본 연구는 아동병동 간호사를 대상으로 환아 안전관리 중요성 인식 및 부모와의 파트너십이 환아안전관리활동에 미치는 영향을 확인함으로써 환아 안전사고 예방 및 관리에 있어 기초 자료를 제공하고자 시도된 서술적 조사연구이다.
연구 대상자는 U광역시 1개 대학병원, 2개 종합병원, 6개 아동전문병원에서 근무를 하고 있는 아동병원 간호사 141명이었고, 구조화된 설문지를 사용하였다. 자료 수집 기간은
2018년 3월 1일부터 3월 14일까지였다.
자료 분석은 SPSS WIN 24.0 프로그램을 이용하여 기술 통계와 t-test, ANOVA, 사후분석, Pearson’s correlation coefficients 및 multiple regression analysis를 이용하여 분석하였다.
본 연구의 결과는 다음과 같다.
첫째, 일반적 특성에서 대상자의 연령은 25∼30세 미만 간호사가 39.1%, 결혼 상태는 기혼 간호사가 56.7%, 근무경력은 1∼5년 미만이 59.3%, 최종학력은 전문대졸이
53.9%, 직위는 일반간호사가 71.6%, 근무시간은 41∼44시간이 52.9%, 안전사고 교육 경험은 있음이 74.5%, 안전사고 업무규정은 있음이 95.7%, 안전사고 사례경험구간은 0∼1회가 66.9%로 가장 많았다.
둘째, 연구대상자의 환아 안전관리 중요성 인식 점수는 4.19점(5점 척도)으로 나타났다. ‘환자 안전관리에 대한 인지’ 4.41점, ‘환자 안전관리에 대한 의지’ 4.21점 순으로
나타났으며 가장 낮은 영역은 ‘환자 안전에 대한 자신감’ 4.05점 이었다.
셋째, 연구대상자의 부모와의 파트너십 점수는 4.13점(5점 척도)으로 나타났다.
하위영역별 부모와의 파트너십 점수는 ‘민감성’ 4.46점, ‘의사소통’ 4.38점으로 나타났고, 하위영역 중 가장 낮게 나타난 것은 ‘협력’ 3.55점 순이었다.
넷째, 연구대상자의 환아안전관리활동 점수는 4.39점(5점 척도)으로 나타났다. 환아안전관리활동 하위점수는 낙상 4.36점, 손상 4.26점, 전기감전 및 화재 4.26점, 질식 및 흡인 4.16점, 감염 4.54점, 투약 4.62점이었다.
다섯째, 환아안전관리활동, 환아 안전관리 중요성 인식, 부모와의 파트너십의 상관
관계를 분석한 결과, 환아안전관리활동은 환아 안전관리 중요성 인식(r=.751, ρ=.000),
환아 안전관리활동과 부모와의 파트너십(r=.709, ρ=.000) 과는 통계적으로 유의한 정적상관관계를 보였으며, 또한 환아 안전관리 중요성 인식과 부모와의 파트너십(r=.722, ρ=.000)과의 관계도 통계적으로 유의한 정적 상관관계를 보였다.
여섯째, 간호사의 환아안전관리활동에 영향을 미치는 요인으로는 환아 안전관리 중
요성 인식(β=.395, ρ=<0.01), 업무규정(β=-.312, ρ=.013), 부모와의 파트너십(β=.211, ρ=.003), 이 영향을 미쳤으며, 이 요인들에 의해 환아안전관리활동 수행도가 66.5% 설명되었고(F=38.337, ρ=.000) 이 중 환아 안전관리 중요성 인식의 예측 설명력이 가장
높은 것으로 나타났다.
이상의 결과를 통해 아동병동 간호사의 환아 안전관리 중요성 인식 및 환아 부모와의 파트너십이 환아안전관리활동에 영향을 미치는 것을 확인하였다. 이에 환아 안전
관리 중요성 인식 및 환아 부모와의 파트너십 증진을 위해 환아 안전관리 프로그램 및 간호사와 부모를 위한 효과적인 의사소통 향상 프로그램의 개발과 교육제공이 요구된다. 또한 체계적인 간호지식 및 경험이 풍부한 경력간호사의 수급과 장기근속을 유도하는 정책 및 간호인력 지원에 대한 제도적 마련이 필요할 것이다.

This study involved a descriptive survey on nurses for providing basic data for prevention and management of safety accidents of hospitalized children by examining and identifying the pediatric nurses’ perception on the importance of
children’s safety management and their partnership with parents of the hospitalized children.
Participants were 141 nurses working at 1 university hospital, 2 general
hospitals, and 6 children’s hospitals located in U metropolitan city, and a structured questionnaire was used in the study. Data was collected from March 1 to 14, 2018.
The data was analyzed using descriptive statistics, t-test, ANOVA, post-hoc analysis, Pearson’s correlation coefficients, and multiple regression analysis with SPSS WIN 24.0 program.
The results of the study were as follows:
First, concerning the general characteristics of the nurses participating in the study, 39.1% of them were aged 25-30 years, 56.7% were married, and 59.3% had
a work experience of 1-5 years. As for educational background, 53.9% had an associate degree, and 71.6% were general duty nurses; regarding position, 52.9% were working for 41-44 hours, 74.5% had been educated on safety accidents, and
95.7% reported having protocols on safety accidents at workplace. The majority, including 66.9% of the respondents had experience of safety accidents 1-2 times.
Second, the subjects’ score on the perception regarding importance of children’s safety management was 4.19 points (on a 5-point scale). The domain of
“awareness of patients’ safety management” ranked the highest at 4.41 points, followed by “will to manage patients’ safety” at 4.21 points, and the domain of
“confidence in patients’ safety” recorded the lowest score of 4.05 points.
Third, the subjects’ score on the partnership with patients’ parents was 4.13 points (on a 5-point scale).
The score for partnership with parents among subdomains was 4.46 for sensitivity and 4.38 for communication, and the subdomain with the lowest score was
“cooperation” at 3.55 points.
Fourth, the subjects’ score on children’s safety management activities was 4.39 points (on a 5-point scale). The score on subdomains of children’s safety
management activities was 4.36 for falling, 4.26 for damage, 4.26 for electric shock and fire, 4.16 for suffocation and aspiraion , 4.54 for infection, and 4.62 for medication.
Fifth, from the results of analyzing the correlations between children’s safety management activities, perception regarding the importance of children’s safety
management, and partnership with parents, significant positive correlations were found between children’s safety management activities and perception regarding
the importance of children’s safety management (r=.751, ρ=.000), children’s safety
management activities and partnership with parents (r=.709, ρ=.000), and perception
regarding the importance of children’s safety management and partnership with parents (r=.722, ρ=.000).
Finally, among the factors influencing nurses’ activities to manage children’s
safety, perception regarding the importance of children’s safety management (β=.395, ρ=<0.01), working regulations (β=-.312, ρ=.013), and partnership with
parents (β=.211, ρ=.003) were influential, and these factors (F=38.337, ρ=.000)
explained 66.5% of performance of children’s safety management activities. Among them, perception regarding the importance of children’s safety management was observed to have the highest level of predictive explanatory power.
In conclusion, it can be concluded that programs and education to enhance nurses’ capacity for effective communication are required to allow pediatric nurses'' to improve their perception regarding the importance of children’s safety
management and partnership with parents. Moreover, when children are hospitalized, education needs to be offered to parents to provide basic information so that children and parents can adapt to the life at hospital and ensure children’s
safety. It is also necessary to supply more experienced nurses with structured nursing expertise and establish policies to encourage them to work for a longer period and systems to support the nursing workforce.