Browse > Article
http://dx.doi.org/10.3961/jpmph.14.019

Nurse-perceived Patient Adverse Events and Nursing Practice Environment  

Kang, Jeong-Hee (Department of Nursing Science, Gyeongju University)
Kim, Chul-Woung (Department of Preventive Medicine, Chungnam National University School of Medicine)
Lee, Sang-Yi (Department of Health Policy and Management, Jeju National University School of Medicine)
Publication Information
Journal of Preventive Medicine and Public Health / v.47, no.5, 2014 , pp. 273-280 More about this Journal
Abstract
Objectives: To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, 'physician-nurse relationship' correlated with medication errors while 'education for improving quality of care' affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.
Keywords
Nursing practice environment; Medication error; Patient fall; Nosocomial infection; Pressure sore;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Cho SH. Nurse staffing and adverse patient outcomes [dissertation]. Michigan: University of Michigan; 2002.
2 Michel P, Quenon JL, de Sarasqueta AM, Scemama O. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. BMJ 2004;328(7433):199.   DOI   ScienceOn
3 De Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 2008;17(3)216-223.   DOI   ScienceOn
4 Kohn LT, Corrigan J, Donaldson MS. To err is human: building a safer health system. Washington, DC: National Academy Press; 2000, p. 18.
5 Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991;324(6):377-384.   DOI   ScienceOn
6 Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000;38(3):261-271.   DOI   ScienceOn
7 Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, et al. Nurses' reports on hospital care in five countries. Health Aff (Millwood) 2001;20(3):43-53.
8 Lake ET, Shang J, Klaus S, Dunton NE. Patient falls: association with hospital magnet status and nursing unit staffing. Res Nurs Health. 2010;33(5):413-425.   DOI   ScienceOn
9 Tervo-Heikkinen T, Partanen P, Aalto P, Vehvilainen-Julkunen K. Nurses' work environment and nursing outcomes: a survey study among Finnish university hospital registered nurses. Int J Nurs Pract 2008;14(5):357-365.   DOI   ScienceOn
10 Flood AB. The impact of organizational and managerial factors on the quality of care in health care organizations. Med Care Rev 1994;51(4):381-428.   DOI
11 Kwon YJ, Lim YD. A study of enacting the patient safety and quality improvement act. Dankook Law Rev 2012;36(2):605-633.   DOI
12 Nam MH, Kang SH. The cognition level on the patient safety and safe nursing activities among hospital nurses in Busan. Health Soc Sci 2010;28:197-221.
13 Kim KN, Kang KJ, Lee HS, Shin YH, Kim SK, Park KH, et al. Survey on pressure ulcers and influencing factors of stage change in acute university hospital inpatients. J Korean Clin Nurs Res 2011;17(3):433-442.
14 Kim CW, Lee SY, Kang JH, Park BH, Park SC, Park HK, et al. Application of revised nursing work index to hospital nurses of South Korea. Asian Nurs Res (Korean Soc Nurs Sci) 2013;7(3)128-135.
15 Health Insurance Review and Assessment. Hospital details information; 2010 [cited 2014 Sep 25]. Available from: http://www.hira.or.kr/rd/hosp/getHospList.do?pgmid=HIRAA030002000000 (Korean).
16 Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, et al. Rationing of nursing care and its relationship to patient outcomes: the Swiss extension of the International Hospital Outcomes Study. Int J Qual Health Care 2008;20(4)227-237.   DOI   ScienceOn
17 Wilson RM, Runciman WB, Gibberd RW, Harrison BT, Newby L, Hamilton JD. The quality in Australian Health Care Study. Med J Aust 1995;163(9):458-471.
18 Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322(7285):517-519.   DOI   ScienceOn
19 Davis P, Lay-Yee R, Briant R, Ali W, Scott A, Schug S. Adverse events in New Zealand public hospitals I: occurrence and impact. N Z Med J 2002;115(1167):U271.
20 Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ 2004;170(11)1678-1686.   DOI   ScienceOn
21 McCusker J, Dendukuri N, Cardinal L, Laplante J, Bambonye L. Nursing work environment and quality of care: differences between units at the same hospital. Int J Health Care Qual Assur Inc Leadersh Health Serv 2004;17(6):313-322.   DOI   ScienceOn
22 Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. J Clin Nurs 2009;18(4):581-590.   DOI   ScienceOn
23 Flynn L, Liang Y, Dickson GL, Xie M, Suh DC. Nurses' practice environments, error interception practices, and inpatient medication errors. J Nurs Scholarsh 2012;44(2):180-186.   DOI   ScienceOn