• Title/Summary/Keyword: Nurses' safety

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Critical Thinking Disposition, Medication Error Risk Level of High-alert Medication and Medication Safety Competency among Intensive Care Unit Nurses (중환자실 간호사의 비판적 사고성향, 고위험약물 투약오류 위험수준 및 투약안전역량)

  • Lee, Yoon Hee;Lee, Youngjin;Ahn, Jeong-Ah;Kim, Hee Jun
    • Journal of Korean Critical Care Nursing
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    • v.15 no.2
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    • pp.1-13
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    • 2022
  • Purpose : The study aimed to identify relationship among intensive care unit (ICU) nurses' critical thinking disposition, medication error risk level of high-alert medication, and medication safety competency, as well as the factors affecting medication safety competency. Methods : The participants were 266 ICU nurses of one higher-tier general hospital and one general hospital in Province. The data were collected using structured self-administered questionnaire from August 10 to August 31, 2021. Measurements included the critical thinking disposition questionnaire, nurses's knowledge of high-alert medication questionnaire, the medication safety competency scale. Data were analyzed using hierarchical multiple regressions using SPSS/WIN 28.0. Results : In the multiple regression analysis, the medication safety competence has a statistically significant correlation with the working department, the critical thinking disposition, and medication error risk level of high-alert medication. Conclusion : Based on the results of this study, it is suggested to develop and apply an educational strategy that can strengthen the knowledge and skills of critical thinking disposition and medication error risk level of high-alert medication to improve the ICU nurse's medication safety competency.

Mediating Effects of Burnout in the Association Between Emotional Labor and Turnover Intention in Korean Clinical Nurses

  • Back, Chi-Yun;Hyun, Dae-Sung;Jeung, Da-Yee;Chang, Sei-Jin
    • Safety and Health at Work
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    • v.11 no.1
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    • pp.88-96
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    • 2020
  • Background: The current lack of the number of nurses and high nurse turnover rate leads to major problems for the health-care system in terms of cost, patient care ability, and quality of care. Theoretically, burnout may help link emotional labor with turnover intention. The purpose of this study was to investigate the mediating effect of burnout in the association between emotional labor and turnover intention in Korean clinical nurses. Methods: Using data collected from a sample of 606 nurses from six Korean hospitals, we conducted a multiple regression analysis to determine the relationships among clinical nurses' emotional labor, burnout, and turnover intention, looking at burnout as a mediator. Results: The results fully and partially support the mediating role of burnout in the relationship between the subfactors of emotional labor and turnover intention. In particular, burnout partially mediated the relationship between emotional disharmony and hurt, organizational surveillance and monitoring, and lack of a supportive and protective system in the organization. In addition, we found that burnout has a significant full mediation effect on the relationship between overload and conflicts in customer service and turnover intention. Although the mediating effect of burnout was significantly associated with the demands and regulation of emotions, no significant effects on turnover intention were found. Conclusion: To reduce nurses' turnover, we recommend developing strategies that target both burnout and emotional labor, given that burnout fully and partially mediated the effects of emotional labor on turnover intention, and emotional labor was directly associated with turnover intention.

The Effects of Patient Safety Culture Perception and Organizational Commitment on Patient Safety Management Activities in General Hospital Nurses (종합병원 간호사의 환자안전문화인식과 조직몰입이 환자안전관리활동에 미치는 영향)

  • Im, Sun-Ae;Park, Min-Jeong
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.259-270
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    • 2018
  • This study aimed to identify the effect of patient safety culture perception, organizational commitment on patient safety management activities in general hospital nurses. The data were collected from 191 subjects from August 2 to August 16, 2017 using a structured self-report questionnaires and analyzed using SPSS WIN Version 22.0. The results showed that patient safety management activities had significant correlations with patient safety culture perception and organizational commitment. Also, the influencing factors on patient safety management activities were patient safety culture perception, organizational commitment, and patient safety education experience. These factors explained 33.3% of variance. Therefore, in order to improve the patient safety management activities among general hospital nurses, it is necessary to develop and apply an nursing intervention programs considering patient safety culture perception, organizational commitment, and patient safety education experience.

User Evaluation for User-Oriented Children's Hospital Design - Focused on the Mothers of Child Inpatients and the Nurses - (사용자 중심의 어린이전문병원 계획을 위한 사용자 평가 - 어린이 환자의 보호자와 간호사를 중심으로 -)

  • Ha, Ji-Min;Park, Soo-Been
    • Korean Institute of Interior Design Journal
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    • v.25 no.1
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    • pp.192-200
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    • 2016
  • This study aims to design user-oriented children's hospital by examining the user needs, especially the mothers of child inpatients and the nurses. The subjects participated in a questionnaire survey including the user's characteristics, awareness of patient's room, the preference on ward size, demands, satisfaction and hospital environment assessment. The survey was conducted of the mothers of child inpatients and the nurses in A children's hospital, and the data were analyzed by the SPSS WIN 18.0 Version software. A total of 115 copies of the questionnaire were finally analyzed. The results and conclusions are as follows. 1) The mothers' demand on family-centered space and private spaces were higher than the nurses. 2) The mothers preferred 1-bed-room to 4-bed-room due to safety and privacy. 3) The items of hospital environment assessment was categorized into four factors; 'Aesthetics', 'Accessibility', 'Comfort', and 'Lighting'. The most positive factor was 'Aesthetics', whereas 'Comfort' was the negative factor. 4) The mother's satisfaction was lower than the nurse's. The most influential factors on the satisfaction was 'Accessibility'. To improve the satisfaction of the mothers of child inpatients and the nurses, safety, privacy, accessibility should be considered.

A Study on Satisfaction, Job Stress, Burnout, Organizational Citizenship and Productivity of Hospital Nurses (병원 간호사의 만족, 직무 스트레스, 소진, 조직시민행동 및 생산성에 관한 연구)

  • Ko, Hyun-min;Gwak, Shinyoung;Chang, Kyung
    • Journal of the Korea Safety Management & Science
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    • v.17 no.4
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    • pp.181-192
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    • 2015
  • The health care markets are rapidly expanded due to population aging, increasing incomes, strengthening assurance of health insurance and so on, and the competition in the markets is getting serious. In the industry, hospitals have played more important role than any others, where doctors, nurses, medical technicians, administrative staff, etc cooperatively works hard. Among them, nurses capture 40 percents of specialized hospital workers and their role for patients as customers is essential. Therefore, it could be one of the most important keys to increase the productivity and wellbeing of nurses with respect to enhancing efficiency and competitiveness of operating hospitals. In this paper the impact of nurses' job satisfaction, job stress, burnout, and organizational citizenship behavior on their productivity is studied. The subjects were 576 nurses in 20 different hospitals in Seoul, Kyounggi, etc. We held hypotheses and statistically tested and analysed them, using SPSS 20.0 software. Thus, we found various significant results(p<0.05), and they will give useful suggestions for managing nurse manpower and enhancing their productivity.

Factors Affecting Patient Safety Management Activities at Nursing Divisions of Two University Hospitals (병원 간호사의 환자안전관리활동 영향요인 연구)

  • Jeong, Joon;Seo, Young-Joon;Nam, Eun-Woo
    • Korea Journal of Hospital Management
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    • v.11 no.1
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    • pp.91-109
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    • 2006
  • This study was conducted to find out factors affecting patient safety management activities at nursing devisions of two university hospitals. The indicators of patient safety activities used in the study were selected from Hospital Survey on Patient Safety Culture which was developed by The Agency for Healthcare Research and Quality in the United States. Data were collected from 372 nurses working at inpatient wards at two university hospitals located in Seoul and Won-Ju cities through the self-administered questionnaires, and analyzed using frequency analysis, t-test, correlation, and regression analysis. The result of this study were as follows. First, The mean of patient safety management activities was 3.41 which was a little bit higher than the average level. The mean of communication within the ward was the highest, whereas that of patient safety management culture was the lowest. Second, there were significant differences in the perception of nurses on patient safety management activities in terms of the educational background, length of employment, and work hours per week. Third, three variables of communication within the unit, attitude of top management, and attitude of nurses have significant positive effects on patient safety management activities. Fourth, 37.4% of the variation in the patient safety management activities was explained by the study variables. In conclusion, hospital administration and nursing managers should make an effort to learn the knowledge of patient safety program, show their deep interest on the patient safety to the employees and motivate them to communicate effectively each other within the work unit to develop a good patient safety culture and system.

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Laser Application and Nursing in the Field of Gynecology

  • Kim, Kyunghee
    • Medical Lasers
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    • v.10 no.4
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    • pp.201-206
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    • 2021
  • The recent development of new surgical techniques using lasers has increased the opportunities for open surgery involving minimal manipulation and faster and more accurate removal of lesions. The increasing use of laser technology requires nurses to play an extensive role. As assistants, nurses play an important role in maintaining the efficacy and safety of the laser device. In addition, they are also responsible for providing pre-and post-operative care to patients. Therefore, nurses should be aware of how to proceed with operative laser treatment for all surgical procedures and the steps for maintaining safety prior to, during, and after laser treatment. This review provides in-depth knowledge for nurses undertaking continuing education on lasers and patient care in the field of gynecology.

Perception of Nurses and Physicians in Neonatal Intensive Care Units on Kangaroo Care (신생아집중치료실 캥거루케어에 대한 간호사와 의사의 인식)

  • Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.17 no.4
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    • pp.230-237
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    • 2011
  • Purpose: To identify the perception and practices of kangaroo care in nurses and doctors working in neonatal intensive care units (NICU) in Korea. Methods: One hundred forty-nine nurses and nineteen doctors working in the NICU from six university hospitals completed a survey questionnaire. Results: Most agreed that Kangaroo care promoted attachment and parental confidence as well as physical health of the infant. However, nurses and doctors showed a negative perception in providing kangaroo care for premature infants under 1,000 grams or within several hours after birth. Major barriers for kangaroo care were worrying about extubation and safety problems of premature infants. Married or senior nurses showed a more positive perception than others. Also nurses who worked in hospitals where kangaroo care was provided had a lower barrier perception than other nurses. Conclusion: Nurses and doctors working in NICU worried about adverse effects of kangaroo care even though they perceived positive effects. Standard education programs and manuals should be developed before dissemination of kangaroo care in Korea.

Development of the Patient Safety Nursing Activities Scale for Clinical Nurses (임상간호사의 환자안전 간호활동 측정도구 개발)

  • Kim, Hwa-Young;Ryu, Seang
    • Journal of Digital Convergence
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    • v.16 no.9
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    • pp.207-217
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    • 2018
  • The purpose of this study was to develop a patient safety nursing activities scale for clinical nurses and to verify validity and reliability it. A preliminary scale was developed through various processes and pilot study. Data were collected from 900 nurses at 28 hospitals selected by proportionate stratified sampling with 331 general hospitals nationwide. The final scale was a 4-point scale, consisting of 72 items in 10 domains. The construct validity was found to be appropriate by exploratory factor analysis and 70.3% of the variance in the total scale and over .74 of factor loading. There was a significant correlation between scale and patient safety culture (r=.52, p<.001) and Cronbach's ${\alpha}$ was .99. This scale developed to measure patient safety nursing activities of clinical nurses was found to be reliable and valid and will be a useful tool in practical field.

The Effects of self-leadership, self-efficacy, and organizational commitment on safety Management activities in clinical nurses' (임상간호사의 셀프리더십, 자기효능감, 조직몰입이 안전관리활동에 미치는 영향)

  • Eun-Hee Park
    • Journal of Digital Policy
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    • v.2 no.3
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    • pp.9-15
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    • 2023
  • This study is a descriptive survey study for nurses in general hospitals to understand the effects of self-leadership, self-efficacy, and organizational commitment on safety management activities. The subjects of the study were nurses at three general hospitals located in G City. An online survey was conducted in consideration of the COVID-19 pandemic situation. Data collection was from August 20 to August 30, 2021. As a result of the study, self-leadership (r=.618, p<.001), self-efficacy (r=306, p<.001), organizational immersion (r=0518, p<.001) showed a positive correlation with safety management activities. In addition, self-leadership, self-efficacy, and organizational commitment explained 38.2% of safety management activities (F=20.478, p<.001). Therefore, it would be helpful to provide regular leadership education and self-efficacy education to increase patient management activities of general hospital nurses. In addition, if a positive work environment, legal standards for nurse work, and an appropriate compensation system are established to improve organizational commitment, it will have a positive effect on environmental safety management activities.