Purpose
This study aimed to identify the effects of pediatric nurses’ perception of patient safety culture and their partnership with patients’ parents on pediatric patient safety nursing activities.
Methods
This descriptive study was conducted over a two-month period, from October to November 2022, utilizing self-reported questionnaires. The study included 165 nurses, each having at least 6 months of working experience in wards where children were admitted. These nurses were selected from 13 pediatric specialty hospitals, general hospitals, and university hospitals across seven regions. The data analysis was performed using the SPSS/WIN 26.0 program (IBM Corp.) for descriptive statistics, t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis.
Results
The average scores for awareness of patient safety culture, partnership with patients’ parents, and pediatric patient safety nursing activities were 3.37±0.41, 3.94±0.41, and 4.50±0.38, out of 5 points respectively. The factors influencing pediatric patient safety nursing activities were identified as a partnership with patients’ parents (β=.41, p<.001). Among hospital-related characteristics, safety management committee (β=.16, p=.029) and safety management regulations (β=.17, p=.016) were also analyzed as factors influencing patient safety nursing activities. These factors accounted for 29.2% of the explanatory power for pediatric patient safety nursing activities.
Conclusion
Based on the above study results, we found that to promote safe nursing activities for pediatric patients, developing and implementing training programs that enhance partnerships with patient’s parents was imperative, and establishing work regulations and a safety management committee to systematically manage safety management tasks was deemed important.

Purpose
Nursing students are susceptible to medication safety incidents in the neonatal intensive care unit (NICU) related to a lack of communication experience. The purpose of the present study was to investigate the impact of a NICU medication safety simulation (NMSS) focusing on communication clarity, patient hand-off confidence, and patient safety competency in senior-year nursing students.
Methods
The study utilized a nonequivalent control group pretest-posttest design. In total, 60 nursing students were assigned to two groups. The experimental group participated in the NMSS, which included three medication error scenarios. Pairs of students completed the scenarios together in 10 to 20 minutes. Data were analyzed using the chi-squared test, independent t test, and ANCOVA.
Results
The experimental group showed significant improvements in communication clarity (p=.015), and patient safety competency (p<.001) compared to the control group. Using the pretest values as covariates, patient hand-off confidence scores significantly increased (p=.027).
Conclusion
Implementing the NMSS focusing on communication in the pediatric nursing curriculum helped students to communicate clearly and concisely about medication errors, and its use is recommended to promote patient safety competency in the NICU.

Citations

• Medication safety simulation training for anesthesia professionals
  Sarah Rollison, Anne M. Sauri, Ramon L. Medina, Darlena G. Jones, Wuraola Olawole, Virginia C. Simmons
  Clinical Simulation in Nursing.2025; 98: 101660.     CrossRef
• Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit
  Su Jin Jung, Jin-Hee Park
  Journal of Korean Academy of Fundamentals of Nursi.2024; 31(1): 100.     CrossRef
• Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students
  Se-Young Jung, Eun-Young Kim
  Journal of Korean Academy of Nursing.2024; 54(4): 563.     CrossRef
• Effect of Team-based Simulation Training on Nursing Students' Patient Safety Competence and Performance Confidence
  Min-Jeong Chae, Hyo-Ju Jeong
  Journal of Digital Contents Society.2024; 25(11): 3449.     CrossRef
• Simulation-based training program on patient safety management: A quasi-experimental study among new intensive care unit nurses
  Su Jin Jung, Ju-Eun Song, Sun Hyoung Bae, Youngjin Lee, Seok Hyun Gwon, Jin-Hee Park
  Nurse Education Today.2023; 126: 105823.     CrossRef