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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 : 23권 1호 (2017)

간호사의 셀프리더십, 간호업무수행능력, 직무만족이 직무몰입에 미치는 영향

성미향 ( Sung Mi Hyang ) , 이미영 ( Lee Mi Young )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 1-8 ( 총 8 pages)
4,500
초록보기
Purpose: The purpose of this study was to provide basic data required to improve nursing resources management and nurse organizations. Methods: The data were collected using a questionnaire. Participants were 294 nurses who were working at 8 hospitals with more than 500 beds located in G and C cities, Korea. Data analysis was done using t-test, ANOVA, Scheffe test, Pearson correlation coefficient and stepwise multiple regression analysis with SPSS. Results: There were significant correlations between self-leadership, clinical competence, job satisfaction and job involvement. Factors affecting job involvement were job satisfaction, self-leadership, length of clinical career and length of career in current department. Job satisfaction was the most influential factor with an explanatory power of 41%. Conclusion: Findings show that to strengthen job involvement, identification and management of factors that affect job satisfaction and self-leadership are required and relevant training and strategies should be developed and used.

다차원적 요인이 중환자실 간호사의 소진에 미치는 영향

김세라 ( Kim Se Ra ) , 전미경 ( Jeon Mi-kyeong ) , 황진희 ( Hwang Jin Hee ) , 최애란 ( Choi Ae Ran ) , 김인숙 ( Kim In Sook ) , 편미경 ( Pyon Mi Kyoung ) , 문경은 ( Moon Kyoung Eun ) , 김문희 ( Kim Mun Hee ) , 신나라 ( Shin Na Ra ) , 이순행 ( Lee Soon Haeng )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 9-19 ( 총 11 pages)
5,100
초록보기
Purpose: This study aimed to identify multidimensional factors influencing burnout in intensive care unit(ICU) nurses. Methods: A descriptive cross-sectional design was used. Data were collected during February 2016 from a convenience sample of 222 tertiary hospital ICU nurses and analyzed using t-test, ANOVA, correlation analysis, and multiple regression analysis. Results: Burnout correlated positively with compassion fatigue (CF)(r=.37, p<.001), and negatively with compassion satisfaction (CS)(r=-.66, p<.001). The regression model explained 57% of the variance in burnout. For individual characteristics in the model, perceived health status (β=-.27, p<.001) and gender (β=.14, p=.028) were the most influential factors for ICU nurses` burnout. In the model with added work-related characteristics, nursing environment (β=-.22, p=.001), perceived health status (β= -.20, p=.001), and satisfaction with department (β=-.19, p=.007) were the most influential factors. Finally, for the model with psychological characteristics added, CS (β=-.56, p<.001) and CF (β=.35, p<.001) were the most influential factors. Conclusion: Results reveal that most ICU nurses have a moderate level of CF and a moderate to high level of CS and burnout, and that individual, work-related and psychological factors are relevant in ICU nurses` burnout. Programs or interventions to reduce burnout should be developed taking into account these multidimensional factors.

발열 증상 클러스터 - 응급실 내원 성인 환자를 대상으로

나선경 ( Na Sun Gyoung ) , 신현아 ( Shin Hyun A ) , 오의금 ( Oh Eui Geum )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 20-29 ( 총 10 pages)
4,500
초록보기
Purpose: The purpose of this study was to investigate symptoms experienced by patients who reported fever at the emergency room (ER) and to identify any existing cluster of symptom related to fever. Methods: The study used a retrospective and descriptive design with secondary data analysis. Data were abstracted from 665medical records of patients with fever who visited ER from September 1, 2015 to August 31, 2016 at a tertiary hospital. Results: The most frequently reported symptoms included cold (43.9%), myalgia (24.1%), headache (16.2%), general weakness (15.3%), respiratory symptoms (12.3%), gastrointestinal (GI) symptoms (12.0%), mental change (4.5%), sweating(1.8%), and warmth (0.9%). Analysis of the symptoms related to fever revealed seven symptom clusters; Cluster 1 (n=190) included cold (100%) and myalgia (28.9%); Cluster 2 (n=37), headache (100%) and myalgia (32.4%); Cluster 3 (n=33), GI symptoms (100%), general weakness, headache, and cold; Cluster 4 (n=34), cold (100%), myalgia, headache, and respiratory symptoms; Cluster 5 (n=241), respiratory symptoms (10.8%); Cluster 6 (n=76): myalgia (75.0%) and general weakness, and Cluster 7 (n=54), cold (87.0%), general weakness, and respiratory symptoms. Conclusion: The results of this comprehensive symptom assessment are hoped to be helpful in developing better symptom management for ER patients with fever than before. Further research is warranted to verify the symptom clusters of this study in different clinical settings.

선호음악요법이 자궁절제술 환자의 스트레스 반응에 미치는 효과

양정임 ( Yang Jung Lim ) , 유광수 ( Yoo Kwang Soo )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 30-39 ( 총 10 pages)
4,500
초록보기
Purpose: The aim of this study was to evaluate the effects of favorite music therapy on the stress response of hysterectomy patients undergoing general anesthesia. Methods: Date were collected from June 29, 2015 to January 18, 2016 and the participants were 79 hysterectomy patients (experimental group 40 and control group 39). The experimental group listened to their favorite music through earphones from the moment they entered the surgical waiting room until they exited from the post anesthesia care unit. Results: There were statistically significant differences in anxiety (F=15.92, p<.001), systolic blood pressure (F=4.23, p=.008), diastolic blood pressure (F=3.07, p=.033), and heart rate (F=19.93, p<.001) between participants in the experimental group and the control group according to measurement times. Conclusion: The study results show that favorite music therapy considering patients` preferences is effective in reducing anxiety among patients undergoing a hysterectomy under general anesthesia, thus leading to a stable change in their blood pressure and heart rate.

신규간호사의 핵심역량

김정아 ( Kim Jung A ) , 주민선 ( Chu Min Sun ) , 권경자 ( Kwon Kyoung Ja ) , 서희경 ( Seo Hee Kyung ) , 이순늠 ( Lee Soon Neum )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 40-53 ( 총 14 pages)
5,400
초록보기
The purpose of this study was to identify core competencies for new nurses and valuate the appropriateness and capability of core competencies. Methods: Mixed method was applied for the study. Qualitative data were obtained from preceptor and nurse manager utilizing an open-ended survey question and qualitative data analysis was conducted. The quantitative data were collected from 238 nurses (79 new nurses, 78 preceptors, 81 nurse managers) and descriptive statistics, ANOVA, x2 tests were applied. Results: Three themes (20 contents) were identified as core competencies: competency as an employee, competency to perform nursing care for patient, competency to maintain nursing expertise. New nurses recognized themselves as having higher competency as an employee and to perform nursing care for patient when compared to nurse managers. Conclusion: The findings identified core competencies for new nurses need to be reflected to developing human resource management strategies for hiring new nurses.

야간전담간호사와 3교대간호사의 표준 교대근무 지표(Standard Shiftwork Index) 차이

김정희 ( Kim Jeoung Hee ) , 김명숙 ( Kim Myoung Sook ) , 김연희 ( Kim Yeon Hee )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 54-63 ( 총 10 pages)
4,500
초록보기
Purpose: The purpose of this study was to compare the working status and Standard Shiftwork Index (SSI) between night shift-fixed nurses and rotating shift nurses. Methods: Participants were 367 nurses working as registered nurses at 7 different medical institutions. The data were collected from August 8, 2016 to September 30, 2016. Results: Night shift fixed nurses were more satisfied with work schedule than rotating shift nurses. Rotating shift nurses reported higher SSI scores, such as chronic fatigue, musculoskeletal problems, than night shift fixed nurses. In SSI`s sub-items, rotating shift nurses reported higher scores, such as the amount of sleep, feeling well after sleep, heartburn or stomach-ache and heartbeat irregularities, than night shift fixed nurses. Conclusion: The results indicated that night shift fixed system might be an effective method to improve nurses` work satisfaction. It is necessary to figure out any suitable night shift fixed system based on the characteristics of each nursing organization. The SSImight be an useful tool tomeasure the nurses` satisfaction in reference to their work shift.

의료기관의 일반병동, 성인 중환자실, 신생아 중환자실의 간호등급 변화

홍경진 ( Hong Kyung Jin ) , 조성현 ( Cho Sung-hyun )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 64-72 ( 총 9 pages)
4,500
초록보기
Purpose: This study aimed to explore the distributions of nurse staffing grades and to report changes in staffing grades in general wards and adult and neonatal intensive care units(ICUs) by hospital type and location. Methods: Data collected from the Health Insurance Review and Assessment Service were analyzed. Nurse staffing was categorized from grades 1 to 6 or 7 for general wards, 1 to 9 for adult ICUs, and 1 to 4 for neonatal ICUs based on the nurse-to-bed ratio. Results: The staffing grade for the general wards improved during 2008 -2016 in 69.8% of the tertiary hospitals, 58.5% of the general hospitals, and 31.7% of the non-general hospitals. The adult ICUs at tertiary hospitals exhibited a greater improvement in staffing grades (48.8%) than did those of general hospitals (44.2%) during 2008-2015. Tertiary hospitals in non-capital regions showed a greater improvement than those in the capital region. The majority of neonatal ICUs (67.1%) had no change in the staffing grade during 2008-2015. Conclusion: Improvements in nurse staffing differed by hospital type and location. Government policies to improve nurse staffing in non-tertiary hospitals and those in non-capital regions are required to reduce variations in nurse staffing.

임상간호연구 게재논문 분석: 2009년부터 2015년까지

김연희 ( Kim Yeon Hee ) , 정금희 ( Jeong Geum Hee ) , 권인각 ( Kwon In Gak ) , 김광성 ( Kim Kwang Sung ) , 문성미 ( Moon Seong Mi ) , 이정림 ( Lee Jung Lim ) , 박영아 ( Park Young A )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 73-82 ( 총 10 pages)
4,500
초록보기
Purpose: The aim of this study was to identify bibliographic characteristics and research trends of articles published in the Journal of Korean Clinical Nursing Research from2009 to 2015. Methods: Descriptive statistics were used to analyze 268 articles. Bibliographic characteristics, appropriateness of methods for quantitative and qualitative studies, and key concepts of articles were analyzed. Results: A clinical nurse was the first author for 184 (66.7%) articles. The number of collaborative works between hospital and university was 184 (68.7%). Study participants were patients (120, 38.1%), nurses (115, 36.5%) and others. IRB approval was given for 156 articles (58.2%). Written informed consent was obtained in 125 articles (46.7%). Quantitative research accounted for 98.6% of the articles but qualitative studies only 4 (1.4%). Types of interventions in the experimental studies were nursing skills (43, 42.6%) and health education (32, 31.7%). Major keywords were nurses, pain, knowledge, intensive care unit, anxiety, depression, fatigue, and stress. Conclusion: Articles in this journal deal with topics and concepts confronted in nursing practice so experimental studies on applicability of nursing interventions were frequently published. Findings in this study indicate that the authors published in the journal contribute to the development of nursing with characteristics distinctive from other nursing journals published in Korea.

조영제 유발 신장병증 예방을 위한 수액요법에 관한 근거기반 임상실무지침 개발

이경해 ( Lee Kyung Hae ) , 신경민 ( Shin Kyung Min ) , 이현정 ( Lee Hyeon Jeong ) , 김소영 ( Kim So Young ) , 채정원 ( Chae Jungwon ) , 김미라 ( Kim Mi Ra ) , 한민영 ( Han Min Young ) , 안미숙 ( Ahn Mi Sook ) , 박진경 ( Park Jin Kyung ) , 정미애 ( Chung Mi Ae ) , 추상희 ( Chu Sang Hui )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 83-90 ( 총 8 pages)
4,500
초록보기
Purpose: This study was to develop evidence-based clinical practice guideline in order to prevent contrastinduced nephropathy (CIN) for patients undergoing percutaneous coronary intervention (PCI). Methods: The guideline was developed based on the "Scottish Intercollegiate Guidelines Network (SIGN)". The first draft of guideline was developed through 5 stages and evaluated by 10 experts.(1) Clinical questions were ensured in PICO format.(2) Two researchers conducted a systematic search through electronic database, identifying 170 studies. We selected 27 full text articles including 16 randomized clinical trials, 7 systematic reviews, and 4 guidelines. Quality of each studies were evaluated by the Cochran`s Risk of Bias, AMSTAR, K-AGREEII. Among the studies, 11 studies were excluded.(3) The strength of recommendations were classified and quality of recommendations were ranked.(4) Guideline draft was finalized.(5) Content-validation was conducted by an expert group. All contents were ranked above 0.8 in CVI. Results: Evidence-based clinical practice guideline to prevent CIN was dveloped.(1) The guideline for preventing CIN recommends using 0.9% saline.(2) Standardized rate of fluid therapy is 1 to 1.5ml/kg/hr.(3) Execute hydration for 6~12hrs before PCI and after PCI. Conclusion: This study suggests evidence-based clinical practice guideline for preventing CIN which can be more efficiently used in clinical practice.

첫 1년간 혈액투석 환자의 식사 관련 생리적 지표 변화 분석

정희진 ( Jung Hee Jin ) , 구자선 ( Koo Ja Sun ) , 김진동 ( Kim Jin Dong ) , 박진선 ( Park Jin Seon )
병원간호사회|임상간호연구  23권 1호, 2017 pp. 91-99 ( 총 9 pages)
4,500
초록보기
Purpose: The purpose of this study was to determine the time and content of dietary education by analyzing the physiological indicators of hemodialysis patients during their first year and to present baseline data related to dietary education for patients on hemodialysis. Methods: For this retrospective study physiological indicators for 73 patients on hemodialysis were analyzed. Data included levels of potassium, phosphorus, albumin and the IDWG rate, and Kt/V during the first year after starting hemodialysis. Repeated-measure ANOVA was used for statistical analysis. Results: Serum levels of phosphorus (p<.006), albumin (p<.001) and the IDWG rate (p<.001) increased significantly in the 7 months fromthe start of hemodialysis. Conclusion: The results indicate that the period in which diet related educational intervention is necessary is before physiological changes, that is, after 6 months of dialysis. The contents for effective education should include phosphorus-limited and weight control dietary restrictions at 6 months.
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