DOI QR코드

DOI QR Code

종합병원과 요양병원 간호사의 환자 안전 문화 인식에 관한 비교 연구

Comparative Research of Patient Safety Culture Long-term Care Hospital Nurses and General Hospital Nurses

  • Hyojin, Won (Dept. of Nursing, Baekseok Culture University) ;
  • Eunju, Seo (Dept. of Nursing, Paichai University)
  • 투고 : 2022.08.29
  • 심사 : 2022.11.20
  • 발행 : 2022.11.28

초록

본 연구는 종합병원과 요양병원 간호사의 환자 안전 문화 인식의 정도를 비교하기 위하여 수행한 서술적 조사연구이다. 연구대상자는 3개 시에 위치한 종합병원 2곳과 요양병원 4곳에서 6개월 이상 근무 중인 일반간호사 150명이었으며, 자료는 2021년 10월부터 12월까지 수집되었다. 환자 안전 문화는 이순교가 개발한 환자 안전 문화 측정 도구를 사용하였다. 자료는 교차분석, 이원배치 분산분석과 t-test를 SPSS 20.0 프로그램을 이용하여 분석하였다. 연구 결과 간호사의 연령(F=44.17, p= .000), 총 임상 경력(F=62.86, p=.000), 현 근무부서 임상 경력(F=26.27, p=.000)이 많을수록 환자 안전 문화 인식이 높았으며, 요양병원 간호사의 환자 안전 문화 인식 하위영역 중 리더십(t=2.07, p=.040)과 환자 안전 우선순위(t=2.18, p=.031) 영역이 종합병원 간호사에 비해 높은 것으로 확인되었다. 연구 결과를 바탕으로 병원 및 요양병원에서 환자 안전 문화 수준을 높이기 위한 프로그램 개발이 활발히 이루어지기를 기대한다.

This study conducted a descriptive research to compare the degree of patient safety culture awareness among general hospitals and long-term care hospital nurses. The subjects of this study were 150 nurses who worked for more than 6 months at 2 general hospitals and 4 long-term care hospitals located in 3 cities, the data has collected from October to December 2021. To Measure patient safety culture, the patient safety culture measurement tool developed by Soon Gyo Lee was used. Data were analyzed by 𝑥2-test, ANOVA, and t-test using SPSS 20.0 program. As a result of the study, the variables with high patient safety culture were the nurse's age(F=44.17, p=.000), clinical career(F=62.86, p=.000), and current workplace career(F=26.27, p=.000). Among the subdomains of patient safety culture, leadership(t=2.07, p= .040) and patient safety priorities(t=2.18, p=.031) were found to be higher in long-term care hospital nurses than general hospital nurses. Based on this result, we expected that it can be used as data in developing programs to raise the level of patient safety culture in hospitals and long-term care hospitals.

키워드

참고문헌

  1. World Health Organization. Patient safety: making health care safer [Internet]. Geneva: World Health Organization; 2017. https://apps.who.int/iris/handle/10665/255507.
  2. National Law Information Center(2020). Patient Safety Act. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%ED%99%98%EC%9E%90%EC%95%88%EC%A0%84%EB%B2%95#undefinedhttps://m.dongascience.com/news.php?idx= 48771
  3. J. M. Davies. (2003). The Canadian patient safety dictionary. desLibris.
  4. N. Y. Kim. (2020). Analysis of Patient Safety Incident in Korea. Journal of Korean Academy of Nursing Administration, 26(2), 151-159. https://doi.org/10.11111/jkana.2020.26.2.151
  5. Y. L. Son. (2016). The impact of Perceived Patient Safety Culture on Safety Care Activities in General Hospital Nurse's. Journal of Korean AcademiaIndustrial cooperation Society, 17(3), 509-517. DOI : https://doi.org/10.5762/KAIS.2016.17.3.509
  6. J. M. Lee, S. J. Hong & M. H. Park. (2013). Perception of Patient Safety Culture and Safety Care Activity among ICU Nurses. Crisisonomy, 9(11), 273-290.
  7. B. K. Cha & J. Choi. (2015). 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, 21(4), 405-416. DOI : https://doi.org/10.11111/jkana.2011.17.4.462
  8. 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. DOI : https://doi.org/10.14400/JDC.2019.17.9.231
  9. S. G. Lee. (2015). Development and Psychometric evaluation of the Korean Patient Safety Culture Survey Instrument for Hospitals, Unpublished doctoral dissertation. Chung-ang University, Seoul.
  10. M. J. Kim & K. J. Kim. (2016). The Influence of Nurses' Clinical Career and Communication within Organization on Teamwork Competency. Journal of Digital Convergence. 14(2), 333-344. DOI : https://doi.org/10.14400/JDC.2016.14.2.333
  11. Y. S. Shin, G. J. Yoon, S. W. Kim, N. K. Lee, J. W. Lim, J. H. Lee & J. H. Kim. (2018). Survey of Health and Medical Personnel. Korea Institute for Health and Social Affairs. Sejong.
  12. J. A. Lee (2021). Dong-A Science. https://m.dongascience.com/news.php?idx=48771
  13. National Statute Information Center. (2017) Medical Law. https://www.law.go.kr/LSW/lsInfoP.do?lsiSeq=78014#0000
  14. Korea Institute for Healthcare Accreditation. https://www.koiha.or.kr/web/kr/index.do
  15. S. A. Myers. (2011). Introduction to Concepts of Hospital Accreditation and Patient Safety. In: Sharon Ann Myers, editor. Patient Safety and Hospital Accreditation: A Model for Ensuring Success. Springer Publishing Company, 3-17.
  16. Y. E. Jeong, S. Y. Do & I. T. Park. (2016). Measuring the Patient Safety Culture of Long-term Care Hospitals. Korea Institute for Healthcare Accreditation
  17. Korea Gallup Research Institute. (2017). National Awareness Survey on Medical Institution Certification System in 2017. Korea Institute for Healthcare Accreditation. https://www.koiha.or.kr/web/kr/library/rschReport_view.do
  18. Korea Institute for Healthcare Accreditation. (2021). Acute Stage Hospital Accreditation Standards -4 cycles-
  19. Korea Institute for Healthcare Accreditation. (2021). 3 Cycles Long-term Care Hospital Accreditation Standards. https://www.koiha.or.kr/web/kr/library/establish_board.do