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Original Article

Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities

Journal of Korean Academy of Nursing Administration 2016;22(3):239-250.
Published online: June 30, 2016

College of Nursing, Konyang University, Korea.

Corresponding author: Park, Ju-Young. College of Nursing, Konyang University, 158 Kwanjedong, Seo-gu, Daejeon 320-832, Korea. Tel: +82-42-600-6341, Fax: +82-42-600-6314, jypark@konyang.ac.kr
• Received: March 14, 2016   • Revised: May 14, 2016   • Accepted: May 25, 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
    The aim of this study was to examine effects of patient safety culture and burnout on safety management activities with a focus on clinical experience of nurses in general hospitals.
  • Methods
    Self-administered questionnaires were given to nurses in a general hospital in C Province, and 107 questionnaires were used for final analysis. Collected data were analyzed using SPSS/WIN 21.0 Program for t-test, ANOVA, Pearson correlation coefficients, and multiple regression.
  • Results
    The highest score as perceived by general hospital nurses for patient safety culture was for 'Immediate superior/Manager'(3.84), for burnout, the highest score was for 'Emotional exhaustion' (4.13), and for safety management activities, the highest score was for 'Prevention of infection' (3.96). Patient safety culture and safety management activities perceived by general hospital nurses showed significant positive correlations (r=.35 p<.001). The correlations between burnout and safety management activities perceived by the nurses showed significant negative correlations (r=-.37, p<.001). Results of hierarchical regression analysis conducted to identify factors that affect safety management activities showed that patient safety culture (β=.40 p<.001) was effective for controlling safety management activities.
  • Conclusion
    The findings indicate a need to build a patient safety culture that fits the characteristics and situations of various hospitals.
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Table 1

General Characteristics of Participants (N=107)

jkana-22-239-i001.jpg
Table 2

General Hospital Nurses' Perception of Patient Safety Culture and Burnout and Safety Management Activity (N=107)

jkana-22-239-i002.jpg
Table 3

Differences in Patient Safety Culture, Awareness and Hospital nurse Burnout, and Safety Management Activities according to General Characteristics (N=107)

jkana-22-239-i003.jpg

*Sheffé test.

Table 4

The Correlation between Patient Safety Culture and Burnout and Safety Management Activities

jkana-22-239-i004.jpg

X1=Patient safety culture awareness; X2=Department work environment; X3=Immediate superior/manager; X4=Communication and procedures; X5=Frequency of accident reports; X6=Patient safety; X7=Hospital; X8=Perception; X9=Emotional exhaustion; X10=Impersonalzation; X11=Reduced personal accomplishment; X12=Safety management activity.

Table 5

Factors of affecting on the Safety Management Activities (N=107)

jkana-22-239-i005.jpg

Variable: Patient safety culture=Score; Exhaustion=Score; Age (1=<27, 2=27~33, 3=≥34); Marital status (1=Singled, 2=Married); Education level (0=College, 1=Master degree); Position (0=nurse, 1=nurse manager); Department (1=Newborn intensive care unit, 2=Surgical unit, 3=Medical unit, 4=Delivery room, 5=Intensive care unit, 6=Emergency room).

Figure & Data

References

    Citations

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    Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities
    J Korean Acad Nurs Adm. 2016;22(3):239-250.   Published online June 30, 2016
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    Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities
    Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities

    General Characteristics of Participants (N=107)

    General Hospital Nurses' Perception of Patient Safety Culture and Burnout and Safety Management Activity (N=107)

    Differences in Patient Safety Culture, Awareness and Hospital nurse Burnout, and Safety Management Activities according to General Characteristics (N=107)

    *Sheffé test.

    The Correlation between Patient Safety Culture and Burnout and Safety Management Activities

    X1=Patient safety culture awareness; X2=Department work environment; X3=Immediate superior/manager; X4=Communication and procedures; X5=Frequency of accident reports; X6=Patient safety; X7=Hospital; X8=Perception; X9=Emotional exhaustion; X10=Impersonalzation; X11=Reduced personal accomplishment; X12=Safety management activity.

    Factors of affecting on the Safety Management Activities (N=107)

    Variable: Patient safety culture=Score; Exhaustion=Score; Age (1=<27, 2=27~33, 3=≥34); Marital status (1=Singled, 2=Married); Education level (0=College, 1=Master degree); Position (0=nurse, 1=nurse manager); Department (1=Newborn intensive care unit, 2=Surgical unit, 3=Medical unit, 4=Delivery room, 5=Intensive care unit, 6=Emergency room).

    Table 1 General Characteristics of Participants (N=107)

    Table 2 General Hospital Nurses' Perception of Patient Safety Culture and Burnout and Safety Management Activity (N=107)

    Table 3 Differences in Patient Safety Culture, Awareness and Hospital nurse Burnout, and Safety Management Activities according to General Characteristics (N=107)

    *Sheffé test.

    Table 4 The Correlation between Patient Safety Culture and Burnout and Safety Management Activities

    X1=Patient safety culture awareness; X2=Department work environment; X3=Immediate superior/manager; X4=Communication and procedures; X5=Frequency of accident reports; X6=Patient safety; X7=Hospital; X8=Perception; X9=Emotional exhaustion; X10=Impersonalzation; X11=Reduced personal accomplishment; X12=Safety management activity.

    Table 5 Factors of affecting on the Safety Management Activities (N=107)

    Variable: Patient safety culture=Score; Exhaustion=Score; Age (1=<27, 2=27~33, 3=≥34); Marital status (1=Singled, 2=Married); Education level (0=College, 1=Master degree); Position (0=nurse, 1=nurse manager); Department (1=Newborn intensive care unit, 2=Surgical unit, 3=Medical unit, 4=Delivery room, 5=Intensive care unit, 6=Emergency room).

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