Browse > Article
http://dx.doi.org/10.22650/JKCNR.2021.27.2.210

Effect of Dialysis Nurses' Perception of Patient Safety Risk Factors and Patient Safety Competency on Safety Nursing Activities  

Lee, Jae Jung (Department of Nursing, Gyeongsang National University Hospital)
Jeon, Mi Yang (College of Nursing.Institute of Health Science, Gyeongsang National University)
Lee, Jung Ja (Department of Nursing, Gyeongsang National University Hospital)
Kim, Gha Na (Department of Nursing, Gyeongsang National University Hospital)
Jeong, Da In (Department of Nursing, Gyeongsang National University Hospital)
Publication Information
Abstract
Purpose: The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities. Methods: The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0. Results: The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R2=.34). Conclusion: The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses' competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.
Keywords
Clinical Competence; Hemodialysis Unit; Hospital; Nurses; Patient Safety; Risk Factor;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Yun JM, Park HS. Perception of the patient safety risk factors and safety management by nurses in emergency service, hospitals. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(4):380-391. https://doi.org/10.7739/jkafn.2014.21.4.380   DOI
2 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/jksane.2018.24.2.190   DOI
3 Jang HN. Evaluation and application of patient safety competence assessment tool: Survey for nurses [master's thesis]. Seoul: Seoul National University; 2013. p. 1-86.
4 Institute of Medicine (US), Committee on Data Standards for Patient Safety; Aspeden P, Corrigan J.M. Wolcott J, Erickson, SM, editors. Patient safety: Achieving a new standard for care [Internet]. Washington, DC: National Academies Press; c2004 [cited 2020 Aug 8] Available from: http://www.nap.edu/catalog/10863.html.
5 Choi JS. Infection control for hemodialysis and endoscopy unit. Hanyang Medical Reviews. 2011;31(3):167-176.   DOI
6 Garrick R, Kliger A, Stefanchik B. Patient and facility safety in hemodialysis: Opportunities and strategies to develop a culture of safety. Clinical Journal of the American Society of Nephrology. 2012;7(4):680-688. https://doi.org/10.2215%2FCJN.06530711   DOI
7 Jung SJ, Jeong JH. Influence of professionalism and organizational communication on patient safety culture of nurses in hemodialysis units. Journal of Korean Clinical Nursing Research. 2019;25(1):98-105. https://doi.org/10.22650/JKCNR.2019.25.1.98   DOI
8 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   DOI
9 Jung HJ. Knowledge, prevention behavior and perceived vulnerability to AIDS of nephrology nurses in hemodialysis centers [master's thesis]. Seoul: Ewha Womans University; 2005. p. 1-52.
10 Ahn SH. Analysis of risk factors for patients safety management. Journal of Korean Academy of Nursing Administration. 2006;12(3):373-384.
11 Ulrich B, Kear T. Patient safety culture in nephrology nurse practice settings: Initial findings. Nephrology Nursing Journal. 2014;41(5):459-475.
12 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.
13 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, QC. The Congress; c2012.
14 Choi EA, Kwon YE. The effects of patient safety culture perception and patient safety competencies on patient safety management activities in nurses. Journal of Digital Convergence. 2019;17(12):281-288. https://doi.org/10.14400/JDC.2019.17.12.281   DOI
15 KIM JJ, Jung HM. Effect of patient safety culture and patient safety competence on safety nursing activity among nurses working in anesthetic and recovery rooms. Journal of Korean Clinical Nursing Research. 2020;26(2):164-174. https://doi.org/10.22650/JKCNR.2020.26.2.164   DOI
16 Korean Society of Nephrology, ESRD Registry Committee. Current renal replacement therapy in Korea [Internet]. Seoul: Korean Society of Nephrology; 2018 May 17 [cited 2020 Jul 5]. Available from: http://www.ksn.or.kr/rang_board/list.html?code=sinchart.
17 Health Insurance Review & Assessment Service. Hemodialysis adequacy evaluation norm value part new index development research [Internet]. Wonju: Health Insurance Review & Assessment Service; 2014 May 27 [cited 2020 Jul 5]. Available from: https://repository.hira.or.kr/handle/2019.oak/1624.
18 Korea Patient Safety Reporting & Learning System. Patient safety reporting & learning system statistics portal [Internet]. Seoul: Korea Patient Safety Reporting & Learning System; 2021 Jul 1]. Available from: https://statistics.kops.or.kr/biWorks/dashBoardMain.do.
19 Han SY. The Knowledge, perception and performance for the prevention of blood borne disease of nurses in hemodialysis centers [master's thesis]. Daegu: Keimyung University; 2007. p. 1-50.
20 Park SJ, Kang JY, Lee YO. A study on hospital nurses' perception of patient safety culture and safety care activity. Journal of Korean Critical Care Nursing, 2012;5(1):44-55.
21 Im SA, Park MJ. The effects of patient safety culture perception and organizational commitment on patient safety management activities in general hospital nurses. Journal of Digital Convergence. 2018;16(6):259-270. https://doi.org/10.14400/JDC.2018.16.6.259   DOI
22 Hong IS, Bae SH, Cho OH. Relationship between nursing work environment, patient safety culture, and patient safety nursing activities in hemodialysis clinics of primary care centers. Journal of Korean Academic Society of Home Health Care Nursing. 2020;27(3):250-258. https://doi.org/10.22705/jkashcn.2020.27.3.250   DOI
23 Patient Safety Act [Internet]. Sejong: Korea Ministry of Government Legislation; e2016 July 29 [cited 2020 Jul 5]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=167782#0000.
24 Agency for Healthcare Research and Quality. AHRQ Hospital Survey on Patient Safety Culture: User's Guide [Internet]. Agency for healthcare research and quality U. S. Department of Health and Human Service; 2018 Jul [cited 2020 Jul 5]. Available from: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.
25 Choi YJ, Kang YK, Yang IJ, Lim JY. Patient safety perception of nurses as related to patient safety management performance in tertiary hospitals. Journal of Korean Academy of Nursing Administration. 2018;24(3):193-201. https://doi.org/10.1111/jkana.2018.24.3.193   DOI
26 Korea Institute for Healthcare Accreditation. Korea Patient Safety Reporting & Learning System [Internet]. Seoul: Korea Institute for Healthcare Association; 2020 May [Cited 2020 Jul 5]. Available from: https://www.kops.or.kr/portal/board/stat/boardList.do#none.
27 Lee SY. Expansion of hospital staff: Top priority for improving patient safety [Internet]. Seoul: Center for Health and Social Change; 2015 May 11 [cited Nov 11]. Available from: http://www.chsc.or.kr/?post_type=paper&p=88683.
28 Kim YE, Suh GH, Choi SH, Park SA. Effects of self-efficacy and safety culture perception on patient safety management activities among nurses in comprehensive nursing care units. Crisisonomy. 2020;16(4):33-44. https://doi.org/10.14251/crisisonomy.2020.16.4.33   DOI
29 Health Insurance Review & Assessment Service. The 6th hemodialysis adequacy assessment results [Internet]. Wonju: Health Insurance Review & Assessment Service; 2020 Jul 21 [cited 2020 Nov 11]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=10097&pageIndex=1#none.
30 Lee KS. Measures to reduce the annual medical expenses of 20 million won for chronic kidney disease patients [Internet]. Kukmin Ilbo. 2017 Jan 12 [cited 2020 Jul 5]. Available from: http://news.kmib.co.kr/article/view.asp?arcid=0011193903.