The mental health care system in Korea employs measures such as involuntary hospitalization and outpatient treatment orders for patients with severe mental illness. However, involuntary hospitalization places the burden of treatment and management entirely on families, while outpatient treatment orders are often ineffective. This study proposes two approaches to strengthen national responsibility for these patients. First, a judicial hospitalization system is recommended to protect patient rights and ensure fair hospitalization and treatment. This system would provide appropriate care for patients while reducing the caregiving burden on families. Second, a nationally-centered integrated management system is proposed to connect medical institutions with community mental health agencies, for the integrated management of patients with severe mental illness. This system would ensure treatment continuity and enable efficient rehabilitation management. These proposals aim to create a foundation for patients with severe mental illness to reintegrate smoothly into society within a national management framework.

Purpose: This study aimed to clarify the attributes of the concept of nurses' righteousness through concept analysis and to provide foundational data for fostering nurses' morality in nursing education and practice. Methods: Walker and Avant's (2004) concept analysis method was applied to identify the conceptual attributes, antecedents, and consequences. A total of 40 domestic and international studies published from 2010 to 2024 were analyzed. Results: The concept attributes were training for a righteous life, fulfilling the duties assigned to oneself, relationship-oriented nursing with concern and empathy, respect for human rights and fair nursing, acting for the benefit of the community, and courage to do the right thing. The antecedents of nurses' righteousness were nurses' moral values, ethical awareness, patient-nurse interaction, and patientnurse communication, consequences of nurses’ righteousness confirmed to be nurses' moral integration, nurses' personal growth, improved quality of nursing, improved patient satisfaction, and growth of nursing organizations. Conclusion: This study is significant in that it defines the concept of nurses' righteousness and presents a theoretical basis for developing basic qualities as a nurse. Based on these findings, education and the development of programs focused on nurses' righteousness are recommended.

Purpose: This study applied a mixed-methods design to examine the effects of the nurse shift system improvement pilot project, organized by the Ministry of Health and Welfare, on ward nurses’ quality of life, job satisfaction, and patient safety nursing activities, as well as to explore their overall evaluation of the project through in-depth interviews. Methods: Using a mixed-methods approach, this study simultaneously conducted quantitative analyses of ward nurses’ quality of life, job satisfaction, and patient safety nursing activities, along with qualitative research through in-depth interviews to explore overall perceptions of the nurse shift system improvement pilot project. Results: Patient safety nursing activities showed a significant positive correlations with quality of life (r=.24, p=.017) and job satisfaction (r=.21, p=.038). There was also a significant positive correlation between quality of life and job satisfaction (r=.63, p<.001). As a result of the qualitative analysis, eight facilitating factors and five hindering factors related to the pilot project were identified. Conclusion: Through the research, the effectiveness of the pilot project and the factors influencing nurses were identified. Accordingly, strategies are needed to enhance patient safety nursing activities by improving nurses’ quality of life and job satisfaction in pilot project wards.

Purpose: This study examines the impact on women's health of the legal vacuum created by the Constitutional Court of Korea's 2019 ruling declaring the abortion law constitutionally incompatible. Methods: An integrative literature review was conducted following PRISMA guidelines. Academic papers, government reports, and public data published after 2019 were collected and analyzed. A total of 22 studies were categorized into four themes: legal changes, women's health and reproductive rights, medical perspectives, and social and ethical issues. Results: The absence of clear legal standards following the ruling created uncertainty for both women and healthcare providers, leading to an increase in illegal abortions. This legal gap limited access to safe medical services, exposing women to physical risks and psychological distress due to social stigma. The debate between women's reproductive autonomy and fetal rights intensified, while South Korea's legislative response lagged behind global trends toward liberalization. Conclusion: The study highlights the urgent need for legal reforms that balance women's autonomy with fetal rights, ensuring access to safe medical services, psychological support, and clear legal standards.