Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
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Experiences of Patient Safety Accidents in General Hospital Nurses

종합병원 간호사의 환자안전사고에 대한 경험

  • 이미준 (강북삼성병원 헬스케어팀) ;
  • 강희경 (제주한라대학교 간호학부)
  • Received : 2018.11.27
  • Accepted : 2019.02.20
  • Published : 2019.02.28
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Abstract

This study aims to identify and understand nurses' experience on patient safety accidents in general hospital. The qualitative research method was used to analyze the daily life of seven nurses who had experienced nursing safety accidents directly or indirectly in general hospitals. The nurses' experiences were divided into 7 categories and 24 subordinate properties and 7 categories were "unexpected experience", "missing caused by negligence", "facing the anxiety", "difficult of loneliness", "resignation from the hospital", "entering into conflict" and "being practiced a nurse". The results of this study will contribute to the establishment of policies for safety accidents in hospitals and also it will help to make a practical improvement plan to prevent the patient safety accident at the clinical site.

본 연구의 목적은 병원에서 환자의 안전사고에 대한 간호사의 경험을 확인하고 이해하기 위함이다. 질적연구 방법을 활용하여 병원에서 직접 또는 간접적으로 안전사고를 경험한 7명의 간호사가 일상생활에서 겪는 경험을 분석하였다. 그 결과 환자안전사고의 경험은 7가지 필수 주제와 24가지 속성으로 도출되었다. 7가지 필수 주제는 "예상하지 못한 경험을 하게 됨", "소홀하게 생각해 놓침", "당면하는 불안감", "홀로 감당해야 하는 어려움", "직장을 떠나게 됨", "분쟁에 휘말리게 됨", "성숙한 간호사가 되어감"이었다. 본 연구의 결과는 병원에서 환자의 안전사고에 대한 정책 수립에 기여할 것이며 실제 임상 현장에서 환자안전사고 예방에 실질적 개선 방안을 마련하는데 도움을 줄 것이다.

Keywords

Table 1. Demographic characteristics of study subjects

JKOHBZ_2019_v9n2_139_t0001.png 이미지

Table 2. Nurses' Experience of Patient Safety Accidentsin general hospitals (N=7)

JKOHBZ_2019_v9n2_139_t0002.png 이미지

References

  1. Ministry of Health and Welfare. (2015). Patient Safety Law. 2018 [cited 2018 Mar 10]. Available from:http://www.law.go.kr/%EB%B2%95%EB%A0%B9/%ED %99%98%EC%9E%90%EC%95%88%EC%A0%84%EB% B2%95/(13113)
  2. Agency for Healthcare Research and Quality. 2010 National Healthcare Quality Report, 2635-2645.
  3. T. A. Brennan. L. L. Leape. N. M. Laird. L. Hebert. A. R. Localio. A. G. Lawthers. et al. (1991). Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. New England Journal of Medicine. 324(6), 370-376. DOI : 10.1056/nejm199102073240604
  4. E. J. Thomas, D. M. Studdert, H. R. Burstin, E. J. Orav, T. Zeena & E. J. Williams. et al. (2000). Incidence and types of adverse events and negligent care in Utah and Colorado. Medical Care. 38(3), 261-271 https://doi.org/10.1097/00005650-200003000-00003
  5. Institute of Medicine. (2000). To Err Is Human: Building a Safer Health System. Washington D.C.: National Academies Press.
  6. National Practitioner Data Bank. (2012) Annual Report [Internet]. Rockville: Health Resources and Services Administration. 2014 [cited 2014 Mar 10]. Available from: http://www.npdb.hrsa.gov/AnnualReport.
  7. Supreme Court of Japan. Japan's Medical Litigation Data [Internet]. Tokyo: Supreme Court of Japan. 2015 [cited 2014 Mar 10]. Available from: http://www.courts.go.jp/english/publications/index.html.
  8. S. I. Lee. (2012 May 22). Policy Task for Quality of Care and Patient Safety. Proceedings of the 50th Korean Society of Health Policy and Administration Conference. Academy of Health Policy and Management, 3, 41-55.
  9. J. E. Kim., M. A. Kang., K. E. An & Y. H. Sung. (2007). A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research. 13(3), 69-179.
  10. T. K. Lee., E. Y. Kim & N. H. Kim. (2014). A Phenomenological Study on Nurses' Experiences of Accidents in Patient Safety. Journal of Korean Nursing Administration Academic Society, 20(1), 35-47. https://doi.org/10.11111/jkana.2014.20.1.35
  11. E. K. Lee., C. H. Jung & H. J. Jeon. (2010). Experiences of Nurses in Medication Errors. Journal of Qualitative Research. 11(2), 94-105.
  12. E. K. Yoo. (1993). Qualitative Methodology and Ethnographic Research Method. Journal of Korean Academy of Nursing. 23(4), 713-725.
  13. E. K. Yoo. (2005). Ethnographic Research and Ethnographic Research Method. Seoul: Hyunmoonsa. 223-272.
  14. M. Sandelowski. (1986). The problem of rigor in qualitative research. ANS. Advances in Nursing Science. 8(3), 27-37. https://doi.org/10.1097/00012272-198604000-00005
  15. J. P. Spradley. (2006). Participant Observation. Seoul: Sigmapress.
  16. E. Petrova. (2010). Nurses' perceptions of medication errors in Malta. Nursing Standard. 24(33), 41-48. DOI : 10.7748/ns2010.04.24.33.41.c7717
  17. A. B. Schelbred & R. Nord. (2007). Nurses' experiences of drug administration errors. Journal of Advanced Nursing. 60(3), 317-324. DOI : 10.1111/j.1365-2648.2007.04437.x