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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Korean Acad Nurs Adm</journal-id>
<journal-id journal-id-type="publisher-id">JKANA</journal-id>
<journal-title-group>
<journal-title>Journal of Korean Academy of Nursing Administration</journal-title>
</journal-title-group>
<issn pub-type="ppub">1225-9330</issn>
<issn pub-type="epub">2288-4955</issn>
<publisher>
<publisher-name>Korean Academy of Nursing Administration</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.11111/jkana.2019.25.5.384</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Patient Safety Management Activities of Clinical Nurse: A Modified Theory of Planned Behavior</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0003-1973-7726</contrib-id>
<name>
<surname>Kim</surname>
<given-names>Nam Yi</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0001-5931-1645</contrib-id>
<name>
<surname>Jeong</surname>
<given-names>Sun Young</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

</contrib-group>

<aff id="A1"><label>1</label>Department of Nursing, Gimcheon University, <country>Korea</country>.</aff>
<aff id="A2"><label>2</label>College of Nursing, Konyang University, <country>Korea</country>.</aff>

<author-notes>
<corresp>Corresponding author: Jeong, Sun Young. College of Nursing, Konyang University, 158 Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea. Tel: +82-42-600-6368, Fax: +82-42-600-6314, <email>jsy7304@konyang.ac.kr</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>23</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>25</volume>
<issue>5</issue>
<fpage>384</fpage>
<lpage>392</lpage>

<history>
<date date-type="received">
<day>07</day>
<month>05</month>
<year>2019</year>
</date>
<date date-type="rev-recd">
<day>26</day>
<month>07</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>08</month>
<year>2019</year>
</date>
</history>

<permissions>
<copyright-statement>Copyright &#x00A9; 2019 Korean Academy of Nursing Administration</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Korean Academy of Nursing Administration</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>

<abstract>
<sec>
<title>Purpose</title>
<p>The purpose of this study was to develop a structural model for patient safety management activities and to identify the influencing factors of organizational and individual dimensions that promote patient safety management activities and to suggest effective intervention plans.</p>
</sec>
<sec>
<title>Methods</title>
<p>A structured self-report questionnaire was used to measure organizational factor, attitude, subjective norm, perceived behavior control, and patient safety management activities. The questionnaires were distributed to 300 nurses and 275 were included in the analysis. SPSS 25.0 and AMOS 21.0 were used to analyze the model fitness, indirect effect, and direct effect of the model.</p>
</sec>
<sec>
<title>Results</title>
<p>The hypothetical model for patient safety management activities was appropriate. Among the 8 pathways, 6 direct pathways were significant. Organizational factor affected individual attitudes, subjective norms, and perceived behavior control. Perceived behavior control, and subjective norm affected behavioral intention. Behavioral intention affected patient safety management activities. Perceived behavior control did not affect patient safety management activities.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Organizations and individuals must change together to promote patient safety management activities. The organization should establish practical education and training, systems and regulations. Individuals should increase behavioral intention by strengthening perceived behavioral control and subjective norm.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Model, structural</kwd>
<kwd>Nurse clinicians</kwd>
<kwd>Patient safety</kwd>
<kwd>Safety management</kwd>
</kwd-group>

</article-meta>
</front>

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<floats-group>

<fig position="float" id="F1">
<label>Figure 1</label>
<caption>
  <title>Hypothetical model of the study.</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-384-g001"></graphic>
</fig>

<fig position="float" id="F2">
<label>Figure 2</label>
<caption>
  <title>Path diagram of the model.</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-384-g002"></graphic>
</fig>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <title>General Characteristics and Descriptive Statistics of Observed Variables (<italic>N</italic>=275)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-384-i001"></graphic>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <title>Correlations between Variable and Verification of Construct Validity</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-384-i002"></graphic>
<table-wrap-foot>
<fn>
  <p>OF=Organizational factor; AT=Attitude; SN=Subjective norm; PBC=Perceived behavior control; BI=Behavioral intention; PSMA=Patient safety management activities; AVE=Average variance extracted; CR=Construct reliability; <sup>*</sup>Diagonal line represents the AVE.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <title>Verification of the Hypothetical Model</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-25-384-i003"></graphic>
<table-wrap-foot>
<fn>
  <p>SE=Standard error; CR=Critical ratio; SMC=Squared multiple correlation; AT=Attitude; OF=Organizational factor; SN=Subjective norm; PBC=Perceived behavior control; BI=Behavioral intention; PSMA=Patient safety management activities; DF=Degrees of freedom; NFI=Normed fit index; TLI=Tucker-Lewis index; CFI=Comparative fit index; RMSEA=Root mean squared error of approximation.</p>
</fn>
</table-wrap-foot>
</table-wrap>

</floats-group>

</article>

