중소병원 간호사의 안전 동기, 상사 신뢰, 조직 의사소통 만족, 환자 안전 침묵이 근접 오류보고 의향에 미치는 영향

Abstract

This study conducted to provide basic data on developing management and intervention strategies for improving near miss reporting in small and medium-sized hospitals by identifying the degree of willingness of nurses to report near miss and factors influencing their willingness to report such occurrences.
 The participants were 205 nurses. who were recruited from the 4 small and medium-sized hospitals with more than 200 beds in K-city, Gyeongnam Province. The structured questionnaire was self-administered from June 20 to July 20, 2019. Data were analyzed through the SPSS/WIN 24.0 program using descriptive statistics, Independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and stepwise multiple regression.
 According to the results of this study, The degree of participants’ willingness to report near miss was 73.41 out of 100 points. The degree of patient safety silence was 2.27 out of 5 points . The degree of the safety motivation was 3.22 out of 5 points . The degree of faith in supervisor was 4.01 out of 5 points . The degree of satisfaction with the organization's communication was 3.31 out of 5 points . The factor of patient safety motivation(β=.328, p<.001), patient safety silence(β=-.285, p<.001), and safety accident reporting procedure(β=.142, p=.021) were impact on the willingness to report the near-miss level of nurses. The total explanatory power accounted for 26.2%.
 In conclusion, factors that affect the willingness of nurses to report near misses in small and medium-sized hospitals were safety motivation, patient safety silence, and safety accident reporting procedures. Therefore, in order to increase the willingness of nurses to report near miss in small and medium-sized hospitals, safety incentives should be enhanced through patient safety education, and communication training programs for individuals. Moreover, organizations should be applied to reduce patient safety silence. Additionally, the reporting procedure should be clarified and simplified so that nurses in small and medium-sized hospitals understand w the safety accident reporting procedure well and can access it easily.