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.

본 연구에서는 개인-환경 적합성 이론을 기반으로 중소기업 관리자의 임파워링 리더십이 구성원의 이 직의도에 미치는 영향을 검증하였다. 아울러, 구성원의 자기효능감과 경력성장기회를 매개변수와 조절변 수로, 심리적 안전감을 조절변수로 적용하여 연구모형을 설계하고, 연구가설을 설정하였다. 실증연구를 위해 본 연구는 국내 중소기업 근로자 400명으로부터 수집한 설문자료를 바탕으로 통계분석을 실시하였 다. 분석결과, 중소기업 관리자의 임파워링 리더십 발휘는 구성원의 이직의도를 낮추는데 유의한 긍정적 인 효과를 가져오는 것으로 나타났다. 둘째, 중소기업 관리자의 임파워링 리더십은 구성원의 자기효능감을 높이는데 기여하며, 자기효능감은 이직의도를 낮추는데 긍정적인 역할을 하는 것으로 나타났다. 셋째, 심리적 안전감은 중소기업 관리자의 임파워링 리더십이 구성원의 자기효능감에 미치는 정(+)적 영향에 긍정적인 조절효과를 발휘하는 것으로 나타났다. 마지막으로, 경력성장기회는 구성원의 자기효능감이 이 직의도에 미치는 정(+)적 영향에 긍정적인 조절효과를 발휘하는 것으로 나타났다. 나아가 본 연구에서는 분석결과의 해석 및 토론, 이론적 및 실무적 시사점, 그리고 연구의 한계 및 미래 연구의 방향에 대해 설 명하고 있다.

본 연구는 요양보호사의 환자안전 지식과 환자안전관리 활동의 관계에서 자기효능감의 매개 효 과를 확인하기 위해 수행된 서술적 조사연구이다. 자료수집은 노인요양시설과 재가센터 소속 요양보호사를 대상으로 2022년 7월 1일부터 7월 29일까지 실시되었으며, 197명의 자료가 최종 분석에 사용되었다. 수집 된 자료는 SPSS 28.0 프로그램을 이용하여 t-test, ANOVA, Scheffé test, Person’s correlation coefficients, Hierarchical multiple regression으로 분석하였다. 연구결과, 요양보호사의 환자안전 지식과 자 기효능감(r=.653, p<.001), 환자안전 지식과 환자안전관리 활동(r=.467, p<.001)은 각각 유의한 양의 상관관 계를 보였다. 또한 요양보호사의 환자안전 지식과 환자안전관리 활동의 관계에서 자기효능감의 완전 매개 효과가 확인되었고, 설명력은 46.8%였다. 따라서 요양보호사의 환자안전관리 활동을 강화하기 위해서는 자기효능감 향상을 위한 체계적인 프로그램 개발과 함께 교육의 기회가 제공되어야 할 것이다.

Purpose: This study was tried to identify the effects of simulation program by applying hazard perception training on self-efficacy of patient safety, error recovery and problemsolving process in nursing students. Methods: A nonequivalent control group designed was used. The study was composed of hazard perception training and simulation program. Sixteen teams of a total of 61 nursing students participated in the simulation program using a high fidelity simulator. The collected data were analyzed by descriptive statistics, χ2-test and t-test using PASW 18.0 program. Result: There were statistically signigicant in self-efficacy of patient safety(t=2.55, p=.013), error recovery(t=2.82, p=.007), and problem-solving process(t=3.29, p=.002) in the experimental group. Conclusion: These results indicate that the simulation program by applying hazard perception training is effective in improving self-efficacy of patient safety, error recovery and problem-solving process for nursing students. Further study is recommended to confirm the long-term effects of the simulation program by applying hazard perception training.

This paper reviewed the relationship between job demands/resources and safety participation, and the moderating effect of safety self-efficacy. Based on the responses from 247 employees, the results of multiple regression analysis appeared as follow; 1) job demands factors(role conflict, role ambiguity and role overload) effect negatively on safety participation. 2) job resources factors(autonomy and social support) effect positively on safety participation. 3) safety self-efficacy moderates positively 3 relationships-between role conflict and safety participation, between role ambiguity and safety participation, between social support and safety participation.