Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Nursing Students' Knowledge, Attitude and Nursing Professionalism on Confidence in Performance of Patient Safety

졸업학년 간호대학생의 환자안전 지식, 태도 및 간호전문직관이 환자안전 수행자신감에 미치는 효과

  • 박수진 (대구보건대학교 간호학과) ;
  • 최효신 (대구보건대학교 간호학과) ;
  • 김정윤 (대구보건대학교 간호학과)
  • Received : 2019.06.19
  • Accepted : 2019.09.06
  • Published : 2019.09.30
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Abstract

This research study was conducted to investigate the effect of knowledge, attitude and nursing professionalism on the confidence of the performance of nursing students who had experience with clinical practice and also to provide basic data for the development of nursing students' curriculum. The subjects who participated in this study were 286 students in the 4th year of nursing at two colleges in the Daegu and Gyeongbuk regions. The research data was analyzed using the SPSS 22.0 program. Confidence in performance of patient safety was higher for the women than for men, and for the students of an older age and higher academic achievement. Confidence in performance of patient safety was positively related to knowledge (r=.25, p=.000), attitude (r=.39, p=.000), nursing professionalism (r=.33, p=.000) and all these had statistical significance. On the multiple regression analysis, the coefficient of determination ($R^2$) was .49 and the explanatory power of the model was 49.2% (F=24.04, p=.000). The most important factor affecting confidence in performance of patient safety was the experience of having undergone patient safety education. Based on these results, it is necessary to seek various educational methods to expand the concept of patient safety from the beginning of the undergraduate course work. Especially, we think that various education strategies such as simulation education methods or information videos are needed to develop scenarios related to patient safety.

본 연구의 목적은 임상실습 경험이 있는 간호대학생의 환자안전 지식, 태도 및 간호전문직관이 환자안전 수행 자신감에 미치는 효과를 파악하여 간호대학생이 환자안전 역량을 증진시키기 위한 교육과정 개발에 기초자료를 제공하고자 시행된 서술적 조사연구이다. 연구대상은 대구 경북지역에 소재한 3개 대학 간호학과 4학년에 재학 중인 286명이며, 자료분석은 SPSS 22.0 Program을 이용하였다. 환자안전 수행자신감은 여자가 남자보다, 연령이 많을수록, 학업성적 높을수록 높게 나타났으며, 환자안전 수행자신감은 환자안전 지식(r=.25, p=.000), 환자안전 태도(r=.39, p=.000), 간호전문직관(r=.33, p=.000)과 통계적으로 유의한 정적 상관관계를 나타내었다. 다중회귀분석을 실시한 결과는 성별(${\beta}=.12$, p=.019), 연령(${\beta}=-.17$, p=.003), 환자안전 교육을 받은 경험(${\beta}=-.73$, p=.000), 부주의 정도(${\beta}=.09$, p=.024), 잊어버리는 정도(${\beta}=-.02$, p=.024), 환자안전 태도(${\beta}=.14$, p=.010), 간호전문직관(${\beta}=.18$, p=.001)이 통계적으로 유의한 영향관계를 보였으며, 모형의 설명력은 49.2%였다(F=24.04, p=.000). 환자안전 수행자신감에 가장 많은 영향을 미치는 요인은 환자안전 교육을 받은 경험으로 나타났다. 이러한 결과를 바탕으로 학부과정 초기부터 적극적인 환자안전 개념에 대한 노출로 학년이 올라갈수록 그 개념에 대해 확장해 나갈 수 있는 다양한 교육 방법을 모색할 필요가 있다. 특히 환자안전과 관련된 시나리오 개발을 통한 학생들이 적극적이고 능동적인으로 참여할 수 있는 시뮬레이션 교육방법이나 동영상을 이용한 정보공유 등 다양한 교육전략이 필요할 것으로 사료된다.

Keywords

References

  1. S. H. Choi, H. Y. Lee, "Factors Affecting Nursing Students Practice of Patient Safety Management in Clinical Practicum", J Korean Acad Nurs Adm, Vol.21, No.2, pp.184-192, 2015. DOI: http://dx.doi.org/10.11111/jkana.2015.21.2.184
  2. The Joint Commission, 2015 national patient safety goals, 2015, http://www.jointcommission.org/standards _information/npsgs.aspx. [cited 2015 February 20].
  3. Korea Institute for Healthcare Accreditation, Survey process guide for hospital accreditation (version 2.0), Korea.
  4. Y. R. Park, "Knowledge, Attitude and Self-Confidence of Student Nurses Regarding Nosocomial Infection Control", Journal of the Korean Academy of Fundamentals of Nursing, Vol.14, No.4, pp.429-436, 2007. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId= NODE01619729
  5. Ministry of Health and Welfare, Korea Institute for Healthcare Accreditation. Korea Patient Safety Incident Report 2018. Seoul: Korea Institute for Healthcare Accreditation, 2019. www.kops.or.kr
  6. F. Milligan, S. Dennis. "Improving patient safety and incident reporting", Nursing Standard, Vol.19, No.7, pp.33-36, 2004. DOI: https://doi.org/10.7748/ns2004.10.19.7.33.c3733
  7. Y. L. Ham, M. J. Park, H. Y. Lee, "Knowledge, Attitude and Confidence on Patient Safety Management among Emergency Medical Technician students. The Korean Journal of Emergency Medical Services, Vol.21, No.1, pp.75-85, 2017. DOI: https://doi.org/10.14408/KJEMS.2017.21.1.075
  8. L. J. Fero, C. M. Witsberger, S. W. Wesmiller, T. G. Zullo, L. A. Hoffman, "Critical thinking ability of new graduate and experienced nurses", Journal of Advanced Nursing, Vol.65, No.1, pp.139-148, 2009. DOI: https://doi.org/10.1111/j.1365-2648.2008.04834.x
  9. K. S. Jang, "Factors Influencing the Patient Safety Management Activity of Nursing Students", The Journal of Korean academic society of nursing education, Vol.24, No.4, pp.358-366, 2018, DOI: http://dx.doi.org/10.5977/jkasne.2018.24.4.358
  10. G, Bunkenborg, K. Samuelson, J. Akeson, I. Poulsen, "Impact of professionalism in nursing on in‐hospital bedside monitoring practice", Journal of Advanced Nursing, Vol.69, No.7, pp.1466-1477, 2013. DOI: https://doi.org/10.1111/jan.12003
  11. E. J. Yeun, Y. M. Kwon, O. H. Ahn, "Development of a Nursing Professional Values Scale", Journal of Korean academy of nursing, Vol.35, No.6, pp.1091-1100, 2005. DOI: https://doi.org/10.4040/jkan.2005.35.6.1091
  12. D. R. Andrews, J. Burr, A. Bushy, "Nurses' self-concept and perceived quality of care: a narrative analysis", Journal of Nursing Care Quality, Vol.26, No.1, pp.69-77, 2011. DOI: https://doi.org/10.1097/NCQ.0b013e3181e6f3b9
  13. Y. S. Ham, H. S. Kim, "Comparison of Factors Affecting Nursing Professionalism Perceived by Nursing Students Anticipating Graduation According to Nursing Educational System", Journal of Korean Academy of Fundamentals of Nursing. Vol.19, No.3, pp.363-373, 2012. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.3.363
  14. H. M. Ham, M. S. Yoo, "Relationship Between Intra- Organizational Communication Satisfaction and Safety Attitude of Nurses", Journal of Korean academy of nursing administration. Vol.18, No. 2, pp.213-221, 2012. DOI: https://doi.org/10.11111/jkana.2012.18.2.213
  15. M. Y. Moon, "A Study on Knowledge, attitude and Confidence in performance of Patient Safety with Experience of safety incidents during Clinical Practicum in Nursing Students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.8, No.4, pp. 847- 856, 2018. DOI: http://dx.doi.org/10.21742/AJMAHS.2018.04.80
  16. D. Y. Lim, H. J. Jang, "The Relationship with the Knowledge, Confidence in Performance and Nursing Professional Values on Patient Safety of Undergraduate Nursing Students", The Korea Contents Society, Vol.18, No.4, pp.279-289, 2018. DOI: http://dx.doi.org/10.5392/JKCA.2018.18.04.279
  17. H. S. Jeong, J. H. Kong, M. Y. Jeon, "Factors Influencing Confidence in Patient Safety Management in Nursing Students", Journal of the Korea Convergence Society, Vol.8, No.6, pp.121-130, 2017. DOI: https://doi.org/10.15207/JKCS.2017.8.6.121
  18. J. H. Park, M. H. Park, "Knowledge, Attitude, and Confidence on Patient Safety of Undergraduate Nursing Students", The Journal of Korean academic society of nursing education, Vol.20. No.1, pp.5-14, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.1.5
  19. S. H. Son, J. S. Park, "A Study on Nursing Students' Knowledge, Attitude, Confidence in Performance and Practice in Safety", Journal of fisheries and marine sciences education, Vol.29, No.4, pp.1043-1053, 2017. DOI: http://dx.doi.org/10.13000/JFMSE.2017.29.4.1043
  20. M. Attree, H. Cooke, A. Wakefield, "Patient safety in an English pre-registration nursing curriculum", Nurse Education in Practice. Vol.8, No.4, pp.239-248, 2008. DOI: https://doi.org/10.1016/j.nepr.2007.09.003
  21. L. T. Gantt, R. Webb-Corbett, "Using simulation to teach patient safety behaviors in undergraduate nursing education." Journal of Nursing Education. vol.49, No.1, pp.48-51, 2010. DOI: https://doi.org/10.3928/01484834-20090918-10
  22. J. H. Park, "Nursing Students' Patient Safety Competency and Patient Safety Management Practice", Journal of the Korea Academia-Industrial cooperation Society, Vol.20, No.3, pp.216-223, 2019. https://doi.org/10.5762/KAIS.2019.20.3.216
  23. M. J. Park, I. S. Kim, Y. L. Ham, "Development of a Perception of Importance on Patient Safety Management Scale (PI-PSM) for Hospital Employee", The Journal of the Korea Contents Association, Vol.5, pp.332-341, 2013. DOI: https://doi.org/10.5392/JKCA.2013.13.05.332
  24. E. J. Yeun, Y. M. Kwon, O. H. Ahn, "Development of a Nursing Professional Value Scale", Journal of Korean Academy of Nursing, Vol.35, No.6, pp.1091-1100, 2005. DOI: http://dx.doi.org/10.4040/jkan.2005.35.6.1091
  25. 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
  26. E. Y. Cheon, J. H. Yoo, H. J. Kim, "Influences of Information Media of Patient Safety Incident on Nursing Students' Knowledge, Perception, and Confidence in Performance toward Patient Safety", Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.12, pp.374-382, 2018. DOI: http://dx.doi.org/10.5762/KAIS.2018.19.12.374
  27. D. Weis, M. J. Schank, "An instrument to measure professional nursing values", Journal of Nursing Scholarship, Vol.32, No.2, pp.201-204, 2000. https://doi.org/10.1111/j.1547-5069.2000.00201.x
  28. K. K. Kim, M. S. Song, K. S. Rhee, H. K. Hur, "Study on factors affecting nurses' experience of non-reporting incidents", Journal of Korean Academy of Nursing Administration, Vol.12, No.3, pp.454-463, 2006. DOI: https://doi.org/10.13000/JFMSE.2017.29.4.1043
  29. S. S. Park, "The effects of clinical nurses's patient safety culture awareness on the performance of standard precution: and the mediating effects of nursing professionalism between them. (2019). doctors degree.