Browse > Article
http://dx.doi.org/10.22650/JKCNR.2020.26.2.164

Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms  

Kim, Jin Joo (Department of Nursing, Pusan National University Yangsan Hospital)
Jung, Hyang Mi (Department of Nursing, Dong-Eui University)
Publication Information
Abstract
Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. Results: Safety nursing activity was significantly different in relation to nurses' level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.
Keywords
Patient Safety; Safety Management;
Citations & Related Records
Times Cited By KSCI : 14  (Citation Analysis)
연도 인용수 순위
1 Kang YK, Kim KM, Kim YY, Park HO, Seo KH, Song SN, et al. Analysis of anesthesia and recovery room nurses's activities. Journal of Korean Academy of Nursing Administration. 2006;12(1):63-75.
2 World Health Organization. Patient safety Fact file [Internet]. Geneve(CH): World Health Organization; 2018 [cited 2018 Nov 24]. Available from: https://www.who.int/features/factfiles/patient_safety/en/.
3 Luckowski A. Safety priorities in the PACU. Nursing. 2019;49(4):62-65. https://doi.org/10.1097/01.NURSE.0000554246.74635.e0   DOI
4 Falk-Brynhildsen K, Jaensson M, Gillespie BM, Nilsson U. Swedish operating room nurses and nurse anesthetists' perceptions of competence and self-efficacy. Journal of Peri- Anesthesia Nursing. 2019;34(4):842-850. https://doi.org/10.1016/j.jopan.2018.09.015   DOI
5 Agency for Healthcare Research and Quality. Patient safety [Internet]. Agency for Healthcare Research and Quality: 2018 [cited 2018 Aug 28]. Available from https://www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf.
6 Paik YA, Kim YG. Patient safety care activity among nurses in small-medium sized general hospitals. Korean Journal of Rehabilitaion Nursing. 2018;21(1):51-59. https://doi.org/10.7587/kjrehn.2018.51   DOI
7 Han MY, Jung MS. Effect of hospital nurses' perceptions of organizational health and patient safety culture on patient safety nursing activities. Journal of Korean Academy of Nursing Administration. 2017;23(2):127-138. https://doi.org/10.11111/jkana.2017.23.2.127   DOI
8 Chai WR. Relationship between emergency nurses' patient safety competency and safety nursing activities[master's thesis]. Seoul: Yonsei University; 2017. p. 1-80.
9 Kim JE, Kang MA, An KE, Sung YH. A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research. 2007;13(3):169-179.
10 Xie J, Ding S, Zhong Z, Zeng S, Qin C, Yi Q, et al. Clinical education: a safety culture training program enhanced the perceptions of patient safety culture of nurse managers. Nurse Education in Practice. 2017;27:128-133. https://doi.org/10.1016/j.nepr.2017.08.003   DOI
11 Jang HN. Evaluation and application of patient safety competence assessment tool: survey for nurses[master's thesis]. Seoul:Seoul University; 2013. p. 1-86.
12 Aspden P, Corrigan JM, Wolcott J, Erickson SM. Patient safety: achieving a new standard for care. Washington, DC: National Academy Press. 2004.
13 Song EJ, Park YS, Ji HS, Lee HK. Factors affecting on the clinical nurse's safety nursing activity. Journal of Digital Convergence. 2016;14(11):469-479. https://doi.org/10.14400/JDC.2016.14.11.469   DOI
14 Park MM, Kim SH. The effect of operating room nurse's patient safety competency and perception of teamwork on safety management activities. Journal of Digital Convergence. 2018;16(6):271-281. https://doi.org/eproxy.pusan.ac.kr/10.14400/JDC.2018.16.6.271   DOI
15 Park MY, Kim EA. Perception of importance of patient safety management, patient safety culture and safety performance in hospital managerial performance of hospital nurses. Journal of Korean Academy of Nursing Administration. 2018;24 (1):40-50. https://doi.org/10.11111/jkana.2018.24.1.40   DOI
16 Lee SH, Lee YH. Perception on patient safety culture and patient safety competency of intensive care unit nurses. Journal of the Korean Data Analysis Society. 2016;18(4):2215-2229.
17 Kim MJ, Kim JK. A study on the relationships among perception about patient safety culture, patient safety competence, and safety nursing activities of emergency room nurses. Journal of the Korea Contents Association. 2017;17(10):268-279. https://doi.org/10.5392/JKCA.2017.17.10.268   DOI
18 Lee SG. Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals [dissertation]. Seoul:Chung-Ang University; 2015. p. 1-142.
19 Lee GO. The study on nurse manager leadership and patient safety-related nursing activities[master's thesis]. Seoul: Kyung Hee University; 2009. p. 1-50.
20 Lee NJ, Jang HN. Development of questionnaires to measure baccalaureate nursing students' patient safety competencies. In: Proceedings of the 11th International Congress on Nursing Informatics; 2012 Jun 23-27; Montreal, Quebec, Canada: The Congress; c2012.
21 Cha BK, Choi J. 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. 2015;21(4):405-416. https://doi.org/10.11111/jkana.2015.21.4.405   DOI
22 Ahn SA, Lee NJ. The effect of operating room nursing and medical staff teamwork and perception of patient safety culture on the performance of surgical patient safety protocol. Journal of Korean Critical Care Nursing. 2016;9(1):27-39.
23 Lee SS, Choi HR. Convergence influences of nurses' professional autonomy and empathy on patient safety culture. Journal of Digital Convergence. 2019;17(2):231-241. https://doi.org/10.14400/JDC.2019.17.2.231   DOI
24 Seo MR, Chung KH. Effect of critical thinking disposition and clinical decision making on patient safety competence of nurses in hemodialysis units. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2018; 8(8):51-61. https://doi.org/10.35873/ajmahs.2018.8.8.006
25 Son YS, Lee YW, Kim YS, Song EJ, Lee HR, Lee JH. Perception of patient safety risk factors and performance level of safety care activities among hospital nurses. Journal of Korean Academic Society Of Nursing Education. 2018;24(2):190-200. https://doi.org/10.5977/jkasne.2018.24.2.190   DOI
26 Kim SI, Ha JY. The influence of patient safety culture and self-leadership on patient safety competence of nurse. Asia -pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2018;8(12):721-730. https://doi.org/10.35873/ajmahs.2018.8.12.069