• 의료법학
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• 제15권2호
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• pp.195-223
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• 2014

Nurses are medical care providers most closely associated with the national health. Their works are subdivided and specialized, and it is such a factor making nurse's role more important, and with the appearance of specialized nurses, they have secured a position as an independent medical care provider. As the domain of nurse's service becomes broader, there are more accidents and disputes related to nurses. However, there are not many studies conducted on such problems, and even when medical disputes take place related to nurses, the court does not make consistent judgments as a matter of fact. Besides, as the ambiguity of nurse's range of service and the lack of nursing workforce work as a factor causing nurse's medical malpractice, more legal discussions and studies are required to seek proper solutions to such problems. Thus, as a plan to clarify legal issues likely to occur due to nurse's medical practice, this study classified nurse's work into medical assistance practice and other jobs based on their own independent judgments, and proposed establishing concrete regulations on the range of their work, while reviewing common problems extracted from precedents related nurse's medical malpractice. Moreover, while examining Japanese precedents related to the Act of Medical Service Personnel, Nurses and Midwives, which is the sole act of nurses in Japan, this study reviewed the necessity of revising the present nurse-related regulations in Medical Service Act, or enacting a sole act of nurses.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2009년도 추계학술발표논문집
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• pp.495-497
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• 2009

본 첨단기기의 발전에 따라 의료분야에서도 사람들이 인지하고 있는 것보다 많은 위험요인이 존재한다고 알려지고 있다. 미국의 경우 병원환경의 안전성을 확보하기 위하여 정부와 의료계 모두 부단한 노력을 하고 있는 실정이다. 이에 본 연구는 4개 병원 350명의 의료인을 대상으로 환자안전에 대한 태도와 인식을 구조화된 설문을 통하여 진행하였다. 직종은 의사, 간호사, 약사, 의료기사로 구분하였다. 환자안전 개선을위해 적극적으로 노력하는 여부에 대하여 의사는 보통 또는 그렇지 않다고 39.5%가 응답한 반면, 보통이라고 간호사는 58.6%, 약사는 53.3%, 의료기사는 78.3%로 응답하였다(p=0.029). 환자안전 실수가 긍정적인 변화를 초래한다는 응답에 의사는 '매우 그렇지 않다'고 40.5%, 간호사는 '그렇지 않다'고 45.4%, 약사는 '보통'고 53.8%, 의료기사는 '그렇지 않다'고 54.5%가 응답해서 전반적으로 그렇지 않다고 생각하고 있는 것으로 나타났다(p=0.006). 병원내 환자안전에 대한 병원내 조직 문화를 살펴보고, 의료과오에 대한 논의와 의사소통의 현황을 파악하고, 의료인간의 환자안전에 대한 인식을 고취하여 보다 나은 환자안전 문화를 만들어야 할 것이라 생각된다.

• 한국콘텐츠학회논문지
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• 제16권10호
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• pp.522-532
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• 2016

본 연구에서는 수술실에서의 간호오류 예방을 위한 간호사 대상의 교육을 목적으로 문헌고찰과 실제 경험한 오류사례와 요구도 조사 및 수술실 사건보고서 자료 분석을 통하여 사진, 음성녹음, 플래시 애니메이션, 동영상 자료를 활용한 사례중심 멀티미디어 학습콘텐츠를 개발하였다. 1시간 분량의 학습콘텐츠는 4가지 학습영역으로 구성되었으며, 학습영역별로 성우의 음성과 함께 플래시애니메이션을 활용한 실제 간호오류 사례를 이야기 형식으로 제공함으로써 학습자로부터 흥미와 현장감을 높였다. 또한 각 영역별 사례를 통해 학습자에게 비판적 사고를 유도하였고 표준화된 수술실 간호업무프로토콜을 대처방안으로 제시함으로써 교육의 효과성을 높이고자 하였다. 본 연구에서 개발된 학습콘텐츠는 신규간호사 뿐만 아니라 경력 간호사의 수술실 간호오류 예방을 위한 교육용 자료로써 실무에서 활용될 수 있기를 바라며, 콘텐츠의 지속적인 수정 보완을 위한 시스템 마련과 지원이 필요할 것으로 본다.

• 간호행정학회지
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• 제5권1호
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• pp.113-136
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• 1999

There are some new trends in judgments concerning medical malpractice. which include emphasis on medical professionals' explanation duty in order to materialize patient's rights of self-determination. Now, patient is not a mere subject of medical and nursing care any more, but a subject, participating in medical practice on equal terms with medical professionals. Legal accountability is no limited to nurses in advanced practice: it is a recognized fact of life for every practicing nurse. whether she is an RN employed as a staff nurse in a hospital, a Certified Nurse-Midwife in independent practice or a patient's home. Therefore, it is essential for nurses to be as familiar as possible with the legal guidelines that govern their patient care responsibilities. However there are only a few studies focused on nursing negligence. To define nurse's civil liability in medical malpractice, it is necessary to indentify both legal nursing behaviors and nurse's due care in those nursing behaviors. So this paper focused on nurse's due care, especially in nursing malpractice. To clarify nurses' due care. chapter II has focused on nursing behavior and the scope of nursing practice based on the medical law and health care related study results. Chapter III deals with the content and scope of nurse's due care. Generally. negligence is defined as not doing something which a resonable person. guided by those ordinary considerations which or dinarily regulate human affairs. would do. or doing something which a resonable and prudent man would not do. Next. it describes how we can set the standard of due care in nursing practice. There is objective factors and subjective factors. And we also discuss about the limitation of due care in nursing practice. Finally. chapter IV deals with the case studies related to nursing negligence in the situation of determination. Now', patient is not a mere subject of medical and nursing care any more, but a subject participating in medical practice on equal terms with medical professionals. Legal accountability is not limited to nurses in advanced practice; it is a recognized fact of life for every practicing nurse. whether she is an RN employed as a staff nurse in a hospital. a Certified Nurse-Midwife in independent practice or a patient's home. Therefore, it is essential for nurses to be as familiar as possible with the legal guidelines that govern their patient care responsibilities. However. there are only a few studies focused on nursing negligence. To define nurse's civil liability in medical malpractice, it is necessary to identify both legal nursing behaviors and nurse's due care in those nursing behaviors. So this paper focused on nurse's intravenous injection. post operation nursing care. blood transfusion. and patient nursing care. The result of this paper is as follows. First. there are several cases dealing with nurse's negligence in nursing practice. however, those cases didn't judge nurse's due care based on individual -specific standard but general-objective standard. Second, there is a tendency to put an emphasis on the principal of belief to distinguish who has the liability in the case of medical malpractice among medical care team. So nurses shoud practice nursing care more actively to protect themselves and patients because there is an effort to form professional nurse system and the scope of nursing practice will be deeper and broader. Third, standard of care is a necessary element in establishing negligence. If a nurse is able to meet the standard of care, no breach will be found.