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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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KMID : 0123520190260010035
ÇϼöÁø ( Ha Su-Jin ) - µ¿¾Æ´ëÇб³ ÀÇ·á¿ø ÀÀ±ÞÁßȯÀÚ½Ç

À̹ÎÁÖ ( Lee Min-Ju ) - µ¿¾Æ´ëÇб³ °£È£Çаú

Abstract

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¡¾0.32 and 4.19¡¾0.41 was for the safety care activities. Inincident reporting, reporting intention (3.56¡¾0.68), belief in improvement (3.42¡¾0.60), worry about appraisal (3.37¡¾0.65)and reporting knowledge (3.36¡¾0.72) 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 (¥â=.31, p<.001), supervisor/managers¡®attitudes toward patient safety culture (¥â=.29, p<.001), belief in improvement of incident reporting attitude(¥â=.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.
KeyWords
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Patient Safety, Culture, Safety Management, Risk Management, Nurses
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