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Study on Human Errors in the Fields of Nursing and Social Welfare

护理与社会福利领域人为失误研究

基本信息

批准号：
13490031
负责人：
KINOSHITA Masuko
金额：
$ 6.02万
依托单位：
Niigata Seiryou University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2004
项目状态：
已结题

项目摘要

【Project 1-1. A survey on the status of human errors encountered in die practice of health care and social welfare service】 The manner of handling nursing-related accidents in reports on such accidents and preventive measures taken in the process were analyzed and classified ; and the needs to establish a framework for the topic of studies on nursing accidents and uniformity of terminology were indicated. Next, a survey was conducted on the status of risk management by those engaged in programs that meet the requirements the nursing insurance law in Niigata Prefecture. Although initial steps have been taken to prevent accidents, external support is needed to establish effective measures to accomplish this. 【Project 1-2. A survey on the status of risk management at home visiting nursing stations】 A survey on home nursing stations and focus group interviews of nursing personnel at these stations were conducted. The study clarified the background factors that affect the occurrence of acci … More dents related to home nursing and the measures that are needed to prevent them. 【Project 2-1. Subjective judgments on the possibility for accident development on the nursing scene and risk avoiding behavior】 A survey was conducted on the premonitions experienced by nurses on impending accidents while performing their daily nursing duties, as well as their behavior choices, determination, and accident predictions. To explain behavioral choices, novice nurses characteristically accept the opinions of more experienced nurses, while those nurses with more experience make judgments on safety based on certain key elements. There are some individual differences in predicting accidents but the backgrounds for such differences could not be ascertained 【Project 2-2. Nursing errors and basic nursing education-fundamentals and practices, individual characteristics, and external factors】 Accidents related to medical actions and factors responsible for the development of incidents were examined with 881 nurses in 5 facilities with different affiliations acting as the as attitude, recognition, observation, judgment, and confirmation by nurses were related to the occurrence of accidents. 【Project 3. Safety education in basic nursing training】 A focus group interview was conducted with 8 nurses. Following an accident, the attitudes of nurses were transformed from "tension and anxiety" and "self defense" to a "heightened sense of autonomy" and "sharing of information", promoting interprofessional cooperation. A survey by using questionnaires was conducted on the status of training for accident prevention at 4-year universities where licensed nurses, physicians, social workers, and nursing welfare service personnel are being trained. The number of independent courses intended for accident prevention has increased, especially at medical schools. In nursing universities, accident prevention is taught in association with other diverse subjects. 【Project 4. A model structure for human errors and construction of a curriculum for safety education】 To establish nursing education based on the structural analysis of human errors and behavior to avoid the development of accidents and to apply such an educational approach to practice, suggestions were made for the publication of appropriate educational materials and preparation of curricula for safety education. Less

【项目1-1.医疗及社会福利服务实践中人为失误现状调查】对护理事故报告中护理事故的处理方式及过程中采取的预防措施进行了分析和分类；并指出需要建立护理事故研究主题框架和术语统一。接下来，对新泻县符合护理保险法要求的项目实施者的风险管理状况进行了调查。尽管已经采取了初步措施来防止事故发生，但仍需要外部支持来制定有效措施来实现这一目标。【项目1-2。【居家护理站风险管理现状调查】对居家护理站进行调查并对居家护理人员进行焦点小组访谈。该研究阐明了影响家庭护理相关事故发生的背景因素以及预防措施。【项目2-1.护理现场发生事故可能性的主观判断及风险规避行为】对护士在履行日常护理职责时对即将发生事故的预感、行为选择、决策和事故预测进行调查。为了解释行为选择，新手护士通常会接受经验丰富的护士的意见，而经验丰富的护士则根据某些关键要素做出安全性判断。事故预测存在一定的个体差异，但无法确定这种差异的背景【项目2-2．护理差错和基础护理教育-基础和实践、个体特征和外部因素】对5个不同隶属机构的881名护士进行了与医疗行为相关的事故和导致事故发生的因素进行调查，以了解护士的态度、认识、观察、判断和确认与事故的发生有关。【项目3.基础护理培训中的安全教育】对8名护士进行焦点小组访谈。事故发生后，护士们的态度从“紧张焦虑”、“自我防卫”转变为“高度自主意识”、“信息共享”，促进了专业间的合作。对正在培训执业护士、医师、社会工作者和护理福利服务人员的四年制大学的事故预防培训状况进行了问卷调查。旨在预防事故的独立课程数量有所增加，特别是在医学院。在护理大学，事故预防与其他不同的科目一起教授。【项目4.人为错误的模型结构和安全教育课程的构建】为了建立基于人为错误和行为的结构分析的护理教育，以避免事故的发生，并将这种教育方法应用于实践，提出了出版适当的教育材料和准备安全教育课程的建议。较少的