Browse > Article
http://dx.doi.org/10.11111/jkana.2013.19.1.118

Content Analysis of Patient Safety Culture in Nursing Homes  

Yoon, Sook-Hee (Department of Nursing / Institute of Health science, Inje University)
Wu, XiangLian (Department of Nursing, Graduate School of Inje University)
Publication Information
Journal of Korean Academy of Nursing Administration / v.19, no.1, 2013 , pp. 118-127 More about this Journal
Abstract
Purpose: The purpose of this study was to identify experiences of incidents and to explore the perceptions of Patient Safety Culture between two groups using nursing homes in Korea; employees and patients and their families. Methods: In 2010 in-depth interviews were used to collect data from 56 participants (38 employees, and 18 patients and family members). The data were analyzed using inductive content analysis. Results: The analysis scheme resulting from employees' data consisted of 7 categories and 22 subcategories, after 216 significant statements were analyzed and categorized. The 7 categories were education and training (24.5%), working attitude (23.6%), organizational system (19.0%), job satisfaction (18.5%), institutional environment (6.5%), manager leadership (4.2%), and work climate (4.7%). The analysis scheme resulting from patient and family data consisted of 6 categories and 7 subcategories after 24 significant statements were analyzed and categorized. Education and training among categories of employees were excluded. Conclusion: These findings indicate that an evaluation tool for patient safety culture should be developed for nursing homes in Korea.
Keywords
Patient safety culture; Nursing homes; Content analysis;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Agency for Healthcare Research and Quality. (2008). Nursing home surveys on patient safety culture. Retrieved December 1, 2012, from http://www.ahrq.gov/qual/patientsafetyculture/ nhsurvindex.htm
2 Ahn, S. H. (2006). Analysis of risk factors for patient safety management. Journal of Korean Academy of Nursing Administration, 12, 373-384.   과학기술학회마을
3 Bonner, A. F., Castle, N. G., Perera, S., & Handler, S. M. (2008). Patient safety culture: A review of the nursing home literature and recommendations for practice. Annals of Long-term Care, 16(3), 18-22.
4 Castle, N. G., & Sonon, K. E. (2006). A culture of patient safety in nursing homes. Quality and Safety Health Care, 15, 405-408. http://dx.doi.org/10.1136/qshc.2006.018424   DOI   ScienceOn
5 Chen, I. C., & Li, H. H. (2010). Measuring patient safety culture in Taiwan using the hospital survey on patient safety culture (HSOPSC). BMC Health Services Research 2010, 10,152-162. http://dx.doi.org/10.1186/1472-6963-10-152   DOI   ScienceOn
6 Cox, S., & Cox, T. (1991). The structure of employee attitudes to safety: A European example. Work & Stress: An International Journal of Work, Health & Stress, 5(2), 93-106. http://dx.doi.org/10.1080/02678379108257007   DOI
7 Creswell, J. W., & Clark, V. L. P. (2007). Designing and conducting mixed methods research. California: Sage.
8 Feng, X., Bobay, K., & Weiss, M. (2008). Patient safety culture in nursing: A dimensional concept analysis. Journal of Advanced Nursing. 63, 310-319. http://dx.doi.org/10.1111/j.1365-2648.2008.04728.x   DOI   ScienceOn
9 Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. New York: Aldine.
10 Handler, S. M., Castle, N. G., Studenski, S. A., Perera, S., Fridsma, D. B., Nace, D. A., et al. (2006). Patient safety culture assessment in the nursing home. Quality and Safety Health Care, 15, 405-408. http://dx.doi.org/10.1136/qshc.2006.018408   DOI   ScienceOn
11 Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
12 Kang, M. A., Kim, J. E., An, K. E., Kim, Y., & Kim, S. W. (2005). Physicians' perception of and attitudes towards patient safety culture and medical error reporting. Korean Journal of Health Policy & Administration. 15(4), 110-135.   DOI   ScienceOn
13 Kang, Y. H. (2012, November 1). Culture. Retrieved November 1, 2012, from http://terms.naver.com/entry.nhn?cid=476&docId= 426412&mobile&categoryId=476
14 Kim, M. C., Cho, H. K., SunWoo, S., & Kim, S. W. (1999). Prevalence and associated factors of fall among the elderly in nursing home. Journal of the Korean Geriatrics Society, 3(4), 29-38.
15 Kim, E. K., Kang, M. A., & Kim, H. J. (2007). Experience and perception on patient safety culture of employees in hospitals. Journal of Korean Academy of Nursing Administration, 13, 321-334.
16 Kim, S. S., & Lee, E. S. (1999). A study on accidents of the elderly in urban areas. Korean Journal of Nursing Query, 8(2), 202-224.
17 Krumberger, J. M. (2001). Building a culture of safety. RN, 64(1), 32ac2-32ac3.
18 National Health Insurance Corporation. (2012). Number of long-term care facilities. Retrieved October, 2012, from http://www.longtermcare.or.kr/portal/site/nydev/MENUITEM_O RGSEARCH/
19 Lee, E. O., Lim, E. Y., Park, H. A., Lee, I. S., Kim, J. I., Bae, J. Y., et al. (2009). Nursing research and statistical analysis. Seoul: Soomoonsa.
20 Lee, Y. M. (2012). Safety accident occurrence to perceptions of patient safety culture of hospital nurses. Journal of Korea Academia-Industrial Cooperation Society, 13(1), 117-124.   과학기술학회마을   DOI   ScienceOn
21 Park, S. J., Kang, J. Y., & Lee, Y. O. (2012). A study on hospital nurses' perception of patient safety culture and safety care activity. Journal of Korean Critical Care Nursing, 5(1), 44-55.
22 Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., et al. (2006). The safety attitudes questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research. 6, 44. http://dx.doi.org/10.1186/1472-6963-6-44   DOI   ScienceOn
23 The National Institute of the Korean Language. (2012). Standard Korean Language Dictionary.Retrieved from http://www.korean.go.kr/ eng/index.jsp