• Safety and Health at Work
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• v.9 no.3
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• pp.296-307
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• 2018

Background: Safety culture, acting as the oil necessary in an efficient safety management system, has its own weaknesses in the current conceptualization and utilization in practice. As a new approach, resilience safety culture (RSC) has been proposed to reduce these weaknesses and improve safety culture; however, it requires a valid and reliable instrument to be measured. This study aimed at evaluating the reliability and validity of such an instrument in measuring the RSC in sociotechnical systems. Methods: The researchers designed an instrument based on resilience engineering principles and safety culture as the first instrument to measure the RSC. The RSC instrument was distributed among 354 staff members from 12 units of an anonymous petrochemical plant through hand delivery. Content validity, confirmatory, and exploratory factor analysis were used to examine the construct validity, and Cronbach alpha and test-retest were employed to examine the reliability of the instrument. Results: The results of the content validity index and content validity ratio were calculated as 0.97 and 0.83, respectively. The explanatory factor analysis showed 14 factors with 68.29% total variance and 0.88 Kaiser-Meyer-Olkin index. The results were also confirmed with confirmatory factor analysis (relative Chi-square = 2453.49, Root Mean Square Error of Approximation = 0.04). The reliability of the RSC instrument, as measured by internal consistency, was found to be satisfactory (Cronbach ${\alpha}=0.94$). The results of test-retest reliability was r = 0.85, p < 0.001. Conclusion: The results of the study suggest that the measure shows acceptable validity and reliability.

• Journal of Korean Academy of Nursing
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• v.52 no.4
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• pp.363-377
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• 2022

Purpose: This study aimed to test a hypothetical model of Korean nurses' patient safety management activities using meta-analytic path analysis. Methods: A systematic review, meta-analysis, and meta-analytic path analysis were conducted following the PRISMA and MOOSE guidelines. Seventy-four studies for the meta-analysis and 92 for the meta-analytic path analysis were included. The R software program (Version 3.6.3) was used for data analysis. Results: Four variables out of 49 relevant variables were selected in the meta-analysis. These four variables showed large effect sizes (ESr = .54) or median effect sizes (ESr = .33~.40) with the highest k (number of studies) in the individual, job, and organizational categories. The hypothetical model for the meta-analytic path analysis was established using these variables and patient safety management activities. Twelve hypothetical paths were set and tested. Finally, the perception of the importance of patient safety management and patient safety competency directly affected patient safety management activities. In addition, self-efficacy, the perception of the importance of patient safety management, patient safety competency, and patient safety culture, indirectly affected patient safety management activities. Conclusion: Self-efficacy, the perception of the importance of patient safety management, patient safety competency, and the organization's patient safety culture should be enhanced to improve nurses' patient safety management activities.

• Journal of the Korea Safety Management & Science
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• v.17 no.3
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• pp.173-183
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• 2015

The study conducted questionnaire analysis on 607 host company employee and 404 subcontractor employee in order to examine the difference in the safety culture cognition of host company and subcontractor. As a result, host company had higher recognition in all safety culture factors compare to that of subcontractor, and there were bigger gap of cognition in the 'cognition in safety status and culture', 'accident and near-miss', 'immediate superior's concentration degree in safety and health' than that of other cognition factors. Furthermore, team leaders showed the highest cognition in both host company and subcontractor, and employees with above 20 year career had the highest cognition in both host company and subcontractor. There is high relationship between host company and subcontractor in the correlations in safety culture cognition factors. Through this study, we identified the difference in the safety culture cognition factor of host company and subcontractor.

• The Korean Journal of Health Service Management
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• v.7 no.4
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• pp.81-92
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• 2013

This research was conducted to analyze the perception of the dental hygienists who work in ordinary dental clinics regading patient safety culture and to analyze the related elements. As for the research subjects and methods, 233 dental hygienists who work at the dental clinics located in Daegu, Gyeongbuk and Jeonnam were targeted from February 6, 2012 to March 5, 2012 to administer survey by utilizing patient safety culture recognition tool. Collected data was subjected to the SPSS 18.0 program to calculate average and standard deviation, and to carry out t-test, ANOVA and multiple regression analysis. Dental hygienists' level of perception towards patient safety culture was mid level, and it was demonstrated that there is a correlation with age, work experience at department, title and type of department that affect level of perception towards patient safety culture. In conclusion, Since this research targeted only a limited number of dental hygienists, it is necessary to be cautious about over-interpreting the results. Above anything, it is necessary to carry out repetitive research by targeting medical professionals of diverse jobs.

• Journal of Korean Critical Care Nursing
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• v.10 no.1
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• pp.63-74
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• 2017

Purpose: The purpose of this study was to examine the effect of professional autonomy, organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals. Methods: A cross-sectional design was employed. Self-reported questionnaires were completed by 121 nurses with at least 3 months of working experience in medium and small-sized hospitals located in B city. Data were analyzed using descriptive statistics, a t-test, a one-way ANOVA, Pearson correlation coefficients, and a multiple regression analysis. Results: Professional autonomy (r=.22, p=.016), organizational commitment (r=.34, p<.001), and perceived patient safety culture (r=.55, p<.001) had a statistically significant positive correlation with patient safety management activities. The factors that might affect patient safety management activities were professional autonomy (${\beta}=.23$, p=.003) and perceived patient safety culture (${\beta}=.55$, p<.001). The explanatory power of these factors for patient safety management activities was 33.5% (F=21.19, p<.001). Conclusions: The development of repetitive and continuous education programs is needed to improve a nurse's professional autonomy and perceived patient safety culture.

• Journal of the Korean Society of Marine Environment & Safety
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• v.26 no.2
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• pp.121-128
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• 2020

The Marine Safety Culture Index (MSCI) was developed in the year 2018 for objectively assessing the public safety culture levels and for incorporating it as data to spread knowledge regarding the marine safety culture. The method for calculating the safety culture index should include issues that may affect the safety culture and should consist of appropriate attributes for estimating the current status. In addition, continuous verification and supplementation are required for addressing social and economic changes. In this study, to determine whether the questionnaire designed by marine experts reflects the people's interests and needs, we analyzed 915 marine safety proposals. Text mining was employed for analyzing the unstructured data of the marine safety proposals, and network analysis and topic modeling were subsequently performed. Analysis of the marine safety proposals was centered on attributes such as education, public relations, safety rules, awareness, skilled workers, and systems. Eighteen questions were modified and supplemented for reflecting the marine safety proposals, and reliability of the revised questions was analyzed. Furthermore, compared to the previous year, the questionnaire's internal consistency was improved upon and was rated at a high value of 0.895. It is expected that by employing the derived marine safety culture index and incorporating the improved questionnaire that reflects the requirements of marine experts and the people, the improved questionnaire will contribute to the establishment of policies for spreading knowledge regarding the marine safety culture.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.24 no.3
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• pp.26-36
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• 2016

The purpose of this paper is to analyze the relationship between the perception of organizational citizenship behavior and that of safety culture by airline pilots. Finding factors which composed of organizational citizenship behavior, this paper will prove the effects of those factors to the safety culture of an airline. Organizational citizenship behavior means the activities of members, based on their free will, to enhance organization's overall productivity and performance, which are, however, not officially and apparently approved by the organization. Safety culture is to contain the concept in the organization's protocol, procedure and policy affecting safety performance of the organization. According to the analysis, it was proven compliance of organizational citizenship behaviors has a positive effect on safety culture through job satisfaction. Moreover, altruism and individual initiative have a direct positive effect on safety behavior of pilots.

• Journal of the Korea Safety Management & Science
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• v.16 no.4
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• pp.91-99
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• 2014

This study highlights the theme of human error of train drivers, conducting empirical analysis on the relationship between organizational culture, safety climates, safety behavior, and accident. The empirical test results based on questionnaires received from 223 train drivers working at A subway firm indicated that relationship conflict and psychological reward as the elements of organizational culture variables showed a significant positive effect on CEO philosophy, communication, and boss's leadership. And only boss's leadership showed a positive influence on safety behavior, which in turn showed a significant negative relationship with accidents.

• Journal of the Korean Institute of Gas
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• v.20 no.3
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• pp.22-29
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• 2016

Organization characteristics and safety culture contains a wide variety of factors. It should be accessed in a variety of ways in order to improve such a safety culture. Thru by analyzing the safety culture factor of combined-cycle-power plants, it was found to be a positive role in the improvement and enhancement for the improving of safety training, communication and training participation level by structural equation modeling analysis as the management's interest is increased. As the safety training is emphasized, it would be help to improve work participation.

• Journal of Korean Academy of Nursing
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• v.41 no.1
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• pp.1-8
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• 2011

This study was conducted to investigate the clear concept of patient safety and obtain theoretical evidences. Methods Research was conducted using Walker & Avant's conceptual analysis process. Results: Patient safety was defined as a activity that minimizes and removes possible errors and injuries to patients. It includes a basic desire to secure the patient's right to safety, and the legal regulations and duties of medical teams. The results of the establishment of a safety culture are patient-centered medical treatment and caring. Antecedents were found to be open and clear communications, continuous education and training for health care personnel, sufficient allocation of qualified personnel, cooperation among departments, improvements in the recognition of patient safety. Consequences were found to be the provision of high quality medical care and treatment, and increase in patient satisfaction. Conclusion: Patient safety as defined by the results of this study will contribute to the foundation of institutionalization of the pursuit of patient safety and creation of a hospital culture focusing on patient safety as a first priority.