Relationship between Hospital Nurses' Perceived Patient Safety Culture and Their Safety Care Activities

병원 간호사가 지각하는 환자안전문화와 안전간호활동과의 관계

  • Received : 2009.12.01
  • Accepted : 2010.02.05
  • Published : 2010.02.28

Abstract

Purpose: This study was performed to measure hospital nurses' perceived patient safety culture and their safety care activities, and to investigate the relationship between these two factors. Method: This study was a cross-sectional survey. The participants were 301 nurses working at 4 general hospitals, and data collection was done from June 22 to June 30, 2009 by self-administrated questionnaires. Results: With a possible score of 5 points, the average score for nurses' perceived patient safety culture was 3.34, and for their safety care activities, 4.25. There were perceived differences in patient safety culture and safety care activities according to age, position, length of work experience and number of patient safety education sessions attended. All sub-factors in patient safety culture had a positive relationship with safety care activities. Factors influencing nurses' safety care activities were number of patient safety education sessions attended, hospital environment, and supervisor/manager. These factors explained 58.2% of the variance. Conclusion: The findings indicate that patient safety education is very important to improve nurses' safety care activity. So nursing supervisors/ managers should develop strategies encourage patient safety education, and make nurses' working environment safer.

Keywords

References

  1. Agency for Health Research and Quality. (2004). Hospital survey on patient culture. Retrieved at March 10, 2008. from http://www.ahrq.gov/qual/hospculture/
  2. Baker, G. R., & Norton, P. G. (2004). Next steps for patient safety in Canadian healthcare. Healthcare Papers, 5(3), 75-80. https://doi.org/10.12927/hcpap..16868
  3. Davis, H. T., Nutley, S. M., & Mannion, R. (2000). Organizational culture and quality of health care. Quality in Health Care, 9(2), 111-119. https://doi.org/10.1136/qhc.9.2.111
  4. Institute of Medicine. (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC.: National Academies Press.
  5. Je, W. Y. (2007). Hospital workers' perception of patient safety culture in a university hospital. Unpublished master's thesis, Sungkyunkwan University, Seoul.
  6. Jeong, J. (2006). Factors affecting patient safety management activities at two university hospitals: The case of nursing divisions. Unpublished master's thesis, Yonsei University, Seoul.
  7. Jung, Y. I. (2009). Patient safety accident management system. In 2009 Korean Nurses' Continuous education text: Safety care. Seoul: Korean Nurses Association.
  8. Kang, M. A., Kim, J. E., An, K. E., Kim, Y., & Kim, S. W. (2005). Physicians' perception of and attitudes towards patient safety culture and medical error reporting. Korean Journal of Health Policy & Administration, 15(4), 110-135. https://doi.org/10.4332/KJHPA.2005.15.4.110
  9. Kizer, K. W. (1999). Large system change and a culture of safety. In enhancing patient safety and reducing errors in health care. Chicago IL: National Patient Safety Foundation
  10. Kim, E. K., Jung, Y. I., Whang, J. I., Whang, J. W., & Shin, H. H. (2008). Patient safety and information protection. Seoul: Innomax.
  11. 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. Journal of Korean Clinical Nursing Research. 13(3), 169-179.
  12. Kim, S. W. (2007). Patient safety: ubiquitous hospital. Journal of the Korean Hospital Association, 36(9), 84-92.
  13. Kim, Y. M. (2009). Integrated review on patients safety. In 2009 Korean Nurses' Continuous Education Text: Safety care. Seoul: Korean Nurses Association.
  14. Park, S. J. (2009). A study on hospital nurse's perception of patient safety culture and safety care activity. Unpublished master's thesis, Donga University, Pusan.
  15. Son, Y. D. (2006). The Implementation of the computerized patient safety program at Asan Medical Center. Unpublished master's thesis, Ulsan University, Ulsan.
  16. Wears, R. L., Janick, B., Moorhead, J. C., Kellermann, A. L., Yeh, C. S., Rice, M. M., et al. (2000). Human error in medicine: Promise and pitfalls, part 1. Annuals of Emergency Medicine, 36(1), 58-60. https://doi.org/10.1067/mem.2000.aem36158
  17. Wolff, A. M., & Bouke, J. (2000). Reducing medical errors: A practical guide. Medical Journal of Australia, 173(5), 247-251.