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Development and Evaluation of an Educational Program on Legal Issue-focused Nursing Records

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KMID : 1004620130190030369
±è¿µ¹Ì ( Kim Young-Mi ) - ¼­¿ï´ëÇб³º´¿ø °£È£ºÎ

Abstract

Purpose: This study aimed to develop an educational program on nursing records especially focused on legal
issues, and to test the effects of the educational program on nurses¡¯ knowledge, performance, and behavior.

Methods: A textbook on legal issue-focused nursing records and an instrument with 36 items rated on a 5-point
scale (1-5) for measuring the nurses¡¯ charting-related performance and behavior were developed from
November 2007 through March 2008. A nonequivalent control group pretest-posttest design was employed
to test the effects of the education program. Knowledge was self-reported by the Nurse Charting Knowledge
Scale, while performance and behavior were measured by their nurse managers. The pretest and posttest were
conducted from March through May in 2008. A total of 226 Korean nurses participated in this study. Data were
analyzed with descriptive statistics, t-test, Chi-square, paired t-test, Spearman¡¯s coefficient, and multiple
regression.

Results: Nurses who received the intervention showed greater levels of knowledge (t=10.28, p<
.001), performance (t=2.53, p=.013), and behavior scores (t=3.07, p=.002) than those of the control group.
The factors influencing the improvement of knowledge were ¡¯job attitude¡¯ (t=-3.32, p=.001) and ¡¯career in
present unit¡¯ (t=2.95, p=.004). The factor influencing the improvement of performance was ¡¯career in present
unit¡¯ (t=-3.39, p=.001). The factor influencing the improvement of behavior was ¡¯job attitude¡¯ (t=-3.46, p=
.001).

Conclusion: The educational program on legal issue-focused nursing records was effective in improving
nurse charting-related knowledge, performance, and behavior.
KeyWords
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Nursing records, Legal aspects, Program effectiveness
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ÇмúÁøÈïÀç´Ü(KCI)