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조은숙,정은경,홍성란,김경선,배선경,노미선,박민기,박미순,서옥영 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.1
The purpose of this study is to provide the basic data for prevention and management of the nursing accident through investigation of experiences, causes of nursing accidents that have happened in the facilitated hospital or medical center. For this purpose, A questionnaire survey was conducted to 169 registered nurses employed in 400 bed - C university hospital located in Seoul city from July 28 to August 6. The questionnaire was modified and added properly in addition of the method that the former researcher, Chung, Eun Sook, used. Cronbach's α=0.9328. The summary of research result is below. 1) The average score of overall experience level on nursing accidents is 1.78, in according to parts, obtained by 1.49 in the supervision of aid nurse, 1.70 in the supervision of patient care, 1.74 in the attention to doctor's prescription, 1.80 in observation and judgement on patient, 1.97 in maintenance of nursing record and patient's confidentiality, 1.99 in the education and practice of nursing skill. The higher level of nursing accident's experience was observed in the nonsupervised parts, compared with the pats supervised by doctor's prescription. 2) The most attributable casuse of nursing accident was reported to be the superimposed job, as much as 60.5%, in answer of the questionnaire. The factors of nursing accident in parts were noticed as the lack of nurse resources 34.5%, the poor perception of patient's state 39.9%, the infirm establishment of cooperation with doctor 30.3%, and the unsanitary and unstable environment of ward in hospital 50.6%. 3) In view of the reporting system on nursing accident, 76.2% of subscribers always reported the accident first to their chief nurse. The frequency in the time of accident were shown to be 66.7% in 24 hours a day, 11.35% during the day and 4.2% at night indicating the more occurrence at night. They accredited the responsibility of the accident to the nurse in chare 61.9%, the nurses worked on that duty 29.2%. 4) After the accident, the patronage's responses against the involved nurse consist of foul word 77.8%, physical assault 15.6% and accusation 14.4%. 5) The punitive measures that the hospital administration took against the nurses involved in the accidents consist of verbal discipline 46.4%, discipline in a form of paper 30.4%, transfer to other department in case of the big problem or the patronage harsh request 2.9% and resignation of their own will 2.2%. 6) The hospital adminisration took the preventive mesures scuh as the enlargement of nurse resources 90.5%, the improvement of hospital facility 49.7% and the reinforcement of nurse education 45.6%, against the nursing accident(multiple answer). Through this research, the author realized that the clinical nurses have fulfilled the activities difficult, responsible substantially and had the responsibility for all of the nursing accidents that happened while they were carrying out their duties. Nowadays in Korea, we are not able to provide the nurse resources to meet the legal rate(5 to 2) between patient and nurse. Furthemore, some factors that might give bad effect on supplying a good care to patient, such as the trends of lessening family members and increased female employment, is adding more danger to the unpredicted nursing accident. The author concluded that to prevent the nursing accident, every part of nursing deparment should recognize the necessity to administer the practical case-oriented education on nursing accident, while we put the first prionity on the strict sense of duty, responsibility of each nurse's own with which the assignment can be done on the basis of principle.
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