Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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A Convergence Study on the Relationship among Patient Safety Activity Experience, Patient Safety Perception and Willingness to Participate in the General Population

일반인의 환자안전활동 경험, 환자안전인식 및 환자참여 의지 간의 관계에 관한 융합연구

  • Received : 2020.07.14
  • Accepted : 2020.09.20
  • Published : 2020.09.28
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Abstract

This cross-sectional study investigated the relationship among three factors related to patient safety activities: (1) Experiences, (2) Perceptions, and (3) Willingness to Participate. An online survey was administered to 195 people in November 2019. Participants were admitted to a general hospital within the past year. Patient safety activity experience had a significant direct effect on patient safety perception, and patient safety perception had a significant direct effect on willingness to participate. Patient safety perception thus significantly mediates the relationship between patient safety activity experience and willingness to participate. It is necessary to increase patient safety perception through publicity of and educating on patient safety activities performed by hospitals. Doing so may increase willingness to participate in patient safety activities.

본 연구는 일반인을 대상으로 환자안전활동 경험, 환자안전인식 및 환자참여 의지 간의 관계를 살펴보고자 수행하였다. 또한, 일반인의 환자안전 참여를 증가시키기 위한 환자안전교육 프로그램을 개발하는데 기초자료를 제공하고자 한다. 본 연구는 2019년 11월에 온라인 설문을 통해 195명의 단면 조사를 수행하였다. 대상자는 최근 1년 이내에 종합 병원에 입원한 경험이 있는 일반인으로 하였다. 수집한 자료는 SPSS PROCESS Macro (Model 4)를 이용하여 매개효과를 분석하였다. 연구결과, 환자안전활동 경험은 환자안전인식에 유의한 직접효과가 있었고, 환자안전인식은 환자참여 의지에 유의한 직접효과가 있었다. 그리고 환자안전인식은 환자안전활동 경험과 환자참여 의지 간의 관계에서 매개효과가 유의하게 나타났다. 이러한 결과를 토대로 일반인의 환자참여 의지를 증가시키기 위한 방안으로 의료기관에서 수행하는 환자안전활동에 대한 홍보와 교육을 통해 환자안전인식을 향상시키는 것이 필요함을 강조하였다.

Keywords

References

  1. World Health Organization (2019). Patient safety. Geneva: WHO. https://www.who.int/news-room/fact-sheets/detail/pa tient-safety
  2. L. Slawomirski, A. Auraaen & N. Klazinga. (2018). The economics of patient safety in primary and ambulatory care: flying blind, Paris: OECD. http://www.oecd.org/health/health-systems/The-Econ omics-of-Patient-Safety-in-Primary-and-Ambulatory- Care-April2018.pdf
  3. E. N. de Vries, M. A. Ramrattan, S. M. Smorenburg, D. J. Gouma & M. A. Boermeester. (2008). The incidence and nature of in-hospital adverse events: a systematic review. Quality and Safety in Health Care, 17(3), 216-223. DOI : 10.1136/qshc.2007.023622
  4. The Joint Commission. (2018). Sentinel event data - general information. Geneva: The Joint Commission Resources, Inc (JCR). https://www.jointcommission.org/-/media/tjc/docume nts/resources/patient-safety-topics/sentinel-event/ge neral_information_4q_2018pdf.pdf
  5. R. E. Davis, N. Sevdalis & C. A. Vincent. (2011). Patient involvement in patient safety : how willing are patients to participate? British Medical Journal, 20(1), 108-114. DOI : 10.1136/bmjqs.2010.041871
  6. C. Doherty & C. Stavropoulou. (2012). Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. Social Science & Medicine, 75(2), 257-263. https://doi.org/10.1016/j.socscimed.2012.02.056
  7. S. N. Weingart et al. (2011). Hospitalized patients' participation and its impact on quality of care and patient safety. International Journal for Quality in Health Care, 23(3), 269-277. DOI : 10.1093/intqhc/mzr002
  8. H. Rainey, K. Ehrich, N. Mackintosh & J. Sandall. (2013). The role of patients and their relatives in 'speaking up' about their own safety- a qualitative study of acute illness. Health Expectations, 18(3), 392-405. DOI : 10.1111/hex.12044
  9. The Joint Commission (2017). Speak Up Campaigns. Geneva: The Joint Commission Resources, Inc. (JCR). https://www.jointcommission.org/speakup.aspx
  10. K. H. Lee. (2018). Willingness toward patient participation in patient safety. Master's Degree Thesis. Ulsan University, Ulsan.
  11. K. E. An, J. E. Kim, M. Kang & Y. Y. Jung. (2006). Reducing medical errors: patients' self protect behaviors and involvement in decision making. Korean Journal of Health Policy and Administration, 16(3), 70-85. https://doi.org/10.4332/KJHPA.2006.16.3.070
  12. S. W. Hwang & C. J. Choi. (2006). Patient-centered attitudes in primary care patients. Korean Journal of Family Medicine, 27(12), 998-1004.
  13. Y. Longtin, H. Sax, B. Allegranzi, S. Hugonnet & D. Pittet. (2009). Patients' beliefs and perceptions of their participation to increase healthcare worker compliance with hand hygiene. Infection Control & Hospital Epidemiology, 30(9), 830-839. DOI: 10.1086/599118
  14. D. Bolster & E. Manias. (2010). Person-centred interactions between nurses and patients during medication activities in an acute hospital setting: qualitative observation and interview study. International Journal of Nursing Studies, 47(2), 154-165. DOI:10.1016/j.ijnurstu.2009.05.021
  15. R. Forsyth, C. A. Maddock, R. A. M. Iedema & M. Lassere. (2010). Patient perceptions of carrying their own health information: approaches towards responsibility and playing an active role in their own health e implications for a patient-held health file. Health Expectations, 13(4), 416-426. DOI : 10.1111/j.1369-7625.2010.00593.x
  16. E. Smythe. (2010). Safety is an interpretive act: a hermeneutic analysis of care in childbirth. International Journal of Nursing Studies, 47(12), 1474-1482. DOI : 10.1016/j.ijnurstu.2010.05.003
  17. V. A. Entwistle, D. McCaughan, I. S. Watt, Y. Birks, J. Hall, M. Peat, B. Williams & J. Wright. (2010). Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Quality and Safety in Health Care, 19(6), 1-7. DOI : 10.1136/qshc.2009.039743
  18. S. N. Weingart et al. (2007). Patient reported safety and quality of care in outpatient oncology. Joint Commission Journal on Quality and Patient Safety, 33(2), 83-94. DOI : 10.1016/S1553-7250(07)33010-9
  19. C. Rathert, N. Huddleston & Y. Pak. (2011). Acute care patients discuss the patient role in patient safety. Health Care Manage Review, 36(2), 134-144. DOI: 10.1097/HMR.0b013e318208cd31
  20. J. Y. Kim & E. A. Hwang. (2014). A study on improvement of consumer safety in medical services-based on patient safety. Korean Consumer Agency Policy Research Report, 12, 1-158.
  21. J. E. Kim, N. J. Lee, S. M. Jang & Y. M. Kim. (2013). Healthcare service consumers' perception of patient safety. Perspectives in Nursing Science, 10(2), 133-140.
  22. Ministry of Health and Welfare. (2016). Patient Safety Act. Korea. http://www.law.go.kr/lsSc.do?tabMenuId=tab18§ion=&eventGubun=060101&query=patient+safety#J5092930
  23. S. J. Kang & J. Y. Park. (2019). Patient safety perception and patient participation among hemato-oncology patients. Asian Oncology Nursing, 19(4), 224-232. DOI : 10.5388/aon.2019.19.4.224
  24. I. Ajzen. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. DOI : 10.1016/0749-5978(91)90020-T
  25. J. C. Nunally. (1978). Psychometric theory (2nd ed.). New York : McGraw-Hill book company.
  26. K. J. Kim, E. H. Lee & S. H. Shin. (2018). Development and validation of the patient safety perception scale for hospitalized patients. Korean Journal of Adult Nursing, 30(4), 404-416. DOI : 10.7475/kjan.2018.30.4.404
  27. S. J. Giles, R. J. Lawton, I. Din & R. R. C. McEachan. (2013). Developing a patient measure of safety (PMOS). Quality and Safety in Health Care, 22(7), 554-562. DOI : 10.1136/bmjqs-2012-000843
  28. 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
  29. 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 Nursing Administration, 17(4), 462-73. https://doi.org/10.11111/jkana.2011.17.4.462
  30. J. Y. Kim. (2016). Nurse's patient safety activities observed by nursing students. Quality Improvement in Health Care, 22(1), 71-90. DOI : 10.14371/QIH.2016.22.1.71
  31. J. H. Park. (2020). Effects of nurses' patient safety management importance, patient safety culture and nursing service quality on patient safety management activities in tertiary hospitals. Journal of Korean Academy of Nursing Administration, 26(3), 181-191. DOI : 10.11111/jkana.2020.26.3.181
  32. N. Y. Kim. (2020). Analysis of patient safety incident in Korea. Journal of Korean Academy of Nursing Administration, 26(2), 151-159. DOI : 10.11111/jkana.2020.26.2.151
  33. I. Ricci-Cabello, M. Pons-Vigues, A. Berenguera, E. Pujol-Ribera, S. P. Slight & J. M. Valderas. (2016). Patients' perceptions and experiences of patient safety in primary care in England. Family Practice, 33(5), 535-542. DOI : 10.1093/fampra/cmw046
  34. J. H. Pyo, W. Lee, E. Y. Choi, S. G. Jang, M. S. Ock & S. I. Lee. (2018). Promoting awareness of patient safety and patient engagement through patient safety education for the general public: pilot study. Korean Public Health Research, 44(3), 65-88. https://doi.org/10.22900/KPHR.2018.44.3.006
  35. Y. S. Kim, M. J. Kwak, M. S. Kim, H. A. Kim, H. S. Kim, J. H. Chun & J. I. Hwang. (2019). Safety education programs for patients and families in overseas institutions. Korean Society for Quality in Health Care, 25(1), 2-10. DOI : 10.14371/QIH.2019.25.1.2
  36. Y. S. Kim et al. (2019). Experiences in patient safety education of patient safety officer using focus group interview. Korean Society for Quality in Health Care, 25(2), 2-10. DOI : 10.14371/QIH.2019.25.2.2