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ÀÌÅÂÈ ( Lee Tae-Wha ) - Yonsei University College of Nursing
±èÇÊÀÚ ( Kim Phill-Ja ) - Severance Hospital Administrative Education Team ÀÌÇý¿µ ( Lee Hye-Young ) - Severance Hospital Division of Nursing ½ÅÇý°æ ( Shin Hae-Kyung ) - Severance Hospital Division of Nursing ÀÌÇö½É ( Lee Hyun-Sim ) - Severance Hospital Division of Nursing ÃÖÀ±¾Æ ( Choi Yoon-A ) - Ulsan College Department of Nursing
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Abstract
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¿¬±¸¸ñÀû: º» ¿¬±¸ÀÇ ¸ñÀûÀº Á¤Ã¥ ¹× ´ëÀÎÀû ¿äÀÎÀ» Áß½ÉÀ¸·Î ȯÀÚ¾ÈÀü¹®È¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿äÀÎÀ» ±¸Á¶¹æÁ¤½Ä ¸ðÇüÀ» ÅëÇØ È®ÀÎÇϱâ À§ÇÔÀÌ´Ù.
¿¬±¸¹æ¹ý: º» ¿¬±¸´Â ±¸Á¶¹æÁ¤½Ä ¸ðÇüÀ» ÀÌ¿ëÇÏ¿´À¸¸ç ¿¬±¸ ´ë»óÀÚ´Â 385¸íÀÇ ÀÓ»ó °£È£»ç¿´´Ù. º¯¼öÀΠȯÀÚ¾ÈÀü °ü¸®Ã¼°è, ÁøÁ¤¼º ¸®´õ½Ê, ÆÀ È¿°ú¼º°ú ȯÀÚ¾ÈÀü¹®ÈÀÇ °¡¼³¸ðÇüÀ» °ËÁõÇÏ¿´´Ù. SPSS 25.0 °ú AMOS 21.0À» ÀÌ¿ëÇÏ¿© ±â¼úÅë°è°ú °æ·ÎºÐ¼®À» ½Ç½ÃÇÏ¿´´Ù.
¿¬±¸°á°ú: ÃÖÁ¾ ¸ðÇüÀº ¸ðµç °æ·Î°¡ Åë°èÀûÀ¸·Î À¯ÀÇÇÑ °ÍÀ¸·Î ³ªÅ¸³µ´Ù. ÁøÁ¤¼º ¸®´õ½Ê (¥â=.54, p=<.001)Àº °¡Àå ¿µÇâ·ÂÀÌ ³ôÀº ¿äÀÎÀ¸·Î È®ÀεǾúÀ¸¸ç, ±× ´ÙÀ½À¸·Î ÆÀ È¿°ú¼º (¥â=.24, p<.001)°ú ȯÀÚ¾ÈÀü °ü¸®Ã¼°è (¥â=.21, p<.001)·Î ³ªÅ¸³µ´Ù. ȯÀÚ¾ÈÀü °ü¸®Ã¼°è (¥â=.38, p=.002)¿Í ÁøÁ¤¼º ¸®´õ½Ê (¥â=.12, p=.002)Àº ȯÀÚ¾ÈÀü¹®È¿¡ °£Á¢È¿°úµµ ÀÖ´Â °ÍÀ¸·Î ³ªÅ¸³µ´Ù.
°á·Ð: º» ¿¬±¸ÀÇ °á°ú´Â ȯÀÚ¾ÈÀü¹®È¸¦ À§ÇØ ÁøÁ¤¼º ¸®´õ½Ê, ÆÀ È¿°ú¼º, ȯÀÚ¾ÈÀü °ü¸®Ã¼°è°¡ Áß¿äÇÏ´Ù´Â °ÍÀ» º¸¿©ÁØ´Ù. º¸°ÇÀÇ·á±â°üµéÀº ÀÌ·¯ÇÑ ¿µÇâ¿äÀÎÀ» Áõ°¡½ÃÅ°´Â ÇÁ·Î±×·¥À» °³¹ßÇÏ´Â °ÍÀÌ ÇÊ¿äÇÏ´Ù.
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Purpose: This study was conducted to test a structural model for patient safety culture of clinical nurses focusing on organizational policy and interpersonal factors.
Methods: A descriptive structural equation model design was used. Participates in this study were 385 clinical nurses. The variables of safety management system, authentic leadership, team effectiveness, and patient safety culture were measured to test the hypothetical model. SPSS 25.0 and AMOS 21.0 were used to analyze descriptive statistics and path analysis.
Results: The final model fit satisfied goodness-of-fit and all path were significant. Authentic leadership (¥â=.54, p=<.001) was reported as the most influencing factor, followed by team effectiveness (¥â=.24, p<.001) and safety management system (¥â=.21, p<.001). Safety management system (¥â=.38, p=.002) and authentic leadership (¥â=.12, p=.002) had indirect effects on patient safety culture as well.
Conclusion: The findings of this study show the importance of authentic leadership, team effectiveness, and safety management system to develop patient safety culture. The health care organization should develop the programs to increase these influencing factors.
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KeyWords
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ȯÀÚ¾ÈÀü¹®È, ÀÓ»ó°£È£»ç, ÁøÁ¤¼º¸®´õ½Ê, ÆÀÈ¿°ú¼º
Patient safety culture, Clinical nurse, Authentic leadership, Team effectiveness
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¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
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µîÀçÀú³Î Á¤º¸
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