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Factors Affecting Nursing Students' Practice of Patient Safety Management in Clinical Practicum

간호대학생의 임상실습 시 환자안전관리 실천에 미치는 영향요인

  • Choi, Seung Hye (Department of Nursing, Suwon University) ;
  • Lee, Haeyoung (Department of Nursing & Research Institute for Basic Science, Hoseo University)
  • 최승혜 (수원대학교 간호학과) ;
  • 이해영 (호서대학교 간호학과.기초과학연구소)
  • Received : 2015.01.08
  • Accepted : 2015.03.03
  • Published : 2015.03.31

Abstract

Purpose: This study was done to assess nursing students' practice of patient safety management (PSM), identify factors affecting PSM and provide basic data to develop education programs to strengthen students' competencies for patient safety. Methods: In this descriptive research the practice of PSM by nursing students was examined and predictive factors were identified. Participants were junior and senior nursing students from 7 universities in 7 cities. Self-report questionnaires were used for data collection. Results: Significant positive correlations were found between knowledge of PSM, perception of the importance of PSM and practice of PSM. In multivariate analysis, women students, participation in patient safety education in school, knowledge of PSM, and practice of PSM predicted high perception of the importance of PSM. In multivariate analysis, senior year and participation in patient safety education in school predicted higher knowledge of PSM. In multivariate analysis, perception of the importance of PSM predicted high practice of PSM. Conclusion: In this study, knowledge was not found to directly affect PSM practice, but was found to affect the perception of the importance of PSM, a significant predictive variable. Thus, the importance of PSM should be strongly emphasized during education.

Keywords

References

  1. Kohn LT, Corrigan J, Donaldson MS. To error is human: building a safer health system. Washington, D.C.: National Academy Press; 2000.
  2. Lee JH. Patient safety and healthcare standard. Journal of the Korean Medical Association. 2011;54(5):444-446. http://dx.doi.org/10.5124/jkma.2011.54.5.444
  3. The Joint Commission. 2015 national patient safety goals [Internet]. 2015. [cited 2015 February 20]. Available from: http://www.jointcommission.org/standards_information/npsgs.aspx
  4. Korea Institute for Healthcare Accreditation. Survey process guide for hospital accreditation (version 2.0). Seoul: Korea Institute for Healthcare Accreditation; 2014.
  5. Cho SS, Gang MH. Perception of patient safety culture and safety care activity of entry-level nurses. Korean Journal of Occupational Health Nursing. 2013;22(1):24-34. http://dx.doi.org/10.5807/kjohn.2013.22.1.24
  6. Cronenwett L, Sherwood G, Barnsteiner J, Disch J, Johnson J, Mitchell P, et al. Quality and safety education for nurses. Nursing Outlook 2007;55(3):122-131. http://dx.doi.org/10.1016/j.outlook.2007.02.006
  7. Kim MS, Kim YH. Development and evaluation of patient safety reporting promoting education program. Journal of the Korea Academia-Industrial Cooperation Society. 2012;13(1): 284-295. http://dx.doi.org/10.5762/KAIS.2012.13.1.284
  8. Kim IS, Park MJ, Park MY, Yoo HN, Choi JH. Factors affecting the perception of importance and practice of patient safety management among hospital employees in Korea. Asian Nursing Research. 2013;7(1):26-32. http://dx.doi.org/10.1016/j.anr.2013.01.001
  9. Chenot TM, Daniel LG. Frameworks for patient safety in the nursing curriculum. The Journal of Nursing Education. 2010; 49(10):559-568. http://dx.doi.org/10.3928/01484834-20100730-02
  10. Currie LM, Desjardins KS, Levine ES, Stone PW, Schnall R, Li J, et al. Web-based hazard and near-miss reporting as part of a patient safety curriculum. The Journal of Nursing Education. 2009;48(12):669-677. http://dx.doi.org/10.3928/01484834-20091113-03
  11. Flin R, Patey R, Jackson J, Mearns K, Dissanayaka U. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Medical Education. 2009;43(12):1147-1155. http://dx.doi.org/10.1111/j.1365-2923.2009.03499.x
  12. Madigosky WS, Headrick LA, Nelson K, Cox KR, Anderson T. Changingand sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Academic Medicine. 2006;81(1):94-101. https://doi.org/10.1097/00001888-200601000-00022
  13. National Patient Safety Foundation. Patient safety dictionary N-Z [Internet]. [cited 2015 February 20]. Available from: https://npsf.site-ym.com/?page=dictionarynz
  14. Kim MR. Concept analysis of patient safety. Journal of Korean Academy of Nursing. 2011;41(1):1-8. http://dx.doi.org/10.4040/jkan.2011.41.1.1
  15. Park MJ, Kim IS, Ham YI. Development of a perception of importance on patient safety management scale (PI-PSM) for hospital employee. The Journal of the Korea Contents Association. 2013;13(5):332-341. http://dx.doi.org/10.5392/JKCA.2013.13.05.332
  16. Park JH. Knowledge, attitude, and confidence on skill of nursing students toward patient safety [master's thesis]. Daegu: Keimyung University; 2011.
  17. Yoo HN, Lee HY. The initial application of the patient safety management activity scale (PSM-A) for nursing students: Brief on reliability and validity. Journal of the Korean Data Analysis Society. 2014;16(6B):3423-3436.
  18. Yeun YR. The impact of healthcare accreditation on patient safety and quality, job satisfaction and organizational commitment: About a general hospital. Journal of Korea Academia-Industrial Cooperation Society. 2013;14(4):1820-1829. https://doi.org/10.5762/KAIS.2013.14.4.1820
  19. Kim HY, Lee ES. Effects of perceived patient safety culture on safety care activities among nurses in general hospitals. Journal of East-West Nursing Research. 2013;19(1):46-54. https://doi.org/10.14370/jewnr.2013.19.1.046
  20. Tai JW, Mok ES, Ching PT, Seto WH, Pittet D. Nurses and physicians'perceptions of the importance and impact of healthcare-associated infections and hand hygiene: A multi-center exploratory study in Hong Kong. Infection. 2009;37(4):320-333. http://dx.doi.org/10.1007/s15010-009-8245-x
  21. Park JH, Park MH. Knowledge, attitude, and confidence on patient safety of undergraduate nursing students. Journal of Korean Academic Society of Nursing Education 2014;20(1):5-14. http://dx.doi.org/10.5977/jkasne.2014.20.1.5
  22. Barnsteiner JH, Disch JM, Hall L, Mayer D, Moore SM. Promoting interprofessional education. Nursing Outlook. 2007;55 (3):144-150. http://dx.doi.org/10.1016/j.outlook.2007.03.003
  23. Roh HR, Seol HJ, Kang SS, Suh IB, Ryu SM. Using medical error cases for patient safety education. Korean Journal of Medical Education. 2008;20(3):265-271. http://dx.doi.org/10.3946/kjme.2008.20.3.265
  24. Askarian M, Memish ZA, Khan AA. Knowledge, practice, and attitude among Iranian nurses, midwives, and students regarding standard isolation precautions. Infection Control and Hospital Epidemiology. 2007;28(2):241-244. http://dx.doi.org/10.1086/510868
  25. Chung SK. A structural model of safety climate and safety compliance of hospital organization employees [dissertation]. Seoul: Yonsei University; 2010.
  26. Abbott AA, Fuji KT, Galt KA, Paschal KA. How baccalaureate nursing students value an interprofessional patient safety course for professional development. ISRN Nursing 2012;2012:401358. http://dx.doi.org/10.5402/2012/401358
  27. Kim JS, Kim JS. Importance awareness and compliance on patient safety for nurses working in operating rooms. Journal of the Korea Academia-Industrial Cooperation Society. 2011; 12(12):5748-5758. http://dx.doi.org/10.5762/KAIS.2011.12.12.5748
  28. Johnstone MJ, Kanitsaki O. Clinical risk management and patient safety education for nurses: a critique. Nurse Education Today. 2007;27(3):185-191. http://dx.doi.org/10.1016/j.nedt.2006.04.011
  29. Gregory DM, Guse LW, Dick DD, Russell CK. Patient safety: where is nursing education? The Journal of Nursing Education. 2007;46(2):79-82.

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