This study was conducted to identify the effects of organizational health,
safety climate, nursing practice environment on patient safety management
activities perceived by operating room nurses, to examine the relationships
among them, and then to provide basic information for improvement patient
safety management activities.
The 176 staff nurses in the operating room were collected from one
advanced general hospital and five general hospitals located in Seoul,
Gyeonggi-do and Gangwon-do. And data collection was conducted from
August 10 to August 25, 2018 using structured questionnaire. The tools for
this study were the organizational health scale, PSCHO(Patient Safety
Climate in Healthcare Organization) scale, PES-NWI(Practice Environment
Scale of the Nursing Work Index) scale, and the patient safety management
activity scale. Data were analyzed using independent t-test, One way
ANOVA, Scheffe test, Pearson''s correlation coefficients and stepwise
multiple regression with the SPSS/WIN 25.0 program.
Finds of the study are as follows.
1. The degree of organizational health perceived by operating nurses was
2.85 points(range: 1~5), that of safety climate was 2.96 points(range: 1~5),
that of nursing practice environment was 2.39 points(range: 1~4), and that
of patient safety management activities was 4.18 points(range: 1~5).
2. Organization health of operating room nurses in the aspect of general
characteristics showed statistically meaningful differences depending on
work experience and participation in accreditation. There were statistically
differences on safety climate in the aspect of general characteristics
relying on positions and number of safety education. Nursing practices
environment from an aspect of general characteristics showed statistically
meaningful differences depending on participation in accreditation.
Characteristics that showed statistically significant differences in patient
safety management activities were worked experience, number of safety
education, hospital size, and participation in accreditation.
3. In correlational analysis, Organizational health and Safety climate had
a significantly positive correlation with patient safety management
activities. There was no correlation between nursing work environment and
patient safety management activities.
4. Factors affecting patient safety management activities include
organizational health, nursing practice environment, participation in
accreditation, work experience, and hospital size, and their explanatory
power was 17%.
Consequently, this study is meaningful in providing basic information by
identifying the relationship and impact of operating room nurses on their
patient safety management activities through access to organizational levels
beyond individual levels. It is also meaningful to promote hospital-level
interest in nursing activities. The factors that the greatest impact on patient
safety management activities of operating room nurses have identified as
organizational health. Therefore, Hospitals should make efforts to construct
healthy organizations to improve patient safety management activities of
operating room nurses, increase the level of participation in accreditation by
actively delegating authority, and prepare to maintain their work experience.
In addition, repeated studies of the nursing practices environment and
patient safety activities of operating room nurses are required, and support
is provided to meet the size and needs of the hospital.