한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제23권2호
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  • Pages.37-54
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  • 2017
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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환자안전사건 소통하기에 대한 인식 및 교육 효과 분석: 간호사를 대상으로 한 예비 연구

Perception and Effectiveness of Education Regarding Disclosure of Patient Safety Incidents: A Preliminary Study on Nurses

  • 이원 (연세대학교 의과대학 인문사회의학교실 의료법윤리학과) ;
  • 최은영 (울산대학교 의과대학 예방의학교실) ;
  • 표지희 (울산대학교 의과대학 울산대학교병원 예방의학과) ;
  • 장승경 (연세대학교 의료법윤리학연구원) ;
  • 옥민수 (울산대학교 의과대학 울산대학교병원 예방의학과) ;
  • 이상일 (울산대학교 의과대학 예방의학교실)
  • Lee, Won (Department of Medical Law and Ethics, Yonsei University College of Medicine) ;
  • Choi, Eun-Young (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Pyo, Jee-Hee (Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jang, Seung-Gyeong (Asian Institute for Bioethics and Health Law) ;
  • Ock, Min-Su (Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Sang-Il (Department of Preventive Medicine, University of Ulsan College of Medicine)
  • 투고 : 2017.07.03
  • 심사 : 2017.09.15
  • 발행 : 2017.12.31
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초록

Objectives: The purpose of this preliminary study was to identify the nurses' perception regarding disclosure of patient safety incidents (DPSI) and to evaluate the effectiveness of education for DPSI. Methods: DPSI education was conducted for nurses majoring in clinical nurse specialist at an university. Before and after the education, the nurses made a questionnaire to evaluate the perception of DPSI. The questionnaires were divided into four categories: first, overall perception of the DPSI; second, recognition evaluation of the DPSI using hypothetical case, third, opinion on legal and nonlegal measures for facilitating the DPSI; and fourth, socio-demographic factors. The Wilcoxon signed rank test was performed on the DPSI questionnaire response to compare the perceptions before and after the education. Results: A total of 10 nurses participated in the education. DPSI education showed the possibility of improving the overall perception, necessity, effect, obstacle, and promotion method of DPSI, although there were also several responses where there was no statistical significance. In particular, DPSI education led to statistically significance change in the perception of obstacles for DPSI. For example, the number of respondents who agreed to the item "DPSI will increase the incidence of medical lawsuits." was 7 before education but decreased to 3 after education (P-value: .025) Furthermore, nurses' perception of DPSI from this study was generally positive regardless of education. Conclusion:In the future, it will be necessary to carry out DPSI education and training and to evaluate its effectiveness for more nurses.

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참고문헌

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