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신규간호사의 환자안전동기, 환자안전관리태도가 환자안전관리행위에 미치는 영향

The Effects of New Nurses' Patient Safety Motivation, Patient Safety Management Attitude on Patient Safety Management Behavior Korean

  • 투고 : 2021.11.15
  • 심사 : 2021.12.22
  • 발행 : 2021.12.30

초록

본 연구는 신규간호사를 대상으로 환자안전동기, 환자안전관리태도, 환자안전관리행위 정도와 상관관계를 확인하고 환자안전관리행위에 영향을 주는 요인을 알아보고자 실시하였다. 신규간호사 127명을 대상으로 2020년 9월 11일부터 9월 30일까지 설문조사 하였으며, 수집된 자료는 SPSS 22.0 프로그램을 이용하여 t-test, ANOVA, Scheffe's test, Person's correlation coefficients, 다중회귀분석을 하였다. 환자안전동기는 환자안전관리태도, 환자안전관리행위와 양의 상관관계를 보였으며, 환자안전관리태도는 환자안전관리행위와 양의 상관관계를 보였다. 환자안전관리행위에 가장 유의한 영향을 준 요인은 환자안전동기, 환자안전관리태도, 환자안전관리 교육경험 이었다. 따라서 신규간호사의 환자안전관리행위 능력을 증진시키기 위해 환자안전동기, 환자안전관리태도를 포함한 환자안전교육 프로그램의 개발과 적용을 제안한다.

The purpose of this study was to investigate the patient safety motivation, patient safety management attitude, and patient safety management behavior and to identify the factors affecting patient safety management behavior of targeted new nurses. Subjects were 127 nurses and data were collected by questionnaires from September 11 to September 30, 2020. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson correlation coefficients and multiple regression analysis. Patient safety motivation was positive correlated with patient safety management attitude, and patient safety management behavior. Patient safety management attitude was positive correlated with patient safety management behavior. Patient safety motivation, patient safety management attitude and safety education experience were main factors that affect safety management behavior. These results suggest to develop educational program and application that include patient safety motivation, patient safety management attitude in order to improve patient safety management behavior of new nurses.

키워드

과제정보

This article was supported by the Research fund of the Gwangju University in 2021

참고문헌

  1. S. H. An, "Analysis of fisk factors for patient safety management", The Journal of Korean Nursing Administration Academic Society, Vol.12, No.3, pp. 373-384, (2006).
  2. WHO. Quality and patient safety. Health topics. http://www.who.int/westernpacific. (2018).
  3. Y. J. Im, Patient safety and healthcare quality. pp. 1-103, Korea Institute for healthcare accreditation, (2020).
  4. S. S. Cho, M. H. Gang, "Perception of patient safety culture and safety care activity of entry-level nurses," Korean Journal of Occupational Health Nursing, Vol.22, No.1, pp. 24-34, (2013). https://doi.org/10.5807/KJOHN.2013.22.1.24
  5. S. J. Kin, The structural equation model of the patient safety performance in clinical nurses, Chung-Ang University, Doctoral Dissertation, (2014).
  6. J. H. Han, Nurses' management of safety accidents for hospitalized childrens: a structural equation model, Korea University, Master's Degree, (2017).
  7. S. J. Choi, Development and evaluation of learning transfer based patient safety education program for new nurses, Korea University, Doctoral Dissertation, (2014).
  8. S. H. Son, J. S. Park, "Study on nursing students' knowledge, attitude, confidence in performance and practice in safety management," Studies on Education of fisheries and Marine Sciences, Vol.29, No.4, pp. 1043-1053, (2017). https://doi.org/10.13000/JFMSE.2017.29.4.1043
  9. K. S. Jang "Factors influencing the patient safety management activity of nursing students," The Journal of Korean academic Society of Nursing Education, Vol.24, No.4, pp. 358-366, (2018). https://doi.org/10.5977/JKASNE.2018.24.4.358
  10. Korea Hospital Nurses Association (KHNA). 2015 Work Report: (2016).
  11. H. N. Yoo, H. Y. Lee, "The initial application of the patient safety management activity scale (PSM-A) for nursing students: Brief on reliability and validity," The Journal of the Korean Data Analysis, Vol.16, No.6, pp. 3423-3436, (2014).
  12. S. K. Lee, S. N. Park, S. H. Jeong, "Nursing core competencies needed in the fields of nursing practice for graduates in nursing," Journal of Korean academy of nursing administration, Vol.18, No.4, pp. 460-473, (2012). https://doi.org/10.11111/jkana.2012.18.4.460
  13. Y. J. Lee, Patient safety culture and management activities perceived by hospital nurses, Eulji University, Master's Degree, (2011).
  14. T. J. Shaw, L. I. Pernar, S. E. Peyre, J. F. Helfrick, K. R. Vogelgesang, E. Graydon-Baker, "Impact of online education on intern behavior around joint commission national patient safety goals: a randomised trial," BMJ Quality & Safety, Vol.21, No.10, pp. 819-825, (2012). https://doi.org/10.1136/bmjqs-2011-000702
  15. M. N. Vinodkumar & M. Bhasi. (2010). Safety management practices and safety behaviour: assessing the mediating role of safety knowledge and motivation. Accid Anal Prev, 42(6), 2082-2093. https://doi.org/10.1016/j.aap.2010.06.021
  16. M. J. Park, I. S. Kim, Y. L. Ham, "Development of a perception of importance on patient safety management scale (PI-PSM) for hospital employee," International Journal of Contents, Vol.13, No.5, pp. 332-341, (2013).
  17. S. H. Choi, H. Y. Lee, "Factors affecting nursing students' practice of patient safety management in clinical practicum," The journal of Korean Nursing Administration Academic Society, Vol.21, No.2, pp. 184-192, (2015). https://doi.org/10.11111/jkana.2015.21.2.184
  18. I. S. Kim, M. Park, M. Y. Park, H. Yoo, J. Choi, "Factors affecting the perception of importance and practice of patient safety management among hospital employees in Korea," Asian Nursing Research, Vol.7, No.1, pp. 26-32, (2013). https://doi.org/10.1016/j.anr.2013.01.001
  19. H. N. Yoo, H. Y. Lee, "The initial application of the patient safety management activity scale(PSM-A) for nursing students: Brief on reliability and validity," Journal of the Korean data Analysis Society, Vol. 16, No. 6, pp. 63423-3436, (2014).
  20. H. S. Kwon, A structural model of hospital nurse's patient safety competency, Gong Ju University, Doctoral Dissertation, (2019).
  21. S. J. Kim, The structural equation model of the patient safety performance in clinical nurses, Chung Ang University, Doctoral Dissertation, (2014).
  22. H. K. Moon, The structural equation modeling on employees' safety performance in geriatric long term hospitals, Kosin University, Doctoral Dissertation, (2017).
  23. W. Y. Je, Hospital workers' perception of patient safety culture in a university hospital, Sungkyunkwan University, Master's Degree, (2007).
  24. S. H. Kim, Clinical nurses' practice of the fall prevention for elderly patients and their attitude toward patient safety culture, Hanyang University, Master's Degree, (2012).
  25. Y. J. Lee, Impact of accreditation awareness on attitudes & activities towards patient safety by nurses in national hospitals, Gachon University, Master's Degree, (2018).
  26. Y. J. Ku, Factor influencing ward nurses's willingness to report near miss, Pusan National University, Master's Degree, (2017).
  27. Y. S. Kim, Perceived patient safety culture, organizational communication satisfaction and safety nursing activities in ICU nurses, Ajou University, Master's Degree, (2018).
  28. J. D. Park, The effect of patient safety culture recognition patient safety attitude and self efficacy on the patient safety management activities of small hospital nurses, Nambu University, Master's Degree, (2019).
  29. J. W. Oh, "Education needs for patient safety management activities of nursing students with clinical practice," The Journal of Humanities and social science, Vol.11, No.1, pp. 263-278, (2020).
  30. S. Y. Yoo, Effects of nursing students' patient safety culture, safety motivation, attitudes towards patient safety on patient safety management behavior, Konyang University, Master's Degree, (2020).
  31. J. H. Park, "Nursing students' patient safety competency and patient safety management practice," Journal of the Korea Academia Industrial cooperation Society, Vol.20, No.3, pp. 216-223, (2019). https://doi.org/10.5762/KAIS.2019.20.3.216