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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 : 21권 1호 (2015)

감염관리간호사의 소진과 잔류의도 경로모형

이미향 ( Mi Hyang Lee ) , 박영임 ( Young Im Park )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 1-10 ( 총 10 pages)
4,500
초록보기
Purpose: This study was done to identify the impact of emotional labor, social support, pay satisfaction and professional concept on burnout and intention to stay for infection control nurses and to identify the relationship between burnout and intention to stay. Methods: Participants were 146 nurses who consented and faithfully responded to the research questions. Data were analyzed using SPSS 18.0 and AMOS 20.0. Results: The variables affecting burnout and intention to stay in infection control nurses were identified. Emotional labor (B=.424) had a positive impact on burnout, social support (B=-.528), professional self-concept (B=-1.056) and pay satisfaction (B=-.072) had negative impacts on burnout, social support (B=.392)and paysatisfaction (B=.136) had positive impacts on intention to stay, and burnout had a negative impact on intention to stay. Conclusion: As a result, in order to reduce burnout in infection control nurses and increase their intention to stay, the infection control nurses themselves must invest in education and self-improvement to become specialists while hospitals and the government should make efforts to develop specialists by holding workshops and seminars. In addition, institutional procedures should be put in place so as to oblige hospitals to hire nurse specialists for infection control work in infection control units.

동영상 기반 정보제공이 방사성요오드 치료를 받는 갑상선암 환자의 불안과 교육만족도에 미치는 효과

정말례 ( Mal Yae Jung ) , 홍인경 ( In Kyoung Hong ) , 노혜영 ( Hye Young Noh ) , 박현신 ( Hyon Shin Park ) , 손정미 ( Jung Mi Son ) , 김지혜 ( Ji Hye Kim ) , 김수연 ( Soo Yeon Kim )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 11-20 ( 총 10 pages)
4,500
초록보기
Purpose: The purpose of this study was to identify effects of video-based information provision on anxiety and education satisfaction of patients with thyroid cancer who are undergoing radioiodine treatment. Methods: This study was a quasi-experimental study with a nonequivalent control group and nonsynchronized design. Data were collected from September 4 to December 31, 2013. Participants in this study were 60 patients (experimental group=30, control group=30) admitted after thyroidectomy. Video-based information developed by the authors was used with the experimental group at admission. The control group was provided with a booklet. State anxiety was measured using the Korean version of Spielberger``s State-Trait Anxiety Inventory (STAI). Education satisfaction was measured with Visual Analogue Scale (VAS). Collected data were analyzed using SPSS windows 18.0 programs for Chi square test and t-test. Results: There was no significant difference in status anxiety between the two groups (t=1.05, p=.300). The experimental group had significantly higher level of education satisfaction than the control group (t=3.34, p=.001). Conclusion: Results indicate that providing video-based information is effective in increasing education satisfaction. Therefore, it is recommended that complementing and existing education with video-based information will contribute to enhanced nursing practice

바이오피드백을 이용한 holistic breathing이 혈액투석 환자의 피로, 우울, 수면장애에 미치는 효과

백경희 ( Kyung Hee Baek ) , 이정영 ( Jeong Young Lee ) , 김미영 ( Mi Young Kim ) , 김현정 ( Hyun Jung Kim ) , 윤경란 ( Kyoung Ran Yoon ) , 강숙정 ( Sook Jung Kang )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 21-30 ( 총 10 pages)
4,500
초록보기
Purpose: The study was conducted to identify the effects of holistic breathing using biofeedback on fatigue, depression, and sleep disorders of hemodialysis patients. Methods: A quasi-experimental study was conducted with a nonequivalent control group non-synchronized design and pre-post tests. Data were collected from August 20, 2012 to April 6, 2013. Twenty-five patients were assigned to an experimental group and twenty-five patients were assigned to a control group. Holistic breathing using biofeedback was applied during hemodialysis in a hospital with a frequency of twice a week for five weeks. Patients practiced 10 minutes of the holistic breathing twice daily for while at home. Chi-square and t-test were utilized for analyzing the data using SPSS 18.0. Results: Hemodialysis patients who practiced the holistic breathing using biofeedback experienced significantly lower levels of fatigue (t=2.612, p=.012), depression (t=3.390, p=.001), and sleep disorders (t=2.016, p=.049) when compared to the control group. Conclusion: The results indicate that the holistic breathing using biofeedback is an effective nursing intervention for patients receiving hemodialysis for the management of fatigue, depression, and sleep disorders.

수용개작방법을 활용한 유치도뇨 간호실무지침 개발

정인숙 ( Ihn Sook Jeong ) , 정재심 ( Jae Sim Jeong ) , 서현주 ( Hyun Ju Seo ) , 임은영 ( Eun Young Lim ) , 홍은영 ( Eun Young Hong ) , 박경희 ( Kyung Hee Park ) , 정영선 ( Young Sun Jung ) , 최은경 ( Eun Kyoung Choi ) , 박희연 ( Hee Youn Park ) , 박선아 ( Sun A Park )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 31-42 ( 총 12 pages)
5,200
초록보기
Purpose: This study was done to develop evidence-based nursing practice guidelines to prevent complications related to indwelling urinary catheterization (IUC) in patients in Korea. Methods: A guideline adaptation process was conducted according to the guideline adaptation manual which consists of three main phases, and 9 modules with a total of 24 steps. Results: The newly developed IUC guideline consisted of an introduction, urinary catheterization, summary of recommendations, recommendations, references, and appendices. There were 110 recommendations in 8 sections including assessment, equipment, catheter insertion, catheter maintenance, catheter change, catheter removal, management of complications, and education/consultation. For the grade of recommendations, there were 6.4% for A, 22.7% for B, 67.3% for C. Conclusion: The IUC guideline was developed based on evidence and therefore it is recommended that this guideline be disseminated and utilized by nurses nationwide to improve the quality of care for patients with IUC and decrease complications related to IUC and that it be revised regularly.

외과계 중환자실 수술 후 환자의 섬망 예방 중재가 섬망 발생에 미치는 효과

심미영 ( Mi Young Shim ) , 송숙희 ( Suk Hee Song ) , 이미미 ( Mi Mi Lee ) , 박민아 ( Min Ah Park ) , 양은진 ( Eun Jin Yang ) , 김민수 ( Min Soo Kim ) , 김유진 ( Yu Jin Kim ) , 김두나 ( Too Na Kim )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 43-52 ( 총 10 pages)
4,500
초록보기
Purpose: This study was aimed to develop the multicomponent intervention for preventing delirium among postoperative patients in a surgical intensive care unit (SICU). Methods: Using a quasi-experimental pre & post-test design with a non-equivalent control group, a total of 88 hospitalized patients in a SICU participated in this study. The 44 patients were allocated in each experimental and control group. The experimental group received the multicomponent intervention for delirium prevention including a delirium assessment and nursing intervention using a checklist, whereas the control group was provided with a standard care. The primary outcome of this study was the delirium incidence during the course of hospitalization. Results: There were no significant differences in the demographic and clinical characteristics between the two groups. The delirium occurred in 19.2% in the experimental group, whereas 38.6% in the control group (x2=4.526, p<.05). Conclusion: The findings of the study demonstrated an effect of the multicomponent delirium prevention intervention in decreasing the delirium incidence rate over the standard care among the patients in SICU.

외국인 환자 간호조직 실태 조사

김금순 ( Keum Soon Kim ) , 최윤경 ( Yun Kyoung Choi ) , 안정원 ( Jung Won Ahn ) , 정은희 ( Eun Hee Jung ) , 김을순 ( Eul Soon Kim )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 53-66 ( 총 14 pages)
5,400
초록보기
Purpose: The purpose of this study was to investigate the status of organizational nursing service for foreign patients in tertiary hospitals in order to build up a database for nursing care policy development for foreignpatients. Methods: The subjects of this study were nursing managers or department managers of international care center in 36 tertiary hospitals nationwide. Questionnaires were consisted of the items measuring the details of and evaluations for nursing care for foreign patients within the given organizations and any organizational support for culturally competent care. The data from 35 hospitals out of 36 were analyzed finally. Results: The organizational nursing service for foreign patients was rated 6.49 points out of 10. Organizational support for culturally competent care was 2.61 points out of 4. Challenges to improving nursing care for foreign patients were listed such as developing interpreter services and international care units without accompanying by a family member, improving nursing staffs’ attitudes and behaviors for providing culturally competent care, and preparing various medical documents using multiple languages. Conclusion: In order to improve nursing care for foreign patients in tertiary hospitals, we need to be more aware of cultural knowledge and sensitivity toward the care needs of foreign patients.

응급실 간호사의 자아탄력성 재난에 대한 경험 및, 재난간호 핵심수행능력과의 관계

박유진 ( Yu Jin Park ) , 이은자 ( Eun Ja Lee )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 67-79 ( 총 13 pages)
5,300
초록보기
Purpose: The study was aimed to describe the relationships between ego-resilience, disaster experience, and core competencies among emergency room (ER) nurses. Methods: Data were collected from ER nurses in Incheon and Kyunggi province from May to June 2014. Data were analyzed with descriptive study, t-test, ANOVA, and Pearson``s correlation coefficient using SPSS/WIN 18.0 version. Results: Male respondents showed significantly higher ego-resilience than female respondents (t=-2.04, p=.043), and education (F=4.96, p=.002) and position (F=7.70, p=.001) were statistically significant. The differences in disaster experience was found in gender (t=-2.29, p=.023), age (F=4.25, p=.006), marital status (t=-2.02, p=.045), education (F=6.34, p<.001), religion (F=3.69, p=.015), and position (F=3.55, p=.031). Regarding core competencies for disaster nursing, age (F=7.80, p<.001), marital status (t=-3.00, p=.001), education (F=16.53, p<.001), career (F=5.40, p<.001), position (F=12.52, p<.001) were significantly different. Positive associations were found between core competencies for disaster nursing and ego-resilience (r=.66, p<.001), disaster experience and core competencies for disaster nursing (r=.52, p<.001), and disaster experience and ego-resilience (r=.33, p<.001). Conclusion: Core competencies were higher among ER nurses when they have higher ego-resilience, and more disaster experience. This finding suggests the need for improving ego-resilience among ER nurses. In addition, disaster education needs to be considered as a part of core nursing curriculum in college and clinical settings.

장루미보유 직장암 환자의 불안과 우울 및 관련요인

임세미 ( Se Mi Lim ) , 강윤희 ( Youn Hee Kang )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 80-91 ( 총 12 pages)
5,200
초록보기
Purpose: This study aimed to identify the relationships among bowel function, health locus of control, anxiety, and depression in patient with rectal cancer. Methods: This study utilized a descriptive correlational design. Subjects were 200 rectal cancer patients who attended out-patient clinic in a colorectal cancer center. The study instruments included the scales for bowel function, health locus of control, anxiety, and depression. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson``s correlation coefficient. Results: The mean score of bowel function was 34.44±5.73. The mean scores of internal HLOC, chance HLOC, doctor HLOC, and powerful others HLOC were 29.06±6.81, 22.41±6.96, 15.88±2.85, and 10.72± 4.68 respectively. The mean scores of anxiety and depression were 4.49±3.95 and 6.25±3.98, respectively. There were significant negative correlations between bowel function and anxiety (r=-.180, p=.011); between bowel function and depression (r=-.267, p<.001); and between internal health locus of control and depression (r=-.149, p=.035). There were significant positive correlations between chance health locus of control and depression (r=.146, p=.039), and between anxiety and depression (r=.651, p<.001). Conclusion: It is suggested that anxiety and depression for the patients with low bowel function after colorectal cancer surgery should be evaluated and nursing interventions to enhance internal health locus of control need to be developed.

종합병원 간호사가 경험한 폭력 유형과 대처방식

강미정 ( Mi Jung Kang ) , 박인숙 ( Ihn Sook Park )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 92-104 ( 총 13 pages)
5,300
키워드보기
초록보기
Purpose: The purpose of this study was to identify the types of violence and coping methods experienced by general hospital nurses. Methods: Data were collected from March 17 to 24, 2014, using self-report questionnaires. Responses from 449 nurses were analyzed. Results: The majority of the respondents experienced violence from patients, visitors, doctors, and other nurses. Verbal violence was more frequent than physical threats and physical violence. Most violence happened in ERs, followed by surgical units, and ICUs. The most frequent response by nurses after violence was an emotional response, especially ‘anger’ (4.01±1.059). Based on general characteristics, the responses were significant for professional experience (F=2.935, p=.013) and work areas (F=2.290, p=.021). The most frequent coping method for nurses after violence had occurred was to ‘just complete their duties as if nothing happened’. Conclusion: Most nurses are exposed to frequent violence, but they feel defenseless. These results suggest that hospital should improve the respective organizational cultures and develop promotional programs and administrative policies to prevent violence. In addition, educational programs should be provided for nurses to improve their attitudes and abilities to cope with violence. Also, hospitals should offer sufficient support, stress reduction programs and counseling programs for nurses.

중년 여성의 폐경 증상경험과 자가관리 역량, 사회적 지지와의 관계

최성미 ( Seong Mi Choi ) , 고일선 ( Il Sun Ko ) , 최모나 ( Mo Na Choi ) , 장연수 ( Yeon Soo Jang )
병원간호사회|임상간호연구  21권 1호, 2015 pp. 105-115 ( 총 11 pages)
5,100
초록보기
Purpose: This descriptive correlational study was intended to analyze the relationship among menopausal symptoms. competency of self-care agency and social support in middle-aged women. Methods: Participants in the study were 140 women who were 45-60 years of old. Data were collected using structured questionnaires and analyzed using descriptive statistics., t-test, ANOVA, Scheffe’s test and Pearson correlation coefficients. Results: The frequency and discomfort of menopausal symptom were low, but the mean discomfort score were higher than frequency score. Middle-aged women with lower competency of self care experienced more frequent menopausal symptoms (t=-0.28, p=.001) and more discomfort (t=-0.24, p=.004). However, There was no significant difference in menopausal symptoms according to social support. Conclusion: Nursing interventions to enhance competency of self-care agency in middle-aged women are required in order to reduce the discomfort of menopausal symptoms.
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