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능동학습 기반 환자안전을 위한 직군간 교육 - 여러 병원 내 다직종 직원 대상

Interprofessional education for patient safety in health workers of various hospitals using active learning strategies

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초록

Background: Patient safety has a direct impact on the patient’s health and life, so all members of the hospital should consider it first. Patient safety accidents are often occured by organizational problems rather than individual medical personnel. Therefore, effective interprofessional collaboration(IPC) among experts is essential, so interprofessional education(IPE) is considered important. Methods : A prospective study method of one-group pretest-posttest design was used that provides IPE using active learning-oriented teaching methods for health workers in various occupations of various hospitals, and evaluates self-efficacy, communication confidence, and attitude toward IPE. Results : 17 trainees from 8 hospitals were evaluated. First, the average of the awareness of patient safety culture was 3.62 points. Next, the score of each indicators increased in the pre-post evaluation. The average of communication confidence was from 3.73 to 3.95 points, self-efficacy was from 3.99 to 4.11 points, and attitude toward IPE was from 4.44 to 4.52 points, but not significant. Conclusions: This study would have a great significance in that it was conducted on health workers in various occupations of various hospitals. As a result of a pre and post education survey conducted with trainees, the score was improved in communication confidence, self-efficacy, and attitude toward IPE. It seems to be due to the use of active learning teaching methods, and the active participation of trainees.

Abstract

Background: Patient safety has a direct impact on the patient’s health and life, so all members of the hospital should consider it first. Patient safety accidents are often occured by organizational problems rather than individual medical personnel. Therefore, effective interprofessional collaboration(IPC) among experts is essential, so interprofessional education(IPE) is considered important. Methods : A prospective study method of one-group pretest-posttest design was used that provides IPE using active learning-oriented teaching methods for health workers in various occupations of various hospitals, and evaluates self-efficacy, communication confidence, and attitude toward IPE. Results : 17 trainees from 8 hospitals were evaluated. First, the average of the awareness of patient safety culture was 3.62 points. Next, the score of each indicators increased in the pre-post evaluation. The average of communication confidence was from 3.73 to 3.95 points, self-efficacy was from 3.99 to 4.11 points, and attitude toward IPE was from 4.44 to 4.52 points, but not significant. Conclusions: This study would have a great significance in that it was conducted on health workers in various occupations of various hospitals. As a result of a pre and post education survey conducted with trainees, the score was improved in communication confidence, self-efficacy, and attitude toward IPE. It seems to be due to the use of active learning teaching methods, and the active participation of trainees.

참고문헌 (15)

  1. Patient Safety in Korea:Current Status and Policy Issues, "Seo JH", KIHASA, 11~12 (2016)
  2. 정준, "병원 간호사의 환자안전관리활동 영향요인 연구", 병원경영학회지, 11(1), pp.91~109 (2006), 한국병원경영학회
  3. 김은경, "환자안전 문화에 대한 의료 종사자의 인식과 경험", 간호행정학회지, 13(3), pp.321~334 (2007), 간호행정학회
  4. Framework for Action on Interprofessional Education & Collaborative Practice, "World Health Organization", WHO, 13~ (2010)
  5. 이재신, "다직종연계교육(InterProfessional Education; IPE)에 관한 국내 연구 고찰 및 사례", 대한작업치료학회지, 28(1), pp.155~165 (2020), 대한작업치료학회[DOI]
  6. 김소연, "의과대학에서의 보건의료 전문직 간 교육에 대한 현황과 인식", 의학교육논단, 19(1), pp.10~17 (2017), 연세대학교 의과대학
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  9. Rohini R, "Applying the Readiness for Interprofessional Learning Scale (RIPLS) to medical, veterinary and dual degree Master of Public Health(MPH) students at a private medical institution", PLOS ONE (2020)[DOI]
  10. 권정옥, "의료종사자들의 환자안전문화에 대한 인식, 직무권태 및 잡 크래프팅이 안전이행에 미치는 영향", 보건의료산업학회지, 14(1), pp.1~14 (2020), 보건의료산업학회[DOI]
  11. 박정하, "상급종합병원 간호사의 환자안전관리 중요성 인식, 환자안전문화, 간호서비스의 질이 환자안전관리활동에 미치는 영향", 간호행정학회지, 26(3), pp.181~191 (2020), 간호행정학회
  12. HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2018 User Database Report, "Agency for healthecare Research and Quality", 14~15 (2018)
  13. Seung Jae Kim, "Investigating the effects of interprofessional communication education for medical students", Korean Journal of Medical Education, 31(2), pp.135~145 (2019), 한국의학교육학회[DOI]
  14. Tina PG, "Student perceptions about interprofessional education after an elective course", journal of interprofessional care, 29(4), pp.370~371 (2015)
  15. Shuhei H, "Effectiveness of an interprofessional education program using team‐based learning for medical students: A randomized controlled trial", journal of general and family medicine, 21, pp.2~9 (2020)

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