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간호사가 인지한 안전분위기 및 수간호사의 변혁적 리더십과 투약오류보고장애와의 관련성

The Association of Safety Climate and Transformational Leadership of Head Nurse with Barrier to Medication Error Reporting among Nurses in a Hospital

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Objectives: This study was performed to identify the association of safety climate and transformational leadership of head nurse with barrier to medication error reporting among nurses working at wards in a general hospital. Methods: The subjects of this study were 227 nurses and data were collected by self-administered questionnaire composed of general- and work-related characteristics, experience of medication errors and scales of safety climate, transformational leadership of head nurse and barrier to medication error reporting. The used methods for statistical analysis were t-test, ANOVA, Pearson’s correlation analysis and multiple regression analysis. Results: Of the subjects, 93.4% had experience of medication error within the past year, and 12.8% of nurses reported their medication error to the hospital. The safety climate and transformational leadership were statistically significant negatively correlated with barriers to medication error reporting. As a result of multiple regression analysis, the safety climate was significantly associated with barrier to medication error reporting, however not transformational leadership. Conclusions: This study showed the barrier of medication error reporting was associated with safety climate of the hospital. Therefore, it might be important to create an atmosphere of safety climate of the hospital and to make programs or polices for decreasing the barrier to medication error reporting or prevention of medication error.

Abstract

Objectives: This study was performed to identify the association of safety climate and transformational leadership of head nurse with barrier to medication error reporting among nurses working at wards in a general hospital. Methods: The subjects of this study were 227 nurses and data were collected by self-administered questionnaire composed of general- and work-related characteristics, experience of medication errors and scales of safety climate, transformational leadership of head nurse and barrier to medication error reporting. The used methods for statistical analysis were t-test, ANOVA, Pearson’s correlation analysis and multiple regression analysis. Results: Of the subjects, 93.4% had experience of medication error within the past year, and 12.8% of nurses reported their medication error to the hospital. The safety climate and transformational leadership were statistically significant negatively correlated with barriers to medication error reporting. As a result of multiple regression analysis, the safety climate was significantly associated with barrier to medication error reporting, however not transformational leadership. Conclusions: This study showed the barrier of medication error reporting was associated with safety climate of the hospital. Therefore, it might be important to create an atmosphere of safety climate of the hospital and to make programs or polices for decreasing the barrier to medication error reporting or prevention of medication error.

참고문헌 (31)

  1. 김민정, "간호사가 인식한 조직의 특성과 투약오류보고장애요인간의 정준상관관계", 한국산학기술학회논문지, 15(2), pp.979~988 (2014), 한국산학기술학회[DOI]
  2. Miller MR, "Computer based medication error reporting: insights and implications", Qual Saf Health Care, 15(3), pp.208~213 (2006)
  3. 김은경, "간호사의 DICS 행동유형과 투약오류", 간호행정학회지, 19(1), pp.28~38 (2013), 간호행정학회[DOI]
  4. Chiang HY, "Barriers to nurse’s reporting of medication administration error in Taiwan", J Nurs Scholarsh, 38(4), pp.392~399 (2006)
  5. Kim KS, "Nurse’s perception of medication error and their contributing factors in South Korea", J Nurs Manag, 19(3), pp.346~353 (2011)
  6. 강민아, "환자안전 문화와 의료과오 보고에 대한 의사의 인식과 태도", 보건행정학회지, 15(4), pp.110~135 (2005), 한국보건행정학회
  7. 김은경, "환자안전 문화에 대한 의료 종사자의 인식과 경험", 간호행정학회지, 13(3), pp.321~334 (2007), 간호행정학회
  8. Chiang HY, "Factors determining hospital nurses’ failures in reporting medication errors in Taiwan", Nurs Outlook, 58(1), pp.17~25 (2010)
  9. Sexton JB, "Error, stress, and teamwork in medicine and aviation: cross sectional surveys", BMJ, 320(7237), pp.745~749 (2000)
  10. Flin R, "Measuring safety culture in healthcare: a case for accurate diagnosis", Saf Sci, 45(6), pp.653~667 (2007)
  11. Singer S, "Workforce perception of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey", Health Serv Res, 42(5), pp.1999~2021 (2007)
  12. Vogelsmeier AA, "Medication reconciliation in nursing homes: thematic differences between RN and LPN staff", J Gerontol Nurs, 37(12), pp.56~63 (2011)
  13. Kaissi A, "An organizational approach to understanding patient safety and medical errors", Health Care Manag, 25(4), pp.292~305 (2006)
  14. 김명수, "간호사가 인지한 투약오류관리풍토와 오류보고의도의 관계에서 변혁적 리더십의 역할", 성인간호학회지, 25(6), pp.633~643 (2013), 성인간호학회[DOI]
  15. 이미영, "수간호사의 변혁적 리더십이 일반간호사의 심리적 안녕감, 스트레스 및 신체화에 미치는 영향 -긍정심리자본의 매개 효과를 중심으로-", 간호행정학회지, 18(2), pp.166~175 (2012), 간호행정학회
  16. 양남영, "프리셉터의 변혁적 리더십이 신규간호사의 직무만족과 간호전문직태도에 미치는 영향", 간호행정학회지, 12(2), pp.305~310 (2006), 간호행정학회
  17. 김희영, "프리셉터의 변혁적 리더십이 신규간호사의 업무스트레스와 업무성과에 미치는 영향", 보건행정학회지, 22(3), pp.347~364 (2012), 한국보건행정학회
  18. Blegan MA, "Patient and staff safety: voluntary reporting", Am J Med Qual, 19(2), pp.67~74 (2004)
  19. Bass BM, "Transformational Leadership", pp.19~36 (2006), Lawrence Erlbaum Associates, Inc
  20. Wakefield DS, "Perceived barriers in reporting medication administration errors", Best Pract Benchmarking Healthc, 1(4), pp.191~197 (1996)
  21. 이순영, "간호사의 투약오류에 대한 인식과 경험", Journal of The Korean Data Analysis Society, 14(6), pp.3135~3147 (2012), 한국자료분석학회
  22. Mayo AM, "Nurse perceptions of medical errors: what we need to know for patient safety", J Nurs Care Qual, 19(3), pp.209~217 (2004)
  23. Lee EK, "Experiences of nurses in medication errors", Qual Res, 11(2), pp.94~105 (2010)
  24. 오춘애, "신규 간호사의 투약오류 인지 및 경험에 대한 조사 연구", 기본간호학회지, 14(1), pp.6~17 (2007), 기본간호학회
  25. Thompson DN, "A relational leadership perspective on unit-level safety climate", J Nurs Adm, 41(11), pp.479~487 (2011)
  26. Squires M, "The link between leadership and safety outcomes in hospitals", J Nurs Manag, 18(8), pp.914~925 (2010)
  27. Deering S, "On the front lines of patient safety: implementation and evaluation of team training in Iraq", Jt Comm J Qual Patient Saf, 37(8), pp.350~356 (2011)
  28. 조윤근, "변혁적인 리더십이 부하의 자기효능감에 부하의 상사 수용도 조절효과", 병원경영학회지, 12(3), pp.68~98 (2007), 한국병원경영학회
  29. Kim MS, "A study on the effect of transformational leadership and personal characteristics on job involvement: focusing on nurses in hospital organization", J Korean Acad Nurs, 31(4), pp.598~609 (2001)
  30. Barling J, "Development and test of a model linking safety-specific transformational leadership and occupational safety", J Appl Psychol, 87(3), pp.488~496 (2002)
  31. Zohar D, "Transformational leadership and group interaction as climate antecedents: a social net work analysis", J Appl Psychol, 93(4), pp.744~757 (2008)

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