2025, Vol.43, No.4

군진간호연구 2024 KCI Impact Factor : 0.78

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

Purpose: This study aimed to identify the effects of nursing informatics competency and clinical decision-making ability on nursing performance among military hospital nurses. Methods: Data were collected through an online survey conducted from April 24 to May 30, 2025. A total of 127 clinical nurses with more than one year of experience working at four military hospitals participated in the study. Results: Nursing performance showed a statistically significant positive correlation with nursing informatics competency (r=.64, p<.001) and clinical decision-making ability (r=.52, p<.001). Nursing performance was significantly predicted by work place (β=.18, p=.027), nursing informatics competency (β=.49, p<.001), and clinical decision-making ability (β=.36, p<.001), with these variables collectively explaining 49% of the variance. Conclusion: To improve nursing performance in military hospitals, it is essential to strengthen nurses’ informatics competency and decision-making ability through organizational support and targeted training

Purpose: The aim of this study was to explore the relationships among shared leadership, self-efficacy, and patient safety culture awareness, and to identify their effects on patient safety management activities among military hospital nurses. Methods: This study employed a descriptive research design. The participants were 123 nurses who had worked for at least six months and were directly involved in patient care. Data were collected through an online survey conducted at five military hospitals between May 1 and May 30, 2025. Results: Patient safety management activities showed statistically significant positive correlations with shared leadership (r=.64, p<.001), self-efficacy (r=.54, p<.001), and patient safety culture awareness (r=.65, p<.001). Shared leadership (β=.29, p=.002), self-efficacy (β=.20, p=.008), and patient safety culture awareness (β=.36, p<.001) were identified as significant predictors of patient safety management activities, explaining 59% of the variance. Conclusion: These findings suggest that enhancing shared leadership, self-efficacy, and awareness of patient safety culture is essential to promoting effective patient safety management activities among military hospital nurses.

Purpose: Chatbot-based mobile healthcare services are widely utilized, but research in this area remains insufficient. This study aims to analyze the impact of culturally tailored artificial intelligence chatbot (K-Bot) education on knowledge, vaccination attitudes, health beliefs, and vaccination intentions related to HPV among military nursing cadets. Methods: A non-equivalent control group pretest-posttest design was used. The study included 57 military nursing cadets aged 19 years or older who had not taken a maternal nursing course or received any HPV vaccination (27 in the experimental group, 30 in the control group). The experimental group received K-Bot education for two weeks with periodic reminders to encourage participation. Data were analyzed using independent t-test, Mann Whitney test, and chi-square test. Results: The K-Bot intervention did not lead to significant improvements in HPV knowledge or vaccination intention. Although statistically significant differences were found in certain subdomains of attitudes and health beliefs, such as safety concerns (t=2.05, p=.046), perceived needs (t=3.03, p=.004), and perceived benefits (U=275.50, p=.015), most changes in the experimental group were negative, suggesting potential reverse effects. Only perceived benefits showed a favorable outcome, with the experimental group exhibiting a higher average rank (M=34.50) compared to the control group (M=24.80). Conclusion: Chatbot-based education has the potential to serve as a supplementary learning tool in nursing education. Future studies should explore its application in various educational environments.