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Original Article

Effect of Hospital Nurses' Perceptions of Organizational Health and Patient Safety Culture on Patient Safety Nursing Activities

Mi-Young Han1, Myun-Sook Jung2
Journal of Korean Academy of Nursing Administration 2017;23(2):127-138.
Published online: March 31, 2017

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Corresponding author: Jung, Myun Sook. College of Nursing, Gyeongsang National University, 15 Jinju-daero, 816 Beon-gil, Jinju 52727, Korea. Tel: +82-55-772-8256, Fax: +82-55-751-8711, msjung@gnu.ac.kr
• Received: October 26, 2016   • Revised: March 13, 2017   • Accepted: March 13, 2017

Copyright © 2017 Korean Academy of Nursing Administration

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.

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  • Purpose
    This study was conducted to identify the effects of organizational health and patient safety culture on nursing activities for patient safety as perceived by hospital nurses.
  • Methods
    A self-report survey was administered to staff nurses of one advanced general hospital and two general hospitals in South Korea. Of the questionnaires, 188 were analyzed.
  • Results
    Organizational health had a significantly positive correlation with patient safety culture (r=.52, p<.001) and patient safety nursing activities (r=.31, p<.001).
  • Conclusion
    The findings in this study indicate that among the factors influencing patient safety nursing activities, organizational factors were more important than individual factors, and organizational health had a big effect on patient safety nursing activities.
  • Key Words: Hospital nurse; Patient safety; Organizational health; Patient safety culture; Nursing activities for patient safety

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

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Table 1

General Characteristics of Participants (N=188)

jkana-23-127-i001.jpg

*Medical unit=Medicine, pediatrics; Surgical unit=General surgery, neurosurgery, plastic surgery, orthopedics, urology, ENT; Special unit=Intensive care unit, emergency room; hosp.=Hospital.

†Fisher's exact test.

Table 2

Perception of Organizational Health, Patient Safety Culture, Patient Safety Nursing Activities (N=188)

jkana-23-127-i002.jpg
Table 3

Differences of Perceived Organizational Health, Patient Safety Culture, Patient Safety Nursing Activities (N=188)

jkana-23-127-i003.jpg

a>b: Scheffé test.

*Medical unit=Medicine, Pediatrics; Surgical unit=General surgery, Neurosurgery, Plastic surgery, Orthopedics, Urology, ENT; Special unit=Intensive care unit, Emergency Room; hosp.=Hospital.

Table 4

Correlation among Perceived Organizational Health, Patient Safety Culture, and Patient Safety Nursing Activities (N=188)

jkana-23-127-i004.jpg

OH=Organizational health; PSC=Patient safety culture; PSNA=Patient safety nursing activities.

Table 5

Factors Influencing Patient Safety Nursing Activities as Perceived by Participants

jkana-23-127-i005.jpg

OH=Organizational health; CO=Community oriented; HA=Healthcare accreditation; PSC=Patient safety culture; ASM=Attitude of supervisor/manager; FIR=Frequency of incidence report.

Figure & Data

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    Effect of Hospital Nurses' Perceptions of Organizational Health and Patient Safety Culture on Patient Safety Nursing Activities
    J Korean Acad Nurs Adm. 2017;23(2):127-138.   Published online March 31, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.2.127
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    Effect of Hospital Nurses' Perceptions of Organizational Health and Patient Safety Culture on Patient Safety Nursing Activities
    J Korean Acad Nurs Adm. 2017;23(2):127-138.   Published online March 31, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.2.127
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    Effect of Hospital Nurses' Perceptions of Organizational Health and Patient Safety Culture on Patient Safety Nursing Activities
    Effect of Hospital Nurses' Perceptions of Organizational Health and Patient Safety Culture on Patient Safety Nursing Activities

    General Characteristics of Participants (N=188)

    *Medical unit=Medicine, pediatrics; Surgical unit=General surgery, neurosurgery, plastic surgery, orthopedics, urology, ENT; Special unit=Intensive care unit, emergency room; hosp.=Hospital.

    †Fisher's exact test.

    Perception of Organizational Health, Patient Safety Culture, Patient Safety Nursing Activities (N=188)

    Differences of Perceived Organizational Health, Patient Safety Culture, Patient Safety Nursing Activities (N=188)

    a>b: Scheffé test.

    *Medical unit=Medicine, Pediatrics; Surgical unit=General surgery, Neurosurgery, Plastic surgery, Orthopedics, Urology, ENT; Special unit=Intensive care unit, Emergency Room; hosp.=Hospital.

    Correlation among Perceived Organizational Health, Patient Safety Culture, and Patient Safety Nursing Activities (N=188)

    OH=Organizational health; PSC=Patient safety culture; PSNA=Patient safety nursing activities.

    Factors Influencing Patient Safety Nursing Activities as Perceived by Participants

    OH=Organizational health; CO=Community oriented; HA=Healthcare accreditation; PSC=Patient safety culture; ASM=Attitude of supervisor/manager; FIR=Frequency of incidence report.
    Table 1 General Characteristics of Participants (N=188)

    *Medical unit=Medicine, pediatrics; Surgical unit=General surgery, neurosurgery, plastic surgery, orthopedics, urology, ENT; Special unit=Intensive care unit, emergency room; hosp.=Hospital.

    †Fisher's exact test.

    Table 2 Perception of Organizational Health, Patient Safety Culture, Patient Safety Nursing Activities (N=188)

    Table 3 Differences of Perceived Organizational Health, Patient Safety Culture, Patient Safety Nursing Activities (N=188)

    a>b: Scheffé test.

    *Medical unit=Medicine, Pediatrics; Surgical unit=General surgery, Neurosurgery, Plastic surgery, Orthopedics, Urology, ENT; Special unit=Intensive care unit, Emergency Room; hosp.=Hospital.

    Table 4 Correlation among Perceived Organizational Health, Patient Safety Culture, and Patient Safety Nursing Activities (N=188)

    OH=Organizational health; PSC=Patient safety culture; PSNA=Patient safety nursing activities.

    Table 5 Factors Influencing Patient Safety Nursing Activities as Perceived by Participants

    OH=Organizational health; CO=Community oriented; HA=Healthcare accreditation; PSC=Patient safety culture; ASM=Attitude of supervisor/manager; FIR=Frequency of incidence report.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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