J Korean Acad Nurs Adm.  2023 Jun;29(3):309-319. 10.11111/jkana.2023.29.3.309.

Effects of Nurses' Incident Reporting Attitude, Perception of Importance on Patient Safety Management, and Patient Safety Culture on the Reporting of Patient Safety Events

Affiliations
  • 1Team Leader, Jeju Hanmaeum Hospital, Jeju, Korea
  • 2Professor, College of Nursing ․ Health and Nursing Research Institute, Jeju National University, Jeju, Korea

Abstract

Purpose
This study’s purpose is to examine the effects of nurses' incident reporting attitudes, their perceptions of importance of patient safety management, and patient safety culture on reporting patient safety events.
Methods
We used a cross-sectional design with a convenience sample of 192 nurses with more than three months clinical experience from five provincial hospitals. The data were collected through an online structured self-report questionnaire from September 25 to October 15, 2022. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression.
Results
The most important influencing factors for the level of patient safety event reporting were perceptions of the importance of patient safety management (β=.24, p=.005), followed by patient safety culture (β=.23, p=.019), incident reporting attitude (β=.18, p=.016), and near miss reporting experience (β=.14, p=.022). The explanatory power of the model was 33%.
Conclusion
To increase the level of patient safety incident reporting, differentiated education and standardized work procedures are needed. Also, it is necessary to prepare policies that revitalize patient safety reporting systems at medical institutions as measures to prevent patient safety accidents and recurrences.

Keyword

Attitude; Patient safety; Perception; Culture; Nurses
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