The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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Perception of Patient Safety Risk Factors and Performance Level of Safety Care Activities among Hospital Nurses

환자안전 위험요인에 대한 병원간호사의 인식수준과 안전간호활동 수행정도

  • 손영신 (인하대병원, 인하대 대학원 간호학과) ;
  • 이영휘 (인하대학교 간호학과) ;
  • 김영신 (인하대병원 응급의료센터) ;
  • 송은정 (인하대병원, 인하대 대학원 간호학과) ;
  • 이혜련 (인하대병원, 인하대 대학원) ;
  • 이주희 (인하대병원, 인하대 대학원 간호학과)
  • Received : 2017.12.26
  • Accepted : 2018.05.21
  • Published : 2018.05.31
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Abstract

Purpose: The purpose of this study was to identify the level of perception of safety risk factors and the degree of performance of safety nursing activities in order to develop an education program to improve the safety of patients. Methods: The subjects were 217 nurses from 3 university hospitals in Incheon. Data were collected with structured questionnaires and analyzed using descriptive analysis, t-test, and ANOVA using SPSS 22.0. Results: The level of perception of patient's safety risk factors and safety care activities was 2.93 and 4.68, respectively. Perception of patient safety risk factors which belonging to the risk type of therapeutic devices, equipment, service and infrastructure all scored below average; also in addition, behavior, performance, and violence risk type and work system, information and communication risk type showed relatively low perception levels. Safety nursing activities showed a low level of performance in accurate communication among medical teams, management of fire and disaster, security management, use of restraints, identification of patients, and correct performance of operations and procedures. Conclusion: Based on these results, it is necessary to improve the safety of patients by taking proper management measures along with education.

Keywords

References

  1. Ahn, S. H. (2006). Analysis of risk factors for patient safety management. Journal of Korean Academy of Nursing Administration, 12(3), 373-384.
  2. Bleier, R. A. (2004). Risk prevention means teamwork staff and "customers" must unite in this mission. Nursing Homes -Washington then Cleveland-, 53(10), 74-75.
  3. Chai, W. (2016). Relationship between emergency nurses' patient safety competency and safety nursing activities (Unpublished master's thesis). Yonsei University, Seoul.
  4. Choi, J. H., Lee, K. M., & Lee, M. A. (2010). Relationship between hospital nurses' perceived patient safety culture and their safety care activities. Journal of Korean Academy of Fundamentals of Nursing, 17(1), 64-72.
  5. Dingley, C., Daugherty, K., Derieg, M. K., & Persing, R. (2008). Improving patient safety through provider communication strategy enhancements. In K. Henriksen, J. B. Battles, M. A. Keyes, & M. L. Grady (Eds.), Advances in patient safety: New directions and alternative approaches (Vol. 3: Performance and tools). Rockville: Agency for Healthcare Research and Quality
  6. Ginsburg, L., Norton, P. G., Casebeer, A., & Lewis, S. (2005). An educational intervention to enhance nurse leaders’ perceptions of patient safety culture. Health Services Research, 40(4), 997-1020. https://doi.org/10.1111/j.1475-6773.2005.00401.x
  7. Han, N. J. (2012). The awareness on patient safety culture and the degree of safe nursing activity of hospital nurses (Unpublished master's thesis). Kyungpook National University of Korea, Daegu.
  8. Han, M. Y., & Jung, M. S. (2017). Effect of hospital nurses' perceptions of organizational health and patient safety culture on patient safety nursing activities, Journal of Korean Nursing Administration Academic Society, 23(2), 127-138. https://doi.org/10.11111/jkana.2017.23.2.127
  9. Jung, S., & Choi, E. (2017). The impact of job stress on the patient safety nursing activity among nurses in small-medium sized general hospital. Korean Journal of Occupational Health Nursing, 26(1), 47-54. https://doi.org/10.5807/kjohn.2017.26.1.47
  10. Kaiser, J. (2005). Epidemiology. radiation dangerous even at lowest doses. Science, 309(5732), 233. https://doi.org/10.1126/science.309.5732.233
  11. Kim, H. J. (2017). A study on the knowledge, attitude, and activity for patient safety management of nursing students in one area. Journal of Korean Nursing Research, 1(2), 71-79.
  12. Kim, M. S. (2012). Medication error management climate and perception for system use according to construction of medication error prevention system. Journal of Korean Academy of Nursing, 42(4), 568-578. https://doi.org/10.4040/jkan.2012.42.4.568
  13. Kim, J., & Bates D. W. (2013). Medication administration errors by nurses: adherence to guidelines. Journal of Clinical Nursing, 22(3-4), 590-598. https://doi.org/10.1111/j.1365-2702.2012.04344.x
  14. Kim, J. Y., & Hwang, E. A. (2014). A study on improvement of consumer safety in medical services - Based on patient safety. Eumsung: Korea Consumer Agency.
  15. Kim, J. E., Kang, M. A., An, K. E., & Sung, Y. H. (2007). A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Clinical Nursing Research, 13(3), 169-179.
  16. Kim, H. Y., & Kim, H. S. (2011). Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. Journal of Korean Academy of Nursing Administration, 17(4), 413-422. https://doi.org/10.11111/jkana.2011.17.4.413
  17. Kim, M. J., & Kim, J. K. (2017). A study on the relationships among perception about safety culture, patient safety competence and safety nursing activities of emergency room nurses. Journal of Korean Contents Society, 17(10), 268-279.
  18. Lingard, L., Espin, S., Whyte, S., Regehr, G., Baker, G. R., Reznick, R., et al. (2004). Communication failures in the operating room: An observational classification of recurrent types and effects. BMJ Quality and Safety, 13(5), 330-334. https://doi.org/10.1136/qshc.2003.008425
  19. Mazer, S. E. (2010). Ways to improve patient safety: How the environment plays a critical role. Retreived from Healing Health Care System website: http://www.healinghealth.com
  20. Milligan, F., & Dennis, S. (2004). Improving patient safety and incident reporting. Nursing Standard, 19(7), 33-36. https://doi.org/10.7748/ns2004.10.19.7.33.c3733
  21. Ministry of Health & Welfare & Korea Institute for Healthcare Accreditation. (2014). KOIHA Survey criteria for healthcare accreditation ver. 2.0. Seoul: Korea Institute for Healthcare Accreditation.
  22. Nam, M. H., & Lim, J. H. (2013). The Influences of the awareness of patient safety culture on safety care activities among nurse in small-medium sized general hospitals. Journal of Digital Convergence, 11(1), 349-359 https://doi.org/10.14400/JDPM.2013.11.1.349
  23. Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: A tool for improving patient safety in healthcare organizations. Quality & Safety in Health Care, 12, Suppl ii17-ii23.
  24. Paradis, A. R., Stewart, V. T., Bayley, K. B., Brown, A., & Bennett, A. J. (2009). Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. American Journal of Medical Quality, 24(1), 53-60. https://doi.org/10.1177/1062860608327610
  25. Park, S. J. (2009). A Study on Hospital nurses' perception of patient safety culture and safety care activity (Unpublished master's thesis). The Dong-A University of Korea, Busan.
  26. Park, S. J., Kang, J. Y., & Lee, Y. O. (2012). A study on hospital nurses' perception of patient safety culture and safety care activity. Journal of Korean Critical Care Nursing, 5(1), 44-55.
  27. Seo, M. J., & Park, E. T. (2017). The awareness and performances of medical staffs on the infection control in health care facilities. Journal of Korean Society of Radiology, 11(2), 130-138.
  28. Sklar, D. P., Crandall, C. S., Zola, T., & Cunningham, R. (2010). Emergency physician perceptions of patient safety risks. Annals of Emergency Medicine, 55(4), 336-340. https://doi.org/10.1016/j.annemergmed.2009.08.020
  29. Woodhall, L. J., Vertacnik, L., & McLaughlin, M. (2008). Implementation of the SBAR communication technique in a tertiary center. Journal of Emergency Nursing, 34(4), 314-317. https://doi.org/10.1016/j.jen.2007.07.007
  30. Yun, J. M., & Park, H. S. (2014). Perception of the patient safety risk factors and safety management by nurses in emergency service, hospitals. Journal of Korean Academy of Fundamentals of Nursing, 21(4), 380-391. https://doi.org/10.7739/jkafn.2014.21.4.380

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