DOI QR코드

DOI QR Code

간호대학생의 환자안전에 대한 태도와 환자안전관리활동

The Attitude of Patient Safety and Patient Safety Management Activity in Nursing Students

  • 허성수 (조선대학교 대학원 간호학과) ;
  • 강희영 (조선대학교 간호학과)
  • 투고 : 2015.07.09
  • 심사 : 2015.08.06
  • 발행 : 2015.08.31

초록

본 연구는 간호대학생의 환자안전에 대한 태도와 환자안전관리활동 정도를 확인하고 환자안전관리활동에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상은 G시와 J도에 소재한 3개 대학에서 1년 이상 임상실습 경험이 있는 4학년 간호대학생 241명을 대상으로 하였다. 자료수집은 2015년 3월 27일부터 4월 17일까지 설문조사를 하였고, 수집된 자료는 SPSS 21.0을 이용하여, 기술통계, t-test, one way ANOVA, Pearson's correlation, multiple regression으로 분석하였다. 연구결과, 환자안전에 대한 태도는 3.68점, 환자안전관리활동은 4.03점이었으며, 환자안전관리활동은 임상실습기간(p=.020)과 임상실습만족도(p=.026)에 따라 유의한 차이가 있었고, 환자안전에 대한 태도와 환자안전관리활동은 유의한 양의 상관관계가 있었다(p<.001). 대상자의 환자안전관리활동에 영향을 미치는 요인은 임상실습만족도, 환자안전에 대한 태도 순이었다. 본 연구를 기초로 하여 간호대학생의 환자안전관리활동 영향요인을 고려한 체계적인 교육프로그램 개발이 요구된다.

This study is descriptive research to investigate level of the attitude of patient safety and patient safety management activity(PSMA) and identify influencing factors of PSMA in nursing students. The participants were 241 4th grade nursing students who had clinical practice over a year from 3 nursing colleges in G city and J province. Data were collected with structured questionnaires from March 27th to April 17th, 2015 and analyzed using descriptive statistics, t-test, one way ANOVA, Pearson's correlation and multiple regression with SPSS 21.0 program. As a result, the level of attitude of patient safety was 3.68 score and PSMA was 4.03 score. In PSMA, there were significant differences in practice period(p=.020) and practice satisfaction(p=.026). There was a positive correlation(p<.001) among attitude of patient safety and PSMA. The most effective factor on PSMA was practice satisfaction, followed by attitude of patient safety. Based on the findings of this study, suggest that to develop the systematic education program considering effective factors of PSMA for nursing students.

키워드

참고문헌

  1. S. H. Choi, H. Y. Lee, "Factors affecting nursing students' practice of patient safety management in clinical practicum", Journal of Korean Academy of Nursing Administration, 21(2), pp.184-192, 2015. DOI: http://dx.doi.org/10.11111/jkana.2015.21.2.184
  2. Joint Commission International, Joint Commission International accreditation standards for hospitals, 4th ed, Oakbrook Terrace, Joint Commission Resources, 2010.
  3. Korea Institute for Healthcare Accreditation. Standards of hospital accreditation. Reference Information [Internet]. Seoul: Korea Institute for Healthcare Accreditation, 2014, Available From: https:// www.koiha.or.kr/home/system/process.jsp. (accessed Jun., 13, 2015)
  4. G. S. Jeong, S. H. Kim, Patient safety law, The Korean Nurses Association News, No. 1812, January 8, 2015. http://www.nursenews.co.kr/PDF/PDFList.asp
  5. S. I. Lee, "Current status and direction for patient safety policy", Forum of Health Insurance Review & Assessment Service, 2010.
  6. M. R. Kim, "Concept analysis of patient safety", Journal of Korean Academy of Nursing, 41(1), pp.1-8, 2011. DOI: http://dx.doi.org/10.4040/jkan.2011.41.1.1
  7. M. Vaismoradi, M. Salsali, P. Marck, "Patient safety : nursing students' perspectives and the role of nursing education to provide safe care", International Nursing Review, 58(4), pp.434-442, 2011. DOI: http://dx.doi.org/10.1111/j.1466-7657.2011.00882.x
  8. H. J. Kim, N. C. Kim, "The status of blood and body fluid exposure and affecting factors among nursing students including knowledge, performance regarding standard precautions", The Journal of Korean Society for School & Community Health Education, 15(3), pp.17-30, 2014.
  9. 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, 36(2), pp.58-60, 142-144, 2000. https://doi.org/10.1067/mem.2000.aem36158
  10. Y. M. Coyle, S. Q. Mercer, C. L. Murphy-Cullen, G. W. Schneider, L. S. Hynan, "Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior", Quality and Safety in Health Care, 14(5), pp.383-388, 2005. DOI: http://dx.doi.org/10.1136/qshc.2005.013979
  11. W. S. Madigosky, L. A. Headrick, K. Nelson, K. R. Cox, T. Anderson, "Changing and sustaining medical students's knowledge, skills, and attitudes about patient safety and medical fallibility", Academic Medicine, 81(1), pp.94-101, 2006. DOI: http://dx.doi.org/10.1097/00001888-200601000-00022
  12. T. M. Chenot, L. G. Daniel, "Frameworks for patient safety in the nursing curriculum" Journal of Nursing Education, 49(10), pp.559-568, 2010. DOI: http://dx.doi.org/10.3928/01484834-20100730-02
  13. L. L. Ardizzone, W. M. Enlow, E. Y. Evanina, R. Schnall, L. Currie, "Impact of a patient safety curriculum for nurse anesthesia students", Journal of Nursing Education, 48(12), pp.706-710, 2009. DOI: http://dx.doi.org/10.3928/01484834-20091113-01
  14. S. Andrew, M. Mansour, "Safeguarding in medication administration: understanding pre - registration nursing students' survey response to patient safety and peer reporting issues", Journal of Nursing Management, 22, pp.311-321, 2014. DOI: http://dx.doi.org/10.1111/jonm.12134
  15. Y. M. Lee, "Safety accident occurrence to perceptions of patient safety culture of hospital nurses", Journal of the Korea Academia-Industrial cooperation Society, 13(1), pp.117-124, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.1.117
  16. K. J. Kim, "Development of website-based patient safety culture promotion program", Journal of Korean Clinical Nursing Research, 19(1), pp.152-167, 2013. https://doi.org/10.22650/JKCNR.2013.19.1.152
  17. H. W. Cho, J. H. Yang, "Relationship between perceived patient safety culture and patient safety management activities among health personnel", Journal of Korean Academic Fundamental Nurses, 19(1), pp.35-45, 2012. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.1.035
  18. G. O. Lee, "The study on nurse manager leadership and patient safety-related nursing activities", Unpublished master's thesis, Kyunghee University, Seoul, 2009.
  19. J. H. Park, M. H. Park, "Knowledge, attitude, and confidence on patient safety of undergraduate nursing students", Journal of Korean Academic Society of Nursing Education, 20(1), pp.5-14, 2014. DOI: http://dx.doi.org/10.5977/jkasne.2014.20.1.5
  20. Korea Institute for Healthcare Accreditation, Standards of hospital accreditation survey, 2014.
  21. I. S. Kim, M. J. Park, M. Y. Park, H. N. Yoo, J. H. Choi, "Factors affecting the preception of importance and practice of patient safety management among hospital employees in Korea", Asian Nursing Research, 7, pp.26-32, 2013. DOI: http://dx.doi.org/10.1016/j.anr.2013.01.001
  22. H. N. Yoo, H. Y. Lee, "The initial application of the patient safety management activityscale(PSM-A) for nursing students: brief on reliability and validity", Journal of the Korean Data Analysis Society, 16(6B), pp.3423- 3436, 2014.
  23. S. S. Cho, M. H. Gang, "Perception of patient safety culture and safety care activity of entry-level nurses", Korean Journal of Occupational Health of Nursing, 22(1), pp.24-34, 2013. DOI: http://dx.doi.org/10.5807/kjohn.2013.22.1.24
  24. Y. H. Hyeon, "The relationship among self-efficacy, attitude of patient safety, and safety care performance, in nursing students.", Unpublished master's thesis, Keimyung University, Daegu, 2015.
  25. K. J. Kim, J. S. Han, M. S. Seo, B. H. Jang, M. M. Park, H. M. Ham, M. S. Yoo, "Relationship between intra-organizational communication satisfaction and safety attitude of nurses", Journal of Korean Academy of Nursing Administration, 18(2), pp.213-221, 2012. DOI: http://dx.doi.org/10.11111/jkana.2012.18.2.213
  26. J. H. Choi, K. M. Lee, M. A. Lee, "Relationship between hospital nurses' perceived patient safety culture and their safety care activities", Journal of Korean Academic Fundamental Nurses, 17(1), pp.64-72, 2010.
  27. N. J. Lee, J. H. Kim, "Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals", Journal of Korean Academy of Nursing Administration, 17(4), pp.462-473, 2012. DOI: http://dx.doi.org/10.11111/jkana.2011.17.4.462
  28. M. Y. Kim, "Affecting factors on clinical competence of nursing students", Journal of the Korea Academia-Industrial cooperation Society, 16(3), pp.1884-1893, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.3.1884
  29. A. A. Abbott, K. T. Fuji, K. A. Galt, K. A. Paschal, "How baccalaureate nursing students value an inter professional patient safety course for professional development." International Scholarly Research Network, 2012. DOI: http://dx.doi.org/10.5402/2012/401358

피인용 문헌

  1. Factors Affecting Nursing Students’ Perception on Pediatric Patient Safety Culture and Nursing Activity vol.23, pp.4, 2017, https://doi.org/10.4094/chnr.2017.23.4.534
  2. A Study on Nursing Students’ Knowledge, Attitude, Confidence in Performance and Behavior of Patient Safety vol.29, pp.4, 2017, https://doi.org/10.13000/JFMSE.2017.29.4.1043