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KMID : 0367020230350020117
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Journal of Korean Academic of Adult Nursing
2023 Volume.35 No. 2 p.117 ~ p.126
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The Effects of Professional Autonomy, Job Satisfaction, and Perceived Patient-Safety Culture on Nurses' Patient-Safety Management Activities: A Cross-Sectional Study
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Koak Bok-Ja
Seo Jung-Lim
Song Eun-Ji
Shin Ha-Neul
Jeon Jae-Hee
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Abstract
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Purpose: This study aims to confirms the relationship between nurses' professional autonomy, job satisfaction, perceived patient-safety culture, and patient-safety management activities; it also identifies factors that influence their patient-safety management activities.
Methods: A cross-sectional study design was adopted. The participants were 164 nurses from at five hospitals in two G provinces, Korea, who participated in the study voluntarily. Data were collected between November and December 2022 via a 120-question structured questionnaire and analyzed using SPSS/WINdows software version 25.0. The data were measured by frequency, percentage, and mean and standard deviation, using an independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis.
Results: The average age of the participants was 35.54±8.42 years; 143 (87.2%) were women. The following factors influenced their patient-safety management activities: level of education (β=.16, p=.018), experience of patient-safety education (β=.15, p=.014), and perceived patient-safety culture (β=.56, p<.001). The explanatory power of the nurses' patient-safety management activities was 44.0%.
Conclusion: Hospital managers should enable nurses to carry out patient-safety procedures competently by providing continuous patient-safety education; they should also revise regulations and systems to promote good patient-safety management practices and create an environment that supports patient safety. In addition, a program should be designed and implemented to improve nurses' perceived patient-safety culture.
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KEYWORD
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Nurses, Job satisfaction, Patient safety, Professional autonomy
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