• Journal of Convergence for Information Technology
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• v.11 no.7
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• pp.67-74
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• 2021

The purpose of this study was to investigate the safety motivation, confidence in performance, and behavior of safety management and to identify the factors affecting behavior of safety management targeted nursing students. Subjects were 127 nursing students and data were collected by questionnaires from December 1 to December 20, 2020. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficients and multiple regression analysis. Safety motivation was positive correlated with confidence in performance, and behavior of safety management. Confidence in performance was positive correlated with behavior of safety management. Safety motivation and confidence in performance were main factors that affects behavior of safety management. These results suggest to develop education intervention program that include safety motivation, confidence in performance in order to improve behavior of safety management of nursing students.

• Journal of Digital Convergence
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• v.17 no.2
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• pp.265-273
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• 2019

The Purpose of this study was to investigate the attitude and confidence of patient safety in undergraduate healthcare professions students. The subjects consisted of 145 grade 3,4 students who have had clinical practice in nursing and emergency medical technician schools in a J province from June 1st to 30th in 2016. Data were analyzed with SPSS 21.0 using descriptive statistics. The results of the study showed that the attitude of nursing students were more positive, but there was no difference in patient safety self-confidence and patient safety education experience, and the students who had experienced medical errors saw positive attitude and self-confidence. Based on the results of this study, I propose case-based multidisciplinary contents development to nurture emergency healthcare professions

• Journal of Convergence for Information Technology
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• v.11 no.6
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• pp.73-82
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• 2021

This study was conducted to identify factors influencinging confidence in performing patient safety management (PSM) of nursing students. The subjects of this study were 230 nursing students in four universities in two cities. Data were collected between June 22 and June 26, 2020 using by completing structured self report questionnaires. Data were analyzed using SPSS/WIN 21.0. programs. In correlation analysis, significant positive correlations were found between confidence in performing PSM, PSM knowledge(r=.321, p<.001), PSM attitude(r=.584, p<.001), and clinical decision making ability(𝛽=.460, p<.001). In multiple regression analysis, PSM attitude(𝛽=.35, p=.005) and clinical decision making ability(𝛽=.23, p<.001) were factors predicting confidence in performing PSM, which explained 34.2% of the variance in the model. Therefore, we emphasize that continuing customized convergence educational programs are required to improve nursing student's confidence in performing PSM.

• The Journal of the Korea Contents Association
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• v.13 no.5
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• pp.332-341
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• 2013

The purpose of this study was to develop a perception of importance on patient safety management scale (PI-PSM) for Hospital Employee. The PI-PSM was developed and vallidated as follows: item generation, vertification of content validity, pilot study, and test of validity and reliability. In order to verify preliminary instrument, data was collected from 280 hospital employees. Data were analyzed by Varimax factor analysis and Cronbach's ${\alpha}$. There were 21 items in final instrument categorized into 4 factors as 'concern about patient safety management (7 items)', 'confidence about patient safety management (5 items)', 'will for patient safety management (5 items)', and 'recognition about patient safety management (4 items)'. The total varience explanined was 60.4%. The internal consistency, Cronbach's ${\alpha}$. was .86, and reliability of the sucscales ranged from .69 to .87. The results of this study may useful to assess the perception of importance on patient safety management.

• Journal of Digital Convergence
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• v.17 no.11
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• pp.279-288
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• 2019

The aim of this study was to identify the factors related to the practice of patient safety management (PSM) in nursing college students. The participants comprised 139 students in a nursing college. Data collection was conducted for five days from November 26, 2018 to November 30, 2018. The data were analyzed using descriptive statistics, paired t-test, independent t-tests, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and a multiple regression analysis. The total score for practice of PSM was $4.25{\pm}0.48$ out of a maximum of 5. Practice of PSM had a statistically significant relationship with attitude (r=.39, p<.001), confidence (r=.43, p<.001), and perception of the importance (r=.54, p<.001). The factors affecting practice of PSM were perception of the importance (${\beta}=.43$, p<.001) and confidence (${\beta}=.26$, p=.001); the explanatory power of the model was 38%. Therefore, it is necessary to include the perception of importance of PSM and confidence in the practice of PSM by nursing college students.

• Journal of Digital Convergence
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• v.17 no.11
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• pp.409-417
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• 2019

This study was done to identify the effects of the inter-professional education program on the knowledge, attitude, and self-confidence of patient safety in the clinical practice of nursing, physical therapy and biomedical laboratory students. Each week for 6 weeks, a lecture and group discussion were given to twenty-nine students. Data were collected by self-administered questionnaire and interview. The knowledge and self-confidence were increased but the attitude was not changed. Students showed the increased their awareness of patient safety and the importance of collaboration with other occupational groups. It is necessary to establish a inter-professional education program between departments to enhance the ability to work collaboratively based on good communication along with knowledge, attitude in clinical settings.

• Health Policy and Management
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• v.29 no.2
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• pp.228-236
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• 2019

Background: This study investigates the impact of weekend admission with a patient safety indicator (PSI) on 30-day mortality among long-term insurance beneficiaries. Methods: Data were obtained from the National Health Insurance Service-Senior claim database from 2002 to 2013. To obtain unbiased estimates of odds ratio, we used a nested case-control study design. The cases were individuals who had a 30-day mortality event after their last medical utilization, while controls were selected by incidence density sampling based on age and sex. We examined the interaction between the main independent variables of weekend admission and PSI by categorizing cases into four groups: weekend admission/PSI, weekend admission/non-PSI, weekday admission/PSI, and weekday admission/non-PSI. Results: Of the 83,400 individuals in the database, there were 20,854 cases (25.0%) and 62,546 controls (75.0%). After adjusting for socioeconomic, health status, seasonality, and hospital-level factors, the odds ratios (ORs) of 30-day mortality for weekend admission/PSI (OR, 1.484; 95% confidence interval [CI], 1.371-1.606) and weekday admission/PSI (OR, 1.357; 95% CI, 1.298-1.419) were greater than for patients with weekday admission/non-PSI. Conclusion: This study indicated that there is an increased risk of mortality after weekend admission among patients with PSI as compared with patients admitted during the weekday without a PSI. Therefore, our findings suggest that recognizing these different patterns is important to identify at-risk diagnosis to minimize the excess mortality associated with weekend admission in those with PSI.

• Journal of Digital Convergence
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• v.20 no.1
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• pp.481-488
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• 2022

This study was conducted on 130 nursing college students who had experience taking simulation learning to confirm the relationship between simulation learning and nursing competency. Participant's satisfaction and confidence were positively associated with overall nursing competency and patient safety. The teaching method and design of the facilitator were also positively correlated with overall nursing competency, and participants' age and simulation design was a predictive factor explaining 21.5% of the nursing competency. In applying simulation to develop nursing competency, it is necessary to consider the satisfaction and confidence of participants and to systematically diversify the teaching method and design.

• Journal of Korean Clinical Nursing Research
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• v.25 no.3
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• pp.237-250
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• 2019

Purpose: The aim of this study was to investigate the satisfaction of newly graduated nurses with educational programs and their experiences in role transition. Methods: Data were collected from November 1 to December 15, 2018 and 483 new graduate nurses working at 15 tertiary hospitals and 10 general hospitals participated. For data collection, self-report questionnaires including the Casey-Fink Graduate Nurse Experience Survey tool and satisfaction with education were used. Data were analyzed using descriptive statistics, t-test, and one-way analysis of variance. Results: Satisfaction with education ranged from 3.09 to 3.27, and satisfaction with preceptors was 3.45(maximum 4). The skill that new nurses ranked as most difficult during the first 3 months was charting/documentation, and throughout a whole year, the top 4 difficult skills were cardiopulmonary resuscitation/emergency response, ventilator care, end-of-life care, and prioritization/time management. In comfort/confidence, new graduates felt most comfortable with support and least comfortable with patient safety. More than 50 percent of new graduates experienced stress during role transition, and the most frequently experienced stressors were related to job performance and personal life. Levels of satisfaction with education and comfort/confidence differed according to the hospital type and number of preceptors for new nurses. Conclusion: In order to facilitate the transition of new graduate nurses to professional nurse, an extended period of education, systematic and standardized transition programs, and continuous support during the first year of practice are required.

• Acute and Critical Care
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• v.33 no.4
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• pp.246-251
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• 2018

Background: Target temperature management (TTM) improves neurological outcomes for comatose survivors of out-of-hospital cardiac arrest. We compared the efficacy and safety of a gel pad cooling device (GP) and a water blanket (WB) during TTM. Methods: We performed a retrospective analysis in a single hospital, wherein we measured the time to target temperature ($<34^{\circ}C$) after initiation of cooling to evaluate the effectiveness of the cooling method. The temperature farthest from $33^{\circ}C$ was selected every hour during maintenance. Generalized estimation equation analysis was used to compare the absolute temperature differences from $33^{\circ}C$ during the maintenance period. If the selected temperature was not between $32^{\circ}C$ and $34^{\circ}C$, the hour was considered a deviation from the target. We compared the deviation rates during hypothermia maintenance to evaluate the safety of the different methods. Results: A GP was used for 23 patients among of 53 patients, and a WB was used for the remaining. There was no difference in baseline temperature at the start of cooling between the two patient groups (GP, $35.7^{\circ}C$ vs. WB, $35.6^{\circ}C$; P=0.741). The time to target temperature (134.2 minutes vs. 233.4 minutes, P=0.056) was shorter in the GP patient group. Deviation from maintenance temperature (2.0% vs. 23.7%, P<0.001) occurred significantly more frequently in the WB group. The mean absolute temperature difference from $33^{\circ}C$ during the maintenance period was $0.19^{\circ}C$ (95% confidence interval [CI], $0.17^{\circ}C$ to $0.21^{\circ}C$) in the GP group and $0.76^{\circ}C$ (95% CI, $0.71^{\circ}C$ to $0.80^{\circ}C$) in the WB group. GP significantly decreased this difference by $0.59^{\circ}C$ (95% CI, $0.44^{\circ}C$ to $0.75^{\circ}C$; P<0.001). Conclusions: The GP was superior to the WB for strict temperature control during TTM.