• 제목/요약/키워드: Clinical safety

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치기공과 학생의 임상실습 환경과 안전에 관한 연구 (A Study about Clinical Training Environment and Safety of Dental Technology Students)

  • 정효경
    • 대한치과기공학회지
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    • 제38권4호
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    • pp.343-352
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    • 2016
  • Purpose: The intention of the study is to reveal the factors that influence the safety-behavior and safety-accident of the students of dental laboratory science. We intend to use the study as a basic data of searching effective ways to heighten the safety-behavior of clinical training and to prevent safety-accident. Methods: The survey was conducted on dental technology students. The collected data was analyzed by the statistical program SPSS 21.0. The results were analyzed by reliability, frequency, t-test, correlation, multiple regression. To test for significance on each item, p<0.05 has been decided as a standard. Results: The results of the study showed that the safety of the students was influenced by the school year, the leader of clinical training, clinical training environment and the experience of safety education. The safety-accident turned out to be influenced by the school year of the student and the safety behavior. Conclusion: Active leader of clinical training, clinical training environment that enables the safety-behavior, and the offering of the systematic safety education were the most important factors to heighten the safety behavior of the students and prevent the safety-accident. These factors were expected to not only induce the safety-behavior but also prevent the safety-accident as well.

임상실습 안전에 대한 간호대학생의 주관성 (Guarantee of Safety for the Patient: Subjectivity of unsafe clinical practice in Nursing Students)

  • 박은아
    • 수산해양교육연구
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    • 제29권2호
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    • pp.343-353
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    • 2017
  • Nursing students who are in clinical practices under the complicated medical environment to become competent practitioners can be exposed to a variety of dangerous situations. In particular, nursing students can experience stress and compromised safety because they have difficulty in prioritizing their tasks and lack confidence in clinical and interpersonal skills. The purpose of this study is to investigate the types and characteristics of nursing students' attitudes toward the safety of clinical practices, and improve their safety related to clinical practices. A total of 40 statements about the safety of clinical practices were applied to 37 nursing students. Collected data were analyzed with the PC QUANL program. The Perception of nursing students to the safety of clinical practices was categorized into three types: 'Pursuit of perfection in overwhelming state type', 'Perseverance Patience type' and 'Cover up-meeting expectation type'. The subjects related to the safety of clinical practices need to be developed within the curriculum of nursing departments by examining the Perception of nursing students to the safety of clinical practices. In addition, a sense of responsibility shared by nursing students, educators and practitioners needs to be enhanced to improve the safety of clinical practices.

마취·회복실 간호사의 환자안전문화와 환자안전역량이 안전간호활동에 미치는 영향 (Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms)

  • 김진주;정향미
    • 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.

설문조사를 통한 전문가 대상 예방접종 후 이상반응 관련 우선순위 연구주제 선정 기준모델 제시 (Selecting the Priority Research Topics Addressing Unmet Post-immunization Safety Needs: A Model for Generating Research Proposal and Designing a Questionnaire for the Clinical Experts)

  • 김현정;이혜성;김주환;윤동원;노윤하;신주영
    • 한국임상약학회지
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    • 제29권3호
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    • pp.173-185
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    • 2019
  • Objective: To gather inputs from clinical experts on selecting and prioritizing research topics, to address unmet vaccine safety needs. Methods: A questionnaire containing 15 vaccine safety assessment research proposals was sent to 28 vaccine experts chosen from various domestic medical association boards, and the rationale for each of the proposals was provided by presenting the following information: 1) a brief summary of the clinical safety studies on the vaccine, conducted by the Clinical Immunization Safety Assessment (CISA) project group, supervised by the United States Center for Disease Control (U.S. CDC), and 2) a summary of recently published studies that address vaccine safety issues. The experts were instructed to select and rank 5 topics in the order of preference, and the preference score for each proposed topic was calculated by assigning points on a scale of 1 to 5. Results: All 28 experts responded to the questionnaire, and the following topics were selected according to their calculated preference scores: 1) Human papillomavirus vaccine safety profile in the Korean female adolescents; 2) A signal detection of adverse events following Influenza vaccination: comparison between the US and South Korea; 3) Incidence of anaphylaxis following National Immunization Program vaccines between 2008 and 2017; 4) Safety of quadrivalent influenza vaccines compared to trivalent influenza vaccines; and 5) Pneumococcal vaccine safety profile in the general population. Conclusion: Five research topics addressing vaccine safety were selected, for which well-constructed research protocols need to be promptly developed to address current unmet vaccine safety needs in South Korea.

A Comparison of the Clinical Competence, Knowledge of Patient Safety Management and Confidence of Patient Safety Management according to Clinical Practice Experience of Nursing Students

  • Lim, Jae-Ran;Song, Hyo-Suk
    • 한국컴퓨터정보학회논문지
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    • 제26권7호
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    • pp.65-73
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    • 2021
  • 본 연구의 목적은 간호대학생의 임상실습 경험에 따른 임상수행능력, 환자안전관리지식 및 환자안전관리 수행자신감의 차이를 비교하기 위함이다. 간호대학생 3학년을 대상으로 임상실습을 경험한 73명, 임상실습을 경험하지 못한 35명으로 총 108명 분석하였다. 분석방법으로는 동질성 검정은 X2-test, 두 그룹간의 차이비교는 independent t-test로 분석하였다. 연구결과로 두 그룹간의 임상수행능력(t=.88, p=.377), 환자안전관리지식(t=-.29, p=.773) 및 환자안전관리 수행자신감(t=1.11 p=.267)의 차이는 통계적으로 유의하지 않았다. 두 그룹에서 각 변수의 하위영역별 가장 점수가 낮은 항목을 살펴보면, 첫째, 임상수행능력에서는 간호과정에 대한 영역에서 대체로 점수가 낮았고, 둘째, 환자안전관리 지식은 근접오류에 대한 개념에 대한 지식 측정 영역에서 가장 낮았으며, 셋째, 환자안전관리 수행자신감에서는 오류 발생 시 사건 보고서 작성에 대한 수행 자신감 영역에서 점수가 가장 낮은 것으로 확인되었다. 따라서 간호대학생의 임상수행능력의 질적 향상을 위해서 임상실습교육환경 개선이 절실하게 요구되며, 간호대학생의 환자안전관리 역량 증진 및 환자안전관리에 대한 올바른 태도 함양을 위해 전략적인 교육지침의 개발이 필요하다.

임상간호사의 비판적 성찰 역량, 전문직 자부심, 인간중심간호 수행이 환자안전간호활동에 미치는 영향 (Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities)

  • 이수빈;신수진
    • 중환자간호학회지
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    • 제16권3호
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    • pp.87-98
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    • 2023
  • Purpose : This descriptive survey investigated the effects of clinical nurses' critical reflection competency, professional pride, and person-centered care practices on patient safety management activities. Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey's HSD, Pearson's correlation coefficient, and multiple regression using SPSS 29.0. Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p =.010), education level (t=-2.56, p =.013), total work experience (F=3.87, p =.010), and the number of healthcare accreditation system experiences (F=5.22, p =.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p <.001), professional pride (r=.271, p <.001), and person-centered care practices (r=.399, p <.001). The results indicated that person-centered care practices affected patient safety management activities (𝛽=.358, p <.001) with the explanatory power of 22.5%. Conclusion : To improve clinical nurses' patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.

환자의 안전을 위한 입식 X선 촬영 보조기구 개발 및 유용성 평가 (The Development of Assistant Device for the Standing X-ray Views and Its Usability for the Patient Safety)

  • 길종원;김용권
    • 대한안전경영과학회지
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    • 제17권4호
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    • pp.223-229
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    • 2015
  • In this study, We designed and implemented a assistant device for the standing X-ray views which is the one of the clinical X-ray imaging position. To evaluate the usability of the proposed assistant device, We choose 11 clinical patient postures that are used frequently and applied the postures to 5 volunteers. 11 images was taken from a volunteer for the patient postures. And we conducted a survey on safety and clinical usefulness, the 5 volunteers responded to the safety and 5 experts responded to the clinical usefulness. The survey results show that the volunteers feel more safe and the obtained images are very clear and clinically useful. The result for the image quality is 4.69 of 5(best) and safety is 2.84 of 3(best). It will be very profitable to both patients and hospitals by using the proposed assistant device.

간호대학생의 비판적 사고성향과 임상의사결정능력 및 환자안전 지식, 태도가 임상실습 시 환자안전 수행능력에 미치는 융복합적 영향요인 (Convergence Factors Affecting Critical Thinking Disposition, Clinical Decision Making Ability, Patient Safety Knowledge and Attitude to Perform Safety Nursing Activities in Clinical Practice on Nursing Students)

  • 문미영;김지영
    • 디지털융복합연구
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    • 제16권12호
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    • pp.511-521
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    • 2018
  • 본 연구의 목적은 간호대학생의 비판적 사고성향과 임상의사결정능력 및 환자안전 지식, 태도가 임상실습 시 환자안전수행능력에 미치는 영향을 조사하고 이들 변수간의 관련성을 파악하여 환자안전수행능력의 향상을 위한 중재 프로그램 개발의 기초자료를 마련하기 위함이다. 자료분석은 SPSS 21.0 프로그램을 이용하여 t-tests, one-way ANOVA 등을 실시하였다. 연구결과, 대상자의 환자안전 수행능력은 비판적 사고성향(r=.278, p=.001)과 양적 상관관계,. 임상의사결정능력(r=.202, p=.014)과 양적 상관관계, 환자안전 태도(r=.421, p<.001)와 양적 상관관계가 있었다. 환자안전 수행능력에 미치는 영향요인은 성별(${\beta}=.175$, p=.031), 환자안전 교육(${\beta}=-2.266$, p=.025), 비판적 사고성향(${\beta}=3.354$, p=.001), 환자안전 태도(${\beta}=.368$, p<.001)로서 설명력은 31.5%의 영향력을 보였다(R2=.561, F=4.56 p<.001). 간호대학생의 임상실습 교육에 필요한 환자안전 수행능력을 증진하기 위해서 비판적 사고성향, 임상의사결정능력, 환자안전교육에 대한 교과 과정의 수립이 필요하다.

일부 임상치과위생사의 안전과 보건활동 관련성 (Relationship between safety and health activities of clinical dental hygienists)

  • 최혜정;박경화
    • 한국치위생학회지
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    • 제16권5호
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    • pp.717-723
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    • 2016
  • Objectives: The purpose of the study is to investigate the relationship between safety and health activities of clinical dental hygienists. Methods: A self-reported questionnaire was completed by 208 dental hygienists in Seoul, Gyeonggido, and Incheon from May 9 to June 30, 2016. The study was approved by institutional review board (IRB). The questionnaire consisted of general characteristics of the subjects (9 items) and safety activities (15 items), and health activities (17 items) by Likert 5 point scale. Except two incomplete answers, data were analyzed using SPSS 22.0 program. Results: The mean of safety activities and health activities was 3.04 and 3.55, respectively. A significant difference was shown in staff safety, facility safety, environmental safety, infection control, and dental technique control (p<0.001). Conclusions: A significant association was shown in safety and health activities of clinical dental hygienists. It is necessary to promote the safety and health activities for the clinical dental hygienists.

임상실습 경험이 있는 간호대학생의 환자안전 관리 활동 구조모형 (Model Patient Safety Management Activities for Nursing Students with Clinical Experience)

  • 오재우
    • 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.