Hwang Jee-In
College of Nursing Science, Kyung Hee University, Seoul 130-701, South Korea.
Int J Qual Health Care. 2015 Jun;27(3):232-8. doi: 10.1093/intqhc/mzv027. Epub 2015 Apr 29.
To examine hospital nurses' patient safety competencies and the association between these competencies and safety climate.
Cross-sectional questionnaire survey.
Three teaching hospitals in Seoul, Korea.
In total, 459 nurses from general adult nursing care units, intensive care units or operating rooms (response rate = 87.4%).
Self-administered questionnaires were distributed to measure patient safety competency. Multiple regression analyses were performed to examine relationships between patient safety competency and safety climate.
Patient safety competency scores ('teamwork', 'communication', 'managing safety risks', 'human and environmental factors', 'adverse event recognition' and 'safety culture' dimensions) and perceived safety climate.
The mean patient safety competency score was 3.3 (SD = 0.4) out of 5.0; 396 nurses (86.3%) rated their competency as above average. Among subscales, 'managing safety risks' scores were the highest, and 'teamwork' scores were the lowest. Patient safety competency differed significantly by participants' age, educational level, clinical experience and position. Patient safety competency was higher in older nurses with master's or higher degrees and clinical experience of longer duration. Nurse managers' scores were higher than those of staff nurses. Safety climate was perceived as moderate. After adjusting for other individual and organizational characteristics, patient safety competency was positively associated with safety climate perception.
Nurses' safety competency was rated as moderate. In particular, nurses lacked confidence in teamwork. Nurses with higher safety competency perceived safety climate more positively. Efforts emphasizing teamwork to enhance nurses' safety competency should be prioritized, thereby contributing to improvement of safety climates.
考察医院护士的患者安全能力以及这些能力与安全氛围之间的关联。
横断面问卷调查。
韩国首尔的三家教学医院。
共有来自普通成人护理单元、重症监护病房或手术室的459名护士（回复率 = 87.4%）。
发放自填式问卷以测量患者安全能力。进行多元回归分析以考察患者安全能力与安全氛围之间的关系。
患者安全能力得分（“团队合作”、“沟通”、“管理安全风险”、“人员和环境因素”、“不良事件识别”和“安全文化”维度）以及感知到的安全氛围。
患者安全能力平均得分为3.3（标准差 = 0.4）（满分5.0）；396名护士（86.3%）将自己的能力评为高于平均水平。在各子量表中，“管理安全风险”得分最高，“团队合作”得分最低。患者安全能力因参与者的年龄、教育水平、临床经验和职位而有显著差异。年龄较大、拥有硕士及以上学位且临床经验较长的护士患者安全能力较高。护士长的得分高于普通护士。安全氛围被认为处于中等水平。在调整了其他个人和组织特征后，患者安全能力与安全氛围感知呈正相关。
护士的安全能力被评为中等水平。特别是，护士在团队合作方面缺乏信心。安全能力较高的护士对安全氛围的感知更为积极。应优先强调团队合作以提高护士的安全能力，从而有助于改善安全氛围。
