earticle

영어

The injury rate resulting from falls in hospitals is 51.6%, and 57.5% of falls occur in small- and medium-sized hospitals in Korea. This study aimed to investigate the influence of patient safety culture perception, patient safety competency, and job stress on fall prevention activities among nurses working in small- and medium-sized hospitals. A total of 154 nurses from four such hospitals participated in the study, and data were collected using a structured questionnaire and analyzed using t-tests, ANOVA, Pearson correlation coefficients, and multiple regression analysis. The results showed that fall prevention activities were positively correlated with perceptions of patient safety culture (r= .39, p< .001) and patient safety competency (r= .39, p< .001), and negatively correlated with job stress (r= –.36, p< .001). The regression model predicting fall prevention activities was statistically significant (F= 14.72, p< .001), with patient safety culture perception (β= .19, p=.043), patient safety competency (β= .21, p= .024), and job stress (β= -.20, p= .018) identified as significant predictors. The model explained 21.2% of the variance in fall prevention activities. These findings suggest that enhancing patient safety culture and competency while reducing job stress may be effective strategies to promote fall prevention practices among nurses in small- and medium-sized hospitals. Based on the results of this study, strategies should be developed to strengthen fall prevention activities among nurses in small- and medium-sized hospitals by implementing patient safety culture education programs, introducing training to enhance patient safety competence, and alleviating job stress through measures such as adjusting work schedules and providing counseling support systems.

한국어

국내에서 병원 내 낙상으로 인한 손상 발생률은 51.6%이고, 낙상의 57.5%가 중소병원에서 발생하고 있다. 본 연구는 중소병원 간호사의 환자안전문화인식, 환자안전역량 및 직무스트레스가 낙상예방활동에 미치는 영향을 파악하기 위해 시도되었다. 연구대상자 는 4개의 중소병원에 재직 중인 154명이었고, 구조화된 설문지를 통해 수집된 자료는 t-test, ANOVA, Pearson 상관계수 및 multiple regression을 사용하여 분석하였다. 연구결과 대상자의 낙상예방활동은 환자안전문화인식(r=.39, p<.001), 환자안전역량(r=.39, p<.001)과 양의 상관관계를 보였고, 직무스트레스(r=-.36, p<.001)와 음의 상관관계를 보였다. 낙상예방활동에 영향을 미치는 요인에 대한 회귀모형은 유의한 것으로 나타났고(F=6.11, p<.001), 환자안전문화(β=.19, p=.043), 환자안전역량(β=.21, p=.024), 직무스트 레스(β=-.20, p=.018)가 낙상예방활동에 영향을 미치는 주요 요인으로 나타났으며, 회귀모형의 설명력은 23.1%이었다. 본 연구 결과 를 바탕으로, 중소병원 간호사의 낙상예방활동을 강화하기 위해 환자안전문화 교육 프로그램을 운영하고, 환자안전역량을 향상시키는 훈련을 도입하며, 직무스트레스를 완화하기 위해 근무 스케줄 조정과 상담 지원 제도 등의 전략을 마련할 필요가 있다.