Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Effects of Patient Safety Culture Perception and Patient Safety Competencies on Patient Safety Management Activities in Nurses

간호사의 환자안전문화 인식과 환자안전역량이 환자안전관리활동에 미치는 영향에 대한 융복합 연구

  • Received : 2019.09.06
  • Accepted : 2019.12.20
  • Published : 2019.12.28
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Abstract

The purpose of this study is to identify the impact on patient safety management activities. In this study, 134 nurses from three local hospitals were investigated for patient safety culture recognition, patient safety capacity, and patient safety management activities, and the impact on patient safety management activities was thus attempted. The patient safety culture recognition level was 4.25/5, the patient safety capacity was 4.37/5, the patient safety management activity was 4.26/5, and the patient safety awareness and patient safety capability(r=.765, p<.001) and Patient Safety Capacity and Patient Safety Management Activity (r=.837, p<.001) and Patient Safety Capacity and Recognition of Patient Safety Culture(r=.728, p<.001) had a significant amount of correlation. Factors affecting patient safety management activities(β=.582, p<.001), Patient Safety Culture Recognition(β=.3632, p<.001), position(β=-.132, p=.009) Patient safety requires strengthening the capabilities of nurses and systematic training and evaluation of continuous patient safety activities.

환자 안전사고는 환자의 생명과 직결되고 의료서비스 질을 저하시키기 때문에 환자안전관리활동은 중요하다. 따라서 본 연구에서는 3개 지역 병원 간호사 134명을 대상으로 환자안전문화인식과 환자안전역량 및 환자안전관리활동을 조사하고 이에 따라 환자안전관리활동에 미치는 영향을 파악하고자 시도되었다. 분석결과 환자안전문화 식은 평균 4.25/5점, 환자안전역량은 평균 4.37/5점, 환자안전관리 활동 정도는 평균 4.26/5점이었으며, 환자안전문화인식과 환자안전역량(r=.765, p<.001), 환자안전역량과 환자안전관리활동(r=.837, p<.001) 및 환자안전역량과 환자안전문화인식(r=.728, p<.001)은 유의한 양의 상관관계가 있었다. 환자안전관리활동에 영향을 미치는 요인은 환자안전역량(β=.582, p<.001), 환자안전문화인식(β=.3632, p<.001), 직위(β=-.132, p=.009) 순이었다. 환자안전을 위해서는 간호사의 환자안전역량을 강화하고 병원조직 차원에서 체계적인 교육과 지속적인 환자안전관리활동에 대한 평가가 필요하다.

Keywords

References

  1. World Health Organization. (2009). Final technical report for the conceptual framework for the international classification for patient safety. Retrieved January, 2009, 1-154.
  2. E. K, Kim, H. J. Kim & M. A. Kang. (2007). Experience and perception on patient safety culture of employees in hospitals. Journal of Korean Academy of Nursing Administration, 13(3), 321-334.
  3. M. J. Lee. (2013). Relationships among perception about safety culture and awareness, and performance of standard precautions in hospital nurses . Unpublished master's thesis, Gyeongsang National University, Daegu.
  4. M. R. Kang. (2011). Concept Analysis of Patient Safety. Journal of Korean Academy of Nursing, 41(1), DOI:10.4040/jkan.2011.41.1.1
  5. S. A. Im & M. J. Park. (2018). The Effects of Patient Safety Culture Perception and Organizational Commitment on Patient Safety Management Activities in General Hospital Nurses. Journal of the Korea Convergence Society, 16(6), 271-281. DOI:10.14400/JDC.2018.16.6.271
  6. P. Aspden, J. M. Corrigan, J. Wolcott & S. M. Erickson. (2004). Institute of Medicine (Committee on Data Standards for Patient Safety). Patient Safety: Achieving a New Standard for Care. Washington DC: National Academies of Sciences.
  7. G. O. Lee. (2009). The study on nurse manager leadership and patient safety-related nursing activities. Unpublished master's thesis, Kyung Hee University, Seoul.
  8. S. G. Lee. (2015). Development and Psychometric evaluation of the Korean Patient Safety Culture Survey Instrument for Hospitals. Unpublished Doctor's thesis, Chung-Ang University, Seoul.
  9. S. A. Im & M. J. Park. (2018). The effects of patient safety culture perception and organizational commitment on patient safety management activities in general hospital nurses. Journal of Digital Convergence, 16(6), 259-270. DOI:10.14400/JDC.2018.16.6.259
  10. A. Okuyama, K. Martowirono & B. Bijnen. (2011). Assessing the patient safety competencies of healthcare professionals: a systematic review. BMJ Qual Saf, 20(11), 991-1000. DOI:10.1136/bmjqs-2011-000148
  11. J. S. Hwang, S. Y. Lee, Y. J. Jeon, H. O. Lee, Y. N. Kwak & J. O. Lee. (2014). A descriptive study of military nurses' perception on patient safety culture and their performance on patient safety nursing. Journal of Military Nursing Research, 32(1), 92-104.
  12. S. J. Kum (2009). Military hospital worker's perception on patient safety culture. Unpublished master thesis, Kyung Hee University, Seoul.
  13. M. O. Song & J. E. Moon. (2018). A Study on Patient Safety Management Activity for Nursing Students. Journal of the Korea Convergence Society, 9(9), 379-388. DOI:10.22471/crisis.2018.3.4.18
  14. N. J. Lee. (2012). Development of questionnares to measure baccalaureate nursing student' patient safety competencies. The 11th international congress on Nursing Informatics, Montreal, Quebec, Canada.
  15. M. K. Park & M. N. Ahn. (2019). Affecting Factors on Performance of Standard Precaution for Healthcare associated Infection Control and Prevention in Nursing Students: focused on Patient Safety Attitude, Empowerment, Awareness. Journal of the Korea Convergence Society, 10(4), 265-275. DOI:10.15207/JKCS.2019.10.4.265
  16. S. Lee. (2016). Nurses' Professional Quality of Life and Patient Safety Care Activity in Intensive Care Unit. Unpublished master's thesis, Yonsei University, Seoul.
  17. S. H. Lee & Y. H. Lee. (2016). Perception on Patient Safety Culture and Patient Safety Competency of Intensive Care Unit Nurses. Journal of The Korean Data Analysis Society, 15(4), 2215-2229.
  18. 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
  19. E. Y. Kwon & K. Y. Park. (2019). Perception of Patient Safety Culture, Intra-Organizational Communication Satisfaction and Factors Influencing Patient Safety Nursing Activities among Operating Room Nurses in Small- and Medium-Sized Hospitals. Korea Institute for Health and Social Affairs, 39(1), 428-452. DOI:10.15709/hswr.2019.39.1.428
  20. M. M. Park & S. H. Kim. (2018). The Effect of Operating Room Nurse's Patient Safety Competency and Perception of Teamwork on Safety Management Activities. Journal of Digital Convergence, 16(6), 271-281. https://doi.org/10.14400/JDC.2018.16.6.271
  21. 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 Fundamentals of Nursing, 17(1), 64-72.
  22. S. H. Yoo. (2016). Effects of critical thinking disposition and clinical decision making of one tertiary hospital nurse on the patient safety competency. Unpublished master's thesis, Ewha Womans University, Seoul.
  23. W. R. Chai. (2017). Relationship between Emergency Nurses' Patient Safety Competency and Safety Nursing Activities. Unpublished master's thesis, Yonsei University, Seoul.
  24. A. Y. Huh. (2019). The Effects of Person-Centered Care and Patient Safety Competence on Patient Safety Nursing Activities of Nurses Working in Geriatric Hospitals. Unpublished master's thesis, Ewha Womans University, Seoul.
  25. H. S. Kwon. (2018). A Structural Model of Hospital Nurse's Patient Safety Competency. Unpublished Doctor's thesis, Kongju National University, Gong Ju.
  26. K. Burns. (2008). Canadian patient safety champions: collaborating on improving patient safety. Healthcare Quarterly, 11, 95-100. https://doi.org/10.12927/hcq.2008.19657
  27. International Council of Nurses. (2003). 'An implementation model for the ICN framework of competencies for the generalist nurse'. Geneva: ICN.
  28. Y. J. Lee. (2011). Patient Safety Culture and Management Activities Perceived by Hospital Nurses. Unpublished master's thesis, Eulji University, Seoul.
  29. M. J. Park, I. S. Kim & Y. L. Ham. (2013). Development of a Perception of Importance on Patient Safety Management Scale (PI-PSM)for Hospital Employee. Journal of Korea Contents Association, 13(5), 332-341. DOI:10.5392/JKCA.2013.13.05.332