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김기경 ( Kim Ki-Kyong ) - 연세대학교 원주의과대학 간호학과
송말순 ( Song Mal-Soon ) - 영동세브란스병원
이계숙 ( Lee Kye-Sook ) - 영동세브란스병원
허혜경 ( Hur Hea-Kung ) - 연세대학교 원주의과대학 간호학과
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Abstract
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Purpose: This study was designed to identify the factors affecting the nurses’ experience of non-reporting adverse incidents in hospital.
Methods: This study is a cross-sectional, descriptive survey design and nonrandom, convenience sampling. Study subjects were 392 clinical nurses, who have agreed to be the subject of this research. The measuring instrument of attitudes toward incident reporting was developed by the authors. The questionnaire which consisted of 17 items about worry about appraisal, the belief in improvement, the intention of reporting, and knowledge was measured by 5-point Likert-type scale. The estimate of internal consistency was alpha =.84. Analysis of data was done with use of mean, t-test, ANOVA, logistic regression with SPSS program.
Results: Clinical nurses had experience of reporting incident (51.3%), non-reporting incident (76.5%). Statistically, significant differences were found between experiences group and non experience group in intention on reporting, belief on improvement, and worry about appraisal. Logistic regression analysis showed that the significant predictors were caused by report no-fault cases, belief on improvement, worry about appraisal.
Conclusion: The result also indicated that, to improve the incident reporting and risk management, it might be necessary to give a belief that it results on improvement and remove concern about punishment through construction of no-blame system.
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KeyWords
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사고, 위험관리, 의학적 오류
Accidents, Risk management, Medical errors
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원문 및 링크아웃 정보
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등재저널 정보
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