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Original Article

The Impact of Safety Climate and Fatigue on Safety Performance of Operating Room Nurses

U-Eun Choi1, Hyun-Young Kim2
Journal of Korean Academy of Nursing Administration 2016;22(5):471-479.
Published online: December 31, 2016

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Corresponding author: Kim, Hyun-Young. College of Nursing, Jeonju University, 303 Cheonjam-ro, Wansan-gu, Jeonju 55069, Korea. Tel: +82-63-220-1504, Fax: +82-63-220-1054, flowhykim@gmail.com
• Received: July 4, 2016   • Revised: October 5, 2016   • Accepted: November 20, 2016

Copyright © 2016 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    This study was conducted to evaluate the level of safety climate, fatigue, and safety performance and to identify the impact of safety climate and fatigue on the safety performance of operating room nurses.
  • Methods
    The study design was a descriptive survey. Participants were 174 operating room nurses from two general hospitals and two university hospitals in S and D cities. Three structurally designed questionnaires were used to evaluate their safety climate, fatigue, and safety performance. Collected data were analyzed using descriptive analysis, t-tests, ANOVAs, Pearson correlation coefficient, and stepwise multiple regression.
  • Results
    Safety performance of operating room nurses had a mean of 3.26 on a 5-point scale. ‘Current department career’(β=.17, p=.006) and ‘safety climate (work-unit contribution) (β=.63, p<.001) accounted for 39% of the variance in operating room nurses’ safety performance.
  • Conclusion
    Findings indicate that work-unit contribution towards safety climate is an important factor in increasing operating room nurses' safety performance. Therefore, it is essential to find motivational properties consistent with the characteristics of the operating room environment.
  • Key Words: Safety performance; Safety climate; Fatigue; Operating room; Nurse

This article is a revision of the first author's master's thesis from Eulji University.

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Table 1

General Characteristics and Differences of Safety Performance (N=174)

jkana-22-471-i001.jpg

a, b, c, d, e=Scheffé test.

Table 2

Safety Climate, Fatigue, and Safety Performance (N=174)

jkana-22-471-i002.jpg
Table 3

The Correlation between Safety Climate, Fatigue, and Safety Performance (N=174)

jkana-22-471-i003.jpg
Table 4

The Factors Affecting Safety Performance (N=174)

jkana-22-471-i004.jpg

*Dummy variables: ≥Charge nurse (staff nurse=0).

Figure & Data

References

    Citations

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    DOI: https://doi.org/10.11111/jkana.2016.22.5.471
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    DOI: https://doi.org/10.11111/jkana.2016.22.5.471
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    Related articles

    The Impact of Safety Climate and Fatigue on Safety Performance of Operating Room Nurses
    The Impact of Safety Climate and Fatigue on Safety Performance of Operating Room Nurses

    General Characteristics and Differences of Safety Performance (N=174)

    a, b, c, d, e=Scheffé test.

    Safety Climate, Fatigue, and Safety Performance (N=174)

    The Correlation between Safety Climate, Fatigue, and Safety Performance (N=174)

    The Factors Affecting Safety Performance (N=174)

    *Dummy variables: ≥Charge nurse (staff nurse=0).
    Table 1 General Characteristics and Differences of Safety Performance (N=174)

    a, b, c, d, e=Scheffé test.

    Table 2 Safety Climate, Fatigue, and Safety Performance (N=174)

    Table 3 The Correlation between Safety Climate, Fatigue, and Safety Performance (N=174)

    Table 4 The Factors Affecting Safety Performance (N=174)

    *Dummy variables: ≥Charge nurse (staff nurse=0).

    Table 1

    Table 2

    Table 3

    Table 4

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