• 디지털융복합연구
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• 제19권12호
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• pp.359-367
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• 2021

본 연구의 목적은 텍스트 마이닝 및 CONCOR 분석을 활용해 국내 환자안전문화 연구주제를 분석하는 것이다. 연구방법은 자료수집, 데이터 전처리, 텍스트 마이닝과 사회연결망 분석, CONCOR 분석 단계로 진행하였으며, 2021년 9월1일 기준으로 '환자안전문화'의 주제어를 검색하여 중복된 논문과 본 연구 목적에 부합되지 않는 논문을 제외한 총 136편을 분석하였다. 자료 분석은 텍스톰(Textom)과 UCINET 프로그램을 이용하였다. 본 연구의 결과 환자안전문화 관련 연구의 TF(빈도)는 환자안전(patient safety), TF-IDF(문서상의 중요도)는 간호(nursing) 가 가장 높게 나타났다. CONCOR 분석결과 환자안전문화를 구성하는 지식 및 태도, 커뮤니케이션, 의료서비스, 팀, 작업환경, 구조, 조직 및 경영의 총 7개의 클러스터가 도출되었다. 추후 환자안전문화 구축과 환자결과와의 연관성에 대한 연구가 진행되어야 할 필요가 있다.

• 대한간호학회지
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• 제41권1호
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• pp.1-8
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• 2011

This study was conducted to investigate the clear concept of patient safety and obtain theoretical evidences. Methods Research was conducted using Walker & Avant's conceptual analysis process. Results: Patient safety was defined as a activity that minimizes and removes possible errors and injuries to patients. It includes a basic desire to secure the patient's right to safety, and the legal regulations and duties of medical teams. The results of the establishment of a safety culture are patient-centered medical treatment and caring. Antecedents were found to be open and clear communications, continuous education and training for health care personnel, sufficient allocation of qualified personnel, cooperation among departments, improvements in the recognition of patient safety. Consequences were found to be the provision of high quality medical care and treatment, and increase in patient satisfaction. Conclusion: Patient safety as defined by the results of this study will contribute to the foundation of institutionalization of the pursuit of patient safety and creation of a hospital culture focusing on patient safety as a first priority.

• 보건의료산업학회지
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• 제7권4호
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• pp.81-92
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• 2013

This research was conducted to analyze the perception of the dental hygienists who work in ordinary dental clinics regading patient safety culture and to analyze the related elements. As for the research subjects and methods, 233 dental hygienists who work at the dental clinics located in Daegu, Gyeongbuk and Jeonnam were targeted from February 6, 2012 to March 5, 2012 to administer survey by utilizing patient safety culture recognition tool. Collected data was subjected to the SPSS 18.0 program to calculate average and standard deviation, and to carry out t-test, ANOVA and multiple regression analysis. Dental hygienists' level of perception towards patient safety culture was mid level, and it was demonstrated that there is a correlation with age, work experience at department, title and type of department that affect level of perception towards patient safety culture. In conclusion, Since this research targeted only a limited number of dental hygienists, it is necessary to be cautious about over-interpreting the results. Above anything, it is necessary to carry out repetitive research by targeting medical professionals of diverse jobs.

• 디지털융복합연구
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• 제12권2호
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• pp.423-430
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• 2014

환자안전 문화에 대한 종합병원 방사선사의 인식을 조사하여 방사선사의 환자안전관리를 위한 기반을 제공하고 안전 활동을 위한 프로그램을 개발하는데 기초자료로 제공하고자 한다. 환자안전 문화에 대한 종합병원 방사선사의 인식을 조사하여, 본 연구의 조사기간은 2012년 6월 13일부터 6월 20일까지 대전광역시 소재 5개 종합병원에 근무하는 방사선사들을 대상으로 198명의 자료를 분석하였다(SPSS 19.0v). 환자안전 활동에 영향을 미치는 요인을 부서 내, 직속상관, 의사소통, 의료사고, 병원 별, 환자안전도에 대한 안전문화와 보고된 사고, 위험하다고 느끼는 환자 안전사고, 가장 많이 발생한 환자 안전사고를 평가한 결과 의료사고 보고체계에 따른 환자안전 문화에 관한 인식에서는 근무기간 25년 이상에서 가장 높게 나타났고 환자안전도 평가에서는 근무기간 10년~15년에서 가장 높게 나타났다. 그러므로 종합병원 방사선사의 환자안전문화를 개선하기 위해서는 충분한 인력 배치, 환자안전문제에 대한 적극적인 접근, 그리고 안전사고의 재발 방지를 위해 방사선사의 근무기간을 고려한 임무 부여 등으로 체계적인 의료사고 보고 체계를 활성 시켜야 할 것이다.

• 동서간호학연구지
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• 제19권1호
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• pp.46-54
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• 2013

Purpose: An objective of this study was to investigate nurses' perceptions toward patient safety culture and to examine the factors affecting safety care activities. Methods: The participants were 429 nurses, at 6 hospitals located in regions, which have 150 to 300 beds, and HSOPSC (AHRQ, 2009) and questionnaire on safety care activities were used as measurement tools. Descriptive statistics, independent t-test, one way ANOVA, and stepwise multiple regression with SPSS/WIN version12.0 were used to analyze the data. Results: Supervisor manager expectations and actions promoting patients safety and frequency of events reported were the highest as positive responses, whereas staffing and nonpunitive response to errors showed the lowest scores as positive responses. Scores of medication surveillance is the highest while firefighting surveillance is the lowest in terms of safety care activities. Significant predictors influencing safety care activities were frequency of events report, handoffs and transitions, work unit a patient safety grade, organizational learning-continuous improvement, and teamwork across units. These predictors account for 23% of the variance. Conclusion: These results suggest that hospital policies and systems should be built to settle patient safety culture effectively. Development of standard manuals for safety care activities is another critical element for promoting patient safety.

• 대한간호학회지
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• 제52권4호
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• pp.363-377
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• 2022

Purpose: This study aimed to test a hypothetical model of Korean nurses' patient safety management activities using meta-analytic path analysis. Methods: A systematic review, meta-analysis, and meta-analytic path analysis were conducted following the PRISMA and MOOSE guidelines. Seventy-four studies for the meta-analysis and 92 for the meta-analytic path analysis were included. The R software program (Version 3.6.3) was used for data analysis. Results: Four variables out of 49 relevant variables were selected in the meta-analysis. These four variables showed large effect sizes (ESr = .54) or median effect sizes (ESr = .33~.40) with the highest k (number of studies) in the individual, job, and organizational categories. The hypothetical model for the meta-analytic path analysis was established using these variables and patient safety management activities. Twelve hypothetical paths were set and tested. Finally, the perception of the importance of patient safety management and patient safety competency directly affected patient safety management activities. In addition, self-efficacy, the perception of the importance of patient safety management, patient safety competency, and patient safety culture, indirectly affected patient safety management activities. Conclusion: Self-efficacy, the perception of the importance of patient safety management, patient safety competency, and the organization's patient safety culture should be enhanced to improve nurses' patient safety management activities.

• 한국산학기술학회논문지
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• 제20권5호
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• pp.118-127
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• 2019

본 연구는 중소병원 간호사의 환자안전관리 중요성 인식, 환자안전문화 인식과 조직 의사소통이 환자안전 간호활동에 미치는 영향을 분석하여, 환자안전 간호활동을 증진시키기 위한 보건프로그램 개발의 기초자료를 제공하고자 시행되었다. K시에 위치한 200병상 이상의 중소병원 3곳에서 6개월 이상의 재직기간을 가진 간호사 210명을 편의추출 하였고, 2019년 2월 8일부터 15일까지 자료를 수집하였으며, 202부가 최종분석에 사용되었다. 수집된 자료는 SPSS 21.0을 이용하여 분석하였다. 환자안전관리 중요성 인식은 $3.60{\pm}.49$, 환자안전문화 인식은 $3.39{\pm}.41$, 조직 의사소통은 $3.29{\pm}.45$, 환자안전 간호활동은 $4.08{\pm}.50$이였고 환자안전 간호활동은 환자안전 중요성 인식(r=.597, p<.001), 환자안전문화 인식(r=.626, p<.001) 및 조직 의사소통(r=.559, p<.001)간에 유의한 양적 상관관계가 있는 것으로 나타났다. 환자안전 간호활동에 환자안전관리 중요성 인식(${\beta}=.258$, p<.001), 환자안전 문화인식(${\beta}=.323$, p=<.001), 조직 의사소통(${\beta}=.160$, p=.044)은 유의한 영향을 미치는 것으로 나타났으며(F=53.067, p<.001), 이들 간의 설명력은 43.7%였다. 본 연구를 바탕으로 중소병원 간호사의 환자안전 간호활동을 증진시킬 수 있는 병원 규모별 구체적 특성을 고려한 간호사들의 안전관리 자신감 증진, 비처벌적 환경 조성과 조직의 적극적인 의사소통 형성을 위한 환자안전 간호활동 증진프로그램의 개발이 필요하다.

• 한국의료질향상학회지
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• 제28권2호
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• pp.2-13
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• 2022

Purpose:This study aimed to identify the effect of work interruption that influenced workload and perception of patient safety culture on ward nurses. Methods: Participants were 184 ward nurses, with more than 12 months of work experience, from two tertiary hospitals in S city. A descriptive correlational study design was used. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis test, Pearson's correlation, and hierarchical multiple regression analysis via SPSS version 27.0. Results: The results showed that general wards nurses had a higher degree of work interruption (t=5.632, p<.001) and workload (t=3.603, p<.001) compared to comprehensive nursing care service wards nurses. More interruption in nursing work caused more burden on work (γ=.440, p<.001) and led to lesser perception of patient safety culture (γ=- .199, p=.007). Finally, the regression analysis showed that work interruption had a statistically significant relevance on nurses' workload (F=20.582, p<.001) and perception of patient safety culture (F=8.792, p<.001). Conclusion: To alleviate ward nurses' work interruption and decrease the negative effect on workload and perception of patient safety culture, it is necessary to mediate nurse staffing level and the number of assistants and utilize the environment.

• 한국치위생학회지
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• 제17권5호
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• pp.769-777
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• 2017

Objectives: The study was to promote patient safety by analyzing the effect of dental hygienist's perception of patient safety culture on infection control activities. Methods: The study is based on a survey of 377 dental hygienists in total working in dental settings. The questionnaire consisted of 119 questions, including 34 questions on perception of patient safety culture, and 85 questions on infection control activities. Hierarchical regression analysis was used to examine the relationship between the perception of patient safety culture and infection control activities. The data was analyzed using the SPSS version 20.0, and p<0.05 was adopted to decide on significance. Results: The longer dental hygienists have worked n the dental settings, the more active they become in infection control activities. Among the different types of dental care settings, general (university) hospitals had the largest number of infection control activities, followed by dental clinics, and network dental clinics, in descending order. The dental settings possessing a higher number of dental hygienists were found to conduct more infection control activities than other dental settings. In addition, it was found that when a dental setting adopts a patient safety policy across all the units in the hospital, more systems and procedures for patient safety tend to be established, and that stricter management response to error leads to improvement of infection control activities. Conclusions:In order to enhance infection control activities, infection control activity programs should develop and implement periodic reinforcement of infection control education. regular monitoring of infection control activities.

• 한국융합학회논문지
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• 제7권1호
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• pp.125-136
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• 2016

본 연구는 병원에서 근무하는 간호사의 환자안전문화인식과 환자안전간호활동의 융합적 관련성을 파악하여 병원에서의 환자안전사고 예방 및 환자안전관리활동을 위한 간호중재전략의 기초자료를 제공하고자 실시하였다. 연구방법은 B광역시 모병원에 근무하고 연구 참여에 동의한 간호사를 대상으로 2015년 2월 16일부터 2월28일까지 설문조사한 자료 266부를 SPSS 20.0 프로그램을 이용하여 분석하였다. 그 결과 대상자의 환자안전문화에 대한 인식 평균점수는 5점 만점에 3.60점이었고, 환자안전간호활동 평균점수는 5점 만점에 4.28점이었으며, 환자안전문화 인식의 하부영역인 사고보고빈도와 환자안전도 수준이 환자안전간호활동에 양(+)의 영향을 미치는 것으로 나타났다. 따라서 병원조직 내 원활한 의사소통과 긍정적인 보고체계구축을 통하여 환자안전문화에 대한 인식을 향상시킬 수 있도록 노력해야 할 것이다. 나아가 환자안전 교육과정 프로그램을 개발하여 병원 내 모든 직종을 포함한 간호사들에게 지속적으로 제공한다면 양질의 환자안전관리수행능력으로 질 높은 의료서비스가 제공될 것으로 기대된다.