{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:03:58Z","timestamp":1785315838645,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":209,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Emergency department (ED) nurses face elevated risks of infection during emerging infectious disease (EID) outbreaks. A multilevel understanding of factors influencing infection control performance is essential for improving safety in these settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim(s)<\/jats:title>\n                    <jats:p>To examine associations among safety control, communication, perceived patient safety culture, and infection control performance among ED nurses and identify key influencing factors based on ecological systems theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional descriptive study was conducted. Data were collected in October 2023 from 227 ED nurses at tertiary hospitals in South Korea who had experience caring for patients with confirmed or suspected EIDs. Structured, self\u2010administered online questionnaires were used, and the responses were analyzed using descriptive statistics,\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, one\u2010way ANOVA, correlation analysis, and hierarchical regression (SPSS Version 28).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Communication exhibited the strongest association with infection control performance (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.53,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), followed by safety control (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.27,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and the availability of negative\u2010pressure isolation rooms with anterooms (3\u20134) (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.13,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016). These factors explained 74.0% of the variance in infection control performance (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u200946.83,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Infection control performance among ED nurses was associated with individual, organizational, and environmental factors. Ecological systems theory provided an effective framework for identifying these multilevel influences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nurse managers should implement comprehensive multilevel strategies addressing safety control at the microsystem, communication at the mesosystem, and infrastructure at the macrosystem to improve infection control performance. This study provides evidence to support targeted interventions in emergency settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/6160239","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T08:47:33Z","timestamp":1785314853000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Infection Control Performance Related to Emerging Infectious Diseases Among Emergency Department Nurses: An Ecological Systems Theory\u2010Based Cross\u2010Sectional Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5476-4601","authenticated-orcid":false,"given":"Yu Jin","family":"Park","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1593-3933","authenticated-orcid":false,"given":"Hye Young","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_14_1_2","volume-title":"A Brief Guide to Emerging Infectious Diseases and Zoonoses","author":"World Health Organization","year":"2022"},{"key":"e_1_2_14_2_2","volume-title":"Status of Notifiable Infectious Diseases Reporting in 2023","author":"Korea Disease Control and Prevention Agency","year":"2024"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.idm.2025.07.004"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2022.07.004"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2020.1718468"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-023-03239-2"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2023.06.017"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-60888-9"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/cnq.0000000000000538"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.1515\/ijnes-2023-0117"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/23779608251339193"},{"key":"e_1_2_14_12_2","doi-asserted-by":"crossref","DOI":"10.4159\/9780674028845","volume-title":"The Ecology of Human Development: Experiments by Nature and Design","author":"Bronfenbrenner U.","year":"1979"},{"key":"e_1_2_14_13_2","volume-title":"Roles of Safety Control and Supervisory Support in Work Safety","author":"Anderson L.","year":"2004"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2025.06.006"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12121181"},{"key":"e_1_2_14_16_2","first-page":"15","article-title":"The Effect of Nurses\u2019 Perception of Patient Safety Culture on Patient Safety Nursing Activities: The Moderating and Mediating Effects of Safety Control","volume":"27","author":"Lee K.","year":"2022","journal-title":"Journal of the Korea Institute of Healthcare Facilities Management"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.37727\/jkdas.2021.23.4.1777"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2023.10.004"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-021-02028-9"},{"key":"e_1_2_14_20_2","volume-title":"Hospital Survey on Patient Safety Culture: User\u2019s Guide (Version 2.0)","author":"Agency for Healthcare Research and Quality","year":"2019"},{"key":"e_1_2_14_21_2","volume-title":"Ensuring Patient and Workforce Safety Culture in Healthcare","author":"Murray J.","year":"2023"},{"key":"e_1_2_14_22_2","first-page":"140","article-title":"The Effect of Nurses\u2019 Perception of Patient Safety Culture and Infection Control Fatigue on Infection Control Performance","volume":"30","author":"Lee Y. 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