중환자간호학회지 (Journal of Korean Critical Care Nursing)

  • 제11권3호
  • /
  • Pages.85-94
  • /
  • 2018
  • /
  • 2005-212X(pISSN)
  • /
  • 2671-8634(eISSN)
한국중환자간호학회 (Korean Society of Critical Care Nursing)
권호 표지

병원간호사의 안전간호활동과 간호기록 수행간의 관계

The Association between Safety Care Activity and Documentation of Nursing Records among Nurses in General Hospitals

  • 투고 : 2018.03.19
  • 심사 : 2018.10.12
  • 발행 : 2018.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose : The purpose of this study was to identify the association between safety care activity and documentation of nursing records among nurses working in hospitals and to provide basic data for developing hospital policy for the documentation of nursing records. Methods : By using a self-reported questionnaire, data were collected from 212 nurses working in six general hospitals in Jeju province from November 2015. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression with the SAS WIN 9.2 program. Results : Safety care activity was positively correlated with the documentation of nursing records (r=.83, p<.001). The documentation of nursing records was significantly predicted by safety care activity, working department, and nursing delivery system, and 70.9% of the variance in the documentation of nursing records was explained (F=172.31, p<.001). Conclusions : In this study, safety care activity was the most influencing factor for the documentation of nursing records. Improving work circumstances and building a system are required for nurses' safety care activity to lead to good documentation of nursing records.

키워드

참고문헌

  1. Cha, B. K., & Choi, J. (2015). A comparative study on perception of patient safety culture and safety care activities: Comparing university hospital nurses and small hospital nurses. Journal of Korean Academy of Nursing Administration, 21 (4), 405-416. https://doi.org/10.11111/jkana.2015.21.4.405
  2. Cho, I., Choi, W. J., Choi, W. H., & Kim, M. K. (2013). The adoptions and use of electronic nursing records in Korean hospitals: Findings of a nationwide survey. Journal of Korean Clinical Nursing Research, 19 (3), 345-356. https://doi.org/10.22650/JKCNR.2013.19.3.345
  3. Choi, E. H., & Seo, J. Y. (2009). Comparison among with nursing records, nursing intervention priority perceived by nurse and nursing intervention frequency of general surgery department. Korean Journal of Adult Nursing, 21 (3), 349-354.
  4. Han, M. Y., & Jung, M. S. (2017). Effects of hospital nurses' perceptions of organizational health and patient safety culture on patient safety nursing activities. Journal of Korean Academy of Nursing Administration, 23 (2), 127-138. https://doi.org/10.11111/jkana.2017.23.2.127
  5. Hwang, H. J., & Lee, Y. M. (2017). Effects of professional autonomy, organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals. Journal of Korean Critical Care Nursing, 10 (1), 63-74.
  6. Inan, N. K., & Dinc, L. (2013). Evaluation of nursing documentation on patient hygienic care. International Journal of Nursing Practice, 19(1), 81-87. https://doi.org/10.1111/ijn.12030
  7. Gomes, D. C., Cubas, M. R., Pleis, L. E., Shmeil, M. A., & Peluci, A. P. (2016). Terms used by nurses in the documentation of patient progress. Revista Gaucha de Enfermagem, 37 (1), 1-9.
  8. Jang, H. E. (2013). Impact of nurses' perception of patient safety culture and safety control on patient safety management activities in university hospital (Unpublished master's thesis). Chosun University, Gwangju, Korea.
  9. Kang, Y. M., Yu, J. H., Cho, Y. A., Ryoo, S. S., Cho, J. K., & Sung, Y. H. (2008). An analysis of nursing focuses for standardization of ICU nursing records. Journal of Korean Critical Care Nursing, 1 (1), 73-83.
  10. Kim, M. R. (2011). Concept analysis of patient safety. Journal of Korean Academy of Nursing, 41 (1), 1-8. https://doi.org/10.4040/jkan.2011.41.1.1
  11. Kim, Y. M. (2013). Development and evaluation of a legal issue-focused nurse charting education program. Journal of Korean Clinical Nursing Research, 19 (3), 369-382. https://doi.org/10.22650/JKCNR.2013.19.3.369
  12. Kim, Y. M., & Park, S. A. (2007). A nurse charting knowledge scale: Focusing on legal aspects. Clinical Nursing Research, 13 (2), 27-38.
  13. Korea Health Industry Development Institute. (2014). Guidelines for hospital evaluation program. Seoul: Korea Heath Industry Development Institute.
  14. Lim, E. A. (2009). Correlation of professional self-concept and clinical performance ability of Nurse in ICU (Unpublished master's thesis). Kongju National Uni- versity, Kongju, Korea.
  15. Nam, M. H., & Lim, J. H. (2013). The influences of the awareness of patient safety culture on safety care activities among nurse in small-medium sized general hospitals. Journal of Digital Convergence, 11 (1), 349-359. https://doi.org/10.14400/JDPM.2013.11.1.349
  16. Park, E. J., & Lee, E. J. (2018). Effect of professional autonomy, communication, satisfaction, and resilience on the job satisfaction of intensive care unit nurses. Journal of Korean Critical Care Nursing, 11 (2), 63-74.
  17. Park, S, J., Kang, J. Y., & Lee, Y. O. (2012). A Study on hospital nurses' perception of patient safety culture and safety care activity. Journal of Korean Critical Care Nursing, 5 (1), 44-55.
  18. Ryu, D. H., & Park, H. A. (2002). Crossmapping of nursing problem and action statements in nursing records with international classification for nursing practice. Korean Journal of Adult Nursing, 14 (2), 165-173.
  19. Son, Y. L. (2016). The impact of perceived patient safety culture on safety care activities in general hospital nurse's. Journal of the Korea Academia-Industrial cooperation Society, 17 (3), 509-517. https://doi.org/10.5762/KAIS.2016.17.3.509
  20. Vafaei, S. M., Manzari, Z. S., Heydari, A., Froutan, R., & Farahani, L. A. (2018). Improving nursing care documentation in emergency department: A participatory action research study in Iran. Open access Macedonian Journal of Medical Sciences, 6 (8), 1527-1532. https://doi.org/10.3889/oamjms.2018.303
  21. Whittenburg, L., & Meetim, A. (2016). Electronic nursing documentation: Patient care continuity using the clinical care classification system (CCC). Studies in Health Technology and Informatics, 225, 13-17.