• KANAD
  • Contact us
  • E-Submission
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Original Article

A Comparative Study on Perception of Patient Safety Culture and Safety Care Activities: Comparing University Hospital Nurses and Small Hospital Nurses

Journal of Korean Academy of Nursing Administration 2015;21(4):405-416.
Published online: September 30, 2015

1Department of Nursing, Hanseo University, Korea.

2Department of Nursing, Ansan College, Korea.

Corresponding author: Choi, Jung. Department of Nursing, Ansan College, 752 Il-dong, Sangnok-gu, Ansan 15328, Korea. Tel: +82-31-400-7109, Fax: +82-31-400-7107, jchoi@ansan.ac.kr
• Received: July 3, 2015   • Revised: September 11, 2015   • Accepted: September 14, 2015

Copyright © 2015 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.

  • 17 Views
  • 0 Download
  • 21 Crossref
prev next
  • Purpose
    The purpose of this study was to compare perception of patient safety culture and safety care activities between university hospital nurses (group A) and small hospital nurses (group B).
  • Methods
    Using a structured questionnaire, data were collected from 246 university hospital nurses and 223 small hospital nurses working in Seoul or Gyeonggi Province. Descriptive statistics, x2-test, ANCOVA, t-test, ANOVA with the SPSS package were used for data analysis.
  • Results
    Total score for perception of patient safety culture and 3 subcategories of perception of patient safety culture were statistically significantly higher for group B compared to group A. Operation room nursing, falls, and bed sore scores in patient safety care activities were statistically significantly higher for group A than for group B.
  • Conclusion
    The study findings suggest that the specific characteristics by size should be considered when developing effective patient safety culture in hospitals.
  • 1. Kim MR. Concept analysis of patient safety. J Korean Acad Nurs. 2011;41(1):1-8.
  • 2. Lee AS, Yoon CK. A Study on nurses perception to the patient safety in hospital. Korean Public Health Res. 2010;36(2):73-82.
  • 3. Lee NJ, Kim JH. Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals. J Korean Acad Nurs Adm. 2011;17(4):462-473.
  • 4. Mahajan RP. Critical incident reporting and learning. Br J Anaesth. 2010;105(1):69-75.
  • 5. Kohn LT, Corrigan JM, Donaldson MS. To err is human: Building a safer health system. Washington DC: National Academy Press; 2000.
  • 6. Kim M. The effectiveness of error reporting promoting strategy on nurses attitude, patient safety culture, intention to report and reporting rate. J Korean Acad Nurs. 2010;40(2):172-181.
  • 7. Kagan I, Barnoy S. Factors associated with reporting of medication errors by Israeli nurses. J Nurs Care Qual. 2008;23:353-361.
  • 8. Kim KJ, Han JS, Seo MS, Jang BH, Park MM, Ham HM, Yoo MS, et al. Relationship between intra-organizational communication satisfaction and safety attitude of nurses. J Korean Acad Nurs Adm. 2012;18(2):213-221.
  • 9. Park SJ. A study on hospital nurses' perception of patient safety culture and safety care activity [master's thesis]. Busan: Dong-A University; 2009.
  • 10. Kim JE, Kang MA, An KE, Sung YH. A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. J Korean Clin Nurs Res. 2007;13(3):169-179.
  • 11. 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.
  • 12. Park KO. Supply and demand of nursing manpower for small and medium hospitals in rural area: nursing shortage versus wage disparity. Perspect Nurs Sci. 2009;6(1):67-76.
  • 13. Lee GO. The study on nurse manager leadership and patient safety-related nursing activities [master's thesis]. Seoul: Kyung Hee University; 2009.
  • 14. Hughes CM, Lapane KL. Nurses' and nursing assistants' perception of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-286.
  • 15. Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. BMJ Qual Saf. 2011;20(11):914-922.
  • 16. Nieva VF, Sorra JS. Safety culture assessment: A tool for improving patient safety in healthcare organization. Qual Saf Health Care. 2003;12:suppl 2. ii17-ii23.
  • 17. Vaismoradi M. Nursing education curriculum for improving patient safety. J Nurs Educ Pract. 2012;2(1):101-104.
  • 18. Cho SS, Gang MH. Perception of patient safety culture and safety care activity of entry-level nurses. Korean J Occup Health Nurs. 2013;22(1):24-34.
  • 19. Lee KH, Lee YS, Park HK, Rhu JO, Byun IS. The influences of the awareness of patient safety culture on safety care activities among operating room nurses. J Korean Clin Nurs Res. 2011;17(2):204-214.
  • 20. Faul F, Erdfelder E, Buchner A, Lang A. Statistical power analysis using G*power 3.1. Behav Res Methods. 2009;41:1149-1160.
  • 21. Sorra JS, Nieva VF. Hospital survey on patient safety culture. (Prepared by Westat, under Contract No. 290-96-0004). AHRQ Publication No. 04-0041. Rockville, MD, Agency for Healthcare Research and Quality. 2004;http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/reso urces/hospcult.pdf
  • 22. Kim JE, Ahn KE, Yoon SH. Nurses perception of the hospital environment and communication process related to patient safety in Korea. J Korean Soc Med Inform. 2004;10:suppl 1. 130-135.
  • 23. Lee YJ. Patient safety culture and management activities perceived by hospital nurses [master's thesis]. Daejeon: Eulji University; 2011.
  • 24. Kim SK, Lee HJ, Oh EG. Perceived level and associated factors of patient safety culture among health care providers in an operating room. J Korean Clin Nurs Res. 2010;16(2):57-67.
  • 25. Liu Y, Kalisch BJ, Zhang L, Xu J. Perception of safety culture by nurses in China. J Nurs Care Qual. 2009;24(1):63-68.
  • 26. Kim KJ. The effects of website-based patient safety culture promotion program on nurses' perception of safety culture attitude and behavior [dissertation]. Seoul: Yonsei University; 2012.
  • 27. Meterko M, Mohr DC, Young GJ. Teamwork culture and patient satisfaction in hospitals. Med Care. 2004;42(5):492-498.
  • 28. Jeong J. Factors affecting patient safety management activities at two university hospitals: The case of nursing divisions [master's thesis]. Seoul: Yonsei University; 2006.
  • 29. Park JH. Hospital worker's perception of patient safety culture in small & medium hospital (Seoul, Incheon) [master's thesis]. Incheon: Gachon University; 2011.
  • 30. Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, et al. Rationing of nursing care and its relationship to patient outcomes: The Swiss extension of the international hospital outcomes study. Int J Qual Health Care. 2008;20(4):227-237.
Table 1

General Characteristics of Participants

jkana-21-405-i001.jpg
Table 2

Perception of Patient Safety Culture & Safety Care Activities between University Hospital Nurses and Small Hospital Nurses (N=469)

jkana-21-405-i002.jpg

*Measured by ANCOVA with gender, level of education and position variables as covariate.

Table 3

Perception of Patient Safety Culture and Safety Care Activities of the University Hospital Nurses by Demographic Characteristics (N=246)

jkana-21-405-i003.jpg

*Tukey's HSD.

Table 4

Perception of Patient Safety Culture and Safety Care Activities of the Small Hospital Nurses by Demographic Characteristics (N=223)

jkana-21-405-i004.jpg

*Tukey's HSD.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • The impact of nurse’s sense of calling, organizational commitment, job stress, and nursing work environment on patient safety management activities in comprehensive nursing care service units during the covid-19 pandemic
      YeJi Lee, Won Ju Hwang
      BMC Nursing.2024;[Epub]     CrossRef
    • Factors influencing peripheral intravenous catheter practice of nurses in small and medium sized hospitals: a cross-sectional study
      Jung Hee Kim, Inju Hwang, Eun Man Kim
      BMC Nursing.2024;[Epub]     CrossRef
    • Association between Nurses’ Perceptions of Patient Safety Culture, Willingness to Report Near Misses, Critical Thinking Disposition, and Nursing Care Activities for Patient Safety
      Da Eun Lee, Bo Gyeong Lee
      Journal of Korean Academy of Nursing Administration.2024; 30(3): 283.     CrossRef
    • Nurses' adherence to patient safety protocols and its relationship with adverse patient events
      Leodoro J. Labrague
      Journal of Nursing Scholarship.2024; 56(2): 282.     CrossRef
    • Factors Influencing Patient Safety Management Activities among General Hospital Operating Room Nurses
      Seon Mi Kim, Su Hye Kwon
      Journal of Korean Academy of Nursing Administration.2023; 29(2): 89.     CrossRef
    • The Effects of Professional Autonomy, Job Satisfaction, and Perceived Patient-Safety Culture on Nurses' Patient-Safety Management Activities: A Cross-Sectional Study
      Bokja Koak, Junglim Seo, Eunji Song, Haneul Shin, Jaehee Jeon
      Korean Journal of Adult Nursing.2023; 35(2): 117.     CrossRef
    • Effects of Perceived Safety Culture, Nursing Work Environment, and Professional Self-concept on Patient Safety Care Activity of Nurses in Small-medium Sized Hospitals
      Young Ok Cho, Myoung Soo Kim
      Journal of Health Informatics and Statistics.2022; 47(1): 66.     CrossRef
    • Working Experience of Managers Who Are Responsible for Promoting and Monitoring Patient Safety in South Korea: Focusing on Small- and Medium-Sized Hospitals
      Yea Seul Yoon, Won Lee, Sunjoo Kang, In Sook Kim, Seung Gyeong Jang
      Journal of Patient Safety.2022; 18(4): 365.     CrossRef
    • The relationship among academic achievement, clinical competence, and confidence in clinical performance of nursing students
      Hye-Won Kim, Myo-Gyeong Kim
      The Journal of Korean Academic Society of Nursing Education.2021; 27(1): 49.     CrossRef
    • Patient safety culture and handoff evaluation of nurses in small and medium-sized hospitals
      Jung Hee Kim, Jung Lim Lee, Eun Man Kim
      International Journal of Nursing Sciences.2021; 8(1): 58.     CrossRef
    • Nurses’ knowledge, attitude, and fall prevention practices at south Korean hospitals: a cross-sectional survey
      Mi-young Cho, Sun Joo Jang
      BMC Nursing.2020;[Epub]     CrossRef
    • Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy
      Nasser Ibrahim Abu-El-Noor, Mysoon Khalil Abu-El-Noor, Yousef Zuheir Abuowda, Maha Alfaqawi, Bettina Böttcher
      BMC Health Services Research.2019;[Epub]     CrossRef
    • Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study
      Young Mee Kim, Se Young Kim
      International Journal of Health Care Quality Assurance.2019; 32(5): 832.     CrossRef
    • Factors Influencing Safety Care Activities of Hospital Nurses
      Ya Ki Yang
      Journal of Korean Academy of Fundamentals of Nursing.2019; 26(3): 188.     CrossRef
    • Mediating Effects of Perceptions Regarding the Importance of Patient Safety Management on the Relationship between Incident Reporting Attitudes and Patient Safety Care Activities for Nurses in Small- and Medium-sized General Hospitals
      Young Mi Park, Keum Hee Nam, Ki Noh Kang, Jeong Ja Nam, Yeon Ok Yun
      Journal of Korean Critical Care Nursing.2019; 12(2): 85.     CrossRef
    • Patient Safety Care Activity in Small-Medium Sized Hospital Nurses Patient Safety Care Activity among Nurses in Small-Medium Sized General Hospitals
      Yuna Paik, Youngji Kim
      The Korean Journal of Rehabilitation Nursing.2018; 21(1): 51.     CrossRef
    • Perception of Importance of Patient Safety Management, Patient Safety Culture and Safety Performance in Hospital Managerial Performance of Hospital Nurses
      Mi Yeon Park, Eun A Kim
      Journal of Korean Academy of Nursing Administration.2018; 24(1): 40.     CrossRef
    • Influencing Factors on Hospital Fall Prevention Activities of Tertiary Hospital Nurses and General Hospital Nurses
      Misook Jin, Yeongmi Ha
      Journal of Health Informatics and Statistics.2017; 42(4): 361.     CrossRef
    • Perception of Healthcare Accreditation System on Patient Safety Management Activities and Nursing Performance of Regional Public Hospital Nurses
      Myung Ju Kang, Kyung Hee Chung
      Journal of Korean Academy of Nursing Administration.2017; 23(4): 416.     CrossRef
    • The Impact of Safety Climate and Fatigue on Safety Performance of Operating Room Nurses
      U-Eun Choi, Hyun-Young Kim
      Journal of Korean Academy of Nursing Administration.2016; 22(5): 471.     CrossRef
    • Discriminating Power of Organization Related Variables on Intention to Medication Error Reporting
      Myoung Soo Kim
      Journal of Health Informatics and Statistics.2016; 41(2): 155.     CrossRef

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    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.   Published online September 30, 2015
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    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.   Published online September 30, 2015
    Close
    A Comparative Study on Perception of Patient Safety Culture and Safety Care Activities: Comparing University Hospital Nurses and Small Hospital Nurses
    A Comparative Study on Perception of Patient Safety Culture and Safety Care Activities: Comparing University Hospital Nurses and Small Hospital Nurses

    General Characteristics of Participants

    Perception of Patient Safety Culture & Safety Care Activities between University Hospital Nurses and Small Hospital Nurses (N=469)

    *Measured by ANCOVA with gender, level of education and position variables as covariate.

    Perception of Patient Safety Culture and Safety Care Activities of the University Hospital Nurses by Demographic Characteristics (N=246)

    *Tukey's HSD.

    Perception of Patient Safety Culture and Safety Care Activities of the Small Hospital Nurses by Demographic Characteristics (N=223)

    *Tukey's HSD.

    Table 1 General Characteristics of Participants

    Table 2 Perception of Patient Safety Culture & Safety Care Activities between University Hospital Nurses and Small Hospital Nurses (N=469)

    *Measured by ANCOVA with gender, level of education and position variables as covariate.

    Table 3 Perception of Patient Safety Culture and Safety Care Activities of the University Hospital Nurses by Demographic Characteristics (N=246)

    *Tukey's HSD.

    Table 4 Perception of Patient Safety Culture and Safety Care Activities of the Small Hospital Nurses by Demographic Characteristics (N=223)

    *Tukey's HSD.

    TOP