치과위생사의 환자안전문화 인식이 환자안전관리활동에 미치는영향
Influence of perceived patient safety culture on patient safety management activity in the dental hygienists
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Objectives: The study aimed to investigate the influence of perceived patient safety culture on patient safety management activity in the dental hygienists. Methods: A self-reported questionnaire was completed by 292 dental hygienists in Seoul, Incheon and Gyeonggido from March 1 to April 8, 2016. The questionnaire consisted of general characteristics of the subjects (9 items), patient safety culture (44 items), and patient safety management activity (25 items) by Likert 5 point scale. Data were analyzed by t test, one way ANOVA, stepwise multiple regression test, and post-hoc Tukey test using SPSS 18.0 program. Results: The perceived patient safety culture was 3.50 on average. Entire organization was the highest score (3.68) and followed the communication process (3.55), the environment of work unit (3.47), the attitude of supervisor/ manager (3.45), and the frequency of events reported (2.98). The average of patient safety management activity was 3.71. As for the factors of patient safety culture on patient safety management activity, communication process was the most influential factor (β =0.268), and followed the entire organization (β =0.265), the environment of work unit (β =0.166), the frequency of events reported (β =0.104), and among the control variables. Work place proved to be the only significant variable. Conclusions: In order to promote patient safety management activity of dental institutions, the patient safety culture should be created and established. The influence of communication process and patient safety culture at entire organization level was huge. So the environment of work unit and the perceived patient safety culture in the process of reported events were influencing factors. The strategy for patient safety management activity should be considered because of low level of perceived patient safety culture.
Abstract
Objectives: The study aimed to investigate the influence of perceived patient safety culture on patient safety management activity in the dental hygienists. Methods: A self-reported questionnaire was completed by 292 dental hygienists in Seoul, Incheon and Gyeonggido from March 1 to April 8, 2016. The questionnaire consisted of general characteristics of the subjects (9 items), patient safety culture (44 items), and patient safety management activity (25 items) by Likert 5 point scale. Data were analyzed by t test, one way ANOVA, stepwise multiple regression test, and post-hoc Tukey test using SPSS 18.0 program. Results: The perceived patient safety culture was 3.50 on average. Entire organization was the highest score (3.68) and followed the communication process (3.55), the environment of work unit (3.47), the attitude of supervisor/ manager (3.45), and the frequency of events reported (2.98). The average of patient safety management activity was 3.71. As for the factors of patient safety culture on patient safety management activity, communication process was the most influential factor (β =0.268), and followed the entire organization (β =0.265), the environment of work unit (β =0.166), the frequency of events reported (β =0.104), and among the control variables. Work place proved to be the only significant variable. Conclusions: In order to promote patient safety management activity of dental institutions, the patient safety culture should be created and established. The influence of communication process and patient safety culture at entire organization level was huge. So the environment of work unit and the perceived patient safety culture in the process of reported events were influencing factors. The strategy for patient safety management activity should be considered because of low level of perceived patient safety culture.
참고문헌 (32)
- Shinya Ito, "Development and applicability of Hospital Survey on Patient Safety Culture (HSOPS) in Japan", BMC Health Services Research, 11(1) (2011), Springer Nature[DOI]
- "Definitions of key concepts from the WHO patient safety curriculum guide 2011"[URL]
- Brennan TA, "Incidence of adverse events and negligence in hospitalized patients: results of the Harvard medical practice study I", N Engl J Med, 324, pp.370~376 (1991)
- Lee JH, "Patient safety: The concept and general approach", J Kor Soc Qual Assur Dealth Care, 15(1), pp.9~18 (2009)
- "National Legal Information Center" (2016)[URL]
- 최정화, "병원 간호사가 지각하는 환자안전문화와 안전간호활동과의 관계", 기본간호학회지, 17(1), pp.64~72 (2010), 기본간호학회
- 정준, "병원 간호사의 환자안전관리활동 영향요인 연구", 병원경영학회지, 11(1), pp.91~109 (2006), 한국병원경영학회
- Shin HS, "Dental culture for patient safety", J Korean Acad Dent Adm, 1, pp.17~29 (2013)
- Nieva VF, "Safety culture assessment: a tool for improving patient safety in healthcare organizations", Qual Saf Health Care, 12(2), pp.17~23 (2003)
- Massoud MR, "Conference report. The third european forum on quality improvement in health Care", Int J Qual Health Care, 10(4), pp.365~ (1998)
- Davis P, "Adverse events in New Zealand public hospitals I: occurrence and impact", N Z Med J, 115(1167), pp.1~9 (2002)
- P J Pronovost, "Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center", Quality and Safety in Health Care, 12(6), pp.405~410 (2003), BMJ[DOI]
- "Seven steps to patient safety: An overview guide for NHS staff", National Health Service National Patient Safety Agency, 13~188 (2004)
- Nermin Yamalik, "Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice", International Dental Journal, 62(4), pp.189~196 (2012), Wiley-Blackwell[DOI]
- "Guidelines for hospital evaluation programme", The Ministry of Health and Welfare, 3~4 (2007)
- 오진호, "의료사고 및 의료분쟁에 대한 치위생사의 인식도 조사", Journal of Oral Medicine and Pain, 32(1), pp.9~33 (2007), 대한안면통증∙구강내과학회
- 이선미, "치과위생사의 의료사고 및 의료분쟁에 대한 인식정도 분석", 치위생과학회지, 8(4), pp.241~246 (2008), 한국치위생과학회
- 김빛나, "서울· 경기 지역 치과위생사의 의료사고 및 분쟁에 대한 태도 조사", 치위생과학회지, 8(1), pp.13~20 (2008), 한국치위생과학회
- 정지은, "치과병원 치과위생사의 환자안전문화에 대한 인식 분석", 보건의료산업학회지, 7(4), pp.81~92 (2013), 보건의료산업학회
- Kim SK, "The effect of patient safety activity on patient safety culture perception of dental health care employees", Master, pp.2014
- Choi EM, "Effect of patient safety culture perception of dental hygienists on infection control activities in dental settings", Master, pp.2015
- "For professionals, Quality & Patient safety, hospital survey on patient safety culture"[URL]
- The Korea institute for healthcare accreditation, "Dental hospital accreditation standards", The Ministry of Health and Welfare, 4~5 (2013)
- 나현희, "부산 · 경남 일부지역의 치과방사선 인식도와 수행도에 따른 치과방사선 방어행위", 한국치위생학회지, 14(5), pp.673~680 (2014), 한국치위생학회[DOI]
- 이경희, "수술실 간호사의 환자안전문화에 대한 인식이 안전간호활동에 미치는 영향", 임상간호연구, 17(2), pp.204~214 (2011), 병원간호사회
- Park SJ, "A study on hospital nurses’ perception of patient safety culture and safety care activity", J Korean Crit Care Nurs, 5(1), pp.44~55 (2012)
- Joo JI, "The effect of perceived patient safety culture and job exhaustion on the patient safety performance among operation room nurses", Master, pp.2014
- 조성숙, "신규간호사의 환자안전문화에 대한 인식과 안전간호활동", 한국직업건강간호학회지, 22(1), pp.24~34 (2013), 한국직업건강간호학회
- 유지현, "종양간호사의 환자안전문화에 대한 인식과 환자안전간호활동", Asian Oncology Nursing, 14(2), pp.119~126 (2014), 대한종양간호학회
- Robert J. Blendon, "Views of Practicing Physicians and the Public on Medical Errors", New England Journal of Medicine, 347(24), pp.1933~1940 (2002), New England Journal of Medicine (NEJM[DOI]
- 조혜원, "의료인의 환자안전문화 인식과 환자안전관리 활동 간의 관계", 기본간호학회지, 19(1), pp.35~45 (2012), 기본간호학회
- 김혜영, "지방 중소병원 간호사의 환자안전문화 인식이 안전간호활동에 미치는 영향", 동서간호학연구지, 19(1), pp.46~54 (2013), 동서간호학연구소