DOI QR코드

DOI QR Code

Patient Safety Culture, Perception of Importance on Patient Safety Management, and Patient Safety Management Activities of Care Workers in Nursing Homes: Mixed-method Approach

노인요양시설 요양보호사의 환자안전문화, 환자안전관리 중요성 인식 및 환자안전관리활동: 혼합연구방법 적용

  • Received : 2020.10.21
  • Accepted : 2020.12.21
  • Published : 2020.12.31

Abstract

Purpose: This study investigated the patient safety culture (PSC), the perception of importance on patient safety management (PIPSM) and the patient safety management activities (PSMA) of care workers in nursing homes. This was a descriptive study that attempted to provide basic data for the patient safety education program of care workers. Methods: Data were collected using questionnaires and interviews from July 1 to 31 in 2020. One hundred and seventy-four care workers participated in quantitative research. The collected data were analyzed by the SPSS/WIN 25.0 program using descriptive statistics, t-test, ANOVA, Bonferroni, and Pearson's correlation. The qualitative data were collected through semi-structured, audio-recorded interviews with six representatives and six care workers from six nursing homes. Content analysis was performed to analyze the data. Results: Positive correlations were observed between PSC and PIPSM, and between PIPSM and PIPSM. Care workers' experience in patient safety management was in the following six categories: "Safety accident risk factors", "Type of safety accidents", "How to prevent safety accidents", "Effective safety management education", "Emphasis on occupational ethics of care workers", and "Needs for standard protocol" Conclusion: These findings indicate that considering the care workers' age and facility size, nurses should enhance patient safety education for care workers and establish a management activity system.

Keywords

Acknowledgement

본 연구는 한국연구재단 생애 첫 연구비 지원을 받아 수행되었음(No. 2018R1C1B5084525).

References

  1. Agency for Healthcare Research and Quality (2016). AHRQ Hospital survey on patient safety culture: User's guide. Agency for Healthcare Research and Quality. Maryland: U.S. Department of Health and Human Services.
  2. Bondevik, G. T., Hofoss, D., Husebo, B. S., & Deilkas, E. C. T. (2017). Patient safety culture in Norwegian nursing homes. BMC health services research, 17(1), 424. https://doi.org/10.1186/s12913-017-2387-9
  3. Bonner, A. F., Castle, N. G., Men, A., & Handler, S. M. (2009). Certified nursing assistants' perceptions of nursing home patient safety culture: Is there a relationship to clinical outcomes?. Journal of the American Medical Directors Association, 10(1), 11-20. https://doi.org/10.1016/j.jamda.2008.06.004
  4. Castle, N. G. (2006). Nurse aides' ratings of the resident safety culture in nursing homes. International Journal for Quality in Health Care, 18(5), 370-376. https://doi.org/10.1093/intqhc/mzl038
  5. Castle, N. G., Wagner, L. M., Perera, S., Ferguson, J. C., & Handler, S. M. (2010). Assessing resident safety culture in nursing homes: Using the nursing home survey on resident safety. Journal of Patient Safety, 6(2), 59-67. https://doi.org/10.1097/PTS.0b013e3181bc05fc
  6. Choi, Y. J., Kang, Y. K., Yang, I. J., & Lim J. Y. (2018). Patient safety perception of nurses as related to patient safety management performance in tertiary hospitals. Journal of Korean Academy of Nursing Administration, 24(3), 193-201. https://doi.org/10.11111/jkana.2018.24.3.193
  7. Ha, S. J. (2015). The effect of role conflict and ambiguity on the relationship between nursing staff and caregivers' perception on the importance of patient safety management and their safety care activities in long term care hospital setting. Unpublished master's thesis, Inje University, Gimhae.
  8. Hsieh, H., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277- 1288. https://doi.org/10.1177/1049732305276687
  9. Hwang, E. H., Jung, D. Y., Kim, M. J., Kim, K. H., & Shin, S. J. (2012). Comparison of frequency and difficulty of care helper jobs in long term care facilities and client homes. Journal of Korean Public Health Nursing, 26(1), 101-112. http://dx.doi.org/10.5932/JKPHN.2012.26.1.101
  10. Joo, C. H. (2017). An exploratory study on the perceptions of safety culture in long-term care facilities. Journal of Korean Social Welfare Adminstration, 19(1), 261-286.
  11. Kang, H. K. & Lee, E. S. (2018). A study on knowledge, attitude, toward patient safety and patient safety care activities among long-term care hospitals' nursing assistants. Journal of the Korea Academia-Industrial cooperation Society, 19(10), 194-205. https://doi.org/10.5762/KAIS.2018.19.10.194
  12. Kim, H. A. (2015). The effect of the perception on patient' safety management on their safety care activities for geriatric hospital employee. Unpublished master's thesis, Pusan National University, Pusan.
  13. Kim, M. S. & Eun, Y. (2014). Fall-related knowledge and caring behaviors for fall prevention among care workers in nursing home. Journal of Muscle and Joint Health, 21(1), 11-18. https://doi.org/10.5953/JMJH.2014.21.1.11
  14. Kim, S, O. & Kim, S. Y. (2018). Experience of emergency situation and experience of education, first aid knowledge and educational needs of caregivers. Journal of Korean Public Health Nursing, 32(2), 288-303. http://dx.doi.org/10.5932/JKPHN.2018.32.2.288
  15. Kim, S. Y. & Kim, S, O. (2018). Patient safety awareness and emergency response ability perceived by nursing homes and home visiting caregivers. The Journal of Korean Academic Society of Nursing Education, 24(4), 347-357. http://dx.doi.org/10.5977/jkasne.2018.24.4.347
  16. Kwon, J., Lee, J., Jang, H., & Hwang, R. (2020). Doctors and nurses' perceptions of teleconsultation in long term care institutions in South Korea. Journal of Korean Gerontological Nursing, 22(2), 174-185. https://doi.org/10.17079/jkgn.2020.22.2.174
  17. Lee, J. H. & Lee, S. I. (2009). Patient safety: The concept and general approach. Journal of Korean Society of Quality Assurance in Health Care, 15(1), 9-18.
  18. Lee, J. M., Park, M. J., Han, E. J., & Suh, E. E. (2012). A study on management of medical needs of the elderly in Korean long-term care facilities. Seoul: National Health Insurance Service.
  19. Lin L. (2006). Comparison of risk management in Taiwan and the USA. Journal of Nursing Management. 14(3), 222-226. https://doi.org/10.1111/j.1365-2934.2006.00559.x
  20. Ministry of Health and Welfare (2020). 2019 Current status of long-term care institutions. Retried September 7, 2020, from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117N_B00003&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1
  21. National Law Information Center (2020). Welfare of older persons act. Sejong: Korea Ministry of Government Legislation. Retried September 7, 2020, from http://www.law.go.kr/lsInfoP.do?lsiSeq=217255&efYd=20200708#J34:0
  22. Oh, H. S. (2019). The effects of nursing assistants' recognition of occupational consciousness and patient safety culture on patient safety management activities in long-term care hospital. Unpublished master's thesis, Woosuk University, Wanju-gun.
  23. Park, B. H., Hong, E. Y., Lim, S. O., & Lee, G. S. (2015). Patient safety culture, attitude toward falls, and fall prevention activities of care workers in long-term care facilities. Journal of Korean Gerontological Nursing, 17(3), 166-174. http://dx.doi.org/10.17079/jkgn.2015.17.3.166
  24. Park, E. J., Seo, J., Jung, Y., Yun, S., & Lee, N. (2017). Quality care strategy for long-term care hospitals and nursing homes - Focusing on patient (resident) safety. Sejong: Korea Institute for Health and Social Affairs.
  25. Park, J. M. (2019). The effect of ethical awareness and perception of patient safety culture on patient safety management activities among care workers in elderly care facilities. Unpublished master's thesis, Nambu University, Gwangju.
  26. Park, M. J., Kim I., S., & Ham, Y. L. (2013). Development of a perception of importance on patient safety management scale(PI-PSM) for hospital employee. The Journal of the Korea Contents Association, 13(5), 332-341. http://dx.doi.org/10.5392/JKCA.2013.13.05.332
  27. Park, S. J., Kang, J. Y., & Lee, Y. O. (2012). A study on hospital nurses' perception of patient safety culture and safety care activity. Journal of Korean Critical Care Nursing, 5(1), 44-55.
  28. Thomas, K. S., Hyer, K., Castle, N. G., Branch, L. G., Andel, R., & Weech-Maldonado, R. (2012). Patient safety culture and the association with safe resident care in nursing homes. The Gerontologist, 52(6), 802-811. https://doi.org/10.1093/geront/gns007
  29. Yoon, S. H., Kim, S. Y, & Wu, X. L. (2014). Perception of workers on patient safety culture and degree of patient safety in nursing homes in Korea. Journal of Korean Academy of Nursing Administration, 20(3), 247-256. http://dx.doi.org/10.11111/jkana.2014.20.3.247