Effects of Psychiatric Nurses' Perception of the Healthcare Accreditation System and Safety Climate on Patient Safety Management Activities

Junghee Jang; Sung Hee Shin

doi:10.12934/jkpmhn.2016.25.4.375

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Jang and Shin: Effects of Psychiatric Nurses' Perception of the Healthcare Accreditation System and Safety Climate on Patient Safety Management Activities

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2016; 25(4): 375-385.

Published online: 30 December 2016

DOI: https://doi.org/10.12934/jkpmhn.2016.25.4.375

Effects of Psychiatric Nurses' Perception of the Healthcare Accreditation System and Safety Climate on Patient Safety Management Activities

Junghee Jang¹, Sung Hee Shin²

¹Songchu Mental Hospital, Yangju, Korea.

²College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.

Corresponding author: Shin, Sung Hee. College of Nursing Science, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea. Tel: +82-2-961-0917, Fax: +82-2-961-9398, sunghshin@khu.ac.kr

Received 5 August 2016 Revised 10 September 2016 Accepted 24 October 2016

(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 provide a basis for effective patient safety management activities and quality improvement by identifying the relationship among psychiatric nurses' perception of the healthcare accreditation system, safety climate and patient safety management activities.

Methods

The study participants included 163 psychiatric nurses from 8 mental hospitals and data was collected using self-report questionnaires. Collected data were analyzed with the SPSS/WIN 21.0 using mean, t-test, ANOVA, Pearson correlation coefficient and multiple regression analysis.

Results

Main factors which affect patient safety management activities are education and organizational structure for accreditation, and the total career record. The explanatory power for patient safety management activities of these variables was 41%.

Conclusion

Findings indicate that psychiatric institutions have to develop their own effective measures, work out plans to support administrative and financial nursing services, and continuously provide useful information and educational opportunities.

Keywords: Psychiatric hospitals, Nurse, Accreditation, Climate, Patient safety

Figures and Tables

Table 1

General Characteristics and Differences of the Psychiatric Nurses' Patient Safety Management Activities according to General Characteristics (N=163)

Table 2

The Level of Perception of Healthcare Accreditation System, Safety Climate and Patient Safety Management Activities (N=163)

Table 3

Correlation among Perception of Healthcare Accreditation System, Safety Climate and Patient Safety Management Activities (N=163)

PSMA=Patient safety management activities; PHAS=Perception of healthcare accreditation system; QIA=Quality improvement activity; EOA=Education and organizational structure for accreditation; MP=Management of patients'complaints and grievance; OA=Organizational change and accreditation value; SC=Safety climate; DSC=Department safety climate; HSC=Hospital safety climate.

Table 4

Influencing Factors on Patient Safety Management Activity (N=163)

^*Control variable.

Notes

This article is a revision of the first author's master's thesis from Kyung Hee University.

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

References

1. Kim MR. Concept analysis of patient safety. J Korean Acad Nurs. 2011; 41(1):1–8. DOI: 10.4040/jkan.2011.41.1.1.

2. Lee SI. Policy challenges for healthcare quality and patient safety. Health Policy Manag. 2013; (5):39–55.

3. Park JH, Bae HA. Legal judgement about psychiatric patients injuries during admission of closed ward. - based on cases reviews -. Korean J Med Law. 2012; 20(2):219–246.

4. Kim SY, Lee KH. Nurses' perceptions of patient safety culture and patient safety activities in mental health hospitals. J Korean Acad Psychiatr Ment Health Nurs. 2015; 24(2):82–92. DOI: 10.12934/jkpmhn.2015.24.2.82.

5. Kim SH, Kim MH, Jung MH. The level of elderly fall prevention activities & perception of patient safety culture among university hospital nurses. J Korean Soc Living Environ Syst. 2013; 20(1):81–87.

6. Lee TK, Kim EY, Kim NH. A phenomenological study on nurses' experiences of accidents in patient safety. J Korean Acad Nurs Adm. 2014; 20(1):35–47. DOI: 10.11111/jkana.2014.20.1.35.

7. Zuvillagea P, Emparanza Ji, Guinea B, Mendiaábal F, Muriel A, Ruiz M, et al. A cohort study of accidents occurring in mentally handicapped patients living in institutions. Ann Gen Psychiatry. 2010; 9:22. DOI: 10.1186/1744-859x-9-22.

8. Kim KS, Park YS. The effects of safety climate on safety behavior and accidents. Korean J Ind Organ Psychol. 2002; 15(1):19–39.

9. The Joint Commission. national patient safety goals [Internet]. 2013. 10. cited 2016 Feb 20. Available from: http://www.jointcommission.org/standards_information/npsgs.aspx.

10. Singer SJ, Hartmann CW, Hanchate A, Zhao S, Meterko M, Shokeen P, et al. Comparing safety climate between two populations of hospitals in the United States. Health Serv Res. 2009; 44(5):1563–1583. DOI: 10.1111/j.1475-6773.2009.00994.x.

11. Korea Health Industry Development Institute. Guidelines for hospital evaluation programme [Internet]. 2007. 04. cited 2016 Feb 20. Availabl from: http://khna.or.kr/bbs/linkfile/2007/070527.pdf.

12. Kim MO, Kim KH. Effects of recognizing long-term care hospital certification system on job performance after evaluation for certification in nursing staff of long-term care hospitals. J Korean Gerontol Nurs. 2014; 16(1):68–76. DOI: 10.17079/jkgn.2014.16.1.68.

13. Yum HK. Management and perspectives of patient safety in healthcare. J Korean Med Assoc. 2013; 56(6):454–458. DOI: 10.5124/jkma.2013.56.6.454.

14. Korea Institute for Healthcare Accreditation. Healthcare accreditation survey standard of mental hospital. Seoul: Ministry of Health and Welfare;2012. p. 140.

15. Hwang MS. Comparison of the factors influencing medical institution workers's safety performance. [master's thesis]. [Seoul]: Kyung Hee University;2014. 68.

16. Yeun YR. The impact of healthcare accreditation on patient safety and quality, job satisfaction and organizational commitment: about a general hospital. J Korea Acad Ind Coop Soc. 2013; 14(4):1820–1829. DOI: 10.5762/kais.2013.14.4.1820.

17. Cho SD, Heo SE, Moon DH. A convergence study on the hospital nurse's perception of patient safety culture and safety nursing activity. J Korea Converg Soc. 2016; 7(1):125–136. DOI: 10.15207/jkcs.2016.7.1.125.

18. El-Jardali F, Jamal D, Dimassi H, Ammar W, Tchaghchaqhian V. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. Int J Qual Health Care. 2008; 20(5):363–371. DOI: 10.1093/intqhc/mzn023.

19. Park JH. A study on the effects of perception toward healthcare organization accreditation on job stress and job satisfaction [master's thesis]. [Seoul]: Kyung Hee University;2015. 46.

20. Lee GO. The study on nurse manager leadership and patient safety-related nursing activities. [master's thesis]. [Seoul]: Kyung Hee University;2009. 50.

21. Kim MJ, Choi JS. Effects of perception of the healthcare accreditation, and job stress on turnover intention in nurses. J Muscle Joint Health. 2015; 22(2):87–95. DOI: 10.5953/jmjh.2015.22.2.87.

22. Lee HS, Yang YJ. The effects of the healthcare accreditation on hospital employees' satisfaction level and hospital management performance. J Digit Converg. 2014; 12(1):431–443. DOI: 10.14400/jdpm.2014.12.1.431.

23. Yoo MS, Chung MS. The relationships among the perception of quality assurance and national hospital evaluation program and nursing performance of hospital nurses. J Korean Acad Nurs Adm. 2008; 14(3):260–267.

24. Lee HT. Effect of local medical institutions" service orientation on their employees" job satisfaction, organizational commitment and customer orientation: focusing on the Busan area. Korean J Local Gov Stud. 2013; 17(3):383–402.

25. 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.

26. Kim MJ, Kim MS. Canonical correlation between organizational characteristics and barrier to medication error reporting of nurses. J Korea Acad Ind Coop Soc. 2014; 15(2):979–988. DOI: 10.5762/kais.2014.15.2.979.

27. Cho HW, Yang JH. Relationship between perceived patient safety culture and patient safety management activities among health personnel. J Korean Acad Fundam Nurs. 2012; 19(1):35–45. DOI: 10.7739/jkafn.2012.19.1.035.

28. Lee YH, Lim JD. Relationship between changes of patient safety & medical service quality and changes of management activity after medical institution accreditation: mental hospitals and geriatric hospitals. J Korea Contents Assoc. 2015; 15(1):286–299. DOI: 10.5392/jkca.2015.15.01.286.

29. Kim Y, Lee ES, Choi EY. Perception of patient safety culture of hospital nurses. Korean J Hosp Manag. 2013; 18(3):27–42.

30. Son YL. The impact of perceived patient safety culture on safety care activities in general hospital nurse’s. J Korea Acad Ind Coop Soc. 2016; 17(3):509–517. DOI: 10.5762/kais.2016.17.3.509.

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