마취회복실 간호사의 임파워먼트, 의사와 의사소통, 공정문화가 환자안전간호활동에 미치는 영향 = The Influence of Post-Anesthesia Care Unit Nurses’ Empowerment, Communication with Physicians, and Just Culture on Patient Safety Nursing Practices

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to determine the influence of post-anesthesia care unit (PACU) nurses’ empowerment, communication with physicians and just culture on the patient safety nursing practices.


Methods: This study conducted an online survey from October 10 to November 30, 2024, among 195 PACU nurses working in South Korea. Data were collected through structured questionnaires that included the subjects' general characteristics, empowerment, communication with physician, just culture, and patient safety nursig practice. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation coefficients, and multiple regression analysis.


Results: The patient safety nursing practices had a significant positive correlation with empowerment, communication with physicians and just culture. As a result of the regression analysis, higher levels of just culture (β=.29, p<.001), experience of safety education in the past 1 year (β=.23, p<.001), and greater empowerment (β=.22, p<.001) were significantly associated with higher patient safety nursing practices. The model was statistically significant (F=9.72, p<.001), with an the explanatory power of 29.0%.

Conclusion: This study is significant that the empowerment, just culture, and experience of safety education are key factors influencing patient safety nursing practices of PACU nurses. Based on these findings, specific strategies to enhance patient safety nursing practices in the PACU should include the development of educational programs aimed at improving nurses’ empowerment, patient safety practices, and fostering a just culture.

Key words: Postanesthesia nursing, Patient safety, Empowerment, Communication, Organizational culture

목차 (Table of Contents)

• 서론 1
• 연구의 필요성 1
• 연구 목적 5
• 용어 정의 6
• 문헌고찰 8
• 마취회복실 간호사의 환자안전간호활동 8
• 임파워먼트와 환자안전간호활동 11
• 간호사와 의사의 의사소통과 환자안전간호활동 13
• 공정문화와 환자안전간호활동 16
• 연구방법 19
• 연구 설계 19
• 연구 대상자 19
• 연구 도구 20
• 자료 수집방법 22
• 윤리적 고려 22
• 자료 분석방법 23
• 연구결과 24
• 대상자의 일반적 특성 24
• 대상자의 임파워먼트 의사와 의사소통 공정문화 및 환자안전간호활동의 수준 26
• 대상자의 일반적 특성에 따른 환자안전간호활동의 차이 28
• 마취회복실 간호사의 임파워먼트 의사와 의사소통 공정문화와 환자안전간호활동 간 상관관계 30
• 환자안전간호활동에 영향을 미치는 요인 32
• 논의 34
• 결론 및 제언 39
• (Abstract) 50