Kim Nam-Yi, Kwak Sung-Jung
Department of Nursing, Konyang University, Daejeon, Republic of Korea.
Department of Nursing, Howon University, Gunsan, Republic of Korea.
PLoS One. 2024 Dec 12;19(12):e0315679. doi: 10.1371/journal.pone.0315679. eCollection 2024.
At present, patient safety nursing by nurses is important and the risk of patient safety incidents is high. However, the comprehensive nursing service ward in Korea has no guardians. To prevent patient safety incidents and its recurrence, it is necessary to accurately report patient safety incidents. Patient safety incident reporting may be different depending on an individual's critical thinking disposition and patient safety culture (organization, department, individual). This study was a descriptive survey and aimed to suggest ways to improve the reporting of patient safety incidents in Korea. The study participants were 130 nurses working in the comprehensive nursing service ward of a Korean university hospital. From October 5-18, 2023, we conducted a survey of nurses' critical thinking dispositions, patient safety culture, and patient safety incident reporting. The mediating effect of patient safety culture on the relationship between critical thinking disposition and patient safety incident reporting was analyzed using PROCESS Macro Model 4. The results show that the patient safety incident report of nurses in the comprehensive nursing service ward was related to nurses' critical thinking disposition and the nursing department's patient safety culture. In particular, it was found that the department's patient safety culture had a mediating effect (β = 0.11, 95% CI = 0.01~0.22) on the relationship between critical thinking disposition and patient safety incident reports. To encourage patient safety incident reports in nurses in the comprehensive nursing service ward, it is necessary to improve the organizational culture of the department (presenting free opinions or problems) and to develop strategies to promote critical thinking among nurses.
目前，护士进行的患者安全护理很重要，且患者安全事件的风险很高。然而，韩国的综合护理服务病房没有监护人。为防止患者安全事件及其再次发生，准确报告患者安全事件很有必要。患者安全事件报告可能因个人的批判性思维倾向和患者安全文化（组织、部门、个人）而有所不同。本研究是一项描述性调查，旨在提出改进韩国患者安全事件报告的方法。研究参与者为韩国某大学医院综合护理服务病房的130名护士。2023年10月5日至18日，我们对护士的批判性思维倾向、患者安全文化和患者安全事件报告进行了调查。使用PROCESS宏模型4分析了患者安全文化在批判性思维倾向与患者安全事件报告之间关系中的中介作用。结果表明，综合护理服务病房护士的患者安全事件报告与护士的批判性思维倾向及护理部门的患者安全文化有关。特别是，发现部门的患者安全文化在批判性思维倾向与患者安全事件报告之间的关系中具有中介作用（β = 0.11，95%置信区间 = 0.01~0.22）。为鼓励综合护理服务病房护士报告患者安全事件，有必要改善部门的组织文化（提出自由意见或问题）并制定促进护士批判性思维的策略。
