The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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Ethical Climate and Patient Safety Competencies between Nurses in Long-term care Hospital

요양병원 간호사의 윤리적 환경과 환자안전문화

  • Received : 2021.09.27
  • Accepted : 2021.10.16
  • Published : 2021.11.30
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Abstract

The purpose of this study was to investigate the effect of patient safety competencies and ethical climate in long-term care hospital nurses and to provide the basic data. Data were collected from 120 in D city and analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS/WIN 25.0. The degree of Patient Safety Competencies in long-term care hospital nurses was 3.45± .41. There were not significant differences in Patient Safety. There was positive correlation between patient safety competencies and peer(r=.123, p<.001), manager(r=.241, p<.001), and hospital(r=.241, p<.001). The factors affecting the patient safety competencies confidence of the study subjects were peer(β=.23, p=.003), manager(β=.55, p=.004), hospital(β=.43, p=.031), with an explanatory power of 33.5%. Through this research requires the fellow study to determine the factors affecting patient safety competencies confidence of long-term care hospital nurses.

본 연구는 요양병원 간호사를 대상으로 윤리적 풍토, 환자안전문화를 확인하고, 환자안전문화에 영향을 미치는 요인을 확인하기 위해 시도되었다. 연구참여자는 D시의 요양병원 간호사 120명을 대상으로 하였다. 자료분석은 SPSS 25.0 프로그램을 이용하여 실수, 백분율, 평균, 표준편차, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분석하였다. 대상자의 윤리적 의사결정 자신감은 3.45± .41점이었고, 일반적 특성에 따른 환자안전문화는 차이를 보이지 않았다. 연구대상자의 환자안전문화는 윤리적 풍토의 동료(r=.123, p<.001), 관리자(r=.241, p<.001), 병원(r=.241, p<.001)과 정적상관관계를 나타냈다. 대상자의 환자안전문화에 영향을 미치는 요인은 동료(β=.23, p=.003), 관리자(β=.55, p=.004), 병원(β=.43, p=.031)이었고, 설명력은 33.5%로 확인되었다. 본 연구결과를 통하여 요양병원 간호사의 환자안전문화에 영향을 미치는 요인을 확인하기 위한 반복연구가 필요하다.

Keywords

References

  1. S.G. Lee. Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals, Doctoral dissertation, Chung-Ang University of Seoul, 2015.
  2. K.W. Kizer, T.L.Garthwaite. (1997). Vision for change: an integrated service network. In: Kolodner RM, ed. Computerizing large integrated health networks: the VA success. New York: Springer-Verlag, 3-13.
  3. S.D. Cho, H.Y.Bang, E.J. Lee, G.H. Kim. (2016). Quality character¬istics of spring napa cabbage kimchi harvested at different times. Journal Korean Soc Food Cult, 31,188-193. https://doi.org/10.7318/KJFC/2016.31.2.188
  4. E. l Amouri, S. O'Neill. (2014). Leadership style and culturally com¬petent care: Nurse leaders' views of their practice in the multicultural care settings of the United Arab Emirates, Contem porary Nurse. 48(2), 135-49. http://dx.doi.org/10.1080/10376178.2014.11081936
  5. Significant increase in patient safety reporting activities in nursing hospitals http://www.mediwelfare.com/news/articleView.html?idxno=2035
  6. Y. J. Lee. Patient safety culture and management activities perceived by hospital nurses, Master's thesis, Eulji University of Daejeon, 2011.
  7. S. Moon. The effects of the awareness of patient safety culture and job satisfaction on safety care activities among nurses in small-medium Sszed general hospitals, Master's thesis, Kyung Hee University of Seoul, 2016.
  8. H.C. Klopper, S.K. Coetzee, R. Pretorius, R., P. Bester.(2012). Practice environment, job satisfaction and burnout of critical care nurses in south africa. Journal of Nursing Management, 20(5), 685-695. https://doi.org/10.1111/j.1365-2834.2011.01350.x
  9. B. Victor, J.B. Cullen. (1988). The organizational bases of ethical work climates. Administrative Science Quarterly, 33, 101-125 https://doi.org/10.2307/2392857
  10. J.B.Cullen, B. Victor, J.W. Bronson. (1993). The ethical climate questionnaire an assessment of its development and validity. Psychological Reports, 73, 667-674. http://dx.doi.org/10.2466/pr0.1993.73.2.667
  11. K.H. Kim, H.R. Lee, YK. Kim, H.J. Kim.(2014), A long-term care facility's geriatric nursing traits. Korean Association for Qualitative Research, 15(1), 35-47. http://doi.org/10.22284/qr.2014.15.1.35
  12. S.E. Park, E.Y. Yeom. (2016). Experience of the Role Conflict of Nurses in Long-term Care Hospitals. The Korea Contents Association, 16(6), 368-381. http://dx.doi.org/10.5392/JKCA.2016.16.07.368
  13. S.Y. Lee, J.A. Kim. (2020). Lived experiences toward moral distress among long-term care hospital nurses: A phenomenological approach. The Journal of Korean Academic Society of Nursing Education, 26(2),167-175. http://doi.org/10.5977/jkasne.2020.26.2.167
  14. L.L. Olson. (1998). Hospital nurses' perceptions of the ethical climate of their work setting. Image. Journal of Nursing Scholar ship, 30, 345-349. http://dx.doi.org/10.1111/j.1547-5069.1998.tb01331.x
  15. J.I. Hwang, H.A. Park. (2014). Nurses' perception of ethical climate, medical error experience and intent-to-leave, Nursing Ethics, 21(1), 28-42 https://doi.org/10.1177/0969733013486797
  16. S. H. Byun, D.H.S. Kang. (2019). Perception of patient safety culture, knowledge and performance of standard precaution among long-term care hospitals nurses, Journal of Digital Convergence, 17(9), 231-240. http://doi.org/10.14400/JDC.2019.17.9.231
  17. H.J.Hwang, Y.M. Lee.(2017). Effects of professional autonomy, organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals, Journal of Korean Critical Nursing, 10(1), 63-74.
  18. E. A. Choi, Y. E. Kwon.(2019). The effects of patient safety culture perception and patient safety competencies on patient safety management activities in Nurses, Journal of Digital Convergence, 17(12), 281-288. http://doi.org/10.14400/JDC.2019.17.12.281
  19. J.K. Kim. (2014). A Systematic Review of Clinical Nurses' Patient Safety Culture for Improving Nursing Work Environment. Korean Journal of Occupational Health Nursing,23(2), 67-79. http://dx.doi.org/10.5807/Kjohn.2014.23.2.67
  20. Y.H.Kim, Y.J. Choe, D.H. Kang, J.Y. Jung, C.R. Gil, H.K. Chang. (2020). Comparison of Safety Perception between Patients and Nurses and Factors Affecting Nurses Safety Management Activities in Tertiary Hospitals. The Journal of the Convergence on Culture Technology (JCCT), 6(1), 69-82. http://doi.org/10.17703/JCCT.2020.6.1.69
  21. H.G. Kim, H.S. Kang. (2019). Effects of Visual Media Programs on Job Stress and Burnout in Emergency Room Nurses. International Journal of Advanced Culture Technology, 7(4), 32-39. https://doi.org/10.17703/IJACT.2019.7.4.32