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KMID : 0614819990050030445
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Journal of Korean Academy of Nursing Administration
1999 Volume.5 No. 3 p.445 ~ p.462
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Perception of the Nurse on the Nursing Malpractice and Its Case
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1정지연/1Jeong Ji Yun
2이명하/2Lee Myung Ha
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Abstract
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The Purpose of this study is to provide some basic data for the direction of nursing
education and practice to prevent nursing malpractice as investgating perception of the
nurse on the nursing malpractice and its case.
Data were collected from 450 nurse working in four general hospitals which were
located in Chonbuk province from November 9 to 21. 1998 through questionnare. The
structured instruments developed by the reseacher were used for collecting data.
The Results were as follows :
1) As for the cognition of the nursing malpractice case. the transfusion accident was
37.3%. the side-effects of KCL injection(19.3%), hymen rupture by uterus cancer test,
the side-effects of aminophyllin injections on dyspnea patient and the others were 10%
below.
2) With regard to the channel of the Perception of the nursing malpractice case,
mass-communication was taken first and followed through by neighbors. In-service
education. school education. continuing education.
3) As for the direct·indirect experience of the nursing malpractice case. transfusion
accident was 51.3% the fall of NPO patient after an operation 40.1%. the side-effect of
KCL injection 32.5%, suicide of the psychiatric patient 32.5%, and the others were 30%
below.
4) The possibility of nursing malpractice case was an average 2.57(±0.91) and the
highest was the fall of the NPO patient after an operation.
5) The perception on the responsibility of the nursing malpractice in its case was
indicated as a joint-fault in ten nursing malpractice instances. As compared to the real
decision. nurse's perception of the responsibility in the fall of the NPO patient after an
operation. the side-effect of KCL injection. the tracheal edema of the patient who had a
thyroid operation, the suicide of psychiatric patient. the hymen rupture by uterus cancer
test accorded real decisions. But the other cases were different from the real decisions.
These cases were perceived as ones of joint fault even in cases date rmined as Dr's
single fault cases or those in which both doctor and nurse were declared free of fault.
6) Knowledge levels of the nursing malpractice, school education and In-service
education were perceived as low but anxiety levels of the malpractice were high.
7) With regard to the countmeasure of the hospital after nursing malpractice, the rate
answered as "the practice settled the accident temporarily and forced the person in
charge to be punished" was highest.
In conclusion, the level of the cognition of the clinical nurse on nursing malpractice
cases was low. As nurses' perception on the responsibility of the nursing malpractice
case was compared to the real decision. there was a difference in five cases out of the
ten cases.
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