Öz
Background: This study evaluates the effects of medical error education on the knowledge and attitudes of nursing students.
Method: This study used a one-group pretest–posttest semi-experimental design method. Malpractice Trend Scale in Nursing and Medical Errors Attitude Scale, a general exam on medical errors, and a case-based exam were then used to collate the study data. Before the students’ education sessions, data on personal information was collected from the study group; the same set of measurements were then applied after the education process was completed.
Results: Scale and knowledge score averages increased following the participating nurses’ education and training. This increase was found to be statistically significant (p<0.001).
Conclusion: This study revealed the following: (1) students think that the information they have been provided their undergraduate education regarding medical errors is inadequate; (2) medical errors are not adequately emphasized in nursing curricula, (3) medical error education increases the knowledge and awareness of students regarding medical errors, and; (4) medical error education decreases medical error tendencies and positively affects nursing students’ attitudes toward medical errors.
Anahtar Kelimeler
Ethical Responsibility malpractice medical error nursing education patient safety
Kaynakça
- 1. Kohn LTE, Corrigan JME, Donaldson MSE. To Err is Human: Building a Safer Health System. 2th ed. Institute of Medicine Committee on Quality of Health Care in America, 1999. 2. Vincent C. The essentials of patient safety. London, BMJ Books, 2011. 3. ICN 2006. Safe Staffing Saves Lives. URL:[http://www.icn.ch/images/stories/documents/publications/ind/indkit2006.pdf].Accessed: 01/04/2017. 4. ICN 2015. Nurses: A Force For Change, Care Effective, Cost Effective. URL:[http://www.icn.ch/images/stories/documents/publications/ind/IND_2015_Eng.pdf]. Accessed: 01/04/2017. 5. Ozata M, Altunkan H. Frequency of medical errors in hospitals, determination of medical error types and medical errors: Konya sample. TAD 2010; 8(2): 100-111. 6. Guleç D, Seren Intepeler S. Developing a scale of attitudes towards medical errors. Turkish Journal of Research & Development in Nursing 2013; 15: 26-41. 7. Wakefield A, Attree M, Braidman I, Carlisle C, Johnson M, Cooke H. Patient safety: Do nursing and medical curricula address this theme?. Nurse Education Today 2005; 25(4): 333-340. 8. Wolf ZR, Hicks R, Serembus JF. Characteristics of medication errors made by students during the administration phase: A descriptive study. Journal of Professional Nursing 2006; 22(1): 39-51. 9. Vaismoradi M, Salsali M, Marck P. Patient safety: nursing students’ perspectives and the role of nursing education to provide safe care, International Nursing Review 2011; 58(4): 434-42. 10. Mansour M. Examining patient safety education in pre-registration nursing curriculum: Qualitative study. Journal of Nursing Education and Practice 2013; 3(12): 157-167. 11. Escher C, Creutzfeldt J, Meurlıng L, Hedman L, Kjellın A, Felländer-tsaı L. Medical students’ situational motivation to participate in simulation based team training is predicted by attitudes to patient safety, BMC Medical Education 2017; 17: 37. 12. Rall M, Van Gessel E, Staender S. Education, teaching & training in patient safety. Best Practice and Research: Clinical Anaesthesiology 2011; 25(2): 251-262. 13. Chenot TM. Frameworks for patient safety in the nursing curriculum. PhD, University of North Florida College of Education and Human Services Florida, USA, 2007. 14. Cronenwet L, Sherwood G, Barnsteiner J, Disch, J, Johnson J. Initial psychometric evaluation of the nursing quality and safety self-inventory. Nurs Outlook 2007; 55(3): 122-131. 15. Kim CW, Myung SJ, Kyung Eo E, Chang Y. Improving disclosure of medical error through educational program as a first step toward patient safety. BMC Medical Education 2017; 17: 52. 16. Reason J. Human error: models and management. Bmj 2000; 320(March), 768-770. 17. Maeda S, Kamıshırakı E, Starkey J, Ehara K. Patient safety education at Japanese nursing schools: results of a nationwide survey, BMC Research Notes 2011; 4: 416. 18. Bodur S, Filiz E, Çimen A, Kapçı C. Attitude of final year students of midwifery and nursing school on patient safety and medical errors. Genel Tıp Derg 2012; 22(2): 37-42. 19. Nabilou B, Feizi A, Seyedın H. Patient safety in medical education: students’ perceptions, knowledge and attitudes. PLoS One 2015; 10(8): 1-8. 20. Lee NJ, Jang H, Park SY. Patient safety education and baccalaureate nursing students’ patient safety competency: A cross-sectional study. Nursing and Health Sciences 2016; 18: 163-171. 21. Yasar Teke H, Alkurt Alkan H, Başbulut A., Cantürk G. Aspect of Physicians and Learning Level to Legal Regulation About With Malpractice: Questıonnaire Traıning. Turkiye Klinikleri J Foren Med 2007; 4: 61–67. 22. Odabası A, Tümer AR, Odabaşı O. A group of physician’s evaluation about the Turkish Penal Code num-bered 5237: Questionnaire training. The Bulletin of Legal Medicine 2008; 13(2): 49-56. 23. Yildirim A, Aksu M, Cetin İ, Sahan AG. Knowledge of and attitudes towards malpractice among physicians in Tokat, Turkey. Cumhuriyet Med J 2009; 31: 356-366. 24. Karaca A, Arslan H. A Study for Evaluation of Patient Safety Culture in Nursing Services, Journal of Health and Nursing Management 2014; 1: 9-18. 25. Isık Andsoy I, Kar G, Ozturk Ö. A Study on Trends to Medical Error for Nurses. HSP 2014; 1(1): 17-27. 26. Johnstone MJ, Kanitsaki O. The ethics and practical importance of defining, distinguishing and disclosing nursing errors: A discussion paper. International Journal of Nursing Studies 2006; 43(3): 367–376. 27. VanGeest JB, Cummins DS. An educational needs assessment for improving patient safety. National Patient Safety Foundation White Paper Report 2003; 3: 1–28. 28. Cirpi F, Dogan Merih Y, Yasar Kocabey M. Nursing Practices That Are Aims to Patient Safe and Determining the Nurses Point View of This Topic. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Derg. 2009; 2(3): 26-34. 29. Kahriman I, Ozturk H., Babacan E.. Evaluation of Medical Error Rates During Diagnosis, Treatment and Care Practices of Nurses (Vehbi Koç Foundation Nursing Fund Project No: 2014-2). 2014. URL https://sanerc.ku.edu.tr/sites/sanerc.ku.edu.tr/files/2014-2 Project.pdf (accessed 10.1.17). 30. Mankan T, Bahcecioglu Turan G, Polat H. Malpractice in Nursing and Midwifery Students. HSP 2017; 4(2): 98-104. 31. Cebeci F, Gürsoy E, Tekingündüz S. Determining the Level of Tendency in Malpractice Among Nurses. Journal of Anatolia Nursing and Health Sciences 2012; 15: 188–196. 32. Yigitbas C, Oguzhan H, Tercan B, Bulut A, Bulut A. Nurses’ Perception, Attitudes and Behaviors Concerning Malpractice. Anatol Clin 2016; 21(3): 207-214. 33. Demir Dikmen Y, Yorgun S, Yesilcam N. Identification the Level of Tendency in Malpractice Among Nurses. Journal of Hacettepe University Faculty of Nursing 2014; 1: 44-56. 34. Kıymaz D. The Factors Affectıng The Attitudes and Tendencıes of the Nurses Working at Emergency Towards Medıcal Errors. Master, Ondokuz Mayıs University Institute of Health Sciences Department of Emergency Medicine Nursing, Samsun, Turkey, 2015. 35. Akgün Sahin Z, Kardas Ozdemir F. Examination of the Tendency for Nursing Malpractice and Affecting Factors. HEAD 2015; 12(3): 210-214. 36. Karaoglu N, Seker M, Kara F, Okka B. Knowledge of new entrant medical students about medical errors in Selcuk University: An educational perspective. Turkiye Klinikleri J Med Sci 2008; 28(5): 663–671. 37. Madigosky WS, Headrick LA, Nelson K, Cox KR, Anderson T. Changing and sustaining medical students’ knowledge, skills, and attitudes about patient safety and medical fallibility. Academic Medicine 2006; 81(1): 94-101. 38. Aboumatar HJ, Thompson D, Wu A, Dawson P, Colbert J et al. Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. Postgrad Med J 2012; 88: 545-551. 39. Maxwell KL, Wright VH. Evaluating the effectiveness of two teaching strategies to ımprove nursing students’ knowledge, skills, and attitudes about quality ımprovement and patient safety. Nursing Education Perspectives 2016; 37(5): 291-292. 40. Ahmed M, Arora S, Tiew S, Hayden J, Sevdalis, N et al. Building a safer foundation: the Lessons Learnt patient safety training programme. BMJ Quality & Safety 2014; 23(1), 78–86. 41. Arora S, Sevdalis N, Ahmed M, Wong H, Moorthy K et all. Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness of patient safety. Surgery 2012; 152(1): 26–31. 42. Istanbullu I, Yıldız H, Zora H. A Research for Development of SecurityReporting System Applied in the Kartal Yavuz Selim State Hospital. Sağlıkta Performans ve Kalite Dergisi 2012; 4: 1–17. 43. Nakamura N, Yamashita Y, Tanihara S, Maeda C. Effectiveness and sustainability of education about incident reporting at a university hospital in Japan. Healthcare Informatics Research 2014; 20(3): 209–215. 44. Kirkman MA, Sevdalis N, Arora S, Baker P, Vincent C et al. The outcomes of recent patient safety education interventions for trainee physicians and medical students: A systematic review. BMJ Open 2015; 5(5). doi:10.1136/bmjopen-2015-007705.
Öz
Amaç: Bu çalışma, hemşirelik öğrencilerine verilen tıbbi hata eğitiminin öğrencilerin bilgi ve tutumlarına etkisini değerlendirmek amacıyla planlanmıştır.
Yöntem: Bu araştırmada öntest-sontest tek gruplu yarı deneysel yöntem kullanılmıştır. Çalışmanın ilk aşamasında hemşirelik son sınıf öğrencileri ile ihtiyaç analizi yapılmıştır. İkinci aşamasında ise ihtiyaç analizinden elde edilen veriler doğrultusunda eğitim programı hazırlanmış ve uygulanmıştır.
Bulgular: Çalışmada, öğrencilerin % 85,3’ünün tıbbi hatalarla ilgili eğitim aldığı; eğitim alan öğrencilerin % 54,7’sinin aldıkları eğitimi yetersiz buldukları belirlenmiştir. Eğitim öncesine göre eğitim sonrası Hemşirelikte Tıbbi Hataya Eğilim Ölçeği, Tıbbi Hatalarda Tutum Ölçeği ve bilgi puanı ortalamaları yükselmiştir. Bu artış istatistiksel olarak anlamlı bulunmuştur (p<0,001).
Sonuç: Çalışmadan elde edilen sonuçlar doğrultusunda, öğrencilerin tıbbi hataya ilişkin aldıkları eğitimi ve bilgilerini yeterli bulmadığı, öğrencilere verilen tıbbi hata eğitiminin öğrencilerin tıbbi hataya yönelik bilgi ve farkındalıklarını arttırdığı, tıbbi hataya eğilimlerini azalttığı ve tıbbi hatalarda tutumlarını olumlu yönde etkilediği belirlenmiştir.
Anahtar Kelimeler
Etik Sorumluluk Hasta Güvenliği Hemşirelik Eğitimi Tıbbi Hata
Kaynakça
- 1. Kohn LTE, Corrigan JME, Donaldson MSE. To Err is Human: Building a Safer Health System. 2th ed. Institute of Medicine Committee on Quality of Health Care in America, 1999. 2. Vincent C. The essentials of patient safety. London, BMJ Books, 2011. 3. ICN 2006. Safe Staffing Saves Lives. URL:[http://www.icn.ch/images/stories/documents/publications/ind/indkit2006.pdf].Accessed: 01/04/2017. 4. ICN 2015. Nurses: A Force For Change, Care Effective, Cost Effective. URL:[http://www.icn.ch/images/stories/documents/publications/ind/IND_2015_Eng.pdf]. Accessed: 01/04/2017. 5. Ozata M, Altunkan H. Frequency of medical errors in hospitals, determination of medical error types and medical errors: Konya sample. TAD 2010; 8(2): 100-111. 6. Guleç D, Seren Intepeler S. Developing a scale of attitudes towards medical errors. Turkish Journal of Research & Development in Nursing 2013; 15: 26-41. 7. Wakefield A, Attree M, Braidman I, Carlisle C, Johnson M, Cooke H. Patient safety: Do nursing and medical curricula address this theme?. Nurse Education Today 2005; 25(4): 333-340. 8. Wolf ZR, Hicks R, Serembus JF. Characteristics of medication errors made by students during the administration phase: A descriptive study. Journal of Professional Nursing 2006; 22(1): 39-51. 9. Vaismoradi M, Salsali M, Marck P. Patient safety: nursing students’ perspectives and the role of nursing education to provide safe care, International Nursing Review 2011; 58(4): 434-42. 10. Mansour M. Examining patient safety education in pre-registration nursing curriculum: Qualitative study. Journal of Nursing Education and Practice 2013; 3(12): 157-167. 11. Escher C, Creutzfeldt J, Meurlıng L, Hedman L, Kjellın A, Felländer-tsaı L. Medical students’ situational motivation to participate in simulation based team training is predicted by attitudes to patient safety, BMC Medical Education 2017; 17: 37. 12. Rall M, Van Gessel E, Staender S. Education, teaching & training in patient safety. Best Practice and Research: Clinical Anaesthesiology 2011; 25(2): 251-262. 13. Chenot TM. Frameworks for patient safety in the nursing curriculum. PhD, University of North Florida College of Education and Human Services Florida, USA, 2007. 14. Cronenwet L, Sherwood G, Barnsteiner J, Disch, J, Johnson J. Initial psychometric evaluation of the nursing quality and safety self-inventory. Nurs Outlook 2007; 55(3): 122-131. 15. Kim CW, Myung SJ, Kyung Eo E, Chang Y. Improving disclosure of medical error through educational program as a first step toward patient safety. BMC Medical Education 2017; 17: 52. 16. Reason J. Human error: models and management. Bmj 2000; 320(March), 768-770. 17. Maeda S, Kamıshırakı E, Starkey J, Ehara K. Patient safety education at Japanese nursing schools: results of a nationwide survey, BMC Research Notes 2011; 4: 416. 18. Bodur S, Filiz E, Çimen A, Kapçı C. Attitude of final year students of midwifery and nursing school on patient safety and medical errors. Genel Tıp Derg 2012; 22(2): 37-42. 19. Nabilou B, Feizi A, Seyedın H. Patient safety in medical education: students’ perceptions, knowledge and attitudes. PLoS One 2015; 10(8): 1-8. 20. Lee NJ, Jang H, Park SY. Patient safety education and baccalaureate nursing students’ patient safety competency: A cross-sectional study. Nursing and Health Sciences 2016; 18: 163-171. 21. Yasar Teke H, Alkurt Alkan H, Başbulut A., Cantürk G. Aspect of Physicians and Learning Level to Legal Regulation About With Malpractice: Questıonnaire Traıning. Turkiye Klinikleri J Foren Med 2007; 4: 61–67. 22. Odabası A, Tümer AR, Odabaşı O. A group of physician’s evaluation about the Turkish Penal Code num-bered 5237: Questionnaire training. The Bulletin of Legal Medicine 2008; 13(2): 49-56. 23. Yildirim A, Aksu M, Cetin İ, Sahan AG. Knowledge of and attitudes towards malpractice among physicians in Tokat, Turkey. Cumhuriyet Med J 2009; 31: 356-366. 24. Karaca A, Arslan H. A Study for Evaluation of Patient Safety Culture in Nursing Services, Journal of Health and Nursing Management 2014; 1: 9-18. 25. Isık Andsoy I, Kar G, Ozturk Ö. A Study on Trends to Medical Error for Nurses. HSP 2014; 1(1): 17-27. 26. Johnstone MJ, Kanitsaki O. The ethics and practical importance of defining, distinguishing and disclosing nursing errors: A discussion paper. International Journal of Nursing Studies 2006; 43(3): 367–376. 27. VanGeest JB, Cummins DS. An educational needs assessment for improving patient safety. National Patient Safety Foundation White Paper Report 2003; 3: 1–28. 28. Cirpi F, Dogan Merih Y, Yasar Kocabey M. Nursing Practices That Are Aims to Patient Safe and Determining the Nurses Point View of This Topic. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Derg. 2009; 2(3): 26-34. 29. Kahriman I, Ozturk H., Babacan E.. Evaluation of Medical Error Rates During Diagnosis, Treatment and Care Practices of Nurses (Vehbi Koç Foundation Nursing Fund Project No: 2014-2). 2014. URL https://sanerc.ku.edu.tr/sites/sanerc.ku.edu.tr/files/2014-2 Project.pdf (accessed 10.1.17). 30. Mankan T, Bahcecioglu Turan G, Polat H. Malpractice in Nursing and Midwifery Students. HSP 2017; 4(2): 98-104. 31. Cebeci F, Gürsoy E, Tekingündüz S. Determining the Level of Tendency in Malpractice Among Nurses. Journal of Anatolia Nursing and Health Sciences 2012; 15: 188–196. 32. Yigitbas C, Oguzhan H, Tercan B, Bulut A, Bulut A. Nurses’ Perception, Attitudes and Behaviors Concerning Malpractice. Anatol Clin 2016; 21(3): 207-214. 33. Demir Dikmen Y, Yorgun S, Yesilcam N. Identification the Level of Tendency in Malpractice Among Nurses. Journal of Hacettepe University Faculty of Nursing 2014; 1: 44-56. 34. Kıymaz D. The Factors Affectıng The Attitudes and Tendencıes of the Nurses Working at Emergency Towards Medıcal Errors. Master, Ondokuz Mayıs University Institute of Health Sciences Department of Emergency Medicine Nursing, Samsun, Turkey, 2015. 35. Akgün Sahin Z, Kardas Ozdemir F. Examination of the Tendency for Nursing Malpractice and Affecting Factors. HEAD 2015; 12(3): 210-214. 36. Karaoglu N, Seker M, Kara F, Okka B. Knowledge of new entrant medical students about medical errors in Selcuk University: An educational perspective. Turkiye Klinikleri J Med Sci 2008; 28(5): 663–671. 37. Madigosky WS, Headrick LA, Nelson K, Cox KR, Anderson T. Changing and sustaining medical students’ knowledge, skills, and attitudes about patient safety and medical fallibility. Academic Medicine 2006; 81(1): 94-101. 38. Aboumatar HJ, Thompson D, Wu A, Dawson P, Colbert J et al. Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. Postgrad Med J 2012; 88: 545-551. 39. Maxwell KL, Wright VH. Evaluating the effectiveness of two teaching strategies to ımprove nursing students’ knowledge, skills, and attitudes about quality ımprovement and patient safety. Nursing Education Perspectives 2016; 37(5): 291-292. 40. Ahmed M, Arora S, Tiew S, Hayden J, Sevdalis, N et al. Building a safer foundation: the Lessons Learnt patient safety training programme. BMJ Quality & Safety 2014; 23(1), 78–86. 41. Arora S, Sevdalis N, Ahmed M, Wong H, Moorthy K et all. Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness of patient safety. Surgery 2012; 152(1): 26–31. 42. Istanbullu I, Yıldız H, Zora H. A Research for Development of SecurityReporting System Applied in the Kartal Yavuz Selim State Hospital. Sağlıkta Performans ve Kalite Dergisi 2012; 4: 1–17. 43. Nakamura N, Yamashita Y, Tanihara S, Maeda C. Effectiveness and sustainability of education about incident reporting at a university hospital in Japan. Healthcare Informatics Research 2014; 20(3): 209–215. 44. Kirkman MA, Sevdalis N, Arora S, Baker P, Vincent C et al. The outcomes of recent patient safety education interventions for trainee physicians and medical students: A systematic review. BMJ Open 2015; 5(5). doi:10.1136/bmjopen-2015-007705.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Haziran 2020 |
| Gönderilme Tarihi | 28 Kasım 2019 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 11 Sayı: 2 |
SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.