This study has significance as it suggested that missed nursing care is affected by work environment factors within unit. This means that missed nursing care is a unit outcome affected by nurse work environment factors and patient safety culture. Therefore, missed nursing care can be managed through the implementation of interventions that promote a positive nursing work environment and patient safety culture.

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This study compared two teaching methods and examined their effects on student nurses' clinical competence. A nonequivalent control group was used for this quasiexperimental research, and a posttest design was used to compare the effects on clinical competence. A protocol was developed to include critical behaviors and was used as a checklist for evaluation. The results showed that the standardized patient (SP) method was more effective than the traditional method in helping students: * Identify patient needs. * Perform mouth care, back care, position change, nelaton catheterization, and glycerine enema. * Use more effective communication skills. The authors believe use of the SP method should be expanded to more areas of the fundamentals of nursing course, and its effectiveness and efficiency evaluated. Also, the SP method should be used to evaluate the clinical competence of both students and graduate nurses.

OBJECTIVE The aim of this study was to explore the influence of nurse work environments and patient safety culture on attitudes toward incident reporting. BACKGROUND Patient safety culture had been known as a factor of incident reporting by nurses. Positive work environment could be an important influencing factor for the safety behavior of nurses. METHODS A cross-sectional survey design was used. The structured questionnaire was administered to 191 nurses working at a tertiary university hospital in South Korea. RESULTS Nurses’ perception of work environment and patient safety culture were positively correlated with attitudes toward incident reporting. A regression model with clinical career, work area and nurse work environment, and patient safety culture against attitudes toward incident reporting was statistically significant. The model explained approximately 50.7% of attitudes toward incident reporting. CONCLUSION Improving nurses’ attitudes toward incident reporting can be achieved with a broad approach that includes improvements in work environment and patient safety culture.