종합병원 간호사의 간호전문직관, 간호근무환경과 환자안전간호활동 간의 관계 = Relationship among nursing professionalism, nursing work environment, and patient safety nursing activities in general hospital nurses

다국어 초록 (Multilingual Abstract)

Purpose: This study was done to identify the relationships among nursing professionalism, nursing work environment,and patient safety activities, and to analyze the factors influencing nurses’ patient safety nursing activities.
Methods: This descriptive study included 270 nurses from six general hospitals. Questionnaires were used to collectdata between August 20 and September 21, 2018, using questionnaires. Analyses included descriptive statistics,t-test, analysis of variance, Pearson correlation coefficient, and stepwise multiple regression, conducted using IBMSPSS/WIN 21.0. Results: Mean scores on nursing professionalism, nursing work environment, and patient safetynursing activities were 3.51±0.41, 2.44±0.45, and 4.39±0.50, respectively. The patient safety nursing activitiesscore was positively correlated with subscales of nursing professionalism variable: professional self-concept (r=.15,p=.019), social recognition (r=.10, p=.036), professional identity in nursing (r=.24, p<.001), role of nursing practice(r=.16, p=.012), nursing foundation for quality of care (r=.19, p=.003), and nurse manager’s ability (r=.14, p=.031).
Patient safety nursing activities were influenced by professional identity in nursing (β=.22, p=.001) and nursing foundationfor quality of care (β=.15, p=.001), which explained 8.0% of the variance. Conclusion: These results suggestthat nurse managers should focus on creating an appropriate nursing environment and facilitating nursing professionalismto enhance hospital nurses’ patient safety nursing activities.

국문 초록 (Abstract)

연구목적: 이 연구는 우리나라 종합병원 간호사들의 간호전문직관, 간호근무환경과 환자안전간호활동의 관계 및 환자안전간호활동에 미치는 영향을 파악하기 위한 연구이다. 연구방법: 6개 종합병원에 근무하는 270명의 간호사를 대상의 조사연구로서 조사구조화된 설문지를 통해 자료수집을 하였다. 자료분석은 SPSS/WIN 21.0을 사용하여 기술통계, t 검정, 분산분석, 상관관계, 다중회귀분석을 하였다. 연구결과: 각 변수의 평균 점수는 간호전문직관(3.51±0.41), 간호근무환경(2.44±0.45), 환자안전활동(4.39±0.50)이다. 환자안전간호활동은 간호전문직관의 하위 영역 중에서 ‘전문직 자아개념’(r=.15, p=.019), ‘사회적 인식’(r=.10, p=.036), ‘간호의 전문성’(r=.24, p<.001), 그리고 ‘간호실무의 역할’(r=.16, p=.012)과 유의한 정(+)의 상관관계가 있는 것으로 나타났다. 환자안전간호활동에 영향을 미치는 요인은 ‘간호의 전문성’(β=.22)과 ‘양질의 간호를 위한 기반’(β=.15)으로 이 두 가지 요인이 환자안전간호활동을 8% 설명할 수 있는 것으로 조사되었다. 결론: 이 연구결과 간호관리자가 환자안전간호활동을 증진시키기 위해 적절한 간호근무환경을 조성하고 간호사의 전문직관을 유지 증진하는데 중점을 두어야 할 것이다.

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