대학병원 간호사의 환자안전문화인식과 피로가 환자안전관리활동에 미치는 영향

Influence of Perception of Patient Safety Culture and Fatigue on Safety Management Activities of University Hospital Nurses

Purpose: The purpose of this study was to identify university hospital nurses perception of patient safety culture, fatigue, and safety management activities. Methods: Participants were 230 nurses working in C university hospital in G city. Data were collected from July 17 to July 23, 2018 and analyzed using independent sample t-test, one-way ANOVA, Pearson s correlation, and multiple stepwise regression analysis. Results: The mean score of university hospital nurses fatigue was 3.17±0.63, perception of patient safety culture was 3.12±0.20, and safety management activities was 4.39±0.51. There was a negative correlation between safety management activities and fatigue (r=−.18, p =.008), but a significantly positive correlation between safety management activities and perception of patient safety culture (r=.21, p =.001). Factors influencing safety management activities in general hospital nurses were place of work (=.23, p ＜.001), perception of patient safety culture (=.22, p =.001), and fatigue (=−.16, p =.014). which together explained 12.0% of the total variance. Conclusion: The research results show that perception of patient safety culture, fatigue, and place of work affected university hospital nurses performance of safety management activities. Therefore in establishing strategies to promote safety management activities, each department s feature should be first considered to develop educational programs for safety management activities.