Educational Needs for Communication Regarding Patient Safety among Nursing Graduates

Haena Jang 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aims: The purpose of this study was to assess nursing graduates’ educational needs for communication competency regarding patient safety. Methods: This study was a secondary analysis examining the current state of communication competency regarding patient safety and the corresponding education needs among new graduates from nursing colleges in South Korea. Data from 142 graduates in 2020 from four colleges were analyzed. Communication regarding patient safety was evaluated in terms of importance and confidence using four learning outcomes and 28 objectives from Jang"s 2018 study based on the third domain of the Canadian Patient Safety Institute"s framework. The data were analyzed with SPSS/WIN 25.0, using descriptive statistics, the paired t-test, the independent t-test, importance-performance analysis, and Pearson correlation coefficients. Results: The importance and confidence level of communication competency for patient safety of new graduates averaged 4.30±0.56 and 3.55±0.51 points, respectively. All items showed significantly lower confidence than importance scores (p<.001). The correlation between confidence and importance was .33 overall (p<.001). In the importance-performance analysis, the first learning outcome was identified as an area with high importance and confidence, the second learning outcome was identified as an area with importance but low confidence, and the third and fourth learning outcomes were identified as areas with low importance and confidence. Conclusions: A systematic approach is required for communication education for effective patient safety in nursing education. Based on the results of this study, it is necessary to provide a practical educational strategy for high-risk communication before students enter the clinical field as nurses. In addition, undergraduate programs should take steps to improve nursing students" awareness and skills regarding effective document-based communication and the use of communication skills for patient safety.

Development and Psychometric Evaluation of the Communication Competency for Patient Safety Scale

Haena Jang,Nam-Ju Lee 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aims: The purpose of this study was to develop the Communication Competency for Patient Safety scale and test its psychometric properties. Methods: An item pool was developed based on the third domain of the safety competencies framework of the Canadian Patient Safety Institute; “Communicate Effectively for Patient Safety.” This domain of the safety competencies framework includes the essential communication competencies required for all health care providers to ensure patient safety. Each enabling competency of the domain was translated into Korean by a committee and classified into knowledge, skills, and attitudes according to the relevance of each item. The preliminary items were reviewed for allocation adequacy to knowledge, skills, and attitudes and content validity by nine expert panelists. The questionnaire was administered to 142 graduates of four nursing colleges to evaluate its psychometric properties. Results: The questionnaire consisted of 19 items. Exploratory factor analysis revealed a three-factor model, which included knowledge (5 items), skills (10 items), and attitudes (4 items), and explained 51.39% of the variance. Confirmatory factor analysis validated the structure of the scale (χ2=228.50, p<.001, RMSEA=.06, IFI=.93, TLI=.92, CFI=.93). Correlation analysis indicated that the Communication Competency for Patient Safety scale score was correlated with the Patient Safety Competency score (r=0.67, p<.001). The Cronbach’s α coefficients for the subscales ranged from .78 to .89. Conclusions: The Communication Competency for Patient Safety scale is a valid and reliable scale to measure nursing students’ and new nurses’ communication competencies to ensure patient safety.

오류를 경험한 의료인에 대한 연구 동향 및 지원 시스템

장해나 ( Haena Jang ),이남주 ( Nam Ju Lee ) 서울대학교 간호과학연구소 2016 간호학의 지평 Vol.13 No.1

Purpose: The purpose of this study was to identify the current state of research on healthcare professionals who make medical errors, who are known as "second victims", and support systems for them. Methods: An extensive search was conducted in electronic databases, Google, and websites related to patient safety using search terms such as "second victims", "medical errors", "adverse events", and "sentinel events". Results: Research to date in Korea has rarely focused on healthcare professionals` experiences after making medical errors. Abroad, there are comprehensive and systematic reviews of the impact of medical errors on healthcare professionals, their coping responses, and support systems for these second victims. Additionally, several institutes related to patient safety provide official guidelines and accessible support systems to support second victims in the aftermath of medical errors, especially serious adverse events. Conclusion: The impact of medical errors on healthcare professionals is profound and complex. Although systematic support systems for second victims are imperative, this has been overlooked in Korea. Thus, more research about the experiences of healthcare professionals after medical errors needs to be conducted prior to developing support systems or programs. Additionally, further efforts are required to raise awareness of the necessity of supporting healthcare professionals in healthcare systems.

Exploration of Si-doped SnO₂ composition and properties of oxide/Ag/oxide multilayers prepared using continuous composition spread by sputtering

Jang, Joohee,Yim, Haena,Choi, Ji-won Elsevier 2018 THIN SOLID FILMS - Vol.660 No.-

<P><B>Abstract</B></P> <P>Si-doped SnO<SUB>2</SUB>/Ag/Si-doped SnO<SUB>2</SUB> multilayer thin films were fabricated on flexible substrates at room temperature for indium free transparent conducting electrode. The optimal composition of Si-doped SnO<SUB>2</SUB> was found by investigating electrical properties of various composition deposited by off-axis RF magnetron sputtering continuous composition spread method. Si-doped SnO<SUB>2</SUB> thin films have low resistivity (0.07 Ω·cm) at doping content of Si (0.14 wt%). Si-doped SnO<SUB>2</SUB>/Ag/Si-doped SnO<SUB>2</SUB> multilayer thin films were fabricated using optimized composition deposited by on-axis RF and DC sputtering. The optimized Si-doped SnO<SUB>2</SUB>/Ag/Si-doped SnO<SUB>2</SUB> multilayer thin film has resistivity of 9.1 × 10<SUP>−5</SUP> Ω·cm and 81% transmittance in the visible region (550 nm).</P> <P><B>Highlights</B></P> <P> <UL> <LI> Si-doped SnO<SUB>2</SUB> oxide was developed for oxide-metal-oxide (OMO) multilayer. </LI> <LI> Best sputtered oxide composition was found by continuous composition spread method. </LI> <LI> OMO multilayer on polymer has a sheet resistance of 9.2 Ω/sq and 81% transmittance. </LI> <LI> Bending test shows that the OMO multilayer can be employed for flexible electronics. </LI> </UL> </P>

Recent real time on line mass spectrometer for the determination of atmospheric volatile organic compounds

Haena Chu,Kyoung Soon Jang,Byunghyun Choi,Jae Wook Kang,Ji-hee Lee,Yun Gyung Ahn 한국분석과학회 2022 학술대회논문집 Vol.2022 No.5

Optical and Electronic Properties of SnO2 Thin Films Fabricated Using the SILAR Method

( Joohee Jang ),( Haena Yim ),( Yoon Ho Cho ),( Dong Heon Kang ),( Ji Won Choi ) 한국센서학회 2015 센서학회지 Vol.24 No.6

Tin oxide thin films were fabricated on glass substrates by the successive ionic layer adsorption and reaction (SILAR) method at room temperature and ambient pressure. Before measuring their properties, all samples were annealed at 500oC for 2 h in air. Film thickness increased with the number of cycles; X-ray diffraction patterns for the annealed SnO2 thin films indicated a SnO2 single phase. Thickness of the SnO2 films increased from 12 to 50 nm as the number of cycles increased from 20 to 60. Although the optical transmittance decreased with thickness, 50 nm SnO2 thin films exhibited a high value of more than 85%. Regarding electronic properties, sheet resistance of the films decreased as thickness increased; however, the measured resistivity of the thin film was nearly constant with thickness (3×10-4 ohm/cm). From Hall measurements, the 50 nm thickness SnO2 thin film had the highest mobility of the samples (8.6 cm2/(V·s)). In conclusion, optical and electronic properties of SnO2 thin films could be controlled by adjusting the number of SILAR cycles.

Clinical Nurses’ Recovery Experiences after Adverse Events in South Korea: A Qualitative Study

Hyoung Eun Chang,Haena Jang,Yongik Bak 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aims: The purpose of this study was to examine the recovery experiences of clinical nurses who had experienced an adverse event. Methods: This study used a qualitative approach. Nurses in South Korea with more than 1 year of clinical experience were recruited. Data were collected from January to August 2020, using purposive and snowball sampling. Eight nurses who had directly experienced an adverse event or who had witnessed an adverse event participated voluntarily. The main questions participants were asked to answer were “What was your experience with an adverse event?” and “How did you recover from the effects of the adverse event?” Qualitative data from field notes and transcriptions of interviews were analyzed using the content analysis method devised by Graneheim and Lundman. To ensure the rigor of qualitative research, the four criteria (credibility, transferability, dependence, and confirmability) devised by Lincoln and Guba were used. Results: Two themes, three categories, eight subcategories, and 19 codes were identified based on 443 meaningful statements. The two themes that presented the most significant perspectives on clinical nurses’ experiences of adverse events and their recovery were “challenges in dealing with adverse events” and “strategies for recovery”. Conclusions: The findings indicated that adverse events in hospitals cause great harm to both patients and healthcare providers. Prevention of adverse events is vitally important, and strategies are needed to minimize damage when adverse events occur. Systematic support should be provided at the organizational and institutional levels so that nurses who cause an adverse event can recover from its negative effects. Regular efforts should be carried out to cultivate a mature awareness and strong culture of patient safety in society at large.

대학병원 중환자실 간호사의 전문직 삶의 질 영향요인

문선정,장해나,Moon, Sun Jung,Jang, Haena 한국중환자간호학회 2022 중환자간호학회지 Vol.15 No.3

Purpose : This study aimed to identify the factors influencing the professional quality of life of intensive care unit (ICU) nurses working in university hospitals. Methods : A survey was conducted on 171 ICU nurses in university hospitals in B City, South Korea. This study used the Professional Quality of Life instrument, which consists of three subscales, namely, compassion satisfaction, burnout, and secondary traumatic stress. Data were analyzed using stepwise multiple regression analysis. Results : Compassion satisfaction was influenced by resilience, ICU job satisfaction, and innovation-oriented culture, and these variables explained 37.1% of the variance in compassion satisfaction. Burnout was influenced by resilience, a hierarchy-oriented culture, and ICU job satisfaction, and these variables explained 42.9% of the variance in burnout. Secondary traumatic stress was influenced by a task-oriented culture and resilience, and these variables explained 12.5% of the variance in secondary traumatic stress. Conclusion : These findings suggest the importance of improving resilience and job satisfaction to enhance the professional quality of life in ICU nurses. Moreover, creating an innovation-oriented culture rather than a hierarchical and task-oriented culture can effectively improve the professional quality of life of ICU nurses.

Needs Assessment for Clinical Practice Education in Undergraduate Nursing Curriculum: A Mixed-methods Approach

Jeongyee Bae,Hye-Ryoung Kim,Jina Oh,So Young Shin,Sanghee Kim,Haena Jang,Jeonghyun Cho 위기관리 이론과 실천 2020 Journal of Safety and Crisis Management Vol.10 No.1

This study intends to provide the grounds for improving clinical practice curriculum reflecting the reality and demands of the clinical practice of nursing by identifying the needs of nursing students for clinical practice education and the experiences of clinical practice education perceived by graduates. A convergent parallel mixed-methods design was applied. According to the results of the quantitative study, application of core basic nursing skills based on expertise and skills and cooperation and communication were considered as important, and achievement was also high. According to the results of the qualitative study, it is essential to use such teaching methods like simulation so that students can improve their skill competencies. Additionally, quality improvement of clinical practice instructors was demanded to enhance the quality of clinical practice education. This study is significant because it established the future direction for the development of a clinical practice curriculum to enhance professional competencies for nurses in the future based on the needs of nursing students and graduates. It is necessary to develop an integrated assessment tool to measure achievement as well as develop a clinical practice curriculum.

간호학 교수의 환자안전 교육역량 강화를 위한 정보자원 시스템 개발 및 평가

이남주(Lee, Nam-Ju),안신애(Ahn, Shinae),이미선(Lee, Miseon),장해나(Jang, Haena) 한국간호행정학회 2020 간호행정학회지 Vol.26 No.5

Purpose: This study aimed to develop an educational informatics system for nursing faculty to improve their competencies in teaching patient safety and to evaluate the effectiveness of the system. Methods: We developed a system called, ‘Resource to Enhance Safety Competency and Utilize for Education’ (RESCUE) based on the World Health Organization Multi-professional Patient Safety Curriculum Guide, and it was implemented with full-time nursing faculty in 4-year nursing schools. A one-group pretest-posttest design was used for evaluation. A total of 46 nursing faculty members used the system during a 3-month period. The effects of the RESCUE were measured using a survey including patient safety teaching competency, system usability and user satisfaction. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: After using the RESCUE, participants showed a significant increase in self-confidence in teaching patient safety during lectures (Z=-3.61, p<.001) and practica (Z=-3.14, p=.002). Conclusion: The developed informatics system was shown to be effective in improving the self-confidence of nursing faculty in teaching patient safety. To effectively integrate patient safety topics into the curriculum, it can be helpful to utilize the educational materials provided in this study with various clinical cases.