Factors Influencing the Patient Safety Management Activity of Nursing Students

간호대학생의 환자안전관리활동에 영향을 미치는 요인

  • Received : 2018.07.31
  • Accepted : 2018.10.08
  • Published : 2018.11.30


Purpose: This purpose of this study was to identify the level of knowledge and attitude of patient safety and patient safety management activity (PSMA) and identify influencing factors of PSMA in nursing students. Methods: The participants were 210 fourth-year nursing students in C and G city. Data were collected with structured questionnaires from October 10 to November 10, 2017. Descriptive statistics, t-test, one way ANOVA, Pearson's correlation and multiple regression with SPSS 21.0 were used. Results: As a result, the level of knowledge of patient safety was 9.05, attitude of patient safety was 4.07, and PSMA was 4.22. The factors influencing PSMA were knowledge and attitude of patient safety. The regression model explained 77% of PSMA. Conclusion: Based on the results of this study, it is suggested that a systematic education program considering factors influencing the patient safety management activities of nursing students be developed.


  1. Chenot, T. M., & Daniel, L. G. (2010). Frameworks for patient safety in the nursing curriculum. Journal of Nursing Education, 49(10), 559-568.
  2. Cho, S. S., & Gang, M. H. (2013). Perception of patient safety culture and safety care activity of entry-level nurses. Korean Journal of Occupational Health Nursing, 22(1), 24-34.
  3. Choi, S. H., & Lee, H. (2015). Factors affecting nursing students' practice of patient safety management in clinical practicum. Journal of Korean Academy of Nursing Administration, 21(2), 184-192.
  4. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., et al. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-131.
  5. Cunningham, J. B., & McCrum-Gardner, E. (2007). Power, effect and sample size using GPower: Practical issues for researchers and members of research ethics committees. Evidence-Based Midwifery, 5(4), 132-137.
  6. de Vries, E. N., Ramrattan, M. A., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2008). The incidence and nature of in-hospital adverse events: A systematic review. The British Medical Journal Quality & Safety, 17(3), 216-223.
  7. Flin, R., Patey, R., Jackson, J., Mearns, K., & Dissanayaka, U. (2009). Year 1 medical undergraduates' knowledge of and attitudes to medical error. Medical Education, 43(12), 1147-1155.
  8. Greiner, A. C., & Knebel, E. (2003). Health professions education: A bridge to quality. Retrieved July 6, 2018. from National Academy of Sciences Web site:
  9. Ham, Y. L., Park, M. J., & Lee, H. Y. (2017). Knowledge, attitude and confidence on patient safety management among emergency medical technician students. The Korean Journal of Emergency Medical Services, 21(1), 75-85.
  10. Huh, S. S., & Kang, H. Y. (2015). The attitude of patient safety and patient safety management activity in nursing students. Journal of the Korea Academia-Industrial Cooperation Society, 16(8), 5458-5467.
  11. Hwang, J. I., Chin, H. J., & Chang, Y. S. (2014). Characteristics associated with the occurrence of adverse events: A retrospective medical record review using the global trigger tool in a fully digitalized tertiary teaching hospital in korea. Journal of Evaluation in Clinical Practice, 20(1), 27-35.
  12. Jang, H., & Lee, N. J. (2017). Patient safety competency and educational needs of nursing educators in South Korea. PLoS One, 12(9), e0183536.
  13. Kim, I. S., Park, M. J., Park, M. Y., Yoo, H. N., & Choi, J. H. (2013). Factors affecting the perception of importance and practice of patient safety management among hospital employees in korea. Asian Nursing Research, 7(1), 26-32.
  14. Kim, M. S., & Kim, Y. H. (2012). Development and evaluation of patient safety reporting promoting education program. Journal of the Korea Academia-Industrial Cooperation Society, 13(1), 284-295.
  15. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: Building a safer health system. Retrieved January 3, 2018, from National Academy of Sciences Web site:
  16. Korea Institute for Healthcare Accreditation. (2016). Survey process guide for hospital accreditation (version 2.1). Retrieved September 10, 2018, from the Korea Institute for Healthcare Accreditation Web site:
  17. Korea Institute for Healthcare Accreditation. (2018). 2017 Patient safety statistics annual report. Retrieved September 11, 2018, from the Korea Institute for Healthcare Accreditation Web site:
  18. Lee, H. Y. (2009). JCI accreditation and patient safety. Quality Improvement in Health Care, 15(1), 49-54.
  19. Lee, S. I. (2015). Approaches to improve patient safety in healthcare organizations. Journal of the Korean Medical Association, 58(2), 90-92.
  20. Lee, S. I. (2016). Significance and challenges of patient safety law. Health and Welfare Policy Forum. 240, 2-4.
  21. Madigosky, W. S., Headrick, L. A., Nelson, K., Cox, K. R., & Anderson, T. (2006). Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Journal of the Association of American Medical Colleges, 81(1), 94-101.
  22. Park, J. H., & Park, M. H. (2014). Knowledge, attitude, and confidence on patient safety of undergraduate nursing students. The Journal of Korean Academic Society of Nursing Education, 20(1), 5-14.
  23. Schnall, R., Stone, P., Currie, L., Desjardins, K., John, R. M., & Bakken, S. (2008). Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. Journal of Nursing Scholarship, 40(4), 391-394.
  24. The Joint Commission. (2013). Joint commission international accreditation standards for hospitals. Oakbrook Terrace, IL: The Joint Commission Resources.
  25. Thomas, E. J., Studdert, D. M., Burstin, H. R., Orav, E. J., Zeena, T., Williams, E. J., et al. (2000). Incidence and types of adverse events and negligent care in Utah and Colorado. Medical care, 38(3), 261-271.
  26. Yoo, H. N., & Lee, H. Y. (2014). The initial application of the patient safety management activity scale (PSM-A) for nursing students: Brief on reliability and validity. Journal of the Korean Data Analysis Society, 16(6B), 3423-3436.