DOI QR코드

DOI QR Code

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

  • 천의영 (수원여자대학교 간호학부) ;
  • 유장학 (수원여자대학교 간호학부) ;
  • 김해진 (수원여자대학교 간호학부)
  • Received : 2018.09.03
  • Accepted : 2018.12.07
  • Published : 2018.12.31

Abstract

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.

본 연구는 간호대학생을 대상으로 정보매체를 통한 환자안전사고 노출 정도와 학생들의 환자안전관련 지식, 인식, 수행자신감의 관계를 알아보기 위해 시행되었다. 연구의 대상자는 일개 여대의 간호학과에 재학 중인 대학생으로 서면동의서를 작성한 학생 348명 중 불충분한 설문지를 제외하고 337부를 자료 분석에 활용하였다. 자료수집은 2018년 6월 4일에서 12일까지 이루어졌으며 수집된 자료는 SPSS 21.0프로그램을 활용하여 기술 통계, t-test, one-way ANOVA, Pearson's correlation coefficient 방법으로 분석되었다. 연구결과 대상자의 환자안전에 대한 지식은 평균 6.43점, 인식은 평균 41.02점, 수행자신감은 평균 39.61점이었으며 TV와 인터넷 매체를 통해 환자안전사고에 노출된 정도는 각 1.25점과 1.35점으로 나타났다. 환자안전 지식은 연령, 학년, 환자안전 교육 경험에 따라 통계적으로 유의한 차이를 보였으며, 환자안전 인식은 전공만족도에 따라, 환자안전 수행자신감은 학년, 환자안전 교육 경험, 전공만족도에 따라 통계적으로 유의한 차이를 보였다. TV를 통한 환자안전사고 정보매체의 노출 정도는 지식(r=.32, p<.000), 수행자신감(r=.21, p<.000)과, 인터넷을 통한 정보매체의 노출 정도는 지식(r=.34, p<.000), 인식(r=.12, p=.028), 수행자신감(r=.24, p<.000)과 유의한 순상관관계를 보였다. 본 연구 결과를 바탕으로 임상실습 전부터 학생들에게 환자안전에 대한 체계적인 교육을 제공할 뿐 아니라 정보매체를 통해 전달되는 환자안전사고와 같은 이슈에 비판적 사고를 가지고 접근할 수 있는 환자안전 교육프로그램을 개발, 적용하고 그 효과를 평가하는 추후 연구를 제언하는 바이다.

Keywords

Table 1. Participants’ Characteristics and Information Media of Patient Safety Incident

SHGSCZ_2018_v19n12_374_t0001.png 이미지

Table 2. Level of Knowledge, Perception, and Performance Confidence toward Patient Safety

SHGSCZ_2018_v19n12_374_t0002.png 이미지

Table 3. Differences in Knowledge, Perception, and Performance Confidence toward Patient Safety according to Participant’s Characteristics

SHGSCZ_2018_v19n12_374_t0003.png 이미지

Table 4. Correlations of Information Media of Patient Safety Incident, Knowledge, Perception, and Performance Confidence toward Patient Safety

SHGSCZ_2018_v19n12_374_t0004.png 이미지

References

  1. M. R. Kim, "Concept analysis of patient safety". Journal of Korean Academy of Nursing, vol. 41, no. 1, pp. 1-8, 2011. DOI: http://dx.doi.org/10.4040/jkan.2011.41.1.1
  2. Ministry of Health and Welfare, Korea Institute for Healthcare Accreditation, "Investigation guidebook for acute care hospital(3rd)", Korea Institute for Healthcare Accreditation, Seoul, 2018.
  3. S. H. Son, J. S. Park, "A study on nursing students' knowledge, attitude, confidence in performance and behavior of patient safety". Journal of the Korean Society for Fisheries and Marine Sciences Education. vol. 29, no. 4, pp. 1043-1053, 2017. DOI: http://dx.doi.org/10.13000/JFMSE.2017.29.4.1043
  4. M. Attree, H. Cooke, A. Wakefield, "Patient safety in an English pre-registration nursing curriculum". Nurse Education in Practice. vol. 8, no. 4, pp. 239-248, 2008. DOI: https://doi.org/10.1016/j.nepr.2007.09.003
  5. C. F. Durham, K. R. Alden, "Enhancing patient safety in nursing education through patient simulation". In R. G. Hughes, editor. Patient safety and quality: An evidence-based handbook for nurses. Rockville(MD): Agency for Healthcare Research and Quality(US), 2008.
  6. L. T. Gantt, R. Webb-Corbett, "Using simulation to teach patient safety behaviors in undergraduate nursing education." Journal of Nursing Education. vol. 49, no. 1, pp. 48-51, 2010. DOI: https://doi.org/10.3928/01484834-20090918-10
  7. E. A. Henneman, H. Cunningham, "Using clinical simulation to teach patient safety in an acute/critical care nursing course." Nurse Educator. vol. 30, no. 4, pp. 172-177, 2005. https://doi.org/10.1097/00006223-200507000-00010
  8. P. M. Ironside, P. R. Jeffries, A. Martin, "Fostering patient safety competencies using multiple-patient simulation experiences." Nursing Outlook. vol. 57, no. 6, pp. 332-337, 2009. DOI: https://doi.org/10.1016/j.outlook.2009.07.010
  9. H. S. Jeong, "Development and effects of patient safety management competence improvement program for nursing college students; Based on decision making model", Doctor's Thesis, Gyeongsang National University, Busan, 2018.
  10. J. H. Park, "The effects of simulation program by applying hazard perception training on self-efficacy of patient safety, error recovery and problem-solving process in nursing students", Journal of Korea Society for Simulation in Nursing, vol. ,4 no. 1, pp. 23-32, 2016.
  11. J. H, Kim, Y. H. Kang, S. H. Boo, "The passed-on effect and social influence of viral advertising in social network service", Korea Marketing Review, vol. 28, no. 2, pp. 173-196, 2013.
  12. Y. M. Yoon, Y. J. Choi, "Understanding the factors affecting the korean public's perceived corporate moral and actual crisis responsibility and acceptance of corporate apology: Negative nedia exposure, anti-corporate sentiment, and corporate attitude", Korean Journal of Journalism & Communication Studies, vol. 55, no. 5, pp. 158-184, 2011.
  13. M. H. Park, "Convergence effects of nursing professionalism and critical thinking disposition on patient safety attitude in nursing students", Journal of Digital Convergence, vol. 15, no. 11, pp. 317-327, 2007. https://doi.org/10.14400/JDC.2017.15.11.317
  14. J. W. Yoon, "Relationships among attitude of patient safety, critical thinking disposition and safety nursing activities in nursing students", Journal of Learner-Centered Curriculum and Instruction, vol. 17, no. 23, pp. 859-877, 2017. DOI: https://doi.org/10.22251/jlcci.2017.17.23.859
  15. K. C. Lim, M. Park, G. M, Shin, "Influences of sense of ethics and attitude toward patient safety in the confidence in patient safety in nursing students", Journal of Muscle and Joint Health, vol. 24, no. 2, pp. 140-149, 2017. DOI: https://doi.org/10.5953/JMJH.2017.24.2.140
  16. H. S. Jeong, J. H. Kong, M. Y. Jeon, "Factors influencing confidence in patient safety management in nursing students", Journal of the Korea Convergence Society, vol. 8, no. 6, pp. 121-130, 2017. DOI: https://doi.org/10.15207/JKCS.2017.8.6.121
  17. S. H. Choi, H. Lee, "Factors affecting nursing students' practice of patient safety management in clinical practicum", Journal of Korean Academy of Nursing Administraion, vol. 21, no. 2, pp. 184-192, 2015. DOI: http://dx.doi.org/10.11111/jkana.2015.21.2.184
  18. A. A. Abbott, K. T. Fuji, K. A. Galt, K. A. Paschal, "How baccalaureate nursing students value an interprofessional patient safety course for professional development", International Scholarly Research Network Nursing, Article ID 401358, 2012. DOI: http://dx.doi.org/10.5402/2012/401358
  19. J. H. Park, "Knowledge, attitude, and confidence on skill of nursing students toward patient safety", Master's thesis, Keimyung University, Daegu, 2011.
  20. M. J. Park, I. S. Kim, Y. L. Ham, "Development of a perception of importance on patient safety management scale(PI-PSM) for hospital employee", The Korea Contents Association Thesis Journal, vol. 13, no. 5, pp. 332-341, 2013. DOI: http://dx.doi.org/10.5392/JKCA.2013.13.05.332
  21. W. S. Madigosky, L. A. Headrick, K. Nelson, K. R. Cox, T. Anderson, "Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility", Academic Medicine, vol. 81, no. 1, pp. 94-101, 2006. https://doi.org/10.1097/00001888-200601000-00022
  22. Y. J. Choi, Y. K. Kang, I. J. Yang, J. Y. Lim, "Patient safety perception of nurses as related to patient safety management performance in tertiary hospitals", Journal of Korean Academy of Nursing Administraion, vol. 24, no. 3, pp. 193-201, 2018. DOI: https://doi.org/10.11111/jkana.2018.24.3.193
  23. S. A. Im, M. J. Park, "The effects of patient safety culture perception and organizational commitment on patient safety management activities in general hospital nurses", Journal of Digital Convergence, vol. 16, no. 6, pp. 259-270, 2018. https://doi.org/10.14400/JDC.2018.16.6.259
  24. H. M. Jang, J. Y. Park, Y. J. Choi, S. W. Park, H. N. Lim, "Effect of general hospital nurses' perception of patient safety culture and burnout on safety management activities", Journal of Korean Academy of Nursing Administraion, vol. 22, no. 3, pp.239-250, 2016. DOI: http://dx.doi.org/10.11111/jkana.2016.22.3.239
  25. M. J. Kim, J. K. Kim, "A study on the relationships among perception about patient safety culture, patient safety competence, and safety nursing activities of emergency room nurses", Journal of the Korea Contents Association, vol. 17, no. 10, pp. 268-279, 2017. DOI: https://doi.org/10.5392/JKCA.2017.17.10.268