Person-Centered Care Practice, Patient Safety Competence, and Patient Safety Nursing Activities of Nurses Working in Geriatric Hospitals.

Ayoung Huh,Juh Hyun Shin

doi:10.3390/ijerph18105169

Abstract

Geriatric nursing activities are closely related to patient safety; therefore, nurses’ efforts to improve patient safety in geriatric hospitals are important. In the present study, we investigated the relationships between person-centered care practice, patient safety competence, and patient safety during nursing activities in geriatric hospitals. We used the following tools to investigate the factors affecting patient safety during nursing activities: (a) the Korean version of the Person-Centered Care Assessment Tool (P-CAT), (b) the Patient Safety Competence Assessment Tool for Nurses, and (c) the Patient Safety Nursing Activities Assessment Tool for geriatric nurses. The questionnaire survey was completed by 186 geriatric nurses in 12 geriatric hospitals from 1 August to 31 August 2018. We analyzed the survey data using a t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression. We identified patient safety skills (β = 0.417, p < 0.001) and age (β = 0.209, p = 0.035) as key factors that influence patient safety during nursing activities. Therefore, to improve the quality of patient safety during nursing activities conducted by geriatric nurses, it is necessary to develop strategies to improve patient safety skills and expand the pool of competent nurses with clinical experience.

Highlights

IntroductionThe number of long-term-care geriatric nursing hospitals (hereinafter referred to as “geriatric hospitals”) in Korea has doubled over the past decade, from 777 in 2009 to 1577 in
More research with extensive samples reflecting current healthcare environments, including the COVID-19 pandemic, is required in the future. This descriptive survey study was conducted to investigate the relationships between person-centered care practice, patient safety competence, and patient safety nursing activities of geriatric hospital nurses and to analyze the factors affecting patient safety nursing activities
The analysis identified that patient safety skills and age positively affected patient safety nursing activities

Summary

Introduction

The number of long-term-care geriatric nursing hospitals (hereinafter referred to as “geriatric hospitals”) in Korea has doubled over the past decade, from 777 in 2009 to 1577 in. Along with their occupancy rate, the proportion of long-term-care insurance coverage for elderly beneficiaries relative to the general population is steadily increasing (from 7.0% in 2015 to 9.6% in 2019) [2]. With the rapid increase in the number of geriatric hospitals, accessibility to healthcare services for elderly patients in need of medical and nursing care has improved. Safety incidents were most frequently caused by falls (n = 1684, 31.8%), followed by medication errors, infections, and medical equipment errors [4]. Nursing activities are closely related to patient safety; for example, nurses assist with medication, infection control, and fall prevention.

Methods

Results

Discussion

Conclusion