Browse > Article

Nurses' learning experiences from falling accidents on patient safety  

Yoon, Seon-Hee (Incheon St. Mary's Hospital, Graduate School of Healthcare Management & Policy, The Catholic Univ. of Korea)
Kim, Kwang-Jum (Graduate School of Healthcare Management & Policy, The Catholic Univ. of Korea, Institute of Healthcare Management)
Publication Information
Korea Journal of Hospital Management / v.20, no.2, 2015 , pp. 1-14 More about this Journal
Abstract
Purpose : The aim of this article is to describe the nurses' experiential learning mechanism on patient safety. Methods : To analyze nurses' learning experiences on patient safety cases, a focus-group interview method was used. The Kolb's experiential learning model was used as a reference model. Findings : Without deep reflective reasoning about specific experiences, there is no creative or innovative solutions to experiment actively. Nurses are likely to be reluctant learners when there is no systemic support from formal departments which is in charge of patient safety and quality of care. Conclusion : In order to build patient safety culture in hospital, there should be efforts to make nurses as active learners on patient safety as well as to build learning environments in medical units.
Keywords
Patient safety; nurse's experience; experiential learning; Kolb;
Citations & Related Records
연도 인용수 순위
  • Reference
1 김기경, 송말순, 이계숙, 허혜경(2006). 병원 간호사의 사건 보고불이행 경험 여부에 영향을 미치는 요인. 간호행정학회지, 12(3): 454-463
2 김윤이(2009). 병원간호사의 환자안전문화에 대한 인식. 전북대학교 대학원 석사학위논문, 1-53
3 김정은, 안경애, 윤숙희(2004). 환자안전과 관련된 병원 환경 및 의사소통 과정에 대한 한국 간호사의 인식조사. 대한의료정보학회지, 10(1): 130-135
4 김한별 외(2010). 성인 경험학습의 이해 : 이론과 실제, 서울: 동문사
5 노이나(2008). 병원 근무 직종별 환자안전문화에 대한 인식 분석. 연세대학교 간호대학원 석사학위논문, 1-59
6 이상일(2001). 의료의 질과 위험관리. 서울대 의료관리학 교실
7 AHRQ(2004). Hospital survey on patient culture. AHRQ Publication. No. 04-0041. http://www.ahrq.gov/qual/hospculture/hospcult.pdf
8 Bates, D. W., & Gawande, A. A(2000). Error in medicine: what have we learned? Annals of Internal Medicine, 132(9): 763-767   DOI
9 Beasley, J. W., Escoto, K. H., & Karsh, B(2004). Design Elements for a primary care medical error reporting system, Wisconsin Medical Journal, 103(1): 56-59
10 Dewey, J(1938). Experience and education. New York: Collier Books
11 Elder, N. C., Graham, D., Brandt, E., & Heickner, J(2007). Barriers and motivators for making error reports from family medicine offices: A report from the American Academy of Family Physicians National Research Network (AAFP NRN). Journal of the American Board of Family Medicine, 20: 115-123   DOI
12 Elder, N. C., Brungs, S. M., Nagy, M., Kudel, I., & Render, M. L(2008). Nurse's perceptions of error communication and reporting in the intensive care unit. Journal of Patient Safety, 4: 162-168   DOI
13 Institute of Medicine(2001). Crossing the Quality Chasm: A New Health System for the 21st Centry, Washington DC, National Academy Press
14 Kohn, L.T., Corrigan, J.M., & Donaldson, M.S(2000). To err is human: building a safer health system Washington DC: National Academy Press National Academy Press
15 P J Pronovost, B Weast, C G Holzmueller, B J Rosenstein, R P kidwell, K B Haller, E R Feroli, J B Sexton, H R Rubin(2003). Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care, 12: 405-410   DOI
16 Kolb D.A(1984). Experiential Learning, Englewood Cliffs NJ, Prentice-hall
17 Krueger, R. A(1988). Focus groups: a practical guide for applied research, Newbury Park, CA: Sage
18 Krueger, R. A., & Casey, M. A(2000). Focus Groups. A Practical Guide for Applied Research (3rd.). Thousand Oaks, CA: Sage
19 Lincoln YS, Guba E(1985). Naturalistic Inquiry. Newbury Park, CA: Sage
20 Nonaka, I., Toyama, R., and P. Byosiere(2001). A Theory of Organizational Knowledge Creation: Understanding the Dynamic Process of Creating Knowledge. In Dierkes, M., Berthoin Antal, A., Child, J. and I. Nonaka (eds.) Handbook of Organizational Learning and Knowledge Creation. Oxford. pp.491-517.
21 Reason, J. (1997). Managing the Risks of Organizational Accidents. Ashgate.