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김진주 ( Kim Jin-Joo ) - Pusan National University Yangsan Hospital Department of Nursing
정향미 ( Jung Hyang-Mi ) - Dong-Eui University Department of Nursing
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Abstract
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목적: 본 연구는 마취·회복실 간호사의 환자안전문화와 환자안전역량 및 안전간호활동 정도를 파악하고, 환자안전문화와 환자안전역량이 안전간호활동에 미치는 영향을 파악하는 서술적조사연구이다.
방법: 대상자는 13개 병원에 근무하는 156명의마취·회복실 간호사였다. 2019년 2월 11일부터 3월 15일까지 자료수집하였고, SPSS 24.0 프로그램을 이용하여 기술적 통계, t-test, Mann-Whitney U test, one-way ANOVA, 피어슨 상관분석, 다중회귀분석으로 분석하였다.
결과: 마취·회복실 간호사의 안전간호활동은 최종학력, 직위, 임상경력, 마취·회복실 근무경력, 환자안전업무 경험에 따라 통계적으로 유의한 차이가 있었다. 안전간호활동은 환자안전문화, 환자안전역량과 유의한 양의 상관관계가 있는 것으로 나타났다. 안전간호활동에 영향을 미치는 요인은 환자안전역량의 하위영역인 환자안전지식, 환자안전기술, 환자안전태도, 대상자 특성의 임상경력과 마취·회복실 근무경력, 환자안전문화의 환자안전개선 시스템으로 나타났으며, 이들 변수의 전체 설명력은57.0%이었다.
결론: 마취·회복실의 안전간호활동을 향상시키기 위해서는 환자안전과 관련된 지식과 실무 기술, 환자안전을 최우선으로 생각하는 태도 등이 강화된 프로그램 개발이 필요하다.
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Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity.
Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program.
Results: Safety nursing activity was significantly different in relation to nurses’ level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity.
Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.
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KeyWords
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환자안전, 안전간호활동
Patient Safety, Safety Management
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원문 및 링크아웃 정보
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등재저널 정보
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