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

  • 제21권10호
  • /
  • Pages.115-126
  • /
  • 2020
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

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

Development and effect of Simulation-based Educational Program for Communication to Prevent Patients from Safety Accident by Nurses working in the Public Medical Institutions

  • 목승현 (중앙대학교 건강간호대학원) ;
  • 김성희 (중앙대학교 적십자간호대학)
  • Mok, Seung Hyun (Graduate School of Health and Nursing, Chung-Ang University) ;
  • Kim, Sung Hee (Red Cross College of Nursing, Chung-Ang University)
  • 투고 : 2020.07.01
  • 심사 : 2020.10.05
  • 발행 : 2020.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

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.

키워드

참고문헌

  1. World Health orgnization, "Patient Safety", Available From: www.who.int/patientsafety/en (accessed June 23. 2020).
  2. Korea Patient Safety reporting&learning system, "Statistical Yearbook of Patient Safety 2018", Available From: https://www.kops.or.kr/portal/main.do (accessed June 23. 2020).
  3. National Patient Safety Agency. "Seven steps to patient safety: An overview guide for NHS staff", Available From: http://www.wales.nhs.uk/documents/Sevenstepsoverview.pdf (accessed June 23. 2020).
  4. J. H. Lee, "Patient safety and healthcare standard", Journal of the Korean Medical Association, Vol.54, No.5, pp.444-446, 2011. https://doi.org/10.5124/jkma.2011.54.5.444
  5. E. K. Kim, Y. M. Kim, S. H. Park, Y. K. Choi, J. H. Hwang, "The Latest medical quality management theory(written directly by experts)", Koonja, 2014.
  6. Korea Institute for Healthcare Accreditation, Accreditation criteria for 3rd cycle acute hospital 2018, Available From: https://www.koiha.or.kr/member/kr/board/establish/establish_BoardList.do (accessedJune 23. 2020).
  7. Agency for Healthcare Research and Quality. "National Healthcare Quality Report", Agency for Healthcare Research and Quality, pp.2635-2645, 2010.
  8. The Joint Commission, "The Joint Commission releases Improving America's hospitals: The Joint Commission's annual report on quality and safety 2007", Joint Commission Perspectives, Joint Commission On Accreditation Of Healthcare Organizations, Vol.27, No.12, pp.1, 2007.
  9. M. Y. Han, M. S. Jung,"Effect of Hospital Nurses's Perceptions of Organizationl Health and Patient Safety Culture on Patient Safety Nursing Activities", Journal of Korean Academy of Nursing Administration, Vol.23, No.2, pp.127-138, 2017. DOI: https://dx.doi.org/10.11111/jkana.2017.23.2.127
  10. M. K. Song, S. Y. Park, "The Effect of Teamwork of Nurses Job Satisfaction, Communication Competence and Social Problem Solving Abilty", Asia-pacific Journal of Multimedia Servies Convergent with Art, Humanities, and Sociology, Vol.8, No.10, pp.735-744, 2018. DOI: https://dx.doi.org/10.21742/AJMAHS.2018.10.23
  11. M. K. Seo, "A Study on Class Design of Clinical Critical Thinking: Focusing on Critical Thinking Skills for Nursing Education", The Korea Journal of General Education, Vol.7, No.5, pp.317-341, 2013.
  12. Y. H. Shin, S. Lee, H. S. Moon, D. Y. Jung, H. S. Lee, "Effects of Satir"s model Based Communication Education on Communication Competence, Emotional Intelligence and Depression-happiness of Regional Public Hospital Nurses", Journal of Korean Public Health Nursing, Vol.32, No.1, pp.122-134, 2018. DOI: http://dx.doi.org/10.5932/JKPHN.2018.32.1.122
  13. D. S. Ahn, Y. M. Lee, T. H. Lee, H. S. Kim, C. H. Han, J. M. Kim, B. C. Yun, J. J. Ryu, S. Kim, K. H. Park, Y. H. Lee, H. J. Kwon, "A Study on the Evaluation of Repair Education in Medical Field", Korea Ministry of Health and Welfare, 2013.
  14. J. H. Lee, S. S. Kim, K. S. Yeo, S. J. Cho, H. L. Kim, "Experiences among Undergraduate Nursing Students on High-fidelity Simulation Education: A Focus Group Study", Journal of Korean Academic Society of Nursing Education, Vol.15, No.2, pp.183-193, 2009. https://doi.org/10.5977/JKASNE.2009.15.2.183
  15. Fisher, D., & King, L.,"An integrative literature review on preparing nursing students through simulation to recognize and respond to the deteriorating patient", Journal of Advanced Nursing, Vol.69, No.11, pp.2375-2388. 2013. https://doi.org/10.1111/jan.12174
  16. E. J. Kim, K. R. Lee, "Relationship between Non-technical Skills and Resuscitation Performance of Nurses' Team in in-situ Simulated Cardiac Arrest.", Korean Journl of Adult Nursing, Vol.27, No.2, pp. 146-155, 2015. https://kjan.or.kr/DOIx.php?id=10.7475/kjan.2015.27. 2.146
  17. H. S. Jung, S. H. Kim, "The Development and Effect of the Patient Safety Education Program Using Simulated situation", Korea Academia-Industrial cooperation Society, Vol.20, No.12, pp.398-409, 2019. DOI: https://dx.doi.org/10.5762/KAIS.2019.20.12.398
  18. C. Leshin,, J. Pollock, C. Reigeluth. Instructional Design: Strategies and Tactics for Improving Learning and Performance. Englewood Cliffs, NJ: Educational Technology, 1992.
  19. H. M. Yang, S. Y. Hwang, "Reliability and Validity of the Assessment Tool for Measuring Communication Skills in Nursing Simulation Education", Korean Journl of Adult Nursing, Vol.28, No.1, pp.95-105, 2016. DOI: https://dx.doi.org/10.7475/kjan.2016.28.1.95
  20. H. J. Park, "Counseling Self-Efficacy and Empathic Ability of the Psychiatric Nurses", Master's thesis, Graduated shool of nursing at Ewha womans university, Seoul, pp. 1-71, 2012.
  21. J. Yoon, "A Study on the Critical Thinking Disposition of Nursing Students -Focusing on a School Applying Integrated Nursing Curriculum-", Journal of Korean Academy Nursing Administry, Vol.14, No.2, pp,159-166, 2008.
  22. W. S. Lee, S. H. Park, E. Y. Choi, "Development of a Korean Problem Solving Process Inventory for Adults", Journal of Korean Academy of Fundamentals of Nursing, Vol.15, No.4, pp.548-557, 2008.
  23. A. R. Kim, "A Study on Learning Outcome Perceived by Adult Learners in University Continuing Education Institutions", Journal of Korean Society for the Study of Lifelong Education, Vol.10, No.2, pp.129-165, 2004.
  24. E. J. Jeon, K. J. Lee, "A Study on Choice Motives and Job Satisfaction about Nurses who Changed Jobs to Public Hospitals", The Korea Journal of Occupational Health Nursing, Vol.26, No.1, pp.55-64, 2017. DOI: https://doi.org/10.5807/kjohn.2017.26.1.55
  25. H. K. Lee, "The Effect of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities in Public Hospital Nurses", Journal of Korean Academy Society of Home Health Care Nursing, Vol.26, No.2, pp.145-154, 2019. DOI: http://dx.doi.org/10.22705/jkashcn.2019.26.2.145
  26. H. M. Koo, "On the Reporting and Learning System for Patient Safety Events", Korea Institute for Health and Social Affairs, Vol.240, No.0, pp.46-59, 2016.
  27. Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., & AlKindi, S. N., "Patient safety culture among nurses", Internal International Nursing Review, Vol.62, No.1, pp.102-110, 2015. https://doi.org/10.1111/inr.12159
  28. H. M. Son, K. M. Sung, "The Mediating Effects of Self-efficacy in the Relationship between Communicative Competence within the Medical team and Turnover Intention in Hospital Nurses", Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.12, pp.300-309, 2017. DOI: http://dx.doi.org/10.5762/KAIS.2017.18.12.300
  29. M. A. Cho, "Development and the effects of a simulation-based education program on new nurses' communication competence", Master's thesis, Graduate School of Nursing and Health Professions, Seoul, 2018.
  30. Banerjee, S. C., Manna, R., Coyle, N., Penn, S., Gallegos, T. E., Zaider, T., Krueger, C. A., Bialer, P. A., Bylund, C. L., Parker, P. A., "The implementation and evaluation of a communication skills training program for oncology nurses", Translational Behavioral Medicine, Vol.7,No.3, pp.615-623, 2017. https://doi.org/10.1007/s13142-017-0473-5
  31. E. A. Ji, "Development and Evaluation of Extremely Low Birth Weight Infant Nursing Simulation Education Program for Nurses in Neonatal Intensive Care Unit", Master's thesis, Gachon University Graduated School of nursing, Kyungki, 2019.
  32. S. K. Jung, "Critical Thinking Disposition, Problem Solving Ability, and Clinical Competence in Nursing Students", Journal of Korean Academy of Fundamentals of Nursing, Vol.18, No.1, pp.71-78, 2011.
  33. Y. H. Lee, H. Y. Ahn, "The Effects of Simulation Education for New Nurses on Emergency Management Using Low-fidelity Simulator", Journal of Korean Academic Society of Nursing Education, Vol.25, No.3, pp.331-343, 2019. DOI: http://dx.doi.org/10.5977/jkasne.2019.25.3.331
  34. M. J. Kim, S. H. Kim, "Development and Effects a Simulation-based Emergency Airway Management Education Program for Nurses in a Neonatal Intensive Care Unit", Korean Academy of Child Health Nursing, Vol.25, No.4, pp.518-527, 2019. DOI: https://doi.org/10.4094/chnr.2019.25.4.518
  35. J. H. Ahn, J. Y. Kim, E. S. Hwang, "The effect of simulation-based education on critical thinking disposition, problem solving skills and nursing process confidence in college nursing students", Asia-pacific Journal of Multimedia Servies Convergent with Art, Humanities, and Sociology, Vol.9, No.7, pp.187-197, 2019. DOI: http://doi.org/10.35873/ajmahs.2019.9.7.017
  36. J. S. Yu, S. H. Hwang, Y. J. Choi, "Factors Influencing Problem Solving Ability among Dental Hygiene Students", The Korean Society of Dental Hygiene Science, Vol.13, No.4, pp.510-518, 2013.