• 한국의료질향상학회지
• /
• 제26권2호
• /
• pp.56-65
• /
• 2020

Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

• 한국콘텐츠학회논문지
• /
• 제15권1호
• /
• pp.286-299
• /
• 2015

본 연구는 의료기관 인증제의 의무 대상인 정신병원과 요양병원을 대상으로 환자안전 및 질 변화와 경영활동의 변화 간의 관계에 대해 의료기관 인증을 받은 5개 정신병원과 5개 요양병원에 근무하는 종사자들을 대상으로 조사 연구한 결과, 정신병원과 요양병원 종사자들의 인증업무 참여유무는 환자안전 및 질 관리 변화 측정내용 중 '안전보장활동 수행정도' '환자를 위한 양질의 의료서비스 제공정도' '환자의 권리와 책임에 대한 존중정도' '감염발생 위험예방 위한 감염관리활동 수행정도'의 향상 변화에 유의하게 긍정적인 상관관계를 보였다. 그리고 환자안전 및 질 관리 내용 중 안전보장활동 지속적인 질 향상 활동 환자의 권리와 책임에 대한 존중의 지속적인 발전적 변화를 추구하기 위해서는 교육훈련을 통해서 조직구성원들의 역량을 강화시키는 경영활동이 필요하며, 진료전달 체계와 평가의 관리 환자를 위한 양질의 의료서비스 제공의 지속적인 발전적 변화를 위해서는 고객지향성 업무프로세스를 사회 환경의 변화에 맞추어 추구하는 경영활동이 필요함을 알 수 있었다.

• 간호행정학회지
• /
• 제17권1호
• /
• pp.33-43
• /
• 2011

Purpose: This study was done to develop a web-based diagnostic evaluation program for nurses to prevent malpractice liability. Methods: A comprehensive review of the literature and 9 specialist interviews were used to search for learning goals and content for protection for nurses from malpractice. Data on needs for learning goals were collected from 56 hospital nurses who agreed to complete a self-report questionnaire. The diagnostic program was evaluated between September 2008 and August 2009 by 35 new hospital nurses using an application of the web-based program evaluation tools by Chung (2000). Results: A comprehensive review of the literature and interviews were used to search for learning goals and content. The evaluation program was composed of the 73 questions for diagnostic evaluation under 23 learning goals and 6 grand learning goals which included the principles of law, patient's rights, legal responsibility, patient's safety, regulation on nursing practice and patient's rights protection. Evaluation of the program showed that the mean for program evaluation was 3.43 (SD=.37). Conclusion: This diagnostic evaluation program could be an efficient method for teachers and learners to improve nurses' behavior in protecting the patient's rights and preventing malpractice claims.

• 한국콘텐츠학회논문지
• /
• 제15권12호
• /
• pp.285-293
• /
• 2015

본 연구는 요양병원 의사 및 간호 인력 대상으로 차등등급에 따른 의료서비스 질 향상 및 만족도, 병원운영성과에 대하여 어떻게 인지하고 있는지를 파악함으로써 차등등급제도가 효율적으로 운영되기 위한 기초자료를 제공하기 위하여 수행되었다. 본 연구의 결과는 다음과 같다. 의사 등급과 간호 인력 등급에 따른 차이분석을 위해 독립표본t검증을 실시한 결과, 의사2등급에서 환자권리향상과 경영 효율성이 높다는 것을 알 수 있었고, 간호 인력 2등급에서 환자안전향상, 진료향상, 환자권리향상이 높다는 것을 확인하였다. 의사 및 간호 인력 등급에 따른 차이분석을 위해 ANOVA분석을 실시한 결과, 환자안전향상, 병원재정, 병원위상에서는 의사 1, 간호 인력 2등급에서, 환자권리향상 및 자기계발에서는 의사 2, 간호 인력 1등급에서 높다는 것을 확인하였다. 전반적으로 의사, 간호 인력의 등급은 높지만, 1등급과 2등급 간의 차이는 각 부문 별로 상이한 결과가 나와 향후 요양병원 차등등급제의 의사 및 간호 인력 1, 2등급 간의 산정기준 개편을 고려할 필요가 있을 것이다.

• 간호행정학회지
• /
• 제22권4호
• /
• pp.406-414
• /
• 2016

Purpose: The purpose of this study was to analyze the concept of nurses' safety within the context of the hospital environment. Methods: We used Rodgers' method of evolutionary concept analysis and reviewed the relevant literature and noted and categorized characteristics that appeared frequently. Results: Nurses' safety was defined as safe status and safe activity among nurses. Three key defining attributes were identified as: (a) the minimization of actual or perceived risk, (b) personal duties and rights, and (c) ensuring within a safe working environment. Antecedents of nurses' safety were categorized into three dimensions: (a) individual, including vigilance and knowledge gained through education and training; (b) institutional, including safety provision in the organizations; and (c) national, including legislation. The outcomes of nurses' safety included the following: (a) continued competence in nurses' work; (b) enhancement of the quality of patient care; and (c) reductions in nurses' turnover rates. Conclusion: Nurses' safety ensures that qualified nurses are able to continue to perform their duties and provide good patient care. The findings of this study could contribute to future research examining nurses' safety. In addition, appropriate tools must be developed to measure the concept.

• 한국산학기술학회논문지
• /
• 제14권3호
• /
• pp.1274-1282
• /
• 2013

본 연구는 상부 위장관 출혈 환자 간호에 시뮬레이션 기반 학습을 적용하여 임상수행능력에 대한 자신감 변화와 시뮬레이션 만족도를 알아보고자 간호대학생 77명을 대상으로 하였다. 본 연구방법은 단일군 전후설계방법을 이용하였으며, 임상수행능력에 대한 자신감 변화는 paired t-test를, 시뮬레이션 만족도는 기술통계로 분석하였다. 임상수행능력에 대한 자신감 점수는 시뮬레이션 전에 비해 후의 점수가 유의하게 증가하였다. 시뮬레이션 만족도 점수는 4.20점(5점 척도)로 높게 나타났으며, 학습자 만족도와 동기유발 항목에서 4.54점으로 제일 높은 점수를 보였다. 시뮬레이션 기반 학습이 임상수행능력과 학습만족도에 긍정적인 효과를 보였으므로 다양한 주제로 시뮬레이션 기반 학습을 간호학 교과과정에 적용하여 운영하는 것이 필요하다.

• 한국의류산업학회지
• /
• 제16권1호
• /
• pp.160-166
• /
• 2014

Patent and utility indicate international competitiveness in the knowledge-based society of the $21^{st}$century where both the quantity and quality of the nation's scientific intelligence and innovative technology represent key criteria to evaluate its strength. Thus, discerning the trends of patents is inevitable for further development. This research is centered on apprehending the technological current of the functional clothing of Korea, through an analysis of patents and utility models. The number of patent applications in Korea was low until the mid-1990s. However, it began to grow rapidly in the 2000s and the number of patents surpassed the number of utility starting in 2006. The technological level of invention in this field has been turned into a higher level. The IPC code with the strongest application was the field related to temperature controllable clothing (A41D 13/005), followed by surgeon or patient apparel related fields (A41D 13/12), and reflective or luminous safety devices (A41D 13/01).The main technological idea was to give functionality that could protect the human body from various hazards and represents the goal of various applied techniques. About 66% of domestic patent applications belong to individuals; however, the proportion of corporate or institutional applications(including universities) remains poor. Consequently, more systematic and long-term support for research on patents is required.

• 디지털융복합연구
• /
• 제15권12호
• /
• pp.581-590
• /
• 2017

본 연구는 300병상 미만 중소병원 간호사의 신체 억제대 사용에 대한 인식을 확인하기 위한 서술적 조사 연구이다. SPSS 통계프로그램을 사용하여 서술통계, t-test, ANOVA, factor analysis로 연구 분석을 하였다. 연구결과 간호사의 신체 억제대 사용 인식에 대한 전체 평균은($3.91{\pm}0.54$)으로 높은 인식률을 나타내었다. 요인분석 결과 '문제행동관리($3.81{\pm}0.67$)', '의료적 처치 유지($4.11{\pm}0.60$)', '환자안전($4.13{\pm}0.63$)' 3개의 요인으로 분류되었다. 신체 억제대를 사용하는 이유 중 가장 중요하다고 인식하는 항목은 침대에서 떨어지지 않도록 환자를 보호하기 위해($4.37{\pm}0.68$)로 환자안전이었다. 중소병원에서 근무하는 간호사의 신체 억제대 사용에 대한 특성과 요인을 파악하고, 신체 억제대 사용에 대한 정확한 이해를 바탕으로 최소한의 신체적 억제대 사용 및 환자의 안전과 권리보장에 대한 인식 필요하다. 그러므로 이를 위해 다양한 상황에서 사용하는 신체 억제대에 대한 직무교육이 필요하며, 간호업무 실정에 맞도록 교육 및 중재프로그램 개발이 요구된다.

• 한국응급구조학회지
• /
• 제13권1호
• /
• pp.87-96
• /
• 2009

Purpose : To grasp the mental burden for legal responsibility that rescue members have in the performance of job. Method : Questionnaire was presented to rescue members serving in 2 direct control safety centers of fire station located in Seoul, Daejon, Incheon, Kwangju, Busan, Daegu and Ulsan. Results : 1. Questioned whether they have mental burden for legal responsibility while performing job on the site, the rescue members responded : very burdensome in 38.0%, burdensome in 56.0%, moderate in 4.5%, not burdensome in 1.0%, no burden at all in 0.5%. 2. Questioned on the first aid treat for which they have the most mental burden, the rescue members responded : intubation into trachea laryngeal mask airway(LMA) in 40.4%, automatic external defibrillator in 16.3%, securing vein providing sap(medicine) in 10.8%, basic cardiopulmonary resuscitation in 7.2%, eliminating foreign matters inserted into body in 5.4%, stanching external bleeding and treating injury in 5.4%, fixing extremities and spine by using splint in 1.8%, measuring the symptom of vitality in 1.2%, providing oxygen in 0.0%. 3. Questioned whether experiencing legal problem or firm petition(complaint) raised by patient while serving as rescue members, they responded : experiencing a complaint in 41.6%, experiencing no complaint in 58.4%. Asked to indicate the stress level in the scale of which they suffered when lawsuit or firm petition was raised, 0(weak)-10(strong), they answered 8.8 in average. 4. Questioned whether 119 rescue members put the legal responsibility in case that they cause damage to patients intentionally in performing, they responded to the inquiry 3.66 in average(of 5.00). It represented meaningful differences (F=2.874, p=.024) whether they had license or not. 5. In future, legal action will raise against the rescue member by 99% because of people's rights improvement(63.1%), high expectations for the rescue system(29.5%), non-licensed rescue members(5.1%). Conclusion : It was found that the rescue members had severe mental burden for advanced life support which was investigated to have low enforcement rate in the preceding research, for instance, intubation into trachea securing vein management by using automatic external defibrillator. To improve the qualitative level of rescue service in the fire fighting, it may be required to construct the environment that eliminates the mental burden of rescue members for legal responsibility.