간호ㆍ간병통합서비스병동간호사의 자기효능감과 안전문화인식이 환자안전간호활동에 미치는 영향
The Effects of Nurses' Self-Efficacy and Safety culture Perception on the Patient Safety Management Activities in Comprehensive Nursing Care Service Wards.
- 주제(키워드) 도움말 간호ㆍ간병통합서비스 , 자기효능감 , 안전문화인식 , 환자안전간호활동
- 발행기관 강릉원주대학교 일반대학원
- 지도교수 도움말 서길희
- 심사위원 최선하, 박선아
- 사용가능일 20190201
- 저작권일 20190201
- 발행년도 2018
- 학위수여년월 2019. 2
- 학위명 석사
- 학과 및 전공 도움말 일반대학원 간호학과
- 실제URI http://www.dcollection.net/handler/kangnung/000000010355
- UCI I804:42001-000000010355
- 본문언어 한국어
초록/요약 도움말
본 연구는 간호ㆍ간병통합서비스병동간호사를 대상으로 자기효능감, 환자안전문 화인식을 조사함으로써 환자안전간호활동의 영향요인을 파악하여 환자안전관리활동 의 증진을 도모하고자 시도된 서술적 조사연구이다. 본 연구를 위해 2018년 9월 17일부터 10월 5일까지 5개 병원에 근무하는 간호 ㆍ간병통합서비스병동간호사 150명에게 자료를 수집하였다. 연구도구로는 자기효능 감은 Sherer와 Maddux(1982)등이 개발한 자기효능감 측정도구를 정애순(2007)이 수정 보완한 도구를 이용하였다. 환자안전문화인식은 이순교(2015)가 개발한 도구 를 사용하였다. 환자안전간호활동은 한미영(2015)이 개발한 환자안전간호활동도구 를 중심으로 박소정(2009)이 개발한 안전간호 활동측정 도구 중 대상자 교육에 관 한 5문항 중 ‘보호자 상주’를 제외한 4문항(call bell사용법, 손잡이 이용교육, 이동 시 안전 교육, 안전사고 예방교육)을 더하여 수정, 보완하여 사용하였다. 수집된 자 료는 SPSS/WIN 25.0을 이용하여 기술통계, t-test, 일원분산분석(one-way ANOVA), Mann-Whitney 검정, Kruskal-Wallis 검정, 피어슨 상관계수(Pearson correlation coefficients), 위계적 다중회귀분석(Hierarchical multiple regression)으로 분석하였다.
more초록/요약 도움말
This study is a descriptive survey research for the purpose of promoting patient safety management activities based on influential factors of patient safety activities by investigating self-efficacy and safety culture perception among nurses in comprehensive nursing care service wards. For this study, data were collected from 150 nurses in comprehensive nursing care service wards of 5 hospitals, from Sep. 17th, 2018 to Oct. 5th, 2018. Self-efficacy was measured by Sherer and Maddux’s Self-efficacy (1982) revised by Jung (2007). Patient safety management activities were measured by tool, developed by Han (2015) with addition of 4 items (call bell use, handle use education, moving safety education, and safety accident prevention education) among 5 items of subject education subscale in safety management tool developed by Park (2009). Data has been analyzed in descriptive statistic, t-test, one-way ANOVA, Mann-Whitney test ,Kruskal-Wallis test, Pearson correlation coefficients, and hierarchical multiple regression with SPSS/WIN25.0
more목차 도움말
Ⅰ. 서 론 ··································································································1
1. 연구의 필요성 ··································································································1
2. 연구목적 ···········································································································4
3. 용어의 정의 ·····································································································5
Ⅱ. 이론적 배경 ·······················································································7
1. 간호ㆍ간병통합서비스 ·····················································································7
2. 자기효능감 ·······································································································8
3. 환자안전문화인식 ···························································································10
4. 환자안전간호활동 ···························································································12
Ⅲ. 연구방법 ···························································································14
1. 연구설계 ·········································································································14
2. 연구대상 ·········································································································14
3. 자료수집방법 및 절차 ···················································································14
4. 연구도구 ·········································································································15
5. 자료분석방법 ··································································································16
6. 윤리적 고려 ····································································································17
7. 연구의 제한점 ································································································18
Ⅳ. 연구결과 ···························································································19
1. 대상자의 일반적 특성 ···················································································19
2. 대상자의 자기효능감, 환자안전문화인식, 환자안전간호활동 ·····················22
3. 대상자의 일반적 특성에 따른 자기효능감, 환자안전문화인식,
환자안전간호활동 ···························································································24
4. 대상자의 자기효능감, 환자안전문화인식, 환자안전간호활동의 상관관계
························································································································30
5. 환자안전간호활동에 영향을 미치는 요인 ····················································31
Ⅴ. 논 의 ································································································34
Ⅵ. 결론 및 제언 ···················································································38
참고문헌 ··································································································39
부 록 ···································································································46
Abstract ···································································································57
