• Title/Summary/Keyword: 안전간호관리

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The Effects of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities among Nurses in Comprehensive Nursing Care Units (간호·간병통합서비스 병동 간호사의 조직몰입과 환자안전문화인식이 환자안전간호활동에 미치는 영향)

  • Noh, Sook;Kim, Tae Im
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.12-22
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    • 2021
  • 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.

The Effect of Nurse Work Environment and Reciprocity on Job Embeddedness in the Small and Medium Sized Hospital Nurses (중소병원 간호사의 간호근무환경과 호혜성이 직무배태성에 미치는 영향)

  • Park, Kyung-Im;Kim, Eun-A
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.63-73
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    • 2019
  • The purpose of this study is to examine the effects of nursing work environment and reciprocity on job embeddedness in the small and medium size hospital nurses. The data were collected from questionnaires filled out by 206 nurses. Data collection was performed from March 4 to 22, 2019. The collected data were analyzed by SPSS 25.0 program. As a result of the research, the study model accounted for 66.0% of job embeddedness. The most powerful variable affecting job embeddedness was support system of nurse, among sub - variables of nursing work environment. Therefore, nursing managers should improve the nurse's job embeddedness by creating nursing work environment that supports nurses such as salary improvement, professional development and promotion opportunities. In addition, it suggests that improvement of hospital and nursing organization system is needed to maintain cooperative relationship with nursing team or other health care professionals.

Nurses' Compliance with Safety Guidelines for the Use of Antineoplastic Agents, Observable Symptoms, and Stress from Occupational Exposure (간호사의 항암제 안전관리지침 수행도, 노출로 인한 자각증상 및 스트레스의 관계)

  • Park, Seon-Ja;Kim, Hyun-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.4
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    • pp.293-300
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    • 2018
  • Purpose: This study was done to identify the relationship between nurses' compliance with safety guidelines for the use of antineoplastic agents, observable symptoms, and stress from occupational exposure. Methods: The participants were 172 nurses from six general hospitals in a metropolitan area. They had administered antineoplastic agents at least three months prior to the study. Data were collected using self-report questionnaires, and then analyzed using SPSS/WIN 23.0 for descriptive statistics, t-test, one-way ANOVA, $Scheff\acute{e}$ method, and Pearson correlation coefficient. Results: The average score on the guideline for safety compliance was 87.75 points out of a total of 100. The average score for observable symptoms of exposure to antineoplastic agents was 30.12 (28~56) points, and that for mean stress was 33.52 (15~60) points. Observable symptoms and stress from occupational exposure showed a statistically significant positive correlation (r=0.34, p<.001). Conclusion: To increase the degree of compliance with safety guidelines for antineoplastic agents, hospitals should lower the chance of exposure to antineoplastic agents, as well as minimize the observable symptoms and stress from occupational exposure. Periodic education and policy support are needed to improve compliance with safety guidelines for antineoplastic agent use.

The Effects of Web-based Video Program Selection Attributes of Confidence in Nursing Performance-Mediating Effects of Learning Flow (웹 기반 동영상 프로그램 선택속성이 수술실 신규간호사의 간호 수행능력에 미치는 영향 -학습몰입의 매개효과 중심으로-)

  • Park, Jung-Hae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.485-494
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    • 2021
  • This study aimed to examine the effect of selected factors on confidence in nursing performance among new operating room nurses, with a focus on the mediating effect of learning flow. Data was collected from July to August 2019 using structured questionnaires. The participants were 250 new operating room nurses from university hospitals located in Incheon and Gyeonggi. The collected data was analyzed using the IBM SPSS Statistics 25.0 and AMOS 24.0. Structural equation modeling was performed to examine the effect of the selected factors namely web-based video programs on confidence in nursing performance, and the mediating effect of learning flow. Results: The factors of 'hygiene & safety' and 'patient care' from the web-based video programs had a positive effect on the learning flow. The higher the learning flow of the nurses, the greater their confidence in nursing performance. Just the 'hygiene & safety' factor significantly increased nursing performance. Conclusion: The study results suggest that new nurses perceive that 'hygiene & safety' is an important factor in building their confidence in nursing performance, even without the learning flow. Therefore, it is necessary to develop web-based video programs based on nurses' needs and to emphasize the importance of postoperative care.

Ethical Climate and Patient Safety Competencies between Nurses in Long-term care Hospital (요양병원 간호사의 윤리적 환경과 환자안전문화)

  • Lee, Jin-Sook;Lee, So-young
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.237-242
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    • 2021
  • The purpose of this study was to investigate the effect of patient safety competencies and ethical climate in long-term care hospital nurses and to provide the basic data. Data were collected from 120 in D city and analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS/WIN 25.0. The degree of Patient Safety Competencies in long-term care hospital nurses was 3.45± .41. There were not significant differences in Patient Safety. There was positive correlation between patient safety competencies and peer(r=.123, p<.001), manager(r=.241, p<.001), and hospital(r=.241, p<.001). The factors affecting the patient safety competencies confidence of the study subjects were peer(β=.23, p=.003), manager(β=.55, p=.004), hospital(β=.43, p=.031), with an explanatory power of 33.5%. Through this research requires the fellow study to determine the factors affecting patient safety competencies confidence of long-term care hospital nurses.

Relationship between Perceived Patient Safety Culture and Patient Safety Management Activities among Health Personnel (의료인의 환자안전문화 인식과 환자안전관리 활동 간의 관계)

  • Cho, Hye-Won;Yang, Jin-Hyang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.1
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    • pp.35-45
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    • 2012
  • Purpose: This study was done to explore the relationship between perceived patient safety culture and patient safety management activities among health personnel. Methods: This study was a cross-sectional survey. Participants were 342 health personnel working in two tertiary hospitals. Self-administered questionnaires were used to collect data from a convenience sample of 254 nurses and 88 doctors. Results: Scores on participants' perceived patient safety culture and patient safety management activities were just over the mean. There were significant differences in patient safety management activities by type of occupation, nurses' position, length of service, and work week. Doctors scored perceived patient safety culture and patient safety management activities significantly lower than nurses. In addition, perceived patient safety culture was significantly related to patient safety management activities. Factors which influence participants' patient safety management activities were communication, type of occupation, overall evaluation of patient safety, supervisor/manager, frequency with which events were reported, and nurse's position. Conclusion: Findings provide significant evidence that patient safety management activities are associated with perceived patient safety culture. Therefore, to build a positive safety culture, health personnel, especially doctors and general nurses need to visibly commit to patient safety management activities and be role models to ensure patient safety.

Awareness about Convergent Patient Safety Culture of Health Professional Working in Tertiary Hospital (상급 종합병원 종사자들의 융합형 환자안전 문화 인식)

  • Choi, Seon-Wook;Jeon, Min-Cheol
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.103-109
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    • 2018
  • This study was to measure the awareness of the patient safety culture of medical workers in various occupations working in hospitals and tried to be used as useful data. As a result of evaluating department (ward), hospital, immediate supervisor/manager, communication & procedures and frequency of accident reports, the patient safety accidents considered to be the most dangerous, technicians showed high results in the department(ward), nurses showed high results in the immediate supervisor/manager area. Radiological technologists and physical therapists recognized falls and clinical pathologists and nurses recognized before during after the test as the most dangerous patient safety accidents. To raise awareness of patient safety culture, executives and practitioners should create an atmosphere in which practitioners can prioritize patient safety, gain and manage appropriate personnel, manage cooperative systems between workers or departments.

Medication Error Management Climate and Perception for System Use according to Construction of Medication Error Prevention System (환자안전 관리자가 인식한 투약오류예방 시스템 구축실태에 따른 투약오류관리풍토 및 활용인식)

  • Kim, Myoung-Soo
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.568-578
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    • 2012
  • Purpose: The purpose of this cross-sectional study was to examine current status of IT-based medication error prevention system construction and the relationships among system construction, medication error management climate and perception for system use. Methods: The participants were 124 patient safety chief managers working for 124 hospitals with over 300 beds in Korea. The characteristics of the participants, construction status and perception of systems (electric pharmacopoeia, electric drug dosage calculation system, computer-based patient safety reporting and bar-code system) and medication error management climate were measured in this study. The data were collected between June and August 2011. Descriptive statistics, partial Pearson correlation and MANCOVA were used for data analysis. Results: Electric pharmacopoeia were constructed in 67.7% of participating hospitals, computer-based patient safety reporting systems were constructed in 50.8%, electric drug dosage calculation systems were in use in 32.3%. Bar-code systems showed up the lowest construction rate at 16.1% of Korean hospitals. Higher rates of construction of IT-based medication error prevention systems resulted in greater safety and a more positive error management climate prevailed. Conclusion: The supportive strategies for improving perception for use of IT-based systems would add to system construction, and positive error management climate would be more easily promoted.

Effects of Perceived Patient Safety Culture on Safety Nursing Activities in the General Hospital Nurse's (일 지역 종합병원 간호사의 환자안전문화 인식이 안전간호활동에 미치는 영향)

  • Kim, Hwa-Young;Kim, Hye-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.413-422
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    • 2011
  • Purpose: This descriptive correlation study was done to identify how perception of patient safety culture of general hospital nurses affects safety during nursing activities. Data from this study should provide information on management of patient safety as well as improvement in patient safety. Method: Participants in this study were 357 clinical nurses working in a general hospital in M city which had two medical evaluations. A survey was conducted to gather the data. Results: The score for perception of patient safety culture of the general hospital nurses was 3.42, out of a possible 5 points, and the score for safety care activities was 3.90. There was a statistically significant positive relationship between the nurses' perception of patient safety culture and their safety care activities, Perception of patient safety culture, Supervisor/manager, communication and procedures, and frequency of accident reporting were factors that impacted significantly on safety nursing activity. Conclusion: The results of the study indicate that patient safety cultural perception significantly affects the safety of nursing activities and thus systematic educational strategies to increase perception should be provided to increase the level of patient safety culture. Also, other specific methods that increase the level of patient safety culture should be considered.

Importance awareness and Compliance on Patient Safety for Nurses Working in Operating Rooms (수술실간호사의 수술환자 안전관리에 대한 중요성인지도와 실천이행도)

  • Kim, Joung-Soon;Kim, Ju-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5748-5758
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    • 2011
  • The purpose of this study was to evaluate the perceived patient safety, type of errors related to patient safety, importance awareness and compliance on patient safety for operating room nurses and to identify factors influencing compliance. Data were collected using a structured questionnaire from 191 perioperative nurses. Data were analyzed using descriptive statistics, t-test, paired t-test, ANOVA, Pearson correlation coefficients, and multiple regression. The perceived patient safety score was 6.3 as moderate level. Types of errors were mostly happened in patient injury (39.8%), counts (18.4%) and infection control (17.5%). The level of compliance on patient safety was significantly lower than that of importance awareness (t=18.01, P<.001). Compliance on patient safety showed significantly positive correlations to importance awareness (r=.56, p<.001). Experience of patient safety education, experience of errors in colleague, job position and working experience in hospital explained 13.9% of variance compliance on patient safety(F=8.407, P<.001). In conclusion, Hospital should develop education program related to patient safety, encourage nurses to manage safety protocol and ensure cultivating patient safety culture in the perioperative practice setting.