• Title/Summary/Keyword: Safety Competence

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Canonical Correlation between Drug Dosage Calculation Error Prevention Competence of Nurses and Medication Safety Organizational Climate (약물계산 오류예방을 위한 간호사의 역량과 투약안전과 관련된 병원조직풍토간의 정준상관관계)

  • Kim, Myoung Soo
    • Korean Journal of Adult Nursing
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    • v.24 no.6
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    • pp.569-579
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    • 2012
  • Purpose: The purpose of this study was to investigate the relationship between drug dosage calculation error prevention competence and medication safety organizational climate. Methods: We surveyed 207 nurses from 15 hospitals. An assessment survey was designed to assess the medication safety organizational climate which consisted of four subcategories including medication safety cultures, medication safety initiatives, medication error communication, and medication error management competence. The drug dosage calculation error prevention competence contains two subcategories; Dosage calculation habits and ability. The data were collected from July to August 2011. Descriptive statistics, t-test, ANOVA, partial Pearson correlation coefficient, canonical correlation were used. Results: Organizational climate was related to dosage calculation error prevention competence with two significant canonical variables. The first canonical correlation coefficient was .53 (Wilks' ${\lambda}$=0.71, df=8, p<.001) and that of the second was .21 (Wilks' ${\lambda}$=0.96, df=3, p=.027). The first variate indicated higher perception of medication safety cultures, safety initiatives, error communication and error management competence were related to better dosage calculation habits. The second variate showed higher perception of medication safety cultures and lower medication error management competence were related to higher calculation ability. Conclusion: Continuous supporting strategies for medication safety organizational climate should be implemented to improve drug dosage calculation habits.

The Survey on the Influence of Clinical Nurse's Critical Thinking Disposition, Problem-solving Skill and Self-efficacy on Patients Safety Competencies (간호사의 비판적 사고성향, 문제해결능력 및 자기효능감이 환자안전역량에 미치는 영향)

  • Kim, Hyo-Sun;Han, Suk-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.598-608
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    • 2016
  • This study examined the relationships among patient safety competence, critical thinking disposition, problem-solving competence, and self-efficacy of clinical nurses to identify the factors influencing the patient safety competence. A convenience sample of 373 nurses working in 4 general hospitals in a Metropolitan area in Korea was selected. After obtaining IRB approval, data collection was done with a structured self-administered questionnaire from October 14th to November 4th, 2014. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis using the SPSS WIN 21.0 program. The participants showed a moderate level of patient safety competence ($3.75{\pm}0.37$), of critical thinking disposition ($3.43{\pm}0.27$), of problem solving competence ($3.54{\pm}0.30$), and of self-efficacy ($3.58{\pm}0.47$). The patient safety competence of the participants showed a significant correlation with the critical thinking disposition (r=.493, p<.001), problem solving competence (r=.616, p<.001), and self-efficacy (r=.475, p<.001). The significant factors influencing the patient safety competence were problem solving competence (${\beta}=.403$, p<.001), self-efficacy (${\beta}=.156$, p=.005), critical thinking disposition (${\beta}=.130$, p=.018), and having the experience of reporting patient safety accidents (${\beta}=.137$, p=.002). The results suggest that educational programs to enhance the critical thinking disposition, problem-solving competence, and self-efficacy would develop the patient safety competence of clinical nurses. In addition, more effort should be placed into reinforcing the patient safety competence by activating the report of patient safety accidents.

The Influence of Nurses' Organizational Communication and Self-Leadership on Patient Safety Competence in Comprehensive Nursing Service Units: Focusing on Small and Medium-sized Hospitals (간호⋅간병통합서비스병동 간호사의 조직 내 의사소통과 셀프리더십이 환자안전역량에 미치는 영향: 중소병원을 중심으로)

  • Lee, Gyu Min;Ji, Eun Sun
    • Journal of East-West Nursing Research
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    • v.27 no.2
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    • pp.114-123
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    • 2021
  • Purpose: This study investigated the influence of nurses' organizational communication and self-leadership on patient safety competence in comprehensive nursing care units of small and medium-sized hospitals. Methods: A descriptive design was used and self-reported questionnaires were used to collect data from 165 nurses in Seoul from February to March, 2020. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression with SPSS/WIN 22.0 program. Results: A mean score of organizational communication was 3.20±0.49, self-leadership 3.58±0.50, and patient safety competency 4.01±0.49 out of 5. A significant positive correlation was found between patient safety competence, organizational communication and self-leadership. Self-leadership and combined ward explained 32% of the variance of patient safety competence (Adjusted R2=.32, p<.001). Conclusion: Patient safety competence in comprehensive nursing care units are associated with self-leadership and organizational communication. Systemic education to improve patient safety competence in small and medium sized hospitals should be implemented to promote organizational communication as well as self-leadership.

A Study on the Relationships among Perception about Patient Safety Culture, Patient Safety Competence, and Safety Nursing Activities of Emergency Room Nurses (응급실 간호사의 환자안전문화에 대한 인식, 환자안전역량, 안전간호활동 관계)

  • Kim, Mi Jung;Kim, Jong Kyung
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.268-279
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    • 2017
  • The purpose of this study was to investigate the relationship between recognition about patient safety culture, patient safety competence, and safety nursing activities for emergency room nurses. The subjects of this study were 121 nurses working in the emergency room among the nurses with more than one year working in 9 general hospitals. The research tools were structured questionnaires of patient safety culture, patient safety competence, and safety nursing activities. As a result of this study, the perception of the patient safety culture was 3.51 out of 5, and the patient safety knowledge / attitude at the individual level was the highest. Patient safety competence was 3.60 points out of 5, and sub-domain showed 3.91 for attitude, 3.47 for skill, 3.24 for knowledge. Safety nursing activities showed 3.85 points out of 5 points and sub-area showed the highest level of medication. There was a positive correlation between safety nursing activities and patient safety culture(r=.40, p<.001), patient safety competence, and safety nursing activities(r=.70, p<.001), patient safety competence and patient safety culture(r=.40, p<.001). Especially, it was found that among the characteristics showing differences in the perception of the safety culture, patient safety competence, and safety nursing activities, the safety education within the last one year was influential. The lowest score in the knowledge domain was found to be the lowest among sub-scales of patient safety competence, and it was found that efforts to increase the knowledge level of patient safety were needed.

Effects of Nursing Work Environment and Self-Efficacy of General Hospital Nurses on Medical Safety Competence in Korea (종합병원 간호사의 근무환경과 자기효능감이 투약안전역량에 미치는 영향)

  • Lim, Hyun Ah;Jeong, Geum Hee
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.2
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    • pp.139-146
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    • 2024
  • Purpose: This study aimed to examine the effects of the nursing work environment and self-efficacy on medical safety competence of nurses in general hospital. Methods: Participants included 183 nurses who were recruited through convenience sampling in a general hospital in South Korea. Questionnaires were collected from August 25 to September 22, 2023. The nursing work environment, self-efficacy and medical safety competence scales were used to assess the study variables. The t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression tests were performed using IBM SPSS ver. 26.0. Results: Statistically significant correlations were found between nurses' medical safety competence and nursing work environment (r=.34, p<.001), and self-efficacy (r=.48, p<.001). Self-efficacy (β=.38, p<.001), nursing work environment (β=.25, p<.001), and clinical experience (β=.14, p=.043) had the greatest effect on nurses' medical safety competence (F=21.21, p<.001), with an explanatory power of 30.0%. Conclusion: This study confirmed that the nursing work environment and nurses' self-efficacy have a significant impact on nurses' medical safety competence. In order to implement patient safety in hospitals, it is necessary to develop and apply strategies to improve the nursing work environment and increase nurses' self-efficacy to enhance their medical safety capabilities.

The Effect of Operating Room Nurse's Patient Safety Competency and Perception of Teamwork on Safety Management Activities (수술실 간호사의 환자안전역량과 팀워크 인식이 환자안전관리활동에 미치는 영향)

  • Park, Mi-Ma;Kim, Seon-Ha
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.271-281
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    • 2018
  • The purpose of this study was to investigate the effect of patient safety competence and teamwork on patient safety management activities in operating room nurse. The survey was 110 nurses with in the operating room of the general hospital, using self-report questionnaire. Stepwise regression analysis were used. Older group and those with higher levels of education status were significantly associated with high scores on patient safety competence. Patient safety competence and safety management activities showed a significant positive correlation, and teamwork and safety management activities showed a significant positive correlation. Regression analysis showed that patient safety competence and awareness of teamwork had a significant impact on patient safety management activities and the explanatory power of these variables was 15.7%. In conclusion, efforts are needed to improve patient safety competence and teamwork in order to improve patient safety management activities in operating room nurse, and further studies on other variables affecting patient safety management activities are needed.

Development of Safety Competences, Behavioral Indicators and Measuring Methods for Preventing Human-Error in Nuclear Power Plants: A Preliminary Study (원전 인적오류 예방을 위한 안전 역량, 행동 지표 및 측정 방법 개발: 예비 연구)

  • Moon, Kwangsu;Kim, Sa Kil;Lee, Yong-Hee;Jang, Tong Il
    • Journal of the Korean Society of Safety
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    • v.31 no.1
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    • pp.132-138
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    • 2016
  • The purpose of this study was to develop safety competences, a set of behavioral indicators of each competence and measuring methods of behavioral indicators for preventing human error of nuclear power plants(NPPs). The safety competences and behavioral indicators were derived from the five steps consisted of derivation of preliminary competence items through literature review, content analysis, interview(FGI, BEI), examination of content validity and decision making of final indicators. The results showed that 13 core safety competences and 35 behavior indicators were derived finally. In addition, the methods of measuring safety competences or behavioral indicators such as Behaviorally Anchored Rating Scale (BARS), Behavior Observation Scale (BOS) were developed and suggested.

A Study on the Impact of the Characteristics of the Disaster and Safety Management System of a Business on its Disaster and Safety Management Performance: Focusing on the Mediating Effect of the Disaster and Safety Management Competence (기업의 재난 및 안전관리체계 특징이 재난 및 안전관리 활동성과에 미치는 영향: 재난 및 안전관리 능력과 역량의 매개효과를 중심으로)

  • Choi, Wan-Gyu;Kim, Sang-Gil;Rhim, Jong-Kuk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.215-225
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    • 2021
  • The purpose of this study was to empirically verify the correlation between the characteristics of safety officers and managers handling disaster and safety management, competence, and performance among disaster and safety work-level officers in medium-sized companies in South Korea. For this study, the researcher surveyed 509 disaster and safety management officers of various companies and analyzed the resultant data. The results of the analysis showed that, first, the characteristics of the safety officers handling the disaster and safety management systems had a significantly positive impact on performance. Second, the characteristics of the safety officers handling the disaster management systems had a significantly positive impact on competence. Third, the disaster and safety management competence of the safety officers had a significantly positive impact on performance. Fourth, in the relationship between the characteristics of the safety officers handling the disaster and safety management systems of businesses and their performance, the competence of the safety officers had a mediating effect.

Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms (마취·회복실 간호사의 환자안전문화와 환자안전역량이 안전간호활동에 미치는 영향)

  • Kim, Jin Joo;Jung, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.164-174
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    • 2020
  • Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. Results: Safety nursing activity was significantly different in relation to nurses' level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.