Shin Jieun, Kim Nam-Yi
Department of Biomedical Informatics, College of Medicine, Konyang University, Daejeon, Republic of Korea.
Department of Nursing, Konyang University, Daejeon, Republic of Korea.
Risk Manag Healthc Policy. 2024 Mar 26;17:715-725. doi: 10.2147/RMHP.S450340. eCollection 2024.
This study attempted to assess the perceived importance and performance of patient-safety nursing among operating room (OR) nurses and to identify the "concentrate here" level using importance-performance analysis (IPA). The goal was to identify the educational priorities of patient-safety nursing and to use it as foundational data to develop educational programs.
The IPA of patient-safety nursing (infection control, patient identification, specimen management, surgical coefficient, medical equipment and supplies, high-alert medicines, and damage prevention) was surveyed online for nurses in general hospitals in Korea, and the data of 47 participants were analyzed. Differences in the importance and performance of patient-safety nursing were analyzed using Wilcoxon signed rank test, and IPA was conducted to identify areas on which improvement efforts should be focused.
Within the six areas of OR patient-safety nursing, notable differences in importance and performance were observed in infection control and surgical count areas. The IPA revealed specific items that require "concentrate here", including handwashing, checking the cleanliness and sterility of medical equipment, and conducting 5-Rights checks before administering high-alert medications.
Regular training for OR nurses should encompass preoperative, intraoperative, and postoperative infection control, as well as appropriate surgical counts. In particular, training, monitoring, feedback, and intervention should be provided on hand hygiene, sterilization maintenance, and accurate administration of high-alert medications, which are items included in "concentrate here".
本研究旨在评估手术室护士对患者安全护理的感知重要性和表现，并使用重要性-表现分析（IPA）确定“集中改进此处”的水平。目标是确定患者安全护理的教育重点，并将其作为制定教育计划的基础数据。
对韩国综合医院的护士进行了关于患者安全护理（感染控制、患者识别、标本管理、手术计数、医疗设备和用品、高警示药品以及损伤预防）的IPA在线调查，并对47名参与者的数据进行了分析。使用Wilcoxon符号秩检验分析患者安全护理在重要性和表现方面的差异，并进行IPA以确定应集中改进努力的领域。
在手术室患者安全护理的六个领域中，在感染控制和手术计数领域观察到重要性和表现方面的显著差异。IPA揭示了需要“集中改进此处”的具体项目，包括洗手、检查医疗设备的清洁度和无菌性，以及在给予高警示药物前进行“五正确”检查。
对手术室护士的定期培训应包括术前、术中和术后的感染控制以及适当的手术计数。特别是，应针对手部卫生、消毒维护和高警示药物的准确给药提供培训、监测、反馈和干预，这些都是“集中改进此处”所包含的项目。
