중소병원 간호·간병통합서비스 병동 간호인력의 조직 내 의사소통, 조직 지지, 환자안전문화인식이 환자안전활동에 미치는 영향

Abstract

Purpose The purpose of this study was to identify the factors that affect the patient safety activities of nursing personnel working in the integrated nursing care wards of small and medium-sized hospitals.

Method Between August 4 and December 10, 2023, data were collected from nursing personnel working in the integrated nursing care wards at different small and medium-sized hospitals，less than 300 beds，in B and G city. A total of 201 questionnaires were analyzed to assess organizational communication, organizational support, patient safety culture perception，and patient safety activities. The collected data were analyzed with SPSS/WIN statistical software, version 29.0, using descriptive statistics, independent t-test, One-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis.

Result There were no statistically significant differences in patient safety activities of nursing personnel according to the general and characteristics. The patient safety activities of the nursing personnel showed statistical significance and a positive correlation between organizational communication(r=.357, p<.001), organizational support(r=.452, p<.001), and patient safety culture perception(r=.584, p<.001). Factors influencing the patient safety activities of nursing personnel were observed to be as follows: Patient safety culture perception(β=.520, p<.001). The explanatory power was 34.1%.

Conclusion In this study, patient safety culture perception was identified as a major factor that affecting patient safety activities of nursing personnel working in the integrated nursing care wards at different small and medium-sized hospitals with less than 300 beds. Based on these findings, patient safety culture perception should be strongly established among nursing personnel, as they are key players in a system that allows stable and safe nursing of integrated nursing care wards. Intervention measures for better patient safety activities for nursing personnel should also be implemented. Furthermore, it is necessary to develop systematic strategies and multifaceted efforts for patient safety activities at integrated nursing care wards.