병원 간호사의 환자안전문화 인식, 사건보고 및 안전간호활동: 일 대학병원을 중심으로
A Study on Patient Safety Culture, Incident Reporting and Safety Care Activities of Clinical Nurses in a University-Affiliated Hospital
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Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activitiesamong clinical nurses and to identify factors associated with the safety care activities. Methods: Structured questionnaireswere used to collect data from 155 nurses who were involved in direct patient-care. Results: Descriptive statistical anaylsesrevealed that the mean score of patient safety culture was 3.26±0.32 and 4.19±0.41 was for the safety care activities. Inincident reporting, reporting intention (3.56±0.68), belief in improvement (3.42±0.60), worry about appraisal (3.37±0.65)and reporting knowledge (3.36±0.72) respectively. Correlational analyses showed that perceived patient safety culture(r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting werepositively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negativelycorrelated. The factors associated with safety care activities were incident reporting knowledge (β=.31, p<.001), supervisor/managers‘attitudes toward patient safety culture (β=.29, p<.001), belief in improvement of incident reporting attitude(β=.16, p=.041). Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessaryto educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety andto provide positive feedback on incident reporting.
Abstract
Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activitiesamong clinical nurses and to identify factors associated with the safety care activities. Methods: Structured questionnaireswere used to collect data from 155 nurses who were involved in direct patient-care. Results: Descriptive statistical anaylsesrevealed that the mean score of patient safety culture was 3.26±0.32 and 4.19±0.41 was for the safety care activities. Inincident reporting, reporting intention (3.56±0.68), belief in improvement (3.42±0.60), worry about appraisal (3.37±0.65)and reporting knowledge (3.36±0.72) respectively. Correlational analyses showed that perceived patient safety culture(r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting werepositively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negativelycorrelated. The factors associated with safety care activities were incident reporting knowledge (β=.31, p<.001), supervisor/managers‘attitudes toward patient safety culture (β=.29, p<.001), belief in improvement of incident reporting attitude(β=.16, p=.041). Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessaryto educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety andto provide positive feedback on incident reporting.
참고문헌 (30)
- "Hospital survey on patient culture (NO. 04-001)" (2004)[URL]
- Anderson, J. E., "Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting", International Journal for Quality in Health Care, 25(2), pp.141~150 (2013)[DOI]
- Cho, Y. J., "A Study on Perception and Performance for Patient Safety Management in Intensive Care Unit Nurses", master's, pp.2012
- 최정화, "병원 간호사가 지각하는 환자안전문화와 안전간호활동과의 관계", 기본간호학회지, 17(1), pp.64~72 (2010), 기본간호학회
- 한미영, "병원간호사가 지각하는 조직건강과 환자안전문화가 환자안전간호활동에 미치는 영향", 간호행정학회지, 23(2), pp.127~138 (2017), 간호행정학회[DOI]
- Jason J. Heavner, "Adverse Event Reporting and Quality Improvement in the Intensive Care Unit", Clinics in Chest Medicine, 36(3), pp.461~467 (2015), Elsevier BV[DOI]
- Institute of Medicine, "Patient safety : Achieving a new standard for care" (2004), National academies press
- 장희은, "대학병원 간호사의 환자안전문화 인식과 안전통제감이 환자안전관리활동에 미치는 영향", 석사, 간호학과, pp.2013
- 김정은, "환자안전과 관련된 병원문화와 의료과오 보고에 대한 간호사의 인식조사", 임상간호연구, 13(3), pp.169~179 (2007), 병원간호사회
- 김경자, "간호조직특성 및 조직문화에 따른 간호사의 사건보고에 대한 지식과 태도 - 일 대학병원을 중심으로 -", 간호행정학회지, 15(4), pp.581~592 (2009), 간호행정학회
- 김기경, "병원 간호사의 사건보고 불이행 경험여부에 영향을 미치는 요인", 간호행정학회지, 12(3), pp.454~463 (2006), 간호행정학회
- Kizer, K. W., "Large system change and culture of safety : Enhancing patient safety and reducing errors in healthcare" (1999), National Patient Safety Foundation
- 고유미, "간호사의 사건보고와 안전분위기 인지에 대한 융합연구", 한국융합학회논문지, 9(4), pp.443~452 (2018), 한국융합학회[DOI]
- Kohn, L. T., "To err is human : building a safer health system" (2000), National Academies Press
- Patient safety culture measure in Korea, "Lee, H. H.", Korea Institute for Healthcare Accreditation, ~ (2017)
- Lee, K. O., "(The)study on nurse manager leadership and patient safety-related nursing activities", master's, pp.2009
- 이미향, "환자안전문화 정착을 위한 리더십 워크라운드 (Leadership WalkRounds)의 융복합적 적용 효과", 디지털융복합연구, 13(6), pp.185~195 (2015), 한국디지털정책학회[DOI]
- Lee, S. I., "Significance and challenges of Patient Safety Act", Health and Social Welfare Forum, 240, pp.2~4 (2016)
- 문숙, "200병상 이하 중소병원에 근무하는 간호사의 환자안전활동 관련 요인", 성인간호학회지, 29(4), pp.393~405 (2017), 한국성인간호학회[DOI]
- 남문희, "중소병원 간호사의 환자안전인식이 안전간호활동에 미치는 영향", 디지털융복합연구, 11(1), pp.349~359 (2013), 한국디지털정책학회
- Organization for Economic Cooperation and Development, "Health at a Glance 2017: OECD Indicator" (2017), OECD
- "'Controversy over proxy prescription Partial recognition of Soonchunhyang University Cheonan Hospital Structural problems" (2017)[URL]
- Park, S. J., "A study on hospital nurses' perception of patient safety culture and safety care activity", Journal of Korean Critical Care Nursing, 5(1), pp.44~55 (2012)
- Patient safety in Korea current status and policy issues, "Seo, J. H.", Korea Institute for Health and Social Affairs, ~ (2016)
- Deborah Seys, "Health Care Professionals as Second Victims after Adverse Events", Evaluation & the Health Professions, 36(2), pp.135~162 (2012), SAGE Publications[DOI]
- 손영신, "환자안전 위험요인에 대한 병원 간호사의 인식수준과 안전간호활동 수행정도", 한국간호교육학회지, 24(2), pp.190~200 (2018), 한국간호교육학회[DOI]
- The Korean Society for Patient Safety, "Patient safety concept and application" (2016), Parkyoungsa
- Louise Wallace, "Feedback from Reporting Patient Safety Incidents - Are Nhs Trusts Learning Lessons?", Journal of Health Services Research & Policy, 15(1_suppl), pp.75~78 (2010), SAGE Publications[DOI]
- "Quality of Care: Patient Safety. Fifty-Fifth World Health Assembly WHA 55.18 Agenda item 13.9" (2002)[URL]
- "The conceptual framework for the international classification for patient safety" (2009)[URL]