• Title/Summary/Keyword: 환자 안전 문화

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Factors Associated with Patient Safety Care Activity among Nurses in Small-Medium Sized General Hospitals (중소병원 간호사의 환자안전 간호활동 영향 요인)

  • Bea, Han-Ju;Kim, Ji-Eun;Bea, Young-Hee;Kim, Hye-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.118-127
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    • 2019
  • This study was conducted to provide data for the development of health program to promote patient safety nursing activities by analyzing the effect of perception of importance of patient safety management, perceptions of patient safety culture and organizational communication on patient safety nursing activities in small & medium hospital nurses. Data collection was conducted from February 8 to 15, 2019. A total of 202 questionnaires were administered to nurses who have worked for more than six months in three small and medium hospitals. The perception of importance of patient safety management of the subjects was $3.60{\pm}.49$, perception of patient safety culture was $3.39{\pm}.41$, organizational communication was $3.29{\pm}.45$ and patient safety nursing activities was $4.08{\pm}.50$. The patient safety nursing activities was related to perception of importance of patient safety management(r=.597, p<.001), perception of patient safety culture(r=.626, p<.001), organizational communication(r=.559, p<.001), there was a significant positive correlation. Perception of importance of patient safety management(${\beta}=.258$, p=.001), perception of patient safety culture(${\beta}=.323$, p<.001) and organizational communication(${\beta}=.160$, p=.044) had a significant effect on patient safety nursing activities(F=53.067, p<.001). The explanatory power of these variables was 43.7%.

Perception of Patient Safety Culture, Knowledge and Performance of Standard Precaution among Long-Term Care Hospitals Nurses (요양병원 간호사의 환자안전문화 인식, 표준주의 지식 및 수행도)

  • Byun, Sang-Hee;Kang, Da-Hai-Som
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.231-240
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    • 2019
  • The purpose of this study was to explore and describe the relationship of the perception of patient safety culture, knowledge of standard precaution and performance of standard precaution among long-term care hospital nurses. Participants were 134 nurse in long-term hospital. Data were collected with structured questionnaires from January 2 to June 4, 2018. Data were analyzed by SPSS/WIN 21.0 program for descriptive statistics t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient. The perception of patient safety culture were significantly correlated with knowledge of standard precaution(r=.192, p=.027), performance of standard precaution(r=211, p=.014). Therefore, in order to enhance the perception of patient safety culture and performance of standard precaution of long-term care hospital nurses, it would be necessary to enable health-care associated infections by themselves by cultivating standard precaution knowledge through systemic education and by enabling the establishment of affirmative patient safety culture.

Nurses' perception of patient safety culture of Pusan metropolitan city (부산광역시 간호사의 환자안전에 관한 인식)

  • Nam, Moon-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.200-203
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    • 2009
  • 이 연구는 간호사의 환자안전 인식에 대한 조사이다. 이 조사는 2차, 3차의료기관 886명 간호사를 조사했다. 그것은 미국 AHRQ가 개발한 Hospital Survey on Patient Safety Culture를 김 등이 번역한 것을 수정하여 사용하였다. 그 결과는 다음과 같다. 1) 환자안전문화에 관한 인식은 3.46(${\pm}$0.37) 로 보통 이상이었다. 2) 대상자의 일반적 특성에 따른 환자안전문화에 대한 인식의 차이는 2년미만인 간호사와 주 45시간미만 근무자가 환자안전점수가 유의하게 높았다. 3) 환자안전활동수준은 3.79(${\pm}$0.56)이었다. 결론적으로 첫째, 병원간호사의 인력충원, 간호등급 상향조정, 적정근무시간 이 필요하다. 둘째, 자발적으로 보고 할 수 있는 제도가 필요하다.

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Convergence Influences of Nurses' Professional Autonomy and Empathy on Patient Safety Culture (간호사의 전문직 자율성과 공감능력이 환자안전문화에 미치는 융복합적 영향)

  • Lee, Seong-Su;Choi, Hye-Ran
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.231-241
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    • 2019
  • This study was a descriptive survey to identify influences of nurses' professional autonomy and empathy on patient safety culture. The participants were 191 nurses working at a general hospital in Seoul. The data were collected using structured questionnaires and analyzed using the SPSS/WIN 24.0 program. Patient safety culture had a significant correlation with nurses' professional autonomy (r=.26, p<.001) and the subscales of empathy, which were perspective-taking (r=.30, p<.001) and empathic concern (r=.27, p<.001). Factors influencing patient safety culture were perspective-taking (${\beta}=.27$, p<.001), professional autonomy (${\beta}=.20$, p=.004), and a total clinical career of over ten years (${\beta}=.17$, p=.012). The results of this study could be the basic data for the development of programs that enhance the professional autonomy and empathy of nurses. In addition, it is necessary to study repeatedly in various groups in the future.

Medicine perception of and attitudes towards patient safety (환자안전에 대한 의료 직종에 따른 인식과 태도)

  • Ham, S.W.;Kim, E.Y.;Park, J.W.
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.495-497
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    • 2009
  • 본 첨단기기의 발전에 따라 의료분야에서도 사람들이 인지하고 있는 것보다 많은 위험요인이 존재한다고 알려지고 있다. 미국의 경우 병원환경의 안전성을 확보하기 위하여 정부와 의료계 모두 부단한 노력을 하고 있는 실정이다. 이에 본 연구는 4개 병원 350명의 의료인을 대상으로 환자안전에 대한 태도와 인식을 구조화된 설문을 통하여 진행하였다. 직종은 의사, 간호사, 약사, 의료기사로 구분하였다. 환자안전 개선을위해 적극적으로 노력하는 여부에 대하여 의사는 보통 또는 그렇지 않다고 39.5%가 응답한 반면, 보통이라고 간호사는 58.6%, 약사는 53.3%, 의료기사는 78.3%로 응답하였다(p=0.029). 환자안전 실수가 긍정적인 변화를 초래한다는 응답에 의사는 '매우 그렇지 않다'고 40.5%, 간호사는 '그렇지 않다'고 45.4%, 약사는 '보통'고 53.8%, 의료기사는 '그렇지 않다'고 54.5%가 응답해서 전반적으로 그렇지 않다고 생각하고 있는 것으로 나타났다(p=0.006). 병원내 환자안전에 대한 병원내 조직 문화를 살펴보고, 의료과오에 대한 논의와 의사소통의 현황을 파악하고, 의료인간의 환자안전에 대한 인식을 고취하여 보다 나은 환자안전 문화를 만들어야 할 것이라 생각된다.

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Comparative studies in Perception of Patient safety culture of Nurses and Dental hygienist (간호사와 치위생사의 환자안전문화 인식수준 비교연구)

  • Kim, Mi-Young;Kim, Young-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5196-5205
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    • 2012
  • Purpose: The Purpose of this study were to compare the level of perception and to identify factors associated with perception on patient safety culture by nurses and hygienists. Method: The data were collected from september to December, 2010 using Hospital survey on patient safety culture questionnaires. The subjects were 399 Nurses, hygienists, recruited from the hospital in Busan & Kyungnam. The collected data were analyzed using SPSS descriptive statistics, mean and standard deviation, t-test and ANOVA, Spearman rank coefficient. Result: The perception level of nurses on patient safety culture was 3.48. In case of hygienists, the level was 3.51. Compared to nurses, hygienists showed a significantly difference on the items "Staff arrangement"(t=2.841, p<.01) and "Administator attitude"(t=-2.471, p<.05), "Feedback and communication in accident"(t=-3.356, p<.01). Nurses and hygienists' age and career, working hour per week were identified as factor associated with patient safety culture. Conclusion: The perception level of hospital health providers on patient safety culture was moderate. and identified factors associated with patient safety culture were age and career, working hour per week.

The Effects of Interprofessional Education Programs for Healthcare Students on Patient Safety Knowledge, Attitudes toward Patient Safety Management and Confidence in Patient Safety Performance (보건의료계열 대상 다직종연계교육프로그램이 환자안전지식, 환자안전관리에 대한 태도 및 환자안전수행 자신감에 미치는 영향)

  • Jung Hee Park;Soo Jeong Hwang;Mi Hyang Lee
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.5
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    • pp.459-464
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    • 2024
  • The purpose of this study is to understand the effects on patient safety knowledge, patient safety performance confidence, and attitude toward patient safety after operating a interprofessional education program for 3 rd and 4 th grade healthcare students with clinical practice experience. We operated a interprofessional education program for 6 days, and the program consisted of job understanding, patient safety risk prediction training, and scenario-based patient safety experience. Patient safety knowledge(t=-5.01, p<.001), patient safety performance confidence(t=-6.75, p<.001), and patient safety attitude(t=-2.59, p=.013) increased statistically significantly after applying the six-day the interprofessional education program. Based on the results of this study, it is necessary to develop programs and evaluate their effectiveness by diversifying educational topics for interprofessional education program. In addition, it is necessary to expand and operate not only for university students but also for new employees working in medical facilities

Effect of Hospital Nurses' Perceptions of Organizational Health and Patient Safety Culture on Patient Safety Nursing Activities (병원간호사가 지각하는 조직건강과 환자안전문화가 환자안전간호활동에 미치는 영향)

  • Han, Mi-Young;Jung, Myun-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.2
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    • pp.127-138
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    • 2017
  • Purpose: This study was conducted to identify the effects of organizational health and patient safety culture on nursing activities for patient safety as perceived by hospital nurses. Methods: A self-report survey was administered to staff nurses of one advanced general hospital and two general hospitals in South Korea. Of the questionnaires, 188 were analyzed. Results: Organizational health had a significantly positive correlation with patient safety culture (r=.52, p<.001) and patient safety nursing activities (r=.31, p<.001). Conclusion: The findings in this study indicate that among the factors influencing patient safety nursing activities, organizational factors were more important than individual factors, and organizational health had a big effect on patient safety nursing activities.

Change in patient safety, quality of medical care, organization culture and hospital management performance after healthcare accreditation system for convalescent hospital (요양병원 의료기관인증제 시행 후 환자안전, 의료의 질, 조직문화 및 병원경영성과의 변화)

  • Seo, Young-Ho;Kim, Keon-Yeop;Kim, Myeong-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.391-401
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    • 2018
  • This study was conducted to investigate the effects of implementation of the healthcare accreditation system on patient safety, quality of medical care, organization culture and management performance of convalescent hospitals. Ten hospitals were selected at random from among 36 convalescent hospitals in Daegu that had obtained accreditation until September 2015. To accomplish this, hospital staff were surveyed from 15 February to 25 March, 2016 using a questionnaire with 253 objects. We investigated how the healthcare accreditation system has influenced patient safety, service quality, organization culture and performance of hospital management. The change in the treatment support system showed the highest score of 3.93 among quality change and medical service items, while that of personnel source culture showed the highest score of 3.78 points among organization culture items, and that of internal process view, study and growth view showed the highest score of 3.71 among management performance items. Multiple regression analysis revealed that factors positively changing hospital management performance were nurses, employees and managers, basic value systems, organization culture, personnel source culture, open system culture, hierarchical culture, and production oriented culture. The quality of patient safety and medical care was positively influenced by changes in the quality of convalescent hospitals after implementation of the healthcare accreditation system. However, among the four types of organizational culture, the financial perspective was relatively low compared to other perspectives.

Model Patient Safety Management Activities for Nursing Students with Clinical Experience (임상실습 경험이 있는 간호대학생의 환자안전 관리 활동 구조모형)

  • Jae-Woo Oh
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.121-135
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    • 2024
  • This study is a structural equation modeling study that describes patient safety incident management activities for nursing students with clinical practice experience and uses Ajzen's theory of planned behavior and safety culture climate-safety behavior model as conceptual bases, proposes a hypothetical model of nursing students' patient safety incident management activities based on the literature review, and verifies the appropriateness of the model and hypotheses through the collected data. Data were collected from 251 nursing students with clinical practice experience using a structured questionnaire. The results of this study confirmed that the model is appropriate and that patient safety management attitude, patient safety culture, and safety motivation are predictors of nursing students' patient safety management activities. Therefore, in order to improve patient safety management activities, it is necessary to provide effective patient safety incident management education programs for nursing students so that nursing students can perform correct patient safety management behaviors from the clinical practice site to the clinical practice site after graduation, and it is necessary to explore how to continuously lead such education programs to the practice site.