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병원간호사회> 임상간호연구

임상간호연구 update

Journal of Korean clinical nursing research

  • : 병원간호사회
  • : 의약학분야  >  간호학
  • : KCI등재
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  • : 연속간행물
  • : 연3회
  • : 1598-9186
  • : 2287-3694
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수록정보
수록범위 : 1권0호(1995)~26권2호(2020) |수록논문 수 : 755
임상간호연구
26권2호(2020년 08월) 수록논문
최근 권호 논문
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KCI등재

1가정용 인공호흡기 관련 안전사고 특성 및 손상 영향 요인 분석: 상급종합병원 일반병동 환자 중심으로

저자 : 김향숙 ( Kim Hyang Sook ) , 최모나 ( Choi Mona ) , 양용숙 ( Yang Yong Sook )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 131-140 (10 pages)

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Purpose: This study aims to describe the characteristics of safety incidents and factors associated with injury for patients with Home Mechanical Ventilation (HMV) at the hospital. Methods: This is a retrospective study. Data were collected from the work log of respiratory home care nurses and the patients' electronic medical records were investigated. In order to compare group differences, independent t-test and x2 test were used. Associated factors with injury development were identified by generalized mixed modeling analysis controlling for age and gender. Results: A total of 304 patients on HMV were included in this study, among which 129 (42.4%) experienced 352 HMV-related incidents. Mean frequency of incidents for each patient was 5.11±3.98, ranged from 1 to 15 times. In 19.0% of the incidents, injury was developed. Types of incident and persons involved in the incidents were significantly associated with the patient's injury. In the case of the safety incidents, patient's injury was significantly higher in accidents caused by respiratory circuit problems compared to those caused by problems with the ventilator operation by the medical staff (coefficient=1.25, p=.020). In addition, in the case of those involved in the safety incidents, patient's injury was significantly higher in the accident caused by the patient family members or caregivers than that caused by the medical personnel (coefficient=1.25, p=.019). Conclusion: In order to minimize injury caused by incidents in patients with HMV, hospitals need to provide systemic education to their medical staff and caregivers to enhance awareness of the importance of reporting and safety management.

KCI등재

2근거기반 구강간호 실무지침 개정

저자 : 조용애 ( Cho Yong Ae ) , 이선희 ( Lee Seon Heui ) , 김경숙 ( Kim Kyeong Sug ) , 임효민 ( Im Hyo Min ) , 김태희 ( Kim Tae Hee ) , 최미영 ( Choi Mi Young ) , 서현주 ( Seo Hyun Ju ) , 박효선 ( Park Hyo Sun ) , 왕금현 ( Wang Keum Hyun ) , 김찬희 ( Kim Chan Hee ) , 최희경 ( Choi Hee Kyung )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 141-153 (13 pages)

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Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.

KCI등재

3근거기반 임상실무지침: 장루간호

저자 : 이윤진 ( Lee Yun Jin ) , 박현숙 ( Park Hyun Suk ) , 김민경 ( Kim Min Kyung ) , 서희원 ( Seo Hui Won ) , 이미주 ( Lee Mi Ju ) , 원은애 ( Won Eun Ae ) , 조가나 ( Jo Gha Na )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 154-163 (10 pages)

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Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

KCI등재

4마취ㆍ회복실 간호사의 환자안전문화와 환자안전역량이 안전간호활동에 미치는 영향

저자 : 김진주 ( Kim Jin Joo ) , 정향미 ( Jung Hyang Mi )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 164-174 (11 pages)

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Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. Results: Safety nursing activity was significantly different in relation to nurses' level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.

KCI등재

5소아 환자 분류도구의 개발

저자 : 권미경 ( Kwon Mi Kyung ) , 박지선 ( Park Ji Sun ) , 박현미 ( Park Hyun Mi ) , 강현주 ( Kang Hyun Ju ) , 우정에 ( Woo Jung E ) , 이혜연 ( Lee Hye Youn ) , 김예슬 ( Kim Ye Seul ) , 심미영 ( Sim Mi Young )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 175-185 (11 pages)

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Purpose: This study was performed to develop a valid and reliable Pediatric Patient Classification System (PPCS). Methods: The study was conducted in a children's hospital which included various ward settings. Content validity was analyzed by Delphi method and to verify intraclass correlation reliability, 7 nurse managers and 29 staff nurses classified 216 patients. To verify construct validity, the staff nurses classified 216 patients according to PPCS comparing differences by age, days of stay, type of stay and medical department. Results: The developed PPCS has 12 categories, 55 nursing activities and 80 criterions. High agreement among nurses (r=.90) suggested substantial reliability. Construct validity was verified by comparing differences in age, days of stay, type of stay and medical department (p<.05). The entire patient group were classified to four groups using PPCS. Conclusion: The findings suggest that PPCS would be a useful tool for estimating nursing demands related to medications and the complexity of pediatric patients.

KCI등재

6신규 간호사의 관계지향(Reinforcement of Resilience and Relation) 프로그램 개발

저자 : 이미영 ( Lee Miyoung ) , 전미경 ( Jeon Mi-kyeong ) , 이미경 ( Lee Mi-kyoung ) , 임숙빈 ( Im Sookbin ) , 변은경 ( Byun Eun Kyung ) , 정은자 ( Chung Eunja )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 186-197 (12 pages)

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Purpose: The purpose of this study was to develop a program for reinforcing the resilience of new nurses and relation-oriented organizational culture. Methods: An Intervention Research (IR) model was used to develop a program. Literature review, focus group interviews with nurses and need surveys were conducted from August to December 2018. Based on the results of the investigation, the researcher developed the content of a program. The program was revised by nurse managers for the content validation. Results: According to the results of the need surveys, 58.8% of the participants thought relation-oriented culture was the most ideal, and 61.8% of the participants wanted to participate in a program for organizational culture improvement. In the focus group interview, not only new nurses but also wards and nursing organizations should be a target subject of the program. Reinforcement of resilience and relation (3R) program was developed as a one-year course, which includes a 'mentor-mentee' program and a 'thanks' program. Conclusion: It would contribute to improving the resilience of new nurses and creating a relation-oriented organizational culture by 3R program. The 3R program could play a role as expanded program from an existing pragmatic short-term training program for improving the competencies or communication skills of new nurses.

KCI등재

7신속대응팀의 활성화 시간에 영향을 주는 요인

저자 : 한미라 ( Han Mi Ra ) , 강은형 ( Kang Eun Hyoung ) , 이용숙 ( Lee Yong Suk ) , 장은주 ( Chang Eun Ju ) , 이수정 ( Lee Su Jeong ) , 허윤아 ( Heo Yoon A ) , 남궁서화 ( Namgung Seo Hwa ) , 서서희 ( Seo Seo Hee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 198-206 (9 pages)

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Purpose: The rapid response team is a patient safety system that detects symptoms and signs of deteriorating inpatients and provides intervention and treatment. This study analyzed the factors influencing the activation time of the team. Methods: This is a descriptive correlation study that analyzed the electronic medical records of patients activated by the rapid response team. The collection period was from January 2014 to December 2017. We analyzed 278 pieces of data activated by the rapid response team for patients aged 16 years or older at C University S Hospital in Seoul. We employed the SPSS 23.0 program for data analysis. Results: The reasons for activation of the rapid response team were oxygen saturation of less than 90.0%, other causes, and change in consciousness. The most common diagnosis of activated patients was respiratory failure (32.4%). The average activation time was 153.43±286.05 min. The activation time was shortest during convulsions (13.29±7.32 min). For patients with a history of kidney disease (B=0.58, p=.008), in case of surgery (B=0.55, p<.001), if the first symptom is mediated by the physician (B=0.53, p=.007) the active time is often extended. On the other hand, activation time is reduced when consciousness changes (B=-0.51, p=.002), especially when oxygen saturation is below 90.0% (B=-0.64, p<.001). Conclusion: Based on the results of the study, it is expected that patients deteriorating in the general ward would be recognized early, which will help in the effective activation of the rapid response team.

KCI등재

8일 종합병원 외과 중환자실 환자의 섬망 아형별 관련 요인

저자 : 박상희 ( Park Sang Hee ) , 김희정 ( Kim Hee Jeong ) , 최희영 ( Choi Hee Young ) , 유지은 ( You Ji Eun ) , 박지은 ( Park Ji Eun ) , 김은정 ( Kim Eun Jung ) , 임수정 ( Lim Soo Jung )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 207-216 (10 pages)

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Purpose: The purpose of this study was to investigate the motor subtypes of delirium in patients in a Surgical Intensive Care Unit (SICU), and identify the factors related to the characteristics of patients according to the motor subtypes of delirium. Methods: Data were collected in the SICU of a tertiary hospital in * city from October 2018 to June 2019. Delirium was detected using the Confusion Assessment Method for the ICU (CAM-ICU) and motor subtypes of delirium were measured with the Delirium Motor Subtype Scale (DMSS)-4. Patients' characteristics were obtained by using the electronic medical records. Descriptive statistics were used to analyze the data. Results: Among 1,112 patients, 172 patients showed delirium (15.5%). After excluding dementia patients and patients refusing to participate in the study, 126 patients included in the final analysis. Delirium patients were classified as hyperactive delirium (32.5%), hypoactive delirium (42.9%), mixed delirium (11.9%), and non-motor subtype delirium (12.7%). Conclusion: The study results suggest that hypoactive delirium is the most prevalent motor subtype of delirium in SICU. More application of ventilators, more administration of sedatives, more use of catheters, and higher nursing severity were reported for hypoactive delirium cases than hyperactive ones. Therefore, it is necessary to assess early the motor subtypes of delirium using structured tools and develop appropriate nursing interventions suitable for each subtype of delirium.

KCI등재

9전문간호사의 업무 수행 빈도 및 의료인이 인식하는 업무 난이도와 중요도, 법제화 시 업무 위임 의향

저자 : 최앵자 ( Choi Aeng Ja ) , 최수정 ( Choi Su Jung ) , 김은숙 ( Kim Eun Sook ) , 박주희 ( Park Joo Hee ) , 원선영 ( Won Sun Young )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 217-231 (15 pages)

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Purpose: To identify the clinical role of Advanced Practice Nurses (APN), and evaluate how other medical personnel perceive their work(difficulty, importance). Methods: A questionnaire survey was performed with 277 health care providers (APN 52, nurses 88, and medical doctors 137 [professors 51, fellows 44, & residents 42]) in a single, tertiary hospital. The questionnaire was categorized into 6 domains (total 40 tasks): 6 tasks on identifying health issues (A); 3 tasks on prescribing and conducting diagnostic tests (D); 18 tasks on disease treatment (T); 4 tasks regarding prescribing medicine (M); 3 tasks regarding medical collaboration (C); 6 tasks regarding patient education (E). The survey measured the frequency, difficulty, and importance of APN's clinical tasks, and evaluated the willingness of authorizing clinical tasks to APN. Results: The most frequent tasks for APN were A domain, lowest were T domain. The scores for perceived job difficulty were lower than those for job importance in all groups. The proportion of willingness to legally delegate clinical practices to APN was higher in A and E domains, but lower in D and T domains. However, professors, who spent the most time with APN, showed a higher willingness to legally delegate clinical practice. The participants favored medical doctors as substitutes for tasks which were not legislated for delegated job performance. Conclusion: In this study identified clinical roles that medical doctors considered possible for legal delegation to APN were identified. The results can be used as evidence for the legalization of the practice of APN.

KCI등재

10폴리에틸렌 랩과 에어캡의 적용이 미숙아의 체온 유지에 미치는 효과

저자 : 이은숙 ( Lee Eun Sook ) , 이한나 ( Lee Han Na ) , 박지현 ( Park Ji Hyun )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 2호 발행 연도 : 2020 페이지 : pp. 232-239 (8 pages)

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Purpose: This study was an quasi-experimental study to compare the effect of applying polyethylene wrap and aircap in maintaining body temperature of preterm infants. Methods: The participants were 51 preterm infants. Aircap was applied to the experimental group (n=23) and polyethylene wrap was applied to the control group (n=28) when the preterm infants admitted to neonatal intensive care unit. The data was collected at W hospital in J-province from June 2016 to May 2017. A total of 9 body temperature measurements were taken at 3 hours interval from 5 min to 24 hours after admission. Repeated measure ANOVA, independent t-test and x2 test were conducted used with SPSS/WIN 24.0 Results: There were no significant difference in the homogeneity tests for general characteristics and dependent variables prior to the experiments (t=0.57, p=.566). There was a significant difference on body temperature of preterm infants over time (F=3.24, p=.020). There was no significant difference on body temperature between polyethylene wrap and aircap application groups (F=1.29, p=.261). The interaction between the group and the time was insignificant (F=1.51, p=.214). Conclusion: The findings demonstrated that both methods of applying polyethylene wrap and aircap on the body in preterm infants had effect in maintaining body temperature.

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