DOI QR코드

DOI QR Code

신규간호사의 항암 투약 간호 지식, 수행도 및 교육 요구도가 항암 투약 오류에 미치는 영향

The influence of new nurses' knowledge, nursing performance, and educational needs of chemotherapy medication on chemotherapy medication errors

  • 송언정 (중앙대학교병원 간호본부) ;
  • 이규영 (중앙대학교 적십자간호대학)
  • 투고 : 2023.02.17
  • 심사 : 2023.04.14
  • 발행 : 2023.05.31

초록

Purpose: This study aimed to identify the factors affecting the chemotherapy medication errors made by new nurses and to use the results as basic data for the development of a chemotherapy medication nursing education program for new nurses. Methods: This cross-sectional study was conducted with 189 new nurses working at a general hospital and a tertiary general hospital in Korea. The data collection period was from January 11 to February 7, 2021. The data collected during this study were analyzed using the IBM SPSS statistics version 25.0 program. Data analysis included descriptive statistics, independent t-test, ANOVA, and logistic regression analysis. Results: One factor influencing chemotherapy medication errors was new nurses' educational needs (odds ratio=.18, p=.005). As educational needs increased, the probability of making errors in medication was reduced by .18. Conclusion: It is necessary to develop a chemotherapy medication education program tailored to the educational needs of new nurses by considering the education period, method, and content, with a focus on the content with high demand from new nurses.

키워드

참고문헌

  1. Public data portal. Ministry of Health and Welfare-Healthcare practitioner license (qualification) new registration status [Internet]. Sejong: Ministry of Interior and Safety; 2022 [cited 2023 April 18]. Available from: https://www.data.go.kr/data/15093758/fileData.do?recommendDataYn=Y
  2. Shin S, Park YW, Kim M, Kim J, Lee I. Survey on the education system for new graduate nurses in hospitals: Focusing on the preceptorship. Korean Medical Education Review. 2019;21(2):112-122. https://doi.org/10.17496/kmer.2019.21.2.112
  3. Choi GH. The effects of the organizational socialization education program on job satisfaction, organizational commitment and turnover intention of new nurses. The Korean Journal of Health Service Management. 2014;8(3):89-102. https://doi.org/10.12811/kshsm.2014.8.3.089
  4. Park GJ. The experience of parenteral medication administration by undergraduate nursing students [dissertation]. Seoul: Ewha Womans University; 2014. p. 1-99.
  5. Yun SH. A study on new graduate nurses' clinical experience of adaptation. Journal of Korean Academy of Nursing Administration. 2002;8(1):55-72.
  6. Government monitoring system. Mortality trends by major causes of death [Internet]. Daejeon: Statistics Korea; 2020 [cited 2021 August 8]. Available from: https://www.index.go.kr/unity/potal/main/EachDtlPageDetail.do?idx_cd=1012
  7. Oh CA, Yoon HS. Perception and experience of medication errors in nurses with tess than one year job experience. Journal of Korean Academy of Fundamentals of Nursing. 2007;14(1):6-17.
  8. de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: A systematic review. BMJ Quality & Safety. 2008;17(3):216-223. http://doi.org/10.1136/qshc.2007.023622
  9. Korea Patient Safety Reporting & Learning System. Reporting status by accident type [Internet]. Seoul: Korea Patient Safety Reporting & Learning System; 2020 [cited 2021 August 9]. Available from: https://statistics.kops.or.kr/biWorks/dashBoardMain.do
  10. Seo JY, Yi MS. Distress and quality of life in cancer patients receiving chemotherapy. Asian Oncology Nursing. 2015;15(1):18-27. https://doi.org/10.5388/aon.2015.15.1.18
  11. Webster CS, Anderson DJ. A practical guide to the implementation of an effective incident reporting scheme to reduce medication error on the hospital ward. International Journal of Nursing Practice. 2002;8(4):176-183. https://doi.org/10.1046/j.1440-172x.2002.00368.x
  12. Kim HR, Kwon IS. A phenomenological study on oncology adaptation experiences of new nurses. Asian Oncology Nursing. 2014;14(2):127-138. https://doi.org/10.5388/aon.2014.14.2.127
  13. Seo JY, Yi MS. Hermeneutic phenomenological study on caring experience of nurses working in a chemotherapy ward in Korea. Asian Oncology Nursing. 2017;17(1):55-67. https://doi.org/10.5388/aon.2017.17.1.55
  14. Kim SM, Hong SO, Chung HS, Park JY. Safe handling of cytotoxic drugs and use of personal protective equipment among nurses at a regional cancer center. Asian Oncology Nursing. 2018;18(4):206-213. https://doi.org/10.5388/aon.2018.18.4.206
  15. Park JS, Jun MH. Clinical nurses' level of compliance and related factors with work practice guidelines for personnel dealing with cytotoxic drugs. 2002 Autumn conference of Korean Journal of Adult Nursing; 2002 Dec 20; Yonsei University College of Nursing. Seoul: Korean Journal of Adult Nursing; 2002. p. 71.
  16. Park JY, Kawk M, Park H, Song SK, Yun J, Cho HJ, et al. Korean oncology nursing society guidelines on oral chemotherapy. Asian Oncology Nursing. 2017;17(4):201-212.  https://doi.org/10.5388/aon.2017.17.4.201
  17. Mun MY. Development and effects of web-based nursing education program for chemotherapy [dissertation]. Seoul: Hanyang University; 2017. p. 1-127.
  18. Yun JH, Seo MJ. The current status of intravenous infusion therapy education for new nurses and their needs for the education. Journal of Korean Clinical Nursing Research. 2020;26(1):59-74. https://doi.org/10.22650/JKCNR.2020.26.1.59
  19. Verity R, Wiseman T, Ream E, Teasdale E, Richardson A. Exploring the work of nurses who administer chemotherapy. European Journal of Oncology Nursing. 2008;12(3):244-252. https://doi.org/10.1016/j.ejon.2008.02.001
  20. Weingart SN, Zhang L, Sweeney M, Hassett M. Chemotherapy medication errors. The Lancet Oncology. 2018;19(4):e191-e199. https://doi.org/10.1016/S1470-2045(18)30094-9
  21. Kim JK, Song YS, Suh SR. The predictive factors of medication errors in clinical nurse. Journal of Health Informatics and Statistics. 2021;46(1):19-27. https://doi.org/10.21032/jhis.2021.46.1.19
  22. Taxis K, Barber N. Causes of intravenous medication errors: An ethnographic study. BMJ Quality & Safety. 2003;12(5):343-347. https://doi.org/10.1136/qhc.12.5.343
  23. Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: A technique to prevent chemotherapy errors. Clinical Journal of Oncology Nursing. 2006;10(3):393-398. https://doi.org/10.1188/06.CJON.393-398
  24. Jang KI, Kim SH. Educational needs in the development of a simulation based program on cancer patient nursing. Korean Journal Health Community. 2015;10(1):1-8. https://doi.org/10.15715/kjhcom.2015.10.1.1