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Original Article

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

Journal of Korean Academy of Nursing Administration 2016;22(5):471-479.
Published online: December 31, 2016

1Graduate School of Advanced Practice Nursing, Eulji University, Korea.

2College of Nursing, Jeonju University, Jeonju, Korea.

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.

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

  • 1. Kim MR. Concept analysis of patient safety. J Korean Acad Nurs. 2011;41(1):1-8.
  • 2. National Patient Safety Agency. (Great Britain). Seven steps to patient safety: An overview guide for NHS staff. London: National Patient Safety Agency; 2004.
  • 3. Karanfil L, Bahner J, Most R. Creating a patient-safe environment in a perioperative setting. AORN J. 2005;81(1):168-176. 179-180. quiz 183-186.
  • 4. Kim JS, Kim JS. Importance awareness and compliance on patient safety for nurses working in operating rooms. J Korea Acad Ind Coop Soc. 2011;12(12):5748-5758.
  • 5. Glancy GD, Chaimowitz G. The clinical use of risk assessment. Can J Psychiatry. 2005;50(1):12-17.
  • 6. Son MJ. The effects of perception of hospital nurses toward safety climate on safety performance [master's thesis]. Seoul: Seoul National University; 2012.
  • 7. Cha BK, Choi J. A comparative study on perception of patient safety culture and safety care activities: Comparing university hospital nurses and small hospital nurses. J Korean Acad Nurs Adm. 2015;21(4):405-416.
  • 8. Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Am J Surg. 2009;198(1):70-75.
  • 9. Kim EK, Kang MA, Kim HJ. Experience and perception on patient safety culture of employees in hospitals. J Korean Acad Nurs Adm. 2007;13(3):321-334.
  • 10. Neal A, Griffin MA, Hart PM. The impact of organizational climate on safety climate and individual behavior. Saf Sci. 2000;34(1-3):99-109.
  • 11. Hwang MS. Comparison of the factors influencing medical institution workers's safety performance [master's thesis]. Seoul: Kyoung Hee University; 2014.
  • 12. Singer SJ, Hartmann CW, Hanchate A, Zhao S, Meterko M, Shokeen P, et al. Comparing safety climate between two populations of hospitals in the United States. Health Serv Res. 2009;44(5 Pt 1):1563-1583.
  • 13. Kim IS, Park MJ, Park MY, Yoo HN, Choi JH. Factors affecting the perception of importance and practice of patient safety management among hospital employees in Korea. Asian Nurs Res. 2013;7(1):26-32.
  • 14. Williamson A, Lombardi DA, Folkard S, Stutts J, Courtney TK, Connor JL. The link between fatigue and safety. Accid Anal Prev. 2011;43(2):498-515.
  • 15. Park AS, Cho YC. Fatigue symptoms and its related factors among general hospital nurses. J Korea Acad Ind Coop Soc. 2009;10(8):2164-2172.
  • 16. Chung CH, Kang HY. Job stress and fatigue of the nurses in the operating room. J Korea Contents Assoc. 2013;13(12):291-298.
  • 17. Flin R, Mearns K, O'Connor P, Bryden R. Measuring safety climate: Identifying the common features. Saf Sci. 2000;34(1-3):177-192.
  • 18. Winwood PC, Winefield AH, Lushington K. Work-related fatigue and recovery: The contribution of age, domestic responsibilities and shiftwork. J Adv Nurs. 2006;56(4):438-449.
  • 19. Kim SJ, Sung MS. Subjective symptoms on fatigue in hospital nurses. J Korean Acad Nurs. 1998;28(4):908-919.
  • 20. Kim YL, Lee MH. Perceptions of patient safety culture of hospital nurses. J Saf Crisis Manage. 2015;11(1):83-99.
  • 21. Lee EH. International comparison of perceptions of security among employees. KRIVET Issue Brief. vol 2014-54. Seoul: KRIVET; 2014.
  • 22. Park KO, Kim JK, Kim MS. Operating room nurses' experiences of securing for patient safety. J Korean Acad Nurs. 2015;45(5):761-772.
  • 23. Choi JH, Lee KM, Lee MA. Relationship between hospital nurses' perceived patient safety culture and their safety care activities. J Korean Acad Fundam Nurs. 2010;17(1):64-72.
  • 24. Kim JH, Kim IK. A study on the emotional labor, burnout and turnover intention of clinical nurses. J Korean Data Anal Soc. 2014;16(3):1653-1667.
  • 25. Kim JK, Kim MJ, Kim SY, Yu M, Lee KA. Effects of general hospital nurses' work environment on job embeddedness and burnout. J Korean Acad Nurs Adm. 2014;20(1):69-81.
  • 26. Lee JM, Hong SJ, Park MH. Perception of patient safety culture and safety care activity among ICU nurses. J Saf Crisis Manage. 2013;9(11):273-290.
  • 27. Kim HY, Kim HS. Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. J Korean Acad Nurs Adm. 2011;17(4):413-422.
  • 28. Chiaburu DS, Harrison DA. Do peers make the place? Conceptual synthesis and meta-analysis of coworker effects on perceptions, attitudes, OCBs, and performance. J Appl Psychol. 2008;93(5):1082-1103.
  • 29. Kapp EA. The influence of supervisor leadership practices and perceived group safety climate on employee safety performance. Saf Sci. 2012;50(4):1119-1124.
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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    J Korean Acad Nurs Adm. 2016;22(5):471-479.   Published online December 31, 2016
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    J Korean Acad Nurs Adm. 2016;22(5):471-479.   Published online December 31, 2016
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    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).

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