DOI QR코드

DOI QR Code

Nurses' patient safety activities observed by nursing students

간호학과 실습생이 관찰한 간호사의 환자안전 간호활동 수행 정도

  • Received : 2016.05.25
  • Accepted : 2016.06.21
  • Published : 2016.06.30

Abstract

Purpose: Objective of this study was to investigate how often nurses to perform patient safety activities. Methods: 521 observations were collected in 9 hospitals by 107 nursing students. Nurses' patient safety care activities were measured 0 (not at all) to 10 (all the time) scores. Descriptive statistics, independent t-test, one way ANOVA, correlation, multiple regression used to analyse data. Results: Items like 'Initial nursing assessment', 'drug management bring on', 'preparation for radiology test', 'falls assessment', 'nursing record' got high scores. But, scores of 'patient identification', 'verbal order management', 'hand hygiene' were lower than others. Each scores were different significantly according to institutions and departments. Within a same institution, the variance of scores, especially in 'patient identification', 'hand hygiene' were great. Scores of activities were different according to characteristics of institutions like type, location, number of beds, teaching hospital, number of accreditation, JCI accreditation. Predictors influencing nurses' patient safety activities were type, location and accreditation. These predictors account for 19.4% of variance. Conclusion: Performance of nurses' patient safety activities were different significantly according to characteristics of institutions. The important items like 'patient identification', 'hand hygiene' had achieved lowest performance. Further researches are needed to improve the basic safety activities.

Keywords

References

  1. WHO. What is patient safety?[Internet]. Switzerland. [cited 2016. May]. Available from: http://www.who.int/patientsafety/education/curriculum/who_mc_topic-1.pdf?ua=1
  2. Monteiro C, Avelar AM, Pedreira MP. Interruptions of nurses'activities and patient safety: an integrative literature review. Enfermagem 2015;23(1):169-79. https://doi.org/10.1590/0104-1169.0251.2539
  3. WHO. Global priorities for patient safety research-Better knowledge for safer care. Switzerland: WHO, 2009.
  4. Al-Awa B, Wever AD, Melot C, Devreux I. An overview and accreditation: a literature review study. Research J of medical Sciences 2011;5(4):200-23. https://doi.org/10.3923/rjmsci.2011.200.223
  5. Canadian Nurses Association, University of Toronto Faculty of Nursing. Nurses and patient safety: a discussion paper. Canada, 2004.
  6. Hall LM, Doran DD, Pink GH. Nurse staffing models, nursing hours, and patient safety outcomes. The J of Nursing Administration 2004;34(1):41-5. https://doi.org/10.1097/00005110-200401000-00009
  7. Draper DA, Felland LE, Liebhaber A, Melichar L. The role of nurses in hospital quality improvement. Center for Studying Health System Change Research brief 2008;(3):1-8.
  8. Aiken LH, Sermeus W, Heede CV, Sloane DM, Busse R, McKee M. et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the Unites States. BMJ 2012;344 doi: http://dx.doi.org/10.1136/bmj.e1717
  9. Lee YM. Safety accident occurrence to perceptions of patient safety culture of hospital nurses. J of the Korea Academia-Industrial cooperation society 2012;13(1):117-24. https://doi.org/10.5762/KAIS.2012.13.1.117
  10. Lee NJ, Kim JH. Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals. J Korean Acad Nurs Admin 2011;17(4):462-73. https://doi.org/10.11111/jkana.2011.17.4.462
  11. Choi JH, Lee KM, Lee MA. Relationship between hospital nurses'perceived patient safety culture and their safety care activities. J of Korean Academy of Fundamentals of nursing 2010;17(1):64-72.
  12. Health Insurance Review & Assessment Service[Internet]. Korea. [cited 2016. May]. Available from: http://www.hira.or.kr/
  13. Korea Institute for hospital accreditation[Internet]. Korea. [cited 2015. Jan]. Available from: http://www.koiha.kr/member/kr/certStatus/certList.do
  14. KOIHA[Internet]. Korea. [cited 2015. Jan, 2016. May]. Available from: http://www.koiha.kr/member/kr/contents/sub02/sub02_01_02.do
  15. Joint Commission International. Joint Commission International Accreditation Standards for Hospitals: Including Standards for Academic Medical Center Hospitals. 5th Edition. JCI; 2013.
  16. Kim HY, Lee ES. Effects of perceived patient safety culture on safety care activities among nurses in general hospitals. J of East-West Nursing Research 2013;19(1):46-54. https://doi.org/10.14370/jewnr.2013.19.1.046
  17. Park JH, Park MH. Knowledge, attitude, and confidence on patient safety of undergraduate nursing students. The J of Korean Academic Society of Nursing Education 2014;20(1)5-14. https://doi.org/10.5977/jkasne.2014.20.1.5
  18. Choi SH. Lee HY. Factors affecting nursing students' practice of patient safety management in clinical practicum. J of Korean Academy of Nursing Administration 2015;21(2):184-92. https://doi.org/10.11111/jkana.2015.21.2.184
  19. Kim IS, Park MJ, Park MY, Yoo NH, Choi JH. Factors affecting the perception of importance and practice of patient safety management among hospital employees in Korea. Asian Nursing Research 2013;7(1):26-32. https://doi.org/10.1016/j.anr.2013.01.001
  20. Wocher JC, Roethier C. Effects of international accreditation on patient care in a Japaneses hospital: Nurses'perspective. JCI General News[Internet]. 2016 [cited 2016 Nov 20]. Available from : http://www.jointcommissioninternational.org/effects-of-international-accreditation-on-patient-care-in-a-japanese-hospital-nurses-perspectives/
  21. WHO. Hand Hygiene: Why, How & When?[Internet]. [cited 2016 May]. Available from: http://www.who.int/gpsc/5may/Hand_Hygiene_Why_How_and_When_Brochure.pdf
  22. Hwang JI, Hwang IS, Jung GJ, Kim RJ, Hwang JM. Analysis of the first hospital accreditation results in Korea and transformation towards high reliability organizations. Seoul: Koiha, 2015.
  23. Kim KK, Song MS, Lee KS, Hur HK. Study on factors affecting nurses; experience of non-reporting incidents. The J of Korean Nursing Administration Academic Society 2006;12(3):454-63.
  24. Wang HF, Jin JF, Feng XQ, Huang X, Zhu LL, Zhao XY. et al. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post accreditation era. Therapeutic and Clinical Risk Management 2015;11:393-406.
  25. Kim Y, Lee ES, Choi EY. Perception of patient safety culture of hospital nurses. Korean J of hospital management 2013;18(3):27-42.
  26. Thornlow DK, Stukenborg GJ. The association between hospital characteristics and rates of prevention complications and adverse events. Medical Care 2006.;44(3):265-69. https://doi.org/10.1097/01.mlr.0000199668.42261.a3
  27. Joint Commission International. JCI-Accredited Organizations[lnternet]. [cited 2016. Jun]. Available from : http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations.
  28. Tabrizi JS, Gharibi F, Wilson AJ. Advantages and disadvantages of health care accreditation models. Health promotion perspectives 2011;1(1):1-31.
  29. Donahue KT, Ostenberg P. Joint commission international accreditation: relationship to four models of evaluation. Int J for Quality in Health Care 2000;12(3):234-46.
  30. Elnour AA, Hernan A, Ford D, Clark J, Johnson JK, Dunbar J. Surveyor's perceptions of the impact of accreditation on patient safety in general practice. Medical J of Australia 2014;201(3.suppl):56-9. https://doi.org/10.5694/mja14.00198
  31. Kwon HK, Jeong JS, Lee BI, Kim JH. Awareness and correlation of patient safety culture and standard precautions among health care personnel. Quality Improvement in Health Care 2015;21(2):58-72. https://doi.org/10.14371/QIH.2015.21.2.58
  32. Jung YI, Park IT, Lee SG, Choi YK. Assessing patient safety culture in Korean healthcare organization. Seoul: Koiha, 2015.
  33. Chang SO, Lee BS, Kim JI, Shin SR. A delphi study to elect policies for nurse workforce based on patient safety. J of Korean Academy of Nursing Administration 2014;20(2):215-26. https://doi.org/10.11111/jkana.2014.20.2.215