J Korean Crit Care Nurs Search


Journal of Korean Critical Care Nursing 2017;10(1):63-74.
Published online February 28, 2017.

중소병원 간호사의 전문직 자율성, 조직몰입 및 환자안전문화인식이 환자안전관리활동에 미치는 영향
황현정, 이윤미
1인제대학교 간호학과 대학원
2인제대학교 간호학과, 건강과학연구소
Effects of Professional Autonomy, Organizational Commitment, and Perceived Patient Safety Culture on Patient Safety Management Activities of Nurses in Medium and Small-Sized Hospitals
Hyun Jung Hwang, Yun Mi Lee
1Graduate Student, Department of Nursing, Inje University, Busan, Korea.
2Professor, Department of Nursing, Institute of Health Science, Inje University, Busan, Korea. lym312@inje.ac.kr
The purpose of this study was to examine the effect of professional autonomy, organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals.
A cross-sectional design was employed. Self-reported questionnaires were completed by 121 nurses with at least 3 months of working experience in medium and small-sized hospitals located in B city. Data were analyzed using descriptive statistics, a t-test, a one-way ANOVA, Pearson correlation coefficients, and a multiple regression analysis.
Professional autonomy (r=.22, p=.016), organizational commitment (r=.34, p < .001), and perceived patient safety culture (r=.55, p < .001) had a statistically significant positive correlation with patient safety management activities. The factors that might affect patient safety management activities were professional autonomy (β=.23, p=.003) and perceived patient safety culture (β=.55, p < .001). The explanatory power of these factors for patient safety management activities was 33.5% (F= 21.19, p < .001).
The development of repetitive and continuous education programs is needed to improve a nurse's professional autonomy and perceived patient safety culture.
Key Words: Professional autonomy, Organizational culture, Patient safety, Safety management

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