요양병원 간호사의 환자안전인식도와 업무수행도 비교
Perception and Work Performance of Patient Safety among Nurses Working in Long-term Care Hospitals
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초록
본 연구는 요양병원 인증 조사기준을 근거로 요양병원 간호사의 환자안전 인식도와 환자안전 업무수행도 파악을 목적으로 하는 서술적 조사연구이다. 연구도구는 의료기관 평가인증원이 개발한 요양병원 인증 조사기준 항목 205개 중 환자안전과 관련된 39개 항목을 설문으로 사용하였다. 자료는 2015년 1월 5일부터 30일까지 수집되었으며, SPSS 21.0 통계프로그램을 이용하여 서술통계, t-test, ANOVA, Pearson’s correlation coefficient 으로 분석하였다. 간호사의 환자안전 인식도와 업무수행도의 평균은 각각 5점 만점에 4.36과 4.24였으며 두 변수간 차이는 통계적으로 유의하였다. 두 변수는 간호사의 높은 연령, 기혼자, 상급지위자, 많은 경력과 인증제를 알고 있는 간호사의 경우에 유의하게 높은 것으로 나타났다. 3개의 하부 영역내 인식도와 업무수행도 간에는 모두 유의한 정적인 상관관계가 있었으며, 환자진료체계내에서의 두 변수간 상관관계가 가장 높은 것으로 나타났다(r=.894, p<.001). 인증기준 항목 중 화재관련 기준들에 가장 낮은 인식도와 업무수행도를 보였다. 전반적으로 간호사들의 인식도는 업무수행도 보다 높은 것으로 나타났다. 따라서, 업무수행도를 인식도 수준까지 높힐 수 있는 가능한 환경과 프로그램을 개발하는 것이 필요하다.
Abstract
Purpose: This study aims to examine the levels of the perception and work performance of patient safety based on the healthcare accreditation criteria among long-term care hospital nurses. Methods: A cross-sectional study was performed using questionnaires. Out of 205 criteria, 39 items relevant to patient safety were selectively adapted for this study. Data were analyzed with descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. Results: The mean scores of perception and work performance were 4.36 and 4.24 out of 5, respectively, and the difference between them was significantly different (t=5.78, p<.001). The two variables were both significantly higher among those nurses who were older, married, head nurses, had many nursing experiences, and aware of Healthcare Accreditation than the other nurses. Positive correlations were observed between perception and work performance in all three sub-systems. The relations between these two in the patient care system was the most highly correlated (r=.894, p<.001). The lowest scores of perception and work performances were fire-related criteria (i.e., reporting). Conclusion: Overall, subject’s perception proves to be higher than their work performance. It is necessary to develop some viable environment and training programs to enhance their work performance up to the level of their perception of patient safety.
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