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임상간호연구 update

Journal of Korean clinical nursing research

  • : 병원간호사회
  • : 의약학분야  >  간호학
  • : KCI등재
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수록정보
19권1호(2013) |수록논문 수 : 13
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19권1호(2013년) 수록논문
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KCI등재

1간호과정 적용 평가도구 개발 -산소요법과 흡인간호를 중심으로-

저자 : 김금순 ( Keum Soon Kim ) , 최윤경 ( Yun Kyoung Choi ) , 이정림 ( Jung Lim Lee ) , 안정원 ( Jung Won Ahn ) , 이소림 ( So Lim Lee ) , 최원자 ( Won Ja Choi ) , 김을순 ( Eul Soon Kim )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 1-19 (19 pages)

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Purpose: This study was conducted to develop standards to ensure nursing process-based care of oxygen therapy and airway suctioning and to develop a performance measurement tool to evaluate the care applied according to the standards, and finally to determine validity of the standards and the tool. Methods: The standards and the tool were reviewed by a panel of experts and refined based on the panel`s suggestions. Validity of the standards and the tool were examined through surveying a total of 366 hospital nurses. Results: The mean validity scores of the performance measurement standards and the tool were 3.58 and 3.55, respectively, out of 4.00. So the performance measurement standards and the tool in this study were found to be acceptable in evaluating quality of nursing care provided at patient admission and discharge. Conclusion: This result indicates that the performance measurement standards and the tool developed in this study are valid instruments to monitor and improve quality of nursing care for oxygen therapy and airway suctioning.

KCI등재

2간호사의 의료인 간 의사소통에 대한 조사연구

저자 : 조용애 ( Yong Ae Cho ) , 김미경 ( Mi Kyung Kim ) , 조명숙 ( Myoung Sook Cho ) , 남은영 ( Eun Young Nam )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 20-32 (13 pages)

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Purpose: To present necessary data for improvement in communications between health professionals in as characterized by nurses` communications. Methods: This study was a descriptive survey research design with a survey of 1,510 registered nurses working in general hospitals (of at least 1,900 beds) in Seoul. A questionnaire on communication in the ICU, nurse-physician and nurse-nurse, was used. Data were collected from January 9 to 20, 2012, and the response rate was 85.0%. Results: Cronbachαvalues ranged from.75 to .89, except for .59 for accuracy (nurse-physician), with .89 overall. The highest mean score was for perception for timeliness [3.83±.57], followed by shift communication (nurse-nurse) [3.64±.66], openness (nurse-nurse) [3.64± .65], accuracy (nurse-nurse) [3.14±.61], openness (nurse-physician) [2.90±.75], understanding (nurse-physician) [2.82±.65], and accuracy (nurse-physician) [2.70±.59]. Subscales of openness, understanding, and shift communication were strongly associated with communication satisfaction. The general characteristics of nurses with different perceptions of communications included age, clinical experience, work pattern, and department. Conclusion: Proactive activities to improve accuracy, openness and mutual understanding between physicians and nurses are required for patient safety. Further studies are also needed to reassess communications and evaluate the relationship between patient outcomes and nurses` job satisfaction after application of strategies to improve communications.

KCI등재

3간호요구도에 따른 중환자간호 분류도구 개발

저자 : 유정숙 ( Cheong Suk Yoo ) , 김금순 ( Keum Soon Kim )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 33-44 (12 pages)

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Purpose: This study was done to develop a valid and reliable Classification System for Critical Care Nursing (CSCCN) to be used in Intensive Care Units (ICUs). Methods: Head nurses and staff nurses of 17 ICUs in 6 hospitals classified 307 patients to verify interrater reliability. To verify construct validity, the staff nurses classified 404 patients according to CSCCN comparing difference in medical department and type of stay in ICU. For conversion index, 78 patients from 4 ICUs of ``S`` hospital were classified and nursing time was measured by 107 nurses and 18 nurse aids using stopwatches. Results: The developed CSCCN has 11 categories, 76 nursing activities and 101 criteria. The reliability was verified as having high agreement (r=.946). The construct validity was verified comparing differences in medical department and type of stay in ICU. According to scores, four groups in the CSCCN classification were identified. According to the conversion index, one score on the CSCCN means 7.2 minutes of nursing time. Conclusion: CSCCN can be used to measure diverse and complex nursing demands including psycho-social aspects of ICU patients and convert nursing demands to numbers.

KCI등재

4개별적 저나트륨 투석액 적용이 혈액투석 환자의 체중증가, 혈압 및 투석 중 부작용에 미치는 효과

저자 : 송지숙 ( Ji Sook Song ) , 김은숙 ( Eun Sook Kim ) , 이유나 ( Yu Na Lee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 45-56 (12 pages)

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Purpose: The purpose of this study is to identify the effect of low sodium dialysate (LSD) rather than conventional dialysate on interdialytic weight gain (IWG), blood pressure (BP), and intradialytic side-effects (ISEs) in patients on maintenance hemodialysis (HD). Methods: The study was performed in 43 patients, who were treated in the university hospital over 8 weeks. Each participant`s serum sodium set point was measured using dialysate sodium 140 mEq/L during the first 4 weeks. For the next 4 weeks dialysate sodium concentrate (134,136,and138 mEq/L) was provided to each participant but only to an experimental group (EG) (n=22) based on the individual set point, although 140 mEq/L dialysate was given to all of the control group (CG) (n=21). Consequently, outcomes including IWG, BP, and ISE were evaluated. Results: In EG, difference of pre- HD SBP (p=.047) and post-HD serum sodium (p=.006) were significantly decreased compared to CG. Also, ISEs was not more frequent in EG. However, the differences were not statistically significant, IWG (kg & %), pre-HD DBP, post-HD SBP & DBP, and serum osmolality in EG. Conclusion: Individual application of LSD in patients on maintenance hemodialysis is beneficial to decrease pre-HD SBP and post-HD serum sodium without increasing ISE. Therefore, LSD can be better treatment than conventional dialysate.

KCI등재

5뇌졸중의 신경학적 사정 도구인 NIHSS 적용을 위한 체계적인 간호사 교육 프로그램의 효과

저자 : 한정희 ( Jung Hee Han ) , 이지은 ( Gee Eun Lee ) , 안영희 ( Young Hee An ) , 유성희 ( Sung Hee Yoo )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 57-68 (12 pages)

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Purpose: In assessing patients` neurological status following a stroke it is very important to have a valid tool for early detection of neurological deterioration. NIHSS is considered the best tool to reflect neurological status in patients with ischemic stroke. An education program on use of NIHSS was planned for nurses caring for these patients and the effects of the program were evaluated. Methods: The NIHSS education program (NEP) which includes online and video lectures, and practical education was provided to the nurses from April to July, 2010. To examine the effect of NEP, nursing records of patients with ischemic stroke who were admitted to a stroke center were analyzed. Two groups, a historical control group (n=100) and the study group (n=115) were included. Results: Nursing records for neurologic symptoms for each patient increased (41.0% versus 100.0%, p<.001), and especially, visual disturbance, facial palsy. limb paralysis and ataxia, language disturbance, dysarthria, and neglect symptoms significantly increased (all p<.001). Nurse notification to the doctor of patients with neurological changes increased (21.0% versus 39.1%, p=.004), and nurses` neurological deterioration detection rates also increased (37.5% versus 84.6%, p=.009). Conclusion: NEP improved the quality of nursing records for neurological assessment and the detection rate of neurological deterioration.

KCI등재

6뇌혈관 내 수술 후 운동요법이 불편감, 요통, 출혈 및 혈종에 미치는 효과

저자 : 장경혜 ( Kyung Hye Jang ) , 이은자 ( Eun Ja Lee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 69-80 (12 pages)

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Purpose: This study aimed to prove the effect of exercise therapy on discomfort and low back pain after cerebral endovascular surgery through femoral artery. Methods: The study employed a non-equivalent control group pretest-posttest design. Data were collected from 74 participants and were divided equally into two groups as experimental and control groups. In the experimental group, exercise therapy was applied in 2 hours, 4 hours, and 6 hours after cerebroendovascular surgery. The level of discomfort, back pain, hemorrhage, and hematoma was observed and recorded as a pretest. In the posttest, low back pain, hemorrhage, and hematoma were measured in 2.5 hours, 4.5 hours, and 6.5 hours, and discomfort was measured in 6.5 hours. The study was conducted from April to September, 2012. Data were analyzed with descriptive study, Chi-square test, t-test, repeated measure ANOVA and Bonferroni using SPSS/WIN 18.0 version. Results: The exercise therapy after cerebral endovascular surgery helps in reducing the level of discomfort (t=-2.37, p=.020) and low back pain (F=5.15, p=.005) without the side effects of hemorrhage or hematoma. Conclusion: Therefore, the exercise therapy was an efficient intervention for patients after cerebral endovascular surgery with discomfort and low back pain. Nurses could apply non-pharmacological interventions such as exercise therapy to avoid pharmacological side-effects.

KCI등재

7병원간호사 역할갈등의 빈도와 심각성

저자 : 이은희 ( Eun Hee Lee ) , 조경숙 ( Kyung Sook Cho ) , 손행미 ( Haeng Mi Son ) , 이여진 ( Yeo Jin Yi ) , 유정숙 ( Cheong Suk Yoo )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 81-95 (15 pages)

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Purpose: The purpose of this study was to identify the frequency and severity of role conflict experienced by nurses in the hospital. Methods: For this survey a self-report questionnaire on nurses` role conflict was used for data collection. Participants were 472 nurses in hospitals with over 500 beds. The questionnaire had 82 items classified into five categories (role activity, relationships between: nurse-nurse, nurse-patient/caregiver, nursedoctor, and nurse-other department staff). The questionnaire was developed through focus group interviews with nurses according on their work experiences and literature reviews that were validated by the researchers. Data were analyzed using descriptive statistics for frequency and severity of nurses` role conflict. Cronbach`s α for the questionnaire was .95 (frequency), .97 (severity). Results: Mean score for nurses` role conflict was 1.64. The highest frequency for nurses` role conflict was in the category, relationship between nurse and patients or their families (2.00±0.46). The highest severity for nurses` role conflict was in the category; relationship between nurses and doctors (1.96±0.56). Conflict about nurses` role activity showed both high frequency (1.99±0.39) and severity (1.95±0.43). Conclusion: Results indicate a need to develop programs to improve interpersonal relationship so as to reduce role conflict and encourage nurses` professional satisfaction and achievement.

KCI등재

8성인 발열환자의 발열관리 실태 조사

저자 : 김현정 ( Hyun Jung Kim ) , 신용순 ( Yong Soon Shin ) , 김성렬 ( Sung Reul Kim ) , 유성희 ( Sung Hee Yoo ) , 김선화 ( Sun Hwa Kim ) , 김정희 ( Jeoung Hee Kim ) , 나라 ( Ra Na ) , 채지선 ( Jee Sun Chae ) , 이혜진 ( Hye Jin Lee ) , 안영희 ( Young Hee An )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 96-104 (9 pages)

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Purpose: The specific aims of this study were to define fever from the nurse`s and physician`s perspectives, describe fever management method and decision-making, and identify differences of definition of fever and fever managements between nurses and physicians. Methods: A cross-sectional survey using a 23-item questionnaire was used. A total of 305 nurses and physicians were surveyed, and 246 useful questionnaires were returned. Results: Body temperature of 36.5~38.3 were considered as adult febrile, and fever managements were initiated when the temperature was 37.0~38.0 . More than half of the nurses and physicians, made a clinical decision regarding fever managements based on their own experiences. The most frequently used interventions in nursing practice were antipyretics, intravenous hydration, and external cooling. Nurses provided external cooling to lower body temperature than physicians (Z=-4.67, p<.001). Most participants reported that they needed a fever management protocol. Conclusion: Based on the information obtained, nurses respond with sensitivity to lower body temperature. We found significant differences among nurses, between nurses and physicians in approaching care of adult febrile patients.

KCI등재

9웃음치료가 염증성 장질환 환자의 불안 및 우울에 미치는 효과

저자 : 박소영 ( So Young Park ) , 곽은아 ( Eun Ah Kwak ) , 허정은 ( Jeoung Eun Heo ) , 신은경 ( Eun Kyoung Shin ) , 김지현 ( Ji Hyun Kim ) , 이지윤 ( Ji Yoon Lee ) , 이지희 ( Ji Hee Lee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 105-114 (10 pages)

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Purpose: The purpose of this study was to apply laughter therapy to clinical practice and investigate its effects on patients` anxiety and depression in order to increase the quality of nursing for patients with inflammatory bowel disease (IBD). Methods: The study was conducted based on the non-equivalent control group pretestposttest design. The participants include 20 patients with IBD in the control group and 17 in the experiment group. Data was collected from July 10th, 2011 to January 22nd, 2012. Laughter therapy was administered once a day for five consecutive days. Results: The anxiety score was significantly different between the two groups and indicates that laughter therapy is effective for reducing anxiety among patients with IBD. Futhermore, there were differences in the depression scores of the experiment group between the pre-test and post-test, but no significant differences were found between the two groups. Conclusion: The results show that laughter therapy was effective in reducing anxiety among patients with IBD but did not decrease depression directly. Considering that the experiment group had a bigger reduction rate in depression scores than the control group. However, it is expected that laughter therapy will serve as an emotional nursing intervention for patients with IBD.

KCI등재

10전실업무와 연계간호에 대한 신경계 중환자실 간호사의 인식

저자 : 윤선희 ( Sun Hee Yun ) , 조옥희 ( Ok Hee Cho ) , 유양숙 ( Yang Sook Yoo )

발행기관 : 병원간호사회 간행물 : 임상간호연구 19권 1호 발행 연도 : 2013 페이지 : pp. 115-127 (13 pages)

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Purpose: This study aimed to describe how nurses in neurological intensive care units (ICU) perceive their roles about patient transfer and liaison. Methods: A cross-sectional survey was conducted using a questionnaire developed for the study. Data were collected from a convenience sample of 115 nurses working in the neurological intensive care units of six university hospitals. Data were analyzed using SPSS software (version 15.0). Results: Staff nurses were mainly in charge of patient transfer, and the awareness about its importance was significantly related with the burden about the practice of patient transfer (p<.001). Patient liaison was mainly conducted by staff nurses as well. Liaison practice was suggested to be started from the ICU at the time of transfer; the suggested time for completion of liaison service and evaluation was when patients were adjusted to the transferred ward. Preparing job descriptions and increasing nursing staffing for patient liasion service were strongly recommended. Conclusion: The results suggest that the ICU nurses` burden in relation to patient transfer is commensurate with their awareness about its importance. To improve the continuity of care from ICU to transferred ward, it is required to reduce the burden about patient transfer and improve perceptions about patient liaison.

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