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Comparison of Safety Perception between Patients and Nurses and Factors Affecting Nurses Safety Management Activities in Tertiary Hospitals

상급종합병원 환자와 간호사의 안전 인식 비교와 간호사의 환자안전관리 직무수행 영향요인

  • Received : 2019.12.09
  • Accepted : 2020.01.03
  • Published : 2020.02.29

Abstract

This study is a descriptive research study to compare the safety perception between patients and nurses and to identify the factors affecting the nurses' safety management activities in tertiary hospitals. Data were collected with structured questionnaires from 147 patients and 147 nurses from a university hospital in J city, Gyeongnam, from July 24 to September 23, 2019, and analyzed using SPSS 23.0. The result showed that the patient's safety perception was significantly higher than the nurse's perception. The significant factors affecting patient management activity were nurse's educational level, position, effective communication, patient safety perception, and perception of importance on patient safety management. In the multiple regression analysis, knowledge about 'effective communication', and 'concerned about patient safety management', explained 54.8% of the nurses' patient management activity. Based on the results of this study, it is emphasized that nurses need to develop strategies to improve the communication and attention between patients and hospital members to improve patient safety management activities in tertiary hospitals.

본 연구는 상급종합병원 환자와 간호사의 안전 인식을 비교하고, 간호사의 환자안전관리 직무수행에 미치는 영향요인을 확인하기 위해 수행된 서술적 조사연구이다. 경상남도 J시 G대학교병원에 입원한 환자 147명과 간호사 147명을 대상으로 하여 2018년 7월 24일부터 9월 23일까지 구조화된 설문지를 사용하여 자료수집 후 SPSS/WIN 23.0으로 통계 분석하였다. 분석 결과, 환자의 안전 인식이 간호사의 인식 정도보다 유의하게 높았으며, 간호사의 환자안전관리 직무수행에 미치는 유의한 영향요인은 교육수준, 근무형태, 의사소통, 환자안전 인식, 환자안전관리 중요성 인식이었다. 다중회귀분석 결과, 환자안전 지식의 하위영역인 '의사소통'과 환자안전관리 중요성 인식의 하위영역인 '환자안전관리에 대한 관심'이 간호사의 환자안전관리 직무수행을 54.8% 설명하는 것으로 나타났다. 본 연구 결과를 바탕으로 상급종합병원 간호사의 환자안전관리 직무수행 향상을 위해 간호사는 환자와 조직 구성원간 원활한 의사소통과 관심 정도를 높이는 전략을 개발할 필요가 강조된다.

Keywords

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