CAJ | 학술논문

目的：探讨行为安全观察与沟通（ STOP ）管理方法在临床护生带教中的应用效果。方法选择2012年3-4月在泌尿外科病房实习的两组护生为管理对象，每组20名。3月份入科的护生为对照组，给予常规带教管理方法，4月份入科的护生为试验组，给予STOP管理方法，观察时间均为1个月。比较两组护生不安全护理行为及引发医疗纠纷事件的发生率。结果对照组和试验组学生不安全护理行为发生率分别为91．6％和4．2％；引发的医疗纠纷事件发生率分别为1．0％和0．2％，试验组明显优于对照组，差异有统计学意义（χ2值分别为18．800，6．100；P＜0．05）。结论 STOP管理方法应用于临床护生带教，可降低不安全护理行为及其引发的医疗纠纷事件的发生率。
목적：탐토행위안전관찰여구통（ STOP ）관리방법재림상호생대교중적응용효과。방법선택2012년3-4월재비뇨외과병방실습적량조호생위관리대상，매조20명。3월빈입과적호생위대조조，급여상규대교관리방법，4월빈입과적호생위시험조，급여STOP관리방법，관찰시간균위1개월。비교량조호생불안전호리행위급인발의료규분사건적발생솔。결과대조조화시험조학생불안전호리행위발생솔분별위91．6％화4．2％；인발적의료규분사건발생솔분별위1．0％화0．2％，시험조명현우우대조조，차이유통계학의의（χ2치분별위18．800，6．100；P＜0．05）。결론 STOP관리방법응용우림상호생대교，가강저불안전호리행위급기인발적의료규분사건적발생솔。
Objective To compare the effect of reducing unsafe acts and medical disputes before and after implementing nursing students management via safety training and observation program ( STOP ) in Department of Urological Surgery .Methods Chose 21 students who participated in clinical nursing practice in March, 2012 and April, 2012 in the department of urological surgery in our hospital .We carried out the conventional management methods to the students in first group and STOP methods to the students in second group.Then the incidence of unsafe acts and medical disputes between two groups were compared .Results The incidence of unsafe acts in the first and second group was 91.6%and 4.2%.The incidence of medical disputes in the first and second group was 4.2% and 0.2%.The differences were significant (χ2 =18.800,6.100, respectively;P<0.05).Conclusions STOP management has significant effect on the management of clinical teaching to nursing students and can reduce the incidence of medical disputes because unsafe nursing acts .