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KMID : 1004620130190030369
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Clinical Nursing Research
2013 Volume.19 No. 3 p.369 ~ p.382
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Development and Evaluation of an Educational Program on Legal Issue-focused Nursing Records
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Kim Young-Mi
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Abstract
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Purpose: This study aimed to develop an educational program on nursing records especially focused on legal
issues, and to test the effects of the educational program on nurses’ knowledge, performance, and behavior.
Methods: A textbook on legal issue-focused nursing records and an instrument with 36 items rated on a 5-point
scale (1-5) for measuring the nurses’ charting-related performance and behavior were developed from
November 2007 through March 2008. A nonequivalent control group pretest-posttest design was employed
to test the effects of the education program. Knowledge was self-reported by the Nurse Charting Knowledge
Scale, while performance and behavior were measured by their nurse managers. The pretest and posttest were
conducted from March through May in 2008. A total of 226 Korean nurses participated in this study. Data were
analyzed with descriptive statistics, t-test, Chi-square, paired t-test, Spearman’s coefficient, and multiple
regression.
Results: Nurses who received the intervention showed greater levels of knowledge (t=10.28, p<
.001), performance (t=2.53, p=.013), and behavior scores (t=3.07, p=.002) than those of the control group.
The factors influencing the improvement of knowledge were ’job attitude’ (t=-3.32, p=.001) and ’career in
present unit’ (t=2.95, p=.004). The factor influencing the improvement of performance was ’career in present
unit’ (t=-3.39, p=.001). The factor influencing the improvement of behavior was ’job attitude’ (t=-3.46, p=
.001).
Conclusion: The educational program on legal issue-focused nursing records was effective in improving
nurse charting-related knowledge, performance, and behavior.
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KEYWORD
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Nursing records, Legal aspects, Program effectiveness
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