Perception of Patient Safety Culture and Safety Care Activity among Nurses in Small-Medium Sized General Hospitals

중소 병원 간호사의 환자안전문화에 대한 인식과 안전간호활동 수행 정도

  • Received : 2011.09.01
  • Accepted : 2011.11.08
  • Published : 2011.12.30

Abstract

Purpose: This study was done to identify the factors affecting the perception of patient-safety-culture and the level of safety-care-activity among nurses in small-medium sized general hospitals. Method: Data were collected during April and May 2011, from 241 nurses of five hospitals. A hospital survey questionnaire on patient-safety-culture and safety-care-activity was used. Collected data were analyzed using descriptive statistics, Pearson correlation, t-test, ANOVA, Scheffe test and multiple-regression. Results: There were significant differences in the level of perception of patient-safety-culture according to the nurses' age, type of hospital, position, work department, and knowing whether there was a Patient-Safety committee in their hospitals. Nurses with higher perceived level of the patient-safety-culture performed more safety-care-activities. Factors influencing on the safety-care-activities were general patient safety, having had safety-education, patient-to-nurse ratio, employment status, and the level of reporting medical errors. These factors explained 22.9% of the safety-care-activity. Conclusions: The study findings suggest that in order to improve the nurses' perceived level of patient-safety-culture and safety-care-activity, the hospitals need to establish patient-safety committees and communication systems, and openness to reporting medical errors are needed. Better work conditions to ensure appropriate work time, regulate patient-to-nurse ratio, and nursing education standards and criteria, are also required.

Keywords

References

  1. Agency for Healthcare Research and Quality (2004). Hospital survey on patient culture (NO. 04-0041). AHRQ publication. Retrieved at April, 2010, from http://www.ahrq.gov/ qual/patients afetyculture/hospsurvindex.htm.
  2. Aspden, P., Corrigan, J. M., Wolcott, J., & Erickson, S. M. (Eds.) (2004). Patient safety: achieving a new standard for care. Washington, DC: National Academy Press.
  3. Carmel, M. H., & Kate, L. L. (2006). Nurses' and nursing assistants' perception of patient safety culture in nursing homes. International Journal for Quality in Health Care, 18(4), 281-286. https://doi.org/10.1093/intqhc/mzl020
  4. Choi, J. H., Lee, K. M., & Lee, M. A. (2010). Relationship between hospital nurses' perceived patient safety culture and their safety care activities. Korean Academy of Fundamentals of Nursing, 17(1), 64-72.
  5. Choi, M. H. (2010). Perception of patient safety culture and influencing the factors among hospital workers. Unpublished master's thesis, Keimyung University, Daegu.
  6. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  7. Institute of Medicine (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press.
  8. Je, W. Y. (2007). Hospital worker's perception of patient safety culture in a university hospital. Unpublished master's thesis, Sungkyunkwan University, Seoul.
  9. Jeong, J., Seo, Y. J., & Nam, E. W. (2006). Factors affecting patient safety management activities at nursing divisions of two university hospital. Korea Society of Hospital Administration, 11(1), 91-109.
  10. Kim, J. E., Ahn, K. E., & Yoon, S. H. (2004). Nurses perception of the hospital environment and communication process related to patient safety in Korea. Journal of Korean Society of Medical Informatics, 10(suppl 1), 130-135.
  11. Kim, J. E., Kang, M. A., Ahn, K. E., & Sung, Y. H. (2007). A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research, 13, 169-179.
  12. Kim, J. H. (2007). Analysis of the nursing interventions performed by nurses working in small-medium sized hospitals using Nursing Interventions Classification [NIC]. Journal of Korean Academy of Nursing Administration, 13(4), 431-444.
  13. Kim, M. A., Park, K. O., You, S. J., Kim, M. J., & Kim, E. S. (2009). A survey of nursing activities in small and medium‐size hospitals: reasons for turnover. Journal of Korean Clinical Nursing Research, 15(1), 149-165.
  14. Kim, Y. E. (2009). Perceptions of patient safety culture of hospital nurses. Unpublished master's thesis, Chonbuk University, Jeonju.
  15. Kim, Y. M., Kil, Y. K., Min, J., Jung, Y. Y., & Choi, E. K. (2009). Safety care. Seoul: Korean Nurses Association.
  16. Kizer, K. W. (1999). Large system change and culture of safety. In Scheffler, A. & Zipperer, M. A. (Eds). Enhancing patient safety and reducing errors in Health care. Chicago, IL: National Patient Safety Foundation.
  17. Lee, K. H., Lee, Y. S., Park, H. K., Rhu, J. O., & Byun, I. S. (2011). The influences of the awareness of patient safety culture on safety care activities among operating room nurses. Journal of Korean Clinical Nursing Research, 17(2), 204-214.
  18. Korea Institute for Healthcare Accreditation. (2010). 2010 Healthcare accreditation standard (plan), Seoul: Ministry of Health & Welfare.
  19. Lee, K. M. (2001). A study on the nurse's civil liability. Unpublished master's thesis, Yeungnam University, Daegu.
  20. Lee, Y. J. (2011). Patient safety culture and management activities perceived by hospital nurses. Unpublished master's thesis, Eulji University, Daejeon.
  21. Meterko, M. (2004). Teamworks culture and patient satisfaction in hospitals. Medical care, 42(5), 492-498.
  22. Milligan, F., & Dennis, S. (2004). Improving patient safety and incident reporting. Nursing standards, 19(7), 33-36.
  23. Nam, M. H. (2010). The cognition level on the patient safety and safe nursing activities among hospital nurses in Busan. Unpublished doctoral dissertation, Inje University, Busan.
  24. National Patient Safety Agency. (2004). Seven steps to patient safety: an overview guide for NHS staff. London: National Health Service.
  25. Park, H. O. (2003). Medical evaluation, it should be helpful to nurses' empowerment. The Korean Nurse, 46(4), 248.
  26. Park, S. J. (2008). A study on hospital nurse's perception of patient safety culture and safety care activity. Unpublished master's thesis, Dong-A University, Busan.
  27. Yang, H. Y. (2009). A study on the effect of perception of hospital nurses toward the patient safety culture on the safety nursing activity-focusing on Suncheon Region. Unpublished master's thesis, Suncheon National University, Suncheon.
  28. You, S. J., Chang, H. S., Kim, M. K., Choi, Y. K., Sung, Y. H., Kim, E. S., & Kwag, W. H. (2005). Study of utilization of nursing personnel by types of medical institutions. Clinical Nursing Research, 13(1), 157-172.
  29. Waring, J. J. (2004). A qualitative study of the intra-hospital variations in incident reporting. International Journal for Quality in Health Care, 16(5), 347-352. https://doi.org/10.1093/intqhc/mzh068
  30. Wu, A. W., Folkman, S., Mcphee, S. J., & Lo, B. (1991). Do house officers learn from their mistakes? Journal of America Medical Association, 265, 2089-2094. https://doi.org/10.1001/jama.1991.03460160067031