PURPOSE
The purpose of this study was to identify the impact of practical communication strategies (PCS) on the reduction of AEs (Adverse Events) in pediatric cardiac ICU (PCICU).
METHODS
Intra-operative findings and care plans were documented and shared between staff members on a daily basis from the day of operation to the day of general ward transfer. Incidence of AEs was investigated in all patients who were admitted to the PCICU and was compared with incidence of AEs one year after establishment of PCS.
RESULTS
The study population consisted of 216 patients in pre-PCS group and 156 patients in post-PCS group. Incidence of readmission decreased from 6.0% (13/216) in pre-PCS group to 0.6% (1/156) in post-PCS group (chi2=7.23, p=.010). Incidence of other major complications decreased from 4.2% (9/216) to 0.6% (chi2=6.66, p=.012). Minor AEs such as intervention omission, order error, and protocol misunderstanding were reduced from 23.3 cases per 100 patient-days to 7.5 cases per 100 patient-days (chi2=20.31, p<.001).
CONCLUSION
Handover protocol is an effective strategy to reduce AEs for critically ill patients after pediatric cardiac surgery. Efforts to develop effective communication strategies should be continued and outcome research about communication strategies for patient safety should be further studied.

PURPOSE
The purpose of this study was to identify the perception of role transition from a student nurse to a registered nurse among senior year nursing students and to examine factors affecting their role transition.
METHODS
A descriptive survey with convenience sampling was conducted in four nursing colleges in Seoul, South Korea. Data were collected using a self-administrated questionnaire. Four instruments including role transition, self-esteem, interpersonal relationships and anxiety during clinical practicum were used and the students'demographics were also collected. A multiple logistic regression was used to identify predictors for the role transition.
RESULTS
A total of 233 nursing students were surveyed and final analysis was conducted utilizing 226 participants. Mean point of perceived role transition (5 point scale) was 3.34+/-0.44. In a multiple regression model, high self-esteem, good interpersonal relationships, low anxiety during clinical practicum, and high satisfaction in college life were significant predictors of a smooth transition (Adj. R2=.32, F=22.28, p<.001).
CONCLUSION
The findings suggest that role transition from a student nurse to a registered nurse is facilitated through the establishment of programs to improve self-esteem and interpersonal relationships and to reduce anxiety during clinical practicum.

Citations

• Impact on dental hygiene students’ adaptation of clinical clerkship
  Eun-Ji You, Hee-Hong Min
  Journal of Korean Society of Dental Hygiene.2024; 24(5): 513.     CrossRef
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  Yeong-Ju Ko, Soo-Yeon Kim
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  Tae Wha Lee, Yoonjung Ji, Yea Seul Yoon
  Journal of Korean Academy of Nursing.2022; 52(6): 564.     CrossRef
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  Soo-yeon Kim, Yong Soon Shin
  Journal of Nursing Education.2020; 59(3): 133.     CrossRef
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  Soo Yeon Kim, Yong Soon Shin
  Journal of Korean Academic Society of Nursing Education.2019; 25(1): 17.     CrossRef
• Self Efficacy, Organizational Commitment, Customer Orientation and Nursing Performance of Nurses in Local Public Hospitals
  Hee Sook Oh, Hwee Wee
  Journal of Korean Academy of Nursing Administration.2016; 22(5): 507.     CrossRef