군 병원 입원환자의 환자참여 의지 영향 요인 = Factors affecting the Willingness of Patient Participation in ROK Military Hospitals

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to investigate the factors affecting willingness of patient participation in ROK military hospitals. Methods: The study design was a descriptive correlational study. 133 patients participated in the study. Data were collected on patient safety knowledge, health-related self-efficacy, patient-provider relationship, and willingness to participate in patient safety using an internet survey. Data were analyzed with descriptive statistics and multiple regression using SPSS. Results: The patient's willingness to participate was 3.63, and the factors affecting the patient’s willingness to participate were health-related self-efficacy and patient-provider relationship. When medical staff encouraged patient’s participation, the mean score of the patient's willingness to participate was 3.69, and the factors affecting the patient’s willingness to participate were patient safety knowledge and patient-provider relationship. Conclusion: Building a good patient-provider relationship, enhancing patient education, and improving self-efficacy should be recommended to facilitate patient participation activities. Strategies to increase the opportunities for patient provider interaction, develop educational materials suitable for military hospital inpatients, and develop self-efficacy enhancement programs are suggested.

참고문헌 (Reference)

1 금수진, "환자안전문화에 대한 군병원 종사자들의 인식" 군건강정책연구소 27 (27): 111-122, 2009

2 김미란, "환자안전(patient safety) 개념분석" 한국간호과학회 41 (41): 1-8, 2011

3 염호기, "환자안전 관리와 전망" 대한의사협회 56 (56): 454-458, 2013

4 이정은, "한국판 건강관리 자기효능감 척도 타당화" 대한스트레스학회 26 (26): 140-148, 2018

5 김찬중, "진료환경이 환자참여에 미치는 영향: 부정적감정의 조절효과를 중심으로" 대한경영정보학회 35 (35): 235-251, 2016

6 백은화, "입원환자의 손위생 인식과 의료진 손위생 증진활동에 대한 참여의지" 경상대학교 대학원 2014

7 최운정, "입원환자가 인지하는 간호요구도와 간호만족도의 관계에 영향을 미치는 간호사 의사소통 매개효과" 한국산학기술학회 19 (19): 374-382, 2018

8 황선욱, "일차 의료기관을 이용하는 환자의 환자 중심적 태도" 대한가정의학회 27 (27): 998-1004, 2006

9 표지희, "일반인 대상 환자안전 교육을 통한 환자안전 및 환자 참여에 대한 인식 증진: 예비 연구" 사단법인 대한보건협회 44 (44): 65-88, 2018

10 박진영, "의사－환자 관계성에 관한 상호이해도 분석" 한국광고홍보학회 17 (17): 30-54, 2015

11 정수진, "병원 진료에 대한 환자들의 참여 경험" 간호행정학회 23 (23): 504-514, 2017

12 황점숙, "군 병원 간호사의 환자안전문화에 대한 인식과 안전간호활동에 관한 연구" 군건강정책연구소 32 (32): 92-104, 2014

13 Lee KH, "Willingness toward patient participation in patient safety" Ulsan University 2018

14 Bishop AC, "Using the health belief model to explain patient involvement in patient safety" 18 (18): 3019-3033, 2015

15 Krupat E, "The practice orientations of physicians and patients:the effect of doctor–patient congruence on satisfaction" 39 (39): 49-59, 2000

16 Galassi JP, "The patient reactions assessment: a brief measure of the quality of the patientprovider medical relationship" 4 (4): 346-351, 1992

17 An JO, "The effects of patient safety program on perception of safety in military patients" Yonsei University 2016

18 The Joint Commission, "Speak up campaigns"

19 Becker H, "Self-rated abilities for health practices: a health self-efficacy measure" 17 (17): 42-50, 1993

20 Peat M, "Scoping review and approach to appraisal of interventions intended to involve patients in patient safety" 15 (15): 17-25, 2010

21 Abbate R, "Patients' knowledge, attitudes, and behavior toward hospital-associated infections in Italy" 36 (36): 39-47, 2008

22 World Health Organization, "Patients for patient safety partnerships for safer health care" WHO

23 Armed Forces Medical Command, "Patient safety management regulations" Ministry of National Defense 1-31, 2019

24 Armed Forces Medical Command, "Patient safety management guideline" Ministry of National Defense

25 Vincent CA, "Patient safety : what about the patient?" 11 (11): 76-80, 2002

26 Ringdal M, "Patient preferences for participation in patient care and safety activities in hospitals" 16 (16): 1-8, 2017

27 Arora NK, "Patient preferences for medical decision making: who really wants to participate?" 38 (38): 335-341, 2000

28 Longtin Y, "Patient participation:current knowledge and applicability to patient safety" 85 (85): 53-62, 2010

29 Shin KE, "Patient participation culture of nurse in total care service unit" Hanyang University 2018

30 Davis RE, "Patient involvement in patient safety: how willing are patients to participate?" 20 (20): 108-114, 2011

31 Carman KL, "Patient and family engagement: a framework for understanding the elements and developing interventions and policies" 32 (32): 223-231, 2013

32 Korea Ministry of Government Legislation, "Patient Safety Act" Korea Ministry of Government Legislation

33 Nau DP, "Medication safety : patients’ experiences, beliefs, and behaviors" 45 (45): 452-457, 2005

34 Pittet D, "Involving the patient to ask about hospital hand hygiene:a national patient safety agency feasibility study" 77 (77): 299-303, 2011

35 Davis RE, "How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? an exploratory study" 17 (17): 90-96, 2008

36 Weingart SN, "Hospitalized patients’ participation and its impact on quality of care and patient safety" 23 (23): 269-277, 2011

37 Wu KS, "Hand hygiene among patients:attitudes, perceptions, and willingness to participate" 41 (41): 327-331, 2013

38 Agency for Healthcare Research and Quality, "Guide to patient and family engagement in hospital quality and safety" AHRQ

39 Coulter A, "Engaging patients in healthcare" McGraw-Hill Education 1-208, 2011

40 Schwappach DL, "Engaging patients as vigilant partners in safety: a systematic review" 67 (67): 119-148, 2010

41 Cho SM, "Effects of the smartphone application “Safe Patients” on knowledge of patient safety issues among surgical patients" 35 (35): 639-646, 2014

42 Coulter A, "Effectiveness of strategies for informing, educating, and involving patients" 335 (335): 24-27, 2007

43 Ding B, "Effect of patient participation on nurse and patient outcomes in inpatient healthcare" 16 (16): 1344-, 2019

44 World Health Organization, "Conceptual framework for the international classification for patient safety" WHO 2009

45 Angel S, "Challenges in achieving patient participation: a review of how patient participation is addressed in empirical studies" 52 (52): 1525-1538, 2015

46 Hibbard JH, "Can patients be part of the solution? views on their role in preventing medical errors" 62 (62): 601-616, 2005

47 Rathert C, "Acute care patients discuss the patient role in patient safety" 36 (36): 134-144, 2011

48 Duncanson V, "A study of the factors affecting the likelihood of patients participating in a campaign to improve staff hand hygiene" 6 (6): 26-30, 2005

49 Agency for Healthcare Research and Quality, "20 tips to help prevent medical errors" AHRQ

50 Roh YS, "(An) explanatory model for patient adherence in patients with hypertension" Yonsei University 2003