DOI QR코드

DOI QR Code

Factors Influencing Safety Care Activities of Hospital Nurses

병원 간호사의 안전 간호활동에 영향을 미치는 요인

  • Yang, Ya Ki (Department of Nursing, Wonkwang University)
  • Received : 2019.04.10
  • Accepted : 2019.08.12
  • Published : 2019.08.31

Abstract

Purpose: The purpose of this study was to investigate the relationships among fatigue, patient safety culture and safety care activities of hospital nurses, and to identify and explain factors influencing safety care activities. Methods: The research participants were 187 nurses from a urban general hospital located in Korea. Self-evaluation questionnaires were used to collect the data. Data collection was done from January 10 to 31, 2019. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients and multiple regression with the SPSS 24.0 program. Results: There were significant negative relationships between fatigue and safety care activities (r=-.22, p=.003), and significant positive relationships between patient safety culture and safety care activities (r=.22, p=.003). Factors influencing safety care activities in hospital nurses were identified as type of unit (ICU) (${\beta}=.28$), patient safety culture (${\beta}=.24$) and fatigue (${\beta}=-.19$). The explanation power of this regression model was 16% and it was statistically significant (F=8.29, p<.001). Conclusion: These results suggest the need to develop further management strategies for enhancement of safety care activities in hospital. To improve the levels of patient safety, education programs on patient safety should be developed and provided to nurses in hospitals.

Keywords

References

  1. Hwang Y, Kim MY, Kang JS. Perception and performance about patient safety management for hospital nurses. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities and Sociology. 2016;6(12):39-54. https://doi.org/10.14257/AJMAHS.2016.12.29
  2. Kim MR. Concept analysis of patient safety. Journal of Korean Academy of Nursing. 2011;41(1):1-8. https://doi.org/10.4040/jkan.2011.41.1.1
  3. Park M, Kim IS, Ham YL. Development of a perception of importance on patient safety management scale (PI-PSM) for hospital employee. The Journal of the Korea Contents Association. 2013;13(5):333-341. https://doi.org/10.5392/JKCA.2013.13.05.332
  4. Kang YM. Develop standard regulations and procedures for each medical institution. Seoul: Korea Institute for healthcare Accreditation; 2011 July. Report No.: Koiha-2011-005-1.
  5. Choi JH, Lee KM, Lee MA. Relationship between hospital nurses' perceived patient safety culture and their safety care activities. The Korean Journal of Fundamentals of Nursing. 2010;17(1):64-72.
  6. Park SJ. A study on hospital nurse's perception of patient safety culture and safety care activity [master's thesis]. Busan: Dong-A University; 2009. p. 15-27.
  7. Glancy GD, Chaimowitz G. The clinical use of risk assessment. Canadian Journal of Psychiatry. 2005;50(1):12-17. https://doi.org/10.1177/070674370505000104
  8. Lee SG. Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals [dissertation]. Seoul: Chung-Ang University; 2015. p. 40-100.
  9. Kim JK. A systematic review of clinical nurses' patient safety culture for improving nursing work environment. Korean Journal of Occupational Health Nursing. 2014;23(2):67-79. https://doi.org/10.5807/kjohn.2014.23.2.67
  10. Kirk S, Parker D, Claridge T, Esmail A, Marshall M. Patient safety culture in primary care: Developing a theoretical framework for practical use. Quality and Safety in Health Care. 2007; 16(4):313-320. https://doi.org/10.1136/qshc.2006.018366
  11. Kang MA, Kim JE, An KE, Kim Y, Kim SW. Physicians' perception of and attitudes towards patient safety culture and medical error reporting. The Korea Society of Health Policy and Administration. 2005;15(4):110-135. https://doi.org/10.4332/KJHPA.2005.15.4.110
  12. Choe US, Song MS. Concept analysis: Fatigue. Korean Journal of Women Health Nursing. 2003;9(1):61-69. https://doi.org/10.4069/kjwhn.2003.9.1.61
  13. Shanafelt T, Balch C, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and medical errors among American surgeons. Annals of Surgery. 2010;251(6):995-1000. https://doi.org/10.1097/SLA.0b013e3181bfdab3
  14. Cimiotti JP, Aiken L, Sloane DM, Wu ES. Nurse staffing, burnout, and health care-associated infection. American Journal of Infection Control. 2012;40(6):486-490. https://doi.org/10.1016/j.ajic.2012.02.029
  15. Kazanjian A, Green C, Wong J, Reid R. Effect of the hospital nursing environment on patient mortality: a systematic review. Journal of Health Service Research and Policy. 2005;10(2):111-117. https://doi.org/10.1258/1355819053559100
  16. Whitman GR, Kim Y, Davidson LJ, Wolf GA, Wang SL. The impact of staffing on patient outcomes across specialty units. Journal of Nursing Administration. 2002;32(12):633-639. https://doi.org/10.1097/00005110-200212000-00008
  17. Quillivan RR, Burlison JD, Browne EK, Scott SD, Hoffman JM. Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses. The Joint Commission Journal of Quality and Patient Safety. 2016;42(8):377-386. https://doi.org/10.1016/S1553-7250(16)42053-2
  18. Cha BK, Choi J. A comparative study on perception of patient safety culture and safety care activities: comparing university hospital nurses and small hospital nurses. Journal of Korean Academy Nursing Administration. 2015;21(4):405-416. https://doi.org/10.11111/jkana.2015.21.4.405
  19. Nam MH, Lim JH. The influences of the awareness of patient safety culture on safety care activities among nurse in small medium sized general hospitals. Journal of Digital Convertgence. 2013;11(1):349-359. https://doi.org/10.14400/JDPM.2013.11.1.349
  20. Jang EH. Development of fatigue scale for nurse [dissertation]. Seoul: Chung-Ang University; 2013. p. 28-47.
  21. Kim JE, Kang MA, An KE, Sung YH. A Survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research. 2007;13(3):169-179.
  22. Kim SD. Effects of yogic eye exercises on eye fatigue in undergraduate nursing students. Journal of Physical Therapy Science. 2016;28(6):1813-1815. https://doi.org/10.1589/jpts.28.1813
  23. Jeong J, Seo YJ, Nam EW. Factors affecting patient safety management activities at nursing divisions of two university hospitals. Korean Journal of Hospital Management. 2006;11(1):91-109.
  24. Jeon JH. Recommendation on enforcement decree of the patient safety act. Patient Safety & Healthcare Quality. 2016;2(1):29-34.
  25. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organization. BMJ Quality & Safety. 2003;12(2):ii17-ii23. https://doi.org/10.1136/qhc.12.suppl_2.ii17
  26. Lee SI. Approaches to improve patient safety in healthcare organizations. Journal of the Korean Medical Association. 2015;58(2):90-92. https://doi.org/10.5124/jkma.2015.58.2.90
  27. Cho SS, Gang MH. Perception of patient safety culture and safety care activity of entry-level nurses. Korean Journal of Occupational Health Nursing. 2013;22(1):24-34. https://doi.org/10.5807/kjohn.2013.22.1.24
  28. Cho SD, Heo SE, Moon DH. A convergence study on the hospital nurse's perception of patient safety culture and safety nursing activity. Journal of the Korea Convergence Society. 2016;7(1):125-136. https://doi.org/10.15207/JKCS.2016.7.1.125

Cited by

  1. A Review II for Standardization of Textbooks of Fundamentals of Nursing: Medication Administration, Infection Control, Pressure Injury vol.27, pp.2, 2019, https://doi.org/10.7739/jkafn.2020.27.2.198
  2. Patient Safety and Quality Care in the NICU vol.35, pp.3, 2019, https://doi.org/10.1097/jpn.0000000000000590