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Yoon, Kim, Shin, and Wu: Measuring Patient Safety Culture in Korean Nursing Homes
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2013; 19(2): 315-327.

Published online: 31 March 2013

DOI: https://doi.org/10.11111/jkana.2013.19.2.315

Measuring Patient Safety Culture in Korean Nursing Homes

Sook-Hee Yoon1, Byungsoo Kim2, So Yonug Shin3, XiangLian Wu4

1Department of Nursing/Institute of Health Science, Inje University, Korea.

2Department of Data Science/Institute of Statistical Information, Inje University, Korea.

3College of Nursing, Keimyung University, Korea.

4Department of Nursing, Graduate School of Inje University, Korea.

Correspondence: Yoon, Sook-Hee. Department of Nursing, College of Medicine, Inje University, 633-165, Gaegum-dong, Busanjin-Gu, Busan 614-735, Korea. Tel: 82-51-890-6821, Fax: 82-51-896-9840, nurysh@inje.ac.kr

Received 7 February 2013       Revised 19 March 2013       Accepted 19 March 2013

Copyright © 2013 Korean Academy of Nursing Administration

Abstract

Purpose

The purpose of this study was to investigate the patient safety culture in Korean nursing homes using the Nursing Home Survey Patient Safety Culture (NHS-PC), a valid tool, provided by the Agency for Healthcare Research and Quality (AHRQ) and to compare the results with AHRQ data.

Methods

Administrators and staff (N=151) of six nursing homes in Seoul, Busan, Kyeonggi Province and Gyeongsangnam Province completed the survey in July, 2010. The data were analyzed using descriptive statistics, positive response rate, t-test, ANOVA, DUNCAN, Cronbach's α.

Results

The total mean (SD) positive response rate for patient safety culture was not significantly different from the AHRQ data. For composite levels, the results of 'handoffs' were significantly higher, and the results of 'feedback and communication about incidents' and 'nonpunitive responses to mistakes' were significantly lower than the AHRQ data.

Conclusion

More effective strategies related to nonpunitive responses to mistakes and management activities for patient safety are needed to improve patient safety culture in nursing homes.

Keywords: Patient safety culture, Nursing homes

Figures and Tables

Table 1
General Characteristics and Background Information of Participants (N=151)
jkana-19-315-i001
Table 2
Incident Experience and Overall Perception of Resident Safety (N=151)
jkana-19-315-i002
Table 3
Comparison of Average Positive Response Rate for Patient Safety Culture Composite-Level of Korea and AHRQ Data
jkana-19-315-i003
Table 4
Comparison of Average Positive Response Rate for Patient Safety Culture Item-Level of Korea and AHRQ Data
jkana-19-315-i004

*R donates items that are reversed.

Table 5
Patient Safety Culture Composite Scores according to General Characteristics (N=151)
jkana-19-315-i005

Notes

This work was supported by the Indang Research Grant of Inje University.

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