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Patient Participation in Patient Safety and Its Relationships with Nurses¡¯ Patient-Centered Care Competency, Teamwork, and Safety Climate

Asian Nursing Research 2019³â 13±Ç 2È£ p.130 ~ 136
KMID : 1022320190130020130
ȲÁöÀΠ( Hwang Jee-In ) - Kyung Hee University College of Nursing Science Department of Nursing

±è¼º¿Ï ( Kim Sung-Wan ) - Kyung Hee University School of Medicine Department of Otolaryngology-Head and Neck Surgery
ÁøÈ£ÁØ ( Chin Ho-Jun ) - Seoul National University College of Medicine Department of Internal Medicine

Abstract

Purpose: This study¡¯s aim was to examine degrees of patient participation in patient safety activities in hospitals and to investigate their relationships with nurses¡¯ patient-centered care competency (PCC), teamwork, and safety climate.

Methods: A cross-sectional study design was used. Data were collected with 479 nurses from two general hospitals in Seoul, Korea, using a questionnaire designed to collect data on patient participation in patient safety activities, PCC, teamwork perceptions, and safety climate. The response rate was 74.1% (N = 355). Data were analyzed using descriptive statistics and multiple logistic regression analysis.

Results: The mean score for patient participation was 2.76 ¡¾ 0.46 of 4.0. The mean scores for PCC, teamwork, and safety climate were 3.61 ¡¾ 0.46, 3.64 ¡¾ 0.41, and 3.35 ¡¾ 0.57 of 5.0, respectively. Nurses who experienced high patient participation in patient safety activities (¡Ã 3.0) had higher scores for PCC, teamwork, and safety climate. Multiple logistic regression analysis revealed that PCC (OR = 2.31, 95% CI = 1.14?4.70) and safety climate (OR = 2.51, 95% CI = 1.09?5.78) scores were the significant factors associated with patient participation.

Conclusion: The degree of patient participation in patient safety activities was not high. Nurses¡¯ PCC, teamwork, and safety climate were positively related with patient participation. In particular, the findings indicate that enhancing nurses¡¯ competency for patient-centered care and creating a strong safety climate are important to promote patient participation for safer health care.
KeyWords

culture, patient-centered care, patient participation, patient safety
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