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The Development and Effect of the Patient Safety Education Program Using Simulated situation

모의 상황을 활용한 환자안전 교육 프로그램 개발 및 효과

  • Jung, Hyo-Sun (Graduate School of Health and Nursing, Chung-Ang University) ;
  • Kim, Sung hee (Red Cross College of Nursing, Chung-Ang University)
  • 정효선 (중앙대학교 건강간호대학원) ;
  • 김성희 (중앙대학교 적십자간호대학)
  • Received : 2019.07.31
  • Accepted : 2019.12.06
  • Published : 2019.12.31

Abstract

As the prevention of patient safety accidents has been strengthened in the accreditation process of medical institutions, patient safety, which is the maintenance of patient safety by managing medical accidents around the patients, is considered a subject that is important as a disease cure. The purpose of this study is to develop a Patient Safety Program using simulated situations for inpatients at a general hospital ward and to understand the effects on knowledge, performance, and perception of patient safety before and after the programs. In addition, the satisfaction of patient safety education is verified after application of the program. The participants were 30 inpatients at a general hospital. Data were collected from April 15 to 30, 2019 and analyzed using IBM SPSS Version 23.0. The results of the preand post-education revealed a statistically significantly improvement of patient safety knowledge, performance, perception and educational satisfaction. The Patient Safety Education Program using simulated situation was an effective educational program for the inpatients to improve patient safety knowledge, performance, perception, and educational satisfaction. Therefore, this program demonstrated a positive effect of patient safety and it is expected that it can be used as the basis of an education program in patient safety education in a clinical setting.

최근 의료기관평가 인증에서 환자안전사고에 대한 예방이 강화 되면서 환자안전은 환자를 중심으로 발생하는 의료사고를 관리하여 환자의 안전을 유지하는 것이다. 따라서 본 연구는 모의상황을 활용한 환자안전 교육프로그램을 개발하고, 입원환자에게 적용하여 교육 전, 후에 따른 환자안전에 대한 지식, 수행, 인식도에 미치는 효과를 파악하고자 시도되었다. 또한 프로그램 적용 후 환자안전 교육에 대한 만족도를 파악한다. 연구의 대상자는 서울 소재 D종합병원 병동에 입원한 환자 30명이다. 2019년 4월 15일부터 4월 30일까지 자료수집 하였으며 자료처리 및 분석방법은 SPSS 23.0을 이용하여 빈도, 백분율, paired t-test 로 분석 하였다. 연구 결과, 모의상황을 활용한 환자안전 교육 프로그램이 입원환자의 환자안전에 대한 지식, 수행, 인식도 향상에 모두가 유의하게 나타났다. 임상환경에서 실제상황과 유사한 모의상황을 경험해봄으로써 입원환자에게 환자 안전에 효과적인 교육 방법임이 확인되었다. 따라서 환자안전 교육 프로그램은 환자의 지식 및 수행, 인식도 향상에 긍정적인 영향을 주며, 임상에서 입원 환자의 환자안전 교육 시 교육 프로그램의 기초로 활용될 수 있을 것이라 기대된다.

Keywords

References

  1. J. H. Seo, E. S. Song, S. E. Choi, K. S. Woo, Patient Safety in Korea: Current Status and Policy Issues. Research Report, Institute for Health and Social Affairs, Korea, pp.1-216, 2016.
  2. S. I. Lee, To err is human : building a safer health system, pp.1-346, E Public, 2010.
  3. J. Y. Kim, E. A. Hwang, A Study on Improvement of Consumer Safety in Medical Services - Based on Patient Safety, Policy Research Report, Korea Consumer Resources, Korea, PP.1-158.
  4. H. K. Yum, I. S. Hwang, "Korean Healthcare Accreditation Perspectives", Journal of Korean Society of Quality Assurance in Health Care, Vol.18, No.1, pp.1-14, 2012.
  5. D. Seys, A. W. Wu, E. V. Gerven, A. Vleugels, K. Vanhaecht, "Health Care Professionals as Second Victims after Adverse Events: A Systematic Review", SAGE Journal, Vol.36, No.2, pp 135-162, 2013. DOI: https://doi.org/10.1177/0163278712458918
  6. J. U. Kim, N. J. Lee, S. M. Jang, Y. M. Kim, "A survey of the consumer perception of the medical service on patient safety", The Korea Nursing Science Association, Vol.10, No.2, pp133-140, 2013.
  7. J. E. Kim, M. A. Kang, K. A. Ahn, Y. H. Sung, "A Survey of Nurses' Perception of Patient Safety Related to Hospital Culture and Reports of Medical Errors", Clinical Nursing Research, Vol.13, No.3, pp169-179, 2007.
  8. W. C. Mundell, C. C. Kennedy, J. H. Szostek,, D. A. Cook, "Simulation technology for resuscitation training: A systematic review and meta-analysis. Resuscitation", Offical Journal of the European Resuscitation Council, Vol.84, No.9, pp1174-1183, 2013. DOI: https://doi.org/10.1016/j.resuscitation.2013.04.016
  9. S. Y. Kim, Establishment of a medical accident prevention system focusing on the patient safety prevention system, Available From: https://psafety.kr/40, (accessed May. 20, 2019)
  10. Ministry of Health and Welfare, Details on the application criteria and methods of medical care benefits, Available From: http://www.mohw.go.kr/react/index.jsp(accessed Sep. 25, 2017)
  11. E. N. de Vries, M. A Ramrattan, S. M. Smorenburg, D. J. Gouma, M. A. Boermeester, "The incidence and nature of in-hospital adverse events: a systematic review", Qual Saf Health Care, vol.17, No.3, pp216-223, 2008. DOI: https://dx.doi.org/10.1136/qshc.2007.023622
  12. A. K. Jha, I. Larizgoitia, C. Audera-Lopez, N. Prasopa-Plaizier, D. W. Bates, "Author affiliations the global burden of unsafe medical care:: analytic modelling of observational studies", BMJ Quality & Safety, vol.22, pp.809-815, 2013. https://doi.org/10.1136/bmjqs-2012-001748
  13. J.-I. Hwang, H. J. Chin, Y.-S. Chang, "Characteristics associated with the occurrence of adverse events: a retrospective medical record review using the Global Trigger Tool in a fully digitalized tertiary teaching hospital in Korea", Journal of Evaluation in clinical practice, Vol.20, No.1, pp27-35, 2014. DOI: https://dx.doi.org/10.1111/jep.12075
  14. J. O. Ahn, Differences in patient safety awareness according to inpatient safety education in military hospitals . Master's thesis, graduate school of Yonsei University, Seoul, Korea, pp.1-78, 2016.
  15. J. E. Prey, J. Woollen, L. Wilcox, A. D. Sackeim, D. K. Vawdrey, "Patient engagement in the inpatient setting: a systematic review", J Am Med Inform Asso, vol.21, No.4, pp742-50, 2014. DOI: https://dx.doi.org/10.1136/amiajnl-2013-002141
  16. World Health organization. Patient Safety. Available From: https://www.who.int/patientsafety/en/(accessed september 18, 2016).
  17. J. Y. Hwang, J. K. Kim, "A literature review of patient safety in Korea: focused on domestic studies", Journal of Korean society of Dental Hygiene, vol.18, No.1, pp.1-8, 2018. DOI: https://doi.org/10.13065/jksdh.2018.18.01.1
  18. S. A. Lim, M. J. Park, "The Effects of Patient Safety Cultural Recognition and Organization Immersion by Nurses at General Hospital on Patient Safety Management Activities", Digital Conversion Journal,. Vol.16, No.6, pp259-270, 2018. DOI: https://dx.doi.org/10.14400/JDC.2018.16.6.259
  19. Y. M. Kim, M. S. You, Y. H. Cho, S. H. Park, M..Y. Kim, "Development and Effect of Practical Training Program for Patient Safety Views for Surgical Nurses", Korea Nursing Science Association., Vol.16, No.2, pp152-61, 2010.
  20. J. H. Pyo, W. Lee, E. Y. Choi, S. K. Jang, M. S. Ok, "Promoting awareness of patient safety and patient participation through patient safety education for the general public: preliminary study", Daehan Health Research, Vol.44, No.3, pp65-88, 2018.
  21. Y. S. Baek, Analysis of the effectiveness of the Visit Drug Counseling Education for Medical Benefit Recipients, Master's thesis, Graduate School of Clinical Medicine at Sungkyunkwan University, Seoul, korea, pp.1-82, 2015.
  22. Y. G. Cho, J. H. Shin, Strategies of Classroom for Practice, Classroom Demonstration, and Class Study, p411-414, Jakjisa, 2011.
  23. K. W. Park, Effects of case-by-case fall prevention education on fall-related knowledge, attitudes and fall-prevention measures of inpatient child carers, Master's thesis, Sungkyunkwan University Graduate School, Seoul, Korea, pp.1-75, 2011.
  24. A. J. Bland, J. Tobbell, "Towards an understanding of the attributes of simulation that enable learning in undergraduate nurse education: A grounded theory study", Nurse Educ Today. Vol.44, pp8-13, 2016. https://doi.org/10.1016/j.nedt.2016.05.011
  25. A. Z. AI-Ghareeb, S. J. Cooper, "Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: an integrative review", Nurse Educ Today. Vol.36, pp281-286, 2016. DOI: https://doi.org/10.1016/j.nedt.2015.08.005
  26. H. B. Kim, "The Influence ofExperimental Classes Strengthening Discussion Activities on the Scientific Communication Capability of Elementary School Students", Korean Society for Elementary and Secondary Education, Vol.67, No.0 pp.65-65, 2014.
  27. C. Leshin,, J. Pollock, C. Reigeluth. Instructional Design: Strategies and Tactics for Improving Learning and Performance. Englewood Cliffs, NJ: Educational Technology, 1992.
  28. Y. J. Choi, A Study on the Satisfaction of the Education and Training of the Government Employees in Parliament, Ph.D dissertation, graduate school of Soongsil University, Seoul, Korea, pp.1-200, 2008.
  29. S. Mohsin-Shaikh, S. Garfield, B. D. Franklin, "Patient involement in medication safety in hospital: an exploratory study". International Journal of Clinical Pharmacy, Vol.36, No.3, pp.657-666, 2014. DOI: https://dx.doi.org/10.1007/s11096-014-9951-8
  30. H. I. Woodward, O. T. Mytton, C. Lemer, I. E. Yardley, A. W. Wu, "What Have We Learned About Interventions to Reduce Medical Errors?", Annual review of public health, vol.31, pp479-498, 2010. DOI: https://doi.org/10.1146/annurev.publhealth.012809.103544
  31. R. P. Cant, S. J. Cooper, "The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and metaanalysis", Nurse Educ Pract, vol. 27, pp45-62, 2017. DOI: https://dx.doi.org/10.1016/j.nepr.2017.08.012
  32. A. Z. Al-Ghareeb, S. J. Cooper, "Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: an integrative review", Nurse Educ Today, vol.36, pp281-286, 2016. DOI: https://dx.doi.org/10.1016/j.nedt.2015.08.005
  33. B. A. Martin, B. A. Chewning, A. R. Margolis, D. A. WilsonA, J. Renken, "Med Wise: A theory-based program to improve older adults' communication with pharmacists about their medicines", Res Social Adm Pharm, vol.12, No.4, pp569-577, 2016. DOI: https://dx.doi.org/10.1016/j.sapharm.2015.09.010
  34. M. Leuthold, "Patients as partners for improving safety", World Hospitals and Health Services, vol. 50, No.3, pp20-22, 2014.
  35. M. Bloomrosen, C. Sennett,, "Patient engagement: challenges and opportunities for physicians", Annals of Allergy, Asthma & immunology, vol.115, pp.459-62, 2015. DOI: https://doi.org/10.1016/j.anai.2015.09.005
  36. R. E. Davis, N. Sevdalis, C. Vincent, "Patient involvement in patient safety: How willing are patients to participate?", British Medical journal on Quality and safety, vol.20, pp108-114, 2011. DOI: https://dx.doi.org/10.1136/bmjqs.2010.041871
  37. C. A Vincent, A Coulter, "Patient safety: what about the patient", Qual Saf Health Care, vol.11, pp76--80, 2002. DOI: https://qualitysafety.bmj.com/content/11/1/76 https://doi.org/10.1136/qhc.11.1.76