• Title/Summary/Keyword: 환자안전문화 인식

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Comparative Research of Patient Safety Culture Long-term Care Hospital Nurses and General Hospital Nurses (종합병원과 요양병원 간호사의 환자 안전 문화 인식에 관한 비교 연구)

  • Hyojin, Won;Eunju, Seo
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.149-155
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    • 2022
  • This study conducted a descriptive research to compare the degree of patient safety culture awareness among general hospitals and long-term care hospital nurses. The subjects of this study were 150 nurses who worked for more than 6 months at 2 general hospitals and 4 long-term care hospitals located in 3 cities, the data has collected from October to December 2021. To Measure patient safety culture, the patient safety culture measurement tool developed by Soon Gyo Lee was used. Data were analyzed by 𝑥2-test, ANOVA, and t-test using SPSS 20.0 program. As a result of the study, the variables with high patient safety culture were the nurse's age(F=44.17, p=.000), clinical career(F=62.86, p=.000), and current workplace career(F=26.27, p=.000). Among the subdomains of patient safety culture, leadership(t=2.07, p= .040) and patient safety priorities(t=2.18, p=.031) were found to be higher in long-term care hospital nurses than general hospital nurses. Based on this result, we expected that it can be used as data in developing programs to raise the level of patient safety culture in hospitals and long-term care hospitals.

Medicine perception of and attitudes towards patient safety (환자안전에 대한 의료 직종에 따른 인식과 태도)

  • Ham, S.W.;Kim, E.Y.;Park, J.W.
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.495-497
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    • 2009
  • 본 첨단기기의 발전에 따라 의료분야에서도 사람들이 인지하고 있는 것보다 많은 위험요인이 존재한다고 알려지고 있다. 미국의 경우 병원환경의 안전성을 확보하기 위하여 정부와 의료계 모두 부단한 노력을 하고 있는 실정이다. 이에 본 연구는 4개 병원 350명의 의료인을 대상으로 환자안전에 대한 태도와 인식을 구조화된 설문을 통하여 진행하였다. 직종은 의사, 간호사, 약사, 의료기사로 구분하였다. 환자안전 개선을위해 적극적으로 노력하는 여부에 대하여 의사는 보통 또는 그렇지 않다고 39.5%가 응답한 반면, 보통이라고 간호사는 58.6%, 약사는 53.3%, 의료기사는 78.3%로 응답하였다(p=0.029). 환자안전 실수가 긍정적인 변화를 초래한다는 응답에 의사는 '매우 그렇지 않다'고 40.5%, 간호사는 '그렇지 않다'고 45.4%, 약사는 '보통'고 53.8%, 의료기사는 '그렇지 않다'고 54.5%가 응답해서 전반적으로 그렇지 않다고 생각하고 있는 것으로 나타났다(p=0.006). 병원내 환자안전에 대한 병원내 조직 문화를 살펴보고, 의료과오에 대한 논의와 의사소통의 현황을 파악하고, 의료인간의 환자안전에 대한 인식을 고취하여 보다 나은 환자안전 문화를 만들어야 할 것이라 생각된다.

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Comparison of Safety Perception between Patients and Nurses and Factors Affecting Nurses Safety Management Activities in Tertiary Hospitals (상급종합병원 환자와 간호사의 안전 인식 비교와 간호사의 환자안전관리 직무수행 영향요인)

  • Kim, Youn-Hong;Choe, Yon-Jeong;Kang, Da-Hui;Jung, Ji-Young;Gil, Cho-Rong;Chang, Hee-Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.1
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    • pp.69-82
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    • 2020
  • This study is a descriptive research study to compare the safety perception between patients and nurses and to identify the factors affecting the nurses' safety management activities in tertiary hospitals. Data were collected with structured questionnaires from 147 patients and 147 nurses from a university hospital in J city, Gyeongnam, from July 24 to September 23, 2019, and analyzed using SPSS 23.0. The result showed that the patient's safety perception was significantly higher than the nurse's perception. The significant factors affecting patient management activity were nurse's educational level, position, effective communication, patient safety perception, and perception of importance on patient safety management. In the multiple regression analysis, knowledge about 'effective communication', and 'concerned about patient safety management', explained 54.8% of the nurses' patient management activity. Based on the results of this study, it is emphasized that nurses need to develop strategies to improve the communication and attention between patients and hospital members to improve patient safety management activities in tertiary hospitals.

Analysis of doctors' cognition of patient safety at general hospitals (일개 상급종합병원 의사들의 환자안전문화에 대한 인식 분석)

  • Yu, Eun-Yeong;Jung, Sang-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2607-2616
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    • 2012
  • This study was designed to figure out patient safety culture of medical institutions and try to utilize the study results as basic data for analyzing doctor's awareness of patient safety culture. To this end, questionnaire survey was conducted from August 1st to September 5th, 2011, targeting doctors working at senior general hospitals located in G city, and 194 questionnaires were utilized for final analysis. The research results are as follows. First, there was a difference in awareness of deployment of staffs depending on gender, age, term of service in the hospital, contact with patients and working hours per week in relationship between subjects, wards and hospital safety culture, and organizational learning and teamwork in the ward turned out to be significant in accordance with working hours per week, and all sub-areas of the ward safety culture by departments. Second, feedback about the malpractice, communication, report on malpractice frequency and overall safety awareness were found to be significant by departments in relationship of subjects, medical incident reporting system, patient safety evaluation and overall level of consciousness, and the overall safety awareness showed significant results according to contact with patients and working hours per week. Third, there was a positive corelation in sub-areas of the ward and hospital safety culture awareness, overall recognition and patient safety evaluation, and a positive corelation with medical incident reporting system was found in all areas except for attitude of managers/immediate supervisors and that of hospital executives. Fourth, sub-areas of patient safety culture which has a effect on patient safety showed significant results in organizational learning, openness of communication, overall safety awareness, systematic cooperation between departments, feedback/communication and non-punitive response. In conclusion, to increase the level of the ward and hospital patient safety culture of doctors and implement medical incident reporting system faithfully, it is necessary to activate teamwork through organizational learning in the ward based on the adequate staffing and working hours, promote open communication between departments and provide feedback on medical malpractice, thereby establishing a cooperative system by departments and active support of hospital executives for patient safet.

Awareness of Patient Safety and Performance of Patient Safety Activities among Hospitalized Patients (입원환자의 환자안전인식과 환자안전활동 수행 정도)

  • Kim, An-Na;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.229-240
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    • 2021
  • The purpose of this study was to investigate the relationship between the awareness of patient safety and performance of patient safety activities among hospitalized patients, and to provide basic data for the development of programs to improve them. The subjects were 103 adult patients at a general hospital in D city. Data were collected from Feb. 22 to Mar. 12, 2021, using structured questionnaires to measure the awareness of patient safety and performance of patient safety activities. The mean (±standard deviation) scores of awareness of patient safety and performance of patient safety activities were 4.22±0.52 out of 5 and 3.35±0.48 out of 4, respectively. The awareness of patient safety varied significantly depending on patient safety education (t=4.85, p<.001). The performance of patient safety activities varied significantly depending on marital state (t=2.75, p=.007) and patient safety education (t=3.88, p<.001). There was a significant correlation between the awareness of patient safety and the performance of patient safety activities (r=.59, p<.001). It is thus necessary to promote the improvement of the patient safety culture by developing programs to improve awareness of patient safety and performance of patient safety activities in hospitalized patients and to apply them systematically in clinical practice.

Factors Affecting on the Clinical Nurse's Safety Nursing Activity (임상간호사의 안전간호활동 영향요인)

  • Song, Eun-Jeong;Park, Yeon-Suk;Ji, Hyun-Soon;Lee, Hye-Kyung
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.469-479
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    • 2016
  • This research is a descriptive investigation research in order to understand the influences on the perception of the patient safety culture and safey nursing activity with the clinical nurses of the university hospitals as the subjects. The data collected were analyzed using the SPSS 23.0 program. As a result, the perception of patient safety culture of the subjects was 3.30 of the full score of 5points, and safety nursing activity 3.89. It appeared that, also, in the safety nursing activity, the total career experience, the position, immediately superior/manager, the communication procedures, and the frequency of accident reports receive the influences. As a result, in order to enhance the safety nursing activity, the developments of the practice guidelines that can appropriately manage the experienced people, that can communicate smoothly between the organizations, and that can make the case reports and the developments of the educational programs are needed.

The Effect of Knowledge, Attitude and Perceptions of Patient Safety Culture on Fall Prevention Activities in Mental Hospital Nurses (정신병원 간호사의 낙상에 대한 지식, 태도, 환자안전문화인식이 낙상예방활동에 미치는 영향)

  • Chang, Koung-Oh;Lee, Tea-Jin;Jung, Min-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.372-383
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    • 2019
  • The purpose of this study was to investigate the efforts of Knowledge, Attitude and Perceptions of Patient Safety Culture on Fall Prevention Activities in Mental Hospital Nurses. This study is a descriptive research study of 153 nurses working in Busan and Gyeongnam mental health hospitals, the data were collected from April 4 to December 31, 2018. Data were analyzed using IBM SPSS/win 24.0 program, which included t-test, ANOVA and multiple regression analysis. As a result, The attitude toward falls differed depending on subject's license or qualifications, the higher the education level. The higher the level of perceptions of patient safety culture, and the higher the work experience, the more prevention activities toward falls. The higher the perception of patient safety culture, the higher the attitude toward falls. The higher the prevention activities toward falls, the higher the attitude of falls and the perceptions of safety culture. As a result of multiple regression analysis of factors affecting Knowledge, Attitude and Perceptions of Patient Safety Culture on Fall Prevention Activities were 12.5%. Therefore, in order to promote fall prevention activities of mental hospital nurses, the knowledge needs to be expanded through continuous education. Education programs should be developed and provided to change attitudes toward falls. and At the hospital organization level, a wide range of support is required, including changes in the overall human and institutional environment for safety.

Mediating effects of Critical Thinking Propensity between Perception of Patient Safety Culture and Practice of Standard Precaution of Nurses in Small and Medium Hospitals (중소병원 간호사의 환자안전문화 인식과 표준주의지침 수행도의 관계에서 비판적 사고성향의 매개효과)

  • Junghyun Choi
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.101-110
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    • 2024
  • This study was conducted to confirm the relationship between perception of patient safety culture, critical thinking propensity, and practice of standard precaution among nurses in small and medium-sized hospitals. The research subjects were nurses from three small and medium-sized hospitals located in S City and C City who understood the purpose of the study and agreed to participate. The final study subjects were 158 nurses. The data were collected from January 5, 2020 to March 31, 2020, and descriptive statistics, t-test, one-way ANOVA, correlation, regression analysis, and Sobel test of the collected data were performed using SPSS/WIN26.0 Program. As a result of the study, nurses' practice of standard precaution showed a significant positive correlation with perception of patient safety culture (r=.524, p<.001) and critical thinking disposition (r=.471, p<.001). Critical thinking propensity was found to have a partial mediating effect in the relationship between perception of patient safety culture and practice of standard precaution. Based on the results of this study, repeated research can be conducted in the future, and can be used to develop and apply educational programs that can improve nurses' practice of standard precaution.

Influencing Factors of Near Miss Experience on Medication in Small and Medium-Sized Hospital Nurses (중소병원 간호사의 투약 근접오류경험 영향요인)

  • No, Me-Hee;Chung, Kyung-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.424-435
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    • 2020
  • The study was descriptive survey research for establishment of patient safety culture in small and medium-sized hospitals as providing baseline data of educational program regarding safe medication and prevention of near miss on medication, checking influencing factors of nurses near miss experience on medication in small and medium-sized hospital. The collected data was analyzed by SPSS/WIN 20.0 program to obtain mean, frequency, x2-test, independent t-test, one-way ANOVA, logistic regression. The influencing factors of near miss experience on medication was working department and patient safety culture among general characteristic. The nurses who were working in general ward had lesser chance to experience near miss rather than nurses working in special department (Odds ratio:2.23, 95%, Confidence Interval: 1.07~4.67, p=.032). The 1 point higher in patient safety culture, the lesser chance to experience in near miss (Odds ratio: 2.24, 95% Confidence Interval: 1.02~4.95, p=.045). To sum up the result of this study, nurses working in special department had higher chance to experience near miss rather than nurses working in general wards. The higher patient safety culture awareness was the lower near miss was experienced. Thus, miss surveillance system for improvement of nurses' patient safety culture awareness should be developed. Moreover, educational program for medication considering nurses' career and department' character should be requested with simulation training considering and theory education.