J Korean Acad Nurs Adm.  2017 Sep;23(4):450-459. 10.11111/jkana.2017.23.4.450.

Nurses' Perception of Patient Safety Culture and Safety Control in Patient Safety Management Activities

• Jang HE
• Song Y
• Kang HY

• KMID: 2393125
• DOI: http://doi.org/10.11111/jkana.2017.23.4.450

Abstract

PURPOSE
There have been global initiatives and efforts over the last decade to manage patient safety. Thus aims of this study were to examine university hospital nurses' perceptions of patient safety culture and levels of safety control, and to identify factors that affect patient safety management activities.
METHODS
Participants were 222 nurses who had worked as nurses for more than one year and who conducted patient safety management activities at a university hospital. Data were collected using structured questionnaires and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis with SPSS/WIN 20.0 computer program.
RESULTS
General factors which positively impacted nurses' patient safety management were total length of work in nursing, total length of work in present hospital, and experience of a patient safety accident along with safety factors of perception of communication about accident related events and frequency of reporting accident events. These variables explained 45% of the variance in patient safety management activities.
CONCLUSION
The findings from this study suggest solutions to promote patient safety management activities in hospitals and provide basic background for nursing education intervention strategies to promote safety control and patient safety management activities intended for nurses.

Keyword

Patient safety; Safety control; Safety management; Nurses

MeSH Terms

Education, Nursing
Humans
Nursing
Patient Safety*
Safety Management

Reference

1. Jha A. World Health Organization; World Alliance for Patient Safety. Summary of the evidence of patient safety: implications for research. Geneva: World Health Organization;2008.

2. Gil YK, Kim YM, Min J, Jung YY, Choi EK. Safety nursing. Continuing nurse education material. Seoul: Korean Nurses Association;2009.

3. World Health Organization. World Alliance for Patient Safety. The conceptual framework for the international classification for patient safety. Version 1.1-final technical report [Internet]. updated January 2009. cited January 15, 2016. Available from: http://www.who.int/patientsafety/taxonomy/icps_full_report.pdf?ua=1.

4. Milligan F, Dennis S. Improving patient safety and incident reporting. Nurs Stand. 2004; 19(7):33–36. DOI: 10.7748/ns2004.10.19.7.33.c3733.

5. Janggokcheon M, Nam EU, Kim MH. Research on construction of safety management system for patients in Japanese hospitals. J Korean Hosp Assoc. 2002; 31(6):97–117.

6. National Patient Safety Agency (Great Britain). National reporting and learning service [Internet]. London: NHS Improvement;2011. cited March 1, 2015. Available from: http://www.nrls.npsa.nhs.uk.

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

8. Kizer KW. Large system change and culture of safety. In : Proceedings of enhancing patient safety and reducing errors in health care; November 8-10, 1998; Chicago, IL. National Patient Safety Foundation;1999.

9. Cooper MD. Towards a model of safety culture. Saf Sci. 2000; 36:111–136. DOI: 10.1016/S0925-7535(00)00035-7.

10. Anderson LL, Chen PY, Finlinson S, Krauss AD, Huang YE. Roles of safety control and supervisory support in work safety. In : Annual Conference of the Society for Industrial and Organizational Psychology; 2004; Chicago, IL.

11. Ganster EC, Fusilier MR. Control in the workplace. In : Cooper CL, Robertson I, editors. International review of industrial and organizational psychology. Vol. 3. Palo Alto, CA: Consulting Psychologists Press;1989. p. 571–650.

12. Huang YH, Ho M, Smith GS, Chen PY. Safety climate and self-reported injury: Assessing the mediating role of employee safety control. Accid Anal Prev. 2006; 38:425–433. DOI: 10.1016/j.aap.2005.07.002.

13. Abbott PA. Research on patient safety/error reduction: a nursing perspective. In : Post-conference for 8th international congress in nursing informatics; June 25-28, 2004; Rio De Janeiro, Brazil.

14. Nicklin W, McVeety J. Canadian nurses' perceptions of patient safety in hospitals. Can J Nurs Leadersh. 2002; 15(3):11–21. DOI: 10.12927/cjnl.2002.19154.

15. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G^*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009; 41:1149–1160. DOI: 10.3758/BRM.41.4.1149.

16. Kim J, An KE, Kim MK, Yoon SH. Nurses' perception of error reporting and patient safety culture in Korea. West J Nurs Res. 2007; 29:827–844. DOI: 10.1177/0193945906297370.

17. Agency for Healthcare Research and Quality (US). Hospital survey on patient safety culture [Internet]. Rockville: Agency for Healthcare Research and Quality;2016. cited September 10, 2016. Available from: https://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/index.html.

18. Kim JG, An KE, Yun 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.

19. Snyder LA, Krauss AD, Chen PY, Finlinson S, Huang Y-H. Occupational safety: application of the job demand-controlsupport model. Accid Anal Prev. 2008; 40:1713–1723. DOI: 10.1016/j.aap.2008.06.008.

20. Cho YJ. A study on perception and performance for patient safety management in intensive care unit nurses [master's thesis]. Suwon: Ajou University;2012.

21. Korea Institute for Healthcare Accreditation. Standards for healthcare accreditation [ver1.2] for large hospital. Seoul: Ministry of Health and Welfare, Korea Institute for Healthcare Accreditation;2011.

22. Joint Commission Resources. Front line of defense: the role of nurses in preventing sentinel events. 2nd ed. Oakbrook Terrace, Ill: Joint Commission Resources;2007.

23. Park SJ, Kang JY, Lee YO. A study on hospital nurses' perception of patient safety culture and safety care activity. J Korean Crit Care Nurs. 2012; 5(1):44–55.

24. Davenport DL, Henderson WG, Mosca CL, Khuri SF, Mentzer RM. Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working condition. J Am Coll Surg. 2007; 205:778–784. DOI: 10.1016/j.jamcollsurg.2007.07.039.

25. Davies HT, Nutley SM, Mannion R. Organisational culture and quality of health care. Qual Health Care. 2000; 9:111–119. DOI: 10.1136/qhc.9.2.111.

26. Cohen H. Shrinking medication errors down to size. Nurs Manage. 2001; 32(10):25–30. quiz 30-21.

27. Cook AF, Hoas H, Guttmannova K, Joyner JC. An error by any other name. Am J Nurs. 2004; 104(6):32–43. quiz 44.

28. Tucker AL, Edmondson AC. Why hospitals don't learn from failures: Organizational and psychological dynamics that inhibit system change. California Management Review. 2003; 45(2):55–72. DOI: 10.2307/41166165.

29. Kim KK, Song MS, Lee JS, Kim YS, Yoon SY, Back JE, et al. Effects of an education program on prevention of malpractice using precedent cases related to patient safety in safety perception, safety control, autonomy and accountability in clinical nurses. J Korean Acad Nurs Adm. 2012; 18(1):67–75. DOI: 10.11111/jkana.2012.18.1.67.

30. Ramanujam R, Abrahamson K, Anderson JG. Influence of workplace demands on nurses' perception of patient safety. Nurs Health Sci. 2008; 10:144–150. DOI: 10.1111/j.1442-2018.2008.00382.x.