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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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KMID : 0367020230350020117
°ûº¹ÀÚ ( Koak Bok-Ja ) - 

¼­Á¤ÀÓ ( Seo Jung-Lim ) - 
¼ÛÀºÁö ( Song Eun-Ji ) - 
½ÅÇϴà( Shin Ha-Neul ) - 
ÀüÀçÈñ ( Jeon Jae-Hee ) - 

Abstract

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¡¾8.42 years; 143 (87.2%) were women. The following factors influenced their patient-safety management activities: level of education (¥â=.16, p=.018), experience of patient-safety education (¥â=.15, p=.014), and perceived patient-safety culture (¥â=.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.
KeyWords

Nurses, Job satisfaction, Patient safety, Professional autonomy
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed