• Title/Summary/Keyword: Perception of Patient Safety Culture

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Emergency Room Nurses' Recognition of Patient Safety Culture and their Safety Management Activity (응급실 간호사의 환자안전문화에 대한 인식과 환자안전관리활동)

  • Lee, Ji-Eun;Lee, Eun-Nam
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.44-56
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    • 2013
  • Purpose: The purpose of this study was to investigate emergency room nurses' recognition of patient safety culture and their performance of safety management activity. Methods: Data were collected from July 1 to August 31, 2012 on 292 emergency room nurses working at 25 general hospitals located in B city in G province. The Hospital Survey on Patient Safety Culture was used to measure patient safety culture, and an 82-item questionnaire was developed to measure safety management activity. Results: the performance of safety management activity were significantly associated with the total career years, whether the nurses had undergone safety training, and whether the nurses has been working in the regional emergency care facility. Of 6 subcategories of the patient safety culture, the perception of a directly commanding senior/manager, frequency of accident reports, and hospital environment were associated with the performance of safety management activity. Conclusion: For improving performance of safety management activity among emergency room nurses, it is necessary to develop an educational program of safety management activity by their level of performance.

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Patient Safety Culture Among Dental Hygienists and Perception of Infection Control Activities (치과위생사의 환자안전문화인식과 감염관리활동)

  • Jeong, Yong-Ju;Lee, Sun-Mi
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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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.

Comparison of Safety Perception between Patients and Nurses and Factors Affecting Nurses Safety Management Activities in Tertiary Hospitals (상급종합병원 환자와 간호사의 안전 인식 비교와 간호사의 환자안전관리 직무수행 영향요인)

  • Kim, Youn-Hong;Choe, Yon-Jeong;Kang, Da-Hui;Jung, Ji-Young;Gil, Cho-Rong;Chang, Hee-Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.1
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    • pp.69-82
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    • 2020
  • This study is a descriptive research study to compare the safety perception between patients and nurses and to identify the factors affecting the nurses' safety management activities in tertiary hospitals. Data were collected with structured questionnaires from 147 patients and 147 nurses from a university hospital in J city, Gyeongnam, from July 24 to September 23, 2019, and analyzed using SPSS 23.0. The result showed that the patient's safety perception was significantly higher than the nurse's perception. The significant factors affecting patient management activity were nurse's educational level, position, effective communication, patient safety perception, and perception of importance on patient safety management. In the multiple regression analysis, knowledge about 'effective communication', and 'concerned about patient safety management', explained 54.8% of the nurses' patient management activity. Based on the results of this study, it is emphasized that nurses need to develop strategies to improve the communication and attention between patients and hospital members to improve patient safety management activities in tertiary hospitals.

Patient Safety Culture, Perception of Importance on Patient Safety Management, and Patient Safety Management Activities of Care Workers in Nursing Homes: Mixed-method Approach (노인요양시설 요양보호사의 환자안전문화, 환자안전관리 중요성 인식 및 환자안전관리활동: 혼합연구방법 적용)

  • Kim, Soon Ock;Kim, Jeong Ah
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.473-489
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    • 2020
  • Purpose: This study investigated the patient safety culture (PSC), the perception of importance on patient safety management (PIPSM) and the patient safety management activities (PSMA) of care workers in nursing homes. This was a descriptive study that attempted to provide basic data for the patient safety education program of care workers. Methods: Data were collected using questionnaires and interviews from July 1 to 31 in 2020. One hundred and seventy-four care workers participated in quantitative research. The collected data were analyzed by the SPSS/WIN 25.0 program using descriptive statistics, t-test, ANOVA, Bonferroni, and Pearson's correlation. The qualitative data were collected through semi-structured, audio-recorded interviews with six representatives and six care workers from six nursing homes. Content analysis was performed to analyze the data. Results: Positive correlations were observed between PSC and PIPSM, and between PIPSM and PIPSM. Care workers' experience in patient safety management was in the following six categories: "Safety accident risk factors", "Type of safety accidents", "How to prevent safety accidents", "Effective safety management education", "Emphasis on occupational ethics of care workers", and "Needs for standard protocol" Conclusion: These findings indicate that considering the care workers' age and facility size, nurses should enhance patient safety education for care workers and establish a management activity system.

A Study on Patient Safety Culture, Incident Reporting and Safety Care Activities of Clinical Nurses in a University-Affiliated Hospital (병원 간호사의 환자안전문화 인식, 사건보고 및 안전간호활동: 일 대학병원을 중심으로)

  • Ha, Sujin;Lee, Minju
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.35-45
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    • 2019
  • Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activities among clinical nurses and to identify factors associated with the safety care activities. Methods: Structured questionnaires were used to collect data from 155 nurses who were involved in direct patient-care. Results: Descriptive statistical anaylses revealed that the mean score of patient safety culture was $3.26{\pm}0.32$ and $4.19{\pm}0.41$ was for the safety care activities. In incident reporting, reporting intention ($3.56{\pm}0.68$), belief in improvement ($3.42{\pm}0.60$), worry about appraisal ($3.37{\pm}0.65$) and reporting knowledge ($3.36{\pm}0.72$) respectively. Correlational analyses showed that perceived patient safety culture (r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting were positively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negatively correlated. The factors associated with safety care activities were incident reporting knowledge (${\beta}=.31$, p<.001), supervisor/managers' attitudes toward patient safety culture (${\beta}=.29$, p<.001), belief in improvement of incident reporting attitude (${\beta}=.16$, p=.041). Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessary to educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety and to provide positive feedback on incident reporting.

Mediating effects of Critical Thinking Propensity between Perception of Patient Safety Culture and Practice of Standard Precaution of Nurses in Small and Medium Hospitals (중소병원 간호사의 환자안전문화 인식과 표준주의지침 수행도의 관계에서 비판적 사고성향의 매개효과)

  • Junghyun Choi
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.101-110
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    • 2024
  • This study was conducted to confirm the relationship between perception of patient safety culture, critical thinking propensity, and practice of standard precaution among nurses in small and medium-sized hospitals. The research subjects were nurses from three small and medium-sized hospitals located in S City and C City who understood the purpose of the study and agreed to participate. The final study subjects were 158 nurses. The data were collected from January 5, 2020 to March 31, 2020, and descriptive statistics, t-test, one-way ANOVA, correlation, regression analysis, and Sobel test of the collected data were performed using SPSS/WIN26.0 Program. As a result of the study, nurses' practice of standard precaution showed a significant positive correlation with perception of patient safety culture (r=.524, p<.001) and critical thinking disposition (r=.471, p<.001). Critical thinking propensity was found to have a partial mediating effect in the relationship between perception of patient safety culture and practice of standard precaution. Based on the results of this study, repeated research can be conducted in the future, and can be used to develop and apply educational programs that can improve nurses' practice of standard precaution.

The Effects of Patient Safety Culture Perception and Patient Safety Competencies on Patient Safety Management Activities in Nurses (간호사의 환자안전문화 인식과 환자안전역량이 환자안전관리활동에 미치는 영향에 대한 융복합 연구)

  • Choi, Eun-A;Kwon, Young-Eun
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.281-288
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    • 2019
  • The purpose of this study is to identify the impact on patient safety management activities. In this study, 134 nurses from three local hospitals were investigated for patient safety culture recognition, patient safety capacity, and patient safety management activities, and the impact on patient safety management activities was thus attempted. The patient safety culture recognition level was 4.25/5, the patient safety capacity was 4.37/5, the patient safety management activity was 4.26/5, and the patient safety awareness and patient safety capability(r=.765, p<.001) and Patient Safety Capacity and Patient Safety Management Activity (r=.837, p<.001) and Patient Safety Capacity and Recognition of Patient Safety Culture(r=.728, p<.001) had a significant amount of correlation. Factors affecting patient safety management activities(β=.582, p<.001), Patient Safety Culture Recognition(β=.3632, p<.001), position(β=-.132, p=.009) Patient safety requires strengthening the capabilities of nurses and systematic training and evaluation of continuous patient safety activities.

Medication Error Management Climate and Perception for System Use according to Construction of Medication Error Prevention System (환자안전 관리자가 인식한 투약오류예방 시스템 구축실태에 따른 투약오류관리풍토 및 활용인식)

  • Kim, Myoung-Soo
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.568-578
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    • 2012
  • Purpose: The purpose of this cross-sectional study was to examine current status of IT-based medication error prevention system construction and the relationships among system construction, medication error management climate and perception for system use. Methods: The participants were 124 patient safety chief managers working for 124 hospitals with over 300 beds in Korea. The characteristics of the participants, construction status and perception of systems (electric pharmacopoeia, electric drug dosage calculation system, computer-based patient safety reporting and bar-code system) and medication error management climate were measured in this study. The data were collected between June and August 2011. Descriptive statistics, partial Pearson correlation and MANCOVA were used for data analysis. Results: Electric pharmacopoeia were constructed in 67.7% of participating hospitals, computer-based patient safety reporting systems were constructed in 50.8%, electric drug dosage calculation systems were in use in 32.3%. Bar-code systems showed up the lowest construction rate at 16.1% of Korean hospitals. Higher rates of construction of IT-based medication error prevention systems resulted in greater safety and a more positive error management climate prevailed. Conclusion: The supportive strategies for improving perception for use of IT-based systems would add to system construction, and positive error management climate would be more easily promoted.

Path Analysis of Performance of Multidrug-Resistant Organisms Management Guidelines among Intensive Care Unit Nurses : With Focus on the Theory of Planned Behavior and Patient Safety Culture (중환자실간호사의 다제내성균 감염관리지침 수행에 영향을 미치는 요인에 관한 경로 분석 ; 계획된 행위이론과 환자안전문화를 중심으로)

  • Gu, Ji Eun;Ha, Yi Kyung;Hwang, Su Ho;Gong, Kyung Hee
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.89-100
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    • 2018
  • Purpose : The purpose of this study was to analyze factors influencing the adherence to guidelines for intensive care unit (ICU) nurses to control infections due to multidrug-resistant organisms (MDRO). Method : Participants were 194 ICU nurses at 3 university hospitals. Questions for the survey inquired about attitude, subjective norms, perception of patient safety culture to carry out MDRO management guidelines, perceived behavior control (PBC), and intention, based on the theory of planned behavior. Path analysis were utilized. Results : The path analysis presented that PBC, perception of patient safety culture, and intent had a direct effect on MDRO management guidelines. Attitude towards following the manual did not have any correlation. The hypothetical model based on the theory of planned behavior was revealed as applicable; the degree of the variance in explaining adherence to the manual was 23 %, and the variance in explaining intention to fulfill the manual was 33 %. Conclusion : The results of this study suggest that we should develop a program to improve PBC to increase adherence to MDRO management guidelines. ICU nurses' perceptions of patient safety culture should also be surveyed.