Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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A Convergence Study of Nurses' Incident Reporting and Perceived Safety Climate

간호사의 사건보고와 안전분위기 인지에 대한 융합연구

  • Received : 2018.03.02
  • Accepted : 2018.04.20
  • Published : 2018.04.28
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Abstract

The purpose of this study was to identify the factors affecting perceived safety climate and the level of incident reporting attitude, incident reporting knowledge and safety climate. The data were collected by structured questionnaires from 240 nurses and were analyzed with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and multiple regression. The level of incident reporting attitude and incident reporting knowledge was 3.34 and 3.05. The level of safety climate was 3.25. Incident reporting knowledge and safety climate have a significant positive association with incident reporting attitude(r=.33, p<.001; r=.38, p<.001). Incident reporting knowledge was positively associated with safety climate(r=.32, p<.001). Factors influencing safety climate were incident reporting knowledge, belief in improvement and reporting intention which explained 24.7% of the variance(F=12.22, p<.001). The findings indicate that to improve incident reporting knowledge with positive attitude and safety climate should be considered as patient safety strategy and should endeavour to develop interventions for safety.

본 연구는 간호사의 사건보고태도, 사건보고지식 및 안전분위기 인지수준을 파악하고 간호사가 인지하는 안전분위기에 영향을 미치는 요인을 규명하기 위함이다. 간호사 240명을 대상으로 구조화된 설문지를 이용하여 자료수집하였으며 분석은 기술통계, t-test, ANOVA, Scheffe test, Pearson상관계수 및 다중회귀분석으로 하였다. 5점 척도에서 간호사의 사건보고태도는 3.34, 사건보고지식 3.05, 안전분위기 인지는 3.25로 나타났다. 사건보고태도는 사건보고지식, 안전분위기와 양적상관관계가 있었으며(r=.33, p<.001; r=.38, p<.001) 사건보고지식도 안전분위기와 유의한 양적 상관관계를 나타내었다(r=.32, p<.001). 안전분위기에 영향을 미치는 요인은 사건보고지식과 사건보고태도 하위영역 중 개선효과에 대한 신념과 보고의도였으며 이들 요인은 안전분위기 인지수준의 24.7%를 설명하였다(F=12.22, p<.001). 그러므로 사건보고에 대한 교육과 긍정적 태도를 증진시켜 안전분위기를 조성하는 것은 안전사고 예방중재로 적용가능하며 환자안전을 위한 강화된 실무전략개발로 확대되어야 할 것이다.

Keywords

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