Lee Seo Jin, Han Young Ran
PhD Student, College of Nursing, Dongguk University WISE, Gyeongju, Korea.
Professor, College of Nursing, Dongguk University WISE, Gyeongju, Korea.
Child Health Nurs Res. 2024 Oct;30(4):255-265. doi: 10.4094/chnr.2024.008. Epub 2024 Oct 31.
This study aimed to identify the effects of pediatric nurses' perception of patient safety culture and their partnership with patients' parents on pediatric patient safety nursing activities.
This descriptive study was conducted over a two-month period, from October to November 2022, utilizing self-reported questionnaires. The study included 165 nurses, each having at least 6 months of working experience in wards where children were admitted. These nurses were selected from 13 pediatric specialty hospitals, general hospitals, and university hospitals across seven regions. The data analysis was performed using the SPSS/WIN 26.0 program (IBM Corp.) for descriptive statistics, t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis.
The average scores for awareness of patient safety culture, partnership with patients' parents, and pediatric patient safety nursing activities were 3.37±0.41, 3.94±0.41, and 4.50±0.38, out of 5 points respectively. The factors influencing pediatric patient safety nursing activities were identified as a partnership with patients' parents (β=.41, p<.001). Among hospital-related characteristics, safety management committee (β=.16, p=.029) and safety management regulations (β=.17, p=.016) were also analyzed as factors influencing patient safety nursing activities. These factors accounted for 29.2% of the explanatory power for pediatric patient safety nursing activities.
Based on the above study results, we found that to promote safe nursing activities for pediatric patients, developing and implementing training programs that enhance partnerships with patient's parents was imperative, and establishing work regulations and a safety management committee to systematically manage safety management tasks was deemed important.
本研究旨在确定儿科护士对患者安全文化的认知及其与患儿家长的合作关系对儿科患者安全护理活动的影响。
本描述性研究于2022年10月至11月进行，为期两个月，采用自填式问卷。该研究纳入了165名护士，她们每人在收治儿童的病房至少有6个月的工作经验。这些护士选自七个地区的13家儿科专科医院、综合医院和大学医院。使用SPSS/WIN 26.0程序（IBM公司）进行数据分析，以进行描述性统计、t检验、单因素方差分析、谢弗检验、皮尔逊相关系数分析和多元回归分析。
患者安全文化认知、与患儿家长的合作关系以及儿科患者安全护理活动的平均得分分别为3.37±0.41、3.94±0.41和4.50±0.38（满分5分）。影响儿科患者安全护理活动的因素被确定为与患儿家长的合作关系（β = 0.41，p < 0.001）。在医院相关特征中，安全管理委员会（β = 0.16，p = 0.029）和安全管理规定（β = 0.17，p = 0.016）也被分析为影响患者安全护理活动的因素。这些因素占儿科患者安全护理活动解释力的29.2%。
基于上述研究结果，我们发现，为促进儿科患者的安全护理活动，制定和实施加强与患儿家长合作关系的培训计划势在必行，并且建立工作规定和安全管理委员会以系统管理安全管理任务被认为很重要。
