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Original Article

Perception of Patient Safety Culture and Safety Care Activity among Nurses in Small-Medium Sized General Hospitals

Na Joo Lee1, Jeong-Hee Kim2
Journal of Korean Academy of Nursing Administration 2011;17(4):462-473.
Published online: December 31, 2011

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Correspondence: Kim, Jeong-Hee. Professor, College of Nursing, Jeju National University Jeju-do Jeju-si, 1 Ara 1-dong, 690-756. Tel: 82-64-754-3884, Fax: 82-64-702-2686, snukjh@jejunu.ac.kr
• Received: September 1, 2011   • Revised: October 30, 2011   • Accepted: November 8, 2011

Copyright © 2011 Korean Academy of Nursing Administration

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  • Purpose
    This study was done to identify the factors affecting the perception of patient-safety-culture and the level of safety-care-activity among nurses in small-medium sized general hospitals.
  • Method
    Data were collected during April and May 2011, from 241 nurses of five hospitals. A hospital survey questionnaire on patient-safety-culture and safety-care-activity was used. Collected data were analyzed using descriptive statistics, Pearson correlation, t-test, ANOVA, Scheffe test and multiple-regression.
  • Results
    There were significant differences in the level of perception of patient-safety-culture according to the nurses' age, type of hospital, position, work department, and knowing whether there was a Patient-Safety committee in their hospitals. Nurses with higher perceived level of the patient-safety-culture performed more safety-care-activities. Factors influencing on the safety-care-activities were general patient safety, having had safety-education, patient-to-nurse ratio, employment status, and the level of reporting medical errors. These factors explained 22.9% of the safety-care-activity.
  • Conclusions
    The study findings suggest that in order to improve the nurses' perceived level of patient-safety-culture and safety-care-activity, the hospitals need to establish patient-safety committees and communication systems, and openness to reporting medical errors are needed. Better work conditions to ensure appropriate work time, regulate patient-to-nurse ratio, and nursing education standards and criteria, are also required.
  • Key Words: Nurses; Safety culture; Safety care; General hospitals
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Table 1
Demographic and Job-Related Characteristics of the Participants (N=241)
jkana-17-462-i001.jpg

*Excluding non-responses

†Operation room, Intensive care unit, & Artificial kidney center

‡Excluding Operating room, Artificial kidney center, & OPD

Table 2
Levels of Perceived Patient Safety Culture and Safety Care Activity
jkana-17-462-i002.jpg
Table 3
Frequency of Reports on Medical Errors and Near-Misses in the Past 12Mont hs
jkana-17-462-i003.jpg
Table 4
Perceived Patient Safety Culture and Safety Care Activity by Demographic and Job-Related Characteristics of the Participants (N=241)
jkana-17-462-i004.jpg

a,b Scheffe test

†Operation room, Intensive care unit, Artificial kidney center

‡Excluding Operating room, Artificial kidney center, & OPDSACQ: Student Adaptation to College Questionnaire

Table 5
Correlation Between Perceived Patient Safety Culture and Safety Care Activity
jkana-17-462-i005.jpg
Table 6
Factors Influencing Safety Care Activity in the Nurses* (N=241)
jkana-17-462-i006.jpg

Figure & Data

References

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    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.   Published online December 31, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.4.462
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    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.   Published online December 31, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.4.462
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    *Excluding non-responses

    †Operation room, Intensive care unit, & Artificial kidney center

    ‡Excluding Operating room, Artificial kidney center, & OPD

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    a,b Scheffe test

    †Operation room, Intensive care unit, Artificial kidney center

    ‡Excluding Operating room, Artificial kidney center, & OPDSACQ: Student Adaptation to College Questionnaire

    Correlation Between Perceived Patient Safety Culture and Safety Care Activity

    Factors Influencing Safety Care Activity in the Nurses* (N=241)
    Table 1 Demographic and Job-Related Characteristics of the Participants (N=241)

    *Excluding non-responses

    †Operation room, Intensive care unit, & Artificial kidney center

    ‡Excluding Operating room, Artificial kidney center, & OPD

    Table 2 Levels of Perceived Patient Safety Culture and Safety Care Activity

    Table 3 Frequency of Reports on Medical Errors and Near-Misses in the Past 12Mont hs

    Table 4 Perceived Patient Safety Culture and Safety Care Activity by Demographic and Job-Related Characteristics of the Participants (N=241)

    a,b Scheffe test

    †Operation room, Intensive care unit, Artificial kidney center

    ‡Excluding Operating room, Artificial kidney center, & OPDSACQ: Student Adaptation to College Questionnaire

    Table 5 Correlation Between Perceived Patient Safety Culture and Safety Care Activity

    Table 6 Factors Influencing Safety Care Activity in the Nurses* (N=241)

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

    Table 6

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