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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 : 22권 2호 (2016)

간호근무환경, 공감피로 및 공감만족이 간호사의 소진에 미치는 영향

김주이 ( Kim Jui ) , 이태화 ( Lee Tae Wha )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 109-117 ( 총 9 pages)
4,500
초록보기
The purpose of this study was to identify the influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses in Korea. Methods:A descriptive crosssectional study was conducted. The sample consisted of 210 clinical nurses from three tertiary hospitals located in Seoul. Measurement instruments included the Korean version of the Practice Environment Scale of Nursing Work Index (K-PES-NWI) and Stamm’s professional quality of life (ProQOL). Descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression were used to analyze the data. Results: Nursing practice environment had moderate negative influence on burnout (r=-.38, p<.001). Compassion fatigue had strong positive influence on burnout (r=.50, p<.001), while compassion satisfaction had strong negative influence on burnout (r=-.61, p<.001). The regression model explained 63% of variance of burnout and the compassion satisfaction was the most influencing factor for nurses’ burnout. Conclusion: This study identified nursing practice environment, compassion fatigue and compassion satisfaction as influencing factors for nurses’ burnout. Strategies to decrease compassion fatigue, enhance compassion satisfaction and create better nursing practice environment are recommended to decrease nurses’ burnout.

간호분야 실무지침의 수용개작 방법론에 따른 정맥혈전색전증예방 간호실무지침의 개발

조용애 ( Cho Yong Ae ) , 구미옥 ( Gu Mee Ock ) , 은영 ( Eun Young ) , 김경숙 ( Kim Kyung Sook ) , 이선희 ( Lee Seon Heui ) , 윤지현 ( Yoon Ji Hyun ) , 황정화 ( Hwang Jung Hwa ) , 이경윤 ( Lee Kyeong Yoon ) , 박미정 ( Park Mi Joung )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 118-131 ( 총 14 pages)
5,400
초록보기
This study was conducted to develop a useful evidence-based guideline for preventing venous thromboembolism(VTE) in Korea adapting previously developed VTE guidelines. Methods: The guideline adaptation process was performed using 24 steps according to the nursing practice guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed VTE prevention guideline was consisted of 16 domains and 163 recommendations. The number of recommendations in each domain were: 4 general issues, 4 risk factors, 2 intervention at occurrence of VTE, 14 mechanical interventions, 30 pharmacological interventions, 19 VTE prevention for medical patient, 10 stroke patient, 16 cancer patient, 14 pregnancy, 6 for long distance traveller, 5 for abdominal surgery, 10 thoractic surgery, 10 orthopedic surgery, 5 neurosurgery, 4 other surgical patient, 2 urological surgery, 1 ENT surgery, 1 plastic surgery, 3 day surgery, 3 education of VTE prevention. Fourteen point three percent, 61.1%, and 24.6% of the recommendations were graded A, B, and C, respectively. Conclusion: The findings suggest that the new VTE prevention guideline can be more efficiently used to prevent VTE in hospital settings.

배뇨중재 프로그램이 뇌졸중 재활대상자의 잔뇨량, 도뇨횟수, 배뇨불편감, 요로감염에 미치는 효과

송영애 ( Song Young Ae ) , 이정희 ( Lee Junghee ) , 정지영 ( Jung Ji Young ) , 김난지 ( Kim Nan Ji ) , 양이은 ( Yang Yi Eun ) , 신채원 ( Shin Chaewon ) , 조문숙 ( Cho Moon Suk )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 132-141 ( 총 10 pages)
4,500
초록보기
The aims of this studywere to develop and apply the urinary elimination facilitation program for stroke patients with urinary disorders and evaluate the effectiveness of the program. Methods: This study was conducted using the non-equivalent control group pre- posttest design. The participants included 23 patients in the control group and 22 in the experimental group. Data were collected from Nov. 25, 2013 to Nov. 25, 2014 in acute rehabilitation inpatient wards. For the final analysis, 35 patients’ data were utilized 17 in the control group and 18 in the experimental group. The developed urinary elimination facilitation program was continued for 7 days and the program consisted of logging urination, monitoring timely voiding, assisting urinary elimination, and stimulating urination using sound. The data were analyized using the SPSS-win (version 21). Results: The number of urinary catheterization and the urinary discomfort were significantly improved in the experimental group compared to the control group. However residual urine and the occurrence of urinary tract infections were not significantly different between the experimental and control groups. Conclusion: The results of this study indicated that the urinary elimination intervention program for stroke patients with urination disorder could be useful in decreasing the number of urinary catheterization and the urinary discomfort.

소아암 환아 어머니의 희망, 자기효능감이 외상 후 성장에 미치는 영향

전지은 ( Jeon Ji Eun ) , 김미영 ( Kim Miyoung )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 142-151 ( 총 10 pages)
4,500
초록보기
The aim of this study was to identify the effects of hope and Self-efficacy on posttraumatic growth in mothers of children with cancers. Methods: A descriptive research design was used and 102 mothers participated in the study. They were primary care givers of children with cancers who were being treated at a tertiary care hospital in Seoul. A structured questionnaires which measured the degree of hope, self-efficacy, and posttraumatic growth was used for data collection. Data analysis was conducted using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficient, and multiple regression. Results: There were positive correlations between posttraumatic growth and hope (r=.44, p<.001) as well as self-efficacy (r=.33, p=.003). The major predictors of posttraumatic growth were religion (β=0.29, p=.001), only child or first child (β=-0.25, p=.015), the number of children in the family (β=0.25, p=.016), and hope (β=0.38, p=.001). This model explained about 30.4% of the total variables found in posttraumatic growth (F=9.84, p<.001). Conclusion: The findings from this study show that posttraumatic growth in mothers of children with cancers is largely predicted by hope indicating a need to develop nursing intervention programs to enhance hope in these mothers.

실물 통증자가조절기 교육 프로그램이 노인 고관절수술 환자의 통증, 진통제 사용량 및 불안에 미치는 효과

류수향 ( Ryu Su Hyang ) , 조현숙 ( Jo Hyun Sook )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 152-160 ( 총 9 pages)
4,500
초록보기
The purpose of this study was to evaluate the effects of real PCA education with practice on postoperative pain, consumption of analgesics, and anxiety for elderly patients with total hip arthroplasty. Methods: This study utilized a non-equivalent control group pretest-posttest design. The participants were 52 elderly patients (≥65) with total hip arthroplasty at the G. hospital in Seoul. The participants were recruited from December 3, 2014 to April 30, 2015. Twenty six of them were assigned to the experimental group and the other to the control group. Preoperative real PCA education with practice was performed individually with the experimental group by the author. Results: There were statistically significant differences in 24 and 48 hour postoperative pain (t=-2.59, p=.012; t=-3.80, p<.001 respectively), and in consumption of analgesics at 24 and 48 hours after operation between the two groups (t=-3.61, p<.001; t=-4.19, p<.001 respectively). However, no significant difference in anxiety (t=-1.03, p=.308) at 48 hour after operation. Conclusion: This study has confirmed that the individualized real PCA education with practice contributes to relieve postoperative pain and reduce analgesic uses of the elderly with total hip arthroplasty. Thus, it is highly recommended that this education program could be applied in clinical settings as a nursing intervention in reducing postoperative pain for the elderly with total hip arthroplasty.

외국인 환자 입원간호 프로토콜 개발 연구

김금순 ( Kim Keum Soon ) , 안정원 ( Ahn Jungwon ) , 최윤경 ( Choi Yun Kyoung ) , 서수량 ( Seo Sooryang )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 161-172 ( 총 12 pages)
5,200
초록보기
The purpose of this study was to develop a nursing protocol for care of hospitalized foreign patients based on necessary nursing care and to evaluate content validity and practical applicability. Methods: A survey was conducted to identify the need for protocol development and to prioritize necessary content to be included in the protocol (N=110). A draft protocol was developed, and 7 experts and 115 nurses evaluated content validity and practical applicability of the protocol. Results: Results of the needs survey showed that all participants agreed there is a need for a protocol. Based on the survey results, a protocol was developed which included: regional culture and healthcare, admission/discharge care, surgical care, pain management, care in diagnostic testing, medication administration, and blood transfusion. Score on the experts’ evaluation of content validity of the protocol was 3.66±0.28. Practical applicability score was 3.61±0.29 in the experts’ group and 3.16±0.11 in the nurses’ group. Total score for validity of the overall content was 29.46±5.62. Conclusion: The nursing protocol developed in this study for care of hospitalized foreign patients can contribute to improvement in quality of nursing care for these patients and can also be used as a teaching guideline to educate nurses.

인터넷과 소셜미디어를 통해 본 간호사 이미지에 관한 연구

이현숙 ( Lee Hyunsook Zin ) , 이호선 ( Lee Ho Seon ) , 염영희 ( Yom Young-hee ) , 이정민 ( Lee Jung Min ) , 정원선 ( Jung Won Sun ) , 박현정 ( Park Hyun Jung )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 173-182 ( 총 10 pages)
4,500
키워드보기
초록보기
This study investigated the linking words of nurse which were presented together with nurse on phrase, clauses or sentence of documents or conversations in the Internet portals and social media. Methods: The linking words with nurse were calculated by the number of presentation on conversations or documents, in Google, Daum, Naver, Twitter and Facebook. The changes of characteristics and the trend of yearly changes of major linking words of nurse were investigated by the type of media. In order to identify the meaning of the words, clustering of the collected linking words by categories was analysed and the characteristics of each cluster were classified. Results: A total number of reviewed linking words was 17,399,711 and the most frequently presenting words were hospital, work and person. The words related to people were the most highly presented and the next were those of emotion, professional and place respectively. Conclusion: With analysing the trends of changes and characteristics of words by yearly base and clusters, we attempted to investigate the image of nurse that the public think and feel about nurse.

종합병원 간호사의 섬망 간호수행 영향요인

김지연 ( Kim Ji Yeon ) , 이은주 ( Lee Eun Ju )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 183-193 ( 총 11 pages)
5,100
키워드보기
초록보기
This study was conducted to identify factors affecting nursing performance of delirium among general hospital clinical nurses. Methods: This was a cross-sectional study and conducted from July 20 to July 30 2015, with a sample consisting of 167 registered nurses in three general hospitals. Data were analyzed with SPSS 21.0. Results: Nursing performance of deliriumhad significant positive correlations with knowledge about delirium(r=.25, p=.001), self-confidence in caring for patients with delirium(r=.45, p<.001) and nursingwork environment (r=.29, p<.001). In this study, factors affecting nursing performance of deliriumwere self-confidence in caring for patientswith delirium (β=.33, p<.001), nursing work environment (β=.26, p<.001), experience in nursing education about delirium(β=.18, p=.007) and clinical experience (β=.18, p=.007). The factors explained 32%of nursing performance of delirium. Conclusion: This study``s results can be used as basic data to develope educational programs related to deliriumcare through continuing education and to improve work environments in developing strategies to enhance nursing performance for patients with delirium.

퇴원환자의 신체적 기능상태 및 미충족 간호요구도: 만성호흡기질환, 장루보유 대장암, 뇌졸중 환자를 중심으로

오의금 ( Oh Eui Geum ) , 성지현 ( Sung Ji Hyun ) , 박영수 ( Park Young-su ) , 이현주 ( Lee Hyun Joo ) , 김유경 ( Kim Yu Kyung )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 194-204 ( 총 11 pages)
5,100
초록보기
The purpose of this study was to identify physiological functional status and unmet care needs among patients with chronic pulmonary disease, colorectal cancer, and strokes after discharge. Methods: A crosssectional study was conducted with 224 patients diagnosed with aforementioned diseases from January to July in 2014 in two different tertiary hospitals in Seoul and its suburban area. Physiological functional status and unmet care needs were collected using Karnofsky Performance Status (KPS) Scale and Problems After Discharge Questionnaire-English version(PADQ-E) respectively. Data were analyzed using SPSS/WIN 21.0 program. Results: Patients with chronic pulmonary disease and colorectal cancer showed a low level of physiological functional status (mean: 77.20 and 77.60 out of 100 respectively) and a high level of unmet care needs (mean 2.23 and 2.63 out of 4 respectively). Stroke patients showed a high level of unmet care needs in the category of ‘counseling’, ‘physical complaints’, and ‘instructions’. Physiological functional status was significantly associated with unmet care needs in all three patient groups and it showed a significant effect on unmet care needs in patients with stroke. Conclusion: The results showed that patients after discharge were still having insufficient functional status and various unmet care needs. The results of this study suggest a development of nursing care service for patients with chronic diseases after discharge.

한국형 신생아중환자간호 분류도구 개발

유미 ( Yu Mi ) , 김동연 ( Kim Dong Yeon ) , 유정숙 ( Yoo Cheong Suk )
병원간호사회|임상간호연구  22권 2호, 2016 pp. 205-216 ( 총 12 pages)
5,200
초록보기
This study was performed to develop a valid and reliable Korean Patient Classification System for Neonatal care nurses (KPCSN). Methods: The study was conducted in tertiary and general hospitals with 1~2 grade according to nursing fee differentiation policy for NICU (neonatal intensive care unit) nurse staffing. The reliability was evaluated for the classification of 218 patients by 10 nurse managers and 56 staff nurses working in NICUs from10 hospitals. To verify construct validity, 208 patients were classified and compared for the type of stay, gestational age, birth weight, and current body weight. Nursing time was measured by nurses, nurse managers, and nurse aids. For the calculation of conversion index (total nursing time divided by the KPCSN score), 426 patients were classified using the KPCSN. Data were collected from September 5 to October 28, 2015, and analyzed using t-test, ANOVA, intraclass correlation coefficient, and non-hierarchial cluster analysis. Results: The final KPCSN consisted of 11 nursing categories, 71 nursing activities and 111 criteria. The reliability of the KPCSN was r=.83 (p<.001). The construct validity was established. The KPCSN score was classified into four groups; group 1: 57 points, group 2: 58~80 points, group 3: 81~108 points, and group 4: 109 points in the KPSCN score. The conversion index was calculated as 7.45minutes/classification score. Conclusion: The KPCSN can be utilized to measure specific and complex nursing demands for infants receiving care in the NICUs.
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