Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Importance awareness and Compliance on Patient Safety for Nurses Working in Operating Rooms

수술실간호사의 수술환자 안전관리에 대한 중요성인지도와 실천이행도

  • Received : 2011.11.03
  • Accepted : 2011.12.13
  • Published : 2011.12.31
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Abstract

The purpose of this study was to evaluate the perceived patient safety, type of errors related to patient safety, importance awareness and compliance on patient safety for operating room nurses and to identify factors influencing compliance. Data were collected using a structured questionnaire from 191 perioperative nurses. Data were analyzed using descriptive statistics, t-test, paired t-test, ANOVA, Pearson correlation coefficients, and multiple regression. The perceived patient safety score was 6.3 as moderate level. Types of errors were mostly happened in patient injury (39.8%), counts (18.4%) and infection control (17.5%). The level of compliance on patient safety was significantly lower than that of importance awareness (t=18.01, P<.001). Compliance on patient safety showed significantly positive correlations to importance awareness (r=.56, p<.001). Experience of patient safety education, experience of errors in colleague, job position and working experience in hospital explained 13.9% of variance compliance on patient safety(F=8.407, P<.001). In conclusion, Hospital should develop education program related to patient safety, encourage nurses to manage safety protocol and ensure cultivating patient safety culture in the perioperative practice setting.

본 연구의 목적은 수술실간호사의 수술환자 안전관리수준, 안전사고유형, 및 수술환자 안전관리에 대한 중요성인지도와 실천이행도를 파악하고 수술환자 안전관리 중요성인지도와 실천이행도의 관계를 분석하여 실천이행도 영향요인을 규명하는 것이다. 191명의 수술실간호사를 대상으로 구조화된 설문지를 이용하여 자료수집하였으며 기술통계, t-test, paired t-test, ANOVA, Pearson correlation coefficients, multiple regression으로 분석하였다. 수술실 간호사들은 수술환자 안전관리수준을 중등도(6.3)로 평가하였으며 수술환자 안전사고는 환자손상(39.8%), 계수(18.4%), 감염관리(17.5%) 영역에서 주로 발생하였다. 수술실간호사의 수술환자 안전관리에 대한 실천이행도는 중요성인지도 보다 유의하게 낮았으며(t=18.01, P<.001) 중요성인지도와 실천이행도 간에는 유의한 정적 상관관계가 나타났다(r=.56, p<.001). 안전교육경험, 동료수술간호사의 사고경험, 직위, 병원경력이 수술환자안전관리 실천이행도의 유의한 설명변수(13.9%)로 규명되었다(F=8.407, P<.001). 그러므로 각 병원은 수술환자안전관리 교육프로그램을 개발하여 교육을 제공하고, 안전관리지침서를 준수할 수 있도록 제도적인 지원을 하며 안전관리에 대한 개방적 의사소통을 활성화하는 노력이 필요하다.

Keywords

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