입원환자의 환자안전인식과 환자안전활동 수행 정도

국문 초록 (Abstract)

본 연구는 입원환자를 대상으로 환자안전인식과 환자안전활동 수행 간의 관계를 확인하고 환자안전인식과 환자안전활동 수행을 증진시키기 위한 중재 프로그램을 개발하는데 기초자료로 제공하고자 수행하였다. 본 연구의 대상자는 D광역시 일 상급종합병원에 입원한 성인 환자 103명이었다. 자료수집은 2021년 2월 22일부터 3월 12일까지 이루어졌고, 환자안전인식과 환자안전활동 수행을 측정하기 위한 구조화된 설문지를 사용하였다. 입원환자의 환자안전인식은 5점 만점에 4.22±0.52점, 환자안전활동 수행은 4점 만점에 3.35±0.48점이었다. 환자안전인식은 환자안전교육 경험과 유의한 차이가 있었고(t=4.85, p ＜.001), 환자안전활동 수행은 결혼상태(t=2.75, p =.007), 환자안전교육 경험(t=3.88, p ＜.001)에 따라 유의한 차이가 있었다. 환자안전인식과 환자안전활동 수행은 유의한 상관관계가 있었다(r=.59, p ＜.001). 본 연구의 결과를 통해 임상에서 적용 가능한 입원환자의 환자안전인식과 환자안전활동 수행 증진을 위한 프로그램을 개발하고 시스템적으로 적용함으로써, 환자안전문화 향상을 도모할 필요가 있다.

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the relationship between the awareness of patient safety and performance of patient safety activities among hospitalized patients, and to provide basic data for the development of programs to improve them. The subjects were 103 adult patients at a general hospital in D city. Data were collected from Feb. 22 to Mar. 12, 2021, using structured questionnaires to measure the awareness of patient safety and performance of patient safety activities. The mean (±standard deviation) scores of awareness of patient safety and performance of patient safety activities were 4.22±0.52 out of 5 and 3.35±0.48 out of 4, respectively. The awareness of patient safety varied significantly depending on patient safety education (t=4.85, p ＜.001). The performance of patient safety activities varied significantly depending on marital state (t=2.75, p =.007) and patient safety education (t=3.88, p ＜.001). There was a significant correlation between the awareness of patient safety and the performance of patient safety activities (r=.59, p ＜.001). It is thus necessary to promote the improvement of the patient safety culture by developing programs to improve awareness of patient safety and performance of patient safety activities in hospitalized patients and to apply them systematically in clinical practice.

목차 (Table of Contents)

• 요약
• Abstract
• 1. 서론
• 2. 연구 방법
• 3. 연구 결과
• 4. 논의
• 5. 결론
• References

참고문헌 (Reference)

1 김미란, "환자안전(patient safety) 개념분석" 한국간호과학회 41 (41): 1-8, 2011

2 이상일, "환자안전 관리의 현황과 과제" 대한약학회 64 (64): 179-184, 2020

3 강세정, "혈액종양내과 환자의 환자안전인식과 환자참여" 대한종양간호학회 19 (19): 224-232, 2019

4 김경자, "입원 환자의 환자안전인식 측정도구 개발 및 타당화" 한국성인간호학회 30 (30): 404-416, 2018

5 최은희, "입원 환자의 낙상실태 및 위험요인 조사연구: 국내 500병상 이상 종합병원을 중심으로" 병원간호사회 23 (23): 350-360, 2017

6 신선화, "일반인의 환자안전활동 경험, 환자안전인식 및 환자참여 의지 간의 관계에 관한 융합연구" 한국융합학회 11 (11): 405-415, 2020

7 표지희, "일반인 대상 환자안전 교육을 통한 환자안전 및 환자 참여에 대한 인식 증진: 예비 연구" 사단법인 대한보건협회 44 (44): 65-88, 2018

8 이종학, "의사의 환자중심 커뮤니케이션이 환자참여에 미치는 영향 : 신뢰의 조절효과를 중심으로" 한국콘텐츠학회 13 (13): 278-286, 2013

9 박미정, "병원 의료종사자의 환자안전관리 중요성 인식 측정도구 개발" 한국콘텐츠학회 13 (13): 332-341, 2013

10 정효선, "모의 상황을 활용한 환자안전 교육 프로그램 개발 및 효과" 한국산학기술학회 20 (20): 398-409, 2019

11 K. H. Lee, "Willingness toward Patient Participation in Patient Safety" graduate school of Ulsan University 2018

12 H. S. Kim, "Ways of Improving Hospitals` Organizational Culture for Patient Safety" 240 : 31-45, 2016

13 C. Vincent, "Understanding and responding to adverse events" 348 (348): 1051-1056, 2003

14 R. M. Wachter, "Understanding Patient Safety" Hyunmoonsa 25-37, 2011

15 L. T. Kohn, "To err is human: Building a Safer Health System" National Academies Press 2000

16 N. Choi, "The influence of patient-centeredness on patient safety perception among inpatients" 16 (16): e0246928-, 2021

17 M. S. Wolf, "The Role of Health Literacy in Patient Safety" Agency for Healthcare Research and Quality

18 Manitoba Institude for Patient Safety, "S.A.F.E Toolkit Video Series" Manitoba Institude for Patient Safety

19 I. R. Cabello, "Patients’ perceptions and experiences of patient safety in primary care in England" 33 (33): 535-542, 2016

20 World Health Organization, "Patients for Patient Safety" World Health Organization

21 R. M. Wachter, "Patient safety at ten: unmistakable progress, troubling gaps" 29 (29): 165-173, 2010

22 M. Ringdal, "Patient preferences for participation in patient care and safety activities in hospitals" 16 (16): 1-8, 2017

23 N. K. Arora, "Patient preferences for medical decision making: who really wants to participate?" 38 (38): 335-341, 2000

24 M. G. Katz, "Patient literacy and question-asking behavior during the medical encounter: A mixed-methods analysis" 22 (22): 782-786, 2007

25 R. E. Davis, "Patient involvement in patient safety: what factors influence patient participation and engagement?" 10 (10): 259-267, 2007

26 Ministry of Health and Welfare, "Patient Safety Act"

27 J. H. Lee, "Patient Safety : The Concept and General Approach" 15 (15): 9-18, 2009

28 Ministry of Health and Welfare, "Korean Patient Safety Incident Report 2019" Korea Institute for Healthcare Accreditation 1-48,

29 Korea Patient Safety Reporting and Learning System, "KOPS Information: Patient Engagement Campaign"

30 J. E. Kim, "Healthcare Service Consumers' Perception of Patient Safety" 10 (10): 133-140, 2013

31 World Health Organization, "Global Patient Safety Action Plan" World Health Organization

32 Hospital Nurses Association, "Evidence-Based Clinical Nursing Practice Guideline Preventing Falls in Hospitals" Hospital Nurses Association

33 N. C. Elder, "Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey" 69 (69): 100-107, 2007

34 S. J. Giles, "Developing a patient measure of safety (PMOS)" 22 : 554-562, 2013

35 R. E. Davis, "Blood transfusion safety: the potential role of the patient" 25 (25): 12-23, 2011

36 A. D. Waterman, "BRIEF REPORT: Hospitalized Patients' Attitudes About and Participation in Error Prevention" 21 (21): 367-370, 2006

37 World Health Organization, "5 moments for medication safety" World Health Organization

38 Agency for Healthcare Research and Quality, "20 Tips To Help Prevent Medical Errors: Patient Fact Sheet" Agency for Healthcare Research and Quality