DOI QR코드

DOI QR Code

Perceptions of Patient Safety Culture, Safety Care Knowledge and Activity among Nurses at an Orthopedic Hospital

중소 정형외과병원 간호사의 환자안전문화인식, 환자안전지식과 환자안전간호수행

  • Kim, Mi Young (Hyosung City Hospital) ;
  • Eun, Young (College of Nursing, Gerontological Health Research Center, Institute of Health Sciences, Gyeongsang National University)
  • 김미영 (효성시티병원) ;
  • 은영 (경상대학교 간호대학.건강과학연구소 노인건강연구센터)
  • Received : 2017.03.06
  • Accepted : 2017.04.03
  • Published : 2017.04.30

Abstract

Purpose: The purpose of this study was to identify the factors affecting the perceptions of patient safety culture, safety care knowledge, and safety care activity among nurses at orthopedic hospitals. Methods: Data were collected during Feb. 16 and Feb. 26, 2017, from 195 nurses of 9 small to medium sized orthopedic hospitals. Questionnaires about patient safety culture, safety care knowledge and activity were used. Data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff\acute{e}$ test, Pearson's correlation coefficient, and stepwise multiple regression. Results: The safety care activity was positively correlated with perceptions of patient safety culture (r=.50, p<.001) and knowledge (r=.48, p<.001). Factors that had influence on the safety care activity were the patient safety culture (${\beta}=.30$, p<.001), age (${\beta}=.27$, p<.001), and knowledge of the safety activity (${\beta}=.21$, p=.004). The patient safety care activity was explained 36.6% by those factors. Conclusion: To enhance the patient safety care activity, it should be provided the environment and open communication for the perceptions of patient safety culture and the in service education program for safety care knowledge.

Keywords

References

  1. Abstoss, K. M., Shaw, B. E., Owen, T. A., Juno, J. L., Commiskey, E. L., & Niedner, M. F. (2011). Increasing medication error reporting rate while reducing harm through stimulations cultural and system-level interventions in an intensive care unit. BMJ Quality and Safety, 20(11), 914-922. https://doi.org/10.1136/bmjqs.2010.047233
  2. Agency for Healthcare Research and Quality. (2004). Hospital survey on patient culture (NO.04-0041). AHRQ publication. Retrieved at November 10, 2016. from http://wwwahrq.gov/qual/patientsaftyculture/hopsurvin dex.htm.
  3. Cha, B. K., & Choi, J. (2015). A comparative study on perception of patient safety culture and safety care activity: Comparing university hospital nurses and small hospital nurses. Journal of Korean Academic Nurses Administration, 21(4), 405-416. https://doi.org/10.11111/jkana.2015.21.4.405
  4. Cho, H. W., & Yang, J. H. (2012). Relationship between perceived patient safety culture and patient safety management activities among health personnel. Journal of Korea Academic Fundamentals of Nursing, 19(1), 35-45. https://doi.org/10.7739/jkafn.2012.19.1.035
  5. Choi, J. H., Lee, K. M., & Lee, M. A. (2010). Relationship between hospital nurses' perceived patient safety culture and their safety care activity. Journal of Korea Academic Fundamentals of Nursing, 17(1), 64-72.
  6. Gu, H. M. (2016, October). On the reporting and learning system for patient safety events. Health Welfare Policy Forum, 46-59. https://doi.org/10.1016/s1051-0443(01)70072-3
  7. Institute of Medicine. (2001). To error is human: Building a safer health system. Washington, DC: National Academy Press.
  8. Jang, H. N. (2012). Evaluation and application of patient safety competence assessment tool. Unpublished master's thesis, Seoul National University, Seoul.
  9. Kang, J. M., & Park, J. S. (2016). Relationship between perception of patient safety culture and performance for safety care activity in rehabilitation hospital nurse. Korean Journal of Rehabilitation Nursing, 19(1), 12-19. https://doi.org/10.7587/kjrehn.2016.12
  10. Kim, H. Y., & Lee, E. S. (2013). Effects of perceived patient safety culture on safety care activities among nurses in general hospitals. Journal of East-West Nursing Research, 19(1), 46-54. https://doi.org/10.14370/jewnr.2013.19.1.046
  11. Kim, J. E., Kang, M. A., An, K. E., & Sung, Y. H. (2007). A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korea Clinical Nursing Research, 13(3), 169-179.
  12. Kim, S. Y., & Lee, K. H. (2015). Nurses' perceptions of patient safety culture and patient safety activities in mental health hospitals. Journal of Korea Academy of Psychiatric Mental Health Nursing, 24(2), 82-92. https://doi.org/10.12934/jkpmhn.2015.24.2.82
  13. Korea Consumer Agency. (2006). A field survey on the medical disputes related to the hospital's safety management. Emseong: Author.
  14. Korea Health Industry Development. (2007). 2007 Guidelines for hospital evaluation programme. Seoul: Ministry of Health & Welfare.
  15. Lee, M. J. (2014). Effects of perceived patient safety culture on safety care activity among nurses in small to midium hospitals, Unpublished master's thesis, Dong-A University, Busan.
  16. Lee, N. J., & Kim, J. H. (2011). Perception of patient safety culture and safety care activity among nurse in small-medium sized general hospitals. Journal of Korea Academy of Nursing Administration, 17(4), 462-473. https://doi.org/10.11111/jkana.2011.17.4.462
  17. Lee, Y. J., & Gu, M. O. (2015). Circumstance, risk factors, and the predictors of falls among patients in the small and medium sized hospitals. Journal of Korean Clinical Research, 21(2), 252-265.
  18. Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: A tool for improving patient safety in health care organizations. Quality and Safety in Health Care, 12, 17-23. https://doi.org/10.1136/qhc.12.suppl_2.ii17
  19. Olsson, C., Forsberg, A., & Bjersa, K. (2016). Safety climate and readiness for implementation of evidence and person centered practice-A national study of registered nurses in general surgical care at Swedish university hospitals. Biomedical Central Nursing, 15(54), 1-12. https://doi.org/10.1186/s12912-016-0174-2
  20. Park, S. J. (2008). A study on hospital nurse's perception of patient safety culture and safety care activity. Unpublished master's thesis, Dong-A University, Busan.
  21. Vaismoradi, M. (2012). Nursing education curriculum for improving patient safety. Journal of Nursing Education and Practice, 2(1), 101-104. https://doi.org/10.5430/jnep.v2n1p101
  22. Yang, Y. S. (2015). Perceived safety reporting system and level of knowledge, attitude, compliance about patient's safety of the nurses in small and medium sizes hospital. Unpublished master's thesis, Inje University, Gimhae.
  23. Yoo, J. H., & Kang, K. A. (2014). Survey of oncology nurses' awareness of patient safety culture and nursing care activities for patient safety. Asian Oncology Nursing, 14(2), 119-226. https://doi.org/10.5388/aon.2014.14.2.119
  24. Yun, J. M., & Park, H. S. (2014). Perception of the patient safety risk factors and safety management by nurses in emergency service, hospitals. Journal of the Korea Academy of Fundamentals of Nursing, 21(4), 380-391. https://doi.org/10.7739/jkafn.2014.21.4.380