2025, Vol.43, No.3

군진간호연구 2024 KCI Impact Factor : 0.78

pISSN : 1975-664X
https://journal.kci.go.kr/kafna

Purpose: This study aimed to develop a joint online patient safety course for undergraduate nursing programs in Korea and Thailand using the Rapid Prototyping Model (RPM). Methods: A literature review of 12 patient safety-related studies published in the past 10 years was conducted to inform the course design. Educational needs were identified through focus group interview (FGI) with 10 participants from Korea and Thailand. Based on the literature review and FGI results, a prototype for the joint patient safety course was developed. The course content validity was assessed by eight experts using the Content Validity Index (CVI). A pilot test was conducted with 20 nursing cadets from both countries, involving a 120-minute online lecture and scenario-based discussions. Results: The course prototype addressed educational needs by focusing on five key topics: infection control, patient identification, medication management, fall prevention, and communication. The syllabus was developed, including course title, objectives, 15-week educational content, teaching methods, and evaluation methods. Expert review showed that the course was appropriately designed, with all items scoring above a CVI of .80. The pilot test demonstrated a high satisfaction rate, with an average score of 4.42 (±0.62), supporting the finalization of the course syllabus. Conclusion: This study successfully developed a joint online patient safety course for nursing cadets in Korea and Thailand, reflecting participants' needs. The course also facilitated international collaboration, enhancing educational innovation in non-face-to-face learning.

Purpose: The aim of this study was to identify the factors that explain climate change prevention behaviors among military nursing personnel based on the Theory of Planned Behavior. Methods: This is a cross-sectional correlation study. Data were collected from 250 military nursing personnel through an online survey conducted from September 25 to November 30, 2024. The three exogenous variables (attitude toward climate change prevention behavior, subjective norm, and self-efficacy) and two endogenous variables (behavioral intention toward climate change prevention behavior, and climate change prevention behavior) were surveyed. Results: The hypothetical model fitted the data (χ2=7.56, CFI=.99, TLI=.93, GFI=.99, RMSEA=.07). Attitude toward climate change prevention behavior and self-efficacy had direct effects on behavioral intention, which explained 20% of variance. Behavioral intention had direct effect on climate change prevention behavior, which explained 36% of variance. Attitude toward climate change prevention behavior and self-efficacy had indirect effects on climate change prevention behavior mediated by behavioral intention. Conclusion: These findings suggest that promoting climate change prevention behaviors among military nursing personnel requires strategies that enhance attitudes and self-efficacy, thus strengthening the intention to engage in preventive behaviors.

Purpose: This study aimed to examine the levels of ecological anxiety, e-health literacy, and climate-health cognitive behavior, and their effects on psychological well-being, as well as to identify the factors influencing psychological well-being among nursing staff in military hospitals. Method: A descriptive, predictive design was employed. Data were collected from a convenience sample of 178 nursing staff members across three military hospitals using standardized questionnaires measuring ecological anxiety, e-health literacy, climate-health cognitive behavior, and psychological well-being. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and multiple linear regression analysis. Result: The mean scores for ecological anxiety, e-health literacy, climate-health cognitive behavior, and psychological well-being were 0.37, 3.92, 3.93, and 2.83, respectively. Psychological well-being was negatively correlated with ecological anxiety (r=-.21, p=.005) and positively correlated with e-health literacy (r=.41, p<.001). Multiple regression analysis showed that ecological anxiety (β=-0.19, p=.005) and e-health literacy (β=0.40, p<.001) accounted for 19.4% of the variance in mental well-being (F=22.24, p<.001). Conclusion: The findings indicate that ecological anxiety and e-health literacy are significant predictors of psychological well-being among nursing staff in military hospitals. These results suggest the need to develop strategies to reduce ecological anxiety and enhance e-health literacy to improve psychological well-being in this population. Furthermore, future research should explore optimal climate-health cognitive behaviors for nurses preparing for the impacts of climate change.