본 연구는 의료과오 보고와 환자안전 간호활동에 대한 간호사들의 인식을 조사하여 안전한 의료서비스 제공의 기초자료를 제공하기 위해 수행되었다.
조사대상은 부산지역 2차, 3차 의료기관 6개 지역에 근무하는 간호사를 대상으로 2009년 5월 1일부터 5월 31일까지 대상기관 간호사 총 1,000명을 대상으로 직접 기입식 설문조사를 실시하였으며, 미회수, 결측값 등의 이유로 부실한 설문지를 제외한 총 886례를 최종분석 대상으로 하였다. 연구도구는 미국 AHRQ의 Hospital survey on safety culture 설문지와 우리나라 의료기관 평가 지침서 환자안전 문항을 설문지로 이용하였다. 자료분석은 SPSS 12.0 통계 패키지를 이용하여 기술통계, t-test, ANOVA, 다중회귀분석을 수행하였다.
간호사들의 환자안전에 대한 전반적인 인식은 5점 만점에 3.46로 ‘보통(3점)’ 이상이었다. 대상자의 특성에 따라 2년 미만의 근무경력(p＜.001)과 주당 45시간미만 근무시간 군(p=.017), 3차 의료기관(p＜.001)의 환자안전 인식이 유의하게 높았다. 10개 항목(투약간호활동6, 안전보장활동으로 평가한 안전간호활동 수준 전체 평점의 평균은 3.79이었다. 안전간호활동 수준에 영향을 미치는 요인은 40세 이상, 대학원 이상, 중환자실 근무자, 2등급 병원, 병원환경, 사고보고 빈도 점수가 높을수록 안전간호활동 수준이 높았다.
간호사의 환자안전방안을 위해서 교육수준을 높이고 간호등급 상향조정 및 충분한 인력, 적정한 근무시간, 사고보고시스템의 개선 등이 가장 중요하다고 할 수 있다.
본 연구는 의료과오 보고와 환자안전 간호활동에 대한 간호사들의 인식을 조사하여 안전한 의료서비스 제공의 기초자료를 제공하기 위해 수행되었다.
조사대상은 부산지역 2차, 3차 의료기관 6개 지역에 근무하는 간호사를 대상으로 2009년 5월 1일부터 5월 31일까지 대상기관 간호사 총 1,000명을 대상으로 직접 기입식 설문조사를 실시하였으며, 미회수, 결측값 등의 이유로 부실한 설문지를 제외한 총 886례를 최종분석 대상으로 하였다. 연구도구는 미국 AHRQ의 Hospital survey on safety culture 설문지와 우리나라 의료기관 평가 지침서 환자안전 문항을 설문지로 이용하였다. 자료분석은 SPSS 12.0 통계 패키지를 이용하여 기술통계, t-test, ANOVA, 다중회귀분석을 수행하였다.
간호사들의 환자안전에 대한 전반적인 인식은 5점 만점에 3.46로 ‘보통(3점)’ 이상이었다. 대상자의 특성에 따라 2년 미만의 근무경력(p＜.001)과 주당 45시간미만 근무시간 군(p=.017), 3차 의료기관(p＜.001)의 환자안전 인식이 유의하게 높았다. 10개 항목(투약간호활동6, 안전보장활동으로 평가한 안전간호활동 수준 전체 평점의 평균은 3.79이었다. 안전간호활동 수준에 영향을 미치는 요인은 40세 이상, 대학원 이상, 중환자실 근무자, 2등급 병원, 병원환경, 사고보고 빈도 점수가 높을수록 안전간호활동 수준이 높았다.
간호사의 환자안전방안을 위해서 교육수준을 높이고 간호등급 상향조정 및 충분한 인력, 적정한 근무시간, 사고보고시스템의 개선 등이 가장 중요하다고 할 수 있다.
The objective of this study was to provide basic data for a safer medical service by describing the nurses" perception of hospital organization culture regarding the patient safety culture, reporting medical errors, nurses" patient safety activity. One thousand nurses were surveyed from May 1 to May...
The objective of this study was to provide basic data for a safer medical service by describing the nurses" perception of hospital organization culture regarding the patient safety culture, reporting medical errors, nurses" patient safety activity. One thousand nurses were surveyed from May 1 to May 31, 2009 according to the target organs treated. After removing those surveys with missing data due to an incomplete questionnaire, a total of 886 cases were examined. This study employed the "Questionnaire on Patient Safety", which is a Hospital Survey on Patient Safety Culture invented by AHRQ(2004), and "Questionnaire on Patient Safety Nursing Act", in which the questions were selected from the nursing-related items (Medication 6 & Safety Nursing Assurance Act 4: surgical site display and falls, restraint, verbal order) in the Safety Evaluation developed by Evaluation Institute of Medical Institution. For data analyses, chi-square tests, t-test, ANOVA and multiple regression were carried out using SPSS window 12.0. Nurse"s perception of patient safety was 3.46 on an overall perception scale of 5, indicating it to be "Medium (3 points). The When analyzed according to the characteristics of less than 2 years working experience (p＜.001) and working hours ＜45 hours per week (p=.017), 3nd medical Institution(p＜.001) were significantly higher in the patient safety awareness. The average overall of 10 items (medication nursing activity 6, the Security activity 4) evaluating the safety of nursing activity level was 3.79. Safe Nursing Factors affecting the level of activity in those 40 years or older, graduates, ICU workers, grade two hospital, hospital environment, communication and reporting medical error had a significant influence on the frequency of reporting safety incidents. Incident reporting is mainly affected by the fear of punishment and lack of personnel. Nurses are responsible for raising awareness of patient safety and the safety of nursing care. However, improvements in the nursing grade, compliance with proper working hours, and a voluntary reporting system at the institutional and settlement levels are vital.
The objective of this study was to provide basic data for a safer medical service by describing the nurses" perception of hospital organization culture regarding the patient safety culture, reporting medical errors, nurses" patient safety activity. One thousand nurses were surveyed from May 1 to May 31, 2009 according to the target organs treated. After removing those surveys with missing data due to an incomplete questionnaire, a total of 886 cases were examined. This study employed the "Questionnaire on Patient Safety", which is a Hospital Survey on Patient Safety Culture invented by AHRQ(2004), and "Questionnaire on Patient Safety Nursing Act", in which the questions were selected from the nursing-related items (Medication 6 & Safety Nursing Assurance Act 4: surgical site display and falls, restraint, verbal order) in the Safety Evaluation developed by Evaluation Institute of Medical Institution. For data analyses, chi-square tests, t-test, ANOVA and multiple regression were carried out using SPSS window 12.0. Nurse"s perception of patient safety was 3.46 on an overall perception scale of 5, indicating it to be "Medium (3 points). The When analyzed according to the characteristics of less than 2 years working experience (p＜.001) and working hours ＜45 hours per week (p=.017), 3nd medical Institution(p＜.001) were significantly higher in the patient safety awareness. The average overall of 10 items (medication nursing activity 6, the Security activity 4) evaluating the safety of nursing activity level was 3.79. Safe Nursing Factors affecting the level of activity in those 40 years or older, graduates, ICU workers, grade two hospital, hospital environment, communication and reporting medical error had a significant influence on the frequency of reporting safety incidents. Incident reporting is mainly affected by the fear of punishment and lack of personnel. Nurses are responsible for raising awareness of patient safety and the safety of nursing care. However, improvements in the nursing grade, compliance with proper working hours, and a voluntary reporting system at the institutional and settlement levels are vital.
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