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Influence of Communication Self-efficacy and Perception of Patient Safety Culture on Experience of Nursing Errors among Operating Room Nurses

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KMID : 0614820210270030181
¼­ÁöÀΠ( Seo Ji-In ) - Kyungpook National University Department of Forensic Nursing

±èÀ¯Á¤ ( Kim Yu-Jeong ) - Kyungpook National University College of Nursing

Abstract

¿¬±¸¸ñÀû: º» ¿¬±¸´Â ¼ö¼ú½Ç °£È£»çÀÇ ÀÇ»ç¼ÒÅë ÀÚ±âÈ¿´É°¨°ú ȯÀÚ¾ÈÀü¹®È­ÀνÄÀÌ °£È£¿À·ù °æÇè¿¡ ¹ÌÄ¡´Â ¿µÇâÀ» È®ÀÎÇϱâ À§ÇØ ½ÃÇàµÇ¾ú´Ù.

¿¬±¸¹æ¹ý: 16°³ º´¿øÀÇ ¼ö¼ú½Ç¿¡¼­ ±Ù¹«ÇÏ´Â 184¸í °£È£»ç¸¦ ÆíÀÇÇ¥ÁýÇÏ¿© Ⱦ´ÜÀû ¼³°è·Î ½ÃÇàµÇ¾ú´Ù. ÀÇ»ç¼ÒÅë ÀÚ±âÈ¿´É°¨, ȯÀÚ¾ÈÀü¹®È­ÀνÄ, ¼ö¼ú½Ç °£È£¿À·ù °æÇè¿¡ ´ëÇÑ ¼³¹®À» ½ÃÇàÇÏ¿´´Ù. ÀÚ·á´Â ¼­¼úÅë°è, Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis test, Pearson's correlation coefficient, ´ÙÁßȸ±ÍºÐ¼®À¸·Î ºÐ¼®ÇÏ¿´´Ù.

¿¬±¸°á°ú: °£È£¿À·ù °æÇèÀº ÀÇ»ç¼ÒÅë ÀÚ±âÈ¿´É°¨(r=-.39, p<.001) ¹× ȯÀÚ¾ÈÀü¹®È­ÀνÄ(r=-.36, p<.001)°ú À¯ÀÇÇÑ À½ÀÇ »ó°ü°ü°è°¡ ÀÖ¾ú´Ù. °£È£¿À·ù °æÇè¿¡ À¯ÀÇÇÑ ¿µÇâÀ» ¹ÌÄ¡´Â ¿äÀÎÀº ÀÇ»ç¼ÒÅë ÀÚ±âÈ¿´É°¨(¥â=-.25, p=.002)°ú ȯÀÚ¾ÈÀü¹®È­ÀνÄ(¥â=-.21, p=.009)À̾úÀ¸¸ç, Àüü ¼³¸í·ÂÀº 19% (F=14.85, p<.001)·Î ³ªÅ¸³µ´Ù.

°á·Ð: ¼ö¼ú½ÇÀÇ °£È£¿À·ù À§ÇèÀ» ÁÙÀ̱â À§ÇØ ÀÇ»ç¼ÒÅë ÀÚ±âÈ¿´É°¨°ú ȯÀÚ¾ÈÀü¹®È­ÀνÄÀ» Çâ»ó½ÃÅ°´Â Áö¼ÓÀûÀÎ ±³À°°ú ÇÁ·Î±×·¥ÀÌ ÇÊ¿äÇÏ´Ù.

Purpose: This study was conducted to identify the influence of communication self-efficacy and perception of thepatient safety culture on the experience of nursing errors among operating room nurses.

Methods: A cross-sectionaldesign was used, with a convenience sample of 184 operation room nurses from 16 hospitals in Korea. Data werecollected through a structured self-administered survey. The questionnaires included Communication, Self Efficacy,Safety Attitude Questionnaire, and experiences of nursing errors in operation room. Data were analyzed usingdescriptive analysis, Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficientsand multiple linear regression.

Results: The experience of nursing errors had significant negative correlations withcommunication self-efficacy (r=-.39, p<.001) and perception of the patient safety culture (r=-.36, p<.001). Factorssignificantly influencing the experiences of nursing errors included communication self-efficacy (¥â=-.25, p=.002), andperception of patient safety culture (¥â=-.21, p=.009). The overall explanatory power was 19% (F=14.85, p<.001).

Conclusion: It is necessary to develop continuous education and programs improving communication self efficacyand perception of patient safety culture to reduce risk of nursing errors in the operating room.
KeyWords
¼ö¼ú½Ç, ÀÇ»ç¼ÒÅë, ȯÀÚ¾ÈÀü, ÀÇ·á¿À·ù
Operating rooms, Communication, Patient safety, Medical errors
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed