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KMID : 0904520100280010197
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Health and Medical Sociology
2010 Volume.28 No. 1 p.197 ~ p.221
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The Cognition Level on the Patient Safety and Safe Nursing Activities among Hospital Nurses in Busan
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Nam Mun-Hee
Kang Sung-Hong
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Abstract
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The objective of this study was to provide basic data for a safer medical service by describing the nurses" perception of hospital organization culture regarding the patient safety culture, reporting medical errors, nurses" patient safety activity.
One thousand nurses were surveyed from May 1 to May 31, 2009 according to the target organs treated. After removing those surveys with missing data due to an incomplete questionnaire, a total of 886 cases were examined. This study employed the "Questionnaire on Patient Safety", which is a Hospital Survey on Patient Safety Culture invented by AHRQ(2004), and "Questionnaire on Patient Safety Nursing Act", in which the questions were selected from the nursing-related items (Medication 6 & Safety Nursing Assurance Act 4: surgical site display and falls, restraint, verbal order) in the Safety Evaluation developed by Evaluation Institute of Medical Institution. For data analyses, chi-square tests, t-test, ANOVA and multiple regression were carried out using SPSS window 12.0. Nurse"s perception of patient safety was 3.46 on an overall perception scale of 5, indicating it to be "Medium (3 points). The When analyzed according to the characteristics of less than 2 years working experience (p＜.001) and working hours ＜45 hours per week (p=.017), 3nd medical Institution(p＜.001) were significantly higher in the patient safety awareness. The average overall of 10 items (medication nursing activity 6, the Security activity 4) evaluating the safety of nursing activity level was 3.79. Safe Nursing Factors affecting the level of activity in those 40 years or older, graduates, ICU workers, grade two hospital, hospital environment, communication and reporting medical error had a significant influence on the frequency of reporting safety incidents.
Incident reporting is mainly affected by the fear of punishment and lack of personnel. Nurses are responsible for raising awareness of patient safety and the safety of nursing care. However, improvements in the nursing grade, compliance with proper working hours, and a voluntary reporting system at the institutional and settlement levels are vital.
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KEYWORD
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Nurse, Hospital, Cognition, Patient safety, Safety nursing activity
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