Purpose: This study evaluated the impact of a nursing simulation learning module for caring for patients with chronic obstructive pulmonary disease (COPD) on nursing knowledge, clinical competence, team psychological safety, and learning satisfaction among nursing students. Methods: A non-equivalent control-group pretest–posttest quasi-experimental design was used with 36 students (18 per group) assigned to either a simulation group or a lecture group. Data collected from June 8 to July 13, 2024, were analyzed using SPSS 27.0. Results: Nursing knowledge showed no significant between-group difference (F=1.32, p=.260) but improved over time (F=8.24, p=.007). Clinical competence showed a significant group-by-time interaction (F=58.33, p<.001). Team psychological safety (t=2.70, p=.012) and learning satisfaction (t=2.27, p=.030) were higher in the simulation group. Conclusion: These findings provide foundational data for developing simulation-based educational strategies in nursing curricula. The module may also be applied to the training of novice nurses in clinical settings, thereby contributing to enhanced nursing education and improved clinical practice.
Purpose: This study aimed to evaluate the effects of simulation education in patient safety nursing on nursing students’ attitudes toward patient safety, confidence in patient safety, academic self-efficacy, and academic engagement. Methods: The study was conducted from April to May 2022 with 69 nursing students enrolled in a fundamental nursing practice course. Two simulation scenarios were developed to enhance the patient safety competencies. Each scenario was implemented in two sessions, each lasting 90 minutes. Data were collected using self-report questionnaires, which measured attitudes toward patient safety, confidence in patient safety, academic self-efficacy, and academic engagement before and after the simulation education. Data were analyzed by employing descriptive statistics and paired t-tests using SPSS Statistics Version 26.0. Results: After participating in the simulation program, students showed statistically significant improvements in their attitudes toward patient safety (t=9.11, p<.001), confidence in patient safety (t=15.66, p<.001), academic self-efficacy (t=6.03, p<.001), and academic engagement (t=9.28, p<.001). Conclusion: The findings suggest that simulation education in patient safety nursing is an effective nursing education strategy. The study highlights the need to develop and expand diverse simulation-based learning programs in nursing education.
Purpose: This study examined the effects of clinical nurses' communication skills, critical reflection, and professional self-efficacy on medication safety competency. Methods: The participants were 150 clinical nurses with at least 12 months of experience in a tertiary hospital. Validated scales for assessed communication skills, critical reflection, professional self-efficacy, and medication safety competency. Data were analyzed using SPSS 29.0 with descriptive statistics, t-tests, ANOVA, correlation, and regression analyses. Results: The mean medication safety competency score was 4.24 ± 0.49, with the highest subscale scores observed in crisis management, patient-centered medication management, and problem-solving. Nurses aged 36 years and older and with over 6 years of experience demonstrated significantly higher medication safety competency. Medication safety competency showed positive correlations with communication skills (r = .68, p <. 001), critical reflection (r = .70, p < .001), and professional self-efficacy (r = .61, p <. 001). Regression analysis revealed these factors as significant predictors, collectively accounting for 57.5% of the variance. Conclusion: Communication skills, critical reflection, and self-efficacy significant determinants of nurses’ medication safety competency. Educational programs targeting theses domains are essential to improve medication safety. Further research is needed to assess and refine such interventions, thereby supporting continuous professional development and improved patient outcomes.
Purpose: This study was conducted to confirm the effects of patient safety simulation education on nursing students’s attitude of patient safety, confidence in performance of patient safety, confidence in performance multidrug-resistant bacterial infection control, and nursing professionalism. Methods: In this study, 89 students from the 4th grade of the nursing department at one university participated, and the data collection period was from August 20 to August 30, 2023. The collected data were analyzed using R 4.3.2 version and by descriptive statistics, independent t-test, Pearson’s correlation coefficients. Results: After education, the subjects' nursing professionalism(t=-5.95, p<.001), attitude of patient safety(t=-3.59, p<.001), confidence in performance of patient safety(t=-3.90, p<.001), and confidence in performance multidrugresistant bacterial infection control(t=-5.55, p<.001) increased statistically significantly. After education, there was a positive correlation between nursing professionalism, attitude of patient safety(r=.43, p<.001), confidence in performance of patient safety(r=.64, p<.001), confidence in performance multidrug-resistant bacterial infection control(r=.41, p=<.001). The relationship between attitude of patient safety, confidence in performance of patient safety(r=.47, p<.001), confidence in performance multidrug-resistant bacterial infection control(r=.37, p=<.001) showed a positive correlation. Confidence in performance of patient safety, confidence in performance multidrug-resistant bacterial infection control(r=.80, p<.001) showed a positive correlation. Conclusion: Through this study, in order to strengthen effective patient safety management behavior, it is necessary to find ways to increase immersion and proactiveness in education by developing and applying various scenarios related to patient safety in nursing management simulation education.
Aviation safety is critically dependent on effective communication, particularly in the English language, which serves as the international language of aviation. This paper explores the significance of proficient English language communication among aviation professionals and its impact on operational safety. Effective communication in aviation involves various factors such as lack of accent, perfect listening skills, effective hearback and readback procedures, and more. Additionally, English language efficiency in aviation is closely related to emotional stability and the ability to manage stress, both of which are crucial in highpressure environments. The research will also look into the regulatory challenges faced by the aviation industry in standardizing and enforcing language proficiency requirements by the International Civil Aviation Organization and other international institutions. Through a thorough review of existing regulations, industry practices, and case studies, this paper highlights the steps taken to improve communication skills among pilots, air traffic controllers, and other key aviation professionals.
This study was attempted to solve the problem that the current training is not consistent with the actual working environment of the fishing vessel, even though the advanced fire extinguishing training for international fishing vessels is mandatory. As a result of the survey, the lack of timely use of fire extinguishing equipment and the difficulty of organizing the fire extinguishing organization were found, and the main problems were analyzed as low understanding of fixed fire extinguishing facilities, low awareness of fire-related laws and regulations, and inefficiency of fire extinguishing training. It was found that the current Seafarers Act does not clearly define the roles and responsibilities of advanced fire extinguishers, and lacks specific standards for designated educational institutions, so there is a problem that the accuracy and reliability of the training contents with the STCW-F Convention and STCW Convention are inconsistent. In addition, it has been confirmed that the fire extinguishing organization, internal communication, and fire extinguishing training in ships, as stipulated in international agreements, are not properly reflected in the domestic curriculum. In particular, the current training consists of general contents that do not take into account the characteristics of fishing vessels, so there is a lack of practical emergency response fire extinguishing training manuals. Therefore, this study proposes the development of customized training content for fishing vessels considering the special working environment and risk factors of fishing vessels based on international agreements, and emphasizes the need for policy support, such as strengthening participation of fishing vessels in education and training, and establishing a legal basis for the operation of emergency fire extinguishing organizations.
This study aimed to enhance the operational efficiency and safety of offshore eel trap fisheries by developing six types of automated fishing equipment: a bait crusher, bait cutter, main line arranging device, trap cleaning device, eel sorting device, and fish pump system. Sea trials demonstrated that the bait crusher and bait cutter significantly reduced manual labor and processing time while maintaining bait quality. The main line arranging device improved productivity and safety by automating the sorting of looped cords. The trap cleaning device effectively removed fouling organisms using high-pressure water and rotating brushes. The eel sorting device enabled automatic size-based selection, improving resource management and operational efficiency. The fish pump system transferred eels rapidly with minimal physical damage, reducing unloading time by over 80% and decreasing labor requirements. A satisfaction survey of fishery participants confirmed that all developed devices were highly effective in reducing workload, enhancing safety, and improving operational performance. The automated equipment developed in this study is expected to contribute to the sustainable management of offshore eel trap fisheries and to offer potential applicability to other coastal and offshore fisheries.
This study aims to evaluate traffic safety facilities in school zones in Busan Metropolitan City through Importance-Performance Analysis. This study investigated the traffic safety facilities in nine school zones, which have relatively more traffic accidents in Busan Metropolitan City from 2020 to 2022, through a field study and an Analytic Hierarchy Process(AHP). It identified their performance(i.e., compliance rate) and importance to derive measures for the improvement of traffic safety facilities in school zones. The field study showed that the compliance rate of starting points among traffic safety signs was low, and no speed limits were complied with the installation regulations among traffic road markings, but road safety facilities were generally well managed and operated. As a result of AHP, the order of importance was road safety facilities, traffic safety signs, and traffic road markings. More specifically, speed bumps, safety signs, and crosswalks were found to be more important than others in road safety facilities, traffic safety signs, and traffic road markings, respectively. Importance- Performance(compliance) Analysis revealed that the traffic safety facilities necessary to be most urgently improved are starting points. This result can be resorted to underlying measures to determine priorities for installing and operating traffic safety facilities in school zones.
This study evaluated the safety impact of automated traffic enforcement cameras targeting tailgating behavior at signalized intersections by comparing traffic conditions shortly after installation and one year later. The Kukkiwon intersection in Gangnam-gu, Seoul, South Korea was selected as the study site. Individual vehicle speeds, accelerations, and subsequent distances were extracted from video data using YOLOv8 and ByteTrack, which are advanced deep learning-based object detection and tracking algorithms. Surrogate safety measures (SSM), such as time to collision (TTC), modified time to collision (MTTC), and proportion of stopping distance (PSD), were calculated to assess changes in traffic safety. Every SSM indicated an improvement one year after the installation of enforcement cameras, suggesting a reduction in collision risks. In particular, the PSD indicator showed a notable improvement, reflecting a better maintenance of safe following distances. These results highlight the effectiveness of automated enforcement in improving intersection safety and suggest its scalability to other intersections with similar tail-gating issues. Future research should explore the long-term and multisite effects using diverse intersection types and behavioral indicators.
Korea has many test beds where various mobility services are provided by automated vehicles. The test beds are operated in their operational design domain (ODD). However, disengagement frequently occurs, even in the ODDs of automated vehicles. In particular, human drivers have to take control of the automated vehicles at SAE Level 3 whenever the vehicles cannot drive by themselves because of an emergency or unknown factors. This study analyzed the driving safety of right turning at signalized intersections where automated vehicles face selfdriving issues because of potential conflicts with other vehicles, crossing pedestrians, and geometric factors. To conduct this analysis, we categorized right-turning intersections into two types with right-turning lanes and channelization islands and divided them into three sections, with a total of six sections. Subsequently, the six sections were compared with each other by disengagements of the automated vehicles as the key index to investigate their self-driving safety. Their significant differences indicate that ODD-related variables must be considered when designing and updating target test beds for automated vehicles.