Effect of Patient Safety Training Program of Nurses in Operating Room

다국어 초록 (Multilingual Abstract)

Purpose: This study developed an in-service training program for patient safety and aimed to evaluate the impact of the program on nurses in the operating room (OR). Methods: A pretest–posttest self-controlled survey was conducted on OR nurses from May 6 to June 14, 2020. An in-service training program for patient safety was developed on the basis of the knowledge–attitude–practice (KAP) theory through various teaching methods. The levels of safety attitude, cognition, and attitudes toward the adverse event reporting of nurses were compared to evaluate the effect of the program. Nurses who attended the training were surveyed one week before the training (pretest) and two weeks after the training (posttest). Results: A total of 84 nurses participated in the study. After the training, the scores of safety attitude, cognition, and attitudes toward adverse event reporting of nurses showed a significant increase relative to the scores before the training (p < .001). The effects of safety training on the total score and the dimensions of safety attitude, cognition, and attitudes toward nurses’ adverse event reporting were above the moderate level. Conclusion: The proposed patient safety training program based on KAP theory improves the safety attitude of OR nurses. Further studies are required to develop an interprofessional patient safety training program. In addition to strength training, hospital managers need to focus on the aspects of workflow, management system, department culture, and other means to promote safety culture.

참고문헌 (Reference)

1 곽윤복 ; 김지영, "정신질환자를 위한 대사증후군 통합건강관리 프로그램 개발 및 평가" 한국간호과학회 52 (52): 261-277, 2022

2 Hempel S, "Wrong-site surgery, retained surgical items, and surgical fires : A systematic review of surgical never events" 150 (150): 796-805, 2015

3 World Health Organization, "WHO guidelines for safe surgery 2009: Safe surgery saves lives"

4 Kohn LT, "To err is human: Building a safer health system" National Academy Press 245-246, 2000

5 Bajpai S, "The trainee’s role in patient safety : Training residents and medical students in surgical patient safety" 101 (101): 149-160, 2021

6 Brunoni AR, "The sertraline vs. electrical current therapy for treating depression clinical study: Results from a factorial, randomized, controlled trial" 70 (70): 383-391, 2013

7 Islami Vaghar M, "The impact of an educational program on blood and blood products transfusion on nurses’ level of knowledge and performance" 11 (11): 238-242, 2018

8 Amiri M, "The effect of nurse empowerment educational program on patient safety culture : A randomized controlled trial" 18 (18): 158-, 2018

9 Slawomirski L, "The economics of patient safety:From analysis to action"

10 Faul F, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses" 41 (41): 1149-1160, 2009

11 Pimentel MPT, "Safety culture in the operating room : Variability among perioperative healthcare workers" 17 (17): 412-416, 2021

12 Birkmeyer NJ, "Safety culture and complications after bariatric surgery" 257 (257): 260-265, 2013

13 Wilson B, "Reporting of Clinical Adverse Events Scale : A measure of doctor and nurse attitudes to adverse event reporting" 17 (17): 364-367, 2008

14 Rajalatchumi A, "Perception of patient safety culture among health-care providers in a tertiary care hospital, South India" 9 (9): 14-18, 2018

15 Ranjbar H, "Patient safety: An important yet neglected issue in nursing education" 14 (14): e35-, 2018

16 Rocha RC, "Patient safety culture in surgical centers : Nursing perspectives" 55 : e03774-, 2021

17 Yu A, "Patient safety 2030"

18 Davies HT, "Organisational culture and quality of health care" 9 (9): 111-119, 2000

19 Forte EC, "Nursing errors : A study of the current literature" 26 (26): e01400016-, 2017

20 Huang HT, "Nurses’ physical restraint knowledge, attitudes, and practices : The effectiveness of an in-service education program" 17 (17): 241-248, 2009

21 Modak I, "Measuring safety culture in the ambulatory setting : The safety attitudes questionnaire--ambulatory version" 22 (22): 1-5, 2007

22 Cleary A, "Knowledge and attitudes of mental health professionals in Ireland to the concept of recovery in mental health : A questionnaire survey" 16 (16): 539-545, 2009

23 Lian M, "Investigation and analysis of nurses’ cognition and attitude towards adverse event report" Nanjing University of Traditional Chinese Medicine 2012

24 Bohnen JD, "Intraoperative adverse events in abdominal surgery : What Happens in the operating room does not stay in the operating room" 265 (265): 1119-1125, 2017

25 Nilsson L, "Incidence of adverse events in Sweden during 2013-2016 : A cohort study describing the implementation of a national trigger tool" 8 (8): e020833-, 2018

26 Rochefort CM, "Improving patient safety by optimizing the use of nursing human resources" 10 : 89-, 2015

27 Lopez-Jeng C, "Improving hospital safety culture for falls prevention through interdisciplinary health education" 21 (21): 918-925, 2020

28 박영미 ; 김숙영, "Impacts of Job Stress and Cognitive Failure on Patient Safety Incidents among Hospital Nurses" 한국산업안전보건공단 산업안전보건연구원 4 (4): 210-215, 2013

29 Association of periOperative Registered Nurses, "Guidelines for perioperative practice"

30 Lozito M, "Good Catch Campaign : Improving the perioperative culture of safety" 107 (107): 705-714, 2018

31 World Health Organization, "Global patient safety action plan 2021–2030: Towards eliminating avoidable harm in health care"

32 Throckmorton T, "Factors affecting incident reporting by registered nurses : The relationship of perceptions of the environment for reporting errors, knowledge of the nursing practice act, and demographics on intent to report errors" 22 (22): 400-412, 2007

33 Nelson PE, "Enhanced time out : An improved communication process" 105 (105): 564-570, 2017

34 Kobiela J, "Emotional aspects of never events" 151 (151): 95-, 2016

35 Leong KBMSL, "Effects of perioperative briefing and debriefing on patient safety : A prospective intervention study" 7 (7): e018367-, 2017

36 Ameryoun A, "Effectiveness of an in-service education program to improve patient safety directed at surgical residents : A randomized controlled trial" 76 (76): 1309-1318, 2019

37 Ahmadi M, "Effect of interventional educational programs on intensive care nurses’ perception, knowledge, attitude, and practice about physical restraints : A pre-/postclinical trial" 42 (42): 106-116, 2019

38 Habahbeh AA, "Effect of an educational programme on the attitudes towards patient safety of operation room nurses" 29 (29): 222-228, 2020

39 Russ S, "Do safety checklists improve teamwork and communication in the operating room? A systematic review" 258 (258): 856-871, 2013

40 Thaiana Helena Roma Santiago, "Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva" FapUNIFESP (SciELO) 49 (49): 123-130, 2015

41 Johnstone MJ, "Clinical risk management and patient safety education for nurses : A critique" 27 (27): 185-191, 2007

42 Carney BT, "Changing perceptions of safety climate in the operating room with the Veterans Health Administration medical team training program" 26 (26): 181-184, 2011

43 Saraswathy T, "Applying interprofessional simulation to improve knowledge, attitude and practice in hospitalacquired infection control among health professionals" 21 (21): 482-, 2021

44 Han Y, "Analysis on the status and factors of patient’s safety attitude of surgical nurses" 34 (34): 1-5, 2017

45 Xin Liao, "Analysis of Factors Influencing Safety Attitudes of Operating Room Nurses and Their Cognition and Attitudes toward Adverse Event Reporting" Hindawi Limited 2022 : 1-11, 2022

46 Kozusko SD, "An innovative approach to the surgical time out : A patient-focused model" 103 (103): 617-622, 2016

47 Guo X, "A preliminary study on the revised Chinese safety attitude questionnaire" Shanxi Medical University 2009

48 Piscitelli A, "A keyword approach to identify adverse events within narrative documents from 4 Italian institutions" 18 (18): e362-e367, 2022

49 Anthony Biglan, "A framework for intentional cultural change" Elsevier BV 2 (2): 95-104, 2013

50 Kwon E, "A comparative study on patient safety attitude between nurses and doctors in operating rooms" 48 (48): 300060519884501-, 2020