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Kang and Chung: Perception of Healthcare Accreditation System on Patient Safety Management Activities and Nursing Performance of Regional Public Hospital Nurses
Original Article

Journal of Korean Academy of Nursing Administration 2017; 23(4): 416-426.

Published online: 30 September 2017

DOI: https://doi.org/10.11111/jkana.2017.23.4.416

Perception of Healthcare Accreditation System on Patient Safety Management Activities and Nursing Performance of Regional Public Hospital Nurses

Myung Ju Kang1, Kyung Hee Chung2

1Department of Nursing, Graduate School of Gyeongsang National University, Korea.

2College of Nursing, Nambu University, Korea.

Corresponding author: Chung, Kyung Hee. Department of Nursing, Nambu University, 23 Chumdan Jungang-ro, Gwangsan-gu, Gwangju 62271, Korea. Tel: +82-62-970-0154, Fax: +82-62-970-0261, biola@nambu.ac.kr

Received 19 July 2017       Revised 2 September 2017       Accepted 6 September 2017

Copyright © 2017 Korean Academy of Nursing Administration

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

This study was done to identify the ways regional public hospital nurses perceive the healthcare accreditation system as related to their patient safety management activities and nursing performance.

Methods

The participants were 190 nurses chosen with convenient sampling from nurses who worked at regional public hospitals that had obtained healthcare accreditation as of May, 2016 and who had experienced the healthcare accreditation process at least once and whose clinical experience was one year or longer. Collected data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis.

Results

There were significant positive correlations between perception of the Healthcare Accreditation System, patient safety management activities and nursing performance. Factors affecting patient safety management activities were activities to improve medical service quality, patient dissatisfaction and difficulties, changes and values. These factors explained 55.4% of variance in patient safety management activities (F=22.25, p<.001). The factors affecting nursing performance were being charge nurses and activities to improve medical service quality. These factors explained 48.1% of the variance in nursing performance (F=16.57, p<.001).

Conclusion

Finding indicate that positive perception of the healthcare accreditation system by nurses at local government institutions is a factor in heightening patient safety management activities and nursing performance.

Keywords: Healthcare accreditation, Patient safety, Work performance, Nurse

Figures and Tables

Table 1

General Characteristics of Participants (N=190)

jkana-23-416-i001

ICU=Intensive care unit; OR=Operation room; ER=Emergency room.

Table 2

Levels of Awareness of Healthcare Accreditation System, Patient Safety Management Activities, Nursing Performance (N=190)

jkana-23-416-i002
Table 3

Differences in Awareness of Healthcare Accreditation System, Patient Safety Management Activities, Nursing Performance by General Characteristics (N=190)

jkana-23-416-i003

ICU=Intensive care unit; OR=Operation room; ER=Emergency room.

Table 4

Correlation among Awareness of Healthcare Accreditation System, Patient Safety Management Activities, Nursing Performance (N=190)

jkana-23-416-i004
Table 5

Factors Influencing Patient Safety Management Activities, Nursing Performance (N=190)

jkana-23-416-i005

*Dummy variables: gender (female=0), position (Staff nurse=0), Awareness of reporting system of patient safet (Roughly aware of it=0); †Dummy variables: marital status (Single=0), position (Staff nurse=0), Awareness of reporting system of patient safety (Roughly aware of it=0).

Notes

This manuscript is a revision of the first author's master's thesis from Nambu University.

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