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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)~27권3호(2021) |수록논문 수 : 794
임상간호연구
27권3호(2021년 12월) 수록논문
최근 권호 논문
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KCI등재

1COVID-19 대유행 상황에서 응급실 간호사의 근무 경험

저자 : 현용환 ( Hyeon Yong Hwan ) , 채영희 ( Chae Young Hee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 27권 3호 발행 연도 : 2021 페이지 : pp. 221-232 (12 pages)

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Purpose: The purpose of this study was to explore emergency room nurse's work experiences during the COVID-19 pandemic. Methods: Data were collected from 15 registered nurses working in the emergency room between October, 10th and December 15th, 2020, through focus group interviews and in depth interviews. Collected data were analyzed using Colaizzi's phenomenological method. Results: The study derived four categories and eight themes. The four categories are 'sense of cringing with fear', 'nursing in chaotic situation', 'lonely struggles', and 'career growth as a nurse'. Emergency room nurses experienced fear and confusion in the COVID-19 pandemic, but overcame the crisis and had positive experiences of professional growth as a nurse. Conclusion: To protect emergency room nurses from infectious disease and improve their professional quality of life during the COVID-19 pandemic appropriate education and healthcare resource should be provided. It is necessary to reflect clinical worker's opinions and improve the delivery system of guideline to reduce confusion in the field and develop practical infectious disease control guideline. Furthermore, better working conditions, appropriate rewards and social and mental support should be provided for nurses in emergency room.

KCI등재

2상급종합병원과 종합병원의 근거기반 임상간호실무지침의 활용도

저자 : 은영 ( Eun Young ) , 전미양 ( Jeon Mi Yang ) , 구미옥 ( Gu Mee Ock ) , 조용애 ( Cho Young Ae ) , 김정연 ( Kim Jung Yeon ) , 권정순 ( Kwon Jeong Soon ) , 김경숙 ( Kim Kyeong Sug )

발행기관 : 병원간호사회 간행물 : 임상간호연구 27권 3호 발행 연도 : 2021 페이지 : pp. 233-244 (12 pages)

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Purpose: The purpose of this study was to investigate the actual utilization of clinical practice guidelines developed by Hospital Nurses Association. Methods: The subjects were 70 nurses who were in charge of guideline distributions in 70 advanced general hospital and general hospitals with 500 beds or more nationwide. Data were collected between June and August, 2020 by mail (return rate: 88.6%). Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/WIN 24.0. Results: Among the clinical practice guidelines developed by Hospital Nurses Association, 72.9~90.1% were placed with book and electronic file in nursing department and 24.3~35.8% were placed with book and electronic file in each nursing unit at hospital. The average number of utilized clinical practice guidelines were 3.96±3.88, and average score of guideline utilization was score 2.85±0.79 which means 'use sometimes'. Conclusion: To improve the distribution and utilization of the clinical practice guidelines, it is necessary to enhance the recognition of values of evidence based nursing practice targeting head of nursing department and to stimulate the distribution and utilization of the clinical practice guidelines using diverse education programs for staff nurses.

KCI등재

3일 대학병원 간호사의 잔류의도 영향요인

저자 : 조은정 ( Cho Eun Jung ) , 김상희 ( Kim Sang Hee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 27권 3호 발행 연도 : 2021 페이지 : pp. 245-256 (12 pages)

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Purpose: The purpose of this study was to explore professional self-concept, work environment, resilience and intention to stay for nurses in university hospitals, and to identify the relationship between these variables and factors that influence intention to stay. We aimed to provide basic data to develop measures for increasing intention to stay. Methods: This study used a descriptive design, the subjects were nurses who worked for more than 1 year at a university hospital with 744 beds, located in city C. Data were collected using a structured questionnaire from 120 nurses. The data collection period were from September 15 to 30, 2020. The data were analysed using the SPSS/WIN 25.0 program. Results: There was a positive correlation between the subject's intention to stay and the professional self-concept (r=.57, p<.001), the nursing working environment (r=.29, p=.002), and resilience (r=.50, p<.001). Significant factors influencing the subject's intention to stay was the sense of satisfaction (β=.40, p<.001), a sub-factor of professional self-concept, indicating the higher the satisfaction level, the higher the intention to stay. The regression model explained 45.0% of the variance of the outcome variable (F=9.64, p<.001). Conclusion: Sense of satisfaction was identified as a factor impacting the intention to stay. Therefore, it is necessary to develop and to apply intervention programs to improve the satisfaction of the professional self-concept in order to increase the nurses' intention to stay.

KCI등재

4중환자실 간호사의 외상성 사건 경험, 자기노출, 사회적 지지 및 외상 후 성장과의 관계

저자 : 김영숙 ( Kim Yeong Sook ) , 강경자 ( Kang Kyung Ja )

발행기관 : 병원간호사회 간행물 : 임상간호연구 27권 3호 발행 연도 : 2021 페이지 : pp. 257-266 (10 pages)

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Purpose: This study examined the levels of traumatic event experience, self disclosure, social support, and posttraumatic growth of intensive care unit nurses and their relationships. Methods: Participants were 142 nurses who had worked for more than 3 months in six general hospitals, J province from August 7 to September 25, 2020. Collected data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using the program SPSS version 22.0. Results: The posttraumatic growth was found to correlate significantly with self disclosure (r=.23, p=.005), individual support (r=.54, p<.001), and organizational support (r=.32, p<.001). Factors influencing the participants of the posttraumatic growth were individual support (β=.46, p<.001) and organizational support (β=.21, p=.007). These factors explained 32.0% of the variance of ICU nurses' posttraumatic growth (F=14.13, p<.001). Conclusion: Efforts to support positive changes after traumatic event experience for ICU nurses are needed. We suggest to develop individual and organizational supportive programs for posttraumatic growth for ICU nurses and to investigate the effects of the programs.

KCI등재

5중환자실 간호사가 지각하는 인간중심 중환자간호 수행 정도 및 요구도

저자 : 임경령 ( Lim Kyoung Ryoung ) , 박정숙 ( Park Jeong Sook )

발행기관 : 병원간호사회 간행물 : 임상간호연구 27권 3호 발행 연도 : 2021 페이지 : pp. 267-278 (12 pages)

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Purpose: This study was attempted to identify the importance and performance of person-centered care in nurses in intensive care units (ICU) at general hospitals and to derive the priority of practical person-centered care needs and intervention by analysing their needs. Methods: A total of 156 ICU nurses who wrote a written consent participated in a survey questionnaire on person-centered critical care nursing (PCCN). The collected data were analyzed using paired t-test, Borich's needs assessment, and the Locus for Focus Model. Results: All 15 items of person-centered care in ICU nurses were found to be significantly higher in perception of importance than performance level (t=17.98, p<.001). According to the analysis of Borich's needs and the Locus of Focus Model, person-centered care items with highest priority in ICU were therapeutic contact, comfort words and actions, and efforts to empathize with patients in the compassion category. Conclusion: As a strategy to improve the person-centered nursing performance of ICU nurses in the 'individuality', it is necessary for ICU nurses to recognize the ICU patients as an individualized person, not as a disease or machine-dependent entity. Also, it is necessary to develop programs to improve the ICU nurses' compassion competence because 'compassion' was a top priority according to Borich's needs assessment model and the Locus for Focus Model.

KCI등재

6한국형 중환자실 간호근무환경 측정도구 개발 및 평가

저자 : 이효진 ( Lee Hyo Jin ) , 문지현 ( Moon Ji Hyun ) , 김세라 ( Kim Se Ra ) , 심미영 ( Shim Mi Young ) , 김정연 ( Kim Jung Yeon ) , 이미애 ( Lee Mi Aie )

발행기관 : 병원간호사회 간행물 : 임상간호연구 27권 3호 발행 연도 : 2021 페이지 : pp. 279-293 (15 pages)

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Purpose: The purpose of this study was to develop a Korean nursing work environment scale for critical care nurses (KNWES-CCN) and verify its validity and reliability. Methods: A total of 46 preliminary items were selected using content validity analysis of experts on 64 candidate items derived through literature reviews and in-depth interviews with critical care nurses. 535 critical care nurses from 21 hospitals responded to the preliminary questionnaire from February to March 2021. The collected data were analysed using construct, convergent and discriminant validities, and internal consistency and test-retest reliability. Results: The 23 items in 4 factors accounted for 55.6% of the total variance were identified through item analysis and exploratory factor analysis (EFA). EFA was performed with maximum likelihood method including direct oblimin method. In the confirmatory factor analysis, KNWES-CCN consisted of 21 items in 4 factors by deleting the items that were not meet the condition that the factor loading over .50 or the squared multiple correlation over .30. This model was considered to be suitable because it satisfied the fit index and acceptable criteria of the model [x2 =440.47 (p<.001), CMIN/DF=2.41, GFI=.86, SRMR=.06, RMSEA=.07, TLI=.90, CFI=.91]. The item total correlation values ranged form .32 to .73 and its internal consistency was Cronbach's α=.92. The reliability of the test-retest correlation coefficient was .72 and the intra-class correlation coefficient was .83. Conclusion: The KNWES-CCN showed good validity and reliability. Therefore, it is expected that the use of this scale would measure and improve nursing work environment for critical care nurses in Korea.

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