 diabetes mellitus.
METHODS
This cross-sectional correlational study was a secondary data analysis, utilizing data collected from September 2016 to July 2017, for 151 adults diagnosed with type 2 diabetes in ambulatory endocrinology units of two tertiary hospitals in a metropolitan city. The instruments used for data collection included the Summary of Diabetes Self-Care Activities Questionnaire, the Patient Activation Scale, and the Brief Diabetes Distress Screening Instrument. Hierarchical multiple linear regression analyses were conducted to test the influence of patient activation levels on self-care activities and diabetes-specific distress, after controlling for demographic and clinical variables.
RESULTS
The average patient activation level was 67.8±16.72 (with the possible range from 0 to 100), and the average diabetes-specific distress level was 6.91±2.69 (with the possible range from 2 to 12). Diabetes self-care activities scores were highest in medication adherence and lowest in glucose self-monitoring. Patient activation was the significant factor influencing self-care activities, after controlling for demographic and clinical variables, but showed no significant influence on diabetes-specific distress. Oral hypoglycemic agents and insulin medications were the significant factors influencing diabetes-specific distress.
CONCLUSION
These findings indicate the importance of nursing interventions to improve patient activation and to alleviate diabetes-specific distress. Therefore, in order to improve diabetes self-care activities, it is necessary to facilitate patient activation for diabetes care.

Citations

• Diabetes self‐care activities and its correlates in patients with diabetic neuropathy
  Younhee Kang, Inkyung Park
  Journal of Clinical Nursing.2025; 34(6): 2163.     CrossRef
• Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust
  Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park
  Asian Oncology Nursing.2024; 24(1): 21.     CrossRef
• Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
  Young-Eun Yi, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179.     CrossRef
• Patient Activation in Cancer Patients: Concept Analysis
  Se Young Jang, Eun Sun Lee
  Korean Journal of Adult Nursing.2024; 36(1): 15.     CrossRef
• The Mediating Effect of Experiential Avoidance on the Relationship between Diabetes Distress and Self-Stigma in People with Diabetes Mellitus Type 2 in Republic of Korea
  Kawoun Seo
  Healthcare.2023; 11(20): 2773.     CrossRef
• The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
  Hyesun Kim, Kawoun Seo
  Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446.     CrossRef
• Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory
  Mona Choi, Chang Gi Park, Soomin Hong
  Asian Nursing Research.2022; 16(4): 187.     CrossRef
• Effects of Symptoms and Patient Activation on Sleep Disturbance in Patients with Acute Leukemia Undergoing Chemotherapy
  Suna Lee, Eunjung Ryu
  Asian Oncology Nursing.2021; 21(3): 173.     CrossRef

PURPOSE
This study aimed to determine the impact of an empowerment program on the self-management, self-efficacy, and quality of life on patients in stages 2~4 of chronic kidney disease that exhibited poor self-management.
METHODS
This study utilized a quasi-experimental design and was carried out from March to September 2014. Participants were assigned conveniently to the experimental (n=26) and the control group (n=27). The empowerment program for the experimental group included two sessions of disease management education, four small group discussions, and four telephone counseling sessions over a three-month period. It was conducted in the context of a self-regulatory process and designed to promote self-management and problem-solving skills. The control group received usual care. The outcome variables were obtained using questionnaires before and after the intervention in both groups. The self-management score of the experimental group was lower than that of the control group at the baseline, so it was set as covariate and analyzed by analysis of covariance.
RESULTS
There was a significant improvement in the experimental group compared to the control group in terms of their pre-to post-intervention changes in overall self-management (F=9.21, p=.004), self-efficacy (F=5.81, p=.020), and quality of life.
CONCLUSION
The present empowerment program was found to be appropriate for patients with poor self-management. It led to an improvement in the study outcomes in the short-term. The empowerment of patients with renal insufficiency should be considered to prevent the aggravation of their health-related problems and quality of life.

Citations

• Strategies to Promote Empowerment Status of Breast Cancer Women
  Mohammad Amin Bahrami, Shahrzad Tabari, Sedigheh Tahmasebi, Vahid Zangouri, Ramin Ravangard, Mubashir Mintoo
  International Journal of Breast Cancer.2024; 2024: 1.     CrossRef
• Caring for Patients With Advanced Chronic Kidney Disease: Dietary Options and Conservative Care Instead of Maintenance Dialysis
  Kamyar Kalantar-Zadeh, Vincenzo Bellizzi, Giorgina B. Piccoli, Yunying Shi, Soo Kun Lim, Sumira Riaz, Rocio Urbina Arronte, Wai Pooi Lau, Denis Fouque
  Journal of Renal Nutrition.2023; 33(4): 508.     CrossRef
• Factors Affecting Hyperphosphatemia in Patients with Chronic Renal Failure Undergoing Hemodialysis
  Jihyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 247.     CrossRef
• Interventions to empower cardiorenal patients: A systematic review
  Noelia Ania‐González, Maddi Olano‐Lizarraga, Mónica Vázquez‐Calatayud
  Journal of Advanced Nursing.2022; 78(2): 363.     CrossRef
• Patients’ and healthcare professionals’ beliefs, perceptions and needs towards chronic kidney disease self-management in China: a qualitative study
  Hongxia Shen, Rianne M J J van der Kleij, Paul J M van der Boog, Wenjiao Wang, Xiaoyue Song, Zhengyan Li, Xiaoping Lou, Niels Chavannes
  BMJ Open.2021; 11(3): e044059.     CrossRef
• Meaning of empowerment in peritoneal dialysis: focus groups with patients and caregivers
  Amanda Baumgart, Karine E Manera, David W Johnson, Jonathan C Craig, Jenny I Shen, Lorena Ruiz, Angela Yee-Moon Wang, Terence Yip, Samuel K S Fung, Matthew Tong, Achilles Lee, Yeoungjee Cho, Andrea K Viecelli, Benedicte Sautenet, Armando Teixeira-Pinto, E
  Nephrology Dialysis Transplantation.2020; 35(11): 1949.     CrossRef
• Exploring patient empowerment
  Adelaide Ippolito, Francesco Smaldone, Margherita Ruberto
  The TQM Journal.2019; 32(1): 92.     CrossRef
• Weight reduction program with continuous psychological support in obese patients
  Hiroshi Bando, Nakamura T, Narita A, Dobashi M, Kawashima T
  Advances in Obesity, Weight Management & Control.2019; 9(1): 16.     CrossRef
• Effective Nutritional Guidance for Obesity by Low Carbohydrate Diet (LCD)
  Nakamura T, Kawashima T, Dobashi M, Narita A, Bando H
  Asploro Journal of Biomedical and Clinical Case Reports.2019; 2(S1): 16.     CrossRef