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Abstract
Purpose
The aim of this project was to develop a patient safety-focused inservice education program for surgical nurse and to test the effects of this program.
Methods
Methodological designs for instruments development, a pretest-posttest and a posttest design were employed. After the education, nurses' satisfaction, confidence, usefulness and application of 137 nurses were evaluated at 15 surgical units of a tertiary teaching hospital in Seoul, Korea. The education contents are 6 skill areas (infusion pump use, suction, chest tube drainage, oxygen administration, nebulizer use, insulin administration) and medication knowledge. Teaching methods were lecture, instructor demonstration, and 1:1 skill test. Descriptive statistics, Wilcoxon test, Spearman's correlation and Stepwise regression were used.
Results
Satisfaction scores for skills and medication education were 4.00-4.21 (out of 5). The more performance frequency in 6 skills, the higher score in confidence as well as in usefulness and application, and the higher satisfaction with the program, the higher score in usefulness, application, confidence, and medication knowledge. Medication knowledge improved after the education (Z=-7.757, p<.001). Significant predictors of skill confidence were application of skills in job performance, medication confidence, and career in present unit.
Figures and Tables
Table 4
Correlations between career and each variables for effectiveness
Tcar=total career, Pcar=career in present unit, SCsat=satisfaction with contents in skill education, SMsat=satisfaction with methods in skill education, MCsat=satisfaction with contents in medication education, MMsat=satisfaction with methods in medication education, Suse=skill usefulness, Sap=skill application, Scon=skill confidence, Muse=medication usefulness, Mcon= medication confidence, Ipre=pre-test score in medication, Ipost=post-test score in medication
References
1. Abbott PA. Research in patient safety/error reduction: A Nursing Perspective. Proceedings of Post-conference for 8th International Congress in Nursing Informatics. 2003. Rio De Janeiro, Brazil.
2. Ahn KH, Yoon HS, Kim IJ, Kim ES. Evaluation on effectiveness of inservice training program -by Kirkpatrick's evaluation model-. Clin Nurs Res. 2003. 9(1):17–28.
3. Cohen J. Statistical power analysis for the behavioral sciences. 1988. 2nd ed. Hillsdale, NJ: Lawrence erlbaum associates.
4. Curtin LL. When negligence becomes homicide. Nurs Manage. 1997. 28(7):7–8.
5. Fiesta J. The law and liability -a guide for nurses-. 1988. 2nd ed. New York, NY: John Wiley & Sons.
6. Fiesta J. Legal aspects of medication administration. Nurs Manage. 1998. 29(1):22–23.
7. Fiesta J. Target high-risk areas for medication error. Nurs Manage. 1998. 29(12):12–13.
8. Hatlie M. Making New Jersey a model for patient safety. Patient safety history and reporting: An overview. 2003. Retrieved July 16, 2009. from http://newjersey.gov/health/ps/presentations/documents/hatlie.pdf.
9. Ji SA, Han SS, Moon HJ, Jeon CY, Yun EJ. Nursing Management. 1996. 2nd ed. Seoul: Soomoonsa.
10. Johnson C. We made a mistake. Nurs Manage. 2000. 31(4):22–24.
11. Joint Commission Resources.
JE Kim
SH Kim
SY Lee
. Root cause analysis in health care: Tools and techniques. 2007. Seoul: Epublic;(Original work published 2005).
12. Joint Commission Resources.
JE Kim
MH Park
SY Park
SY Lee
. Front line of defense: The role of nurses in preventing sentinel events. 2008. Seoul: Epublic;(Original work published 2007).
13. Jun ID. Occurrence structure and judicial case studies in nursing accidents. Korean Nurse. 1993. 32(5):31–45.
14. Kim YH. A study on the nursing practice programs for clinic nurses and their satisfaction with the program. 2000. Seoul: Hanyang University;Unpublished master's thesis.
15. Kim YM. Development and evaluation of a legal issuefocused nurse charting education program. 2009a. Seoul: Seoul National University;Unpublished doctoral dissertation.
16. Kim YM. Comprehensive consideration about patient safety. Department of education, Patient safety. 2009b. Seoul: Korean Nurses Association;11–42.
17. Kirkpatrick DL, Kirkpatrick JD. Evaluating training programs: The four levels. 2006. 3rd ed. San Francisco, CA: Berrett-Koehler Publishers.
18. Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: Building a safer health system. 1999. Washington, D. C: Institute of Medicine. National Academy Press.
19. Milligan F, Dennis S. Improving patient safety and incident reporting. Nurs Stand. 2004. 19(7):33–36.
20. Oh SI, Han SS. A study of sustainable effects of reeducation on cardiopulmonary resuscitation on nurses' knowledge and skills. J Korean Acad Nurs. 2008. 38(3):383–392.
21. Osborne J, Blais K, Hayes JS. Nurses' perceptions - when is it a medication error? J Nurs Adm. 1999. 29(4):33–38.
22. Page AEK. Keeping patients safe: Transforming the work environment of nurses. 2004. Washington, D. C.: National Academies Press.
23. Park JA, Kim BJ. Critical thinking disposition and clinical competence in general hospital nurses. J Korean Acad Nurs. 2009. 39(6):840–850.
24. Pepper GA. Errors in drug administration by nurses. Am J Health Syst Pharm. 1995. 52(4):390–395.
25. Schaubhut RM, Jones C. A systems approach to medication error reduction. J Nurs Care Qual. 2000. 14(3):13–27.
26. Whang KB, Kim MS, Yang TS, Yang BG, Jeong EK, Yang SJ, et al. Evaluation on effectiveness of public health personnel training. J Korean Acad Soc Nurs Educ. 1999. 5(1):118–132.
27. Yoo JH. A study on the practice education in fundamentals of nursing. J Korean Acad Fundam Nurs. 1995. 2(2):199–211.
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