• Title/Summary/Keyword: patient safety

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Impact of Nursing Students' Knowledge, Attitudes, and Performance Confidence in Patient Safety Management on Patient Safety Management Behavior (간호대학생의 환자안전관리 지식, 태도, 수행자신감이 환자안전관리 행위에 미치는 영향)

  • Jihyun Lee;Gaeun Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.149-157
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    • 2024
  • Despite continuous efforts by healthcare institutions and professionals, incidents threatening patient safety continue to occur. Policies related to patient safety are being strengthened, and nursing students are recognized as key personnel in patient safety management. Identifying factors influencing patient safety management behavior can enhance competency in patient safety management and prevent and improve patient safety incidents. Therefore, the purpose of this study is to clarify the impact of nursing students' knowledge, attitudes, and performance confidence related to patient safety management on their patient safety management behavior. A descriptive survey study was conducted, and data collection targeted 138 fourth-year nursing students in K region from October 25th to October 28th, 2022. Statistical analysis was performed using SPSS 25.0 program. The research findings showed that knowledge, attitudes, and confidence regarding patient safety management were positively correlated with patient safety management behavior. Factors influencing patient safety management behavior were identified as patient safety management education experience (β=.22, p<.001) and confidence (β=.66, p<.001). Based on these results, it is suggested that educational programs aimed at improving patient safety management behavior among nursing students should focus on enhancing patient safety management education experience and confidence.

Current Status of Patient Safety Regulations, Guidelines and Support Mechanisms in Korean Hospitals

  • Lee, Jae Ho;Kim, Jeong Eun;Kim, Suk Wha;Lee, Sang Il;Jung, Yoen Yi;Kim, Moon Sook;Jang, Seon Mi
    • Perspectives in Nursing Science
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    • v.10 no.2
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    • pp.158-166
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    • 2013
  • Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

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Factors Influencing Patient Safety Nursing Activities of Intensive Care Unit Nurses (중환자실 간호사의 환자안전간호활동 영향요인)

  • Kim, Jae Eun;Song, Ju Eun;Ahn, Jeong Ah;Boo, Sunjoo
    • Journal of Korean Critical Care Nursing
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    • v.14 no.2
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    • pp.12-23
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    • 2021
  • Purpose : The purposes of this study were to examine the levels of job stress, perceptions of the patient safety culture, and patient safety nursing activities, and to identify factors influencing patient safety nursing activities among intensive care unit (ICU) nurses. Methods : For this cross-sectional study, data were collected from 161 ICU nurses working in two university-affiliated hospitals in Gyeonggi-do between June 30 and July 30, 2020. The data were analyzed with descriptive statistics, an independent t-test, a one-way ANOVA, the Pearson correlation method, and multiple regression using the SPSS program. Results : The average levels of job stress, perception of patient safety culture, and patient safety nursing activities were 3.48, 3.44, and 4.45 out of 5, respectively. Multiple regression showed that perception of patient safety culture and career in current workplace were found to be statistically significant correlates of patient safety nursing activities. Conclusion : In order to promote patient safety nursing activities, patient safety culture needs to be incorporated into the education of ICU nurses. Perception of patient safety should be enhanced to improve patients safety nursing activity.

Effects of Patient Safety Motivation and Degree of Patient Safety on Patient Safety Management Activities of Geriatric Hospitals Nurses (노인 요양병원 간호사의 환자 안전동기와 환자안전도가 환자안전관리 활동에 미치는 영향)

  • Ju-Yul Lee;Soon-Ok Kim
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.4
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    • pp.773-785
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    • 2023
  • This study is a descriptive research conducted to identify the factors influencing patient safety management activities of geriatric hospitals nurses and use basic data to prevent patient safety accidents. Subjects were 220 nurses and data were collected by questionnaires from february 1 to 28, 2023. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson correlation coefficients and Multiple regression analysis using the SPSS 29.0 program. Patient safety motivation was positive correlated with degree of patient safety(r=.41, p<.001), and degree of patient safety was positive correlated with patient safety nursing activity(r=.18, p<.01). Degree of patient safety(𝛽=.21, p<.001) and patient safety guidelines(𝛽=.16, p<.001) were main factors that affect patient safety nursing activity, and its explanatory power was 7.5%(Adj R2=.075, p<.001). For patient safety nursing activity, it is proposed to develop and apply a education program that strengthens practical training for effective coping after safety accidents along with risk prediction training to prevent before safety accidents.

Analysis of the Impact of Organizational Safety Culture on Radiology Technologists Awareness of Patient Safety and Safety Behavior (조직안전문화가 방사선사의 환자 안전에 대한 의식 및 안전 행동에 미치는 영향분석)

  • Won-Tae Kim;Hyeon-Jin Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.615-623
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    • 2023
  • This study was conducted to examine the effect of organizational safety culture on radiologists' awareness of patient safety and safety behavior. The study was conducted based on the results of the survey, and the survey was divided into three factors: general characteristics, efforts for patient safety, and patient safety culture. As a result of the study, age, work experience, and work satisfaction were influencing factors in general characteristics, and gender, academic background, and work type were not included as factors affecting differences in patient safety awareness. In efforts for patient safety, hospital support and education, patient safety activities, and how to respond to errors were all influencing factors, especially how to respond to errors were more relevant than other items. The patient safety culture was analyzed on two items: teamwork and open communication, and both items were highly related to radiologists' awareness of patient safety.

Operating Room Nurses' Experiences of Securing for Patient Safety (수술실 간호사의 환자안전 확보 경험)

  • Park, Kwang-Ok;Kim, Jong Kyung;Kim, Myoung-Sook
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.761-772
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    • 2015
  • Purpose: This study was done to evaluate the experience of securing patient safety in hospital operating rooms. Methods: Experiential data were collected from 15 operating room nurses through in-depth interviews. The main question was "Could you describe your experience with patient safety in the operating room?". Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core category of experience with patient safety in the operating room was 'trying to maintain principles of patient safety during high-risk surgical procedures'. The participants used two interactional strategies: 'attempt continuous improvement', 'immersion in operation with sharing issues of patient safety'. Conclusion: The results indicate that the important factors for ensuring the safety of patients in the operating room are manpower, education, and a system for patient safety. Successful and safe surgery requires communication, teamwork and recognition of the importance of patient safety by the surgical team.

Effects of Awareness of Patient Safety Culture, Emotional Labor and Job Stress on Patient Safety Nursing Activities by Comprehensive Nursing Care Medical Service Ward Nurses (간호·간병통합서비스 병동 간호사의 환자안전문화인식, 감정노동, 직무스트레스가 환자안전간호활동에 미치는 영향)

  • Choi, Hyo Jeong;Lee, Yun Mi;Park, Hyo Jin
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.87-98
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    • 2021
  • Purpose : This study aimed to examine the effects of the awareness of patient safety culture, emotional labor, and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Methods : The participants were 112 nurses from the comprehensive nursing care service wards from six hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using SPSS version 20.0. Results : The factors that significantly influenced patient safety nursing activities in the comprehensive nursing care medical service ward nurses included job stress (𝛽=-0.18, p<.032) and awareness of patient safety culture (𝛽=0.54, p<.001). The explanatory power of these factors was 31.0% (F=13.43, p<.001). Conclusion : This study showed that the factors that influenced patient safety management activities of comprehensive nursing care medical service ward nurses included job stress and awareness of patient safety culture.

Nurses' Safety Control according to Patient Safety Culture and Perceived Teamwork (간호사가 인식하는 환자안전문화와 팀워크에 따른 간호사의 안전통제감)

  • Kim, Kyoung Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.2
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    • pp.199-208
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    • 2016
  • Purpose: The purpose of this study was to investigate the influence of patient safety culture and perceived teamwork on the safety control of nurses. Methods: This study was conducted as a descriptive cross-sectional survey with 141 nurses who worked in a tertiary hospital with over 1,000 beds in S city, Gyeonggi province. Data were collected using structured questionnaires from July 20, to July, 31, 2015. Results: The average work period for nurses participating in the research was 8.84 years. The perceived teamwork and patient safety culture were positively correlated with safety control. The regression model with patient safety culture, perceived teamwork and clinical career against safety control was statistically significant (F=10.16, p<.001). This model also explained 37.1% of safety control (Adj. $R^2=.37$). Especially, communication (${\beta}=.27$, p=.023) of patient safety culture, clinical career (${\beta}=.26$, p<.001), mutual support (${\beta}=.24$, p=.042), and team leadership (${\beta}=.24$, p=.018) in perceived teamwork were identified as factors influencing safety control. Conclusion: The findings of this study imply that a broad approach including teamwork and patient safety culture should be considered to improve the safety control for nurses.

Patient Safety Program and Safety Culture (투약간호 중심의 환자안전 프로그램 개발 및 평가)

  • Kim, Young-Mee;Kim, Se-Young;Kim, Min-Young;Kim, Ju-Hee;Lee, Suk-Kyoung;Jang, Mi-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.4
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    • pp.455-465
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    • 2010
  • Purpose: To determine the impact of the Patient Safety Program on the safety culture of nursing department. Methods: Patient Safety Program focused on medication safety was launched by QI team and patient safety committee. Patient Safety Program was composed of the establishment of improved reporting system as s way to learn from error, 'Patient Safety Guard' movement, and continuous education for medication safety. With one group pretest-posttest design, nurses' perception of the safety culture were measured with self-administered questionnaire. Subjects were all nurses and managers in nursing department of a tertiary teaching hospital in Seoul. Collected data from survey was statistically analyzed using t-test. Results: Patient Safety Program had been continued for 20 months in participation of all nurses and managers. Safety culture was improved (pretest=2.84, posttest=2.90, p<.001; 4 point scale). Conclusions: This study indicates that there has been a statistically significant increase in the nurses' perception of safety culture. These findings suggest that Patient Safety Program had made great contribution toward system wide safety culture in the hospital. To improve safety culture, leadership supports and flexibility to apply tailored interventions to the hospital were required necessarily.

The Influences of the Awareness of Patient Safety Culture on Safety Care Activities among Operating Room Nurses (수술실 간호사의 환자안전문화에 대한 인식이 안전간호활동에 미치는 영향)

  • Lee, Kyung Hee;Lee, Young Shin;Park, Hae Kyung;Rhu, Jung Ok;Byun, In Seung
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.204-214
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    • 2011
  • Purpose: This study was aimed to provide information on the awareness of patient safety culture and safety care activities among operating room (OR) nurses and to analyze the factors influencing the safety care activities. Methods: For this descriptive research, self-reported questionnaires were administered to 168 OR nurses who were working at the university-affiliated and general hospitals. The collected data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson's correlation coefficient and Stepwise multiple regression with SPSS/WIN 17.0. Results: The mean score of the awareness on patient safety culture was 3.27 out of 5 points and that of safety care activity was 4.31 out of 5. The statistically significant difference was found between experience of safety education and the awareness on patient safety culture. Also, the scores of safety care activities were significantly different according to OR nurses' position, education levels, and experience of safety education. There was a positive correlation between the awareness of patient safety culture and safety care activity. Their explanatory power on safety care activity was 8.8%, which includes working environment in operating room 3.3% and nursing position 5.5%. Conclusion: Compared to the level of patient safety activities, the OR nurses' awareness on patient safety culture was low. Given the specific characteristics and conditions in each hospital, it needs to increase the OR nurses' awareness on patient safety culture and activities related to patient safety.