Journal List > J Korean Acad Nurs Adm > v.22(3) > 1051856

TOOLS
Park and Lee: Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer
Original Article

Journal of Korean Academy of Nursing Administration 2016; 22(3): 230-238.

Published online: 30 June 2016

DOI: https://doi.org/10.11111/jkana.2016.22.3.230

Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer

Sunhee Park1, Taewha Lee2

1Gangnam Severance Hospital, Yonsei University, Korea.

2Graduate School, College of Nursing, Yonsei University, Korea.

Corresponding author: Lee, Tae Wha. Graduate School, College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodamun-gu, Seoul 03722, Korea. Tel: +82-2-2228-3305, Fax: +82-2-392-5440, twlee5@yuhs.ac

Received 6 January 2016       Revised 28 March 2016       Accepted 2 June 2016

Copyright © 2016 Korean Academy of Nursing Administration

(open-access):

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.

Abstract

Purpose

The purpose of this study was to investigate predictors of nurses' patient safety behavior during inter-hospital transfer. The study was based on the Theory of Planned Behavior (TPB).

Methods

A descriptive survey design was used. Data were collected with a self-administrated 39-item questionnaire completed by 111 nurses from a university hospital in Seoul, South Korea. The questionnaire was developed based on the Theory of Planned Behavior (TPB) guideline and included measure of self- reported past patient safety behaviors, intentions, attitudes, subjective norms and perceived behavioral controls. Ethical approval was granted by the hospital review board. Hierarchical regression analyses were carried out.

Results

The average score of patient safety behavior was 4.21±0.63 (5 point scale). The TPB variables explained 49.9%of the variance in patient safety behavior. Intention and subjective norm were the most significant predictors of nurses' patient safety behavior. Attitude was related to nurses'patient safety behavior.

Conclusion

TPB variables predicted the nurses'patient safety behavior during inter-hospital transfer of patients except for perceived behavioral controls. The results of this study suggest that better strategies for subjective norms and intentions related to patient safety behavior will be helpful in safety culture reform.

Keywords: Inter-hospital transfer, Patient safety, Theory of planned behavior, Nurses

Figures and Tables

Table 1

Measures of TPB Variables and Mean Scores

jkana-22-230-i001

TPB=Theory of planned behavior; IHT=Inter-hospital transfer.

Table 2

Demographics and Patient Safety Behaviors in IHT of Nurses (N=111)

jkana-22-230-i002

ICU=Intensive care unit, ER=Emergency room; a, b, c: Scheffé test.

Table 3

Correlations among Patient Safety Behavior in IHT and TPB Variables (N=111)

jkana-22-230-i003
Table 4

Predictors of Safety Behavior in IHT by Theory of Planned Behavior (N=111)

jkana-22-230-i004

*Dummy variables, †Adj. R2=Adjusted R square; ‡Work dept.* (ICU=1, Ward, ER= 0), Years of employment* (≥6=1,<6=0), Safety transfer education* (present=1, none=0), Patient transfer experience in 3 month* (≥6=1, ≤5=0).

References

1. Mackintosh M. Transporting critically ill patients: New opportunities for nurses. Nurs Stand. 2006; 20(36):46–48. DOI: 10.7748/ns2006.05.20.36.46.c4153.
2. Pothier D, Monteiro P, Mooktiar M, Shaw A. Pilot study to show the loss of important data in nursing handover. Br J Nurs. 2005; 14(20):1090–1093. DOI: 10.12968/bjon.2005.14.20.20053.
3. Ahn KO, Hong JY, Kim Y, Jung KY. Appropriate inter-hospital transfer of emergent patients. J Korean Soc Emerg Med. 2006; 17(2):138–145.
4. Hains IM, Marks A, Georgiou A, Westbrook JI. Non-emergency patient transport: What are the quality and safety issues? A systematic review. Int J Qual Health Care. 2011; 23(1):68–75. DOI: 10.1093/intqhc/mzq076.
5. Milligan F, Dennis S. Improving patient safety and incident reporting. Nurs Stand. 2004; 19(7):33–36. DOI: 10.7748/ns2004.10.19.7.33.c3733.
6. Aspden P, Corrigan JM, Wolcott J, Erickson SM. Patient safety: achieving a new standard for care. Washington, D.C.: National Acad. Press;2004.
7. 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.
8. Lee JM, Hong SJ, Park MH. Perception of patient safety culture and safety care activity among ICU nurses. Korean Rev Crisis Emerg Manage. 2013; 9(11):273–290.
9. Kim HY, Kim HS. Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. J Korean Acad Nurs Adm. 2011; 17(4):413–422. DOI: 10.11111/jkana.2011.17.4.413.
10. Lee KH, Lee YS, Park HK, Rhu JO, Byun IS. The influences of the awareness of patient safety culture on safety care activities among operating room nurses. J Korean Clin Nurs Res. 2011; 17(2):204–214.
11. Sohn YK, Lee BK. An efficacy of social cognitive behavior model based on the theory of planned behavior: a meta-analytic review. Korean J Journal Commun Stud. 2012; 56(6):127.
12. Ajzen I. Attitudes, traits, and actions: dispositional prediction of behavior in personality and social psychology. In : Leonard B, editor. Advances in experimental social psychology. Vol 20. San Diego: Academic Press;1987. p. 1–63.
13. Yoo HR. A study of determinants of patients education behavior of clinical nurses in Korea. J Korean Acad Soc Nurs Educ. 2004; 10(1):139–148.
14. O'Boyle CA, Henly SJ, Larson E. Understanding adherence to hand hygiene recommendations: the theory of planned behavior. Am J Infect Control. 2001; 29(6):352–360. DOI: 10.1067/mic.2001.18405.
15. Lee MR, So HY, Cho MK. Determinants of nurses' handwashing practice. J Korean Acad Adult Nurs. 2005; 17(2):268–275.
16. Eiamsitrakoon T, Apisarnthanarak A, Nuallaong W, Khawcharoenporn T, Mundy LM. Hand hygiene behavior: Translating behavioral research into infection control practice. Infect Control Hosp Epidemiol. 2013; 34(11):1137–1145. DOI: 10.1086/673446.
17. Puffer S, Rashidian A. Practice nurses' intentions to use clinical guidelines. J Adv Nurs. 2004; 47(5):500–509. DOI: 10.1111/j.1365-2648.2004.03129.x.
18. Javadi M, Kadkhodaee M, Yaghoubi M, Maroufi M, Shams A. Applying theory of planned behavior in predicting of patient safety behaviors of nurses. Mater Sociomed. 2013; 25(1):52–55. DOI: 10.5455/msm.2013.25.52-55.
19. Ajzen I. Constructing a theory of planned behavior questionnaire [Internet]. 2006. cited 2014 October 10. Available from: http://people.umass.edu/~aizen/pdf/tpb.measurement.pdf.
20. Fox PJ. Beliefs concerning glove use among medical laboratory workers [master's thesis]. Chicago: University of Illinois at Chicago;1989.
21. Hwang JS, Lee SY, Jeon YJ, Lee HO, Kwak YN, Lee JO. A descriptive study of military nurses' perception on patient safety culture and their performance on patient safety nursing. J Mil Nurs Res. 2014; 32(1):92–104.
22. Kim YN, Ryu SW. Factors influenced patients' safety behavior of nurses. In : 2008 Autumn Conference of the Korean Society of Nursing Science; 2008 October 29; Seoul.
23. Kohn LT, Corrigan J, Donaldson MS. To err is human: building a safer health system. Washington: National Academy Press;2000.
24. Yun JM, Park HS. Perception of the patient safety risk factors and safety management by nurses in emergency service, hospitals. J Korean Acad Fundam Nurs. 2014; 21(4):380–391. DOI: 10.7739/jkafn.2014.21.4.380.
25. Lee HJ, Kang SB. Handling the nonresponse in sample survey. J Korean Data Inf Sci Soc. 2012; 23(6):1183–1194. DOI: 10.7465/jkdi.2012.23.6.1183.
26. Nelson JM, Cook PF, Ingram JC. Utility of the theory of planned behavior to predict nursing staff blood pressure monitoring behaviours. J Clin Nurs. 2014; 23(3-4):461–470. DOI: 10.1111/jocn.12183.
27. Kim JM, Lee SH. Nursing students' performance related to nosocomial infection control: an analysis based on the theory of planned behavior. J Korean Acad Soc Nurs Educ. 2012; 18(2):229–238. DOI: 10.5977/jkasne.2012.18.2.229.
28. Wakefield JG, McLaws M-L, Whitby M, Patton L. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 2010; 19(6):585–591. DOI: 10.1136/qshc.2008.030700.
29. Levin PF. Test of the Fishbein and Ajzen models as predictors of health care workers' glove use. Res Nurs Health. 1999; 22(4):295–307.
TOOLS
Similar articles