Journal of Korean Academy of Nursing

Research Paper

Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students: Se-Young Jung, Eun-Young Kim; J Korean Acad Nurs 2024;54(4):563-576. Published online October 14, 2024; DOI: https://doi.org/10.4040/jkan.24054

Abstract PDF ePub: Purpose
This study aimed to develop and verify a progressive simulation education program aimed at enhancing nursing students’ medication safety competency.
Methods
A non-equivalent control group pretest-posttest design was adopted. The participants were 40 third-year nursing students with no prior simulation education experience, comprising 20 each in the experimental and control groups. The experimental treatment utilized a hybrid simulation approach incorporating both full-body mannequins and standardized patients and was, conducted over three sessions with durations of 65, 80, and 95 minutes for the first, second, and third sessions, respectively, for a total of 240 minutes. The program was constructed based on Jeffries’ simulation model.
Results
The levels of medication safety competencies, communication self-efficacy, learning self-efficacy, and problem-solving abilities of the experimental group were significantly higher than that of the control group.
Conclusion
Our results confirm that the program effectively improves nursing students’ medication safety competence, communication self-efficacy, learning self-efficacy, and problem-solving ability. Therefore, this program can serve as a basis for developing educational strategies related to medication safety for nursing education institutions. Furthermore, the program is anticipated to have a positive impact on novice nurses’ education and practice in clinical settings.

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Original Articles

Influencing Factors and Consequences of Near Miss Experience in Nurses’ Medication Error: Jin Hee Park, Eun Nam Lee; J Korean Acad Nurs 2019;49(5):631-642. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.631

Abstract PDF

Abstract Purpose

This study aimed to predict the influencing factors and the consequences of near miss in nurses’ medication error based upon Salazar & Primomo's ecological system theory.

Methods

A convenience sample of 198 nurses was recruited for the cross-sectional survey design. Data were collected from July to September 2016. Using the collected data, the developed model was verified by structural equation modeling analysis using SPSS and AMOS program.

Results

For the fitness of the hypothetical model, the results showed that χ 2 (χ ²=258.50, p<.001) was not fit, but standardized χ ² (χ ²/df=2.35) was a good fit for this model. Additionally, absolute fit index RMR=.06, RMSEA=.08, GFI=.86, AGFI=.81 reached the recommended level, but the Incremental fit index TLI=.82, CFI=.85 was not enough to reach to the recommended level. With the path diagram of the hypothetical model, caution (β=-.29 p<.001), patient safety culture (β=-.20, p=.041), and work load (β=.18, p=.037) had a significant effect on the near miss experiences in nurses’ medication error, while fatigue (β=-.06, p=.575) did not affect it. Moreover, the near miss experience had a significant effect on work productivity (β=-.25, p=.001).

Conclusion

These results have shown that to decrease the near miss experience by nurses and increase their work productivity in hospital environments would require both personal and organizational effort.

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The effects of aroma inhalation on the quality of sleep, professional quality of life, and near-misses in medication errors among emergency room nurses on night duty in Korea: a randomized controlled trial
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The Association of Job Stress, Quality of Sleep, and the Experience of Near-Miss Errors among Nurses in General Hospitals
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10 Crossref

The Effects of Medication and Symptom Management Education Program Based on Self Efficacy Theory for the Psychiatric Patients: Kyung Hee Shon; Journal of Korean Academy of Nursing 2003;33(8):1145-1152. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.8.1145

Abstract PDF

Purpose

An effective rehabilitation program had been developed for psychiatric patients' self management of medication and symptoms in Korea. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur.

Methods

The developed program utilizes the self efficacy method reported by Bandura, it includes manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. This study investigated the effects of this program with respect to various predictable variables in psychiatric rehabilitation. Thirty eight patients were selected for this study, 18 in the experimental program and 20 as controls.

Results

The results showed that the subjects who attended this educational program reported significantly more improvement in attitude toward medication compliance (p=0.033), and significantly less relapse warning symptom scores (p=0.000) than the controls.

Conclusion

This program may be a useful psychoeducational resource for professionals in the field of clinical practice in psychiatry.

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Validation of the Korean Version of the Depression Coping Self-Efficacy Scale (DCSES-K)
Young Mi Lim, Suzanne Perraud
Archives of Psychiatric Nursing.2016; 30(4): 463. CrossRef

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1 Crossref

Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community: Jong Kyung Lee; J Korean Acad Nurs 2013;43(2):267-275. Published online April 30, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.2.267

Abstract PDF

Purpose

The purpose of this study was to examine the effect of a medication self-management education program on medication awareness, communication with health care provider, medication misuse behavior, and blood pressure in elders with hypertension.

Methods

The research design for this study was a non-equivalent control group quasi-experimental design. Participants were 23 elders for the control group, and 26 elders for the experimental group. The experimental group participated in the medication self-management education program which included the following, verbal education, 1:1 consultation, practice in medication self-management, and discussion over 5 sessions. Data were analyzed using the SPSS 18.0 program.

Results

There were statistically significant differences between the experimental and control group for medication awareness, medication misuse behavior, and communication with health care providers. However, no significant difference was found between the two groups for blood pressure.

Conclusion

The results indicate that the education program is effective in improving medication awareness and communication with health care providers and in decreasing medication misuse behavior. Therefore, it is recommended that this education program be used as an effective intervention for improving medication self-management for elders with hypertension.

Citations

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The Effects of Long term Osteoporosis Management Education on BMD Level and Medication Compliance in Postmenopausal Women
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Development and Effectiveness of a Drug Dosage Calculation Training Program using Cognitive Loading Theory based on Smartphone Application: Myoung Soo Kim, Jung Ha Park, Kyung-Yeon Park; J Korean Acad Nurs 2012;42(5):689-698. Published online October 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.5.689

Abstract PDF

Purpose

This study was done to develop and evaluate a drug dosage calculation training program using cognitive loading theory based on a smartphone application. Calculation ability, dosage calculation related self-efficacy and anxiety were measured.

Methods

A nonequivalent control group design was used. Smartphone application and a handout for self-study were developed and administered to the experimental group and only a handout was provided for control group. Intervention period was 4 weeks. Data were analyzed using descriptive analysis, χ²-test, t-test, and ANCOVA with the SPSS 18.0.

Results

The experimental group showed more ‘self-efficacy for drug dosage calculation’ than the control group (t= 3.82, p< .001). Experimental group students had higher ability to perform drug dosage calculations than control group students (t= 3.98, p< .001), with regard to ‘metric conversion’ (t= 2.25, p = .027), ‘table dosage calculation’ (t= 2.20, p = .031) and ‘drop rate calculation’ (t= 4.60, p< .001). There was no difference in improvement in ‘anxiety for drug dosage calculation’. Mean satisfaction score for the program was 86.1.

Conclusion

These results indicate that this drug dosage calculation training program using smart-phone application is effective in improving dosage calculation related self-efficacy and calculation ability. Further study should be done to develop additional interventions for reducing anxiety.

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Medication Error Management Climate and Perception for System Use according to Construction of Medication Error Prevention System: Myoung Soo Kim; J Korean Acad Nurs 2012;42(4):568-578. Published online August 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.4.568

Abstract PDF

Abstract Purpose

The purpose of this cross-sectional study was to examine current status of IT-based medication error prevention system construction and the relationships among system construction, medication error management climate and perception for system use.

Methods

The participants were 124 patient safety chief managers working for 124 hospitals with over 300 beds in Korea. The characteristics of the participants, construction status and perception of systems (electric pharmacopoeia, electric drug dosage calculation system, computer-based patient safety reporting and bar-code system) and medication error management climate were measured in this study. The data were collected between June and August 2011. Descriptive statistics, partial Pearson correlation and MANCOVA were used for data analysis.

Results

Electric pharmacopoeia were constructed in 67.7% of participating hospitals, computer-based patient safety reporting systems were constructed in 50.8%, electric drug dosage calculation systems were in use in 32.3%. Bar-code systems showed up the lowest construction rate at 16.1% of Korean hospitals. Higher rates of construction of IT-based medication error prevention systems resulted in greater safety and a more positive error management climate prevailed.

Conclusion

The supportive strategies for improving perception for use of IT-based systems would add to system construction, and positive error management climate would be more easily promoted.

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JinKyung Park, GyeongAe Seomun
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Effects of Interactive Pictorial Education on Community Dwelling Older Adult’s Self Efficacy and Knowledge for Safe Medication: Myonghwa Park; J Korean Acad Nurs 2011;41(6):795-804. Published online December 12, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.6.795

Abstract PDF

Abstract Purpose

The purpose of this study was to examine the effects of interactive pictorial education on community dwelling older Korean adults’ self-efficacy and knowledge for safe medication.

Methods

A quasi-experimental, three-group pre- and post-intervention design was used in this study. The interactive pictorial education was designed to suit the learning patterns and psychomotor skills of older adults. The education content, dealing with safe medication, was delivered over three sessions. A total of 136 older adults from local senior centers were assigned to one of the three groups: a) interactive pictorial education plus information booklet (experimental); b) education only with information booklet (conventional); or c) no intervention (control).

Results

Participants receiving interactive pictorial education had significantly higher self-efficacy (F=24.32, p<.001) and knowledge (F=24.26, p<.001) scores than the information booklet or control group at post intervention. Post-hoc analyses indicated that both the interactive pictorial and the information booklet groups had significantly higher self-efficacy and knowledge scores than the control group at the post-test point (p<.05). Furthermore, the interactive pictorial group had higher self-efficacy and knowledge scores than the information booklet group at the post-test point (p<.05).

Conclusion

These results suggest that the interactive pictorial education is an innovative approach that provides a means for older adults to learn appropriate medication use to improve their own health. It empowers older adults with different literacy levels to enhance their self-efficacy and knowledge for the safe use of medication.

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Evaluation of Nurses' Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach: Haeng-Mi Son; J Korean Acad Nurs 2010;40(1):1-13. Published online February 28, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.1.1

Abstract PDF

Purpose

The purpose of this study was to develop evaluation criteria for conversations about medication and to demonstrate conversational analysis with actual dialogues on medication as examples.

Methods

This study was a secondary analysis of qualitative research using conversational analysis which showed functional phases and patterns of dialogue about medication (greeting, identifying the patient, medicating, finishing). Nurse-patient conversations were videotaped and transcribed and 75 conversations were used for analysis.

Results

Not all functional phases were showed in the conversations about medication. Therefore, conversations about medication can be considered as incomplete dialogues. The evaluation-criteria were represented in terms of the structure and content of the dialogues. Structural evaluation-criteria were the same as the functional phases, as functional stage is the standard for evaluation. The criteria of evaluation for content suggested 3 domains, content, expression, and interaction with 20 items scored on a Likert-type scale of 5-points. Finally, analysis of actual conversations about medication according to the evaluative criteria were provided.

Conclusion

The results provide the basic data to develop educational programs and strategies to improve nurses' competency in conversation about medication.

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An investigation into health professionals’ perception of the appropriateness of elderspeak in a Korean hospital setting
Miseon Lee, Jeong Youn Lee
Journal of Pragmatics.2021; 172: 181. CrossRef

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1 Crossref

Functional Phases and Patterns of Dialogue Sequence in Nurse-Patient Conversation about Medication: Haeng Mi Son; Journal of Korean Academy of Nursing 2007;37(1):52-63. Published online February 28, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.1.52

Abstract PDF

Purpose

Effective communication is an essential aspect of nursing care. This qualitative study was performed to analyze nurse-patient conversations about medication.

Method

The nurse-patient dialogue was collected by video tape recording during the nurse's duty time in an internal medicine ward. One hundred seventy-eight episodes were extracted from the conversation. Using conversational analysis, the functional phases and patterns of dialogue sequence pertaining to medication were analyzed.

Results

Conversations about medication were very brief dialogues, so 68.8% of the dialogue had a duration of less than 20 seconds. However, it was a systematic and comprehensive dialogue which had structures and sequential dialogue patterns. Four functional phases were explored: greeting, identifying the patient, medicating, finishing. The medicating phase was essential, in which the nurse gave the drug to the patient and provided information initiated by the nurse simultaneously. The patterns of the dialogue sequence represented were the nurse provided information first, and then, patients responded to the nurse as accepting, rejecting, raising an objection, or asking again later.

Conclusion

As the results of this study show, a nurse's role is important as an educator. For effective conversation about medication, the development of an educational program should be considered, which includes knowledge about medication and communication skills.

Citations

Citations to this article as recorded by

Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study
Young Mee Kim, Se Young Kim
International Journal of Health Care Quality Assurance.2019; 32(5): 832. CrossRef
Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units
Young Mee Kim, Seung-Wan Kang, Se Young Kim
Journal of Korean Academy of Nursing.2014; 44(2): 198. CrossRef
Evaluation of Nurses' Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach
Haeng-Mi Son
Journal of Korean Academy of Nursing.2010; 40(1): 1. CrossRef
Analysis of Conversation between Elderly Patients with Dementia and Nurses: Focusing on Structure and Sequential Patterns
Myungsun Yi
Journal of Korean Academy of Nursing.2009; 39(4): 166. CrossRef

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Effects of a Structured Drug Education Program on Knowledge and Medication Compliance for Hemodialysis Patients: Hyang Sook So, Ae Yeong Kim, Eun A Kim, Su Mi Kim; Journal of Korean Academy of Nursing 2006;36(7):1135-1144. Published online December 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.7.1135

Abstract PDF

Purpose

The purpose of this study was to analysis the effects of a structured drug education program on knowledge and medication compliance for hemodialysis patients.

Method

Hemodialysis patients were recruited from a kidney center, at a university hospital located in G city, Korea. Thirty subjects in the control group received no intervention and 30 subjects in the experimental group received a structured drug education program.

Result

There were significant increases in medication knowledge and medication compliance in the experimental group compared to the control group.

Conclusion

According to the above results, this education program for hemodialysis patients increased knowledge and medication compliance. These findings suggest that a structured drug education program can be used as an efficient nursing intervention for hemodialysis patients.

Citations

Citations to this article as recorded by

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Yun Mi Kim, Kyung Hee Yoo
Journal of Korean Academic Society of Nursing Education.2019; 25(3): 366. CrossRef
Factors Influencing Medication Adherence in Hemodialysis Patients: Focusing on Primary and Secondary Medical Care
Yon Hee Seo, Sun Og Lim, Eun Hee Hyeon, Hae Won Kim, Mi Ran Eom
Perspectives in Nursing Science.2015; 12(1): 60. CrossRef
The influence of Cognitive Coping on Sick Role Behavioral Compliance and Depression, Satisfaction with Life in Hemodialysis Patients
Ji-Hyun Kim
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1328. CrossRef
The Effect of Periodical and Individualized Educational Program for Long-term Hemodialysis Patient
Hyunjung Kim, Sujin Park, Mikyung Park
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Hyun Soo Oh, Ji Suk Park, Wha Sook Seo
Journal of Advanced Nursing.2013; 69(9): 2041. CrossRef
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Young-Ran Yeun
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(12): 5993. CrossRef

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