Safety Management Behaviors of Nurses in Japanese Clinical Settings

Tuesday, 13 July 2010

Wakako Sadahiro, RN, DNSc1
Naomi Funashima, RN, DNSc2
Kyoko Yokoyama, RN, DNSc3
Tomomi Kameoka, RN, DNSc4
Toshiko Nakayama, RN, DNSc2
Yuriko Nomoto, RN, DNSc5
1School of Nursing, Sapporo City University, Sapporo, Japan
2School of Nursing, Chiba University, Chiba, Japan
3School of Nursing, Gunma Prefectural College of Health Science, Maebashi, Japan
4Nursing Education, National College of Nursing Japan, Kiyose, Japan
5School of Nursing, Ehime Prefectural University, Ehime, Japan

Learning Objective 1: understand what nurses carry out for the safety of patients,nurses and others in japanese clinical settings.

Learning Objective 2: discuss how we should secur the safety of patients,nurses and others.

Purpose: The purpose of this study is to clarify the characteristics of nurses’ safety management behaviors in Japanese clinical settings. 

Methods: Eight hundred and forty-two nurses who work at Japanese medical facilities were selected by random sampling method and were requested to answer the open-ended questiones asking their safety management behaviors at the time of assistant work for medical treatment. The contents of their answers were analyzed by Category System as the result of qualitative study. This Category System consisted of 38 categories representing the measures and practices for patient safety by nurses(Ito,2006). In addition, for the data not being classified in the categories, they were analyzed qualitatively and inductively with using Berelson’s content analysis method and then formed a new category.

Results: Four hundred and seventy-eight nurses (56.9%) answered the questionnaires and 443 valid data were analyzed. In the result, 94.5% of the data could be classified for 36 out of 38 Category System types. In addition, with the result of analyzing 5.5% of the data not being classified in the categories, 8 new categories were formed. Those 8 categories included the nurse behaviors to protect themselves from infections, the assessment of doctors’ therapeutic regimen, and the behaviors for adjustment to provide safe medical care.

Conclusion: The results of this study represent the behavior features that nurses need to facilitate therapeutic planning safely. Furthermore, the newly formed categories indicate the unique functions of nurses on practice focusing on doctors and patients so called “Medical Treatment” and are possible to be utilized for nursing practices and nursing education.