• 한국응용과학기술학회지
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• 제38권6호
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• pp.1587-1595
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• 2021

본 연구는 신규간호사를 대상으로 환자안전동기, 환자안전관리태도, 환자안전관리행위 정도와 상관관계를 확인하고 환자안전관리행위에 영향을 주는 요인을 알아보고자 실시하였다. 신규간호사 127명을 대상으로 2020년 9월 11일부터 9월 30일까지 설문조사 하였으며, 수집된 자료는 SPSS 22.0 프로그램을 이용하여 t-test, ANOVA, Scheffe's test, Person's correlation coefficients, 다중회귀분석을 하였다. 환자안전동기는 환자안전관리태도, 환자안전관리행위와 양의 상관관계를 보였으며, 환자안전관리태도는 환자안전관리행위와 양의 상관관계를 보였다. 환자안전관리행위에 가장 유의한 영향을 준 요인은 환자안전동기, 환자안전관리태도, 환자안전관리 교육경험 이었다. 따라서 신규간호사의 환자안전관리행위 능력을 증진시키기 위해 환자안전동기, 환자안전관리태도를 포함한 환자안전교육 프로그램의 개발과 적용을 제안한다.

• 기본간호학회지
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• 제19권1호
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• pp.35-45
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• 2012

Purpose: This study was done to explore the relationship between perceived patient safety culture and patient safety management activities among health personnel. Methods: This study was a cross-sectional survey. Participants were 342 health personnel working in two tertiary hospitals. Self-administered questionnaires were used to collect data from a convenience sample of 254 nurses and 88 doctors. Results: Scores on participants' perceived patient safety culture and patient safety management activities were just over the mean. There were significant differences in patient safety management activities by type of occupation, nurses' position, length of service, and work week. Doctors scored perceived patient safety culture and patient safety management activities significantly lower than nurses. In addition, perceived patient safety culture was significantly related to patient safety management activities. Factors which influence participants' patient safety management activities were communication, type of occupation, overall evaluation of patient safety, supervisor/manager, frequency with which events were reported, and nurse's position. Conclusion: Findings provide significant evidence that patient safety management activities are associated with perceived patient safety culture. Therefore, to build a positive safety culture, health personnel, especially doctors and general nurses need to visibly commit to patient safety management activities and be role models to ensure patient safety.

• Journal of Korean Biological Nursing Science
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• 제26권1호
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• pp.60-69
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• 2024

Purpose: This descriptive research study attempted to determine how general hospital nurses' awareness of the importance of patient safety management and patient safety competency affected patient safety management activities. Methods: From September 13 to 26, 2022, a survey was administered to 230 ward nurses who provided direct care to patients at five non-accredited general hospitals being evaluated for accreditation located in metropolitan cities. The collected data were analyzed with descriptive statistics, the t-test, one-way analysis, the Scheffé test, Pearson correlation coefficients, and hierarchical regression using SPSS for Windows version 26.0. Results: In total, 221 (96.1%) respondents were female. The average age was 32.2 years, and the average clinical experience was 3.5 years; 196 participants (85.2%) were general nurses. Patient safety competency (β = .44, p < .001), awareness of the importance of safety management (β = .31, p < .001), and medication error experience (β = -.15, p = .002) all had statistically significant associations with patient safety management activities. The explanatory power of these variables for patient safety management activities was 50.7%. Conclusion: This study confirmed that patient safety competency, awareness of the importance of patient safety management, and experience with medication errors significantly influenced patient safety management activities.

• 대한간호학회지
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• 제52권4호
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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.

• 한국응용과학기술학회지
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• 제38권1호
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• pp.88-98
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• 2021

본 연구는 간호대학생의 환자안전관리 수행자신감에 미치는 영향요인을 파악하기 위해 실시되었다. 분석결과 환자안전관리 지식 7.0점, 환자안전관리 태도 3.86점, 임상의사결정능력 3.47점, 환자안전관리 수행자신감 4.15점이었다. 환자안전관리 수행자신감은 환자안전관리 지식(r=.216, p<.01)과 환자안전관리 태도(r=.375, p<.01), 임상의사결정능력(r=.467, p<.01)과 양의 상관관계가 있었다. 환자안전관리 수행자신감에 미치는 영향요인은 임상의사결정능력(β=.409, p<.001)과 환자안전관리 태도(β =.198, p=.011) 이었고 설명력은 26.3%이었다.

• 한국치위생학회지
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• 제16권6호
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• pp.863-877
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• 2016

The study aimed to investigate the influence of perceived patient safety culture on patient safety management activity in the dental hygienists. Methods: A self-reported questionnaire was completed by 292 dental hygienists in Seoul, Incheon and Gyeonggido from March 1 to April 8, 2016. The questionnaire consisted of general characteristics of the subjects (9 items), patient safety culture (44 items), and patient safety management activity (25 items) by Likert 5 point scale. Data were analyzed by t test, one way ANOVA, stepwise multiple regression test, and post-hoc Tukey test using SPSS 18.0 program. Results: The perceived patient safety culture was 3.50 on average. Entire organization was the highest score (3.68) and followed the communication process (3.55), the environment of work unit (3.47), the attitude of supervisor/manager (3.45), and the frequency of events reported (2.98). The average of patient safety management activity was 3.71. As for the factors of patient safety culture on patient safety management activity, communication process was the most influential factor (${\beta}=0.268$), and followed the entire organization (${\beta}=0.265$), the environment of work unit (${\beta} =0.166$), the frequency of events reported (${\beta}=0.104$), and among the control variables. Work place proved to be the only significant variable. Conclusions: In order to promote patient safety management activity of dental institutions, the patient safety culture should be created and established. The influence of communication process and patient safety culture at entire organization level was huge. So the environment of work unit and the perceived patient safety culture in the process of reported events were influencing factors. The strategy for patient safety management activity should be considered because of low level of perceived patient safety culture.

• 보건의료산업학회지
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• 제9권3호
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• pp.57-67
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• 2015

Objectives : This study has analyzed the relationship between DEA efficiency of costs-patient revenues, productivity per value added and management performance in mental hospitals. Methods : The relationship between DEA efficiency of costs-patient revenues, the productivity per value added and management performance were conducted with correlation analysis and logistic regression. Results : The DEA efficiency of costs-patient revenues had a significant causal relationship with the value added ratio to gross revenue indexing productivity per value added. On the other hand, it was revealed that the operating margin indexing management performance had a slightly significant causal relation with DEA efficiency of costs-patient revenues. Conclusions : The material costs should be focused on the management stability of mental hospitals, and known to the desirable management orientation for the higher efficiency of costs-patient revenues.

• 한국병원경영학회지
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• 제11권1호
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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.

• 문화기술의 융합
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• 제10권2호
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• pp.149-157
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• 2024

의료기관 및 의료인의 지속적인 노력에도 불구하고 환자 안전을 위협하는 사고가 지속적으로 발생하고 있다. 환자안전사고를 줄이기 위해서는 의료인의 환자안전에 대한 올바른 지식과 태도, 수행능력을 갖추는 것이 필요하다. 간호대학생은 환자안전관리와 관련된 주요인력 중 하나로 간호대학생의 환자안전관리 행위에 미치는 영향요인을 파악하는 것은 환자안전관리 역량 향상 및 안전사고예방에 필수적이라 할 수 있다. 이에 본 연구는 간호대학생의 환자안전관리 관련 지식, 태도, 수행자신감이 환자안전관리 행위에 미치는 영향을 규명하고자 하였다. 서술적 조사연구로 연구대상 및 자료수집은 2022년 10월 25일부터 10월 28일까지 K 지역에 소재한 4학년 간호대학생 138명을 대상으로 하였고, 통계분석은 SPSS 25.0 프로그램을 이용하였다. 연구 결과, 환자안전관리 지식, 태도, 수행자신감은 환자안전관리 행위와 양의 상관관계를 보였으며, 환자안전관리 행위에 미치는 영향요인은 환자안전관리 교육경험(β=.22, p<.001)과 수행자신감(β=.66, p<.001)으로 나타났다. 본 결과를 토대로 간호대학생의 환자안전관리 행위 역량을 증진시키기 위해서는 환자안전관리 교육경험 및 수행자신감을 향상시킬 수 있는 교육프로그램이 필요할 것으로 사료된다.

• 한국산학기술학회논문지
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• 제20권3호
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• pp.216-223
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• 2019

본 연구는 간호대학생의 환자안전 역량이 환자안전관리 행위에 미치는 영향을 확인하여 환자안전관리 행위 향상을 위한 프로그램 개발의 기초자료를 제공하기 위하여 시도되었다. 참여자는 1년 이상 학생 간호사로 임상 실습을 받은 293명의 4학년 간호대학생이다. 데이터는 2018년 4월 26일부터 5월 9일까지 수집되었다. 수집된 자료는 SPSS/WIN 24.0 컴퓨터 프로그램으로 빈도, 백분율, 평균, 표준 편차, t-test, ANOVA, Pearson's Correlation Coefficient, Multiple regression으로 분석하였다. 간호대학생의 환자안전 역량은 평균 $2.90{\pm}0.38$점 (환자안전 지식 $2.68{\pm}0.65$, 환자안전 기술 $3.26{\pm}0.56$, 환자안전 태도 $2.75{\pm}0.40$)이었다. 환자안전관리 행위 점수는 평균 $4.13{\pm}0.57$점이었다. 간호대학생의 환자안전 지식, 기술, 태도 및 환자안전관리 행위 간의 상관관계에서, 기술 및 관리 행위는 r=.337, p<.001, 태도 및 관리 행위는 r=-.150, p=.010, 지식 및 관리 행위는 r=.171, p=.003이었다. 대학생의 환자안전 관리 행위에 영향을 미치는 요인은 환자안전 기술(${\beta}=.307$, p<.001), 화재에 대한 안전사고 경험(${\beta}=-.127$, p=.026), 환자안전 태도(${\beta}=-.121$, p=.026), 환자교육에 대한 안전사고 경험(${\beta}=-.119$, p=.034)으로 나타났고, 설명력은 15.7%였다. 본 연구결과를 통하여 간호대학생의 환자안전관리 행위에 영향을 미치는 다양한 요인을 확인하기 위한 반복연구가 필요하고, 환자안전관리 행위를 높일 수 있는 교육프로그램 개발이 요구된다.