임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제30권2호
  • /
  • Pages.139-146
  • /
  • 2024
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

종합병원 간호사의 근무환경과 자기효능감이 투약안전역량에 미치는 영향

Effects of Nursing Work Environment and Self-Efficacy of General Hospital Nurses on Medical Safety Competence in Korea

  • 임현아 (한림대학교강남성심병원 간호부) ;
  • 정금희 (한림대학교 간호대학)
  • Lim, Hyun Ah (Department of Nursing, Hallym University Kangnam Sacred Heart Hospital) ;
  • Jeong, Geum Hee (College of Nursing ‧ Research Institute of Nursing Science, Hallym University)
  • 투고 : 2024.05.23
  • 심사 : 2024.06.19
  • 발행 : 2024.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study aimed to examine the effects of the nursing work environment and self-efficacy on medical safety competence of nurses in general hospital. Methods: Participants included 183 nurses who were recruited through convenience sampling in a general hospital in South Korea. Questionnaires were collected from August 25 to September 22, 2023. The nursing work environment, self-efficacy and medical safety competence scales were used to assess the study variables. The t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression tests were performed using IBM SPSS ver. 26.0. Results: Statistically significant correlations were found between nurses' medical safety competence and nursing work environment (r=.34, p<.001), and self-efficacy (r=.48, p<.001). Self-efficacy (β=.38, p<.001), nursing work environment (β=.25, p<.001), and clinical experience (β=.14, p=.043) had the greatest effect on nurses' medical safety competence (F=21.21, p<.001), with an explanatory power of 30.0%. Conclusion: This study confirmed that the nursing work environment and nurses' self-efficacy have a significant impact on nurses' medical safety competence. In order to implement patient safety in hospitals, it is necessary to develop and apply strategies to improve the nursing work environment and increase nurses' self-efficacy to enhance their medical safety capabilities.

키워드

참고문헌

  1. Schutijser B, Klopotowska JE, Jongerden I, Spreeuwenberg P, Wagner C, de Bruijne M. Nurse compliance with a protocol for safe injectable medication administration: Comparison of two multicentre observational studies. BMJ Open. 2018;8(1): e019648. https://doi.org/10.1136/bmjopen-2017-019648
  2. Park JK, Seomun GA. Development and validation of the medication safety competence scale for nurses. Western Journal of Nursing Research. 2021;43(7):686-697. https://doi.org/10.1177/0193945920969929
  3. Lee SE, Ha YJ. Effects of critical thinking disposition and clinical decision making ability of nurse in tertiary hospitals on medication safety competency. Journal of Wellness. 2022;17(2):73-80. https://doi.org/10.21097/ksw.2022.5.17.2.73
  4. Korea Institute for Healthcare Accreditation. 2023 Annual patient safety statistics [Internet]. Seoul: Korea Patient Safety Reporting and Learning System; 2024 Jun [cited 2024 Mar 20]. Available from: https://www.kops.or.kr/portal/board/statAnlrpt/boardLi st.do#none.
  5. Park JH. Effects of nurses' patient safety management importance, patient safety culture and nursing service quality on patient safety management activities in tertiary hospitals. Journal of Korean Academy of Nursing Administration. 2020;26(3):181-191. https://doi.org/10.11111/jkana.2020.26.3.181
  6. Parry AM, Barriball KL, While AE. Factors contributing to registered nurse medication administration error: A narrative review. International Journal of Nursing Studies. 2015;52(1): 403-420. https://doi.org/10.1016/j.ijnurstu.2014.07.003
  7. Lee SH, Seo EJ. Factors influencing clinical nurses' intention to report medication administration errors. Journal of Korean Critical Care Nursing. 2021;14(3):62-72. https://doi.org/10.34250/jkccn.2021.14.3.62
  8. Kang JH. The effect of infection education on the practice of infection control: Moderating effects of infection control monitoring. Korean Public Management Review. 2020;34(4): 301-321. https://doi.org/10.24210/kapm.2020.34.4.013
  9. Dolan SA, Arias KM, Felizardo G, Barnes S, Kraska S, Patrick M, et al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. American Journal of Infection Control. 2016;44(7):750-757. https://doi.org/10.1016/j.ajic.2016.02.033
  10. World Health Organization. Medication Without Harm [Internet]. Geneva (CH): World Health Organization; 2017 May 15 [cited 2024 Mar 29]. Available from: https://www.who.int/initiatives/medication-without-harm.
  11. Nam MH, Choi SH. The cognition level on patient safety and safe nursing activities according to nurse-patient ratios. Journal of Korean Clinical Nursing Research. 2011;17(2):138-149. https://doi.org/10.22650/JKCNR.2011.17.2.2
  12. Park SK, Cho KM, Jwa YG, Kang DW, Lee YJ. Survey of nurse activity status. Chungju: Korea Health Industry Development Institute; 2014 Dec. Report No.: Policy-Service-2014-106.
  13. Kim SH, Park SK, Lee MH. Effect of a nursing practice environment on nursing job performance and organizational commitment: Focused on the mediating effects of job embeddedness. Journal of Korean Academy of Nursing Administration. 2019;25(3):208-219. https://doi.org/10.11111/jkana.2019.25.3.208
  14. Westerman JW, Simmons BL. The effects of work environment on the personality-performance relationship: A exploratory study. Journal of Managerial Issues. 2007;19(2):288-305.
  15. Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nursing Forum. 2007;42(1):20-30. https://doi.org/10.1111/j.1744-6198.2007.00062.x
  16. Lee GS. Relationships among job stress, resilience and self-efficacy in nurses [master's thesis]. Daejeon: Konyang University; 2018. p. 1-68.
  17. Jo MA. Influence of psychiatric health nurses' mental health nursing competence and self-efficacy on nursing performance [master's thesis]. Gwangju: Nambu University; 2023. p. 1-60.
  18. Seo JI, Kim YJ. Influence of communication self-efficacy and perception of patient safety culture on experience of nursing errors among operating room nurses. Journal of Korean Academy of Nursing Administration. 2021;27(3):181-190. https://jkana.or.kr/DOIx.php?id=10.11111/jkana.2021.27.3.181.
  19. Lee YH, Lee YJ, Ahn JA, Kim HJ. Critical thinking disposition, medication error risk level of high-alert medication and medication safety competency among intensive care unit nurses. Journal of Korean Critical Care Nursing, 2022;15(2):1-13. https://doi.org/10.34250/jkccn.2022.15.2.1
  20. Song GR, Kim OS. Influences of organizational communication satisfaction and safety climate on medication safety competence in hospital nurse. Journal of Korean Academy of Nursing Administration. 2022;28(3):297-306. https://doi.org/10.11111/jkana.2022.28.3.297
  21. Ko YJ, Hong GR. Development and evaluation of nursing work environment scale of clinical nurses. Journal of Korean Academy of Nursing Administration. 2022;28(5):576-585. https://doi.org/10.11111/jkana.2022.28.5.576
  22. Sherer M, Adams CH. Construct validation of the self-efficacy scale. Psychological Reports. 1983;(53):899-902. https://doi.org/10.2466/pr0.1983.53.3.899
  23. Yang KM. Analysis of the relationship between the empowerment, the job-related individual characteristics and the work performance of nurses. Journal of Korean Academy of Nursing Administration. 1999;5(1):39-61.
  24. Chang BH. The effects of the coaching competency program for nurse managers: Focused on self-efficacy and job commitment [dissertation]. Asan: Soonchunhyang University; 2013. p. 1-76.
  25. Lee MY. The relationship between nursing work environment, job stress and growth needs of nurses [dissertation]. Gwangju: Chosun University; 2020. p. 1-41.
  26. Kim MJ, Shin SJ, Lee IY. Education programs for newly graduated nurses in hospitals: A scoping review. Korean Journal of Adult Nursing. 2020;32(5):440-454. https://doi.org/10.7475/kjan.2020.32.5.440