DOI QR코드

DOI QR Code

Systematic Review on the Patient Safety Education for the Improvement of Patient Safety Competency of Nursing Students

간호학생의 환자안전역량 향상을 위한 환자안전교육에 관한 체계적 문헌고찰

  • 서은주 (배재대학교 간호학과) ;
  • 서영선 (우송정보대학 간호학과) ;
  • 홍은희 (서울여자간호대학교 간호학과)
  • Received : 2020.06.17
  • Accepted : 2020.07.27
  • Published : 2020.07.31

Abstract

This study conducted a systematic literature review on nursing students to find out the types and composition of patient safety-related education programs. The research was conducted systematically using PRISMA. The patient was a nursing college student, and the intervention was patient safety education. The outcome was either numerical or descriptive reports of the results measured using the tool. The types of research were carried out including randomized design, quasi-experimental design, one-group design, survey and qualitative research. The paper was searched through Medline, Embases, CINAHL, DBpia, Riss and KISS. A total of 2,468 papers were searched in the search results, and nine papers were used for analysis as a result of extracting data according to PICO. The characteristics of patient safety education of nursing college students were classified according to the teaching method, period, result variables and measurement tools. As a result, patient safety education consisted of a variety of subjects, and was being taught through lectures, clinical practice, laboratories, and simulations. The period of education also varied. The resulting variables were mainly checked for knowledge, attitude, and skill, and the tools used to measure them varied. Patient safety education for nursing college students was conducted through various topics, methods and periods at home and abroad. Therefore, continuous research is needed to establish consistent and integrated patient safety education in educational institutions and working institutions to produce nursing personnel with patient safety capabilities.

본 연구는 간호대학생을 대상으로 환자안전 관련 교육프로그램의 종류와 구성 내용을 알아보기 위해 체계적 문헌고찰을 실시하였다. PRISMA를 사용하여 체계적으로 연구를 수행하였으며, 연구대상은 간호대학생, 중재방법은 환자안전교육, 결과는 도구를 사용하여 측정한 결과의 수치화된 보고 또는 서술적 보고, 연구유형은 무작위실험설계, 유사실험설계, 단일군 연구설계, 설문조사, 질적연구를 포함하여 수행하였다. Medline, Embases, CINAHL, DBpia, Riss, KISS를 통해 논문을 검색하였다. 검색 결과 총 2,468편의 논문이 검색되었으며, PICO에 따라 자료를 추출한 결과 총 9편의 논문이 분석에 사용되었다. 간호대학생의 환자안전교육의 특성을 교육 방법과 기간, 결과변수 및 측정도구에 따라 분류하였다. 그 결과 환자안전교육은 다양한 주제로 이루어졌으며, 강의식, 임상실습, 실험실, 그리고 시뮬레이션 등을 통해 교육되고 있었다. 교육 기간 또한 다양하였다. 결과변수는 지식, 태도, 기술 여부를 주로 확인하였는데, 이를 측정한 도구는 다양하였다. 간호대학생을 대상으로 환자안전교육은 국내외에서 다양한 주제, 방법, 기간을 통해 이루어지고 있었으므로, 환자안전 역량을 갖춘 간호인력을 배출하기 위해 교육기관과 실무기관에서 일관되고 통합적인 환자안전교육 확립을 위한 지속적인 연구가 필요하다.

Keywords

References

  1. 이나주, 김정희(2011). 중소 병원 간호사의 환자안전문화에 대한 인식과 안전간호활동 수행정도. 한국간호행정학회지, 17(4), 462-473.
  2. Pronovost, P.J., Weast, B., Holzmueller, C.G., Rosenstein, B.J., Kidwell, R.P., Haller, K.B., Feroli, E.R., Sexton, J.B., & Rubin, H.R.(2003). Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. BMJ Quality & Safety, 12(6), 405-410. https://doi.org/10.1136/qhc.12.6.405
  3. 이재호, 이상일(2009). 환자안전의 개념과 접근방법론, 한국의료 QA학회지, 15(1), 9-18.
  4. 김미란(2011). 환자안전 개념분석, 대한간호학회지, 41(1), 1-8. https://doi.org/10.4040/jkan.2011.41.1.1
  5. Vaismoradi, M., Salsali, M., & Marck, P.(2011). Patient safety: nursing students' perspectives and the role of nursing education to provide safe care. International Nursing Review, 58(4), 434-442. https://doi.org/10.1111/j.1466-7657.2011.00882.x
  6. Page, A.(Ed.).(2004). Keeping patients safe: Transforming the work environment of nurses. National Academies Press. Washington, D.C. pp. 108-155. http://www.nap.edu/catalog/10851.htm
  7. 손숙현, 박정숙(2017). 간호대학생의 환자안전과리 지식, 태도, 수행자신감 및 안전관리 행위. 수산해양교육연구, 29(4), 1043-1053. https://doi.org/10.13000/JFMSE.2017.29.4.1043
  8. Robson, W.(2009). Patient safety is improved by early training. British Journal of Nursing, 18(15), 910-910. https://doi.org/10.12968/bjon.2009.18.15.43558
  9. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., Sullivan, D.T., & Warren, J.(2007). Quality and safety education for nurses. Nursing outlook, 55(3), 122-131. https://doi.org/10.1016/j.outlook.2007.02.006
  10. Lyons, P., & Walton, M.(2005). Australian Council for Safety and Quality in Health Care. National Patient Safety Education Framework bibliography. Canberra: Commonwealth of Australia.
  11. Korea Institute for Healthcare Accreditation (KOIHA).(2018). Period 3 Accreditation Criteria for Acute Infirmary Hospitals.(cited 2020 Jan 3) http://www.tbcedu.co.kr/educ/koiha/koiha_main.html
  12. Lee, N.J., Jang, H., & Park, S.Y.(2016). Patient safety education and baccalaureate nursing students' patient safety competency: A cross-sectional study. Nursing & Health Sciences, 18(2), 163-171. https://doi.org/10.1111/nhs.12237
  13. Lee, N.J., & Jang, H.N.(2012). Development of Questionnaires to Measure Baccalaureate Nursing Students' Patient Safety Competencies. The 11th International Congress on Nursing Informatics, Montreal, Quebec, Canada.
  14. Lee, N.J., An, J.Y., & Park, S.Y.(2013). Validity and Reliability Test of Korean Patient Safety Competency Assessment for Nursing Student. The 16th East Asia From of Nursing Scholars(EAPONS), Bangkok, Thailand.
  15. 강희정(2019). 병원 내 의료인 안전 향상을 위한 개념적 틀과 정책적 대응. 보건복지 Issue & Focus, 359, 1-8.
  16. 천희란, 신은희(2016). 보건의료관련 학과에서 환자안전 교육에 대한 고찰. 대한보건연구, 42(4), 45-58. https://doi.org/10.22900/KPHR.2016.42.4.005
  17. Kyrkjebo, J.M., Brattebo, G., & Smith-Strom, H.(2006). Improving patient safety by using interprofessional simulation training in health professional education. Journal of interprofessional care, 20(5), 507-516. https://doi.org/10.1080/13561820600918200
  18. 유하나, 이해영(2014). 간호대학생을 위한 환자측정도구에 대한 검증과 적용. 한국자료분석학회, 16(6), 3423-3436.