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Nurses' Safety Control according to Patient Safety Culture and Perceived Teamwork

간호사가 인식하는 환자안전문화와 팀워크에 따른 간호사의 안전통제감

  • Received : 2016.01.25
  • Accepted : 2016.02.26
  • Published : 2016.03.31

Abstract

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.

Keywords

References

  1. Kohn LT, Corrigan JM, Donaldson MS. To err is human: Building a safer health system. Washington, DC: National Academies Press; 2000. pp. 1-312.
  2. Zohar D. Thirty years of safety climate research: Reflections and future directions. Accident Analysis and Prevention. 2010;42: 1517-1522. http://dx.doi.org/10.1016/j.aap.2009.12.019
  3. Levinson DR. Adverse events in hospitals: Methods for identifying events. Washington, DC: Department of Health and Human Services, Office of Inspector General. 2010.March. Report No.: OEI-06-08-00221. Available online at: http://oig.hhs.gov/oei/reports/oei-06-08-00221.pdf
  4. Jung SK. A structural model of safety climate and safety compliance of hospital organization employees [dissertation]. Seoul: Yonsei University; 2010. pp. 1-115.
  5. Jang HE. Impact of nurses' perception of patient safety culture and safety control on patient safety management activities in university hospital [master's thesis]. Busan: Chosun University; 2013, pp. 1-47.
  6. Anderson L, Chen PY, Finlinson S, Krauss AD, Huang YH. Roles of safety control and supervisory support in work safety. In:Presented at the Annual Meeting of the Society for Industrial and Organizational Psychology: Chicago, IL; 2004.
  7. Turner N, Stride CB, Carter AJ, McCaughey D, Carroll AE. Job demands-control-support model and employee safety performance. Accident Analysis and Prevention. 2012;45:811-817. http://dx.doi.org/10.1016/j.aap.2011.07.005
  8. Huang YH, Ho M, Smith GS, Chen PY. Safety climate and selfreported injury: Assessing the mediating role of employee safety control. Accident Analysis and Prevention. 2006;38:425-433. http://dx.doi.org/10.1016/j.aap.2005.07.002
  9. Snyder LA, Krauss A, Chen PY, Finlinson A, Huang YH, Occupational safety: Application of the job demand-control-support model. Accident Analysis and Prevention. 2008;40:1713-1723. http://dx.doi.org/10.1016/j.aap.2008.06.008
  10. Agency for Healthcare Research and Quality (AHRQ). Hospital survey on patient safety culture. Rockville, MD:AHRQ, 2004 September. Report No.: AHRQ publication, No, 04-0041. Available from: http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospcult.pdf
  11. Pronovost PJ, King J, Holzmueller CG, Sawer M, Bivens S, Micheal M, et al. A web based tool for the comprehensive unit based safety program (CUSP). Joint Commission Journal on Quality and Patient Safety. 2006;32(2):119-129. https://doi.org/10.1016/S1553-7250(06)32017-X
  12. Feng X, Bobay K, Weiss M. Patient safety culture in nursing: A dimensional concept analysis. The Journal of Advanced Nursing. 2008;63(3):310-319. http://dx.doi.org/10.1111/j.1365-2648.2008.04728.x
  13. Manser T. Teamwork and patient safety in dynamic domains of healthcare: A review of the literature. Acta Anaesthesiologica Scandinavica. 2009;53:143-151. http://dx.doi.org/10.1111/j.1399-6576.2008.01717.x
  14. Morey JC, Simon R, Jay GD, Wears RL, Salisbury M, Dukes KA, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: Evaluation results of the MedTeams project. Health Service Research. 2002;37:1553-1581. http://dx.doi.org/10.1111/1475-6773.01104
  15. Salas E, Sims DE, Burke CS. Is there a big five in teamwork? Small Group Research. 2005;36(5):555-599. http://dx.doi.org/10.1177/1046496405277134
  16. Hwang JI, Ahn J. Teamwork and clinical error reporting among nurses in Korean hospitals. Asian Nursing Research. 2015;9: 14-20. http://dx.doi.org/10.1016/j.anr.2014.09.002
  17. Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R, et al. Communication failures in the operating room: An observational classification of recurrent types and effects. Quality of Safe Health Care. 2004;13:330-334. http://dx.doi.org/10.1136/qshc.2003.008425
  18. Kalish BJ, Lee KH. The impact of teamwork on missed nursing care. Nursing Outlook, 2010;58:233-241. http://dx.doi.org/10.1016/j.outlook.2010.06.004
  19. Weller J, Boyed M, Cumin D. Teams, tribes and patient safety: Overcoming barriers to effective teamwork in healthcare. Postgraduate Medical Journal. 2014;90:149-154. http://dx.doi.org/10.1136/postgradmdej-2012-131168
  20. Battles J, King HB, TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) Manual [Internet]. Washington, DC: American Institutes for Research;2010. Available from: http://www.ahrq.gov/professionals/education/curriculumtools/ teamstepps/instructor/reference/teampercept.html
  21. Kim J, An K, Yun SH. Nurses' perception of the hospital environment and communication process related to patient safety in Korea. Korean Society of Medical Informatics. 2004;10(1): 130-135.
  22. Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. Increasing medication error reporting rate while reducing harm through simultaneous cultural and systemlevel interventions in an intensive care unit. BMJ Quality & Safety. 2011;20:914-922. http://dx.doi.org/10.1136/bmjqs.2010.047233
  23. Kim J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. International Journal of Medical Informatics. 2006;75:148-155. http://dx.doi.org/10.1016/j.ijmedinf.2005.06.005
  24. Marks MA, Mathieu JE, Zaccaro SJ. A temporally based framework and taxonomy of team processes, Academy of Management Review. 2001;26(3):356-376. http://dx.doi.org/10.5465/AMR.2001.4845785
  25. Latam CL, Hogan M, Ringl K, Nurse supporting nurses: Creating a mentoring program for staff nurses to improve the workplace environment. Nursing Administration Quarterly. 2008; 32(1):27-39. https://doi.org/10.1097/01.NAQ.0000305945.23569.2b
  26. McComb SA, Lemaster M, Henneman EA, Hinchey KT. An evaluation of shared mental models and mutual trust on general medical units: Implications for collaboration, teamwork, and patient safety. Journal of Patient Safety. 2015;24. http://dx.doi.org/10.1097/PTS.0000000000000151
  27. Tang CJ, Chan SW, Zhou WT, Liaw SY. Collaboration between hospital physicians and nurses: An integrated literature review. International Nursing Review. 2013;60(3):291-302. http://dx.doi.org/10.1111/inr.12034
  28. Martinez-Corcoles M, Gracia FJ, Tomas I, Peiro JM, Schobel M. Empowering team leadership and safety performance in nuclear power plants: A multilevel approach. Safety Science. 2012;51(1):293-301. http://dx.doi.org/10.1016/j.ssci.2012.08.001
  29. Martinez-Corcoles M, Gracia F, Tomas I, Peiro JM, Leadership and employees' safety behaviors in a nuclear power plant: A structural equation model. Safety Science. 2011;49(8-9):1118-1129. http://dx.doi.org/10.1016/j.ssci.2011.03.002
  30. Haig K, Sutton S, Whittington J. SBAR: A shared mental model for improving communication between clinicians. The Joint Commission Journal on Quality and Patient Safety. 2006;32(3): 167-175. https://doi.org/10.1016/S1553-7250(06)32022-3

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