Factors Influencing Children's Hospital Nurses' Safety Accident Management Activities for Hospitalized Children.

Background: We aimed to identify the factors influencing safety accident management activities for hospitalized children in children's hospitals.

Methods: In August 2022, data were collected from 170 nurses across seven children's hospitals in Gwangju Metropolitan City, Korea. The collected data were analyzed using independent t-tests, analysis of variance, Pearson's correlation analysis, and multiple regression analysis.

Results: Safety accident management activities for hospitalized children differ significantly based on nurses' experience in children's hospitals (P=0.048) . Safety accident management activities were positively correlated with patient safety culture (r=0.47, P<0.001) , critical thinking (r=0.35, P<0.001) , and nursing work environment (r=0.51, P<0.001) . Furthermore, the most influential determinant of safety accident management activities for hospitalized children was the nursing work environment (β=0.42, P<0.001) , followed by nurses' experience in children's hospitals (β=0.20, P=0.004) , and patient safety culture (β=0.17, P=0.041) . These variables had an explanatory power of 34.0 % (adjusted R²=0.34, P<0.001) .

Conclusion: A positive nursing work environment and strong patient safety culture are essential for increasing safety accident management activities among children's hospital nurses. Additionally, children's hospitals should provide support to the nursing staff and implement policies that encourage long-term retention of experienced nurses.