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Original Article

Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer

Sunhee Park1, Taewha Lee2
Journal of Korean Academy of Nursing Administration 2016;22(3):230-238.
Published online: June 30, 2016

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Corresponding author: Lee, Tae Wha. Graduate School, College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodamun-gu, Seoul 03722, Korea. Tel: +82-2-2228-3305, Fax: +82-2-392-5440, twlee5@yuhs.ac
• Received: January 6, 2016   • Revised: March 28, 2016   • Accepted: June 2, 2016

Copyright © 2016 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
    The purpose of this study was to investigate predictors of nurses' patient safety behavior during inter-hospital transfer. The study was based on the Theory of Planned Behavior (TPB).
  • Methods
    A descriptive survey design was used. Data were collected with a self-administrated 39-item questionnaire completed by 111 nurses from a university hospital in Seoul, South Korea. The questionnaire was developed based on the Theory of Planned Behavior (TPB) guideline and included measure of self- reported past patient safety behaviors, intentions, attitudes, subjective norms and perceived behavioral controls. Ethical approval was granted by the hospital review board. Hierarchical regression analyses were carried out.
  • Results
    The average score of patient safety behavior was 4.21±0.63 (5 point scale). The TPB variables explained 49.9%of the variance in patient safety behavior. Intention and subjective norm were the most significant predictors of nurses' patient safety behavior. Attitude was related to nurses'patient safety behavior.
  • Conclusion
    TPB variables predicted the nurses'patient safety behavior during inter-hospital transfer of patients except for perceived behavioral controls. The results of this study suggest that better strategies for subjective norms and intentions related to patient safety behavior will be helpful in safety culture reform.
  • Key Words: Inter-hospital transfer; Patient safety; Theory of planned behavior; Nurses
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Table 1

Measures of TPB Variables and Mean Scores

jkana-22-230-i001.jpg

TPB=Theory of planned behavior; IHT=Inter-hospital transfer.

Table 2

Demographics and Patient Safety Behaviors in IHT of Nurses (N=111)

jkana-22-230-i002.jpg

ICU=Intensive care unit, ER=Emergency room; a, b, c: Scheffé test.

Table 3

Correlations among Patient Safety Behavior in IHT and TPB Variables (N=111)

jkana-22-230-i003.jpg
Table 4

Predictors of Safety Behavior in IHT by Theory of Planned Behavior (N=111)

jkana-22-230-i004.jpg

*Dummy variables, †Adj. R2=Adjusted R square; ‡Work dept.* (ICU=1, Ward, ER= 0), Years of employment* (≥6=1,<6=0), Safety transfer education* (present=1, none=0), Patient transfer experience in 3 month* (≥6=1, ≤5=0).

Figure & Data

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    Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer
    J Korean Acad Nurs Adm. 2016;22(3):230-238.   Published online June 30, 2016
    DOI: https://doi.org/10.11111/jkana.2016.22.3.230
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    Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer
    J Korean Acad Nurs Adm. 2016;22(3):230-238.   Published online June 30, 2016
    DOI: https://doi.org/10.11111/jkana.2016.22.3.230
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    Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer
    Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer

    Measures of TPB Variables and Mean Scores

    TPB=Theory of planned behavior; IHT=Inter-hospital transfer.

    Demographics and Patient Safety Behaviors in IHT of Nurses (N=111)

    ICU=Intensive care unit, ER=Emergency room; a, b, c: Scheffé test.

    Correlations among Patient Safety Behavior in IHT and TPB Variables (N=111)

    Predictors of Safety Behavior in IHT by Theory of Planned Behavior (N=111)

    *Dummy variables, †Adj. R2=Adjusted R square; ‡Work dept.* (ICU=1, Ward, ER= 0), Years of employment* (≥6=1,<6=0), Safety transfer education* (present=1, none=0), Patient transfer experience in 3 month* (≥6=1, ≤5=0).
    Table 1 Measures of TPB Variables and Mean Scores

    TPB=Theory of planned behavior; IHT=Inter-hospital transfer.

    Table 2 Demographics and Patient Safety Behaviors in IHT of Nurses (N=111)

    ICU=Intensive care unit, ER=Emergency room; a, b, c: Scheffé test.

    Table 3 Correlations among Patient Safety Behavior in IHT and TPB Variables (N=111)

    Table 4 Predictors of Safety Behavior in IHT by Theory of Planned Behavior (N=111)

    *Dummy variables, †Adj. R2=Adjusted R square; ‡Work dept.* (ICU=1, Ward, ER= 0), Years of employment* (≥6=1,<6=0), Safety transfer education* (present=1, none=0), Patient transfer experience in 3 month* (≥6=1, ≤5=0).

    Table 1

    Table 2

    Table 3

    Table 4

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