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논문검색은 역시 페이퍼서치

임상간호연구검색

Journal of Korean clinical nursing research


  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기: 연3회
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 1598-9186
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 18권 2호 (2012)

간호요구도에 따른 간호비용 실태에 관한 조사연구

송경자 ( Kyung Ja Song ) , 유정숙 ( Cheong Suk Yoo ) , 김은혜 ( Eun Hye Kim ) , 김진현 ( Jin Hyun Kim ) , 김명애 ( Myung Ae Kim )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 183-195 ( 총 13 pages)
5,300
초록보기
This study was performed to identify the variations of nursing care cost depending on nursing care requirement and calculate nursing care cost per one day and one care requirement point. Methods: Nursing care requirement was measured by classifying 3,855 patients according to KPCS-1(Korean Patient Classification System for nurses-1). Nursing care cost was calculated from personnel expenses and nursing care requirement. Nursing cost factors were identified by multiple regression analysis. Results: Average nursing cost per patient per day was 33,588 won, Average nursing care cost per 1 patient classification score was 3,558 won. The nursing cost per 1 patient classification score was different depending on the types and levels of the hospitals. The 4th patient classification group revealed the highest nursing care cost. Nursing cost factors included the number of beds in the hospitals, seniority, number of nurses and first grade in nurse personnel accreditation (adj-R2 74.0%. p<.05). Conclusion: Nursing care requirements expressed by patient classification scores don`t directly correlate with nursing care cost. Further research is needed to evaluate validity and reliability for refining KPCS-1 and to apply variable criteria to nurse personnel accreditation.

레몬얼음과 생수얼음을 이용한 구강간호가 비강수술 환자의 갈증 및 구강상태에 미치는 효과 비교

정현주 ( Hyun Joo Jung ) , 윤지영 ( Ji Young Yun ) , 박지은 ( Jee Eun Park ) , 심인숙 ( In Suk Shim ) , 김운정 ( Woon Joung Kim ) , 이주희 ( Ju Hee Lee ) , 이미란 ( Mi Ran Lee ) , 이금남 ( Keumnam Lee )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 196-204 ( 총 9 pages)
4,500
초록보기
This study was aimed to compare the effects of lemon ice and water ice on decreasing thirst of the patients with nasal surgery. Methods: A nonequivalent control group non-synchronized design was used for the study. The level of thirst and oral assessment were measured. A total of 60 subjects was recruited; 30 subjects for the experimental group in which lemon ice was provided and the other 30 subjects were in the control group in which on water ice was administered. Results: The scores of thirst were decreased in both lemon ice and water ice group. But it appeared that the score of thirst in the experimental group is significantly lower than that of the control group. Moreover, the score of the assessment of the patient`s oral cavity was also significantly improved in the experimental group than that of the control group. Conclusion: The lemon ice seems an effective and easy-to-apply intervention in reducing thirst and mouth dryness over water ice in nursing practice.

말기 암환자의 변비 사정도구 개발 및 적용

김명옥 ( Myung Ok Kim ) , 박명희 ( Myung Hee Park ) , 류민애 ( Min Ae Rye )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 205-214 ( 총 10 pages)
4,500
초록보기
Purpose: The purposes of this study were to develop the constipation assessment tool for identifying their bowel movement patterns, and to provide basic information for the assessment and intervention protocol on constipation for patients with terminal cancers. Methods: The study followed the steps: the first step was to build a conceptual framework based on literature review; the second step was to develop a tentative instrument by analyzing the conceptual framework and existing instruments; the third step was to test content validity and reliability; and the final step was to apply the tool to patients with terminal cancers (N=112). Results: The constipation assessment tool was consisted of total nine items; under the categories of subjective and objective data for diagnosis had 4 items, and under the initial assessment category which includes stool type, physical examination, and abdomen X-ray had 5 items. Conclusion: The constipation assessment tool developed in this study is very easy to use and useful in nursing practice, especially in hospice and palliative care setting. Particularly this tool has items on patient assessment which would be considered as an evidence for choosing nursing interventions. Based on the constipation assessment tool, the development and application of intervention protocol on constipation for patients with terminal cancers is warranted in future research.

병원 간호조직문화의 변화와 세대별 인식차이

임숙빈 ( Sook Bin Im ) , 김세영 ( Se Young Kim ) , 고영 ( Young Ko ) , 이미영 ( Mi Young Lee )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 215-227 ( 총 13 pages)
5,300
초록보기
Purpose: This study was conducted to examine clinical nurses` perceptions on the nursing organizational culture and investigate the differences in their perceptions according to age groups in South Korea. Methods: Participants were 1,087 nurses from 25 general hospitals in South Korea. Data were collected from July 29 to September 30 in 2011, and were analyzed using descriptive statistics, ANOVA with Scheff? test, and factor analysis. Results: Nurses perceived nursing as an excellent professional job which progresses continually. Autonomy and individualized reward to their professional work, however, were reported not-satisfactory to them. They agreed that nurses are punctual, polite, honest, and responsible, while disagreeing in competitiveness. There were differences in perceiving cultural factors according to age groups. The subjects in their over 40s perceived ``professionalism``, ``normative``, ``strictness``, ``rightfulness``, and ``community spirit`` strongly, while nurses in their 20s perceived ``conservatism`` highly. Also, nurses`` perception on the organizational commitment and job satisfaction were high in over 40s while turnover intention was high in other groups. Conclusion: Nurse managers need to assess the perception on nursing organizational culture in order to improve nursing work environment better. In addition, it is necessary to take into account seriously the generation gap to build supportive nursing organizational culture.

스마트폰 어플리케이션을 활용한 전문심폐소생술 시뮬레이션 재학습이 간호사의 지식 및 교육 만족도에 미치는 효과

표미연 ( Mi Youn Pyo ) , 김정연 ( Jung Yeon Kim ) , 손주온 ( Joo Ohn Sohn ) , 이은숙 ( Eun Sook Lee ) , 김향숙 ( Hyang Sook Kim ) , 김계옥 ( Kye Ok Kim ) , 박혜정 ( Hye Jung Park ) , 김민주 ( Min Ju Kim ) , 안기현 ( Gi Hyun An ) , 양정란 ( Yang, Jung Ran ) , 유준희 ( Jun Hee Yu ) , 김영아 (
병원간호사회|임상간호연구  18권 2호, 2012 pp. 228-238 ( 총 11 pages)
5,100
초록보기
Purpose: The purpose of this study was to examine how an Advanced Cardiac Life Support (ACLS) simulation application via smartphone effects nurses` ACLS knowledge and learning satisfaction. Methods: The participants were selected from nurses in medical Intensive Care Unit (ICU), surgical ICU and emergency room. The experimental group consists of fifty nurses who were self-learned with ACLS simulation application via smartphone and the control group of seventy-one nurses who used traditional learning materials. Outcome variables included nurses` knowledge and learning satisfaction which were collected before and after the intervention. Results: The scores of ACLS knowledge were higher in the control group compared to the experimental group (p=.001) while learning satisfaction showed no statistical difference (p=.444). In learning satisfaction, the experimental group showed higher interest than the control group (p=.019) while the control group rated higher on the item, ``the contents of education was reliable`` (p=.007). Conclusion: ACLS knowledge score was graded higher in control group that used traditional learning method than the experimental group that used the smartphone application. This study showed that training with the new material significantly increased nurses` interest in ACLS education. Hence, more applications for smartphones should be developed to provide self-learning environment for nurses and improve care quality.

신규간호사의 조직사회화 관련요인 탐색

유정숙 ( Cheong Suk Yoo ) , 김주희 ( Ju Hee Kim ) , 김미연 ( Mi Yeon Kim ) , 김성재 ( Sung Jae Kim ) , 김영순 ( Young Soon Kim ) , 김정아 ( Jeong A Kim ) , 박승현 ( Seung Hyun Park ) , 조은주 ( Eun Ju Cho ) , 최은하 ( Eun Ha Choi ) , 최희강 ( Hee Kang Choi )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 239-250 ( 총 12 pages)
5,200
초록보기
Purpose: The purpose of this study was to explore and describe the factors related to new nurses` organizational socialization (OS) process and to find out the strategic information for successful organizational socialization. Methods: The qualitative data were gathered from three focus group discussions with 13 new nurses and 5 experienced nurses. All interviews were recorded and transcribed. The transcript analyzed according to qualitative content analysis processes. Results: The factors related to new nurses` OS derived from new nurses` focus groups were ``burdens related to the characteristics of nursing duties``, ``emotional and psychological characteristics`` and ``facilitating factors to OS``. Two factors at the forepart were interfering factors to new nurses` OS. The factors related to new nurses` OS derived from experienced nurses` focus group classified to ``facilitating factors to OS``, ``interfering factors to OS`` and ``supports to facilitate new nurses`` OS process`. Conclusion: The findings of the study revealed the facilitating and interfering factors to organizational socialization of new nurses. The main factors to interfere new nurses` OS were individual factors such as professional incompetency and psychological characteristics. On the other hand, Interactional factors within the organization were important to facilitate new nurses` OS. The findings can be applied for developing a special program to help new nurses adjust to the nursing organization successfully.

신생아중환자 분류도구 개발을 위한 간호활동 규명 및 표준간호시간 조사연구

고범자 ( Bum Ja Ko ) , 유미 ( Mi Yu ) , 강진선 ( Jin Sun Kang ) , 김동연 ( Dong Yeon Kim ) , 복정희 ( Jeong Hee Bog ) , 장은경 ( Eun Kyung Jang ) , 박선자 ( Sun Ja Park ) , 오순자 ( Sun Ja Oh ) , 최윤진 ( Yun Jin Choi )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 251-263 ( 총 13 pages)
5,300
초록보기
Purpose: It was necessary for developing a neonatal classification system based on nursing needs and direct care time. This study was, thus, aimed at identifying nursing activities and measuring the standard nursing practice time for developing a neonatal patient classification system in Neonatal Intensive Care Unit (NICU). Methods: The study was taken place in 8 general hospitals located in Seoul and Kyungi province, South Korea from Dec, 2009 to Jan, 2010. By using ``the modified Workload Management System for critical care Nurses`` (WMSN), nursing categories, activities, standard time, and task frequencies were measured with direct observation. The data were analyzed by using descriptive statistics. Results: Neonatal nursing activities were categorized into 8 areas: vital signs (manual), monitoring, activity of daily living (ADL), feeding, medication, treatment and procedure, respiratory therapy, and education-emotional support. The most frequent and time-consuming area was an ADL, unlike that of adult patients. Conclusion: The findings of the study provide a foundation for developing a neonatal patient classification system in NICU. Further research is warranted to verify the reliability and validity of the instrument.

염증성 장 질환을 가진 청소년의 삶의 질

정주연 ( Joo Youn Jung ) , 박영숙 ( Young Sook Park ) , 권미경 ( Mi Kyung Kwon ) , 방경숙 ( Kyung Sook Bang )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 264-274 ( 총 11 pages)
5,100
초록보기
Purpose: This study was conducted to identify the quality of life (QOL) of adolescents who have inflammatory bowel disease. Methods: This was a descriptive comparative study, and participants were 58 adolescents with inflammatory bowel disease and 55 healthy adolescents. The Korean version of PedsQLTM 4.0 scale was used. Ten adolescents with inflammatory bowel disease were also interviewed. Data were analyzed with SPSS Win. Results: Average score on QOL for these adolescents was statistically lower (p<.001) than healthy adolescents, especially for physical and school functioning. QOL of the adolescents who had the disease for more than 4 years, and were taking 3 or more medications was lower QOL than other adolescents with this disease. In interviews, adolescents complained of physical malfunctioning. In emotional functioning, they worried about the reoccurrence of bloody diarrhea, and mood changes. As for social functioning, dietary restrictions, gastrointestinal symptoms, and poor peer relationships were primary concerns. Lastly, in school functioning, frequent absences and lower academic performance were problems. Conclusion: Considering these results, adolescents with inflammatory bowel disease felt anxious because of the uncertain origin of their disease and unpredictable course of the illness. Interventions should include diaries on food, along with education and counseling as nursing interventions.

요골동맥을 통한 경피적 관상동맥 중재술 후 압박밴드의 공기제거 방법에 따른 통증 강도 통증 감각 출혈 및 혈종 비교

김미석 ( Mi Seok Kim ) , 오지선 ( Ji Seon Oh ) , 조혜영 ( Hye Young Cho )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 275-283 ( 총 9 pages)
4,500
초록보기
Purpose: This study was conducted to compare pain, sense, bleeding, and hematoma that patients feel depending on the process of eliminating air of pressure band that was applied to patients after percutaneous coronary intervention (PCI) through radial artery. Methods: It was a nonequivalent control group pretestposttest design to compare pain, sense, bleeding, and hematoma by amount and time of eliminating air of pressure band after PCI through radial artery. Results: On arrival at Coronary Care Unit, meaningful difference didn`t exist between pain and sense, however, after two hours of starting eliminating air, the points of pain and sense were meaningfully low (p<.001). Also, there was meaningful difference in reciprocal action between group and time (p<.001). Conclusion: After PCI, the conclusion showed there is positive effect in decreasing wrist pain and sense without any influence of bleeding by eliminating air from patients` pressure bands.

이중분광계수 모니터기반 진정제 투여가 내시경 점막하박리술 환자의 의식하 진정상태 생리적 안정성 및 , 회복시간에 미치는 효과

이미정 ( Mi Jeong Lee ) , 황문숙 ( Moon Sook Hwang ) , 임현숙 ( Hyun Sook Lim ) , 박미옥 ( Mi Ok Park ) , 허지원 ( Ji Won Huh ) , 강기주 ( Ki Joo Kang ) , 김재준 ( Jae Jun Kim ) , 조명숙 ( Myung Sook Cho )
병원간호사회|임상간호연구  18권 2호, 2012 pp. 284-295 ( 총 12 pages)
5,200
초록보기
Purpose: This study was done to clarify effects of bispectral index monitoring sedative administration, compared to MOAA/S (Modified Observer`s Assessment of Alertness and Sedation), on conscious sedation, physiological stability and recovery time for patients undergoing endoscopic submucosal dissection. Methods: Participants In this study were patients who underwent endoscopic submucosal dissection because of early gastric cancer. Participants were assigned randomly to an experimental group receiving sedatives based on bispectral index monitoring or to a control group with the MOAA/S instrument. Movements, belching, memory, pain, discomfort, physiological stability (MBP, PR, SpO2), and recovery time were measured during the treatment and recovery. Data were analyzed using Spearman partial correlation coefficient analysis, Mixed model and Wilcoxon rank sum test to determine differences in the parameters. Results: There were no statistically significant differences between the two groups for conscious sedation(movement, belching, memory, pain, or discomfort), physiological stability and recovery time. Conclusion: The results of this study indicate that no differences were found between the two types of monitoring. Thus, use of a bispectral index monitor in clinical practice enabling medical staff to readily assess the conscious sedation of for these patients is expected to be increasingly used as an objective assessment tool for conscious sedation for patient safety.
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