간호사의 투약오류보고의도에 대한 조직요인의 판별예측력
Discriminating Power of Organization Related Variables on Intention to Medication Error Reporting
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Objectives: The purpose of this study was to define degrees of intention to medication error reporting among nurses and to identify discriminating factors of intention to use medication error reporting system among structural and functional variables of the organization. Methods: From 12 hospitals in Korea, 157 nurses participated in the study. The data was collected from July to August, 2011. Organizational related variables were number of beds, perceived usefulness of medication error reporting system, patient safety culture, patient safety initiatives and perceived leadership. Descriptive and discriminant analyses were used. Results: Eighty six point four percent of the participants were staff nurses. The participants were grouped into three groups depending on the levels of intention to medication error reporting: low intention group (n=43), medium-intention group (n=69), high-intention group (n=45). Within the three groups, two functions were produced and only one function was significantly discriminated between low and highintention groups. Additional discriminant analysis produced one function that classified 68.2% of the participants correctly into the two groups. Number of beds and perceived usefulness of medication error reporting system were significant discriminating factors. Conclusions: Structural characteristics of the organization such as number of beds would be contained hidden characteristics for improving or inhibiting factor for error reporting intention. And functional characteristics of the organization as perceived usefulness of medication error reporting to improve error reporting intention can be implemented by the administrator and staff members. Based on the findings of this study, developing intervention programs focusing on improving perceived usefulness of medication error reporting is suggested.
Abstract
Objectives: The purpose of this study was to define degrees of intention to medication error reporting among nurses and to identify discriminating factors of intention to use medication error reporting system among structural and functional variables of the organization. Methods: From 12 hospitals in Korea, 157 nurses participated in the study. The data was collected from July to August, 2011. Organizational related variables were number of beds, perceived usefulness of medication error reporting system, patient safety culture, patient safety initiatives and perceived leadership. Descriptive and discriminant analyses were used. Results: Eighty six point four percent of the participants were staff nurses. The participants were grouped into three groups depending on the levels of intention to medication error reporting: low intention group (n=43), medium-intention group (n=69), high-intention group (n=45). Within the three groups, two functions were produced and only one function was significantly discriminated between low and highintention groups. Additional discriminant analysis produced one function that classified 68.2% of the participants correctly into the two groups. Number of beds and perceived usefulness of medication error reporting system were significant discriminating factors. Conclusions: Structural characteristics of the organization such as number of beds would be contained hidden characteristics for improving or inhibiting factor for error reporting intention. And functional characteristics of the organization as perceived usefulness of medication error reporting to improve error reporting intention can be implemented by the administrator and staff members. Based on the findings of this study, developing intervention programs focusing on improving perceived usefulness of medication error reporting is suggested.
참고문헌 (38)
- McMullan M, "The effect of an interactive e-drug calculations package on nursing students’ drug calculation ability and selfefficacy", Int J Med Inform, 80, pp.421~430 (2011)
- Keers RN, "Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence", Ann Pharmacother, 47(2), pp.237~256 (2013)
- Pirmohamed M, "Adverse drug reactions as cause of admission to hospital: prospective analysis of 18820 patients", BMJ, 329(7456), pp.15~19 (2004)
- Tang FI, "Nurses relate the contributing factors involved in medication errors", J Clin Nurs, 16, pp.447~457 (2007)
- McFadden KL, "The patient safety chain:transformational leadership’s effect on patient safety culture, initiatives, and outcomes", J Oper Manag, 27, pp.390~404 (2009)
- Classen DC, "‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously measured", Health Affairs, 30(4), pp.581~589 (2011)
- Noble, DJ, "Underreporting of patient safety incidents reduces health care’s ability to quantify and accurately measure harm reduction", J Patient Saf, 6(4), pp.247~250 (2010)
- Chiang HY, "Barriers to nurses’ reporting of medication administration errors in Taiwan", J Nurs Scholarsh, 38(4), pp.392~399 (2006)
- Throckmorton T, "Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the nursing practice act, and demographics on intent to report errors", J Perianesth Nurs, 22(6), pp.400~412 (2007)
- Hung CC, "Factors influencing nurses’ attitudes and intentions toward medication administration error reporting", Jpn J Nurs Sci (2016)[DOI]
- Bolye TA, "Determinants of medication incident reporting, recovery, and learning in community pharmacies: a conceptual model", Res Social Adm Pharm, 7(1), pp.93~107 (2011)
- 이영미, "환자안전문화 인식에 따른 안전사고발생", 한국산학기술학회논문지, 13(1), pp.117~124 (2012), 한국산학기술학회
- Singer SJ, "The culture of safety: results of an organization-wide survey in 15 California hospitals", Qual Saf Health Care, 12, pp.112~118 (2003)
- Flin, R, "Measuring safety culture in healthcare: a case for accurate diagnosis", Safety Science, 45(6), pp.653~667 (2007)[DOI]
- Ashcroft DM, "Development of the pharmacy safety climate questionnaire: a principal components analysis", Qual Saf Health Care, 18, pp.28~31 (2009)
- McFadden KL, "Critical success factors for controlling and managing hospital errors", Qual Manag J, 11(1), pp.61~74 (2004)
- Anderson JG, "The need for organizational change in patient safety initiatives", Int J Med Inform, 75(12), pp.809~817 (2006)[DOI]
- Tabak N, "The intention to report medication error", Med Law, 30(3), pp.363~382 (2011)
- 정병호, "폐렴간균(Klebsiella pneumoniae) 패혈증의 합병증으로발생한 화농성 심장막염 -증례 보고-", The Korean Journal of Critical Care Medicine, 28(1), pp.51~55 (2013), 대한중환자의학회
- Sexton JB, "Error, stress and teamwork in medicine and aviation: cross-sectional surveys", BMJ, 320(7237), pp.745~749 (2000)
- 김명수, "환자안전 관리자가 인식한 투약오류예방 시스템 구축실태에 따른 투약오류관리풍토 및 활용인식", Journal of Korean Academy of Nursing, 42(4), pp.568~578 (2012), 한국간호과학회
- Stock GN, "Organizational culture, critical success factors, and the reduction of hospital errors", Int J Produc Econom, 106, pp.368~392 (2007)
- 김명수, "투약오류예방 시스템 구축에 따른 환자안전문화와 환자안전행위계획", 성인간호학회지, 27(1), pp.1~10 (2015), 성인간호학회[DOI]
- Bass BM, "MLQ multifactor leadership questionnaire", pp.6~8 (2002), Mind Garden
- 김명수, "오류보고 촉진전략이 간호사의 오류보고에 대한 태도, 환자안전문화, 오류보고의도 및 보고율에 미치는 효과", Journal of Korean Academy of Nursing, 40(2), pp.172~181 (2010), 한국간호과학회
- Lee H, "Role of internal marketing, organizational commitment, and job stress in discerning the turnover intention of Korean nurses", Jpn J Nurs Sci, 8(1), pp.87~94 (2011)
- Mayo AM, "Nurse perceptions of medication errors: what we need to know for patient safety", J Nurs Care Qual, 19(3), pp.209~217 (2004)
- 김민정, "간호사가 인식한 조직의 특성과 투약오류보고장애요인간의 정준상관관계", 한국산학기술학회논문지, 15(2), pp.979~988 (2014), 한국산학기술학회[DOI]
- 김명수, "투약오류보고장애요인과 투약오류보고의도의 관계에서 수간호사의 안전 관련 변혁적 리더십의 매개, 완충효과", 성인간호학회지, 27(6), pp.673~683 (2015), 성인간호학회[DOI]
- 이지민, "중환자실 간호사의 환자안전문화에 대한 인식과 안전간호활동 수행 정도", Crisisonomy, 9(11), pp.273~290 (2013), 위기관리 이론과 실천
- 최정화, "병원 간호사가 지각하는 환자안전문화와 안전간호활동과의 관계", 기본간호학회지, 17(1), pp.64~72 (2010), 기본간호학회
- The statistics for hospital management 2013, "Park JS", Korea Health Industry Development Institute, ~ (2015)
- 차보경, "대학병원과 중소병원 간호사의 환자안전문화에 대한 인식과 환자안전간호활동의 비교 연구", 간호행정학회지, 21(4), pp.405~416 (2015), 간호행정학회[DOI]
- Davis FD, "Perceived usefulness, perceived ease of use, and user acceptance of information technology", MIS Q, 13(3), pp.319~340 (1989)[DOI]
- Khajouei R, "Clinicians satisfaction with CPOE ease of use and effect on clinicians’ workflow, efficiency and medication safety", Int J Med Inform, 80(5), pp.297~309 (2011)
- Tabachnick BG, "Using multivariate statistics", pp.288~290 (2001), Allyn & Bacon
- Ko YK, "The relationships among perceived patients’ safety culture, intention to report errors, and leader coaching behavior of nurses in Korea: a pilot study", J Patient Saf (2015)
- 김정은, "환자안전과 관련된 병원문화와 의료과오 보고에 대한 간호사의 인식조사", 임상간호연구, 13(3), pp.169~179 (2007), 병원간호사회