Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Perception of Importance of Patient Safety Management and Culture on of Small and Medium-sized Hospital Employees' Safety Performance

중소병원 종사자의 환자안전관리 중요성과 환자안전문화 인식이 안전수행에 미치는 영향

  • Received : 2022.07.25
  • Accepted : 2022.08.17
  • Published : 2022.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate the influence of the perception of the importance of patient safety management and culture on employees' safety performance in small and medium -sized hospitals. Methods: The participants comprised 119 hospital employees, including nurses, doctors, and medical technicians. Data were analyzed through descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using the SPSS program. Results: The mean safety performance was 4.09±0.34, mean safety compliance was 4.12±0.44, and safety participation was 4.06±0.38. There were significant differences in safety performance by gender and job. Safety performance and its assocation with both perception of importance on patient safety management and, perception of patient safety culture showed a positive correlation. Safety performance was influenced by the perception of patient safety culture. The explanatory power was 15.7%. Conclusion: Based on these results, improving the perception of patient safety culture is necessary to increase safety performance. To this end developing and applying an interprofessional safety performance education program for employees in small and medium-sized hospitals is vital.

Keywords

References

  1. Seo JH. Patient safety in small or medium hospitals and clinics: current status and policy issues. Health and Walfare Policy Forum, 2016;242:84-94.
  2. Park SH, Kwak MJ, Kim CG, Lee SI, Lee SG, Cho YK, et al. Necessity of introducing assistant staff to support administrative tasks related patient safety. Quality Improvement in Health Care, 2020;26(1):46-54. https://doi.org/10.14371/QIH.2020.26.1.46
  3. Park MJ, Kim IS, Ham YL. Development of a perception of importance on patient safety management scale (PI-PSM) for hospital employee. International Journal of Contents, 2013;13(5):332-341. https://doi.org/10.5392/JKCA.2013.13.05.332
  4. Park YM, Nam KH, Kang KN, Nam JJ, Yun YO. Mediating effects of perceptions regarding the importance of patient safety management on the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. Journal of Korean Critical Care Nursing, 2019;12(2):85-96. https://doi.org/10.34250/jkccn.2019.12.2.85
  5. Nahid P, Pouran R, Mobin S, Edris K. The impact of accreditation on nurses'perceptions of quality. International Journal of Health Planning and Management, 2018;34(1):e230-e240. https://doi.org/10.1002/hpm.2642
  6. Gu HM. On the reporting and learning system for patient safety events. Health and Welfare Forum, 2016;10:46-59.
  7. Lee YS, Park AJ. Structural relationship between quality of medical service, patients' emotional attachment, customer satisfaction, and the customer behavioral intention of small and medium hospitals - mediating effect of emotional attachment and customer satisfaction -. The Korean Journal of Health Service Management, 2019;13(2):27-38. https://doi.org/10.12811/kshsm.2019.13.2.027
  8. Shin SH, Rhee KG, Kim CT. The mediation effects of emotional attachment and patient satisfaction in outpatients choice of small and medium-sized hospitals. Korea Journal of Business Administration, 2016;29(12):1849-1869. https://doi.org/10.18032/kaaba.2016.29.12.1849
  9. Griffin MA, Neal A. Perceptions of safety at work: a framework for linking safety climate to safety performance, knowledge, and motivation. Journal of Occupational Health Psychology, 2000;5(3):347-358. https://doi/org/10.1037//1076-8998.5.3.347
  10. Lee JM, Yang YK. Factors affecting on patient safety management activities of hospital nurses. Journal of Learner-Centered Curriculum and Instruction, 2022;22(10):319-330. https://doi.org/10.22251/jlcci.2022.22.10.319
  11. Choi YJ, Kang YK, Yang IJ, Lim JY. Patient safety perception of nurses as related to patient safety management performance in tertiary hospitals. Korean Academy of Nursing Administration, 2018;24(3):193-201. https://doi.org/10.11111/jkana.2018.24.3.193
  12. 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 Socity, 2019;20(5):118-127. https://doi.org/10.5762/KAIS.2019.20.5.118
  13. Park JM, Kang KS. Effects of ethical awareness and perception of patient safety culture on patient safety management activities among care workers in elderly care facilities. Korean Journal of Safety Culture, 2021;14:81-97. https://doi.org/10.52902/kjsc.2021.14.81
  14. Choi HJ, Lee YM, Park HJ. Effects of awareness of patient safety culture, emotional labor and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Journal of Korean Critical Care Nursing, 2021;14(3):87-98. https://doi.org/10.34250/jkccn.2021.14.3.87
  15. Cho YO, Kim MS. Effects of perceived safety culture, nursing work environment, and professional self-concept on patient safety care activity of nurses in small-medium sized hospitals. Journal of Health Informatics and Statistics, 2022;47(1):66-73. https://doi.org/10.21032/jhis.2022.47.1.66
  16. Kim JW, Lee EJ. Effect of general hospital nurses' perception of patient safety culture and organizational communication satisfaction on safety care. Korean Journal of Safety Culture, 2021;11: 131-143. https://doi.org/10.52902/kjsc.2021.11.131
  17. Kwon JO, Kang JM. Effect of perception of patient safety culture, job boredom and job crafting on safety compliance of hospital workers. The Korean Journal of Health Service Management, 2020;14(1):1-14. https://doi.org/10.12811/kshsm.2020.14.1.001
  18. Kim KS, Park YS. The effects of safety climate on safety behavior and accidents. Korean Journal of Industrial and Organizational Psychology, 2002;15(1):19-39.
  19. Neal A, Griffin MA, Hart PM. The impact of organizational climate on safety climate and individual behavior. Safety Science, 2000;34(1-3):99-109. https://doi.org/10.1016/S0925-7535(00)00008-4
  20. Hwang Y, Kim MY, Kang JS. Perception and performance about patient safety management for hospital nurses. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 2016;6(12):39-54. https://doi.org/10.14257/AJMAHS.2016.12.29
  21. Park MY, Kim EA. Perception of importance of patient safety management, patient safety culture and safety performance in hospital managerial performance of hospital nurses. Journal of Korean Nursing Administration Academic Society, 2018;24(1):40-50. https://doi.org/10.11111/jkana.2018.24.1.40
  22. Agency for Healthcare Research and Quality. Hospital survey on patient safety culture: user's guide [Internet]. Rockville, MD: Agency for Healthcare Research and Quality; 2016 [cited 2022 July 05]. Available from: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/
  23. Hemmat F, Atashzadeh-Shoorideh F, Mehrabi T, Zayeri F. A survey of nurses' awareness of patient safety culture in neonatal intensive care units. Iranian Journal of Nursing and Midwifery Research, 2015;20(4):490-495. https://doi.org/10.4103/1735-9066.161003
  24. Choi SM, Lee GR, Lee MJ, Kim EM, Park HS. Perception of patient safety culture among health professionals. Global Health Nursing, 2016;6(1):20-29. https://doi.org/10.35144/ghn.2016.6.1.20
  25. Yoon SH, Kim BS, Kim SY. Development and validation of the Korean patient safety culture for nursing homes. Journal of Korean Academy of Nursing, 2013;43(3):379-388. https://doi.org/10.4040/jkan.2013.43.3.379
  26. Yoon SH, Kim SY, Wu XL. Perception of workers on patient safety culture and degree of patient safety in nursing homes in korea. Korean Academy of Nursing Administration, 2014;20(3):247-256. https://doi.org/10.11111/jkana.2014.20.3.247
  27. Neal A, Griffin MA. A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. Journal of applied psychology, 2006;91(4):946-953. https://doi.org/10.1037/0021-9010.91.4.946
  28. Han HY. Interprofessional education in medical education: can we break the silos?. Korean Medical Education Review, 2017;19(1):1-9. https://doi.org/10.17496/kmer.2017.19.1.1