J Korean Acad Nurs Adm.  2016 Jun;22(3):239-250. 10.11111/jkana.2016.22.3.239.

Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities

• Jang HM
• Park JY
• Choi YJ
• Park SW
• Lim HN

• KMID: 2326652
• DOI: http://doi.org/10.11111/jkana.2016.22.3.239

Abstract

PURPOSE
The aim of this study was to examine effects of patient safety culture and burnout on safety management activities with a focus on clinical experience of nurses in general hospitals.
METHODS
Self-administered questionnaires were given to nurses in a general hospital in C Province, and 107 questionnaires were used for final analysis. Collected data were analyzed using SPSS/WIN 21.0 Program for t-test, ANOVA, Pearson correlation coefficients, and multiple regression.
RESULTS
The highest score as perceived by general hospital nurses for patient safety culture was for 'Immediate superior/Manager'(3.84), for burnout, the highest score was for 'Emotional exhaustion' (4.13), and for safety management activities, the highest score was for 'Prevention of infection' (3.96). Patient safety culture and safety management activities perceived by general hospital nurses showed significant positive correlations (r=.35 p<.001). The correlations between burnout and safety management activities perceived by the nurses showed significant negative correlations (r=-.37, p<.001). Results of hierarchical regression analysis conducted to identify factors that affect safety management activities showed that patient safety culture (β=.40 p<.001) was effective for controlling safety management activities.
CONCLUSION
The findings indicate a need to build a patient safety culture that fits the characteristics and situations of various hospitals.

Keyword

Perception of patient safety culture; Burnout; Safety management activities

MeSH Terms

Hospitals, General*
Humans
Patient Safety*
Safety Management*

Reference

1. Ministry of Education (KR). Safety consciousness index of students [Internet]. Seoul: Ministry of Education;2014. cited 2014 April 4. Available from: http://www.prism.go.kr/homepage/researchCommon/retrieveResearchDetailPopup.do?research_id=1342000-201300056.

2. Agency for Healthcare Research and Quality (US). Hospital survey on patient safety culture [Internet]. 2016. cited 2015 December 20. Available from: http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/index.html.

3. Kim JY, Hwang EA. A study on improvement of consumer safety in medical services-based on patient safety. Seoul: Korea Consumer Agency;2015.

4. Lee SI. Policy suggestions for improving patient safety. In : 2012 Spring SNUH's Hospital Medical Policy Symposium; 2012 May 22; Seoul: Seoul National University Hospital.

5. Agency for Healthcare Research and Quality (US). AHRQ focus on research: Patient safety(Publication No. 02-M021) [Internet]. Rockville, MD: Agency for Healthcare Research and Quality;2012. cited August 18, 2003. Available from: http://www.ahrq.gov/professionals/quality-patient-safety/index.html.

6. Lee KS, Shin MK. Goals and assignments of healthcare accreditation program in Korea. J Korean Med Assoc. 2012; 55(1):7–16. DOI: 10.5124/jkma.2012.55.1.7.

7. Kim YO. A study of factors predicting burnout in hospital staff nurses. J Korean Acad Adult Nurs. 2002; 14(4):591–601.

8. Kim JU, Yang GA, Yun SH. Korean hospital environment associated with patient safety and communication process in recognition of a nurse. Healthc Inf Res. 2004; 10:130–135.

9. Park SJ. A study on hospital nurse's perception of patient safety culture and safety care activity [master's thesis]. Busan: Donga University;2009.

10. Kim JJ, Kim TJ, Seo SE, Jung YS, Shin CH, Kim IS. Fundamentals of nursing. Seoul: Jungdam Media;2006.

11. Hospital Nurses Association. Clinical nursing practice guideline for fall prevention [Internet]. 2008. cited 2015 December 20. Available from: http://khna.or.kr/bbs/linkfile/resource/khna_Fcare.pdf.

12. Lee YJ. Patient safety culture and management activities perceived by hospital nurses [master's thesis]. Daejeon: Eulji University;2011.

13. 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.

14. Lee JM, Hong SJ, Park MH. Perception of patient safety culture and safety care activity among ICU nurses. Korean Rev Crisis Emerg Manag. 2013; 9(11):273–290.

15. Nam MH, Lim JH. The influences of the awareness of patient safety culture on safety care activities among nurse in smallmedium sized general hospitals. J Digit Converg. 2013; 11(1):349–359.

16. Lee MJ. Effects of perceived patient safety culture on safety care activities among nurses in small to medium hospitals [master's thesis]. Busan: Donga University;2015.

17. Jeong HJ. Safety culture awareness and safety management activities of operating room nurse [master's thesis]. Seoul: Kyung Hee University;2013.

18. Joo JI. The effect of perceived patient safety culture and job exhaustion on the patient safety performance among operation room nurses [master's thesis]. Gimhae: Inje University;2014.

19. Kizer KW. Large system change and a culture of safety (conference paper). In : Scheffler A, Zipperer LA, editors. Enhancing patient safety and reducing errors in health care. Chicago, IL: National Patient Safety Foundation;1999.

20. Je WY. Hospital workers' perception of patient safety culture in a university hospital [master's thesis]. Seoul: Sungkyunkwan University;2007.

21. Noh YN. Analysis of perception patient safety culture among hospital workforce [master's thesis]. Seoul: Yonsei University;2008.

22. Maslach C, Zimbardo PG. Burnout, the cost of caring. Englewood Cliffs, N.J.: Prentice-Hall;1982.

23. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981; 2(2):99–113. DOI: 10.1002/job.4030020205.

24. Choi HY. Perfectionism tendency, social support, and burnout among counselors [master's thesis]. Seoul: The Catholic University of Korea;2002.

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

26. Shin EH. Perception on patient safety culture and safety nursing activity by hospital nurses [master's thesis]. Wonju: Gangneung-Wonju National University;2014.

27. Han NJ. The awareness on patient safety culture and the degree of safe nursing activity of hospital nurses [master's thesis]. Daegu: Kyungbook National University;2012.

28. Gong HH, Son YJ. Impact of nurses' job satisfaction and organizational commitment on patient safety management activities in tertiary hospitals. J Korean Acad Fundam Nurs. 2012; 19(4):453–462.