J Korean Clin Nurs Res.  2024 Aug;30(2):139-146. 10.22650/JKCNR.2024.30.2.139.

Effects of Nursing Work Environment and Self-Efficacy of General Hospital Nurses on Medical Safety Competence in Korea

• Lim HA
• Jeong GH

• KMID: 2559323
• DOI: http://doi.org/10.22650/JKCNR.2024.30.2.139

Abstract

Purpose
This study aimed to examine the effects of the nursing work environment and self-efficacy on medical safety competence of nurses in general hospital.
Methods
Participants included 183 nurses who were recruited through convenience sampling in a general hospital in South Korea. Questionnaires were collected from August 25 to September 22, 2023. The nursing work environment, self-efficacy and medical safety competence scales were used to assess the study variables. The t-test, one-way ANOVA, Scheffé ́ test, Pearson correlation coefficients, and multiple regression tests were performed using IBM SPSS ver. 26.0.
Results
Statistically significant correlations were found between nurses’ medical safety competence and nursing work environment (r=.34, p<.001), and self-efficacy (r=.48, p<.001). Self-efficacy (β=.38, p<.001), nursing work environment (β=.25, p<.001), and clinical experience (β=.14, p=.043) had the greatest effect on nurses’ medical safety competence (F=21.21, p<.001), with an explanatory power of 30.0%.
Conclusion
This study confirmed that the nursing work environment and nurses' self-efficacy have a significant impact on nurses' medical safety competence. In order to implement patient safety in hospitals, it is necessary to develop and apply strategies to improve the nursing work environment and increase nurses’ self-efficacy to enhance their medical safety capabilities.

Keyword

Clinical Competency; Medication Errors; Patient Safety, Self efficacy; Work Condition