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The Effect of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities in Public Hospital Nurses

공공의료기관 간호사의 조직몰입, 환자안전문화인식이 환자안전간호활동에 미치는 영향

  • 이현경 (경기의료원 이천병원 적정진료실) ;
  • 김근면 (강릉원주대학교 간호학과) ;
  • 김은주 (강릉원주대학교 간호학과)
  • Received : 2019.04.02
  • Accepted : 2019.05.23
  • Published : 2019.08.30

Abstract

Purpose: This study was conducted to identify and analyze organizational commitment, patient safety culture, and patient safety nursing activities on patient safety in public hospitals. Methods: The data were collected from 190 nurses in 6 public hospitals within the Gyeonggi region and were analyzed using SPSS 23.0 for descriptive statistics and multiple regression. Results: Patient safety nursing activity was positively correlated with the number of participants in patient safety training programs, organizational commitment, and patient safety culture awareness. Patient safety culture awareness was positively correlated with the number of participants in patient safety training programs and organizational commitment. Organizational commitment was positively correlated with age and total work experience. Factors affecting patient safety activities, frequency of patient safety training, and patient safety culture awareness were significant influencing factors with an explanatory power of 30.1%. Conclusion: In order to increase patient safety nursing activities in public hospitals, systematic patient safety training policies are required. In addition, diverse interventions are required to increase organizational commitment.

Keywords

References

  1. Lee NJ, Kim J. Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals. Journal of Korean Academy of Nursing Administration. 2011;17(4):462-473. https://doi.org/10.11111/jkana.2011.17.4.462
  2. Ministry of Health and Welfare. Plan of Patient Safety. 2018 [cited 2018 October 25]. http://www.mohw.go.kr/react/modules/download.jsp?BOARD_ID=140&CONT
  3. Lee S. Development of institutional mechanism for improving patient safety in Korea. Cheongju: Korean Center for Disease Control and Prevention; 2013. p.9-11.
  4. Seo JH, Song ES, Choi SE, Woo KS. Patient safety in Korea: current status and policy issues. Sejong: Korea Institute for Health and Social Affairs; 2016. p.28-33.
  5. Jung J. Seo YJ, Nam EW. (2008). Factors affecting patient safety management activities at nursing divisions of two university hospitals. Korean Journal of Hospital Management. 2008;11(1):91-109.
  6. Lee JM, Hong SJ, Park MH. Perception of patient safety culture and safety care activity among ICU nurses. Crisisonomy. 2013;9(11):273-290.
  7. Kim HY, Lee ES. Effects of perceived patient safety culture on safety care activities among nurses in general hospitals. Journal of East-West Nursing Research. 2013;19(1):46-54. https://doi.org/10.14370/jewnr.2013.19.1.046
  8. Lee SK. Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals. [Doctoral dissertation]. Deajoun: Chung-Ang University; 2015. p.40-100.
  9. Kim SK, Lee HJ, Oh EG. Perceived level and associated factors of patient safety culture among health care providers in an operating room. Journal of Korean clinical nursing research. 2010;16(2):57-67.
  10. Havens DS, Aiken LH. Shaping system to promote desired outcomes: the magnet hospital model. Journal of Nursing Administration. 1999;29(2):14-20. https://doi.org/10.1097/00005110-199902000-00006
  11. Mowday RT, Steers RM, Proter LW. The measurement of organizational commitment. Journal of Vocational Behavior. 1979;14(2):224-247.https://doi.org/10.1016/0001-8791(79)90072-1
  12. Gong HH, Son YJ. Impact of nurses' job satisfaction and organizational commitment on patient safety management activities in tertiary hospitals. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(4):453-462. http://dx.doi.org/10.7739/jkafn.2012.19.4.453
  13. Kang MJ, Chung KH. Perception of healthcare accreditation system on patient safety management activities and nursing performance of regional public hospital nurses. Journal of Korean Academy Nursing Administration. 2017;23(4):416-426. http://dx.doi.org/ 10.11111/jkana.2017.23.4.416
  14. Lee MH. Relationship between organizational culture types and organizational effectiveness in hospitals. [dissertation]. Deajoun: Chungnam University; 1998. p.56-67.
  15. Han M, Jung M. Effect of hospital nurses' perceptions of organizational health and patient safety culture on patient safety nursing activities. Journal of Korean Academy of Nursing Administration. 2017;23(2):127-138. http://dx.doi.org/10.11111/jkana.2017.23.2.127
  16. Hwang HJ, Lee YM. 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. 2017;10(1):63-74.
  17. Lee SY, Lee MH, Kim HK, Park OL, Sung BJ. 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. 2015;21(5):552-560. http://dx.doi.org/10.11111/jkana.2015.21.5.552
  18. Kim MJ, Han SS. Comparison of job satisfaction, commitment to organization, nursing organization culture and job experience between national/public hospital nurses and private hospital nurses. Journal of East-West Nursing Research. 2007;13(1):22-30.
  19. Son Y. The impact of perceived patient safety culture on safety care activities in general hospitals nurses. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(3):509-517. http://dx.doi.org/10.5762/KAIS.2016.17.3.509
  20. Choi JH, Lee KM, Lee MA. Relationship between hospital nurses' perceived patient safety culture and their safety care activities. Journal of Korean Academy Fundamental Nursing. 2010;17(1):64-72.
  21. Korea Ministry of Government Legislation. The Patient Safety Act. 2016. http://www.law.go.kr/lsInfoP.do?lsiSeq=167782#0000.
  22. Sung GA. Perception of patient Safety culture and safety nursing care activities in regional rehabilitation hospital nurses. [Master's thesis]. Wonju: Gangneung-Wonju National University; 2017. p19-33.
  23. Kim E. Factors affecting the patient safety attitude and safety control on safety care activities among nurses in small and medium-sized hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(7):564-572. https://doi.org/10.5762/KAIS.2016.17.7.564
  24. The Korea Association of Regional Public Hospital. Local medical center nationwide[Internet]. Seoul: The Korea Association of Regional Public Hospital;2019[cited 2019 May 30]. Available from:http://www.medios.or.kr/front/aa/a2/0100/getInitPage.doa

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