• Title/Summary/Keyword: Patient perception

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Development and Evaluation of a Protocol for Bedside Nursing Handoff with Patient Engagement in a Tertiary Hospital in South Korea (한국형 환자참여 간호사 침상인계 프로토콜 개발 및 평가)

  • Lee, Tae Wha;Ji, Yoon Jung;Jang, Yeon Soo;Do, Hyun Ok;Oh, Kyoung Hwan;Kim, Chang Kyung;Chun, Ja Hye;Shin, Hae Kyung;Cho, Mee Young;Bae, Jung Im
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.117-130
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    • 2020
  • Purpose: This study aimed to develop a bedside nursing shift report protocol and evaluate the effect of the protocol in a tertiary hospital in South Korea. Methods: The bedside nursing handoff protocol with patient engagement was developed based on the literature review and the validation of an expert group. The effect of the protocol on clinical implication was tested in three medical-surgical units in a tertiary hospital. Outcomes were assessed by patient perception, nurse perception, and reporting time. Data collected from June to August in 2018 and analyzed with descriptive statistics and One-way ANOVA using SPSS version 25.0. Results: The bedside nursing shift report protocol with patient engagement consisted of two steps: nurse to nurse report and bedside report with patients. Nurse's perception with patient engagement was significantly increased after applying protocol (F=17.85, p<.001). Patient's perception was significantly improved in the areas of discharge plan (F=7.86, p<.001), health information privacy (F=4.46, p=.012) and identify attending nurse (F=3.19, p=.042). There were no differences in reporting time between the bedside nursing shift report and a traditional shift report (F=0.61, p=.054). Conclusion: Patient perception was significantly increased, while nurse perception was not different after applying this protocol. For the change in the perception of nurses, education may be preceded to improve nurses' competence for the bedside shift report. Furthermore, the support in enough nurse staffing should be needed for encouraging the bedside shift report. The bedside shift report may enhance patient engagement. Therefore it may improve patient safety and health outcome in clinics.

Influences of Information Media of Patient Safety Incident on Nursing Students' Knowledge, Perception, and Confidence in Performance toward Patient Safety (환자안전사고 정보매체가 간호대학생의 환자안전에 대한 지식, 인식, 수행자신감에 미치는 영향)

  • Cheon, Eui Young;Yoo, Jang Hak;Kim, Haejin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.374-382
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    • 2018
  • The aim of this study was to identify how information media about patient safety incidents influences nursing students' knowledge, perception, and confidence in performance toward patient safety. A total of 337 nursing students agreed to participate in this study. Data were collected from the participants between June 4 and June 12, 2018. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson's correlation coefficient with SPSS 21.0. Participants' scores for knowledge, perception, and performance confidence toward patient safety were $6.43{\pm}1.92$, $41.02{\pm}4.35$, and $39.61{\pm}5.89$, respectively. Patient safety knowledge was significantly different according to age, grade, and patient safety education experience. Patient safety perception was significantly different according to satisfaction with the major, patient safety performance confidence showed statistically significant differences according to grade, patient safety education experience, and major satisfaction. Information media exposure to patient safety incidents on TV and knowledge (r=.32, p<.000) and performance confidence (r=.21, p<.000) toward patient safety had positive correlations. Information media exposure to patient safety incidents on the internet and knowledge (r=.34, p<.000), perception (r=.12, p=.028), and performance confidence (r=.24, p<.000) toward patient safety also had positive correlations. This study provides basic data for nursing education and program development for patient safety management.

Perception and Effectiveness of Education Regarding Disclosure of Patient Safety Incidents: A Preliminary Study on Nurses (환자안전사건 소통하기에 대한 인식 및 교육 효과 분석: 간호사를 대상으로 한 예비 연구)

  • Lee, Won;Choi, Eun-Young;Pyo, Jee-Hee;Jang, Seung-Gyeong;Ock, Min-Su;Lee, Sang-Il
    • Quality Improvement in Health Care
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    • v.23 no.2
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    • pp.37-54
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    • 2017
  • 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.

A Study on Satisfaction Evaluation of Korean Medicine Therapy Using Treatment Tool by Psychological Type (심리유형별 진료도구를 이용한 한방치료의 만족도 평가 연구)

  • Ji, Young Seung;Lee, Seung Min;Kim, Jeong Ho;Nam, Seung Kyu;Kim, Young Il
    • Journal of Acupuncture Research
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    • v.30 no.3
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    • pp.27-38
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    • 2013
  • Objectives : This study was designed to evaluate patient satisfaction of Korean medicine therapy using treatment tool by psychological type. Methods : 48 subjects were participated in this study. Before a treatment, we analyzed a patient's phychological type first by using a questionnaire. And then we divided 3 groups which were called a rational sympathy module group, emotional sympathy module group, control group. Manner of medical consultation according to patient's phychological type was carried out in all groups. After all treatment, we conducted a survey about medical service perception index, patient happiness index, medical satisfaction index. To evaluate a satisfaction degree, we analyzed results of survey statistically. Results : The results of the analysis, both rational sympathy module group and emotional sympathy module group got a higher score than control group statistical significantly on medical service perception index. Emotional sympathy module group got a higher score than control group statistical significantly on patient happiness index and medical satisfaction index. But rational sympathy module group only had a higher tendency than control group on patient happiness index and medical satisfaction index. Emotional sympathy module group got a higher score than rational sympathy module group on medical service perception index, patient happiness index and medical satisfaction index. Conclusions : Korean medicine therapy using treatment tool by psychological type consisted of patient's phychological type questionnaire and manner of medical consultation could improve a patient's satisfaction. It was more effective in emotional sympathy module group than rational sympathy module group.

Perception of infection control activities and patient safety culture among dental hygienists (치과위생사의 감염관리활동과 환자안전문화에 대한 인식)

  • Choi, Eun-Mi;Noh, Hie-Jin;Chung, Won-Gyun;Mun, So-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.769-777
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    • 2017
  • Objectives: The study was to promote patient safety by analyzing the effect of dental hygienist's perception of patient safety culture on infection control activities. Methods: The study is based on a survey of 377 dental hygienists in total working in dental settings. The questionnaire consisted of 119 questions, including 34 questions on perception of patient safety culture, and 85 questions on infection control activities. Hierarchical regression analysis was used to examine the relationship between the perception of patient safety culture and infection control activities. The data was analyzed using the SPSS version 20.0, and p<0.05 was adopted to decide on significance. Results: The longer dental hygienists have worked n the dental settings, the more active they become in infection control activities. Among the different types of dental care settings, general (university) hospitals had the largest number of infection control activities, followed by dental clinics, and network dental clinics, in descending order. The dental settings possessing a higher number of dental hygienists were found to conduct more infection control activities than other dental settings. In addition, it was found that when a dental setting adopts a patient safety policy across all the units in the hospital, more systems and procedures for patient safety tend to be established, and that stricter management response to error leads to improvement of infection control activities. Conclusions:In order to enhance infection control activities, infection control activity programs should develop and implement periodic reinforcement of infection control education. regular monitoring of infection control activities.

Comparison of Safety Perception between Patients and Nurses and Factors Affecting Nurses Safety Management Activities in Tertiary Hospitals (상급종합병원 환자와 간호사의 안전 인식 비교와 간호사의 환자안전관리 직무수행 영향요인)

  • Kim, Youn-Hong;Choe, Yon-Jeong;Kang, Da-Hui;Jung, Ji-Young;Gil, Cho-Rong;Chang, Hee-Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.1
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    • pp.69-82
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    • 2020
  • This study is a descriptive research study to compare the safety perception between patients and nurses and to identify the factors affecting the nurses' safety management activities in tertiary hospitals. Data were collected with structured questionnaires from 147 patients and 147 nurses from a university hospital in J city, Gyeongnam, from July 24 to September 23, 2019, and analyzed using SPSS 23.0. The result showed that the patient's safety perception was significantly higher than the nurse's perception. The significant factors affecting patient management activity were nurse's educational level, position, effective communication, patient safety perception, and perception of importance on patient safety management. In the multiple regression analysis, knowledge about 'effective communication', and 'concerned about patient safety management', explained 54.8% of the nurses' patient management activity. Based on the results of this study, it is emphasized that nurses need to develop strategies to improve the communication and attention between patients and hospital members to improve patient safety management activities in tertiary hospitals.

Perception of Patient Safety Culture, Knowledge and Performance of Standard Precaution among Long-Term Care Hospitals Nurses (요양병원 간호사의 환자안전문화 인식, 표준주의 지식 및 수행도)

  • Byun, Sang-Hee;Kang, Da-Hai-Som
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.231-240
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    • 2019
  • The purpose of this study was to explore and describe the relationship of the perception of patient safety culture, knowledge of standard precaution and performance of standard precaution among long-term care hospital nurses. Participants were 134 nurse in long-term hospital. Data were collected with structured questionnaires from January 2 to June 4, 2018. Data were analyzed by SPSS/WIN 21.0 program for descriptive statistics t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient. The perception of patient safety culture were significantly correlated with knowledge of standard precaution(r=.192, p=.027), performance of standard precaution(r=211, p=.014). Therefore, in order to enhance the perception of patient safety culture and performance of standard precaution of long-term care hospital nurses, it would be necessary to enable health-care associated infections by themselves by cultivating standard precaution knowledge through systemic education and by enabling the establishment of affirmative patient safety culture.

Development of a Perception of Importance on Patient Safety Management Scale (PI-PSM)for Hospital Employee (병원 의료종사자의 환자안전관리 중요성 인식 측정도구 개발)

  • Park, Mi Jeong;Kim, In Sook;Ham, Young Lim
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.332-341
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    • 2013
  • The purpose of this study was to develop a perception of importance on patient safety management scale (PI-PSM) for Hospital Employee. The PI-PSM was developed and vallidated as follows: item generation, vertification of content validity, pilot study, and test of validity and reliability. In order to verify preliminary instrument, data was collected from 280 hospital employees. Data were analyzed by Varimax factor analysis and Cronbach's ${\alpha}$. There were 21 items in final instrument categorized into 4 factors as 'concern about patient safety management (7 items)', 'confidence about patient safety management (5 items)', 'will for patient safety management (5 items)', and 'recognition about patient safety management (4 items)'. The total varience explanined was 60.4%. The internal consistency, Cronbach's ${\alpha}$. was .86, and reliability of the sucscales ranged from .69 to .87. The results of this study may useful to assess the perception of importance on patient safety management.

Influence of Perception of Importance of Communication, Self-esteem and Communication skill on Patient Safety attitude of Nursing student (간호대학생의 의사소통 중요성 인식, 자존감 및 의사소통능력이 환자안전태도에 미치는 영향)

  • Lee, Oi Sun;Lee, Kyoung Sook;Gu, Hye Ja
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.307-314
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    • 2020
  • This purpose of the study is to investigate the influence of perception of importance of communication, self-esteem and communication skill on patient safety attitude of nursing students. Subjects were 164 associate nursing students associate nursing students(3·4rd). The data were collected using self -report questionnaire from May 17 to June 14, 2019. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation and hierarchical multiple regression with SPSS/WIN 23.0. Mean point of perception of importance of communication(5 point scale) was 3.75. self-esteem(4 point scale) was 3.64, and communication skill(5 point scale) was 3.60 and patient safety attitude(5 point scale) was 4.44. Patient safety attitude were positively correlated with perception of importance of communication (r=.57, p<.001), self-esteem(r=.32. p <.001) and communication skill(r=.34. p <.001) of nursing students. Perception of importance of communication(β=.520, p<.001), self-esteem(β=.165, p=.039) explained 34.76% of total variance of patient safety attitude of nursing students. Therefore, To increase patient safety attitude of nursing students, it is necessary to develop and test the program for improving perception of importance of communication and self-esteem of nursing students.

A Study on Anesthesia and Operating Room (OR) Nurses' Perception and Performance of Privacy Protection Behavior for Patients Undergoing General Anesthesia Surgery and Patients' Satisfaction with Operating Room Hospitalization Experience (프라이버시 보호 행동에 대한 전신마취 수술환자와 마취⋅수술실 간호사의 인식, 실천 정도 및 전신마취 수술환자의 입원경험 만족도 연구)

  • Park, Suk Jong;Ham, Sang Hee;Baek, Gum Sun;An, Soomin
    • Journal of East-West Nursing Research
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    • v.29 no.1
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    • pp.24-32
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    • 2023
  • Purpose: This study aims to examine level of perception and performance of privacy protection behavior of anesthesia and operating room (OR) nurses for patients who underwent general anesthesia surgery. Methods: Data collection was conducted from August 2020 to January 2021 for a total of 101 participants, consisting of 49 patients and 52 nurses. Independent t-test and Pearson's correlation were conducted using SPSS 21. Results: Anesthesia and OR nurses showed the highest score in patient privacy, followed by patient information management, body privacy, and the lowest score in communication. There was a significant difference between the patient information and the communication. Conclusion: Anesthesia and OR nurses had the highest level of perception and performance of patient privacy protection behavior for body privacy, and the lowest for communication. In addition, there was a significant difference in patient information management and communication. In order to protect the privacy of patients undergoing general anesthesia surgery, efforts are needed to learn standardized nursing knowledge, attitudes, and practice.