간호행정학회지 (Journal of Korean Academy of Nursing Administration)
- 제8권2호
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- Pages.273-281
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- 2002
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- 1225-9330(pISSN)
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- 2288-4955(eISSN)
간호사의 경과관찰업무에 대한 판례분석 및 관리지침 개발
Legal Analysis and Development of managerial guideline to nursing activities related to observation
- Kim, In-Sook (College of Nursing, Yonsei University) ;
- Kim, Ki-Kyoung (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
- Kim, Dae-Ran (Department of Nursing, Wonju College of Medicine, Yonsei University)
- 발행 : 2002.06.30
초록
Purpose. The study was done to develop nursing guidelines to prevent nursing negligence in the clinical setting that would lead to malpractice. Method. A comprehensive review of the literature and focus groups interviews were used to search for malpractice cases related to "observation", one of the most basic nursing activities. The cases were analyzed with respect to nursing practice and a legal expert was consulted on the content. Results. 4 malpractice cases related to observation negligence were selected for this study; 1) a case of failing to observe dyspnea after a thyroidectomy, 2) a case of failing to observe a depressed patient for suicide attempts, 3) a case of failing to observe a VP shunt obstruction, 4) a case of failing to observe a cardiac ischemia after a bronchoscopy. 11 guidelines were developed for clinical nurses and 13 guidelines for nursing managers. Conclusion. These guidelines are useful in preventing malpractice due to nursing negligence. Therefore nurses need to apply them to their practices and continue to make an effort to develop guidelines for other malpractice situations.
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