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NTIS 바로가기성인간호학회지 = Korean Journal of Adult Nursing, v.28 no.5, 2016년, pp.559 - 571
박아영 (광주대학교 간호학과) , 김계하 (조선대학교 간호학과)
Purpose: The purpose of this study is to examine the effects of a competency based safety and quality improving education program for undergraduate nursing students. Methods: A quasi-experimental study of a non-equivalent control group pre and post test design was used. The participants were sixty-e...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
의료의 질이란 무엇인가? | 이에 따라 오늘날 주요 선진국에서는 의료기관의 질 향상과 안전이 국가적 핵심화두로 떠올라 다각적인 전략들을 실천해가고 있다. 의료의 질이란 개인과 인구집단에 제공되는 보건의료 서비스가 바람직한 건강 결과의 가능성을 높이고, 현재의 전문적 지식과 부합하는 정도를 말하며[2], 안전은 불필요한 위해의 위험을 허용되는 최소한으로 낮추는 것을 말한다[3]. 안전은 의료의 질을 나타내는 핵심 영역인 동시에 질을 논하기 전에 기본적으로 확보되어야 할 환자의 권리이다. | |
비전문적 기술이란 무엇인가? | 둘째, 팀워크와 협력은 보건의료 전문가로 구성된 팀 안에서 효과적으로 기능하고, 열린 의사소통을 하며, 상호 존중, 그리고 환자 간호의 질 향상을 위해 의사결정을 공유하는 것을 말한다[7]. QSEN은 낮은 수준의 안전문화, 의사소통, 팀워크가 의료오류에 영향을 미친다는 것을 이해함에 따라 보건의료인의 임상적 오류를 줄이고 전문직 간 조직 효율성을 강화하기 위하여 TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) 와 같은 비전문적 기술(non-technical skill) 교육 도입을 강조하는데 비전문적 기술(non-technical skill)이란 기술적 술기를 보완하고 안전과 효과적인 업무 수행에 기여할 수 있는 인지적, 사회적, 개인적 자원으로서 리더십, 상황인식, 상호지지, 의사소통 등을 말한다[9]. | |
과거 미국의학원에서 의료의 질 개선을 위해 제안한 방안은 무엇인가? | 과거 미국의학원(Institute of Medicine, IOM)에서는 간호사와 의사를 비롯한 모든 의료인이 최고 수준의 질과 가장 안전한 의료를 제공할 만큼 충분히 준비되지 않은 현실을 지적하며 새로운 교육 패러다임을 제언하였다[5]. 그 개선방안이란 의사소통 및 대인관계 기술 교육을 통한 환자중심의료, 전문 분야 간 팀워크 훈련, 근거기반실무와 질 향상 방법 적용, 그리고 정보학의 이용 등을 학생 때부터 핵심으로 교육하여야 한다는 것이다. 특히, 간호사는 보건 의료 인력의 대다수를 차지하며, 끊임없이 의료 질 문제에 맞서는 중요한 위치에 있기 때문에 이들을 준비시키는 것은 중요하다[6]. |
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