임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제27권1호
  • /
  • Pages.12-22
  • /
  • 2021
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

간호·간병통합서비스 병동 간호사의 조직몰입과 환자안전문화인식이 환자안전간호활동에 미치는 영향

The Effects of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities among Nurses in Comprehensive Nursing Care Units

  • 노숙 (세종충남대학교병원) ;
  • 김태임 (대전대학교 간호학과)
  • Noh, Sook (Department of Nursing, Chungnam National University Sejong Hospitial) ;
  • Kim, Tae Im (Department of Nursing, Daejeon University)
  • 투고 : 2021.01.22
  • 심사 : 2021.02.22
  • 발행 : 2021.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study is to identify the effects of organizational commitment (OC) and perceived patient safety culture (PPSC) on patient safety nursing activities (PSNA) among nurses in comprehensive nursing care units. Methods: Participants were 173 nurses working at five general hospitals in Chungcheong area. Data were analyzed using descriptive statistics, 𝑥2 test, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis with SPSS/WIN 23.0 programs. Results: The mean scores of the OC and PPSC were 3.28±0.50 and 3.85±0.35, respectively. The mean score of PSNA was 4.55±0.41, and PSNA was significantly different by the experience of participating in hospital's safety culture campaigns (t=2.70, p=.008). The results of the multiple regression analysis showed that 'patient safety knowledge and attitudes' (β=.27, p=.006) and 'unpunished environment to error' (β=.22, p=.004) as the sub-categories of PPSC were affecting factors on PSNA with an explanatory power of 26.0% (F=6.40, p<.001). Conclusion: The results of this study suggest that in order to promote PSNA among nurses in comprehensive nursing care units, it is necessary to develop a program to enhance patient safety-related knowledge and attitudes. In addition, the hospital's organizational efforts such as operating safety campaigns and creating an unpunished environment to error should be needed.

키워드

참고문헌

  1. Ministry of Health and Welfare, National Health Insurance Service. Standard operation manual for integrated nursing and nursing service [Internet]. Wonju: National Health Insurance Service; 2020 [cited 2021 Jan 11]. Available from: https://www.nhis.or.kr/nhis/together/wbhaea01000m01.do?mode=view&articleNo=10803732.
  2. Kim JH, Kim SJ, Park JH, Park ET, Jeong SY, Lee EH. Adequacy of nurse staffing level in integrated nursing care. Journal of Korean Academy of Nursing Administration. 2018; 24(4):288-297. https://doi.org/10.11111/jkana.2018.24.4.288
  3. Cheon GU, Kim JY. The relationships among awareness of patient safety culture, critical thinking disposition and patient safety nursing activities of nurses among comprehensive nursing care service ward. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(6):345-354. https://doi.org/10.5762/KAIS.2018.19.6.345
  4. Park BG, Boo EH, Lee CH, Ahn GH, Yoon HS, Hong NS, et al. 2016 Integrated nursing and nursing service project impact analysis and system development plan [Internet]. Ilsan: NHIS Ilsan Hospital Institute of Health Insurance & Clinical Research (KR); 2016 Dec. [cited 2021 Jan 11]. Report No.: 2016-20-022. Available from: https://www.nhimc.or.kr/lab/labResult/labResult_sub02.do?BCode=&year=2016&Page=1&SeqNo=&SearchType=tasknum&SearchText=.
  5. Kim YE, Suh GH, Choi SH, Park SA. Effects of self-efficacy and safety culture perception on patient safety management activities among nurses in comprehensive nursing care units. Crisisonomy. 2020;16(4):33-44. https://doi.org/10.14251/crisisonomy.2020.16.4.33
  6. Kim JH, Kim SJ, Park ET, Jeong SY, Lee EH. Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration. 2017;23(3):312-322. https://doi.org/10.11111/jkana.2017.23.3.312
  7. Kim YK. The family support and policy implications on support environment changes. Health and Welfare Policy Forum. 2016;235:62-79.
  8. Agency for Healthcare Research and Quality. Hospital Survey on Patient Safety Culture: User's Guide [Internet]. In: AHRQ Publication No. 04-0041. Rockville, MD: Agency for Healthcare Research and Quality; c2016 [cited 2021 Jan 11]. Available from: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospcult.pdf.
  9. Kim MR. Concept analysis of patient safety. Journal of Korean Academy of Nursing. 2011;41(1):1-8. https://doi.org/10.4040/jkan.2011.41.1.1
  10. Moon S, Lee J. Correlates of patient safety performance among nurses from hospitals with less than 200 beds. Korean Journal of Adult Nursing. 2017;29(4):393-405. https://doi.org/10.7475/kjan.2017.29.4.393
  11. Lee HK, Kim GM, Kim EJ. The effect of organizational commitment and perceived patient safety culture on patient safety nursing activities in public hospital nurses. Journal of Korean Academic Society of Home Health Care Nursing. 2019;26(2):145-154. https://doi.org/10.22705/jkashcn.2019.26.2.145
  12. Lim YJ. The effects of perceived patient safety culture and job stress on patient safety nursing activities of nurses in comprehensive nursing care unit [master's thesis]. Seoul: Hanyang University. 2019. p. 1-88.
  13. Bea HJ, Kim JE, Bea YH, Kim HJ. Factors associated with patient safety care activity among nurses in small-medium sized general hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2019;20(5):118-127. https://doi.org/10.5762/KAIS.2019.20.5.118
  14. Hwang HJ, Lee YM. Effects of professional autonomym 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.
  15. Mowday RT, Steers RM, Porter 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
  16. Im SA, Park MJ. The effects of patient safety culture perception and organizational commitment on patient safety management activities in general hospital nurses. Journal of Digital Convergence. 2018;16(6):259-270. https://doi.org/10.14400/JDC.2018.16.6.259
  17. Chamberlain-Webber J. Seven steps to patient safety. Professional Nurse. 2004;20(3):10-14.
  18. Nieva VF, Sorra J. Safety culture assessment: A tool for improving patient safety in healthcare organizations. Quality & Safety in Health Care. 2003;12(2):ii17-ii23. https://doi.org/10.1136/qhc.12.suppl_2.ii17
  19. Lee MH. Relationship between organizational culture types and organizational effectiveness in hospitals. Journal of Korean Academy of Nursing Administration. 1998;4(2):363-385.
  20. Lee SG. Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals [dissertation]. Seoul: Chung-Ang University; 2015. p. 1-142.
  21. Han MY, Jung MS. 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. https://doi.org/10.11111/jkana.2017.23.2.127
  22. Orgambidez A, Borrego Y, Vazquez-Aguado O. Self-efficacy and organizational commitment among Spanish nurses: The role of work engagement. International Nursing Review. 2019; 66(3):381-388. https://doi.org/10.1111/inr.12526
  23. Stewart NJ, MacLeod ML, Kosteniuk JG, Olynick J, Penz KL, Karunanayake CP, et al. The importance of organizational commitment in rural nurses' intent to leave. Journal of Advanced Nursing. 2020;76(12):3398-3417. https://doi.org/10.1111/jan.14536
  24. Lim KM, Jo EJ, Kwon JO. The effect of perceived internal marketing and customer orientation on the organizational commitment of nurses in specialized hospital. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(3):489-498. https://doi.org/10.5762/KAIS.2016.17.3.489
  25. Kim SH, Park SK, Lee MH. Effect of a nursing practice environment on nursing job performance and organizational commitment: Focused on the mediating effects of job embeddedness. Journal of Korean Academy of Nursing Administration. 2019; 25(3):208-219. https://doi.org/10.11111/jkana.2019.25.3.208
  26. Kim JJ, Jung HM. Effect of patient safety culture and patient safety competence on safety nursing activity among nurses working in anesthetic and recovery rooms. Journal of Korean Clinical Nursing Research. 2020;26(2):164-174. https://doi.org/10.22650/JKCNR.2020.26.2.164
  27. Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR communication technique in a tertiary center. Journal of Emergency Nursing. 2008;34(4):314-317. https://doi.org/10.1016/j.jen.2007.07.007
  28. Ammouri AA, Tailakh AK, Muliira JK, Geethakrishnan R, Al Kindi SN. Patient safety culture among nurses. International Nursing Review. 2015;62(1):102-110. https://doi.org/10.1111/inr.12159