Relationship among Nursing Professionalism, Nursing Work Environment, and Patient Safety Nursing Activities in General Hospital Nurses

Purpose: This study was done to identify the relationships among nursing professionalism, nursing work environment, and patient safety activities, and to analyze the factors influencing nurses' patient safety nursing activities.Methods: This descriptive study included 270 nurses from six general hospitals.Questionnaires were used to collect data between August 20 and September 21, 2018, using questionnaires.Analyses included descriptive statistics, t-test, analysis of variance, Pearson correlation coefficient, and stepwise multiple regression, conducted using IBM SPSS/WIN 21.0.Results: Mean scores on nursing professionalism, nursing work environment, and patient safety nursing activities were 3.51±0.41,2.44±0.45,and 4.39±0.50,respectively.The patient safety nursing activities score was positively correlated with subscales of nursing professionalism variable: professional self-concept (r=.15, p=.019), social recognition (r=.10, p=.036), professional identity in nursing (r=.24, p<.001), role of nursing practice (r=.16, p=.012), nursing foundation for quality of care (r=.19, p=.003), and nurse manager's ability (r=.14, p=.031).Patient safety nursing activities were influenced by professional identity in nursing (β=.22,p=.001) and nursing foundation for quality of care (β=.15, p=.001), which explained 8.0% of the variance.Conclusion: These results suggest that nurse managers should focus on creating an appropriate nursing environment and facilitating nursing professionalism to enhance hospital nurses' patient safety nursing activities.