Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities

Subin Lee, Sujin Shin
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Abstract

Purpose : This descriptive survey investigated the effects of clinical nurses’ critical reflection competency, professional pride, and person-centered care practices on patient safety management activities.Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey’s HSD, Pearson’s correlation coefficient, and multiple regression using SPSS 29.0.Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p=.010), education level (t=-2.56, p=.013), total work experience (F=3.87, p=.010), and the number of healthcare accreditation system experiences (F=5.22, p=.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p<.001), professional pride (r=.271, p<.001), and person-centered care practices (r=.399, p<.001). The results indicated that person-centered care practices affected patient safety management activities (β=.358, p<.001) with the explanatory power of 22.5%.Conclusion : To improve clinical nurses’ patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.
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临床护士批判性反思能力、职业自豪感和以人为本的护理实践对患者安全管理活动的影响
目的:本描述性调查探讨临床护士的批判性反思能力、职业自豪感和以人为本的护理实践对患者安全管理活动的影响。方法:以韩国某三级医院183名临床护士为研究对象。问卷包括临床护士专业自豪感批判性反思能力量表、以人为本的护理评估工具和患者安全管理活动。使用SPSS 29.0对收集的资料进行描述性统计、t检验、方差分析、Tukey’s HSD、Pearson’s相关系数和多元回归分析。结果:患者安全管理活动的平均得分为4.65±0.34分(满分5分)。患者安全管理活动按年龄(F=3.90, <i>p</i>= 0.010)、文化程度(t=-2.56, <i>p</i>= 0.013)、总工作经验(F=3.87, <i>p</i>= 0.010)、卫生保健认证体系经验(F=5.22, <i>p</i>= 0.006)分组差异有统计学意义。患者安全管理活动与批判性反思能力呈正相关(r=。337年,& lt; i>术中;/ i> <措施),职业自豪感(r =。271, <i>p</i><.001)和以人为本的护理实践(r=。399年,& lt; i>术中;/ i> <措施)。结果表明,以人为本的护理实践影响患者安全管理活动(β=。358, <i>p</i><.001),解释力为22.5%。结论:为了提高临床护士的患者安全管理活动,有必要在以人为本的护理概念知识的基础上,开发能够整合技能和态度的参与式教育项目。在临床实践中,需要进行干预研究来检验以人为本的护理对患者安全的影响。
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