수술실 간호사의 의사소통 자기효능감과 환자안전문화인식이 간호오류 경험에 미치는 영향

• Published in: Kanho Haengjŏng Hakhoe chi = The journal of Korean Nursing Administration Academic Society Vol. 27; no. 3; pp. 181 - 190
• Main Authors: 서지인(Seo, Jiin), 김유정(Kim, Yujeong)
• Format: Journal Article
• Language: Korean
• Published: 한국간호행정학회 01.07.2021; 간호행정학회
• Subjects: 간호학; 환자안전; Medical errors; 의사소통; 의료오류; Patient safety; 수술실; Operating rooms; Communication
• ISSN: 1225-9330; 2288-4955

연구목적: 본 연구는 수술실 간호사의 의사소통 자기효능감과 환자안전문화인식이 간호오류 경험에 미치는 영향을 확인하기 위해 시행되었다. 연구방법: 16개 병원의 수술실에서 근무하는 184명 간호사를 편의표집하여 횡단적 설계로 시행되었다. 의사소통 자기효능감, 환자안전문화인식, 수술실 간호오류 경험에 대한 설문을 시행하였다. 자료는 서술통계, Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis test, Pearson's correlation coefficient, 다중회귀분석으로 분석하였다. 연구결과: 간호오류 경험은 의사소통 자기효능감(r=-.39, p<.001) 및 환자안전문화인식(r=-.36, p<.001)과 유의한 음의 상관관계가 있었다. 간호오류 경험에 유의한 영향을 미치는 요인은 의사소통 자기효능감(β=-.25, p=.002)과 환자안전문화인식(β=-.21, p=.009)이었으며, 전체 설명력은 19% (F=14.85, p<.001)로 나타났다. 결론: 수술실의 간호오류 위험을 줄이기 위해 의사소통 자기효능감과 환자안전문화인식을 향상시키는 지속적인 교육과 프로그램이 필요하다. Purpose: This study was conducted to identify the influence of communication self-efficacy and perception of thepatient safety culture on the experience of nursing errors among operating room nurses. Methods: A cross-sectionaldesign was used, with a convenience sample of 184 operation room nurses from 16 hospitals in Korea. Data werecollected through a structured self-administered survey. The questionnaires included Communication, Self Efficacy,Safety Attitude Questionnaire, and experiences of nursing errors in operation room. Data were analyzed usingdescriptive analysis, Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficientsand multiple linear regression. Results: The experience of nursing errors had significant negative correlations withcommunication self-efficacy (r=-.39, p<.001) and perception of the patient safety culture (r=-.36, p<.001). Factorssignificantly influencing the experiences of nursing errors included communication self-efficacy (β=-.25, p=.002), andperception of patient safety culture (β=-.21, p=.009). The overall explanatory power was 19% (F=14.85, p<.001). Conclusion: It is necessary to develop continuous education and programs improving communication self efficacyand perception of patient safety culture to reduce risk of nursing errors in the operating room. KCI Citation Count: 1