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응급실 간호사의 회복탄력성, 환자안전관리에 대한 인식, 선도적 행위가 표준주의 수행에 미치는 영향

The Influence of Resilience, Awareness of Patient Safety Management, and Proactive Behavior on Performance of Standard Precautions among Nurses Working in Emergency Department

정선영|차운겸
병원간호사회 (Hospital Nurses Association)|2024.08|임상간호연구 (Journal of Korean Clinical Nursing Research)|제30권 제2호|pp. 104-113|DOI 10.22650/JKCNR.2024.30.2.104

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회복탄력성환자안전응급실Emergency DepartmentPatient SafetyResilienceProactive Behavior표준주의선도적 행위Standard Precautions
주제분류간호학

초록

목적: 본 연구는 응급실 간호사의 회복탄력성, 환자안전관리에 대한 인식, 선도적 행위 및 표준주의 수행의 상관관계를 파악하고, 표준주의 수행에 미치는 영향 요인을 파악하기 위해 시도되었다. 방법: 2023년 6월 10일부터 7월 9일까지 서술적 조사를 통해 자료를 수집하였다. 연구 대상자는 국내 응급실에서 근무하고 있는 208명의 간호사로 구성되었다. 수집된 자료는 IBM SPSS 29.0 version을 이용하여 분석하였으며, 빈도, 백분율, 평균, 표준편차, t-검정, 일원배치분산분석, Scheffé test, Pearson's 상관 계수, 다중회귀분석을 시행하였다. 결과: 대상자의 일반적 특성에 따른 표준주의 수행은 연령(t=2.10, p=.036), 응급실 규모(F=7.46, p<.001), 지난 한 달간 근무하는 동안 하루 평균 담당 환자 수(t=-3.88, p<.001), 표준주의 교육 경험 유무(t=2.16, p=.032)에서 통계적으로 유의한 차이를 보였다. 응급실 간호사의 표준주의 수행에 영향을 미치는 요인으로 환자안전관리에 대한 인식(β=0.62, p<.001), 회복탄력성(β=0.18, p=.042), 연령(β=-0.15, p=.007)으로 나타났으며 전체 설명력은 46.0%로 나타났다. 결론: 응급실 간호사의 표준주의 수행을 향상시키기 위하여 회복탄력성과 환자안전관리에 대한 인식을 높이기 위한 프로그램과 효과적인 교육체계 마련이 필요하다.

Abstract

Purpose: This study investigated the correlations among resilience, the awareness of patient safety management, proactive behavior, and the performance of standard precautions among nurses working in the emergency department. Additionally, it aimed to identify the factors influencing the performance of standard precautions. Methods: Data were collected through a descriptive survey conducted between June 10 and July 9, 2023. The participants included 208 nurses working in the emergency department in Korea. The collected data were analyzed using SPSS/WINdows software version 29.0, based on the frequency, percentage, mean, standard deviation, t-test, one-way analysis of variance, Scheffé test, Pearson’s correlation coefficients, and multiple regression. Results: The analysis based on the participants’ general characteristics showed that performance of standard precautions varied significantly according to age (t=2.10, p=.036), size of the emergency department (F=7.46, p<.001), average number of patients treated per day while working in the past month (t=-3.88, p<.001) and standard precautions training experience (t=2.16, p=.032). The main factors influencing the performance of standard precautions among nurses working in the emergency department are awareness of patient safety management (β=.62, p<.001), resilience (β=.18, p=.042), and age (β=-.15, p=.007), with a total explanatory power of approximately 46.0%. Conclusion: It is necessary to establish programs and an effective education system to increase resilience and awareness in patient safety management to improve the performance of standard precautions among nurses working in the emergency department.

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