医療事故のリスクについて看護学生の認識に関する一考察

• Published in: 日本看護研究学会雑誌 Vol. 26; no. 5; pp. 5_133 - 5_143
• Main Authors: 風岡 たま代, 大塚 邦子
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Nursing Research 2003; 一般社団法人 日本看護研究学会
• Subjects: medical treatment accidents; nursing education; nursing student; risks; role playing; リスク; ロール・プレーイング; 医療事故; 看護学生; 看護教育
• ISSN: 2188-3599; 2189-6100
• DOI: 10.15065/jjsnr.20030912009

Purpose: To examine student nurses' awareness of the risks of medical accidents due to mistakes made behind the scene while administering drugs in medical practice. One hundred seniors from a 3-year nursing college participated in this study. Method: We examined which and how many of 22 common risks these students could discover. The risks were embedded into scenarios of mistakes made while administering drugs. We also noted the students' recognition of the extent those risks could actually cause accidents. Results: Few participants discovered the risks: "The prescription was not the same as the drugs given," "Lack of communication," and "New nurses with incomplete knowledge and/or insufficient skills." The number of participants discovering the risks "Insufficient explanation and/or confirmation between a group leader and a nurse" was smaller than that discovering those same risks "between two nurses." The importance of the risk "The person preparing the drugs did not administer the drugs" was underestimated by 75 participants. Concerning requests for drug treatment, few students recognized the risks of accidents occurring with regard to the "Lack of explanation and/or confirmation between a group leader and a nurse." The students' recognition was also minimal concerning nurses' oversights being tolerated in clinical settings. 本研究の目的は，医療現場の行為や場面の中に潜む誤薬の医療事故のリスクに関する看護学生の認識について検討することであった｡ 対象は，３年課程看護短期大学の３年次の学生100人であった｡ 方法は，誤薬のシナリオに盛り込まれた22個のリスクについて，そのリスクを発見した発見者数とそのリスクが事故の原因としてどの程度重要と考えたかという重要度の認識を検討した｡ その結果，｢処方箋が薬と一緒でない｣，｢意志疎通の欠如｣，｢新人・不十分な知識・技術｣ の発見者数は少なかった｡ リーダーとスタッフ間の ｢説明不足｣ と ｢確認不足｣ はスタッフ同士のそれよりも発見者数が少なかった｡ ｢薬を準備した人が与薬しない｣ の重要度は75人に低く認識されていた｡ したがって，誤薬事故のリスクに関する学生の認識は，リーダーとスタッフ間の与薬依頼における説明不足と確認不足，臨床現場でも容認されているルール違反に対して低いことがわかった｡