Perception of Importance of Patient Safety Management, Patient Safety Culture and Safety Performance in Hospital Managerial Performance of Hospital Nurses

Mi Yeon Park; Eun A Kim

doi:10.11111/jkana.2018.24.1.40

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Park and Kim: Perception of Importance of Patient Safety Management, Patient Safety Culture and Safety Performance in Hospital Managerial Performance of Hospital Nurses

Original Article

J Korean Acad Nurs Adm 2018;24(1):40-50.

Published online: 15 January 2018

DOI: https://doi.org/10.11111/jkana.2018.24.1.40

Perception of Importance of Patient Safety Management, Patient Safety Culture and Safety Performance in Hospital Managerial Performance of Hospital Nurses

Mi Yeon Park¹, Eun A Kim^2,

¹Department of Nursing, Kwangiu Christian Hospital

²Department of Nursing, Honam University

Corresponding author: Kim, Eun A Department of Nursing, Honam University, 417 Eodeung-daero, Gwangsan-gu, Gwangju 62399, Korea. Tel: +82-62-940-5551, Fax: +82-62-940-5042, E-mail: umberto@honam.ac.kr

Received 11 October 2017 Revised 19 December 2017 Accepted 3 January 2018

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 examine the effects of perception of importance of patient safety management, patient safety culture and safety performance on managerial performance of hospital nurses.

Methods

A cross-sectional design was used, with a convenience sample of 393 nurses from seven general hospitals. Data were collected through self-evaluation questionnaires. The data collection period was April and May, 2016 and data were analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson correlation coefficients and stepwise multiple regression with the SPSS/WIN 24.0 program.

Results

There were significantly positive relationships (p<.001) between hospital managerial performances and perception of importance of patient safety management (r=.36), patient safety culture (r=.51), safety performance (r=.44). Factors influencing hospital managerial performances in the hospital nurses were identified as patient safety culture (β=.34), type of hospital (advanced general hospital) (β=.31), and safety performance (β=.20). The explanation power of this regression model was 39.0% and it was statistically significant (F=183.82, p<.001).

Conclusion

The results from this study can be used to develop further management strategies for enhancement of hospital managerial performances.

Keywords: Hospitals, Nurses, Patient safety, Safety management

References

1. Kim EK, Kim YM, Park SH, Choi YK, Hwang JH. Quality management in health care organization. 1st ed. Seoul: Koonja;2014. p. 90–132.

2. Hwang Y, Kim MY, Kang JS. Perception and performance about patient safety management for hospital nurses. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2016; 6(12):39–54. https://doi.org/10.14257/AJMAHS.2016.12.29.

3. Kim MR. Concept analysis of patient safety. Journal of Korean Academy of Nursing. 2011; 41(1):1–8. https://doi.org/10.4040/jkan.2011.41.1.1.

4. Park MJ, Kim IS, Ham YL. Development of a perception of importance on patient safety management scale (PI-PSM) for hospital employee. The Journal of the Korea Contents Association. 2013; 13(5):333–341. https://doi.org/10.5392/JKCA.2013.13.05.332.

5. Ministry of Health and Welfare. Korea Institute for Healthcare Accreditation. The Act on Patient Safety practice manual 2017 [Internet]. Seoul: Korea Institute for Healthcare Accreditation;2017. [cited 2017 September 1]. Available from:. http://www.koiha.kr/member/kr/board/systemInfoNotice/systemInfoNotice_BoardView.do.

6. Korea Institute for Healthcare Accreditation. Acute hospital healthcare accreditation standards (Ver 2.0) [Internet]. Seoul: Korea Institute for Healthcare Accreditation;2014. [cited 2016 July 1]. Available from:. http://www.koiha.or.kr/member/kr/board/establish/establish_BoardView.do.

7. Cha JH. The Effects of healthcare accreditation system on managerial performances in hospital organizations: Focused on roles of mediating organization competencies [dissertation]. Nonsan: Konyang University;2014. p. 1–126.

8. Shin HH, Jung SH, Ryu JW. Investigation and promotion of patient safety actions at medical institutions. Research Report. Seoul: Korean Institute of Hospital Management;2015. September. Report No: KIHM 2014-3.

9. Jang HM, Park JY, Choi YJ, Park SW, Lim HN. Effect of general hospital nurses' perception of patient safety culture and burnout on safety management activities. Journal of Korean Academy Nursing Administration. 2016; 22(3):239–250. https://doi.org/10.11111/jkana.2016.22.3.239.

10. Leblebicioglu H, Erben N, Rosenthal VD, Sener A, Uzun C, Senol G, et al. Surgical site infection rates in 16 cities in Turkey: findings of the international nosocomial infection control consortium (INICC). American Journal of Infection Control. 2015; 43(1):48–52. https://doi.org/10.1016/j.ajic.2014.09.017.

11. Telem DA, Talamini M, Altieri M, Yang J, Zhang Q, Pryor AD. The effect of national hospital accreditation in bariatric surgery on perioperative outcomes and long-term mortality. Surgery for Obesity and Related Diseases. 2015; 11(4):749–757. https://doi.org/10.1016/j.soard.2014.05.012.

12. Shin MJ. The effects of hospital accreditation program to the organizational culture, job satisfaction, financial performances and patient safety at geriatric hospital: About Busan metrocity. Journal of Digital Convergence. 2014; 12(10):455–466. https://doi.org/10.14400/JDC.2014.12.10.455.

13. Cha BK, Choi J. A comparative study on perception of patient safety culture and safety care activities: Comparing university hospital nurses and small hospital nurses. Journal of Korean Academy Nursing Administration. 2015; 21(4):405–416. https://doi.org/10.11111/jkana.2015.21.4.405.

14. de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: A systematic review. Quality and Safety in Health Care. 2008; 17(3):216–223. https://doi.org/10.1136/qshc.2007.02362.

15. Hwang JI, Chin HJ, Chang YS. Characteristics associated with the occurrence of adverse events: A retrospective medical record review using the global trigger tool in a fully digitalized tertiary teaching hospital in Korea. Journal of Evaluation in Clinical Practice. 2014; 20(1):27–35. https://doi.org/10.1111/jep.12075.

16. 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. Journal of Digital Convergence. 2013; 11(1):349–359.

17. Lee SG. Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals [dissertation]. Seoul: Chung-Ang University;2015. p. 1–142.

18. Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. BMJ Quality and Safety. 2011; 20(11):914–922. https://doi.org/10.1136/bmjqs.2010.047233.

19. Pronovost PJ, King J, Holzmueller CG, Sawer M, Bivens S, Micheal M, et al. A web based tool for the comprehensive unit based safety program (CUSP). Joint Commission Journal on Quality and Patient Safety. 2006; 32(2):119–129.

20. Castle NG, Sonon KE. A culture of patient safety in nursing homes. Quality and Safety in Health Care. 2006; 15(6):405–408. https://doi.org/10.1136/qshc.2006.018424.

21. Cho HW, Yang JH. Relationship between perceived patient, safety culture and patient safety management activities among health personnel. Journal of Korean Academy of Fundamentals of Nursing. 2012; 19(1):35–45. https://doi.org/10.7739/jkafn.2012.19.1.035.

22. Kim EA, Jang KS. Development of a measurement of intellectual capital for hospital nursing organizations. Journal of Korean Academy of Nursing. 2011; 41(1):129–140. https://10.4040/jkan.2011.41.1.129.

23. Cohen JA. Power primer. Psychological Bulletin. 1992; 112:155–159. https://doi.org/10.1037/0033-2909.112.1.155.

24. Neal A, Griffin MA, Hart PM. The impact of organizational climate on safety climate and individual behavior. Safety Science. 2000; 34(1-3):99–109. https://doi.org/10.1016/S0925-7535(00)00008-4.

25. Neal A, Griffin MA. A study of the legged relationships among safety climate, safety motivation, safety behavior, and accident at the individual and group levels. The Journal of Applied Psychology. 2006; 91(4):946–953. https://doi.org/10.1037/0021-9010.91.4.946.

26. Sohn MJ. The effects of perception of hospital nurses toward safety climate on safety performance. [master's thesis]. Seoul: Seoul National University;2012. p. 1–58.

27. Parand A, Dopson S, Renz A, Vincent C. The role of hospital managers in quality and patient safety: A systematic review. BMJ open. 2014; 4(9):e005055. https://doi.org/10.1136/bmjopen-2014-005055.

28. Jung YI, Park IT, Lee SG, Choi YK. Assessing patient safety culture in Korean healthcare organization. Seoul: Korea Institute for Healthcare Accreditation;2015.

29. Nieva VF, Sorra JS. Safety culture assessment: A tool for improving patient safety in healthcare organization. Quality and Safety in Health Care. 2003; 12(2):ii17–ii23. https://doi.org/10.1136/qhc.12.suppl_2.ii17.

30. Kim Y, Lee ES, Choi EY. Perception of patient safety culture of hospital nurses. Korean Journal of Hospital Management. 2013; 18(3):27–42.

Table 1.

Differences in Hospital Managerial Performances by Characteristics (N=393)

Variables	Categories	n(%)	M±SD	t or F	p
Age (year)	≤25	92 (23.4)	5.10±0.67	1.45	.228
	26~30	126 (32.1)	5.00±0.78
	31~35	74 (18.8)	5.05±0.87
	36~40	36 (9.2)	4.85±0.81
	≥41	65 (16.5)	5.20±0.71
Gender	Male	11 (2.8)	4.89±0.41	-0.74	.462
	Female	382 (97.2)	5.06±0.77
Marital status	Single	236 (60.1)	5.05±0.76	0.16	.873
	Married	157 (39.9)	5.06±0.77
Education level	3-year college	82 (20.9)	5.07±0.76	0.03	.973
	Bachelor	238 (60.5)	5.05±0.75
	≥Master	73 (18.6)	5.06±0.85
Work hours per work	≤40	240 (61.1)	5.10±0.78	1.44	.150
	≥41	153 (38.9)	4.98±0.74
Shift pattern	Three shifts	331 (84.2)	5.10±0.77	2.43	.015
	Day shift only	62 (15.8)	4.84±0.73
Total work experience in present hospital (year)	＜5	167 (42.5)	5.04±0.73	0.46	.633
	5~9	103 (26.2)	5.11±0.78
	≥10	123 (31.3)	5.02±0.81
Work experience in present unit (year)	＜1	77 (19.6)	4.96±0.65	1.30	.274
	1~4	223 (56.7)	5.05±0.77
	≥5	93 (23.7)	5.15±0.84
Accreditation	Yes	353 (89.8)	5.07±0.77	1.22	.223
	No	40 (10.2)	4.91±0.71
Hospital type	Advanced general hospital	177 (45.0)	5.32±0.75	6.54	＜.001
	General hospital	216 (55.0)	4.83±0.74
Safety accident reports (average monthly frequency)	0	161 (41.0)	4.98±0.86	1.38	.253
	1~2	212 (53.9)	5.11±0.68
	≥3	20 (5.1)	5.09±0.83

Table 2.

Degree of Patient Safety-related Factors and Hospital Managerial Performances (N=393)

Variables	Categories	M±SD	Min~Max	Range
Perception of importance of patient safety management	Concern	3.88±0.55	2.43~5.00	1~5
	Confidence	3.81±0.56	2.40~5.00
	Will	3.78±0.54	2.40~5.00
	Recognition	4.32±0.50	2.50~5.00
	Total	3.92±0.46	2.76~5.00
Patient Safety culture	Leadership	3.86±0.53	2.00~5.00	1~5
	Teamwork	3.83±0.49	2.33~5.00
	Patient safety knowledge and attitude	3.94±0.50	2.57~5.00
	Patient safety policy and procedure	3.74±0.63	1.25~5.00
	Non-punitive environment	3.22±0.70	1.00~5.00
	Patient safety improvement system	3.45±0.60	1.00~5.00
	Patient safety priority	2.96±0.65	1.00~4.67
	Total	3.67±0.41	2.37~5.00
Safety performance	Safety compliance	3.65±0.57	2.00~5.00	1~5
	Safety participation	3.64±0.56	1.67~5.00
	Total	3.64±0.52	2.17~5.00
Hospital managerial performances	Financial performance	5.33±0.86	2.50~7.00	1~7
	Non-financial performance	4.83±0.94	1.60~7.00
	Total	5.05±0.76	2.11~7.00

Table 3.

Correlation of Variables (N=393)

Variables	PI-PSM	Patient safety culture	Safety performance
Variables	r (p)	r (p)	r (p)
PI-PSM	1
Patient safety culture	.73 (＜.001)	1
Safety performance	.62 (＜.001)	.60 (＜.001)	1
Hospital managerial performances	.36 (＜.001)	.51 (＜.001)	.44 (＜.001)

PI-PSM=Perception of importance on patient safety management.

Table 4.

Factors Influencing Hospital Managerial Performances (N=391)

Variables	B	SE	β	t	p
(Constant)	1.15	0.28		4.16	＜.001
Safety culture	0.71	0.09	.34	7.80	＜.001
Working hospital type (advanced general hospital)	0.48	0.06	.31	7.86	＜.001
Safety performance	0.29	0.07	.20	4.06	＜.001
		R²=.39, Adj. R²=.39, F=83.82, p＜.001

Including variables in stepwise method: Safety culture, safety performance, working hospital type=dummy variable (advanced general hospital=1), SE=Standard error; Adj=Adjusted.

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