Open Access, Peer-reviewed
pISSN 1225-9330
eISSN 2288-4955
    J Korean Acad Nurs Adm. 2011 Dec;17(4):462-473. Korean.
    Published online Dec 31, 2011.
    https://doi.org/10.11111/jkana.2011.17.4.462
    Copyright © 2011 Korean Academy of Nursing Administration
    Original Article

    Perception of Patient Safety Culture and Safety Care Activity among Nurses in Small-Medium Sized General Hospitals

    Na Joo Lee,1 and Jeong-Hee Kim2
      • 1Director, Department of QI, Jeju Hanmauem Hospital, Korea.
      • 2Professor, College of Nursing, Jeju National University, Korea.
    • Correspondence: Kim, Jeong-Hee. Professor, College of Nursing, Jeju National University Jeju-do Jeju-si, 1 Ara 1-dong, 690-756. Tel: 82-64-754-3884, Fax: 82-64-702-2686, Email: snukjh@jejunu.ac.kr
    Received September 01, 2011; Revised October 30, 2011; Accepted November 08, 2011.

    Abstract

    Purpose

    This study was done to identify the factors affecting the perception of patient-safety-culture and the level of safety-care-activity among nurses in small-medium sized general hospitals.

    Method

    Data were collected during April and May 2011, from 241 nurses of five hospitals. A hospital survey questionnaire on patient-safety-culture and safety-care-activity was used. Collected data were analyzed using descriptive statistics, Pearson correlation, t-test, ANOVA, Scheffe test and multiple-regression.

    Results

    There were significant differences in the level of perception of patient-safety-culture according to the nurses' age, type of hospital, position, work department, and knowing whether there was a Patient-Safety committee in their hospitals. Nurses with higher perceived level of the patient-safety-culture performed more safety-care-activities. Factors influencing on the safety-care-activities were general patient safety, having had safety-education, patient-to-nurse ratio, employment status, and the level of reporting medical errors. These factors explained 22.9% of the safety-care-activity.

    Conclusions

    The study findings suggest that in order to improve the nurses' perceived level of patient-safety-culture and safety-care-activity, the hospitals need to establish patient-safety committees and communication systems, and openness to reporting medical errors are needed. Better work conditions to ensure appropriate work time, regulate patient-to-nurse ratio, and nursing education standards and criteria, are also required.

    Keywords
    Nurses; Safety culture; Safety care; General hospitals

    Tables

    Table 1
    Demographic and Job-Related Characteristics of the Participants (N=241)

    Table 2
    Levels of Perceived Patient Safety Culture and Safety Care Activity

    Table 3
    Frequency of Reports on Medical Errors and Near-Misses in the Past 12Mont hs

    Table 4
    Perceived Patient Safety Culture and Safety Care Activity by Demographic and Job-Related Characteristics of the Participants (N=241)

    Table 5
    Correlation Between Perceived Patient Safety Culture and Safety Care Activity

    Table 6
    Factors Influencing Safety Care Activity in the Nurses* (N=241)

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    MeSH Terms
    Dietary Sucrose
    Education, Nursing
    Employment
    Hospitals, General
    Humans
    Medical Errors
    Patient Safety
    Surveys and Questionnaires
    Metrics
    Share
    Tables
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