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이재정 ( Lee Jae-Jung ) - Gyeongsang National University Hospital Department of Nursing
전미양 ( Jeon Mi-Yang ) - Gyeongsang National University College of Nursing
이정자 ( Lee Jung-Ja ) - Gyeongsang National University Hospital Department of Nursing
김가나 ( Kim Gha-Na ) - Gyeongsang National University Hospital Department of Nursing
정다인 ( Jeong Da-In ) - Gyeongsang National University Hospital Department of Nursing
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Abstract
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목적: 본 연구의 목적은 혈액투석실 간호사의 환자안전 위험요인 인식, 환자안전역량과 안전간호활동 간의 상관관계를 파악하고, 환자안전 위험요인 인식과 환자안전역량이 안전간호활동에 미치는 영향을 규명하고자 시행되었다.
방법: 본 연구의 대상자는 경상남도에 위치한 16개 혈액투석실의 간호사 146명이었고, 구조화된 설문지를 이용하여 조사하였다. 수집된 자료는 IBM SPSS WIN 24.0 Ver program을 사용하여 Independent t-test와 One-way ANOVA, Pearson’s correlation coefficients, 다중회귀분석(multiple regression analysis)로 분석하였다.
결과: 본 연구에서 안전간호활동의 점수는 3.47±0.38점이었고, 안전간호활동은 환자안전역량과 정적 상관관계가 있었다. 안전 간호활동에 차이를 보이는 특성은 교육정도, 병원 형태, 병원근무경력, 1일 평균 투석건수, 간호사 1명당 1일 평균 투석건수, 환자안전 교육경험, 환자안전사고 보고 등록체계유무, 환자안전사고 보고 등록체계 직접등록여부로 나타났다. 다중회귀분석 결과, 안전 간호활동에 영향을 미치는 요인으로 환자안전사고 보고 등록체계 직접등록여부, 환자안전역량, 간호사 1인당 1일 평균 투석 건수로 나타났으며, 모형의 설명력은 34.0%이었다.
결론: 혈액투석실의 안전간호활동 향상을 위해서는 환자안전사고 보고를 직접 등록할 수 있도록 환자안전사고 보고 등록체계를 활성화시키고, 환자안전역량을 강화시키며, 혈액투석실에 적정 간호인력을 배치함으로써 간호사 1인당 1일 평균 투석건수가 7회 미만으로 이루어질 수 있도록 해야 할 것이다.
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Purpose: The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities.
Methods: The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0.
Results: The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R2=.34).
Conclusion: The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses’ competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.
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KeyWords
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임상 역량, 혈액투석실, 간호사, 환자안전, 위험 요인
Clinical Competence, Hemodialysis Unit, Hospital, Nurses, Patient Safety, Risk Factor
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원문 및 링크아웃 정보
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등재저널 정보
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