Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Perception of Workers on Patient Safety Culture and Degree of Patient Safety in Nursing Homes in Korea

한국 노인요양시설 실무종사자들이 인식하는 환자안전문화와 환자안전도

  • Yoon, Sook Hee (Department of Nursing.Institute of Health Science, Inje University) ;
  • Kim, Se Young (Department of Nursing, Changwon National University) ;
  • Wu, XiangLian (Department of Nursing, Graduate School of Inje University)
  • 윤숙희 (인제대학교 간호학과.건강과학연구소) ;
  • 김세영 (국립창원대학교 간호학과) ;
  • 오향련 (인제대학교 대학원 간호학과)
  • Received : 2013.11.01
  • Accepted : 2014.04.10
  • Published : 2014.06.30
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Abstract

Purpose: The purpose of this study was to investigate provide basic data for improving patient safety in nursing homes in Korea by measuring the patient safety culture of nursing homes and understanding its influencing factors. Methods: This study is a secondary analysis of a descriptive research study using data from development and validation of the Korean patient safety culture scale for nursing homes. A total of 982 cases were analyzed using the SPSS Statistics 20 program. Results: For the safety culture of the patient, there was a significant difference based on the size and location of the facility. For the degree of patient safety, age, education, occupation, marital status, and the size of the nursing home were significant factors. Patient safety culture and the degree of patient safety had a positive correlation. The regression model of the degree of patient safety was significant (F=20.73, p<.001) and the explanatory power of the model was 27.4%. Conclusion: The study results indicate that patient safety culture is a factor influencing safety of elders in nursing homes. To improve patient safety for nursing homes in Korea, continuous evaluation and improvement projects need to be done at a national level.

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References

  1. Castle NG. Nurse aides' ratings of the resident safety culture in nursing homes. International Journal for Quality in Health Care. 2006;18(5):370-376. http://dx.doi.org/10.1093/intqhc/mzl038
  2. Bonner AF, Castle NG, Perera S, Handler SM. Patient safety culture: A review of the nursing home literature and recommendations for practice. The Annals of Long-Term Care. 2008; 16(3):18-22.
  3. Kim JS, Oh HY. Perceptions and attitude on use of physical restraints among caregivers in long term care facilities. Journal of the Korean Gerontological Society. 2006;26(2):347-360.
  4. Castle NG, Ferguson JC. What is nursing home quality and how is it measured?. The Gerontologist. 2010;50(4):426-442. http://dx.doi.org/10.1093/geront/gnq052
  5. Institute of Medicine (IOM), Committee on Quality of Health Care in America. Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press; 2001.
  6. Maas ML, Specht JP, Buckwalter KC, Gittler J, Bechen K. Nursing home staffing and training recommendations for promoting older adults' quality of care and life: Part 2. Increasing nurse staffing and training. Research in Gerontological Nursing. 2008;1(2):134-152. http://dx.doi.org/10.3928/19404921-20080401-04
  7. Gruneir A, Mor V. Nursing home safety: Current issues and barriers to improvement. Annual Review of Public Health. 2008;29:369-382. http://dx.doi.org/10.1146/annurev.publhealth.29.020907.09 0912
  8. Kim MC, Cho H, Sunwoo S, Kim SW, Cho HJ. Prevalence and associated factors of fall among the elderly in nursing home. Journal of the Korean Geriatrics Society. 1999;3(4):29-38.
  9. Yoon SH, Kim B, Shin SY, Wu XL. Measuring patient safety culture in Korean nursing homes. Journal of Korean Academy of Nursing Administration. 2013;19(2):315-327. http://dx.doi.org/10.11111/jkana.2013.19.2.315
  10. Yoon SH, Wu XL. Content analysis of patient safety culture in nursing homes. Journal of Korean Academy of Nursing Administration. 2013;19(1):118-127. http://dx.doi.org/10.11111/jkana.2013.19.1.118
  11. Handler SM, Castle NG, Studenski SA, Perera S, Fridsma DB, Nace DA, et al. Patient safety culture assessment in the nursing home. Quality & Safety in Health Care. 2006;15:400-404. http://dx.doi.org/10.1136/qshc.2006.018408
  12. Flin R, Yule S. Leadership for safety: Industrial experience. Quality & Safety in Health Care. 2004;13:45-51. http://dx.doi.org/10.1136/qshc.2003.009555
  13. Castle NG, Sonon KE. A culture of patient safety in nursing homes. Quality & Safety Health Care. 2006;15(6):405-408. http://dx.doi.org/10.1136/qshc.2006.018424
  14. Seago JN, Williamson A, Atwood C. Longitudinal analyses of nurse staffing and patient outcomes: More about failure to rescue. The Journal of Nursing Administration. 2006;36(1): 13-21. https://doi.org/10.1097/00005110-200601000-00005
  15. Hughes CM, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. International Journal for Quality in Health Care. 2006;18:281-286. https://doi.org/10.1093/intqhc/mzl020
  16. Scott-Cawiezell J, Vogelsmeier A, McKenney C, Rantz M, Hicks L, Zellmer D. Moving from a culture of blame to a culture of safety in the nursing home setting. Nursing Forum, 2006;41(3):133-140. http://dx.doi.org/10.1111/j.1744-6198.2006.00049.x
  17. Kim JE, Kang MA, An KE, Sung YH. A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Clinical Nursing Research. 2007;13 (3):169-179.
  18. Yoon SH, Kim BS, Kim SY. Development and validation of the Korean patient safety culture for nursing homes. Journal of Korean Academy of Nursing. 2013;43(3):379-388. http://dx.doi.org/10.4040/jkan.2013.43.3.379
  19. Agency for Healthcare Research and Quality (AHRQ). Nursing home surveys on patient safety culture [Internet]. Rockville, MD: AHRQ. 2008 [cited 2012 May 9]. Available from: http:// www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/ nursing-home/index.html
  20. Korean Statistical Information Service (KOSIS). Long term care insurance statistics [Internet]. Daejeon: Statistics Korea. 2013 [cited 2014 March 12]. Available from: http://kosis.kr/ statHtml/statHtml.do?orgId=350&tblId=DT_35006_N022&v w_cd=MT_ZTITLE&list_id=350_35006_A004&scrId=&seqNo =&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1
  21. Nicklin W, McVeety JE. Canadian nurses' perceptions of patient safety in hospitals. Canadian Journals of Nursing Leadership. 2002;15(3):11-21. https://doi.org/10.12927/cjnl.2002.19154
  22. Pronovost P, Weast B, Rosenstein B, Sexton JB, Holzmueller CG, Paine L, et al. Implementing and validating a comprehensive unit-based safety program. Journal of Patient Safety. 2005;1(1):33-40. https://doi.org/10.1097/01209203-200503000-00008
  23. Blegen MA, Gearhart S, O'Brien R, Sehgal NL, Alldredge BK. AHRQ's hospital survey on patient safety culture: Psychometric analyses. Journal of Patient Safety. 2009;5(3):139-144. http://dx.doi.org/10.1097/PTS.0b013e3181b53f6e
  24. Stone P, Walker PH. Focus on patient safety. In: Fitzpatrick JJ, editor. Annual review of nursing research, v. 24. New York: Springer; 2007.
  25. Cooper MD, Phillips RA. Exploratory analysis of the safety climate and safety behavior relationship. Journal of Safety Research. 2004;35(5):497-512. http://dx.doi.org/10.1016/j.jsr.2004.08.004
  26. Gore DC, Powell JM, Baer JG, Sextone KH, Richardson CJ, Marshall DR, et al. Crew resource management improved perception of patient safety in the operating room. American Journal of Medical Quality. 2010;25(1):60-63. http://dx.doi.org/10.1177/1062860609351236
  27. McFadden KL, Henagan SC, Gowen CR. The patient safety chain: Transformational leadership's effect on patient safety culture, initiatives, and outcomes. Journal of Operations Management. 2009;27(5):390-404. http://dx.doi.org/10.1016/j.jom.2009.01.001
  28. Nieva VF, Sorra J. Safety culture assessment: A tool for improving patient safety in healthcare organizations. Quality & Safety in Health Care. 2003;12(Suppl. 12):ii17-ii23. http://dx.doi.org/10.1136/qhc.12.suppl_2.ii17

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