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Nurse-perceived Patient Adverse Events and Nursing Practice Environment
Jeong-Hee Kang, Chul-Woung Kim, Sang-Yi Lee
J Prev Med Public Health. 2014;47(5):273-280.   Published online September 12, 2014
  • 11,863 View
  • 145 Download
  • 17 Crossref
AbstractAbstract PDF
To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, ‘physician- nurse relationship’ correlated with medication errors while ‘education for improving quality of care’ affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.


Citations to this article as recorded by  
  • Perceptions of Clinical Adverse Event Reporting by Nurses and Midwives
    Anna Majda, Michalina Majkut, Aldona Wróbel, Anna Kurowska, Agata Wojcieszek, Kinga Kołodziej, Iwona Bodys-Cupak, Joanna Rudek, Krystian Barzykowski
    Healthcare.2024; 12(4): 460.     CrossRef
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    Wenjuan Lai, Rongxiu Jin, Ruoying He, Xiaorong Ding
    Journal of Public Health.2023; 31(2): 213.     CrossRef
  • Surgical nurse experience with adverse events - a descriptive qualitative study
    Dominika Kohanová, Soňa Baránková, Radka Kurucová, Katarína Žiaková
    Central European Journal of Nursing and Midwifery.2023; 14(2): 887.     CrossRef
  • Reporting the adverse events and healthcare-associated infections in relation to the work environment
    Renáta Zeleníková, Darja Jarošová, Eva Mynaříková, Ilona Plevová, Miroslava Kachlová
    Pielegniarstwo XXI wieku / Nursing in the 21st Century.2023; 22(4): 241.     CrossRef
  • Comparison of 12 and 24‐hours shift impacts on ICU nursing care, efficiency, safety, and work‐life quality
    Virya Koy, Jintana Yunibhand, Sue Turale
    International Nursing Review.2022; 69(1): 38.     CrossRef
  • Spanish Version of the Scale “Eventos Adversos Associados às Práticas de Enfermagem” (EAAPE): Validation in Nursing Students
    Antonio Martínez-Sabater, Carlos Saus-Ortega, Mónica Masiá-Navalon, Elena Chover-Sierra, María Luisa Ballestar-Tarín
    Nursing Reports.2022; 12(1): 112.     CrossRef
  • The relationship between patient safety culture and patient safety competency with adverse events: a multicenter cross-sectional study
    Asal Hafezi, Atye Babaii, Bahman Aghaie, Mohammad Abbasinia
    BMC Nursing.2022;[Epub]     CrossRef
  • Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services
    Deborah Elisabeth Jachan, Ursula Müller‐Werdan, Nils Axel Lahmann
    Nursing Open.2021; 8(2): 755.     CrossRef
  • Burnout and patient safety: A discriminant analysis of paediatric nurses by low to high managerial support
    Haitham Khatatbeh, Annamária Pakai, Dorina Pusztai, Szilvia Szunomár, Noémi Fullér, Gyula Kovács Szebeni, Adrienn Siket, Miklós Zrínyi, András Oláh
    Nursing Open.2021; 8(2): 982.     CrossRef
  • Supplier relationship management and organizational performance of hospitals in an emerging economy context
    Stephen Oduro, Kwamena Minta Nyarku, Rotimi A. Gbadeyan
    Journal of Modelling in Management.2020; 15(4): 1451.     CrossRef
  • Occurrence of hospital-acquired infections in relation to missed nursing care: a literature review
    Eva Mynaříková, Darja Jarošová, Eva Janíková, Ilona Plevová, Andrea Polanská, Renáta Zeleníková
    Central European Journal of Nursing and Midwifery.2020; 11(1): 43.     CrossRef
  • “It is really so exhausting”: Exploring intensive care nurses’ perceptions of 24‐hour long shifts
    Virya Koy, Jintana Yunibhand, Sue Turale
    Journal of Clinical Nursing.2020; 29(17-18): 3506.     CrossRef
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    Spumelelo P. Nyide, Petra Brysiewicz, John Bruce, Damian L. Clarke
    Curationis.2019;[Epub]     CrossRef
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    Amalia Sillero-Sillero, Adelaida Zabalegui
    Revista Latino-Americana de Enfermagem.2019;[Epub]     CrossRef
  • Rural Hospital Nursing Skill Mix and Work Environment Associated With Frequency of Adverse Events
    Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
    SAGE Open Nursing.2019; 5: 237796081984824.     CrossRef
  • Understanding Implementation of Patient Safety Goals Framework at Inpatient Unit of Ciracas General Hospital, Indonesia
    Aditya Galatama Purwadi, Wahyu Sulistiadi, Al Asyary, Hadiyanto, Budi Warsito, Maryono
    E3S Web of Conferences.2019; 125: 17003.     CrossRef
  • Perceptions regarding medication administration errors among hospital staff nurses of South Korea
    Mi-Ae You, Mi-Hyeon Choe, Geun-Ok Park, Sang-Hee Kim, Youn-Jung Son
    International Journal for Quality in Health Care.2015; 27(4): 276.     CrossRef
Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention
Sang-Yi Lee, Chul-Woung Kim, Jeong-Hee Kang, Tae-Ho Yoon, Cheoul Sin Kim
J Prev Med Public Health. 2014;47(5):258-265.   Published online September 12, 2014
  • 12,081 View
  • 187 Download
  • 12 Crossref
AbstractAbstract PDF
To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intention of hospital nurses. Methods: Among the 11 731 nurses who participated in the Korea Health and Medical Workers’ Union’s educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevel logistic regression modeling. Results: Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses’ job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses’ turnover intention. Conclusions: Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardized nursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses’ job satisfaction. However, the nursing practice environment was not related to nurses’ turnover intention.


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  • Does workplace violence affect healthcare workers' turnover intention?
    Leilei Liang, Zhi Wang, Yueyang Hu, Tongshuang Yuan, Junsong Fei, Songli Mei
    Japan Journal of Nursing Science.2023;[Epub]     CrossRef
  • Working environment of nurses in public referral hospitals of West Amhara, Ethiopia, 2021
    Chanyalew Worku Kassahun, Addisu Taye Abate, Zewdu Baye Tezera, Debrework Tesgera Beshah, Chilot Desta Agegnehu, Mohammed Adem Getnet, Hailemichael Kindie Abate, Birhaneslasie Gebeyehu Yazew, Mahlet Temesgen Alemu
    BMC Nursing.2022;[Epub]     CrossRef
  • Effects of nursing work environment on work‐related outcomes among psychiatric nurses: A mediating model
    Xiuxiu Huang, Limin Wang, Xu Dong, Bei Li, Qiaoqin Wan
    Journal of Psychiatric and Mental Health Nursing.2021; 28(2): 186.     CrossRef
  • The nursing practice environment and nurse job outcomes: A path analysis of survey data
    Zainab Ambani, Ann Kutney‐Lee, Eileen T. Lake
    Journal of Clinical Nursing.2020; 29(13-14): 2602.     CrossRef
  • Relationship between the legal nurse staffing standard and patient survival after perioperative cardiac arrest: A cross-sectional analysis of Korean administrative data
    Yunmi Kim, Jiyun Kim, Soon Ae Shin
    International Journal of Nursing Studies.2019; 89: 104.     CrossRef
  • Psychometric Evaluation of the Korean Version of Patient-Centered Care Scale for Hospital Nurses
    Yun Mi Lee, Ju-Eun Song, Chanhee Park, Youn-Jung Son
    Evaluation & the Health Professions.2019; 42(3): 344.     CrossRef
  • The relationship between work environment and career success among nurses with a master's or doctoral degree: A national cross‐sectional study
    Yi Wang, Lixin Zhang, Shuangyue Tian, Jie Wu, Jie Lu, Feifei Wang, Zhiwen Wang
    International Journal of Nursing Practice.2019;[Epub]     CrossRef
  • Effectiveness of Cognitive-Behavioral Anger Management Training on Aggression and Job Satisfaction on Nurses Working in Psychiatric Hospital
    Maliheh Farahani, Saeed Ebadie Zare
    Zahedan Journal of Research in Medical Sciences.2018;[Epub]     CrossRef
  • The Correlation between Organizational Culture and Nurses' Turnover Intention in Educational and Therapeutic Centers of Hamadan University of Medical Sciences
    Amir Sadeghi, Javad Mohseni Fard, Jalal Poorolajal
    Journal of Health Promotion Managment.2018; 6(6): 37.     CrossRef
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    Li-Chiu Lin, Huan-Fang Lee, Miaofen Yen
    Research and Theory for Nursing Practice.2017; 31(1): 75.     CrossRef
  • The Relationship among Practice Environment, Organizational Justice, and Job Satisfaction of Male Nurses
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    Korean Journal of Occupational Health Nursing.2016; 25(3): 177.     CrossRef
The Incidence of Stroke by Socioeconomic Status, Age, Sex, and Stroke Subtype: A Nationwide Study in Korea
Su Ra Seo, Su Young Kim, Sang-Yi Lee, Tae-Ho Yoon, Hyung-Geun Park, Seung Eun Lee, Chul-Woung Kim
J Prev Med Public Health. 2014;47(2):104-112.   Published online March 31, 2014
  • 12,242 View
  • 169 Download
  • 29 Crossref
AbstractAbstract PDF

To date, studies have not comprehensively demonstrated the relationship between stroke incidence and socioeconomic status. This study investigated stroke incidence by household income level in conjunction with age, sex, and stroke subtype in Korea.


Contributions by the head of household were used as the basis for income levels. Household income levels for 21 766 036 people were classified into 6 groups. The stroke incidences were calculated by household income level, both overall within income categories and further by age group, sex, and stroke subtype. To present the inequalities among the six ranked groups in a single value, the slope index of inequality and relative index of inequality were calculated.


In 2005, 57 690 people were first-time stroke patients. The incidences of total stroke for males and females increased as the income level decreased. The incidences of stroke increased as the income level decreased in those 74 years old and under, whereas there was no difference by income levels in those 75 and over. Intracerebral hemorrhage for the males represented the highest inequality among stroke subtypes. Incidences of subarachnoid hemorrhage did not differ by income levels.


The incidence of stroke increases as the income level decreases, but it differs according to sex, age, and stroke subtype. The difference in the relative incidence is large for male intracerebral hemorrhage, whereas the difference in the absolute incidence is large for male ischemic stroke.



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JPMPH : Journal of Preventive Medicine and Public Health