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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
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2012; 18(1): 67-75.

Published online: 31 March 2012

DOI: https://doi.org/10.0000/jkana.2012.18.1.67

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

Ki Kyong Kim1, Mal Soon Song2, Jun Sang Lee3, Young Sin Kim4, So Young Yoon5, Jee Eun Back6, Hea Kung Hur7

1Associate Professor, Department of Nursing, Wonju College of Medicine, Yonsei University, Korea.

2Director, Division of Nursing, Gangnam Severance Hospital, Yonsei University Health System, Korea.

3Director, Division of Nursing, Wonju Christian Hospital, Yonsei University, Korea.

4Team manager, Division of Nursing, Wonju Christian Hospital, Yonsei University, Korea.

5Educational nurse, Division of Nursing, Gangnam Severance Hospital, Yonsei University Health System, Korea.

6Nurse, Wonju Christian Hospital, Yonsei University, Korea.

7Professor, Department of Nursing, Wonju College of Medicine, Yonsei University, Korea.

Correspondence: Hur, Hea Kung. Department of Nursing, Wonju College of Medicine, Yonsei University, 162 Ilsan-dong, Wonju City, Kangwom-do, Korea. Tel: 82-33-741-0384, Fax: 82-33-743-9490, hhk0384@yonsei.ac.kr

Received 17 January 2012       Revised 3 March 2012       Accepted 9 March 2012

Copyright © 2012 Korean Academy of Nursing Administration

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.

Keywords: Malpractice, Patient safety, Safety perception, Safety control, Autonomy, Accountability

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