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The Factors Influencing Understanding on Patient Safety Culture in General Hospital Employees

일 지역 종합병원 종사자들의 환자 안전문화 인식에 미치는 요인

  • Jung, Sang-Jin (Dept. of Health Administration, Gwangju Health University) ;
  • Ryu, So Yeon (Dept. of Preventive Medicine, Chosun University Medical School)
  • 정상진 (광주보건대학교 보건행정과) ;
  • 류소연 (조선대학교 의과대학 예방의학 교실)
  • Received : 2017.07.11
  • Accepted : 2017.10.13
  • Published : 2017.10.31
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Abstract

This study was conducted to evaluate understanding of patient safety culture and the factors that influence this understanding among general hospital employees. To collect data, this study surveyed 343 employees of five general hospitals that were located in G metropolitan city and were authorized through medical institute certification. The data were collected from March 12 to April 21, 2017. For the data collected, a t-test, variance analysis, post-hoc analysis, and multiple regression analysis were conducted. The analyses revealed that the scores of understanding of patient safety culture were $3.27{\pm}.27$ with a perfect score of 5. Analysis of differences in understanding of patient safety culture revealed significant differences according to hospital service career, present department service career, professional career, and work units. Factors that influence understanding of patient safety culture were more than 11 year- hospital service career, 6 and 10 service years, and ward employees. Overall, the results of this study suggest that employees should receive education to improve understanding of patient safety culture and measures to change the understanding should be developed.

본 연구는 일 지역 종합병원 종사자를 대상으로 환자 안전문화의 인식 정도와 환자 안전문화 인식에 미치는 요인을 파악하기 위한 목적으로 수행된 연구이다. 자료조사는 G 광역시 소재 5개 종합병원으로 의료기관 인증 평가를 받고 인증된 종합병원 종사자 343명을 대상으로 2017년 3월 12일부터 2017년 4월 21일까지 자료를 수집하였다. 수집된 자료 분석은 기술통계, t-검정과 분산분석, 사후분석, 다중회귀 분석을 실시하였다. 연구결과 환자 안전문화에 대한 인식은 5점 만점에 $3.27{\pm}.27$7점 이었으며, 환자 안전문화 하위 영역별 인식 점수로는 사고횟수 인식이 가장 높았고 직속상관 및 관리자 안전 인식이 가장 낮았다. 환자 안전문화 인식 차이를 분석한 결과, 병원 근무경력, 현부서 근무경력, 직업(전문)경력, 근무부서, 환자접촉 유무에 따라 통계적으로 유의한 차이가 있었다. 사후검정 결과 병원근무 경력, 직업경력, 현부서 근무 경력이 짧을수록 인식이 높았고, 직접접촉자에 비해 간접접촉 종사자의 환자 안전문화 인식이 높았다. 환자 안전문화 인식에 미치는 요인으로는 병원경력에서 11년 이상, 6-10년이었고, 근무부서에서는 병동 종사자이었다. 이러한 연구를 바탕으로 종합병원에서 사고를 예방하기 위해서는 종사자의 환자 안전문화 인식이 중요하다.

Keywords

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