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      간호사의 투약 안전역량 강화를 위한 고위험 약물 중심의 시뮬레이션 훈련 적용

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      https://www.riss.kr/link?id=A107775200

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      다국어 초록 (Multilingual Abstract)

      Purpose: This study attempted to enhance the nurses’ safety competence in administering medications by using simulation training focused on high-alert medication. Method: A total of 30 nurses from 14 teams participated in the simulation training usi...

      Purpose: This study attempted to enhance the nurses’ safety competence in administering medications by using simulation training focused on high-alert medication. Method: A total of 30 nurses from 14 teams participated in the simulation training using a high-fidelity patient simulator. Medication administration performance and built-in error recovery was observed using a medication administration safety assessment checklist. Medication safety knowledge and confidence were measured before and after simulation training. Data were analyzed using descriptive statistics and a paired t-test. Results: There were numerous variations in safe medication administration. The safety behavior by oral prescription was insufficient compared to that by routine medication prescription. Following simulation training, knowledge of medication safety increased significantly, but confidence did not. Conclusion: Nurse educators may consider simulation to be an effective strategy for enhancing nurses’ medication safety competence.

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      목차 (Table of Contents)

      • ABSTRACT
      • Ⅰ. 서 론
      • 1. 연구의 필요성
      • 2. 연구목적
      • Ⅱ. 연구방법
      • ABSTRACT
      • Ⅰ. 서 론
      • 1. 연구의 필요성
      • 2. 연구목적
      • Ⅱ. 연구방법
      • 1. 연구 설계
      • 2. 연구 대상
      • 3. 연구 도구
      • 4. 연구 진행 절차
      • 5. 자료 분석 방법
      • Ⅲ. 연구 결과
      • 1. 대상자의 일반적 특성
      • 2. 관찰된 투약 안전 수행
      • 3. 투약오류 복구
      • 4. 시뮬레이션 전후 투약 안전 지식과 자신감의차이
      • 5. 시뮬레이션 경험에 대한 반응
      • Ⅳ. 논의
      • Ⅴ. 결론 및 제언
      • 참고문헌
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      참고문헌 (Reference)

      1 김은정, "환자 안전 역량을 위한 수혈 시뮬레이션에서 간호학부생의 오류 발생과 복구 수준" 기본간호학회 22 (22): 180-189, 2015

      2 김명수, "중환자실 간호사의 고위험약물에 대한 투약오류 위험과 약물단독확인 태도, 투약안전간호활동 간의 상관성" 한국중환자간호학회 8 (8): 1-10, 2015

      3 김명수, "고 위험약물의 투약확인을 위한 스마트 폰 어플리케이션의 개발 및 효과" 한국성인간호학회 26 (26): 253-265, 2014

      4 National Coordinating Council for Medication Error Reporting and Prevention(NCCMERP), "What is a medication error?"

      5 World Health Organization, "WHO launches global effort to halve medication-related errors in 5 years"

      6 Marja Härkänen, "The factors associated with medication errors in adult medical and surgical inpatients: a direct observation approach with medication record reviews" Wiley 29 (29): 297-306, 2015

      7 Mark C. Noort, "Speaking up to prevent harm: A systematic review of the safety voice literature" Elsevier BV 117 : 375-387, 2019

      8 Linda Cloete, "Reducing medication errors in nursing practice" RCN Publishing Ltd. 29 (29): 50-59, 2015

      9 Matt Boyd, "Read-back improves information transfer in simulated clinical crises: Table 1" BMJ 23 (23): 989-993, 2014

      10 KEUM SOON KIM, "Nurses’ perceptions of medication errors and their contributing factors in South Korea" Wiley 19 (19): 346-353, 2011

      1 김은정, "환자 안전 역량을 위한 수혈 시뮬레이션에서 간호학부생의 오류 발생과 복구 수준" 기본간호학회 22 (22): 180-189, 2015

      2 김명수, "중환자실 간호사의 고위험약물에 대한 투약오류 위험과 약물단독확인 태도, 투약안전간호활동 간의 상관성" 한국중환자간호학회 8 (8): 1-10, 2015

      3 김명수, "고 위험약물의 투약확인을 위한 스마트 폰 어플리케이션의 개발 및 효과" 한국성인간호학회 26 (26): 253-265, 2014

      4 National Coordinating Council for Medication Error Reporting and Prevention(NCCMERP), "What is a medication error?"

      5 World Health Organization, "WHO launches global effort to halve medication-related errors in 5 years"

      6 Marja Härkänen, "The factors associated with medication errors in adult medical and surgical inpatients: a direct observation approach with medication record reviews" Wiley 29 (29): 297-306, 2015

      7 Mark C. Noort, "Speaking up to prevent harm: A systematic review of the safety voice literature" Elsevier BV 117 : 375-387, 2019

      8 Linda Cloete, "Reducing medication errors in nursing practice" RCN Publishing Ltd. 29 (29): 50-59, 2015

      9 Matt Boyd, "Read-back improves information transfer in simulated clinical crises: Table 1" BMJ 23 (23): 989-993, 2014

      10 KEUM SOON KIM, "Nurses’ perceptions of medication errors and their contributing factors in South Korea" Wiley 19 (19): 346-353, 2011

      11 Laura C. Sessions, "Nurses’ perceptions of high‐alert medication administration safety: A qualitative descriptive study" Wiley 75 (75): 3654-3667, 2019

      12 Marian Smeulers, "Nurses' experiences and perspectives on medication safety practices: an explorative qualitative study" Wiley 22 (22): 276-285, 2014

      13 Zimmerman, D. M., "Medication safety : Simulation education for new RNs promises an excellent return on investment" 34 (34): 49-51, 2016

      14 Nasr Alrabadi, "Medication errors: a focus on nursing practice" Oxford University Press (OUP) 12 (12): 78-86, 2021

      15 Jeongeun Kim, "Medication administration errors by nurses: adherence to guidelines" Wiley 22 (22): 590-598, 2013

      16 Alwiena J Blignaut, "Medication administration errors and related deviations from safe practice: an observational study" Wiley 26 (26): 3610-3623, 2017

      17 Bette Mariani, "Medication Safety Simulation to Assess Student Knowledge and Competence" Elsevier BV 13 (13): 210-216, 2017

      18 Sarah Berdot, "Interventions to reduce nurses’ medication administration errors in inpatient settings: A systematic review and meta-analysis" Elsevier BV 53 : 342-350, 2016

      19 Carol A. Campbell, "Impact of simulation on safe medication practice with diploma/ADN students" Elsevier BV 8 (8): 147-156, 2013

      20 Institute for Safe Medication Practices, "ISMP list of high-alert medications in acute care settings"

      21 Lee, E. S., "High-alert medication management" 24 (24): 96-101, 2007

      22 Kirkpatrick, D. L., "Four steps to measuring training effectiveness" 28 (28): 19-25, 1983

      23 Tsai-Feng Lo, "Faculties' and nurses' perspectives regarding knowledge of high-alert medications" Elsevier BV 33 (33): 214-221, 2013

      24 Elizabeth A. Henneman, "Error identification and recovery by student nurses using human patient simulation: Opportunity to improve patient safety" Elsevier BV 23 (23): 11-21, 2010

      25 Melissa Jarvill, "Effect of Simulation on Nursing Students' Medication Administration Competence" Elsevier BV 14 : 3-7, 2018

      26 Shu-Yu Kuo, "Comparison of the effects of simulation training and problem-based scenarios on the improvement of graduating nursing students to speak up about medication errors: A quasi-experimental study" Elsevier BV 87 : 104359-, 2020

      27 Susan Pauly-O'Neill, "Beyond the Five Rights: Improving Patient Safety in Pediatric Medication Administration Through Simulation" Elsevier BV 5 (5): e181-e186, 2009

      28 David C. Classen, "Adverse Drug Events Among Hospitalized Medicare Patients: Epidemiology and National Estimates from a New Approach to Surveillance" Elsevier BV 36 (36): 12-AP9, 2010

      29 Yuan, H. B., "A systematic review of selected evidence on improving knowledge and skills through high-fidelity simulation" 32 (32): 294-298, 2012

      30 David H. Cousins, "A review of medication incidents reported to the National Reporting and Learning System in England and Wales over 6 years (2005-2010)" Wiley 74 (74): 597-604, 2012

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      연월일 이력구분 이력상세 등재구분
      2023 평가예정 재인증평가 신청대상 (재인증)
      2020-01-01 평가 등재학술지 선정 (재인증) KCI등재
      2018-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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