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Research Paper
Effect of Patient Safety Training Program of Nurses in Operating Room
Zhang, Peijia , Liao, Xin , Luo, Jie
J Korean Acad Nurs 2022;52(4):378-390.   Published online August 31, 2022
DOI: https://doi.org/10.4040/jkan.22017
AbstractAbstract PDF
Purpose
This study developed an in-service training program for patient safety and aimed to evaluate the impact of the program on nurses in the operating room (OR).
Methods
A pretest–posttest self-controlled survey was conducted on OR nurses from May 6 to June 14, 2020. An in-service training program for patient safety was developed on the basis of the knowledge–attitude–practice (KAP) theory through various teaching methods. The levels of safety attitude, cognition, and attitudes toward the adverse event reporting of nurses were compared to evaluate the effect of the program. Nurses who attended the training were surveyed one week before the training (pretest) and two weeks after the training (posttest).
Results
A total of 84 nurses participated in the study. After the training, the scores of safety attitude, cognition, and attitudes toward adverse event reporting of nurses showed a significant increase relative to the scores before the training (p < .001). The effects of safety training on the total score and the dimensions of safety attitude, cognition, and attitudes toward nurses’ adverse event reporting were above the moderate level.
Conclusion
The proposed patient safety training program based on KAP theory improves the safety attitude of OR nurses. Further studies are required to develop an interprofessional patient safety training program. In addition to strength training, hospital managers need to focus on the aspects of workflow, management system, department culture, and other means to promote safety culture.
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Original Articles
The Effectiveness of the Error Reporting Promoting Program on the Nursing Error Incidence Rate in Korean Operating Rooms
Myoung Soo Kim, Jung Soon Kim, In Sook Jung, Young Hae Kim, Ho Jung Kim
Journal of Korean Academy of Nursing 2007;37(2):185-191.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.2.185
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and evaluate an error reporting promoting program(ERPP) to systematically reduce the incidence rate of nursing errors in operating room.

Methods

A non-equivalent control group non-synchronized design was used. Twenty-six operating room nurses who were in one university hospital in Busan participated in this study. They were stratified into four groups according to their operating room experience and were allocated to the experimental and control groups using a matching method. Mann-Whitney U Test was used to analyze the differences pre and post incidence rates of nursing errors between the two groups.

Results

The incidence rate of nursing errors decreased significantly in the experimental group compared to the pre-test score from 28.4% to 15.7%. The incidence rate by domains, it decreased significantly in the 3 domains-“compliance of aseptic technique”, “management of document”, “environmental management” in the experimental group while it decreased in the control group which was applied ordinary error-reporting method.

Conclusion

Error-reporting system can make possible to hold the errors in common and to learn from them. ERPP was effective to reduce the errors of recognition-related nursing activities. For the wake of more effective error-prevention, we will be better to apply effort of risk management along the whole health care system with this program.

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Operating Room Nurses' Experiences of Securing for Patient Safety
Kwang-Ok Park, Jong Kyung Kim, Myoung-Sook Kim
J Korean Acad Nurs 2015;45(5):761-772.   Published online October 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.5.761
AbstractAbstract PDF
Purpose

This study was done to evaluate the experience of securing patient safety in hospital operating rooms.

Methods

Experiential data were collected from 15 operating room nurses through in-depth interviews. The main question was "Could you describe your experience with patient safety in the operating room?". Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology.

Results

The core category of experience with patient safety in the operating room was 'trying to maintain principles of patient safety during high-risk surgical procedures'. The participants used two interactional strategies: 'attempt continuous improvement', 'immersion in operation with sharing issues of patient safety'.

Conclusion

The results indicate that the important factors for ensuring the safety of patients in the operating room are manpower, education, and a system for patient safety. Successful and safe surgery requires communication, teamwork and recognition of the importance of patient safety by the surgical team.

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Development and Effects of an e-Learning Program in Operating Room Nursing for Nursing Students
Eun Hee Park, Seon Young Hwang
J Korean Acad Nurs 2011;41(1):36-46.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.36
AbstractAbstract PDF
Purpose

This study was conducted to develop an e-Learning program that assists nursing students' clinical practice in operating room nursing and to examine the learning effects.

Methods

Based on content and need analysis, 9 learning modules were developed for nursing care in operating rooms and with operating equipment. To verify the effects of the program, a quasi-experimental pretest-posttest control group design was employed. The participants in this study were 74 third-year nursing students (34 in the experimental and 40 in the control group) from a junior college in G-city, Korea, who were engaged in a one week clinical practicum in an operating unit. Frequencies, χ2-test and t-test with the SPSS program 17.0 were used to analyze the data.

Results

Knowledge was significantly higher in the experimental group compared to the control group (p=.018). However, there was no significant difference between the two groups in self-directed learning. The experimental group had significantly higher motivation toward learning, which was examined posttest only (p=.027).

Conclusion

These results indicate that the implementation of an e-Learning program needs to be continued as an effective educational tool, but more research on the best way to implement e-Learning in students' practicum is needed.

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