• Title, Summary, Keyword: Safety care activities

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Factors Influencing Safety Care Activities of Hospital Nurses (병원 간호사의 안전 간호활동에 영향을 미치는 요인)

  • Yang, Ya Ki
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.3
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    • pp.188-196
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    • 2019
  • Purpose: The purpose of this study was to investigate the relationships among fatigue, patient safety culture and safety care activities of hospital nurses, and to identify and explain factors influencing safety care activities. Methods: The research participants were 187 nurses from a urban general hospital located in Korea. Self-evaluation questionnaires were used to collect the data. Data collection was done from January 10 to 31, 2019. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients and multiple regression with the SPSS 24.0 program. Results: There were significant negative relationships between fatigue and safety care activities (r=-.22, p=.003), and significant positive relationships between patient safety culture and safety care activities (r=.22, p=.003). Factors influencing safety care activities in hospital nurses were identified as type of unit (ICU) (${\beta}=.28$), patient safety culture (${\beta}=.24$) and fatigue (${\beta}=-.19$). The explanation power of this regression model was 16% and it was statistically significant (F=8.29, p<.001). Conclusion: These results suggest the need to develop further management strategies for enhancement of safety care activities in hospital. To improve the levels of patient safety, education programs on patient safety should be developed and provided to nurses in hospitals.

Relationship between Hospital Nurses' Perceived Patient Safety Culture and Their Safety Care Activities (병원 간호사가 지각하는 환자안전문화와 안전간호활동과의 관계)

  • Choi, Jeong-Hwa;Lee, Kyung-Mi;Lee, Mi-Aie
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.64-72
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    • 2010
  • Purpose: This study was performed to measure hospital nurses' perceived patient safety culture and their safety care activities, and to investigate the relationship between these two factors. Method: This study was a cross-sectional survey. The participants were 301 nurses working at 4 general hospitals, and data collection was done from June 22 to June 30, 2009 by self-administrated questionnaires. Results: With a possible score of 5 points, the average score for nurses' perceived patient safety culture was 3.34, and for their safety care activities, 4.25. There were perceived differences in patient safety culture and safety care activities according to age, position, length of work experience and number of patient safety education sessions attended. All sub-factors in patient safety culture had a positive relationship with safety care activities. Factors influencing nurses' safety care activities were number of patient safety education sessions attended, hospital environment, and supervisor/manager. These factors explained 58.2% of the variance. Conclusion: The findings indicate that patient safety education is very important to improve nurses' safety care activity. So nursing supervisors/ managers should develop strategies encourage patient safety education, and make nurses' working environment safer.

Effects of Perceived Patient Safety Culture on Safety Care Activities among Nurses in General Hospitals (지방 중소병원 간호사의 환자안전문화 인식이 안전간호활동에 미치는 영향)

  • Kim, Hye Young;Lee, Eun Sook
    • Journal of East-West Nursing Research
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    • v.19 no.1
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    • pp.46-54
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    • 2013
  • Purpose: An objective of this study was to investigate nurses' perceptions toward patient safety culture and to examine the factors affecting safety care activities. Methods: The participants were 429 nurses, at 6 hospitals located in regions, which have 150 to 300 beds, and HSOPSC (AHRQ, 2009) and questionnaire on safety care activities were used as measurement tools. Descriptive statistics, independent t-test, one way ANOVA, and stepwise multiple regression with SPSS/WIN version12.0 were used to analyze the data. Results: Supervisor manager expectations and actions promoting patients safety and frequency of events reported were the highest as positive responses, whereas staffing and nonpunitive response to errors showed the lowest scores as positive responses. Scores of medication surveillance is the highest while firefighting surveillance is the lowest in terms of safety care activities. Significant predictors influencing safety care activities were frequency of events report, handoffs and transitions, work unit a patient safety grade, organizational learning-continuous improvement, and teamwork across units. These predictors account for 23% of the variance. Conclusion: These results suggest that hospital policies and systems should be built to settle patient safety culture effectively. Development of standard manuals for safety care activities is another critical element for promoting patient safety.

Mediating Effects of Perceptions Regarding the Importance of Patient Safety Management on the Relationship between Incident Reporting Attitudes and Patient Safety Care Activities for Nurses in Small- and Medium-sized General Hospitals (중소병원 간호사의 사건보고태도와 환자안전간호활동의 관계에서 환자안전관리 중요성 인식의 매개효과)

  • Park, Young Mi;Nam, Keum Hee;Kang, Ki Noh;Nam, Jeong Ja;Yun, Yeon Ok
    • Journal of Korean Critical Care Nursing
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    • v.12 no.2
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    • pp.85-96
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    • 2019
  • Purpose : The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities. Methods : This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software. Results : Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (${\beta}=.409$, p < .001) on the relationship between incident reporting attitudes and patient safety care activities. Conclusion : Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.

A Study on Patient Safety Culture, Incident Reporting and Safety Care Activities of Clinical Nurses in a University-Affiliated Hospital (병원 간호사의 환자안전문화 인식, 사건보고 및 안전간호활동: 일 대학병원을 중심으로)

  • Ha, Sujin;Lee, Minju
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.35-45
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    • 2019
  • Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activities among clinical nurses and to identify factors associated with the safety care activities. Methods: Structured questionnaires were used to collect data from 155 nurses who were involved in direct patient-care. Results: Descriptive statistical anaylses revealed that the mean score of patient safety culture was $3.26{\pm}0.32$ and $4.19{\pm}0.41$ was for the safety care activities. In incident reporting, reporting intention ($3.56{\pm}0.68$), belief in improvement ($3.42{\pm}0.60$), worry about appraisal ($3.37{\pm}0.65$) and reporting knowledge ($3.36{\pm}0.72$) respectively. Correlational analyses showed that perceived patient safety culture (r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting were positively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negatively correlated. The factors associated with safety care activities were incident reporting knowledge (${\beta}=.31$, p<.001), supervisor/managers' attitudes toward patient safety culture (${\beta}=.29$, p<.001), belief in improvement of incident reporting attitude (${\beta}=.16$, p=.041). Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessary to educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety and to provide positive feedback on incident reporting.

The Influences of the Awareness of Patient Safety Culture on Safety Care Activities among Operating Room Nurses (수술실 간호사의 환자안전문화에 대한 인식이 안전간호활동에 미치는 영향)

  • Lee, Kyung Hee;Lee, Young Shin;Park, Hae Kyung;Rhu, Jung Ok;Byun, In Seung
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.204-214
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    • 2011
  • Purpose: This study was aimed to provide information on the awareness of patient safety culture and safety care activities among operating room (OR) nurses and to analyze the factors influencing the safety care activities. Methods: For this descriptive research, self-reported questionnaires were administered to 168 OR nurses who were working at the university-affiliated and general hospitals. The collected data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson's correlation coefficient and Stepwise multiple regression with SPSS/WIN 17.0. Results: The mean score of the awareness on patient safety culture was 3.27 out of 5 points and that of safety care activity was 4.31 out of 5. The statistically significant difference was found between experience of safety education and the awareness on patient safety culture. Also, the scores of safety care activities were significantly different according to OR nurses' position, education levels, and experience of safety education. There was a positive correlation between the awareness of patient safety culture and safety care activity. Their explanatory power on safety care activity was 8.8%, which includes working environment in operating room 3.3% and nursing position 5.5%. Conclusion: Compared to the level of patient safety activities, the OR nurses' awareness on patient safety culture was low. Given the specific characteristics and conditions in each hospital, it needs to increase the OR nurses' awareness on patient safety culture and activities related to patient safety.

The impact of Perceived Patient Safety Culture on Safety Care Activities in General Hospital Nurse's (종합병원 간호사의 환자안전문화에 대한 인식이 안전간호활동에 미치는 영향)

  • Son, Yu-Lim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.509-517
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    • 2016
  • This study examined the influence of patient safety culture and safety care activities of general hospital nurses. The participants were 178 nurses working in a hospital in D and G cities. Data were collected from June to July, 2015 through Questionnaires that included the Measure of Patient Safety Culture by Kim et al.(2007), and the Measure of Safety Care Activities by Lee(2009). The collected data were analyzed by descriptive analysis, t-test, One-way ANOVA, Pearson correlation coefficients, and stepwise Multiple regression. A statistically significant positive relationship was observed between the nurses perception of the patient safety culture and their safety care activities (r=.407, p<.001). The findings show the patient safety culture accounted for 43.3% of the variance in the safety care activities for hospital nurses followed by the importance of hospital work environment among nurses to improve the safety care activities. These findings highlight the need to develop effective programs to improve the perception of patient safety culture and safety nursing guideline.

Factors affecting the Patient Safety Attitude and Safety Control on Safety Care Activities among Nurses in Small and Medium-sized Hospitals (중소병원 간호사의 환자안전태도, 안전통제감이 안전간호활동에 미치는 영향)

  • Kim, Eun-Jeoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.564-572
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    • 2016
  • This study investigated the factors affecting the safety care activities of 227 nurses in 7 small and medium-sized hospitals in G-city. Data were collected from May 16th to 23rd, 2016, and analyzed using descriptive statistics, the t-test, one-way ANOVA, Pearson's correlation, and multiple regression with SPSS 18. The levels of patient safety attitudes, safety control and safety care activities were 4.11, 3.74 and 4.33 out of 5, respectively. In the analysis of the patient safety attitudes, there were significant differences in education level and job satisfaction. In the analysis of safety control, there were significant differences in age, education level, working experience, position, experience of safety education, experience of safety accidents, and job satisfaction. In the analysis of the safety care activities, significant differences were found in the education level, work department, experience of safety education, and job satisfaction. The patient safety attitudes, safety control, and safety care activities were positively correlated (with each other). The major factor affecting the safety care activities was the patient safety attitude, followed by safety control and experience of safety education. These findings emphasize the need for nurses to change their perception of patient safety attitudes and safety control, in order to reinforce their safety care activities. They also suggest that various safety nursing cases and systematic support should be provided for continuous patient safety education.

Nurses' patient safety activities observed by nursing students (간호학과 실습생이 관찰한 간호사의 환자안전 간호활동 수행 정도)

  • Kim, Jee-Yoon
    • Quality Improvement in Health Care
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    • v.22 no.1
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    • pp.71-90
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    • 2016
  • Purpose: Objective of this study was to investigate how often nurses to perform patient safety activities. Methods: 521 observations were collected in 9 hospitals by 107 nursing students. Nurses' patient safety care activities were measured 0 (not at all) to 10 (all the time) scores. Descriptive statistics, independent t-test, one way ANOVA, correlation, multiple regression used to analyse data. Results: Items like 'Initial nursing assessment', 'drug management bring on', 'preparation for radiology test', 'falls assessment', 'nursing record' got high scores. But, scores of 'patient identification', 'verbal order management', 'hand hygiene' were lower than others. Each scores were different significantly according to institutions and departments. Within a same institution, the variance of scores, especially in 'patient identification', 'hand hygiene' were great. Scores of activities were different according to characteristics of institutions like type, location, number of beds, teaching hospital, number of accreditation, JCI accreditation. Predictors influencing nurses' patient safety activities were type, location and accreditation. These predictors account for 19.4% of variance. Conclusion: Performance of nurses' patient safety activities were different significantly according to characteristics of institutions. The important items like 'patient identification', 'hand hygiene' had achieved lowest performance. Further researches are needed to improve the basic safety activities.

A Study on Knowledge, Attitude, toward Patient Safety and Patient Safety Care Activities among Long-Term Care Hospitals' Nursing Assistants (요양병원 간호보조인력의 환자안전에 대한 지식, 태도 및 환자 안전활동)

  • Kang, Hyun-Kyoung;Lee, Eun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.194-205
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    • 2018
  • This study investigated knowledge and attitudes of long-term care hospital nursing assistants such as nursing aides and direct care workers toward patient safety and their safety care activities. This was a descriptive study that attempted to enhance the competence of nursing assistants' patient safety management, and the data were used to develop a training program for nursing assistants. A total of 230 nursing assistants working at six hospitals whose wards were over 200 participated and were assessed with a rating 1 or 2 in 2013 in B city. Data were collected using questionnaires from March 2 to March 26 in 2017. The collected data were analyzed by the SPSS/WIN 20.0 program using number, percentage, mean, standard deviation, t-test, ANOVA, $Scheff{\acute{e}}$ test, correlation coefficient, and multiple regression. In conclusion, the findings show that patient safety care activities were better performed by nursing aides than direct care workers. Higher education and a higher number of patient safety training programs and patient safety care activities were frequent. In addition, nursing assistants' knowledge of patient safety affected attitudes toward patient safety, and attitudes affected patient safety care activities. Therefore, an actual regular training program for patient safety should be executed over five times a year to improve patient safety perception. Furthermore, a hospital system including adequate working time needs to be improved. Based on the results of the study, patient safety in long-term care hospitals should be improved, and this study could be utilized as basic data to develop a training course for improvement of knowledge and attitudes of nursing assistants toward patient safety.