Medical accident generation process defense model seen from integrated aspect in basic nursing education

1.对“护理现场医疗事故背景因素及其与差错发生的关系”进行多因素分析。发现通过护士的应激反应间接引发医疗事件的因素，而断言能力、社会支持、自我效能感与护士应激反应的降低有关，是间接降低事件的因素。因此，本研究所提出的“护理现场医疗事故背景因素及其与医疗事故之关系”的新观点，获得有意义的结果.在本项目中，开发了“与医疗事故背景因素相关的错误发生的生成过程的动态模型”。在分析中，护士自己的日常确认实践被认为是经常有效的，它是一个错误的塞子。上级支持较少的护士在较平时更高的压力下更易发生医疗事件。另一方面，能获得上级支持的护士，其压力反应对医疗事故发生率并无影响。虽然通过建模对误差产生进行了定量分析，但几乎没有研究关注误差产生的预防因素。这种类型的基本分析对于预防医疗事故是非常重要的.介绍了护理专业学生小组陈述和讨论的方法，并进行了实证研究。为预防医疗事故，开发了“风险体验游戏”，并在护生课堂上和护理教师短期课程中进行。因此，观察到对安全性的认识发生了显著变化。

1. The multivariate analysis of "Background factors of medical accidents in the nursing scene and its relation to error generation" was carried out. A factor which triggers medical incident indirectly through stress reactions of nurses was found. In contrast, assertion ability, social support, and self-effect feeling are related to decrease of stress reaction of nurses, and were shown that they were factors to reduce Incident indirectly. Thus, this new viewpoint of "Background factors of medical accidents in the nursing scene and its relation to medical incident" yielded meaningful results.2. In this program, "Dynamic model of the generation process to the error occurrence in relation to background factors of medical accidents" has been developed. In the analyses, daily practice of confirmation by nurses themselves was found to be often effective, and it is a stopper of errors. Nurses with little support from their superior had a higher tendency to experience medical incident under higher stress than usual scene. On the other hand, nurses who were able to obtain support from their superior, did not show influence of a degree of stress reaction in frequency of medical incident. Several quantitative analyses of error generation though modeling have been developing, but almost no study pays much attention to prevention factors in error generation. This type of basic analysis is a very important for the prevention of medical accidents.3. Group presentation and discussion by nursing students were introduced as a method of improving their precognition ability for danger, and empirical research was carried out. "Risk experience game" for prevention of medical accidents was developed, and it was played in a class for student nurses and in a short course for teachers of nursing. As a result, a significant change in recognition for safety was observed.