Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities

종합병원 간호사가 인식한 환자안전문화와 소진이 안전관리활동에 미치는 영향

  • Received : 2016.03.14
  • Accepted : 2016.05.25
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study was to examine effects of patient safety culture and burnout on safety management activities with a focus on clinical experience of nurses in general hospitals. Methods: Self-administered questionnaires were given to nurses in a general hospital in C Province, and 107 questionnaires were used for final analysis. Collected data were analyzed using SPSS/WIN 21.0 Program for t-test, ANOVA, Pearson correlation coefficients, and multiple regression. Results: The highest score as perceived by general hospital nurses for patient safety culture was for 'Immediate superior/Manager' (3.84), for burnout, the highest score was for 'Emotional exhaustion' (4.13), and for safety management activities, the highest score was for 'Prevention of infection' (3.96). Patient safety culture and safety management activities perceived by general hospital nurses showed significant positive correlations (r=.35 p<.001). The correlations between burnout and safety management activities perceived by the nurses showed significant negative correlations (r=-.37, p<.001). Results of hierarchical regression analysis conducted to identify factors that affect safety management activities showed that patient safety culture (${\beta}=.40$ p<.001) was effective for controlling safety management activities. Conclusion: The findings indicate a need to build a patient safety culture that fits the characteristics and situations of various hospitals.

Keywords

References

  1. Ministry of Education (KR). Safety consciousness index of students [Internet]. Seoul: Ministry of Education; 2014. [cited 2014 April 4]. Available from: http://www.prism.go.kr/homepage/researchCommon/retrieveResearchDetailPopup.do?research_id=1342000-201300056
  2. Agency for Healthcare Research and Quality (US). Hospital survey on patient safety culture [Internet]. 2016 [cited 2015 December 20]. Available from: http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/index.html.
  3. Kim JY, Hwang EA. A study on improvement of consumer safety in medical services-based on patient safety. Seoul: Korea Consumer Agency; 2015.
  4. Lee SI. Policy suggestions for improving patient safety. Paper presented at: 2012 Spring SNUH's Hospital Medical Policy Symposium; 2012 May 22; Seoul National University Hospital, Seoul.
  5. Agency for Healthcare Research and Quality (US). AHRQ focus on research: Patient safety(Publication No. 02-M021) [Internet]. Rockville, MD: Agency for Healthcare Research and Quality; 2012. [cited August 18, 2003]. Available from: http://www.ahrq.gov/professionals/quality-patient-safety/index.html
  6. Lee KS, Shin MK. Goals and assignments of healthcare accreditation program in Korea. Journal of the Korean Medical Association 2012;55(1):7-16. http://dx.doi.org/10.5124/jkma.2012.55.1.7
  7. Kim YO. A study of factors predicting burnout in hospital staff nurses. Korean Journal of Adult Nursing. 2002;14(4):591-601.
  8. Kim JU, Yang GA, Yun SH. Korean hospital environment associated with patient safety and communication process in recognition of a nurse. Healthcare Informatics Research. 2004;10:130-135.
  9. Park SJ. A study on hospital nurse's perception of patient safety culture and safety care activity [master's thesis]. Busan: Donga University; 2009.
  10. Kim JJ, Kim TJ, Seo SE, Jung YS, Shin CH, Kim IS. Fundamentals of nursing. Seoul: Jungdam Media; 2006.
  11. Hospital Nurses Association. Clinical nursing practice guideline for fall prevention [Internet]. 2008 [cited 2015 December 20]. Available from: http://khna.or.kr/bbs/linkfile/resource/khna_Fcare.pdf
  12. Lee YJ. Patient safety culture and management activities perceived by hospital nurses [master's thesis]. Daejeon: Eulji University; 2011.
  13. Lee KH, Lee YS, Park HK, Rhu JO, Byun IS. The influences of the awareness of patient safety culture on safety care activities among operating room nurses. Journal of Korean Clinical Nursing Research. 2011;17(2):204-214.
  14. Lee JM, Hong SJ, Park MH. Perception of patient safety culture and safety care activity among ICU nurses. Korean Review of Crisis and Emergency Management. 2013;9(11):273-290.
  15. Nam MH, Lim JH. The influences of the awareness of patient safety culture on safety care activities among nurse in smallmedium sized general hospitals. Journal of Digital Convertgence. 2013;11(1):349-359.
  16. Lee MJ. Effects of perceived patient safety culture on safety care activities among nurses in small to medium hospitals [master's thesis]. Busan: Donga University; 2015.
  17. Jeong HJ. Safety culture awareness and safety management activities of operating room nurse [master's thesis]. Seoul: Kyung Hee University; 2013.
  18. Joo JI. The effect of perceived patient safety culture and job exhaustion on the patient safety performance among operation room nurses [master's thesis]. Gimhae: Inje University; 2014.
  19. Kizer KW. Large system change and a culture of safety (conference paper). In A. Scheffler and LA Zipperer, eds. Enhancing patient safety and reducing errors in health care: Chicago, IL: National Patient Safety Foundation; 1999.
  20. Je WY. Hospital workers' perception of patient safety culture in a university hospital [master's thesis]. Seoul: Sungkyunkwan University; 2007.
  21. Noh YN. Analysis of perception patient safety culture among hospital workforce [master's thesis]. Seoul: Yonsei University; 2008.
  22. Maslach C, Zimbardo PG. Burnout, the cost of caring. Englewood Cliffs, N.J.: Prentice-Hall; 1982.
  23. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Organizational Behavior 1981;2(2):99-113. http://dx.doi.org/10.1002/job.4030020205
  24. Choi HY. Perfectionism tendency, social support, and burnout among counselors [master's thesis]. Seoul: The Catholic University of Korea; 2002.
  25. Lee GO. The study on nurse manager leadership and patient safety-related nursing activities [master's thesis]. Seoul: Kyung Hee University; 2009.
  26. Shin EH. Perception on patient safety culture and safety nursing activity by hospital nurses [master's thesis]. Wonju: Gangneung-Wonju National University; 2014.
  27. Han NJ. The awareness on patient safety culture and the degree of safe nursing activity of hospital nurses [master's thesis]. Daegu: Kyungbook National University; 2012.
  28. Gong HH, Son YJ. Impact of nurses' job satisfaction and organizational commitment on patient safety management activities in tertiary hospitals. Journal of Korean Academy of Fundamentals of Nursing 2012;19(4):453-450. https://doi.org/10.7739/jkafn.2012.19.4.453

Cited by

  1. Factors Affecting Nursing Students’ Perception on Pediatric Patient Safety Culture and Nursing Activity vol.23, pp.4, 2017, https://doi.org/10.4094/chnr.2017.23.4.534
  2. Perception of Importance of Patient Safety Management, Patient Safety Culture and Safety Performance in Hospital Managerial Performance of Hospital Nurses vol.24, pp.1, 2018, https://doi.org/10.11111/jkana.2018.24.1.40
  3. Patient Safety Perception of Nurses as related to Patient Safety Management Performance in Tertiary Hospitals vol.24, pp.3, 2018, https://doi.org/10.11111/jkana.2018.24.3.193
  4. The Relationship among Potential Job-related Risks, Emotional Dissonance, and Turnover Intention of Caregivers at Long-term Care Facilities : Focus on the Mediating Effect of Burnout vol.48, pp.4, 2016, https://doi.org/10.16999/kasws.2017.48.4.187
  5. 간호사의 사건보고와 안전분위기 인지에 대한 융합연구 vol.9, pp.4, 2016, https://doi.org/10.15207/jkcs.2018.9.4.443
  6. 종합병원 간호사의 환자안전문화인식과 조직몰입이 환자안전관리활동에 미치는 영향 vol.16, pp.6, 2016, https://doi.org/10.14400/jdc.2018.16.6.259
  7. 수술실 간호사의 환자안전역량과 팀워크 인식이 환자안전관리활동에 미치는 영향 vol.16, pp.6, 2018, https://doi.org/10.14400/jdc.2018.16.6.271
  8. 환자안전사고 정보매체가 간호대학생의 환자안전에 대한 지식, 인식, 수행자신감에 미치는 영향 vol.19, pp.12, 2016, https://doi.org/10.5762/kais.2018.19.12.374
  9. Effects of Nursing Workplace Spirituality and Self-efficacy on the Patient Safety Management Activities of Nurses vol.25, pp.2, 2016, https://doi.org/10.11111/jkana.2019.25.2.106
  10. The Causal Relationships among Staff Nurses' Job Stress Factors, Patient Safety Culture Perception and Patient Safety Nursing Activities in a University Hospital vol.25, pp.4, 2019, https://doi.org/10.11111/jkana.2019.25.4.340
  11. 한·일 노인복지시설 종사자의 업무저해요인과 안전문화인식 비교 vol.20, pp.2, 2016, https://doi.org/10.5762/kais.2019.20.2.498
  12. Effects of Nurses' Patient Safety Management Importance, Patient Safety Culture and Nursing Service Quality on Patient Safety Management Activities in Tertiary Hospitals vol.26, pp.3, 2020, https://doi.org/10.11111/jkana.2020.26.3.181
  13. Factors Affecting the Patient Safety Management Activity of Nursing Students: A Quantile Regression Approach vol.26, pp.3, 2016, https://doi.org/10.11111/jkana.2020.26.3.230
  14. Factors Affecting the Patient Safety Management Activity of Nursing Students: A Quantile Regression Approach vol.26, pp.3, 2016, https://doi.org/10.11111/jkana.2020.26.3.230
  15. 상급종합병원 환자와 간호사의 안전 인식 비교와 간호사의 환자안전관리 직무수행 영향요인 vol.6, pp.1, 2020, https://doi.org/10.17703/jcct.2020.6.1.69
  16. Safety Culture and Patient Safety Outcomes in East Asia: A Literature Review vol.42, pp.3, 2016, https://doi.org/10.1177/0193945919848755
  17. 간호·간병통합서비스 병동 간호사의 환자안전문화인식, 감정노동, 직무스트레스가 환자안전간호활동에 미치는 영향 vol.14, pp.3, 2021, https://doi.org/10.34250/jkccn.2021.14.3.87
  18. Analysis of occupational burnout utilising Maslach inventory: a case study of Turkish male seafarers vol.48, pp.8, 2021, https://doi.org/10.1080/03088839.2020.1843725