Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
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Convergence Study on the Factors Influencing Confidence in Performing Patient Safety Management of Nursing Students

간호대학생의 환자안전관리 수행자신감 영향요인에 관한 융합적 연구

  • 박정은 (광주여자대학교 간호학과)
  • Received : 2021.04.29
  • Accepted : 2021.06.20
  • Published : 2021.06.28
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Abstract

This study was conducted to identify factors influencinging confidence in performing patient safety management (PSM) of nursing students. The subjects of this study were 230 nursing students in four universities in two cities. Data were collected between June 22 and June 26, 2020 using by completing structured self report questionnaires. Data were analyzed using SPSS/WIN 21.0. programs. In correlation analysis, significant positive correlations were found between confidence in performing PSM, PSM knowledge(r=.321, p<.001), PSM attitude(r=.584, p<.001), and clinical decision making ability(𝛽=.460, p<.001). In multiple regression analysis, PSM attitude(𝛽=.35, p=.005) and clinical decision making ability(𝛽=.23, p<.001) were factors predicting confidence in performing PSM, which explained 34.2% of the variance in the model. Therefore, we emphasize that continuing customized convergence educational programs are required to improve nursing student's confidence in performing PSM.

본 연구는 간호대학생의 환자안전관리 수행자신감에 영향을 미치는 요인들을 확인하기 위해 수행하였다. 연구대상자는 국내 2개 도시, 4개 간호대학에 재학 중인 간호대학생 230명이었다. 자료수집은 2020년 6월 22일부터 6월 26일까지 시행되었고, 구조화된 자가보고식의 설문지 작성을 통해 수집하였다. 자료분석은 SPSS/WIN 21.0 program을 사용하였다. 상관분석 결과, 환자안전관리 수행자신감은 환자안전관리 지식(r=.321, p<.001), 태도(r=.584, p<.001), 임상의사결정능력(r= .460, p<.001)과 유의한 양의 상관관계가 있었다. 다중회귀분석 결과, 환자안전관리 태도(𝛽=.35, p=.005)와 임상의사결정능력(𝛽=.23, p<.001)은 환자안전관리 수행자신감에 유의한 영향을 미치는 것으로 확인되었으며, 회귀모형의 설명력은 34.2%였다. 그러므로 본 연구자는 간호대학생의 환자안전관리 수행자신감 증진을 위한 맞춤형 융합교육 프로그램을 개발할 것을 제언한다.

Keywords

Acknowledgement

This research was supported by a grant from the National Research Foundation in 2017(NRF-2017R1D1A1A09000996)

References

  1. T. Conner, J. Unsworth, & A. Machin. (2020). Patient safety from executive hospital management to wards: A qualitative study identifying factors influencing implementation. J Nurs Manag, 28(5), 1134-1143. DOI : 10.1111/jonm.13062.
  2. Agency for Health Research and Quality (AHRQ). (2013). Patient safety resources by setting. (Online). http://www.ahrq.gov/qual/patientsafetyculture/hospsurvindex.htm
  3. Institute of Medicine(IOM). (2000). To err is human: building a safer health system. Washington DC : National Academies Press.
  4. Korea Institute for Healthcare Accreditation. (2014). Survey process guide for hospital accreditation (version 2.0). Seoul: Korea Institute for Healthcare Accreditation
  5. Ministry of Health and Welfare & Korea Health Industry Development Agency. (2007). Guidelines for hospital evaluation programme. Policy-Healthcare-2007-20(Online). http://khna.or.kr/bbs/linkfile/2007/070527.pdf
  6. J. H. Park. (2011). Hospital worker's perception of patient safety culture in small & medium hospitals(Seoul, Incheon). Master's thesis. Gachon University, Incheon.
  7. The Joint Commission. (2015). 2015 national patient safety goals(Online). http://www.jointcommission.org/standards_information/npsgs.asp
  8. M. R. Lee. (2019). Influencing factors of satisfaction of clinical practice in nursing students in the convergence era. Journal of Convergence for Information Technology. 9(5). 55-64. DOI : 10.22156/CS4SMB.2019.9.5.055
  9. M. J. Lee & H. K. Kang. (2019). Experiences of patient safety accidents in general hospital nurses. The Journal of Korean Nursing Administration Academic Society, 9(2), 139-147. DOI : 10.22156/CS4SMB.2019.9.2.139
  10. S. H. Choi & H. Y. Lee. (2015). Factors affecting nursing students' practice of patient safety management in clinical practicum. The Journal of Korean Nursing Administration Academic Society, 21(2), 184-192. DOI : 10.11111/jkana.2015.21.2.184
  11. Y. S. Seo & E. S. Do. (2015). Influence of safety culture perception, safety control and safety management activities as perceived for nurses in nursing home. Journal of Digital Convergence, 13(9), 303-311. https://doi.org/10.14400/JDC.2015.13.9.303
  12. J. H. Park. (2011). Knowledge, attitude, and confidence on skill of nursing students toward patient safety. Master's thesis. Keimyung University, Daegu.
  13. M. S. Kim & Y. H. Kim. (2012). Development and evaluation of patient safety reporting promoting education program. Journal of the Korea Academia-Industrial Cooperation Society, 13(1). 284-295. DOI : 10.5762/KAIS.2012.13.1.284
  14. I. S. Kim., M. J. Park., M. Y. Park., H. N. Yoo & J. H. Choi. (2013). Factors affecting the perception of importance and practice of patient safety management among hospital employees in Korea. Asian Nursing Research, 7(1). 26-32. DOI : 10.1016/j.anr.2013.01.001
  15. H. S. Jeong, J. H. Kong & M. Y. Jeon. (2017). Factors influencing confidence in patient safety management in nursing students. Journal of the Korea Convergence Society, 8(6), 121-130 https://doi.org/10.15207/JKCS.2017.8.6.121
  16. M. Askarian, Z. A. Memish & A. A. Khan. (2007). Knowledge, practice, and attitude among Iranian nurses, midwives, and students regarding standard isolation precautions. Infection Control and Hospital Epidemiology, 28(2). 241-244. DOI : 10.1086/510868
  17. M. J. Park, I. S. Kim & Y. I. Ham. (2013). Development of a perception of importance on patient safety management scale (PI-PSM) for hospital employee. The Journal of the Korea Contents Association, 13(5). 332-341. https://doi.org/10.5392/JKCA.2013.13.05.332
  18. J. H. Park, & M. H. Park. (2014). Knowledge, attitude, and confidence on patient safety of undergraduate nursing students. Journal of Korean Academy Society Nursing Education, 20(1). 5-14. https://doi.org/10.5977/jkasne.2014.20.1.5
  19. H. M. Jenkins. (1985). A research tool for measuring perceptions of clinical decision making. Journalournal of professional nursing, 1(4), 221-229. https://doi.org/10.1016/S8755-7223(85)80159-9
  20. G. H. Beak. (2015). A study on reporting system on accident in patient safety-focusing on comparing the reforming medical law systems in Japan. Kangwon law review, 45(1). 325-351. https://doi.org/10.18215/kwlr.2015.45..325
  21. W. S. Madigosky, L. A. Headrick, K. Nelson, K. R. Cox, & T. Anderson. (2006). Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Academic Medicine, 81(1). 94-101. https://doi.org/10.1097/00001888-200601000-00022
  22. S. H. Son & J. S. Park. (2017). A study on nursing students' knowledge, attitude, confidence in performance and behavior of patient safety. The Korean Society for Fisheries and Marine Sciences Education, 29(4), 1043-1053. https://doi.org/10.13000/JFMSE.2017.29.4.1043
  23. Y. H. Hyun. (2015). Relationship among self-efficacy, attitude of patient safety, and safety performance in nursing students. Master's thesis. Keimyung University, Daegu.
  24. S. S. Huh & H. Y. Gang. (2015). Attitude of patient safety and patient safety management activity in nursing students. Journal of Korea Academia-Industrial Cooperation Society, 16(8), 5458-5467. https://doi.org/10.5762/KAIS.2015.16.8.5458
  25. J. M. Lee, S. J. Hong, & M. H. Park. Perception of patient safety culture and safety care activity among ICU nurses. (2013). Crisisonomy, 9(11). 273-290.
  26. H. N. Yoo & H. Y. Lee. (2014). The initial application of the patient safety management activity scale (PSM-A) for nursing students: Brief on reliability and validity. Journal of the Korean Data Analysis Society, 16(6B), 3423-3436.
  27. J. S. Lim. (2019). The factors affecting self-confidence in performing patient safety management nursing students. Master's thesis. Kwangju Women's University, Gwangju.
  28. S. S. Cho & M. H. Kang. (2013). Perception of patient safety culture and safety care activity of entry-level nurses. Korean Journal of Occupational Health Nursing, 22(1), 24-34. https://doi.org/10.5807/KJOHN.2013.22.1.24
  29. Y. R. Yeun. (2013). The impact of healthcare accreditation on patient safety and quality, job satisfaction and organizational commitment: About a general hospital. Journal of Korea Academia-In dustrial Cooperation Society, 14(4), 1820-1829. https://doi.org/10.5762/KAIS.2013.14.4.1820
  30. S. H. Choi & H. Y. Lee. (2014). Factors affecting nursing students' practice of patient safety management in clinical practicum. The Journal of Korean Nursing Administration Academic Society, 21(2). 184-192.
  31. H. S. Jeong, J. H. Kong, & M. Y. Jeon. (2017). Factors influencing confidence in patient safety management in nursing students. Journal of the Korea Convergence Society, 8(6), 121-130. DOI : 10.15207/JKCS.2017.8.6.121
  32. H. Y. Kim & E. S. Lee. (2013). Effects of perceived patient safety culture on safety care activities among nurses in general hospitals. Journal of East-West Nursing Research, 19(1), 46-54. https://doi.org/10.14370/jewnr.2013.19.1.046
  33. J. W. Tai., E. S. Mok., P. T. Ching., W. H. Seto & D. Pittet. Nurses and physicians' perceptions of the importance and impact of healthcare-associated infections and hand hygiene: A multi-center exploratory study in Hong Kong. Infection, 37(4), 320- 333. DOI : 10.1007/s15010-009-8245-x
  34. S. K. Chung. (2010). A structural model of safety climate and safety compliance of hospital organization employees. Doctoral dissertation. Yonsei University, Seoul.
  35. M. Nekoei-Moghadam, M. Raadabadi, & M. Heidarijamebozorgi. (2020). Patient safety culture in university hospital's emergency departments. A case study. Int J Health Plann Manage, 35(4), 852-858. DOI : 10.1002/hpm.2948.