J Korean Acad Psychiatr Ment Health Nurs JKAPMHN Journal of Korean Academy of Psychiatric and Mental Health Nursing 1225-8482 2288-4653 The Korean Academy of Psychiatric and Mental Health Nursing 10.12934/jkpmhn.2015.24.2.82 Original Article Nurses' Perceptions of Patient Safety Culture and Patient Safety Activities in Mental Health Hospitals Kim So Young Lee Kyunghee Department of Nursing, Keimyung University, Daegu, Korea. Corresponding author: Lee, Kyunghee. Department of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 704-701, Korea. Tel: +82-53-580-3927, Fax: +82-53-580-3916, khl645@gw.kmu.ac.kr 06 2015 30 06 2015 24 2 82 92 11 01 2015 11 04 2015 09 06 2015 © 2015 The Korean Academy of Psychiatric and Mental Health Nursing 2015 This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose

This study was done to provide a basis for safer medical services by describing nurses' perception of patient safety culture and patient safety activities, and analyzing factors that affect patient safety management activities among nurses working in mental health hospitals.

 Methods

The study participants included 208 nurses with three months or more experience and who worked in one of 14 mental health hospitals. The instruments were the Hospital Survey on Patient Safety Culture and Patient Safety Management Activities Scale. Collected data were analyzed using mean, t-test, ANOVA, Pearson correlation coefficient and Stepwise multiple regression with the SPSS/WIN 20.0 program.

 Results

Perceptions of patient safety culture and patient safety management activities were positively correlated. Factors influencing patient safety management activities were communication and procedures, patient safety in the field, frequency of events reported and attitude of supervisor/manager. The explanatory power for patient safety management activities of these variables was 35.0%.

 Conclusion

A systematic approach at the hospital level is needed to ensure the safety of nurses' work environment as well as to develop patient safety culture to increase patient safety management activities by nurses in mental health hospitals.

 Mental health services Nurse Patient safety Safety management

This article is a condensed from of the first author's master's thesis from Keimyung University.

 Organization for Economic Co-operation and Development Improving value in health care: measuring quality. [Internet] 2010 cited 2014 Nov 29 Available from: http://www.oecd.org/health/ministerial/46098506.pdf Agency for Healthcare Research and Quality Hospital survey on patient culture. [Internet] 2004 cited 2014 May 29 Available from: http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf Lee SI Policy challenges for healthcare quality and patient safety Health Policy Manag 2013 5 39 55 Agency for Healthcare Research and Quality Hospital survey on patient culture: 2014 user comparative database report. [Internet] 2014 cited 2014 Dec 1 Available from: http://www.ahrq.gov/professionals-patient-safety/patientsafetyculture/hospital/2014/hsops14pt1.pdf Go HS Every sanatorium and mental hospital subject to govermental assessment, starting 2013. Health Korea News. [Internet] 2012 12 03 cited 2014 May 29 Available from: http://www.hkn24.com/news/articleView.html?idxno=112354 Park JH Bae HA Legal judgement about psychiatric patients injuries during admission of closed ward Korean J Med Law 2012 20 2 219 246 Jung IW Yang S Emotional reaction of psychiatric nurses and resident physicians toward suicidal behavior in psychiatric inpatients J Korean Acad Psychiatr Ment Health Nurs 2011 20 4 365 375 Mills PD DeRosier JM Ballot BA Shepherd M Bagian JP Inpatient suicide and suicide attempts in veterans affairs hospitals Jt Comm J Qual Patient Saf 2008 34 8 482 488 Chung SH Jho KH Shin YM Analysis of the risk factors and psychotropics' role in the falls of the dementic elderlies in a nursing home J Korean Geriatr Psychiatry 2001 5 1 76 85 An HJ Kim EH Chung YH An JS Cho WA Park JH A study about restraint use in care of patients with psychiatric disorders J Korean Clin Nurs Res 2013 19 3 432 442 Evans D Wood J Lambert L Patient injury and physical restraint devices: a systematic review J Adv Nurs 2003 41 3 274 282 Sullivan-Marx EM Achieving restraint-free care of acutely confused older adults J Gerontol Nurs 2001 27 4 56 61 Yim JH Kim HJ Kim E Park HS Choi J A study on fire protection plan hospital building through case studies J Korean Inst Fire Sci Eng 2004 6 199 204 Korea Institute for Healthcare Accreditation Healthcare accreditation survey standard of mental hospital Seoul Ministry of Health and Welfare 2012 140 Je WY Hospital worker's perception of patient safety culture in a university hospital. [master's thesis] Seoul Sungkyunkwan University 2007 69 Lee GO The study on nurse manager leadership and patient safety-related nursing activities. [master's thesis] Seoul Kyung Hee University 2009 50 Cho HW Yang JH relationship between perceived patient safety culture and patient safety management activities among health personnel J Korean Acad Fundam Nurs 2012 19 1 35 45 Lee HR The role the Korean hospital association in korea's healthcare accreditation system J Korean Med Assoc 2012 55 1 23 30 Nam MH Lim JH The influences of the awareness of patient safety culture on safety care activities among nurse in small-medium sized general hospitals J Digit Converg 2013 11 1 349 359 Kim JE Kang MA An KE Sung YH A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors Clin Nurs Res 2007 13 3 169 179 Kahn WA Psychological conditions of personal engagement and disengagement at work Acad Manag J 1990 33 4 692 724 Nieva VF Sorra J Safety culture assessment: a tool for improving patient safety in healthcare organizations Qual Saf Health Care 2003 12 2 ii17 ii23 Cohen H Tuohy N Carroll R The risk management professional and medication safety J Healthc Risk Manag 2009 29 1 34 43 Rogers AE Hwang WT Scott LD Aiken LH Dinges DE The working hours of hospital staff nurses and patient safety Health Aff (Millwood) 2004 23 4 202 212 Schubert M Glass TR Clarke SP Aiken LH Schaffert-Witvliet B Sloane DM Rationing of nursing care and its relationship to patient outcomes: the Swiss extension of the international hospital outcomes study Int J Qual Health Care 2008 20 4 227 237 Choi KC A study on fire safety management of social welfare facilities J Korean Inst Fire Sci Eng 2013 27 1 1 7 Aiken LH Sloane DM Bruyneel L Van den Heede K Griffiths P Busse R Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study Lancet 2014 383 9931 1824 1830 Park J Kim Y Chung HK Hisanaga N Long working hours and subjective fatigue symptoms Ind Health 2001 39 250 254 Lee NJ Kim JH Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals J Korean Acad Nurs Adm 2011 17 4 462 473 Yoo JH Kang KA Survey of oncology nurses' awareness of patient safety culture and nursing care activities for patient safety Asian Oncol Nurs 2014 14 2 119 126 General Characteristics of Subjects (<italic>N</italic>=208) Mean Scores of Perceptions of Patient Safety Culture and Patient Safety Activities (<italic>N</italic>=208) Difference by General Characteristics on Perceptions of Patient Safety Culture and Patient Safety Activities (<italic>N</italic>=208) Correlation between Perceptions of Patient Safety Culture and Patient Safety Activities (<italic>N</italic>=208) Influencing Factors of Patient Safety Activities (<italic>N</italic>=208)