디지털융복합연구 (Journal of Digital Convergence)

  • 제13권9호
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  • Pages.303-311
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  • 2015
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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융복합의 장기요양시설 간호사의 환자안전문화인식과 안전통제감이 안전관리활동에 미치는 영향

Influence of Safety Culture Perception, Safety Control and Safety Management Activities as Perceived for Nurses in Nursing Home

  • 투고 : 2015.06.01
  • 심사 : 2015.09.20
  • 발행 : 2015.09.28
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초록

본 연구는 융복합의 장기요양시설 간호사를 대상으로 환자의 안전문화인식과 안전통제감을 파악하고, 이들 변인이 환자안전관리활동에 미치는 영향요인을 알아보고자 시도하였다. 연구방법은 장기요양시설에서 6개월 이상 근무한 간호사 146명을 대상으로 환자안전문화인식과 안전통제감 등을 설문조사하였다. 수집된 자료는 SPSS/WIN 21.0 이용하여 분석하였으며, 분석결과는 환자안전문화인식(${\beta}=.40$, p<.001), 안전통제감(${\beta}=.27$, p=.002), 최근 안전교육 경험(${\beta}=.19$, p=.015)과 연령(${\beta}=.19$, p=.027)이 유의하게 나타났으며, 이들 변인은 대상자의 안전관리활동에 34.5% 설명하였다(F=5.51, p<.001). 장기요양시설 간호사의 안전관리활동은 환자안전문화인식 및 안전통제감과 관련성이 높았으며, 이들 변인을 고려한 안전관리교육 프로그램을 제안한다.

This study has been done to identify the effect of safety culture perception, safety control and safety management activities as perceived by nursing home nurses. A total of 146 cases recruited safety culture perception, safety control and safety management activities. Data were analyzed using the SPSS/WIN 21.0 Program. The factor that had the most impact on safety management activities were safety culture perception (${\beta}=.40$, p<.001), safety control (${\beta}=.27$, p=.002), experience of safety education (${\beta}=.19$, p=.015), age (${\beta}=.19$, p=.027). The regression model explained 34.5% of the variances(F=5.51, p<.001). The study finding suggests that to develop the program with achievement of safety management activities for nurses of the nursing home.

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참고문헌

  1. W. D. Seon, "Evaluation outcome for long-term care insurance and its implications", http://www.kihasa.re.kr/html/jsp/publication/periodical/focus/list.jsp (October 3, 2014)
  2. S. H. Yoon, H. Oh, "Content analysis of patient safety culture in nursing homes", Journal of Korean Nursing Administration Academic Society, Vol. 19, No. 1, pp. 118-127, 2013. https://doi.org/10.11111/jkana.2013.19.1.118
  3. Korea Federation of Senior Welfare, "Order of elderly long-term care insurance", Seoul: Author, 2010.
  4. M. R. Kim, "Concept analysis of patient safety", Journal of Korean Academy of Nursing, Vol. 41, No. 1, pp. 1-8, 2011. https://doi.org/10.4040/jkan.2011.41.1.1
  5. A. F. Bonner, N. G. Castle , S. Perera, S. M. Handler, "Patient safety culture: A review of the nursing home literature and recommendations for practice", Annals of Long-term Care, Vol. 16, No. 3, pp. 18-22, 2008.
  6. A. J. Park, N. Y. Lim, Y. S. Kim, Y. K. Lee, J. H. Song, "Incidence and predictors of falls in institutionalized elderly", Journal of Muscle Joint Health, Vol. 18, No. 1, pp. 50-62, 2011. https://doi.org/10.5953/JMJH.2011.18.1.050
  7. Ministry of Health & Welfare, "Rehabilitation program-Health care of frail elderly", Seoul: Author, 2010.
  8. C. C. Kim, M. J. Suh, "An analysis of fall incidence rate and its related factors of fall in inpatients", Journal of Korean Society of Quality Assurance in Health Care, Vol. 9, pp. 210-228, 2002.
  9. S. M. Handler, N. G. Castle , S. A, Studenski, S. Perera, D. B. Fridsma, D. A. Nace, J T. Hanlon, "Patient safety culture assessment in the nursing home", Quality & Safety in Health Care, Vol. 15, No. 6, pp. 400-404, 2006. https://doi.org/10.1136/qshc.2006.018408
  10. J. Y. Kim, Y. W. Lee, O. K. Ham, "Factors related to fall in elderly patients with osteoporosis", Journal of Korean Adult of nursing, Vol. 21, No. 2, pp. 257-267, 2009.
  11. N. Anna, T. Kersti, W. L. Bodil, N. Gun, "Health care staffs' perception of patient safety culture in hospital settings and factors of importance for this", Open Journal of Nursing, Vol. 3, pp. 28-40, 2013. https://doi.org/10.4236/ojn.2013.38A005
  12. Castle, N. G., Sonon, K. E. "A culture of patient safety in nursing homes", Quality & Safety Health Care. Vol. 15, No. 6, pp. 405-408, 2006. https://doi.org/10.1136/qshc.2006.018424
  13. S. H. Yoon,, B. S. Kim, S. Y. Kim, "Development and validation of the korean patient safety culture scale for nursing homes", Journal of Korean Academy of Nursing, Vol. 43, No. 3, pp. 379-388, 2013. https://doi.org/10.4040/jkan.2013.43.3.379
  14. Y. M. Lee, "Safety accident occurrence to perceptions of patient safety culture of hospital nurses", Journal of the Korea Academia-Industrial cooperation Society, Vol. 13, No. 1, pp. 117-124, 2012. https://doi.org/10.5762/KAIS.2012.13.1.117
  15. R. Ramanujam, K. Abrahamson, J. A. Anderson, "Influences on nursing perception of hospital unit safety climate: An HLM approach. Regenstief Center for Healthcare Engineering RCHE Publication", http://docs.lib.purdue.edu/rche_rp, 2007.
  16. Y. Huang, M. Ho, G. S. Smith, P. Y. Chen, "Safety climate and self-reported injury: assessing the mediating role of employee safety control", Accident Analysis and Prevention, Vol. 38, pp. 425-433, 2006. https://doi.org/10.1016/j.aap.2005.07.002
  17. S. H. Yoon, B. S. Kim, S. Y. Shin, X. L. Wu, "Measuring patient safety culture in Korean nursing homes", Journal of Korean Academy of Nursing Administration, Vol. 19, No. 2, pp. 315-327, 2013. https://doi.org/10.11111/jkana.2013.19.2.315
  18. S. H. Yoon, S. Kim, X. L. Wu, "Perception of workers on patient safety culture and degree of patient safety in nursing homes in Korea", Journal of Korean Academy of Nursing Administration, Vol. 20, No. 3, pp. 247-256, 2014. https://doi.org/10.11111/jkana.2014.20.3.247
  19. C. M, Hughes, K. L. Lapane, "Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes", International Journal for Quality in Health Care, Vol. 18, pp. 281-286, 2006. https://doi.org/10.1093/intqhc/mzl020
  20. Agency for Healthcare Research and Quality, "Nursing home surveys on patient safety culture. Rockville, MD: AHRQ.", 2012. http://www.ahrq.gov/professionals/quality-patientsafety/patientsafetyculture/nursing-home/index.html
  21. L. Anderson, P. Chen, S. Finlinson, A.D. Krauss, Y. H. Huang, "Roles of safety control and supervisory support in work safety. In: Paper presented at Society of Industrial/Organizational Psychology (SIOP), Chicago, IL", 2004.
  22. S. K. Chung, "A structural model of safety climate and safety compliance of hospital organization employee. Ph.D. dissertation", Yonsei University, 2009.
  23. G. O. Lee, "The study on nurse manager leadership and patient safety-related nursing activities. Master's thesis", Kyung Hee University, 2009.
  24. J. H. Choi, K. M. Lee, M. A. Lee, "Relationship between hospital nurses' perceived patient safety culture and their safety care activities", Korean Journal of Fundamentals of Nursing, Vol. 17, No. 1, pp. 64-72, 2010.
  25. J. Jeong, Y. J. Seo, E. U. Nam, "Factors affecting patient safety management activities at nursing divisions of two university hospitals", Korean Journal of hospital management, Vol. 11, No. 1, pp. 91-109, 2006.
  26. J. H. Choi, K. M. Lee, M. A. Lee, "Relationship between hospital nurses' perceived patient safety culture and their safety care activities", Korean Journal of Fundamentals of Nursing, Vol. 17, No. 1, pp. 64-72, 2010.
  27. H. H. Park, "A structural model of nurses' patient safety management activities. Ph.D. dissertation", Eulji University, 2013.
  28. S. H. Lim, S. O. Chang, K. H. Seo, S. J. Lee, "Nurses' perceptions regarding identification and management of change in the condition of residents at risk in nursing homes", Journal of Korean Gerontological Nursing, Vol. 12, No. 1, pp. 81-94, 2010.
  29. H. W. Cho, J. H. Yang, "Relationship between perceived patient safety culture and patient safety management activities among health personnel", Korean Journal of Fundamentals of Nursing, Vol. 19, No. 1, pp. 35-45, 2012. https://doi.org/10.7739/jkafn.2012.19.1.035
  30. J. Sorra, V. F. Nieva, "Safety culture assessment: A tool for improving patient safety in healthcare organizations", Quality Safety Health Care, Vol. 12, pp. ii17-ii23, 2003.
  31. K. K. Kim, M. S. Song, J. S. Lee, Y. S. Kim, S. Y. Yoon, J. E. Back, H. K. Hur, "Effects of an education program on prevention of malpractice using precedent cases related to patient safety in safety perception, safety control, autonomy and accountability in clinical nurses", Journal of Korean Academy of Nursing Administration, Vol. 18, No. 1, pp. 67-75, 2012. https://doi.org/10.11111/jkana.2012.18.1.67
  32. M. K. Jang, Y. K. Choi, J. I. Hwang, J. H. Hwang, E. K. Kim, N. H. Park, J. Y. Lee, "Job satisfaction of hospital employees", Journal of Korean Academy of Nursing Administration, Vol. 10, pp. 63-81, 2004.