J Korean Clin Nurs Res.  2021 Aug;27(2):210-219. 10.22650/JKCNR.2021.27.2.210.

Effect of Dialysis Nurses' Perception of Patient Safety Risk Factors and Patient Safety Competency on Safety Nursing Activities

Affiliations
  • 1RN, Department of Nursing, Gyeongsang National University Hospital, Jinju, Korea.
  • 2Professor, College of Nursing Institute of Health Science, Gyeongsang National University, Jinju, Korea.
  • 3Head Nurse, Department of Nursing, Gyeongsang National University Hospital, Jinju, Korea.

Abstract

Purpose
The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities.
Methods
The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0.
Results
The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R2 =.34).
Conclusion
The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses’ competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.

Keyword

Clinical Competence; Hemodialysis Unit; Hospital; Nurses; Patient Safety; Risk Factor
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