임상간호사의 투약오류에 영향을 미치는 요인
The Predictive Factors of Medication Errors in Clinical Nurse
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Objectives: The aim of this study was to identify predictive factors (fatigue, labor intensity, quality of sleep, and job stress) of medication errors in clinical nurses to improve patients’ safety. Methods: The participants of this study were 148 female nurses who have clinical experience for more than 1 year at K hospital and pregnant nurses among them were excluded. The data were collected from February 27th to March 20th, 2019. The measurements of medication errors, fatigue, labor intensity, quality of sleep, and job stress were used. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis using IBM SPSS/WIN 23.0. Results: The predictive factors associated with nurses’ medication errors were clinical experience (β= -0.41), fatigue (β= 0.31), work department emergency room (β= 0.28), work department surgery ward (β= 0.25), and job stress (β= 0.23). The results showed that the nurses who had less clinical experience and felt more fatigue or job stress, were likely to have more medication errors. Also, the nurses who work in emergency room or surgery units, experience more medication errors. Conclusions: Clinical experience, fatigue, work area-emergency room, work area-surgery word and job stress were the main influential factors on medication errors of clinic nurse. Theses influential factors should be integrally considered in nursing management to decrease medication errors. Especially, it is needed to develop a programs that can indirectly improve clinical experience to prevent medication errors.
Abstract
Objectives: The aim of this study was to identify predictive factors (fatigue, labor intensity, quality of sleep, and job stress) of medication errors in clinical nurses to improve patients’ safety. Methods: The participants of this study were 148 female nurses who have clinical experience for more than 1 year at K hospital and pregnant nurses among them were excluded. The data were collected from February 27th to March 20th, 2019. The measurements of medication errors, fatigue, labor intensity, quality of sleep, and job stress were used. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis using IBM SPSS/WIN 23.0. Results: The predictive factors associated with nurses’ medication errors were clinical experience (β= -0.41), fatigue (β= 0.31), work department emergency room (β= 0.28), work department surgery ward (β= 0.25), and job stress (β= 0.23). The results showed that the nurses who had less clinical experience and felt more fatigue or job stress, were likely to have more medication errors. Also, the nurses who work in emergency room or surgery units, experience more medication errors. Conclusions: Clinical experience, fatigue, work area-emergency room, work area-surgery word and job stress were the main influential factors on medication errors of clinic nurse. Theses influential factors should be integrally considered in nursing management to decrease medication errors. Especially, it is needed to develop a programs that can indirectly improve clinical experience to prevent medication errors.
참고문헌 (30)
- Patient safety in Korea: current status and policy issues, "Seo JH", Korea Institute for Health and Social Affairs, ~ (2016)
- 2018 Patient safety statistics annual report, "Korea Institute for Healthcare Accreditation", Korea Institute for Healthcare Accreditation, ~ (2019)
- Lee SY, "A study on medication error among nurses and prevention strategy", pp.2008
- 김은경, "간호사의 DICS 행동유형과 투약오류", 간호행정학회지, 19(1), pp.28~38 (2013), 간호행정학회[DOI]
- 김명수, "투약오류예방 시스템 구축에 따른 환자안전문화와 환자안전행위계획", 성인간호학회지, 27(1), pp.1~10 (2015), 한국성인간호학회[DOI]
- "Medication errors"[URL]
- Evans J, "Prevalence, risk factors, consequences and strategies for reducing medication errors in Australian hospitals : a literature review", Contempy Nurse, 31(2), pp.176~189 (2009)[DOI]
- Härkänen M, "The factors associated with medication errors in adult medical and surgical inpatients : a direct observation approach with medication record reviews", Scan J Caring Sci, 29(2), pp.297~306 (2015)[DOI]
- 이영희, "중환자실 교대근무간호사의 수면특성과 투약오류와의 관계", 기본간호학회지, 21(4), pp.403~412 (2014), 기본간호학회[DOI]
- 설미진, "임상간호사의 업무강도와 피로가 수면의 질에 미치는 영향", 간호행정학회지, 24(4), pp.276~287 (2018), 간호행정학회[DOI]
- Barker LM, "Fatigue, performance and the work environment : a survey of registered nurses", J Adv Nurs, 67(6), pp.1370~1382 (2011)[DOI]
- 고유경, "간호근무환경과 간호결과와의 관련성 및 간호사 업무 부담에 대한 내용분석", 병원경영학회지, 19(1), pp.54~67 (2014), 한국병원경영학회
- 장세진, "우리나라 직장인 피로의 역학적 특성", 예방의학회지, 38(1), pp.71~81 (2005), 대한예방의학회
- Yi HR, "Development of the sleep quality scale", J Sleep Res, 15(3), pp.309~316 (2006)[DOI]
- 장세진, "한국인 직무 스트레스 측정도구의 개발 및 표준화", Annals of Occupational and Environmental Medicine, 17(4), pp.297~317 (2005), 대한직업환경의학회
- Faul F, "Statisctical power anlayses using G*Power 3. 1 : tests for correlation and regression analyses", Behav Res Methods, 42(4), pp.1149~1160 (2009)[DOI]
- 김요나, "간호사의 피로도, 감정노동, 직무착근도가 이직의도에 미치는 영향", 보건의료산업학회지, 11(1), pp.67~78 (2017), 보건의료산업학회
- Kang DM, "The relationship between musculoskeletal disease and work intensity among shipyard workers", pp.2003
- Kim IA, "The association between perceived labor intensity, job stress and psychosocial well-being", pp.2007
- 김효진, "병원간호사의 업무강도와 신체적 불편감이 직무만족에 미치는 영향", 간호행정학회지, 22(4), pp.362~372 (2016), 간호행정학회[DOI]
- 최정, "간호․간병통합서비스병동과 일반병동 간호사의 피로, 수면의 질, 대인관계 스트레스 비교", 한국보건간호학회지, 32(3), pp.438~450 (2018), 한국보건간호학회[DOI]
- 김미진, "간호사의 직무 스트레스와 정신건강 관련성에 대한 융합적 연구", 한국융합학회논문지, 6(5), pp.39~47 (2015), 한국융합학회[DOI]
- Helmons PJ, "Effect of bar-code-assisted medication administration on medication administration errors and accuracy in multiple patient care areas", Am J Health Syst Pharm, 66(13), pp.1202~1210 (2009)[DOI]
- Taxis K, "Causes of intravenous medication errors : an ethnographic study", Qual Saf Health Care, 12(5), pp.343~347 (2003)[DOI]
- 장선주, "시뮬레이션 교육이 중환자실 신규간호사의 응급상황 관련 지식과 자기효능감 및 수행능력에 미치는 효과", 성인간호학회지, 22(4), pp.375~383 (2010), 한국성인간호학회
- 김미성, "간호사의 수면의 질, 주간졸음 및 간호업무 중 인지한 오류 경험과의 관련성", 농촌의학.지역보건, 38(4), pp.229~242 (2013), 한국농촌의학.지역보건학회[DOI]
- 김영미, "중소병원 간호사의 직무 스트레스와 임파워먼트가 간호업무성과에 미치는 영향", 한국직업건강간호학회지, 21(3), pp.258~265 (2012), 한국직업건강간호학회
- 조민정, "향기흡입이 수술실 간호사의 스트레스, 피로, 기분 및 활력징후에 미치는 효과", 성인간호학회지, 22(2), pp.153~160 (2010), 한국성인간호학회
- 박시현, "아로마 흡입법이 교대 근무 간호사의 피로와 수면에 미치는 효과", 동서간호학연구지, 18(2), pp.66~73 (2012), 동서간호학연구소
- 윤정미, "응급실 간호사의 환자안전 위험요인에 대한 위험성인식과 안전 간호활동", 기본간호학회지, 21(4), pp.380~391 (2014), 기본간호학회[DOI]