Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Influences of Safety Attitude for Patient, and Moral Sensitivity in Practice of Standard Precaution in Small and Medium Hospital Nurses

중소병원 간호사의 환자안전에 대한 태도, 도덕적 민감성이 표준주의지침 수행에 미치는 영향

  • Jeong, Eun (Department of Nursing, Chunnam Techno University) ;
  • Jung, Mi-Ra (Department of Nursing, Hanyeong College University) ;
  • Kim, Yu-Mi (College of Nursing, Gyeongsang National University)
  • 정은 (전남과학대학교 간호학과) ;
  • 정미라 (한영대학교 간호학과) ;
  • 김유미 (경상대학교 간호대학)
  • Received : 2021.07.07
  • Accepted : 2021.09.20
  • Published : 2021.09.28
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Abstract

This study aimed to explore the influences of safety attitude for patient and moral sensitivity in practice of standard precaution in small and medium hospital nurses. Data were collected from 150 small and medium hospital nurses in January 11, 2021 to January 22, 2021 and were analyzed using Descriptive statistics, Independent t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression. Practice of standard precaution was significantly correlated with safety attitude for patient (r=.539, p<.001) and moral sensitivity(r=.249, p=.002). Practice of standard precaution was associated safety attitude for patient, and work unit with 33.8% of the variance(F=18.47, p<.001). Based on the findings of this study, each institution needs to make efforts to strengthen the safety attitude for patient of small and medium hospital nurses for practice of standard precaution.

본 연구는 중소병원 간호사의 환자안전에 대한 태도, 도덕적 민감성, 표준주의지침 수행과의 관련성을 파악하고, 표준주의지침 수행에 영향을 미치는 요인을 규명하기 위해 시도되었다. 자료수집은 2021년 1월 11일부터 1월 22일까지 중소병원에 근무하는 150명의 간호사를 대상으로 설문조사를 시행하였다. 자료분석은 Descriptive statistics, Independent t-test, one-way ANOVA, Pearson's correlation coefficient, Multiple regression analysis를 이용하였다. 연구결과 표준주의지침 수행에 환자안전에 대한 태도 (r=.539, p<.001), 도덕적 민감성(r=.249, p=.002)에 유의한 상관관계가 있는 것으로 나타났다. 다중회귀분석결과 중소병원 간호사의 표준주의지침 수행에 영향을 미치는 요인은 환자안전에 대한 태도와 근무부서로 설명력은 33.8%이었다(F=18.47, p<.001). 연구결과를 통해 중소병원 간호사의 표준주의지침 수행을 높이기 위해서는 환자안전에 대한 올바른 태도를 정립할 수 있는 교육프로그램 개발이 필요하다.

Keywords

References

  1. Korea disease control and prevention agency. (2019). Development of korean standard guidelines for the prevention and control of infections in healthcare. Korea disease control and prevention agency. http://www.kdca.go.kr
  2. Korea disease control and prevention agency. (2021). Cases in Korea. Korea disease control and prevention agency. http://ncov.mohw.go.kr/bdBoardList_Real.do?brdId=1&brdGubun=11&ncvContSeq=&contSeq=&board_id=&gubun=
  3. S. Rowley & S. Clare. (2011). ANTT: a standard approach to aseptic technique. Nursing Times, 107(36), 12-4.
  4. K. H. Lee, H. S. Kim, Y. H. Lee & O. K. Ham. (2012). Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses. Journal of Korean Academy of Fundamentals of Nursing, 19(3), 302-312. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.3.302
  5. S. S. Park. (2019). The effects of clinical nurses' patient safety culture awareness on the performance of standard precautions;and the mediating effect of nursing professionalism between them. Unpublished doctor's thesis, Daegu Haany University, Daegu.
  6. M. S. Park. (2016). Exposure to blood and body fluids and influencing factors on compliance with standard precautions among nurses in general hospital. Journal of the Korea Academia-Industrial cooperation Society, 17(11), 563-572. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.11.563
  7. E. A. Choi. (2020). Study on the effect of nurses in response to new respiratory infection disease on the performance of standard precaution. Journal of digital convergence, 18(12), 285-292. DOI: http://dx.doi.org/10.14400/JDC.2020.18.12.285
  8. M. K. Sim. (2019). Knowledge, awareness, safety-climate and performance of standard precautions for healthcare associated infection control among nurses in small and medium hospitals. Journal of the Korea Academia-Industrial cooperation Society, 20(11), 425-435. DOI: http://dx.doi.org/10.5762/KAIS.2019.20.11.425
  9. World Health Organization. (2018). Patient safety. World Health Organization. http://www.who.int/patientsafety/en/.
  10. Adler. Lee, et al. (2018). Impact of inpatient harms on hospital finances and patient clinical outcomes. Journal of Patient Safety, 14(2), 67-73. DOI: http://dx.doi.org/10.1097/PTS.0000000000000171
  11. M. K. Park & M. N. Ahn. (2019). Affecting factors on performance of standard precaution for healthcare associated infection control and prevention in nursing students: focused on patient safety attitude, empowerment, awareness. Journal of the Korea Convergence Society, 10(4), 265-275. DOI: https://doi.org/10.15207/JKCS.2019.10.4.265
  12. H. H. Gong & Y. J. Son. (2012). Impact of nurses' job satisfaction and organizational commitment on patient safety management activities in tertiary hospitals. Journal of Korean Academy Fundamentals of Nursing, 19(4), 453-462. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.4.453
  13. D. L. Han, K. S. Seo, E. S. Kim & H. E. Kim. (2018). Influences of moral sensitivity and safety environment on compliance with standard precautions among nurses. Journal of the Korea Academia-Industrial Cooperation Society, 19(3), 364-375. DOI: https://doi.org/10.5762/KAIS.2018.19.3.364
  14. K. Lutzen, M. Evertzon, & C. Nordin. (1997). Moral sensitivity in psychiatric practice. Nursing Ethics, 4(6), 472-482. DOI: https://doi.org/10.1177/0969733097004006040
  15. F. Borhani, A. Abbaszadeh, E. Mohamadi, E. Ghasemi & M. n 9] J. Hoseinabad-Farahani. (2017). Moral sensitivity and moral distress in Iranian critical care nurses. Nursing ethics, 24(4), 474-482. DOI: https://doi.org/10.1177/0969733015604700
  16. J. Y. Park & C. H. Woo. (2020). The relations과 hip among moral sensitivity, self-leadership, fatigue and compliance with standard precautions of intensive care nurses. Journal of digital convergence, 18(9), 229-237. DOI: http://dx.doi.org/10.14400/JDC.2020.18.9.229
  17. H. H. Kim & H. R. Park. (2019). The effects of organizational culture for infection control and self-efficacy on compliance with standard precautions of emergency room nurses. Journal of Korean biological nursing science, 21(1), 46-53. DOI: https://doi.org/10.7586/jkbns.2019.21.1.46
  18. Y. H. Kim & Y. S. Song. (2021). Organizational culture for infection control and practice of standard precaution in veterans hospital nurses: the mediating effect of self-efficacy. Journal of Health Informatics and Statistics, 46(1), 124-130. DOI: https://doi.org/10.21032/jhis.2021.46.1.124
  19. M. J. Park, I. S. Kim & Y. L. Ham. (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. DOI: http://dx.doi.org/10.5392/JKCA.2013.13.05.332
  20. H. Y. Kim. (2016). Effect of awareness of medical accreditation system on the safety attitude for patient. Unpublished master's thesis, Gachon University, Seongnam.
  21. S. S. Han, J. H. Kim, Y. S. Kim & S. H. Ahn. (2010). Validation of korean version of moral sensitivity questionnaire. Nursing ethics, 17(1), 99-105. DOI: http://dx.doi.org/10.1177/0969733009349993
  22. S. Y. Jung. (2008). Standard precaution of current guideline for isolation precautions. Korean Society for Healthcare-associated Infection Control and Prevention 13th Conference.
  23. S. Y. Hong, Y. S. Kwon & H. O. Park. (2012). Nursing students' awareness and performance on standard precautions of infection control in the hospital. The Journal of Korean Academic Society of Nursing Education, 18(2), 293-302. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.2.293
  24. E. J. Kim. (2016). 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, 17(7), 564-572. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.7.564
  25. S. J. Park, H. S. Choi & J. Y. Kim. (2019). Effects of nursing students' knowledge, attitude and nursing professionalism on confidence in performance of patient safety. Journal of the Korea Academia-Industrial cooperation Society, 20(9), 341-350. DOI: https://doi.org/10.5762/KAIS.2019.20.9.341
  26. S. S. Cho & M. H. Gang. (2013). Perception of patient safety culture and safety care activity of entry-level nurses. Korean Association of Occupational Health Nurses, 20(2), 24-34. DOI: http://dx.doi.org/10.5807/kjohn.2013.22.1.24
  27. J. H. Park & M. H. Park (2014). Knowledge, attitude, and confidence on patient safety of undergraduate nursing students. The Journal of Korean Academic Society of Nursing Education, 20(1), 5-14. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.1.5
  28. J. A. Kim & Y. S. Kang. (2020). Effects of moral sensitivity and self-assertiveness on ethical decision-making confidence of nurses working in long term care hospitals. Journal of the Korea Academia-Industrial cooperation Society, 21(6), 144-153. DOI:https://doi.org/10.5762/KAIS.2020.21.6.144
  29. Y. S. Choi & S. S. Kim. (2020). Factors influencing the recognition of clinical nurses' code of ethics; Focusing on consciousness of biomedical ethics, moral sensitivity, and critical thinking deposition. Journal of the Korea Academia-Industrial cooperation Society, 21(12), 660-671. DOI: https://doi.org/10.5762/KAIS.2020.21.12.660
  30. A. Jameton. (1993). Dilemmas of moral distress: moral responsibility and nursing practice. AWHONNS Clin Issues Perinat Womens Health Nurs, 4(4), 542-551.
  31. M. R. Jung. (2018). Effects of empowerment and regarding standard precautions for healthcare associated infection control in healthcare workers on performances. Journal of digital convergence, 16(2), 243-250. DOI: http://dx.doi.org/10.14400/JDC.2018.16.2.243
  32. J. I. Kim, et al. (2018). Evidence based nursing Fundamentals of nursing. Paju: Soomoonsa.
  33. K. Luze, V. Dahlqvist, S. Eriksson & A. Norberg. (2006). Developing the concept of moral sensitivity in health care practice. Nursing Ethics, 13(2), 187-196. DOI: https://doi.org/10.1191/0969733006ne837oa
  34. M. Cole. (2011). Patients safety and healthcare associated infection. British Journal of Nursing, 20(17), 122-126. DOI:http://dx.doi.org/10.12968/bjon.2011.20.17.1122.
  35. M. R. Kim. (2011). Oncept analysis of patient safety. Journal of Korean Academy of Nursing, 41(1), 1-8. DOI: http://dx.doi.org/10.4040/jkan.2011.41.1.1
  36. M. Vaismoradi, M. Salsali & P. Marck. (2011). Patient safety: nursing students' perspectives and the role of nursing education to provide safe care. International Nursing Review, 58(4), 434-442. DOI: http://dx.doi.org/10.1111/j.1466-7657.2011.00882.x