코로나19 거점전담병원 간호사의 개인보호구 관련 태도 및 인식, 직무 스트레스, 간호근무환경이 환자안전관리활동에 미치는 영향 Effects of Personal Protective Equipment related attitudes and perceptions, job stress, and nursing work environment on patient safety management activities of nurses in COVID-19 infection control hospitals원문보기
본 연구는 국가지정 코로나19 거점전담병원 간호사의 개인보호구 관련 태도 및 인식, 직무 스트레스, 간호근무환경을 확인하고, 환자안전관리활동에 미치는 영향을 파악하고자 하는데 목적이 있다. 본 연구는 I광역시에 소재한 종합병원급 규모의 4개의 코로나19 거점전담병원에서 개인보호구를 착용하고 독립적으로 환자 간호를 수행하고 있는 간호사로 연구목적을 이해하고 연구 참여에 동의하여 설문에 응답한 218명을 대상으로 하였다. 대상자의 일반적 특성, 개인보호구 관련 태도 및 인식, 직무 스트레스, 간호근무환경, 환자안전관리활동의 측정 도구를 사용하였다. 측정도구의 문항 수는 개인보호구 관련 태도 5문항, 인식 10문항, 직무 스트레스 48문항, 간호근무환경 30문항, 환자안전관리활동 34문항으로 구성되었다. 수집된 자료는 ...
본 연구는 국가지정 코로나19 거점전담병원 간호사의 개인보호구 관련 태도 및 인식, 직무 스트레스, 간호근무환경을 확인하고, 환자안전관리활동에 미치는 영향을 파악하고자 하는데 목적이 있다. 본 연구는 I광역시에 소재한 종합병원급 규모의 4개의 코로나19 거점전담병원에서 개인보호구를 착용하고 독립적으로 환자 간호를 수행하고 있는 간호사로 연구목적을 이해하고 연구 참여에 동의하여 설문에 응답한 218명을 대상으로 하였다. 대상자의 일반적 특성, 개인보호구 관련 태도 및 인식, 직무 스트레스, 간호근무환경, 환자안전관리활동의 측정 도구를 사용하였다. 측정도구의 문항 수는 개인보호구 관련 태도 5문항, 인식 10문항, 직무 스트레스 48문항, 간호근무환경 30문항, 환자안전관리활동 34문항으로 구성되었다. 수집된 자료는 SPSS 25.0프로그램을 사용하여, 실수와 백분율, 평균 표준편차, 정규성 검정, t-test, One-way ANOVA, Pearson Correlation coefficient, multiple linear regression analysis로 분석하였다. 연구의 결과는 다음과 같다.
2) 대상자의 개인보호구 관련 태도는 5점 만점에 평균 4.15±0.55점이었으며, 개인보호구 관련 인식은 평균 2.79±0.55점이었다. 대상자의 직무 스트레스는 4점 만점에 평균 2.37±0.64점이고, 가장 높은 영역은 과중한 업무로 평균 2.80±0.71점, 가장 낮은 영역은 차별로 평균 1.45±1.41점이였다. 대상자의 간호근무환경은 총 5점 만점에 평균 3.24±0.50점이었고, 가장 높은 영역은 실무체계로 평균 3.69±0.51점이었으며, 가장 낮은 영역은 기관의 지원으로 평균 2.76±0.66점이었다. 환자안전관리활동은 5점 만점에 평균 4.07±0.50점이었고, 가장 높은 영역은 낙상 예방으로 평균 4.27±0.60점이었으며, 가장 낮은 영역은 안전한 환경으로 평균 3.80±0.78점이었다. 3) 대상자의 일반적 특성인 나이(r=.201, p=.003), 결혼상태(t=.371, p=.005), 총 임상경력(r=.154, p=.023), 인증조사 횟수(r=.141, p=.038), 설문 작성 시 근무(F=4.353, p=.005)가 유의한 차이로 나타났다.
4) 대상자의 개인보호구 관련 태도(r=.569, p<.001), 개인보호구 관련 인식(r=.178, p=.008)과 간호근무환경(r=.281, p<.001)과는 통계적으로 유의한 양(+)의 상관관계를 보였고, 간호근무환경은 개인보호구 관련 태도(r=.275, p<.001), 개인보호구 관련 인식(r=.279, p<.001)과 유의한 양(+)의 상관관계를 보였으며, 직무 스트레스(r=-.272, p<.001)와는 음(-)의 상관관계를 보였다. 직무 스트레스는 개인보호구 관련 인식(r=-.264, p<.001)과 통계적으로 유의한 음(-)의 상관관계를 보였고, 개인보호구 관련 인식은 개인보호구 관련 태도(r=.289, p<.001)와 양(+)의 상관관계로 나타났다.
5) 환자안전관리활동의 영향요인은 개인보호구 관련 태도(β=.494, p<.001), 수간호사 리더십(β=-.172, p=.043), 간호근무환경(β=.124, p=.042)으로 확인되었고, 다중회귀분석 모델의 설명력은 35.7%이었으며, 통계적으로 유의한 것으로 나타났다(F=11.932, p<.001).
본 연구결과에서 개인보호구 관련 태도가 긍정적일수록, 간호근무환경이 좋을수록 환자안전관리활동 정도가 높은 것으로 나타났다. 본 연구 결과는 코로나19 거점전담병원 간호사의 환자안전관리활동에 영향을 미치는지를 확인해 보았다는 점에서 의의를 두고자 한다. 본 연구결과를 통해 양질의 환자안전관리활동을 제공하기 위한 긍정적인 개인보호구 관련 태도, 간호근무환경을 조성하여 환자안전관리활동을 높일 수 있는 병원 차원의 노력이 필요하다.
본 연구는 국가지정 코로나19 거점전담병원 간호사의 개인보호구 관련 태도 및 인식, 직무 스트레스, 간호근무환경을 확인하고, 환자안전관리활동에 미치는 영향을 파악하고자 하는데 목적이 있다. 본 연구는 I광역시에 소재한 종합병원급 규모의 4개의 코로나19 거점전담병원에서 개인보호구를 착용하고 독립적으로 환자 간호를 수행하고 있는 간호사로 연구목적을 이해하고 연구 참여에 동의하여 설문에 응답한 218명을 대상으로 하였다. 대상자의 일반적 특성, 개인보호구 관련 태도 및 인식, 직무 스트레스, 간호근무환경, 환자안전관리활동의 측정 도구를 사용하였다. 측정도구의 문항 수는 개인보호구 관련 태도 5문항, 인식 10문항, 직무 스트레스 48문항, 간호근무환경 30문항, 환자안전관리활동 34문항으로 구성되었다. 수집된 자료는 SPSS 25.0프로그램을 사용하여, 실수와 백분율, 평균 표준편차, 정규성 검정, t-test, One-way ANOVA, Pearson Correlation coefficient, multiple linear regression analysis로 분석하였다. 연구의 결과는 다음과 같다.
2) 대상자의 개인보호구 관련 태도는 5점 만점에 평균 4.15±0.55점이었으며, 개인보호구 관련 인식은 평균 2.79±0.55점이었다. 대상자의 직무 스트레스는 4점 만점에 평균 2.37±0.64점이고, 가장 높은 영역은 과중한 업무로 평균 2.80±0.71점, 가장 낮은 영역은 차별로 평균 1.45±1.41점이였다. 대상자의 간호근무환경은 총 5점 만점에 평균 3.24±0.50점이었고, 가장 높은 영역은 실무체계로 평균 3.69±0.51점이었으며, 가장 낮은 영역은 기관의 지원으로 평균 2.76±0.66점이었다. 환자안전관리활동은 5점 만점에 평균 4.07±0.50점이었고, 가장 높은 영역은 낙상 예방으로 평균 4.27±0.60점이었으며, 가장 낮은 영역은 안전한 환경으로 평균 3.80±0.78점이었다. 3) 대상자의 일반적 특성인 나이(r=.201, p=.003), 결혼상태(t=.371, p=.005), 총 임상경력(r=.154, p=.023), 인증조사 횟수(r=.141, p=.038), 설문 작성 시 근무(F=4.353, p=.005)가 유의한 차이로 나타났다.
4) 대상자의 개인보호구 관련 태도(r=.569, p<.001), 개인보호구 관련 인식(r=.178, p=.008)과 간호근무환경(r=.281, p<.001)과는 통계적으로 유의한 양(+)의 상관관계를 보였고, 간호근무환경은 개인보호구 관련 태도(r=.275, p<.001), 개인보호구 관련 인식(r=.279, p<.001)과 유의한 양(+)의 상관관계를 보였으며, 직무 스트레스(r=-.272, p<.001)와는 음(-)의 상관관계를 보였다. 직무 스트레스는 개인보호구 관련 인식(r=-.264, p<.001)과 통계적으로 유의한 음(-)의 상관관계를 보였고, 개인보호구 관련 인식은 개인보호구 관련 태도(r=.289, p<.001)와 양(+)의 상관관계로 나타났다.
5) 환자안전관리활동의 영향요인은 개인보호구 관련 태도(β=.494, p<.001), 수간호사 리더십(β=-.172, p=.043), 간호근무환경(β=.124, p=.042)으로 확인되었고, 다중회귀분석 모델의 설명력은 35.7%이었으며, 통계적으로 유의한 것으로 나타났다(F=11.932, p<.001).
본 연구결과에서 개인보호구 관련 태도가 긍정적일수록, 간호근무환경이 좋을수록 환자안전관리활동 정도가 높은 것으로 나타났다. 본 연구 결과는 코로나19 거점전담병원 간호사의 환자안전관리활동에 영향을 미치는지를 확인해 보았다는 점에서 의의를 두고자 한다. 본 연구결과를 통해 양질의 환자안전관리활동을 제공하기 위한 긍정적인 개인보호구 관련 태도, 간호근무환경을 조성하여 환자안전관리활동을 높일 수 있는 병원 차원의 노력이 필요하다.
The purpose of this study is to identify the attitudes and perceptions related to personal protective equipment, job stress, and nursing work environment of nurses at nationally designated COVID-19 infection control hospitals, and to identify the effects on patient safety management activities. ...
The purpose of this study is to identify the attitudes and perceptions related to personal protective equipment, job stress, and nursing work environment of nurses at nationally designated COVID-19 infection control hospitals, and to identify the effects on patient safety management activities. In this study, 218 nurses who were independently caring for patients wearing personal protective equipment at 4 COVID-19 infection control hospitals at a general hospital in Incheon, who understood the purpose of the study and agreed to participate in the study, responded to the questionnaire. The subjects were surveyed and analyzed from October 11, 2022 to November 14, 2022. The general characteristics of the subjects, attitudes and perceptions related to personal protective equipment, job stress, nursing work environment, and patient safety management activities were used as measurement tools. The number of items in the measurement tool consisted of 5 questions of personal protective equipment attitude, 10 questions of perception, 48 questions of job stress, 30 questions of nursing work environment, and 34 questions of patient safety management activities. The collected data were analyzed using SPSS 26.0 program, real number and percentage, mean standard deviation, normality test, t-test, one-way ANOVA, Pearson Correlation coefficient, and multiple linear regression analysis.
The following are the main results of this study.
1) 90.8% of the subjects were female, the average age was 32.94±8.48 years old, 67.9% of the subjects responded as ‘no religion’, and 64.2% were unmarried. The total clinical experience was 8.36±6.85 years, and the nursing experience for COVID-19 patients was 0.83±0.50 years, and 75.7% of the subjects were general nurses. 61.5% of the subjects' medical institution evaluation accreditation investigation experience was 'yes', and the number of accreditation investigations was 1.02±1.05 times. 98.6% of the patients' experience with patient safety education was 'yes', 100% of the subjects had been vaccinated against COVID-19, and 35.3% of the subjects filled out the questionnaire during the day shift, and the number of COVID-19 patients in charge of the subjects was 8.91± It was 8.20. The monthly salary of the subject was 3.01 million to 3.5 million won, 34.4%, and the satisfaction level of the salary was 'average' at 38.5%. The level was 93.1% for N95 (or KF94) or higher masks, goggles (face protection), gloves, and disposable waterproof long-sleeved gowns.
2) The subject's attitude toward personal protective equipment scored an average of 4.15±0.55 points out of 5 points, and the average score related to personal protective equipment was 2.79±0.55 points. The subject's job stress was an average of 2.37±0.64 points out of 4 points, the highest area was heavy work with an average of 2.80±0.71 points, and the lowest area was discrimination with an average of 1.45±1.41 points. The subject's nursing work environment scored an average of 3.24±0.50 points out of a total of 5 points. The highest area was the practical system, with an average of 3.69±0.51 points, and the lowest area was the institutional support, with an average of 2.76±0.66 points. Patient safety management activities scored an average of 4.07 ± 0.50 points out of 5 points, the highest category was fall prevention with an average of 4.27 ± 0.60 points, and the lowest category was a safe environment with an average of 3.80 ± 0.78 points.
3) The general characteristics of the subjects, such as age (r=.201, p=.003), marital status (t=.371, p=.005), total clinical experience (r=.154, p=.023), number of certification investigations (r=.141, p=.038) and work at the time of filling out the survey (F=4.353, p=.005) showed a significant difference.
4) The attitudes related to personal protective equipment (r=.569, p<.001), perceptions related to personal protective equipment (r=.178, p=.008), and the nursing work environment (r=.281, p<.001) were different. There was a statistically significant positive (+) correlation, and the nursing work environment was related to attitudes related to personal protective equipment (r=.275, p<.001) and perceptions related to personal protective equipment (r=.279, p<.001). There was a significant positive (+) correlation, and a negative (-) correlation with job stress (r=-.272, p<.001). Job stress showed a statistically significant negative (-) correlation with personal protective equipment-related perceptions (r=-.264, p<.001), and personal protective equipment-related perceptions correlated with personal protective equipment-related attitudes (r=.289, p <.001) and a positive (+) correlation.
5) The factors influencing patient safety management activities were attitude toward personal protective equipment (β=.494, p<.001), head nurse leadership (β=-.172, p=.043), and nursing work environment (β=.124, p=. .042), and the explanatory power of the multiple regression analysis model was 35.7%, which was statistically significant (F=11.932, p<.001).
In the results of this study, the more positive the attitude toward personal protective equipment and the better the nursing working environment, the higher the degree of patient safety management activities. The results of this study are meaningful in that they confirmed whether COVID-19 infection control hospitals had an effect on nurses' patient safety management activities. Based on the results of this study, it is necessary to make efforts at the hospital level to enhance patient safety management activities by creating a positive attitude toward personal protective equipment and a nursing working environment to provide quality patient safety management activities.
The purpose of this study is to identify the attitudes and perceptions related to personal protective equipment, job stress, and nursing work environment of nurses at nationally designated COVID-19 infection control hospitals, and to identify the effects on patient safety management activities. In this study, 218 nurses who were independently caring for patients wearing personal protective equipment at 4 COVID-19 infection control hospitals at a general hospital in Incheon, who understood the purpose of the study and agreed to participate in the study, responded to the questionnaire. The subjects were surveyed and analyzed from October 11, 2022 to November 14, 2022. The general characteristics of the subjects, attitudes and perceptions related to personal protective equipment, job stress, nursing work environment, and patient safety management activities were used as measurement tools. The number of items in the measurement tool consisted of 5 questions of personal protective equipment attitude, 10 questions of perception, 48 questions of job stress, 30 questions of nursing work environment, and 34 questions of patient safety management activities. The collected data were analyzed using SPSS 26.0 program, real number and percentage, mean standard deviation, normality test, t-test, one-way ANOVA, Pearson Correlation coefficient, and multiple linear regression analysis.
The following are the main results of this study.
1) 90.8% of the subjects were female, the average age was 32.94±8.48 years old, 67.9% of the subjects responded as ‘no religion’, and 64.2% were unmarried. The total clinical experience was 8.36±6.85 years, and the nursing experience for COVID-19 patients was 0.83±0.50 years, and 75.7% of the subjects were general nurses. 61.5% of the subjects' medical institution evaluation accreditation investigation experience was 'yes', and the number of accreditation investigations was 1.02±1.05 times. 98.6% of the patients' experience with patient safety education was 'yes', 100% of the subjects had been vaccinated against COVID-19, and 35.3% of the subjects filled out the questionnaire during the day shift, and the number of COVID-19 patients in charge of the subjects was 8.91± It was 8.20. The monthly salary of the subject was 3.01 million to 3.5 million won, 34.4%, and the satisfaction level of the salary was 'average' at 38.5%. The level was 93.1% for N95 (or KF94) or higher masks, goggles (face protection), gloves, and disposable waterproof long-sleeved gowns.
2) The subject's attitude toward personal protective equipment scored an average of 4.15±0.55 points out of 5 points, and the average score related to personal protective equipment was 2.79±0.55 points. The subject's job stress was an average of 2.37±0.64 points out of 4 points, the highest area was heavy work with an average of 2.80±0.71 points, and the lowest area was discrimination with an average of 1.45±1.41 points. The subject's nursing work environment scored an average of 3.24±0.50 points out of a total of 5 points. The highest area was the practical system, with an average of 3.69±0.51 points, and the lowest area was the institutional support, with an average of 2.76±0.66 points. Patient safety management activities scored an average of 4.07 ± 0.50 points out of 5 points, the highest category was fall prevention with an average of 4.27 ± 0.60 points, and the lowest category was a safe environment with an average of 3.80 ± 0.78 points.
3) The general characteristics of the subjects, such as age (r=.201, p=.003), marital status (t=.371, p=.005), total clinical experience (r=.154, p=.023), number of certification investigations (r=.141, p=.038) and work at the time of filling out the survey (F=4.353, p=.005) showed a significant difference.
4) The attitudes related to personal protective equipment (r=.569, p<.001), perceptions related to personal protective equipment (r=.178, p=.008), and the nursing work environment (r=.281, p<.001) were different. There was a statistically significant positive (+) correlation, and the nursing work environment was related to attitudes related to personal protective equipment (r=.275, p<.001) and perceptions related to personal protective equipment (r=.279, p<.001). There was a significant positive (+) correlation, and a negative (-) correlation with job stress (r=-.272, p<.001). Job stress showed a statistically significant negative (-) correlation with personal protective equipment-related perceptions (r=-.264, p<.001), and personal protective equipment-related perceptions correlated with personal protective equipment-related attitudes (r=.289, p <.001) and a positive (+) correlation.
5) The factors influencing patient safety management activities were attitude toward personal protective equipment (β=.494, p<.001), head nurse leadership (β=-.172, p=.043), and nursing work environment (β=.124, p=. .042), and the explanatory power of the multiple regression analysis model was 35.7%, which was statistically significant (F=11.932, p<.001).
In the results of this study, the more positive the attitude toward personal protective equipment and the better the nursing working environment, the higher the degree of patient safety management activities. The results of this study are meaningful in that they confirmed whether COVID-19 infection control hospitals had an effect on nurses' patient safety management activities. Based on the results of this study, it is necessary to make efforts at the hospital level to enhance patient safety management activities by creating a positive attitude toward personal protective equipment and a nursing working environment to provide quality patient safety management activities.
주제어
#코로나19 거점전담병원 개인보호구 관련 태도 및 인식 직무 스트레스 간호근무환경 환자안전관리활동
학위논문 정보
저자
김수현
학위수여기관
가천대학교 대학원
학위구분
국내석사
학과
간호학 간호학과
지도교수
김지수
발행연도
2023
총페이지
107
키워드
코로나19 거점전담병원 개인보호구 관련 태도 및 인식 직무 스트레스 간호근무환경 환자안전관리활동
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