Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Perception the Importance of Patient safety Management, Professional Autonomy and Safety Climate on Patient Safety Nursing Activity on Hospital Nurses

병원 간호사의 환자안전관리 중요성 인식, 전문직 자율성 및 안전분위기가 환자안전간호활동에 미치는 영향

  • Kim, Seul-Gi (Department of Nursing, Kyung Hee University Medical Center E&C Jungang General Hospital) ;
  • Kang, Da-Hai-Som (Department of Nursing, Kaya University)
  • Received : 2022.01.17
  • Accepted : 2022.04.20
  • Published : 2022.04.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was investigates the effects of perception the importance of patient safety management, professional autonomy and safety climate on patient safety nursing activity on hospital nurses. Participants were 211 nurses working in 4 general hospitals. Data were collected with structured questionnaires from January 11 to January 25, 2021. Data were analyzed descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression with SPSS 21.0 program. Factor affecting the patient safety nursing activity were safety climate(β=.297, p<.001), perception the importance of patient safety management(β=.287, p<.001), and work place(β=.169, p=.004). In summary, in order to promote patient safety nursing activities, it is necessary to develop and apply educational programs considering the work of nurses' working place and various characteristics, improve perception the importance of patient safety, and positive safety climate. This study is meaningful in providing basic data for the development of programs related to the promotion of patient safety nursing activities for hospital nurses.

본 연구는 병원 간호사의 환자안전관리 중요성 인식, 전문직 자율성 및 안전분위기가 환자안전간호활동에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 종합병원 간호사 211명을 대상으로, 2021년 1월 11일부터 1월 25일까지 자료수집이 이루어졌다. 자료분석은 SPSS 21.0 program을 이용하여 독립표본 t-검정, 일원분산분석, 피어슨상관계수, 단계적 회귀분석으로 하였다. 병원간호사의 환자안전간호활동 영향요인은 안전분위기(β=.297, p<.001), 환자안전관리 중요성 인식(β=.287, p<.001), 근무부서(β=.169 p=.004)이었다. 연구결과를 종합해 볼 때, 환자안전간호활동의 증진을 위해서는 간호사의 근무부서의 업무고려 및 다양한 특성을 고려한 교육프로그램 개발 및 적용, 환자안전관련 중요성 인식의 향상, 긍정적인 안전분위기의 형성이 이루어져야 한다. 본 연구는 병원 간호사의 환자안전간호활동 증진의 방안마련에 토대가 되는 자료를 제공한다는 점에서 그 의의가 있다.

Keywords

References

  1. M. J. Park, I. S. Kim & Y. L. Ham. (2013). Development of a perception of importance on patient safety management scale(PI-PSM) for Hospital Employee. The Journal of the Korea Contents Association, 13(5), 332-341. DOI:10.5392/jkca.2013.13.05.332
  2. J. H. Park. (2020). Effects of nurses' patient safety management importance, patient safety culture and nursing service quality on patient safety management activities in tertiary hospitals. Korean Academy of Nursing Administration, 26(3), 181-191. DOI:10.11111/jkana.2020.26.3.181
  3. Korea Patient Safety Reporting & Learning System g system. (2021). Annual Patient Safety Statistical Yearbook for 2020. KOPS(Oline). https://www.kops.or.kr
  4. M. R. Kim. (2011). Concept analysis of patient safety. Journal of Korean Academy of Nursing, 41(1), 1-8. DOI:10.4040/jkan.2011.41.1.1
  5. M. Y. Park & E. A. Kim. (2018). Perception of importance of patient safety management, patient safety culture and safety performance in hospital managerial performance of hospital nurses. Korean Academy of Nursing Administration, 24(1), 40-50. DOI:10.11111/jkana.2018.24.1.40
  6. S. H. Jung & E. S. Choi. (2017). The impact of job stress on the patient safety nursing activity among nurses in small-medium sized general hospitals. Korean Journal of Occupational Health Nursing, 26(1), 47-54. DOI:10.5807/kjohn.2017.26.1.47
  7. D. C. Seo, M. R. Torabi, E. H. Blair & N. T. Ellis. (2006). A cross-validation of safety climate scale using confirmatory factor analytic approach. Journal of Safety Research, 35(4), 427-445. DOI:10.1016/j.jsr.2004.04.006
  8. Y. Hwang, M. Y. Kim & J. S. Kang. (2016). Perception and performance about patient safety management for hospital nurses. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 6(12), 39-54. DOI:10.14257/ajmahs.2016.12.29.
  9. K. K. Schutzenhofer. (1983). The development of autonomy in adult woman. Journal of Psychological Nursing and Mental Health Services, 21(4), 25-30. DOI:10.3928/0279-3695-19830401-04
  10. S. A. Chi & H. S. Yoo. (2001). Perception and performance about patient. Journal of Korean Academy of Nursing, 31(5), 781-792. https://doi.org/10.4040/jkan.2001.31.5.781
  11. S. S. Lee & H. R. Choi. (2019). Convergence influences of nurses' professional autonomy and empathy on patient safety culture. Journal of Digital Convergence, 17(2), 231-241. DOI:10.14400/jdc.2019.17.2.231
  12. 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 Care Nursing, 10(1), 63-74.
  13. A. Neal & M. A. Griffin. (2006). A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. Journal of Applied Psychology, 91(4), 946-953. DOI:10.1037/0021-9010.91.4.946
  14. M. R. Kim & M. S. Kwon. (2019). The effects of operating room nurses' perceptions of organizational health, safety climate, and the nursing working environment on engagement in patient safety management activities. Korean Journal of Occupational Health Nursing, 28(4), 197-207. DOI:10.5807/kjohn.2019.28.4.197
  15. M. J. Son. (2012). The effects of perception of hospital nurses toward safety climate on safety performance. Master's dissertation. Seoul National University, Seoul.
  16. M. A. Lee, S. J. Kang & H. S. Hyun. (2019). Relationship among nursing professionalism, nursing work environment, and patient safety nursing activities in general hospital nurses. Korean Academy of Nursing Administration, 25(4), 317-328. DOI:10.11111/jkana.2019.25.4.317
  17. S. T. Seo. (2019). The factors influencing for patient safety management activity of small and medium sized hospital. Master's dissertation. Dongeui University, Busan.
  18. S. D. Cho, S. E. Heo & D. H. Moon. (2016). A Convergence study on the hospital nurse's perception of patient safety culture and safety nursing activity. Journal of the Korea Convergence Society, 7(1), 125-136. DOI:10.15207/jkcs.2016.7.1.125
  19. M. Y. Kim & Y. Eun. (2017). Perceptions of patient safety culture, safety care knowledge and activity among nurses at an orthopedic hospital. The Journal of Muscle and Joint Health, 24(1), 14-23. DOI:10.5953/jmjh.2017.24.1.14
  20. Y. M. Park, K. H. Nam, K. N. Kang, J. J. Nam & Y. O. Yun. (2019). Mediating effects of perceptions regarding the importance of patient safety management on the relationship between incident reporting attitudes and patient safety care activities for nurses. Journal of Korean Critical Care Nursing, 12(2), 85-96. DOI:10.34250/jkccn.2019.12.2.85
  21. M. Y. Han & M. S. Jung. (2017). Effect of hospital nurses' perceptions of organizational health and patient safety culture on patient safety nursing activities. Korean Academy of Nursing Administration, 23(2), 127-138. DOI:10.11111/jkana.2017.23.2.127
  22. I. W. Kim. (2005). A structure model on head nurse's leadership. Master's dissertation. Kyunghee University, Seoul.
  23. S. J. Singer et al. (2009). Comparing safety climate between two populations of hospitals in the United States. Health Services Research, 44(5pl), 1563-1583. DOI:10.1111/j.1475-6773.2009.00994.x
  24. M. S. Hwang. (2005). Comparison of the factors influencing medical institution workers's safety Performance. Master's dissertation. Kyunghee University, Seoul.
  25. S. M. Park, I. S. Jang & J. S. Choi. (2011). Affecting factors of nurses' burnout in secondary general hospitals. Korean Academy of Nursing Administration, 17(4), 474-483. https://doi.org/10.11111/jkana.2011.17.4.474
  26. Y. S. Kim, Y. S. Eo & N. Y. Lee. (2014). Effects of head nurses' managerial competencies and professional nurse autonomy in nursing performance. Korean Academy of Nursing Administration, 20(4), 437-445. DOI:10.11111/jkana.2014.20.4.437
  27. Y. E. Choi & H. Y. Kim. (2016). The impact of safety climate and fatigue on safety performance of operating room nurses. Korean Academy of Nursing Administration, 22(5), 471-479. DOI:10.11111/jkana.2016.22.5.471
  28. A. A. Vogelsmeier, J. R. Scott-Cawiezell & G. A. Papper. (2011). Medication reconciliation in nursing homes: thematic differences between RN and LPN staff. Journal of Gerontological Nursing, 37(12), 56-63. DOI:10.3928/00989134-20111103-05
  29. J. W. Kim & E. J. Lee. (2021). Effect of general hospital nurses' perception of patient Safety Culture and Organizational communication satisfaction on safe care. Korean Journal of Safety Culture, 11, 131-143.
  30. M. H. Kim. (2016). The study on safety culture awareness, attitudes, patient safety nursing activities of nurses in intensive care unit. Master's dissertation. Hanyang University, Seoul.
  31. T. Speroff et al. (2010). Organisational culture: variation across hospitals and connection to patient safety climate. Quality and Safety in Health Care, 19(6), 592-596. DOI:10.1136/qshc.2009.039511
  32. J. Morath, R. Filipp & M. Cull. (2014). Strategies for Enhancing perioperative safety: promoting joy and meaning in the workforce. Association of peri Operative Registered Nurses journal, 100(4), 376-389. DOI:10.1016/j.aorn.2014.01.027