국내병원 간호사의 인수인계 실무표준, 표준지침 및 표준화된 항목 개발에 대한 연구
Development of Nursing Handoff Practice Guideline and Standards for Korean Hospital
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간호사의 인수인계는 환자 안전의 중요한 요소로 본 연구는 인수인계 실무 표준, 표준지침과 표준화된 항목을 개발하여 적절성 여부를 검증한 서술적 조사연구이다. 연구대상자는 국내 종합병원에 근무하는 207명의 수간호사와 697명의 간호사로 개발된 실무표준은 인수인계 ‘목적’ 2항목, ‘정책’ 5항목, ‘환경’ 3항목, ‘과정’ 5항목, ‘내용’ 7항목, ‘평가’ 3항목, ‘교육기능’ 1항목의 총 26항목으로 구성되었으며, 도출된 표준화된 인수인계 항목은 Patient, Assessment, Situation, Safety concerns, Background, Action, Recommendation이었다. 본 연구결과는 국내 병원의 인수인계를 표준화하고 구조화된 시스템 개발의 기초자료로 사용될 수 있을 것이다.
Abstract
Purpose: Addressing current status of nursing handoff provides information as to where to change practice for improvement in patient care. The aim of this study was to develop nursing a handoff practice guideline and standards for Korean hospitals. Methods: A questionnaire was used to collect data in a cross-sectional survey with 207 head nurses and 697 nurses working in general hospitals. Results: The practice guideline consisted of 2 items on purpose of handoff , 5 items on policy, 3 on environment, 5 on process, 7 on content, 3 on evaluation, and 1 on the function of education, for a total 26 of items. Standard instruction was developed related to Patients, Assessment, Situation, Safety concerns, Background, Actions, and Recommendations. Conclusion: The findings of this study indicate that the guideline can be applied in real nursing practice to improve the effectiveness of handoff procedures. It can be used to guide nurses to follow the standardized content, which presents patient details clearly. The guideline provides consistency and structure for the information that is handed over.
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