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The Effects of Patient Safety Culture Perception and Organizational Commitment on Patient Safety Management Activities in General Hospital Nurses

종합병원 간호사의 환자안전문화인식과 조직몰입이 환자안전관리활동에 미치는 영향

  • Received : 2018.04.02
  • Accepted : 2018.06.20
  • Published : 2018.06.28

Abstract

This study aimed to identify the effect of patient safety culture perception, organizational commitment on patient safety management activities in general hospital nurses. The data were collected from 191 subjects from August 2 to August 16, 2017 using a structured self-report questionnaires and analyzed using SPSS WIN Version 22.0. The results showed that patient safety management activities had significant correlations with patient safety culture perception and organizational commitment. Also, the influencing factors on patient safety management activities were patient safety culture perception, organizational commitment, and patient safety education experience. These factors explained 33.3% of variance. Therefore, in order to improve the patient safety management activities among general hospital nurses, it is necessary to develop and apply an nursing intervention programs considering patient safety culture perception, organizational commitment, and patient safety education experience.

본 연구는 종합병원 간호사의 환자안전관리활동에 환자안전문화인식과 조직몰입이 미치는 영향을 검증하고자 시도되었다. 자료는 2017년 8월 2일부터 8월 16일까지 종합병원 간호사 191명을 대상으로 구조화된 설문지를 이용하여 자료수집하였고, SPSS WIN Version 22.0을 이용하여 분석을 실시하였다. 연구결과, 종합병원 간호사의 환자안전관리활동은 환자안 전문화인식과 조직몰입과는 양의 상관관계가 있는 것으로 나타났고, 환자안전관리활동의 영향요인은 환자안전문화인식, 조직몰입 및 환자안전교육 경험으로 나타났으며, 이들 변수의 설명력은 33.3%였다. 따라서, 종합병원 간호사의 환자안전관리 활동을 증진시키기 위해서는 환자안전문화인식, 조직몰입 및 환자안전교육을 고려하여 중재프로그램을 개발하고 적용하는 것이 필요하다고 사료된다.

Keywords

References

  1. N. J. Lee & J. H. Kim. (2011). Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals. Journal of Korean Academy of Nursing Administration, 17(4), 462-473. https://doi.org/10.11111/jkana.2011.17.4.462
  2. J. Jeong, Y. J. Seo & E. W. Nam. (2006). Factors affecting patient safety management activities at nursing divisions of two university hospital. Journal of Korean Society of Hospital Management, 11(1), 91-109.
  3. M. S. Ock, S. I. Lee, J. H. Kim, J. H. Lee, J. Y. Lee, M. W. Jo, M. S. Lee, S. H. Kim, H. J. Kim & W. S. Son. (2015). What should we consider for establishing a national patient safety reporting system?. Journal of Health Technology Assessment, 4(1), 5-7. ISSN 2288-5811.
  4. Agency for Healthcare Research and Quality (US). AHRQ focus on research: Patient safety (Publication No. 02-M021) [Internet]. Rockville, MD: Agency for Healthcare Research and Quality; 2012. [cited August 18, 2003]. Available from: http://www.ahrq.gov/professionals/quality-patient-safety/index.html
  5. Dispute Mediation Medical Team. (2006). A Survey on Medical Disputes Related to Safety Management in Hospitals, Seoul; Korea Consumer Agency.
  6. V. F. Nieva & J. S. Sorra. (2003). Safety culture assessment a tool for improving patient safety in health care organization. Quality and Safety in Health care, 12(2), 17-19.
  7. National Patient Safety Agency. (2004). Seven steps to patient safety: an overview guide for NHS staff, London: National Health Service.
  8. E. K. Kim, M. A. Kang & H. J. Kim. (2007). Experience and perception on patient safety culture of employees in hospitals. Journal of Korean Academy of Nursing Administration, 13(3), 321-334.
  9. Y. J. Lee. (2011). Patient safety culture and management activities perceived by hospital nurses. Unpublished master's thesis, Eulji University, Daejeon.
  10. K. J. Kim & E. G. Oh. (2009). Nurses' knowledge and attitude about incidence reporting according to nursing organizational culture and organizational characteristics. Journal of Korean Academy of Nursing Administration, 15(4), 581-592.
  11. Y. L. Son. (2016). The impact of perceived patient safety culture on safety care activities in general hospital nurse's. Journal of the Korea Academia- Industrial cooperation Society, 17(3), 509-517. https://doi.org/10.5762/KAIS.2016.17.3.509
  12. D. I. Lee. (2012). Level of patient's care activity and it's related factors of hospital nurses. Unpublished master's thesis, Pusan National University, Pusan.
  13. S. R. Liou. (2008). An analysis of the concept of organizational commitment. Nursing Forum, 43(3), 116-125. https://doi.org/10.1111/j.1744-6198.2008.00103.x
  14. H. S. Lee. (2013). The structural equation model analysis of related variables on nursing performance of clinical nurse. Unpublished doctorate thesis, Kosin University, Pusan.
  15. M. S. Koh. (2003). A study on the clinical nurses' organizational commitment. Journal of Korean Academy of Nursing Administration, 9(2), 171-181.
  16. H. H. Gong & Y. J. Son. (2012). Impact of nurses' job satisfaction and organizational commitment on patient safety management activities in tertiary hospitals. Journal of Korean Academy of Fundamental Nursing, 19(4), 453-462. DOI:10.7739/jkafn.2012.19.4.453
  17. J. E. Kim, M. A. Kang, K. E. An & Y. H. Sung. (2007). A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research, 13(3), 169-179.
  18. J. H. Choi, K. M. Lee & M. A. Lee. (2010). Relationship between hospital nurses' perceived patient safety culture and their safety care activities. Journal of Korean Academy of Fundamental Nursing, 17(1), 64-72.
  19. M. R. Kim. (2011). Concept analysis of patient safety. Journal of Korean Academy of Nursing. 41(1), 1-8. DOI: 10.4040/jkan.2011.41.1.1
  20. H. Y. Kim & H. S. Kim. (2011). Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. Journal of Korean Academy of Nursing Administration, 17(4), 413-422. https://doi.org/10.11111/jkana.2011.17.4.413
  21. E. J. Song, Y. S. Park, H. S. Ji & H. K. Lee. (2016). Factors affecting on the clinical nurse's safety nursing activity. Journal of Digital Convergence. 14(11), 469-479. DOI: 10.14400/JDC. 016.14.11.469
  22. Y. S. Seo & E. S. Do. (2015). Influence of safety culture perception, safety control and safety management activities as perceived for nurses in nursing home. Journal of Digital Convergence. 13(9), 303-311. DOI: 10.14400/JDC.2015.13.9.303
  23. H. M. Jang, J. Y. Park, Y. J. Choi, S. W. Park & H. N. Lim. (2016). Effect of general hospital nurses' perception of patient safety culture and burnout on safety management activities. The Journal of Korean Nursing Administration Academic Society. 22(3), 239-250. DOI: 10.11111/ jkana.2016.22.3.239
  24. J. H. Jang & S. H. Shin. (2013). Effects of psychiatric nurses' perception of the healthcare accreditation system and safety climate on patient safety management activities. The Korean Academy of Psychiatric and Mental Health Nursing, 25(4), 375-385. DOI: 10.12934/jkpmhn. 2016.25.4.375
  25. M. J. Kang & K. H. Chung. (2017). Perception of healthcare accreditation system on patient safety management activities and nursing performance of regional public hospital nurses, The Journal of Korean Nursing Administration Academic Society, 23(4), 416-426. DOI: 10.11111/ jkana.2017.23.4.416
  26. H. J. Hwang & Y. M. Lee (2017). Effects of professional autonomy, organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals. Journal of Korean Critical Care Nursing, 10(1), 63-74.
  27. Agency for Healthcare Research and Quality Publication(AHRQ). (2004). NO. 01- 0041. Hospital survey on patient culture. http://www.ahrq.gov/qual/hospculture/pospcult.dpf.
  28. R. T. Mowday, R. M. Steers & L. W. Porter. (1979). The measurement of organizationnal commitment. Journal of Vocational Behavier, 14, 224-247. https://doi.org/10.1016/0001-8791(79)90072-1
  29. O. H. Kim. (1997). A study on the relationship among autonomy organizational commitment and turnover intention of clinical nurses. Cheongam College Academic Journals, 21(1), 31-64.
  30. K. O. Lee. (2009). The study on nurse manager leadership and patient safety-related nursing activities. Unpublished master's thesis, Kyunghee University, Seoul.
  31. S. W. Choi & M. C. Jeon. (2018). Awareness about convergent patient safety culture of health professional working in tertiary hospital, Journal of the Korea Convergence Society, 9(1), 103-109. DOI: 10.15207/JKCS.2018.9.1.103
  32. S. D. Cho, S. E. Heo & D. H. Moon. (2016). A convergence study on the hospital nurse's perception of patient safety culture and safety nursing activity, Journal of the Korea Convergence Society, 7(1), 125-136. DOI: 10.15207/JKCS.2016.7.1.125
  33. H. Y. Kim & E. S. Lee. (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
  34. Y. Kim, E. S. Lee & E. Y. Choi. (2013). Perception of patient safety culture of hospital nurses. Journal of Korean Society of Hospital Management, 18(3), 27-41.
  35. B. H. Lee & S. G. Yi. (2017). The influence of communication and social support on the organizational immersion of small and medium cosmetic brand shops. Journal of Convergence for Information Technology, 7(3), 117-125. DOI: 10.22156/ CS4SMB.2017.7.3.117
  36. S. Moon & J. A. Lee. (2017). Correlates of patient safety performance among nurses from hospitals with less than 200 beds. Korean Journal of Adult Nursing, 29(4), 393-405. https://doi.org/10.7475/kjan.2017.29.4.393
  37. S. Y. Lee, M. H. Lee, H. K. Kim, O. L. Park & B. J. Sung. (2015). Effects of head nurses' servant leadership on organizational commitment among clinical nurses: focused on the mediating effect of empowerment. Journal of Korean Academy of Nursing Administration, 21(5), 552-560. https://doi.org/10.11111/jkana.2015.21.5.552
  38. Y. M. Lee. (2011). Organizational commitment and its related factor among medium hospitals of nurses. Journal of the Korea Academia Industrial Cooperation Society, 12(11), 4764-4769. DOI: 10.5762/KAIS.2011.12.11.4764
  39. K. J. Lee. (2012). The relationship among gender role conflict, job satisfaction and organizational commitment in male nurses. Unpublished master's thesis, Ewha Womans University, Seoul.
  40. M. O. Oh, M. H. Sung & Y. W. Kim. (2011). Job stress, fatigue, job satisfaction and commitment to organization in emergency department nurses. Journal of Korean Clinical Nursing Research, 17(2), 215-227.
  41. K. H. Kang, Y. H. Han & S. J. Kang. (2012). Relationship between organizational communication satisfaction and organizational commitment among hospital nurses. Journal of Korean Academy of Nursing Administration, 18(1), 13-22. https://doi.org/10.11111/jkana.2012.18.1.13
  42. J. B. Lee & O. S. Cho. (2018). The influence of interpersonal relationship of fusion.integrated generation of youths on the organizational commitment-focusing on the mediating effects of the work environment and the moderating effects of gender-. Journal of Convergence for Information Technology, 8(1), 281-290. DOI: 10.22156/CS4 SMB.2018.8.1.281
  43. S. S. Cho & M. H. Gang. (2013). Perception of patient safety culture and safety care activity of entry-level nurses. Korean Academic Society of Occupational Health Nursing, 22(1), 22-34.
  44. Health Insurance Review & Assessment Service. (2014). National health insurance statistical yearbook. http://www.hira.or.kr/dummy.do.pgmid=HIRAC920013000000
  45. H. Kang, S. K. Choi & I. S. Kim. (2016). Factors influencing on patient safety management activities in operating room nurses. Journal of the Korea Academia-Industrial cooperation Society, 17(9), 329-339. https://doi.org/10.5762/KAIS.2016.17.9.329
  46. M. H. Nam & J. H. Lim. (2013). The influences of the awareness of patient safety culture on safety care activities among nurse in small-medium sized general hospitals. Journal of Digital Convergence, 11(1), 349-359. https://doi.org/10.14400/JDPM.2013.11.1.349
  47. H. W. Kim. (2014). A study on the effect of convalescent hospital nurses' role ambiguity and role conflict : The Mediating job stress and regulation effect of justice. Unpublished master's thesis, Pusan National University, Pusan.
  48. D. R. Lee, C. J. Kim, D. R. Lee & C. J. Kim. (2006). A study on the relationship between job satisfaction and turnover intention: moderating effect of employment types. Korean Academy of Human Resource Management Reaserch, 13(1).
  49. K. H. Lee, Y. S. Lee, H. K. Park, J. O. Rhu & I. S. Byun. (2011). The influences of the awareness of patient safety culture on safety care activities among operating room nurses. Journal of Korean Clinical Nursing Research, 17(2), 204-214.