Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Nurse-perceived Patient Adverse Events and Nursing Practice Environment

  • Kang, Jeong-Hee (Department of Nursing Science, Gyeongju University) ;
  • Kim, Chul-Woung (Department of Preventive Medicine, Chungnam National University School of Medicine) ;
  • Lee, Sang-Yi (Department of Health Policy and Management, Jeju National University School of Medicine)
  • Received : 2014.05.08
  • Accepted : 2014.08.12
  • Published : 2014.09.30
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Abstract

Objectives: To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, 'physician-nurse relationship' correlated with medication errors while 'education for improving quality of care' affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.

Keywords

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