간호 · 간병통합서비스 병동 간호사의 비판적 사고성향과 의사소통 명확성이 환자안전역량에 미치는 영향

Abstract

Objective: The purpose of this study is to analyze the effects of critical thinking disposition and communication clarity of nurses in integrated nursing care units on the patient safety competence to strengthen the patient safety competence of nurses in integrated nursing care units.<BR>Background: Since 2016, it has been implemented as an integrated nursing care service in which professional nursing personnel provide holistic specialized nursing including nursing. However, the integrated nursing care service does not adequately reflect realistic nursing needs, so safety accidents such as falls or bedsores may inevitably occur. Therefore, the patient safety competence of nurses in integrated nursing care units is very important, and critical thinking disposition and communication clarity for patient safety are very important.<BR>Method: Data collection was conducted using a structured questionnaire for a total of 14 days from February 24 to March 10, 2021, targeting 230 nurses in integrated nursing care units of four general hospitals with 300 beds or more in B City. The collected data were analyzed by the SPSS 25.0 program.<BR>Results: Factors affecting patient safety competence of subjects were communication clarity (β=.54, p＜.001), critical thinking disposition (β=.18, p=.015), and completion of patient safety education within the last 1 year (β=.13, p=.012), these variables explained 45% of the patient safety competence of nurses in integrated nursing care units.<BR>Conclusion: It was confirmed that the critical thinking disposition, communication clarity, and completion of patient safety education of nurses in the nursing care integrated service ward were influencing factors on patient safety competence. Therefore, it is necessary to strengthen patient safety education to meet the educational needs of nurses. In other words, it is thought that it is necessary to develop and apply a video education program that is less than two hours in length with enhanced infection control education, including acute respiratory infectious disease management, and a specific and practical education program to improve critical thinking disposition and communication clarity.<BR>Application: The results might help to utilize them as basic data for nursing intervention plan to improve patient safety competence.