DOI QR코드

DOI QR Code

A Study on the Knowledge Level of Nursing Records among Nursing Students -Focusing on Legal Aspects-

간호기록에 대한 간호대학생의 지식수준 -법적인 관점에서-

  • Received : 2017.03.13
  • Accepted : 2017.11.08
  • Published : 2017.11.30

Abstract

Purpose: The purpose of this study was to identify the educational status and level of knowledge of nursing records. Methods: Research participants of this study were 310 senior students of five nursing colleges in two cities of South Korea. A self-report instrument was used to measure knowledge about nursing records. The descriptive analysis, t-test, ANOVA, with SPSS/Win 21.0 program were used. Results: The experience in nursing education and necessity of nursing records education had influence on the knowledge of nursing records while the average level of knowledge was 44.15 out of 65. The correct answer rate was 77.3%, and this score was slightly higher than average. Conclusion: In order to raise the efficiency of nursing work and also to protect nurses from a risk of medical lawsuits, teaching nursing students how to make systematic and concrete nursing records should be preferentially considered for the course of college education.

Keywords

References

  1. Korea Medical Dispute Mediation and Arbitration Agency. Medical dispute mediation and arbitration. Statistical yearbook 2015 [Internet]. Seoul: Korea Medical Dispute Mediation and Arbitration Agency: 2015 [cited 2016 March 16]. Available from: https://www.k-medi.or.kr/lay1/bbs/S1T27C96/A/25/list.do
  2. Beom KC. A study on the legal responsibility of nurse. The Korean Society of Law and Medicine. 2014;15(2):285-316.
  3. Kim JH. A study on nurse's legal responsibilities in medical malpractice [master's thesis]. Seoul: Korea University;2008.pp.1-101.
  4. Ferrell KG. Documentation, part 2: the best evidence of care. American Journal of Nursing. 2007;107(1):61-64. http://dx.doi.org/10.1097/01.NAJ.0000279271.41357.fa
  5. Kim EY, Lee YJ. Effects on knowledge and performance in clinical nursing of education on nursing recording focusing on legal aspects. Journal of Korean Academy of Nursing Administration. 2011;17(3):227-283.
  6. Kim KR. A principle of trust among medial colleagues in medical activity. The Korean Nurse. 2003;42(1):46-47.
  7. Kim YM. Development and evaluation of an educational program on legal issue-focused nursing records. Journal of Korean Clinical Nursing Research. 2013;19(3):369-382. https://doi.org/10.22650/JKCNR.2013.19.3.369
  8. Lee SM, Yoon SY, Kwon SR. A study on the knowledge level of nursing documentation among nurse officers in military hospitals: focusing on the legal aspects. Journal of Military Nursing Research. 2013;31(2):118-128.
  9. Blake-Mowatt C, Lindo JL, Bennett J. Evaluation of registered nurses' knowledge and practice of documentation at a Jamaican hospital. International Council of Nurses, 2011;60(3):328-334. http://dx.doi.org/10.1111/inr.12040
  10. Korea Ministry of Government Legislation. Medical Law im 2017[Internet]. Seoul:Korea Ministry of Government Legislation:2017[cited 2017 November 04].Available from: http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1& section=&tabNo=&query=%EC%9D%98%EB%A3%8C%EB%B2%95#un defined.
  11. Kim DY, Park MH. Intermediate evaluation after the introduction of electronic nursing record system in a general hospital. Journal of Korean Clinical Nursing Research. 2010;16(3):133-144.
  12. Cho EA, Kim MS, Kim KH. Recognition and satisfaction of the electronic medical record (EMR) among nurses of a local hospital. Health & Nursing. 2009;21(2):1-11.
  13. Ajami S, Arab-Chadegani R. Barriers to implement electronic health records (EHRs). Materia Socio Medica. 2013;25(3):213-215. http://dx.doi.org/10.5455/msm.2013.25.213-215
  14. Grabenbauer L, Skinner A, Windle J. Electronic health record adoption-maybe it's not about the money; physician superusers, electronic health records and patient care. Applied Clinical Informatics. 2011;2(4):460-471. http://dx.doi.org/10.4338/ACI-2011-05-RA-0033
  15. Stevenson JE, Nilsson GC, Petersson GI, Johansson PE. Nurses' experience of using electronic patient records in everyday practice in acute/inpatient ward settings: a literature review. Health Informatics Journal. 2010;16(1):63-72. http://dx.doi.org/10.1177/1460458209345901
  16. Kim YM, Park SA. A nurse charting knowledge scale: focusing on legal aspects. Journal of Korean Clinical Nursing Research. 2007;13(2):27-38.
  17. Choi I, Choi WJ, Choi WH, Kim MK. The adoptions and use of electronic nursing records in Korean hospital: findings of a nationwide survey. Journal of Korean Clinical Nursing Research. 2013;19(3):345-356. https://doi.org/10.22650/JKCNR.2013.19.3.345
  18. Frank-Stomborg M, Christensen A, Do DE. Nurse documentation: not done or worse, done the wrong way-part II. Oncology Nurse Forum. 2001;28(5):841-846.
  19. Kang JS, Kim SJ, Kim WJ. The autonomy, nursing performance based on the awareness and satisfaction of EMR system for nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2015; 16(9):6061-6070. http://dx.doi.org/10.5762/KAIS.2015.16.9.6061
  20. Shin HS. Nurse's core competencie recognition and training needs analysis [master's thesis]. Suwon: Ajou University;2010.pp.1-73
  21. Kim KK. Development of a Web-based diagnostic evaluation program for prevention of nurse malpractice liability. Journal of Korean Academy of Nursing Administration. 2011;17(1):33-43. https://doi.org/10.11111/jkana.2011.17.1.33
  22. Park IS, Kim R. A study on the knowledge level of nursing documentation among nurse officers in military hospitals: focusing on the legal aspects. Journal of Military Nursing Research. 2013;7(4):105-117.
  23. Park JS, Choi MJ, Jang SY. The effects of preclinical clinical performance examination on nursing students' confidence in nursing skills and critical thinking competence. Journal of Korean Academic Society of Nursing Education. 2015;21(1):75-85. https://doi.org/10.5977/jkasne.2015.21.1.75
  24. Hur HK, Park SM, Shin YH, Lim YM, Kim GY, Kim KK, et al. Development and applicability evaluation of an emergent care management simulation practicum for nursing students. Journal of Korean Academic Society of Nursing Education. 2013;19(2):228-240. https://doi.org/10.5977/jkasne.2013.19.2.228
  25. Kramer M, Brewer BB, Maguire P. Impact of healthy work environments on new graduate nurses environmental reality shock. Western Journal of Nursing Research. 2011;35(3):348-383. http://dx.doi.org/10.1177/0193945911403939.
  26. Choi IS, Choi WJ, Choi WH, Hyun MS, Park YO, Lee YN, et al. Identifying usability level and factors affecting electronic nursing record systems: a multi-institutional time-motion approach. Journal of Korean Academy of Nursing. 2015;45(4):523-532. http://dx.doi.org/10.4040/jkan.2015.45.4.523
  27. Whisenant DP, Woodring B. Improving attitudes and knowledge toward organ donation among nursing students. International Journal of Nursing Education Scholarship. 2012;9(1):1-15. http://dx.doi.org/10.1515/1548-923X.2404
  28. Kurz JM Impact of organ donation education on US undergraduate nursing students. Progress in Transplantation. 2014;24(2):211-217. http://dx.doi.org/10.7182/pit2014624.
  29. Shin KA, Cho BH. Professional self-concept, critical thinking disposition and clinical competence in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(1):46-56. https://doi.org/10.7739/jkafn.2012.19.1.046
  30. Jung EY, Seo JH. The effect of brain death organ donation education program on nursing students' knowledge, attitude, and behavioral intention. The Journal of Humanities and Social Science. 2016;7(1):209-226. http://dx.doi.org/10.22143/HSS21.7.1.11