종합병원 간호사의 근무환경과 자기효능감이 투약안전역량에 미치는영향
Effects of Nursing Work Environment and Self-Efficacy of General Hospital Nurses on Medical Safety Competence in Korea
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목적: 본 연구의 목적은 종합병원 간호사의 간호근무환경과 자기효능감이 투약안전역량에 미치는 영향을 확인하는 것이다. 방법: 본 연구의 연구대상자는 서울 소재 종합병원에서 3개월 이상 근무한 간호사 183명을 대상으로 2023년 8월 25일에서 9월 22일까지 자료 수집하였다. 간호근무환경, 자기효능감과 투약안전역량이 연구의 변수로 사용되었다. 본 연구에서 수집된 자료는 t-test, 일원분산분석, Scheffé 테스트, Pearson 상관분석, 다중회기분석을 IBM SPSS ver. 26.0. 통계 프로그램을 이용하여 분석하였다. 결과: 연구대상자의 투약안전역량과 간호근무환경(r=.34, p<.001), 자기효능감(r=.48, p<.001)과 유의한 상관관계가 있었다. 투약안전역량은 자기효능감(β=0.38, p<.001), 간호근무환경(β=0.25, p<.001)과 근무기간(β=0.14, p=.043)이 30.0% 설명하는 것으로 나타났다. 결론: 본 연구에서 종합병원 간호사의 간호근무환경과 자기효능감이 투약안전역량에 영향을 미친다는 것을 확인하였다. 투약안전역량을 강화하기 위하여 간호근무환경 개선과 자기효능감 향상을 위한 전략 마련과 다양한 투약안전 교육프로그램 개발이 필요하다.
Abstract
Purpose: This study aimed to examine the effects of the nursing work environment and self-efficacy on medical safety competence of nurses in general hospital. Methods: Participants included 183 nurses who were recruited through convenience sampling in a general hospital in South Korea. Questionnaires were collected from August 25 to September 22, 2023. The nursing work environment, self-efficacy and medical safety competence scales were used to assess the study variables. The t-test, one-way ANOVA, Scheffé́ test, Pearson correlation coefficients, and multiple regression tests were performed using IBM SPSS ver. 26.0. Results: Statistically significant correlations were found between nurses’ medical safety competence and nursing work environment (r=.34, p<.001), and self-efficacy (r=.48, p<.001). Self-efficacy (β=.38, p<.001), nursing work environment (β=.25, p<.001), and clinical experience (β=.14, p=.043) had the greatest effect on nurses’ medical safety competence (F=21.21, p<.001), with an explanatory power of 30.0%. Conclusion: This study confirmed that the nursing work environment and nurses' self-efficacy have a significant impact on nurses' medical safety competence. In order to implement patient safety in hospitals, it is necessary to develop and apply strategies to improve the nursing work environment and increase nurses’ self-efficacy to enhance their medical safety capabilities.
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