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危险感知训练(HPT)对护理学生对患者安全风险敏感性和安全控制信心发展的影响。

Effects of hazard perception training (HPT) on nursing students' risk sensitivity to patient safety and developing safety control confidence.

机构信息

College of Nursing, Konyang University, Gwanjeodong-ro, Seo-gu, Daejeon 35365, South Korea.

College of Medicine, Div. of Nursing, Hallym University, 1 Hallymdaehak-gil, Chuncheon, Gangwon-do 24252, South Korea.

出版信息

Appl Nurs Res. 2018 Feb;39:160-166. doi: 10.1016/j.apnr.2017.10.020. Epub 2017 Nov 7.

Abstract

PURPOSE

This study identifies the effects of hazard perception training (HPT) on nursing students' risk sensitivities and safety control confidence.

METHODS

The study uses a nonequivalent control group pre-and post-test design. The participants were 107 senior nursing students, 52 in the experimental group, and 55 in the control group. The experimental group was shown 5 hospital situation pictures to determine hazard sensitivity. Students' risk sensitivity scores and safety control confidence were measured pre-HPT and post-HPT.

RESULTS

The experimental group showed significantly higher (on) total risk sensitivity score (t=12.47, p<0.001) and themes, such as fall down (t=19.33, p<0.001), preoperative time out (t=3.18, p<0.001), invasive treatment (t=12.40, p<0.001), and medication (t=10.98, p<0.001). However, the difference for telephone orders was insignificant between the experimental and control groups (t=-0.17, p=0.864). In addition, difference of mean scores for safety control confidence was insignificant between the experimental and the control groups (t=1.10, p=0.275).

CONCLUSION

Nursing education should incorporate hazard perception training more often, and educators need to develop education programs to improve nursing students' safety control confidence. Further, a Hazard Perception Training (HPT) that incorporates various kinds of educational methods for students majoring in healthcare fields is needed.

摘要

目的

本研究旨在探讨危险感知训练(HPT)对护理学生风险敏感度和安全控制信心的影响。

方法

本研究采用非对等对照组前后测设计。参与者为 107 名高年级护理学生,实验组 52 人,对照组 55 人。实验组观看了 5 张医院情境图片以确定危险感知敏感性。在 HPT 前后测量学生的风险敏感度得分和安全控制信心。

结果

实验组的总风险敏感度得分(t=12.47,p<0.001)和主题(如跌倒[t=19.33,p<0.001]、手术前暂停[t=3.18,p<0.001]、侵入性治疗[t=12.40,p<0.001]和用药[t=10.98,p<0.001])显著较高。然而,实验组和对照组之间的电话医嘱差异不显著(t=-0.17,p=0.864)。此外,实验组和对照组之间安全控制信心的平均得分差异不显著(t=1.10,p=0.275)。

结论

护理教育应更频繁地纳入危险感知训练,教育者需要制定教育计划以提高护理学生的安全控制信心。此外,需要为医疗保健专业的学生开发包含各种教育方法的危险感知训练(HPT)。

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