Earticle

초록

영어

Objectives: This study examined the mediating effect of patient safety silence on the relationship between patient safety culture and near-miss reporting barriers among general hospital nurses. Methods: A descriptive correlational study was conducted with 179 nurses using structured questionnaires; the data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, multiple regression, Harman's single-factor test, and the Baron and Kenny hierarchical regression procedure with the Sobel test. Results: Patient safety culture was negatively correlated with silence (r=-.56, p<.001) and reporting barriers (r=-.44, p<.001); silence was positively correlated with barriers (r=.43, p<.001). Culture (β=-.29, p<.001) and silence (β=.27, p=.001) together explained 24.3% of the reporting barriers (F=28.20, p<.001). Silence partially mediated the culture-barrier relationship (Z=-3.16, p=.002), accounting for 34.0% of the total effect. Conclusions: In this cross-sectional sample, a positive safety culture was associated with lower reporting barriers both directly and indirectly through reduced silence; Given the cross-sectional design, these findings should be interpreted as associations instead of confirmed causal pathways. Nonpunitive, psychologically safe environments appear to be especially important for early-career nurses.

목차

Ⅰ. 서론
1. 연구의 필요성
2. 연구목적
Ⅱ. 연구방법
1. 연구설계
2. 연구대상
3. 연구도구
4. 자료수집 및 윤리적 고려
5. 자료분석
Ⅲ. 연구결과
1. 대상자의 일반적 특성 및 일반적 특성과 주요 변수의 관련성
2. 환자안전문화에 대한 인식, 환자안전침묵행동, 근접오류보고장애의 정도
3. 환자안전문화에 대한 인식, 환자안전침묵행동, 근접오류보고장애의 상관관계
4. 근접오류보고장애 관련요인
5. 환자안전문화에 대한 인식과 근접오류보고장애의 관계에서 환자안전침묵행동의 매개효과
Ⅳ. 고찰
Ⅴ. 결론
REFERENCES

키워드

저자

• 권정옥 [ Jeong-Ok Kwon | 춘해보건대학교 간호학과 ]
• 강정미 [ Jung-Mi Kang | BHS 한서병원 ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  보건의료산업학회지 [The Korean Journal of Health Service Management]

• 간기

  계간

• pISSN

  2093-5986

• 수록기간

  2007~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 517 DDC 613