• 한국직업건강간호학회지
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• 제29권2호
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• pp.123-132
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• 2020

Purpose: This study examined the influence of nurses' communication competency, critical thinking disposition, and perception of patient safety culture on patient safety competency in armed forces hospitals. Methods: A crosssectional design was employed with a convenience sample of 204 nurse officers from four armed forces hospitals in South Korea. Data were collected through a self-administered questionnaire from August 10~23, 2019, and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. All analyses were conducted using SPSS for Windows 21.0. Results: Patient safety competency scores were 4.35±0.40 for patient safety attitudes, 3.63±0.64 for patient safety knowledge, and 3.94±0.51 for patient safety skill. Communication competency, critical thinking disposition, and perception of patient safety culture were positively correlated with patient safety competency. Communication competency (β=.30, p=.002) and perception of patient safety culture (β=.24, p=.001) were identified as particularly important factors influencing patient safety competency. Conclusion: This study's results suggest that education programs to enhance communication competency and patient safety culture could increase patient safety competency among nurses in armed forces hospitals.

• 근관절건강학회지
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• 제26권1호
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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.

• 한국재난정보학회 논문집
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• 제18권3호
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• pp.636-645
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• 2022

연구목적: 본 연구에서는 국가핵심기반 고속도로 운영기관의 종사자를 대상으로 안전문화를 측정/분석하여 안전문화 수준향상을 위한 대안을 제시하고자 한다. 연구방법: 한국산업안전보건공단의 '안전의식 수준 진단 도구를 활용하여 4개 안전문화 영역과 4개의 안전문화 활동을 반영한 16개의 하위요인측정 도구 총 144개 문항을 국가핵심기반 고속도로 운영기관 56개 단위 사업장 종사자를 대상으로 하여 온라인 설문으로 조사/분석하였다. 연구결과: 안전문화 영역별 결과는 "안전운영"이 가장 높았으며 "안전 의사소통"이 가장 낮게 나타났다. 안전문화 활동별 결과는 계획대로 실행되었는지를 평가하는 "안전 실행(D)" 이 높게 나타났다. 가장 낮은 수준의 안전문화으로는 "안전개선(A)"이다. 결론: 기업의 안전보건경영 대책 수립시 관리적인 측면에서 가장 핵심적인 사항이 안전문화 수준이다. 궁극적인 목표는 안전문화 수준을 향상시키는 것이다. 본 연구에서는 국가핵심기반 고속도로 운영기관의 안전문화 수준을 영역별 활동별로 확인할 수 있었다. 향후 안전문화가 업무연속성관리체계(BCMS)에 어떠한 영향을 미치는지 연구를 진행하고자 한다.

• 문화기술의 융합
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• 제8권6호
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• pp.733-739
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• 2022

안전·보건관리자를 대상으로 설문조사를 실시하여 중대재해처벌법 시행 이후 기업의 안전보건관리체계에 어떠한 변화가 생겼는지를 분석하였다. 그 결과 안전보건예산이 대부분 증가하였으며, 안전보건조직 운영과 안전보건업무가 대부분 강화되었음을 확인하였다. 다만 이것이 근로자의 안전과 중대재해 감소에 실질적인 효과가 있는지는 추가적인 연구가 필요해 보이며 안전·보건관리자가 형식적이 아닌 실질적인 도움이 되는 업무에 집중할 수 있도록 하는 현실적인 방안이 필요해 보인다. 또한 중대재해처벌법의 교육 여부와 안전보건에 관한 긍정적인 변화 사이의 교차분석을 통해 사업주나 경영책임자의 적극적인 지원과 중대재해처벌법에 대한 교육의 강화가 필요함을 확인하였다.

• 한국산학기술학회논문지
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• 제13권1호
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• pp.117-124
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• 2012

본 연구는 환자안전문화 인식에 따른 안전사고 발생을 알아보고 환자안전문화의 관계를 파악하여 환자안전문화 프로그램개발에 기초 자료를 제공하기 위하여 시도되었다. 대상자는 강원도에 소재하고 있는 종합병원의 간호사 129명을 대상으로 하였다. 자료수집은 2011년 11월 10일부터 11월 15일 까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 간호사의 환자안전문화 인식은 평균 3.46점이었고, 세 가지 영역에서는, 병동의 환자안전문화 점수와 병원조직의 환자안전문화 점수 및 병동의 안전의식 수준의 점수는 각각 $3.59{\pm}0.3$점, $3.41{\pm}0.5$점, $3.41{\pm}0.4$점 이었다. 환자안전사고 발생은 간호사의 안전교육 경험과 병원근무 만족도에 따라 유의한 차이가 있었다. 환자안전문화 인식점수는 간호사의 결혼상태, 안전교육, 직무 만족도, 건강상태에 따라 유의한 차이가 있었다. 환자안전사고 발생은 간호사의 안전교육경험과 근무만족도에 따라 유의한 차이가 있었다. 환자의 안전사고발생은 간호사의 안전교육과 병동의 환자안전문화, 병원조직의 환자안전문화, 병동의 안전의식수과의 유의한 상관관계가 있었다. 본 연구의 결과로는, 환자안전사고 발생을 예방하고 병원 간호사의 환자안전문화를 구축하기 위해서는 교육프로그램이 필요하며, 간호사의 안전교육과 직업만족도를 증가시키고, 간호사의 건강상태를 개선시킬 필요가 있다.

• 한국안전학회지
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• 제34권6호
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• pp.65-75
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• 2019

The purpose of this study was to investigate the effects of safety culture on the safety awareness and safety behaviors of manufacturing workers, and to suggest ways for manufacturing workers to understand the safety culture and improve safety awareness and safety behavior. In order to verify this, data were collected from 282 research subjects for 1 month from August 1 to 31, 2018, using the manufacturing workers in the Seoul and Gyeonggi area as a population. The results of the study are as follows. First, the safety culture (safety climate, safety procedures) has a positive effect on the safety awareness (recognition of importance, interest and participation inducement) of the manufacturing workers. Second, the safety culture (safety climate, safety procedures) has a positive effect on the safety behavior (safety planning, safety check) of manufacturing workers. Third, safety awareness (recognition of importance, interest and inducement of participation) has a positive influence on the safety behavior (safety planning, safety check) of manufacturing workers. Fourth, the safety awareness (recognition of importance, interest and inducement of participation) appears to have a partial mediating effect in relation to safety culture (safety climate, safety procedure) and safety behavior (safety planning, safety check) of manufacturing workers. The implication of this study is that although the industrial accidents have occurred in the manufacturing industry in recent years, the studies on the workers in the manufacturing industry are insufficient. However, this study is meaningful that it has suggested ways for manufacturing workers to understand the safety culture and improve the safety awareness and safety behavior by analyzing the effects of safety culture on safety awareness and safety behavior of manufacturing workers.

• 한국의료질향상학회지
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• 제28권2호
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• pp.2-13
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• 2022

Purpose:This study aimed to identify the effect of work interruption that influenced workload and perception of patient safety culture on ward nurses. Methods: Participants were 184 ward nurses, with more than 12 months of work experience, from two tertiary hospitals in S city. A descriptive correlational study design was used. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis test, Pearson's correlation, and hierarchical multiple regression analysis via SPSS version 27.0. Results: The results showed that general wards nurses had a higher degree of work interruption (t=5.632, p<.001) and workload (t=3.603, p<.001) compared to comprehensive nursing care service wards nurses. More interruption in nursing work caused more burden on work (γ=.440, p<.001) and led to lesser perception of patient safety culture (γ=- .199, p=.007). Finally, the regression analysis showed that work interruption had a statistically significant relevance on nurses' workload (F=20.582, p<.001) and perception of patient safety culture (F=8.792, p<.001). Conclusion: To alleviate ward nurses' work interruption and decrease the negative effect on workload and perception of patient safety culture, it is necessary to mediate nurse staffing level and the number of assistants and utilize the environment.

• 한국의료질향상학회지
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• 제22권2호
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• pp.75-90
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• 2016

Objectives: This study measures the level of cognition of employee's patient safety culture and evaluates the current level through comparing the results to external levels. Ultimately it is performed to construct a strategic improvement plan through the basic database for patient's safety culture. Methods: A questionnaire survey of self reporting type was carried out using structured questionnaire of the patient's safety culture for employees currently employed in a hospital. Total responders was 1,129 and a response rate was 54.6%. The survey results were calculated with a percent positive response, and the current level was evaluated by comparing with the survey results of a hospital (2009 and 2014) and the survey result of The Agency for Healthcare Research and Quality(2014). Results: Sub-dimension of high percent positive response for each area were 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%) and 'supervisor/manager expectations & actions promoting safety' (67%). Meanwhile, 'teamwork across hospital units' (31%), 'hospital management support for patient safety' (29%), 'staffing' (27%) and 'non-punitive response to error' (17%) were relatively low percent positive response. Compared to the survey results of AHRQ (2014) for each area, 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%), 'frequency of event reporting' (66%) were at the top 50% percentile level and the remaining sub-dimensions showed a very low level in the lower 10% percentile area. Conclusion: In order to establish a system for patient safety culture within the hospital and evaluate the effect on this, it is necessary to periodically evaluate the patient's safety culture and establish regulations on hospital safety culture to comply with this.

• 보건행정학회지
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• 제15권4호
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• pp.110-135
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• 2005

The objectives of this study were (1) to describe doctors' perception and attitudes toward patient safety culture and medical error reporting in their working unit and hospitals, (2) to examine whether these perception and attitudes differ by doctors' characteristics, such as sex, position, and specialties, and (3) to understand the relationship between overall perception of patient safety in their working unit and each sub domain of patient safety culture. A survey was conducted with 135 doctors working in a university hospital in Korea. After descriptive analyses and chi-square tests of subgroup differences, a multivariate-regression of overall perception of patient safety in their unit with sub-domains of patient safety culture was conducted. Overall, a significant proportion of doctors expressed negative perception of their working units' patient safety culture, many reporting potentials for patient safety problems to occur in their unit. They also negatively viewed their hospital leadership's commitment on patient safety. Regarding the patient safety in their working unit, doctors were most worried about staffing level and observance of safety procedures. Most doctors did not know how and which medical error to report. They also perceived that medical errors would work against them personally and penalize them. About 22 percent of respondents believed that even seriously harmful medical errors were not reported.

• Safety and Health at Work
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• 제8권2호
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• pp.175-182
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• 2017

Background: With the recent rapid industrialization, occupational safety and health (OSH) has become an important issue in all industrial and human activities. However, incidents of injuries and fatality rates in the Ghanaian industry sector continue to increase. Despite this increase, there is no evidence regarding the element of OSH management in transport activities in Ghanaian industries. Thus, this study aims to examine the perceptions regarding the importance of safety and health in work-related transport activities in Ghanaian industries. Methods: A survey data collection technique was used to gather information on best safety practices over a 5-month period. We randomly selected 298 respondents from industries to answer structured questionnaires. The respondents included drivers, transport managers, and safety engineers. Standard multiple regression model and Pearson product-movement correlation were used to performed the analysis. Results: The result shows that for interventions to improve safety and health, concentration has been on drivers' safety practice with less attention to safe driving environments and vehicle usage. Additionally, the respondents are aware of the importance of OSH in transport activities, but the level of integration does not measure up to the standard to reduce operational accidents and injuries. Finally, strong commitment to changing unsafe practices at all levels of operations appears to be the effective way to improve safety situations. Conclusion: OSH culture is not fully complied in industries transport activities. This study, therefore, supports the use of safety seminars and training sessions for industry workers responsible for transport operations for better integration of safety standards.