J Korean Acad Fundam Nurs.  2025 May;32(2):264-274. 10.7739/jkafn.2025.32.2.264.

Influence of Perception of Patient Safety Culture, Job Stress, and Nursing Work Environment on Patient Safety Nursing Activities by Emergency Room Nurses

Affiliations
  • 1Emergency Room Nurse, Dong-A University Hospital, Busan, Korea
  • 2Associate Professor, College of Nursing ‧ Institute for Health Science Research, Inje University, Busan, Korea
  • 3Assistant Professor, College of Nursing ‧ Institute for Health Science Research, Inje University, Busan, Korea

Abstract

Purpose
This study aimed to investigate the influence of perceptions of patient safety culture, job stress, and nursing work environment on patient safety nursing activities among emergency room nurses.
Methods
This correlational study was conducted from June 5 to July 31, 2024, and targeted 114 emergency room nurses in Busan. A structured self-report questionnaire was used to collect data. Descriptive statistics, independent sample t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analyses were employed for data analysis.
Results
Patient safety nursing activities significantly differed by age (F=6.17, p=.001) and total clinical experience (F=8.89, p<.001) among the participants' general characteristics. Positive correlations were identified with perceptions of patient safety culture (r=.70, p<.001) and nursing work environment (r=.27, p=.003). Multiple regression analysis indicated that perception of patient safety culture (β=.72, p<.001) and total clinical experience (β=-.32, p=.011) were significant predictors, accounting for 50.5% (F=20.24, p<.001) of the variance.
Conclusion
The findings indicated that perceptions of patient safety culture and total clinical experience are critical factors to be considered when designing interventions to enhance patient safety nursing activities among emergency room nurses.

Keyword

Emergency nursing; Patient safety; Safety management
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