• Title/Summary/Keyword: Patient safety culture

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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 infection control activities and patient safety culture among dental hygienists (치과위생사의 감염관리활동과 환자안전문화에 대한 인식)

  • Choi, Eun-Mi;Noh, Hie-Jin;Chung, Won-Gyun;Mun, So-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.769-777
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    • 2017
  • Objectives: 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 377 dental hygienists in total working in dental settings. The questionnaire consisted of 119 questions, including 34 questions on perception of patient safety culture, and 85 questions on infection control activities. Hierarchical regression analysis was used to examine the relationship between the perception of patient safety culture and infection control activities. The data was analyzed using the SPSS version 20.0, and p<0.05 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. Conclusions: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.

A Convergence Study on the Hospital Nurse's Perception of Patient Safety Culture and Safety Nursing Activity (병원간호사의 환자안전문화인식과 환자안전간호활동의 융합연구)

  • Cho, Soon-Duck;Heo, Seong-Eun;Moon, Deog Hwan
    • Journal of the Korea Convergence Society
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    • v.7 no.1
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    • pp.125-136
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    • 2016
  • In this study, the convergent relation between perception of patient safety culture and safety nursing activity was investigated to prevent safety accidents and prepare data of nursing intervention for patient safety. Nurses in B City who signed on the written consent participated in this study between February 16 and 28, 2015. A total of 266 copies were collected and were analyzed using the SPSS 20.0 program. The mean score of patient safety culture was 3.60 on a scale of 0 to 5, and safety nursing activity, 4.28. The subcategory of perception of patient safety culture, which included the accident report frequency and patient safety level positively (+) influenced safety nursing activity. Therefore, effective communications and report systems in hospitals may be necessary to enhance patient safety culture. Education programs of patient safety should be developed and provided to nurses in hospitals to enhance the levels of patient safety management and their services.

Comparative Research of Patient Safety Culture Long-term Care Hospital Nurses and General Hospital Nurses (종합병원과 요양병원 간호사의 환자 안전 문화 인식에 관한 비교 연구)

  • Hyojin, Won;Eunju, Seo
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.149-155
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    • 2022
  • This study conducted a descriptive research to compare the degree of patient safety culture awareness among general hospitals and long-term care hospital nurses. The subjects of this study were 150 nurses who worked for more than 6 months at 2 general hospitals and 4 long-term care hospitals located in 3 cities, the data has collected from October to December 2021. To Measure patient safety culture, the patient safety culture measurement tool developed by Soon Gyo Lee was used. Data were analyzed by 𝑥2-test, ANOVA, and t-test using SPSS 20.0 program. As a result of the study, the variables with high patient safety culture were the nurse's age(F=44.17, p=.000), clinical career(F=62.86, p=.000), and current workplace career(F=26.27, p=.000). Among the subdomains of patient safety culture, leadership(t=2.07, p= .040) and patient safety priorities(t=2.18, p=.031) were found to be higher in long-term care hospital nurses than general hospital nurses. Based on this result, we expected that it can be used as data in developing programs to raise the level of patient safety culture in hospitals and long-term care hospitals.

The Influence of Infection-related Characteristics and Patient Safety Culture on Awareness of Blood-borne Infection Prevention in Operating Room Nurses and General Ward Nurses (수술실간호사와 병동간호사의 감염관련특성과 환자안전문화가 혈행성 감염예방 인식에 미치는 영향)

  • Jeon, Hae Ok;An, Gyeong Ju;Lee, Jong Hee;Lee, Kyoung Mi
    • Journal of Korean Biological Nursing Science
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    • v.23 no.1
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    • pp.43-54
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    • 2021
  • Purpose: This study aimed to identify the factors influencing infection-related characteristics and patient safety culture on awareness of blood-borne infection prevention between operating room nurses and general ward nurses. Methods: Participants were 198 nurses(operating room nurses 98 and general ward nurses: 100) working at three general hospitals and three university hospitals in three cities. Data were collected using a structured questionnaire from September 11 to October 14, 2020. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient, and multiple regression with IBM SPSS/WIN 26.0 program. Results: Typically, 39.8% of nurses in the operating room and 24.0% of ward nurses experienced injuries such as needles and sharp instruments used by the patient. The awareness of patient safety culture was identified to be higher for the ward nurses. Factors influencing the awareness of blood-borne infection prevention in operating room nurses were patient safety culture and wearing protective equipment for infection prevention while nursing infected patients. Moreover, the explanatory power of these variables was 19.4%. In general ward nurses, the patient safety culture was identified as a significant predictor, which accounted for 16.5% of awareness of blood-borne infection prevention. Conclusion: To prevent hospital infection, a strategy is needed to improve the level of awareness of blood-borne infection prevention and patient safety culture of operating room nurses. To this end, the difference in infection-related characteristics and influencing factors between the operating room nurses and the general ward nurses should be considered and planned.

Factors Influencing Safety Care Activities of Hospital Nurses (병원 간호사의 안전 간호활동에 영향을 미치는 요인)

  • Yang, Ya Ki
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.3
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    • pp.188-196
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    • 2019
  • Purpose: The purpose of this study was to investigate the relationships among fatigue, patient safety culture and safety care activities of hospital nurses, and to identify and explain factors influencing safety care activities. Methods: The research participants were 187 nurses from a urban general hospital located in Korea. Self-evaluation questionnaires were used to collect the data. Data collection was done from January 10 to 31, 2019. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients and multiple regression with the SPSS 24.0 program. Results: There were significant negative relationships between fatigue and safety care activities (r=-.22, p=.003), and significant positive relationships between patient safety culture and safety care activities (r=.22, p=.003). Factors influencing safety care activities in hospital nurses were identified as type of unit (ICU) (${\beta}=.28$), patient safety culture (${\beta}=.24$) and fatigue (${\beta}=-.19$). The explanation power of this regression model was 16% and it was statistically significant (F=8.29, p<.001). Conclusion: These results suggest the need to develop further management strategies for enhancement of safety care activities in hospital. To improve the levels of patient safety, education programs on patient safety should be developed and provided to nurses in hospitals.

Factors Affecting Patient Safety Management Activities at Nursing Divisions of Two University Hospitals (병원 간호사의 환자안전관리활동 영향요인 연구)

  • Jeong, Joon;Seo, Young-Joon;Nam, Eun-Woo
    • Korea Journal of Hospital Management
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    • v.11 no.1
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    • pp.91-109
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    • 2006
  • This study was conducted to find out factors affecting patient safety management activities at nursing devisions of two university hospitals. The indicators of patient safety activities used in the study were selected from Hospital Survey on Patient Safety Culture which was developed by The Agency for Healthcare Research and Quality in the United States. Data were collected from 372 nurses working at inpatient wards at two university hospitals located in Seoul and Won-Ju cities through the self-administered questionnaires, and analyzed using frequency analysis, t-test, correlation, and regression analysis. The result of this study were as follows. First, The mean of patient safety management activities was 3.41 which was a little bit higher than the average level. The mean of communication within the ward was the highest, whereas that of patient safety management culture was the lowest. Second, there were significant differences in the perception of nurses on patient safety management activities in terms of the educational background, length of employment, and work hours per week. Third, three variables of communication within the unit, attitude of top management, and attitude of nurses have significant positive effects on patient safety management activities. Fourth, 37.4% of the variation in the patient safety management activities was explained by the study variables. In conclusion, hospital administration and nursing managers should make an effort to learn the knowledge of patient safety program, show their deep interest on the patient safety to the employees and motivate them to communicate effectively each other within the work unit to develop a good patient safety culture and system.

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A literature review of patient safety in Korea: focused on domestic studies (환자안전에 관한 문헌 연구: 국내연구를 중심으로)

  • Hwang, Ji-Young;Kim, Jin-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.1
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    • pp.1-8
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    • 2018
  • Objectives: The purpose of this study is to provide basic data on the continuous management and institutional measures in the future by understanding the research trends of patient safety in healthcare field. Methods:The data were extracted from 2011-2016 KoreaMed, KMBase, KISS, NDSL and KISTI. Data were analysis by frequency analysis using the SPSS 14.0 program. Results: 87.0% of the studies were quantitative studies. As for the method of sampling, 'No use' was the highest at 56.5%. Most of the participants in the study were 'nurses' (50.7%). 19 hospitals (35.8%) were the most common. The subjects of the study consisted of 35 (51.5%) patients' safety culture (awareness) and 20 (29.4%) 'safety nursing activities'. Conclusions: Patient safety and patient safety should be maintained. Further, a mature patient safety culture should be settled through cooperation management among medical staff.

Factors Associated with Compassion Satisfaction of Nurses in Long-term Care Hospitals: Focused on Patient Safety Culture (요양병원 간호사의 공감만족 관련요인-환자안전문화 중심으로)

  • Jung, Sun Young;Lee, Eun Kyung
    • Journal of Korean Public Health Nursing
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    • v.33 no.3
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    • pp.379-389
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    • 2019
  • Purpose: The study investigated the factors associated with compassion satisfaction of nurses in long-term care hospitals with a focus on the culture of patient safety. Methods: This study was conducted using a descriptive survey. The participants were nurses in 1 metropolitan city and 2 other cities (N=164). The data was collected in October, 2018 and analyzed using the SPSS Win 25.0 program. Results: The factors associated with compassion satisfaction were job satisfaction, work attitude, management practice, leadership of the managers of patient safety culture, and clinical career (F=21.66, p<.001). These variables explained 49.3% of the variance in compassion satisfaction of long-term care hospital nurses. Conclusion: These results highlight the importance of long-term care hospital nurses' compassion satisfaction and can be used as meaningful data for intervention to promote a culture of patient safety, and nurses' job satisfaction.

A Structure Model of Clinical Nurses' Silence on Patient Safety

  • Han, Jeongwon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.1
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    • pp.68-77
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    • 2018
  • Purpose: The aim of this study was to establish a hypothetical model on silence regarding patient safety and to verify the model's goodness of fit and hypotheses. Methods: The participants in this study were 330 registered nurses working in tertiary hospitals with over 300 beds. Data were collected between July 1, and August 30, 2017, from nurses who agreed to participate. A covariance structure analysis was performed. Results: The model of fit index was $x^2=59.54$, normed $x^2=2.29$, GFI=.97, AGFI=.93, SRMR=.05, NFI=.99, CFI=.95 and RMSEA=.05. The organizational culture had an influence on patient safety motivation (${\beta}=.26$, p=.003) and attitude (${\beta}=.43$, p<.001). RN-MD collaboration had an influence on patient safety motivation (${\beta}=.33$, p<.001), attitude (${\beta}=.35$, p<.001), and patient safety silence (${\beta}=-.17$, p=.026). Supervisory trust had an influence on patient safety motivation (${\beta}=.26$, p<.001), attitude (${\beta}=.12$, p=.036), and patient safety silence (${\beta}=-.23$, p=.002). Patient safety motivation had an influence on patient safety silence (${\beta}=-.33$, p=.006). The model of patient safety silence explained 36.0% of the variances. Conclusion: This study is meaningful in that it provides basic data for nursing education and program development for rejecting patient safety silence.