The Effect of Health Belief, Safety Motivation, and Safety-climate on the Performance of Taking Standard Precautions on Nursing College Students

Abstract

Objectives: This study was conducted to investigate the effect of health beliefs, safety motivations, and safety-climate on the performance of taking standard precautions of nursing college students with clinical practice experience. Methods: The subjects of this study were 173 students in the 3rd and 4th grades of nursing college located in Daegu Metropolitan City with clinical practice experience, and data were collected from September 7th to September 25th, 2020 using a structured questionnaire. Results: As a result of the study, the health belief of nursing college students was 3.60 (± 0.75) points, safety motivation 22.40 (± 5.33) points, safety-climate 4.79 (± 1.90) points, and the performance of taking standard precautions was 3.21 (± 0.63) points. Hierarchical regression analysis was performed with the presence or absence of infection management education, health belief, safety motivation, and safety-climate as independent variables to identify the factors that affect the performance of taking standard precautions. Factors affecting the performance of taking standard precautions are health belief (β = 0.33, p = 0.003), safety motivation (β = 0.28, p = 0.003), safety-climate (β = 0.20, p = 0.009). Conclusions: According to this study, health belief, safety motivation, and safety-climate influenced the performance of taking standard precautions. These results suggest that it is necessary to emphasize the importance of practicing standardism, motivate nursing students, and provide a safer hospital practice environment in order to improve the performance of taking standard precaution when nursing college students are in hospital practice.

Effects of Nursing Students' Patient Safety Attitudes, Safety Motivation and Nursing Professionalism on Confidence in Performance of Patient Safety

“…환자안전과 관련된 선행연구로는 국외의 경우 간호학생 3,4학년을 대상으로 환자 안전 교육을 적용하여 지식 및 자기효능감을 확인한 연구 [11], 간호사, 의사, 간호조무사, 보건 종사자들을 대상으로 환자안전에 대한 인식을 조사한 연구 [12], 간호학생을 대상으로 환자안전역량을 측정한 연구 [13], 의료사고 환자안전 시나리오를 활용하여 환자안전에 대한 동기, 학습태도, 팀워크를 확인한 연구 [14], 간호학생을 대상으로 환자안전관리에 대한 불안, 자신감과 임상역량과의 관계를 확인한 연구 [15] 등이 있다. 국내의 경우 간호대학생을 대상으로 환자안전수행 자신감 [4], 안전관리 행위 [5], 태도 [16][17], 동기 [17][18][19], 전문직관 [20] [27], 환자안전관리에 태도가 긍정적일수록 수행자신감이 높았다 [1]. 자신감 향상은 전문직 간호사로 직무를 수행하는데 필수적 요소이며 [5], 안전에 대한 동기가 강화되어야 안전 수행에 대한 자신감이 올라가고 안전행위를 실천하게 된다 [20].…”