Nurse-perceived Patient Adverse Events and Nursing Practice Environment

Objectives: To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospi...

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Main Authors: Jeong-Hee Kang, Chul-Woung Kim, Sang-Yi Lee
Format: Article
Language:English
Published: Korean Society for Preventive Medicine 2014-09-01
Series:Journal of Preventive Medicine and Public Health
Subjects:
Online Access:http://www.jpmph.org/upload/pdf/jpmph-47-5-273.pdf
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author Jeong-Hee Kang
Chul-Woung Kim
Sang-Yi Lee
author_facet Jeong-Hee Kang
Chul-Woung Kim
Sang-Yi Lee
author_sort Jeong-Hee Kang
collection DOAJ
description Objectives: To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, ‘physician- nurse relationship’ correlated with medication errors while ‘education for improving quality of care’ affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.
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spelling doaj.art-2ba5eefd542a477a97aec876b80024272022-12-22T00:31:07ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212014-09-0147527328010.3961/jpmph.14.0191796Nurse-perceived Patient Adverse Events and Nursing Practice EnvironmentJeong-Hee Kang0Chul-Woung Kim1Sang-Yi Lee2 Department of Nursing Science, Gyeongju University, Gyeongju, Korea Department of Preventive Medicine, Chungnam National University School of Medicine, Daejeon, KoreaDepartment of Health Policy and Management, Jeju National University School of Medicine, Jeju, KoreaObjectives: To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, ‘physician- nurse relationship’ correlated with medication errors while ‘education for improving quality of care’ affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.http://www.jpmph.org/upload/pdf/jpmph-47-5-273.pdfNursing practice environmentMedication errorPatient fallNosocomial infectionPressure sore
spellingShingle Jeong-Hee Kang
Chul-Woung Kim
Sang-Yi Lee
Nurse-perceived Patient Adverse Events and Nursing Practice Environment
Journal of Preventive Medicine and Public Health
Nursing practice environment
Medication error
Patient fall
Nosocomial infection
Pressure sore
title Nurse-perceived Patient Adverse Events and Nursing Practice Environment
title_full Nurse-perceived Patient Adverse Events and Nursing Practice Environment
title_fullStr Nurse-perceived Patient Adverse Events and Nursing Practice Environment
title_full_unstemmed Nurse-perceived Patient Adverse Events and Nursing Practice Environment
title_short Nurse-perceived Patient Adverse Events and Nursing Practice Environment
title_sort nurse perceived patient adverse events and nursing practice environment
topic Nursing practice environment
Medication error
Patient fall
Nosocomial infection
Pressure sore
url http://www.jpmph.org/upload/pdf/jpmph-47-5-273.pdf
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AT chulwoungkim nurseperceivedpatientadverseeventsandnursingpracticeenvironment
AT sangyilee nurseperceivedpatientadverseeventsandnursingpracticeenvironment