• 제목/요약/키워드: patient

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환자안전에 대한 환자의 이해: 초점집단토의 결과를 중심으로 (Patient Understanding of Patient Safety: Based on Results from Focus Group Discussion)

  • 임지혜;옥민수
    • 한국의료질향상학회지
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    • 제28권2호
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    • pp.50-60
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    • 2022
  • Purpose: To examine the degree of recognition regarding the concept of patient safety, as perceived by the patient, using a focus group discussion. Methods: A focus group discussion was conducted with a patient group comprising seven patients. Results: When the participants heard the term "patient safety" they seemed to understand it to be related to the hospital environment or satisfaction with the overall hospitalization experience. The participants emphasized communication between the medical staff and the patients in relation to the explanation of treatments, as well as the provision of information regarding prevention, experience, and the treatment of incidents with patient safety. They agreed on the need for indicators reported by patients. However, they emphasized that additional items and a questionnaire method that considers the patients' point of view are needed. Conclusion: It is necessary to establish and implement various strategies that can raise the awareness of patient safety using patient safety indicators and increase participation in patient safety activities.

의사와 간호사의 환자안전교육 경험에 관한 포커스 그룹 연구 (Focus Group Study on Health Care Professionals' Experience of Patient Safety Education)

  • 박정윤;이유라;이의선;이재호
    • 한국의료질향상학회지
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    • 제26권2호
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    • pp.56-65
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    • 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.

환자 중심적 개념에 따른 병동부의 건축계획에 관한 이론적 연구 (A Study on the Architectural Planning of Ward According to the Concept of Patient-centered)

  • 박남규;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제1권2호
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    • pp.83-90
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    • 1996
  • The architect do not have a data about planning patient-centered hospital, do not reflect a demand of patient at the planning step. This study arrange what is concept of patient-centered, recently concept of patient-centered hospital is importantly raised, at centering around a ward that a life of patient is the most influenced. This study make clear character of patient-centered hospital at home, the problem and demand of patient through the P.O.E. The concept of patient-centered was disregarde, when the hospital was planned, in spite of being aimed hospital. At home, the shape of ward did not be developed, did not be corresponded with a demand of patient. But now proposition, which is satisfied psychologic, physical, mental demand, should be attempted.

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입원환자의 환자안전인식과 환자안전활동 수행 정도 (Awareness of Patient Safety and Performance of Patient Safety Activities among Hospitalized Patients)

  • 김안나;박정숙
    • 한국산학기술학회논문지
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    • 제22권5호
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    • pp.229-240
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    • 2021
  • 본 연구는 입원환자를 대상으로 환자안전인식과 환자안전활동 수행 간의 관계를 확인하고 환자안전인식과 환자안전활동 수행을 증진시키기 위한 중재 프로그램을 개발하는데 기초자료로 제공하고자 수행하였다. 본 연구의 대상자는 D광역시 일 상급종합병원에 입원한 성인 환자 103명이었다. 자료수집은 2021년 2월 22일부터 3월 12일까지 이루어졌고, 환자안전인식과 환자안전활동 수행을 측정하기 위한 구조화된 설문지를 사용하였다. 입원환자의 환자안전인식은 5점 만점에 4.22±0.52점, 환자안전활동 수행은 4점 만점에 3.35±0.48점이었다. 환자안전인식은 환자안전교육 경험과 유의한 차이가 있었고(t=4.85, p<.001), 환자안전활동 수행은 결혼상태(t=2.75, p=.007), 환자안전교육 경험(t=3.88, p<.001)에 따라 유의한 차이가 있었다. 환자안전인식과 환자안전활동 수행은 유의한 상관관계가 있었다(r=.59, p<.001). 본 연구의 결과를 통해 임상에서 적용 가능한 입원환자의 환자안전인식과 환자안전활동 수행 증진을 위한 프로그램을 개발하고 시스템적으로 적용함으로써, 환자안전문화 향상을 도모할 필요가 있다.

간호대학생의 환자안전 역량과 환자안전관리 행위 (Nursing Students' Patient Safety Competency and Patient Safety Management Practice)

  • 박정하
    • 한국산학기술학회논문지
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    • 제20권3호
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    • pp.216-223
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    • 2019
  • 본 연구는 간호대학생의 환자안전 역량이 환자안전관리 행위에 미치는 영향을 확인하여 환자안전관리 행위 향상을 위한 프로그램 개발의 기초자료를 제공하기 위하여 시도되었다. 참여자는 1년 이상 학생 간호사로 임상 실습을 받은 293명의 4학년 간호대학생이다. 데이터는 2018년 4월 26일부터 5월 9일까지 수집되었다. 수집된 자료는 SPSS/WIN 24.0 컴퓨터 프로그램으로 빈도, 백분율, 평균, 표준 편차, t-test, ANOVA, Pearson's Correlation Coefficient, Multiple regression으로 분석하였다. 간호대학생의 환자안전 역량은 평균 $2.90{\pm}0.38$점 (환자안전 지식 $2.68{\pm}0.65$, 환자안전 기술 $3.26{\pm}0.56$, 환자안전 태도 $2.75{\pm}0.40$)이었다. 환자안전관리 행위 점수는 평균 $4.13{\pm}0.57$점이었다. 간호대학생의 환자안전 지식, 기술, 태도 및 환자안전관리 행위 간의 상관관계에서, 기술 및 관리 행위는 r=.337, p<.001, 태도 및 관리 행위는 r=-.150, p=.010, 지식 및 관리 행위는 r=.171, p=.003이었다. 대학생의 환자안전 관리 행위에 영향을 미치는 요인은 환자안전 기술(${\beta}=.307$, p<.001), 화재에 대한 안전사고 경험(${\beta}=-.127$, p=.026), 환자안전 태도(${\beta}=-.121$, p=.026), 환자교육에 대한 안전사고 경험(${\beta}=-.119$, p=.034)으로 나타났고, 설명력은 15.7%였다. 본 연구결과를 통하여 간호대학생의 환자안전관리 행위에 영향을 미치는 다양한 요인을 확인하기 위한 반복연구가 필요하고, 환자안전관리 행위를 높일 수 있는 교육프로그램 개발이 요구된다.

간호대학생의 환자안전에 대한 지식, 간호전문직관과 환자안전관리활동의 관련성 (The Relationship Between Knowledge of Patient Safety, Nursing Professionalism and Patient Safety Management Activities in Nursing Students)

  • 김철규;유하민;김혜원;남아연;노희성;방다솔;신진의;이아현;이은경;전한용;정세림;정유정
    • 한국의료질향상학회지
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    • 제24권2호
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    • pp.26-40
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    • 2018
  • Purpose: The objective of this study was to identify the relationship between knowledge of patient safety, nursing professionalism and patient safety management activities of nursing students with clinical practical experience. Methods: Self-administered questionnaires survey on knowledge of patient safety, nursing professionalism, and patient safety management activities were conducted for the $3^{rd}-year$ and $3^{th}-year$ nursing students. 139 questionnaires were distributed, of which, 131 were used for data analysis. Results: The scores of nursing students' knowledge of patient safety, nursing professionalism and patient safety management activities were $6.76{\pm}1.26$, $65.11{\pm}7.97$ and $67.99{\pm}7.26$, respectively. Knowledge of patient safety differed significantly according to the grade. Nursing professionalism had a difference with major satisfaction, clinical practical satisfaction, and experience of patient safety accident. Patient safety management activities were positively correlated (p<.01) with knowledge of patient safety and nursing professionalism. Patient safety management activities increased significantly with increase in the scores of knowledge of patient safety and nursing professionals. The factors that were related to patient safety management activities of nursing students were knowledge of patient safety and nursing professionalism. Knowledge of patient safety and nursing professionalism were selected as significant variables for explaining the patient safety management activities of nursing students, of which the coefficient of determination was 9.8%. Conclusion: To promote patient safety management activities of nursing students, training programs for patient safety management activities are required. Also, there is the need to increase the knowledge of patient safety and nursing professionalism of nursing students using various educational method.

Subjectivity on Patient Safety Recognized by Inpatients

  • Lee, HoYeon;Jang, SunYoung;Wang, MeeSuk
    • International Journal of Internet, Broadcasting and Communication
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    • 제12권3호
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    • pp.196-205
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    • 2020
  • The purpose of this study is to identify the subjectivity of patient and describe the characteristics of each type to understand the categorization of types on patient safety. Q methodology was applied to the study. A total of 40 patients admitted to the S hospital in Seoul were asked to categorize 33 statements on patient safety. The collected data was analyzed using QUANL PC Program. After analysis, patient safety as perceived by the admitted patient was categorized into 6 types. The types were as follows: Type 1 'Those who note adequate patient safety', Type 2 'Those who consider preventive safety to be lacking' Type 3 'Those who see the evaluation criteria to be met', Type 4 'Those who see the facility safety to be lacking', Type 5 'Those who find the patient and facility safety to be adequate', Type 6 'Those who see patient support to be lacking'. The study provides a basic set of data for developing mediation measures needed to identify the direction in which patient safety should be promoted.

Analysis of Factors Affecting Dental Hygiene Students' Attitudes toward Patient Safety and Performing Confidence

  • Chung, Kyung-Yi
    • 치위생과학회지
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    • 제18권5호
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    • pp.288-295
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    • 2018
  • The purpose of this study was to investigate the attitudes and performing confidence, and factors influencing patient safety of dental hygiene students. The questionnaire contained items on the subjects' general characteristics, attitudes, and performing confidence in relation to patient safety. The self-reported questionnaire was administered to 287 dental hygiene students in Gwangju and Jeonnam, Korea from September to November 2017. We performed an independent t-test, one-way ANOVA analysis, Pearson's correlation coefficient, and multiple regression analysis using IBM SPSS ver. 21.0 software. As a result of differences in attitude, and performing confidence according to the general characteristics, attitude toward patient safety scored 3.48 out of 5 points, and was more positive in students from 4-year colleges, with high major satisfaction, and in students who answered that they needed patient safety education. Performing confidence for patient safety scored 3.57 out of 5 points, and was statistically significantly higher in 4-year college students, with higher major satisfaction, amongst those with experience in patient safety education, and when patient safety education was needed before clinical practice or employment. There were positive correlations between attitude and performing confidence for patient safety. As a result of analyzing the factors influencing attitude and performing confidence for patient safety, attitudes were higher with higher performing confidence and performing confidence had the highest satisfaction rate of the major and patient safety education experience. Therefore, it is necessary to provide systematic education at universities reflecting the characteristics of dental medical institutions, as well as developing various education contents and education methods.

위해사건 예방을 위한 수술 환자 교육용 스마트폰 애플리케이션의 효과 (The Effects of Smartphone Application to Educate Patient on Patient Safety in Hospitalized Surgical Patients)

  • 최효진;이은주
    • 성인간호학회지
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    • 제29권2호
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    • pp.154-165
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    • 2017
  • Purpose: This study was designed to evaluate a patient safety application in the prevention of adverse event among surgical patients. Seventy three surgical patients with thirty six of them using the patient safety application and the rest (N=37) were provided educational booklet. Further, the instrument would measure patients' right to know, knowledge about patient safety, and attitude toward patient safety. Methods: The patient safety application was developed by the ADDIE along with input from experts, patients and an extensive literature review. Data were collected from 7 September through 20 October 2015. Results: The experimental group had significantly higher scores in patients' right to know (t=2.01, p=.024), knowledge on patient safety (t=3.80, p<.001) and attitude toward patient safety (t=2.74, p=.004) than those of the control group. Conclusion: The patient safety application developed using Smartphone could be an effective tool enhancing patient involvement in preventing adverse events that may occur to patients. Further studies are recommended with diverse subjects with varying medical conditions.

The Effect of Type of Communication by Physical Therapists on Patient Satisfaction and Revisit Intention

  • Kim, Eun-Ji;Sim, Gyeong Seop;Kim, Dong-Hoon
    • The Journal of Korean Physical Therapy
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    • 제33권5호
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    • pp.245-251
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    • 2021
  • Purpose: This study sought to identify the effect of various types of communication by physical therapists on patient satisfaction and revisit intention. Methods: A total of 212 patients who received physical therapy in Seoul and the Gyeonggi province were surveyed on patient satisfaction and revisit intentions depending on the types of communication by physical therapists. Frequency and correlation analyses were conducted to process the data using the SPSS 22.0 program, and the AMOS 18.0 statistical package was used for confirmatory factor analysis. A structural equation modeling analysis was also performed to verify the model and the hypothesis that was set up in the present paper. Results: The survey showed that patient satisfaction correlates positively and significantly with patient-centric communication, physical factors, and spatial behavior. A significant negative correlation was also found between patient satisfaction and therapist-centered communication. Patient satisfaction positively correlated with revisit intentions. Conclusion: These results showed that there was a positive correlation between the communication of the physical therapist and the satisfaction recognized by a patient. This implies that the patient satisfaction with a physical therapist increases as the communication skills of a physical therapist improve. These findings suggest that a physical therapist must adopt patient-centric communication styles, physical factors, and spatial behavior. This study was important as it generated basic data for the formation of a therapeutic relationship through efficient and promotional communication skills. It recognizes the importance of communication between a physical therapist and a patient as the indispensable factor for interaction.