Journal List > J Korean Acad Nurs Adm > v.18(1) > 1051663

Kim, Song, Lee, Kim, Yoon, Back, and Hur: Effects of an Education Program on Prevention of Malpractice using Precedent Cases related to Patient Safety in Safety Perception, Safety Control, Autonomy and Accountability in Clinical Nurses

Abstract

Purpose

The purpose of this study was to identify the effects of an education program on safety perception, safety control, autonomy and accountability in clinical nurses. Precedent cases related to patient safety were used in the education program.

Methods

A quasi-experimental design with pretest and posttest measures was used. Participants in the study, 72 nurses in the experimental group, 71 nurses in the control group, were enrolled for 3 months. The education program was composed of the 20 precedent cases related to patient safety from home and foreign countries.

Results

The major findings of this study were as follows: Safety perception (p=.000), Safety control (p=.000), attitude toward autonomy (p=.000), and attitude toward accountability (p=.000) improved after the education program.

Conclusion

The findings from this study indicate that an education program using precedent cases is an efficient method to improve behavior and change attitudes towards protecting patients' safety and preventing malpractice claims against nurses.

References

1. Hospital survey on patient culture. Agency for Healthcare Research and Quality. 2004. Retrieved at March 10, 2008. from http://www.ahrq.gov/qual/hospculture.
2. American Nurses Association. Liability prevention and you. 1989. Washington, DC: ANA Publications.
3. Batey M, Lewis F. Clarifying autonomy and accountability in nursing service: Part I. Journal of Nursing Administration. 1982. 12(9):13–18.
4. Bernzweig EP. The nurse's liability for malpractice: a programed course. 1996. 6th ed.St. Louis, Missouri: Mosby Publication.
5. Cherry B, Jacob SR. Contemporary nursing: issues, trends and management. 1999. St. Louis, Missouri: Mosby Publication.
6. Chitty KK. Professional nursing: concepts and challenges. 2001. 3rd eds. Philadelphia: W. B. Saunders Company.
7. Choi JH, Lee KM, Lee MA. Relationship between hospital nurses' perceived patient safety culture and their safety care activities. Journal of Korean Academy of Fundamentals of Nursing. 2010. 17(1):64–72.
8. Chung SK. A structural model of safety climate and safety compliance of hospital organization employees. 2009. Seoul: Yonsei University;Unpublished doctoral dissertation.
9. Diaz YE, Resnick ML. A model to predict employee compliance with employee corporate's safety regulations factoring risk perception. Proceedings of the IEA2000/HEES2000 Congress. 2000. 4. San Diego: IEA;323–326.
10. Fiesta J. The Law and Liability - A Guide for Nurses -. 1988. 2nd eds. A Wiley New York: Medical Publication.
11. Han HH. Study on the educational demands to prepare for medical disputes among nurses. 2008. Seoul: Yonsei University;Unpublished master's thesis.
12. Huang YH, Ho M, Smith GS, Chen PY. Safety climate and self-reported injury: Assessing the mediation role of employee safety control. Accident Analysis & Prevention. 2006. 38:425–433.
13. Jeon HJ. The case study method in law-related education of social studies education. 2007. Seoul: Hankuk University of Foreign;Unpublished master's thesis.
14. Joung JS, Lee DS. Reconstruction of the Units in Law & Society Textbook for Development of the Legal Thinking. Law & Education Study. 2008. 3(2):167–197.
15. Kim KK, Kim IS, Kim DL, Kim MI. Nurses Case Law and Guideline. 2001. Seoul: Koon-Ja.
16. Kim KK, Song MS, Rhee KS, Hur HK. Study on factors affecting nurses' experience of non-reporting incidents. Journal of Korean Academy of Nursing Administration. 2006. 12(3):454–463.
17. Kim KK, Lee WH, Kim IS. Perception of legal liability by registered nurse in Korea. Nurse Education Today. 2007. 27:617–626.
18. Kim KK. Development of a web-based diagnostic evaluation program for the prevention of nurses' malpractice liability. Journal of Korean Academy of Nursing Administration. 2011. 17(1):33–43.
19. Mun HJ, Lee MA. A Study of nurses' knowledge, attitude on the nurses' law and nurses' perception on the causes, coping patterns with the nursing accidents. Journal of Korea Community Health Nursing Academic Society. 1999. 13(1):41–62.
20. Smith-Pittman MH, Richardson JT, Lin CJ. An Exploration of content on legal aspects of practice in nursing programs. The Journal of Nursing Education. 1999. 38(9):400–406.
21. Moon SJ, Han SS. The Prediction Factor on Organizational Commitment of the Nurse. Journal of Korean Academic Society of Nursing Education. 2009. 15(1):72–80.
22. Park SJ. A study on hospital nurse's perception of patient safety care activity. 2009. Pusan: Donga University;Unpublished master's thesis.
23. Rhodes B. Accountability in nursing. Nursing Times. 1983. 79(3):37–38.
24. Ramanujam R, Abrahamson K, Anderson JA. Influences on Nursing Perception of Hospital Unit Safety Climate: an HLM Approach. Regenstief Center for Healthcare Engineering RCHE Publication. 2007. Retrieved 10 August 2009. from http://docs.lib.purdue.edu/rche_rp.
25. Shin HH. The current status of civil litigation over medical malpractice and procedural challenges. Korean Journal of Medical and Law. 2010. 18(2):7–42.
26. Snowdon AW. The challenge of accountability in nursing. Nursing Forum. 1993. 28(1):5–11.
27. Son MS, Shin HH. The legal analysis of the medical consumer's movement. Korean Journal of Medical and Law. 1999. 6(1):42–66.
28. Supreme Court Decision 2005Do8980 delivered on December 24, 2009. Retrieved 18 August 2011. from http://www.scourt.go.kr.
29. Son YD. The Implementation of the computerized patient safety program at Asan Medical Center. 2006. Ulsan: Ulsan University;Unpublished master's thesis.
30. Warden S, Brockopp DY, Alfred M, Holbrook P. The effect of a mock trial on nursing students' ability to make clinically sound legal judgments. Nurse Educator. 1994. 19(3):18–22.
TOOLS
Similar articles