Published online Sep 30, 2015.
https://doi.org/10.11111/jkana.2015.21.4.405
A Comparative Study on Perception of Patient Safety Culture and Safety Care Activities: Comparing University Hospital Nurses and Small Hospital Nurses
Abstract
Purpose
The purpose of this study was to compare perception of patient safety culture and safety care activities between university hospital nurses (group A) and small hospital nurses (group B).
Methods
Using a structured questionnaire, data were collected from 246 university hospital nurses and 223 small hospital nurses working in Seoul or Gyeonggi Province. Descriptive statistics, x2-test, ANCOVA, t-test, ANOVA with the SPSS package were used for data analysis.
Results
Total score for perception of patient safety culture and 3 subcategories of perception of patient safety culture were statistically significantly higher for group B compared to group A. Operation room nursing, falls, and bed sore scores in patient safety care activities were statistically significantly higher for group A than for group B.
Conclusion
The study findings suggest that the specific characteristics by size should be considered when developing effective patient safety culture in hospitals.
Table 1
General Characteristics of Participants
Table 2
Perception of Patient Safety Culture & Safety Care Activities between University Hospital Nurses and Small Hospital Nurses (N=469)
Table 3
Perception of Patient Safety Culture and Safety Care Activities of the University Hospital Nurses by Demographic Characteristics (N=246)
Table 4
Perception of Patient Safety Culture and Safety Care Activities of the Small Hospital Nurses by Demographic Characteristics (N=223)
References
-
Lee AS, Yoon CK. A Study on nurses perception to the patient safety in hospital. Korean Public Health Res 2010;36(2):73–82.
-
-
Lee NJ, Kim JH. Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals. J Korean Acad Nurs Adm 2011;17(4):462–473. [doi: 10.11111/jkana.2011.17.4.462]
-
-
Kohn LT, Corrigan JM, Donaldson MS. In: To err is human: Building a safer health system. Washington DC: National Academy Press; 2000.
-
-
Kim KJ, Han JS, Seo MS, Jang BH, Park MM, Ham HM, Yoo MS, et al. Relationship between intra-organizational communication satisfaction and safety attitude of nurses. J Korean Acad Nurs Adm 2012;18(2):213–221. [doi: 10.11111/jkana.2012.18.2.213]
-
-
Park SJ. In: A study on hospital nurses' perception of patient safety culture and safety care activity [master's thesis]. Busan: Dong-A University; 2009.
-
-
Kim JE, Kang MA, An KE, Sung YH. A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. J Korean Clin Nurs Res 2007;13(3):169–179.
-
-
Kim EK, Kang MA, Kim HJ. Experience and perception on patient safety culture of employees in hospitals. J Korean Acad Nurs Adm 2007;13(3):321–334.
-
-
Park KO. Supply and demand of nursing manpower for small and medium hospitals in rural area: nursing shortage versus wage disparity. Perspect Nurs Sci 2009;6(1):67–76.
-
-
Lee GO. In: The study on nurse manager leadership and patient safety-related nursing activities [master's thesis]. Seoul: Kyung Hee University; 2009.
-
-
Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. BMJ Qual Saf 2011;20(11):914–922. [doi: 10.1136/bmjqs.2010.047233]
-
-
Nieva VF, Sorra JS. Safety culture assessment: A tool for improving patient safety in healthcare organization. Qual Saf Health Care 2003;12 suppl 2:ii17–ii23. [doi: 10.1136/qhc.12.suppl_2.ii17]
-
-
Vaismoradi M. Nursing education curriculum for improving patient safety. J Nurs Educ Pract 2012;2(1):101–104. [doi: 10.5430/jnep.v2n1p101]
-
-
Cho SS, Gang MH. Perception of patient safety culture and safety care activity of entry-level nurses. Korean J Occup Health Nurs 2013;22(1):24–34. [doi: 10.5807/kjohn.2013.22.1.24]
-
-
Lee KH, Lee YS, Park HK, Rhu JO, Byun IS. The influences of the awareness of patient safety culture on safety care activities among operating room nurses. J Korean Clin Nurs Res 2011;17(2):204–214.
-
-
Sorra JS, Nieva VF. Hospital survey on patient safety culture. (Prepared by Westat, under Contract No. 290-96-0004). AHRQ Publication No. 04-0041. Rockville, MD: Agency for Healthcare Research and Quality; 2004http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-
patient- safety/patientsafetyculture/hospital/reso urces/hospcult.pdf.
-
-
Kim JE, Ahn KE, Yoon SH. Nurses perception of the hospital environment and communication process related to patient safety in Korea. J Korean Soc Med Inform 2004;10 suppl 1:130–135.
-
-
Lee YJ. In: Patient safety culture and management activities perceived by hospital nurses [master's thesis]. Daejeon: Eulji University; 2011.
-
-
Kim SK, Lee HJ, Oh EG. Perceived level and associated factors of patient safety culture among health care providers in an operating room. J Korean Clin Nurs Res 2010;16(2):57–67.
-
-
Kim KJ. In: The effects of website-based patient safety culture promotion program on nurses' perception of safety culture attitude and behavior [dissertation]. Seoul: Yonsei University; 2012.
-
-
Jeong J. In: Factors affecting patient safety management activities at two university hospitals: The case of nursing divisions [master's thesis]. Seoul: Yonsei University; 2006.
-
-
Park JH. In: Hospital worker's perception of patient safety culture in small & medium hospital (Seoul, Incheon) [master's thesis]. Incheon: Gachon University; 2011.
-
-
Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, et al. Rationing of nursing care and its relationship to patient outcomes: The Swiss extension of the international hospital outcomes study. Int J Qual Health Care 2008;20(4):227–237. [doi: 10.1093/intqhc/mzn017]
-