• 기본간호학회지
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• 제19권4호
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• pp.453-462
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• 2012

Purpose: The purpose of this study was to examine the impact of job satisfaction and organizational commitment on patient safety management activities of nurses. Methods: A cross-sectional design was adopted. The sample included 307 nurses working in three tertiary university hospitals. Data were collected during November and December, 2012, with a response rate of 93%. A 40-item patient safety management activities scale was used to measure patient safety activities. Job satisfaction and organizational commitment were also measured with established instruments and included general characteristics. Data were analyzed with PASW 18.0 program. Results: The mean score for patient safety management activities was 3.98 out of 5. Stepwise multiple linear regression indicated that organizational commitment (${\beta}$=.20, p<.001) and job satisfaction (${\beta}$=.18, p=.013) respectively predicted patient safety management activities. Especially, the addition of organizational commitment as the strongest predictor of patient safety management activities increased the associated explained variance ($R^2$ change=.11, p<.001). Conclusion: It is important for managers to create an organizational climate that promotes the organizational commitment and job satisfaction of nurses. Future studies are encouraged to replicate the findings and also to better understand patient safety management activities and personal emotional stability.

• 중환자간호학회지
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• 제10권1호
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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.

• 디지털융복합연구
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• 제17권12호
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• pp.281-288
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• 2019

환자 안전사고는 환자의 생명과 직결되고 의료서비스 질을 저하시키기 때문에 환자안전관리활동은 중요하다. 따라서 본 연구에서는 3개 지역 병원 간호사 134명을 대상으로 환자안전문화인식과 환자안전역량 및 환자안전관리활동을 조사하고 이에 따라 환자안전관리활동에 미치는 영향을 파악하고자 시도되었다. 분석결과 환자안전문화 식은 평균 4.25/5점, 환자안전역량은 평균 4.37/5점, 환자안전관리 활동 정도는 평균 4.26/5점이었으며, 환자안전문화인식과 환자안전역량(r=.765, p<.001), 환자안전역량과 환자안전관리활동(r=.837, p<.001) 및 환자안전역량과 환자안전문화인식(r=.728, p<.001)은 유의한 양의 상관관계가 있었다. 환자안전관리활동에 영향을 미치는 요인은 환자안전역량(β=.582, p<.001), 환자안전문화인식(β=.3632, p<.001), 직위(β=-.132, p=.009) 순이었다. 환자안전을 위해서는 간호사의 환자안전역량을 강화하고 병원조직 차원에서 체계적인 교육과 지속적인 환자안전관리활동에 대한 평가가 필요하다.

• 한국콘텐츠학회논문지
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• 제17권10호
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• pp.268-279
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• 2017

본 연구는 응급실 간호사를 대상으로 환자안전문화에 대한 인식, 환자안전역량, 안전간호활동의 관계를 파악하기 위하여 시도되었다. 연구대상은 9개 종합병원에서 근무하는 1년 이상의 경력간호사 중 응급실에서 근무하는 간호사 121명을 대상으로 하였으며, 연구도구는 환자안전문화, 환자안전역량, 안전간호활동의 구조화된 설문지를 이용하였다. 본 연구 결과 환자안전문화에 대한 인식은 5점 만점에 3.51, 개인차원의 환자안전 지식/태도가 가장 높게 나타났다. 환자안전역량은 5점 만점에 3.60으로 나타났으며, 하위영역은 태도 3.91, 기술 3.47, 지식 3.24 순이었다. 안전간호활동은 5점 만점에 3.85로 나타났으며 하위영역은 투약 간호가 가장 높게 나타났다. 안전간호활동과 환자안전문화에 대한 인식(r=.40, p<.001), 환자안전역량과 안전간호활동(r=.70, p<.001), 환자안전역량과 환자안전문화(r=.40, p<.001) 모두 정적상관이 있는 것으로 나타났다. 특히 환자안전문화에 대한 인식, 환자안전역량, 안전간호활동에 차이를 보이는 특성 중 최근 1년 이내 안전교육을 받은 것이 영향을 미치는 것으로 나타나 임상현장에서 이루어지는 안전교육의 중요성이 부각되었다. 또한 환자안전역량의 하위영역 중 지식 영역의 점수가 가장 낮게 측정되어 환자안전 관련 지식수준을 높이기 위한 노력이 필요하다.

• 중환자간호학회지
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• 제12권2호
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• pp.85-96
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• 2019

Purpose : The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities. Methods : This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software. Results : Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (${\beta}=.409$, p < .001) on the relationship between incident reporting attitudes and patient safety care activities. Conclusion : Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.

• 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.

• 한국산학기술학회논문지
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• 제22권5호
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• pp.229-240
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• 2021

본 연구는 입원환자를 대상으로 환자안전인식과 환자안전활동 수행 간의 관계를 확인하고 환자안전인식과 환자안전활동 수행을 증진시키기 위한 중재 프로그램을 개발하는데 기초자료로 제공하고자 수행하였다. 본 연구의 대상자는 D광역시 일 상급종합병원에 입원한 성인 환자 103명이었다. 자료수집은 2021년 2월 22일부터 3월 12일까지 이루어졌고, 환자안전인식과 환자안전활동 수행을 측정하기 위한 구조화된 설문지를 사용하였다. 입원환자의 환자안전인식은 5점 만점에 4.22±0.52점, 환자안전활동 수행은 4점 만점에 3.35±0.48점이었다. 환자안전인식은 환자안전교육 경험과 유의한 차이가 있었고(t=4.85, p<.001), 환자안전활동 수행은 결혼상태(t=2.75, p=.007), 환자안전교육 경험(t=3.88, p<.001)에 따라 유의한 차이가 있었다. 환자안전인식과 환자안전활동 수행은 유의한 상관관계가 있었다(r=.59, p<.001). 본 연구의 결과를 통해 임상에서 적용 가능한 입원환자의 환자안전인식과 환자안전활동 수행 증진을 위한 프로그램을 개발하고 시스템적으로 적용함으로써, 환자안전문화 향상을 도모할 필요가 있다.

• 한국의료질향상학회지
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• 제22권1호
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• pp.71-90
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• 2016

Purpose: Objective of this study was to investigate how often nurses to perform patient safety activities. Methods: 521 observations were collected in 9 hospitals by 107 nursing students. Nurses' patient safety care activities were measured 0 (not at all) to 10 (all the time) scores. Descriptive statistics, independent t-test, one way ANOVA, correlation, multiple regression used to analyse data. Results: Items like 'Initial nursing assessment', 'drug management bring on', 'preparation for radiology test', 'falls assessment', 'nursing record' got high scores. But, scores of 'patient identification', 'verbal order management', 'hand hygiene' were lower than others. Each scores were different significantly according to institutions and departments. Within a same institution, the variance of scores, especially in 'patient identification', 'hand hygiene' were great. Scores of activities were different according to characteristics of institutions like type, location, number of beds, teaching hospital, number of accreditation, JCI accreditation. Predictors influencing nurses' patient safety activities were type, location and accreditation. These predictors account for 19.4% of variance. Conclusion: Performance of nurses' patient safety activities were different significantly according to characteristics of institutions. The important items like 'patient identification', 'hand hygiene' had achieved lowest performance. Further researches are needed to improve the basic safety activities.

• 디지털융복합연구
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• 제16권6호
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• pp.271-281
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• 2018

본 연구는 수술실 간호사의 환자안전역량과 팀워크의 인식이 환자안전관리활동에서 미치는 영향을 규명하고자 시도되었다. 연구대상자는 종합병원 수술실에서 6개월 이상 임상경력을 가진 간호사 110명이다. 자가보고 설문지를 이용하여 자료를 수집하였으며, 분석방법은 SPSS 21.0을 이용하여 기술통계, 평균비교분석, 상관분석, 단계적 회귀분석을 이용하였다. 연령이 높은 군과 교육수준이 높은 군이 유의하게 환자안전역량점수가 높았다. 환자안전역량과 환자안전관리활동은 유의한 양의 상관(r=.37)을 보였고, 팀워크와 환자안전관리활동도 유의한 양의 상관(r=.21)을 나타냈다. 회귀분석결과 환자안전관리 활동에 유의한 영향을 미치는 변수는 환자안전역량과 팀워크 인식이었고, 이들 변수의 설명력은 15.7%로 나타났다. 따라서 수술실 간호사의 환자안전관리활동을 향상을 위해 환자안전역량과 팀워크 향상을 위한 노력이 필요하며, 추가적으로 환자안전관리활동에 영향을 미치는 다른 변수에 대한 연구가 필요하다.

• 디지털융복합연구
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• 제16권6호
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• pp.259-270
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• 2018

본 연구는 종합병원 간호사의 환자안전관리활동에 환자안전문화인식과 조직몰입이 미치는 영향을 검증하고자 시도되었다. 자료는 2017년 8월 2일부터 8월 16일까지 종합병원 간호사 191명을 대상으로 구조화된 설문지를 이용하여 자료수집하였고, SPSS WIN Version 22.0을 이용하여 분석을 실시하였다. 연구결과, 종합병원 간호사의 환자안전관리활동은 환자안 전문화인식과 조직몰입과는 양의 상관관계가 있는 것으로 나타났고, 환자안전관리활동의 영향요인은 환자안전문화인식, 조직몰입 및 환자안전교육 경험으로 나타났으며, 이들 변수의 설명력은 33.3%였다. 따라서, 종합병원 간호사의 환자안전관리 활동을 증진시키기 위해서는 환자안전문화인식, 조직몰입 및 환자안전교육을 고려하여 중재프로그램을 개발하고 적용하는 것이 필요하다고 사료된다.