Safety Management Activities Research Articles

Effects of Awareness of Patient Safety Culture, Emotional Labor and Job Stress on Patient Safety Nursing Activities by Comprehensive Nursing Care Medical Service Ward Nurses

Purpose This study aimed to examine the effects of the awareness of patient safety culture, emotional labor, and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Methods The participants were 112 nurses from the comprehensive nursing care service wards from six hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using SPSS version 20.0. Results The factors that significantly influenced patient safety nursing activities in the comprehensive nursing care medical service ward nurses included job stress (β=−0.18, p<.032) and awareness of patient safety culture (β=0.54, p<.001). The explanatory power of these factors was 31.0% (F=13.43, p<.001). Conclusion This study showed that the factors that influenced patient safety management activities of comprehensive nursing care medical service ward nurses included job stress and awareness of patient safety culture. Key Words: Patient safety, Organizational culture, Emotions, Occupational stress, Safety management nursing care 주요어: í™˜ìžì•ˆì „, 조직문화, ê°ì •, ì§ë¬´ìŠ¤íŠ¸ë ˆìŠ¤, ì•ˆì „ê°„í˜¸ê´€ë¦¬

Mediating Effects of Resilience between Influence of Emotional Labor and Patient Safety Management Activities on Job Satisfaction, Nurses in Small-Medium sized Hospitals

목적 본 연구에서는 지역 중소병원 간호사의 감정노동, 환자안전관리활동이 직무만족도에 미치는 영향을 확인하고, 이들 관계에서 회복탄력성의 매개효과를 파악하기 위함이다. 방법 2개 종합병원에서 근무하는 간호사 170명을 대상으로 구조화된 자가 설문지를 이용하였다. 수집된 자료는 SPSS/WIN 21.0 통계프로그램 t-test, ANOVA, Pearson s correlation coefficients, Mediating effects regression 이용하여 분석하였다. 결과 대상자의 감정노동과 환자안전관리활동(r=.327, p<.001), 직무만족(r=.411 p<.001), 회복탄력성(r=.565, p<.001)은 모두 통계적으로 유의한 정(+)의 상관관계를 나타내었다. 회복탄력성과 직무만족(r=.466, p<.001), 환자안전관리활동 간에도 통계적으로 유의한 정(+)의 상관관계를 보였다(r=.367, p<.001). 감정노동과 직무만족도사이에서 매개효과를 분석한 결과(β=.22, p=0.12)과 회복탄력성(β=.34, p<.001) 모두 직무만족에 유의한 영향을 미치는 것으로 확인되었다. Sobel test 결과 유의하게 나타났다(Z=3.71, p<.001). 결론 이를 통해 간호사의 감정노동을 감소시키고 직무만족에 영향을 미치는 회복탄력성을 향상시키기 위해 다양한 프로그램 적용의 필요성을 시사하고 있다.

Effect of Patient Safety Competency on Patient Safety Management Activities in Perianesthesia Nurse

본 연구는 회복마취간호사의 환자안전역량이 환자안전관리활동에 미치는 영향을 파악하기 위해 시도되었다. 연구방법은 2020년 9월 12일 회복마취간호사회 비대면 워크숍에 참여자 중 연구목적과 방법을 듣고 동의한 135명을 대상으로 구조화된 설문지를 이용하여 자료를 수집한 서술적 조사연구이다. 자료 분석은 기술통계량과 회귀분석을 이용하였다. 연구 결과 환자안전역량은 총 4.19점이었으며 하부영역의 지식은 4.11점, 기술 4.20점, 태도 4.26점이었다. 환자안전 지식은 연령, 교육 정도, 임상경력, 현 부서경력, 환자 안전교육 경험, 안전업무담당 경험에서, 환자안전기술은 연령, 임상경력, 현 부서경력, 안전업무담당 경험에서, 환자안전 태도는 연령, 임상경력, 현 부서경력에서 유의한 차이가 있었다. 환자안전관리활동은 환자안전 지식(r=.349, p<.001), 기술(r=.464, p<.001), 태도(r=.380, p<.001)와 유의한 상관관계가 있었다. 안전관리활동에 영향을 미치는 요인은 환자안전 기술(β=.29, p=.021), 환자안전 태도(β=.22, p=.025)이었으며 설명력은 22.9%이었다. 회복마취간호사의 환자안전역량 향상을 위해 회복마취간호사가 갖추어야 할 환자안전술기를 포함한 실무중심의 교육프로그램 개발과 지속적인 적용으로 마취환자의 안전사고 예방을 도모해야 한다.

Patient safety management systems and activities related to promoting voluntary in-hospital reporting and mandatory national-level reporting for patient safety issues: A cross-sectional study.

Both voluntary in-hospital reporting and mandatory national-level reporting systems for patient safety issues need to work well to develop a patient safety learning system that is effective in preventing the recurrence of adverse events. Some of the hospital systems and activities may increase voluntary in-hospital reporting and mandatory national-level reporting. This study aimed to identify the hospital systems and activities that increase voluntary in-hospital reporting and mandatory national-level reporting for patient safety issues. An anonymous mail survey of hospitals in Japan was conducted in 2017. The hospitals were selected by stratified random sampling according to number of beds. The survey examined the annual number of reported events in the voluntary in-hospital reporting system for patient safety and experience of reporting unexpected patient deaths possibly due to medical interventions to the mandatory national-level reporting system in the last 2 years. The relationship of the answer to the questions with the patient safety management systems and activities at each hospital was analyzed. The response rate was 18.8% (603/3,215). The number of in-hospital reports per bed was positively related to identifying events by referring complaints or questions of patients or family members, using root cause analysis for analyzing reported events, and developing manuals or case studies based on reported events, and negatively related to the unification and standardization of medical devices and equipment. The experience with mandatory national-level reporting of serious adverse events was positively related to identifying problematic cases by a person in charge of patient safety management from the in-hospital reporting system of complications and accidental symptoms. Enhanced feedback for reporters may promote voluntary in-hospital reporting of minor cases with low litigation risks. Developing an in-hospital mechanism that examines all serious complications and accidental symptoms may promote mandatory national-level reporting of serious adverse events with high litigation risks.

Assess the nurses perception of patient safety culture and safety control in patient safety management activities

Assess the nurses perception of patient safety culture and safety control in patient safety management activities

A Study on the Effect of Organizational Safety and Health Management Activities on Safety and Health Performance : Focusing on the Case of Public Organizations Safety Activity Level Evaluation

The purpose of this study is to investigate the effect of organizational safety and health management activities on safety and health performance by using the results of safety activity level evaluation of public organizations. To this end, a research model was established by using three fields as independent variables among the four areas of the safety activity level evaluation index: safety and health system, safety and health activity plan, and safety and health activity level, and the safety and health activity performance field as a dependent variable. Correlation analysis and regression analysis between major variables were performed. As a result of the correlation analysis, the safety and health activity performance had a significant positive (+) correlation with all of the safety and health system, safety and health activity plan, and safety and health activity level. The safety and health system had a significant positive (+) correlation with the safety and health activity plan and safety and health activity level, and the safety and health activity plan had a significant positive (+) correlation with the safety and health activity level. And as a result of the regression analysis, it was found that the organization’s safety and health system, safety and health activity plan, and safety and health activity level all had a significant positive (+) effect on safety and health activity performance.

Perioperative patient safety management activities: A modified theory of planned behavior.

Patient safety is an important healthcare issue worldwide, and patient accidents in the operating room can lead to serious problems. Accordingly, we investigated the explanatory ability of a modified theory of planned behavior to improve patient safety activities in the operating room. Questionnaires were distributed to perioperative nurses working in 12 large hospitals in Korea. The modified theory of planned behavior data from a total of 330 nurses were analyzed. The conceptual model was based on the theory of planned behavior data, with two additional organizational factors-job factors and safety management system. Individual factors included attitude, subjective norms, perceived behavioral control, behavioral intention, and patient safety management activities. Results indicated that job factors were negatively associated with perceived behavioral control. The patient safety management system was positively associated with attitude, subjective norm, and perceived behavioral control. Attitude, subjective norm, and perceived behavioral control were positively associated with behavioral intention. Behavioral intention was positively associated with patient safety management activities. The modified theory of planned behavior effectively explained patient safety management activities in the operating room. Both organizations and individuals are required to improve patient safety management activities.

Developing a Subway Fire Risk Assessment Model Based on Analysis Theory

In order to effectively reduce the risk of subway fires and to improve the safety of passengers, a review of the background to subway fires employing literature and comparative analyses, computer simulation, expert consultation, and other research methods has been employed to conduct an in-depth study of subway fire risk assessment and control measures. A subway fire risk assessment model based on analysis theory was established. Firstly, a subway fire risk evaluation index system was developed, and the weight values of each level were determined using the interval analytic hierarchy process (IAHP), then the evaluation was derived using the fuzzy evaluation method, and the passenger distribution simulation was introduced to improve the objectivity of the evaluation. The results show that the fire evaluation of this subway system is safe. The results show that a subway fire risk assessment model may provide a scientific basis for establishing prevention and control measures, extinguishing methods, passenger safety evacuation schemes, and carrying out fire safety management activities during subway operations.

Investigating the implementation of the safety-diagnosability principle to support defence-in-depth in the nuclear industry: A Fukushima Daiichi accident case study

‘Defence in depth’ (DID) is a fundamental safety principle applied in several industries, including nuclear. The key is to protect safety critical systems by employing multiple layers of protection, i.e. barriers. The principle states that one single barrier, regardless of how reliable, is insufficient to ensure acceptable safety performance. Obviously then, as the reliability of the layers are associated with the risk of hazardous events, a main safety management activity should be to monitor barrier conditions and performance. However, as experienced in the past, there could be situations where such monitoring is unsatisfactory, challenging the usefulness of the DID. One example, taken from the oil and gas industry, is the 2005 Texas City refinery explosion, where multiple layers of protection failed, resulting in an accident caused by operators with poor situational awareness. Motivated by this assumed weakness, a new principle called the ‘Safety diagnosability principle’ (SDP) has been suggested for use in the oil and gas industry, in combination with the DID principle. The SDP requires that, for DID to function as intended, any degradation of barriers must be diagnosable and reported. The link to DID makes it also relevant to other industries. In this article, we consider the principle for the nuclear industry. The objective of the article is to clarify the benefits, different ways of implementation, and the potential for using SDP in conjunction with DID in the nuclear industry. To assess the value added, we evaluate the principle against different criteria characterising usefulness. Overall, we find the principle attractive, as the detection and diagnosis of safety–critical events or failures are important for safety management. Having such information strengthens the DID. On the other side, it can also be claimed that acquiring such information is already an implicit part of DID. If so, the SDP adds limited value beyond compliance, i.e. making sure the information is acceptable. We conclude that particularly the relevancy, but also the achievability, related to the use of the SPD, do not point in favour of the principle. A discussion on the 2011 Fukushima Daiichi nuclear accident strengthens our conclusions. The case study indicates that the SDP would not have made the outcome very different. However, as a standalone principle, it might be of greater value. Having reliable information about barrier performance is clearly important to safety management.

Towards Effective Safety Cost Budgeting for Apartment Construction: A Case Study of Occupational Safety and Health Expenses in South Korea

The construction industry has experienced a lot of occupational accidents, and construction work is considered one of the most dangerous occupations. In order to reduce the number of occupational injuries from construction, the South Korean government legislated the occupational safety and health expense law, requiring companies to reserve a reasonable budget for safety management activities when budgeting for construction projects. However, safety budgets have not been spent based on the risk of accidents, and a large amount of the safety budget is spent either in the beginning or late stages of construction projects. Various accident risk factors, such as activity types, previous accident records, and the number of workers on a construction site, need to be considered when determining the safety budget. To solve such problems, this study investigated the expenditure trends of occupational safety and health expenses for 10 apartment construction projects in South Korea. This study also proposed an accident risk index that can be incorporated with the project costs, schedule, the number of workers, and historical accident records when budgeting for the safety costs. The results from the case study illustrate the limitations of the current planning strategy for safety expenditures and demonstrate the need for effective safety budgeting for accident prevention. The proposed safety cost expenditure guideline helps safety practitioners when budgeting for the occupational safety and health expenses while considering accident risk and the characteristics of safety cost expenditures in practice. The outcome of this research will contribute to the development of regulations for the budgeting of safety costs and help to prevent occupational injuries by providing a reasonable budget for safety management activities in an apartment construction project.

Operational Process for R&amp;D Laboratory Safety

Large and small safety accidents caused by experiments frequently occur in laboratories, and preventive measures are very important to prevent human, physical, and research and development (R&amp;D) losses. It is very important to maximize R&amp;D performance and to produce excellent R&amp;D results through the efficient and optimal operation of laboratories, which can be done through R&amp;D laboratory safety management activities. Research managers worldwide are obliged to engage in research activities with equal emphasis on good R&amp;D performance and R&amp;D laboratory safety management activities. In this article, the strategic R&amp;D laboratory safety management status in South Korea was studied. Toward this end, an analytic hierarchy process analysis was conducted, and the degrees of importance and priority levels of the established factors affecting laboratory safety management, and their subfactors were analyzed based on a 5-point scale. Finally, a strategic management system for R&amp;D laboratory safety was proposed.

A Study on Patient Safety Management Activities in Small and Medium Hospitals Nurses

A Study on Patient Safety Management Activities in Small and Medium Hospitals Nurses

Factors Influencing Patient Safety Management Activity of Nursing Students with Clinical Practice

Factors Influencing Patient Safety Management Activity of Nursing Students with Clinical Practice

EMPLOYEES’ PERCEPTIONS TOWARDS THE RELATIONSHIP BETWEEN SAFETY MANAGEMENT PRACTICES AND SAFETY PERFORMANCE OF SMES INDUSTRY IN KELANTAN

Safety management practices have been aggressively put into action to encourage employees' involvement and commitment towards safety-related matters but yet there are still many incidents and accidents reported involving small and medium enterprises industry. However, the study involving employees' perceptions of safety management practices and small and medium-sized safety performance companies, in particular, are also missing. This research, therefore, tests the attitudes of the workers about the partnership between safety management activities, namely adherence to safety management, employee engagement o safety, safety management program, safety culture, and safety training for better safety efficiency. Security reduction strategies enhance working conditions; favourably influence the actions and activities of workers about health, thus reducing occupational injuries. This research makes use of questionnaires as a method. The data were analysed using Structural Equation Modelling (PLS-SEM) for the Partial Least Squares. The identified Small Medium Enterprise in Kelantan received a total of 350 questionnaires, with a response rate of 300 questionnaires (85.71 percent). The analysis showed that safety monitoring activities had a good association with protection efficiency across all dimensions. These findings provide valuable guidance to researchers in identifying the mechanisms by which they may improve safety at work.

Safety Management in Norwegian Fish Farming: Current Status, Challenges, and Further Improvements.

BackgroundSafety management is required to ensure health and safety of personnel in Norwegian fish farming. However, few studies have addressed the status and practical relevance of this risk-reducing measure.MethodsThis article provides new knowledge through interviews with 35 employees at different company levels, addressing perceptions of various safety management activities according to managers and operational personnel.ResultsThe interviews show that managers and operational personnel at fish farms agree that the quantity of measures aimed to improve safety has increased in recent years. However, some activities are perceived to have higher practical relevance than others. In general, measures that fit well with the practical reality are well received by the employees at the fish farms.ConclusionSuggested improvements include involving operational personnel in the design of procedures, considering all risk dimensions that may affect occupational health and safety, and challenging the value of specific safety activities based on a detailed knowledge of the distinctive characteristics of work practice in fish farming.

간호대학생의 환자안전관리활동에 대한 영향요인: 임상실습이 경험이 있는 3, 4학년 간호 대학생을 대상으로 Clinical Practice

본 연구는 임상실습 경험이 있는 간호대학생을 대상으로 환자안전관리활동 영향요인을 분석하여 환자안전관련 교육프로그램의 기초자료를 제공하고자 시도되었다. M시 M대학교 간호대학생 3,4학년 155명을 대상으로 2020년 4월부터 1일부터 20까지 자료 수집하였다. 수집된 자료는 SPSS 22.0 프로그램의 피어슨 상관관계 및 회귀분석을 이용하여 분석하였다. 연구결과 안전관리 예방교육 이수 경험과 안전문화 및 환자안전관리에 대한 태도는 환자안전관리활동에 영향력을 나타내었으며, 환자안전관리활동에 대한 설명력은 39.3%였다. 추후 간호대학생의 환자안전관리 활동을 증진시키기 위한 교육프로그램 개발 및 효과평가를 위한 연구를 제언한다.

Effects of Self-efficacy and Safety Culture Perception on Patient Safety Management Activities among Nurses in Comprehensive Nursing Care Units

본 연구의 목적은 간호·간병통합서비스병동 간호사를 대상으로 환자안전간호활동에 미치는 영향을 알아보기 위함이다. 본 연구는 서술적 상관관계 조사연구로 강원도, 충청도, 경기도에 소재한총 5곳의 종합병원에 근무하는 150명의 간호사를 대상으로 하였다. 수집된 자료는 서술적 기술통계, t-test, one-way ANOVA, Mann-Whitney test, Kruskal-Wallis test, Pearson correlation coefficients, 및 hierarchical regression을 이용하여 분석하였다. 연구결과 대상자의 자기효능감과 안전문화인식 수준은3.59점과 3.67점이었으며, 환자안전간호활동 수준은 4.35점이었다. 환자안전간호활동에 미치는 영향요인은 안전문화인식과 자기효능감이였으며, 이중 안전문화인식이 가장 크게 영향을 미치는 것으로나타났다. 본 연구결과를 통해 간호·간병통합서비스병동 간호사의 환자안전간호활동 향상을 위해환자안전문화인식을 높이기 위한 교육프로그램이 필요함을 시사하고 있다.

Relationship of patient safety culture with factors influencing working environment such as working hours, the number of night shifts, and the number of days off among healthcare workers in Japan: a cross-sectional study

BackgroundPatient safety culture is defined as a product of individual and group values, attitudes, perceptions, competencies, and patterns of behavior that determine the commitment to, and the style and proficiency of, an organization’s health and safety management. Factors influencing healthcare workers’ working environment such as working hours, the number of night shifts, and the number of days off may be associated with patient safety culture, and the association pattern may differ by profession. This study aimed to examine the relationship between patient safety culture and working environment.MethodsQuestionnaire surveys were conducted in 2015 and 2016. The first survey was conducted in hospitals in Japan to investigate their patient safety management system and activities and intention to participate in the second survey. The second survey was conducted in 40 hospitals; 100 healthcare workers from each hospital answered a questionnaire that was the Japanese version of the Hospital Survey on Patient Safety Culture for measuring patient safety culture. The relationship of patient safety culture with working hours in a week, the number of night shifts in a month, and the number of days off in a month was analyzed.ResultsResponse rates for the first and second surveys were 22.4% (731/3270) and 94.2% (3768/4000), respectively. Long working hours, numerous night shifts, and few days off were associated with low patient safety culture. Despite adjusting the working hours, the number of event reports increased with an increase in the number of night shifts. Physicians worked longer and had fewer days off than nurses. However, physicians had fewer composites of patient safety culture score related to working hours, the number of night shifts, and the number of days off than nurses.ConclusionsThis study suggested a possibility of improving the patient safety culture by managing the working environment of healthcare workers. High number of night shifts may lead to high number of event reports. Working hours, the number of night shifts, and the number of days off may differently influence patient safety culture in physicians and nurses.

The Effects of Nursing Ethics and Major Satisfaction on Patient Safety Management Activities of Nursing Students

Background/Objectives: The purpose of this study is to determine the relationships between nursing ethics,major satisfaction, and the patient safety management activities of nursing students and find the factors that affect the patient safety management activities of nursing students.Method/Statistical Analysis: This is a descriptive research study for which 240 participants were selected from nursing students in Jeollabuk-do and Jeollanam-do. Data were collected from March to April 2019. Descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and multiple regression were used for analysis.Findings: This study confirmed that factors of nursing ethics and major satisfaction directly affect the patient safety management activities of nursing students.Improvements/Applications: The purpose of this study is to identify the correlation between nursing ethics, major satisfaction, and patient safety management activities, to understand what factors affect patient safety management activities, and to develop programs for improving the students’ nursing ethics.

임상실습 경험이 있는 간호대학생의 환자안전관리 활동에 대한 교육요구도

임상실습 경험이 있는 간호대학생의 환자안전관리 활동에 대한 교육요구도