Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Development and effect of Simulation-based Educational Program for Communication to Prevent Patients from Safety Accident by Nurses working in the Public Medical Institutions

공공의료기관 간호사의 환자안전사고 대처를 위한 시뮬레이션 기반 의사소통 교육프로그램 개발 및 효과

  • Mok, Seung Hyun (Graduate School of Health and Nursing, Chung-Ang University) ;
  • Kim, Sung Hee (Red Cross College of Nursing, Chung-Ang University)
  • 목승현 (중앙대학교 건강간호대학원) ;
  • 김성희 (중앙대학교 적십자간호대학)
  • Received : 2020.07.01
  • Accepted : 2020.10.05
  • Published : 2020.10.31
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Abstract

This study focused on the development of a simulation-based educational program for communication, targeted to prevent safety accidents of patients. Application of the program to nurses working in public medical institutions was assessed to identify the effects of the program in terms of communication skill, self-efficacy, critical thinking disposition, and problem solving ability of nurses, before and after completion of the education. Method: A total of 32 nurses, working in hospitals designated as public medical institutions, were selected as subject participants in the present study. Data were collected during the period August 19 to 20, 2019, and analyzed by SPSS 23.0. Results: Results obtained from the present study reveals significant efficacy of the educational program, in respect of improved communication skill, self-efficacy, and problem-solving ability. On completion of the educational program, we observed an increase in the critical thinking disposition of nurses, although it was statistically insignificant. Conclusions: We believe that the educational program developed in the present study can be exploited as a foundation for developing other programs intending to improve the communication skill of nurses employed in clinics of public medical institutions, targeted to prevent occurrence of safety accidents of patients.

최근 의료계에서 환자안전에 대한 관심이 지속적으로 높아지고 있고, 환자안전사고가 증가함에 따라 환자안전사고의 발생에 효율적인 대처를 위한 의료인들의 의사소통 능력의 필요성을 강조하고 있다. 따라서 본 연구는 환자안전사고 대처를 위한 시뮬레이션 기반 의사소통 교육 프로그램을 개발하고, 공공의료기관으로 지정된 병원의 간호사 에게 적용하여 교육 전, 후에 따른 의사소통능력, 자기효능감, 비판적 사고성향, 문제해결능력에 미치는 효과를 파악하고자 시도되었다. 또한 프로그램 적용 후 교육에 대한 만족도를 파악하였다. 연구대상자는 공공의료기관으로 지정된 병원의 간호사 32명이다. 2019년 8월 19일부터 8월 20일까지 자료수집 하였으며 자료 분석은 SPSS 23.0 프로그램을 이용하여 빈도, 백분율, paired t-test 로 분석 하였다. 연구결과 환자안전사고 대처를 위한 교육프로그램이 간호사의 의사소통능력, 자기효능감, 문제해결능력 향상에 유의하게 나타났으며, 비판적 사고성향은 교육 후 상승되었으나 통계적으로 유의한 차이는 없었다. 본 연구의 교육 프로그램이 간호사의 의사소통능력, 자기효능감, 문제해결능력 향상에 효과적인 교육 방법임을 확인하였다. 따라서 본 연구는 공공의료기관 간호사들의 환자안전사고 대처를 위한 의사소통 역량 향상에 도움을 주며, 임상에서 간호사를 대상으로 환자안전을 위한 교육 프로그램의 기초로 활용 될 수 있을 것이라 기대된다.

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