DOI QR코드

DOI QR Code

The Effect of Nursing Students' Knowledge and Attitudes about Patients' Safety on Self-Efficacy

간호대학생의 환자안전에 대한 지식 및 태도가 자기효능감에 미치는 영향

  • Received : 2021.02.11
  • Accepted : 2021.05.20
  • Published : 2021.05.28

Abstract

The purpose of this study was to identify the effect of nursing college students' knowledge and attitudes about patient safety on self-efficacy. The participants comprised 186 students in a nursing college. Data collection was from September 22, 2020, to October 24, 2020. The data were analyzed by descriptive statistics, an independent t-test, a one-way ANOVA, the Pearson's correlation coefficient, and multiple regression through the SPSS 25.0 Program. Nursing students' knowledge of patient safety was 10.62±1.86 points on average, out of a total of 16 points. Attitudes toward patient safety and self-efficacy were an average of 3.72±0.45 points and an average of 3.71±0.65 points, respectively, out of 5 points. The relationship between knowledge and attitude about patient safety and self-efficacy was positively correlated. The effect on self-efficacy is attitude toward patient safety, satisfaction with a major, school practice, and clinical experience. The explanatory power was 14.4%. In conclusion, it is necessary to develop educational programs for patient safety that apply smart technology in order to enhance the self-efficacy of nursing students.

본 연구의 목적은 간호대학생의 환자안전에 대한 지식 및 태도가 자기효능감에 미치는 영향을 확인하기 위함이다. 연구대상은 C시 간호대학교 3, 4학년 186명이고, 자가설문지를 이용하여 자료를 수집하였다. 자료수집은 2020년 09월 22일부터 10월 24일까지이다. 자료분석은 SPSS 25.0 Program을 통해 기술통계, Independent t-test, One way ANOVA, Pearson's correlation coefficient, Multiple regression으로 분석하였다. 간호대학생의 환자안전에 대한 지식은 총 16점 만점에 평균 10.62±1.86점, 환자안전에 대한 태도 및 자기효능감은 5점 만점에 각각 평균 3.72±0.45점, 평균 3.71±0.65점이었다. 환자안전에 대한 지식 및 태도가 자기효능감의 관계에서 양의 상관관계로 나타났다. 자기효능감에 영향을 미치는 요인은 환자안전에 대한 태도, 전공만족도, 교내·임상실습 만족도였고, 설명력은 14.4%였다. 결론적으로 간호대학생의 환자안전에 대한 자기효능감 증진을 위해서 스마트기술을 활용한 교육 프로그램을 개발할 필요가 있다.

Keywords

References

  1. N. Y. Kim. (2020). Analysis of Patient Safety Incident in Korea. Journal of Korean Academy of Nursing Administration, 26(2), 151-159. DOI : 10.11111/jkana.2020.26.2.151
  2. M. R. Kim. (2011). Concept Analysis of Patient Safety. Journal of Korean Academy of Nursing, 41(1), 1-8. DOI : 10.4040/jkan.2011.41.1.1
  3. Joint Commission International. (2007). Joint Commission International accreditation standards for hospitals. Oakbrook Terrace.
  4. J. H. Park & M. H. Park. (2014). Knowledge, Attitude, and Confidence on Patient Safety of Undergraduate Nursing Students. The Journal of Korean Academic Society of Nursing Education, 20(1), 5-14. DOI : 10.5977/jkasne.2014.20.1.5
  5. Ministry of Health and Welfare (KR). (2018). The 1st Comprehensive Patient Safety Plan ('18~'22). Ministry of Health and Welfare(Online). http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=0319&CONT_SEQ=344873.
  6. Korea Institute for Healthcare Accreditation. (2020). Statistical Yearbook of Patient Safety for 2019. Korea Institute for Healthcare Accreditation(Online). https://www.kops.or.kr/portal/kops/study/statisticsBoard.page
  7. Y. S. Son, Y. W. Lee, Y. S. Kim, E. J. Song, H. R. Lee & J. H. Lee. (2018). Perception of Patient Safety Risk Factors and Performance Level of Safety Care Activities among Hospital Nurses. The Journal of Korean Academic Society of Nursing Education, 24(2), 190-200. DOI : 10.5977/jkasne.2018.24.2.190
  8. H. S. Jeon, J. H. Kong & M. Y. Jeon. (2017) Factors Influencing Confidence in Patient Safety Management in Nursing Students. Journal of the Korea Convergence Society, 8(6), 121-130. DOI : 10.15207/JKCS.2017.8.6.121
  9. M. Vaismoradi, M. Salsali & P. Marck. (2011). Patient Safety: Nursing Students' Perspectives and the Role of Nursing Education to Provide Safe Care. International Nursing Review, 58(4), 434-442. DOI : 10.1111/j.1466-7657.2011.00882.x
  10. S. Ahn, N. J. Lee & H. Jang. (2018). Patient Safety Teaching Competency of Nursing Faculty. Journal of Korean Academy of Nursing, 48(6), 720-730. DOI : 10.4040/jkan.2018.48.6.720
  11. A. Bandura. (1977). Self-efficacy: Toward a Unifying Theory of Behavioral Change. Psychological Review, 84(2), 191-215. DOI : 10.1037/0033-295X.84.2.191
  12. W. S. Madigosky, L. A. Headrick, K. Nelson, K. R. Cox & T. Anderson. (2006). Changing and Sustaining Medical Students' Knowledge, Skills, and Attitudes about Patient Safety and Medical Fallibility. Academy of Medicine, 81(1), 94-101. DOI : 10.1097/00001888-200601000-00022
  13. A. Y. Park & J. O. Kim. (2018). A Validity and Reliability of Korean Version of the Student Perception of Patient Safety Knowledge, Skills, Attitudes. Journal of Digital Convergence, 16(2), 479-488. DOI : 10.14400/JDC.2018.16.2.479
  14. S. H. Choi & H. Y. Lee. (2015). Factors Affecting Nursing Students' Practice of Patient Safety Management in Clinical Practicum. The Journal of Korean Nursing Administration Academic Society, 21(2), 184-192. DOI : 10.11111/jkana.2015.21.2.184
  15. P. L. Toth. (1994). Teaching the 'Here and Now' Intervention to Masters Level Group. Counselling Students Using a Micro Counseling Skill Based Approach: the Effect on Skill Acquisition and the Level of Self-efficacy. Indian University, 18(3), 27-42.
  16. K. H. Kim & G. D. Kim. (2007). The Relationship Between Critical Thinking Disposition and Self-efficacy of College Nursing Students. The Journal of Korean academic society of nursing education, 13(2), 229-236. https://scienceon.kisti.re.kr/commons/util/originalView.do?cn=JAKO200714256113507&dbt=JAKO&koi=KISTI1.1003%2FJNL.JAKO200714256113507
  17. E. J. Kim, D. H. Seo & E. J. Ki. (2020). Influence of Task Value and Academic Self-efficacy on Learning Engagement in Nursing Education using Smart Learning. Journal of Digital Convergence, 18(7), 229-236. DOI : 10.14400/JDC.2020.18.7.229
  18. C. G. Kim, et al. (2018). The Relationship Between Knowledge of Patient Safety, Nursing Professionalism and Patient Safety Management Activities in Nursing Students. Quality Improvement in Health Care, 24(2), 26-40. DOI : 10.14371/QIH.2018.24.2.26
  19. Y. H. Hyeon. (2014). The Relationship among Self-Efficacy, Attitude of Patient Safety, and Safety Care Performance in Nursing Student. Unpublished Master's Thesis, Keimyung University.
  20. S. Yoo, J. Y. Park & S. H. Kwon. (2019). Factors Affecting on the Practice of Patient Safety Management (PSM) in Nursing College Students. Journal of Digital Convergence, 17(11), 279-288. DOI : 10.14400/JDC.2019.17.11.279
  21. The National Institute of the Korean Language. (2021). Dictionary (Attitude). The National Institute of the Korean Language(Online). https://www.korean.go.kr/front/search/searchAllList.do
  22. M. Sherer, JE. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacobs & RD. Rogers. (1982). The Self-efficacy Scale: Construction and Validation. Psychological Reports, 51(2), 663-671. DOI : 10.2466/pr0.1982.51.2.663
  23. A. S. Jung. (2007). A Study on the Relations Between a Health Promoting Behaviors and Self-efficacy in General Hospital Nurse. Unpublished Master's Thesis, Hanyang National University.
  24. D. L. Streiner & G. R. Norman. (2005). Health Measurement Scales: a Practical Guide to Their Development and Use(3rded.). New York : Oxford University Press.
  25. M. Y. Moon & J. Y. Kim. (2018). Convergence Factors Affecting Critical Thinking Disposition, Clinical Decision Making Ability, Patient Safety Knowledge and Attitude to Perform Safety Nursing Activities in Clinical Practice on Nursing Students. Journal of Digital Convergence, 16(12), 511-521. DOI : 10.14400/JDC.2018.16.12.511
  26. J. H. Park. (2019). Nursing Students Patient Safety Competency and Patient Safety Management Practice. Korea Academy Industrial Cooperation Society, 20(3), 216-223. DOI : 10.5762/KAIS.2019.20.3.216
  27. M. H. Park. (2017). Convergence Effects of Nursing Professionalism and Critical Thinking Disposition on Patient Safety Attitude in Nursing Students. Journal of Digital Convergence, 15(11), 317-327. DOI : 10.14400/JDC.2017.15.11.317
  28. J. Y. Lee & S. H. Lee, (2017). Effect of Attitude and Practice of PSM and Clinical Practice Satisfaction in Nursing Students. Journal of the Korea Safety Management and Science, 19(4), 125-132. DOI : 10.12812/ksms.2017.19.4.125
  29. J. H. Park. (2016). The Effects of Simulation Program by Applying Hazard Perception Training on Self-efficacy of Patient Safety, Error Recovery and Problem-solving Process in Nursing Students. Journal of Korea Society for Simulation in Nursing, 4(1), 23-32. http://db.koreascholar.com/article.aspx?code=3168
  30. D. Y. Lim & H. J. Jang. (2018). The Relationship with the Knowledge, Confidence in Performance and Nursing Professional Values on Patient Safety of Undergraduate Nursing Students. The Journal of the Korea Contents Association, 18(4), 279-289. DOI : 10.5392/JKCA.2018.18.04.279
  31. J. Y. Kim & E. A. Hwang. (2014). A Study on Improvement of Consumer Safety in Medical Services: Based on Patient Safety. Korean Consumer Agency, 12, 1-158. https://www.kca.go.kr/home/sub.do?menukey=6101
  32. M. O. Kim. (2016). Study on Self-efficacy, Communication Competency, Critical Thinking Disposition and Clinical Performance Ability of Nursing Students. Journal of the Korea Academia-Industrial Cooperation Society, 17(6), 609-617. DOI : 10.5762/KAIS.2016.17.6.609
  33. Y. H. Kim & S. R. Suh, (2014). Fatigue and Self-efficacy on Clinical Practice of Nursing Students. The Journal of the Korea Contents Association, 14(3), 328-336. DOI: 10.5392/JKCA.2014.14.03.32
  34. K. S. Jang. (2018). Factors Influencing the Patient Safety Management Activity of Nursing Students. The Journal of Korean Academic Society of Nursing Education, 24(4), 358-366. DOI : 10.5977/jkasne.2018.24.4.358
  35. M. S. Kang, Y. S. Jang & U. R. Song. (2020). Factors Affecting the Patient Safety Management Activity of Nursing Students: A Quantile Regression Approach. Journal of Korean Academy of Nursing Administration, 26(3), 230-240. DOI : 10.11111/jkana.2020.26.3.230.
  36. H. J. Kim. (2020). The Effects of Pre-briefing Team-based Learning in Standardized Patients Simulation. Journal of Digital Convergence, 18(8), 271-279. DOI : 10.14400/JDC.2020.18.8.271
  37. H. Lee, H. Min, S. Oh & K. Shim. (2018). Mobile Technology in Undergraduate Nursing Education: A Systematic Review. Healthcare informatics research, (24)2, 97-108. DOI : 10.4258/hir.2018.24.2.97
  38. M. J. Cho, J. L. Sim & S. Y. Hwang. (2014). Development of Smartphone Educational Application for Patients with Coronary Artery Disease. Healthcare informatics research, (20)2, 117-124. DOI : 10.4258/hir.2014.20.2.117