J Korean Acad Nurs Adm.  2017 Sep;23(4):416-426. 10.11111/jkana.2017.23.4.416.

Perception of Healthcare Accreditation System on Patient Safety Management Activities and Nursing Performance of Regional Public Hospital Nurses

• Kang MJ
• Chung KH

• KMID: 2393122
• DOI: http://doi.org/10.11111/jkana.2017.23.4.416

Abstract

PURPOSE
This study was done to identify the ways regional public hospital nurses perceive the healthcare accreditation system as related to their patient safety management activities and nursing performance.
METHODS
The participants were 190 nurses chosen with convenient sampling from nurses who worked at regional public hospitals that had obtained healthcare accreditation as of May, 2016 and who had experienced the healthcare accreditation process at least once and whose clinical experience was one year or longer. Collected data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis.
RESULTS
There were significant positive correlations between perception of the Healthcare Accreditation System, patient safety management activities and nursing performance. Factors affecting patient safety management activities were activities to improve medical service quality, patient dissatisfaction and difficulties, changes and values. These factors explained 55.4% of variance in patient safety management activities (F=22.25, p<.001). The factors affecting nursing performance were being charge nurses and activities to improve medical service quality. These factors explained 48.1% of the variance in nursing performance (F=16.57, p<.001).
CONCLUSION
Finding indicate that positive perception of the healthcare accreditation system by nurses at local government institutions is a factor in heightening patient safety management activities and nursing performance.

Keyword

Healthcare accreditation; Patient safety; Work performance; Nurse

MeSH Terms

Accreditation*
Delivery of Health Care*
Hospitals, Public*
Humans
Local Government
Nursing*
Nursing, Supervisory
Patient Safety*
Work Performance

Reference

1. Korea Institute for Healthcare Accreditation. What is the accreditation program for healthcare organizations? [Internet]. Seoul: Korea Institute for Healthcare Accreditation;cited May 30, 2017. Available from: https://www.koiha.or.kr/member/en/contents/ensub02/ensub02_01_01.do.

2. Hong MH, Park JY. Nurses' perception of accreditation, awareness and performance of infection control in an accredited healthcare system. J Korean Acad Nurs Adm. 2016; 22(2):167–177. DOI: 10.11111/jkana.2016.22.2.167.

3. Ministry for Health and Welfare (KR). Public health and medical services act. Act No. 13982, February 3, 2016.

4. Yang DH. Analysis of the efficiency of the regional public hospitals using DEA-AR/AHP combined model. Korean J Health Policy Adm. 2010; 20(4):74–96. DOI: 10.4332/KJHPA.2010.20.4.074.

5. Ministry for Health and Welfare (KR). Strengthening of public healthcare through the fostering of local public health centers [Internet]. Sejong: Ministry for Health and Welfare (KR);updated October 31, 2013. cited May 30, 2017. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=293020&page=1.

6. Ministry for Health and Welfare (KR). Regional hub public hospitals' medical institute certification and support project plan. Sejong: Ministry for Health and Welfare (KR);2015.

7. Lee HT. The effects of the hospital accreditation system on quality management systems in hospitals. Soc Sci Res Rev. 2013; 29(3):307–328.

8. Yoo MS, Chung MS. The relationships among the perception of quality assurance and national hospital evaluation program and nursing performance of hospital nurses. J Korean Acad Nurs Adm. 2008; 14(3):260–267.

9. Kim KH. Relationship among nurses' perception of accreditation, nursing practice environment and professional selfconcept in an accredited healthcare system [master's thesis]. Seoul: Yonsei University;2012.

10. Kim MR. Concept analysis of patient safety. J Korean Acad Nurs. 2011; 41(1):1–8. DOI: 10.4040/jkan.2011.41.1.1.

11. Milligan F, Dennis S. Improving patient safety and incident reporting. Nurs Stand. 2004; 19(7):33–36. DOI: 10.7748/ns2004.10.19.7.33.c3733.

12. Oh HS, Wee H. Self efficacy, organizational commitment, customer orientation and nursing performance of nurses in local public hospitals. J Korean Acad Nurs Adm. 2016; 22(5):507–517. DOI: 10.11111/jkana.2016.22.5.507.

13. Han MY, Jung MS. 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. DOI: 10.11111/jkana.2017.23.2.127.

14. Park SH. Effects of psychiatric nurse's awareness of healthcare accreditation system on patient safety management activities and nursing performance [master's thesis]. Seoul: Hanyang University;2015.

15. Kim HR. The impact of healthcare accreditation on patient safety and improvement of healthcare quality, organizational culture, hospital administrative activities [master's thesis]. Seoul: Yonsei University;2012.

16. Hong MY, Lee HJ, Lee DW, Joo HS. The determinants of profitability performance in regional public hospitals. Korean J Hosp Manag. 2009; 14(2):1–20.

17. Ha AH, Kim YJ, Cho DY. Investment efficiency and management performance of Korean regional public hospitals. Korean J Health Serv Manag. 2016; 10(3):1–12. DOI: 10.12811/kshsm.2016.10.3.001.

18. Hwang EJ, Sim IO. Structural equation modeling for public hospital quality of care, image, role performance, satisfaction, intent to (re)visit, and intent to recommend hospital as perceived by community residents. J Korean Acad Nurs. 2016; 46(1):118–127. DOI: 10.4040/jkan.2016.46.1.118.

19. Lim HY, Hwang IK, Suh WS. Structural relationship among service value, brand image, and patients revisits in regional public hospitals in Korea. J Korea Contents Assoc. 2010; 10(11):304–317. DOI: 10.5392/JKCA.2010.10.11.304.

20. Kim HO, Cho MO. Experiences of conflicts on job identity among the nurses of medium-sized hospitals. Qual Res. 2006; 7(2):13–25.

21. El-Jardali F, Jamal D, Dimassi H, Ammar W, Tchanghchaghian V. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. Int J Qual Health Care. 2008; 20(5):363–371. DOI: 10.1093/intqhc/mzn023.

22. Kim HY. Effect of awareness of medical accreditation system on the safety attitude for patient [master's thesis]. Sungnam: Gachon University;2016.

23. Park HH. Structural model of nurses' patient safety management activities [dissertation]. Daejeon: Eulji University;2013.

24. Ko YK, Lee TW, Lim JY. Development of a performance measurement scale for hospital nurses. J Korean Acad Nurs. 2007; 37(3):286–294. DOI: 10.4040/jkan.2007.37.3.286.

25. Kim HY, Kim HS. Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. J Korean Acad Nurs Adm. 2011; 17(4):413–422.

26. Mun MY, Kim MY. Influence of teamwork skill and decision making competency on nursing work performance. J Korean Data Inf Sci Soc. 2016; 27(5):1361–1373. DOI: 10.7465/jkdi.2016.27.5.1361.

27. Lee SI, Lee EJ. Effect of nursing work environment, emotional labor and ego-resilience on nursing performance of clinical nurses. J Wellness. 2016; 11(4):267–276. DOI: 10.21097/ksw.2016.11.11.4.267.

28. Ha NS, Choi J. The relationship among leadership styles of nurse managers, job satisfaction, organizational commitment, and turnover intention. J Korean Acad Nurs. 2002; 32(6):812–822. DOI: 10.4040/jkan.2002.32.6.812.

29. Cha BK, Choi J. A comparative study on perception of patient safety culture and safety care activities: comparing university hospital nurses and small hospital nurses. J Korean Acad Nurs Adm. 2015; 21(4):405–416. DOI: 10.11111/jkana.2015.21.4.405.