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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 3호 (2014)

간호사의 문화적 역량에 대한 외국인 환자와 병원 간호사의 인식 비교

이자인 ( Ja Yin Lee ) , 이현경 ( Hyeon Kyeong Lee ) , 김수 ( Sue Kim ) , 장연수 ( Yeon Soo Jang )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 267-278 ( 총 12 pages)
5,200
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Purpose: This study aimed to examine the differences in Korean nurses`` cultural competence perceived bynurses and foreign patients in a general hospital. Methods: The study participants were recruited fromoutpatient clinics and wards in H General Hospital located in Busan. Cultural competence was measured bythe Cultural Competence Scale for Korean Nurses, consisting of 4 subscales: cultural perception, culturalknowledge, cultural sensitivity, and cultural skills. Data were collected from March 31 to April 30, 2014 bydistributing and collecting a self-administrated questionnaire set. Data of the 90 foreign patients and 90 nurseswere analyzed using PASW statistics 18.0 for independent t-test and ANOVA. Results: The level of culturalcompetence of Korean nurses perceived by foreign patients was significantly higher than that of nurses. On thecultural awareness dimension, nurses rated themselves more highly than foreign patients did while ratings onthe dimensions of cultural knowledge and cultural skill were the opposite. Conclusion: This study indicates thatthere was a statistically significant difference in the perception of nurses`` cultural competence between nursesand foreign patients. The findings can be used for developing education programs to enhance nurses`` culturalcompetence, integrating the perspectives of foreign patients.

관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계

김혜란 ( Hye Ran Kim )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 279-289 ( 총 11 pages)
5,100
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Purpose: This study was conducted to investigate the relationship between uncertainty in illness and the future,sick role behavior with what diet, weight control, no smoking, abstinence, doctor visits, medications, etc, andquality of life of rehospitalized patients after percutaneous coronary intervention in a cardiology ward. Methods:A total of 120 patients participated in the study. Data were collected using a questionnaire and analyzed usingt-test, ANOVA, Scheffe test, and Pearson``s Correlation Coefficient. Results: The mean score for uncertainty was3.45±1.08. Sick role behavior of the patients showed a moderate value with a mean of 3.68±0.79. The meanscore for quality of life was 3.52±0.64. Uncertainty in illness and the future was significantly correlated to sickrole behavior with that diet, weight control, no smoking, abstinence, doctor visits, medications, etc (r=-.27,p =.002), and quality of life (r=-.35, p<.001), and sick role behaviors were significantly correlated to qualityof life (r=.62, p<.001). Conclusion: The results implicate that there is a need to decrease the levels ofuncertainty and reinforce positive behaviors by patients in order to improve their quality of life.

남성 척수손상 장애인의 성실태 및 성적응에 미치는 요인

김선홍 ( Sun Hong Kim ) , 이범석 ( Bum Suk Lee ) , 한숙정 ( Suk Jung Han )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 290-302 ( 총 13 pages)
5,300
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Purpose: The purpose of this study was to identify sexual activities of males with spinal cord injury (SCI) andinfluential factors of sexual adjustment. Methods: A correlational survey was conducted among a total of 135males with SCI. Results: After SCI, patients maintained low levels of sexual adjustment, and a main obstacleof sexual rehabilitation was decreased erectile function (65.2%). Sexual desires recovered in 84.4%, with62.4% patients reporting more than once intercourse experiences. The erectile function of participants withnormal, decreased or no erectile function were 13.0%, 62.6% and 24.4%, respectively. 8.1% of the participantsreported no problem with ejaculation. Patients with incomplete SCI had better preserved erectile function thanthose with complete SCI (t=-4.627, p<.001). Patients with upper motor neuron injury had better preservederectile function than those with lower motor neuron injury (t=2.446, p =.016). Sexual adjustment wasrelevant to age, job, degree of injury, post-injury period, sexual desire, intercourse experience, erectiontherapy, erectile function, and sexual health. Sexual adjustment was a factor of sexual health with a power of24.2%. Conclusion: The main obstacle of sexual rehabilitation for males with SCI decreased erectile function. Erection and ejaculation are dependent on the severity and level of SCI. The major influence on sexualadjustment is sexual health.

데이컴 기법을 이용한 중앙공급 간호사의 직무분석

오은실 ( Eun Sil Oh ) , 송순덕 ( Soon Duk Song ) , 최이정 ( E Jung Choi ) , 전현숙 ( Hyun Sook Chun ) , 한화순 ( Hwa Soon Han ) , 류성숙 ( Sung Suk Ryoo ) , 황문숙 ( Moon Suk Hwang ) , 이미경 ( Mi Kyoung Lee )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 303-312 ( 총 10 pages)
4,500
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Purpose: This study aimed to use the DACUM analysis technique and identify the job description among nursesof the Central Supply Department, in order to clarify their duty and task descriptions, identify the characteristicsof job. Methods: Through a DACUM workshop, job descriptions, and the job duties and tasks were derived. A total of 150 nurses from the Central Supply Departments of medical Institutions over 100 beds were surveyedusing drafting and a job analysis table. Individual jobs`` frequency, importance and difficulty were measuredusing a 3-point scale, and the results were analyzed using SPSS. Results: The nurses’ job in the Central SupplyDepartment consisted of 13 duties and 64 tasks. Duties with highest importance and difficulty was ``sterilizationassurance system``, the second was ``employee safety management`` and the duty with highest frequency was``manage packaging before sterilization``. Conclusion: This study clarified the types of nursing jobs in the CentralSupply Departments, as well as identified the job characteristics and status in the given setting. Given thesterilization assurance system for preventing hospital infection, and safety management for ensuring workenvironment safe were found to be important duties, it is suggested for the department to stress those importantjobs for managing hospital safety.

미숙아를 위한 캥거루케어 프로토콜 개발 및 적용 효과

이은정 ( Eun Jung Lee ) , 김은숙 ( Eun Sook Kim ) , 이유나 ( You Na Lee ) , 박소현 ( So Hyun Park ) , 이금문 ( Gum Moon Lee ) , 이영희 ( Young Hee Yi )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 313-325 ( 총 13 pages)
5,300
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Purpose: This study aimed to develop the protocol of kangaroo care for premature infants and to evaluate itseffects including physiologic responses of premature infants, their parents’anxiety, and neonatal nurses’perceptionregarding the kangaroo care. Methods: Kangaroo care protocol was developed through a literature review andvalidation of an expert group. The developed kangaroo care protocol was tested with 27 preterm infants, 24parents, and 60 nurses in one neonatal intensive care unit in S hospital. Data were collected from December2012 to February 2013 and analyzed by descriptive statistics and t-test using the SPSS/Win statistical program. Results: Physiologic responses including heart rate, respiration rate, oxygen saturation, body temperatureamong premature infants received the kangaroo care were maintained within normal limit. The anxiety levelsof the parents who provided kangaroo care for their infants were significantly decreased as it was comparedbefore and after care (t=3.43, p =.002). There were no significant differences in nurses’perceptions aboutkangaroo care before and after the application of the protocol. Conclusion: The developed kangaroo careprotocol is proved to be effective and can be used safely in nursing practice.

비턴넬형 중심정맥관 개방성 유지를 위한 헤파린 희석액 관류와 생리식염수 관류의 비교

김지혜 ( Ji Hye Kim ) , 서은지 ( Eun Ji Seo ) , 박희정 ( Hee Jung Park ) , 김시현 ( Si Hyeon Kim ) , 민자 ( Ja Min ) , 박정윤 ( Jeong Yun Park ) , 김송철 ( Song Cheol Kim )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 326-336 ( 총 11 pages)
5,100
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Purpose: The purpose of this study was to compare the effectiveness of heparin and 0.9% normal saline solutionflushing for maintaining patency of nontunneledcentral venous catheters in patients with surgery. Methods:A randomized controlled clinical trial was performed. Fiftyeightpatients were prospectively enrolled andfifty-four patients were completed the study. The heparin group consisted of 30 patients given 100u/ml dilutedheparin flushing and the normal saline group consisted of 24 patients with 0.9% sodium chloride flushing. Results: There was no significantly difference in occlusion between the heparin group and the normal salinegroup in nontunneledcentral venous catheters’ occlusion. Also there was no difference between these twogroups in catheterrelatedinfections. Conclusion: Flushing with 0.9% normal saline is as effective as flushingwith heparin solution in maintaining the patency of nontunneledcentral venous catheters. In this study,however, the duration of central line use was short and the infection occurrence was little. Further studies arewarranted with a larger sample size at multiple centers.

수술환자의 심부정맥혈전증 예방 지침 수용개작

윤지현 ( Ji Hyun Yoon ) , 이인선 ( Ihn Seon Lee ) , 이경윤 ( Kyeong Yoon Lee ) , 장미자 ( Mi Ja Jang ) , 이정민 ( Jung Min Lee ) , 남민선 ( Min Sun Nam ) , 박지현 ( Ji Hyeon Park ) , 황지원 ( Ji Won Hwang ) , 송현주 ( Hyun Ju Song ) , 조용애 ( Yong Ae Cho ) , 권인각 ( In Gak Kwon ) , 김미영
병원간호사회|임상간호연구  20권 3호, 2014 pp. 337-347 ( 총 11 pages)
5,100
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Purpose: Deep Vein Thrombosis (DVT) is the cause of fatal diseases such as pulmonary embolism, due to aprolonged immobility, surgery, paralysis, and injuries. This study aimed to develop an evidence-based practiceguideline for DVT prevention and apply it to patients with surgery in diverse nursing sites in South Korea. Methods: A 24-staged processes of adaptation was carried out on the basis of “adaptation of nursing practicalguidelines” developed by Gu et al., in 2012. Results: Developed nursing guidelines of DVT prevention arecomposed of 79 recommendations in 8 domains. The extent and ratings of each recommendation with itsevidence were addressed along with the background information. Conclusion: The developed DVT preventionguideline is necessary to be added to the evidence-based practice guidelines for the fundamentals of nursingpractice. The developed guideline is needed to be disseminated to diverse nursing clinical settings in order toprevent DVT and enhance the quality nursing care.

응급실 간호사의 대처방식과 공감피로, 공감만족

장양민 ( Yang Min Jang ) , 김숙영 ( Kim, Souk Young )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 348-358 ( 총 11 pages)
5,100
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Purpose: This was a descriptive correlation study to identify emergency room (ER) nurses’ coping types andfactors affecting compassion satisfaction (CS) and compassion fatigue. Methods: During March and April 2013,170 questionnaires were distributed to ER nurses working in general hospitals in D and C regions. Data wereanalyzed using descriptive statistics, t-test, ANOVA, correlation analysis, and stepwise regression analysis. Results: Compassion fatigue was most strongly affected by emotional expression for burnout and by practicalsupport pursuit for secondary traumatic stress. Positive coping, emotional expression, position, positive reinterpretation,and self-blame explained 42% of CS. Conclusion: Results indicate that nurses with moderate levelsof career had high compassion fatigue and low compassion satisfaction. Thus these nurses need to be givenan opportunity to achieve self-development and improve their ability as nurses; interventions that can reinforcepositive coping strategies should be provided as personal coping strategies affect compassion fatigue andcompassion satisfaction.

주임간호사가 경험하는 직무와 관련된 어려움 -Parse의 인간되어감 연구방법 적용-

이경희 ( Gyoung Hee Lee ) , 김정희 ( Jung Hee Kim ) , 이영희 ( Young Hee Lee ) , 이미영 ( Mi Young Lee ) , 이옥자 ( Ok Ja Lee ) , 임숙빈 ( Sook Bin Im )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 359-371 ( 총 13 pages)
5,300
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Purpose: This study was done to identify the core concepts and structure of difficult experiences of chargenurses in general hospitals. Methods: Data were collected from August 1 to September 5, 2014. Participantswere 10 nurses from general hospitals in D and S cities. Parse research method was applied to examine livedexperiences of the participants. The procedure of study was based on dialogical engagement and data wereanalyzed by extraction-synthesis and interpreted heuristically. The research question was "Would you tell meabout your difficult experiences as a charge nurse?" Results: Job-related difficulties of the charge nurses wereconflicts due to ineffective communication, heavy workload, not feeling respected, role conflict, and strugglingto overcome difficulties with sense of responsibility to the work. The conceptual integration was: to be in theprocess of being originated and transformed through connecting-separating and enabling-limiting with valuing. Conclusion: Structural conversion of these concepts reveals that charge nurses suffer from the job-relateddifficulties identified in this study, but they endure to proceed with a sense of mission. It is suggested thatsupportive interventions should be made to let charge nurses express their feelings, identify their needs, anddevelop self-care or coping skills for themselves.

한국판 간호그룹파워 도구의 타당도와 신뢰도 검증

성영희 ( Young Hee Sung ) , 이미경 ( Mi Kyoung Lee ) , 정정희 ( Jeong Hee Jeong ) , 박현태 ( Hyun Tae Park ) , 김선우 ( Seon Woo Kim )
병원간호사회|임상간호연구  20권 3호, 2014 pp. 372-383 ( 총 12 pages)
5,200
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Purpose: The purpose was to determine the content validity of a semantic revision of items on a reliable andvalid instrument, the Sieloff-King Assessment of Group Outcome Attainment (Power) within Organizations inKorea (K-SKAGOAO). Methods: The target population for research was chief nurse officers (CNOs) of allhospital within Korea. A sample of 303 hospitals from across the Korea was selected through a stratified randomsampling process. A total of 174 CNOs comprised the final sample. Psychometric evaluation of the KSKAGOAOincluded: (a) criterion-related validity (b) factor analysis and (c) internal consistency reliability usingCronbach``s alpha coefficients. Results: The Convergent validity and criterion-related validity were supported. Cronbach``s alpha coefficient for the K-SKAGOAO was .95. Subscale alphas ranged from .60 to .86. Conclusion:The K-SKAGOAO and related subscales show validity and internal reliability. A nursing group of any size canuse the K-SKAGOAO to both assess the group``s level of outcome attainment and develop strategies to furtherimprove that level.
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