중소병원 종사자의 환자안전관리 중요성과 환자안전문화 인식이 안전수행에 미치는 영향
Influence of Perception of Importance of Patient Safety Management and Culture on of Small and Medium-sized Hospital Employees’ Safety Performance
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Purpose: This study aimed to investigate the influence of the perception of the importance of patient safety management and culture on employees’ safety performance in small and medium –sized hospitals. Methods: The participants comprised 119 hospital employees, including nurses, doctors, and medical technicians. Data were analyzed through descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using the SPSS program. Results: The mean safety performance was 4.09±0.34, mean safety compliance was 4.12±0.44, and safety participation was 4.06±0.38. There were significant differences in safety performance by gender and job. Safety performance and its assocation with both perception of importance on patient safety management and, perception of patient safety culture showed a positive correlation. Safety performance was influenced by the perception of patient safety culture. The explanatory power was 15.7%. Conclusion: Based on these results, improving the perception of patient safety culture is necessary to increase safety performance. To this end developing and applying an interprofessional safety performance education program for employees in small and medium-sized hospitals is vital.
Abstract
Purpose: This study aimed to investigate the influence of the perception of the importance of patient safety management and culture on employees’ safety performance in small and medium –sized hospitals. Methods: The participants comprised 119 hospital employees, including nurses, doctors, and medical technicians. Data were analyzed through descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using the SPSS program. Results: The mean safety performance was 4.09±0.34, mean safety compliance was 4.12±0.44, and safety participation was 4.06±0.38. There were significant differences in safety performance by gender and job. Safety performance and its assocation with both perception of importance on patient safety management and, perception of patient safety culture showed a positive correlation. Safety performance was influenced by the perception of patient safety culture. The explanatory power was 15.7%. Conclusion: Based on these results, improving the perception of patient safety culture is necessary to increase safety performance. To this end developing and applying an interprofessional safety performance education program for employees in small and medium-sized hospitals is vital.
참고문헌 (28)
- Seo JH, "Patient safety in small or medium hospitals and clinics: current status and policy issues", Health and Walfare Policy Forum, 242, pp.84~94 (2016)
- 박성희, "환자안전 전담인력의 업무 지원을 위한 보조인력 도입에 관한 연구", 한국의료질향상학회지, 26(1), pp.46~54 (2020), 한국의료질향상학회[DOI]
- 박미정, "병원 의료종사자의 환자안전관리 중요성 인식 측정도구 개발", 한국콘텐츠학회 논문지, 13(5), pp.332~341 (2013), 한국콘텐츠학회[DOI]
- 박영미, "중소병원 간호사의 사건보고태도와 환자안전간호활동의 관계에서 환자안전관리 중요성 인식의 매개효과", 중환자간호학회지, 12(2), pp.85~96 (2019), 한국중환자간호학회[DOI]
- Nahid Reisi, "The impact of accreditation on nurses' perceptions of quality of care in Iran and its barriers and facilitators", The International Journal of Health Planning and Management, 34(1), pp.e230~e240 (2018), Wiley[DOI]
- Gu HM, "On the reporting and learning system for patient safety events", Health and Welfare Forum, 10, pp.46~59 (2016)
- 이연숙, "중소병원의 의료서비스 품질, 감정적 애착, 고객만족, 행동의도의 구조적 관계 연구 - 감정적 애착, 고객만족 매개효과를 중심으로 -", 보건의료산업학회지, 13(2), pp.27~38 (2019), 보건의료산업학회[DOI]
- 신소홍, "중소병원 외래환자의 병원선택에 대한 감정적 애착과 환자만족도의 매개효과", 대한경영학회지, 29(12), pp.1849~1869 (2016), 대한경영학회[DOI]
- Griffin MA, "Perceptions of safety at work: a framework for linking safety climate to safety performance, knowledge, and motivation", Journal of Occupational Health Psychology, 5(3), pp.347~358 (2000)[DOI]
- 이정미, "병원 간호사의 환자안전관리 활동 영향요인", 학습자중심교과교육연구, 22(10), pp.319~330 (2022), 학습자중심교과교육학회[DOI]
- 최윤정, "상급종합병원 간호사의 환자안전관리 중요성 인식이 환자안전관리 직무수행에 미치는 영향", 간호행정학회지, 24(3), pp.193~201 (2018), 간호행정학회[DOI]
- 배한주, "중소병원 간호사의 환자안전 간호활동 영향 요인", 한국산학기술학회논문지, 20(5), pp.118~127 (2019), 한국산학기술학회[DOI]
- 박정미, "노인요양시설 돌봄 서비스종사자의 윤리의식, 환자안전문화 인식이 환자안전관리 활동에 미치는 영향", 안전문화연구, (14), pp.81~97 (2021), 사단법인 한국안전문화학회[DOI]
- 최효정, "간호⋅간병통합서비스 병동 간호사의 환자안전문화인식, 감정노동, 직무스트레스가 환자안전간호활동에 미치는 영향", 중환자간호학회지, 14(3), pp.87~98 (2021), 한국중환자간호학회[DOI]
- 조영옥, "중소병원 간호사의 안전문화인식, 간호근무환경, 전문직 자아개념이 환자안전간호활동에 미치는 영향", 보건정보통계학회지, 47(1), pp.66~73 (2022), 한국보건정보통계학회[DOI]
- 김미숙, "종합병원 간호사의 환자안전문화인식과 조직의사소통만족이 안전간호활동에 미치는 영향", 안전문화연구, (11), pp.131~143 (2021), 사단법인 한국안전문화학회[DOI]
- 권정옥, "의료종사자들의 환자안전문화에 대한 인식, 직무권태 및 잡 크래프팅이 안전이행에 미치는 영향", 보건의료산업학회지, 14(1), pp.1~14 (2020), 보건의료산업학회[DOI]
- 이용만, "건강, 인지 및 안전풍토가 안전행동과 사고에 미치는 영향: 철도기관사를 중심으로", 한국철도학회논문집, 16(4), pp.331~339 (2013), 한국철도학회
- A Neal, "The impact of organizational climate on safety climate and individual behavior", Safety Science, 34(1-3), pp.99~109 (2000), Elsevier BV[DOI]
- 황용, "병원 간호사가 지각하는 환자안전 관리 활동의 중요성 인식과 수행", 예술인문사회 융합 멀티미디어 논문지, 6(12), pp.39~54 (2016), 사단법인 인문사회과학기술융합학회[DOI]
- 박미연, "병원간호사가 지각한 환자안전관리 중요성 인식, 환자안전문화 및 안전수행이 병원경영성과에 미치는 영향", 간호행정학회지, 24(1), pp.40~50 (2018), 간호행정학회[DOI]
- "Hospital survey on patient safety culture: user’s guide" (2016)[URL]
- Foroozan Atashzadeh-Shoorideh, "A survey of nurses’ awareness of patient safety culture in neonatal intensive care units", Iranian Journal of Nursing and Midwifery Research, 20(4), pp.490~495 (2015), Medknow[DOI]
- 최성민, "병원의료종사자들의 환자안전문화 인식", 글로벌 건강과 간호, 6(1), pp.20~29 (2016), 간호과학연구소[DOI]
- 윤숙희, "한국형 노인요양시설 환자안전문화 측정도구 개발 및 평가", Journal of Korean Academy of Nursing, 43(3), pp.379~388 (2013), 한국간호과학회
- 윤숙희, "한국 노인요양시설 실무종사자들이 인식하는 환자안전문화와 환자안전도", 간호행정학회지, 20(3), pp.247~256 (2014), 간호행정학회[DOI]
- Andrew Neal, "A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels.", Journal of Applied Psychology, 91(4), pp.946~953 (2006), American Psychological Association (APA)[DOI]
- 한희영, "전문직 간 교육의 의미와 방향: 담을 허물고 환자가 속한 현장으로 나가는 교육", 의학교육논단, 19(1), pp.1~9 (2017), 연세대학교 의과대학