1Assistant Professor, Department of Nursing, Gwangju University, Gwangju
2Associate Professor, Department of Nursing, Chosun University, Gwangju, Korea
Copyright © 2016 Korean Society of Adult Nursing
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Competency Based Quality Improvement and Safety Education Program
| Day | Module /competency | Lesson contents | Time (min) | Teaching method |
|---|---|---|---|---|
| Day 1 | [Module 1] /safety | Patient safety over view, QSEN competencies | 100 | Video, group discussion, lecture, reflection |
| [Module 2] /safety | Error theory, the system approach, contribute to a culture of patient safety | 100 | Video, group discussion, lecture, reflection | |
| [Module 3] /safety | Under standing managing clinical risk. | 100 | Video, lecture, role play, reflection | |
| Day 2 | [Module 4] /safety | Hazard prediction training: falls, verbal orders, patient identification, medication error | 100 | Small group study, hand on practice, reflection |
| [Module 5] /safety | Error reporting, safety tool | 100 | Lecture, role play, group discussion, reflection | |
| [Module 6] /safety | Error disclosure | 100 | Discussion, lecture, role play, reflection | |
| Day 3 | [Module 7] /T&C | Key principles of TeamSTEEPPS, Practice of TeamSTEEPPS | 200 | Lecture, group discussion, role play, reflection |
| [Module 8] /PCC | Patient centered care, engaging with patients, families and caregivers. | 100 | Group discussion, case study, video, lecture, reflection | |
| Day 4 | [Module 9] /EBP | What is evidence based practice? Popular-intervention-comparison-outcome search | 100 | Video, group discussion, lecture, hand on practice, reflection |
| [Module 10] /QI | Quality Improvement, planning a plan-do-study-act cycle | 100 | Lecture, small group study, hand on practice, reflection | |
| [Module 11] /informatics | Informatics | 100 | Video, lecture, group discussion, reflection | |
| Day 5 | [Module 12] /six competencies | Case analysis using root cause analysis, establishment of patient safety & QI action plan, drawing up of declaration | n 100 | Video, hand on practice, Group discussion |
T&C=teamwork and collaboration; TeamSTEPPS=strategies and tools to enhance performance and patient safety; QI=quality improvement; PCC=patient centered care; QI=quality improvement.
Homogeneity Test of General Characteristics and Dependent Variables between the Treatment and Comparison Groups (N=68)
| Characteristics | Categories | Treatment group (n=35) | Comparison group (n=33) | x2 or t | p |
|---|---|---|---|---|---|
| n (%) or M±SD | n (%) or M±SD | ||||
| Age (year) | 21.80±1.55 | 21.79±1.24 | |||
| Satisfaction with major | Very high | 4 (11.4) | 6 (18.2) | .798 | |
| High | 23 (65.7) | 20 (60.6) | |||
| Moderate | 7 (20.0) | 7 (21.2) | |||
| Poor | 1 (2.9) | 0 (0.0) | |||
| Grade point average |
4.00~4.50 | 6 (17.1) | 2 (6.1) | - | .082 |
| 3.51~3.99 | 21 (60.0) | 15 (45.5) | |||
| 3.00~3.50 | 8 (22.9) | 14 (42.4) | |||
| 2.51~2.99 | 0 (0.0) | 2 (6.1) | |||
| Perceived knowledge about patient safety |
Very high | 1 (2.9) | 1 (3.0) | - | .718 |
| High | 12 (34.3) | 10 (30.3) | |||
| Moderate | 12 (34.3) | 16 (48.5) | |||
| Poor | 10 (28.6) | 6 (18.2) | |||
| Patient safety education experience | Yes | 28 (80.0) | 26 (78.8) | 0.02 | .902 |
| No | 7 (20.0) | 7 (21.2) | |||
| Perceived knowledge about QI |
Very high | 0 (0.0) | 1 (3.0) | - | .218 |
| High | 5 (14.3) | 6 (18.2) | |||
| Moderate | 8 (22.9) | 13 (39.4) | |||
| Poor | 21 (60.0) | 13 (39.4) | |||
| Very poor | 1 (2.9) | 0 (0.0) | |||
| QI education experience | Yes | 1 (2.9) | 0 (0.0) | 0.96 | 1.000 |
| No | 34 (97.1) | 33 (100) | |||
| Knowledge | 6.37±0.26 | 5.70±2.38 | 1.45 | .154 | |
| Skills | 38.46±4.27 | 37.25±5.14 | 1.05 | .298 | |
| Perception | 43.43±2.52 | 43.39±3.25 | 0.49 | .961 |
QI=quality improvement;
†Fisher's exact test.
Differences between Treatment and Comparison Groups for Dependent Variables (N=68)
| Groups | Pretest | Posttest | Difference | t | p |
|---|---|---|---|---|---|
| M±SD | M±SD | M±SD | |||
| Knowledge | |||||
| Treatment group (n=35) | 6.37±1.26 | 16.34±1.64 | 9.97±1.70 | 1.68 | ＜.001 |
| Comparison group (n=33) | 5.70±2.38 | 5.18±2.32 | -0.52±1.37 | ||
| Skills | |||||
| Treatment group (n=35) | 38.46±4.27 | 67.69±6.95 | 29.23±7.38 | 24.21 | ＜.001 |
| Comparison group (n=33) | 37.25±5.14 | 34.61±4.69 | -2.59±2.34 | ||
| Perception | |||||
| Treatment group; (n=35) | 43.43±2.52 | 57.11±2.78 | 13.69±3.13 | 22.45 | ＜.001 |
| Comparison group (n=33) | 43.39±3.25 | 42.27±3.77 | -1.12±2.26 |
T&C=teamwork and collaboration; TeamSTEPPS=strategies and tools to enhance performance and patient safety; QI=quality improvement; PCC=patient centered care; QI=quality improvement.
QI=quality improvement; Fisher's exact test.
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