Kim Yujeong, Chang Mingi
College of Nursing, Research Institute of Nursing Innovation, Kyungpook National University, Daegu, Republic of Korea.
College of Nursing, Kyungpook National University, Daegu, Republic of Korea.
Risk Manag Healthc Policy. 2025 Jan 8;18:53-63. doi: 10.2147/RMHP.S478114. eCollection 2025.
Hospitalized children's patient safety incidents can have a significant long-term impact on their physical, psychological, cognitive, and social development. Family-centered care emphasizes engaging parents, and parental involvement is an effective way to ensure child safety. This study aims to identify the factors influencing parents of children with hospitalization experiences in their willingness to engage in patient safety.
In this cross-sectional study, we surveyed 210 parents whose children had been hospitalized within the past one year in South Korea. We used a structured questionnaire including patient safety knowledge, patient safety literacy, children's hospitalization experience, and the willingness to engage in patient safety. The collected data were analyzed using descriptive statistics, -test, chi-square test, analysis of variance, correlational analysis, and regression analysis.
The willingness to engage in patient safety had significant positive correlations with patient safety knowledge (r=0.36,0.001) and patient safety literacy (r=0.24,.001). The variables that had a statistically significant influence on the willingness to engage in patient safety were the birth order of the hospitalized child (β=0.41, =0.014), patient safety knowledge (β=0.25, <0.001), communication with the child (β= -0.25, =0.018), and attention to safety and comfort (β=0.21, =0.026).
This study found that the birth order of the hospitalized child, patient safety knowledge, and children's hospitalization experience are important factors in parents' willingness to engage in patient safety. The findings indicated the need to develop patient safety education programs for parents, considering the facilitators of and barriers to their willingness to engage in patient safety.
住院儿童的患者安全事件会对其身体、心理、认知和社会发展产生重大的长期影响。以家庭为中心的护理强调让父母参与进来，而父母的参与是确保儿童安全的有效途径。本研究旨在确定影响有住院经历儿童的父母参与患者安全意愿的因素。
在这项横断面研究中，我们对韩国过去一年内孩子住院的210名父母进行了调查。我们使用了一份结构化问卷，包括患者安全知识、患者安全素养、儿童住院经历以及参与患者安全的意愿。对收集到的数据进行描述性统计、t检验、卡方检验、方差分析、相关性分析和回归分析。
参与患者安全的意愿与患者安全知识（r = 0.36，p < 0.001）和患者安全素养（r = 0.24，p < 0.001）呈显著正相关。对参与患者安全意愿有统计学显著影响的变量是住院儿童的出生顺序（β = 0.41，p = 0.014）、患者安全知识（β = 0.25，p < 0.001）、与孩子的沟通（β = -0.25，p = 0.018）以及对安全和舒适的关注（β = 0.21，p = 0.026）。
本研究发现，住院儿童的出生顺序、患者安全知识和儿童住院经历是父母参与患者安全意愿的重要因素。研究结果表明，需要为父母制定患者安全教育计划，同时考虑到促进和阻碍他们参与患者安全意愿的因素。
