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KMID : 0614820190250050384
Journal of Korean Academy of Nursing Administration
2019 Volume.25 No. 5 p.384 ~ p.392
Patient Safety Management Activities of Clinical Nurse: A Modified Theory of Planned Behavior
Kim Nam-Yi

Jeong Sun-Young
Abstract
Purpose: The purpose of this study was to develop a structural model for patient safety management activities and to identify the influencing factors of organizational and individual dimensions that promote patient safety management activities and to suggest effective intervention plans.

Methods: A structured self-report questionnaire was used to measure organizational factor, attitude, subjective norm, perceived behavior control, and patient safety management activities. The questionnaires were distributed to 300 nurses and 275 were included in the analysis. SPSS 25.0 and AMOS 21.0 were used to analyze the model fitness, indirect effect, and direct effect of the model.

Results: The hypothetical model for patient safety management activities was appropriate. Among the 8 pathways, 6 direct pathways were significant. Organizational factor affected individual attitudes, subjective norms, and perceived behavior control. Perceived behavior control, and subjective norm affected behavioral intention. Behavioral intention affected patient safety management activities. Perceived behavior control did not affect patient safety management activities.

Conclusion: Organizations and individuals must change together to promote patient safety management activities. The organization should establish practical education and training, systems and regulations. Individuals should increase behavioral intention by strengthening perceived behavioral control and subjective norm.
KEYWORD
Model, structural, Nurse clinicians, Patient safety, Safety management
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