Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Influence of Professionalism and Organizational Communication on Patient Safety Culture of Nurses in Hemodialysis Units

혈액투석실 간호사의 전문직관, 조직의사소통이 환자안전문화에 미치는 영향

  • Jung, Su Jin (Department of Nursing, Samsung Medical Center) ;
  • Jeong, Jeong Hee (Graduate School of Clinical Nursing Science, Sungkyunkwan University)
  • Received : 2019.01.31
  • Accepted : 2019.02.22
  • Published : 2019.04.30
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Abstract

Purpose: The study was conducted to investigate correlation between professionalism, organizational communication the and patient safety culture of nurses in hemodialysis units and verify factors that affect patient safety culture. Methods: Data were collected from 109 nurses working in hemodialysis units located in Seoul and Gyeonggi-do. collected data were analyzed using descriptive statistics including t-test, one-way ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS 21.0 program. Results: The Professionalism of participants was significantly correlated with patient safety culture while the Organizational communication was also correlated with patient safety culture. Factors influencing participants' patient safety culture included professionalism, organizational communication, employment history in current hospital, and the number of patients per nurse. These factors explained 57.8% of patient safety culture. Conclusion: The research findings suggest that in order to increase the awareness of patient safety culture of nurses in hemodialysis units, strategic efforts are needed to enhance professionalism and organizational communication satisfaction of nurses in hemodialysis units.

Keywords

Table 1. General Characteristics for Professionalism, Organizational Communication and Patient Safety Culture

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Table 2. Relationship of Patient Safety Culture to Work-related Characteristics

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Table 3. Levels of Professionalism, Organizational Communication, and Patient Safety Culture

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Table 4. Correlation among Professionalism, Organizational Communication and Patient Safety Culture

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Table 5. Factors Affecting Patient Safety Culture

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References

  1. Choi JS. Infection control for hemodialysis and endoscopy unit. Hanyang Medical Reviews. 2011;31(3):167-176. https://doi.org/10.7599/hmr.2011.31.3.167
  2. Garrick R, Kliger A, Stefanchik B. Patient and facility safety in hemodialysis: Opportunities and strategies to develop a culture of safety. Clinical Journal of American Society of Nephrology. 2012;7(4):680-688. https://doi.org/10.2215/CJN.06530711
  3. Kim MS, Shin MJ, Kim MK, Kim JH, Park SM, Woo HJ, et al. A study on the job activity analysis of the hemodialysis nurses. Journal of Korean Academy of Nursing Administration. 2000;6(3):303-317.
  4. Sorra J, Gray L, Streagle S, Famolaro T, Yount N, Behm J. AHRQ hospital survey on patient safety culture: User's guide. Rockville, MD: Agency for Healthcare Research and Quality; 2016.
  5. Noh YN. Analysis of perception patient safety culture among hospital workforce [master's thesis]. Seoul: Yonsei University; 2008. p. 1-59.
  6. Kim NR. Relationship of professionalism, organizational empowerment and patient safety culture in ICU nurses [master's thesis]. Seoul: Yonsei University; 2015. p. 1-69.
  7. Kim YS. Perceived patient safety culture, organizational communication satisfaction and safety nursing activities in ICU nurses [master's thesis]. Seoul: Ajou University; 2015. p. 1-51.
  8. Han MY, Jung MS. Effect of hospital nurses' perceptions of organizational health and patient safety culture on patient safety nursing activities. Journal of Korean Academy of Nursing Administration. 2017;23(2):127-138. https://doi.org/10.11111/jkana.2017.23.2.127
  9. Kim HY, Kim HS. Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. Journal of Korean Academy of Nursing Administration. 2011;17(4):413-422. https://doi.org/10.11111/jkana.2011.17.4.413
  10. Weis D, Schank MJ. An instrument to measure professional nursing values. Journal of Nursing Scholarship. 2000;32(2):201-204. https://doi.org/10.1111/j.1547-5069.2000.00201.x
  11. Bunkenborg G, Samuelson K, Akeson J, Poulsen I. Impact of professionalism in nursing on in-hospital bedside monitoring practice. Journal of Advanced Nursing. 2013;69(7):1466-1477. https://doi.org/10.1111/jan.12003
  12. Cho HW, Yang JH. Relationship between perceived patient safety culture and patient safety management activities among health personnel. Korean Journal of Fundamentals of Nursing. 2012;19(1):35-45. https://doi.org/10.7739/jkafn.2012.19.1.035
  13. Pronovost PJ, Weast B, Holzmueller CG, Rosenstein BJ, Kidwell RP, Haller KB, et al. Evaluation of the culture of safety: Survey of clinicians and managers in an academic medical center. Quality & Safety Health Care. 2003;12(6):405-410. https://doi.org/10.1136/qhc.12.6.405
  14. Seo JA, Lee BS. Effect of work environment on nursing performance of nurses in hemodialysis Units: Focusing on the effects of job satisfaction and empowerment. Journal of Korean Academy of Nursing Administration. 2016;22(2):178-188. https://doi.org/10.11111/jkana.2016.22.2.178
  15. Ulrich B, Kear T. Patient safety culture in nephrology nurse practice settings: Initial findings. Nephrology Nursing Journal. 2014;41(5):459-475.
  16. Yeun EJ, Kwon YM, Ahn OH. Development of a nursing professional values scale. Journal of Korean Academy of Nursing Administration. 2005;35(6):1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  17. Downs CW, Hazen MD. A factor analytic study of communication satisfaction. The Journal of Business Communication. 1977;14(3):63-73. https://doi.org/10.1177/002194367701400306
  18. Hong EM. A study on hospital nurses' level of communications and their perception of the organizational activities [master's thesis]. Seoul: Kyung Hee University; 2007. p. 1-76.
  19. Lee SG. Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals [dissertation]. Seoul: Chung-Ang University; 2015. p. 1-142.
  20. Ryu YO, Ko E. Influence of emotional labor and nursing professional values on job satisfaction in small and medium-sized hospital nurses. Journal of Korean Academy of Fundamentals of Nursing. 2015;22(1):7-15. https://doi.org/10.7739/jkafn.2015.22.1.7
  21. Kim BJ, Lee MA. Effect of nursing professionalism and organizational communication on intent to stay in geriatric hospital nurses. Journal of Korean Academy of Nursing Administration. 2018;24(5):455-465. https://doi.org/10.11111/jkana.2018.24.5.455
  22. Kim MJ, Kim JK. A study on the relationships among perception about patient safety culture, patient safety competence, and safety nursing activities of emergency room nurses. The Journal of the Korea Contents Association. 2017;17(10):268-279. https://doi.org/10.5392/JKCA.2017.17.10.268
  23. Lee SH, Yi YH. Perception on patient safety culture and patient safety competency of intensive care unit nurses. Journal of the Korean Data Analysis Society. 2016;18(4):2215-2229.
  24. 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. https://doi.org/10.11111/jkana.2011.17.4.462
  25. Kang M, Kim JE, An KE, Kim Y, Kim SW. Physicians' perception of and attitudes towards patient safety culture and medical error reporting. Korean Journal of Health Policy and Administration. 2005;15(4):110-135. https://doi.org/10.4332/KJHPA.2005.15.4.110