Measuring Patient Safety Culture in Korean Nursing Homes

Sook-Hee Yoon; Byungsoo Kim; So Yonug Shin; XiangLian Wu

doi:10.11111/jkana.2013.19.2.315

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Measuring Patient Safety Culture in Korean Nursing Homes

Sook-Hee Yoon¹, Byungsoo Kim², So Yonug Shin³, XiangLian Wu⁴

Journal of Korean Academy of Nursing Administration 2013;19(2):315-327.
Published online: March 31, 2013

DOI: https://doi.org/10.11111/jkana.2013.19.2.315

¹Department of Nursing/Institute of Health Science, Inje University, Korea.

²Department of Data Science/Institute of Statistical Information, Inje University, Korea.

³College of Nursing, Keimyung University, Korea.

⁴Department of Nursing, Graduate School of Inje University, Korea.

Correspondence: Yoon, Sook-Hee. Department of Nursing, College of Medicine, Inje University, 633-165, Gaegum-dong, Busanjin-Gu, Busan 614-735, Korea. Tel: 82-51-890-6821, Fax: 82-51-896-9840, nurysh@inje.ac.kr

• Received: February 7, 2013 • Revised: March 19, 2013 • Accepted: March 19, 2013

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Abstract
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Abstract

Purpose
The purpose of this study was to investigate the patient safety culture in Korean nursing homes using the Nursing Home Survey Patient Safety Culture (NHS-PC), a valid tool, provided by the Agency for Healthcare Research and Quality (AHRQ) and to compare the results with AHRQ data.
Methods
Administrators and staff (N=151) of six nursing homes in Seoul, Busan, Kyeonggi Province and Gyeongsangnam Province completed the survey in July, 2010. The data were analyzed using descriptive statistics, positive response rate, t-test, ANOVA, DUNCAN, Cronbach's α.
Results
The total mean (SD) positive response rate for patient safety culture was not significantly different from the AHRQ data. For composite levels, the results of 'handoffs' were significantly higher, and the results of 'feedback and communication about incidents' and 'nonpunitive responses to mistakes' were significantly lower than the AHRQ data.
Conclusion
More effective strategies related to nonpunitive responses to mistakes and management activities for patient safety are needed to improve patient safety culture in nursing homes.
Key Words: Patient safety culture; Nursing homes

Article Information

This work was supported by the Indang Research Grant of Inje University.

REFERENCES

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Article

Table 1

General Characteristics and Background Information of Participants (N=151)

Table 2

Incident Experience and Overall Perception of Resident Safety (N=151)

Table 3

Comparison of Average Positive Response Rate for Patient Safety Culture Composite-Level of Korea and AHRQ Data

Table 4

Comparison of Average Positive Response Rate for Patient Safety Culture Item-Level of Korea and AHRQ Data

^*R donates items that are reversed.

Table 5

Patient Safety Culture Composite Scores according to General Characteristics (N=151)

Figure & Data

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Measuring Patient Safety Culture in Korean Nursing Homes

J Korean Acad Nurs Adm. 2013;19(2):315-327. Published online March 31, 2013

DOI: https://doi.org/10.11111/jkana.2013.19.2.315

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Measuring Patient Safety Culture in Korean Nursing Homes

J Korean Acad Nurs Adm. 2013;19(2):315-327. Published online March 31, 2013

DOI: https://doi.org/10.11111/jkana.2013.19.2.315

Measuring Patient Safety Culture in Korean Nursing Homes

Table 1

General Characteristics and Background Information of Participants (N=151)

Table 2

Incident Experience and Overall Perception of Resident Safety (N=151)

Table 3

Comparison of Average Positive Response Rate for Patient Safety Culture Composite-Level of Korea and AHRQ Data

Table 4

Comparison of Average Positive Response Rate for Patient Safety Culture Item-Level of Korea and AHRQ Data

^*R donates items that are reversed.

Table 5

Patient Safety Culture Composite Scores according to General Characteristics (N=151)

Table 1 General Characteristics and Background Information of Participants (N=151)

Table 2 Incident Experience and Overall Perception of Resident Safety (N=151)

Table 3 Comparison of Average Positive Response Rate for Patient Safety Culture Composite-Level of Korea and AHRQ Data

Table 4 Comparison of Average Positive Response Rate for Patient Safety Culture Item-Level of Korea and AHRQ Data

^*R donates items that are reversed.

Table 5 Patient Safety Culture Composite Scores according to General Characteristics (N=151)

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Measuring Patient Safety Culture in Korean Nursing Homes

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