Purpose: This study aimed to develop an educational program on nursing records especially focused on legal issues, and to test the effects of the educational program on nurses' knowledge, performance, and behavior. Methods: A textbook on legal issue-focused nursing records and an instrument with 36 ...
Purpose: This study aimed to develop an educational program on nursing records especially focused on legal issues, and to test the effects of the educational program on nurses' knowledge, performance, and behavior. Methods: A textbook on legal issue-focused nursing records and an instrument with 36 items rated on a 5-point scale (1-5) for measuring the nurses' charting-related performance and behavior were developed from November 2007 through March 2008. A nonequivalent control group pretest-posttest design was employed to test the effects of the education program. Knowledge was self-reported by the Nurse Charting Knowledge Scale, while performance and behavior were measured by their nurse managers. The pretest and posttest were conducted from March through May in 2008. A total of 226 Korean nurses participated in this study. Data were analyzed with descriptive statistics, t-test, Chi-square, paired t-test, Spearman's coefficient, and multiple regression. Results: Nurses who received the intervention showed greater levels of knowledge (t=10.28, p<.001), performance (t=2.53, p=.013), and behavior scores (t=3.07, p=.002) than those of the control group. The factors influencing the improvement of knowledge were 'job attitude' (t=-3.32, p=.001) and 'career in present unit' (t=2.95, p=.004). The factor influencing the improvement of performance was 'career in present unit' (t=-3.39, p=.001). The factor influencing the improvement of behavior was 'job attitude' (t=-3.46, p=.001). Conclusion: The educational program on legal issue-focused nursing records was effective in improving nurse charting-related knowledge, performance, and behavior.
Purpose: This study aimed to develop an educational program on nursing records especially focused on legal issues, and to test the effects of the educational program on nurses' knowledge, performance, and behavior. Methods: A textbook on legal issue-focused nursing records and an instrument with 36 items rated on a 5-point scale (1-5) for measuring the nurses' charting-related performance and behavior were developed from November 2007 through March 2008. A nonequivalent control group pretest-posttest design was employed to test the effects of the education program. Knowledge was self-reported by the Nurse Charting Knowledge Scale, while performance and behavior were measured by their nurse managers. The pretest and posttest were conducted from March through May in 2008. A total of 226 Korean nurses participated in this study. Data were analyzed with descriptive statistics, t-test, Chi-square, paired t-test, Spearman's coefficient, and multiple regression. Results: Nurses who received the intervention showed greater levels of knowledge (t=10.28, p<.001), performance (t=2.53, p=.013), and behavior scores (t=3.07, p=.002) than those of the control group. The factors influencing the improvement of knowledge were 'job attitude' (t=-3.32, p=.001) and 'career in present unit' (t=2.95, p=.004). The factor influencing the improvement of performance was 'career in present unit' (t=-3.39, p=.001). The factor influencing the improvement of behavior was 'job attitude' (t=-3.46, p=.001). Conclusion: The educational program on legal issue-focused nursing records was effective in improving nurse charting-related knowledge, performance, and behavior.
간호기록(차팅, charting or documentation)이란 환자 돌봄(care)을 완벽하게 문서화하는 과정이며(Cahill, 1998), 일차적인 목적은 치료의 연속성을 유지하는 것이다(Kim, Kim, Kim, et al., 2001).
병원간호사의 간호기록 작성방법 지식측정도구 개발에서 강조 되는 것은?
Kim과 Park (2007)은 ‘병원간호사의 간호기록 작성방법 지식측정도구 개발'에서 간호기록 작성 시 누가, 언제, 무엇을 어떻게 작성해야하는지와 기록을 해서는 안되는 지침에 대해 법적인 관점에서 정리하였으며, 간호 과정의 중요성을 강조하였다. 간호과정이란 간호문제를 해결하는 방법으로서 환자의 건강문제를 결정하고 그 문제들을 해결하기 위해 돌봄 계획을 세우고, 그 계획을 수행하며, 제공된 돌봄의 효과를 평가하기 위한 체계적인 방법(McCann, 2006)이다.
간호사가 겪을 수 있는 위험부담은 무엇인가?
뜻하지 않은 법적 ․ 전문적인 결과로부터 자신을 보호하기 위해 간호사들은 아무리 피곤하고 바쁘더라도 분명하고 정확하게 그리고 완전하게 기록을 해야 한다. 실제로 간호 현장에서 간호사들이 바쁘게 뛰어다니면서 열심히 업무를 수행하고도 기록을 누락하는 경우가 허다하며, 이로 인해 소송에 연루되었을 때 억울한 상황에 처하는 것을 종종 목격할 수 있다. 이렇게 간호사들은 의료소송에 직 ․ 간접적으로 연루되어 고통을 겪으면서도 기록을 어떻게 해야 하는지 구체적인 방법을 모르고 있다. 이러한 위험부담으로부터 간호사를 보호하고 궁극적으로 환자 돌봄을 향상시키기 위해 기록의 원칙과 중요성에 대해 간호사를 교육하는 것이 필요하다(Frank-Stromborg et al.
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