Earticle

본 연구는 병원간호사의 환자안전문화 인식과 안전통제감 및 안전이행 정도를 확인하고 안전이행에 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구방법은 종합병원간호사 342명에게 자가기입식 웹 설문조사방법으로 2014년 5월 9일부터 13일까지 환자안전문화인식과 안전통제감, 안전이행 등을 조사하였다. 수집된 자료는 SPSS/WIN 21.0을 이용하여 분석하였으며, 분석결과는 환자안전문화 인식 3.34점, 안전통제감 3.50점, 안전이행 정도는 3.53점으 로 보통보다 높은 수준으로 나타났다. 안전이행은 환자안전문화인식과 안전통제감과 유의한 정적 상관관계를 보였으 며(r=.463∼.645, p<.001), 안전이행에 영향을 미치는 요인으로는 대상자의 일반적인 특성 중 결혼상태, 환자안전문화 인식 중 사건보고의 빈도와 전반적인 환자안전도에 대한 인식, 그리고 안전통제감이 긍정적인 영향을 주는 요인으로 나타났다. 본 연구에서 사용한 변수들의 안전이행에 대한 설명력은 52.0%로 나타났다(F=4.252, p=.004). 이에 병원에 서 간호사가 안전이행을 증진시킬 수 있는 긍정적인 영향요인임을 확인하여 추후 안전이행 증진을 위한 간호중재 전 략의 기초자료로 활용할 수 있을 것이다.

This descriptive study was aimed to identify factors which influence safety performance through evaluation of nurse's perception of patient safety culture and safety control in general hospital. Self-administered web surveys were conducted by 342 nurses who employed in general hospital from May 09 to May 13, 2014. Data were analyzed using the SPSS/WIN 21.0 statistical program. The results of analysis revealed that the score of safety culture perception was 3.34, safety control was 3.50, safety performance was 3.53 and all scores were higher level than usual. There were significant positive correlation between safety performance and perception of patient safety culture, safety control (r=.463~.645, p<.001). The positively influencing factors of safety performance are marital status, frequency of accident reports, general perception of patient safety and safety control. Explanation ratio of the variables for the safety performance was 52.0% in this study(F=4.252, p=.004). This study findings suggest that it would be useful as a preliminary report of nurse's intervention strategy through confirmation of the nurse's positive effect to improve safety performance in general hospital.

본 연구는 임상실습 경험이 있는 간호대학생의 환자안전관리행위에 영향을 미치는 요인을 확인하기 위해 실시 되었다. 연구 참여자는 경기도 소재 일개 간호대학의 임상실습 경험이 있는 간호학과 3, 4학년 135명으로, 2023년 9월 1일부터 9월 20일까지 자료를 수집하였다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여 t-test, ANOVA, 상관관계 및 회귀분석을 이용하여 분석하였다. 연구결과, 간호대학생의 간호전문직관 3.36±0.58점, 안전통제감 3.65±0.90점, 임상 의사결정능력 3.46±0.44점, 환자안전관리행위 4.15±0.84점이었다. 간호전문직관은 안전통제감(r=.236, p=.006)과 임상 의사결정능력(r=.218, p=.011), 안전통제감은 임상의사결정능력(r=.266, p=.002)과 환자안전관리행위(r=.683, p=.000), 임상의사결정능력은 환자안전관리행위(r=.273, p=.001)와 정적 상관관계를 보였다. 간호대학생의 환자안전관리행위에 영향을 미치는 요인은 안전통제감(t=9.927, p=.000)으로 설명력은 46.5%였다(F=39.771, p=.000). 본 연구결과를 기초로 간호대학생의 환자안전관리행위 향상을 위해 안전통제감을 향상시킬 수 있는 교육프로그램 개발이 필요하다.

This study aimed to identify factors influencing patient safety management among nursing students with clinical practice experience. Data were collected from 135 third- and fourth-year nursing students in Gyeonggi Province, between September 1 and 20, 2023. Analysis was performed using t-tests, ANOVA, correlation, and regression analysis with SPSS 22.0. Nursing professionalism scored 3.36±0.58, safety control 3.65±0.90, clinical decision-making ability 3.46±0.44, and patient safety management 4.15±0.84. Nursing professionalism correlated with safety control (r=.236, p=.006) and clinical decision-making ability (r=.218, p=.011). Safety control correlated with clinical decision-making ability (r=.266, p=.002) and patient safety management (r=.683, p=.001). Clinical decision-making ability also correlated with patient safety management (r=.273, p=.001). Safety control significantly influenced patient safety management (t=9.927, p=.000), explaining 46.5% of the variance. Enhancing safety control through targeted educational programs may improve nursing students' patient safety practices.

이 연구는 연안안전지수를 도출함을 목적으로 수행되었으며, 연구결과를 활용 해 양경찰의 효율적인 연안해역 안전관리를 도모하고자 함을 궁극적인 연구의 목적으로 한다. 연구목적 달성을 위해 이 연구에서는 내용분석과 AHP 기법을 활용하였으며, 분석결과 지형적 요인, 조석간만의 차, 구조 용이성, 방문객 수, 방문객 안전의식, 사 고이력, 정보전달시설의 수, 안전관리시설 및 인력, 예방홍보활동 등이 안전지수의 구성인자로 도출되었다. 이를 통해 가중치가 반영된 연안안전지수 평가표를 제시하 였다. 합리적이고 객관적인 연안안전지수를 도출, 위험지역 선정 기준의 합리성과 객 관성을 제고하였다는 점에서 이 연구의 의의가 있다 하겠다. 그러나 연안사고에 영 향을 미치는 요인들에 대한 실증적 검토는 이 연구에서 고려하지 않고 있다는 점은 이 연구의 한계라 할 수 있다. 추후 이에 관한 실증연구가 축적되어 연안안전지수의 객관성을 더욱 담보할 수 있게 되기를 기대한다.

The purpose of this study was to develop Safety Index for Efficient Safety Control at Costal Sea. For this purpose, I used the method of content analysis and AHP technique. And I found that safety index of costal sea could consist of topographical factor, tide, technical level of rescue, the number of visitors, safety consciousness of visitors, the case of accidents, the facilities of information delivery, the facilities and manpower of safety control, and prevention and publicity activities. The implication of this study was to suggest rational and objective standard safety index at costal sea. But the shortage of empirical evidence on influencing factors on accidents at costal sea.

최근 간호학생의 증가로 학교 인근 병원 실습 이외에도 원거리에서 임상실습을 하는 경우가 많아지고 있어 한국 간호평가원에서는 간호학생의 원거리 실습과 관련된 안전확보와 규정과 대책마련을 강조하고 있다. 이에 본 연구는 원 거리 실습을 하고 있는 간호학생의 안전을 위한 안전관리 앱을 개발하여 간호학생을 위한 안전관리의 기초자료의 근거 를 마련하고자 시도되었다. 앱의 구성은 숙소위치 정보, 간호학생 위치정보 확인, 담당교수 알림제공 등으로 구성된다. 간호학생들의 위치정보 서비스 시간은 간호학생들의 근무표를 기준으로 평일 오후 10시에서 오후 11시를 기준으로 하 였으며, 해당 시간에 숙소위치에서 벗어난 학생들의 위치정보가 담당실습교수에게 전송되도록 하였다. 이에 간호학생들 이 본 앱을 사용하여 임상실습 후 자신의 위치 알림서비스와 학생이 안전 반경을 이탈하거나 문제가 될 경우 위험 알림 서비스 및 구조 요청 서비스를 제공받을 수 있다.

Recently, due to increases in the numbers of nursing students, there are many cases of clinical practice in remote areas other than in hospitals near a school. In this regard, the Korea Institute of Nursing Evaluation emphasizes the securing of safety, the provision of regulations, and countermeasures related to long-term practices of nursing students. The purpose of this study is to develop a safety management application for nursing students who are practicing at a distance. This application configuration consists of accommodation location information, nursing student location information check, and notification of the professor in charge. The location information of nursing students was based on their location on weekdays from 10 pm to 11 pm, due to the work schedule of the nursing students. For this reason, nursing students can use this app after their clinical practice; if the student is out of the safety radius or there is a problem, a risk notification can be provided through a service and a rescue request can be made.

Purpose: There have been global initiatives and efforts over the last decade to manage patient safety. Thus aims of this study were to examine university hospital nurses' perceptions of patient safety culture and levels of safety control, and to identify factors that affect patient safety management activities. Methods: Participants were 222 nurses who had worked as nurses for more than one year and who conducted patient safety management activities at a university hospital. Data were collected using structured questionnaires and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis with SPSS/WIN 20.0 computer program. Results: General factors which positively impacted nurses' patient safety management were total length of work in nursing, total length of work in present hospital, and experience of a patient safety accident along with safety factors of perception of communication about accident related events and frequency of reporting accident events. These variables explained 45% of the variance in patient safety management activities. Conclusion: The findings from this study suggest solutions to promote patient safety management activities in hospitals and provide basic background for nursing education intervention strategies to promote safety control and patient safety management activities intended for nurses.

Purpose: This study aimed to identify risk factors of unplanned extubation in intensive care unit (ICU) patients with mechanical ventilation using a patient safety model. Methods: This study was designed to be a case-control study. Data collection sheets, including 29 risk factors of unplanned extubation in mechanically ventilation patients were retrospectively collected based on a patient safety model over 3 years. From 41,207 mechanically ventilated patients, 230 patients were identified to have unplanned extubation during their ICU stay. Based on the characteristics of the cohort of 230 patients who had unplanned extubation, 460 case control comparison groups with planned extubation were selected by matching age, gender and diagnosis. Results: Risk factors of unplanned extubation were categorized as people, technologies, tasks, environmental factors and organizational factors, by five components of the patient safety model. The results showed the risk factors of unplanned extubation as admission route [odds ratio (OR) = 1.8], GlasgowComa Scaleemotor (OR = 1.3), Acute Physiology and Chronic Health Evaluation score (OR = 1.06), agitation (OR = 9.0), delirium(OR = 11.6), mode of mechanical ventilation (OR = 3.0-4.1) and night shifts (OR = 6.0). The significant differences were found between the unplanned and the planned extubation groups on the number of reintubation (4.3% vs. 79.6%, p < .001), ICU outcome at the time of discharge (X2 = 50.7, p < .001), and length of stay in the ICU (27.0 ± 33.0 vs. 43.8 ± 43.5) after unplanned extubation. Conclusion: ICU nurses should be able to recognize the risk factors of unplanned extubation related with the components of the safety model so as to improve patient safety by minimizing the risk for unplanned extubation.

Purpose: This study evaluated the immediate and sustained effects of a clinical decision-making program based on Simon’s decision-making model on medication safety competency among advanced-beginner nurses in intensive care units. Methods: This nonequivalent control group pretest-posttest study used a time-lagged design and included 18 intensive care unit nurses at a tertiary hospital, with 12 assigned to the intervention group and six to the control group. The intervention group participated in a 2-week clinical decision-making program that integrated case-based learning and high-fidelity simulation, whereas the control group received lecture-based education. Clinical decision-making ability, medication safety competency, and safety motivation were measured at baseline and at 2 and 4 weeks after baseline. Near-miss medication error experiences were assessed at baseline and at 4 and 10 weeks. Data were analyzed using the independent t-test, Mann-Whitney U test, and linear mixed models. Results: Clinical decision-making ability (F=3.94, p=.026), medication safety competency (F=4.97, p=.011), safety motivation (F=5.20, p=.009), and near-miss medication error experiences (F=14.28, p<.001) showed significant group-by-time interaction effects, indicating that outcome trajectories differed between the intervention and control groups. Conclusion: These findings suggest that the program may be an educational strategy for strengthening nurses’ clinical decision-making during medication administration and improving medication and patient safety in intensive care unit settings.

식품 안전에 대한 관심은 인류 역사와 함께해 왔다. 새로운 질병과 바이러스가 발생하고 건강에 대한 관심이 높아 짐에 따라 소비자들의 안전한 식품에 대한 요구는 더욱 강해지고 있다. 이러한 소비자 요구에 부응하기 위해 다양한 인증 제도와 평가 프로그램이 마련되어 있으며, 일본 후생노동성은 2021년 6월 1일부로 기존 법적 의무 사항이 아니었던 코 덱스 HACCP(7대 원칙/12단계) 요건을 간소화하고 소규모 식품 사업장의 준수 부담을 경감하는 데 중점을 둔 'HACCP 를 고려한 위생 관리 기준'을 제정 및 시행하였다. 본 연구는 일본 후생노동성의 'HACCP를 고려한 위생 관리 기준'을 적 용하여 중소규모 식품 사업장에 적합한 '식품 안전 위험 관리 HACCP 평가 프로그램'을 개발하였다. 코덱스 HACCP 지 침을 식품안전시스템 요구사항으로 전환하고, ISO 경영시스템과의 통합을 위한 경영시스템 원칙을 해당 부처의 입법 목 적에 부합하도록 반영하였다.

본 연구는 급수전('tap'과 'faucet'은 호환사용)의 종류에 따른 사용자의 조작방향에 대해 우리나라와 다른 나라의 문화적인 차이를 비교한 연구결과이다. 이를 위하여 우리들이 가정과 공공시설의 화장실이나 욕실 등에서 많이 사용하고 있는 냉 온수 일체형 레버형 손잡이 급수전과 냉 온수 분리형 손잡이 급수전을 선정하여 이의 열림 방향에 대한 스테레오타입을 파악하였다. 또한 본 실험결과와 다른 문화권의 자료를 비교하여 이의 차이를 규명함으로써 서로 다른 사용자들이 공감하는 설계방향에 대해 언급하였다. 국외 자료는 연구문헌을 참조하였으며 국내자료는 직접 10대에서 60대 이상까지 6개 연령계층의 남 여 50명씩 총 600명을 할당표본추출 방식으로 선정하여 실험을 통하여 수집하였다. 조사 결과는 각 항목별로 통합 자료, 성별, 연령별, 주손에 따라 빈도분석을 실시하였으며 카이제곱검정을 통해 성별, 연령계층별, 주손(hand dominance)별로 스테레오타입의 기대특성(expectation characteristics)에 대해 문헌을 통해 조사된 연구결과와 상호비교 분석하였다. 분석결과 우리나라 사람은 비교 분석된 다른 나라 사람과 같이 스테레오타입에 대한 통상적인(그러나 동일하진 않음) 문화적인 배경을 공유하고 있음을 알 수 있다. 본 연구결과는 급수전 손잡이 설계에 있어서 서로 다른 문화적인 배경에 따른 보편적 기대와 일치된 설계지침으로서 사용상의 편리성과 안전성을 향상시키는데 유용하게 이용될 수 있을 것이다.

Purpose: The purpose of this study was to identify the effects of an education program on safety perception, safety control, autonomy and accountability in clinical nurses. Precedent cases related to patient safety were used in the education program. Methods: A quasi-experimental design with pretest and posttest measures was used. Participants in the study, 72 nurses in the experimental group, 71 nurses in the control group, were enrolled for 3 months. The education program was composed of the 20 precedent cases related to patient safety from home and foreign countries. Results: The major findings of this study were as follows: Safety perception (p=.000), Safety control (p=.000), attitude toward autonomy (p=.000), and attitude toward accountability (p=.000) improved after the education program. Conclusion: The findings from this study indicate that an education program using precedent cases is an efficient method to improve behavior and change attitudes towards protecting patients' safety and preventing malpractice claims against nurses.

Purpose: The purpose of this study was to investigate the influence of patient safety culture and perceived teamwork on the safety control of nurses. Methods: This study was conducted as a descriptive cross-sectional survey with 141 nurses who worked in a tertiary hospital with over 1,000 beds in S city, Gyeonggi province. Data were collected using structured questionnaires from July 20, to July, 31, 2015. Results: The average work period for nurses participating in the research was 8.84 years. The perceived teamwork and patient safety culture were positively correlated with safety control. The regression model with patient safety culture, perceived teamwork and clinical career against safety control was statistically significant (F=10.16, p<.001). This model also explained 37.1% of safety control (Adj. $R^2=.37$). Especially, communication (${\beta}=.27$, p=.023) of patient safety culture, clinical career (${\beta}=.26$, p<.001), mutual support (${\beta}=.24$, p=.042), and team leadership (${\beta}=.24$, p=.018) in perceived teamwork were identified as factors influencing safety control. Conclusion: The findings of this study imply that a broad approach including teamwork and patient safety culture should be considered to improve the safety control for nurses.

Purpose: The purpose of this study was to examine the influence of safety control, nursing professionalism, and burnout on patient safety management activities of operating room nurses. Methods: Data were collected from August 10 to September 26, 2022 from 154 operating nurses who consented to participate and have worked for more than six months in hospitals with 300 or more beds in the Seoul-Incheon area. The data were analyzed using the SPSS/WIN 26.0 program. Results: The main factors affecting patient safety management activities were safety control (β=.36, p<.001) and nursing professionalism (β=.15, p=.046). The regression model was statistically significant (F=13.49, p<.001), with explanatory power of approximately 28.6%. Conclusion: Based on these results, the aforementioned activities can be promoted by preparing and providing an operating room safety management program that can improve safety control and establish proper nursing professionalism.

본 연구는 간호 간병 통합서비스 병동에 근무하는 간호사의 직무 스트레스, 안전통제감과 환자안전관리 활동의 관련성을 파악하고, 직무 스트레스가 안전통제감과 환자안전관리 활동에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 2019년 3월 11일부터 4월 17일까지 4개 종합병원의 간호 간병 통합서비스 병동에 1년 이상 근무한 간호사 137명을 연구대상으로 하였다. 연구결과 직무 스트레스는 안전통제감, 환자안전관리 활동과 유의한 부적 상관관계가 있는 것으로 나타났으며, 직무 스트레스는 안전통제감과 환자안전관리 활동에 부정적인 영향을 미치는 것으로 나타났다. 본 연구결과를 토대로 간호 간병 통합서비스 병동 간호사의 안전통제감과 환자안전관리 활동을 증진시키기 위해 직무 스트레스를 감소시키기 위한 근무환경 개선이 요구되며, 간호 간병 통합서비스 병동 간호사의 직무 스트레스 관리를 위한 다양한 프로그램 개발이 필요할 것으로 생각된다.

This study is a descriptive research study to identify the relevance of the occupational stress, safety control, and patient safety-related nursing activities of the nurses working in comprehensive nursing care service ward, and to check the effect of the occupational stress on safety control and patient safety-related nursing activities. From March 11 to April 17, 2019, 137 nurses who worked in comprehensive nursing care service ward at four general hospitals were studied. The results of this study suggest that occupational stress has a negative correlation with safety control and patient safety-related nursing activities, and occupational stress negatively affects safety control and patient safety-related nursing activities. Based on the results of this study, it is expected that the work environment will be improved to reduce the occupational stress in order to promote the safety control and patient safety-related nursing activities of nurses in comprehensive nursing care service ward, and the development of various programs for occupational stress management will be necessary.

전 세계적인 기후재앙으로 인해 자연재해의 발생 빈도와 규모가 증가하고 있다. 이에 우리나라는 안전한 치수계획을 세우기 위해 수자원장기종합계획을 수립하고 있는데 특히, 홍수피해잠재능(Potential Flood Damage, PFD) 평가를 통해 위험 지역을 분석하고, 이에 따른 안전한 대책을 수립하도록 하고 있다. 하지만, PFD의 문제점이 제기되면서 다양한 연구들을 진행하고 있는데 대부분 PFD 인자를 수정·보완하거나 인자를 새로 추가하는 형태로 수행되어 왔다. 반면, 기존 선행연구에서는 평가 방식의 문제점을 해결하기 위해 개선된 방법론을 제시하였다. 즉, 획일적이고 하천중심적인 평가 방식, 다양한 인자에 대한 데이터베이스 구축 미비, 광역 평가 공간 단위 사용으로 인한 과대 또는 과소 평가 등의 문제점을 지적하였으며, 이를 보완하기 위한 새로운 평가 방법을 개발하였다. 본 연구에서는 선행연구의 방법론을 기반으로 추가적인 한계점을 제시하고 이를 보완할 수 있는 방안을 제안하고자 한다. 특히, 선행연구에서도 미흡하게 다루어진 홍수관리 수준 설정과 취약지구 선정 기준 등의 문제점을 보완하여 보다 현실적인 평가 방안을 마련하고자 한다. 본 연구의 결과는 우리나라 치수안전도 평가 및 체계적인 치수 전략 수립에 기여할 것으로 기대된다.

The frequency and magnitude of natural disasters have been increasing due to climate change. Therefore, we have established the Long Term Comprehensive Plan for National Water Resources (CP-NWR) in Korea to develop a robust and safe flood management strategy. This plan incorporates the Potential Flood Damage (PFD) assessment, which is used to analyze high-risk areas and develop appropriate safety measures. However, the limitations of the PFD assessment have been identified, leading to numerous studies aimed at addressing these issues. Most previous studies have focused on modifying existing indicators of PFD or introducing new indicators to improve assessment accuracy. In contrast, Prior research proposed an improved methodology to resolve the identified issues and highlighted several limitations of the conventional assessment approach, such as a rigid and river-centric evaluation framework, insufficient database construction for diverse indicators, and overestimation or underestimation caused by the use of large-scale spatial units. To overcome the limitations, we developed a new assessment method, called 'Flood Control Safety Assessment Tool' using Flood Risk Map based on the previous study of prior research . In particular, we improved the method for determination of flood management level and the criteria for identifying vulnerable area in flood, which was not adequately addressed in the previous research. The developed method in this study suggests more realistic methodology than the previous work. Therefore, the results derived from the developed method in this study are expected to contribute to a more realistic evaluation framework for flood risk and facilitate the development of a systematic and effective flood management strategy tailored to South Korea's unique conditions.

우리나라의 건설안전 관리시스템은 그동안 꾸준히 개선되어 왔으나 재해강도율은 감소되지 않고 있고 건설산업의 안전수준도 향상되지 못하고 있는 실정이다. 재해강도율을 감소시키기 위해서는 건설현장에서의 안전관리도 중요하지만 안전설계 의무화 및 설계 안전성 평가의 도입이나 건설업 산업안전보건관리비의 효과적인 사용방안 등 제도적인 틀을 개선하는 것이 필요하다. 그 중 안전관리비는 낙찰률에 따라 당초 설계금액보다 줄어드는 문제와 현장에서 사용시 안전관리자 등의 인건비에 비해 안전시설비용이 상대적으로 적게 집행되는 문제점이 있다. 본 연구는 건설업 재해강도율이 감소하지 않는 주요원인을 살펴보고 그 원인을 제거할 수 있는 방안으로 안전관리비와 관련된 문제점 분석을 통해 효과적인 개선방안을 제시함으로써 건설현장의 재해강도율을 낮추는데 기여하고자 한다.

Construction safety control system had improved constantly but the severity rate of injury don't reduced, safety level of construction don't progressed as usual. In order to reduce of the severity rate of injury safety control in site is important but it needs to improve form of system that introduce obligation of safety design and design safety appraisement, an effect use method of safety control cost. The safety control cost is problem that reduce than design cost accordance bidding rate and use a little safety facility cost compare with labor cost. This study tried reduce the severity rate of injury by propose effective improvement scheme through relevant problem analysis to the safety control cost and remove caution that the severity rate of injury don't reduced.

Purpose: The purpose of this study was to examine the effect of patient safety culture awareness and infection control fatigue on the infection control performance of nurses. Methods: Participants were 210 nurses from two general hospitals from November 18, 2023 to December 15, 2023. Data were analyzed by the SPSS/WIN 28.0 program, using independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis. Results: Nurses' perception of patient safety culture was negatively correlated with infection control fatigue and positively correlated with infection control performance. Nurses' perception of patient safety culture was the most influential factor for infection control performance. Conclusion: To increase nurses' infection control performance, the perception of patient safety culture should be improved. Appropriate patient safety education need to be provided, and individual efforts should be made to strengthen infection control practices.

Purpose: This study explored the influences of disaster safety awareness, anxiety control, and social responsibility on disaster competency among high school students. Methods: The participants were 127 high school students. Data were collected between May 13 and May 24, 2024, and analyzed using SPSS 23.0. Results: The mean scores for disaster safety awareness, anxiety control, social responsibility, and disaster competency were 2.83, 3.90, 3.54, and 2.99, respectively. Disaster competency was positively correlated with disaster safety awareness (r=.53, p<.001), anxiety control (r=.44, p<.001) and social responsibility (r=.42, p<.001). Disaster safety awareness was positively correlated with anxiety control (r=.28, p=.002) and social responsibility (r=.41, p<.001). Anxiety control was also positively correlated with social responsibility (r=.59, p<.001). Regression analysis revealed that 39.2% (F=24.86, p<.001) of the variance in high school students' disaster competency was explained by disaster safety awareness (β=.37, p<.001), anxiety control(β=.19, p=.029) and social responsibility (β=.24, p=.013). Conclusion: The results provide valuable evidence for the development of educational interventions aimed at enhancing disaster competency among high school students.