• 한국의료질향상학회지
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• 제22권1호
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• pp.71-90
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• 2016

Purpose: Objective of this study was to investigate how often nurses to perform patient safety activities. Methods: 521 observations were collected in 9 hospitals by 107 nursing students. Nurses' patient safety care activities were measured 0 (not at all) to 10 (all the time) scores. Descriptive statistics, independent t-test, one way ANOVA, correlation, multiple regression used to analyse data. Results: Items like 'Initial nursing assessment', 'drug management bring on', 'preparation for radiology test', 'falls assessment', 'nursing record' got high scores. But, scores of 'patient identification', 'verbal order management', 'hand hygiene' were lower than others. Each scores were different significantly according to institutions and departments. Within a same institution, the variance of scores, especially in 'patient identification', 'hand hygiene' were great. Scores of activities were different according to characteristics of institutions like type, location, number of beds, teaching hospital, number of accreditation, JCI accreditation. Predictors influencing nurses' patient safety activities were type, location and accreditation. These predictors account for 19.4% of variance. Conclusion: Performance of nurses' patient safety activities were different significantly according to characteristics of institutions. The important items like 'patient identification', 'hand hygiene' had achieved lowest performance. Further researches are needed to improve the basic safety activities.

• 대한통합의학회지
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• 제10권3호
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• pp.161-172
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• 2022

Purpose : The study was to promote patient safety by analyzing the effect of dental hygienist's perception of patient safety culture on infection control activities. Methods : The study is based on a survey of 210 dental hygienists in total working in dental settings. To find out infection control activities according to patient safety culture awareness, there were 6 general characteristics, 3 teamwork within the department, 2 infection control systems, 4 surface management, 9 equipment washing, disinfection, and laundry management, 4 infectious wastes, and 3 personal protection phrases.The data was analyzed using the SPSS version 20.0, and p<.05 was adopted to decide on significance. Results : The longer dental hygienists have worked n the dental settings, the more active they become in infection control activities. Among the different types of dental care settings, general (university) hospitals had the largest number of infection control activities, followed by dental clinics, and network dental clinics, in descending order. The dental settings possessing a higher number of dental hygienists were found to conduct more infection control activities than other dental settings. In addition, it was found that when a dental setting adopts a patient safety policy across all the units in the hospital, more systems and procedures for patient safety tend to be established, and that stricter management response to error leads to improvement of infection control activities. Conclusion :In order to enhance infection control activities, infection control activity programs should develop and implement periodic reinforcement of infection control education. regular monitoring of infection control activities.

• 간호행정학회지
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• 제17권4호
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• pp.413-422
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• 2011

Purpose: This descriptive correlation study was done to identify how perception of patient safety culture of general hospital nurses affects safety during nursing activities. Data from this study should provide information on management of patient safety as well as improvement in patient safety. Method: Participants in this study were 357 clinical nurses working in a general hospital in M city which had two medical evaluations. A survey was conducted to gather the data. Results: The score for perception of patient safety culture of the general hospital nurses was 3.42, out of a possible 5 points, and the score for safety care activities was 3.90. There was a statistically significant positive relationship between the nurses' perception of patient safety culture and their safety care activities, Perception of patient safety culture, Supervisor/manager, communication and procedures, and frequency of accident reporting were factors that impacted significantly on safety nursing activity. Conclusion: The results of the study indicate that patient safety cultural perception significantly affects the safety of nursing activities and thus systematic educational strategies to increase perception should be provided to increase the level of patient safety culture. Also, other specific methods that increase the level of patient safety culture should be considered.

• 한국콘텐츠학회논문지
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• 제22권3호
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• pp.222-235
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• 2022

본 연구는 중소병원 응급실 간호사의 감정노동, 직무스트레스가 환자안전관리활동에 미치는 영향을 규명하고자 시도되었다. 중소병원 응급실에 근무하는 간호사 143명을 대상으로 자가보고 설문지를 이용하여 자료를 수집하였다. 환자안전관리활동 영향요인으로 감정노동, 직무스트레스, 인구사회학적특성, 근무특성 등을 조사하였다. 변수 특성에 따른 환자안전관리활동 차이는 평균비교분석, 관련성은 상관분석을 이용하였으며, 환자안전관리활동 영향요인은 단계적 회귀분석을 이용하였다. 단변수분석 결과 연령, 응급실 경력, 직위, 근무형태, 타 부서 이동의향이 환자안전관리활동에 유의한 차이가 있었다. 직무스트레스는 환자안전관리활동과 유의한 중간 정도의 양의 상관관계가 있었으며(r=.48), 감정노동은 환자안전관리활동과 유의하지만 약한 양의 상관관계가 있었다(r=.19). 회귀분석결과 환자안전관리활동에 유의한 영향을 미치는 변수는 직무스트레스, 응급실 근무 선택 여부였고, 이들 변수의 설명력은 27%로 나타났다. 직무스트레스가 높을수록, 응급실 근무가 타의 선택일 경우 환자안전관리활동이 감소하는 것으로 나타났다. 따라서 중소병원 응급실 간호사의 환자안전관리활동 향상을 위해 직무스트레스 관리와 개인의 요구에 따른 부서 배치가 필요하다.

• 간호행정학회지
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• 제23권2호
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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.

• 근관절건강학회지
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• 제30권2호
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• pp.93-102
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• 2023

Purpose: The purpose of this study was to examine the influence of safety control, nursing professionalism, and burnout on patient safety management activities of operating room nurses. Methods: Data were collected from August 10 to September 26, 2022 from 154 operating nurses who consented to participate and have worked for more than six months in hospitals with 300 or more beds in the Seoul-Incheon area. The data were analyzed using the SPSS/WIN 26.0 program. Results: The main factors affecting patient safety management activities were safety control (β=.36, p<.001) and nursing professionalism (β=.15, p=.046). The regression model was statistically significant (F=13.49, p<.001), with explanatory power of approximately 28.6%. Conclusion: Based on these results, the aforementioned activities can be promoted by preparing and providing an operating room safety management program that can improve safety control and establish proper nursing professionalism.

• 디지털융복합연구
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• 제13권7호
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• pp.283-292
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• 2015

본 연구는 의료기관인증제도 도입에 따른 환자안전과 의료서비스의 질이 병원경영활동에 미치는 복합영향을 확인하고 조직문화의 매개효과를 파악하고자 하였다. 이를 위해, 2014년 6월말까지 의료기관인증을 획득한 대구 경북지역에 위치하는 300병상 미만과 300병상 이상, 6개 의료기관 종사자를 대상으로 2014년 9월 22일부터 4주간 설문조사 하였다. 해당 병원에서 1년 이상 근무한 377명을 연구대상으로 하였다. 연구결과, 300병상 미만 중소병원과 300병상 이상 병원 및 종합병원 모두, 환자안전과 의료의 질, 조직문화와 병원경영활동은 변수 간 정(+)의 상관관계가 있는 것으로 나타났다. 환자안전과 의료의 질, 병원경영활동 사이에 조직문화가 부분 매개효과가 있는 것으로 나타났으며 인과효과가 높았다. 따라서 의료기관인증제도 도입에 따른 환자안전과 의료의 질 향상 활동은 병원경영활동을 증진시키는데 효과가 있다 여겨진다.

• 한국병원경영학회지
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• 제27권3호
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• pp.15-25
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• 2022

Purposes: This study aimed to identify the relationships among personal and organizational communication skills, occupational stress, and patient safety activity levels of two nursing workforce groups (nurses and nursing assistants) who provide integrated nursing care services. Methodology: The study design is a cross-sectional study. Seventy-one nurses and forty-three nursing assistants working in the integrated nursing care service wards participated in this study. The data were collected using a self-reported questionnaire from June to July 2021. The relationships among the variables were analyzed using the Pearson correlation coefficient. Findings: Nurses' personal communication skills (r=.294, p=.013), organizational communication skills (r=.408, p<.001), and occupational stress (r=.243, p=.041) were associated with their patient safety activities. However, nursing assistants' personal communication skills, organizational communication, and occupational stress were not correlated with their patient safety activities. Practical Implication: Patient safety activities of nurses were related to their communication skills and occupational stress, but nurse assistants were not. Therefore, nurses should encourage nursing assistants to responsibly engage in patient safety activities and supervise their works appropriately to achieve high-quality care.

• 한국산학기술학회논문지
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• 제20권5호
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• pp.118-127
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• 2019

본 연구는 중소병원 간호사의 환자안전관리 중요성 인식, 환자안전문화 인식과 조직 의사소통이 환자안전 간호활동에 미치는 영향을 분석하여, 환자안전 간호활동을 증진시키기 위한 보건프로그램 개발의 기초자료를 제공하고자 시행되었다. K시에 위치한 200병상 이상의 중소병원 3곳에서 6개월 이상의 재직기간을 가진 간호사 210명을 편의추출 하였고, 2019년 2월 8일부터 15일까지 자료를 수집하였으며, 202부가 최종분석에 사용되었다. 수집된 자료는 SPSS 21.0을 이용하여 분석하였다. 환자안전관리 중요성 인식은 $3.60{\pm}.49$, 환자안전문화 인식은 $3.39{\pm}.41$, 조직 의사소통은 $3.29{\pm}.45$, 환자안전 간호활동은 $4.08{\pm}.50$이였고 환자안전 간호활동은 환자안전 중요성 인식(r=.597, p<.001), 환자안전문화 인식(r=.626, p<.001) 및 조직 의사소통(r=.559, p<.001)간에 유의한 양적 상관관계가 있는 것으로 나타났다. 환자안전 간호활동에 환자안전관리 중요성 인식(${\beta}=.258$, p<.001), 환자안전 문화인식(${\beta}=.323$, p=<.001), 조직 의사소통(${\beta}=.160$, p=.044)은 유의한 영향을 미치는 것으로 나타났으며(F=53.067, p<.001), 이들 간의 설명력은 43.7%였다. 본 연구를 바탕으로 중소병원 간호사의 환자안전 간호활동을 증진시킬 수 있는 병원 규모별 구체적 특성을 고려한 간호사들의 안전관리 자신감 증진, 비처벌적 환경 조성과 조직의 적극적인 의사소통 형성을 위한 환자안전 간호활동 증진프로그램의 개발이 필요하다.

• 중환자간호학회지
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• 제14권3호
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• pp.87-98
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• 2021

Purpose : This study aimed to examine the effects of the awareness of patient safety culture, emotional labor, and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Methods : The participants were 112 nurses from the comprehensive nursing care service wards from six hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using SPSS version 20.0. Results : The factors that significantly influenced patient safety nursing activities in the comprehensive nursing care medical service ward nurses included job stress (𝛽=-0.18, p<.032) and awareness of patient safety culture (𝛽=0.54, p<.001). The explanatory power of these factors was 31.0% (F=13.43, p<.001). Conclusion : This study showed that the factors that influenced patient safety management activities of comprehensive nursing care medical service ward nurses included job stress and awareness of patient safety culture.