Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Confidence in Patient Safety Management in Nursing Students

간호대학생의 환자안전관리 수행자신감에 영향을 미치는 요인

  • Jeong, Hyun-Sook (Department of Nursing, Mun-kyung College) ;
  • Kong, Jeong-Hyeon (Department of Nursing, International University of Korea) ;
  • Jeon, Mi-Yang (College of Nursing.Institute of Health Science, Gyeongsang National University)
  • 정현숙 (문경대학교 간호학과) ;
  • 공정현 (한국국제대학교 간호학과) ;
  • 전미양 (경상대학교 간호대학.건강과학연구원)
  • Published : 2017.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purposed of this study was to identify the factors that affect Confidence in Performance Patient Safety Management targeted nursing students. The study subjects were 228 nursing students. The nursing students experienced patientl safety accidents in the fall (50.0%), needle puncture (18.5%), Patient identification error (12.0%), injection medication error (7.5%) and oral medication errors (4.3%). In the logistic regression analysis, Attitude of Patient Safety Management(t=6.09, p<.001), Clinical Decision Making(t=3.97, p<.001) and gender(t=2.56, p=.011) were significant factors related to Confidence of Performance Patient Safety Management. Based on the results of this study, we propose to develop a convergence education program that considers patient safety management attitude, clinical decision making ability, and gender in order to improve confidence of performance patient safety management of nursing students.

본 논문은 간호대학생의 환자안전관리 수행자신감에 영향을 미치는 요인을 파악함으로써 간호대학생의 환자안전관리역량 증진 융합교육프로그램을 개발하는데 필요한 근거를 마련하고자 수행하였다. 본 연구는 간호학과 4학년 재학생 228명을 대상으로 하였다. 간호대학생의 환자안전관리 수행자신감에 영향을 미치는 요인을 규명하기 위해 다중회귀분석을 실시하였다. 간호대학생이 임상에서 경험한 환자안전 사고는 낙상(50.0%), 주사바늘 찔림(18.5%), 환자확인 오류(12.0%), 주사투약 오류(7.5%), 경구투약 오류(4.3%)순이었다. 간호대학생의 환자안전관리 수행자신감의 유의한 영향요인은 환자안전관리 태도(t=6.09, p<.001), 임상의사결정능력(t=3.97, p<.001) 및 성별(t=2.56, p=.011)로 나타났다. 이와 같은 연구결과를 근거로 간호대학생의 환자안전관리 수행자신감을 증진시키기 위해서는 환자안전관리 태도, 임상의사결정능력 및 성별을 고려한 융합교육 프로그램을 개발할 것을 제안한다.

Keywords

References

  1. "Hospital survey on patients safety culture". Agency for Health Research and Quality(AHRQ) Publication, 2004. from http://www.ahrq.gov/qual/patientsafetyculture/hospsurvindex.htm
  2. "World Health Organization. Final technical report for the conceptual framework for the international classification for patient safety", Retrieved January, 2009, from http://www.search.who.int/search?q=Final+technical+report+for+the+conceptual+framework+++++++for+the+international+classification+for+patient+safety&ie=utf8&site=default_collection&client=_en&proxystylesheet=_en&output=xml_no_dtd&oe=utf8
  3. L. T. Kohn, J. M. Corrigan, & M. S. Donaldson, "To error is human: building a safer health system", Washington DC: National Academy Press, 2000.
  4. S. I. Lee, "Development of institutional mechanism for improving patient safety in Korea", Seoul: Center for Disease Control & Prevention, p. 4, p. 15, 2013. from http://cdc.go.kr/CDC/notice/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU1889&cid=21512
  5. Ministry of Health and Welfare, & Korea Health Industry Development Agency. Gdelines for hospital evaluation programme 2007. Policy-Healthcare-2007-20. http://khna.or.kr/bbs/linkfile/2007/070527.pdf
  6. J. H. Park, "Hospital worker's perception of patient safety culture in small & medium hospitals(Seoul, Incheon)", Gachon University, Master's thesis, 2011.
  7. E. N. de Vries, M. A. Ramrattan, S. M. Smorenburg, D. J. Gouma, & M. A. Boermeester, "The incidence and nature of in-hospital adverse events: A systematic review", Quality & Safety in Health Care, Vol. 17, No. 3, pp. 216-23, 2008. https://doi:10.1136/qshc.2007.023622.
  8. "The study on cost of medical accident to improving risk in comprehensive value", Health insurance review & assessment service, 2012.
  9. Seo, Y. S., & Do, E. S, "Influence of Safety Culture Perception, Safety Control and Safety Management Activities as Perceived for Nurses in Nursing Home". Jounal of Digital Convergence, Vol. 13, No. 9, pp. 303-311, 2015. http://www.earticle.net/article.aspx?sn=253854
  10. J. M. Lee, S. J. Hong & M. H. Park, "Perception of Patient Safety Culture and Safety Care Activity among ICU Nurses" Crisisonomy, Vol. 9, No.11, pp. 273-290, 2013. http://www.earticle.net/article.aspx?sn=210197
  11. J. H. Park, & M. H. Park, "Knowledge, Attitude, and Confidence on Patient Safety of Undergraduate Nursing Students", Journal of Korean Academy Society Nursing Education, Vol. 20, No. 1, pp. 5-14, 2014. https://doi.org/10.5977/jkasne.2014.20.1.5
  12. S. H. Son, "A study on nuring student's knowledge, attitude, confidence in performance and practice in safety management", Keimyung University, Master's thesis, 2016.
  13. S. H. Choi, & H. Y. Lee, "Factors Affecting Nursing Students' Practice of Patient Safety Management in Clinical Practicum". The Journal of Korean Nursing Administration Academic Society, Vol. 21, No. 2, pp. 184-192, 2015. http://dx.doi.org/10.11111/jkana.2015.21.2.184
  14. W. S. Madigosky, L. A. Headrick, K. Nelson, K. R. Cox, & T. Anderson, "Changing and Sustaining Medical Students' Knowledge, Skills, and Attitudes about Patient Safety and Medical Fallibility", Academic Medicine, Vol. 81, No. 1, pp. 94-101, 2006. https://doi.org/10.1097/00001888-200601000-00022
  15. H. M. Jenkins, "A research Tool for Measuring Perceptions of Clinical Decision Making", Journal of professional nursing, Vol. 1, No. 4, pp. 221-229, 1985. https://doi.org/10.1016/S8755-7223(85)80159-9
  16. G. H. Beak, "A Study on Reporting system on accident in patient safety-focusing on comparing the reforming medical law systems in Japan", Kangwon law review, Vol. 45, No. 1, pp. 325-351, 2015. https://doi.org/10.18215/kwlr.2015.45..325
  17. Y. M. Lee, "Safety Accident Occurrence to Perceptions of Patient Safety Culture of Hospital Nurses", Journal of the Korea Academia-Industrial cooperation Society, Vol. 13, No. 1, pp. 117-124, 2012. http://dx.doi.org/10.5762/KAIS.2012.13.1.117
  18. K. K. Kim, M. S. Song, K. S. Lee, & H. K. Hur. "Study on factors affecting nurses' experience of non-reporting incidents", The Journal of Korean Nursing Administration Academic Society, Vol. 12, pp. 454-463, 2006.
  19. H. R. Roh, H. J. Seol, S. S. Kang, I. B. Suh, & S. M. Ryu, "Using Medical Error Cases for Patient Safety Education", Korean Journal of Medical Education, Vol. 20, No. 3, pp. 265-271, 2008 http://dx.doi.org/10.3946/kjme.2008.20.3.265
  20. H. Lester, & J. Q. Tritter, "Medical error: a discussion of the medical construction of error and suggestions for reforms of medical education to decrease error", Medical Education, Vol. 35, pp. 855-861, 2001. https://doi.org/10.1046/j.1365-2923.2001.01003.x
  21. J. M. Lee, S. J. Hong, & M. H. Park, "Perception of Patient Safety Culture and Safety Care Activity among ICU Nurses", Crisisonomy, Vol. 9, No. 11, pp. 273-290, 2013.
  22. S. S. Huh, & H. Y. Kang, "The Attitude of Patient Safety and Patient Safety Management Activity in Nursing Students", Journal of the Korea Academia-Industrial cooperation Society. Vol, Vol. 16, Vo. 8, pp.5458-5467, 2015. http://dx.doi.org/10.5762/KAIS.2015.16.8.5458
  23. R. L. Wears, B. Janiak, J. C. Moorhead, A. L. Kellermann, C. S. Yeh, M. M. Rice, G. Jay, S. J. Perry, & R. Woolard, "Human error in medicine: promise and pitfalls", Annals of Emergency Medicine, part2, Vol. 36, No. 2, pp.58-60, 142-144, 2000. https://doi.org/10.1067/mem.2000.108713
  24. S. D. Cho, S. E. Heo, & D. H. Moon, "A convergence study on the hospital nurse's perception of patient safety culture and safety nursing activity", Journal of the Korea Convergence Society, Vol. 7, No. 1, pp. 125-136, 2016. http://dx.doi.org/10.15207/JKCS.2016.7.1.125
  25. H. Y. Kim, & H. S. Kim, "Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's", Journal of Korean Academy of Nursing Administration, Vol. 17, pp. 413-422, 2011. https://doi.org/10.11111/jkana.2011.17.4.413
  26. K. J. Kim, "Development of website-based patient safety culture promotion program", Journal of Korean Clinical Nursing Research, Vol. 19, pp. 152-167, 2013.
  27. S. H. Yoo, "Effects of critical thinking disposition and clinical decision making of one tertiary hospital nurse on the patient safety competency". Ewha Womans University, Master's thesis, 2016.
  28. I. H. Park, & S. J. Shin, "The Effects of Video-based Peer assisted Learning in Standardized Patients Simulation: Pre and Post Operative Care", Korean Journal of Adult Nursing, Vol 27, No 1, pp 73-82, 2015. https://doi.org/10.7475/kjan.2015.27.1.73