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KMID : 0123520190260010035
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Journal of muscle and joint health
2019 Volume.26 No. 1 p.35 ~ p.45
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A Study on Patient Safety Culture, Incident Reporting and Safety Care Activities of Clinical Nurses in a University-Affiliated Hospital
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Ha Su-Jin
Lee Min-Ju
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Abstract
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Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activitiesamong clinical nurses and to identify factors associated with the safety care activities.
Methods: Structured questionnaireswere used to collect data from 155 nurses who were involved in direct patient-care.
Results: Descriptive statistical anaylsesrevealed that the mean score of patient safety culture was 3.26±0.32 and 4.19±0.41 was for the safety care activities. Inincident reporting, reporting intention (3.56±0.68), belief in improvement (3.42±0.60), worry about appraisal (3.37±0.65)and reporting knowledge (3.36±0.72) respectively. Correlational analyses showed that perceived patient safety culture(r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting werepositively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negativelycorrelated. The factors associated with safety care activities were incident reporting knowledge (β=.31, p<.001), supervisor/managers‘attitudes toward patient safety culture (β=.29, p<.001), belief in improvement of incident reporting attitude(β=.16, p=.041).
Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessaryto educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety andto provide positive feedback on incident reporting.
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KEYWORD
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Patient Safety, Culture, Safety Management, Risk Management, Nurses
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