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일차의료기관 혈액투석실 간호사의 간호근무환경, 환자안전문화 및 환자안전간호활동의 관계

Relationship between Nursing Work Environment, Patient Safety Culture, and Patient Safety Nursing Activities in Hemodialysis Clinics of Primary Care Centers

홍인숙 (공주대학교), 배상현 (공주대학교), 조옥희 (공주대학교)

언어 :

권호 : v.27, no.3, 250-258,

발행일자 : 2020년 12월

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초록

Purpose: This study aimed to investigate the relationship between nursing work environment, patient safety culture, and patient safety nursing activities in hemodialysis units at primary care centers. Methods: In this cross-sectional descriptive study, 116 nurses working in hemodialysis units at 22 primary care centers were enrolled as participants. They were selected them by the convenience sampling method. Data were collected using structured questionnaires that included questions on general characteristics, nursing work environment, patient safety culture, and patient safety nursing activities. Results: The nursing work environment was relatively good; however, the patient safety culture and patient safety nursing activities were poor. A positive correlation was found between nursing work environment, patient safety culture, and patient safety nursing activities. Factors that affect patient safety culture were rated high in the order of nursing work environment and patient safety nursing activities, and factors affecting patient safety nursing activities were rated high in the order of patient safety culture and age. Conclusion: This study showed that the development of tailored patient safety training for nurses in hemodialysis units working in primary care and administrative support from those institutions are needed. In particular, strategies accounting for nurses' characteristics such as age are required to strengthen patient safety nursing activities.

참고문헌 (30)

  • Health Insurance Review & Assessment Service. Report of 2015 5th hemodialysis adequacy evaluation result [Internet]. Wonju: Health Insurance Review & Assessment Service; 2017 [cited 2020 May 5]. Available from: https://www.hira.or.kr/re/diag/asmWrptPopup.do?evlCd=04&pgmid=HIRAA030004000000

  • Jin DC. Major changes and improvements of dialysis therapy in Korea: review of end-stage renal disease registry. The Korean Journal of Internal Medicine. 2015;30(1):17-22. https://doi.org/10.3904/kjim.2015.30.1.17

    http://dx.doi.org/10.3904/kjim.2015.30.1.17

  • Kim JY. Advice on securing consumer safety of clinic-levelmedical institutions [Internet]. Eumseong: Korea Consumer Agency; 2015 [cited 2020 June 20]. Available from: https://www.kca.go.kr/home/sub.do?menukey=4083&mode=view&no=1001785337&page=21

  • Park EJ. A study on the medical service satisfaction of hospitals [master's thesis]. Cheonan: Dankook University; 2003. p. 44-49.

  • Kim KS, Lee SH, Ryu DR. Factors associated with quality control of hemodialysis treatment. The Korean Journal of Medicine. 2014;87(4):439-448. https://doi.org/10.3904/kjm.2014.87.4.439

    http://dx.doi.org/10.3904/kjm.2014.87.4.439

  • Health Insurance Review & Assessment Service. Hemodialysis adequacy evaluation norm value part new index development research [Internet]. Wonju: Health Insurance Review & Assessment Service; 2014 [cited 2020 May 5]. Available from: https://www.hira.or.kr/rc/icenter/study/getReportList.do?pgmid=HIRAA030095000000

  • Seo JH. Patient safety in small or medium hospitals and clinics: current status and policy issues. Health and Welfare Policy Forum. 2016;242(0):84-94.

  • Flynn L, Thomas-Hawkins C, Bognar L. Work environment characteristics valued by outpatient hemodialysis unit nurse managers. Nephrology Nursing Journal. 2016;43(5):403-446.

  • Hayes B, Bonner A, Douglas C. Haemodialysis work environment contributors to job satisfaction and stress: a sequential mixed methods study. Bio Med Central Nursing. 2015;14(1):58. https://doi.org/10.1186/s12912-015-0110-x

    http://dx.doi.org/10.1186/s12912-015-0110-x

  • Seo JA, Lee BS. Effect of work environment on nursing performance of nurse in hemodialysis units: focusing on the effects of job satisfaction and empowerment. Journal of Korean Academy of Nursing Administration. 2016;22(2): 178-188. https://doi.org/10.11111/jkana.2016.22.2.178

    http://dx.doi.org/10.11111/jkana.2016.22.2.178

  • Lee MA, Kang SJ, Hyun HS. Relationship among nursing professionalism, nursing work environment, and patient safety nursing activities in general hospital nurses. Journal of Korean Academy of Nursing Administration. 2019;25(4): 317-328. https://doi.org/10.11111/jkana.2019.25.4.317

    http://dx.doi.org/10.11111/jkana.2019.25.4.317

  • Ulrich B, Kear T. Patient safety culture in nephrology nurse practice settings: results by primary work unit, organizational work setting, and primary role. Nephrology Nursing Journal. 2015;42(3):221-237.

  • Jung SJ, Jeong JH. Influence of professionalism and organizational communication on patient safety culture of nurses in hemodialysis units. Journal of Korean Clinical Nursing Research. 2019;25(1):98-105. https://doi.org/10.22650/JKCNR.2019.25.1.98

    http://dx.doi.org/10.22650/JKCNR.2019.25.1.98

  • Kim MK, Lee SM. The causal relationships among staff nurses' job stress factors, patient safety culture perception and patient safety nursing activities in a university hospital. Journal of Korean Academy of Nursing Administration. 2019;25(4):340-352. https://doi.org/10.11111/jkana.2019.25.4.340

    http://dx.doi.org/10.11111/jkana.2019.25.4.340

  • Bae HJ, Kim JE, Bae YH, Kim HJ. Factors associated with patient safety care activity among nurses in small-medium sized general hospitals. Journal of the Korea Academia-Industrial Cooperation Society. 2019;20(5):118-127. https://doi.org/10.5762/KAIS.2019.20.5.118

    http://dx.doi.org/10.5762/KAIS.2019.20.5.118

  • Han MY, Jung MS. Effect of hospital nurses' perceptions of organizational health and patient safety culture on patient safety nursing activities. Journal of Korean Academy of Nursing Administration. 2017;23(2):127-138. https://doi.org/10.11111/jkana.2017.23.2.127

    http://dx.doi.org/10.11111/jkana.2017.23.2.127

  • Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4): 1149-1160. https://doi.org/10.3758/BRM.41.4.1149

    http://dx.doi.org/10.3758/BRM.41.4.1149

  • Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002;25(3):176-188. https://doi.org/10.1002/nur.10032

    http://dx.doi.org/10.1002/nur.10032

  • Cho EH, Choi MN, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-332. https://doi.org/10.4040/jkan.2011.41.3.325

    http://dx.doi.org/10.4040/jkan.2011.41.3.325

  • Lee SG. Development and psychometric evaluation of the korean patient safety culture survey instrument for hospitals [dissertation]. Seoul: Chung-ang University; 2015. p. 5-86.

  • Lee JY, Nam HR. Effects of work environment, organizational culture and demands at work on emotional labor in nurses. Journal of Korean Academy of Nursing Administration. 2016;22(2):119-128. https://doi.org/10.11111/jkana.2016.22.2.119

    http://dx.doi.org/10.11111/jkana.2016.22.2.119

  • Kim KS, Lee HY. Comparative study on the stress and the coping method between nephrology nurses working in the hospitals of university and the hemodialysis clinics. Journal of East-West Nursing Research. 2004;9(1):46-56.

  • Lee JC. 2016 Korean physician survey. Research Institute for Healthcare Policy Korean Medical Association. 2018; 16(1):64-69.

  • Kim MJ, Kim JK. A study on the relationships among perception about patient safety culture, patient safety competence, and safety nursing activities of emergency room nurses. The Journal of the Korea Contents Association. 2017;17(10):268-279. https://doi.org/10.5392/JKCA.2017.17.10.268

    http://dx.doi.org/10.5392/JKCA.2017.17.10.268

  • Ock MS, Kim JH, Lee SI. A legal framework for improving patient safety in Korea. Health Policy and Management. 2015;25(3):174-184. https://doi.org/10.4332/KJHPA.2015.25.3.174

    http://dx.doi.org/10.4332/KJHPA.2015.25.3.174

  • Lee SH, Lee YH. Perception on patient safety culture and patient safety competency of intensive care unit nurses. Journal of The Korean Data Analysis Society. 2016;18(4): 2215-2229.

  • Sperati CJ, Soman S, Agrawal V, Liu Y, Abdel-Kader K, Diamantidis CJ, et al. Primary care physicians' perceptions of barriers and facilitators to management of chronic kidney disease: a mixed methods study. PLoS One. 2019;14(8): e0221325. https://doi.org/10.1371/journal.pone.0221325

    http://dx.doi.org/10.1371/journal.pone.0221325

  • Kim MS, Shin MJ, Kim MK, Kim JH, Park SM, Woo HJ, et al. A study on the job activity analysis of the hemodialysis nurses. Journal of Korean Academy of Nursing Administration. 2000;6(3):303-317.

  • Kim MR, Kwon MS. The effects of operating room nurses' perceptions of organizational health, safety climate, and the nursing working environment on engagement in patient safety management activities. Korean Journal of Occupational Health Nursing. 2019;28(4):197-207. https://doi.org/10.5807/kjohn.2019.28.4.197

    http://dx.doi.org/10.5807/kjohn.2019.28.4.197

  • Cho SD, Heo SE, Moon DH. A convergence study on the hospital nurse's perception of patient safety culture and safety nursing activity. Journal of the Korea Convergence Society. 2016;7(1):125-136. https://doi.org/10.15207/JKCS.2016.7.1.125

    http://dx.doi.org/10.15207/JKCS.2016.7.1.125