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The Impact of Safety Climate and Fatigue on Safety Performance of Operating Room Nurses

수술실 간호사의 안전분위기와 피로 수준이 안전이행에 미치는 영향

  • Choi, U-Eun (Graduate School of Advanced Practice Nursing, Eulji University) ;
  • Kim, Hyun-Young (College of Nursing, Jeonju University)
  • 최유은 (을지대학교 임상간호대학원) ;
  • 김현영 (전주대학교 간호대학)
  • Received : 2016.07.04
  • Accepted : 2016.11.20
  • Published : 2016.12.31

Abstract

Purpose: This study was conducted to evaluate the level of safety climate, fatigue, and safety performance and to identify the impact of safety climate and fatigue on the safety performance of operating room nurses. Methods: The study design was a descriptive survey. Participants were 174 operating room nurses from two general hospitals and two university hospitals in S and D cities. Three structurally designed questionnaires were used to evaluate their safety climate, fatigue, and safety performance. Collected data were analyzed using descriptive analysis, t-tests, ANOVAs, Pearson correlation coefficient, and stepwise multiple regression. Results: Safety performance of operating room nurses had a mean of 3.26 on a 5-point scale. 'Current department career'(${\beta}=.17$, p=.006) and 'safety climate (work-unit contribution) (${\beta}=.63$, p<.001) accounted for 39% of the variance in operating room nurses' safety performance. Conclusion: Findings indicate that work-unit contribution towards safety climate is an important factor in increasing operating room nurses' safety performance. Therefore, it is essential to find motivational properties consistent with the characteristics of the operating room environment.

Keywords

References

  1. Kim MR. Concept analysis of patient safety. Journal of Korean Academy of Nursing. 2011;41(1):1-8. https://doi.org/10.4040/jkan.2011.41.1.1
  2. National Patient Safety Agency. (Great Britain). Seven steps to patient safety: An overview guide for NHS staff. London: National Patient Safety Agency; 2004.
  3. Karanfil L, Bahner J, Most R. Creating a patient-safe environment in a perioperative setting. AORN Journal. 2005;81(1):168-176, 179-180; quiz 183-186.
  4. Kim JS, Kim JS. Importance awareness and compliance on patient safety for nurses working in operating rooms. Journal of the Korea Academia-Industrial Cooperation Society. 2011;12(12):5748-5758. https://doi.org/10.5762/KAIS.2011.12.12.5748
  5. Glancy GD, Chaimowitz G. The clinical use of risk assessment. Canadian Journal of Psychiatry. 2005;50(1):12-17. https://doi.org/10.1177/070674370505000104
  6. Son MJ. The effects of perception of hospital nurses toward safety climate on safety performance [master's thesis]. Seoul: Seoul National University; 2012.
  7. Cha BK, Choi J. A comparative study on perception of patient safety culture and safety care activities: Comparing university hospital nurses and small hospital nurses. Journal of Korean Academy of Nursing Administration. 2015;21(4):405-416. https://doi.org/10.11111/jkana.2015.21.4.405
  8. Kaafarani HMA, Itani KMF, Rosen AK, Zhao S, Hartmann CW, Gaba DM. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? The American Journal of Surgery. 2009;198(1):70-75. https://doi.org/10.1016/j.amjsurg.2008.09.017
  9. Kim EK, Kang MA, Kim HJ. Experience and perception on patient safety culture of employees in hospitals. Journal of Korean Academy of Nursing Administration. 2007;13(3):321-334.
  10. Neal A, Griffin MA, Hart PM. The impact of organizational climate on safety climate and individual behavior. Safety Science. 2000;34(1-3):99-109. https://doi.org/10.1016/S0925-7535(00)00008-4
  11. Hwang MS. Comparison of the factors influencing medical institution workers's safety performance [master's thesis]. Seoul: Kyoung Hee University; 2014.
  12. Singer SJ, Hartmann CW, Hanchate A, Zhao S, Meterko M, Shokeen P, et al. Comparing safety climate between two populations of hospitals in the United States. Health Services Research 2009;44(5 Pt 1):1563-1583. https://doi.org/10.1111/j.1475-6773.2009.00994.x
  13. Kim IS, Park MJ, Park MY, Yoo HN, Choi JH. Factors affecting the perception of importance and practice of patient safety management among hospital employees in Korea. Asian Nursing Research. 2013;7(1):26-32. https://doi.org/10.1016/j.anr.2013.01.001
  14. Williamson A, Lombardi DA, Folkard S, Stutts J, Courtney TK, Connor JL. The link between fatigue and safety. Accident Analysis & Prevention. 2011;43(2):498-515. https://doi.org/10.1016/j.aap.2009.11.011
  15. Park AS, Cho YC. Fatigue symptoms and its related factors among general hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society 2009;10(8):2164-2172. https://doi.org/10.5762/KAIS.2009.10.8.2164
  16. Chung CH, Kang HY. Job stress and fatigue of the nurses in the operating room. The Journal of the Korea Contents Association. 2013;13(12):291-298. https://doi.org/10.5392/JKCA.2013.13.12.291
  17. Flin R, Mearns K, O'Connor P, Bryden R. Measuring safety climate: Identifying the common features. Safety Science. 2000;34(1-3):177-192. https://doi.org/10.1016/S0925-7535(00)00012-6
  18. Winwood PC, Winefield AH, Lushington K. Work-related fatigue and recovery: The contribution of age, domestic responsibilities and shiftwork. Journal of Advanced Nursing. 2006;56(4):438-449. https://doi.org/10.1111/j.1365-2648.2006.04011.x
  19. Kim SJ, Sung MS. Subjective symptoms on fatigue in hospital nurses. Journal of Korean Academy of Nursing. 1998;28(4):908-919. https://doi.org/10.4040/jkan.1998.28.4.908
  20. Kim YL, Lee MH. Perceptions of patient safety culture of hospital nurses. Journal of Safety and Crisis Management. 2015;11(1):83-99.
  21. Lee EH. International comparison of perceptions of security among employees. KRIVET Issue Brief, vol 2014-54. Seoul: KRI VET; 2014.
  22. Park KO, Kim JK, Kim MS. Operating room nurses' experiences of securing for patient safety. Journal of Korean Academy of Nursing. 2015;45(5):761-772. https://doi.org/10.4040/jkan.2015.45.5.761
  23. Choi JH, Lee KM, Lee MA. Relationship between hospital nurses' perceived patient safety culture and their safety care activities. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(1):64-72.
  24. Kim JH, Kim IK. A study on the emotional labor, burnout and turnover intention of clinical nurses. Journal of the Korean Data Analysis Society. 2014;16(3):1653-1667.
  25. Kim JK, Kim MJ, Kim SY, Yu M, Lee KA. Effects of general hospital nurses' work environment on job embeddedness and burnout. Journal of Korean Academy of Nursing Administration. 2014;20(1):69-81. https://doi.org/10.11111/jkana.2014.20.1.69
  26. Lee JM, Hong SJ, Park MH. Perception of patient safety culture and safety care activity among ICU nurses. Journal of Safety and Crisis Management. 2013;9(11):273-290.
  27. Kim HY, Kim HS. Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. Journal of Korean Academy of Nursing Administration. 2011;17(4):413-422. https://doi.org/10.11111/jkana.2011.17.4.413
  28. Chiaburu DS, Harrison DA. Do peers make the place? Conceptual synthesis and meta-analysis of coworker effects on perceptions, attitudes, OCBs, and performance. The Journal of Applied Psychology. 2008;93(5):1082-1103. https://doi.org/10.1037/0021-9010.93.5.1082
  29. Kapp EA. The influence of supervisor leadership practices and perceived group safety climate on employee safety performance. Safety Science. 2012;50(4):1119-1124. https://doi.org/10.1016/j.ssci.2011.11.011

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