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      KCI등재 SCOPUS SCIE SSCI

      Exploring the Influence of Nursing Work Environment and Patient Safety Culture on Missed Nursing Care in Korea

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      https://www.riss.kr/link?id=A106037219

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      다국어 초록 (Multilingual Abstract)

      Purpose: This study aimed to explore the influence of nurse work environment and patient safety culture in hospital on instances of missed nursing care in South Korea.
      Methods: A cross-sectional design was used, in which a structured questionnaire was administered to 186 nurses working at a tertiary university hospital. Data were analyzed using descriptive statistics, t test or analysis of variance, Pearson correlation, and multiple regression analysis.
      Results: Missed nursing care was found to be correlated with clinical career, nursing work environment, and patient safety culture. The regression model explained approximately 30.3% of missed nursing care. Meanwhile, staffing and resource adequacy (b 食 .31, p 食 .001), nurse manager ability, leadership and support of nurses (b 食 .26, p 食 .004), clinical career (b 食 .21, p 食 .004), and perception on patient safety culture within unit (b 食 .19, p 食 .041) were determined to be influencing factors on missed nursing care.
      Conclusion: This study has significance as it suggested that missed nursing care is affected by work environment factors within unit. This means that missed nursing care is a unit outcome affected by nurse work environment factors and patient safety culture. Therefore, missed nursing care can be managed through the implementation of interventions that promote a positive nursing work environment and patient safety culture.
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      Purpose: This study aimed to explore the influence of nurse work environment and patient safety culture in hospital on instances of missed nursing care in South Korea. Methods: A cross-sectional design was used, in which a structured questionnaire wa...

      Purpose: This study aimed to explore the influence of nurse work environment and patient safety culture in hospital on instances of missed nursing care in South Korea.
      Methods: A cross-sectional design was used, in which a structured questionnaire was administered to 186 nurses working at a tertiary university hospital. Data were analyzed using descriptive statistics, t test or analysis of variance, Pearson correlation, and multiple regression analysis.
      Results: Missed nursing care was found to be correlated with clinical career, nursing work environment, and patient safety culture. The regression model explained approximately 30.3% of missed nursing care. Meanwhile, staffing and resource adequacy (b 食 .31, p 食 .001), nurse manager ability, leadership and support of nurses (b 食 .26, p 食 .004), clinical career (b 食 .21, p 食 .004), and perception on patient safety culture within unit (b 食 .19, p 食 .041) were determined to be influencing factors on missed nursing care.
      Conclusion: This study has significance as it suggested that missed nursing care is affected by work environment factors within unit. This means that missed nursing care is a unit outcome affected by nurse work environment factors and patient safety culture. Therefore, missed nursing care can be managed through the implementation of interventions that promote a positive nursing work environment and patient safety culture.

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      참고문헌 (Reference)

      1 조은희, "한국어판 간호근무환경 측정도구의 타당도와 신뢰도" 한국간호과학회 41 (41): 325-332, 2011

      2 Jones TL, "Validation of the perceived implicit rationing of nursing care(-PIRNCA) instrument" 49 (49): 77-87, 2014

      3 Jones TL, "Unfinished nursing care, missed care, and implicitly rationed care: state of the science review" 52 (52): 1121-1137, 2015

      4 Zuniga F, "The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes - a cross-sectional study" 52 (52): 1463-1474, 2015

      5 Squires M, "The link between leadership and safety outcomes in hospitals" 18 (18): 914-925, 2010

      6 Manning J, "The influence of nurse manager leadership style on staff nurse work engagement" 46 (46): 438-443, 2016

      7 Kalish BJ, "The impact of teamwork on missed nursing care" 58 (58): 223-241, 2010

      8 Ausserhofer D, "The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey" 50 (50): 240-252, 2013

      9 Keogh B, "Review into the quality of care and treatment provided by 14 hospital trusts in England: Overview report [Internet]" National Health Service (NHS) England

      10 Sorra JS, "Psychometric analysis of the hospital survey on patient safety (Prepared by Westat, under contract to BearingPoint, and delivered to the Agency for Healthcare Research and Quality [AHRQ], under Contract No. 290-96-0004.) [Internet]" Agency for Healthcare Research and Quality

      1 조은희, "한국어판 간호근무환경 측정도구의 타당도와 신뢰도" 한국간호과학회 41 (41): 325-332, 2011

      2 Jones TL, "Validation of the perceived implicit rationing of nursing care(-PIRNCA) instrument" 49 (49): 77-87, 2014

      3 Jones TL, "Unfinished nursing care, missed care, and implicitly rationed care: state of the science review" 52 (52): 1121-1137, 2015

      4 Zuniga F, "The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes - a cross-sectional study" 52 (52): 1463-1474, 2015

      5 Squires M, "The link between leadership and safety outcomes in hospitals" 18 (18): 914-925, 2010

      6 Manning J, "The influence of nurse manager leadership style on staff nurse work engagement" 46 (46): 438-443, 2016

      7 Kalish BJ, "The impact of teamwork on missed nursing care" 58 (58): 223-241, 2010

      8 Ausserhofer D, "The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey" 50 (50): 240-252, 2013

      9 Keogh B, "Review into the quality of care and treatment provided by 14 hospital trusts in England: Overview report [Internet]" National Health Service (NHS) England

      10 Sorra JS, "Psychometric analysis of the hospital survey on patient safety (Prepared by Westat, under contract to BearingPoint, and delivered to the Agency for Healthcare Research and Quality [AHRQ], under Contract No. 290-96-0004.) [Internet]" Agency for Healthcare Research and Quality

      11 Ausserhofer D, "Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross sectional RN4CAST study" 23 (23): 126-135, 2014

      12 Feng X, "Patient safety culture in nursing: a dimensional concept analysis" 63 (63): 310-319, 2008

      13 Griffiths P, "Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety" 52 (52): 975-981, 2014

      14 Kim J, "Nurses' perception of the hospital environment and communication process related to patient safety in Korea" 10 (10): 130-135, 2004

      15 Lang TA, "Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes" 34 (34): 326-337, 2004

      16 Cho E, "Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: a cross-sectional study" 60 : 263-271, 2016

      17 Kalisch BJ, "Missed nursing care: magnet versus non-magnet hospitals" 60 (60): e32-e39, 2012

      18 Schubert M, "Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals - a cross sectional study" 50 (50): 230-239, 2013

      19 Bae S-H, "Impact of nursing unit turnover on patient outcomes in hospitals" 42 (42): 40-49, 2010

      20 Kalisch BJ, "Hospital variation in missed nursing care" 26 (26): 291-299, 2011

      21 Faul F, "G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences" 39 (39): 175-191, 2007

      22 Liu L-F, "Exploring the association between nurse workload and nurse-sensitive patient safety outcome indicators" 20 (20): 300-309, 2012

      23 Kalisch BJ, "Errors of omission: missed nursing care" 36 (36): 875-890, 2014

      24 Cho S-H, "Effects of increasing nurse staffing on missed nursing care" 62 (62): 267-274, 2015

      25 Lake ET, "Development of the practice environment scale of nursing work index" 25 (25): 176-188, 2002

      26 Wong CA, "Authentic leadership and nurse-assessed adverse patient outcomes" 21 (21): 740-752, 2013

      27 Levinson DR, "Adverse events in hospitals; methods for identifying events [Internet], Report No.: OEI-06-08-00221" Department of Health and Human Services, Office of Inspector General (US)

      28 Pronovost PJ, "A web based tool for the comprehensive unit-based safety program (CUSP)" 32 (32): 119-129, 2006

      29 Ball JE, "'Care left undone' during nursing shifts: associations with workload and perceived quality of care" 23 (23): 116-125, 2014

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2008-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2007-12-18 학술지명변경 한글명 : Journal of Korean Academy of Nursing -> Asian Nursing Research
      외국어명 : Journal of Korean Academy of Nursing -> Asian Nursing Research
      KCI등재후보
      2007-01-01 평가 SCOPUS 등재 (신규평가) KCI등재후보
      2006-08-25 학술지명변경 한글명 : -> Journal of Korean Academy of Nursing
      2006-08-25 학술지등록 한글명 :
      외국어명 : Journal of Korean Academy of Nursing
      2005-02-25 학회명변경 한글명 : 대한간호학회 -> 한국간호과학회
      영문명 : Korean Academy Of Nursing -> Korean Society of Nursing Science
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      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.74 0.3 0.64
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.57 0.51 0.749 0.02
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