J Korean Acad Nurs Adm.  2011 Dec;17(4):413-422.

Effects of Perceived Patient Safety Culture on Safety Nursing Activities in the General Hospital Nurse's

• Kim HY
• Kim HS

Abstract

PURPOSE
This descriptive correlation study was done to identify how perception of patient safety culture of general hospital nurses affects safety during nursing activities. Data from this study should provide information on management of patient safety as well as improvement in patient safety. METHOD: Participants in this study were 357 clinical nurses working in a general hospital in M city which had two medical evaluations. A survey was conducted to gather the data.
RESULTS
The score for perception of patient safety culture of the general hospital nurses was 3.42, out of a possible 5 points, and the score for safety care activities was 3.90. There was a statistically significant positive relationship between the nurses' perception of patient safety culture and their safety care activities, Perception of patient safety culture, Supervisor/manager, communication and procedures, and frequency of accident reporting were factors that impacted significantly on safety nursing activity.
CONCLUSION
The results of the study indicate that patient safety cultural perception significantly affects the safety of nursing activities and thus systematic educational strategies to increase perception should be provided to increase the level of patient safety culture. Also, other specific methods that increase the level of patient safety culture should be considered.

Keyword

Patient; Culture; Safety management

MeSH Terms

Hospitals, General
Humans
Patient Safety
Safety Management
Statistics as Topic

Reference

1. Agency for Health Research and Quality. Hospital survey on patient culture. 2004. Retrieved at March 10, 2008, from http://www.ahrq.gov/qual/hospculture/hospcult.pdf.

2. Choi MH. Perception of patient safety culture and influencing the factors among hospital workers. 2009. Daegu: Keimyung University;Unpublished master's thesis.

3. Denise S, Jayce J. Perceptions of patient safety culture physicians and RNs in the perioperative area. AORN J. 2008. 87(1):163–164. 166–172.

4. Feng X, O'Nell C, Bernstein M. Patient safety in surgery: error detection and prevention. World J Surg. 2003. 27:936–941.

5. Gearhart SF. The relationship between care provider perceptions of safety culture and patient perceptions of care on three hospital units. 2008. San Francisco, Califonia: University of Califonia.

6. JCAHO. National patient safety goals. 2008. Retrieved at March 10, 2008, from http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/.

7. Jang WS. An analysis on organizational commitment in accordance with communication types of hospital organization. 2004. Busan: Kosin University;Unpublished master's thesis.

8. Je WY. Hospital workets' perception of patient safety culture in a university hospital. 2007. Seoul: Sungkyunkwan University;Unpublished master's thesis.

9. Jeong J, Seo YJ, Nam EW. Factors affecting patient safety management activities at nursing divisions of two university hospitals. Korean J Hosp Manage. 2006. 11(1):91–109.

10. Kang MA, Kim JE, An KE, Kim Y, Kim SW. Physicians' perception of and attitudes towards patient safety culture and medical error reporting. Korean J Health Policy Adm. 2005. 15(4):100–135.

11. Kang JH, Kang HY, Kim BR, Kim IS, Kwon SH, Park MH, Song NH, Oh SL, Yu ML, Lee WT, Lee YJ, Lee YJ, Lee HT, Jeon SJ, Jung SG, Cho MH, Cho YI, Choi JY. Patient safety and nursing. 2010. Paju: Medical Academy House.

12. 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. Clin Nurs Res. 2007. 13(3):169–177.

13. Kim JH. The effect of interpersonal communication training on hospital coordinators' interpersonal communication and social problem solving ability. 2005. Busan: Kyungsung University;Unpublished master's thesis.

14. Kim YL. Perception of patient safety culture of hospital nurses. 2009. Jeonju: Chonbuk National University;Unpublished master's thesis.

15. Kizer KW. Large system change and culture of safety. Enhancing Patient Safety and Reducing Errors in Health Care. 1999. Chicago: National Patient Safety Foundation.

16. Kohn LT, Corrigan JM, Donalson MS. To error is human: building a safer health system. 1999. Washington, DC: Institute of Medicine. National Academy Press.

17. Korea Health Industry Development Institute. 2008 Guidelines for hospital evaluation programme. 2008. Korea Health Industry Development Institute;195–196.

18. Ku SA. Analysis of near miss cases about the patient safety based on voluntary reporting in one general hospital. 2009. Daegu: Kyungpook National University;Unpublished master's thesis.

19. Lee GO. The study on nurse manager leadership and patient safety-related nursing activities. 2009. Seoul: Kyung Hee University;Unpublished master's thesis.

20. Nam MH. The cognition level on the patient safety and safe nursing activities among hospital nurses in Busan. 2010. Busan: Inje University;Unpublished doctoral dissertation.

21. Nicklin W, McVeety JE. Canadian nurses' perceptions of patient safety in hospitals. Can J Nurs Leadersh. 2002. 15(3):11–21.

22. Park SJ. A study on hospital nurses' perception of patient safety culture and safety care activity. 2008. Busan: Dong-A University;Unpublished master's thesis.

23. Song KJ, Park SH, Kwon MK, Park JS, Nam SN, You M, Kim MA. A study on the nurse performance appraisal in a university-affiliated hospital. Clin Nurs Res. 2006. 12(1):97–108.

24. Wears RL, Janick B, Moorhead JC, Kellermann AL, Yeh CS, Rice MM, Jay G, Perry SJ. Human error in medicine: promise and pitfall. Ann Emerg Med. 2000. 36(1):58–60.

25. Woodhall L, Vertacnik L, McLaughlin M. Implementation of the SBAR communication technique in a tertiary center. J Emerg Nurs. 2008. 34(4):314–317.

26. Woodward S, Rondall S, Hoey A, Bishop R. Seven steps to patient build a safety culture. 2004. London: National Health Service.

27. Yang HY. A study on the effect of perception of hospital nurses toward the patient safety culture on the safety nursing activity : focusing on suncheon region. 2009. Suncheon: Suncheon University;Unpublished master's thesis.