정신병원의 간호사가 인식하는 환자안전 실태조사 = A Survey on the Perception of Psychiatric Hospital Nurses on Patient Safety

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to investigate the patient safety status and patient safety education contents and methods perceived by nurses working in psychiatric hospitals. Methods: Data were collected using a semi-structured questionnaire for psychiatric hospital nurses who had worked for more than one year. A total of 157 questionnaires were filled and were used for analysis using descriptive statistics. Open-ended questions about the contents and methods of patient safety education were classified by each researcher and a reclassification was conducted by consensus through discussions. Results: Overall, 142 nurses (90.4%) experienced patient safety accident during the previous 1 month. Among those who experienced a patient safety accident, profanity, violence, and aggression-related accident counted for the highest percentage (82.8%). The demand for education on workplace stress management and education on psychiatric medication were the highest. Required education methods included case-by-case education on patient safety accidents, regular and continuous education, and small-scale face-to-face education. Conclusion: In the future, it is necessary to actively utilize the results of this study as basic data for in-depth research on the causes of patient safety accidents, accident prevention, and the workload of nursing personnel.

참고문헌 (Reference)

1 노미희 ; 정경희, "중소병원 간호사의 투약 근접오류경험 영향요인" 한국콘텐츠학회 20 (20): 424-435, 2020

2 이산나 ; 김선하, "중소병원 간호사의 근접오류 실태 및 영향 요인에 관한 연구" 간호행정학회 27 (27): 75-83, 2021

3 박지혜 ; 배현아, "정신질환자의 입원 중 손상에 대한 법적 판단 -판례 분석을 통한 연구-" 한국의료법학회 20 (20): 219-246, 2012

4 김경희 ; 김숙자 ; 김석선, "정신의료기관의 간호사 확보수준과 환자의 재원기간, 안전사고 실태" 한국자료분석학회 19 (19): 503-511, 2017

5 김소영 ; 이경희, "정신의료기관 간호사의 환자안전문화 인식과 환자안전관리 활동" 한국정신간호학회 24 (24): 82-92, 2015

6 박혜인 ; 이경희, "정신과 근무하는 간호사의 통증관리 지식 및 태도에 대한 조사" 한국기초간호학회 16 (16): 150-156, 2014

7 박경환 ; 장미희, "정신간호사의 격리·강박 적용에 대한 의사결정 요인 탐색: 포커스 그룹 인터뷰 적용" 한국정신간호학회 27 (27): 380-393, 2018

8 최경진 ; 한상숙, "임상간호사의 직무 스트레스, 직무만족, 사회적 지지가 소진에 미치는 영향" 동서간호학연구소 19 (19): 55-61, 2013

9 안효자 ; 배영주 ; 조명숙, "사립정신병원 간호사의 직무와 정신간호교육 요구: 혼합연구" 한국정신간호학회 28 (28): 298-308, 2019

10 박미연 ; 김은아, "병원간호사가 지각한 환자안전관리 중요성 인식, 환자안전문화 및 안전수행이 병원경영성과에 미치는 영향" 간호행정학회 24 (24): 40-50, 2018

11 김순희 ; 김미혜 ; 정문희, "대학병원 간호사의 노인낙상예방 활동과 환자안전문화 인식" 한국생활환경학회 20 (20): 81-87, 2013

12 이태화 ; 강경화 ; 고유경 ; 조성현 ; 김은영, "국내외 간호사 인력정책의 현황과 과제" 간호행정학회 20 (20): 106-116, 2014

13 지현주 ; 이승은, "간호사가 인식한 의료기관의 환자안전문화와 환자안전 정도의 관계" 간호행정학회 28 (28): 190-199, 2022

14 양희모, "간호·간병 통합서비스 병동 간호사의 직무 스트레스가 안전통제감과 환자안전관리 활동에 미치는 영향" 한국콘텐츠학회 19 (19): 444-455, 2019

15 Jang HS, "The structural causes and perpetuating factors affecting long-term hospitalization of the mentally ill in Korea" University of Ulsan 2010

16 Kane RL, "The association of registered nurse staffing levels and patient outcomes : systematic review and meta-analysis" 45 (45): 1195-1204, 2007

17 Kim SA, "Psychiatric mental health nursing" Soomoonsa 672-, 2020

18 Korean Nurses Association Edu Center, "Program information"

19 Kanerva A, "Patient safety in psychiatric inpatient care : a literature review" 20 (20): 541-548, 2013

20 Ministry of Health and Welfare, "Patient safety act article 13(Education on patient safety activities)" Ministry of Health and Welfare

21 Lankshear AJ, "Nurse staffing and healthcare outcomes : a systematic review of the international research evidence" 28 (28): 163-174, 2005

22 Park MH, "Near misses experienced at a university hospital in Korea" 22 (22): 41-57, 2016

23 Ministry of Health and Welfare, "National Mental Health Statistics 2020"

24 Ministry of Health and Welfare, "Korean patient safety incident report 2020" 2021

25 Ministry of Health and Welfare, "Healthcare accreditation survey standard of mental hospital"

26 Go HS, "Every sanatorium and mental hospital subject to governmental assessment, starting 2013"

27 Lin L, "Addressing the nursing work environment to promote patient safety" 42 (42): 20-30, 2007

28 Ministry of Health and Welfare, "Act on the improvement of mental health and the support for welfare services for mental patients" Ministry of Health and Welfare

29 Korean Society on Patient Safety and Quality Improvement Nurses, "Academic conference/training education"

30 The Seoul Institute, "A Survey of Seoul Welfare 2020"