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
The purpose of this study was to investigate the moderating role of positive psychological capital on the effects of clinical nurses' responses to violence on burnout and to provide basic date for an intervention program that reduces nurse burnout.
Methods
The participants in this study were 172 nurses recruited through convenience sampling at one general hospital in Seoul. Data were collected from June 5 to 10, 2023 using structured questionnaires. The collected data were analyzed using SPSS/WIN 26.0.
Results
Burnout was positively correlated with violence responses and negatively correlated with positive psychological capital among clinical nurses. Verbal violence experience (β=.14, p=.014), job satisfaction (β=.31, p<.001), social violence response (β=.15, p=.035) and positive psychological capital (β=-.39, p<.001) were identified as factors significantly influencing clinical nurses' burnout. The interaction term between social violence response and positive psychological capital significantly influenced burnout (β=.18, p=.044).
Conclusion
Social violence response affected burnout among clinical nurses, and positive psychological capital was identified as a moderating factor in burnout. Therefore, hospital and nursing organizational efforts such as fostering an appropriate organizational atmosphere, providing social support that encourages trust and creativity among organizational members, and implementing various educational and mentoring programs are required to reduce nurses' social violence response and enhance positive psychological capital.

Purpose
This study aims to confirms the relationship between nurses' professional autonomy, job satisfaction, perceived patient-safety culture, and patient-safety management activities; it also identifies factors that influence their patient-safety management activities.
Methods
A cross-sectional study design was adopted. The participants were 164 nurses from at five hospitals in two G provinces, Korea, who participated in the study voluntarily. Data were collected between November and December 2022 via a 120-question structured questionnaire and analyzed using SPSS/WINdows software version 25.0. The data were measured by frequency, percentage, and mean and standard deviation, using an independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis.
Results
The average age of the participants was 35.54±8.42 years; 143 (87.2%) were women. The following factors influenced their patient-safety management activities: level of education (β=.16, p=.018), experience of patient-safety education (β=.15, p=.014), and perceived patient-safety culture (β=.56, p<.001). The explanatory power of the nurses' patient-safety management activities was 44.0%.
Conclusion
Hospital managers should enable nurses to carry out patient-safety procedures competently by providing continuous patient-safety education; they should also revise regulations and systems to promote good patient-safety management practices and create an environment that supports patient safety. In addition, a program should be designed and implemented to improve nurses' perceived patient-safety culture.

Citations

• Patient Safety Culture and Perceived Self-Efficacy in Nurses from Two Health Institucions in Lima-Peru
  Paola Barbara Pinedo Albines, Monica Elisa Meneses-La-Riva
  Journal of Lifestyle and SDGs Review.2025; 5(4): e05994.     CrossRef
• The relationship between attitudes towards professional autonomy and nurse–nurse collaboration: A cross‐sectional study
  Merve Tarhan
  International Nursing Review.2025;[Epub]     CrossRef
• Standardizing Clinical Nursing Practice and Delivery Method for the Management of United States-Bound Refugees in Uganda
  Shanna Miko, Sarah J. Hoffman, Mathika Thongkhamkitcharoen, Susan B. Dicker, Warren Dalal, Alexander Klosovsky, Erin M. Mann, MPH, Michelle Mathiason, Shailey Prasad
  Journal for Nurses in Professional Development.2025; 41(2): 108.     CrossRef
• Job satisfaction among hospital nurses: An updated literature review
  Yang Zhao, Hong Lu, Xiu Zhu, Guihua Xiao
  International Journal of Nursing Studies.2025; 162: 104964.     CrossRef
• Nurses' Autonomy and Its Determinants in Clinical Practice: A Scoping Review
  Hani Tuasikal, Inge Dhamanti, Mahmudah
  Health Leadership and Quality of Life.2025; 4: 700.     CrossRef

Purpose
This study aimed to identify the factors affecting patient satisfaction in an emergency department based on the use of the Korea Triage and Acuity Scale (KTAS).
Methods
A survey and medical record review were conducted. Participants included 100 patients and 20 nurses from an emergency medical institution located in B city, between June and August 2020. Data were analyzed using descriptive statistics, independent t-test, one way analysis of variance, partial correlation, and multiple regression.
Results
The mean score of patient satisfaction was 3.99±0.63. The mean waiting time, duration of stay, and occupation rate were 14.29±10.97 min, 104.96 ±67.35 min, and 22.0±7.4%, respectively. From the multiple regression analysis, waiting time (β=-.36, p<.001), nurse’s self-efficacy (β=.19, p=.013), and professional competence (β=.36, p<.001) explained 57.9% of the patients’ satisfaction with their use of the emergency medical institution (F=34.50, p<.001).
Conclusion
Patient satisfaction after experiencing the KTAS was influenced by waiting time, nurses’ self-efficacy, and professional competence. Therefore, institutions need to define an appropriate waiting time that does not reduce patient satisfaction, and introduce an internal marketing strategy to increase nurses’ professional competence and self-efficacy.

Citations

• Factors Influencing Sleep Quality in Patients with Hepatocellular Carcinoma Undergoing Transarterial Chemoembolization: A Cross-Sectional Study
  Ji Young Park, Myoung Soo Kim, Han Byeol Lim
  Korean Journal of Adult Nursing.2024; 36(2): 160.     CrossRef
• Satisfacción de los pacientes sobre la atención recibida por la enfermera en el triaje de los servicios de urgencias hospitalarios: revisión de alcance
  Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
  Enfermería Clínica.2024; 34(5): 408.     CrossRef
• Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review
  Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans
  Enfermería Clínica (English Edition).2024; 34(5): 408.     CrossRef
• Patient Satisfaction With the Level of Competence of the Triage Nurse in Hospital Emergency Departments
  Meritxell López Hernández, Montserrat Puig‐Llobet, Sergio Higon Fernández, Marta Franco Freirut, Yolanda Moreno Mateos, Jordi Galimany Masclans
  Journal of Clinical Nursing.2024;[Epub]     CrossRef
• Emergency nurses’ communication experiences with patients and their families during the COVID-19 pandemic: A qualitative study
  Soyoung Shin, Hye Jin Yoo
  International Emergency Nursing.2023; 66: 101240.     CrossRef

PURPOSE
The purpose of this study was to identify the level of terminal care performance of nurses in long-term care hospitals, and investigate how nursing professionalism, attitudes on advance directives and death anxiety affects their terminal care performance.
METHODS
Total of 294 nurses from long-term care hospitals completed the structured questionnaires including nursing professionalism scale, advance directives attitude survey, death anxiety scale and terminal care performance scale. Data were analyzed using the SPSS/WIN 24.0.
RESULTS
There were significantly correlation among terminal care performance of nurse, nursing professionalism, attitudes on advance directives, and death anxiety. The key factor that affected nurses terminal care performance was nursing professionalism(β=.26, p < .001), followed by attitudes on advance directive (β=.20, p < .001), participation of terminal care education (β=.15, p=.006), total work experience (β=.13, p=.015), and participation of Do-Not-Resuscitate education (β=.13, p=.018), which explained about 23.1% of the variance in nurses terminal care performance (F=17.05, p < .001).
CONCLUSION
The results of this research suggest that to enhance the nursing performance of nurses in long-term care hospital, it is necessary to develop an education program that can enhance a professionalism and the attitudes on advance directives, and reduce death anxiety experienced by nurses.

Citations

• Relationship Between Physician’s and Nurses’ Attitudes Towards Futile Treatment and Their Approach to Death and Terminally Ill Patients
  Gulay Yildirim, Meryem Türkan Işık, Sibel Oner Yalcin
  OMEGA - Journal of Death and Dying.2025; 91(3): 1348.     CrossRef
• The mediating effects of nurses’ professional values on the relationship between work environment and organizational commitment among long-term care hospital nurses
  Won Hee Jun
  BMC Nursing.2025;[Epub]     CrossRef
• Investigation of the effect of nurses’ professional values on their perceptions of good death: a cross-sectional study in Türkiye
  Fatma Aksoy, Sule Biyik Bayram, Aysel Özsaban
  BMC Nursing.2024;[Epub]     CrossRef
• Development and Psychometric Evaluation of the End-of-Life Nursing Competency Scale for Clinical Nurses
  Ji-yeon Kim, Hyun-sun Kim, Mi-jung Kang, Hee-young Oh, Mi-rae Jo
  Healthcare.2024; 12(16): 1580.     CrossRef
• The moderating effect of attitudes in the relationship between knowledge and self-efficacy in palliative care among nurses: A cross-sectional, correlational study
  JinShil Kim, Seongkum Heo, Jisun Yang, Miyeong Kim, SeongHu Park, KyungAh Cho, JungHee Kang, Hani Yi, Minjeong An, Jeong-Ah Ahn
  PLOS ONE.2023; 18(10): e0292135.     CrossRef
• StructuralEquation Model of End-of-Life Nursing Performance of Home Visiting Nurses
  Sukhee Kim, Soongnang Jang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(2): 124.     CrossRef
• Factors associated with attitudes toward advance directives in nurses and comparisons of the levels between emergency nurses and palliative care nurses
  Jisun Yang, Hee Jung Kim, Seongkum Heo, Minjeong An, SeongHu Park, Songthip Ounpraseuth, JinShil Kim
  Japan Journal of Nursing Science.2023;[Epub]     CrossRef
• Education needs for clinical nursing practice using an Importance-Performance Analysis and Borich needs assessment model: Focused on nurses in the general wards of a tertiary hospital
  Mira Lee, Jiyoung Kim, Boyeon Kim, Yooyun Park, Jiyoo Han, Seunghee Lee, Hyunju Lee
  The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 124.     CrossRef
• Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives
  Go Eun Park, Nae Young Lee
  The Korean Journal of Hospice and Palliative Care.2022; 25(4): 139.     CrossRef
• Trends in Nursing Research on Life-Sustaining Treatment in South Korea after the Enforcement of the Act on Decisions on Life-Sustaining Treatment
  Jun-Hwa Choi, Eun-Suk Choi
  The Korean Journal of Hospice and Palliative Care.2022; 25(1): 25.     CrossRef
• Nurses' views and applications on palliative care
  Diğdem Lafci, Ebru Yildiz, Seda Pehlivan
  Perspectives in Psychiatric Care.2021; 57(3): 1340.     CrossRef
• Effects of Awareness of Good Death and End-of-Life Care Attitudes on End-of-Life Care Performance in Long-Term Care Hospital Nurses
  Sun-Hee Kim, Eun-Young Kim
  The Korean Journal of Hospice and Palliative Care.2021; 24(1): 26.     CrossRef
• Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
  Hyeon Jin Cho, Jiyeon Kang
  Journal of Korean Academy of Nursing.2021; 51(1): 15.     CrossRef
• Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals
  Chun Yee Lee, Ga Eon Lee
  Journal of Korean Academy of Community Health Nursing.2020; 31(2): 199.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
  Asian Oncology Nursing.2019; 19(3): 142.     CrossRef
• The Effect of Nurses’ Compassion Competence on Performance of Terminal Care in Geriatric Hospitals
  Young Hye An, Soon Rim Suh
  Journal of Health Informatics and Statistics.2019; 44(3): 253.     CrossRef
• The Impact of Nursing Hospital Workers’ Hospice·Palliative Care Knowledge and Awareness, End-of-Life Care Attitude and Death Awareness on Their End-of-Life Care Performance
  Meera Park, Nam Joo Je
  The Korean Journal of Hospice and Palliative Care.2018; 21(4): 124.     CrossRef

PURPOSE
The purpose of this study was to investigate the importance of nurses' caring behaviors and to identify the factors influencing of nurses' caring behaviors.
METHODS
The participants were 404 nurses who were caring the chronically sick elderly in five H university hospitals. Data were collected through self-reported questionnaires on the importance of caring behaviors, nursing professional value and job satisfaction. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffe-test, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 16.0.
RESULTS
The average score for importance of nurses' caring behaviors was 3.38 and the 'professional knowledge and skill' factor was the highest level. The mean score of nursing professional value was 7.53 and job satisfaction, 3.18. Importance of nurses' caring behaviors had a significant positive correlation with nursing professional value, job satisfaction, nurse's age and work experience among demographic variables. Two significant variables influencing importance of nurses' caring behaviors were nursing professional value and job satisfaction. But characteristics of nurses did not influence.
CONCLUSION
The findings of this study indicate that importance of nurses' caring behaviors can be improved by intervening factors affecting this importance. Based on the findings of this study, further nursing practice and nursing research for nurses caring the sick elderly should be focused on their nursing professional value and job satisfaction.

The purpose of this study was to explain the relationship of professional self-concept, self-efficacy and job satisfaction among nephrology nurses. The subject consisted of 84 nephrology nurses who work at 17 hospitals in Kwangju, Chonnam, Chonbuk and Cheju-do. The instrument of this study was a structured questionnaire on professional self-concept, self-efficacy and job satisfaction. The data were collected from August 16 to September 10, 1999 and analyzed by Cronbach alpha, descriptive statistics, t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient by using the SPSS/PC+ program. The results of the research were as follows: 1. The average item scores were 2.73 for professional self-concept and 7.16 for self-efficacy. The average item score of job satisfaction was 3.05. Professional status (3.56) among the component factors of the job satisfaction had the highest value followed by the interaction(3.46), task requirements(3.28), autonomy(2.98), organizational requirement(2.70), and pay(2.22) was the lowest. 2. The relationship between general characteristics and professional self-concept shows a significant difference with regard to position and the nurses' intention to stay. The relationship between general characteristics and self-efficacy shows a significant difference with regard to position and shift. 3. A significant positive correlation between professional self-concept and self-efficacy (r=0.462, p<0.01) was found. A significant positive correlation between professional self-concept and job satisfaction(r=0.486, p<0.01) was found. In conclusion, professional self-concept and job satisfaction of nephrology nurses are significantly related. A professional self-concept is an important factor for job satisfaction of nephrology nurses. Therefore, this study suggested that we should develop programs and policies to increase the professional self-concept of nephrology nurses for their job satisfaction.