Purpose This study was conducted to identify the influence of patient safety culture and nursing work environment on fall prevention activities among hospital nurses.
Methods: The participants were 177 nurses working at eight hospitals including clinics, general hospitals, and tertiary care hospitals located in B city. Data were collected using self-report questionnaires and analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test. Pearson’s correlation coefficients, and hierarchical multiple regression with SPSS/WIN 26.0.
Results: Fall prevention activities were positively correlated with nursing work environment (r=.25, p=.001) and patient safety culture (r=.49, p<.001). Fall prevention activities were found to be significantly affected by patient safety culture (β=.47, p<.001) and being a training hospital (β=.21, p=.006).
Conclusion: The findings from this study suggest that patient safety culture is associated with fall prevention activities. In order to raise fall prevention activities, it is important to improve patient safety culture. Additionally, the health care organization should develop programs to raise fall prevention activities.
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Purpose The purpose of this study was to examine the effects of hospital-based violence-prevention and coping program on nurses' violence experience and responses, self-efficacy, and organizational commitment.
Methods A non-equivalent control group with pre-post-test design was used. Participants were assigned to the experimental (n=27) or a control group (n=26) in 2 general hospitals of one city. For the experimental group, the hospital-based violence-prevention and coping programs were provided once a week for 50-60 minutes across 6 weeks (6 sessions), whereas the control group was the waiting group.
Results There were significant differences in self efficacy and organizational commitment at the measured time periods. These results suggest that the effects of the program were persistent until the 4 weeks follow-up. In addition, level of emotional violence responses significantly decreased in the experimental group after 4 weeks in the period following the intervention program.
Conclusion The hospital-based violence prevention and coping program developed can be an effective strategy for preventing and reducing emotional violence responses and improving self efficacy and organizational commitment. Therefore, it is recommended that the program be actively used with clinical nurses to prevent violence and to increase effective coping.
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PURPOSE The purpose of this study was to analyze factors affecting fall prevention activities of emergency room (ER) nurses based on their health belief factors (perceived susceptibility, perceived benefits, perceived severity, perceived barriers, and cues to action). METHODS The study design was a descriptive survey using questionnaires which were given to 127 emergency room nurses from two regional emergency medical centers, four local emergency medical centers, and two local emergency medical facilities. Data were analyzed using descriptive analysis, t-test, one-way ANOVA with LSD test, Pearson correlation, and multiple regressions. RESULTS ER nurses' fall prevention activities had a mean of 3.78+/-0.50. Eight individual characteristics and health belief factors accounted for 30.8% of the fall prevention activities. Fall prevention activities were found to be positively affected by emergency medical facilities, perceived benefits, and cues to action and negatively affected by factors, such as ER career and perceived severity. CONCLUSION The results indicate that it is necessary to formulate a plan for enhancing perceived benefits and cues to action to improve fall prevention activities. In addition, fall prevention activities should be encouraged for ER nurses who have worked in local medical institutions for less than 1 year or more than 5 years.
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