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Jang, Park, Choi, Park, and Lim: Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities
Original Article

Journal of Korean Academy of Nursing Administration 2016; 22(3): 239-250.

Published online: 30 June 2016

DOI: https://doi.org/10.11111/jkana.2016.22.3.239

Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities

Hyun-Mi Jang, Ju-Young Park, Young-Ju Choi, Sung-Won Park, Han-Na Lim

College of Nursing, Konyang University, Korea.

Corresponding author: Park, Ju-Young. College of Nursing, Konyang University, 158 Kwanjedong, Seo-gu, Daejeon 320-832, Korea. Tel: +82-42-600-6341, Fax: +82-42-600-6314, jypark@konyang.ac.kr

Received 14 March 2016       Revised 14 May 2016       Accepted 25 May 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 aim of this study was to examine effects of patient safety culture and burnout on safety management activities with a focus on clinical experience of nurses in general hospitals.

Methods

Self-administered questionnaires were given to nurses in a general hospital in C Province, and 107 questionnaires were used for final analysis. Collected data were analyzed using SPSS/WIN 21.0 Program for t-test, ANOVA, Pearson correlation coefficients, and multiple regression.

Results

The highest score as perceived by general hospital nurses for patient safety culture was for 'Immediate superior/Manager'(3.84), for burnout, the highest score was for 'Emotional exhaustion' (4.13), and for safety management activities, the highest score was for 'Prevention of infection' (3.96). Patient safety culture and safety management activities perceived by general hospital nurses showed significant positive correlations (r=.35 p<.001). The correlations between burnout and safety management activities perceived by the nurses showed significant negative correlations (r=-.37, p<.001). Results of hierarchical regression analysis conducted to identify factors that affect safety management activities showed that patient safety culture (β=.40 p<.001) was effective for controlling safety management activities.

Conclusion

The findings indicate a need to build a patient safety culture that fits the characteristics and situations of various hospitals.

Keywords: Perception of patient safety culture, Burnout, Safety management activities

Figures and Tables

Table 1

General Characteristics of Participants (N=107)

jkana-22-239-i001
Table 2

General Hospital Nurses' Perception of Patient Safety Culture and Burnout and Safety Management Activity (N=107)

jkana-22-239-i002
Table 3

Differences in Patient Safety Culture, Awareness and Hospital nurse Burnout, and Safety Management Activities according to General Characteristics (N=107)

jkana-22-239-i003

*Sheffé test.

Table 4

The Correlation between Patient Safety Culture and Burnout and Safety Management Activities

jkana-22-239-i004

X1=Patient safety culture awareness; X2=Department work environment; X3=Immediate superior/manager; X4=Communication and procedures; X5=Frequency of accident reports; X6=Patient safety; X7=Hospital; X8=Perception; X9=Emotional exhaustion; X10=Impersonalzation; X11=Reduced personal accomplishment; X12=Safety management activity.

Table 5

Factors of affecting on the Safety Management Activities (N=107)

jkana-22-239-i005

Variable: Patient safety culture=Score; Exhaustion=Score; Age (1=<27, 2=27~33, 3=≥34); Marital status (1=Singled, 2=Married); Education level (0=College, 1=Master degree); Position (0=nurse, 1=nurse manager); Department (1=Newborn intensive care unit, 2=Surgical unit, 3=Medical unit, 4=Delivery room, 5=Intensive care unit, 6=Emergency room).

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