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The Knowledge and Confidence in Performance on Patient Safety among Health-Related Majors : Convergent Approach

보건계열 학생의 환자안전 지식 및 수행 자신감 : 융복합적 접근

  • Received : 2018.09.11
  • Accepted : 2019.01.20
  • Published : 2019.01.28

Abstract

The purpose of this study was to investigate the knowledge on patient safety and performance confidence for the subject of health-related major students. Participants were 349 Health-related majors. Data were analyzed using SPSS 21.0. According to the study results, correct answer rate for patients' knowledge on safety was 65.7% in average. Average point of performance confidence was $7.11{\pm}1.74$. Considering in terms of question, patient identification was high, while effective communication was shown to be low. Patient identification, communication, surgery procedure, fall, patient's safety accident report as the lower domain for patients' knowledge on safety and performance confidence had a positive correlation, while knowledge and infection management, facility environment had a negative correlation for health-related major students, development of patients' safety education program is needed to enhance importance of patients' safety before clinical practice and to allow implementation of safe clinical practice.

본 연구는 보건계열 학생을 대상으로 환자안전 지식과 환자안전 수행자신감을 파악하기 위해 수행되었다. 보건계열학생 349명이 참여하였고, 자료분석은 SPSS 21.0을 이용하여 분석하였다. 연구결과 환자안전지식 정답률은 평균 65.7%였다. 환자안전 수행자신감은 평균 $7.11{\pm}1.74$점이었으며 문항별로 살펴보면 환자확인이 높았으며 효과적 의사소통이 낮게 나타났다. 환자안전지식과 환자안전 수행자신감의 하부영역인 환자확인, 의사소통, 수술시술, 낙상, 환자안전사고보고는 양의 상관관계였고, 환자안전지식과 감염관리, 시설환경은 음의 상관관계였다. 보건계열학생들에게 임상실습 전 환자안전에 대한 중요성을 높이고 안전한 임상실습이 수행될 수 있도록 환자안전교육프로그램을 개발하는 것이 필요하다.

Keywords

Table 1. General Characteristics of Subjects

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Table 2. Patient Safety Knowledge

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Table 3. Confidence in Performance of Patient Safety

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Table 4. Knowledge and Confidence according to Experience of Patient’s Safety Accident

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Table 5. Correlation of Knowledge and Confidence

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References

  1. Y. L. Ham, M. J. Park & H. Y. Lee. (2007). Knowledge, attitude and confidence on patient safety management among emergency medical technician students. The Korean Journal of Emergency Medical Services, 20(1), 75-85. DOI : 10.14408/KJEMS.2017.21.1.075
  2. Korean Institute for Healthcare Accreditation. (2017). Survey process guide for hospital accreditation (version 2.1). Seoul: Korea Institute for Healthcare Accreditation.
  3. S. S. Choi & M. H. Gang. (2013). Perception of patient safety culture and safety care activity of entry-level nurses. Korean Journal of Occupational Health of Nursing, 22(1), 24-34. https://doi.org/10.5807/kjohn.2013.22.1.24
  4. S. H. Choi & H. Y. Lee. (2015). Factor affecting nursing student's practice of patient safety management in clinical practicum. Journal of Korean Academy of Nursing Administration, 21(2), 184-192. DOI : 10.11111/jkana.2015.21.2.184
  5. H. J. Aboumatar et al. (2012). Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. BMJ Quality & Safety, 21(5), 416-422. DOI : 10.1136/bmjqs_2011_000463
  6. H. R. Chun & E. H. Shin. (2016). Review on patient safety education for undergraduate /pre-registration curricula in health professions. Korean Public Health Research, 42(4), 45-58. https://doi.org/10.22900/KPHR.2016.42.4.005
  7. J. H. Park, H. K. Chon, S. H. Jeong, J. H. Hwang, C. S. Lee & H. B. Lee. (2010). Nursing students' exposure to blood and body fluids in clinical practicum. Journal of East-West Nursing Research, 16(1), 70-75.
  8. A. R. Wilson, P. J. Fabri & J. Wolfson. (2012). Human error and patient safety: interdisciplinary course. Teaching and Learning in Medicine, 24(1), 18-25. https://doi.org/10.1080/10401334.2012.641482
  9. M. Vaismoradi, M. Salsali & P. Marck. (2011). Patient safety: nusing student's perspectives and the role of nursing education to provide safe care. International Nursing Review, 58(4), 434-442. DOI : 10.1111/j.1466-7657.2011.00882.x
  10. F. Bradley, A. Steven & D. M. Ashcroft. (2011). The role of hidden curriculum in teaching pharmacy students about patient safety. American Journal of Pharmaceutical Education. 75(7), 143. https://doi.org/10.5688/ajpe757143
  11. H. N. Yoo & H. Y. Lee. (2014). The initial application of the patient safety management activity scale(PSM-A) for nursing students: brief on reliability and validity. Journal of the Korean Data Analysis Society, 16(6), 3423-3436.
  12. P. Varkey & N. Natt. (2007). The Objective structured clinical examination as an educational tool in patient safety. Joint Commission Journal on Quality and Patient Safety, 33(1), 48-53. https://doi.org/10.1016/s1553-7250(07)33006-7
  13. K. Cresswell et al. (2013). Patient safety in healthcare preregistration educational curricula: Multiple case study-based investigations of eight medicine, nursing, pharmacy, and physiotherapy university courses. BMJ Quality & Safety, 22(10), 843-854. DOI : 10.1136/dmjqs_2013_001905
  14. S. Maeda, E. Kamishiraki, J. Starkey & K. Ehara. (2011). Patient safety education at japanese nursing schools: results of a nationwide survey. BMC Research Notes, 4, 416. DOI : 10.1186/1756-0500-04-146
  15. A. Kearney et al. (2010). Enhancing patient safety through undergraduate inter-professional health education. Healthcare Quarterly, 13, 88-93. DOI : 10.12927/hcq.2010.21972
  16. J. H Park & M. H Park. (2014). Knowledge, attitude, and confidence on patient safety under graduate Nursing Students. Journal Korean Academy Society Nursing Education, 20(1), 5-14. DOI : 10.5977/jkasne.2014.20.1.5
  17. J. H. Park. (2016). The effects of simulation program by applying hazard perception training on self-efficacy of patient safety, error recovery and problem-solving process in nursing students. Journal of Korean Society for Simulation in Nursing, 4(1), 23-32.
  18. S. H. Son & J. S. Park. (2017). A study on nursing students' knowledge, attitude, confidence in performance and behavior of patient safety. Journal of Marine Sciences Education, 29, 1043-1053. DOI : 10.13000/JFMSE.2017.29.4.1043
  19. M. S. Hyun, H. J. Cho & M. A. Lee. (2016). Effect of SBAR-collaborative communication program on the nurses' communication skills and the collaboration between nurses and doctors. Journal of Korean Academy of Nursing Administration, 22(5), 518-530. https://doi.org/10.11111/jkana.2016.22.5.518
  20. T. K. Lee, E. Y Kim & N. H. Kim. (2014). A phenomenological study on nurses' experience of accidents in patient safety. Journal Korean Academy Nurse Administration, 20(1), 35-47. https://doi.org/10.11111/jkana.2014.20.1.35
  21. E. J. Kim. (2016). Factors affecting the patient safety attitude and safety control on safety care activities among nurses in small and medium-sized hospitals. Journal of the Korea Academia-Industrial Cooperation Society, 17(7), 564-572. https://doi.org/10.5762/KAIS.2016.17.7.564
  22. Y. L. Son. (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
  23. E. H. Ha, K. S. Hyun & J. Y. Cho. (2016). Awareness of hospital safety culture and safety activities of workers in a tertiary care hospital. Journal of Korean Academic Society of Nursing Education, 22(2), 191-201. https://doi.org/10.5977/jkasne.2016.22.2.191