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A Comparative Study on Perception of Patient Safety Culture and Safety Care Activities: Comparing University Hospital Nurses and Small Hospital Nurses

대학병원과 중소병원 간호사의 환자안전문화에 대한인식과 환자안전간호활동의 비교연구

  • 차보경 (한서대학교 간호학과) ;
  • 최정 (안산대학교 간호학과)
  • Received : 2015.07.03
  • Accepted : 2015.09.14
  • Published : 2015.09.30

Abstract

Purpose: The purpose of this study was to compare perception of patient safety culture and safety care activities between university hospital nurses (group A) and small hospital nurses (group B). Methods: Using a structured questionnaire, data were collected from 246 university hospital nurses and 223 small hospital nurses working in Seoul or Gyeonggi Province. Descriptive statistics, $x^2-test$, ANCOVA, t-test, ANOVA with the SPSS package were used for data analysis. Results: Total score for perception of patient safety culture and 3 subcategories of perception of patient safety culture were statistically significantly higher for group B compared to group A. Operation room nursing, falls, and bed sore scores in patient safety care activities were statistically significantly higher for group A than for group B. Conclusion: The study findings suggest that the specific characteristics by size should be considered when developing effective patient safety culture in hospitals.

Keywords

References

  1. Kim MR. Concept analysis of patient safety. Journal of Korean Academy of Nursing. 2011; 41(1):1-8. http://dx.doi.org/10.4040/jkan.2011.41.1.1
  2. Lee AS, Yoon CK. A Study on nurses perception to the patient safety in hospital. Korean Public Health Research. 2010;36(2):73-82.
  3. Lee NJ, Kim JH. Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals. Journal of Korean Academy of Nursing Administration. 2011;17(4):462-473. http://dx.doi.org/10.11111/jkana.2011.17.4.462
  4. Mahajan RP. Critical incident reporting and learning. British Journal of Anaesthesia. 2010;105(1):69-75. http://dx.doi.org/10.1093/bja/aeq133
  5. Kohn LT, Corrigan JM, Donaldson MS. To err is human: Building a safer health system. Washington DC: National Academy Press; 2000.
  6. Kim MS. The effectiveness of error reporting promoting strategy on nurse's attitude, patient safety culture, intention to report and reporting rate. Journal of Korean Academy Nursing. 2010;40(2):172-181. https://doi.org/10.4040/jkan.2010.40.2.172
  7. Kagan L, Barnoy S. Factors associated with reporting of medication errors by Israeli nurses. Journal of Nursing Care Quality. 2008;23:353-361. http://dx.doi.org/10.1097/01.ncq.0000336674.10348.09
  8. Kim KJ, Han JS, Seo MS, Jang BH, Park MM, Ham HM, Yoo MS, et al. Relationship between intra-organizational communication satisfaction and safety attitude of nurses. Journal of Korean Academy of Nursing Administration. 2012;18(2):213-221. http://dx.doi.org/10.11111/jkana.2012.18.2.213
  9. Park SJ. A study on hospital nurses' perception of patient safety culture and safety care activity [master's thesis]. Busan: Dong-A University; 2009.
  10. Kim JE, Kang MA, An KE, Sung YH. A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research. 2007;13(3):169-179.
  11. Kim EK, Kang MA, Kim HJ. Experience and perception on patient safety culture of employees in hospitals. Journal of Korean Academy of Nursing Administration. 2007;13(3):321-334.
  12. Park KO. Supply and demand of nursing manpower for small and medium hospitals in rural area: nursing shortage versus wage disparity. Perspectives in Nursing Science. 2009;6(1):67-76.
  13. Lee GO. The study on nurse manager leadership and patient safety-related nursing activities [master's thesis]. Seoul: Kyung Hee University; 2009.
  14. Hughes, CM, Lapane, KL. Nurses' and nursing assistants' perception of patient safety culture in nursing homes. International Journal for Quality in Health Care. 2006;18(4):281-286. http://dx.doi.org/10.1093/intqhc/mzl020
  15. Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. Increasing medication error reporting rates while reducing harm through simultaneous cultural and systemlevel interventions in an intensive care unit. BMJ Quality and Safety. 2011;20(11):914-922. http://dx.doi.org/10.1136/bmjqs.2010.047233
  16. Nieva VF, Sorra JS. Safety culture assessment: A tool for improving patient safety in healthcare organization. Quality and Safety in Health Care. 2003;12(suppl 2):ii17-ii23. http://dx.doi.org/10.1136/qhc.12.suppl_2.ii17
  17. Vaismoradi M. Nursing education curriculum for improving patient safety. Journal of Nursing Education and Practice. 2012;2(1):101-104. http://dx.doi.org/10.5430/jnep.v2n1p101
  18. Cho SS, Gang MH. Perception of patient safety culture and safety care activity of entry-level nurses. Korean Journal of Occupational Health Nursing. 2013;22(1):24-34. http://dx.doi.org/10.5807/kjohn.2013.22.1.24
  19. Lee KH, Lee YS, Park HK, Rhu JO, Byun IS. The influences of the awareness of patient safety culture on safety care activities among operating room nurses. Journal of Korean Clinical Nursing Research. 2011;17(2):204-214.
  20. Faul F. Erdfelder E. Buchner A. Lang A. Statistical power analysis using G*power 3.1. Behavior Research Methods. 2009;41:1149-1160. http://dx.doi.org/10.3758/BRM.41.4.1149
  21. Sorra JS, Nieva VF. Hospital survey on patient safety culture. (Prepared by Westat, under Contract No. 290-96-0004). AHRQ Publication No. 04-0041. Rockville, MD: Agency for Healthcare Research and Quality; 2004. http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospcult.pdf
  22. Kim JE, Ahn KE, Yoon SH. Nurses perception of the hospital environment and communication process related to patient safety in Korea. Journal of Korean Society of Medical Informatics. 2004;10(suppl 1):130-135.
  23. Lee YJ. Patient safety culture and management activities perceived by hospital nurses [master's thesis]. Daejeon: Eulji University; 2011.
  24. Kim SK, Lee HJ, Oh EG. Perceived level and associated factors of patient safety culture among health care providers in an operating room. Journal of Korean Clinical Nursing Research. 2010;16(2):57-67.
  25. Liu Y, Kalisch BJ, Zhang L, Xu J. Perception of safety culture by nurses in China. Journal of Nursing Care Quality. 2009;24(1):63-68. http://dx.doi.org/10.1097/NCQ.0b013e31818f551f
  26. Kim KJ. The effects of website-based patient safety culture promotion program on nurses' perception of safety culture attitude and behavior [dissertation]. Seoul: Yonsei University; 2012.
  27. Meterko M, Mohr DC, Young GJ. Teamwork culture and patient satisfaction in hospitals. Medical Care. 2004;42(5):492-498. https://doi.org/10.1097/01.mlr.0000124389.58422.b2
  28. Jeong J. Factors affecting patient safety management activities at two university hospitals: The case of nursing divisions [master's thesis]. Seoul: Yonsei University; 2006.
  29. Park JH. Hospital worker's perception of patient safety culture in small & medium hospital (Seoul, Incheon) [master's thesis]. Incheon: Gachon University; 2011.
  30. Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, et al. Rationing of nursing care and its relationship to patient outcomes: The Swiss extension of the international hospital outcomes study. International Journal for Quality in Health Care. 2008;20(4):227-237. http://dx.doi.org/10.1093/intqhc/mzn017

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