J Korean Clin Nurs Res.  2021 Apr;27(1):12-22. 10.22650/JKCNR.2021.27.1.12.

The Effects of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities among Nurses in Comprehensive Nursing Care Units

Affiliations
  • 1Team Leader, Department of Nursing, Chungnam National University Sejong Hospitial, Daejeon, Korea
  • 2Professor, Department of Nursing, Daejeon University, Daejeon, Korea

Abstract

Purpose
The purpose of this study is to identify the effects of organizational commitment (OC) and perceived patient safety culture (PPSC) on patient safety nursing activities (PSNA) among nurses in comprehensive nursing care units.
Methods
Participants were 173 nurses working at five general hospitals in Chungcheong area. Data were analyzed using descriptive statistics, x2 test, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis with SPSS/WIN 23.0 programs. Results: The mean scores of the OC and PPSC were 3.28±0.50 and 3.85±0.35, respectively. The mean score of PSNA was 4.55±0.41, and PSNA was significantly different by the experience of participating in hospital’s safety culture campaigns (t=2.70, p=.008). The results of the multiple regression analysis showed that ‘patient safety knowledge and attitudes’ (β=.27, p=.006) and ‘unpunished environment to error’ (β=.22, p=.004) as the sub-categories of PPSC were affecting factors on PSNA with an explanatory power of 26.0% (F=6.40, p<.001).
Conclusion
The results of this study suggest that in order to promote PSNA among nurses in comprehensive nursing care units, it is necessary to develop a program to enhance patient safety-related knowledge and attitudes. In addition, the hospital's organizational efforts such as operating safety campaigns and creating an unpunished environment to error should be needed.

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