DOI QR코드

DOI QR Code

Influence of Problem-solving Ability and Self-efficacy on Medication Safety Competence among Clinical Nurses

간호사의 문제해결능력, 자기효능감이 투약안전역량에 미치는 영향

  • Jeong, Da Eun (Graduate School, Nursing Department, Inha University) ;
  • Lee, Young Whee (Nursing Department, Inha University) ;
  • Ryu, Kyung Min (Graduate School, Nursing Department, Inha University) ;
  • Woo, Han Sol (Graduate School, Nursing Department, Inha University) ;
  • Kim, Jan Dee (Graduate School, Nursing Department, Inha University)
  • 정다은 (인하대학교 대학원 간호학과) ;
  • 이영휘 (인하대학교 간호학과) ;
  • 류경민 (인하대학교 대학원 간호학과) ;
  • 우한솔 (인하대학교 대학원 간호학과) ;
  • 김잔디 (인하대학교 대학원 간호학과)
  • Received : 2022.03.20
  • Accepted : 2022.05.20
  • Published : 2022.05.28

Abstract

This study attempted to identify factors affecting the clinical nurse's medication safety competence. Data collection was conducted with 154 nurses working in two tertiary general hospitals. Data were analyzed using by t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression analysis with SPSS 26.0 program. As a result of the study, medication safety competence had a statistically significant correlation with problem-solving ability and self-efficacy. The factors influencing medication safety competences were in order of self-efficacy, problem-solving ability, work pattern, and current site work experience, which together accounted for 64.7% of the total variance. Therefore, in order to improve the clinical nurse's medication safety competences, prioritizing the development of a program to enhance self-efficacy and problem-solving ability is required.

본 연구는 임상간호사의 투약안전역량에 영향을 미치는 요인을 규명하고자 시도되었다. 자료의 수집은 상급종합병원 두 곳에 재직하고 있는 154명의 간호사를 대상으로 진행하였다. 자료의 분석은 SPSS 26.0 프로그램으로 t-검정, ANOVA, 상관관계, 단계적 다중회귀분석을 하였다. 연구결과 투약안전역량은 문제해결능력과 자기효능감과 유의한 상관관계가 있었다. 자기효능감, 문제해결능력, 근무형태, 현부서 근무경력 순으로 투약안전역량에 영향을 미치는 것으로 나타났고 이들 변수는 전체변량의 64.7%의 설명력을 가졌다. 따라서 임상간호사의 투약안전역량을 증진시키기 위해서는 무엇보다도 자기효능감과 문제해결능력을 증진시키기 위한 프로그램이 개발 될 필요가 있겠다.

Keywords

References

  1. Korea Institute for Healthcare Accreditation. (2019). 2018 Patient safety statistics annual report. Seoul : Korea Institute for Healthcare Accreditation.
  2. M. Billstein-Leber, J. D. Carrillo, A. T. Cassano, K. Moline & J. J. Robertson. (2018). ASHP guidelines on preventing medication errors in hospitals. American Journal of Health-System Pharmacy, 75(19), 1493-1517. DOI : 10.2146/ajhp170811
  3. L. Lucian & M. D. Leape. (1995). Preventing adverse drug events. American Journal of Health-System Pharmacy, 52(4), 379-382, DOI : 10.1093/ajhp/52.4.379
  4. A. Wondmieneh, W. Alemu, N. Tadele & A. Demis. (2020). Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nursing, 19(4), 1-9. DOI : 10.1186/s12912-020-0397-0
  5. L. A. Treiber & J. H. Jones. (2018). After the medication error: Recent nursing graduates' reflections on adequacy of education. The Journal of Nursing Education. 57(5), 275-280. DOI : 10.3928/01484834-20180420-04
  6. G. L. Gillespie, D. M. Gates & P. Succop. (2010). Psychometrics of the healthcare productivity survey. Advanced Emergency Nursing Journal, 32(3), 258-271. DOI : 10.1097/TME.0b013e3181e97510
  7. S. Letvak & R. Buck. (2008). Factors influencing work productivity and intent to stay in nursing. Nursing Economics. 26(3), 159-165.
  8. T. A. Gaffney, B. J. Hatcher & R. Milligan. (2016). Nurses' role in medical error recovery: An integrative review. Journal of Clinical Nursing, 25(7-8), 906-917. DOI : 10.1111/jocn.13126
  9. J. K. Park. (2019). Development of medication safety competence scale (MSCS) for nurses. Doctoral dissertation, Korea University, Seoul.
  10. S. R. Suh, J. Kim & Y. Song. (2021). The predictive factors of medication errors in clinical nurse. Journal of Health Informatics and Statistics, 46(1), 19-27. DOI : 10.21032/jhis.2021.46.1.19
  11. J. H. Park & E. N. Lee. (2019). Influencing factors and consequences of near miss experience in nurses' medication error. Journal of Korean Academy of Nursing, 49(5), 631-642. DOI : 10.4040/jkan.2019.49.5.631
  12. J. E. Kim, M. A. Kang, K. E. An & Y. H. Sung. (2007). A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research, 13(3), 169-179.
  13. J. H. Park. (2020). Effects of nurses' patient safety management importance, patient safety culture and nursing service quality on patient safety management activities in tertiary hospitals. Journal of Korean Academy Nursing Administration, 26(3), 181-191. DOI : 10.11111/jkana.2020.26.3.181
  14. W. S. Lee, S. H. Park & E. Y. Choi. (2008). Developments of a Korean problem solving process inventory for adults. The Korean Journal of Fundamentals of Nursing, 15(4), 548-557.
  15. L. Chartier. (2001). Use of metacognition in developing diagnostic reasoning skills of novice nurses. International Journal of Nursing Terminologies and Classifications, 12, 55-60. DOI : 10.1111/j.1744-618X.2001.tb00119.x
  16. A. B. Cevik & N. Olgun. (2015). Do problemsolving skills affect success in nursing process applications? An application among Turkish nursing students. International Journal of Nursing Knowledge, 26(2), 90-95. DOI : 10.1111/2047-3095.12043
  17. H. R. Choi & D. S. Cho. (2011). Influence of nurses' performance with critical thinking and problem solving process. Korean Journal of Women Health Nursing, 17(3), 265-274. DOI : 10.4069/kjwhn.2011.17.3.265
  18. H. S. Kim & S. J. Han. (2016). The Survey on the influence of clinical nurse's critical thinking disposition, problem-solving skill and self-efficacy on patients safety Competencies. Journal of the Korea Academia-Industrial cooperation Society, 17(6), 598-608. DOI : 10.5762/KAIS.2016.17.6.598
  19. 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
  20. I. H. Yun. (2005). A study on the relationship among quality of life, self-efficacy and self care of open heart surgery patients after hospital discharge. Unpublished master's thesis, Kwandong University, Gangneung.
  21. E. Sinaga, A. N. Lubis & F. L. Siregar. (2020). The influence of self-efficacy on nurse performance in Mitra Sejati Hospital. European Journal of Molecular & Clinical Medicine, 7(10), 1351-1359.
  22. K. A. Kang & S. H. Park. (2018). The effects of self-efficacy and job stress coping on the resilience in clinical nurses. Journal of the Korea Academia-Industrial cooperation Society, 19(6), 549-558. DOI : 10.5762/KAIS.2018.19.6.549
  23. F. R.Caruso, F. Pittella, R. Zaghini, & A. Fida. (2016). Development and validation of the Nursing Profession Self-Efficacy Scale. International Nursing Review, 63, 455-464. DOI : 10.1111/inr.12291
  24. S. M. Kim. (2019). Validity and reliability of the Korean version of nursing profession selfefficacy scale. Unpublished master's thesis, Kyung Hee University, Seoul.
  25. Y. S. Kim & J. W. Oh. (2021). A Study on the competence of drug safety of nursing college students before graduate. The Journal of Humanities and Social Science, 12(2), 93-105. DOI : 10.22143/HSS21.12.2.8
  26. S. H. Lee & Y. H. Lee. (2016). Perception on patient safety culture and patient safety competency of intensive care unit nurses. Journal of The Korean Data Analysis Society, 18(4), 2215-2229.
  27. E. J. Ko & E. J. Kim. (2021). Enhancing nurses' medication administration safety competence using simulation training focused on high-alert medication. Journal of Korean Society for Simulation in Nursing, 9(1), 41-55. DOI : 10.17333/JKSSN.2021.9.1.41
  28. S. Y. Kwak, Y. S. Kim, K. J. Lee & M. Y. Kim. (2017). Influence of nursing informatics competencies and problem-solving ability on nursing performance ability among clinical nurses. The Journal of Korean Academic Society of Nursing Education. 23(2), 146-155. DOI : 10.5977/jkasne.2017.23.2.146
  29. H. Y. Hong. (1995). Relationship of perfectionism, self-efficacy and depression. Unpublished master's thesis, Ewha Womans University, Seoul.
  30. H. Jang. (2013). Evaluation and application of patient safety competence assessment tool: Survey for nurses. Unpublished Master's thesis. Seoul National University, Seoul.
  31. Y. H. Yi, & S. J. Choi. (2014). Association of sleep characteristics with medication errors for shift work nurses in intensive care units. Korean Academy of Fundamental Nursing, 21(4), 403-412. DOI : 10.7739/jkafn.2014.21.4.403
  32. M. J. Koo (2021). Analysis of medication errors of nurses by patient safety accident reports. Journal of Korean Clinical Nursing Research, 27(1), 109-119. DOI : 10.22650/JKCNR.2021.27.1.109
  33. J. L. DeYoung, M. E. Vanderkooi & J. F. Barletta (2009). Effect of bar-code assisted medication administration on medication error rates in an adult medical intensive care unit. American Journal of Health-System Pharmacy, 66(12), 1110-1115. DOI : 10.2146/ajhp080355
  34. E. G. Poon et al. (2010). Effect of bar-code technology on the safety of medication administration. The New England Journal of Medicine, 362(18), 1698-1707. DOI : 10.1056/NEJMsa0907115
  35. S. J. Lee & K. S. Jang. (2014). The effects of action learning on nurses' problem solving, communication, emotional creativity and innovation behavior. The Korean Journal of Health Service Management, 8(2), 73-87. DOI : 10.12811/kshsm.2014.8.2.073
  36. S. M. Kim, M. J. Park & Y. K. Yang. (2015). Effects on problem solving ability and learning satisfaction of nursing students of receiving a teaching method using standardized patients - blood transfusion. Journal of Korean Academy of Fundamentals Nursing, 22(4), 406-415. https://doi.org/10.7739/jkafn.2015.22.4.406
  37. Y. W. Park et al. (2013). A study for developing the effective working pattern for nurses in shift work. Journal of Korean Clinical Nursing Research, 19(3), 333-344. DOI : 10.22650/JKCNR.2013.19.3.333