• 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.

• 한국간호교육학회지
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• 제30권2호
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• pp.170-181
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• 2024

Purpose: This study aims to assess the importance and performance of patient safety activities for inpatients in small- and medium-sized hospitals. The objective is to identify the need for patient safety education by analyzing differences in importance and performance ratings. Methods: The study involved 300 patients hospitalized in three small- and medium-sized hospitals. Data collection took place in October 2023, focusing on investigating the importance and performance of patient safety activities. Descriptive statistics and an Importance-Performance Analysis (IPA) were conducted using the IBM SPSS statistics 25.0 program. Results: The average importance of patient safety activities was 3.51±0.41, and the average performance was 3.37±0.43, indicating that the importance of patient safety activities was higher than their performance. According to the IPA, the components of patient safety activities that fell into the second quadrant of high importance but low performance included three medication-related items and one test/procedure/surgery-related item. Conclusion: In this study, it was found that inpatients in small- and medium-sized hospitals had a higher importance on patient safety activities than performance and needed ways to increase their performance. Therefore, it is necessary to develop a customized educational program that can increase the practical performance of inpatients' patient safety activities based on the contents that were determined to need improvement.

• 한국간호교육학회지
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• 제24권4호
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• pp.358-366
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• 2018

Purpose: This purpose of this study was to identify the level of knowledge and attitude of patient safety and patient safety management activity (PSMA) and identify influencing factors of PSMA in nursing students. Methods: The participants were 210 fourth-year nursing students in C and G city. Data were collected with structured questionnaires from October 10 to November 10, 2017. Descriptive statistics, t-test, one way ANOVA, Pearson's correlation and multiple regression with SPSS 21.0 were used. Results: As a result, the level of knowledge of patient safety was 9.05, attitude of patient safety was 4.07, and PSMA was 4.22. The factors influencing PSMA were knowledge and attitude of patient safety. The regression model explained 77% of PSMA. Conclusion: Based on the results of this study, it is suggested that a systematic education program considering factors influencing the patient safety management activities of nursing students be developed.

• 중환자간호학회지
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• 제15권3호
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• pp.1-11
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• 2022

Purpose : The purpose of this study was to not only examine the importance and performance status of patient safety nursing activities in the intensive care unit but also to understand nurses' educational needs in this respect. Methods : In this descriptive study, 196 nurses working in the intensive care units of university hospitals located at B City and G Province were enrolled. They completed the Importance-Performance Analysis (IPA) questionnaire, and the data were statistically analyzed. Results : Mean±standard deviation item scores of importance and performance of patient safety nursing activities were 4.75±0.33 and 4.48±0.38, respectively. In the IPA results, a total of 10 items were included in the second quadrant, including 1 item related to 'transfer,' 1 to 'infection,' and 1 to 'firefighting surveillance.' As the second quadrant contains the high-importance, low-performance items, these 10 items resemble the nurses' educational needs that should be prioritized. Conclusion : The results of this study can be used as a basis for the development of nursing educational programs for patient safety in the intensive care unit.

• Perspectives in Nursing Science
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• 제10권2호
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• pp.158-166
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• 2013

Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

• 대한간호학회지
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• 제50권5호
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• pp.686-698
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• 2020

Purpose: This study was aimed to investigate experiences, perceptions, and educational needs related to patient safety and the factors affecting these perceptions. Methods: Study design was a descriptive survey conducted in November 2019. A sample of 1,187 Koreans aged 20-80 years participated in the online survey. Based on previous research, the questionnaire used patient safety-related and educational requirement items, and the Patient Safety Perception Scale. Descriptive statistics and a decision tree analysis were performed using SPSS 25.0. Results: The average patient safety perception was 71.71 (± 9.21). Approximately 95.9% of the participants reported a need for patient safety education, and 88.0% answered that they would participate in such education. The most influential factors in the group with low patient safety perceptions were the recognition of patient safety activities, age, preference of accredited hospitals, experience of patient safety problems, and willingness to participate in patient safety education. Conclusion: It was confirmed that the vulnerable group for patient safety perception is not aware of patient safety activities and did not prefer an accredited hospital. To prevent patient safety accidents and establish a culture of patient safety, appropriate educational strategies must be provided to the general public.

• 한국보건간호학회지
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• 제34권3호
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• pp.473-489
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• 2020

Purpose: This study investigated the patient safety culture (PSC), the perception of importance on patient safety management (PIPSM) and the patient safety management activities (PSMA) of care workers in nursing homes. This was a descriptive study that attempted to provide basic data for the patient safety education program of care workers. Methods: Data were collected using questionnaires and interviews from July 1 to 31 in 2020. One hundred and seventy-four care workers participated in quantitative research. The collected data were analyzed by the SPSS/WIN 25.0 program using descriptive statistics, t-test, ANOVA, Bonferroni, and Pearson's correlation. The qualitative data were collected through semi-structured, audio-recorded interviews with six representatives and six care workers from six nursing homes. Content analysis was performed to analyze the data. Results: Positive correlations were observed between PSC and PIPSM, and between PIPSM and PIPSM. Care workers' experience in patient safety management was in the following six categories: "Safety accident risk factors", "Type of safety accidents", "How to prevent safety accidents", "Effective safety management education", "Emphasis on occupational ethics of care workers", and "Needs for standard protocol" Conclusion: These findings indicate that considering the care workers' age and facility size, nurses should enhance patient safety education for care workers and establish a management activity system.

• Child Health Nursing Research
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• 제23권4호
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• pp.534-542
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• 2017

Purpose: The purpose of this study was to identify the factors that affect nursing students' perception of pediatric safety nursing activities for children during hospitalization. Methods: The study sample included 304 nursing students who had participated in pediatric nursing practice. Data were analyzed using SAS 9.3 program. Results: Regression analysis showed that the model's explanatory power was 37%. Safety policy and procedure, safety priority, disaster experience, and knowing a place of refuge were factors affecting the perception of safety nursing activities for children during hospitalization. Conclusion: Findings show that safety policy and procedures and safety priority are major factors that affect the perception of safety nursing activities and indicate that effective education programs on safety policy and procedure and safety priority are necessary to improve the perception of safety nursing activities.

• 보건의료생명과학 논문지
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• 제9권1호
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• pp.129-139
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• 2021

본 연구는 중국동포 간병인의 환자안전문화인식과 환자안전지식이 환자안전활동에 미치는 영향을 알아보기 위한 조사연구로 대상자는 중국간병인 102명이었다. 환자안전문화인식의 평균점수는 3.25점, 환자안전지식 평균 3.10점, 환자안전활동 평균 3.39점으로 나타났다. 환자안전문화인식과 한국어 말하기 능력은 환자안전활동에 영향을 미치는 유의한 예측인자로, 환자안전활동 변인을 45.8% 설명하였다. 본 연구는 중국동포 간병인의 환자안전활동을 위해서 환자안전문화인식을 증진시키고 그들의 한국어 말하기 능력을 강화하는 프로그램을 개발하고 적용하는 노력이 필요함을 보여주었다. 따라서 본 연구는 중국동포 간병인의 환자안전문제를 해결하기 위한 프로그램 개발의 근거자료와 노인요양병원 돌봄 서비스의 질 향상을 도모하기 위한 기초자료로 제공할 수 있을 것이다.

• 한국간호교육학회지
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• 제24권2호
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• pp.190-200
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• 2018

Purpose: The purpose of this study was to identify the level of perception of safety risk factors and the degree of performance of safety nursing activities in order to develop an education program to improve the safety of patients. Methods: The subjects were 217 nurses from 3 university hospitals in Incheon. Data were collected with structured questionnaires and analyzed using descriptive analysis, t-test, and ANOVA using SPSS 22.0. Results: The level of perception of patient's safety risk factors and safety care activities was 2.93 and 4.68, respectively. Perception of patient safety risk factors which belonging to the risk type of therapeutic devices, equipment, service and infrastructure all scored below average; also in addition, behavior, performance, and violence risk type and work system, information and communication risk type showed relatively low perception levels. Safety nursing activities showed a low level of performance in accurate communication among medical teams, management of fire and disaster, security management, use of restraints, identification of patients, and correct performance of operations and procedures. Conclusion: Based on these results, it is necessary to improve the safety of patients by taking proper management measures along with education.