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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 : 20권 2호 (2014)

간호분야 실무지침의 수용개작 방법론에 따른 경장영양 실무지침의 개발

조용애 ( Yong Ae Cho ) , 은영 ( Young Eun ) , 구미옥 ( Mee Ock Gu ) , 조명숙 ( Myung Sook Cho ) , 박명화 ( Myung Wha Park ) , 김경숙 ( Kyung Sook Kim ) , 김정연 ( Jeong Yeun Kim )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 147-161 ( 총 15 pages)
5,500
초록보기
Purpose: This study was aimed to modify and adapt the previously developed, high-quality enteral tube feeding guidelines for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by NECA (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The modified and adapted enteral tube feeding guidelines were consisted of 11 domains and 95 recommendations. The domains and numbers of recommendations in each domain were: 4 on general issues, 2 on enteral nutrition indication and discontinue, 6 on enteral nutrition device selection, 12 on enteral tube feeding device insertions, 3 on enteral nutrition formular and choices, 16 on enteral tube feeding start and progress, 20 on enteral tubefeeding maintenance and management, 15 on monitoring enteral tube feeding administration, 10 on prevention of error, 5 on medication administration, and 2 on documentation and report. There were 16.1% of the recommendations marked as A grade, 17.8% of B grade, and 66.1% of C grade. Conclusion: The adapted enteral tube feeding nursing practice guideline is to be added to the evidence-based practice guidelines for fundamentals of nursing practice. The guideline is hoped to be disseminated to nurses nationwide in order to improve the efficiency of enteral tube feeding practice.

간호수가 산정을 위한 상대가치를 이용한 수술실 간호행위 간호강도 분석

하루미 ( Ru Mee Ha ) , 권경자 ( Kyoung Ja Kwon ) , 우진하 ( Jin Ha Woo ) , 김정아 ( Jung A Kim )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 162-176 ( 총 15 pages)
5,500
초록보기
Purpose: The purpose of this study was to perform an operating room nursing activities analysis and estimate nursing intensity of each nursing activity based on the Relative Value Scale (RVS). Methods: The methodology for this study of RVS was based on the work of Hsiao et al. The first stage was to identify nursing activities and the second to measure intensity of nursing activities including technical skill, mental effort, and stress. Results: Calculation of the RVS for 99 nursing practices showed a score range from 300.00 to 1337.78. CS operation assistant, OS operation assistant, and obtaining certification had high nursing intensity. Surgical hand washing, putting on surgical gowns, surgical gloves and surgical caps and mask had low nursing intensity. Conclusion: The activities of operating room are not compensated separately but reimbursement is usually included in physician fees. In the future, an estimation of nursing cost should show the nursing contribution rate to total operation revenue.

내시경실 간호사의 방사선피폭 방어행위에 영향을 미치는 요인

홍선미 ( Sun Mi Hong ) , 신성희 ( Sung Hee Shin )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 177-188 ( 총 12 pages)
5,200
초록보기
Purpose: This study was conducted to identify factors influencing endoscopy nurses’ protective behavior against radiation exposure. Methods: Data were collected using self-report questionnaires from 122 endoscopy nurses in 21 hospitals located in Seoul, Gyeonggi province and six metropolitan cities in Korea. Collected data were analyzed using SPSS 18.0 program and included multiple regression analysis. Results: 1) There were significant relationships between protective behavior and protective environment (r=.74, p .001), number of education sessions on radiation protection (r=.32, p .001), number of protective devices (r=.28, p= .002), number of fellow nurses (r=.27, p=.003), and protective attitude (r=.18, p=.048). 2) Protective environment ( =0.79, β p .001), type of hospital foundation ( =0.18, β p=.011) and marital status ( =-0.13, β p=.040) significantly predicted endoscopy nurses’ protective behavior against radiation exposure (adjusted R square=.58, p .001). The most powerful predictor for protective behavior against radiation exposure was a protective environment. Conclusion: Effective protective behavior of endoscopy nurses from radiation exposure requires improvement in their protective environment. Hospital administrators and managers should make efforts to increase protective facilities in endoscopy departments and provide endoscopy nurses with regular education on radiation protection.

소화기 내시경실 간호사의 직무 스트레스와 직무 만족도

손승숙 ( Seung Suk Son ) , 양숙자 ( Sook Ja Yang )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 189-199 ( 총 11 pages)
5,100
초록보기
Purpose: The purpose of this study was to investigate job stress and job satisfaction among nurses in gastrointestinal endoscopy units, and factors related to their job stress and job satisfaction. Methods: The study participants were 153 nurses working in gastrointestinal endoscopy units at eleven general hospitals. Job stress and job satisfaction were measured using nurses’s job stress scale and the index of work satisfaction respectively. Results: The average job stress was 3.67 (range 1~5) and job satisfaction was 2.90 (range 1~5). Gastrointestinal endoscopy unit nurses, who were full time worker, having more than 7 years of clinical experiences, having higher incomes, having high subjective work-intensity, and having an intention to change their working units, showed greater job stresses than those of the others. There were significant differences in job satisfaction according to subjective health status, the types of employment, subjective work-intensity, subjective aptitude, intention to change working units, major nursing tasks, and the numbers of major nursing tasks. Also, the subjects’s job stress showed a negative correlation with job satisfaction. Conclusion: Findings suggest that management strategies should be developed to increase job satisfaction focusing on general and job characteristics associated with job stress.

에센셜오일 가글링과 정수 가글링이 수술 후 환자의 갈증, 구강상태 및 구취에 미치는 효과

전보라 ( Bo Ra Jeon ) , 전정숙 ( Chung Sook Chun ) , 이지연 ( Ji Yeon Lee ) , 박경원 ( Kyoung Won Park )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 200-210 ( 총 11 pages)
5,100
초록보기
Purpose: The main purpose of this study was to effect oral care methods between essential oil gargling and purified water gargling for postoperative patients who had general surgery or orthopedic surgery. Methods: The postoperative patients were assigned to one of two groups. One group gargled with essential oil and the other with purified water. All group gargled three times interval 2 hours. Each patients thirst, oral condition and halitosis were assessed four times. Results: After oral care was provided once, there were significant differences in thirst level between two groups. when oral care was provided once and three times, there were significant differences in oral condition between two groups. but there were no significant differences in halitosis between two groups. Conclusion: The results show that essential oil gargling is a more effective intervention than purified water gargling for post operative patients oral care in reducing the thirst level and improving the condition of the oral cavity.

웃음치료가 구안와사환 자의 안면마비 회복정도 통증 및, 스트레스에 미치는 효과

김미환 ( Mi Hwan Kim ) , 김명자 ( Myung Ja Kim )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 211-222 ( 총 12 pages)
5,200
초록보기
Purpose: This study was done to identify the effects of Laughter therapy on recovery status from facial paralysis, pain, and stress in Bell``s palsy patients. Methods: This research was a nonequivalent control group nonsynchronized pre-posttest quasi-experimental research design. Data were collected from August 8, to October 15, 2013 at D university Oriental Medical Center in B city. Participants were 60 patients with Bell``s palsy who were assigned to one of two groups: an experimental group of 30 patients and a control group of 30 patients. t-test, x2-test, Fisher``s exact test and Welth-Aspin test were used to test the homogeneity between the two groups and t-test, Welth-Aspin test and ANCOVA were used to test the research hypotheses. SPSS program was used for statistical analysis. Results: There were significant increases in recovery status from facial paralysis and decreases in stress after Laughter therapy in the experimental group. Conclusion: The results indicate that Laughter therapy is effective in facilitating recovery status from facial paralysis and decreasing stress. Therefore, Laughter therapy can be used as an effective nursing intervention for patients with facial paralysis and to relieve stress in these patients.

일개 응급의료센터의 소생실에 입실한 호흡곤란 환자를 위한 임상 프로토콜 개발 및 적용

신선화 ( Sun Hwa Shin ) , 김주원 ( Ju Won Kim ) , 이지연 ( Ji Yeon Lee ) , 최민진 ( Min Jin Choi ) , 최희강 ( Hee Kang Choi )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 223-235 ( 총 13 pages)
5,300
초록보기
Purpose: Resuscitation rooms in emergency department are places for time-critical tasks. This study aimed 1) to develop a resuscitation protocol for dyspneic patients and 2) to evaluate the effect of the resuscitation protocol for dyspneic patients in improving clinical performances. Methods: A panel of experts including emergency physicians and nurses developed a resuscitation protocol for dyspneic patients which included a list of critical interventions and time-limits. The resuscitation protocol was implemented in a emergency medical center for two months. Clinical performances of health care providers were compared by analyzing video-recorded clinical performances. Results: The resuscitation protocol consisted of four steps: Initial treatments within 5 minutes, main treatments within 15 minutes, diagnostic tests within 30 minutes, and disposition within 60 minutes. A total of 43dyspneic patients (23 patients experimental group, 20 patients control group) were included for the analysis of the clinical performance change. Clinical performance rates were improved significantly from control group (66.71%) to experimental group (82.41%) after implementing the resuscitation protocol (Z=-3.09, p=.004). Conclusion: The resuscitation protocol developed for dyspneic patients improved clinical performance rates of health care providers. Further development of clinical protocols for other emergent cases at resuscitation rooms are strongly recommended.

임상간호사의 경력만족 경력몰입 및 경력변경의도에 대한, 구조모형

최현주 ( Hyun Ju Choi )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 236-245 ( 총 10 pages)
4,500
초록보기
Purpose: Preventing frequent change and discontinuation of the nurses’ carrier is one of major issues for human resource management in a health organization (HO). This study was conducted to get evidences for improvement nursing manpower management and career development of the clinical nurses through investigating affecting factors to their career withdrawal intention (CWI). Methods: A self-report questionnaire survey was conducted on the subjects of the 590 clinical nurses with more than one year tenure from the eight hospitals in Busan city during December, 2013. Data analysis was performed using SPSS program (ver 20.0) and AMOS program (ver 20.0) for structural modeling. Results: Career satisfaction (CS) showed positive(+) effects, and increased with higher job adequacy (β=.139, t=2.676, p=.007), job autonomy (β=.260, t=4.815, p .001), and career planning (β=.301, t=5.797, p .001). Career commitment (CC) showed positive(+) effects, and increased with higher job adequacy (β=.107, t=2.280, p=.023), job autonomy (β= .257, t=5.035, p .001), career planning (β=.232, t=4.717, p .001), and career satisfaction (CS)(β=.123, t=2.293, p=.022). CWI showed negative(-) effects and increased with lower CC (β=-.906, t=-15.72, p .001). Conclusion: Results indicate that CC and CS have important mediating roles between job adequacy, job autonomy, career planning and CWI. As CC directly influenced CWI, there is a need to strengthen CC to prevent frequent changes and discontinuation of nurses’ careers and to contribute to productivity HO’s.

장기이식 코디네이터의 직무분석

김형숙 ( Hyung Sook Kim ) , 유양숙 ( Yang Sook Yoo ) , 조옥희 ( Ok Hee Cho )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 246-255 ( 총 10 pages)
4,500
초록보기
Purpose: Along the process of organ transplantation, coordinators perform complex professional roles, playing as a key person among recipients, donors, family members and medical staffs. The purpose was to analyze the tasks of organ transplantation coordinators using DACUM method and to establish the basis for standardizing them in accordance with relevant laws and systems. Methods: Participants were consisted of 78 transplantation coordinators working at the medical centers in Korea. The questionnaire was administered to analyze the criticality, difficulty and frequency of task elements. Results: The job of organ transplantation was classified into five duties, 13 tasks, and 84 task elements. The five duties were recipient management, donor management, organ donation activation management, organ transplantation administration, and professional capability development. On the four-point scale: donor management was the duty with the highest criticality (3.68), organ donation activation management was the duty of highest difficulty (2.96), and recipient management was the duty of the highest frequency (3.32). Conclusion: This study will be useful for developing an educational program and as a reference of nurse practitioner qualifying examination. It is necessary to develop a comprehensive educational program for transplantation coordinators in order to support them to take their complex roles successfully.

회복실 간호사의 각성 섬망에 대한 지식과 각성 섬망 관련 업무 스트레스에 관한 연구

정인애 ( In Ae Jung ) , 정덕유 ( Duk Yoo Jung )
병원간호사회|임상간호연구  20권 2호, 2014 pp. 256-266 ( 총 11 pages)
5,100
초록보기
Purpose: This study was done to identify the level of knowledge on and stress from delirium among recovery room nurses, and correlations between these factors. Methods: In this study, 125 nurses agreed to participate in the study were surveyed from October 8 to October 28, 2013. Data were analyzed using t-test, ANOVA, Scheffe test and Pearson correlation. Results: Average percentage of correct answers to questions about delirium was 81.9% and the mean score was 26.22 (±5.01). The mean score for recovery room nurses`` work stress from emergency delirium was 3.86 (±0.99). Extent of knowledge on delirium significantly differed by age (F=15.017, p .001), length of clinical experience (F=22.132, p .001), length of recovery room experience (F=10.538, p .001), education (F=3.312, p =.040), and marital status (t=4.107, p .001). Stress from ED was significantly related to age (F=9.185, p .001), clinical experience (F=7.077, p=.001), and marital status (t=-2.027, p =.045). Knowledge on delirium had a negative relationship with stress from delirium (r=-.514, p .001). Conclusion: Results show that nurses gained knowledge of delirium from their own clinical experience indicating a need to develop educational programs to improve knowledge on delirium and plans to reduce stress from delirium for recovery room nurses.
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