Park Se Hwa, Lee Jin Hee
Jeonnam Technology and Science High School, Jeonnam, Korea.
Department of Nursing, Kwangju Women's University, Gwangju, Korea.
Iran J Public Health. 2024 Nov;53(11):2509-2518. doi: 10.18502/ijph.v53i11.16954.
We aimed to identify the factors influencing safety accident management activities for hospitalized children in children's hospitals.
In August 2022, data were collected from 170 nurses across seven children's hospitals in Gwangju Metropolitan City, Korea. The collected data were analyzed using independent -tests, analysis of variance, Pearson's correlation analysis, and multiple regression analysis.
Safety accident management activities for hospitalized children differ significantly based on nurses' experience in children's hospitals (=0.048) . Safety accident management activities were positively correlated with patient safety culture (r=0.47, <0.001) , critical thinking (r=0.35, <0.001) , and nursing work environment (r=0.51, <0.001) . Furthermore, the most influential determinant of safety accident management activities for hospitalized children was the nursing work environment (β=0.42, <0.001) , followed by nurses' experience in children's hospitals (β=0.20, =0.004) , and patient safety culture (β=0.17, =0.041) . These variables had an explanatory power of 34.0 % (adjusted R=0.34, <0.001) .
A positive nursing work environment and strong patient safety culture are essential for increasing safety accident management activities among children's hospital nurses. Additionally, children's hospitals should provide support to the nursing staff and implement policies that encourage long-term retention of experienced nurses.
我们旨在确定影响儿童医院住院儿童安全事故管理活动的因素。
2022年8月，从韩国光州市七家儿童医院的170名护士那里收集数据。使用独立样本t检验、方差分析、Pearson相关分析和多元回归分析对收集到的数据进行分析。
根据护士在儿童医院的工作经验，住院儿童的安全事故管理活动存在显著差异（P = 0.048）。安全事故管理活动与患者安全文化（r = 0.47，P < 0.001）、批判性思维（r = 0.35，P < 0.001）和护理工作环境（r = 0.51，P < 0.001）呈正相关。此外，住院儿童安全事故管理活动的最具影响力的决定因素是护理工作环境（β = 0.42，P < 0.001），其次是护士在儿童医院的工作经验（β = 0.20，P = 0.004）和患者安全文化（β = 0.17，P = 0.041）。这些变量的解释力为34.0%（调整后R² = 0.34，P < 0.001）。
积极的护理工作环境和强大的患者安全文化对于增加儿童医院护士的安全事故管理活动至关重要。此外，儿童医院应向护理人员提供支持，并实施鼓励长期留住经验丰富护士的政策。
