Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Patient Safety Management Activities of Nursing University Students: Focus on the Theory of Planned Behavior

간호대학생의 환자안전관리활동: 계획된 행위이론을 중심으로

  • Received : 2022.01.05
  • Accepted : 2022.04.27
  • Published : 2022.04.30
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Abstract

Purpose: This study was undertaken to present an effective plan for the development of an educational program and a strategy to promote patient safety management activities for nursing students by identifying factors that affect these activities based on the theory of planned behavior. Methods: A self-report questionnaire was distributed to 300 nursing students who had clinical practice experience at three nursing colleges in Daejeon, Gyeongbuk, and Jeonbuk. The significance of the model fit, and the path effect was confirmed by confirmatory factor analysis. Results: The hypothetical model for patient safety management activities was appropriate. Among the 5 pathways, 4 were significant. It was found that behavioral intention had a direct influence on patient safety management activities, and perceived behavioral control and attitude had an influence on behavioral intention. Conclusion: To strengthen the perceived behavioral control of nursing students' patient safety management activities, it is necessary to analyze and remove obstacles and provide education that reflects the characteristics of the subject's health problems. In addition, through self-directed learning involving simulation practice, nursing students should be exposed to patient safety accidents, so that they can recognize the risks early and solve problems through critical thinking while bringing about the necessary changes in their attitude.

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References

  1. Ajzen, I. (2005). Attitudes, personality, and behavior (2nd ed.). New York: Open University Press.
  2. Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314-324. https://doi.org/10.1002/hbe2.195
  3. DeBourgh, G. A., & Prion, S. K. (2012). Patient safety manifesto: A professional imperative for prelicensure nursing education. Journal of Professional Nursing, 28(2), 110-118. https://doi.org/10.1016/j.profnurs.2011.05.001
  4. Fan, C. W., Chen, I. H., Ko, N. Y., Yen, C. F., Lin, C. Y., Griffiths, M. D., & Pakpour, A. H. (2021). Extended theory of planned behavior in explaining the intention to COVID-19 vaccination uptake among mainland Chinese university students: An online survey study. Human Vaccines & Immunotherapeutics, 1-8. https://doi.org/10.1080/21645515.2021.1933687
  5. Goldman, J., Smeraglio, A., Lo, L., Kuper, A., & Wong, B. M. (2021). Theory in quality improvement and patient safety education: A scoping review. Perspectives on Medical Education, 10(6), 319-326. https://doi.org/10.1007/s40037-021-00686-5
  6. Herron, E. K. (2018). New graduate nurses' preparation for recognition and prevention of failure to rescue: A qualitative study. Journal of Clinical Nursing, 27(1-2), e390-e401. https://doi.org/10.1111/jocn.14016
  7. Javadi, M., Kadkhodaee, M., Yaghoubi, M., Maroufi, M., & Shams, A. (2013). Applying theory of planned behavior in predicting of patient safety behaviors of nurses. Materia Socio-Medica, 25(1), 52-55. https://doi.org/10.5455/msm.2013.25.52-55
  8. Jeong, H. S., Gong, J. H., & Jeon, M. Y. (2017). Factors affecting confidence in patient safety management performance of nursing students. Journal of the Korea Convergence Society, 8(6), 121-130. https://doi.org/10.15207/JKCS.2017.8.6.121
  9. Jeong, S. Y., & Kim, K. M. (2016). Influencing factors on hand hygiene behavior of nursing students based on theory of planned behavior: A descriptive survey study. Nurse Education Today, 36, 159-164. https://doi.org/10.1016/j.nedt.2015.09.014
  10. Jeong, S. Y., & Kim, O. S. (2012). The structural model of hand hygiene behavior for the prevention of healthcare-associated infection in hospital nurses. Korean Journal of Adult Nursing, 24(2), 119-129. https://doi.org/10.7475/kjan.2012.24.2.119
  11. Kang, M., Jang, Y., & Song, U. R. (2020). Factors affecting the patient safety management activity of nursing students: A quantile regression approach. Journal of Korean Academy of Nursing Administration, 26(3), 230-240. https://doi.org/10.11111/jkana.2020.26.3.230
  12. Kim, M. R. (2011). Concept analysis of patient safety. Journal of Korean Academy of Nursing, 41(1), 1-8. https://doi.org/10.4040/jkan.2011.41.1.1
  13. Kim, N. Y., & Jeong, S. Y. (2019). Patient safety management activities of clinical nurse: A modified theory of planned behavior. Journal of Korean Academy of Nursing Administration, 25(5), 384-392. https://doi.org/10.11111/jkana.2019.25.5.384
  14. Kim, N. Y., & Jeong, S. Y. (2021). Perioperative patient safety management activities: A modified theory of planned behavior. Plos One, 16(6), 1-10. https://doi.org/10.1371/journal.pone.0252648
  15. Lee, J. Y., & Lee, S. H. (2017). The effect of nursing college students' patient safety culture attitude and practice of patient safety management on satisfaction with clinical practice. Korean Journal of Safety Management and Science, 19(4), 125-132.
  16. Mitchell, R. J. (2001). Path analysis: Design and analysis of ecological experiments. New York: Oxford University Press.
  17. Moon, J. E., & Song, M. O. (2017). A convergence study about the performance of healthcare-associated infection control guidelines of hospital nurses-based on the theory of planned behavior. Journal of the Korea Convergence Society, 8(5), 117-125. https://doi.org/10.15207/JKCS.2017.8.5.117
  18. Murray, M., Sundin, D., & Cope, V. (2019). New graduate nurses' understanding and attitudes about patient safety upon transition to practice. Journal of Clinical Nursing, 28(13-14), 2543-2552. https://doi.org/10.1111/jocn.14839
  19. Park, H. H., & Kim, S. K.. (2019). A structural equation model of nurses' patient safety management activities. Journal of Korean Academy of Nursing, 25(2), 63-72. https://doi.org/10.11111/jkana.2019.25.2.63
  20. Park, J. H., & Park, M. H. (2014). Nursing students' knowledge, attitudes and confidence in patient safety. Korean Journal of Nursing Education, 20(1), 5-14.
  21. Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and safety: The QSEN competencies redefine nurses' roles in practice. The Journal of Nursing Administration, 44(10), 15-22. https://doi.org/10.1097/nna.0000000000000124
  22. Song, M. O., & Moon, J. E. (2018). A study on the patient safety management activities of nursing students. Journal of the Korea Convergence Society, 9(9), 379-388. https://doi.org/10.15207/JKCS.2018.9.9.379
  23. Vaismoradi, M., Jordan, S., Turunen, H., & Bondas, T. (2014). Nursing students' perspectives of the cause of medication errors. Nurse Education Today, 34(3), 434-440. https://doi.org/10.1016/j.nedt.2013.04.015
  24. Torkaman, M., Sabzi, A., & Farokhzadian, J. (2022). The effect of patient safety education on undergraduate nursing students' patient safety competencies. Community Health Equity Research & Policy, 42(2), 219-224. https://doi.org/10.1177/0272684x20974214
  25. Van Schaik. S. M., Chang, A., Fogh, S., Haehn, M., Lyndon, A., O'Brien, B., O'Sullivan, P., Ranji, S., Rosenbluth, G., Sehgal, N., Tabas J., & Baron R. (2019). Jump-starting faculty development in quality improvement and patient safety education: A team-based approach. Academic Medicine, 94(11), 1728-1732. https://doi.org/10.1097/acm.0000000000002784
  26. Weaver, S., Stewart, K., & Kay, L. (2021). Systems-based investigation of patient safety incidents. Future Healthcare Journal, 8(3), e593-e597. https://doi.org/10.7861/fhj.2021-0147
  27. Wollast, R., Schmitz, M., Bigot, A., & Luminet, O. (2021). The theory of planned behavior during the COVID-19 pandemic: A comparison of health behaviors between Belgian and French residents. PloS one, 16(11), e0258320. https://doi.org/10.1371/journal.pone.0258320
  28. Woo J. P. (2012) Structural equation model concept and understanding: Amos 4.0-20.0. Seoul: Hannarae.
  29. World Health Organization. (2017). Patient safety: making health care safer. Retrieved September 28, 2021, from https://apps.who.int/iris/handle/10665/255507
  30. Yoo, H. N., & Lee, H. Y. (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.