• Korean Journal of Occupational Health Nursing
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• v.25 no.2
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• pp.118-129
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• 2016

Purpose: This study aims to examine the levels of the perception and work performance of patient safety based on the healthcare accreditation criteria among long-term care hospital nurses. Methods: A cross-sectional study was performed using questionnaires. Out of 205 criteria, 39 items relevant to patient safety were selectively adapted for this study. Data were analyzed with descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. Results: The mean scores of perception and work performance were 4.36 and 4.24 out of 5, respectively, and the difference between them was significantly different (t=5.78, p<.001). The two variables were both significantly higher among those nurses who were older, married, head nurses, had many nursing experiences, and aware of Healthcare Accreditation than the other nurses. Positive correlations were observed between perception and work performance in all three sub-systems. The relations between these two in the patient care system was the most highly correlated (r=.894, p<.001). The lowest scores of perception and work performances were fire-related criteria (i.e., reporting). Conclusion: Overall, subject's perception proves to be higher than their work performance. It is necessary to develop some viable environment and training programs to enhance their work performance up to the level of their perception of patient safety.

• Journal of Korean Critical Care Nursing
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• v.11 no.1
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• pp.89-100
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• 2018

Purpose : The purpose of this study was to analyze factors influencing the adherence to guidelines for intensive care unit (ICU) nurses to control infections due to multidrug-resistant organisms (MDRO). Method : Participants were 194 ICU nurses at 3 university hospitals. Questions for the survey inquired about attitude, subjective norms, perception of patient safety culture to carry out MDRO management guidelines, perceived behavior control (PBC), and intention, based on the theory of planned behavior. Path analysis were utilized. Results : The path analysis presented that PBC, perception of patient safety culture, and intent had a direct effect on MDRO management guidelines. Attitude towards following the manual did not have any correlation. The hypothetical model based on the theory of planned behavior was revealed as applicable; the degree of the variance in explaining adherence to the manual was 23 %, and the variance in explaining intention to fulfill the manual was 33 %. Conclusion : The results of this study suggest that we should develop a program to improve PBC to increase adherence to MDRO management guidelines. ICU nurses' perceptions of patient safety culture should also be surveyed.

• Journal of Digital Convergence
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• v.17 no.2
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• pp.231-241
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• 2019

This study was a descriptive survey to identify influences of nurses' professional autonomy and empathy on patient safety culture. The participants were 191 nurses working at a general hospital in Seoul. The data were collected using structured questionnaires and analyzed using the SPSS/WIN 24.0 program. Patient safety culture had a significant correlation with nurses' professional autonomy (r=.26, p<.001) and the subscales of empathy, which were perspective-taking (r=.30, p<.001) and empathic concern (r=.27, p<.001). Factors influencing patient safety culture were perspective-taking (${\beta}=.27$, p<.001), professional autonomy (${\beta}=.20$, p=.004), and a total clinical career of over ten years (${\beta}=.17$, p=.012). The results of this study could be the basic data for the development of programs that enhance the professional autonomy and empathy of nurses. In addition, it is necessary to study repeatedly in various groups in the future.

• Quality Improvement in Health Care
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• v.30 no.1
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• pp.88-104
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• 2024

Purpose: This study explored the suitability of interventions for medication interruption and intervention preferences. Methods: Two rounds of Delphi surveys were conducted with 18 expert panels comprising staff (or charge) nurses, nursing managers, and Quality Improvement (QI) team nurses working in a tertiary general hospital. For 47 situations involving the location of interruption, medication step, and source of interruption, the suitability of three interventions (no-interruption zone, medication safety vest, and education) was evaluated using a 5-point scale. Results: A total of 51 interventions for each situation were found appropriate by satisfying the degree of convergence and consensus. Patients or caregivers, peer nurses, doctors, telephones, and call bells were sources of interruption and were identified as appropriate for the application of interventions. 'Responding to requests and inquiries' by patients or caregivers showed high overall suitability. The nurses' preferred color for the intervention design (no-interruption zone, medication safety vest) is blue text on a yellow background. The priority groups for education related to medication interruptions were patients or caregivers, nurses, and non-nursing staff, in that order. Conclusion: Effective implementation of tailored intervention strategies that consider the specific characteristics of medication interruptions is crucial for mitigating interruptions and enhancing patient safety. Comprehensive educational programs aimed at reducing medication interruptions by improving awareness are necessary. Moreover, future research should evaluate these strategies in clinical settings to ensure their effectiveness in enhancing patient safety.

• Journal of Digital Convergence
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• v.13 no.9
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• pp.303-311
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• 2015

This study has been done to identify the effect of safety culture perception, safety control and safety management activities as perceived by nursing home nurses. A total of 146 cases recruited safety culture perception, safety control and safety management activities. Data were analyzed using the SPSS/WIN 21.0 Program. The factor that had the most impact on safety management activities were safety culture perception (${\beta}=.40$, p<.001), safety control (${\beta}=.27$, p=.002), experience of safety education (${\beta}=.19$, p=.015), age (${\beta}=.19$, p=.027). The regression model explained 34.5% of the variances(F=5.51, p<.001). The study finding suggests that to develop the program with achievement of safety management activities for nurses of the nursing home.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.11
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• pp.5196-5205
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• 2012

Purpose: The Purpose of this study were to compare the level of perception and to identify factors associated with perception on patient safety culture by nurses and hygienists. Method: The data were collected from september to December, 2010 using Hospital survey on patient safety culture questionnaires. The subjects were 399 Nurses, hygienists, recruited from the hospital in Busan & Kyungnam. The collected data were analyzed using SPSS descriptive statistics, mean and standard deviation, t-test and ANOVA, Spearman rank coefficient. Result: The perception level of nurses on patient safety culture was 3.48. In case of hygienists, the level was 3.51. Compared to nurses, hygienists showed a significantly difference on the items "Staff arrangement"(t=2.841, p<.01) and "Administator attitude"(t=-2.471, p<.05), "Feedback and communication in accident"(t=-3.356, p<.01). Nurses and hygienists' age and career, working hour per week were identified as factor associated with patient safety culture. Conclusion: The perception level of hospital health providers on patient safety culture was moderate. and identified factors associated with patient safety culture were age and career, working hour per week.

• Journal of Korean Academy of Nursing Administration
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• v.20 no.2
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• pp.215-226
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• 2014

Purpose: This study was done to suggest policies for nurse workforce based on patient safety. Methods: The two steps in developing the items were items related to what would be desirable policies and items on how the policies should be developed for patient safety regarding nurse workforce. A literature review was done and suggestions from experts through two rounds using the Delphi technique were outlined. The fifteen experts who participated in this study were six representatives of service consumers and nine representatives of service providers (four medical doctors and fives nurses). Results: To guarantee patient safety, accreditation of nursing practice and nursing education were found to be necessary, and to prevent medical and nursing accidents in clinical practice, the professional judgement of the nurses was found to be pivotal to the provision of safe nursing services. Conclusion: Polices on nursing for the nurse workforce based on patient safety in clinical settings should be established to ensure that nursing care is provided according to the nurses' clinical judgements based on their professional knowledge and assessment skills.

• Safety and Health at Work
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• v.6 no.1
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• pp.1-8
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• 2015

Time-loss injuries are still a major occurrence in Canada, injuring thousands of Canadian workers each year. With obesity rates on the rise across the country, as well as around the world, it is important that the possible effects of obesity in the workplace be fully understood, especially those effects linked to lost-time injuries. The aim of this paper was to evaluate predictors of workplace lost-time injuries and how they may be related to obesity or high body mass index by examining factors associated with lost-time injuries in the health care sector, a well-studied industry with the highest number of reported time loss injuries in Canada. A literature review focusing on lost-time injuries in Registered Nurses (RNs) was conducted using the keywords and terms: lost time injury, workers' compensation, occupational injury, workplace injury, injury, injuries, work, workplace, occupational, nurse, registered nurse, RN, health care, predictors, risk factors, risk, risks, cause, causes, obese, obesity, and body mass index. Data on predictors or factors associated with lost-time injuries in RNs were gathered and organized using Loisel's Work Disability Prevention Management Model and extrapolated upon using existing literature surrounding obesity in the Canadian workplace.

• Journal of Digital Convergence
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• v.10 no.11
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• pp.467-475
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• 2012

This study aims to analyze chemotherapy medication safety management system and formulate efficient methods to solve problems in the medication safety practices through application of 6 sigma techniques. From the results of analysis conducted, targeting nurses, such 3 factors as process-related factor, nurse-related factor and environment-related factor were identified as problems of the chemotherapy medication safety management. Through analyzing the prior knowledge about chemotherapy mediation safety and level of performance of nurses, the educational performance to complement deficiencies were selected as the final improvement plan, and the improvement activities were completed through drawing out management plans that specify management methods and countermeasures in the event of problems.

• 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.