• 산업융합연구
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• 제18권2호
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• pp.9-18
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• 2020

본 연구의 목적은 간호대학생의 환자안전간호와 관련된 요인을 융·복합적 측면에서 체계적으로 고찰하고, 메타분석을 통해 관련 요인의 효과크기를 파악하는 것이다. 연구방법은 문헌검색은 Medline, Embases, CINAHL, DBpia, Research Information Service System(Riss), Korean Studies Information Service System(Kiss)을 이용하였으며, 국외 데이터베이스는 MeSH용어와 Emtree를 활용하여 검색하였다. 검색식은 [(patient safety or patient harm or safety management) and (students, nursing)] or [(patient safety or patient harm or safety management) and (education, nursing, graduate)] 이었다. 문헌선정은 PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-Analyses)를 이용하였다. 연구결과 관련 요인으로는 간호수행, 지식, 태도, 자신감, 인식 및 인지 등이 확인되었고, 그 중 환자안전간호 수행과 관련성이 높은 요인에는 자신감, 태도, 인식, 지식 순으로 파악되었다.

• 한국산학기술학회논문지
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• 제16권8호
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• pp.5458-5467
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• 2015

본 연구는 간호대학생의 환자안전에 대한 태도와 환자안전관리활동 정도를 확인하고 환자안전관리활동에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상은 G시와 J도에 소재한 3개 대학에서 1년 이상 임상실습 경험이 있는 4학년 간호대학생 241명을 대상으로 하였다. 자료수집은 2015년 3월 27일부터 4월 17일까지 설문조사를 하였고, 수집된 자료는 SPSS 21.0을 이용하여, 기술통계, t-test, one way ANOVA, Pearson's correlation, multiple regression으로 분석하였다. 연구결과, 환자안전에 대한 태도는 3.68점, 환자안전관리활동은 4.03점이었으며, 환자안전관리활동은 임상실습기간(p=.020)과 임상실습만족도(p=.026)에 따라 유의한 차이가 있었고, 환자안전에 대한 태도와 환자안전관리활동은 유의한 양의 상관관계가 있었다(p<.001). 대상자의 환자안전관리활동에 영향을 미치는 요인은 임상실습만족도, 환자안전에 대한 태도 순이었다. 본 연구를 기초로 하여 간호대학생의 환자안전관리활동 영향요인을 고려한 체계적인 교육프로그램 개발이 요구된다.

• 임상간호연구
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• 제26권2호
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• pp.164-174
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• 2020

Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. Results: Safety nursing activity was significantly different in relation to nurses' level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.

• 한국치위생학회지
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• 제16권6호
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• pp.863-877
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• 2016

The study aimed to investigate the influence of perceived patient safety culture on patient safety management activity in the dental hygienists. Methods: A self-reported questionnaire was completed by 292 dental hygienists in Seoul, Incheon and Gyeonggido from March 1 to April 8, 2016. The questionnaire consisted of general characteristics of the subjects (9 items), patient safety culture (44 items), and patient safety management activity (25 items) by Likert 5 point scale. Data were analyzed by t test, one way ANOVA, stepwise multiple regression test, and post-hoc Tukey test using SPSS 18.0 program. Results: The perceived patient safety culture was 3.50 on average. Entire organization was the highest score (3.68) and followed the communication process (3.55), the environment of work unit (3.47), the attitude of supervisor/manager (3.45), and the frequency of events reported (2.98). The average of patient safety management activity was 3.71. As for the factors of patient safety culture on patient safety management activity, communication process was the most influential factor (${\beta}=0.268$), and followed the entire organization (${\beta}=0.265$), the environment of work unit (${\beta} =0.166$), the frequency of events reported (${\beta}=0.104$), and among the control variables. Work place proved to be the only significant variable. Conclusions: In order to promote patient safety management activity of dental institutions, the patient safety culture should be created and established. The influence of communication process and patient safety culture at entire organization level was huge. So the environment of work unit and the perceived patient safety culture in the process of reported events were influencing factors. The strategy for patient safety management activity should be considered because of low level of perceived patient safety culture.

• 대한간호학회지
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• 제52권4호
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• pp.378-390
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• 2022

Purpose: This study developed an in-service training program for patient safety and aimed to evaluate the impact of the program on nurses in the operating room (OR). Methods: A pretest-posttest self-controlled survey was conducted on OR nurses from May 6 to June 14, 2020. An in-service training program for patient safety was developed on the basis of the knowledge-attitude-practice (KAP) theory through various teaching methods. The levels of safety attitude, cognition, and attitudes toward the adverse event reporting of nurses were compared to evaluate the effect of the program. Nurses who attended the training were surveyed one week before the training (pretest) and two weeks after the training (posttest). Results: A total of 84 nurses participated in the study. After the training, the scores of safety attitude, cognition, and attitudes toward adverse event reporting of nurses showed a significant increase relative to the scores before the training (p < .001). The effects of safety training on the total score and the dimensions of safety attitude, cognition, and attitudes toward nurses' adverse event reporting were above the moderate level. Conclusion: The proposed patient safety training program based on KAP theory improves the safety attitude of OR nurses. Further studies are required to develop an interprofessional patient safety training program. In addition to strength training, hospital managers need to focus on the aspects of workflow, management system, department culture, and other means to promote safety culture.

• 한국치위생학회지
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• 제15권1호
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• pp.101-109
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• 2015

Objectives: The purpose of the study is to investigate the knowledge and attitude towards radiation protection after radiation safety management education in dental hygiene students. Methods: After receiving informed consents, a self-reported questionnaire was carried out for 135 dental hygiene students in Busan on June 17 for preliminary survey and September 3 for post-education survey, 2011. The questionnaire was modified from Han and consisted of 5 questions of general characteristics, 6 questions of radiation use, 7 questions of scholastic characteristics, 15 questions of knowledge towards radiation safety management, and 15 questions of attitude towards radiation safety management. Cronbach's alpha was 0.808 in the knowledge towards radiation safety management. Attitude towards radiation safety management included 15 questions of general attitude towards radiation safety management, individual and patient, and attitude toward radiation exposure reduction measured by Likert 5 scale. Cronbach's alpha was 0.970 in the attitude towards radiation safety management. Data were analyzed using SAS version 9.2 for educational analysis, technical analysis and multivariate analysis, paired t-test, and GLM. Results: Significant differences were shown in the knowledge and attitudes towards radiation safety management; the level of knowledge was respectively $9.8{\pm}3.0$ and $12.9{\pm}1.9$ points before and after education, and the level of attitude was $4.28{\pm}0.51$ and $4.53{\pm}0.47$ before and after the education. The levels of knowledge and attitude according to general characteristics showed a significant differences in grade and academic results. Post-education survey suggested that the education is very important and necessary and can change the knowledge and attitude towards radiation safety management in the dental hygiene students. Conclusions: Through the radiation safety management education, the levels of knowledge and attitude towards radiation safety management have changed significantly, which showed that the radiation safety management education proved to be very effective. Therefore, an effective radiation safety management education program is necessary to improve the levels of knowledge and attitude towards radiation safety management in the dental hygiene students.

• 산업융합연구
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• 제22권3호
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• pp.121-135
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• 2024

본 연구는 임상실습 경험이 있는 간호대학생을 대상으로 환자안전사고관리 활동을 설명하고 Ajzen의 계획된 행위이론 및 안전문화 풍토-안전행동모형을 개념적 기틀로 하고, 문헌고찰을 토대로 간호대학생의 환자안전사고관리활동의 가설적 모형을 제시하고, 수집된 자료를 통해 모형의 적합도와 가설을 검증하는 구조방정식 모형 구축연구이다. 연구 대상은 임상실습 경험이 있는 간호대학생 251명을 대상으로 구조화된 설문지를 이용하여 자료수집을 시행하였다. 본 연구결과 모형은 적합한 것으로 확인되었으며 간호대학생의 환자안전관리 활동에 영향을 미치는 예측변수로 환자안전관리 태도, 환자안전문화 및 안전동기임이 확인되었다. 따라서 환자안전관리활동을 향상을 위해서는 임상 실습 현장에서부터 졸업 후 임상에 나가기 전까지 간호대학생이 올바른 환자안전 관리행위를 올바르게 수행할 수 있도록 간호대학생 대상 효과적인 환자안전 사고관리 교육프로그램이 필요하며 이러한 교육 프로그램이 실무현장까지 연속성있게 이어지는 방안을 모색할 필요가 있겠다.

• 근관절건강학회지
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• 제26권1호
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• pp.35-45
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• 2019

Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activities among clinical nurses and to identify factors associated with the safety care activities. Methods: Structured questionnaires were used to collect data from 155 nurses who were involved in direct patient-care. Results: Descriptive statistical anaylses revealed that the mean score of patient safety culture was $3.26{\pm}0.32$ and $4.19{\pm}0.41$ was for the safety care activities. In incident reporting, reporting intention ($3.56{\pm}0.68$), belief in improvement ($3.42{\pm}0.60$), worry about appraisal ($3.37{\pm}0.65$) and reporting knowledge ($3.36{\pm}0.72$) respectively. Correlational analyses showed that perceived patient safety culture (r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting were positively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negatively correlated. The factors associated with safety care activities were incident reporting knowledge (${\beta}=.31$, p<.001), supervisor/managers' attitudes toward patient safety culture (${\beta}=.29$, p<.001), belief in improvement of incident reporting attitude (${\beta}=.16$, p=.041). Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessary to educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety and to provide positive feedback on incident reporting.

• 디지털융복합연구
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• 제19권9호
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• pp.453-461
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• 2021

본 연구는 중소병원 간호사의 환자안전에 대한 태도, 도덕적 민감성, 표준주의지침 수행과의 관련성을 파악하고, 표준주의지침 수행에 영향을 미치는 요인을 규명하기 위해 시도되었다. 자료수집은 2021년 1월 11일부터 1월 22일까지 중소병원에 근무하는 150명의 간호사를 대상으로 설문조사를 시행하였다. 자료분석은 Descriptive statistics, Independent t-test, one-way ANOVA, Pearson's correlation coefficient, Multiple regression analysis를 이용하였다. 연구결과 표준주의지침 수행에 환자안전에 대한 태도 (r=.539, p<.001), 도덕적 민감성(r=.249, p=.002)에 유의한 상관관계가 있는 것으로 나타났다. 다중회귀분석결과 중소병원 간호사의 표준주의지침 수행에 영향을 미치는 요인은 환자안전에 대한 태도와 근무부서로 설명력은 33.8%이었다(F=18.47, p<.001). 연구결과를 통해 중소병원 간호사의 표준주의지침 수행을 높이기 위해서는 환자안전에 대한 올바른 태도를 정립할 수 있는 교육프로그램 개발이 필요하다.

• 디지털융복합연구
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• 제17권10호
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• pp.283-291
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• 2019

본 연구는 간호대학생의 윤리적 가치관이 환자안전에 대한 태도에 미치는 영향을 규명하고자 시도된 서술적 조사연구이다. 연구대상자는 S지역 2개 대학의 간호학 전공 4학년 학생 179명이며, 2017년 8월 21일부터 9월 15일까지 설문조사 하였고. 수집된 자료는 SPSS 24.0 Version을 이용하여 분석 하였다. 연구결과 연구대상자의 환자안전에 대한 태도 수준은 3.74점으로 중간단계였다. 윤리적 가치관의 대상자관계영역과 간호업무영역, 협동자관계영역은 환자안전에 대한 태도와 양의 상관, 인간생명영역은 음의 상관이 있는 것으로 나타났다. 환자안전에 대한 태도에 유의하게 영향을 미치고 있는 변수는 일반적 특성의 학업성적, 전공만족이며 윤리적 가치관의 하위영역인 대상자관계영역, 인간생명영역, 간호업무영역이었고 이들 변수의 설명력은 38.6% 이었다. 이러한 결과가 간호대학생의 교육 정책 개발 시 고려되어야하며 추후 효과 검증을 위한 연구가 요구된다.