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  1. Article ; Online: Using an Early Warning Score for Nurse Shift Patient Handover: Before-and-after Study.

    Hwang, Jee-In / Kim, Sung Wan

    Asian nursing research

    2021  Volume 16, Issue 1, Page(s) 18–24

    Abstract: Purpose: This study aimed to examine the impact of using an early warning score for shift patient handover on nurse and patient outcomes.: Methods: A before-and-after study was conducted with nurses and patients in three general wards in a tertiary ... ...

    Abstract Purpose: This study aimed to examine the impact of using an early warning score for shift patient handover on nurse and patient outcomes.
    Methods: A before-and-after study was conducted with nurses and patients in three general wards in a tertiary teaching hospital. A short-time nurse education on the National Early Warning Score 2 and the use of a checklist for score calculation were performed from June 4, 2019 to June 30, 2019. Outcomes of nurse response (safety competency, handover quality, teamwork, safety climate, and documentation of vital signs and clinical concerns), patient response (deterioration occurrence postadmission, hospitalization length, and discharge status), and adverse events (mortality, cardiopulmonary arrest, and unplanned intensive care unit admission) were measured using questionnaires and medical record reviews. Data from 89 nurses and 388 patients were analyzed.
    Results: Regarding nurse outcomes, handover quality (p < .001), teamwork (p = .004), safety climate (p = .018), and recordings of vital signs (p = .047) and clinical concerns (p = .008) increased after early warning score use. However, no significant change in the safety competency scores was observed. Regarding patient outcomes, there were no significant changes in the occurrence of deterioration, hospitalization length, discharge status, and occurrence of adverse events between preintervention and postintervention.
    Conclusion: Despite no significant changes in patient outcomes, using a simple, evidence-based early warning score for patient handover enhanced socio-cultural factors for patient safety, with improved patient monitoring. The findings provide evidence that supports the active implementation of an early warning score to improve patient safety.
    MeSH term(s) Early Warning Score ; Hospitalization ; Hospitals, Teaching ; Humans ; Intensive Care Units ; Patient Handoff
    Language English
    Publishing date 2021-12-30
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2481635-8
    ISSN 2093-7482 ; 2093-7482
    ISSN (online) 2093-7482
    ISSN 2093-7482
    DOI 10.1016/j.anr.2021.12.005
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  2. Article ; Online: Performance of Early Warning Scoring Systems Regarding Adverse Events of Unanticipated Clinical Deterioration in Complementary and Alternative Medicine Hospitals.

    Hwang, Jee-In / Park, Jae-Woo / Kim, Jinsung / Ha, Na-Yeon

    Asian nursing research

    2023  Volume 17, Issue 2, Page(s) 110–117

    Abstract: Purpose: This study aims to examine the performance of early warning scoring systems regarding adverse events of unanticipated clinical deterioration in complementary and alternative medicine hospitals.: Methods: A medical record review of 500 ... ...

    Abstract Purpose: This study aims to examine the performance of early warning scoring systems regarding adverse events of unanticipated clinical deterioration in complementary and alternative medicine hospitals.
    Methods: A medical record review of 500 patients from 5-year patient data in two traditional Korean medicine hospitals was conducted. Unanticipated clinical deterioration events included unexpected in-hospital mortality, cardiac arrest, and unplanned transfers to acute-care conventional medicine hospitals. Scores of the Modified Early Warning Score (MEWS), National Early Warning Score (NEWS), and National Early Warning Score 2 (NEWS2) were calculated. Their performance was evaluated by calculating areas under the receiver-operating characteristic curve for the event occurrence. Multiple logistic regression analyses were performed to determine the factors associated with event occurrence.
    Results: The incidence of unanticipated clinical deterioration events was 1.1% (225/21101). The area under the curve of MEWS, NEWS, and NEWS2 was .68, .72, and .72 at 24 hours before the events, respectively. NEWS and NEWS2, with almost the same performance, were superior to MEWS (p = .009). After adjusting for other variables, patients at low-medium risk (OR = 3.28; 95% CI = 1.02-10.55) and those at medium and high risk (OR = 25.03; 95% CI = 2.78-225.46) on NEWS2 scores were more likely to experience unanticipated clinical deterioration than those at low risk. Other factors associated with the event occurrence included frailty risk scores, clinical worry scores, primary medical diagnosis, prescribed medicine administration, acupuncture treatment, and clinical department.
    Conclusions: The three early warning scores demonstrated moderate-to-fair performance for clinical deterioration events. NEWS2 can be used for early identification of patients at high risk of deterioration in complementary and alternative medicine hospitals. Additionally, patient, care, and system factors need to be considered to improve patient safety.
    MeSH term(s) Humans ; Clinical Deterioration ; Retrospective Studies ; ROC Curve ; Hospitals ; Complementary Therapies/adverse effects
    Language English
    Publishing date 2023-05-02
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2481635-8
    ISSN 2093-7482 ; 2093-7482
    ISSN (online) 2093-7482
    ISSN 2093-7482
    DOI 10.1016/j.anr.2023.04.003
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  3. Article ; Online: [Relationships among Non-Nursing Tasks, Nursing Care Left Undone, Nurse Outcomes and Medical Errors in Integrated Nursing Care Wards in Small and Medium-Sized General Hospitals].

    Park, Ju Young / Hwang, Jee In

    Journal of Korean Academy of Nursing

    2020  Volume 51, Issue 1, Page(s) 27–39

    Abstract: Purpose: This study aimed to identify the degree of non-nursing tasks and nursing care left undone in integrated nursing care wards, and examine their relationships with nurses' burnout, job satisfaction, turnover intentions, and medical errors.: ... ...

    Abstract Purpose: This study aimed to identify the degree of non-nursing tasks and nursing care left undone in integrated nursing care wards, and examine their relationships with nurses' burnout, job satisfaction, turnover intentions, and medical errors.
    Methods: A cross-sectional questionnaire survey was conducted. Data were collected using self-report questionnaires from 346 nurses working in 20 wards of seven small and medium-sized general hospitals, and analyzed using multiple regression and multiple logistic regression analysis with the SPSS WIN 25.0 program.
    Results: The mean score for non-nursing tasks was 7.32±1.71, and that for nursing care left undone was 4.42 ± 3.67. An increase in non-nursing tasks (β = .12,
    Conclusion: Non-nursing tasks and nursing care left undone are positively associated with nurses' burnout, turnover intentions, and the occurrence of medical errors. Therefore, it is important to reduce non-nursing tasks and nursing care left undone in order to deliver high quality nursing care and in turn increase patient safety.
    MeSH term(s) Adult ; Burnout, Professional/psychology ; Cross-Sectional Studies ; Female ; Hospitals, General ; Humans ; Job Satisfaction ; Male ; Medical Errors/statistics & numerical data ; Nursing Staff, Hospital/psychology ; Personnel Turnover/trends ; Surveys and Questionnaires ; Young Adult
    Language Korean
    Publishing date 2020-03-19
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2619665-7
    ISSN 2093-758X ; 2093-758X
    ISSN (online) 2093-758X
    ISSN 2093-758X
    DOI 10.4040/jkan.20201
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  4. Article ; Online: Psychometric Evaluation of the Korean Version of the Student Evidence-Based Practice Questionnaire (S-EBPQ).

    Park, Jung Eun / Hwang, Jee-In

    Asian nursing research

    2020  Volume 15, Issue 1, Page(s) 47–52

    Abstract: Purpose: Evidence-based practice (EBP) is a key competency that undergraduate nursing students need to learn, as EBP competence is essential for the effective implementation of EBP. However, few studies have comprehensively assessed the aspects of EBP ... ...

    Abstract Purpose: Evidence-based practice (EBP) is a key competency that undergraduate nursing students need to learn, as EBP competence is essential for the effective implementation of EBP. However, few studies have comprehensively assessed the aspects of EBP competence using a reliable and valid measure specific to Korean nursing students. This study aimed to translate the Student Evidence-Based Practice Questionnaire (S-EBPQ) into Korean and evaluate its psychometric properties.
    Methods: The original S-EBPQ was translated into Korean. After a pilot test, a convenience sample of 249 college students with more than four weeks of clinical training experience was selected from three universities in September 2017. Reliability and construct validity were evaluated using exploratory and confirmatory factor analyses. Concurrent validity was evaluated by correlating the measure with informatics competency.
    Results: The exploratory factor analysis revealed four factors that explained 66.3 of the variance. The confirmatory factor analysis yielded a 4-factor structure (χ
    Conclusions: The Korean S-EBPQ is a reliable and valid tool that has utility for assessing EBP competence in Korean nursing students and for making comparisons of the EBP competence of nursing students from other countries.
    MeSH term(s) Education, Nursing, Baccalaureate ; Evidence-Based Practice ; Humans ; Psychometrics ; Reproducibility of Results ; Republic of Korea ; Students, Nursing ; Surveys and Questionnaires
    Language English
    Publishing date 2020-11-20
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2481635-8
    ISSN 2093-7482 ; 2093-7482
    ISSN (online) 2093-7482
    ISSN 2093-7482
    DOI 10.1016/j.anr.2020.10.003
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  5. Article ; Online: Relationships between the National Early Warning Score 2, clinical worry and patient outcome at discharge: Retrospective observational study.

    Hwang, Jee-In / Chin, Ho Jun

    Journal of clinical nursing

    2020  Volume 29, Issue 19-20, Page(s) 3774–3789

    Abstract: Aims and objectives: To examine the performance of the National Early Warning Score 2 and composite score for clinical worry in identifying patients at risk of clinical deterioration, and to determine relationships between National Early Warning Score 2, ...

    Abstract Aims and objectives: To examine the performance of the National Early Warning Score 2 and composite score for clinical worry in identifying patients at risk of clinical deterioration, and to determine relationships between National Early Warning Score 2, clinical worry score and patient outcome at discharge.
    Background: The efficacy of early warning systems depends on patient population and care settings. Based on a theoretical framework on factors affecting clinical deterioration and patient outcomes, studies exploring the relationship between early warning systems and patient outcomes at discharge are sparse.
    Design: Retrospective observational study.
    Methods: A random sample of 732 medical records were reviewed. The area under the receiver operating characteristic curve was calculated to evaluate predictive abilities regarding the events of unanticipated in-hospital mortality, unplanned intensive care unit/ higher dependency bed admission and cardiac arrest. Multiple logistic regression analyses were performed to determine relationships between National Early Warning Score 2, clinical worry score and patient outcome. Reporting followed the STROBE checklist.
    Results: National Early Warning Score 2 and clinical worry score significantly predicted the events within 24 hr of the assessment. After controlling for other patient, treatment and organisational characteristics, National Early Warning Score 2 was a significant factor associated with patient outcome, but clinical worry score was not. Specifically, patients at high risk based on National Early Warning Score 2 were less likely to have improved outcome.
    Conclusions: National Early Warning Score 2 and clinical worry score performed well for predicting deteriorating condition of patients. National Early Warning Score 2 was significantly associated with patient outcome. It can be used for efficient patient management for safe, quality care.
    Relevance to clinical practice: National Early Warning Score 2 can be used for early assessment of not only clinical deterioration but also patient outcome and provide timely intervention, when coupled with clinical worry score.
    MeSH term(s) Clinical Deterioration ; Early Warning Score ; Humans ; Intensive Care Units ; Patient Discharge ; ROC Curve ; Retrospective Studies
    Language English
    Publishing date 2020-07-22
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.15408
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    Zs.A 3764: Show issues Location:
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  6. Article ; Online: What are hospital nurses' strengths and weaknesses in patient safety competence? Findings from three Korean hospitals.

    Hwang, Jee-In

    International journal for quality in health care : journal of the International Society for Quality in Health Care

    2015  Volume 27, Issue 3, Page(s) 232–238

    Abstract: Objective: To examine hospital nurses' patient safety competencies and the association between these competencies and safety climate.: Design: Cross-sectional questionnaire survey.: Setting: Three teaching hospitals in Seoul, Korea.: ... ...

    Abstract Objective: To examine hospital nurses' patient safety competencies and the association between these competencies and safety climate.
    Design: Cross-sectional questionnaire survey.
    Setting: Three teaching hospitals in Seoul, Korea.
    Participants: In total, 459 nurses from general adult nursing care units, intensive care units or operating rooms (response rate = 87.4%).
    Method: Self-administered questionnaires were distributed to measure patient safety competency. Multiple regression analyses were performed to examine relationships between patient safety competency and safety climate.
    Main outcome measure s: Patient safety competency scores ('teamwork', 'communication', 'managing safety risks', 'human and environmental factors', 'adverse event recognition' and 'safety culture' dimensions) and perceived safety climate.
    Results: The mean patient safety competency score was 3.3 (SD = 0.4) out of 5.0; 396 nurses (86.3%) rated their competency as above average. Among subscales, 'managing safety risks' scores were the highest, and 'teamwork' scores were the lowest. Patient safety competency differed significantly by participants' age, educational level, clinical experience and position. Patient safety competency was higher in older nurses with master's or higher degrees and clinical experience of longer duration. Nurse managers' scores were higher than those of staff nurses. Safety climate was perceived as moderate. After adjusting for other individual and organizational characteristics, patient safety competency was positively associated with safety climate perception.
    Conclusions: Nurses' safety competency was rated as moderate. In particular, nurses lacked confidence in teamwork. Nurses with higher safety competency perceived safety climate more positively. Efforts emphasizing teamwork to enhance nurses' safety competency should be prioritized, thereby contributing to improvement of safety climates.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Clinical Competence ; Communication ; Cross-Sectional Studies ; Environment ; Female ; Hospitals, Teaching ; Humans ; Male ; Middle Aged ; Nursing Staff, Hospital/statistics & numerical data ; Organizational Culture ; Patient Care Team ; Patient Safety ; Republic of Korea ; Safety Management/organization & administration ; Young Adult
    Language English
    Publishing date 2015-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1194150-9
    ISSN 1464-3677 ; 1353-4505
    ISSN (online) 1464-3677
    ISSN 1353-4505
    DOI 10.1093/intqhc/mzv027
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    Zs.A 3052: Show issues Location:
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  7. Article ; Online: Development and testing of a patient-centred care competency scale for hospital nurses.

    Hwang, Jee-In

    International journal of nursing practice

    2015  Volume 21, Issue 1, Page(s) 43–51

    Abstract: This study aimed to develop and test the psychometric soundness of a patient-centred care competency (PCC) scale for hospital nurses. A cross-sectional questionnaire survey was conducted among 594 nurses in two teaching hospitals (response rate 99.5%). ... ...

    Abstract This study aimed to develop and test the psychometric soundness of a patient-centred care competency (PCC) scale for hospital nurses. A cross-sectional questionnaire survey was conducted among 594 nurses in two teaching hospitals (response rate 99.5%). Reliability and validity analyses were performed. The PCC scale consisted of 17 items divided into four subscales: respecting patients' perspectives (6 items), promoting patient involvement in care processes (5 items), providing for patient comfort (3 items) and advocating for patients (3 items). The Cronbach's alpha coefficient of the entire scale was 0.92, and those for the subscales were 0.85, 0.81, 0.84 and 0.80, respectively. Multitrait scaling analysis indicated that the four subscales had satisfactory convergent and discriminant validity. Significant correlations were found between total PCC scores and overall self-ratings of patient-centred care performance (r = 0.60, P < 0.001). The PCC scale was therefore determined to be a highly valid and reliable tool.
    MeSH term(s) Adult ; Clinical Competence ; Cross-Sectional Studies ; Female ; Humans ; Male ; Nursing Staff, Hospital ; Patient-Centered Care ; Psychometrics ; Reproducibility of Results ; Republic of Korea ; Surveys and Questionnaires
    Language English
    Publishing date 2015-02
    Publishing country Australia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1381116-2
    ISSN 1440-172X ; 1322-7114
    ISSN (online) 1440-172X
    ISSN 1322-7114
    DOI 10.1111/ijn.12220
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  8. Article ; Online: [The Effects of Hospitals' Family Friendly Management on Married Female Nurses' Retention Intention: Focused on the Mediating Effects of Work-Family Interface].

    Lee, Jin Hwa / Hwang, Jee In

    Journal of Korean Academy of Nursing

    2019  Volume 49, Issue 4, Page(s) 386–397

    Abstract: Purpose: This study examined the effect of hospitals' family-friendly management on married female nurses' retention intention. The focus was the mediating effects of the work-family interface (work-family conflict, work-family enrichment and work- ... ...

    Abstract Purpose: This study examined the effect of hospitals' family-friendly management on married female nurses' retention intention. The focus was the mediating effects of the work-family interface (work-family conflict, work-family enrichment and work-family balance).
    Methods: This study was a cross-sectional study. The participants were 307 nurses working at five public and five private hospitals with more than 200 beds in Seoul. Data were collected using structured questionnaires from September 10 to September 17, 2018 and analyzed with SPSS 24.0. Data were analyzed using an independent t-test, a one-way ANOVA, Pearson's correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation.
    Results: There were significant correlations among family-friendly management, the work-family interface, and retention intention. Work-family conflict showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family enrichment showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family balance showed a partial mediating effect on the relationship between family-friendly management and retention intention.
    Conclusion: These findings indicate that both hospitals' family-friendly management and nurses' work-family interface are important factors associated with nurses' retention intention. Therefore, hospitals should actively implement family-friendly management for nurses and establish strategies to enhance nurses' work-family interface for effective human resource management.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Family ; Female ; Humans ; Middle Aged ; Nurses/psychology ; Organizational Culture ; Personnel Administration, Hospital/methods ; Personnel Turnover/statistics & numerical data ; Surveys and Questionnaires ; Workplace
    Language Korean
    Publishing date 2019-08-30
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2619665-7
    ISSN 2093-758X ; 2005-3673 ; 1598-2874
    ISSN (online) 2093-758X
    ISSN 2005-3673 ; 1598-2874
    DOI 10.4040/jkan.2019.49.4.386
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  9. Article ; Online: Relationships Between Nurses' Work System, Safety-Related Performance, and Outcomes: A Structural Equation Model.

    Hwang, Jee-In / Kim, Sung Wan / Park, Hyeoun-Ae

    Journal of patient safety

    2021  Volume 17, Issue 8, Page(s) e1638–e1645

    Abstract: Objectives: We examined relationships between nurses' work system, safety-related performance, and outcomes based on a modified Systems Engineering Initiative for Patient Safety model.: Methods: A cross-sectional survey was conducted with 408 nurses ... ...

    Abstract Objectives: We examined relationships between nurses' work system, safety-related performance, and outcomes based on a modified Systems Engineering Initiative for Patient Safety model.
    Methods: A cross-sectional survey was conducted with 408 nurses from 2 general hospitals. Data on work system factors (person, organization, environment, tools, and task), processes (safety-related performance), and outcomes (staff and clinical outcomes) were collected. Structural equation modeling was used to determine the relationships between nurses' work system factors, safety-related processes, and outcomes.
    Results: Structural equation modeling yielded a comparative fit index of 0.918, standardized root mean square residual of 0.055, and root mean square error of approximation of 0.054, indicating an acceptable model fit. The person factor had a significant positive direct effect on nurses' safety-related performance, and significant negative direct and indirect effects on the clinical outcome. The organization factor had significant positive direct effects on nurses' safety-related performance and staff outcome, and a negative indirect effect on the clinical outcome. The task factor had a significant positive direct effect on staff outcome. However, the environment and tools factors had no significant effects on safety-related performance or outcomes.
    Conclusions: The findings demonstrated the usefulness of the Systems Engineering Initiative on Patient Safety model to explain safety-related performance and outcomes, indicating differential effects of work system factors. Although the person factor significantly affected safety performance and clinical outcomes, the organization factor was the most influential component for promoting safety-related performance and staff and clinical outcomes. These results can be used to prioritize activities for patient safety.
    MeSH term(s) Cross-Sectional Studies ; Humans ; Job Satisfaction ; Nurses ; Nursing Staff, Hospital ; Patient Safety ; Surveys and Questionnaires
    Language English
    Publishing date 2021-11-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2394324-5
    ISSN 1549-8425 ; 1549-8417
    ISSN (online) 1549-8425
    ISSN 1549-8417
    DOI 10.1097/PTS.0000000000000866
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  10. Article ; Online: Correction: Understanding experiences of cancer-related fatigue in patients with lung cancer after their cancer treatment: a qualitative content analysis.

    Shin, Jeong-Won / Lee, Beom-Joon / Chung, Soojin / Lee, Ki Seon / Kim, Kwan-Ll / Hwang, Jee-In

    Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation

    2024  Volume 33, Issue 4, Page(s) 989

    Language English
    Publishing date 2024-03-05
    Publishing country Netherlands
    Document type Published Erratum
    ZDB-ID 1161148-0
    ISSN 1573-2649 ; 0962-9343
    ISSN (online) 1573-2649
    ISSN 0962-9343
    DOI 10.1007/s11136-024-03624-0
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