일차의료기관 혈액투석실 간호사의 간호근무환경, 환자안전문화 및 환자안전간호활동의 관계 = Relationship between Nursing Work Environment, Patient Safety Culture, and Patient Safety Nursing Activities in Hemodialysis Clinics of Primary Care Centers

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to investigate the relationship between nursing work environment, patient safety culture, and patient safety nursing activities in hemodialysis units at primary care centers. Methods: In this cross-sectional descriptive study, 116 nurses working in hemodialysis units at 22 primary care centers were enrolled as participants. They were selected them by the convenience sampling method. Data were collected using structured questionnaires that included questions on general characteristics, nursing work environment, patient safety culture, and patient safety nursing activities. Results: The nursing work environment was relatively good; however, the patient safety culture and patient safety nursing activities were poor. A positive correlation was found between nursing work environment, patient safety culture, and patient safety nursing activities. Factors that affect patient safety culture were rated high in the order of nursing work environment and patient safety nursing activities, and factors affecting patient safety nursing activities were rated high in the order of patient safety culture and age. Conclusion: This study showed that the development of tailored patient safety training for nurses in hemodialysis units working in primary care and administrative support from those institutions are needed. In particular, strategies accounting for nurses' characteristics such as age are required to strengthen patient safety nursing activities.

참고문헌 (Reference)

1 옥민수, "환자안전 관련 법의 구조와 현황" 한국보건행정학회 25 (25): 174-184, 2015

2 김경숙, "혈액투석의 질 관리에 영향을 미치는 요인" 대한내과학회 87 (87): 439-448, 2014

3 정수진, "혈액투석실 간호사의 전문직관, 조직의사소통이 환자안전문화에 미치는 영향" 병원간호사회 25 (25): 98-105, 2019

4 서정애, "혈액투석실 간호사의 근무환경이 간호업무수행에 미치는 영향: 직무만족 및 임파워먼트의 효과를 중심으로" 간호행정학회 22 (22): 178-188, 2016

5 조은희, "한국어판 간호근무환경 측정도구의 타당도와 신뢰도" 한국간호과학회 41 (41): 325-332, 2011

6 이숙현, "중환자실 간호사의 환자안전문화에 대한 인식과 환자안전역량" 한국자료분석학회 18 (18): 2215-2229, 2016

7 배한주, "중소병원 간호사의 환자안전 간호활동 영향 요인" 한국산학기술학회 20 (20): 118-127, 2019

8 이미애, "종합병원 간호사의 간호전문직관, 간호근무환경과 환자안전간호활동 간의 관계" 간호행정학회 25 (25): 317-328, 2019

9 김미정, "응급실 간호사의 환자안전문화에 대한 인식, 환자안전역량, 안전간호활동 관계" 한국콘텐츠학회 17 (17): 268-279, 2017

10 김미라, "수술실 간호사가 인지하는 조직건강, 안전분위기, 간호근무환경이 환자안전관리활동에 미치는 영향" 한국직업건강간호학회 28 (28): 197-207, 2019

11 조순덕, "병원간호사의 환자안전문화인식과 환자안전간호활동의 융합연구" 한국융합학회 7 (7): 125-136, 2016

12 한미영, "병원간호사가 지각하는 조직건강과 환자안전문화가 환자안전간호활동에 미치는 영향" 간호행정학회 23 (23): 127-138, 2017

13 김미경, "대학병원 간호사의 직무스트레스 요인과 환자안전문화 인식 및 환자안전간호 활동 간의 인과관계분석" 간호행정학회 25 (25): 340-352, 2019

14 이지윤, "간호근무환경, 조직문화유형, 업무의 양과 속도가 간호사의 감정노동에 미치는 영향" 간호행정학회 22 (22): 119-128, 2016

15 Flynn L, "Work environment characteristics valued by outpatient hemodialysis unit nurse managers" 43 (43): 403-446, 2016

16 Faul F, "Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses" 41 (41): 1149-1160, 2009

17 Health Insurance Review & Assessment Service, "Report of 2015 5th hemodialysis adequacy evaluation result" Health Insurance Review & Assessment Service

18 Sperati CJ, "Primary care physicians’ perceptions of barriers and facilitators to management of chronic kidney disease : a mixed methods study" 14 (14): e0221325-, 2019

19 Seo JH, "Patient safety in small or medium hospitals and clinics : current status and policy issues" 242 (242): 84-94, 2016

20 Ulrich B, "Patient safety culture in nephrology nurse practice settings : results by primary work unit, organizational work setting, and primary role" 42 (42): 221-237, 2015

21 진동찬, "Major changes and improvements of dialysis therapy in Korea: review of end-stage renal disease registry" 대한내과학회 30 (30): 17-22, 2015

22 Health Insurance Review & Assessment Service, "Hemodialysis adequacy evaluation norm value part new index development research" Health Insurance Review &Assessment Service

23 Hayes B, "Haemodialysis work environment contributors to job satisfaction and stress : a sequential mixed methods study" 14 (14): 58-, 2015

24 Lake ET, "Development of the practice environment scale of the nursing work index" 25 (25): 176-188, 2002

25 Lee SG, "Development and psychometric evaluation of the korean patient safety culture survey instrument for hospitals" Chung-ang University 2015

26 Kim KS, "Comparative study on the stress and the coping method between nephrology nurses working in the hospitals of university and the hemodialysis clinics" 9 (9): 46-56, 2004

27 Kim JY, "Advice on securing consumer safety of clinic-level medical institutions" Korea Consumer Agency

28 Park EJ., "A study on the medical service satisfaction of hospitals" Dankook University 2003

29 Kim MS, "A study on the job activity analysis of the hemodialysis nurses" 6 (6): 303-317, 2000

30 Lee JC, "2016 Korean physician survey" 16 (16): 64-69, 2018